3554 Woodland Tr
~ . INSPECTION RECORD
CfTYOF EAGAN PERMIT TYPE:
3830 Piiot Knob Road Permit Number.
Eagan, Minnesota 55122-1897 Date Issued: ~ 4~
(612) 681-4675
SITE ADDRESS: APPLICANT:
' i ';iiilpif4Nit I R
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION D. .
~ r~ nM ~ r•~~~ i: Ipt, I
a
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s
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~
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Permit No. Permit Holder Date Telephane #
ELECTRIC 5 a I ,
,S' D~D . yi 9G ~ d
PLUMBI G '~S 4G u'27.2t)
' HVAC IL-
Inspection Date Inap. Comments
FOqTINGS
FOUND
FRAMING
RdOFiNG
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING «bY ~
GAS SVC TEST < < G~j
INSUL ~ /7
GYPBOARD
FIREPLACE
FIREPL,4CE
AIR TEST
FINAL PLBG
7
FINAL HTG I( l(
ORSAT
TEST
BL.OG FINAL
BSMT R.I.
'
BSMT FINAL
DECK FTG ~ VW ~
DECK FINAL
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Ea an, Minnesota 55122-1897
9 Date Issued:
(612) 681-4675
SITE ADDRESS: 0' o V. APPLICANT:
! t~ I: t !cl iit r
k11'NAF.I"
PERMIT SUBTYPE: TYPE OF WORK:
: i ~ i!!;',~ t rIr t~
f~ ' t ! t , ~~~i , • ~
INSPECTION i• • D•
l~ , ~
Permit No. Permit Holder Date Telephone #
ELECTRIC
PIUMBING
HVAC
Inspectlon Date insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACF
FIREPLACE
AIR TEST L
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAI
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
T _
~ ~ ?
Kemficate vf cccupanc~
~
M*Vartweut of Sxfthsg 3nocetion
Tlris Cenifecate issucd pursuant to tite rrquir+enunts of the Uniform Building Code
certifying that m the tinee of issuance this sinrctare was in compliance wirh the various ~
orrlinances of the Ciry regulating baelding constrerctiori or use. For the following:
usea.csifknoor SF m swg. eemw xo. 2715q
oocqm,ry 7ype R3/U 1 zoo;m naatria VN Type ca,si. R I
~ o.sm of swwkog R A MDf W49S INC Ad*.. 7694 12$IIH ST W, APPfE VAIIEY
~ mmin ,?e&m 3554 woon[M 1RnII. ~ 1.3, 82., Mw, woootANDs 4TH
eo. arac;.i
POST IN A CXNSPICUOUS PLACE
:
0~
Address 3554 wonin.nnm zaarr. Zip 5512 3
I.oG 3• Blk 2 Sub TM tx7oDLArIDS 4Tti
THESE TIBMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: (p 1 Yes No Inspector: ~
Final grade (6" from siding) 4111~
PermanenE steps (garage) 11-11
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch ~
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shuboff of water supply to
the outside lawn faucet before freeze potential exists. Contact engineering division et 6814645 before working in rightof-way or installing underground sprinkler system. ~
White - Ciry Copy Yetlow - Resident Copy Pink - Contrector Copy
2 5 4- 04 O 91 OFFIC USE NLY Thie reqoest void 18 monthe fmm volidaHon dah pnnted in Ihie bax. ~
y~a-,~,~
PLEASE PRINT OR TY~R;o
Reqw/Jl k h n pcrion requked2 Y<s No Impaction OlFier Than Rough.ln: Ready Now WNI Call
ou mvsr mll the inspenar when reody~ D.J. Ready:
I, tg licensed conhacfor ? owner here6y request inspection of ihe above eledrical work at:
lob PAdms 'StrcN, Bos, or Rovk Na.) Ciry . Zip Code
E; Q-L NO ~~C. EI~6'4"N
Saction No. Tovmship Name or No. Ronge No. Fire No. Counry
~KO 77s
Os1n PMm No.
/i~a/'~/COr NDm~S 7-g~l3
ovalh« ndd,~..
P.
/fle 0 V9 C4cex:c /~.r,e,n,•v6 ra.~.
EI I Canhocror (Compony Name) Conkacror license No. Moster lic No. (Plam EIM. Only)
sfR.ft 4scne..c. Z•ve ~ OIg'_42_
Mailing Addreas (Conkacror or Owner PeAorminq Inskllalian)
o
A~nh ed5ignaNre(Contm orOwnarP<AormirgliuMllafion) %wmNo.
~~/-Yloa
EB-00001A-10 6/95 STATEBOARDCOPY-SEEIN97AUCTIONSONBACKOFYELLOWCOPY
I III I{ Iy jI REQUEST FOR ELECTRICAL INSPECTION
I I I ' Minnesota State Board ot Electricity
1827 Universiry Ave., Hm. -128, St. Paul, MN 55104
* 0(2 5 4 0 4 U 9* anone (612) sazoeoo
Home Duplea Apt. 81dg. Olh'er. New Addn
Commercial Industrial Farm Remod Re air
Air Cond. Htg. Equip. Woter Fkr. Lood Mgmt. Other:
D er Ran e Elec. Heat Tem .$ervice
"X" above the work cwered by this request EnTer remarks in ihis space and on the back of the white copy only.
Calculate Inspection Fee - 7his Inspecfion Requesi will noi be accepted withoul the torrxt fee:
qher Fee # Service Enharwe Sae Fee # Circuits/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps .ZO 0 to 100 Amps 90i1O
Sfreet ltg./Traffic Sig. Above 200 Amps ASbve~l Amps
Translormar/Generator INSPECTOR'SUSEONLV TOTAL ~
$ign/Oufline Ltg. Xfmr. / h
N~C/
Alarm/Remote Confrol
Swimming Pool
I Mmb cerM1 that I ins eckd Ihe elacln ' swllallon 5crii d h in an the dmes smled
Irrigation Boom Rough.ln .J/c
~.o
$pecial Inspedion
Final
Invesfigative Fee
THIS INSTALLATION MAY BE ORDERED DISCONNECTE IF N07 COMPLETED WITHIN 18 MONTHS.
2 5 4- 0 2 9 OFFIC US ONLY This requesf void 10 monlhs Irom volidafion dale prinred In Ais
9.T
PLEASE~ PRINT OR TYPE ~3 ~c7 ~ ~ ~OCLJ ~
Reqeest Doh Raugh-in inspecfion reqalred2 0 Yes ? No Inepeclion OMer Thon Rough-Im ~ Reody Now 0WII Call
3~Z (You must coll the inspecbr when reody) Date Ready:
I, A-licensed confmdor ~ owner hereby request inspedion of the above eledriml work ah
lob Pddress (Street, Boa, or ~Ro~ub9 No.) Ciry Ip Cade
~~S lNOODG~'YND T C~nfN
$aaian No. Township Name or No. Range No. Fim No. Coonry
RKOT14
~ Phone No.
l~or ~vm~s 7-10S43
aoIJf1lf~v5~vvua, r,dd'y/-/~
,P/r1~N(oT<JN
EL~C?T.C': C f
OTA
Eten(/ryeq~I Conlmctor (C/om-pony Name) ConVaeor 6cense No. MaxW lia Na. (Plom Elea. Only)
!/~ASK L LEC i i2 iG 1 NC_ ~'I~J D/~f'.~ Z
Mailine~dmss~ConnatlararOwnerPedonnin Insnllouon
Qh~a/ //m~s ~v~ o. #/.a'O LOdminG7DN S.~Y3/
AuMon ignoNn (ContraMr oA ner Performiig Instnllalion) A Phone
~ ~/-y/oo
EB-OOOOlA-10 6/95 STATEBOAflOCOPY-SEEINSTRUCTIONSON C OFYELLOWCOPY
I IIII ~I~ I~I REQUEST FOR ELECTRICAL INSPECTION
Minnesota State Board of Elactricity 3-,
1821 University Ave., Rm. S- 28, t. Paul, MN 55704 0 2 5 4 102 9 2 * Phone (612) 642-0800
Home Duplex Api. Bldg. Other: New Addn
Comreer<ial Industrial Fortn Remod Re oir
Air Cand. Hig. Equip. Water Hfr. Load Mgmt. Other.
D er Ran e Elec. Heat Tem . Senice
'k' ab6ve fhe work cwered by this requesf. Enter remarks in this space and on the back of Ihe white copy only.
Calculafe Inspection Fee - This Inspection Requesi will nof be accepfed withoW ihe correct fee:
Olher F. # $ervice EMrance Size Fce # Circvils/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps 0 ta 100 Amps
Sireef Lig./rraNic $ig. Abova 200 Amps A Amps
Transformer/Generaror INSPECTOR'S VSE ONLY OTAL
Sign/Oufline Lig. Xfmr. ~20SO
Alarm/Remote Confrol
$wimming Pool I hem cem Mat I ins ad the elechirnl insallotion e cdbed herein on the dabs siared
Irrigation 8oom Rough-In D.k
Special Inspedion
Investigative Fee
THIS INSTALLATION MAY BE ORDERED DISCONNECT IF NOT COMPLETE WI IN 18 MONTHS.
-]o.olr
2004 RESIDENTTAL BUILDING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 4 651-675-5675 FAX 4 651-675-5694
New ConsWCdon Reouirements RemodeVReuair ReauiremenGS ~Us2DnIN
3 registered site surveys showing sq. ft. of bt, sq. ft o( house; and all roofed areas 2 wpies of plan UM1~~
(20%ma)imum iotcoverage allowed) 1 selof Energy Cakulatlons torheated addNOns T lSERfa `f~ecd~ ~ s.'N2 copies oi plan showing 6eam 8 window srzes; poured found design, etc. i sde survey for additions & decks ~`t~,~res R§Cl r~'~~"~~""
1 set ot Eneqy Calculalions Addifion Jndkate ifon-sife septlc system
3 copies of Tree Preservation Plan tt lot platted aNer 711193
Rim Joist Delail Options selection sheet (bldgs wiN 3 or less un'As
Date 6~ l Construction Cost vo d
Site Address w U4 UniUSte #
Description of Work r7w Y~- ~ a o/-' ~°?s~
Multi-Family Bldg _ Y _ N Fireplace(s) _ 0_ 1 _ 2
Property Owner 5-0 N! I 7~GS~`G Telephoae #{KS
Contractor SELA ROOFING & REMODELIN(3, INC.
Address 4100 EXCELSIOR BLVD. City
State ID #0001050 Zip Telephone 6(z ) Z 1 O- 717 /
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential VentilaHon Category 1 Worksheet • New Energy Code Worksheet
(J submissfon type) Suhmitted Submitted
• Energy Envelope Caiculations Su6mitted
Have you previously constructed a building in Eagan with o similar plan? _ Y _ N if so, 25% plan review
fee applies.
Telephone # ( )
Licensed Plumber 0
Mechanical Coniractor 14 Telephone )
Sewer/WaterContractor Tetephone#( )
~Y
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 pernut, 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.
Z
Applicant's Printed Name Ap oanYs Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 OB-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 07 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/gaze6o) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition 0 36 Move Building ? 42 Demolish Foundation Q 45 Fire Repair
? 33 AReration ? 37 Demotish Buifding* ? 43 Reroof ? 46 WindowslDoors
? 34 ReplaCement 'Demdition (Entire Bldg) - Give PCA handout 4o applicant
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) _ FinallC.O.
_ Footings (deck) _ Final/No C.O.
_ Footings (addition) _ Plumbing
Foundarion HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: , Building Inspector -
-
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Conneclion Charge
S&W Permit & Surcharge
Treatrnent Plant
License Search
Copies
Other
Total
- PERMIT 5em-L/7-:27
A CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE:
Eagan, Minnesota 55122-1897 Permit Number: e~ 5 9 N G
(612) 681-4675 Date Issued: 0 3/ 2 6/ 9ry
SITE ADDRESS:
3554 WOODLAND TR
LOT: 3 BLOCK: 2
TNE WOODLANDS 4TH
P.I.N.: 10-75879-030-02
DESCRIPTION:
'
Buil4ii,ng Permit Type SP DWG
;Building 4or.k Type NEW
UBG Qocuparrcy~ti R-3 U-1
Construction Ty'-pe V-N
26ning R_1
~f' `BUilding Cength 73
~1 Build3ng Width ~ 55
° B,uiliifnq'stor^ies 2 .
t' e Fe6-t 2, 6 3 6
C`~.nsus~:C.o=d`e 101 1- FAM. DETACH
,
REMARKS:
S& W PLBR - MATTHEW DANIEIS PLBG
FEE SUMMARY:
VALUATION $213,000
Base Fee $1,452.25 MISCELLANEOUS $1.923.50
Plan Review $726.13 Total Fee $5,108.38
Surcharge $106.50
SAC $900.00
SAC % 100
SAC Units 1
Subtotal $3,184.88
CONTRACTOR: - Applicant - sT. Lrc.OWNER:
KOT HQMES, R A 16879513 0001506 R A KOT HOMES INC
7901 UPPER HAMLET CT 7694 128TH ST W
APPLE VALLEY MN 55124 APPLE VALLEY MN 55124
(612) 687-9513 (612)687-9513
I hereby acknawledge th;at I have read" this application and state that the
information is carrect and agree to comply with all app2icable State of Mn.
Statu s and Gity of Eagan Qrdinances.
L ~ J
~
APPLICANTlPERMITE SIGNATURE ~ D B 51 TUW
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: suiLoING
3830 Pilot Knob Road Permit Number: 027159
Eagan, Minnesota 55122-1897 Date Issued: 93 /26 /95
(612) 681-4675
SITEADDRESS: P•I•N.' 1e-75e79-e30-e2 qppLICANT:
LOT: 3 BLOCK: 2
3554 WOODLAN[l TR KOT HOMES, R A
THE WOODLANDS 4TH (612) 687-9513
PERMIT SUBTYPE: TYPE OF WORK:
SF DWG NEW
INSPECTION .
FOOTINGS FOUNDATION
FRAMING ROOFING
INSULA7ION FIREPLACE
ROUGH IN PLBG ROUGH IN HTG
FTNAL PLBG FINAL
REMARKS: S& W PLBR - MATTHEW OANIELS PLBG
~ _ . . . - . _ _ ~
~ CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
687-4675 °
New ConsWction Reauirements RemodeVReoair Reaufrements
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plana (include beam 8 window sizes; poured fnd. design; elc.) ? 2 site surveys (exterior adddions & decks)
? t energy ealCUlations ? 1 energy calwlations for heated additions
? 3 copies of tree preservetion p15rf H lot platled after 711193
required: _ Yes -x No
DATE: ZI 2"-) Lq {o CONSTRUCTION COST:
DESCRIPTION OF WORK: L~4'1°M 7- f277e~l a`L--
STREET ADDRESS: 3 S'ST dob L49N3
LOT ~ BLOCK ~ SUBD./P.I.D
PROPERTY Name: ~•a• ~{.~°wV`F-5~ tNc • Phone#:
OWNER ,I"'•
Street Address: 9 4 12-8 't !a'
City: dqljr7 vk~~ State: Zip: ss 1Z d-
CoN7rtAC1'oR Company: S4AA-F- k S Phone
Street Address: License
City: State: Zip:
ARCHITECT! Company: ~ B•L • '~Si~fJ Phone #:Jo8-l S s~ 3
ENGINEER
Name: Registration
Street Address•
City: ow~-,A"I" State: Zip:
Sewer 8 water licensed plumber: / Da4i\ie3~ P6e`ja~ applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state th information is correct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applican -
OFFICE USE ONLY =F11
Certificates of Survey Received ~ Yes No Tree Preservation Plan Received Yes ~No
OFFICE U5E ONLY
fia++
+
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
~02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
0 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. 0 10 _-plex ? 15 Deck
WORK TYPE ,
,4a'-~31 New ? 33 Alterations ? 36 Move
0 32 Addition o 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual) ~ Basement sq. ft. MC/WS System
(Allowable) ZI-1 Main level sq. ft. at City Water UBC Occupancy 7~ sq. ft. G?" 7 Fire Sprinklered
Zoning sq. ft. PRV
# of Stories Z~6nwr. sq. ft. Booster Pump
Length sq. ft. Census Code.
pepth s3 13 Footp~ir~t sq. ft. 1 5--3ze SAC Code ~
P~ Census Bldg i
~I Sfo( Census Unit
APPROVALS 1 61 i
y~I
Planning Building Engineering Variance
.a-
Permit Fee Valuation: $ ~~3, 600
Surcharge ~j~~,( Z N° , Os. r-r
Plan Review
License ZX IY.sF ~33 1,701
MCfWS SAC ,rnz,sTxZ•~s = ~ 2Z.y2xz1.G7=s'3/ ~
City SAC as67=Go <.t~3rx 7-
/bX/rr. sT =709 /i~rG~~
Water Conn.
y G7 x z& 6 x//. 33
WaterMeter y-r,r zx `70 f~. Yzx~~.~v =i6-7/= 09 xl,6sy= ~`/rrzs--_
Acct. Deposit : 12.
S/W Permit G " Z .rXS=srfs' ~ $y,~~
T,rx 5:r = i9 ~•l• /,685 - `,3ys"" / , G
S/W Surcharge 7~0
G~
Treatment PI. Zs-?1X3y31 =~yb 9x /y.b~, = r7,~
Road Unit
ParkDed. ~sx7l7X7•r7 yx i. ~r,1.ss
Trails Ded.
~5',r/.g3x/.S7> =~Z) Z_/7xlo.s' /
= z / Z(a X
Cpes lz) .
,S.r S5-14j.51 = is ~i 3 77 x5"`/=
Total: r s'K 31 zzX = 2~L
.r-xqx y ° Fs L7f!3~ 776 fi 16 =
% SAC yx /5-13 i ST /Z~ yib
SAC Units
701
XSY- ~-l'~lfS7
' ' . I : ' +il. . . . . .
_ 4421~Enlerprlee DrN*
~4c MeAduto Hdiphle, MN 55120
as/-A914 FAX.tl81-9488
* hp ee f1 uwo x~ms. uvose~vt ~mn ~29 ~H1d' fiNUr 10 N.E.
~iai~{B:IAN o5434 . °
~ ~ (bi~y 7~3=~beo FAX. ~s-iee3
.
Certificote of 5urvey for: R.A. KdY J',!
i 3554 WOODLnNO maL
' . i . . _ .
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- . . z tUl ( _ ' • ' . .
'r~r-,~,p R/IINAp~ dt UTIl1TY i
EASEMEN7 PER PIAt~^ '
~ ,
\C>WEiLAND PER PIAi- 5~N5 FflppT~}E}~?~ t .
F~,, R F
ik'
F,E.$. INY.eG04.3--.•<„~
i
q.
0112.0
~ ~ J~~°7 911 8 ,1q4NM~~/
. r t ~~~•Q
+ry~b g~a• p fa~!,_. y
3TORN $EWEf~ UNE 1 +r 1 0 9
ON PROP: UNE 910.8 92
908.1 BT E NCH M.4REK
G ELEV~917~P88
~dys, ~r; t?, ~ ' . ~~p~pp r`MA °
q/
.
.
'86CH FAA~tK 4 ' a J 1N~ a9
~~e[ 7 T~ p tl~ ?!vE 9ie.7 ~
ELEV,~915.78 ~~~3~~a 91~.2
9155 r-
r
q~ 914.8
~
A
~r ' ~N IIdEE~G DEPT.
MIT6. MAOPOSEa IAI~! 3H~) VEH O11MIN0 PLAN tl'h 8RW ~ 2
~.C bt{A~N~bt7$ . A. •.pRO?b O FIOLG
~A:DIN6 RE YOR HdiRONYAI ANO K~nC~L IOWTON
~no~+ t,ovl~3t ~Ldbfi ELEVAt~oN ; or.81aucml~EB 010.r cwttcroAu vtiNs Foa euuomo ~tl
~au~oxnrnr iMENSO~B. sEAp TbP:tlF 6loCk .ELEVATION; .1
r.pTf: "~-~~611i~, 534,5 o1V1bCI1t0li HA~,bt[N'cGA11L[MP ON 71R9 toi BY M~' . GN.lACC. StAb EL E~ATION
9UR`EroR.,fi+ .bJ~~6~1y dc 6a~5 fo EuPPa1t M[ ErCpFic ~+Wea , 9i 9 r~
vA0h05Etl:~ot fi¢ p[wCNmaWrt OP nrc su0.v[roa . : " . • " . . .
Notr~ 6ilfAeAic ooEs uoT FuA++d+Y io snow usiMn+n omcd TMAw !I OO~,Mi '~M~hg E114M+t7 fl[YATi0h1
7i+b5C SMbNn,dv iME.qiCdf0E0 PUT. . S OGtl.Otl~I tlitWT[t PNOPDSED [4CYAhOM
OFNOTt9 URMINAUE PNO Utahv Eis[M[NT
uOTEt'CfRdiNACf~ (AV67 VCIifY. CRI*WAY bESIQN. $f40fE9 6i11UNACF KOwOIFICC110N N0Ifi~EI1PINa4~ilOtlN AR6 jASEh OH AN AtSUNEb OANM ~ -~--a+~=' OalOf6EMO1NM4Nt'; .
° CPNES'~Ml'AT10N 0~ A `
OF TWE 60UNdNil~3`.OFs , o~tmti9 brrset mi6
ViE H~~i~`~Y CEATIF`Y TO'N,A; K0~ 1'HAT TFI15 IS A iRUE ANO CORRECI Ii
SUf4vE ~
~ A~bftlbN , "
~ t wooaLaNOS PduRrtw,
baK$f~ ~gtifi'~
~ IT Ddi~ I~i~1T a~R t0 tl10W II~PROVEMENIS 01! kN~FIfiOACHMENTS, EXEE('t A9 $116WN:' A§ $Ul~~YED 8`! IAE OR
uNb~~tilG`{' 01ittt g/otAVI916N•W15 220 bAV oF f'EB.t.,1408 . 1' ~I• -
. ~Zd?SLIA IONE~q ~NC1N~ MC. ,
S~AL~ 3 ~'INCH -36 .F`EEt
j y S
. ~ . ` t• e . hA Ldroeh,_L5. Raj Na ,19828
i r~.~~ ` . .A' y 'I.t rs./. ,
. P .r t
~ d. . . , . ' , .
. LOT SURVEY CHECKLIST FOR RESIOENTIAL
ILDING PERMIT APPLI TION
PROPERTY IEGAL: ~
~ Q DATE OF SURVEY: ,
LATEST REVISION:
I20CUMENT STANDARDS .
9""C3 0 • Registered Land Surveyor sipnature and company
41,-'0 O • Building PermkApplicard
01'~[] a • LegaldescAptlon ,
• [a.-'o ? • Address
FY ? ? • North aROw and scale
Er' ? ? • House type (rambler, welkout, splR w/o, split entry, lookout, etc.)
0---13 13 • Direcdonal dreinage anows with slope/gradient % 91-~O ? • Proposed/existing sewer and water seMces 8 invert elevadon
e-,[] O • Streetname
Cd.---O O • Driveway
ELEVATIONS
6dstlna
Cl--'C3 ? • Sewer seMce (or Proposed)
&2--'O ? • Property comers
p~o ? • Top of curb at the dfireway
~0 ? • ElevaUons of arry exisUng adjacent homes
Proposed
%I-'F3 ? • Garege floor
9--~13 ? • Flrst floor
8-' ? 0 • Lowest exposed elevation (walkouUwindow)
Cr'? ? • Property comers
~ ? • Front and rear of home at the foundatlon
QONDING AREA (if aoolicablel
o • Easement line
E3-'O O • NyyL
8-10 ? • HWL
13 • Pond # designadon
? C3 • Emergency Overtlow Elevatlon
DIMENSIONS
~O 0 • Lot IlnesBeadngs & dimensbms '
~ ? • Right-of-way and street w(dth (to back of curb)
? ? 0 Proposed home dimensions includinp any proposed decks, ovefiangs greater than 2',
porches, etc. Q.e. all structures requiring permanerd faotinps)
9--'13 o • Show all easementa of recoM and anry Clty uWitles wMhin those easemeMs
2-'0 o • Setbecks of propoaed structure end sideyaro setbeck ot adjecent eMn8 strudures
? o/b • Retaininp well requiremen , ff eoy
Reviewed:
Name / Date
~u~wy1~78
awo+aOBLoowGtcFM
• ' ' 6' - 22 1/2° BEND ~
~
~ 2 i ~SEE SHT. p' 2439 U
. f i
o : s I 1s'
4/ ,aa.o 5 6 7 J+ ~i ~ 10 e71\ ~5,0
12
s..t~ 1 eo' r+ow n o 0 1
3.,.s~ i\, 0' TYP. ~ 301 o I 70~ -B f~ 37.1 I, e7.5
6" - 11 1/40 BEND D 115~Tff*' l\ 1~6~ II 3 I ' NObFD TO 1EE 14' B-B7 ~ I~ 1.3
- 22 1/2° BEND '~Nl S ~ ~ ~'~~T n /NI~Av.r9q /NYWX.~~.S f ~/NYB9760/
2 es.s~ m{v5 p zs.~ " i _ I j//~ 1 6B• j e.o
ai; 1
t 50 T
\ ~ i ^ ~~oo ~a.o~_~ i ~ ~ ~ . . ~vi ~ ~~?~7id ~ ~Y~
78 .0~ 10' TYA
_ . ~-'~-1 ? ~
I.GV?89.S~I0
~ ]8.0,
/ :SR,ry y4i.o
~\37.0 ~ ~ 'I1 \ % .rs~~ 91~.5 ~K~ u.o ji
88.5 SaHY" \ \I \ ~ \ \ ~ ~
/
~ 7fRT I 1+15 45.5 Of7JJ y c~,
~ I I/ 7tPI Pf1B / t /
1 O.'J.P I i .~.5! 'AYY9RS10 /NYA?~60~( 44.6I \ I /N? \ I /NYB9770 /NYDYLJO 77.0
~ YANGi~ / •a' B-B 99~7J { Of77 I i ~ !
} ao.o~----- ~ 3.0 ~23 .o 50.0 11 1~.s / .evv9.9c¢~D/~~
--33.0 NO x 6" TEE Q Y 6' x 6' TEE
s+. ~ %
ovv,Qar_ 3~ 8'-6" DIP CL5 s 6" - 11 1 a° BEND i.~
6" RSV 4 J 6 I 7 8 y ~ ~ AV?~B~
HYDRANT ~ J
SEE SNT. BIRCH STP,EET 47.0-'~ B.M. 7TiN 6" RSV 6° z 6' TEE
f10 ^ ELEV. 912J8 8'-6" DIF CL52
244 ~.5\\/NY90ZBYJ I HYp R A N T V 0r4l9 1
9
`5/.9 / 1A.5
2 6' x 6' TEE ,GYv B9SGl7~ !
~
12'-6" DIP L52 6" - 22 1,4-2 ° EN\D-Y
O ;l
02 '1! 6" z 6" TEE HYDRANT 71 1/4° 12 61.~
~ ~Na
Q p ~
IN riJ 1
o°! J'~ v ry
f -~~ae.o• 1 ~
• a.~ ~ ~
I::~ • Srp~ REMOVE EXIST. 6" PLUG
z
% ~ AND SALVAGE, CONNECT
TO EXIST. 6" WATERMAIM. 3 WARNING /
~ ~ 6" - 45° BEND-
APPROXIMATE IOCATION OF
B.M. 1HN EXI57 WATERMAIN AND SANITARY WILUAMS BROS. GAS PIPELINE , SALVAGE EXIST.
- - ELEV. 909.21 7. BlK 3 CON7RACi0R SHAtL VEftIFY
SERVICE LINES TO L07 I ,4ND CONNECT '
~ LOCATION AND DEPTH. EXIST. 8" WATE!
. . . . . ~ . j` ' ' . \ . . ~ . . . . .
. . . ~ ' _ . ~ .
78'- B" DIP CL52 , y'~.:;• : . ' . : : : ; . : . . . ~
g`l5 : . . : . . .,~,y . ~ . - . . . . ~
..i. ~ . . _ .
.......i : . ' ~ . . . . , . . . ,
-cv 30'- 6" PVC
r.- - ww.ao• ~c ; ~ SDR 35 0 0.409.';
920 I .
. : : T^;;~
--5'- e" PVC OF cs,GaN DeEs h?bT c ~ 17P I -r
I i ` r . ~ • ~ ~ ~+Y UF UTI'1I !
r soa 35 0 0.407
915 Eti`"I IONS. THI,S;,pi-
I w .
. . ~~4 .
.:..~1~ ..I . . . TOP~.OP PIPE : ; p~> . .(S.lo~..~. PURPOSES
. - I x 2.00% UL.ING Ir sHallLC3
' i .:,,t't °OP~7 afV THE SITE.
.
~io
~Vg
75'- 8' ?VC
SDR 26 0 0.409
~ sz
; 905 I I . ; ) _ _
75
~Y----'- MINt
~ _
~ 290'- B" PVC SOR 25 O 0 a09 COVE . p
.
~y ~ ' ' ' • :
~ . ~ - . . : i. R 0---
, , .
- 1-iiil _
'
` 900 : ~ ~ tr• MH a . ~ : _ . 174.;-:
. I
- . . . . . . . . . . . . . . . i. ~I~ ~ . : . . . . . . . : . . . . i MH 2 . . . . . . . . , . . . . . . . . . : . . . . . . . . CAST ~R-1642 8 ~ ~ . . . . . . ~ . . SDR i
- : C NSTRUCT DROP'; 208 8" PVC
9V4,
_ . _ . . . . NEW N E 907.04 G CAST R-1642-;B R^•^ 9>3.OJ
11.48 97190 gp -
,E~~- J f/
SDR 35 0 0.407, SDR 35 40%
_ i q I R13ER SECl10N ~~_gg~~. 90L53
895.. Ex, s iE e~i.oa
. . ...i..n . . ! . ~ .I. a.~.
I . . . . . . , . . . ~ . . ,
~ MH 1 ~ MH 3 . . . . . . . . . .
r.o+ o._iC Ao_o'. i CAST R-1642-8 MH 8
. . Yceo_ o ~~u 'i 11u 9
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
OWNER R.A. KOT HOMES, INC. PLAN NO. 9-0206-6
SITE ADDRESS LOT 3, BLOCK 2, WOODLANDS 4TH
CONTRACTOR_R.A. KOT HOMES,. INC. DATE 2/26/96 PHONE 687-9513
DETERMIME WORKING 54UARE FOOTAGE
4899.745
1. Total exposed wall area4970.095 sq.ft. x.11 546.7105
2. Total roof/ceiling area 2100 sq.ft x.025 54.6
3. Total floor cant. area 377 sq.ft. x 0.05 18.85
(over unheated enclosed areas)
4. Total floor cant. area 34 sq.ft. x 0.025 0.85
(over unheated exposed areas)
5. Total exposed wall area above the floor. 4512.745
a. Total wall window area 670.53
b. Total door area 55.6278
c. Total sliding glass door area 60.03
d. Total fireplace area 0
e. Total wall framing area (ave. 10%) 451.2745
f. Total net wall area above the floor....... 3275.283
g. Total rim joist area 387
TOTAL EXPOSED FOUNDATION AREA 70.35
h_ Total foundation window area 0
i. Total net foundation area 70.35
Determine "U" value of each wall segment.
a. 670.53 x"U" 0.41 = 274.9173
b. 55.6278 x"U" 0.06 = 3.337668
c. 60.03 x"U" 0.41 = 24.6123
d. 0 x"U" 0= 0
e. 451.2745 x"U" 0.090334 = 40.76554
f. 3275.283 X"U" 0.043215 = 141.542
9. 387 x"U" 0.040683 = 15.74451
h. 0 xflU't 0_41 = 0
i. 70.35 x"U" 0.072939 = 5.131291
6 .........................Total 506.0506
If item #6 is the same as or less than item 11 you have met the current
energy codes. 2 MCAR 1.16008 A AND O.
TOTAL EXPOSED ROOF/CEILING AREA 2100
j. Total skylight area 0
k. Total flat roof/ceiling framing area...... 210
1. Total net flat roof/ceiling area.......... 1890
Determine "Ull value for each roo£/clg. segment
j. 0 xflUti p- p
k. 210 x"U" 0.025549 = 5.365355
1. 1890 x"U" 0.021801 = 41.2034
. ,
7 ...................................Tota1 46.56876
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). 377
o. Total floor cant, framing area (ave. 10%). 37.7
p. Total net insulated floor/cant. area...... 339.3
Determine "U" value for each floor/cant. segment.
0. 37.7 x"U" 0.036403 = 1.372406
p. 339.3 x"U" 0.01952 = 6.623072
8 ...................................Tota1 7.995479
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) 34
q. Total floor/cant. framing area (ave. 10%). 3.4
r. Total net insulated floor/cant. area...... 30.6
Determine "U" value for each floor/cant. segment.
q. 3.4 x"U" 0.036724 = 0.124862
r. 30.6 x"U" 0.019612 = 0.600118
9 ...................................Tota1 0.72498
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 HERE DESCRIBED MEETS OR EXCEEDS
THE STATE OF MINNESOTA ENERGY CONSERV~ ION
signat re)
Z 26
, (da e)
, 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 "R" 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'l Value............ 0.021801
~
THRU CONCRETE BLOCK
Interior Air..,.,, 0.68
conc. Blk......... 1.28
Insulation....,... 11
Sheet Rk. (opt.). 0.58
Exterior Air...... 0.17
Total "R" Value..... 13.71
l/g - uUu ..................0.072939
THRU RIM JOIST
Interior Air...... 0.68
Insulation........ 19
Rim Joist......... 1.89
Sheathinq......... 2.06
Siding............ 0.78
Exterior Air..,... 0.17
Total "RII Valu2............ 24.58
l/g - nUn 0.040683
Ull value for window........ 0.41
U" value for doors......... 0.06
U" value for Patio Drs...,. 0_41
THRU CANT. @ MEMBER (enclosed)
Interior air...... 0.68
Finish Flooring... 1.23
Sheathinq......... 7.2
Plywood........... 0.93
Jaist 16.24
Sheet Rock........ 0.58
Still Air......... 0.61
Total "R" Value............ 27,47
1/R = nUn ..................0.036403
~
THRU CANT. @ INSULATION (enclosed)
Interior Air...... 0.68
Finish Flooring... 1.23
Sheathing......... 7,2
Plywood........... 0.93
Insulation........ 40
Sheet Rock........ 0.58
Still Air......... 0.61
Total "R" Value............ 51.23
1/R = nUll 0.01952
THRU CANT. @ MEMBER (exposed)
Interior Air...... 0.68
Finish Flooring... 1.23
Underlayment...... 0
Plywood........... 0.93
Soist............. 16.24
Sheathing......... 7,2
Soffit............ 0.78
Exterior Air...... 0.17
Total "R" Value............ 27.23
1/R - 'lUn ..................0.036724
THRU CANT. @ INSULATION (exposed)
Interior Air...... 0.68
Finish Flooring... 1.23
Underlayment...... 0
Plywood........... 0.93
Insulation........ 40
Sheathing......... 7.2
Soffit............ 0.78
Exterior Air...... 0.17
Total "R" Value............ 50.99
1/g = vUu ..................0.019612
J
w
• . PERMIT
?-Ci.TY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: euz LoanG
Eagan, Minnesota 55122-1897 Permit Number: 0 2 8 5 0 0
(612) 681-4675 Date Issued: 0 8/ 0 7/ 9 6
SITE ADDRESS:
3554 WOODLAND TR
LpT: 3 BLOCK: 2
THE WOODLANDS 4TH P.I.N.: 10-75879-030-02
DESCRIPTION:
(GAS)
y~~$~ ~Permit 7ype FIREPLACE
~~u~tf~nY~,.l~.~~k Type NEW
l
0p~~a 6adi ~ 434 ALT. RESIDENTIAL
~
pf"
4~~'~~°a~ 1 .;_~3 ra A; ~
~ "•issz ~ rlw~°r" +5~=~
REMARKS:
FEE SUMMARY:
Base Fee $25.00
Surcharge $•50
Total Fee $25.50
CONTRACTOR: OWNER: - Applicant -
KOT RICHARD
3554 WOODLANO TR
EflGflN MN 55128
(612)687-9513
r ~
fi` horeby t"t x haVe rvatl this~a{apli,catidrt a'nei st8t.e that 'the.
1nfor+tlatisp°n -~s ~#+r'.r~e€t`$ntd sgr~~ ta co~rp~Y w3.th a21a'pPS.idab1e 5tato a'E t9n.
~ 5ta-tu t~s E'64Ordiiftartces.:
~
~
~ac,~.~ P y1
APPLICANT/PEflMITEE SIGNATURE - ISSl1ED B SIG URE ~
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1996 FIREPLACE PERMIT APPLICATION
*11000 681-4675
DATE: %4i
DESCRIPTION OF WORK: ~ CONSTRUCT NEW FIREPLACE: _ WOOD BURNING ~ GAS
_ INSTALL GAS INSERT ONLY IN EXISTING FIREPLACE
_ INSTALL GAS LINE ONLY IN EXISTING FIREPLACE
OTHER:
ROOM TO BE INSTALLED IN:
STREET ADDRESS:
LOT BLOCK ~ SUBD./P.I.D. #!"e~ Vv 0aDL-14M1DS . µ ~ .
APPLICANT: (circle one only) OWNER ~ CONTRACTOR
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.
PROPERTY Name: ~ i I2CC{-) 02,0 Phone 76-1
~
OWNER ~ Fl
Signature: ZIL
Street Address: 35~ U/O,,V LAN7
City: F-A-~7AA) State: . MN Zip: 5~«3
FIREPLACE Company: •
INSTALLER
Signature:
Street Address: License
City: State: Zip:
GAS LINE Company: P-,,a6 (^(%one 7 3 n
INSTALLER
Name:
Signature:
Street Address:
City: State: Zip:
,
AN
.
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 14 F'ueplace
WORK TYPE
? 31 New o 33 Alterations
0 32 Addition o 34 Repair
GENERAL INFORMATION
Census Code.
SAC Code
REMARKS
Chimney/flue must be inspected before concealing.
CITY USE ONLY
LOT BL ~ RECEIPT#:
SUBD.,i(' j2L (A)67t(,l'X.d~ytpF'q RECEIPT DATE:
1998 MECHANICAL PERMIT (RESIDENTIAI,)
CZTY oF EAGAN
3830 PIIAT IQiOH RD
EAGAN DIIi 55122
(612) 681-4675
Date•
Complete this section anlv if you aze installing HVAC in single family, townhomes or condos under
construction and not owner /occupied
• HVAC: 0-100 M B T U $ 24.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @$3.00 ea.)
• State Surcharge: .50 -
• TOTAL:
Complete this section onlv if you aze remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Note: Mechanical permit is not reguired for alteration/add-on to ductwork in
existing residential units; but is required for the following:
_ Install furnace _ Install air conditioning
_~Install air exchanger, i.e. Vanee system, etc. _ Other
Minimum fee applies to all remodel or add-ons of existing residences $ 20.00
State Surchazge .50
Total: 0.50
SITE ADDRESS:
OWNER NAME: L~OW~ PHONE ~~'S~• ~T~O ~
INSTALLER NAME: AYLG/ li`2O fZM6 PHONE d' 7 7-tJDD-~~
S7REET ABBRESS: oi d O ~
CITY: ST 'CE: ZIP:
/ .
S NATURE OF PERMITTEE
1S/FORMS BLD/MECH PERMIT (RES) - 1998
CITY USE ONLY
L BL RECEIPT#:
SUBD. RECEIPT DATE:
1998 MECAANICAL PERMIT (COLYMERCIAI.)
CITY OF EAGAN
3830 PILOT lINOB RD
EAGAN, t+ai 55122
(612) 681-4675
Please complete for. all commerciaVindustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater.
Processed piping - $25.00
CONTR.ACT PRICE x 1%
PROCESSED PIPING
PERMIT FEE
STATE SURCHARGE ($.50 per $1,000 of cermit fee due on all pertnits.)
TOTAL
- - - - - - - - - - - - - - - -
SI1'E ADDRESS:
OWNER NAME: PHONE
TENANT NAME (IMPROVEMENTS ONL1):
INSTALLER:
ADDRESS: PHONF.
CITY: STATE: ZIP:
SIGNATURE OF PERMITTEE CITY INSPECTOR
CITY USE ONLY
• . w L ~ BL RECEIPT # ~O2'
SUBD. rd ~ DATE:
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAM
3830 PILOT KNOB RD
EAGAN, MN 55122
(612)6814675
Please complete for: w singie family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH E52. TOTAL
Shower 3.00 x 2. = G.oa
Water Glnset 3.00 x A = 9•00
Bath Tub 3.00 x I = .3.oa
Lavatory 3.00 x
Kitchen Sink 3.00 x / = 3.00
Laundry Tray 3.00 :c / _ ea
Hot Tub/Spa 3.00 ;c =
Water Heater 3.00 :c o0
Floor Drain 3.00 x .3.00
Gas Piping Outlet ' minimum - t 3.00 :c ~ = 9• o0
Rough Openings 1.50 x
Water Softener 5.00 x =
Private Disposal ' Dakota Cty. license 65.00 =
(new and refurbished systems)
U.G. Sprinkler ' home under const. 3.00 =
Alterations ' to exisung 20.00 =
Water Tum Around 20.00
STATE SURCHARGE .50
TOTAL ~~50
SITE ADDRESS: F-~~554 woodlard Trai.l
w
OWNER NAME: R. A. xot
INSTALLER NAME: Matthew naniels, Csnc.
STREET ADDRESS: 15230 Carrousel wav
CITY: Rose,no,u,t STATE: M ZIP: 55068
PHONE { 612 ) 423-3730 ~ ,
OFFICE USE ONLY
L BL RECEIPT • ^
SUBD. DATE:
1996 PLUMBING PERMIT (CQMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: . all commercialAndustrial buildings.
~ muki-family buildings when separate permits are aM required for each dwelling
unit.
DATE: CONTRACT PRiCE:
Wv.rtK 1"rE: irEW CONSTRiiCTiGN .`lDD ON ncPAIR
DESCRIPTION OF WORK:
IS WATER METER REQUIRED7 _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETER:i TO BE INSTALLED? _ YES _ NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULI' IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINY(LER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of oermit fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADORESS:
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
PHONE SIGNATURE:
APPLICANT
OFFICE USE ONLY
METER SIZE: DATE: INSPECTOR:
4-7N
~ CITY USE ONLY
L ~ BL RECEIPT S~
SUBD. '~Z l.( ~f'JOaSYnn~ /'Y ~ DATE: a 9
7996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Piease complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction Add-on fumace
Add-on air conditioning Add-on airexchanger, i.e. Vanee svstem, etc.
Date:
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each)
? State Surcharge .50
TOTAL
SITE ADDRESS:y~~~ rVL~b~ I~~7
OWNER NAME: R, D~ PHONE
INSTALLER NAME: f)r1 rn S41LP STREET ADDRESS:
CITY: C,t,V~~ STATE: ZIP: i` ,~7 g
PHONE ( (9la ) 69~- ,!:)LOKXS ,
I.L•l~I 11,(~
CITY USE ONLY l
L _ 6L _ RECEIPT
SUBD. DATE:
1986 MECHANICAL PERMIT (COMMERCIAL)
• CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commercial/industrial buildings.
? multi-family buildings when separate permits are nDt required
for each dwelling unit.
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: ~$25.00 minimum fee gd 1°/a of contraCt price, whichever is greater.
P Processed piping - $25.00
~ State surcharge of $.50 per $1,000 of permit fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
PHONE
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
LOT --j BLOCK v2 SUBD. ~Ui
RECEIPT # DATE
7996 CITY OF EAGAM
IRRIGATION PERMIT (FOR BACKFLOW PREVENTER)
COMMERCIAL INSTALLATIONS: FORM MUST BE COMPLETED BY LICENSED PLUMBER
Date: 4.,y dl _ Commercial GPM
Residential (boulevards) GPM
~ Existing residential
Area/address to be irrigated: •3 ~ d d~~a°~1s ~d'a r`(
Installer: 1,207 '12,1- Nk Owner ? Plumber~ .
Street address: e -7 ~ /)Do
Ciry, state & zip code: AYc~ ~~~~hone ?~~~5
Owner Name• , 1 ~ 6: ~6 r'
Streetaddress: 3~y 6e)°a-c
City, state & zip code: a 7" Phone
Irrigation contractor, if different than installer:
Telephone
I hereby acknowledge that I have read this application, state that the information is correct, and agree to
comply with all applicable City of Eagan ordinances. It is the applicanYe responsibility to notify the property
owner that the City of Eagan assumes no liability for any damages caused by the City during its normal
operational and maintenance activities to the facilities constructed under this permit within City
p roperty/ri ght-of-way/easement.
ApplicanYs signature Title
Approved by: Date:
PRV ? Yes ? No New service ? Yes ? No
Meter Size _ & Cost
Feer due_ (!~X ~ Ca!culatecJ~by:- LI+Ya
PROCEDURE FOR IRRIGATION SYSTEMS - 1996
An irrigatian permit ia required - please contact Protective Inspections at 681-4675.
Fees
Commercial project: $25.50 irrigation permit to cover installation of backflow preventer.
$50.50 water permit fee only if new service is installed
$300.00 per tap if installed by City.
Residential project: $20.50 irrigation permit to cover installation of backflow preventer.
$50.50 water permit fee if new service is installed.
$760A0 ner connection - WAC.
$396.00 per connection - water treatment facility.
Existing residence: $20.50 irrigation permit to cover installation of backflow preventer -(not
required if backflow preventer previously installed).
Meter charge: If gallons per minute are less than 25, a 1" meter will be required at a cost or
$182.00. If gallons per minute are more than 25, a 2" turbo with strainer will
be required at a cost of $822.00. This information is to be supplied by the
designer of the sysY2rr.
No meter will be sold before all sewer and water inspections are complete on a new service. If new
service lines are not required, one check may be written for meter and permit costs. Receipt will be coded
to 20-3716 (meter portion only) with pink copy forwarded to Utility Billing Clerk.
The installer is to contact Protective Inspections at 681-4675 for inspection of the inside water line and
backflow preventer. The Public Works Department may be reached at 6814300 for water turn-on and set
and seal of the meter. Inspection hours are 8:30 a.m. to 3:30 p.m. Monday through Friday. Requests for
A.M. inspections should be made on the preceding work day. Requests for PM inspections will be accepted
until 12:00 noon.
7'+352
2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when pexmits are required for each unit
Date r7
Site Address (,Cl/OVj ( a_.tA Unit #
Property Owner u V+ CL ( Telephone # (4fl (Jl 0
BURNSVILLE HEATING & AfC, INC,
Contractor . 3451 ~fyemf1SVIIlP arkw
Suite 120
Street Address BurnsdiAe, IVIN 55337 c'ty
State Zip Telephone# X,)-) 6C/y ~00 S'
OSS</~ 7- d4 -oJ~
Bond Eaplres:
The Applicant is _ Owner ~ Confractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
_ fumace _Additional ~Replacement _ New
air exchanger
~ air conditioner
heat pump
other
State Surcharge $ .50
D
Total $ 3osv
I hereby apply for a Residential Mechanical Permit and acknowledge that the infomation is comple[e and accurate; that the work will
be in confonnance with the ordinances and codes of the City af Eagan and with [he ' 1 Codes; that I understand this is not a
pecmi[, but only an application for a permit, and work is no[ to star[ without a pe 't; that the work ' accordance with the approve an in the case o k which requires a review and approval of plans.
~ ~a-
Apglicant's Printed Name Applicant's Signature
*City of Eapi
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5894
t ••
Use BLUE or BLACK ink
For Office Use /
Permit #: D&Q
Permit Fee: /Q 00
Date Received: 12.- 2-1.0- 12_
Staff:
2012 MECHANICAL PERMIT APPLICATION
Date: 12 /11 /12 Site Address: 3 554 Woodland Trail, Eagan, MN 5 512 3
Sunil
Desai
Tenant:Suite #:
RESIDENT / OWNER
NameSunil Desai Phone: 6 51- 2 8 5 - 6 0 9 0
:
Address / City / Zip: 3554 Woodland Trail, Eagan, MN 55123
'
CONTRACTOR
Name: K&S Heating, Air Conditioning & Plumbing LLC License #: 0153
Address: 4205 Hwy 14 W City: Rochester
State: MN Zip: 55901 Phone: (507) 282-4328
Contact: Heidi J Brown Email: hbrown@ksheating.com
TYPE OF WORK
New XX Replacement Additional Alteration Demolition
Description of work:
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
PERMIT TYPE
RESIDENTIAL.
X2L Furnace
_ Air Conditioner
COMMERCIAL
New Construction Interior Improvement
Install Piping Processed
—Air Exchanger
Gas Exterior HVAC Unit
Under / Above ground Tank (____ Install / Remove)
Other
RESIDENTIAL FEES:
$60.00 Minimum Add-on or
alteration to an existing unit (includes $5.00 State Surcharge)
burned out appliances, ductwork, etc.) (Includes $5.00 State Surcharge) = $ 60 . 00 TOTAL FEE
$100.00 Fire repair (replace
COMMERCIAL FEES:
$75.00 Underground tank installation/removal
$60.00 Minimum (includes
(includes $5.00 State Surcharge)
State Surcharge)
$10,010, surcharge is $ 5.00
surcharge Increases by $.50 for each $1,000 Permit
Fee requires a $ 5.50 surcharge)
OR Contract Value $ x 1%
= $ Permit Fee
- lithe Permit Fee is less than
= $ Surcharge
- If the Permit fee is > $10,010,
Fee
= $ TOTAL FEE
(i.e. a 510,010-$11,010 Permit
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Cali 48 hours before
you intend to dig to receive locates of underground utilities. www.qopherstateonecali.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance
with the approved plan In the case of work which requires a review and approval of plans.
Rick Keehn
Applicant's Printed Name
x rec..05_
Applicant's Signature
FOR OFFICE USE
Required Inspections. Date:
Underground Rough In Air Test Gas Service Test . In -floor Heat Final HVAC Screening
- ' Use BLUE or BLACK Ink
r————————————————�
� I For Office Use �
I /�i I
� � Permit#: V�� j
Cit� of ����� � P �,� F : � � � �
e t ee �
3830 Pilot Knob Road � /
Eagan MN 55122 RECEIVED � Date ReceivecL• '! ��✓� I
Phone:(651)675-5675 I I
Fax: (651)675-5694 OCT 19 2015 I Staff: I
I I
---------
2015 RESIDENTIAL BUILDING PERMIT APPLICATION c��`r"'
�
��-�c����
Date ff'��/� /5 r Site Address: o Gi Unit#: �
#� t �
� `� ��R� Name: ��n i � ��/�SG i Phone:
� °��3 ��E:tl� �$�
� ���� � �
�� ����wner���� Address/City/Zip: �
���
��� ~::r Applicant is: Owner Contractor
�;;, �.
� � 2 Description of work: ,lG���,�/�� ,/t• ��� � PX/s��,� Pl
Type c�.��rk
� #
� t���; Construction Cost: ���, ��� Multi-Family Building: (Yes /No )
�� � ���t
�� ' Company: ������� . ��,, Contact: �/ ,/��
��.
� Address: ,Z�7 � ,�,[ � Cit : � f
����`r��tor , ,L��d 1<<�f� >r Y ,���'Lt�1��
���
State:�Zip:_y�S337 Phone: 9�,7-,z�6 33ts�mail:
�:
License#: /�C S7U0/S� 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:
J�I�TE:P/ans�nd swp�i rtin��'ci�u�ient���at you sub�n�f ar�cr�n;�����ed to b���rbl�cin�'o } � �' Por�� � ����
� #���nform��on rriay�be cfass��ed as n�r��public if yc►�pr��i%c������rfic .' �,s� � �#��oul �art���� ��
��... x ,: � x�'�,,� ' � ` . ���� : . � �} ���' �'�"� �. ����:��„ �����g�...xu�" '��. ��� �x '" .'��'
��.�:... , t..�= �F. CO�CII���t/l ���� � ;m �
. �,ww# .... ..r���`.�?���S��.C�'.`. �..; .:���,�..,n:� ��.r...:�a:�. .�., r= w.i� .�., t,..��..r .� ��,.�.
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.aopherstateonecall.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.
x Xo�r.� C/���4 a x
Applicant's Printed Name Appli anYs Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE � �(D'J -
SUB TYPES �5� ���� �'�a� ��"
_ Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration(Single Family)
_ Single Family Garage _ Porch (4-Season) _ Exterior Alteration(Multi)
_ Multi � Deck Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex Lower Level Pool Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
� Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire buiiding-give PCA handout to applicant
DESCRIPTION
Valuation � � ��i� --� Occupancy ,,1 jZ C'- 1 MCES System
Plan Review Code Edition ,�'(,� 2��,� SAC Units
(25%_100%�) Zoning �—1 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:
Footings (Deck) Final/C.O. Required
Footings (Addition) � Final/No C.O. Required
Foundation HVAC Gas Service Test Gas Line Air Test
Roof: _Ice &Water _Final Pool: _Footings Air/Gas Tests _Final
Framing Drain Tile
Fireplace: _Rough In Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick
Insulation Windows
Sheathing Retaining Wall: _Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In_Final
Braced Walls Erosion Control
Other:
Reviewed By: % �� �d/� � �`�� , Building Inspector
RESIDENTIAL FEES � ��C� .�� ��L� S� ��� L�
� ..
Base Fee
Surcharge � `"`� � � � ��`��� �� ��'
Plan Review
MCES SAC � � � ��R
City SAC �, Z J. � v
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
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PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA156181
Date Issued:06/19/2019
Permit Category:ePermit
Site Address: 3554 Woodland Tr
Lot:3 Block: 2 Addition: The Woodlands 4th
PID:10-75879-02-030
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Sunil S Desai
3554 Woodland Tr
Eagan MN 55123
(651) 285-6090
K & S Heating, A/c & Plumbing Llc
4205 West Hwy 14
Rochester MN 55901
(507) 282-4328
Applicant/Permitee: Signature Issued By: Signature