3555 Woodland Tr
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: ' ' ! ' ~ } ~
(612) 681-4675
SITEADDRESS: APPLICANT:
i!,s : ~ ?<inrt
i!,if1(lS ANiI 7F( . ~
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .
1 Arl i~.~ . ~i iil ~ ~ 1*S{} } 1{t~i.i f , ~i~il Ii.i•~ ~ t~. ~ I ~11 t~l ~ ~~+:'t. IIF ,1 , ' ! 11!I
•
~
L
Permk No. Perm@ Holdor Dab Telephone M
ELECTRIC
PIUMBING
HVAC
Inapectlon Deta Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVG
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
1 oL2.
DECK FTG o - re 'rt p6 vym
~lZRI~ •
w °
DECK FINAI
v
INSPECTION RECORD
`CITY,OF EAGAN PERMIT TYPE:
3830 Pliot Knob Road Permit Number.
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
AN(i T}t
PERMIT SUBTYPE: TYPE OF W.ORK:
INSPECTION .
I rJ .+tl i ION ~ I
i~~, y:~, •~ii,, i i. ! I ~
~ J
Permk No. Permh Holder Date Tslephone #
r . ELECTRIC ~ ~ p ~
PLU IN
HVAC
InapecHon Date Insp. Commants
FOOTINGS
FOUND
FRAMING
J
ROOFING
ROUGH ~ /Z-Z ' ZS-
PLUMBING !l~lf ( j a Zo e. e.+ G C U
AIRTEST
ROUGH
HEATING JZ 1~- ~ -1
t~(J
GAS SVC
resT 1. ~
INSUL ~
GYP BOARD
FIREPLACE
..C~i
FIREPLACE
AIR TEST
FINAL PLBG
.c
FINAL HTG E I r/
ORSAT
TEST
BLDG FINAL y L~ ~
i
BSMT R.I.
~
BSMT FINAL
DECK FTG
DECK FlNAL
? ~
r
r'
Wertificate of Zccupanc~
~ ~ ~e~rnrt~aeur of ~~cii~~ ~c~pection
i
Tlris Certificate issued pursuant to the requirtments of the Uniform Building Code
certifying that at tlu time of issuance this structune was in compliance wirh the varivus
ordinances of the City regulating building construction or use. For the following:
ux classificuion: SF UaG slag. Pennic rvo. _26705
0-m-Y TyP~- KAl 7oeinE Diww.t R- I Type Const. VN
Owna of Buildeb Mll~JCJ2M (7M Adteu 3M 2 1327, EWM
eWiftg wmM 555 LiYY7ATII) M1T. - i,owirty ,*-1, n3 'fm Lrrr'r ANnc 43M
4zo~ '1 ~ ko
B ikk official
POST IN A CONSPICUOUS PIACE
~ ~ .
. ~ \
Address 3555 WOouI-AID r[tniL Zip 55123
Lot, " Blk 3 Sub nHE waom.nrIDS 4-M
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: ~ ~ C, Yes No Inspector: AL
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage hu, e, f `
Porch ?
Basement finish
Deck J
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 at 681-4645 before working in rightof-way or installing underground sprinkler system. ~
White - City Copy Yellow - Resident Capy Pink - Contractor Copy
2/~ OFPICE USE ONLV This requesr wid IB moniha fmm volidmlon dme printed in Mis box D
L f 1-6196. sra~
1
PLEASE PRINT DR TYPE
n.,ua,i ome ~a9n-m a ~Ye: ? N. m.a~+~o~ ane~ Tno~ Rough-In: 0 Ready Now p wu can
lY 4 S (You mvzt mll the inapecror when rmdyl Dore Rmdy:
I, Pt licensed contmcYOr ? owner hereby request inspedion of ihe a6ove elecfrical work at;
Job AEdress jS~h^eet, 6ox, /or Ro~We No.) ~j Ciry Zp Code
~S.JS WOUO L~Ph'O ~/ti 4 ACa'~f~-~
$ecfion No. Township Nome ar Na. Ronge No. Fire No. Coun/1y.~I
(/17K 0779
Onxaoonf Phone No.
i¢iP/1 ~/~/J-NSON ONS%k'uCTltlN y~i -~~76
Power ppliar r Pddrezs
L:LEC.T~CiC /N6T0^.)
ElecMml Convacmr (Company Namal Conrranor Limnse No. Master Lia No. (Plcnr Elen. Only)
re.c CA 4/4&Z
Mailin Pddima ~C^ImcrororOw~er Perlo~miig Installafon)
l~ox
lwM~ SignaNre ~Comraaor or Owner Pedorming Insbllafion~ Phone No.
sQ53
E&OOW1A40 6/95 STATE80APDCOPY-SEEINSTRUGTIONSONBACKOFYELLOWCOPY
IIII I(II ~ I I II I II REOUEST FOR ELECTRICAL INSPECTION 5~,
Minnesota State Board of Electriciry ~
1821 University Ave., Rm. S- 28
C , S Paul, MN 55104
s 0 2 2 L 7 9 2 5 * Phone (612) 842-0800
Home Duplez Apt.8ldg. Other:^~ New Addn
ommercial IndusKial Farm Remod Re oir
Air Cond. Hig. Equip. Waler Htr. Load Mgmt. Other:
D er Ron e Elec. Heat Temp. Service
"X' above ihe work covered by Ihis reqvest. Enfer remarics in fbis spoce ond on the 6ack of ihe white copy only.
Calculate Inspection Fee - This Inspection Requesf will not 6e accepfed without fhe correcf fee:
Olher Fee d` Service EMronce $ae Fee # Ciraiih/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps 0 CO 0}0 100 Amps ,¢Q v
$treef Ltg./rraffi< Sig. Above 200 Amps Above 100 Amps
Transformer/Generator INSPECTOR'S USE ONLY TOTAL /40-fi~
Sign/OullineLfg.X{mr. //0•~ ~
Alarm/Remote Conhol
$wimming Pool I hereb ceM fhaf I ins eded lhe I inskl l4n ihed hare~n nthe date..mfed
Irrigation Boom Ro~ah-In
Speciol Inspedion W
Final ta
Invastigative Fee
THIS INSTALLATION MAY BE ORDERED DISCONNEC D IF NOT COMPLETED WITHIN 8 MONTHS.
~ PERMIT ck-4q 9 j2
---k' 'CITV' OF EAGAN If~l.~
3830 Pilot Knob Road PERMIT TYPE: s u LzC,
Eagan, M innesota 55122-1897 Permit Number: 0 2 6 7 0 5
(612) 681-4675 Date Issued: 11 j 13 / 9 s
SITE ADDRESS:
3555 WOOULAND TR
LOT: 3 BLOCK: 3
TFiE WUQDLANDS 4TH
P.I.N.: 10-75E379-030--03
DESCRIPTION:
Brtiilding'.,Permit Type SF DWG
Building kio;rk 1'ype NEW
'ItBC Occupancy,, R-3 u-1
J 4on5GruCt3on Ty~;e V-N
Zaning - R-1
Building Length ' 68
Builcling Wadtlt ` 53
6ulldap9 sr.uries r_' 1
` .~'stjGBr0 Feet 2,737
.
, .
~
,
;s v~ r
i
_ . ti. . t
REMARKS:
5 & W PIBR -
FEE SUMMARY:
VALUATTON $176,000
Base Fee $1,267.25 MISCELLANEOUS $1,892.50
P).an Review $443.54 Tntal Fee $4,541..29
Surcharge $88.00
SAC $850.00
SAC % 100
SAC UniYS 1
Subtotal ~~$2,648.79
CONTRACTOR: - apPticarit - sr. LIC. OWNER:
JOHNSON C0NST, MRRK 14511676 0003288 MAkK JOHNSON CUNST
P 0 60X 21327 P 0 B(7X 21327
EAGAN MIU 55121--0327 EAGAN MN 55121
(612) 451-7.676 (612)451-1676
2 heraby acknowledge that T have read this applicatiran and state xhaL tha
Lrnfarrttatian is cat-Yect and agrep ta caruply wxth a,il a'pPlicab}e Statoof Mn«
Statutes and Ci.ty of Eagan 4rdinances.
L ~
/-Ll/3NATURE ISSUEDB SIG TUR
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: e u zLa z rv c
3830 Pilot Knob Road Permit Number: 0 2 6 7 0 5
Eagan, Minnesota 55122-1897 Date Issued: 11 % 13 / 9 5
(612) 681-4675
SITEADDRESS:P.i.N.: 1e-75879-03e-03 APPLICANT:
LOT: 3 BLOCK: 3
3555 WOODLRND TR JOHNSON CON57, MARK
THE WOODLANDS 4TH (61.2) 451-1676
PERMIT SUBTYPE: TYPE OF WORK:
SF DWG NEW
INSPECTION . DA
FOOTTNGS FOUNDFlTIQN
FRAMING ROfJFING
INSULATION FIREPLACE
ROUGH IN PLSG ROU6H IN NT6
FINAL PLBG fINAI.
REMARKS: S & W PLBR -
~ ~
IL C ITY OF EAGAN ~ 3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPUCATION (RESIDENTIAL)
681-4675
New Construetion ReouirameMs Remodel/Reoair Reauirements
? 3 repistered site surveys ? 2 copies ot plan
? 2 copies of plena (inGude beam & window sizes; poured fid. deaign; etc.) ? 2 sfte surveys (eMerior add'Rions 8 dedcs)
? t energy celwlations ? t energy catculationa for heatetl additions
? 3 wpies of tree preservation plan 'rf lot platted aRer 7/1/93 '
roquired: _ Yes X No
DATE: /Uoue"er oZ~ 199_S CONSTRUCTIONCOST: ~~~~~d•ah
DESCRIPTION OF WORK: ~tWiog &oakQ-
STREETADDRESS: ~SS_S C~ood(a-.~cP Y'aiI
LOT 3 BLOCK .3 SUBD./P.I.D. woocl lm^^d S yi-tn
PROPERTY Name: ~~Aso,,, /?'la.il{ Phone
OWNER
Street Address•
City: State: Zip:
CONTRACTOR Company: (Y~/anK 34vtson (.jsf Phone y5/-/6'7(0
Street Address: P0. 96)C 21327 License 3a 8$
Ciry: F=a..a State: Ma Zip• SS/,l 1
ARCHITECT/ Company: Ca,Q..,.. L~a"v+ Phone 220 - RDU$
ENGINEER
Name: C~,~.Qso,~ Registration
Street Address,
City: State: Zip:
Sewer 8 vreter licensed plumber. MaAew 1.]v.vu,JS . Penalty applies when address change and lot
change are requested once pertnit is issued.
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 Ciry of Eagan Ordinances. n
Signature of Applicant:
OFFICE USE ONLY
Certiscates of Survey Received Yes o N 0 V 0 2 1995
Tree Preservation Plan Received _ Yes _ No - - - - - -
r
OFFICE USE ONLY A,
~
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish
0~02 SF Dwelling ? 07 4-plex o 12 Mufti Repair/Rem. 0 17 Swim Pool
0 03 SF Addition ? 08 8-plex o 13 Garage/Accessory ? 20 Public Facility
0 04 SF Porch a 09 12-plex 14 Fireplace o 21 Miscellaneous
? 05 SF Misc. a 10 = plex o 15 Deck
WORK TYPE
-31 New o 33 Alterations o 36 Move
? 32 Addition o 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. 01013 MCNVS System
(Allowable) ~ Main level sq. ft. Z, o S r City Water
UBC Occupancy u a sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories / Q ISsMf sq. ft. Booster Pump
Length ~ sq. ft. Census Code. o/
Depth SZ"s Footprint sq. ft. Zf 737 SAC Code ai
Census Bldg ~
wlf~'e6S~~~~
APPROVALS CensusUnit /
~x
Planning Building Engineering Variance
Permft Fee Valuation: $
Surcharge
Plan Review ~y1,r~•~ /~S,x,T.~--
License
MC/WS SAC
City SAC Zz,s 7 30
Water Conn. = E ~
Water Meter Z ~Yx~•s)
Acct. Deposit
S/W Permit
SNV Surcharge 2~ ; z H y, z~~ZS~ °
Treatment PI.
Road Unit G.f-• /X~s " 'V ` 3 Z S
Park Ded. Zx r?,s-=
Trails Ded. Zx ~
Other Z Sy~~Y= 5'x~3 ' ~O
Copies 3 a % (oof
Total: <gxi.s~
% ~G~ 3x L6
SC UnRs G(, ~ •11x/o•l
A
~ZyX = ~is8~
~TA~ = /~s, yf s
EXTERIOR ENYEIOPE.AVERAGF. "U" COMPUTATION
01RIE R : c
SITE ADDRESS:
CQNTRACTOR: DATE: PHONE:
~ DETERMINE NORKItIG SQUARE FOOTAGE OF EACH:
1. TOTAL EXPOSED WAll /1REA,, . ~j2~J Sq ft % "U" 'll ~ ~G•~~ .
~
2. TOTAL ROOF/CEILING AREA,,; ZI71,00 sq ft x•026
3. TOTAL EXPOSEO HAII AREA LALCULATIQNS:
Total exposed wall
area above floor,,,,,,,, ~ 7~~, 7 5 sh f~
a) Tota) wall wtndw+ area: •
i ~ 7U ~ f
~.Dr~•_~ qlazed...... sq ft x~~U" 7.04
qlazed,,,,,, sq ft x "U" -
'
b) Total door area ~7~vZ sq ft x^ll" 6-1 i
c) Total sliding qlass door area:
LUU"6`iqlazed...... sq ft x ~~U"
41azed sq ft x nlyn ~
d) ToEe) flreplace wall dree ' sq ft x"U" . e) Total wall frsminq area
(Avera9a 10.1,).....:..., Z7cI.?~ sq ft x uUn
---L-'-.
f) Total net wall area above
0¢3
floor (Insulated) 2-6,5sq Ft x"Ull 1
9) Total rlm Jolst area..... 0 iq it x"U" iL'~~ ~ . (7,
Totel fnunda[lon
area (Exposed) . . . . . Z l ~o • D D sq it
h) Total /oundatlon •
. wlnAow ares............. ~ sq ft x"U"
1) Total net faundatton
area above qrede........ 2l fq ft x"U" , I o4
3• TOTAL a) thru 1) ~/1I.7~
~
If icem Is the same as, or less than ftem 01, you have met the Intent of
S.R.C. Sectlon 6000; (c) Z.
'+n,_ ...-.--..._.,......,.~.~..w.._-.._.._.._._........____._,...._....--_-~....~__v '
. , . . .
•4. TOTAL EXPOSED RAOf/LEILING CALCULATI(INS:
Total exposed 2) 7i Uo q
roof/celfing area........ s ft
z.
Total skylinht area....... sq ft x"U"
k) Total roof/ceillnq framTng
area (Aversne IM,)...... . M , (0 s4 ft x"U" +0 Z6o • 5,(,5
1) Total net insuiated oZ,.1`r . ~1~ ~
roof/eelllnq area....... sq ft x"U" r `-t
y. TOTAL J) thru 1)
?f total of 04 fs the same as, or less than N2, you have met the Intent of
S.B.C. Sectlon 6pt16 (c) 1.
~
ALTERIIATE BUILpIHf ENVELOPE DESIf,N
To utiltze the totsl envelope system methoA, the values establlsheA by the sum
of Items 0; and A shall not be greater than the sum,of Items A'1 and p2.
1. + 2. . ' . •
_ + 4.' . - . .
C E R T 1 F 1 f. A T I 0 ti
I hereby cerN fy that I have caleulated the "U" faetors and "R"
values hereln and that the hullAlnq here Aescrlhed meets or exc ,ds the State
of Minnesota Eneray f.onservation Act.
~
.Iqnature
/o/1 Sf 95
(Date) '
k. Si~P-2L-1995 08:09 JRhtES 12 HILL, INC. 612 899 6244 P.02r03
i -
CERTIFICATE QF SURVEY
For: MARK JOHNSON CONT.s INC.
PROPERTY DESCRIPTION: LOt 3, Block 3, THE WOODLAMDS
FOURTH ADDITION, Dakota County, Yinnesota.
~SSS l.) o c+,oL'q a n I -
We hereby certify that this is a true and correct survey of the above described property and tltat it was
performed by me or under my direct supervision and thaf I am a duiy Licensed Surveyor under the
iaws of the State of Minnesota. This survey does not purport to show all improvements, easements
or encroachments, to the property except as shown thereon.
Signed this Z07" day of S'aPrW%GfL . Ts 95 ,fames R. HIIl, 112C.,
By: ~ti~
4 ~~tANDY MORTQN, LAND SURVEYOR
~ • MINNFSOTALTCENSE.NO.2i401
A-4
No#es: . • , . . : I
. . i
t. Building dimenslons showlt 8re fOt O' ' Denotessetironmonumerit i
harizontal & vertiaal location of structure on! 0 Denotes found iron monumerrt . i
Y• x 927.88 Denotes exisling etevation
See architectu!al plans :or building & (930.00) Oenoties proposed elevaHan
foundation dimer is;ons. -91~ Denotes proposed drainage i
2. No specific soils investigation has been g8llChMarC: 912.78 . TNN AT LOTS 687, BIDCK 3 ~
complsied on this lot by James R. Hill, Inc. "
The suitability of soils to support the specific Propased Garage Floa a 9Z°• 7 '
house proposed is not the responsibility of Proposed Hause Top Blacka VZ4 /
James R. Hil{, Inc. or the surveyor. Proposed oarage Top Bloek= 91Z 77
3. Proposed grades shown were taksn from Propo*'ed LoWest Floor+• ithe grading &lor developrrwnt plan prepared by 8earings are on assumed datum
eRw Scafe: 1 a 30
Page 1 of 2
m
James R. Hill inc.
U O O 70 S < ~ d N D
~ ' .
y:a*
m ~ a
m y o P L A N N E R S / E N G I N E E R S / S U R V E Y O R S
~ z ~ vz i ~ ~
O m p50U W. CTY. R0. 42 9 BISRNSVILLE. MN. 55337 9 612-890-60d4 ~
~
I
~.SEP-21-1995 08:10 JAMES R HILL. INC. 612 890 6244 P.03/03
;SURVEYOR'S CERTIFr.CATE
,For YARK JOHNSQN -CONT~ INC.
0~-PN~ ` ~-A1 L
9 A
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if I3.2T1 ~ti •
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paOoUSe 1 c o s E
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tioGSr FNc ~ 1,0 44.0
111 ? 9107 Q ~ Z ~o
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I g1t.8 I 916.8
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SCALE ~ I INCH = 30 FEET ~L \
e .
~
g °o ~ o u? $ JR. Hill, inc,
~o~WQ ~a
N r m ~ n Z
Tpg A Z m~ 0 ~ m~ W PLANNERS ! ENGINEERS / SURVEY4RS
N ~ m ~ { 2bOG W. CTY. RD. 42 • BURNSVILLE. MN. 65337 • 612-880-6044
. . ,
LOT SURVEY CHECKLIST FOR RESIDENTIqL
BUILDING P IT APPU TION
PROPERTY LEGAL• 3 lr..071-~
,ms. a W ATE OF SURVEY: 9;r/ 20~
d m
a
V ~
LATEST REVISION:
DOCUMENTSTANDARDS ~d ~ • Registered Land SurveyorsignaWre and eompany
111"O 0 • Buildfng PertnitApplicant
9-10 ? • Legal descriptlon
? a O • Address
101"~O ~ • North arrow and scale
2-~'(3 o • House lype (rambler, walkout, split w/o, split entry, loakout, etc.)
92'--C3 O • Direcllonal drainape arrows with slope/pradient %
M~' ? O • Praposed/ebstlng sewer aad water seMcea & frnert alevafton
3,-'13 o • . Street name
M--~ ? 13 • ' Driveway • -
ELEVATIONS
Existlna .
0'*'13 13 • Sewer servica
SY"O (3 • pmperty comers
0 • Top of curb at the driveway
O/O O • Elevatlons oi any exostlnp adjacent homes
Proposed
~a 13 • Garage floor
Er' 0 0 • First floor
0"~ 13 13 • Lowesc exposed elevatlon (walkoutlwindaw)
M"'(3 13 • Proparty comers
Q-~/0 C • Front and rear of home at the toundatlon
PONDING AREo (tf aooliwblel
• EasemeM Iine ,
? 0 O e NyyL
o a p . tiyyl. '
~ o C3 • Pond S des(pnatlon ~ M,-~6 • Emergency OveAfow Elevatton
OIMENSIONS
~0 C3 • Lot I1nesl8eaAnps S dfinenstons
G-, 0 o • Right-o/-wey and street width (to 6ack o(curb)
3-' o o • Proposed hame dimenaiona fncluding any propoaed deela, overhanps preater than 7,
porches, etc. p.e. all sUuctures requfrinp pertnanent footlnQs)
~ ~ a • Show all easements of record and any City utilNes within those easemenb ~
m~ O cl • Setbacks of proposed structure and sideyard sethack of adjacant eidstlng struclurey
13 Q,-ti • Retaining wall requirements, i
Reviewed:
Nam / Date
Jury 1995 . .
I
~
s" - 11 1/ BEND 3 10' r~. .
6" - 22 1/2 END .
so' Row
2
~
0
2 MH 3 ~ 4+0o ti
NI . -
NI
? 04~ 3a' e-6 6" x 6"
111 6" x 6" TEE 12'-6" D
xIST. 8" a~ 8'-6" DIP CL52 HYDRANT
R 6" RSV
T M 1 otss00 3 HYDRANT
- - -
(
4 5
~ = 77°35'
4S' - - -
- - - -
~ - - - - - - - -
R = 125. 00
- ~ L = ~ 169.29
1
o_ - - -
, 6 - 11 1/4° END - - - - -
~
r ! ~ . -
~ - - -
~ - - - - - - -
sp X 6" TEE
r~ ~ l ~ . .:1~.. i,,•'i:~:,l.~~~n.rr'• ~.~r....~....
CF U I I .
l3/0 -96.0,
2 F~r~P0S;-~ t;;.._
y ~ rT~~ - REMOVE EXIST. 6- PLUG SHCv! ;
AND SALVAGE, CONNECT <<=~~~~ ` C: ~
TO EXIST. 6" WATERMAIN.
2 z.s' -
too.uc
: p~: ELEV 924 13 . . . . . . ~ : . . . . : .
. . . . . . . o. ~ . . . + ~ . . . . ~ 1
~ cn . . ~ : co
: 50 g°. pVC : : . . ~ M . .
: SDR 35 (ik 0.40%; ~ ~ . . , : . . . . . . W . .
. ~ > m . . ~ . : . • . . . . . a' . .
: : . . . . ~ ' : . :
O U
75,~. S° PdC m :
• ~ :
' ' ' ~ TOP : OF RIP.E . . . . . . . ' . . .
: : : . .
: ../../r ~ ~ : : . . : ~
'E .
. . ~ : j F. . 75`.- 8" PVe
~ . . , I: . .
t . . : . ~ . . . SDR 26 ~ 0.40q : . . . . : : . . . . . : . . . . ' ' . .
gM PVC SDR 26 0 0.40% : .
: : . . i: . ~ . . . . - 290 . .
, , . •
~ t . . . .
. . i . . } _ Y r . ..m-, . ' . . . . . . . . . . ? . . ' : . . . . ' . . . . . . . •
~ . . . . . . . . . . . ' ' . . . . . . . .
. . . i. . fr : . . . . . . . . . . . . . . . . . . . . . . . MH. .4. . . . . . . . . . ~
, . . . . . .
r' . . . . . . . . . : : : : : : : . . . . . . . : . . . . . . . • . . . . . . . . : CAS.T. R-:1642- : . ' . .
~ . . . R~ g12.86 : .
. . . . . . . : . . . . MH IE 902:99 . . : . .
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~ . R PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 031923
(612) 681-4675 Date Issued: 0 5/ 0 7/ 9 8
SITE ADDRESS:
3555 WOODLANp TR
LOT: 3 BLOCK: 3
THE WOODLANDS 4TH
P.I.N.: 10-75879-030-03
DESCRIPTION:
SCREEN PORCH/pECK
¢ui1dlng-,~ermit Type SF PORCH
+Building Wo.rk Type NEW
Cens4s C4de434 ALT. RESIDENTIAL
~
t
~ t
rrr
M
~r
REMARKS:
PLAN REVIEWED BY MTKE BARCK. FOOTINGS IN PLACE - NO RECORD OF INSPECTION.
FEE SUMMARY:
VALUATION $4,600
Base Fee $87.25 COPY $.25
Surcharge $2.00 7ota1 Fee $89.50
Subtotal $89.25
~
v
CONTRACTOR: - ppplicant - sT. LIc OWNER:
GOBLIRSCH CON57' 19250083 0003424 GILLIS JOE
6924 MINNETONKA BLVD 3555 WOODLAND TR
ST lOUIS PARK MN 55426 EAGAN MN
(612) 925-0083
I hereby aeknowledge that I hav8 read this &pp5.3c5tidn ind st4t9:that Che
inftsi^mat3on is correct arnd agree to comRly w3th all applicnble 3tate of Mn.
~ Stetutes and City ofi Eagan Ordinanees: " -
-
APPLICAN7/PERMITEE SIGNATURE ISS~ D 11Y'. V
0 1998 BUILDING PERMIT APPLICATION (RESIDENTIAI,)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 ,s/$~.y,~~.CdCJ
681-4675 4
New Construdion Reauirements RemodeVReoair Requirements
? 3 registered site surveys • 2 wpies oi plan
? 2 copies of plans (inGude beam 8 window sizes; poured fid. design; atc.) ? 2 site surveys (euterior additions 8 decks)
? 7 energy wlculations ? 1 energy calculaUons for heated adddions
? 3 copies of tree preservation plan H lot platled after 7/1l93
required: _ Yes _ No
~ 6 ~
DATE: CONSTRUCTION COST;
~
DESCRIPTION OF WORK: ~
~TREET ADDRESS: WJ J ~ LOT: 3 BLOCK: SUBD.lP.I.D. ~ GI1P1_jiZ_"
~
Name: ~ v(//~ S U~ Phone
PROPERTY Last First
owrrEx
Street Address:
City E~ State: / `~~/IGl Zip:
Company: O&iY 6- ''1 Phone
CONTRACTOR / y~' / ~
Street Address: 6 /~n2 ~ ~lf i? License #
City St- ~Ou S /Rl--k State: Zip: C/
ARCHITECT/
ENGINEER Company: Phone
Name: Registration
Street Address:
City State: Zip:
Sewer & water licensed plumher (new construction only): Penally applies when address chang
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of ApplicanL ~~"v~~
OFFICE USE ONLY
CerGficates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
I
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation O 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
E, 04 SF Porch ? 09 12-piex ? 14 Fireplace ? 21 Miscelianeous
? 05 SF Misc. ? 10 _-plex 15 Deck
SceEENF~j Pv2cNF ;
WORKTYPE FOOTin/~5 /Ad PLR~E -~)O Q~V44 0F- /h75ACGT~V~
)W 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. ti3y
Depth Footprint sq. ft. SAC Code o a
Census Bldg !
Census Unit D
APPROVALS
Planning Building AA S Engineering Variance
Permit Fee Valuation: $
Surcharge Sc~cGN poa~+F-
Plan Review
License _
MCNVS SAC Sx l i - n~~ 'b A sD = 2 L'4b.
City SAC
Water Conn.
Water Meter
Acct. Deposit 3, S~v • ~
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies , . . 2 ~f
1
.F- i" j
jA,, SAC C Units s
' !
~ ~ tii-1995 08:10 JRMES R HILL. INC. 612 890 6244 P.03i03
J
,-VEYOR'S CERTIFI.CATE ,r MARK J4HNSaN -CONT., INC.
-
~p,N~---=
oO ' I 9`
3,~'~
53~~
a~ g wareV. , $ owe.s
~34•8
. . ~ a
-'o y~~v. • ~
oL_ _ad.4~ • ~ ~13.27
30`+y~`~y. , /fY P~POSCA
• ~ ,a ~ a) ~T.t L~~ . ~ .~i+c,,,,~wc
~ ~.T~ w.•ylA .U' 1 ~ p' .;:~13.8' 9.14
a~~• ) p~ b ~ A 9) e~0v H%!StlW/p
olos~s°
13 o ~ I c~ ~o~sE
.sa e• ~ . 1•..1
.y~s ~L ~ cn
k.0 ap ' 44'~ MG0
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4... J I
L-OT I
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dY ' N • ~ m I 0
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OD
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\40~` ~ 5 Nfi0'09'23"E
.1° g ~ `W Q~°'p F4,s
41 ~ .,o `R,cb NT
. 3 s
41` s~e999 ~ ~s
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SCALE ~ I 1 NC H• 30 FEET
~ •
T~u ; m~ WP L ANN E RS ENGINEERS / SURVEYORS
N r K6mmo6=d=mw==n6o=w6mwwA O a~~ James R. Hill, Inc•
N m ~ ~ 26~ W. CTY. RD. 42 • BURN5VILLE, MN. 66337 o 612-890-6044
t•.
CITY USE ONLY
L ~ BL ~ RECEIPT
SUBD./AJdL DATE: BO~i5
1995 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
FIXTURES EACH NO. TOTAL
Siiourer 3.00 x
Water Cioset 3.00 x 3
Bath Tub 3.00 x 'Z. = ti •L-£7
Lavatory 3.00 x L-A = iZ• uJ
Kitchen Sink 3.00 x 1
Laundry Tray 3.00 x -121 LO
Hot Tub/Spa 3.00 x l =3. LAD
Water Heater 3.00 x . 1 = ?,.~z 1
Floor Drain 3.00 x
Gas Piping Outlet * minimum - 1 3.00 x
Rough Openings 1.50 x 3 = iJ
Water Softener 5.00 x =
Private Disposal " Dakota Cty. Iicense 20.00 =
U.G. Sprinkler * home under const. 3.00 =
Alterations * to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
70TAL.
SITE ADDRESS: '3J,S A`tand
OWNER NAME: Av~'
INSTALLER NAME: ~~\N
STREET ADDRESS: tl~)2-o
CITY: _ km STATE: ZIP:
PHONE ((fi12- )~f
STG 1"I'
OFFICE USE ONLY
L _ BL _ REGEIPT ~
SUBD. DATE:
1995 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ~ all commercial/industrial buildings.
• muRi-family buildings when separate permits are pQt required for each dwelling
unit.
DATE: CONTRACT PRICE:
WORK TYPE: _ NEW CONSTRUCTION _ ADD ON _ REPAIR
DESCRIPTION OF WORK:
IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETERS TO 6E INSTALLED? YES NO.
FAICURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE.
WILL YOU 8E INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO.
IF SO, VOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. Stafe surcharge of $.50 per
$1,000 of rmi fee due on all pertnits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME: STE. #
OWNER NAME:
fNSTALIER:
ADDRESS:
CITY: STATE: ZIP:
PHONE SIGNATURE:
APPLICANT
OFFICE U5E ONLY
METER SIZE: " DATE: INSPECTOR:
. ti
CITY USE ONLY
L ~ BL ~ RECEIPT -5 v
SUBD..~r DATE:
1995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681 -4675
Please compiete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
yv New construction Add-on furnace
Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date: ~~~\t)-C?~
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.000%HS• 00
Additional 50 M BTU 6.00 ~ t
? Gas Outlets (minimum of 1 required @$3.00 each) (Z~ (p, 0a ~
? State 5urcharge .50
TOTAL
SITE ADDRESS:
OWNER NAME: PHONE
INSTALLER NAME:
STREET ADDRESS: ` ~
CITY: ?SW . STATE: "A ZIP:
PHONE ( a~~_D~tb
,91(3NATU ti1
f CITY USE ONLY
L _ BL _ RECEIPT
SUBD. DATE:
1995 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 6814675
Please complete for: ? all commercial/industrial buildings.
? multi-family buildings when separate permits are M required
for each dwelling unit.
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: & $25.00 minimum fee 2E 7% of contract price, whichever is greater.
• Processed piping - $25.00
• State surcharge of $.50 per $1,000 ot pemiit 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
CITY USE ONLY
L ~ L ~ RECEIPT
SUBD. Ue, (/UObt3~" DATE: (1p/
1996 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 urrit •
" FIXTURES EACH NQ. TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen 5ink 3.00 :c =
Laundry Tray 3A0 x =
Hot Tub/Spa 3.00 _
Water Heater 3.00 x =
Floor Drain 3.00 ;c =
Gas Piping Outlet ' minimum -1 3.00 :c =
Rough Openirtgs 1.50 :c -
Water Softener 5.00 x
Private Disposal * oakota Cty. iicense 65.00 =
(new and refufiished systems)
U.G. 5plinkler' home under const. 3.00 =
Alterations ' to exiBUng 20.00 =
Water Tum Around 20.00
STATE SURCHARGE .50
TOTAL
= ~5 ~9q-
SITE ADDRESS:
OWNER NAME:
tNSTALLER NAME- ~
~~,y..~.,~-/4---~.~r"'•.~.~ ~
STREET ADDRESS: ~ ~U C~~',L~ ~`x
CITY: STATE:~ ZIP:
PHONE ( Pv6?) I 2L~
OFFICE USE ONLY
L BL RECEIPT
SUBD. DATE:
1996 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT ICNOB RD
EAGAN, MN 55122
(612) 681-4675 Piease complete for: . ali commerciaVindushial buildinga ,
w multi-family buildings when separate permits are not required for each dwelling
unik
~
DATE: CONTRACT PRICE:
WORK TYPE: _ NtW CONS7F2UCTION _ ADD ON _ REPAIR
DESCRIPTION OF WORK:
IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING~
WATER FLOW: GPM. ARE FLUSHOMETER3 TO BE INSTALLEDI _ YES _ NO.
FAILURE TO PROVIOE T1iVS iNFORMATION WILL RESUL7' 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 7% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of pertnit fee due on all permits.
CONTRACT PRiCE x 1%
STATE SURCHARGE
TOTAL
SITE AUDRESS:
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY: ' STATE: 21P'
PHONE SIGNATURE:
APPUCANT
OFFICE USE ONLY
METER SlZE: " DATE: INSPECTOR:
Fax: {651 a
2
o Eapn
oad
72
P75
/3.5
6 RESIDENT . SUILDING PERM T APP CATION
Sits
I,„
Unit
Type of Wok 4 DC
5C"Pt
Stat Ls'
Useni ... dr1
wfly.
CO p A 0 3 Y CONSTRUCT/NG A NES BUILDING
e 12' similar plan based on a seater plan?
Fire Su
Pito
0 fir:Phone'
be pubii �<
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etely
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Apptica Ts
a tura
1
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA136020
Date Issued:04/19/2016
Permit Category:ePermit
Site Address: 3555 Woodland Tr
Lot:3 Block: 3 Addition: The Woodlands 4th
PID:10-75879-03-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kathleen Tste O Reynolds
3555 Woodland Tr
Eagan MN 55123
(763) 360-1481
Airtech Heating & Cooling
490 Villaume Ave, Suite 300
South St Paul MN 55075
(651) 340-5956
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA153149
Date Issued:11/27/2018
Permit Category:ePermit
Site Address: 3555 Woodland Tr
Lot:3 Block: 3 Addition: The Woodlands 4th
PID:10-75879-03-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Boiler
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kathleen Tste O Reynolds
3555 Woodland Tr
Eagan MN 55123
(763) 360-1481
Bonfe's Plumbing & Heating
455 Hardman Ave
South St. Paul MN 55075
(651) 228-7140
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA157600
Date Issued:08/28/2019
Permit Category:ePermit
Site Address: 3555 Woodland Tr
Lot:3 Block: 3 Addition: The Woodlands 4th
PID:10-75879-03-030
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Kathleen Tste O Reynolds
3555 Woodland Tr
Eagan MN 55123
(763) 360-1481
Scherer Brothers Lumber Company
9401 73rd Ave. N
Suite 400
Brooklyn Park MN 55428
(952) 277-1600
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA157688
Date Issued:09/04/2019
Permit Category:ePermit
Site Address: 3555 Woodland Tr
Lot:3 Block: 3 Addition: The Woodlands 4th
PID:10-75879-03-030
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kathleen Tste O Reynolds
3555 Woodland Tr
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA176354
Date Issued:05/12/2022
Permit Category:ePermit
Site Address: 3555 Woodland Tr
Lot:3 Block: 3 Addition: The Woodlands 4th
PID:10-75879-03-030
Use:
Description:
Sub Type:Water Heater
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Kathleen O Tste Reynolds
3555 Woodland Trl
Eagan MN 55123
Bonfes Plumbing Heating & Air Service Inc
455 Hardman Ave
South St. Paul MN 55075
(651) 228-7140
Applicant/Permitee: Signature Issued By: Signature