3625 Woodland TrCity of EaQaII
3830 Pilot Knob Road
Eagan MN 55122 RECEIVED
Phone: (651) 675-5675
Fax: (651) 675-5694 SEP 1 5 2010
Use BLUE or BLACK Ink
For
Permit ft
Permit Fee:
Date Received:
Staff:
2010 RESIDENTIAL PLUMBING PERMIT APPLICATION
`:_14--1? ' °
Date: Site Address: =rtea..
Tenant:
Suite #:
RESIDENT / OWNER
Name: Phone:
Address / City Zip:
CONTRACTOR
//
Name: 145I A,t.1 PLLI/Ylgi t 0' ICES, I1 en'see #: 059551 S Pa)
Address: p0 X off.1'74- City: E --AG kN
State: PO Zip: Si Phone: b51-68 1 ---O as cam..
,�S]
M
Contact: 1 I k.E SC ,'l (LT7_. Email:
TYPE OF WORK
_ New Z_ Replacement Repairai/ Rebuild Spacce� in R.O.W.
ModifyC�
_ k_
_` Tf4Work
Description of work: D ODE,—T —IEIJ I /0
J
PERMIT TYPE
RESIDENTIAL.
Water Softener
Water Heater
X Add Plumbing Fixtures (,X `Main / _ Lower Level)
Lawn Irrigation ( RPZ 1 _ PVB)
Water Turnaround
Septic System
New
_
Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation
$55.00 Add Plumbing
*Water Turnaround
$105.00 Septic System
$95.00 Fire Repair (replace
(includes $5.00 State Surcharge)
Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
(add $166.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $ 55 • a0
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.org
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 ■ 'Lan
Applicant's Printed Name
x
ppltcant's Signature
FOR OFFICE USE
Reviewed By:
ai
Required Inspections: Under Ground ,_,_Rough -In Air Test Gas Test Final
Sep.15.2010 07:52 AM Hessian Plumbing Services 6516818306
HESSIAN PLUMBING SERVICES, INC. . g 4, S di
City of Eagan Cv 1
Permit
Dutcher Remodeling, Inc.
r'0 via, A 689 Stonewood Road
Checking - Anchor Ba
9/14/2010
PAGE. 1/ 1
10148
55.00
0,-, o Y& Q.. 40 3 S ttJ U i Qln c 7(o)(
Cor (fl )5'- 7a /Q
55.00
City of Eaali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
AUG 33 REED
Use BLUE or BLACK Ink
Permit #:
Permit Fee:
Date Received:
Staff:
69
g� is
g 2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: O 2V2Olt,
Tenant: Suite #:
Site Address: 3 Cz, 2 S dicharGw
RESIDENT / OWNER
Name: Mark- LW k- 1— susu ,t ?\IO -'11 IQ.GL Phone: 65/ (083 94067
Address / City / Zip: 3(:, 2 5 1iiJeloz, I cued Trac I
Applicant is: cat Owner ? Contractor
TYPE OF WORK
Description of work: /51 444,02114
civ
Construction Cost: _ Multi -Family Building: (Yes / No/1( )
CONTRACTOR
Name tr - License #: 2-40 3 ' ' cf,
Address: 3c:43 \,.) cs0-z t I0..,,,Q Tv- City: E _
Stater Zip: 5 5 (23 _ Phone: /an — (o S 9 — 67 5 S
Contact:" iJ
( id/ta/V Email: cuqpS co 0.4-, „A--"
'
COMPLETE
In the last 12 months, has
Yes If yes,
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
the City of Eagan issued a permit for a similar plan based on a master plan?
date and address of master plan:
_No
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor:
Phone:
NOTE:'Plans and supporting documents that. you submit are considered to be p� blic`information Portions of {
the informations maybe classified o
aS nn public if you; protide specific r'easo s that would permit the City to ,
conclude that.they.are°trade secrets .... .. : ... . .. . .. :
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval • glans.
x T i i vv1-Du ei Le, -
Applicant's Printed Name
x
Applicant's Signature
Page 1 of 2
56 Wild 772_,
DO NOT WRITE BELOW THIS LINE
q6 -o6)
SUB TYPES
Foundation Fireplace
Single Family
Multi
01 of Plex
Accessory Building
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
Garage
Deck
Lower Level
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Interior Improvement
Move Building
Fire Repair
Repair
DESCRIPTION
Valuation ,2.00Q
Plan Review
(25% 100% 1/r
Census Code
# of Units
# of Buildings
Type of Construction
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water _Final
L Framing
Fireplace: _Rough In Air Test _Final
AL Insulation
Meter Size:
Reviewed By:
Oa/
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Siding
Reroof
Windows
Egress Window
*Demolition of entire
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
building - give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Sheetrock
Final / C.O. Required
Final / No C.O. Required
HVAC
Other:
Pool: _Footings _Air/Gas Tests Final
Siding: Stucco Lath Stone Lath Brick
Windows
Retaining Wall: Footings Backfill Final
Radon Control
Erosion Control
, Building Inspector
-23
07
Page 2 of 2
CITY OF EAGAN Permit No: 4-'29-8 .8
3830 Pllot Knob Road Meter No: Q 7I Date:
~ Size: ~ oc
P.O. 8ox 21199
Eapan. MN 55121 Reader No:117 -3 Date: `11' e~
Owner, Wnn
eS Site Address: 5 z~d Trail L~ 0~i3 F~oor a*~ .5
Plumber n~
Conn. Chg: 2oning:
Acct Dep: Na. of Units: "
Permit Fea
Surcharge$gfplp,~jg ~ ~iil • r 0 S
9~~ lo comply w11h the City oT Eagan
Tr. Plant ' dinancea.
Meter. "I f-+~w
Misc.: ey
WATER SERVICE PE 1T
CITY OF EAGAN Permit No: rsig 8-29-88 ~
3840 Pi(at:Ynob Road Date:
Meter No: Size:
P.O. Box 21 t 99 Reader No:
Eayan, MN 55121 Date:
Owner. , lamazae Hoates
Site Addresx ' ~ ~a ~ ~Icrod..an~a
Plumber. SChttZtles PZt~mbiq i I
~ Conn. Chg: S 5~ •()(IW 1 I
2oning: F1
Acct Dep: ' No. of Units:
Permit Fee:
~
Surcharge: ' I agree to comply wifh the Cfty of Esgan ~
~ Tr. Plant • •
~ Ordinaoces.
Meter. 67, n a
f Misc.: By '
I
WATER SERVICE PERMIT {
~
~ CITY OF EAGAN Permit No: 4_29_g~
' 3830 Pflot `Snob Road Date:
:
~ P.O. Box 21199 B/P No: Date: 3--30-8:.
t ,
I FBgan, MN 55121
TaTI8ZSC xI0 meg ~
Owner.
~ Site Address: 1695 Wood Iand Txa iI LIO B 3 t; oo c' iar lo ~
; Plumber. ScFiultlea F3.umbing ~
~ MWCC: Zonin •
f City Chg: 9 ,
No. of Units: i
; Acct Dep: • d ~
; Permit Fee: P I agree fo comply with the City a Eagan ~
• P Ordinancea. ~
Surcharge:
Misc.: +
' By
SEWER SERVICE PERMIT
~ CASH RECEIPT ~
. '
i a CITY OF EAGAN
~ 3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE " ~ C ! 19.
`
~
REceveo
Fqqa ~ ' ` • , ' ' J ~ , i ~ .
AMOUNT
& ~L~f~$ i~
O CASH l~f CHECK
~
,
FUND OBJECT AMOUNTI'
Thank You
BY
White-PayeraCopy
Yelbro-Poatlng CoPY
Pink--Ffle Copy
_ ,
' BLDG. PERMIT NO.~
(t1-3210 Bldg. Permit ~
01,-3422 Plan Check 1
Y
01-3445 Surch./Adm. !
01-3446 SAC/Adm.
1
~ 01-2155 5urcharge ~
r*-3860 Road Unit
4 `
24-2275 SAC '
i
20-3865 Water Conn. !
20-3868 Water Trmt. 'i
20-3716 Water Meter
20-2252 Acct. Dep.
~
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
a if-3855 Park Ded. j
i
I
TOTAL
-CITY OF EAGAN ; •
~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PFIO N E: 454•8100 -
BUILDING PERMIT Receipt
To be used for SF DWG/GAR Est. Value $t32 s000 Date lAACH Za ,,19 88
Site Address 625 1100nL11ND TRAIL OFFICE USE ONLY
10 Block 3 SeC/Sub. TH8 NOODLAl1IfS On Sfte Sewape ~ Occupancy R_
Lot
MWCC 3ystem Zoning
Parcel No. On 5ite Well (Actual) Const v-R
a Name ~~C ROWS city water (Allowable) V-n
= Address 1556 14C ' DRIVZ PRV Required of Stonea
~ ~~j
636-8622 Booster Pump Length
c' CityPhone
Depth 4 1
, p Name $AMZ S.F. Total
~ ~ Address Footprint S.F.
~ City Phone APPROVALS FEES
1-- a sA~ EngrJAssess.Permit 676•~
yVj W Name 66.00
Planner Surcharge Address
0 Z Cit Phone Council PlanReview 339.00
~ W y Bldg. Off. SAC, City 100.07
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC 550•00
intormatiom is cor?ect and agree to comply with all applicable Stete of Water Conn. 550•0(1
Minneaota Statutes and City.ol,Eagan Ordinances. -
Water Meter 67.00
_
Sillnature of Permittee Road Unlt 325.00
TAMAARAC Et4MS
A BZilding Permit is issued to:_ Treatment P1 204,QQ_
on the express Condition ihat all work shall be done in accordance with ell
I appjicable State of Minnesota Statutea and City of Eagan Ordinances. Parks
Building Official, ~ ~ - • ~ ~ _ TaTAL 2 t•g14.00
,
CASH RECIEIPT ~
t '
r • ~ CITY 4F EAGAN' ~
. " 3830 PILOT KNOB ROAD ~
~ . EAGAN, MINNESOTA 55122 ~
DATE
IIECffYED ~
FR01A
'
AMoUNr a r~~ S
~
s oouLAws
,oo
O CASH ~CHECK
ran ~ l~'~ T
/ .
FUND. OBJECT qMOUN7
_ ~
ot ~ ' `7 4 ~ c v
Thank You -
BY -
vYhite--Payera Copy ,
Y,ft
OF EAGAN . ~ _
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt4k
To be used for 'Est. Value ~132.000 Date MAW-i ?4 ,19 `
Site Address ' • OFFICE USE ONLY
~wr~g On 5ite Sewape ~ Occupancy '1
Lot Blpck Sec/Sub. t`
~
"
MWCC System Zoning
Parcel No. On site Well
(Actual) Const ~n
a Name CityWater ~ (Allowable)
V1" PRV Required ~k of Stories
3 Address " -
~ City Phane 75 7 7 Booster Pump Length
Depth '
, p Name S.F. Total
~ ~ Address Footprint S.F.
f_ _City Phone APPROVALS FEES '
UW Nam~ Engr./Asaesa. Permit ~~R •
wW Planner Surcharge
~ ~ Address '
5 W City Phone Cauncil Plan Review
Bldg. Off. SAC, City
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC
infonnation is correct and agree to comply with all applicable 5tate of Water Conn.
Minnesota Statutes and City of Eagan Ordlnances.
Water Meter
Slgnature of Permittee - Road Unit l~ S. CC
1'- !}i:A(` $?i1FS
A Building Permit is issued ta - Treatment P1
on the express condition that all work shall be done in accordance with all
; applicable State of Minnesota Statutes and City of Eagan prdinances. Parks
TOTAL
Building Official
~
~ PermR No. Wrmit Nolder Dste ToIophons *
Plumbing
H.V.AC. ~j.
0
Electric
Softener
Insp.etbn Det• Insp. Comments
Footings I
Footings II
Foundation *104 ;~2
Framing 5-)3?f Q, r f-< .r r~•c t'L
Roofin9
Rough Plbg.
Rough Htg. -
Isul. ~
Fireplace 7
Final Htg.
Final Plbg.
Bldg. Final ~
Cert. OCG
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
y 1 •I
(Etrfi#iratr vf Orrupanry
titp of eagan
lirpwrhtntt uf ludding jnaprdiott
This Cerilficale issued pursuant to the requiremenu oJSection 306 of the Unijornt Building
Code cerlifying thal W the ttme of issuance t/iir stnreture mw in compliance wrth tlie various
ordinances of the City regulaAng building rnns"etion or rcse. For tlte foUowing.•
U!w cusifimtkm SF DWG/CAR sk Pamk No. 14716
g3 RI Vn
O-Vanq o«cr e, ~t T~lARI~C FTTFS ~ 1556 M7QtA~ ~VE, AFM
BoUn A 3625 WO('A[.ATID TPMS Lomiky L . ,
. Ji.1LY 1 , 1988
ao~:
POST IN A CONSPICUOUS PUCE
~ -
PERMIT #
: . . PLUMBIN<i PERMIT RECEIPT #
CITY OF EAQAN
311130 PILOT KN08 ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE PHONE: 4544100
Site Address s 00 ' BLDG. TYPE WORK DESCRIPTION
Lot& _Btock Sec/Sub ~
" "~(._L-'`!'~1 ~c%K Res. ~ New
~ Name Mult Add-on
m
Address Comm. Repair
c Ciy. Phone y Ud Other
Name a o c- e ~WaterClosetF'53.00~ T7I
c Addr /S ~4 1 r CLe.~,~, Bath Tubs -$3.00 .0 o
p City Lavatory - $3.00 , 4 U
Shower - $3.00
FEES Kitchen Sink - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE Urinal/Bidet - $3.00
Laundry Tray - $3.00
MINIMJM - RESIDENTIAL FEE - 510.00 Floor Drains - $1.50
MINIMUM - COMM/IND FEE - 20•00 Water Heater - $1.50 /.10
STATE SURCHARGE PER PERMIT - •50 Whirlpool - $3.00 • 0~
(ADD $.50 S/C IF PERMIT PRICE GOES EGas Piping Outlets - $1.50
y'
BEYOND $1,000.00) Softener - $5.00
well - $10.00
Private Disp. - $10.00
3-Rough Openings - $1.50
SI(3NATURE OF PERMITTEE FEE y~ a V
STATE S/C: S O
FOR: CITY OF EAGAN GRAND TOTAL• y~' 'S ~
- ~ `!'a~;}~y
; ~!v . S
, , ~ PERMIT #
, . • MECHANICAL PERMIT RECEIPT #
CITY OF EA(3AN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE
CONTRACT PRICE PHONE: 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot ~ Block.~Se4o /Sub pes New i'`,
Mult Add-on
~ Name
Address / . Comm. Repair
~ Other
c City Phone
FEES
Name RES. HVAC 0-100 M BTU - a24.00
ADDITIONAL 50 M BTU - 6.00
c Address
p City!'~- . ppqne ` (RES. HVAC INCLUDES A/C ON NEW
- _ ; - _ ~ - CONSTRUCTIDhi)
GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air i-'~-`M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPUES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU ' REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 SiC IF PERMIT PRICE GOES
Gas Piping Outlefs # BEYOND $1,000)
Other
FEE I
S/C: SIGNAITURE OF PP-RMITTEE
TOTAL• - ' `
FOR: CITY OF EAGAN
~
CITY OF EAGAN N2 1 4 716
` 3830 Pilot Knob Road, P.O. Box 21-199, Ea9an, MN 55121
BUILDING PERMIT PHONE: 454-8100 Receipt#? a
c2.~C~
To be used for SF DWG/GAR Est Value $132,000 Date MARCH 24 ,1988
Site Addiess 3625 WOODLAND TRAIL OFFICE USE ONLY
10 3 THE WOODLANDS On Site Sewage Occupancy R-3
lot Block Sec/Sub. MwCC System X Zoninq R-1
ParcelNo. OnSiteWell (ACtual)Const V-n
z Name TAMARAC HOMES City water X (Allowabie) V-n
W PRV Required - # of StOrieS
z Address 1556 McCLUNG DRIVE
° City ARDEN HILLS phone 636-8622 Boaster Pump _ Lengtn 60'
Depth -42'
¢ Name S MR S.F.Total
0
oQ Address FootpriniS.F.
~ City Phone APPROVALS FEES
~a Engc/ASSess. Permrt 67$.00
uw Name S~
~i Planner Surcharge 66.00
z - Address
aw City Phone Councii PlanReview 339.00
BIdg.Off. SAC, City _1_00.00
I herehy acknowledge thal I have read this a plica on a state that ihe Vanance SAC, MWCC _J.SQ. QQ
information is correct and agree to co wrth I ap icable State WaterConn _550..00
Minnesota Statutes and CdAof,Ea9an nanc
Water Meter _63..00
_
SignatureofPermit[ee RoadUnit ~'25..40_
A Bwlding Permit is issued to OMES Treatment P1 704.011_
on the express condition that all work shall be don inaccordancewrthall
1 applicable State of /Myinnesota Sta utes and Crty of Eagan Ordinances Parks _
'uldingOtticial /C7C9Z ~ ~i'~ TOTAL 2.879.00
This reques~ vo,d~!'
18 rrpnlhs Irom
E 15 6 5 3/o Q-6
Renuest Uate „ Fire No. Rouph-in Insuecunn
RenmreAI ~Reatly Now ~II Nnufy Insoe~--
es ?Nu ~~r When FeaAV
Licensetl Electrical ConVactor 1 hereby reQVest , nsoaction af ebove
Owner elechicel work instelled et:
$tree[ AAtlress, Box or Rou[e N. I Cfry
ZS ~G~o.Gt4v .c.-
ectroo o. Township ame or No. Rangi No. Counry
Occup.i RINT)n Phune No.
T !I
Power Supober ~ AAdiess
Electr
ical o actor lC ny Nu1mj 1 GonVUr.mi's Lwense No.
CR4efe/
M 1 ,ss IComr - r or Owner Mnkrog Instuflationl
~ 4.~ /~,(1- SSSL3~
Authorfzed "amre IComrac~uJO ner Makmy InslalluGon Phone Number
MINNESOTA STATE BOARD OF ELECTNICITY THIS INSPECTION flEQUEST WILL NOT
G,iggs•Midway Bldg. - floom N-191 BE ACCEPTED BY THE STATE BOAFD
1821 Univers,tv Ave.. St. Pnul. MN 55104 UNLESS PHOPEH INSFECTION FEE IS
PhOne(612) 642-0800 ENCLOSED.
flEQUEST FOR ELECTRICAL INSPECTION M. ce~e-oo/o/oi-os/
0 See insnumions lor completing this lorm on beck ol vollow coOV. gV-SG/
v ~
E 156 5 3_ "x BeloW Work Covered by Ihis Request
and Nao. - Twe of au,iail,e AVOtmncna WieaE Eauiunierii wired
Home Funye Temporary Scrvice
Duplex Watei Heater Liyhtiny Fixunes
Apt. BuilAmq Oryei Eiectric Heatin
CommerCial Bldy. FumaCe Silu Unloadar
Industnal Bldy. Air Conditioner Bulk PAiIk Tenk
FBrm OthNF aeu v Mhcr ISUr,~:ilvl
i ~e uculy Other Otho,
ompute Inspectrun Fee Below
p Fee ServieeEnveneeSiza n Fen Feodors/5u1afeetlers u Fert C0 ro 200 qm is 0 to 30 qm s ` 0 in 3Above 200 q~nps 31 to 100 Amps Q 31 to Swimming Pool Above 100_Amps Above Transrormers Irrigation Booms Par[ialSigns $peciallnspecuon
TO AL
RertNrks Y~
flouen.in oa.~Y/'(l, . ~ne '
Insoec~or, nerehy
rt~ly tMt t~e above
Final ~ msoectmn hes been
rtwde.
Tnis reQUesl voia 18 moNM hom
RESIDENTIAL
~s
BUILDING PERMIT APPLICATION
cirr oF EacaN
3830 PILOT KNOB RD, EAGAN MN 55122
851-681-4675
NewConshuctbn Neoulremems HemotleNieoair Reouiremente
• 3 registered she surveys showing sq. tt. of io1 sq. N. of house; and all rooled areas • 2 copies ot plan
(200% maximum lot coverage allowed) . 1 ut of Energy Calculatqns for heated atlditbns
• 2 wpies of ptan showing beam & window srzes; poured found desgn, etc.) • i sAe survey lor exletlor addrtbns & decks
• 1 set ol Energy Calculations • Indkate tl home served by seplic system lor atltlAbns
• 3 COpiBS ol Trae Pre50rvatbn PI2n ii bi platled atter 7/1193
• Rim Joi51 Deteil ODtions 581BCtron Sheet (bldgs wBh 3 or Ie55 unAS)
DATE lQ' Z_~ -02 VALUATION
SITE ADDRESS 61p2,S MULTI-FAMILY BLDG _ Y ~XN
NPE OP WORK FIREPLACE(S) _!~-0 _ 1_ 2
Catastrophe Restoration Services Inc.
APPLICANT 2489 ice ui e osevi e ZIP
STREET ADDRES~S _ _ CITY S65 E~5302
TELEPHONE # b CELL PHONE # FAX #
PROPERTYOWNER TELEPHONE#
° ° ° °
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CA1'EGORY 1 YiINNESOTA RULFS 7672
(4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhactor: Phone #
Plumbing sys[em includes: NVa[er Softener Lawn Sprinkler Fee: $90.00
tiVater Hea[er No. of R.I. Baths
No. of Baths
Mechanlcal Conhactor: Phone li
Mechanical system includes: Air Conditioning Fee: $70.00
Heat Recovery System
Sewer/Water ContraCtot: Phone #
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signafure of Applican ` I r! n
OFFICE USE ONLY
Certifcates of Survey Received _ Tree Preservation Plan Received _ N'ot Required~.=
Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. All - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garege ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level O 24 Storm Damage
? 06 04plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/DOOrs
? 34 Reptacement 'Demolition (Entire Bldg only) • Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (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
_ Ficeplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
Insulation _ Retaining Wail
Approved By , Building Inspector
-
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit •
Mechanical Permit
License Search
Copies
Other
Total
' 1988 BUILDING PERMIT APPLICATION - CITY OF 9AGAN'
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OE PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDAESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS Ik OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
4(GS~ ~
To Be Used For: S'~' Valuation: ~ Date: j-21- g&
Site Address OFFICE USE ONLY
~ 3 Z~ Of?c~
Block 7 On site sewage_ Occupancy (Z- 3
Lot 1
10
A1WCC system 2oning !Z-I
Parcel/Sub ^~g~9pL~„l~ On site well Actual Const V-N
City water ~ Allowable V- N
Owner ('~~,7(yp~~,c~ PAV required of stories
Booster Pump _ Length
Address Depth 6(2 ~
S.F. Total
City/Zip Code Footprint S.F.
Phone APPROVALS EEES
Contractor Engr/Assess Permit
Planner Surcharge 6,00
Address Council Plan Review 339.00
B1dg. Off. 3/ZZ SAC, City o0.00
City/Zip Code ,Q12.06IJ f,({LLr Variance SAC, MWCC 55-0100
Water Conn SiU. 00
Phone C03 (o- 0Yo ZZ Water Meter 67. DO
Road Unit :2 $,oo
Arch. /Engr. Treatment Pl Zt7N, 00
Parks
Address Copies
I_ a,p 7 y
City/Zip Code TOTAL
~
Phone lk
vALuATtoN .
GA1ZA6~ ' ° ' '
ZZX2,2=~f~3y, ' -
bASEMEhII~ 2)
4-7z XI y = 6G0 cj~
ly%axzo = zqo
33 9 7S = ~ 3g
H X 15=
I X S %t = 6,
X I Z/z = So
2Y~= IN
f2s~3x~3= 1635y
~ Sr F.oo~z
F.~SrnT - f 2S S
I y. s _ 5
z'/z,f-s = I'L
~ X12 = 12
1Z4`( x 49 c 634 0(s
Z N D F~ coyz._
____---2G 1C I f. _ '41(°
12%x 30
ZI = 12 b
ZY~ _ iy
~
G 3 ~ xyq ~Li s&i q
`
5ct
~
( r
SURVEYOR'S CERTIFICATE TAMERACK HOMES
~ DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 3 0 FEET
• DENOTES IRON MOfJUMENT FOUND PROPOSED GARAGE FLOOR - 909.3 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR FYd/•6 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK-909.7 FEET
WE HEREBY CERTIFY TO TAM E RA CK H 0 M E S THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 10 , Block 3THE WOODLANDS , accosdinc to
the recorded plat tnereof,DAKOTA County, Minnesota.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 2/ DAY OF MARC N , 1989
' SlGNFD: J FS W I L., INC.
BY:
HAROLD C. PETERSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 12294
m m:0 (A co
~ To~~ W n
m p~)ames R. Hi , inc.
_ mto"'~~ r~n~°D~
" 7
- ~v z
0 Z m / ENGINEERS / SURVEYORS
PLANNERS
N o n~ y m ~ m ~n < ,
9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029
~
N
O
N
SURVEYOR'S CERTIFICATE TAMERACK HOMES
~ r w00 pLq N p , -
1' T
91.97 RQI `
4--140p814!"'Rs3j2 Ss,
N
5 ~ o' ~ 9o7a~
i
ec7.9t~ , ~ ~ 1 \
01
' m ~P rp 37 3-_-_ `•~2. 7;5e'
~
Ci - w \ a n\N ~v i
' a a.a \oo ~ o !
i = co
mm ~Lo ` ra ~
1 N ~
i
_ I / 1 _I ~1.P 1 ~ X 9b6.g ~ 0 m
L_\J r , v~~^'~-~~Q •8 a ~m ~
i i
. 1•, ' M 9tif:f
Cd ~ ~I~ .r • itr;:' ' ~
a ,
~1ST D C\j} LpT 14~;~ h
,
L
cDN ~ ry ~ M C~
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, • ~,~yENr rE '
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1 / ~ o32a~~~~
.~86416 ~ James R. Hill, inc.
E-n oN o WcN0 U UD D Z~ Z~ m~ j RLANNERS / ENGINEERS SURVEYORS
~ m ~ 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 o 612-884-3029
«
m
0
' FXTFR7nu thillri nor Am-^GF. "U" COMPUTATI0I4
OWNL'R Co '(02 _
. SITE ADDRESS (o ZS ~IOO 1 ~MI~ ~
CONTRACTOR A?1AZL1L -13IjV,5. DATE 3 PHONE Determine'uorking square footage of each.
,11
1. Total exposed wal.l area sq. ft. x%_JRW =
2. Total roof/ceiling erea 129 Z. sq. ft. x-;arr
3. Total floor/cant. area 42 ~r? sq. ft. x ,c3* =
Total exposed wall area above floor = II3Co _
a. Total wall window area . . . . . . . ~ ~fl
b. Total door area . . . . . . . . . .
c. Total sliding.glass door area .Q,~.oZ ^
G. Total fireplace wall area . . . . . . -
e. 'I'otal wall framing area (average 10$). . I
f. Total net wall area above floor ~
g., Total rim joist area . . . . . . . . . -
Total exposed foundation area =
h. Total foundation window area
i. Total net foundation area above grade.
Determine "U" value of each wall segment.
a. ~(o,'~'(o x uuu
b. 4'1, e~l x IOUlt
c. x "U" ZD
d . X "U" =
e. , . x loull
f. l • x aUu
g x uUn = ~
h. x
1. . x uUn ~ _ .
SUEITOTAL = i' .~•`Ka
4 . TOTAL
If itemN4 is the same as, or less than item N1, you have met. the
intent of SBC 6006 (c) 2.
i .
. F
I2g Z _
Total exposed roof/ceiling area
j. Total skylin,ht area . ~
k, ^'otal flat roof/r.eilinr, framinp, area.
I~3(..ZFj
1. Total nei insulaterl flat roof/ceil.ing r_rra.....
M. Total vault roof/ceiling framing area ;
n. Total net insulated viult rooflcei7inr area....
Determine "u" valuc for each roof/ceilinp, se;;merit
J• x nU° _
k. x $lull
~ Z x 'FU"
,
m x IItltl :
M.
n. x it1lit _
5. Total
If total of 05 is the same as, or less than 02, you have met the
inteni of SBC 6006(c)1.
Total exposed flctor/cant. area ~S 'S _
o. Total floor/cant. framing ercn lnv(!rAge .10%).. 1~27
p. Total net insula+:ec1 floorlcsnt. area
Determine "u" vaJ.ue for Pticli f.loor/cnnt. scrmont
. o, x liuii p(p
p ' L x "U"
,
6. ?otal -~J
If total of 06 is the samc as, or le:.s than 13, you have met the
intent of SBC 6006(c)3.
ALTERHA'CE.BUII.PING LAIVl;LOPE DFSIGN
To utilize the total envelope system mrthod, the.values establis}:ec'
by the sum of itcros 44, NS and 96 sh711 not be greaier than the suT
of items 91, 02 and 93.
z. 9 3.
4. s. 24,Z3 6. IP _
: Prep,ired by8t
' I
. Datc
, .
~
• I i
TotAl ezooeed wall area tbwe floar
~ i
'to'LiL1 rall virdw area
2ota1 door nrea
a. jll?otal @11d1tig glaee doot •re& -
^ ITotal f]repLc• vall &rea - -
.
.26ta1 vall framing area (aversqe 10$).......... 13. Z.
t• TotA1 M~. MAll area abo4~e I1002'....~~~~~~ii~~~• ~q
C~ TOt.al riA 'O1Et. Al'Ol.................
Total ezpoeed fourriatlon area Totel foundatlon wialw area ~ 7g
Tetal tet faufflatlon area nbove grode..........
i
~ Determine "II" vRlue of each vall eeReent.
. 27,01 x mu- IO.ZI
b, - x »U" f . -
o . - z ^ u" . i ~ -
Q• Y NVN
I"0" , ~D e ~~~JZ
• .
I wu- IO ~ :41 le?
X ' U"
h. I "0"
1. `7'J~ 3Co x•U^ , I b
! 9ubtotal
I:
II~ . i ~ uI ' li i I ~ I~
, i ~ ,
, , ' . I 2N l -~'~cM~
.
. ~ ~XVO
Total ezooeed wnll area ab we floor e
.s TOt.11 M6u MLJIdCN 4Tel....................:....
'i. TOSa1 dOOT CTla .
0 • III.TOta1 s11diI1g g1a06dOOI' area ........r • y '
'~Total f]repLc• vall area
-
Total vall fYaming aroa (avernqe 10%)..........
f, total rnt wall are• abarv,.e floor 7• o
~;.?otal ria joiet aroa 9~'1!e
Total ezpoeed fourriatlon are<
~
h• Total found?tlon M1fXIW lI'DY......... a.*
-
To4 1•not foumdatlon area nbove grade.....
~ DeLermine ^D" aalve of each wll ee`eent.
, a. !~O x • '
f b. - X "U" ~ • -
O. X wUw ~ I ~ ~
d. X "U"
s . e~O, ~O i "0"
f. ~77~~ I •D" ' a~ = ,31, I~
g• , x *U" ?
h. Z "0" ~ ¦ , ~ '
.1. x "U„ _ ¦ ~
' 9ubtotal
i;
;i~•lii ~ I h ~ , 1'~ if I
1 I I ' 1
il .
~ '~j • I I ,
' i
illl: I i '
. . i
THR'U STUD Int. Air' .68 T}iRU INS. WALL Int. Air'
a/IS.R. 6 SIDING S.R•
W/ S.R. 6 SIDING S.R. ~ .~F2
. stvd . ' . . f-,'`r
. • - Ins. I~Cb
. ,
SHTG.
Siding . . 21 . • Siding
; Ext. Ai'r ' .17
Ext. Air. I _,17
+ Total. "R"
. Total "K" - ZZ'/7
1/R=.~,~~„ =F, e-T
, I/R _ „U„ Cc4
T.HRU CLG. Int. Air .61 THR11 CI.G, Int. Air 5i
MEMBER S.R: INSIILATION S.R. (qg") 5c~
^ Clg.: Memb. 4,3~7 Ins. (l41")
• i
Ins. (lt,4(i') 320~ Still Air
Still A.jr , .61 Total "R" = 4~,~
Total "R" = 1/R = "U" = ~ Z
1 / R
'"HRU CONC BLOCK . I'nt. Air .68 TI1RU RIM Int. Air .6?
C.B. (1.Z:") l•?t!, JQIS'r Ins. I~,Ob
Opt. Ins. ~ 11." Wood .1. fil
El _Ext. Air. .17 Shtg. I Z~d(o
Opt. S.R. Siding Opt. Sid'. F.xt. Air Total "R"Opt. Brick
1•/R 'lull-_~ ~ ~ Total "R"
• ~ I , rr•
_ "_~c--r•~'^".,,---~...zi.-.r^. . .
.
.
. . . .
• ~
RU 'STUD ~ InY. Air .6P TF!RI' IA!S. Int. Air
. ~
8" Stud l0~8~7 5/8" F.C. S.R. (Opt.) Shtg.'Z-Dei
R. BOTN SIi1FS (Opt. ) Shtg. Z,d(p ROTN CInF.S Ins. li',d0
5/B" S.R. .56 5/N" S.R. .SC
5/8" S.R. .56 5/e" S.R. SF,
i -
Ext,. Air .17 Ext. Air .1"
~ ' • Tota). "R" Total ~'R"
I 4 . ' o
1/R 1/R "ll" ~
1RU STUD Int. Air .68 TIIRiI 711S. IJAI,1. Int. Air .c"
io S.R. Stuct a/o S.R. Irs. • ~°J~G~
i sioiNc ~ snrs. u/ str!2ac: Sr.cg.
' Sidinp, Si6ins
I Ext. Air .17 F.xt. Air
Total "R" Total "R" = 2Z. ~Z
I
]/R _ iluii 1/R = _
'HRIi MEMRF.R Int. Air .92 7i1Rll I1'S. Int. Air cl^
+P CAr!T. Carp.-Pad Z,d5 , AT CA*!T, (arp.-Par!
, Vinyl Vinyl -
Und. iind.'
~ P 1 y. ,(0 2- ~ P.1 y.
Joist Depth Ins.
, P].y. Ply.
i ; .
F.xt. Air .37 Fxt. Air .1'~
- - - - - - - - - - .
- . . . .
- - - .
,
. r_._ • -
RU 'STUD Int'. Air .68 . T}IRI' IT!S. Int. Air .6?
8" F.C. ! Stud 0-8~ 5/8" F.C. S.R. (Qpt.) Shtg.'IZ-OCi
R. BOTH SIi1ES (Opt. ) Shtg. Z,O(p ROTN SIPF.S Ins.
5/B" S.R. .56 5/H" S.R. .SG
I 5/8" S.R. .56 _ S/e" S.R. SF,
Ext. Air .17 Ext. Air .1:'
Tota?. "R" - ID.~I? Total R~~
1/R Lf ~ a 1 1/R -"U" U
1 - _
- ~
dRU STUD Int. Air .60 TIIR11 i11S, IJAI.1, Int. Air .c"
/o S.R. Stu(i w/o S.R. Irs. ? ~°l~d~
/ SIDIP!G Shtg. 2,~p w/ SIPI11f: Shtg.
' Sidinp, Siding
Ext. Air .17 F.xt. Air .1,
' Total "R" Total "R" = ZZ. ~2
~ ` .
l/R = 1.Ull , r ~ 1/F
'HRII MrMRF.R Int. Air .92 '".HRII P'S. Int. Air
ki CAP'T. Carp.-Pa(l Z,675 AT CA*!T. Carp.-PaO " 2~bv
Vinyl Vinyl -
Und. • SZ ~~n~!. ' ~z
, ~Z-
~ Ply. P.ly. •
lj(~ . CC>
Joist Depth 4GJ Ins.
P).y. Ply.
~ F.x?. llir .J'7 F.xt,, /1ir ' . ~
~
1999 FIREPLACE PERMIT APPLICATION
CITY OF EAGAN
3830 P(LOT KNOB RD - 55122
(651) 681-4675
Date;
Description of Work: Conshuct ue)v flreplace _ Alteratioies to existing
~ Install gas insert nirlv _ Install ,,as liiee aelv
_ Other
Job address:
Lot Block: on/P.I.D.
~
Apphcant (circle one only): Own Conhactor Pennit Fee: 360.50
k4kC ~'Y1C(.G1 M(~,..k
Name: Plione
PROPERTY Last Firs[
O WNER ~
Street Address:
City Po/t a rA Zip: j~ ~
P Y ~ Phone IO'V !
Com an ~C
FIREPLACE
INSTALLER Street s: ~J V V
Ciry p~~~ ~S ~ VIX~i State: ~N Zip:
Company Phone
GAS LINE
INSTALLER Street Address:
City State: Zip:
`
[ hereby acknowledge that I have read this application and s[ate at the t rmation is correct
and agree to comply with all app icable State of M es a Statutes an City of Ea-an
Ordinances. /
L
RECEIVED
iona re /
OCT 2 g 1999
BY:
OFFICE USE ONLY
BuiLnINc PfaNuT TvrF
? 14 Fireplace
R'ORK TYPE
? :l \`ew ? 33 Alterations '
? 33 Addition ? 34 Repair
GENER>L [YFORMATION'
Cznsus Code. 43=1
SAC Code 01
RE Ma RKS
Chimney/flue must be inspec[ed bzfore concealing.
i
~
LOT 0 BLOCK .3 SUBD. il
RECEIPT !f a2G (,P5 .3 & DATE
1994 CTTY OF EAGAN
IRRIGATION PERMIT (FOR BACKFLOW PREVENTER)
COAMERCIAL INSTALLATIONS - FORM MUST BE COMPLETED BY LICENSED PLUMBER
Date: Commercial GPM ~a
Residential (boulevards) GPM
Existing residential
Area/address to be irrigated: WCODLMn TP- I
Inscaller: goyL(Lr,IL PLUMQIN(s- Owner ? Plumber TR
Street address: 7 -7:3f Ave, S ~
City, state & zip code: 3 Phone 869-7-~3 i
Owner Name: PhUL GU~ ~~~oll)
Street address: 3& 9`5 woGbG/7i0
City, state & zip code: Ed6/7/~ 1 M /V Phone (O 77 ~ 9 WS-
Irrigation contractor, if different than installer:
Telephone k: ~~ljo
I hereby acknowledge that I have read this application, state that the information is correct, and agree to
comply with all ap ' able City of Eagan ordinances.
P iv~t, DWN-e ,?2
Signatu Title
If construction activity occurs in public easement or City right-of-way, signature of property owner is required.
The property owner agrees to hold harmless the City of Eagan for any damages caused by the City during its
normal operational and maintenance activities to the facilities constructed under this permit within City
properry/right-of-way/easement.
Property Owner Date
Approved b • Date:
PRV Yes ar~o
New service ? Yes Cd'No Meter Size & Cost
Fees due: Calculated by:
c-~-J/L. -7 -Z 0
_
PROCEDURE FOR IRRIGATION SYSTEMS
1. A site plan must be submitted to the Engineering Department for review before installing an irrigation
system. A permi[ to work within City property/public easement/right-of-way may be required.
2. Jerry Wobschall, Finance Department, will calculate permit fees as follows:
a. Commercial project: $ 25.50 irrigation system permit to cover installation of backflow preventer.
$ 50.50 water permit fee onlv if new service is installed.
$100.00 per tap if installed by City.
b. Residential proiect: $ 20.50 irrigation system sprinkler permit to cover installation of backflow
preventer.
$ 50.50 water permit fee if new service is installed.
$725.00 ner connection - WAC.
$348.00 per connection - water veatment facility.
c. Existine residence: $ 20.50 irrigation system permit to cover installation of backflow preventer -(not
required if backflow preventer previously installed), however, plan and
.application must still be presented for approval.
d. Meter charee: If gallons per minute are less than 25, a 1" meter will be required at a cost of
$165.00. If gallons per minute are more than 25, a 2" turbo with strainer will be
required at a cost of $775.00. This information is to be supplied by the designer
of the system.
4. 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 Utiliry Billing Clerk.
5. 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 681-4300 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.
**r~*~*~+~**~x*a**+~~fx****x*~++*~x
x
C I TY O F E~ A A i~ ~F~ ~j~~F
APPROVAL OF PEF2MIIT.
APPLICATION FOR PERMfT *
. y INSPDCI'ICiN OF SF.FM ArID/OR F7ATII2
INSTATd,ATIONS WIIS. NCJr BE SCHED-
SEWER AND/OR WATER CONNECTION *IJI~ UNi'II. PIItbIIT HAS BEE[V
APPF2CiVM.
*
rt
r
• •:kl.t:**~r+t~*Ftyr*xt+irtttt:ttyra~rf+t*e
P ease Print
1) PROPERTY ADDRESSc
LEGAL DESCRIPTION:
Lot Block Subdivision or Tax Parcel ID )
IF E7QSTING STRCCIL'RE, DATE OF ORIGINAL BL'ILDING PERMIT ISSL'ANCE: . ~
' PRFSEW 7ANING/PROPOSID C'SE: (I"bn Year)
El C0bY,27CIAL/RF,TpIL/0FFICE IgR-1 SIiVGLE FAMILY
[_7 IDIDL'STR7AI, ~ R-2 DL'PLEX (1to Onits)
n INSTI'lt,'TIp(yAI,/GpVEtNMENT ~ R-3 'IOWNIODSE (Three + Units) ( Cfiits)
[7 R-4 APARTMEN'p/COIID0.1INILTI Units )
- 2)
NAME:-_ ~rli+L. Ol,`P r
ADDRESS:
CITY, STATE. ZIP:
PHONE: 7 ~
/
3) • u ti• NAME.- For City Use
Plumbers License:
ADDRESS: ~ Active
CITY, STATE, ZIP: Expired
! Not recorded
PHONE: MASTER LICIIJSE#
St Inal
4) • ~ ~ i~- T
NAME: /~~,-h Gt ra L
. PDDRESS:_ ZS~S(e
CITY, STATE, ZIP: f/,o 'X-LIQ S(%/ Z
PHONE: 6 3
5} ~ ~ v r. • .
. 'D •0~4'~1YSi
CFZ_CONNECrION TO CITY SEWER E&'`CpNNECTION TO CITY WATII2 E] pT-E[t
6) v c- • i• ~ PLEASE HOLD APPROVID PEE2MIT FOR PICK-DP BY ONE OF AH.7c/E
PI,F.ASE MAIL APPROVID PFI2MIT TO 1. 2. 3. 4, ABJVE
' (Circle one)
7) r ~ u• • 7-L~''~
4 F~ ••u~•~c7i '7 ~ ~ u~ a1 tm~. a • oa 1 t e~
~ 1 1~ M.I.
?I 1 1 I "pl' ~ i• J' li
CI°TV l9SE O(VLY ' " .
PERMIT # ISSL'ED
Pd w/Bldg. Permit FEES:
$ $ !O SEWER PERMIT (INCLL'DE SCRCHARGE)
$ S /C~ •S~ WATER PERMZT (ZNCLL'DE SC'RCHARGE)
$ $ WATER METER/COPPERHOftN/OL'TSIDE READER
$ $ WATER TAP (INCLC'DE .r,ORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SE;WER
$ $_~~•UO ACCOUNT DEPOSIT - WF.TER
$ SSD ~ o U $ wAC
$ oZJ g sac
$ $ TRUNK WATER ASSESSP ENT
$ $ TRUNK SEWER ASSESS19ENT
$ $ LATERAL BENEFIT/TR('NK SES9ER
$ $ LATERAL BENEFIT/TRUNK WATER
$ o 6) $ WATER TREATMENT PL?1NT SURCHARGE
$ $ OTHER:
$ TOTAL
-3 %,-3
RECEIPT RECEIF'P~-
DOES UTILITY CONNECTION REQC?IRE EXCAVATION IN PUSLIC RIGHT OF WAY?
ED YES IF YES, THEN A"PERMIT FOR WORK WITHIN PDBLIC
ROADWAY" MUST BE ISSUED BY THE ENGINEERING
~ NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: ~L~-yrrJ e-J~
TZTLE:
DATE:
qd-v & ;;-z)
2006 RESIDENTIAL PLUMBING PeRnnir c,PPUCaTioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date 031506~
Site Street Addres WALTMAN, MARK UNt #
3625 WOODLAND TR.41L
EAGAN, MN 55123 ,
Property0wner_ (ssi) 675-0941 Telephone# ( )
Contrector Norblum Pt,(,t,{'}'(,lbl n G Telephone# ((D12-) 827-~l0~3
Address 2q05 C-7ar-held fFv. ,5p. cicy YYID(s StateN zi PI~-19-tD8 ;
The Applicant is: _ Owner V`Contractor _Other
Septic System _ New _ Refurbished Submd 2 sets of plans and MPC license Includes County tee
$ 100.00
Per as-buift ' $ 10.00
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures This fee includes installation of a water softener and/or water
heater at the same time. !f you are installing onlv a water soffener and/or water
heafer, do not complete this section; move to the next section and check the
_ appliance(s) you are instafiing.
~
_Septic System Abandonment
_Water Turnaround (add $130.00 if a 518" meter is required) hAR 2 0
Other: `
_ Water Softener / /Water Hezter $ 15.00
_ new ? replacement
_ Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
Total g j5,5O_
I hereby apply for a Residential Plumbing Permit and acknowledge that the Information is complete and accurete; that the
work will be in conformance with the ordinances and codes of the City'of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a permit, w is nQo start without a permit and work will be in
accordance with the approved plan in the event a plan is required to ei c : i N d d ap oved.
Applicant's Prin d Name Applicant ignature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA129187
Date Issued:01/20/2015
Permit Category:ePermit
Site Address: 3625 Woodland Tr
Lot:10 Block: 3 Addition: The Woodlands
PID:10-75875-03-100
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Applicant: Renae Frienwald
2200 Hwy 13 W
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
John E Ferguson
3625 Woodland Tr
Eagan MN 55123
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Inl '
For Office Use 5
Permit*: / ! 5
City
E���� Permit Fee: /14 7. 4
3830 Pilot Knob Road `
Eagan MN 55122 Date Received: s I '
Phone:(651)675-5675 A
buildinginspections@citvofeagan.com Staff: / `)
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 3 (7 Site Address: 3 G o ‘44o. 01 A dkn =, t_I Unit#:
Name: e N k A.AO I y RSO te, N Phone: C1ea, 7Z7t,-288. Tkoolas
Resident/
Owner Address/City/Zip: 3(flcS° QOM(-Al.() rQAtI 1 : +4 to MA,. 66%03
Applicant is: Owner Contractor
Type of Work Description of work: r i N t5(� E X(<SI/Pa to LA', T"f�w •f<,15t.1 RI" 8 .114
Construction Cost: bC) Multi-Family Building: (Yes /No X )
Company: X 1t i Kt L K a i (b.c.L.st 5e91 Ji Letntact: AA 11441 'L.►{nn
`rB r'n (� Q
Contractor Address: 3 $ v� t II c , IN'80(�G, mac`; ui City: Q�tl1 L
State: M Sb Zip: 558 8)I i'U So(CC i'dl Z o 20e q IN►1t.i•CaM,
License#: L &fl 4/ I Lead Certificate it: .104.1% f I(P Z 3S ( I (y
If the project is exempt from lead certification, please explain why: y`
FM 151 ka h A./v,.OA, M, IftV A-111 Poon, o fk•. /4'60'VKC'Kjr
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the
information may be classified as non-public If you provide specific reasons that would permit the City to conclude that they
are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on
the City's website at www.citvofeaoan.com/subscribe.
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.
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.gooherstateonecall.oro
I hereby acknowledge that this information is complete and accurate;that the work will •. in conf• ance with the •in ces and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and •rk is - to s :rt witho a • that • work will be in
accordance with the approved plan in the case of work which requires a review and approval• pl
J 8,
x GCSE^ �C1�I��(� X ,�/ �/ 1mi L', �� )
Applicant's PrintedCName Appiican;s- - I'
Page 1 of 3
i ' .
6y.� iil,.d_1 /' DO NOT WRITE BELOW THIS LINE / '
N
SUB TYPES
Foundation — Fireplace — Porch(3-Season) , Exterior Alteration(Single Family)
Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi _ Deck — Porch(Screen/Gazebo/Pergola) — Miscellaneous
01 of_Plex Lower Level _ Pool i 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 building-give PCA handout to applicant
DESCRIPTION / /
Valuation , ' "l 0 Occupancy t'N,rilv MCES System
Plan ReviewCode Edition /1 02 1)1( SAC Units
(25% 100% X) Zoning �/I ►I City Water
Census Code Stories 'C J�- 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) y Final/No C.O. Required
Foundation Foundation Before Backfill ) HVAC_Gas Service Test Gas Line Air Test
Roof:__,,,Ice&Water _,Final Pool: Footings Air/Gas Tests Final
IN,, Framing `7C. 30 Minutes 1 Hour Drain Tile
Fireplace: Rough In Air Test Final Siding: Stucco Lath Stone Lath Brick_„.EFIS
X Insulation Windows
Sheathing Retaining Wall: Footings Backfill Final
Sheetrock Radon Control
—
Fire Walls Fire Suppression: Rough In Final
Braced Walls Erosion Control
—
Shower Pan Other:
Reviewed By: /\/1 ,Building Inspector
RESIDENTIAL FEES ��,^
Base Fee f, `�
Surcharge �)y .IJD'
Plan Review �li" 11 0ofiNk
MCES SAC
1
City SAC , `
Utility Connection Charge
S&W Permit&Surcharge 2 )_ t/ o
Treatment Plant ( (1 X 2'0 -.'„ 1
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA145874
Date Issued:09/27/2017
Permit Category:ePermit
Site Address: 3625 Woodland Tr
Lot:10 Block: 3 Addition: The Woodlands
PID:10-75875-03-100
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Basement Fixtures
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$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 -
John E Ferguson
3625 Woodland Tr
Eagan MN 55123
Boevaag Plumbing
P.O. Box 1257
Prior Lake MN 55372
(952) 292-1511
Applicant/Permitee: Signature Issued By: Signature