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3571 Woodland Tr INSPECTION RECURD , . , , . CITY OF EAGAN PERMIT TYPE: 4, 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 , SlTE ADDRESS: ~ APPLICANT: . P fkt AfiC+l7 TI1N ~ . . . PERMIT S1JBTYRE: TYPE OF WORK: INSPECTION . , . ; , . Permit No, Permit Holder Date 7elephone A ELECTRIC PLUMBIN HVAG Inspectlon Date Insp. Comments FOOTiNGS FOUND FRAMING ~ ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH ~ HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST ~ FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMTFINAL 7/,Z71,~B' DECK FTG DECK FINAL ~ INSPECTION RECORD CI~'~( OF EAGAN PERMIT TYPE: ~ 3830 Pilot Knob Road Permit Number: ~ Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: -7 APPLICANT: 1 ~ ' ~ , r • ' ~ f i ~ . ~ . . . PERMIT SUBTYPE: TYPE OF WORK: INSPECTION ~ ~ ~ ~ ra~~ ' ~•i~~~: i ;i~. . ilt ~ , • ~ . . ~ Nr.) f. - il 1'1 I t (If1(4 11 1 r . = . . _ . : _ --•ar:.r~-°-•^~r_ ~ ~ ~ J Permit No. Permk HoFder Qate Telephone # S/W _ PLUMBING HVAC q 89 D ELECTR ELECTRIC /}t A$OV J E&-S-it-z ~ L i I d ~ Inspactlon Date Inap. Comments Footings I ~~o? ~'~i/ ~ 7 Fourxiation Framfng Roofing Rough Plbg. Rough Htg. Isul. s ~a 9 Fmplace Final Htg. O Orsat Test Final Pibg. ~4 ~ Pibg. Inspector - Notity Plumber Const. Meter Engr./Plan Blcig. Fnal ~ a Q Y G~'~~ Dedc Ftg. Deck Final Well Pr. Disp. 30 s~ _ INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: ~ , . ! nril~ I11 r ~ I ' i i . PERMIT SUBTYPE: TYPE OF WORK: O / . 1 . . , ' ' . ~ . - . ~ ~ ~~f ~ . . ' • 1 iI+11 } . I I1~i1'i 1 I f i I hl I I'. ~iV; i i 1 Ii!~ I f'+ ~ ~11 ItiN`i I' ~ Ilf'~1~ f I~Ii i~l' I I; + I I' 11 (~1 I.~Otj~' ~ J . Permft No. PermR Holder Date TNephone N S/4V PLUMBING HVAC ELECTRI q99 . ELECTRIC Inspactlon Date Insp. Comments Footings I ~~3U / 2s ~ a1~•~sr P.t' ~ Ta .^e a.,tro~ ~e _¢,r J.. / J.~n f~.~+ e.Q qrF FT ~'k ei's we~~ c~e•~l~ fl~l Foundatbn Framing ~ Roofing Rough Plbg. Raugh Htg. Isai. Fireplace Final Htg. Orsat Test Final Plbg. Plbg. Inspector-Notify Plumber Const. Meter EngrJPlan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. ~ . . r ~ : * Wertificate nf Cccoanc~ WU4 of Cfa~~ ~acuf ~ ~~~oection This Certificate issued pursuant to tlte nequirements of the Uniform Building Code certifying that a1 the tinte of issuance tieis strrtcture was in complrance with the various ondinances of the City regulating bui[ding constructron or use. For the following: ux ct...;r.;J7 m sleg. eermit r,a. 23161 Oceuqncy 7ype 1 Zoning District Rl Type Const. VN owwrorswWag R A MDf HLtIES Ia". Addms N0) I]PP@t HMLrT flOURT, APPIE VAiIEY Builkfi08 Ad&.3571 W0M" MIL ~ity L7, B3, Tii a70QANDS 41l Due: yp/ BaMftOffkW POST IN A CONSPICUOUS PLACE x: .~:w<t>:g+y .w.. ~Y~. ~'..3'...... ~ .x.... ..::~~~.e.8~ ~M ME w"'~. .:r.:. . . ~ . . . . caw..,.,.., . , , 1994 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122. (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHONIES AND CONDOS WHEN PERMTTS ARE REQUII2ED FOR EACH UNTf. NO. FIXT[7RES EACH TOTAL ` SHOWER 3.00 3. ov ~ WATER CLOSET 3.00 q •0 L' ~ BATH TUB 3.00 (o . o 0 LAVATORY 3.00 is. 23 ~ KITCHEN SINK 3.00 3• 00 LAUNDRY TRAY 3.00 3. v o HOT TUB/SPA 3.00 ~ WATER HEATER 3.00 2, c:> 0 FLOOR DRAIN 3.00 GAS-PIPING OUTLET • mmimum - 1 3.00 9• oc~ ~ ROUGH OPENINGS 1.50 f~ • o v WATER SOFTENER 5.00 PRIVATE DISP. • n&cty. ue- 20.00 _,,-U.G. SPRIlVKI.ER • nome unoa ooast. 3.00 3• c) v ALTERATIONS • to aoscing 20.00 WATER TURN AROUND 20.00 STATE SURCHARGE .50 TOTAL: SITE ADDRESS: 3 5 7 I l.~ 0vc~ l L-.r-k OWNER NAAE: R. ~s • ~.o-~- N~~, INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: PHONE ( (alti) ~ ~ - 3'~3c~ SIGNATURE OF RMITTEE £ a € a . i ¢ 4i 3 YR~O'%. 4~J " •.>°2 " ~ d ~'?~.'x`°°' ~ y+l < ~.a : . . ...~63f.<F. RoA<3~f. raz>xe: ^ 1994 PLUMBING PERMI'P (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMIVIERCIAL/INDUSTRIAL BUII.DINGS. ALSO FOR MULTI- FAMILY BUILDINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH DWELLING iJNTT. _ NEW CONSTRUCfION ADD ON ` _ REPAIR WORK DESCRIPTION: CONTRACT PRICE: $ . FEE: 196 OF CONTRACf FEE, " STATE SURCHARGE $.SO FOR EACH $1,000 OF FEE. DENIMUM FEE $ 25.00 CONTRACT pRICE X 1% $ STATESURCHARGE $ TOTAL $ SITE ADDRESS: TENANT NAME: STE. # O'VVNER NAIvIE: IN5TALLER: ADDRESS: CITl'. STATE: ZIP CODE: PHONE FOR: CITY OF EAGAN APPLICANT . Address 3571 WOODLAND rxtIi, Zip 5512_3 Lqt , 7 Blk 3 Sub UE WOorn,nNros 4ni THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPEGTION. Date: '//,27Y Yes No Inspector: ~ Final grade (6" from siding) ? Permanent steps (garage) ~ Pecmanent steps (main entry) Permanent driveway Permanent gas ? Sod/Seeded grass ~ Trail/curb damage ~ Porch J Basement finish Deck Please verify with the buildet 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. - Contaa engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy M9~2~16 3/7,Q . J1 Ftequest Oste ire No. Roug~-in inspec~ion NOTICE: Vou Musl Call Eledricai Inspector 6 Required? It A Roughln Inspection 3 e~ Yes ? No Is RequireA. I)C-licensed contractor ? owner hereby request inspection of above electrical work at: Job AtlGress (Sireat, Bax or Roule Na.) Ciry 2:5 DO y. /INLIS R. /!(.;/1N Seclion No. Township Name or No. Range No. Coun JtIC o TA- Occupy't(PRINn Phone No. K.~. a7 -41om~s - 95%.3 Pow Supptier r Address K o~ G = e T~t' I c ~.e/n N C. TD EI 'cel Conlrador (COmpeny Name) ConVaqor§ Llcense No. - E ~tir ~ 2 Mailing AGtlress ('Mractor or Owner Making Installation) n ' ! • vn 2Y /o~/ ryPP~t 6y 55laY PutM1 i etl SlgnaWr iContr VOwner Making Installation) Phone Numbe~ 9J~~'~~/'(ob MINNESOTA STATE BOAPO OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Grlggs-Mitlwey Bltlg. - HatlprS-1]3 eE ACCEPTED BYTHE STATE BOARD 1821 Unlverelry Ave., St. Peul; MN 55100 UNLE55 PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION Q eano~a~ ? See insVUCtions tor completing Ihis form on back of yallow copy. SO M 25163 ' X" Be7ow Work Covered by This Request ew Add Rep TypeofBuilding AppliancesWired EquipmeniWiretl Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Managemem Comm./Indusirial Furnace Other (Specity) Farm Air Conditioner Other(speclry) Convactors aemerks: Compufe lnspection Fee Below: # Other Fee # Service EmranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 700 Amps Transformers Above 200 _ Amps Abo 100 _ Amps Signs Inspeclor's use Only: sD ?OTAL Irrigation 8ooms Special Inspection Alarm/Communication THIS INSTALLATION MAY B ERED DISCONNECTEO IF NOT Other Fee COMPLETED WITHIN 78 MONTHS. I, the Electrical Inspector, hereby pough-in r ~ale certiry that the above inspection has F;~ai a~e been made. OFFlCE USE ONLV This request vuitl 18 months from ~~1~59~9~ ~ ~ ~ oat~ Repuest Uete / Fire No. Raugn-In Invsedion Repuired Insoection OtM1er Tnan Rougnln f~_ q~ . (Yoyynusf ceN i`pec~or w~en ready) ~ qyatly Now ? Will No~lly Inspecto~ < < ? VS5 ? .NO Oate Reatly I p licensed contractor ? owner hereby request inspection of above electrical work aC dob Mdress (SVreL Box ae Raute ~ City - Q~~ ~'r• 19 71 Setlion No. Townsnip Name or No. qange No. County D h-ko~~ OccupantlPRINT)n I f Phone No. ~ ~KSr~ o a-f T -{r-e.d~ Power Sop I~er Address ElecVical ConVactor (GOmOany Name~ ' ConVador's License Na. .S o•x p 171 D Mailinq Aderess ICOmractor or Owner Making Inslallab M3 O 0 ti- $-t Authorizetl SIS w iCOmra n wner Meklnq I t lation) Phone Number MINNESOTA STATE BOARD OF ELECTRICITV THIS INSPECTION qE0UE5t WILL NOT GrIgge-MlOway BItl9. - Room 5473 BE ACCEPTED BY THE STATE BOARD 1831 University Ave., St Paul. MN 55104 UNLE55 PROPER MSPECTION FEE IS Phone(812) 862-0800 ENCLOSEO. 9 REQUEST FOR ELECTRICAL INSPECTION ~ ? See insVUdions for completing ihis form on back oi yellow mpy. ~ 1599 X" Below Work Covered by This Request ew7AS'd Rep. TypeofBuiltling Applianc.r~Wired EquipmerHWired Home Range Temporary Service Duplex Water Heater - Eleclric Heating Apt. Builtling Dryer Load M9n8gement Comm.llndustrial Furnace Other (Specify) Farm Air Conditioner Other (sVectiy] Goitiraotor's Re a~ks ~ ~OfG~I S~Ct4't p~ . Compute Inspection Fee Below: k Other Fee #ServiceEntranceSize Fee # Circuits/Peeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps hansformers Above 200 _ Amps ave io Amps Signs Inspector's Use Onry: ~ TOTA Irrigation Booms L/(`C''~~. ~d Speciat Inspec[lon ~ v C Alarm/Communtcation THIS INSTALLATION MAV BE OR ISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Elechical Inspectot hereby Roi oate certify that the above inspection has C-~a pam p, been made. , OFFICE IISE ONLV I Thi3 request witl 18 monIDS irom / M 518 7~~, flequesl ~ate " Fire No. Rough-in InspBCtion NOTCE: Vou Must Call ElecVical Inspector ~ S 9 Ro va~' 0 N. Is Requi9 dln Inspection I~Llicensed contractor ? owner hereby request inspection of above electrical work at: Jab Atltlress (SVea4 Boz or Route No.) Ciry .5Jr7/ p LRNO 2. L /}(z Section No. Township Name or No. Range No. Coun ' ~A kC D'~4 Occup (PRINT) Phone No. .A. If/07 6d'7- 9`6 l Power uppiier Atltlress AKora ELrC'T ~ k1)71K ' rDN Electn 1 ConVactor (Comparry Name) Contredor5 License No. ~~.S I-r • , - A o~v3z Mailing ddress~° nirador or Owner Making Ins[allation) Q LJax .&O((a / ~ LG" ~ttt y 6512 Aulhor Signature on(rac r/O ner Meking Installation) Phone Numbe~ Q53 Y64 MINNESOTA STATE BOAHD OF ELECTHICITY THIS INSPECTiON REQUEST WILL NOT Gdgga-Midway Bldg. - Hoom 34]3 BE ACCEPTED BV THE STATE BOARO 1821 UnivereiTy Ave., St. Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS Phone(6/2)602-0800 ENCLOSEO. Jr ~Y REQUEST FOR ELECTRICAL INSPECTION `~e~ooggi~~ q -7 ' See instmc1ions fo, mmpleting ihis farm an back af yellaw copy. _ b~ 2 1~ 1 'X" BelovaWork Covered by This Request - ew Add Rep. Typeofeuilding AppliancesWired EquipmeniWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. 8uilding Dryer Load Managemem Comm./Indusirial Furnace Other (Specify) Farm Air Conditioner Other (specity) Con[racmr§ Remarks: Compute Inspecfion Fee Below: # Other Fee k ServiceEntranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps ~ 0 to 100 Amps Transformers Above 200 _ Amps A6ove 100 _ Amps SIgfIS insl Use Only: TOTAL Irrigation Booms % 1 ~-•u~ Special Inspection [ Alarm/Communication THIS INSTALLATION M OR CONN TED IF NOT Other Fee COMPLETEO WITHIN 1 HS. I, the Elecirical Inspector, hereby Rough-in Date J~, certify that the above inspection has F;,,ai oate been made. OFFlCE USE ONLY This requeat wid 18 manihs Irom RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN J 3830 PILOT KNOB RD, EAGAN MN 55122 651•681-4675 New Conatructbn Aeaulrementa BemotleVpaosir Neaulrementa • 3 registereG sfte surveys showing sq. fl. of bt, sq. tt. of house; antl II roofed areas • 2 copies ol plan (20% maxMUm bl coverage albwad) . 1 set of Energy Calculatlons for heated additions . 2 coples of plan showing beem & wind(yw sizes; poured found deslgn, atc.) • 1 sAe survey fw atlerbr additlons & decks . 1 set ot Energy Calculetbns . InCicate H home served hy septic system for addttbns • 3 coDles W 7ree Preservatbn Plan tt Wt platled afier 711l93 • Rim,bist Deteil Options selecibn sheet (bldgs with 9 or less units) DATE ~(02 VALUATION ~ o~ ~70~ ~~g• 7~~ SITE ADDRESS CC3 lA ~WQ Ji. MULTI-FAMILY BLDG _ Y /N TYPE OF WORK '~,A6Z-!T f~ -r ,~F-lZOdr FIREPLACE(S) _ 0_ 1_ 2 APPLICANT I AZ~ L,(}E, 6480}(~ ~P-f STREET ADDRE S3SD 1~N bAu A Uf S CITY~,~_STATEIV41 ZIP rd TELEPHONE # RQ •gfi' )000 CELL PHONE # FAX # l~/~Sa.~ .~Od4' PROPERTYOWNER L-L?N R (UW 4L l4'Vr TELEPHONE # COMPLETE THIS SECTION FOR uNEWa RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 (4 aubmission type) • Residential Ventilation Category 1 Worksheet Su6mitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Conhactor: Phone # Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 Water Heater No. of R.I. Baths M _ No. of Baths Mechanical Conhactor: Phone q~ p 2002 Mechanical system includes: _ Air Conditioning ee: $70.00 _ Heat Recovery System BY Sewer/Water Confractor: Phone # I hereby acknowledge that I have read this applicatlon, state that ihe Informatlon is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordi ces. Signature of Applicard ~l Y.Y._.Y pFFICE USE ONLY CertifiCates of Sunrey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY O 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg O 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) O 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi O 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Yor_N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interlor) ? 44 Siding O 32 Additan ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33Alteration ? 37 Demolish(Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolklon (EMire Bldg only) - Give PCA handout to applicaM Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Typs of Const W idth REQUIRED INSPECTIONS _ Footmgs (new bldg) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ RI. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector - - Base Fee Suroharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total PERMIT ~ CITX Q'F EAGAN 3830 Pilot Knob Road PERMIT TYPE: NG Eagan, Minnesota 55123 Permit Number: 023161 (612) 687 -4675 Date Issued: 0 3/ 2 8/ 9 4 SITE ADDRESS: 3571 WOODLAND TR LOT: 7 BLOCK: 3 THE WOOOLANOS 4TM P.I.M.: 10-75879-076-03 DESCRIPTION: BrW"i1d3ng'.,permit Type SF DWG ¢uildi.ng Wi},rk Yype NEW ,'UBC GacupanGy\, R-3 M-1 ~ ConstruCtian 7'ype V-Ny'j 2oning R-1 . ~ Building 4ength ( 72 Bwlld3ng width 52 Bu/jiid3.ng stories 2 A~ , i-, , ~~~091 REMARKS: S& W PLBR - MAT7HEW DANIELS PLBG FEE SUMMARY: VALUATION $178.000 Bass Fes $912.50 MISCELLANEOUS $1,828.50 Plan Review $593.13 7ote1 Fee $4,223.13 Surcharge $89.00 SAC $800.00 SAC % 1@0 5AC Units 1 Subtotal $2,394.63 CONTRACTOR: - Applicant - S1`. L=c. OWNER: KOT HOME5, R A 16879513 0001506 R A KOT HOME3 INC 7901 UPpER HAMLET CT 7901 UPPER HAMLET CT APPLE VALLEY MN 55124 APPLE VALLEY MN 55124 (612) 687-9513 (612)687-9513 I heretiy ackn6wledgs that I have t-ead this application and' s'Cate that the information is correct a:nd mgree to cqmply with all applicabis State a'F Mn. Statutes and Gity oP Eagan Ordinances. R4IP APPUCANT/PERMIT SIGNA URE `ISSUEO BY SIG ATU E INSPECTION RECORD CITY OF EAGAN PERMITTYPE: eurLorNG 3830 Pilot Knob Road Permit Number: 023161 Eagan, Minnesota 55123 Date Issued: 0 3/ 2 8 J 9 4 (612) 681-4675 SITE ADDRESS: Lo T: 7 B L 0 C K: 3 APPLICANT: 3571 WQODLAND TR KOT HOMES, R A THE WOODLANDS 4TH (612) 687-9513 PERMIT SUBTYPE: TYPE OF WORK: SF OW6 NEW INSPECTION . FOOTINGS FOUNDA7ION FRAMING ROOFING INSULATION FIREPLACE ROUGH IN PLBfi ROUGH IN HTG FINAL PLBG FINAL REMARKS: S& W PLBR - MATTHEW DANIELS PLBG ~ L ' T CITY OF EAGAN z23- ~3 1994 BUILDING PERMIT APPLICATION/ 681-4675 / t:,;~p 2 3 1994 SIN6LE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date g / Z3 /9A-_ Valuation of work 165,04!50 Site Address: 35"1 1 We~~x~1t~~ STREET ~ SUITE p Tenant Name: (commercial only) LOT ~ BLOCK ~ SUBD. WeopL&ySjz~S 4t1-N P.I.D. # Descri tion of work: ~S'TbN^- eeSt The applicant is: Owner IKContractor ? Other (Deseribe) Name L'oT Q - ta• ~eT F~an~~S . intL. Phone~67•9si3 Property LA5 ~ F~ ST Owner Address W9oi u SiRE T STE M City 4PPL'E~ \14u._g2y State M^J Zip 55IZ 4 Company c~E;: n~s Phone Contractor Address License #caooisob Exp. '°1 S City State Zip Architect/ Company jZ_5. L. Phone 68-7 -9s1'z, Engineer Name Registration # Address ' City lap,C-4dPj State MN Zip Sewer & water licensed plumber L1Ae4:p~ 2 ~„u~,.l~~ Processing time for sewer & water permits is two days once area has been pproved. 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. Signature of Applicant: i, ~ OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Ftnish 0 02 3F Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool ? 03 3F Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 Sf piisc. ? 30 Multi. Add'1. 0 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE )Z 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) v Basement sq. ft. /%29 MWCC System k (Allowable) ~[(y lst F1. sq. ft. zo City Water ~ UBC Occupancy R32nd F1. sq. ft. 13 y,0 PRU Required Zoning R-1 Sq. Ft. total Booster Pump d of Stories 2 Footprint Sq. ft. Fire Sprinkler Length ~ z On-site well Census Code /pT Depth S z On-site sewage SAC Code __TT Census Bldg ~ APPROVALS Census Unit Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ? _Site 0 Footing ,3 Framing 11-Insulation ? Wallboard E1 Final ? Draintile ? Fireplace Permit Fee v.iuas;«n: Surchar e Plan Review G~` License ~ 3z.Sa-?z= MWCC SAC ! I / City SAC Z Water Conn. Water Meter Acct. Deposit z&k y S/W Permit S/W Surcharge Treatment Pl. q S~3 . 2~„S Road Unit Park Ded. i I y z " zZ" Trails Ded. Copies h ~ ~otal : zd sAC x 1 yZ ox5% _/G 960 SAC Units ~ ~ ~9t[ t1io1p11eo uik~e , _ Msndoto Hetqhts, MN 5 (012) d~lt-1o14 F 9488 L,w eMrerau • OV& lip. L,wurymew=• w"eAM 'u°'rzrn 625 H{ghwoY 1o N.C. ~ Blalna, MN 554J4 (eJz) 7e5,--jeso F _ . Iees Certificate of Survey for: R.A. KOT HOMES ADDRESS=3571 WOODLANO TRAIL ~ ~ N 22.67 ~ - ~ i . 10.17 / 10 ~,1333 Ma/GARAGE 8 412.0~ o / cJ M 24.6 ~ PROPOSED 6.0 v, I M HOUSE i o V"; 17.5 .rl ---L---- -L- - _ ~f~~Q;'~ 4.24•:.'" 6.5 -..-424 C,.~~ p AE TA ! L I INCH' 30 FEET ~~~r. ~ t FAGAN FIViIINEERIN PROPOSEn GRADES SNOwH PER ORADNG PUN Btt B R W HOTE: 6Uum d'MEN90NS &iOWt! Aq F(l1 ltOIO20NTRL v[RilGAL LOCAtION OF SiRUC7UwES OHLY. SEE MCIMhCNA1. PLANS FOR BUWMU AHD FdJ10Alid! DpfEN91W& IFU$ CERTIFiCAIE DOES NOT PUNPORI 10 SNOW EASEIIENTS NOTE: CON7RACTOR ?IUSt vlPofY ~MVEWAY OESICN. OiNER TMµ TMp5( 910WN ON 'M11E AECOROED PUi. No1[: NO SaEaFiC SpCS WYESTOApON MA4 BEEN COMfl.E1En ON nHS BE+WiNC4 SMOwN ?AE Af~MCO ~SPECMIC NOUSE PNOPO$EO ~ 5111~ IY~ iY OP ME 9~MYOR. oonon~p HOU^+~ ELFYAnON x ppp,pp Denotee Existinp ElevaBon Lowest F~oor ElevaUon: Y~~' 7 ~ ~,ap ) penotee ProPosed Elevotion o ~ - Denotes Drolhage ~C Utlllty Eaeemenl 70 ot Block E~evolion: 1 - Denotes Dralnage flow Olrecilon P _--F-- Denotes MOnument benotea Oifaet Hub Gora9e gtab Efevatlon: 3-1 -12 LOT 7 ~ BL4CK _ 3 THE WOODL:ANOS FOURTH AODITI01 DAKOTA COUNTY, MINNESOTA Yle here6y cEr111y ihal ;hia lU~vey, plan 0~ rppOrl waf Prepared dy Me a undm my dhect a~+P~ fion ond hol.j am duly reqMlerd Lond Sm undrr the lo•s al Ih! Slate o! MinnHOto, Dated lhit I_5T)i day of _ MARCN .__A.D. 1~• REVISED GAR. SOE5-24-94 IGN PIONEE~ENGI EERIN .A. B• ~ ScQIe. 1 inch = feet John C. Lo~son. L.S. Req. o. 9828 gHEET 1 OF SN s , I ~ ---~~u . - { 2422 Enferprlse Oriva •I Mandolo He~qhta, uN 5 (812) 881-1614 F .94M uuo sUuVEraas • avw wax+rrxs , ~ eniqineer7np LAMD o~"~. ~tttn 625 Hfghwoy 10 N.E. olne , AIN 5543M1 * * * * {812) 783-1880 F C;ertificate of 5urvey for: R.A. KOT HOMES WOODLAND 9o~.3TRA1L 91.7 (UNDER CO ST.,'90t.8 pqpPOSED ~ CyiZ,o «fi.5) c ~0.~~ N89°53'30"w T 911.5 - 93.0 l'? . ------~3~~~ ~~lYot3,S) BERVIC~'9 NV=899.21 ~ BENCH MARK 1. . p/ W 9102 1 9072 x ~ 70P OF HlB BENCH MARK ~D.T1~_ 177.5 F`~ .:r..901.2 EIEV.~J06.36 TOP OF H[1B tI,EV-912.45~~ GARA6E~) • EXi5TIN6 FOUNDATION- ~4~ ..x P HOPUSE~ ---SE . IL ON soLe~u.z SH 906.67 W ~ ~ y-3 899.84 ( ~90 C7f 1 904.3+ 8 ~ iI ) .."K89 xg3.~iteU1D£..)ic+r ~n 899.7 x f 8G . ~ Fr ^3 w Y~ ~ I U, I Q Y; I y 8 , 6 ~ 7 NF. 0 6g 6 ~ 8 . ( J`'1•o' 0'l ~ --868 CONTOUR PE - 07$ CpWqJR PER . M V I ORADINO PLAN 13RADINO PLAN d~ ~ Q I POND JP-61 M 1 a 1 NWL=684.0 I v HWL=876A iPER CiTV i.'. 8rs~pz a ~ I ui I ~ . W ~ ul ~Q 6,f,_ .2 I z I tn 0 101 I S 89P06103 W ' I ~ ~II z y~LLIAMS PIPEU EMENT ~~PHR DOC.•N0. 8 rn ioo ~ o C,h ~ REVISEU GaR SIDE 3-24-94 Grei E: I INCH= 50 FEE7 zoT iORV~Y C3LCICL28T t0A ItESIDLNTZ7IL ~ aII:s.azn rat~rur pzz ox pROPLRT L Y 671L-t ~ A~ ~ Date o! • Sps S i ~~rrr sT~?xn 4 s ~.e-~r- S 2`~ C fy 0' II O • Reqistered IAnd Burvsycr siqisaturs arid company m' a 0 • 8vilding permit lipplieant ' II~ 0 D • Legal doscription I~ a D • 1lddrass ~ 0 0 • North arrow and bar scale - I~ 0 D • House type (ramblar, waikout, spiit w/o, split Ontry, lookoui, atc.) ~ D D • Dizeetional drainaqe arrows vith slope/qradient s. Q' D D • Proposed/existing sevar and water serviess Q' 0 D • street name D~ 0 0 • Drivevay tLLV71T201PB axi.ttro D' D 0 • Sewer ssrvice 0' a 0 • Lot corrrers 0 • Top of cuzb at the drivevay ~ D D • Elavations of any existinq edjacent homea ProaoseE ~ 0 D • 6arage iloor . ~0 D • Ffrst iloor V0 0 • Lowest exposed elovation (walkout/windov) D • Property corners D' ~ D • Front and zeas o! Aomo et the ioundation P9NDZNG 7?REI?B fit agplieablll fl D a • Easement line D~D D - NWL Li' D D • xn . 8' n 0 • Por,d ; dcsignation D 8~ D • Emerqeney overliow Llevation DIKENBSOIPS 0 • Lot liaes D' D 0 • 8ight-ei-way and sireet xidth (Lo bsek ot onsb) DrD D • Proposed bome dimensions ineludinq any propcssd •dseks, overAangs qreater thnrf 21, porches, stc. (i.e. aii J structusos sequiring permanent lootinqs) • II L1 D • Shew all easements of sacosd and any City utilities vithin those easements 1,1~D D~• Setbacks oi pzopossd strueture and sstback ot adjacent existing homec , D 0 • Retair,ir, 1 e pftemente, Sf any Reviwed: ~ N me / te October 2992 ' BEND • . ~ SEE SHT. 4 . ~ ~ 4 6 ~ iQ, 2 i5 5 ~ 10 i ~ 10' TYP • Z ~ I Q 30' B-B Ip I 60' ROW 1 0 1 13 I I I I I ~ 4+00 MH 4 i MH 3 - - +o ~ ~ I - I I ai I~ 34' g_g 6" X 6w TEE ~ ~ 6" X 6* TEE nl ~ 12'-6" DIP CL52 ~I 6" x 6" TEE 8'-6" DIP CL52 HYDRANT I I 0.1 6° RSV 6" RSV g~ - 11 1/4° 3 HYDRAN T --------~a-- i 7 i 8 9 4 I --9----- o a »•ss'aa" R 125.00 ~i L = 169.29 - - - - - - - - - - - - - - - - - - - - - - - - - 7 - - - - - - - - - - - ' - 6 - 11 1 /4° END I - - - - - - - - - 7 6" TEE E ACCURACY 0 Ul'ILITY LOCATI S ~ A/OH ELENATIONS THIS DATA IS F R ~ I RMATION PU~ SE3 O~!LY A D ~ PER ONS UCING IT S OUL! T E ~ INFO ANATION ON THE -'TE. ~ I I . 6" PLUG I CONNECT ~ . . . . v's v a~. C6 ~ . . . . . . ~ ~.y.~ . ~ . : * ' . - . . . . . ~ 9 m . . ~ 0 to ~ . ~ - ~ ~ i . . • 0 . . . . , . . • • ~ ~ ' 00. . . .~p ~ . . ' - . ~4 - • W bi V 3P : oF .PiPe . > WU j•..... . ...fli U;...j..m m ii.~...m... ~ >[p..~..~.~.~..~...~..~..~.~.. l> . . . . . . -...W . . • . . . . . . 7 . . . . : . ; . ~y 6476 . . . ...l~ss,... . . : ~ 6 q : . i; . . d/,Q. . . • ~1 : : . ' : . . . : : : . . : . : i . ' 40~. . : SDR 26 O 0 : . . . . . .MH. 4:.. . . . . . : . : CAST R-1642-8 : : : : : . . . . . . : : RE 912.86 ' . : . . . : . . 2.08'- PYC 150 . . . . . . . SQR :35: 0 0:40% . . . . . . SDR 3: : :.IE. 902:99.::: ~ ; : MH:7 . : : . . : :~~iE ~TY E ~;~~F:P1 t~OES tv 7~G~1~+l~Af~YEE : : CAST R--1~642--B 4 °3Q :RE 909:20 : ..CAST F~-4642 B THE AC.GLs.:;:,CV: :~F : UTi~I ~ LOCA71bNS~ . . . RE; 907;51 . . : : . . . . AND/QR GL~~:;TCO~~.: :THIS nTA Is FOR: : E. N: jE . 895.97 : : . . . . : : : : . . . . . . . . . : : : . . . . . . . . . ~.e. c . . LY . . . . . iiN~QARP~?TICl;! ~J,,.y . . AND: lE 895 87: : . . . : . tE 895,04 . . PERSONS: U;lf~G: iT:SiiO~l ~Y THE- : . : . . . : ~ . , ~.t' • • . • . 0 1~1FORNAil4;! 0?HW ~.ITF . ' ~ . . ~ . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . : . . . . . : . . . . . . . r. " sr :6A. .cv p. ' ;M . - . .n- - . . . .p. . . . .,p. ~ . . tp . cv .O : •In - , ~ : . ~j ~ : p . . . . ;OJ . . . . . .d ' . . . . . . . • . . . ~ ,rj ~ Qi~ 'O~. . . . . . r ~ . . . . ~ . . ~ .O . . . . . c~. N~ . ~ 'O> p . . .....r.........~...~...... d.........~.....~... p~..~ . . . ......01....... ..,.-•T" . . . . ~ ~ :::::::::::::::4 . ..............6 . ~ w . EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER Peter and Lynn Mallinger PLAN NO. 9-1028-3 SITE ADDRESS Lot 7, Blk.3, Woodlands 4th Addition CONTRACTOR R.A. KOT HOMES, INC DATE 02/07/94 PHONE 687-9513 DETERMIME WORKING SQUARE FOOTAGE 4042.299 1. Total exposed wall area4111.423 sq.ft. x.11 452.2565 2. Total roof/ceiling area 1529 sq.ft x.025 39.754 3. Total floor cant. area 0 sq.ft. x 0.05 0 (over unheated enclosed areas) 4. Total floor cant. area 89.34 sq.ft. x 0.025 2.2335 (over unheated exposed areas) 5. Total exposed wall area above the floor. 3683.299 a. Total wall window area 539.245 b. Total door area 55.6278 c. Total sliding glass door area 71.,1022 d. Total fireplace area 0 e. Total wall framing area (ave. 10$)........ 368.3299 f. Total net wall area above the floor....... 2648.994 g. Total rim joist area 359 TOTAL EXPOSED FOUNDATION AREA 69.1239 h. Total foundation window area 0 i. Total net foundation area 69.1239 Determine "U" value of each wall segment. a. 539.245 x"U" 0.36 = 144.1282 b. 55.6278 x"U" 0.06 = 3.337668 c. 71.1022 x"U" 0.36 = 25.59679 d. 0 x"U" 0= 0 e. 368.3299 x"U" 0.090334 = 33.2728 f. 2648.994 x"U" 0.043215 = 114.4769 9. 359 x"U" 0.040683 = 14.60537 h. 0 x"U" 0.36 = 0 i. 69.1239 x"U" 0.076161 = 5.264577 6. .........................Total 390.6822 If item 06 is the same as or less than item #1 you have met the current energy codes. 2 MCAR 1.16008 A AND O. TOTAL EXPOSED RODF/CEILING AREA 1529 j. Total skylight area 0 k. Total flat roof/ceiling framing area...... 152.9 1. Total net flat roof/ceiling area.......... 1376.1 Determine "U" value for each roof/clg. segment j. 0 x"U" 0= 0 k. 152.9 x"U" 0.025549 = 3.90649 , 1. 1376.1 x"Ull 0.021801 = 30 7 ...................................Tota1 33.90649 If item 07 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). 0 o. Total floor cant. framing area (ave. 10%). 0 p. Total net insulated floor/cant. area...... 0 Determine "Ull value for each floor/cant. seqment. o. 0 x"Ull 0.064144 = 0 p. 0 x"Ull 0.029386 = 0 8 ...................................Tota1 0 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) 89.34 q. Total floor/cant. framinq area (ave. 10%). 8.934 r. Total net insulated floor/cant. area...... 80.406 Determine "U" value for each floor/cant. segment. q• 8.934 x"U" 0.043234 = 0.386252 r. 80.406 x"Ul' 0.024056 = 1.934231 9 ...................................Tota1 2.320483 If item #9 is the same as oi less than item #4 you have met the energy code. 2 MCAR 1.16008 A ANp__0.., ~ I HEREBY CERTIFY THAT I HAVE C~CULATED THE "U" FACTORS AND ~ VALUES HEREIN AND THAT THE BUI DZNG HE E CRIBED MEETS OR ° C EDS THE 5TATE OF MINNESOTA ENERGY CONSER TI ACT. (si natur ) (date / ~ / DETERMINE "II" VALUES" THRU STUD WITH SIDING & S.R. Interior Air...... 0.68 ' Sheet Rock........ 0.45 Thermo-Sreak...... 0 Stud.. 6.93 Sheathing......... 2.06 Siding............ 0.78 Exterior Air...... 0.17 Total "R" Value............ 11.07 1/R = "Ull 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 Ceilinq Member.... 4.35 Insulation........ 30.92 Still Air......... 0.61 Total "R" Value............ 37.14 1/R = "U" Value............ 0.026925 THRU CEILING INSULATION Interior Air...... 0.68 Sheet Rock........ 0.58 . Insulation........ 42 Still Air......... 0.61 Total "R" Value............ 43.87 1%R = "U" Value............ 0.022795 THRU CONCRETE BLOCK Interior Air...... 0.68 conc. 81k......... 1.28 Insulation........ 11 Sheet Rk. (opt.). 0 Exterior Air...... 0.17 Total °R" Value............ 13.13 l/g = uUu ..................0.076161 THRU RIM JOIST Interior Air...... 0.68 Insulation........ 19 Rim Joist......... 1.89 Sheathinq......... 2.06 Siding............ 0.78 Exterior Air...... 0.17 Total "R" Value............ 24.58 1/R = nUn 0.040683 D" value for window........ 0.39 U" value for doora......... 0.06 U" value for Patio Drs..... 0.39 THRU CANT. @ MEMBER (enclosed) Interior air...... 0.68 Finish Flooring... 1.23 Underlayment...... 0 Plywood........... 0.93 Joist 11.56 Sheet Rock........ 0.58 Still Air......... 0.61 Total "R" Value............ 15.59 1/R = itUu ..................0.064144 THRU CANT. @ INSULATION (enclosed) Interior Air...... 0.68 Finish Flooring... 1.23 Underlayment...... 0 Plywood........... 0.93 Insulation........ 30 Sheet Rock........ 0.58 Still Air......... 0.61 Total "R" Value............ 34.03 1/R = nUn ..................0.029386 THRU CANT. @ MEMBER (exposed) Interior Air...... 0.68 Finish Flooring... 1.23 Underlayment...... 0 Plywood........... 0.93 Joist 11.56 Sheathing......... 2.06 Soffit............ 0.78 Exterior Air...... 0.17 Total "R" Value............ 17.41 l/g = iiUn ..................0.057438 THRO CANT. @ INSULATION (exposed) Interior Air...... 0.68 Finish Flooring... 1.23 Underlayment...... 0 Plywood........... 0.93 Insulation........ 30 Sheathing......... 2.06 Soffit............ 0.78 Exterior Air...... 0.17 Total "R" Value............ 35.85 1/R = uUH ..................0.027894 1994 MECHANICAL PERMIT (RESIDENITAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. 4'~NEW CONSTRUCTION ADD-ON A!C AJD-rJ2d FURNACE FIREPLACE INSERT DATE FEES HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BTU 6. GAS OUTLETS (MINIMUM 1@$3.00 EACH) sar D 0 ADD-ON/REMODEL (EXISTINC CoNSTxUGT1oN) $ 20.00 STATE SURCHARGE .50 TOTAL SITEADDRESS:J~~~/ OWNER NAME:7R 6• ±o± iA22es' TELEPHONE INSTALLER: Burnsville Meating & A/Cy Inc 12481 Rhode Island Ave. So. ADDRESS: Savage, MN 55378-1122 894-0005 C1T'Y: ST,ATE: ZIP CODE: TELEPHONE (liLl S A F PERMITTEE : a A~ a YM a y r s~b r8~~s~~i~ dawtiuC~i'E"p~ ;§°s'y rf~5~ ~ z'~~"~w~£~: rEF~FS§ 7i~<sg ~'cs £f as v H.. i Yz4 ~T ~n x .A.»~ ~T x ~mb i ~1y~D H <»a&.wwx«.w....,.es: Yi:.`~>.,~`~7w. ~ d.fe,.• < ua...)..~~.. af. s~.i"... .<ox Y `w~w.. . "'A~. i R . . . 1994 MECHANICAL PERMTT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMMERCIAI.IINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. DATF: CONTRAGT PRICE: $ NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF CEQNI'I~A~" FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF ~'ER`A?ii'f FEE. TOTAL $ SITE ADDRLSS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMENTS ONLl) INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE SIGNATURE OF PERMITTEE CITY INSPECTOR PERMIT yCITY OF EAGAN BUILDING 3830 Pilot Knob Road PERMIT TYPE: Eagan, Minnesota 55122-1897 Permit Number: 032050 (612) 681-4675 Date Issued: 0 5/ 2 0/ 9 8 SITEADDRESS: 3571 WOODLAND 7R LOT: 7 BLOCK: 3 WOODLANDS FOURTH ADDITION P.I.N.: 10-75879-070-03 DESCRIPTION: BWng , Permit Type BASEMENT FINTSH Puild,ing: `bl,grk Type ALTERATION t e n s u s Code'4--, 434 A.LT. RESIDENTIAL L ~ , ~ . ~ t ~ g v . _ j'"4 J°. s ;t"l t~i~ ~a ~t1 REMARKS: FEE SUMMARY: Bese Fee $50.00 Surcharge $.50 7ota1 Fee $50.50 A 16879513 0001506 9AiCL7N~ER PETE ''R~'1"THOPIES~'R PP 7%94 128TH ST W 3571 WOODLAND TR APPLE VALLEY MN 55124 EAGAN MN 55123 (612) 687-9513 (612)687-9446 ~ I herebyacknowledge that I' haveread~this e,pplicat3on and state thet th# ;info,rmaCEoreis correet and agreeto comply crath ail` a0pficsble`5tAte o-'F Ttn.StaCutes .and City of Eagan Qrdin;ances. ~ APPLICANTlP MI SIGNATURE ISSUEDeV:SIGNATURE ~ (-~998 BUILDING PERMIT APPLICATION (RESIDEN IAL) CITY OF EA(iAN ~O 3830 PII.OT KNOB RD - 66122 681-4676 Db New Construdlon Reauirertrents RemoEeVReoalr Reaulremeirta ? 3 mgisteretl site aurveYs ? 2 copiea ot plan , ? 2 copies oT plans (InGude beam & window sizes; poured fnd. Cesign; etc.) ? 2 sRe surveys (exRertor eddkions & decks) ? 1 energy calaletions ? 1 enargy calculatlons Por heatetl additions ? 3 copiea of tree preservetion plan Yf lot platted efter 7/1193 required: _Yes _ No DATE: CONSTRUCTION COST; DESCRIPTION OF WORK: iS 1e.Q (,atr-e~ L-e- vCI STREET ADDRESS: LOT. ~ BLOCK: ~ SUBD./P.I.D. W a Name: Lti h-~ ~~tnc1,(.!L Phone ~F~ Pl7 _ g y 7~ PROPERTY L%st Fimt OVJNER Street Address: `35'7I 1Neo4/LdC TvA-t I city CotlQ h stau: A +J zip: SS 12 3 ~ Company: ~ A - ~T /7D S ~ L Phone 68 *7'gS73 CONTRACTOR Street Address 1 6 q~ 11- W L> ~ License # /SD -6 City &Ott~~ ~ Uh State: MA) Zip: J Z ARCHITECT/ \ p ~ ENGINEER Company: UD•L S ~Q h Phone ~ S7"QS~~ / r Name: ~Q. ~ v C)) (~t w4-o !J Registration Street Address: Ciry Stau: Zip: Sewer 8 water licensed plumber (new consfruction only): ~ . Penalry applies when address chang and lot change is 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 applicabl State of Minnesota Statutes and City of Eagan Ordinances. c Signature of Applicant OFFICE USE ONLY WIY 1210 Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Requi . ~ OFFICE USE ONLY BUILDING PERMIT TYPE O 01 Foundation ? 08 Duplex ? 11 Apt./Lodging )8.' 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex 0 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition O 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex 13 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 _-plex ? 15 Deck WORK TYPE ? 31 New ~ 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main levet 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. 4 34 Depth Footprint sq. ft. SAC Code ~ Census Bldg , APPROVALS Census Unit 0 Planning Building AA9 Engineering Variance Percnit Fee Valuation: $ Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Pertnit S/W Suroharge Treatment PI. Park Ded. Trails Ded. Other m;- F.. ~o snc ~ SAE; ' L _ PERMIT CITY OF EAGAN BUTLOING ~ 383$ Pilot Knob Road PERMIT TYPE: Eagan, Minnesota 55122-1897 Permit Number: 032077 (612) 681-4675 Date Issued: 0 5/ 2 6/ 9 8 SITEADDRESS: 358e WODDLAND TR LOT: 12 BLOCK: 1 WOpDLANDS FOURTH P.I.N.: 10-75879-120-01 DESCRIPTION: Bu31d1ng Permit Type 5F PORCN Building-Wqrk Type ADDITTON „bensuS Code~- 434 A,IT. RESIDENTIAL . . . . r r. i v r f~; ; (55) l~~ ~.~l; REM4A~§:REVIEWED BY MIKE BARCK SEPRATE PERMIT REQUIRED FOR ANY PLUMBING WORK CALL 445-2840 FOR ELECTRICAL PERMI7 AND INSPECTIONS FEESUMMARY: vaLuarroN $20,000 Base Fee $287.25 Plan Review $186.71 Surcharge $10.00 Total Fee $483.96 'RL~THOTI'ES~'R A 16879513 0001506 RWA:E"KbT 769`,4 128TFI ST W 7695 128TH ST W APPLE VALLEY MN 55124 APPIE VALLEY MN 55124 (612) 687-9513 (612)687-9513 I hereby acknowledge that Z have read this applicatian and state thHt the ; informati:on is coNrect and agree`to campYy w3th a11 app2icable 5tate a'F M'n. Statutes and City of Eagan _Drdinances,_ , : ~ Ili~ _ III APPUCANT/PER IT I~ NATU E ISSUE BV:SF PE - ~ 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)~~ ~ CITY OF EAG}ADT i? 1,f I11S 3830 PII.OT KNOB RD - 88122 •yn~~••-- • 681-4676 Ir? ew Construdion Reouirements RemodeVReoair Reauirementa ? 3 reghtered aite surveys ? 2 copies ai plan ? 2 topies of plana (InGude beam 8 window sizea; poured fid. desipn; etc.) ? 2 slte aurveys (exterior addkions 8 dedcs) ? 1 energy calalettons ? t enerpy celaletions tor heatetl additions ? 3 copies of Vee preservation plan H lol platted after 7/1/93 required: Yes No ~ DATE: 5!~~4 ~ CONSTRUCTION COST; a ~ o O d DESCRIPTION OF WORK: ~ 51e-t4l++ de IL o-1 x[s4i-1-k I&K~ &1V~1GCe "illtf4slof" STRE ADDRESS: >~b Ljobj OT: ~2= BLOCK: _L_ SUBD./P.I.D. Name: rt 7- Phone#: ~ ~g~~-R S73 - PROPERTY Lost First owxEx Street Address:,-7('O / ~ Ak4 ~ Wef"T City Aiv '-L `ee ~W ~ State: M~J Zip: . 67 Company: 0->a.r0- QS ~ Y oLe Phone CONTRACTOR Street Address: License # Ciry Stau: Zip: ARCHITECT/ ENGINEER Company: Phone ~ Name: Registration Street Addreu: Ciry State: Zip: Sswer & water licensed Plumber (new construction ony): ~ . Penatty applies when address chang and lot change is requested once permit is issued. 1 hereby acknowledge that I have read Mis application and sMdte that the iniortnation i cortect nd g~ e to comply with all applicabl Stete of Minnesota Statutes and City of Eagan Ordinances. C Signature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Yes _ No A 9~ Tree Preservation Pian Received _ Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation O 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling O 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pool ? 03 SF Addition O 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility 1904 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. 0 10 = plex ? 15 Deck WORK TYPE 5954so.J -F-Qc.y t &EcV-- 0 31 New ? 33 Alterations O 36 Move )31'32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main Ievel 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. ti3 Depth Footprint sq. ft. SAC Code o i Census Bldg ~ APPROVALS Census Unit ~ Planning Building M~3 Engineering Variance Permit Fee Valuation: $ 20, oov. - Surcharge Plan Review License MC/W5 SAC City SAC Water Conn. Water Meter Acct. Deposit SMI Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies k 1's 1:-,% AC+~I _;v * PERMIT ``"Cr2 3q 3a-7 A/ -bITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: e u x Lo z rv G Eagan, Minnesota 55123 Permit Number: 0 2 4 6 6 3 (612) 681-4675 Date Issued: 11 J18 /94 SITE ADDRESS: 3571 WOODLAND TR LOT: 7 BLOCK: 3 THE WOODLANDS 4TH P.I.N.: 10-75879-070-03 DESCRIPTION: (DECK INCLUDED) Building-Permit Type SF PORCH Building Wvrk Type NEW ~"Construction Type V-N / ~ . , ~ , REMARKS: SEPARATE PERMITS ARE REQUTRED FOR ANY PLUMBING QR ELECTRICAL WORK FEE SUMMARY VALUATION $11,000 Base Fee $126.00 Plan Review $81.90 Surcharge $5.50 Total Fee $213.40 CONTRACTOR: OWNER: - Applicant - MALLINGER PETER 3571 WOODLAND TR EAGAN MN 55123 (612)854-8313 I hera6y acknowledge that I have read thie applicatian and state that the infiormation is correct and agree to comply with all applicable 5tate of Mn. Statutes and City o'F Eagan Ordinances. L J ~n ~ o; I Yh~l ~ A LICANT/PE MITE TURE ISSUEO Bq-. SI ATUFl~~ INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: a u xLo z NG 3830 Pilot Knob Road Permit Number: 0 2 4 8 6 3 Eagan, Minnesota 55123 Date Issued: 11 / 18 / 9 4 (612) 681-4675 SITEADDRESS: Lor: 7 BLOCK: 3APPLICANT: 3571 WOODLAND TR MALIINGER PETER THE WOtlqlANp5 47H (612) 854-8313 PERMIT SUBTYPE: TYPE OF WORK: SF PORCH NEW DESCRIPTION (DECK INCLUDED) INSPECTION . FOOTSNGS FRAMING FINAL REMARKS: SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK J L CITY C>F EAGAN 1994 BUILDING PERMIT APPLICATION 6$1-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site rvgys, 1 copy of nergy calcs. h011 16 1994 COMMERCIAL 2 sets of architectural & structural aas -l-set_ef_ specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Valuation of work /D &Z-~ro Site Address: STREET SU17E !f Tenant Name: (commercial only) LOT BLOCR A_ SUBD. y/'~ I,'~`~u) ~-H P.I.D. # ,J w ,,rv Descri tion of work: The applicant is: Owner ? Contractor ? Other (Describe) Name "d~/~.~a Phone / g7-pJ~ Property Lasr riesr Owner pddress 3571' A296A44AV SiREET STE M City ~ State Zip Company Phone Contractor Address L9cense # Exp. City State Zip Architect/ Company Phone Engineer Name Registration # Address " City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I 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. ~ Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? Oi Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. 0 17 Swim Pool -0 03_Sf AddiSiOR----:_ ? 08 8-Plex ? 13 Garage/Accessory 0 18 Comm./Ind. ~C~~04 SF Porch y-sc..assa~~ 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? O~SF-Mi-3~:-j ? 10 Multi. Add'1. 15 Deck O 20 Public Facility 4V15 c ? 21 Miscellaneous WORK TYPE 14- 0 31 New ? 33 Alterations O 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) - lst F1. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster P # of Stories Footprint Sq. ft. Fire Spriump nkler Length On-site well Census Code Depth On-site sewage SAC Code Census Bldg APPROVALS tensus Unit o Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS O.Site X21-~Eaoting cff Framing ? Insulation O Wallboard Z'.Final ? Draintile ? Fireplace Permit Fee veiLocron: g //,p00 Surcharge ~ Plan Review License MWCC SAC P~~N City SAC Water Conn. ~?x iz = Zoy Water Meter 3~ Acct. Deposit S/W Permit 3@.s.~3,:3 < /y) ' S/W Surcharge ~ I Treatment Pl. 2 Z~ K yo = q, o,Yd ' Road Unit Park Oed. Trails Ded. ~ Copies Other Total: SAC % U ~ SAC Units ~'l~G y Oi ~ ~ • ~ Ic ~ 2422 Enlarpr{ae Drlva ~ btendotn Hetyhle, MN 55f., ~ 010488" ~ uu+o wnvcroa:. nA ( ~ens (812) 881-1614 FAX:881-9488 a,.u....e. ~rs.y ~ 1!1"1~~f1~lAI`i11g tANO hn14IFR9. WIpICN[ MENREf! 628 Highway 10 N.E. * ~ * 9lolne, MN 55434 4t (812) 763-1880 FAXs783-1883 ~ Certificdte of Survey for: R.A. KOT HOMES _ WgODLANDsq,8~.3 TRft 910.7 (unoEa CONs~r.T-' 907.e ~ N89°53'30"W ~ 93.00 911.8 - 908.0 (9'IZ.3) sERVIcE~ ° ~ ~ ( Yo 43, 3) 16S I "V.1*8 999.z PROPOSED s g 1 'n~ 910.2K W Y ~i _,.---BENCHMA?tK 9ENCN MAhK , -4) TOP Of HUB ?OP Of HUB ; ' ' •r..gpip tLEV.9906.36 ELEV.~912.48~' o.gr GARAO h E1(ISTIN3 FDUNDAt10N-- soslAN'~ ~ vNi --k -``"--SEE DETAIL ON 907-6 5NEET ! sou.sru!' ~aS.~r9o5,3~~` , eas.~ea \ p I~ 899.7 K89t.1 K ~ra uy.,, Ico ~ 7 - ~ > c s~5o _ - ~ M M-~ V I J a . I :)W ~ cda. I w~ ~ I N L 'r I s~°~W ~ ry~ ~ - PERIAUMOC. NQ L62620tCA9BMENT M I ~ cli p;3>~ ~ 3CALP: I INCHA 50 MT v~nz~s.u8, . BHEET 2 0r-t.' 5HF.FTS CITY USE ONLY LOT / BL RECEIPT SUBD. A)Rftl~ RECEIPT DATE: 1998 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PIIAT IINOB RD EA6Al7 FM1 55122 Date• qh' (612) 681-6675 Complete this section onlv 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 ADt7iTIO1vAi SG NI BTU 6A0 • Gas outlets ( minimum of one required @ $3.00 ea.) • State Surcharge: .50 • TOTAL: Complete this section anlv if you are remodeling, adding to, or repairing existing single family dwellings, townhomes, or condos. Note: Mechanical permit is not required for alteration/add-on to ductwork in existing residential units; but is required for the following: i _ Install fumace _ Install air conditioning __L,L-'1'ristall air exchanger, i.e. Vanee system, etc. _ Other Minimum fee applies to all remodel or add-ons of existing residences $ 20.00 State Surchazge Total: $ 20.50 sITE nDOREss: OWNERNAME: /"lfg11117g&R PHONE#: 41P" /513 INSTALLER NAME: J.5(I1/l8 PHONE Br -(9BQ5 STREET ADDRESS: l~ cinr: sr l ziP: , I ATURE OF PERMITTEE JS/FORMS BLD/MECH PERMIT (RES) - 1999 CITY USE ONLY L _ BL _ RECEIPT#: SUBD. RECEIPT DATE: 1998 MECHANICAL PERMIT (COMMERC2AL) CITY OF Farnu 3830 PILOT RNOB RD EAGAN, MN 55122 (612) 681-4675 Please compiete for: all commercial/industrial 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 - $25.00 CONTRACT PRICE x 1% PROCESSED PIPING PERMIT FEE STATE SURCHARGE ($.50 per S1,000 of e'rt fee due on all permits.) TOTAL - - - - - - - - - SITE ADDRESS: OWNER NAME: PHONE TENANT NAME (IMPROVEMENTS oNLI): INSTALLER: ADDRESS: PHONE CITY: STATE: ZIP: SIGNATURE OF PERMITTEE CITY INSPECTOR vll~ L H BL 2 CITYUSEONLY RECEIPT#:- / n e! SUBD. RECEIPT DATE: 1998 PLtJMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3630 PIIAT IINOH RD " EAGAN, hIN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backFlow preventer for underground sprinklersystem FIXTURES EACH # TOTAL Shower 3.00 x 1h'aiar Cioset 3.00 x Bath Tub 3.00 x = Lavatory 3.00 x _L = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = HotTub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet " minimum - 1 3.00 x = Rough Openings 1.50 x = Watef 50ftEfler ' for dwellings under wnstruction 5.00 x = Water Sottener ' for existing dwelling 20.00 x = U.G.Sprinkler "fordwellingunderconst. 3.00 = U.G. Sprinkler ' for existing dwelling 20.00 = Alterations ' to existing residence 20.00 = 'O DO Water Turn Around 20.00 = Private Disposal System * MPC iic. 75.00 = (new and refurbishetl systems) Private Disposal Systems ' Abandonmant 20.00 = STATE SURCHARGE 50 TOTAL r~?O•.~J - ° I hereby adcnowledge that I have read this application, state that the informa6on is corred, and agree to comply wkh all applicable City of Eagan ordinanoes. It is the applicanYs responsibility to notify the property owner that the Ciry of Eegan assumes na liability for any dameges caused by the City during its nortnal operetional and maintenance activities to Me facilities constructed under this permit within City propertylAght-of-way/easement. SITE ADDRESS: ~Sfll OWNERNAME: ~I.L• 7ti1T ~i~ ~7Yldl.(~+r~ INSTALLER NAME: k4cR~U~~/l..L' . TELEPHONE 'Y"~1J -%;5,X30 STREET ADDRESS: ZEMQ L//.fL~- YYOai'1 CITY: rL-d .r,t.Lt STATE: YLD ZIP: J'"~Soa SIGNATURE OF `PERMITTEE JSIFORMS BLDG/PLBG PERMIT (RESIDENTIAL) 1998 L~ gL ~ CITY USE ONLY RECEIPT Sg $6 7 SUBO. DATE: 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 whsn permits are required for each unit FIXTURES ACH ~Q. IS2IAL . 5hower 3.00 x = Water Cioset 3.00 x = , Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 ;c = Laundry Tray 3.00 :c = Hot Tub/Spa 3.00 :c = Water Heater 3.00 :c = Floor Drain 3.00 x = Gas P'iping Outlet ` minimum -1 3.00 :c = Rough Openings 1.50 x = Water Softener 5.00 x Private Disposal ' Dakota Cty, iicense 65.00 = (new and refurbished systems) U.G. Sprinkler ` home under const. 3.00 = Alterations ` to existing 20.00 = Water Tum Around 20.00 STATE SURCHARGE .50 TOTAL -76Y79' - ~ 7 0 - a3 SITE ADDRESS: OWNER NAME: J INSTALLER NAME: STREET ADDRESS: CITY: STATEZ/~ ZIP: T PHONE ) ~ OFFICE USE ONLY L BL RECEIPT SUBD. DATE- 1996 PLUMBtNG PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILQT 4CNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for. ? ail c:ommercial/industrial buildings. ? muRi-family buildings when separate permRs are = required for each dwelling unit. DATE: CONTRACT PRICE: ~ WGRK TYPE: NEW CONSTRUCTION ADD ON REPAIR DESCRIPTION OF WORK • IS WATER METER REQUIRED7 _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? _ YES _ NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT 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. SPRINYCLER PERMIT. FEE: $25.00 minimum fee ar 1% o( contract price, whichever is greater. State surcharge of $.50 per $1,000 of pgand fee due on all permits. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL SITE ADpRESS: - TENANT NAME: _ STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE SIGNATURE: • APPLICANT OFFICE USE ONLY METER SIZE: ° DATE: INSPECTOR: CityofEa�all ;�D 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: \-- \� Tenant: PeAC Use BLUE or BLACK Ink For Office Use (� 1 Permit #: lJ (�� ) Permit Fee: (Q/ 0727 Date Received: 1" L' I3 Staff: 2012 MECHANICAL PERMIT APPLICATION Site Address: 3S-1 1 l 'Y, l ary r nn Grade_. Name: L v v (Y-10. C ( Y Address / City / Zip:3S Name: Address: State: Contact: 3URNSVILLE HEATING &AIC, INC. 3451 W. Burnsville Parkway Suite 120 Suite #: Phone: (DS -10S-° (tL(i ss License #: City: Burnsville, MN 55337 C/12 -CAL -/1 Phone: \ YICA Email: New X Replacement Additional Alteration Description of work: tC1012 RESIDENTIAL X Furnace X Air Conditioner Air Exchanger Heat Pump X Other SkO a ZOne c k 01ai3 COMMERCIAL New Construction Interior Improvement Install Piping Processed Gas Exterior HVAC Unit Under / Above ground Tank ( Install / Remove) RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = C) -n TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x 1% $60.00 Minimum (includes State Surcharge) = $ Permit Fee - lithe Permit Fee is less than $10,010, surcharge is $ 5.00 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee = $ Surcharge (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) = $ TOTAL FEE 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.aooherstateonecall.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 e approved an in the case of work which requires a review and approval of plans x YCCSIAft Applicant's Printed Name x liCAliftif Applicant% Signafure PERMIT City of Eagan Permit Type:Building Permit Number:EA170164 Date Issued:06/22/2021 Permit Category:ePermit Site Address: 3571 Woodland Tr Lot:7 Block: 3 Addition: The Woodlands 4th PID:10-75879-03-070 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 - Lynn A Revocable Trust Agree Mallinger 3571 Woodland Trl Eagan MN 55123 Home Depot Usa Dba The Home Depot 2455 Paces Ferry Rd Atlanta GA 30339 (763) 852-1044 Applicant/Permitee: Signature Issued By: Signature