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3631 Woodland Tr09/01/2010 WED 12:55 FAX 651 894 9955 WENZEL HEATING & AIR 46'P City of hp 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 SEP 01 RECD r 2001/001 Use BLUE or BLACK Ink Permit #: 4:3,N`'j Permit Fee: -; ''S..% _ Date Received: Staff: 2010 MECHANICAL PERMIT APPLICATION Date 4' /U Site Address: 7 7✓ Ga9,4 444 j c214i Tenant; _ Suite #: RESIDENT I OWNER Name: yi' ✓e 9 ,'a 74Z_ Phone: (,i:5/ s/5, -,?5.4(7/Y Address / City / Zip: 343 ( 1,0c7cJ✓ /0 i el % r C: trj2-j 557 2- 3 CON TRACTOR Name: (..Jiii z,.€. % (a.'?i vitt 2; AC License #: Address: , /// City: F Li ( el4 State: i'11) Zip: ) G)t . Phone: (i .5(- (?)1 t .1_ e % 2 )'), Contact: ,•,/ - ,, 0 Email: ► - 0 i 1;t 9 - TYPE OF WORK New y{ Replacement Additional Alteration Demolition Description of work: NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. PERMIT TYPE RESIDENTIAL X Furnace COMMERCIAL New Construction Interior Improvement Air Conditioner Install Piping Processed Air Exchanger _ Gas_ Exterior HVAC Unit Heat Pump _ Under / Above ground Tank ( Install /_ Remove) Other " When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENT/AL FEES: $50.5b inirnum Add-on or alteration to an existing unit (includes burned out appliances, ductwork, etc.) (includes _ $,a"0'State Surcharge) $.50 State Surcharge) $ .5 5 PC TOTAL FEE $90.50 Fire repair (replace COMMERCIAL FEES: $70.50 Underground tank $50.50 Minimum (includes installation/removal OR State Surcharge) surcharge is $.50. increases by $.50 for each Permit Fee requires a $1.00 surcharge). Contract Value $ x 1% = $ Permit Fee - If Permit E is less than $1,000, - If laeLniil Fee is> $1,000, surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 = $ Surcharge $ TOTAL FEE CALL BEFORE YOU DIG. Calf 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 anit;- at th- •rk will be in accordance with the -pprovved plan in the case of work which requires a review and approval of plans.,' L) Applicant's Printed Name pp cant's Signet ► e FOR OFFICE USE Required Inspections: Under Ground _ Rough In _Air Test Gas Service Test _In -floor Heat ,Final _ Exterior HVAC Screening Inspection Reviewed By: Date: .-/vY:,yir~~. ~r+a.Y~~ -.•.a.-...r. . . ~ t; CITY OF EAGAN Permit Na~7 Date: 10-2I-88 3830 Pllot Knob Road Meter Na t Size, P.O.-Box 21199 Reader No: D U~Q / SSIS - - Es .yan, MN 55121 Date: OWf1@C_ Tiana~sn f'.. ..t SiteAddress:_ ';filt 4lnnnndi Trai7 1~I Me Woodlanc:g Plumber Conn. Chg: S Sn _ nnnd Zoning: R,I + Acct Dep:1 5 nnlir3 No. ot Units: 1 Permit Few - 10 00nd ~ Surcharge: _ 5(1Pd I agree to comply with tlw Clty ol Eagan ? Tr. Plant 904 00nd Ordinanc". Meter. Misc.: By WATER SERVI PERMIT ~ CITY OF EAGAN Permit No: t) 3830 Pilot Krtob Road Meter No: Date: ~ Q-21-•Sa ' P.O. Box 2'Ff 99 Size: EaQan; , ;H 55121 Reader No: Date: i Owner. _ -ir;;, rr;4.;st Site Address: 3631 Plumber ?1 n ^ ' " a Conn. Chy: 558 pQ,Dd Acct Dep: ] S GOnd 2oninq; ~,•i ~ Permit Fee: No. of Urnts: un i SurChergB: Tr. Plant agree to comply with the Clty of Eagan ' Meter. Ordinances. , _ Misc.: ' , er ~ : WATER SEFiVICE PERMIT , . . _ - - - _ _ qTY OF EAGAN Permit No: Date: l d-2I 3830 P(lot Knbb Road B/P No: Date: P.Q. Box 21499 Eagan; MN 55121 Owner. Site Addresss: -L?-;' Wvoot! lE~?:i Trn 1 1.9 l n't "IoeA 7 R.. ; ft Plumber: MWCC: ~~n • ~~T'`~ Zoning• Ciry Chg: ~~pd No. oi Units: Acct. Dep: . I-nqm 1 agres to comply with the CHy of Eagan I Permit Fee: • Surcharge: Ordinancea. Misc.: gr SEWER SERVICE PERMIT ' CASH RECEIPT ~ ' . ~ CITY OF EA?GAN '3830 PILOT KNOB ROAD • EAGAN, MINNESOTA 55122 DATE ~ I r c /eNOUrrr & oowws ? CASH I~ CHECK 1 ~ J.. ,.C. i wn 4-. ~ ' ~1 FUND OBJECT AMOUNT Thank You _ BY ~ W! $7162 Wmte-P.,e.Copy vanow--aosurig copy Pink--Fils Copy i CASH RECEIPT . . ~ CITY OF EAGAN , I830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 UATE 19 FIECVveo ' aIw aMouNr a 1 C C.- 8 DOLLARS , iao O CASH ~ CHECIC wn ~CC J ~ I I 1 ~ FUND OBJECT AMOUMT i ~ Thank You eY WrWe-PayersCopy I : C_ ( " • Yellow-Posbn9 CoPY PiMs-Flle Copy 'w,~°q.'°'V'~`?`^'°~.'"~"eF'f' • . . .'~45.gT'~"~~:-xr . . . . . . . . . CITY OF EAGAN NI 18112 • 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 BUILDING PERMIT Receipt # To be used for D= Est. Value ;1 ,000 Date '1MY 6 1990 Site Adclvss t 36] i ii00b1JIPiD Tit • OFFlCE USE ONLY Lot' •,Wock Sec/Sub. Parcel No,-I Occupancy - FEES Zoning W Name 5T~ p~~ (~1)Const _ BIdg.Permil ~5•~ a Address (Al10M'able) - Surcharge • 30 EAUM Phone # ot stories - City 3ANZ Lergth _ Plan Review Name Oepth - SAC, Ciry Address S.F. Tolal = snc, Mcwcc Clty Phone S.F. Footprints pn Ske Sewage _ Water Conn ~ , W W Name oo ske weu - wace. nneter Address Mwcc system _ a ~ acct. oeposa _ s W City Phone City water - PHV Requirod _ SnN Permit I hereby acknowlege that I have read this application and state that the Boosler Pump - S/W Surcharge informalion is coRect and agree to comply wi all applicable State of Minnesota Statutes and City'~Ordinan~ Treatment PI Signature of Permitee f' ~ APPROVALS qoad Unit A 8uilding Permit is issued to: STEVE lIA1't Planner - Park Ded. on the express condition that all work shall be done in accordance with all Co+ncil applicable State ot Minnesota Statutes and Cily of Eagan Ordinances. gldg. pK, _ copi- . BuildingOHiCiel 1~ ` ~ ` Variance - TOTAL PrnrW No. Ponnit NoW~r Omb TeNpfwfM N WA7ER SEMIER PUN+161P1G H.VAC. EL.ECTRIC Mapetfon paM Inap. Conwmnts FooWp I Foundfton Frartwng Roolk^9 Rayh Pb9. Ragh 1118. hul. FreWaoe Fral Fpg. FrW Pbg. Consl Meter Pbg. InsPeclor - Notify PluMber EnprJPlen Bldy. Final Oedc F1g. DK1lF'^W wea Pf. a~. _ CITY OF EAGAN 3830 Pilot Knob Rosd, P.O. Box 21-199, Eagan, MN 55121 I ' PHO N E: 454-8100 BUILDING PERMIT Receipt~r To be used for 5F DW~/Q&j.' Est. Value $i30r000 Date SEpT 6 ,19 0 ~ i Site Address 3631 WOCtnLA`yU T2 OFFICE U$E ONLY ' y I Z~~ x~ On Site Sewage Occupancy Lot Block Sec/Sub. MWCC System X Zoning R-1 I Parcel No. On Site Well (Actual) Const a Name hAN604 ~~~TRUC~10H CC City water (Allowabie) v-sl = Address 22~ ESSEX k+) PRV Required ~ ot Stories ~ x Booster Pump Length 62 o City. ~A Pnone 542-3265 Depth 42' , p Name sARL S.F. Total ~ ~ Address Footprint S.F. ~ City Phone APPROVALS FEES vW Engr.fAssess. Permit F Z Name Pfanner Surcharge _ - Address 110 a W C~ty Phone Council Plan Review i . . Bldg. Off. SAC, City _ ~50'00 I hereby acknowledge that I have read this application and staie that the Variance SAC, MWCC information is correct and agree to comply with all applicable State of Water Conn. Minnesota Statutes and City of Eagan Ordinances. 6~~ ()(I Water Meter ~ Signature of Permittee Road Unit -j2-5' 00 A Building Permit is issued to: iiANSEK CONSTRUCTIO` ' Cr1 Treatment P] 204.0 on the express condition that al I work shall be done in accordance with al I applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks Building Off icial TOTAL 2,1149'00 Psrmit No. Permit Holdsr Dats Telsphone s Plumbing ~ 7741 H.V.AC. Electric Softener Inspectlon oat• lnsp. Comments Footings I ~~1 . Footings 11 Foundation Framing RooFing Rough Plbg. f.~',~ Rough Htg. ~ 15u1. -/y Fireplace i 2 L-A Final Htg. • U / Final Plbg. r al Bldg. Fin cert occ. `C. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. . . . _ i o • ~ fUr#ifira#r uf Orrupanry ' Citp of eagan iotprtmettf nf gtildiag jwrrtwn This Cerrifrcale issued pursuant to !he requirentents ojSection 306 of the Uniforrn Building Code certifying that at the time of irsuaxce this structure wns fn conapliance with 1he varioas ordinances of tlce City regulaling building constnection or use. For 1he foUowing.• u, cw,s,bw SF DWG/GAR hn,,;t r,o. 15563 oa~ i,,a R3/Mx 1 Zoning DbUict R 1 rya Cow VN o~ oc e~a HANSFN OONSTR MCN (7J. AM,,._ 2200 FSSEX FDAD, rflKA ~ 3631 Wi00D" IItAII. 19, B3, IlE WOQ]tAMs ~ AFRIL II. 1989 . euAdme oMcid POST IN A CONSPICUOU3 PLACE PERMIT # MECHANICAL PERMIT O a CITY OF EAGAN RECEIPT # • 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE ' PHONE: 4S4-8100 Site A ress j' BLDG, TYpE WORK DESCRIPTION Lot~ Block Sec/Sub Res. x New ~ Name '9~ 4 h'Qat ia vnd., nC Mult Add-on 060 altx ' ven,ue Comm. Repair Addre c City ~ Ge #v' e Phone 497-2661 Other R. PVE;Jert U , FEES Name RES. HVAC 0-100 M BTU - a24.00 c Addrgss7~ !u ADDITIONAL 50 M BTU - 6.00 3 `'~UVtp (RES. HVAC INCIUDES A/C ON NEW p City Phone CONSTRUCTION) -GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK wo U .,4, nr~ COMM/IND FEE - 1% OF CONTRACT FEE Forced Air 'p~1M BTU ` APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPUES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU R MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # $ " BEYOND $1,000) Other FEE 'I - .~.~sF.~r~ .~'?Il~-.ac- t S/C: SIGNATURE OF PERMITTEE r. • ~ TOTAL• FOR: CITY OF EAGAN 7 F-,,. ^r ,-r.- ; r-~~--'~~f•r..c--"',-+----~-~~; -v..a-.-...--r• : rs...-s'?t .~-.r•.i . . r. PERMIT # ' , . PLUMBIN(4 PERMIT RECEIPT # j c 1 I ' CITY OF EAGAN 3830 PIIOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRiCE: PHONE: 454-8100 Site Address BLOG. TYPE WORK DESCRIPTION Lot ~ Bbck ~ Sec/Sub Res. New Mult. Add-on m Name N Comm. Repair ~ Address A Other c City LV q,v, or G~ Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Name ~ ~ --3-Water Closet - $3.00 = ` &AJ _LBath Tubs - $3.00 ; Address _ ' _SL_Lavatory - $3.00 ~ p City LZ~=^E; nn.AIU Phone 1 Shower -$3.00 -L_Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/1ND FEE - 196 OF CONTRACT FEE -LLaundry Tray -$3.00 APT. BLDGS - COMM RATE APPLIES ~Floor Drains -$1.50 TOWNHOUSE & CONDO - RES. RATE APPUES ~Water Heater -$t.50 MINIMUM - RESIDENTIAL FEE - $12.00 ~ Whiripool - $3.00 MINIMUM - COMM/IND FEE - $20.00 ~Gas Piping Outlets - $1.50 + r ~ STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIn (ADD a.50 S/C IF PERMIT PRICE GOES Softener -$5.00 BEYOND $1,000.00) Well - $10.00 Private Disp. - $10.00 ~.i_Rough Openings - $1.50 SIGt3J1T,17RE OF PERITTEE FEE STATE S/C: , sL FOR: CITY OF EAGAN GRAND TOTAL• CITY OF EAGAN 3830 Pllot Knob Road, P.O. Box 21-198, Eapan, MN 55121 ~ u; PHON E: 454-8100 BUILDING PERMiT Receipt~R - To be used for SP DidC jGAB Est. Value $130.400 Date SEPT 6 Site Address 3631 WOOLANa TR OFFICE USE ONLY Lot 9 Biock 3 Sec/Sub. THR WOODWDS On Ske Sewape Occupency MWCC System x za,i?,y ~-1 Parcel No. On Site Well (/4ctual) Conat Y-N a Name HAN&Hli CONSTItIlCTION CO City water X (AUowable) V-K 1 W ~ = Address ?Z~ E88~ ~ P~ Aequired * of Storiea ~ City~ KMA Phone 542-3165 Booster Pump Length 62' oeptn 48' ~ . o Nama $AM S.F. Total ' i oY AddrAss Footprint S.F. r City Phone ~ APPROVAL$ FEES i ~W Name Engr./Assess. Permit 672•~ I ~ z Plannar Surcherge ' ~ ~ Addreis a z City Phone Council Plan Review .K W BId9. Off. _ SAC. City 100. UO ~ i t hereby eCknowled'qe thgt 1 have read this application and state that the VarianCe SAC, MWCC 550.00 f information is correct and agree to comply with all applicable State ot WaterConn. 55(i.i~U I Minnesola Slatutes and City of Eagan OrdinanCes. ~ t ~ • Water Meter ~ Signaiure of Permittee ~ . - - - - 325100 Roed Unit ~ ABuildingPermitisissuedto:._._RIINSEN d;OFiSi'AiCT).JN CU TreatmernPt ~ on the express condition Ihat ell work shall be done in accordance wilh all aDPlicaple State of Minnesota Statutes and City of Eagan Ordlnances. Parks BulldingOtficial • - TOTAL 2,869.00 . ` CITY OF EAGAN Np 18112 3830 Piiot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 ~r BUILDING PERMIT Receipt # 1~) 7Z`'~ To be used lor DECK Est. Value $1 , 000 Date -1111.Y 6 , 199.0- Site Address 3631 WOODLAND TR Lot 9 Block 3 Sec/Sub. TNE WOODLANDS OFFiCE USE oNLY Parcel No. Occupancy _ FEES Zoning _ w Name STEVE PIATZ (ACtual)Const - Bldg Permit 25.00 ~ Address 3631 WOODLAND TR (Allowable) - Su¢harga - 5n ° City EAGAN Phone 452-2444 x ol siories - Length _ Plan Reviaw , o Name SAME Depth - SAQ Qry 00AddfesS S.F.Total _ o< SAC.MCWCC ~ Cdy PhOne $ F. Foolpnnts - On Sne Sawage _ `Naler Conn U~ ww Name On Site Well - Wa1er Meter w iZ AddfeSS MWCCSystem - ua Acct. Deposit aw City Phone caywater - PRV fiequired _ SNJ Permit I hereby acknowlege Ihat I have read Ihis application and state that Ihe Boosier Pump - SiW Surcharge information i5 correcl and agree to comply with all applicable Stale ol Minnesota Statules antl Cit ~ol Ea,~n Ordinan es 7reaimem PI Signature of Permrtee S~zl APPROVALS qoad Unit A Bmlding Permn is issued lo: STF. VF. PT AT7. Planner - park Ded. on the express condNOn that all work shall be done in accordance with all Councn apphcable State of Minnesota StaWtes antl Ciry of Eagan Ordmances. Bid9Ofl _ Copies Variance - 707AL 2$.50 Building Ofhcial nmi~!(l jrn CITY OF EAGAN , • 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N9 15563 PHON E: 454-8100 BUILDING PERMIT Receipt# ~ To6eufedibr SF DWG/GAR Est.Value $130,000 Date SEPT 6 - ,7g88 Slte Address 3631 WOODLAND TR OFFICE USE ONLY Lot 9 Block 3 Sec/Sub THE WOODLANDS OnSiteSewage _ Occupancy R-3 M-1 MWCC System X Zoning R-1 Parcel NO. On Site Well _ jqctuapConst V-N a Name IIANSEN CONSTRUCTION CO Ciry Water X (Allowable) V-N W PRV Required n of Stories z Address 2200 ESSEX RD - ~ City MTKA phone 542 -3265 Booster Pump _ Length 62 ~ Depth 48' , p Name SAME SR7otal o ~ Address Footpnnt 5 F. Uw~ Ciry Phone pppROVALS FEES ~w Engr/ASSess. Permit 672.00 wW Name 65.00 ~ z Planner Surcharge r~ Address 336.00 sz Ci~ PhOne Council PtanRev'~ew ay Bldg Otf SA0. City 100.00 I hereby acknowledge Ihat I have read this appbcahon and state ihat the Variance SAC, M WCC 550.00 mlormation is correct and agree to comply wt(h all applicable State of WaterConn 550.00 ' Minnesota Statutes and City of E n Ordinances - 67._00 Signature ol Permdtee Water Meter ~~Road Unit 325.00 q suiltlmg Permn rs issued to _1NSEN CON$TRUCTION_CO_ ireatment Pl 204.00 on Ihe express condition that all workshall be done m accordance wtlh all apphcable State ot /M~in~nesota Statutes and City of Eagan Ordinances. Parks Bwlding Oihaal_JJ,174.1(J~,_QJ,~,_,~~_ _ TOTAL 2,869.00 ~ BLDG: PERMIT NO. ~ S S Lc~ 013210 Bidg. Permit L 01-3422 Plan Check 3~' 0O ~ 01-3445 Surch./Adm. 01-3446 SAC/Adm. S SU ~ 01-2155 Surcharge -70 _ 75-3860 Road Unit 3 ":3LS co ~ 20-2275 snc S 4(-I 5v 8 20-3865 Water Conn. S ISO U ~ 20-3868 Water Trmt. -=4"0 , ( 00 20-3716 Water Meter cc%~ 00 ~ K) 20-2252 Acct. Dep. ~ 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 100 Uv 28-3855 Park Ded. TOTAL ~ ~ ~ ~ This request vola 18 months irom E 2 88 6 3` R~quest Uate Fire No. Rauph-in Insuec' ion 1 1 fleclurteA? Ready Now Q WJI No1ily Insoec- \ ?Ves gNo tor When ReatlY ~Licensed Electrical Contr;ictor I herebY ~eVUast ins0ection of above Owner electricel work installed at: $Ireet AAdress, Box or Pome No. Cnv~ f.4 eclmn enCi ownshio Nnme or N. flange o. C.U. 6 ~ OccuuantlPpl 1 Phone No. Sa Power Suuaher Atldress T al~ ae s. 3ovZZ F r'n Elecbma oMraclor (CamU~~ny Neme) C..i. « ar,jor's License N. ~~A.S61'~, ~ j:liirLG_ ZZ Mailin Address onvactor or Owner M inp lauo 1 t ~Z ~ c~` Au~ ie .X ICOnUaetodOwner Makiny Installation Phone Number TNIS INSPECTION REp EST WILL NOT MINNESOTA ATE BOAND OF ELECTHIGITV BE FCCEPTED BV THE STqTE BOAND Griggs-M' ey Bldg. - Room N4^' UNLESS PNOPEN INSPECTION FEE IS 1821 Univarsrtv Ave.. St. Pnul. MN 55104 ow- 1a11i weo.nvnn ENCLOSED. NEQUEST FOR ELECTRICAL INSPECTION ee-ooooi-os ~ Ii, See inshucqons tor comoletin9 this farm on back ol yellow caov. J Re?_117 E ' 2-8 S6 3 J "X'' Belaw Work Covered by Ihis Request Adtl NeO. Tvoe ol Builtline APOlinnces Wned Equiunlent Wired Home Fange Temporary Service Duplex Water Heater Lighbny Fixtmes Apt. Buildinc7 Dryei Elec[nc Heatin Commercial Bldy. f-umace Silo Unloader Industnal Bldg. Air GondiLoner Bulk Milk Tank Farm [her ~ oeci y Oiher ISnrci~vl TF11$ucc~fv Om: Oth., ompu[e /nspection Fee BeJaw p Fee ServmeEntranceSize H Fea Feeders/Subtenders # Fee Cu w~s 0 to 200 qm ps 0 to 30 qm ps 0 tn 30 1m s Above 200 Amps 31 to 100 Amps 31 to 100 Am s Swinming Pool Above 100-Amps Above 100_Am>s Transiormers IrrigaLOn Boort~s Pdrtial."Other Fee Signs Special InspectionESi~50 Bemarks ~ TOTAL EE /J ' Rough-in I,the Elecvicxl InsPeclor, here6y cartJy thet the above Final ~ ~~r~`r ~ inspection hes been ~ ~ made. T11i6lBqll¢Sl VOid 1BlIIOOIR91lOT Thns request void.a~,/~/~y C~OgU~ IB nnnths IrQm E 2 8 8 7 4 n Reque t Da' Rre No. Foup~"i Insucr,lin /~O ~ '~l ~~~cl~ RcaAV Nuw ~ Will Noufv Insoea- 1'es ?No lui Whon Ready ? L.censeA Electrical Convactor I heraby request inspecLOn of ebove Q Owner electncel work Inslelled et: $treet Address; Box or floute No. CitY 3(p31 (,c)oocl n T-Qi I t-" ecun 14o. Townsnio Name or No. flanBe No. Coa fZOtc~. Occuuant IPflINT) Phone No. Doh nson CrC hVe H m 5~Z-32~S' Power SuVPl~er IAtldrC55 o~s SP- ~ecl ~oc~c 3006 Ma I ve• 1~ ~rf Ele c CnMractor ICOmoanv Namel Convar,Ion's Lic~.nse o. ?~.Johnson4- Sons ~rlc• MailinA Address (Contractor or Owner Mokin nstuilationl 1712- F th Co rf- rool_I h Par(z MN 55({cF4 . Wre (CoMractor Owner Making Installati Vho,neI NumOer / ~ _7 MIN ESOT STATE BOAND OF ELECTHICITY TH9E AISCICEPTEDNSPECTIOBYN PTNEEQUSTAEST TE WILL NOT BOARO GneBS-Mi way BItlO. - Room N-191 UNLESS PROPEfl INSPECTION FEE IS 1821 Universitv Ave.. St. Pxul. MN 55104 - ~c.a~ cnn.nonn ENCLOSED. FdEQUEST FOR ELECTRICAL INSPECTION Ee-ooooi-os 0 Sea insfructions br completing this form on bnck of yeilow wpv E 28874 "X" 8e/ow Work Covered by Ihis Request NrsyvjAdd~-Vlaip Typa ol Builtling AOPlioncee wirae EqulVmenl Wired Home Range Teniporary Service Duplex Water Heater Liqhhny Fixtwes Apt Building Dryei EleCiriC HeAlin Commercial Bldg. Fumace Silu Unloader Industrial 81dy Air Conditmner Bulk Miik Tank Farm omri oeci v eme, Isur~.iivl 1 ei $peufV Othcr Other NInsomp,tepection Fee Below p Fee ServiceEntrenceSixa n Fee Fexders/Subfeede.s u irte Grcwts / ' Qy U to 200 qmps fS 3. Ct 0 to 30 Amis 0 to 30 Am s Above 200 q,pa 31 to 100 Ainps 31 to 100 qm s Swimming Pool Above 100-Amps Ahove 100_Aulps Transmrmers Irngation eooms ParUal.'Other Fee Signs Specialinspection $ /Q ~c Q TOTAL F 1 Aerz~arks _VV HouBh-in Data I, Ne Electncal ~ Insoec1oq haroby certifV that tha ebove Final / D; tzl nspecGOn has been ~ made Thla ra0uest voi0 18 months irom ,z3~3 ~ I For Office Use City of EapIl j Permit# -`U~ I Permit Fee3830 Pilot Knob Road Eagan MN 55122 Date Received: 1/)_ j Phone: (651) 675-5675 I c~ ~ Fax: (651) 675-5694 i Staff: i 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: .3b 3) OO/:( ~Gt -A `I ' ~a0 M AJ s.SI 2-3 TenanY. ~5~4e~ Q~ i~ 4- Z Suite#: RESIDENT/OWNER Name: 1 IPhone: eY,5~4 ~L?y Address/City/Zip: 301 L=,ood 1anoQ -4f`4.l~ EG~~ /'1~ ~-s'rz Applicant is: _ Owner Contractor TYPE OF WORK Descripti r o rkcCr t-~T~ 00XI D Construction Cost. 1.3,sU0v ~ Mul6-Family Building: (Yes No ~ CONTRACTOR Name: License cZO l 9 ,°j 5'.-~ Address:2q6 S?XC.(Cel f\G Sv~J-Fi City: lb.irn5ul ll2.~ State: M J\j_Zip: .25 337 Phone: 6I2 S,~oZ LI,5E5y Contact Person: i M Gv~YCV~-~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submiried submission type) • Energy Envelope Calculations Submitted In the last 12 months, has [he City of Eagan issued a pertnit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Piumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: I Phone: NOTE: Plans and supporting documents that you submit are considered to be public informafion. PoRions of fhe i»formafion may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade_secrets. I hereby acknowledge that this information is complete and accurate; that the work will be in confortnance with the ordinances and codes of the City of Eagan, that I understand this is not a permit, but only an application for a permd, and work is not to start without a permit; at the work will be in accordance with the approved plan in the wse of work which requires a review and approval of pla ~ t 'M C~ u -~"'~'\'J~~ x x .J ApplicanYs Printed Name Applican' ~'ignature Page 1 of 3 ~ , 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE N'HICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. L 0 G KG~~ To Be Used For: ,C> EC , Valuation: 1'~2 0,6 Date: ~U Site Address 363/ ~Oc)DLRnI~'r(zA~.L OFFICE USE ONLY Lot ~ Block 3 FEES Occupancy Zoning Parcel/Sub -T6, Actual Const Bldg. Permit ~s, Allowable Surcharge ,S6 Ocuner s7}uq~ # of stories Plan Review Length SAG, City Address '363/ LUn,I)DLANo '[EA-74. Depth SAC, MWCC S.F. Total Water Conn City/Zip Code EAGP~,nI /,nA! 55/.23 Footprint S.F. Water Meter Acct. Deposit Phone On site sewage_ S/W Permit On site well S/W Surcharge Contractor MWCC System _ Treatment Pl. City water _ Road Unit Address pRV Park Ded. Booster Pump _ Copies City/Zip Code SUBTOTAL APPROVALS Penalty Phone Planner TOTAL + Council Arch./Engr. ,Sac'~UE Ploo -C~.. p L- Bldg. Off. ~7rt Variance Address City/Zip Code ' Phone 4 S sS J . Ns 9 v~fi~~~ LOT 9. BLOCK 3. THE WOODLANDS 4 s~ S q, m ~A 4 \ m 23g a~ \`J 907 . 4 SSS \ ~6 S m " o'`a / /907.2 DECK ~h£zg~on m ~ ~ s 92 \ 22 0 / / m 19~`nJ )26 e m ti P~ ym q r' ~ert~ed Prom: / ors - Go6r14 Lond Surveyora, lnc. N ~ 98+4 PT e n m6er 5'J-J Do6ed ~ Auauet 988 3\e / / V 1 hereby certify Ihat Ihis plan, specrfication, OP r• aort wds prepared by rne ur under my direCt \ f pervisian and that I am a duly RegiStered 7 , Professional Engineer under the laws of the 907.4 State o Mir nesota. ~ I Fo jl90 Reg.Naa l6 "7 0 J (0~a7 2005 RESIDENTIAL BUII.DING PERNIIT APPLICATION City OfEagan . 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 4 651-675-5694 New Construction Reauirements RemodeVReoair Reauirements Office Use OnN 3 2giste2d site surveys showirig sq. fl. of lot, sq. fl. of house; and all roofed areas 2 copies of plan Cert of Survey Rectl _ Y_ N (20%maximum lot coverege allowed) 1 set of Energy Calculations for heated adddions Tree Pres Plan Recd Y_ N_ 2 copies oi plan showing beam S window s¢es; Doured lound design, etc 1 site survey for addAions & decks Trea P2s Required Y N lsetofEneryyCalculations Addifion - indicatedon-sdesepficsysfem On-sfte Septic System _Y _N 3 copies of Tree Preservation Plan if lot platted afler 111193 Rim Joist Dehail Options selec6on sheet (buldirgs with 3 orless uniLs) Date Cq~_ / /-057 Constr= n Cost Site Address ~ Unit/Ste # Description of Wark Muiti-FamilyBldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 *"k~ Property Owner aA--& Telephone # ~g ~d p • ~ ~ I ~ ' PELLA WINDOWS & DOORS ~ Contractor 15300-25TH AVE. N. STE. #100 Address i PL'YMOUTH, MN 55447 1 City 763-745-1400 ielephone # ( ) State ; LICENSE # 20165884 ~ - - - - - COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Woiksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar planZ _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone ) Mechanical Contractor Telephone ) Sewer/WaterContractor Telephone#( ~ I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and ap val of plans. Tpp~ u nT ~ i~ a4zr~) a~~/\ ~~J-C_~~o~In 11 _ 9 9 nS' D,Applicant's Printed Name App1icanYs Signature B~~ ~ ' OFFdCE U5E ONLY Sub Types ? 01 Foundation O 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OB 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.) ? 33 Exl. Alt - SF O 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Yor_N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteretian ? 37 Demolish Building• ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'Demolition (Entlre Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # af Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIREDINSPECTIONS _ Footings (new bldg) _ Final/C.O. _ Footings (deck) _ FinalMo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ AirTes[ _ Final _ Windows Insulation _ Retaining Wall . Approved By: , Building Inspector - Base Fee Surcharge Plan Review MClES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total • , • . " Wd9E~l •g •un~ ami1 pania~ay Pella Winduws Sc Dnors - Twin Cities, Inc, 15300 25TH AVE. N. STE. #1o0 PLYMOUTH, MN 55447 ? 763/745-1400 WATS 1-800-462-5359 ~ FA%763/745-1401 June 8, 2001 City of Eagan 3836 Pilot Knob Road Eagan, MN 55122 Deaz Jan: Elder Jones Corporafion is authorized to pull building permits for Pella Windows & Doors -'Itvin Cities, Inc. Please allow their representative to provide that service for us in Eagan. Tlus authorization shall be valid until such time as the division manager expressly revokes it, in writing to the City. I request that this authorization be accepted expeditiously, so as to not delay the processing of our building permits any further. Please call me if diere are any quesrions, I can be contacted at 763-745-1432. You,- inunediate attention to this matter is appreciated. ' cerely, V JEANEfTEW. Bryan . May. ~ Replacement Sales Manager Uffeumb"Wnyo,gt,p~py c:c: Kara-EldcrJones Denna Krafty - Replacement Sa1es Process Coordinator Windows, Doors, & Skylights 7nn~rih cUrrrn r.rrur _~us r.~xT rxI ~Tn w., ,r•..r r.,. r..,.,.,,.,.. I , 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN ' • , ~ SINGLE FAMILY DWELLINGS ~ S 5 4 3 ~ INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESZGNATE WFiZCH ADDRESS IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE HUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS CONMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: t~ 6'r~~5T G F_ 0 Valuation: ~ Date: R-1 C,- Site Addreas 31L ? f W o0 Laua TGtd' OFFICE USE ONLY / 3Ca/ 000 Lot ~ Hlock On site sewage_ Occupancy - M-I MWCC system v Zoning R-1, Parcel/Sub?"116 Weo.o i ti,•Ail3 On site well Actual Const V-N City water ~ Allowable y-14 Owner > i~.Vr- ~!c= 'T Z-- PRU required !k of stories Hooster Pump _ Length Address Depth y}3' S.F. Total City/Zip Code F4 qti H~ Footprint S.F. Phone APPROVALS FEES Contractor ZqA AJ I ('-hFS i. Engr/Assess Permit Planner Surcharge 65.o n Address,-~ ev i Ss r-~c ti P- Council Plan Review 3 3C., oD Bldg. Off. '"y/XJ q~i SAC, City 0,00 City/Zip Code /'nTKq, ~ N(h~~-5~ -13 Variance SAC, MWCC 55n,C0 'J Water Conn 5 ) t]p Phone Water Meter G,[?,Oo Road Unit 2 2~ , DO Arch./Engr.fjf- st~ti/ C ~ L(s,et-r~i FrrS Treatment Pl D .00 Parks Address 30 / ,p3,L.~ . Ei G' =d. Copies TOTAL City/Zip Code BR ao Y. c,~eV f'q ,L K Phone /k 7 ( ?O ~ v,a t. uAT~oN . ~ ~ , G~~ftta L' ` ~ • , , . a0 ~ 10-= 6LL+ XI~{` ~1ZqL S~ ~`~~l = ~UU _sqD 1240 X 13= 1(~IZO H(7V.~~E_ - r~s FL - o-,~ Z L ~Z~"GX49= ~203q ~ r~ t~ f L.bO (2_ Z'L X 3~ = 83~ Z X II _ ZZ $58 X 49= y zou 2 I ~ • ' ~ . ".7 . EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION . . • . DATE OWNER S T f(I c~F f~ ( CT 7-f SITE ADDRESS 3 6 1.11 c^ C.JJ al L' . ~ eC a 7 L- CONTRACTOR PHONE -3 Determine Working Square Footage of Each. 1. Total Exposed Wall Area ..Sq. Ft. X .11 = ~S/ 9 2. Total Roof/Ceiling Area 1,311OC) Sq. Ft. X.026 3. Total Floor/Cant. Area /9,SU Sq. Ft. x.OS = Total Exposed t9a11 Area Above Floor = 7r% DU a. Total Wall Window Area. . . . . . . . . . On b. Total Door Area . . . . . . . . . . . , c. Total Sliding Glass Door Area d. Total Fireplace Wall Area . . . . . . . - e. Total Wall Framing Area (average 10%) f. Total Net Wall Area Above Floor , g. Total Rim Joist Area. . . . . . . . . . . Total Exposed Foundations Area = /p y, ST h. Total Foundation Window Area . . . . . . - i. Total Net Foundation Area Above Grade Determine "U" Value of Each Wall Segment. a. l//On g --U,, O b• x "v" ,O~ = 3.S C- SooS/ X ::U:: d. X "U" e• /Cs~. 9P xflu,, ,a = 917 f. ?168-~2 X „U„ ,e-)v = 3z6 s• 1,3a,Ao x o:: h. - X "U" i. inys8- x llull ~yl03 - sosToTAL = i~ sa,sy> ~z 7Y 4• TOTAL = S7 If item N4 is the same as, or less than item M1, you have met the intent of SBC 6006 (c) 2. , . " Total Exposed Roof/Ceiling Area j. Total skylight area . . . . . . . . . . k. Total flat roof/ceiling framing area . ,3 1. Total net inslted flat roof/ceiling area M. Total vault roof/ceiling framing area-108 n. Total net inslted vault roof/ceiling area - Determine "U" value for each roof/ceiling segment. J - x "Ull _ k. /n - X U., 1. ____/1221h-- X M. x "U" n. - - x u _ - _ - _ 5. TOTAL If item #5 is the same as, or less than item 12, you have met the intent of SBC 6006 (c) 1. Total Exposed Floor/Cant. Areas SQ o. Total floor/cant. framing area (avrg. 108) p. Total net insulated loor/cant. area Determine "U" value for each floor/canE. segment. o. X 'lu,l p• X liu„ 63 = ,.s,3 • 6. TOTAL = F If total of #6 is the same as, or less than 13, you have met the intent of SBC 6006 (c) 3. ALTERNATE BUILDING ENVELOPE DESIGN To utilize the total envelope system method, the values established by the sum of items $4, $5 and $6 shall no[ be greater than the sum of items 61, #2 and 13. 2. 3yQ5 s. , 9(g 70 y 9 5. 6. • = c~R C/. 3 S Prepared By Da te. . . wo Total Exposed Wall Area Above Floor sf;SSQ a. Total vall vindou area . . . . . . . . . . YS/pp b. Total door area . . . . . . . . . . . - c. Total sliding glass door area d. Total fireplace vall area . . . . . . . . - e. Total wall• framing area (avrg. 108) f. Total net vall area above floor g. Total rim joist area . . . . . . . . . . . - Total Exposed Foundation Area - Total Foundation WindoW Area - Total Net Foundation Area Above Grade Determine "U" value of each wall segment. a. x "U" .35~_ b. x "U" c. -~9•O~ x ~U,. _ , 3S~ _ /5!O d. - x "U^ e. X "U.. f. x „ U" 9 _ X - h X U., i. X SUBTOTAL = Total Exposed Wall Area Above Floor a. Total wall vindoN area . . . . . . . . . . b. Total door area . . . . . . . . . . . . . c. Total sliding glass door area - d. Total fireplace wall area e. Total wall framing area (avrg. 10%) (z) _ f. Total net wall area above floor g. Total rim joist area . . . . . . . . . . . Total Exposed Foundation'Area Total Foundation Windou Area ~ Total Net Foundation Area Above Grade Determine "U" value of each wall segment. a. On _ X "U" b. - x "U" _ c. - x u~~ d. - X u~~ e. l~ x "U " f. ion X U., .04' = 3=-~ g • x u , fl . r g n U 1. X u U u SUBTOTAL = ~o . 7~ , TNRU STUD Int. Air .68 THRU INS. WALL Int. Air .6;3 w/ S.R. & SIDING S.R. ' w/ S.R. & SIDING S.R. ~S Stud !v•E"J Ins. /fOd sr,tg. ~,of sHTG. a,os Siding .(D7 Siding 6,7 Ext. Air .17 Fxt. Air .17 i Total "R" ~'3 Total "H" = 423Ola 1/R= "Ult 1/R - nUn = i0 THRU CLG. Int. Air .61 THRi) CLG. Int. Air .61 MEMBER S.R. INSULATIOPl S.R. ( •v~ Clg. Memb. y3~ Ins. ( Ins. ( 30•00 Still Air .61 Still Air .61 Total "R" = yCS•78 Total nRv ? 3lo-1-2 ~ Z/R - nUn - Flo 1/R = toUli _ .O r ~I ; , THRU CONC BLOCK Int. Air .68 THRiJ RIM Int. Air .68 C.B. (/o7 /.c;7(5 JOIS?' Ins. ~y00 Opt. Ins. S•00 - 13~" Wood .1.89 Ext. Air ,17 Shtg. Opt. S.R. - i Siding . . Opt. Sid. - ~ Ext. Air .17 , . Total "R" 7.13 i Opt. Brick 1 - 1/R = °U" = , /Y ~ Total "R" 1/R = "U" S Tl,n Int. Air .68 TPP.l' ?*1S. Ir,t. Air ,6 5/9 1'.C. Stud 5/8" F.C. S.P. (Opt. )`=ht:g. S.R. R H SIPES (Ort.) Shtg. RO'^!' SIPFS Ins. 5/8" S.R. :56 R. .56 /8" S.R. .56 S" S.R. ,56 I I F.x.t Air .17 rxt. Air .17 u Tota]_ ?'otal "R" _ 1/P. "lI" - ~ l~n n~~~ THRt) STUn Int. Air .68 TNRII IPIS. 1dA1,1. In*. Air .68 w/o S.R. Stud w S..°.. Ins. ia/ SInI1'G Shtg. w/ S?.. NIG Shtg. ng Si(?ing Er,t. ir .17 F.xt. P.ir .17 tal "R" _ j ~ otal "R" _ 11 Ul, _ 1 /r ~i TY,RU MFNBER Int. Air .92 '"HRU I~'S. Int. Air .92 \ AT CA*'T. Carp.-Pad AT CAI?T, Carp.-Pao 11108 Vinyl Viny1 ' Und. _ i,tnr?, - Ply. .93 Ply. Joist Depth. //,Sfp Ins. 2400. Ply. 117 ply •(17 ~ Ext. Air .17 F.xt. Air .17 Total "R" _ Total "R" = 3y,~ 1/R = "U" , ~ 1/R= iiutl = LL~.~1 . . . . . . . APFLICATION FOR PERMIT :eDre: riwmxr or eee aT TTmE oe . ~ APPLICATION DOFS N01' CON- t~.•^~'. 5CI4S.TE APPRQJAL OF PERMIT. ' ; c, SEWER AND/OR WATER CONNECTION + INSPECTION OF SFk1F]i NID/OR WAT[72 C:r!'i:%~ • • irsrALraTioris wna. xCYr ae scEncn.m ; 6(~eLL'• j`N` . . ~ y l'KCIL PERMIT FIhS 6£FN APPROVID. ?-Y.t•ttrr~r~~~~f~saa~t~~~~ya~~*~t~~rwri~tw+ dwtv OF V.cY~an (PL,EASE PRINT . 1) PROPII2TY ADDRFSS: L7 ~i ~~j O K/6a ifJCV I CC I I LEGAI, DES(RIPTION; Lot B ock S ivision or Tax Parcel ID ) IF EXISTING STRCCTL~RE, DATE OF ORIGIiVAL BOILDING P..F2MIT ISSUANCE: hlontn Year PRESENT ZONING/PROPOSID USE: Q COPM'IERCIAL/RETAIL/OFFICE I~ R-1 SINGL,E FANLiLY Q INDL'STRIAL F-::] R-2 DUPLEX ('iWO Units) ~ INSTITUTIONAL/GOVERNNIEENT Q R-3 'IC)WNHO[7SE (Three + Units) ( Units) ~ R-4 APARTMErTI`/CONIDOMINIUM ( Units) 2) NAME: ADDRESS: CITY, STATE, ZIP: PHONE: ° For City Use 3) NAME: , ~ Plumbers License: ADDRESS: r. Active Expired CITY, STATE, ZIP: 4p10o2 Not recordec PHONE: l~'~~ ~ a S MASTER LICENSE Sta Initia 4) 1507ok NF1ME: S' e> ADDRESS: :-2P0r F~SSt° X YC CITY, STATE, ZIP: Al/NYil PHONE: Sy Z - ~ 2 8"S~ 5) + • ,y ~ , • •a~~ .i ae ~CONNECTION TO CITY SEWII2 ~.CONNECTION TO CITY WATII2 a CPHER 6> ~ THE GOLD COPY OF ZS3E PII2MIT WIIS, BE SENP DIRFX'PLY Tp PCT6I.IC FORKS 10 FACILITATE MEPER PIQC-up. ~ PL.F,FISE ALLOW TSdO WORKING DAYS FOR PROCFSSING. SOI1EONE FROM TfIE CITY WILL CONTACP YO[l IF THII2E * ARE A[QY PROHLEMS. ~ ~*.****+*~***.«+~~.****+~~+**~t+*r«~+,r*r+:*~:~:*+.*~*******+.«***~:,r«***~~~~~~#~.:~*.*+**~++**~~~+**; F'OR CITY USE ONLY PERMIT 4 ISSL'ED /D z- G' Pd w/B1-dg. Permit FEES: $ $ SEWER PERMIT (INCLCDE SCRCHARGE) $ $ /G'S D WATER PERMIT (INCLCDE SCRCHARGE) $ ~i/•p lJ $ WATER METER/COPPERHORN/OCTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SE59ER TAP $ $ ACCOCNT DEPOSIT - SEWER $ $ L%-D ACCOUNT DEPOSIT - 4dATER $ ~J S D a-D $ WAC $ S 0'$ S AC $ $ TR[:NK WATER ASSESSMENT $ $ TR[:NK SEL9ER ASSESSMENT $ $ LATERAL BENEFZT/TRUNK SEWER $ $ LATERAL BENEFIT/TRCNK WATER $ (Jr-a $ WATER TREATMENT PLANT SL'RCHARGE $ $ OTHER: $ $ 0-0 TOTAL RECEIPT n RECEIPT ,r DOES UTILITY CONNECTION REQC'IRE EXCAVATION IN PC'BLIC RIGHT OF WAY? ~ YES IF YES, THEN A"PERMIT FOR LVORK [4ITHIN PUBLIC ROADWAY" ML'ST BE ISSUED BY THE ENGINEERING ~ NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLL0WING CONDITIONS: APPROVED BY: t TITLE: DATE: - 6 ~ ~ ~ ~I k ` ~6p 1 ` , ~ . - ~T GYGI/74 ~ . 0 ~ ~ i W N ~ U{ilifres e4seme7~ \ ~ ~ ,S f ~ ~gn ~ qh~ '~9 X,s ~ .v , ~ \ F y vi ~ 9, ~ 'h \ ZZTS e ~,~v N s ~ o, Dl F//i~v ~ ~j~ ~ ~ q~ ~ / ~ ~ ~ rN -~1. ! ~ ? y4A ' ~f' / a , o--~,o q• z'3 ~ y.l 2~ m A : o, / a\ q~ . , ~ 9 0 ~ i, , ~ ~ ~ ~ 6, ~ o: . 8¢O ~ ~ ~ ° c' . . '~,.r ~ ~ i~ ~ ~l ~ _ ~ _ ,v °~0~~¢0 ~ ~l ~D ` ° c~i °ij / p ~ \ ry~• \ ~ ~ - 47°~ C~J \ \ ~ q~ ~5> ~ ~ ~ ~a ~ ~z 3y . z y3 n, \ t / N 3 . ~o . 55 ~ 3 O'33~~\ Iti•~ I\ ~ ~~01(~ ~ 7.~ . ~/ro~ 5i _ o $~y _ ~0 901 9 ~9 ,i p . a~~ ~ 9 ~ ~ ~ / ° ' t t ~/ti+~ I G~ 0~.~ 90 ~ / ~ x 9 s. ~a ~ , ~ > a ~ / o ~ a aQ ~ a / / ~ ti~ In s X ~ ~ ~~I W C ~ ~ 0 / ~ V ~ o / ,2 ~ ~j ~ / . ~ ,o ~ ~ ? ~ ~ ~ ti ~Y . ti. ~ ~ Q , ~ i \ S % ,b h ~ ~ ~ 9a1 ~ LOT 9 BL.OCK 3 THE WOODLANDS ss Z6 , , l ) t o , / •0 / J ~ ~ ~ ~ I ~s ~ , ~ ; ~ ~ - , q ~ ~ ~ rya~ V~•~rU L ~ ~ y ~ "~~O-o o ~ ~ ~ P~ h ~,o \ Q'F . ~ , y2 / i`~ ~ • ~ ~ ~ w ~ ~ e 3i / 4 \ ~i ~ ~ s' ~ iv, ~1 \ i U O ~ b ~ a~~ ~ v ~ ~ / ,~t• s'o ~ ~ .63, , ~ ~y.Z ~ 9a1.4+ ~7 ,~c 8 `q ~ > ~ ~ ~p ~`y / ~ h ~ ~ ~ ~ p o2.vv .Z ~ a _ ~ go7 ; n ~ ~ o notes iron monument Proposed lowest floor elev.- a Q / / ,h De t stake Proposed top of foundation elev.= 9i~~13 ~ ~ ~ Denotes offse 9L~~4 ,0 x000.0 Denotes existing elev, ' ro sE!d elev. BENCHMARK: Top l~a~ Jd IrNE lN~.urdoN ~ 000.0) Denotes Propo ~B c~ ( 9 9oT. Denotes surface drainage El~ra~i~ = 4o~s~ / ~ , ose d ara e f loo r e l e v.= 9 a 9 8 Prop 9 9 ~ ; F ; ~ ! r ~ L~ - ~ ~ ~~~,-i: ~ ~a~~.~'.~ ~ _ ~ tJ I hereby cerr,ify thet this is a true and correct representation of a survey of F~~e No. PREPARED FOR the bounJ~ribs of the above described land end of the locacion of all buildings, 5 y3 r GABRIEL if eny, therean, and all vitible encroachments, if any, from or on said land. ~~iYO~~ ~NC~ ~ ~ Book - Page As ~urveyed b me thls r day ~ , t9~~ a~rbor L~n~ No, 2~~' /Z C oufh MN 66A41 ' Scale ~e~zt ea~~oooa , , , „ , ~ 9oG~ ~ = zo Minn. Reg. No, ý ÿþ þý ÿþþ ýüûøüúûû ùþþ ø ûî ûî ÷þ àåà ÿþô üûúù ÷ìë ô üûúù ÷ ÷ìë á ìëø ùþ í ü ô üô óóïüùþú ò ñüþ íù ä í î îí ñü í þ íêþ ììù ýþ þí þ ù êôþ þù þ þþê ôþ íé þ ñü úþì þíúîí ê þ ð çæçååêåêóå óù ü îþ çêê èþüþýê òñ ôöð ùùþ þ÷ìö ûü Ýþã û îä áÜâ÷þû úíüîãáóóàÿþ þãá ßàâÞàóó î úþì îþîþä þîþùùþþþ îþî íþ þþ íùúìîþþùùþ þ ã þ þü þôúÿþ þï þ ê ùùþë í þü ü ú þü PERMIT City of Eagan Permit Type:Building Permit Number:EA107945 Date Issued:11/06/2012 Permit Category:ePermit Site Address: 3631 Woodland Tr Lot:9 Block: 3 Addition: The Woodlands PID:10-75875-03-090 Use: Description: Sub Type:e-Fireplace Work Type:Gas Insert Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Janis M Sines Tste 3631 Woodland Tr Eagan MN 55123 Glowing Hearth and Home LLC 100 Eldorado Dr. Jordan MN 55352 (952) 492-9276 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA109877 Date Issued:04/11/2013 Permit Category:ePermit Site Address: 3631 Woodland Tr Lot:9 Block: 3 Addition: The Woodlands PID:10-75875-03-090 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Janis M Sines Tste 3631 Woodland Tr Eagan MN 55123 (651) 452-2444 Pella Northland 15300 25th Ave N #100 Plymouth MN 55447 (763) 355-1300 Applicant/Permitee: Signature Issued By: Signature � Use BLUE or BLACK Ink ------------------ � For Office Use _ � �• j Permit#: �� 4� V� �� Permit Fee: v+c.� � 1r I w 3830 Pilot Knob Road j �>.��.,�� I Eagan MN 55122 � Date Received: � Phone: (651)675-5675 � � I Fax:(651)675-5694 � Staff: � �----------------� 2014 RESIDENTIAL BUILDING PERMIT APPLICATION �¢�� I a ��., Date Site Address: Unit#: _'. Name: � �� Phone:b S I -` 1 � �� `l�" i C� Z� R��ia�nt/„ , j�j� �J�c.� .' � � � h1 r L �, Q�y��r��`�;�; Address/City/Zip: ` = Applicant is: �Owner Contractor ��'��`, Description of work: )I�Cf�r ��l.�G,� �1 t�1 S ' Type of W�rl��: ; Construction Cost: �� Multi-FamilyBuilding: (Yes /No� � r'' Company: � � � Contact: � � # ��`= Address: City: ' ��ntr,acto�',..�:: `�� State: Zip: Phone: EmaiL � _ � _ - _"•° ��'� License#: Lead Certificate#: �R,u�.: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) � COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: NQTE;Pl�nsand s�pporting doeuments.#,that yQU�u�i4r►`ut ar�t��nsi�,derec��to be,�ubl�c��►f,prrnatict,n�Portipns.o€ �: #he mfor�na#�Qn ma�.�b�sc�ass�fi��a�non-publ��c�z�a,r��ro�r��l,�sPe��fi��e�sR,��#��a��w��erm��##l��:Ga#�,,��. � � � � ;�,.. � .,=a3:.: �_ �cQnclude'th,af�he :�ar�.tradesecrets ,,�� ,"�'�� F��'�"°��.�� •:� •- 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. vwvw.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 of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building C must be completed within 180 days of permit issuance. X ��"G�� C�t, �% X ApplicanYs Printed Name A Ys Signature Page 1 of 3 . . � `` �c�31 �� l n.��/ "�r p� 4 DO NOT WRITE BELOW THIS LINE l�0 �(�P SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family Garage Porch(4-Season) Exterior Alteration(Multi) _ Multi Deck Porch(ScreenlGazebo/Pergola) Miscellaneous _ 01 of_Plex � Lower Level _ Pool _ Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building" Addition _ Move Building _ Reroof _ Demolish In#erior � 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 8'Cbld � Occupancy ,Z"fjL –/ MCES System —" Plan Review / Code Edition Q�7 SAC Units '� (25% 100% ��) Zoning ,R�i City Water ^ Census Code y�y Stories " Booster Pump '-- #of Units ! Square Feet �- PRV "' #of Buildings / Length ^ Fire Sprinklers "' Type of Construction _,� Width "" REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings (Addition) Final/No C.O. Required Foundation HVAC_Gas Service Test Gas Line Air Test Roof: _Ice&Water _Final Pool:_Footings Air/Gas Tests Final � Framing Drain Tile Fireplace: _Rough In Air Test _Final Siding:_Stucco Lath Stone Lath Brick � Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls Other: Reviewed By: , Building Inspector RESIDENTIAL FEES ��C:i'� �.'/J� `/�� O � Base Fee /(�� Surcharge �G! �' '� � � � ,y� � Plan Review �0� � �` MCES SAC City SAC Utility Connection Charge S8�W Permit& Surcharge Treatment Plant Copies TOTAL Page 2 of 3 .. - � 3�,�� o��a 7-✓�- T'A��iL f�L�i �� T�2�a'1�ir�-�a�ra�°r��Bt�t�.t��v�cc�z�e �n��a�m�s��'�ir�t�t�, j � Fum�tBt�'�: ��aft�ic�i �F� ed �C�ire�;iV� tnput: $��t�hr y {�t3t(an ' �� d �� s tN�}ie�ter: � `+l�afl�ic�d W,.�� ' � ' V lnput: 40,��tr i (l�ot fara�ted) � Y�t c�a�4�e�,��or u�� {c,�s}� , .�� . ; �cas��e��u �� t��r° ;�. c�s��:7.�!�� i �r��'��` �' ��' 1989 construction Retau�i AcH va�s 1�' �ad�tca T E-i fr�ca�� 4b jKAH2 A�oc�. 1#t�e year ai t�s " a�ACH�� ,u� da{ fd talett�.' t3et�sz�ne R,�qt� e for tu�n�: � 4a Standard �otat Bk�in�tt of a� iion ap �Dp�T t��iT f�RECT��1T�If�CES} 1�s�:,�Q�Q�Etll�tr � t�S tz�r��'fat�e E-1��I T�tai R ` {T€t1t� TR�I:��fl� tf GAfi�ky1u�{�s S#ep 2}1s graatar f�an"T'RV#t�n�s c�s' a�e , lf CAS Volue� SEe#�2}�1�€#taan'fRV 1#�c,p�a 5?EP 5. � 4b. Kr�vrt A�1 �Rat�{KAIR� Total Btu�hr irt�wt of a�t� ' and vs�af {t}�}Ntk7 Ct?UPiT€�F�ECT VEt�`APPt.�CES� Inp�; OB€�lu ' Use Fan-Ass�t2d App6ances��in Tab4�E-1 to f�d Required Vo[ume Fan Ass�d(RV�A} RVfA Q tt� Tota1 Br.�t,r;np�t ot aq r�-f ` ee ap�ia�s �r��.4000(�tu?hr Use NarFan-Assisted � �T�E-i ta fi€x3 Requitsd VQiurs�Non-F�t-�t�(RVN�A} RVNFA�1Q,Q__f#� Tpta�Required V�ume{TftVj=RVFA+�FA 'tR�t= + _��,,,i� � t€GA5 Vo�r�(#rom Step 2}is gre�r�can TRY#�n r� �angs are needed. � lt GAS Volusr�{fr�n�ep 2}is 1��#han Ti2V�go�s STEP 5. � Caics�ate Uae r��av inter'�ssc vc�zr�to th�to�rr�ire�3 e. �ar�-cas v ��m s�s 2�crr��a t�r�v��,s s�a�or�4n� �=WZ�..t 2100 = 0.357 ca]cu�ate 3�ed�i�F�{#�. ��=��,;,,,�� . 0.35� 0.643 Ca#�ate sir�Ie , �s i[�l� " n a��firc�rs as�ide. fiot��iE�v rc�ut o#a�£�sm�,sstion Appi' in Ct�s�rs�CAS{E�tCEPT DIRECT VENT} Irsput�Q�Q9tt�hr � C�ntx��on�r C�en�Ar�a{GAQAJ: Tc�Bt�hr dllric€ed t�r p�ars� t�A€}A=� Bt�t#rr per in�= 13'r�3 • C�ate Miramurst GAOA, �tinimum CA4A=CAt}A�nnl��iee by R� �I�i�zst�s�cA€�A= x�,=8.57n� � C�u1a#e Caz�t�ian Air t�en�Diansetet�GAQt�) c�vo=�.�s�,�;��y�e:��re r�t�r��a�� c�o�=�,��x r��caa��3.3�, � �If desired,ACH�n be det�trru�d i�sfr�ASF�i�2F#E�alcu ` � r t�`fest �o�r p€�d�in SecEion 3{}�. �s� /'�i,v !�l �r �o�,q/3 A/�. . � _ ti �� a-�� . . a�� .� � �� "'rs�� '�-;�..� �� '�� : � �� ,.� `�°''� ��r �. t .r� ��w � �. �,' �� t � '�� . �p � �� r . �� -�% •� '�; � �`s '�?� �- � � �:{�,y •s � 'f'� �S� . �� '� ir�°.��S �ag �� rZ� % �� # �F �t'� a•r � � �' '�� y�>�/�,.., � � �ii i� N�.� -.,.,�. �:��. ...��1€F �� tVJ% [td� rT#� f.� Jtri ��xas M � ts§iN s�t �iJt� SW � GV �..� 4 drhd SeD� �p� . 4JpM1N i,fni'1 t� �t �iYf.J JtV�� W� 3aadiRt �x�fJ itglJ4i �� Ws� �� €.Ji� JeV#+J DsSJW �,Q(34 3 �.� 4.2Q4 2,fOtI A5A�Q 2,2''.tQ 3� t.b`� #,�t 2,�t i 5Q.Qt�{I 2,�4 3.� l,875 5„�0 2,6'25 �'t.�00 2,?5i} 4.1�°`i 2,�i 5,775 2,�8 60fl�0 3,t?� 4 2.2�Q 6.� 3.t� �,� 3,�Q �$IS 2.d� 5,8� 3.�13 7�,t� 3�70 5� 2,� T.3S� 3.6T5 ° �,� �'�Q S 2<8i3 7,875 3,� 3 �},A04 4,�10 &.ti�D 3�t10 8,�00 4�U0 85,� 4.25Q 6,375 3,1ffi 8.925 4,qp i �f?,�0 �,5� 6.7�? 3,�75 S,��t3 d.725 f 95,t100 4.T5i} 7.i�`r 3,5�3 9,975 �,�8. t00,t�} S,OOQ 7,�€t 3,Z5€} t�.�0 a,�d ; #�,� S,25t� ?,87�5 3;938 11,�s 5;5i3 11Q�0 5,�4 8,�} �.125 9t.�S 5,T15 iiS,IX}Q S,T5t4 8,� 4,313 12.E375 6,038 12tS.#� 6.t�Q 9.flC� 1.5t� 12�Sf}4 6,�Q i�.OQQ 6,250 4�375 4,588 13,t25 B,S�i 13E7,OQU 8,5t� 9.7�} 4.&75 13,&5t} 8,825 135.E14D S,75t} tt�.i25 5,863 14.175 7,� ' t�t#,OOQ 7,ElQQ tt3� 5.� 14,1i� 7,35tf j 1�l5,� 7.�} 1{},87� 5,4� 15,725 J.613 �I t54#,Od7� T,5�0 51.25� $>frZ5 15,T5t) 7.$?S j 13`a,� ?.7�5 t1.�5 5,�13 18�275 8.1� j ��,� a,t� ��, s, �s,� s.�oa �� a,�o �,a�s �,��a �a,� a.s� ,�o,o� a.� �z.�s� s,�s �a� e.� �� ,� �a.��s s� �a�a� s,tas 18I3.�Q !,� 13,�Q B,TSQ i9.9i3tt 9.45t7 i8.4,flt}Q 9,�Q t3.87� 6;938 19,4� 9.113 19t7,400 9,�00 i�,25tk 1,t25 tH,�4 9.9?5 t9�.s.IX1Q 9,750 14,515 7,313 Z0.#75 10:238 i 24�,�Q t4�i30 15,OQ0 7,�0 21�00 f0� 205.0�} 10� 15>3?6 7,SS6 25.525 1b>763 21�.�f30 1f2.5Qi3 15,T5{t ?,$75 22,05{f 11.025 s Z15.OfD0 1�,7fiQ 16,125 H.�3 7�.575 14,28& � 22fT,�#} St>Ot� 1$,5� 8,� 23�144 5�,� i 225,0�} 11,� 't6,875 8,438 23.625 11,E13 23(�,i104 11� 13,� 8,625 24,150 12>OI5 �lhe fi�4d da�ce�s b t��#9S4 Et�gy�de:`13��aR KAIR r�'��sec�n t�t2�r s�.ZU Att;�i. 2 Tf�s t��a ��tie� fa ed�ar b t�+t.The KA@t u�d�� ` t�#t�fi�#e�4.dt1 ACH: �$3 Use BLUE or BLACK Ink �-----------------, � For Office Use � �)L Uf �(1 (j j� � Permit#: C � f — � 1 � 1 Q�Qll , � , � Permit Fee: � 3830 Pilot Knob Road � � Eagan MN 55122 I Date Received: � � I Phone: (651) 675-5675 i Fax: (651) 675-5694 � Staff: � ��_��_��_��J 2014 RESIDENTIAL PLUMBING PERMIT APPLICATION �ate: 12/23/2014 s�te add�ess: 3631 Woodland Trail Tenant: Steve Piatz & Janis Sines �...-- suite#: �f�'E tvame: Steve Piatz & Janis Sines Pno�e: 651-497-4237 R�es�dentlO�ner ; � ._� � address i c�ty i zp: 3631 Woodland Trail, Eagan 55123 ' Name: Self License#: Gont'ractor = Address: City: : u � � t, � State: Zip: Phone: � ' ` � Contact: �� EmaiL � � , l: � � : a" ` T ?° ' _ _New _Replacement _Repair _Rebuild _Modify Space Work in R.O.W. Yp�,�of Work.� — i �� esc��pt�on of work: Add toilet and vanity sink to lower level r�� r ," RESIDENTIAL - Water Heater � Water Softener Lawn Irrigation(_RPZ/ PVB) Peet�'ll�Ty�e-; : Add Plumbing Fixtures(_Main/�Lower Level) - Septic System ,,`' ' ` New Water Turnaround � — � � �% Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge) $60.00 Lawn Irrigation(includes$5.00 minimum State Surcharge) $60.00 Add,Plumbing Fixtures, Septic Svstem Abandonment, Water Turnaround"(includes$5.00 State Surcharge) 'Water Turnaround (add$200.00 if a 5/8"meter is required) $115.00 SeptiC Svstem New($10.00 per as built)(includes County fee and $5.00 State Surcharge) TOTAL FEES$ CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.QOpherstateonecall.ora 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 rt without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and ap roval of p ns. X Steve Piatz ApplicanYs Printed Name App icant s S gna ure � ' � � " � � � � �� _ FqR OFFICE US� � �� R��ie�iued BY, �' � R' �ate - 3� �. . - 3 = 5 . �a � � i; , . � �} :�.. ,as �.�,.P �. Required lnspections ,�: Under Ground� ,_ �B�uqh lr�z � P�ir Te�t �`,`� �Ga�T�st � �� Fin�l � �: �'� ' , � � � � � ° - � x§ . - � �° s . '� ' �t t �' , 4t { � � u �, Meter Related Items ;Meter:�ize =_. - Ftadi�Read :Staff� _, . ,. �r,. ��,: �; - �� , E�� , _ r , � r. _, s�- �, F � PERMIT City of Eagan Permit Type:Building Permit Number:EA145928 Date Issued:09/28/2017 Permit Category:ePermit Site Address: 3631 Woodland Tr Lot:9 Block: 3 Addition: The Woodlands PID:10-75875-03-090 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Janis M Sines Tste 3631 Woodland Tr Eagan MN 55123 (651) 497-4237 American Building Contractors 2960 Judicial Rd Suite 100 Burnsville MN 55337 (952) 707-6959 Applicant/Permitee: Signature Issued By: Signature