3675 Woodland Tr
~
CITIf OF EA4SN Permlt No: ';04 Date: +-22f ' gn
3830 Pd&t Knob Rosd Meter No: Si-
RO. 8ox 21799 Reader No: Data:
Eaqon. MN 55121
Owner. Burr Oak Bldrs.
SiteAddresa 3675 Woodland Trail L3 B3 tdoocilands
Piumber ke de
~
Conn. Chg 550. it0 ' c
Acct Dep: 15 •
i
Permit Fe~ e ~PMPRI
10.0 o ~itl rw
~
Surcharge: 0 Qa6Yt4** wNh !he Citp o1 Eapan
Tr. Plant 204 C10 E Ordlnan .
Meter.
Misc.: BY
WATER SERVIC PERMIT
' CITY OFEAOJtN PermR Na 95r14 Datec 4"22-$8
3830 PNot Ifnob Road Meter Na Si=e:
P.O. B" 21799 Reader No: Date:
Eayan,MN 55121 '
Owner. ~ Buxr Oak Bldra.
, Slte Address: 3675 Woodland Tra11 L3 R3 WeoAlands
` Plumber Lake Side Plwnbin
II Conn. Chg: 550. Ol?pd Zoning:
Acct Dep: 1 5• ()OQd No. of Unita: 1 - ~
Permit Fee: 1 t) . OOpd
Surcharge: • SOpd 1 agr" to comply with the City of Eagan
Tr. Plant 204 OOvd Ordinanca. ~
` Meter. ~
Misc.: Br ;
' WATER SERVICE PERMIT ~
~ - - - -
I 91VOF EAdrAN Permit No: Date: s`~ s~ •
~ 3830-PIIot-Knob Road B/P No: - Date: t
P.O. Box 21199
I Eagan; MN 551;f
Owner. ` lurr Oa:<. 11-4rs.
Site Address: 3675 oo an 1 r a 7 ~ -
Plumber 1,1ke Si e nm nv;
S's
'50• O(Ipd
MWCC: Zoning.
f
City Chg: . p No. of Unlts: ! Acct Dep:
_,.1 I .gr.e to compfy wRn th. cny a Eayar,
r Permit Fee: Ordinancss. '
f Surcharge: ~ '
~ Miac.: By
SEWER SERVICE PERMIT
CASH'RECEIPT
~
. CITY-OF-EAGAN
, 3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
FECENM
FFo„ ; ~ , t v . , ` • ~ .
AMOUNT
~.s , C c~
a oauws
,oo
p CASH ~ CHECK
FM
FUND OBJECT AMOUPfT
Thank You
BY
Y
F4r*-file copy
, .
. . . .
-
7 . . _ . - _ . . • . . ` I
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH O N E: 454-8100
BUILDING PERMIT Receipt 4k ; i
To be used for SF ~~/GAR Est. Value i96,000 Date APRIL 4 ,1918__
Site Address 3675 id4QpW?ND 'i'R OFFICE USE ONLY
Lot 3 Block 3 SeC/Sub. WIXIpLANDS On SRe Sewape Occupency R"3
MWCC System X Zoning JA"1
Parcel No. On SRe Well (Actual) Const Y-N
x Name WlilTEi{ORSE _L1EV'F.IIOP!ffiNT CO$P City Weter XL_ (Allowable) V-4i
W PRV Required ik of Stories
# Address P 0 llOk 21-217
0 City P.AGM Phone 452-29Q6 527-8~29 BO°sterPump Lengtn 711-0"
DePth P.., 4re
, p ~tWme SAME S.F. Total
~ ~ Address Footprint S.F.
~ CAty Phone APPROVALS FEES
F0: Engr./Assess. Permit 5543•00
W W Name ~~~~y
=Z ress Planner Surcharge
Add Ci PhOne Councii Plan Review 276•00
4 h'
W
Bldg. Off. SAC, City 100.00
I hereby qcknowledge that I have read this application and state that the Variance SAC, M WCC 550.00
information is correct and agree to comply with all applicable 5tate of WaterConn. 550•00
Minnesota'Statutes and City of Eagan Ordinances. Water Meter 67.00
~Signature of Permftiee Road Unit 325,
r A euilding Permit is issued to: Wh17'EhOR5F. DEVELOPt7B1!i2' Treatment P1 204.00
. qn the express condition that all work shall be done in accordance with all
applicable State ot Minnesota Statutes and Clty of Eagan Ordinances. Parks
TOTAL 2,678.00
duilding OHicial
IA~. APP'tZL~VID BY.IIaGIl~ffi2Il~U 5/6/88 `%8' ~CPIVA'IFD FiOR ~7QC 7/21/89 I-~--
~rVE~~s ~ mw= V'ZSTITY OF EAGAN DANM $IEM 688-9140 '
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH ON E: 454-8100 BUILDING PERMIT Receipt
To be used for • Est. Value ~ Date ~ ,19
Site Address OFFICE USE ONLY ,
Lot Block Sec/Sub. On 3ke Sewaye Oocupaney
MWCC 3ystem Zonfnq Parcel No. On Ske We11 (Actual)Conat
c Name ti City Water ' (AllowaWe)
W - PRV Requlred s of Stories
z Address
City Phone Booster Pump Length
~ : . • • i - . ~ '
Depth
°C o Name S.F. Total
•
z
0 ~ Address Footprint S.F.
~ City Phone APPROVALS FEES ~
v W Name Engr./ASSess. Permit
Address Planner Surcharge -
City Phone Council Plan Review
t W Bidg. Off. SAC, City
I hereby acknowledge that I have read this application and stete that the Variance SAC, MWCC I
information is correct and agree to comply with all applicable State of Water Conn.
Minnesota Statutes and City of Eagan Ordinancea.
Water Meter
Signature of Permittee
Road Unit
A Building Permit is issued to:-__ 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 Ordinances. Parks
Building OfficiaL _ TOTAL '
_ Permit No. Permit Hotder Dat* TeIephone ~
Plumbinq
H.VAC. C1
El~t~ 838 f) -
Sottener 'I
Inspection Dab Insp. Comm*nts
Footings I ~
Footings II
Foundation
Framing ~ ~ p S
Roofing
Rough Plbg.
Rough Htg.
IsuL
Fireplace
Final Htg /op
Final Pibg.
Bldg. Final ~
Cert Occ. ~ f
Temp. LP
Deck Ftg. ~ "OOOIZ
Deck Final 8'lY ~
Well
Pr. Disp.
. . ~
I
(g . ~
ertif tra#t uf (Orrupanrg
titp of eagan
~&UWMa of Ilitilbmv
impprtbm
Thi.s Cerrif laau isned pursucnt m tlu requirenrents of Sectlon 306 of rhe Unifonn Ballding
Code certifying that a1 the dme of issuance tlus structun wru iR cvmpliance wlth dw ?nreous
ondi'nances oJ tJie Clry regulatlieg buildiRg rnnstrwction or use For the following.~
S}' M/GAR M4 ra ?im 14772
0-wa-7 TYa ft3 zomies Diorici R I T}~ COM Vn .
o.oa d s~ae~ WFiTI'~uft.SE IIGVT[.OFT~~Nt C~ P. 0. BC:OC Z 1-217. EAC1~N
O.Mm Add„s 3675 WOCU.AM IRAII, LOsv I3. B3. WIDQ%AAIDS
~ J[1LY 12, 1988
aae~.~
P08T IN A CONSPICUpUS PLACE
• • PERMIT # 9C0 ~1 --~'1 I
MECHANICAL PERMIT
CITY OF EAGAN RECEIPT ti
3830 PILOT KNOB ROAD, EAGAN, MN $5122 DATE
CONTRACT PRICE PHONE: 454-8100 '
Site Address
BLDG. TYPE WORK DESCRIPTION
Lot ~IoCk Sec/Sub
Res. New ~
Muit Add-on
m Name Comm. Repair
Address
pther c City Phone '
_ FEES
~ Name :AES. HVAC - 0-10o'M BTt} - $24.00-
c Address ADDITIONAL 50 M BTU - 6.00
p City Phone (RES. HVAC INCLUDES A/C ON NEW ~
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMn) - 1.50 EA
TYPE OF WORK COMM/IND FEE - 1°Yo OF CONTRACT FEE
Forced Air '#IA 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 {
; Vent CFM ~ STATE SURCHARGE PER PERMIT - _50
(ADD $.50 S/C IF PERMIT PRICE GOES
• Gas Piping Outlets # BEYOND $1,000)
Other
FEE ~
S/C: SIGNATURE OF PERMITTEE
TOTAL• ~
FOR: CITY OF EAGAN
. ; ~ . • . , ~ ef, , PERMIT M
PLUMBI(ib PERMIT RECEIPT q
CITY ~ EAGAN
3830 PILOT KN08 ii0 D, EAGAN, MN 55122 DATE:
CONTRACT PRICE PHON . 34-8100
Site Address L C Jv-' R ' BLDG. TYPE WORK DESCRIPTION
Lot Block 3 Sec/Sub Res. New X
Mult. Add-on
? Name r " • Comm. Repair
B Address ther ? • • • %
c Ciry Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
- ; N0. FIXTURES TOTAL
Water Closet -$3 00
~ Name Bath Tubs - $3.00 '
c Address _.~Lavatory - $3.00 U
p City Phone Shower - $3.00
~KitChen Sink - $3.00
FEES UrinaliBidet - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE LLaundry Tray -$3.00 2
APT. BLDGS - COMM RATE APPUES ~ Floor Drains -$1.50
TOWNHOUSE & CONDO - RES. RATE APPLIES ~ Water Heater -$1 50
MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00
MINIMUM - COMM/IND FEE - $20.00 ~ Gas Piping Outlets - $1.50
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIn
(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYOND $1,000.00) Well - $10.00
. 11 ; Private Disp. - $10.00
411isr~: 2 Rough Openings - $1.50
SIGNRTURE OF PERMITTEE FEE:
.
STATE S/C: "
FOR: CITY OF EAGAN GRAND TOTAL•
. . . . . x._ . •C[r {.~'~1l.'ib~/S"a_; x.».,. ,r ~ . . . ;
PERMIT O
> a%( :J
MECHANICAL PERMIT RECEIPT #i
CITY OF EA6AN
3030 PILOT KNOB ROAD, EAt3AN, MN 55122 DATE
CONTRACT PRICE: PHONE: 454-6100 For Oflice Use Only:
Sfte Addr~ess gLpG, TypE WORK DESCRIPTION
Lot- 4._ Block Sec/Sub Res New
-~j
Name Mult Add-on
Comm. Repair
Address
~ OtCity Phone her
FEES
Name t ;
~ RES. HVAC 0-100 M BTU - $24.00
~ Address ADDITIONAL 50 M BTU ' - 6.00
p City - Phone (RES. HVAC INCLUDES A!C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM -1 PER PERMin - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1%OF CONTRACT FEE
Forced Air M BTU APT. BLDCiS_ - COMM. RATE APPUES
TOWNHOUSE & CONDOS - RES. RATE APPUES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
i Unit Heater M BTU REMODELS - 12.00
Air Cond. - M BTU ~ MINIMUM COMMERCIAL FEE - 20.00
Vent CFM STATE SURCHARGE PER PERMIT - .50
(ADD a•50 S/C IF PERMIT PRICE GOES
' Gas Pipfng Outlets # BEYOND $1.000)
Other
; FEE
SIGN~ FaM EE
S/C:
TOTAL FOR: CITY OF EAGAN
INSPECTIUN RECORDT^~^
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: I H4 1 I
Eagan, Minnesota 55123 Date Issued: •'r• `
(612) 681-4675
SITE ADDRESS: 1111. ; F~ LOCk, i APPLICANT:
3675 i 3u,,lii itrilI fk ri i•, 1 IIr.t•. i
Iit: i i,-111 :,rllt .
PERMIT SUBTYPE: TYPE OF WORK:
f n„!,1i 111r.±
INSPECTION .
iiliit 1I41, I I~flivl I Ni,
i({•,i11 p I y ')N ! S N(tf
~
Pwmit No. Permit Holder Dats Telphors N
SAN
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspectlon DoM Insp. Commwnts
' Foodrqs I
Foundation
Frarning
P40wv
Rough Pibg. ~
aougn Hiy-
Isul.
Freplaoe
F'inal Flep-
Orsat Test Final Plbg. Pibg- IrmpecW - NoMfy Plumber
C". meter
Engr.lPlan I
I
BWp. Fnel
DBCk Ftp.
OeCk Fir?al I
I
Well I
Pc Disp.
t
~
CITY OF EAGAN N! - 14 772
, 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
~ PHONE: 454-8100 $ a S
BUILDING PERMIT Receipt#
Tobeusedtor SF DWG/GAR EsLValue $96,000 Date APRIL 4 ,~g88
Site Address 3675 WOODLAND TR OFFICE USE ONLY
Lot 3 Block 3 Sec/Sub. WOODLANDS On Site Sewage _ Occuvancy R-3
MWCC System X Zoning R-1
Parcel No. On Site Well V-N
_ (ActuaqConst
. Name WHITEHORSE DEVELOPMF.NT ORP Cirywater (Allowable) V-N
w PRV Required it of Stories
z Address P 0 BOX 21-217 -
o Booster Pump _ Lengih ~1'
City EAGAN Phone 452-2906 527_8629 Depih
, p Name SAME S.F.Total
oa Address FootpriniS.F.
V
m~ City Phone pPPROVALS FEES
°w NamO Engr./Assess. Permit 558.00
~ i Planner SurChar9e 48.00
i6 Address 276.00
aw City Phone Council PlanReview
a Bldg. Off. SAC, City 100.00
I hereby achnowledge that I have read this application antl state that ihe Variance SAC, MWCC 550.00
informalion is correct antl agree to comply with all applicable State ot Water Conn. 550.00
Minnesota Statutes antl Gt f E an Ortlinances.
n water Meter 67_00
Signature Of Permittee Road Unit 325.00
A Bwltling PermR is issued to' ~ITEHORSE ~ VELQPMEI~IT_ Treatment P1 204.9.Q.
onlheexpresscondihonihatallworkshallbedonei accordancewithall
apphca6le State o/l~ Mi,~nneso~ta~ ~S~t~atutes and Ciry of Eagan Ordinances. Parks
BwldingOHicial-,J[IJ{L~4lfA I_vm' TOTAL 2,678.00
~
Th,s request void
16 pnihs Irom '//~G`/O'O'
~
D R 8 i8 9 7,L 3 13.3
Requ ale T ire No. Rouphm InsNer,tmn
Rvre<P OHeatlv Nuw I~eYWill Nou1Y InsPec-
es Yes ?Nn ~~~~r When Ready
~ce~se Elecbical Conlracmr I hereby request ins0ectmn ol ebova
? Owner elecvical work installed at.
Street Addeess, Box oi Houte No. Cfry
~c-,-~-
eclion o. Town5hi0 Name or No. RanB~ No. Cnunly
ell~
Occuuant (PqINT) Phone No.
2' f'/- _ 0CL k-
Power Supplier Atldmss
- ~ ~ ~7 SSo d~
ElecUical onbacto ICo pany Nnme) Convar,mi/ 's License No.
U G /O
MaJmB Addrezs ICOntractor or Owner Mabnp Instailation)
~Sav _ C.cJ. G, OZ1~ Yi ~ 4 .ss 3 3 7
AuNo ized Sipnatura ICOnu,acmr/Ownm Makine Insmllauonl Phone Number O/
ESOT TATE 90APD OF ELECTflIGITV THIS INSPECTION flEQUEST WILL NOT
~99s-Midwoy Bldg. - Noom N•191 BE ACCEPTED BY THE STATE BOAND
UNLESS PNOPE0. INSPECTION FEE IS
1821 Universitv Ave.. SL Peul. MN 55104
ENCLOSED.
oFono lfii~l Aa>-Mnn
REQUEST FOR ELECTRICAL INSPECTION Ee-ooaoi os
~ Sea instractions lor camoieting this form on back ol vallow capy. ~
$S8 g 7 "X" Be/ow Work Covered by Ihis Request
At1d fleO. Type ol BuilOing Appliances WiroA Equiymem WveA
Home Range Temporary $ervice
Duplex Water Heater Liyhtiny Fixtures
Apt. Building Drye, Elec[nc HeaUn
Commercial Bldy. Fumace Silo UnIUaJer
Industrial Bidg. Air Conditioner Bulk Milk Tank
Farm Oin- aru v iner ISnrulvl
t n ueci y thor Oih.,
ompute Inspection Fee Below
M Fee SeromoEnlranceSize tt Fee Fexders/5ubleatlnrs a Foo Cucuus
Q U ro 200 Am ps 0 to 30 Am s O 0 tn 30 Am )
Above 200 qmps 31 to 100 qmps 31 to 100 Am s
Swinming Pool Above 100_Amps nnove 100-Am s
Transtormers Irrigation 8ooms Parnal.'Other Fee
Signs Special Inspection S
FEE
Aertw.ks ~
Noueh-in E' tha Elacv I
• S~~p-w In ereby
cerU/y thac tha nbova
Final mspection has Eeen
ThiaraQuasivolElBmonlNirom i
d9 0 8 6 ~
12 Rep 4 Dat ~ Fne No, Rauph-m Inspe[tion
, Repuvatl? ? Reatly Now hNJI Notdy Inspecim
~ I O- Ves C No W~en ReaCy?
I)< licensed cornractor 0 owner hereby request inspection of above electrical work aC
Job AOaress IStreel. Box or Route No.l Ciry
3 '75 l.JoocQI ii.P TrI
$eciion No Township Name or No, Range No. County
Occupant(PFINT, , ~ f~ Phona No.
aV~l V ~m??Ari"IS
Powar Sul Aaareu
NSr M~
Elaccncal Convaaor IGompany Name~ Conhactor5 Lmense No
.Sf' 64~ 17, 0
Mening ndaress iGOntraoor or Owner U,aking Insiallauonl ~
'7 t'' .Sf Sa ~?~sL, sto 33
Au;nonzed SrSnawre IC r aKing Zn, Pnone Number
436 -s64'1
MINNESOTA $TATE BOAHD OF ELECiRICITY TMIS INSPECTION FEOUEST WILL NOT
Grlggs-MlUwey Bldg. - Hoom 5-173 BE ACCEPTEO BY THE STAtE 60ARD
1821 University Ave. 51. Peul. MN 55104 OI UNLESS PFOPER INSPECTION FEE I$
Phone(612)64241800 ENCIOSED.
REQUESTFOR ELECTRICAL WSPECTION e-aoooi-oe
? Sae mstmmions br completing this brm on back ol yellow cooy.
"X" Be/ow Work Covered by This Request
d 3 6 86
e e TypeofButltling ApplianceSWired EquipmeniWued
Home Range Temporary Service
Duplez Water Heater Electric Heahng
Apt. Builtling Dryer Other (Speafy)
Comm/Intlusinal ~FUrnace
Farm Air Conditioner
Other (specdy) Comraclor's Remarkr
t N,.O. ~l1d,
Compute Inspecfion Fee 8elow:
rt Other Fee # ServiceEntranceSae Fee M CvcwtsiFeeders Fee
Swimming Pool 0 to 200 Amps 0 to t00 Amps
hansformers Above 200 _ Amps Above 700 _ Amps
Signs Inspector's Use Only: TOTAL
Irrigation Booms 7,~, S~
Speciallnspection e I~
AlarmlCommunication THIS INSTALLATION M O DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN H
I, ihe Elecincal Inspector, hereby R°°gn"n . Dale
ceruty that the above inspection ha5
, Final % ~ ,J ate N
been made. ` Y
.
OFFICE USE ONLV
Tnis repuest voitl 18 montns Irom
,s1,51n 7 ya1417
~ 04677 ,l
Reques Date Fire No Rough-ininspoceon
Requirea? ? ReoEy Now ? W II Notily Inspector
' ? Yes ? N. When Reatly"1
I9?filensed contrector ? owner hereby request inspection of above electrical work at
Job Atltlres~(SVa Box or RoNe No J CSy ~
(D 5
Seclron No Township Name or No Range No Counly
Occup n~ (PRINT) Plione N.
~
PowerSapplier Atltlress
Elecnwal ConVacror (Company Name) ComractwB ¢ense No
KENDRICK ELECTRIC
MaAing A~Ipr ssp ~to~yR¢~+N,(9RI~y~15Tallann)
l~} ~~•u r~ivivv~.is
Auliw C' lin li 124 Plione Numper
I I
MINNESOTA STATE BOARD OF ELECiiiICfP/ THIS INSPEGTION flE0UE5T WILL NOT
Grlggs-Midway BICg. - Room 5-173 BE ACCEPTED BV THE ST.4TE BOARD
18ZI University Ava., SL Paul, MN 551pp UNLESS PROPER INSPECrION FEE IS
Plrore(81]) 643-0800 ENCLOSEO
V'9 REQUEST FOR ELECTRICAL INSPECTION ~ ee-0000h-07
lf~ See ins[ruNon3 loi mmplaUng Ihis form on back of yelbw copy
L~ 0467 1 'X" Below Work Covered by This Request
e A ep TypeofBwldmg AppliancesWiretl EquipmeniWiratl
Home Range Temporary Service '
Duplex Water Heater Eleciric Heahng
Apt. Building Dryer Other (Specify)
Comm./Indushial Furnace
Farm Air Conditioner
~ Olher (speaty) ConlractorR Pemeeks.
Compute Inspection Fee Belaw: :Qz ~
# Other Fee # ServiceEniranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 ta 100 Amps
Transtormers Above 200 _ Amps Above,100 _ Amps
SignS Iwectorg Use Onty. TOTAL SQ
Irrigation Booms
Special Inspechon
Alarm/Communication
Other Fee
I, the Electrical Inspector, hereby R°uqh-in oace
certify Ihat Ihe above inspection has F„ai
been made.
OFFICE USE ONLY -
This requesl void 1B monNS hom
PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
q 3830 Pilot Knob Road, Eagan Mn 55122 -~-7l
Telephone # 651-675-5675 FAX # 651-675-5674 ~ ~
Please complete for. Single Family Dwellings
Townhomes and Condos when permits are required for each unit
DateCol1Z_/ o_-3_
Site Address T Y' c i ` Unit #
Property Owner ~i ) 1 L^j 1 Telephone # ( )
Contractor
Address Hessian Plumbing Services, Inc. c;ty
State Eagan, MN 55122-0172 ZiP Telephone #(`s i) (e & l'&~ S 2
The Applicant is _ Owner 1-~Ccon[rac[or _ Other
Septic System New _ Refurbished Submit 2 seLs of plans and MPC license $ 100.00
Includes Counly fee. Additional consultant fees may apply.
AI[era[ion o Ezisting Dwelling Unit, Including $ 0.00
_ Adding fixtures to Iower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water turnaround 5!8" meter if needed -$121.00)
_ other: Y' CL) o c~~e 1 4 v~ Z-r ~
_ RPZ _ new installa6on _ repair _ rebuild $ 30.00
_ Lawn irrigation system
_ Water softener _ Water heater $ 15.00
_ replacement _ additional
$
StateSurcharge
~
Lu ~ UI
Total , S SO.S G
By -I
I hereby apply for a Residential Plumbing Permit and acknowledge that [he information is complete and accurate; [hat the work will
be in conformance with the ordinances and codes of the City of Eagan and with [he Plumbing Codes; that I understand this is not a
permit, but only an application for a pernvt, and work is not to start wi[hout a pernut; that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans.
nl)•: k e- sc- A : ) -/Z- z~~~
ApplicanYs Printed Name AppficanYs Signature
~ RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55722 a-5~•
~ 651-681-4675
New ConaWCtion Reauiremanb RemodellReoair Reauirements
• 3 regislered sile surveys showiig sq. ft. of lol, sq. fl. of houu; and all roofetl areas • 2 wpies of plan
(20°h maximum lot coverage allowed) . 1 set ol Energy Calculations for heated additions
• 2 topies of plan showing beam & windax s¢es; poured found design, elc.) . 1 site survey for extenor additions & decks
• 1 sel of Eneryy Calculatbre . Indicale if home served 6y septic system for addi6ons
• 3 copies of Tree Preservatlon Plan A lot platted after 7/1193
. Rim Joisl Detail Options selection sheet (bldgs wilh 3 or less units)
p 0
DATE lrel(1 /0Z VALUATION A ~ • ~
AD ~J
DR S ~CP7s (,JD0b L&Jb rg=A I~ MULTI-FAMILY BLDG _ Y
~ NFmRK F-f- P-00 F A~) &5- FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT ~G
STREET ADDRESS PJKO LLCT &IL SO CITY 9010LL)1 UsaTATE_ZIP .5.~
TELEPHONE -D_ LELL PHONE # FAX
PROPERTYOWNER UILL W1QSBllV9I1-1 TELEPHONE# W'~I_~" l(J£J~'
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINA'LS07'A RIJLF.S 7670 CA"f1•',GORY I
(4 submission type) . Residential Ventilation Category 1 Worksheet Submitted +E@,yP+~or~h ubmitted
• Energy Envelope Calculalions Submitted ~
JUN 13 2002
Plumbfng Contractor: ______Phonc #
Plumbing syslcm includes: N-Vatcr Soltcner _ Lnm Sprinkle By
Watcr Hcatcr No. of R.I. 13aths
No. of liadis
Mechanical Contractor: Phone #
Mcchanical s-ystem includes: _ Air Conditioning rce: $70.00
_ Hcat Recovery Systcm
Sewer/Water Contractor: Phone #
I hereby acknowledge that I have read ihis application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Or ' es.
Signature of Appllcant
-
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex O 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
O 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Additlon ? 36 Move Bldg. ? 42 Demolish (Foundalion) ? 45 Fire Repair
? 33 Alteration O 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Foo[ings (new bldg) _ FinaUC.O.
_ Footings (deck) _ Final/N'o C.O.
_ Footings (addition) _ Plumbing
Founda[ion HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Re[aining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review '
MC1ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
PERMIT #
IS-7-I --)-CO5RECEIPTDATE8008 MIDEPTIAL PLUM$INfi PEgM1T APPLICATION
crrY oF EAsax
3$30 i'1LOT KAO$ itD
Kt}HAN, bf1V $51EE
651-6$1-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
SITE ADDRESS: -~,Ijrls- wonfflQ(o(~ TI(t,
OWNER NAME: : TELEPHONE 461_ I)s - IOB 1
(AREA CODE)
INSTALLER NAME: Lnbj'Qq TELEPHONE 'l(03-~SS'Cn~c
(AREA CODE)
STREET ADDRESS:
CITY: cJ_-~n ~Q pl l~ STATE: 01,ii-) ZIP: _55VO
1 fi
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATIONIALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fiMures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit 5/8" meter if needed -$118)
Other:
_ RPZ: new installation/repair/rebuild $ 30.00
_ lawn irrigation system
ReplacemenUadditional: _ water softener LZwater heater $ 15.00
il II
State Surcharge 50
II ~11 ~ ,
Total I $ ~
I herebyacknowledge that I have read this applicatlon, state that the informatlon is correct, an agree to comply with all applicable City of Eagan ordinances It
is the applicanl's responsibility to nohfy Ne property owner that the City of Eagan assumes r)Kbq4LEXjqr wydamages caused by the City dunng its normal
operational and maintenance activities to lhe facilities constructed under this permit withi ity property/right-pf way/easem,~nt. ,
~
SIGNATURE OF PERMITTEE 1102
PERM'IT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55123 Permit Number: 021841
(612) 681-4675 Date Issued: 0 8/ 2 6/ 9 3
SITE ADDRESS:
3675 WOODIAND TR
LOT: 3 BLOCK: 3
THE WOODLANDS
P.I.N.: 10-75675-030-03
DESCRIPTION:
Buildi-rig',,Permit Type SF ADDITION
Building lJork Type NEW
,~UBC Occupancy'.' R-3
~ Construction Type V-N
i
~ Building Length ~ 16
~ Building Width ~ 14
\
~
~ r
/ .
REMARKS:
FEE SUMMARY:
VALUATION $13,000
Base Fee $144.00
Plan Review $93.60
Surcharge $6.50
Total Fee $244.10
CONTRACTOR: - Applicant - sT. I.IC. OWNER:
VALLEY INVESTMENTS CONST 14545191 0084241 BIEBEL DAN
2401 LEXINGTON AVE S 3675 WOODLAND TR
MENDOTA HTS MN 55120 EAGAN MN 55123
(612) 454-5191
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 Mn.
Statutes and City of Eagan Ordinances.
- ~ ~ ~ J
Q4 - - 4N,~
v APPLICAN7/PERMITEESIGNATUFE ISSUED SI ATUR
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: BuiLaiNe
3830 Pilot Knob Road Permit Number: 021841
Eagan, Minnesota 55123 Date Issued: 0 B/ 2 6/ 9 3
(612) 681-4675
SITE ADDRESS: Lo r: s B L 0 C K: 3 APPLICANT:
3675 WOODLf4ND TR VALLEY INVESTMENTS CONST
THE WOODLANDS (612) 454-5191
PERMIT SUBTYPE: TYPE OF WORK:
SF ADDITION NEW
INSPECTION .
FOOTIN6 FRAMING
INSULATION FINAL
F-
J
L
REACTIVATE _ CITY OF EAGAN
pERMt7 t ~ 1993 BUILDING PERMIT APPLICATION IT +n
' ' 681-0675
SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered slte s 1 copy of energy
calcs. ~j=~'~~ ~
COMMERCIAL 2 sets of architectural 3 structura pll s
speclfications, 1 copy of energy c cs• 20 1993
da of month-
Penalty applies: 1) when permit is typed, but not picked up Dy last
in which request is made, 2) address is changed or 3) lot change 1s reques once permlt
is issued.
Date Yaluation of work /G COa
Site Address: '72,tit -
LiqEET SUITE #
Tenant Name: (commercial only)
IAT ~ SIACK ~ SUBDJ~~ ",'V_'b-DS I~ODlh. P.I.D. M
Descri tion of work: St_r+Sv pdoy)N ~D •,0 nJ
The applicant is: ? Owner \Contractor ? Other fD*ccribe>
Name ~rr= Q~~ -~1 6-IJ Phone
Property LAST FIaST
Owner Address 36.7 5 l,j 0 0 0Lprl-j,p
STRFEi . i7E f
C;ty State k311 ti'1J Zip .IMa-3
Company Vl9-+-L~_ ~NV~S7~M.rl`-N~S IGNSY.- Phone `Ll -.1/2 /
Cc.rrtractor Address c;IYt~! ~Ki~1G'ia,J ~IJF ~ License # lfaW ExP.
City nojOc17q- 44;_~4 6tf-i-:S_ _ State A)IJ Zip S'/a;Zd
Company Phone
Architect/
[ngineer Name Registration IF
Address
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this apPlication and state that the information is
correct and agree to co with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE U5E ONLY
BUILDiNG PERMIT IYPE . , '
O 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwg. ? 01 4-Plex 0 12 Multi. Misc. ? 17 Swim Pool
U 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Coam./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace O 19 Lomm./Ind. Nisc.
O 05 SF Misc. ? 10 Multi. Add'1. O 15 Deck ? 20 Pub]ic Facility
O 21 Miscellaneous
WORK TYPE
P 31 New ? 33 Alterations ? 35 Tenant Finish El 37 Demolish
? 32 Addition ? 34 Repair ? 36 Nove
GENERAL INFORMATION
Const. (Actual) v-n, Basement sq. ft. MWCL 5ystem
(Allowable) v-nj lst F1. sq. ft. Lity Mater
UBC Occupancy 2-3 2nd F1. sq. ft. PRY Required
Zoning Sq. Ft. total Booster Pump
1 of Stories Footprint Sq. ft. Fire Sprinkler
length ~L. On-site well Census Code ti ay
Depth iy, On-site sewage SAL Code
APPROVALS ~
Planning Buildin9 Assessments
Engineering Variance
REDUIRED INSPECTIONS '
? Site El Footing B,Framing Fl Insulatlon
? Wallboard D=Fina1 0 Draintile 1O Fireplace
Permi t Fee H, c O v.iu.c;w,: S/3 oc) O
Surcharge
Plan Review Q:4,--0 XI y:,- zZy xSy=
License
MWCC SAC
City SAC
Water Conn.
Nater Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
_ =SURV•EYOR'-S_CERTIFICATE--- auRR aAK BUILD£RSI-INC.--
- T-
-=~0
O -
- - - - -
- - - ~ ± q~~ . _
- - (ea~.i~ . - -
697.6 - '
- . - -
- - - . i ' - - - - .
~
i ^ . .
Qo
~ g49,8't ~ ~ 6
O „ \
• _ ~nj
V~ w 699.1
C-3 o' / 3 • .
` j ~ y •'~s t'v, ~ (84g.o)
33. 'tlo "o
~Y. ~ . / •
898.7 ? ~Lf/
lc,v ~
~
91j
~105.2 ~ 1, Cj
(90~.0) ~o \ J~ ~e. jj.(
-;~j 0 3 / 849.4
~ ^•~'J.~yG ~ I
29os \ 4r ~ s
g ~4
F ~o
Z • %
401.5
, 9on o1
\ I
~ DENOTES PROPOSED SURFACE DRAINi4GE I
O DENOTES IRON MONUMENT SET SCALE: 1 INCH -30 FEET I
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 899. 8 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - evr•4 FEET ~
((500.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK- 900•2 FEE7 i
WE HEREBY CERTIFY TO BURR OAK BUILDERS, INC. THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 3, Block43 . THE WOODLANDS, according to tlie record~ed '
plat thereof, Dokota County , Minnesota. ~
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
o. VE1`EC u7 OR . ~.nImc.-..•..i ~ p ..u rn~~'cnrnnwiwr~,r..~e T~n~i~.: 26 Ti~ ~ i..i1 i Cr
~l
SIGNED: JAJNE~G LL, INC.
C/ I~ C
BY: /Iq
~~CiLGt46rt
HAROLD C. PETER50N, LAND SURVEYOR
• MINNESOTA LICENSE NUMBER 12294
EjCD m ~ ~
0 No ~w o~ D )ames~l~ .-H~ I-~inc. m
Z w~ Z ° N m m~ PLANNERS / FIVGINEERSSURVEYORO m y< . ,
- - 8401 JAMES AVE S. WObMINOTON. MN. 55431 • 812-884-3028 _
~
, . m0l
1988 BUILDING PLHMIT AYPLICATI0N - CZTY OF EAGAN
#~~~72
SINGLE FAMILY D'WELLINGS
IPJCLUDE 2 SETS OF PLANS, 3 CEATIFICATES OF SORVEY, 1 SET OF ENERGY CALCULHTIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WEIZCH ADDRESS
IS DESIRED. Id0 CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS !k OF UNITS
INCLUDE 2 SETS OF PL.ANS, CERTIFICATE OE SURVCY - CHECR WITH 6LDG. DEPT.,
1 SET OF ENEAGY CALCULATIONS
COh]MERCIAL
INCLUDE 2 SL'PS OE ARCHITECTURAL & STROCTURAL PLADIS,
1 SET OF SPGCIELCA'TIONS AND 1 SET OF GNERGY CALCULA'TIONS
MAK 3 U E9988
p
To Be Used ~~or•: ~/NG1.t" FAml~y Valuatiun: Date: 0.
Site AddreS~ 3(:2S /.J20444 TRA+L OF?ICE USE ONLY
96, cba"
Lot __Z_ Elock 3 On site sewage_ Dccupancy R' 3
MWCC systam ? Zoning
Parcel/Sub Lt~0C7~L A~fl2 On site well Actual Const V-N
- City water ? Allowable V- N
Owner b~j-- rGRSE vEUEZC/''p'n"; ('Q)~p PRV required Jf of stories
Booster PumP Length 7/~-O'Address ~~BOX Depth _130=y°
- S.F. Total
City/Zip Coda Z-f1 GAN rY,'ti' S-S ~.~-0~2 j Footprint 5•F •
J?3r,k'S PPG~7t ('Vc
Phone S'~7-r~6~q ~ APpROVALS FEES
Contractor j R MC Engr/Assess Permit ,558,00
L lanner Surchar•ge 4
Address Council Plan 8eview ar76.00
Bldg. OfP. 3J31 SAC, City 100,00
City/Zip Code Variance SAC, N][h'CC 5$9,00
Water Cunn 56Dio0
Phone Sdater Meter 67p,D a
/ Road Unit 3~2500
Arch./Engr. Tr•eatment Pl 30.t 00
I Parks
Address VlkINE~ Cop:ies
I o~ (07_8.
/ ,T-
City/Zip Code ~1?ll~~g /'~IN • TOTAL o0
-
Phone / -
1/AL I.IATI oN •
GA'RAGE
z4x24= 57~ x~4= 80(.4
~Srn-r
8 ~Fp = IIZU
ZXIc-_3o
/i5o x 13= 145~~
MAlN FLOOR
14s)(1) = IZG
Z6X4o= 1120
)S~rZ _ 30
IZ'7 x 13 = I ~SfS~
ZND FLC701Z
zg X4c~ - 112v
Z v. /J = _30
I~So x `+9 = 5_ 635~?
qs sbz
r~
SURVEYOR'S CERTIFICATE BURR oaK BUILDERS, INC.
~ \~~q
(847.1) ~O
s97.6
i
i
o'
4./ ,Y,8 TRq
% .
M~
'T. To~ • Og ~
8R9'8" 0
~ \4
° 6' yS ~ g~ M~
~
Pj b/ 11
699.1 v .
C-3`0*
~ s3 99s, o (848.0)
0 3 J 0 848.6
/y
O ~@.3•.
i{~
/ ~9y ° lc,y~p)
S e9 re i~M. ~ 898.~6
\ ~ 9~) `~99s'J
.tq
ci
(9018.0) \ a3 '
M899. y
_ g \ ~Fa N
~)6-.; .
9os \ T ~
g F ~o
9oi.5
90,40)
\
~ DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH =30 FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 899 8 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = a41-4 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK= 900.Z FEET
WE HEREBY CERTIFY TO BURR OAK BUILDERSj INC. THAT THIS IS A TRUE AND CORRECT
REPRESENTATION Of A SURVEY OF THE BOUNDARIES OF:
Lot 3, Block 3, THE WOODLANDS, according To The recorded
plat ihereof, Dukota County . Minnesoto.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 20 TH DAY OF MAACH , 198a
SIGNED: JA~uI~,S~Fi ,~LL, INC. ~
v
BY: C
HAROLD C. PETERSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 12294
2 OJ ~ • •
~ N W James R. HiII inc.
~ ti m v~ O`m ~ ~ ~ ~ ° m ~ ~
(n N D ~
o'q'° o J0 W> Z-,° m Z PLANNERS / ENGINEERS / SURVEYORS
~
T ~ m CD
9401 JAMES AVE. S. • BLOOMINGTON, MN 55431 • 612-884-3029
A
O
h
' • EXILRIUR FNVELOPE AVERnGE "U" C011P11'I'ATIOt1
Pi.n~l ~~-lS(P
• ot•r~i :~Q: ~ c~ - 57dr~ y •
S17E~iWDRE55: 1~oT ~ 3 WbopU1W'Dc
COttTRACTOR: BVRR+ pJqY .lJVII,DEP-S DATE: PHONE: ~S~aIOG
DETERMIrIE 110RY.111G SQ.UARE FaOTAGE OF EACH:
• " -
1. TOTAL EXPOSED 11ALL AREA,,,,,,,, sq ft x"U" •11
2. TOTAL P.OOF/CFIL(NG AfiEA,,,,,,,, 2 , sq ft x"U' .026
3. TDTAL EXPOSED 11ALL AREA CALCULATIQNS:
Total exposed wall ,
arca above floor,,,,,,,, z(pg~~ sq ft •
a) Total wall wlndow area:
p t glazed...... sq ft x "Uli *
glazed...... sq ft x "U" ~ .
b) Total door area sq ft x"U"
c) Total sliding glass door area:
glazed...... sq ft x "Ul-
9lazed...... sq ft x "U" ~
d) Total fireplace wall area sq ft x"U"
e) Total wall framin9 area
(1lvcra9e 109;).......... _ 2.~J'~.?~ sq ft x"Un .~a? a
f) 'Total net wall area above
flaor (Insu{ated}...... (p sq ft x "U" pq3
g) Total rim Joist area..... sq ft x"U"
Total foundatlon
' area (Exposed)......... sq ft
It} Total foundatlon
rrlndow area............. " sq ft x"U" , 5 v
~ I} 7ota1 net foundation
I arca above grade........ sq ft x"U" 111M
' 3- TOTAL a) thru 1) - 30~J•~g
{
I If Item N3 Is thc same as, or less than ltem N1, you havc met the intent of
S.fl.C. Sectlan 6006 (c) 2. •
1^
,~~qif'`e;~~:i'.•,~ " I ' ,~.s:,~;;ix'~ ; ~ I I/ALL FRAHING SECTION:
,1 Interior air film n.RA
~Z .9S .
I , I ' 2 inc~es 5oft wacd
P~ .r.
;4 25 z2~• 2.c
~-~i cl~nW .65
~ Exterior air fil:n n.17 '
TOTAL ft =
L = 1/R = .09a.J
„ • 14ALL SECTI01! (INSULATED)
;1 Interior air film
~ ~ Z 1 2" r cJc-, . 5
5,lt~ . n
. rI o sh'~Lf ina. 2.0~
'F Exterior 26'r filn • n,17
~ , • . TOTAL R = ~3.01
; u = t/a = oy3
RIM J015T SECTtOH: •
:1 Interior zir film f1,6$
2 u2" {zr 1"r I Cif
3 Ph"
7 I .4 10~ a- .oco
~ I 5 t~zd Ly%u, . 65
I ExteriorVair film • 1],17
7OTAL R = 2 .4
i~ , ' • . ~ U
p~~• . ' . ' . .
.i
FQUNDATION SECTIOtI: ` • •
'1 Interior air fiim
^
2 2^ vITy IrJSu a tm
;Q r
~ a•,~; G 4 Exterior air film n.17 •
` TOTAL R
ll
SLAB ON GRAOE
,
.1/'a• "~,•..;u~. c . ~1,.,a.
. • . .~V •~'a~ ~,.1 j p ~ .1 .~IQ ~a ~
~ .il •4'',~• •Q y . , ~q ~i,~~r'!%~'~~~: . Ll ~d
~~~.~1 1 . ~ 1~ ~ ~~~~/~l~•~~~i//•,------'=-'"ii~~••. ~ ~ . , ' ~ ~ . ~
v' G' /~i/:','li: „ r, , • d ' Q s, , \
i , ' 4~' . : , , q' . . '~1• ~ .
. i
, ~ ~ a • • ,
Q
r;:, u , : ~ : C _ ;
e,
, G ,•~,r••~
COtISTRUCTION ~
R h%liJ[
'{''.`•~=i." f,EILItIr SECTifltl (II15UL/1TED):
Interior alr filn n,A1
2
3 _ Zo ' ~n5 u4n
3 4 4 Exterior air film (still) n.FI
TOTAL R = J5,7
U ° I/R = OZ2
~ CEIL117f FRAMINf, SECTION:
5 1 Interlor air film
Z 5 rAr 65
AIR VENTED 3. - ~ " •i.av. '316.3
FLOW 4 Interior air film still 0,,I
inches sof[ woo~1 .38
TOTAL R - ~ 2.55
. U = 1/R = •021
CEILItlf, SEf.TIQt! (ItlSULl1TED):
1 ' I n t e r i o r a i r f i I m
7.
3
4 Fxterior air film s[ill fl. I
TOTAL R =
U = 1/R =
~
Q 2 3 4 5 cEIutir, FRAMItIG SECTION:
1• Interior air film 0.61
VENTED z
3
• 4 Exterior air film still I
5 fnches soFt wood
TOTAL R =
U= 1/R=
3 4 5
Y" 1 Inside air film n,(i
Qutside air filn n,17
2
TQTAL R = -
/
11 = I/R =
:
. . . . ~
TOTAL EXPOSED ROOF/CEILING CALCULATIONS:
v, . . .
• Total expnsed
roof/celllng area........ 10214 sq ft
J) Total skyllaht area....... sq ft x"U" ~
k) Total roof/ceiltnq framing . 2 il!
area (Averaae 109,)...... Oz• sq ft x~~U"
1) Total net Insulated
roof/ceilinq area....... 21.4 sq ft x"U" idZ2, • 2D,`lg
TOTAL J) thru 1) ~'2"7
If total of !!h Is the same as, or less than N2, you have met the intent of
• S.B.C. Section 6606 (c) I.
• : . , . , . . • . .
. . . . , ; • : }
ALTERNATE EiUILDING ENVELOPE DESIGN
To utilize the total envelope system method, the values established by the sum
of Items N3 and #4 shall not be greater than [he sum of ftems H1 and d2. •
1. + 2. ~
3, + 4. ~
• C E R T 1 F I C A T I 0 PI
I hereby certffy that I have calculited [lie "U" factors and "R"
values hercln ancl that the huilclinn here descrihecl meets or exceeds the State
of M(nnesota Encrgy Conscrvation Act.
~(S l qna [ure)
/~~/V •~W
(Datc)
~ ~
1989 Bi1ILDIPG PEAMTT iPPLICA7I0N
, CITS OF EAGAN
rq14 ~
SIIiGLE FAMILY DHELLIAGS LTI DHELLINGS COl4IEACIAL
? 3ESS OF PLANS 2 3ET5 OF PLANS 2 SETS OF IRCHI?ECfURAl.
3 SEGISTERED STTE SDA9EYS BEGISTHAED 3I'fE SQRVE2S - i ST80CTURAL PLiNS
1 SET OF ENEAG7 ClLCS. (CHECB YITH BLDG DIV.) 1 SET OF SPECIFIC9TIOHS
1 SET OF EAEBCS C?LCS. 1 SET OF ENEAGI CALCS.
MULTIPLE DiiEL.LINGS SENTEL DNITS FOA SILE IIAISS i OF URTlS
iOTEe 1DDAFSSFS FOH CORNER LOTS - COATRACTOR/HOME05iNEA MOSi DFSIGIiATE UHIC9 ADDRFSS
IS DFSIAED. HO CHlNGES AII.L BE LI.LONED ONCE BOII.DING PERHIT L4 2SSOED..
3EHER 3 iilTER YEAMIIT FEES 1AD ICCOIINT DEPOSIT FCsES UTII.L BH IPCLIIDED iRTB SHE BUILDIN4
PERHIT FEE. PAOCESSING TIM FOR SEWER LAD YATEA PER}lI1S IS !WO DAIS OPCE l PERMIT 9AS
BEEA COMPLETED IKDIC6TIAG A LICENSED PLOlIDER.
PENALTY APPLIFS fifENs PERMIT IS NOT PAID FOA IN SAME MONTH IT IS REQUESTED.
LOT CAANGE IS REQUESTED ONCE PERMIT IS ISSUED.~_ ,L p I9SS
To Be Used For: ~EC~C Valuation: `76C~ Date: -7 -ZL9`V /
Site Address 3:~75- 000Di4uo "rRA1t- OFFICE OSfi 01iL1
Lot ~ Block 3 TfF~ ~.1UOD1.A.40S pccupancy FEFS
Zoning
Parcel/Sub }X-P Actual Const Bldg. Permit
[ D Allowable Surcharge
Ormer-bqr.lict- KRrNU90iI• i of stories Plan Review
Length •7~T SAC, City
Address 3Ca?SG.Joou t,A,uJ tAqIL Depth SAC, MfdCC
S.F. Total Water Conn
City/Zip Code t%/IGR~~ (~IJ Ss/2-3 Footprint S.F. Nater Meter
\ o~ 9ly~ lcet. Deposit
Phone21 On site aewage S/W Permit
On aite xell S/W Surcharge
Contractor ~ MWCC Syatem _ Treatment P1.
City vater Aoad Unit
Address / PRV required _ Park Ded.
Booster Pump _ Copies
City/Zip Code 3ilBTOTAL
LPPROVALS Penalty
Phone / Planner TOiAL
Couneil
Arch./Engr. " Bldg. Off.
/ Yariance
Address
City/Zip Code /
Phone 1 /
. ~
, SURVEYOR'S CERTIFICATE BURR oAK BUILDERS) INC.
(aq,.I) NO
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~ DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH -30 FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 899.8 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - eat•4 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK- 900.2- FEET
WE HEREBY CERTIFY TO BURR OAK BUII.DERS, INC. THAT THIS IS A TRUE AND CORRECT
FEPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Ldt 3, Biock43 , THE WOODLANDS, according to the recordled '
plai thereof, Dakota County , Minnesota.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
J :lV iT C ill WI ~ nv.L Onll i,JnIi~i.~ n Ti u.. n i i
~:i L~mICL~ JIiIL1rWiv• ~ I~J a.U Ti; ..,A,i VY' iOrJ r
SIGNED: JAAAE,S~i fI
BY:
HAROLD C. PETERSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 12294
~ T O N O - D ~ ~ p . - - -
m go James-R:-Hil-l-=inc.
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o' oI w D Z PLANNERS /=EIVGINEERS / SURVEYORS-
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ol 9401 JAMES AVE S.i44OOMINOTON, MN. 65431812_884-3028
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.
. :";FOR :CITY: USE ONLY . .
• PERMIT #'ISSUED'
Pd w/Bldg. Permit FEES:
$ $ ~O 'SSEWER PERMIT (SNCLUDE SLRCHARGE).
$ $ WATER PERMIT (INCLUDE SURCHARGE)
$ (p U O $ ` 'WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLC'DE CORPORATIONSTOP)
$ $ SEWER TAP
t
S $ • /S ~ ACCOUNT 'DEPOSIT - SEWER-
$ • $ /00 ACCOLNT DEPOSIT - WATER •
$ C~ $ . WAC . .
~ .
$ SAC . .
$ $ TRUNK WATER ASSESSMENT
$ • $ TRONK SEWER•ASSESSMENT • •
$ $ - LATERAL BENEFIT/TRUNK SEWER'
$ $ LATERAL BENEFIT/TRUNK WATER
S' U--D S ' .WATER TREATMENT PLANT SURCHARGE
$ . S, . OTHER:
$ ...~`1' -7I r d U $ ~ l(J?7 TOTAL
~?.~s/9. . ~o~.
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE•EXCAVATION IN PUBLIC RIGHT OF'WAY?
F~j YES ":IF YES, THEN'A "PERMIT FOR,WORK',WITHIN PUBLIC. Q ROADWAY" MLST BE ISSUED BY THE ENGINEERING
NO., DI.VISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS9 - ' APPROVED BY:
TITLE: . . , ,
DATE: ~I Z
S
. j
. .
, APPLICATION R?PERMIT :N=. pAM27r OF Pf£ AT TlM OP
A f~_, • APPLICATION OOF.S,NJ1' CCYJ-
i . . . i S121V1E APPH(WAL QS PHilIIT.
f SEW ER AND/OR W ATER CONNECTION : zc~r~a~ o~' s~ unroc+ a"n~x
nsrivuTTaas wua, rar ee scmni.m
. • ~ f!NPiL PIItPIIT tWS BE@J APPROVID.
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1) PxoPmTc AMxsss: ..3~/7-5-
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. L6t qc S., yl5ion or Tax Parce ID
IF EXISTING STRUC'ISJREr DATE OF ORIGINAL.HUILDING PIItMIT.ISSUANCE:
• ~ ` "
• Mon 'Year
, PRFSENT 7ANING/PROPOSFT? USE: .
` a.COAM~tCIAL/REPAIL/OFFICE G:T>GI R-1 SINGLE FAMILY .
, a INDC~STRIAL R 2 DL'PLEX ('iwo Units) . ; a,ZNSTI'1VTIONAL/GOVERNlF,2iI'~' . Q-R-3 TOWNHOUSE (7hree +,Umits) Units)
R-4 APAR'1M EDTf/CONIDOMINIUM
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2) N71ME:
AwoxESS:
CITYr STATE. ZIP: n,S~377 .
PHONE: _ ~Z;7-7 6 0 0
. . . , Far City Use
3) NA67r? ~Si ~.Q~ ~Lu ~7.,a • Pl rs I.icense:
. ADDRESS: Active
EScpired
CITY, STATE, ZIP: lr.... Not recorde(
I
, PHONE: ~l MASTER LICENSE #~X»c3~h'2T~ St Initia
4) • . , ' " . . - . . .
ruME:
ADDRESS: 1IL-14:3
CITY, STATE, ZZP: ~Q q~A~(_ , /'7~1/? . ? , . '
PHONE: 5) ~ • i:Sui' ~~i -~E6ii~'el6'7ao..,.: i a~~ . '
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CODI[+~ECPION TO CITY SEWER ~ONNECTION, TO CITY WATER ~ OTfiM
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* THE GOID COPY OF TfE PII2I+iIT WIIS. BE SENP DIRDCIY,Y TO PUBLIC WORKS To FACZLITATE MEi'ER .PICK-UP. i
PLEASE ATdAW '1W0 WORICING DAYS FOR PROCFSSING. SObIDONE FROM 1M CITSI WILL QONfACP Y()U ZF 1HERE M
* ARE ANY PROBLIIIS. . . i
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S l D~ ~ RESIDENTIAL BUILDING
Permit Application ~P
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCtion Reawrements RemodeVReoav Reomremenis OKce Use Only
3 registered site surveys showing sq. ft of lot, sq, ft. of house; and all roofed areas 2 copes of plan CeA of Survey Recd
(20 % maximum Io1 coverage allowed) 1 set ot Energy CalculaLOns for heated addiM1Ons Tree Pres Plan Reoi
2 capies of pian shaxing beam & window sizes; paured found design, etc. 1 site survey for additions 8 decks Tree Pres Not Reqd
1 set of Energy Calalations AddRion - mdicate ifon-sfe sepfic sysfem _ On-site SepUC System
3 copies of Tree Preservafion Plan if lot platted aker 711193
Rim Joist Dehail Optlons selection sheet (bltlgs with 3 or less umts
Date Construction Cost A~\
SiteAddress _ UniUSte tt
Description of Work
Multi-Family Bldg _ YN Fireplace(s) ! 0 _ 1 _ 2
PropertyOwner$\L~..~ Telephone#7c
Contractor
Address City
State N1~ Zip~~~~ . TelephoneN(LJAF
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Enefgy Code CategOry . Residential Venfilation Category 1 Worksheet • New Energy Code Worksheet
(q submission rype) Submitted Submitted
• Energy Envelope Calculations Submitted -
Licensed Plumber (r? ~ Telephone J
-
Mechanical Contractor ~ J Y ~ 1 Z~03 Telephone )
Sewer/WaterConiractor ~ Telephone )
1 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
approval . "
A s Prin ame Applicant's Signature
' OFFICE USE ONLY
Sub Types A, 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex O 09 07-plex X 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 78 Deck ? 23 Porch(screenlgazebo) ? 36 Multi Misc.
? OS 03-plex ? 71 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_v or _ N ? 25 Miscellaneous
WorkTypes _J f~C~JDIfs m v1~> 7zio t> Ov,,,
? 31 New ? 35 Int Improvement ? 38 Demolisn (Interior) ? 44 Siding ? 32 Adtlition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Aiteratlon ? 37 Demolish (Bldg)' O 43 Reroof ? 46 WindowslDoors
? 34 Rep12C0ment 'Demolition (EnGre Bldg) - Give PCA hantlout to appliwnt
Valuation -7) 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 v 1~ Width
, REQUIRED INSPECTIONS
_ Footings (new bldg) FinaVC.O.
Footings (deck) ~ FinaVIJo C.O.
~ Footings (addition) = Piumbing
Foundation HVAC
Drain Tile Other
Roof ~G [ce & Water Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
~ Framing _ Siding SNCCO Stone
Fireplace _ R.I. _ Air Test _ Final _ Wmdows (new/replacemen[)
Insula[ion _ Retaining Wall
Approved By Building Inspector
Base Fee
Surchar9e O = 3'~ %aj , o a
Plan Review
MC/ES SAC ~ x (o ~ S~{. D o = Z S 1 I, o°
City SAC
Utility Connection Charge
S&W Permit 8 Surcharge
Treatment Plant
License Search
Copies
Other
Totat
Permit Number
REScheck Compliance Certiticate Checked By/Date
2000 Minnesota Energy Code
REScheckSoftware Version 3.5 Release lc
Data filename: UntiUed.rck
TITLE: Laundry Addition
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 05/13/03
DATE OF PLANS: 4-30-03
PROJECT INFORMATTON:
Bill Wirsbinski
3675 Woodland Trail
Eagan,Mn 55123
COMPANY INFORMATION:
Hegge Custom Homes
Steven Hegge & Co. lnc
3651 Woodland Trail
Eagan,MN55123
651454-1622 Ce11 6 12-804-3 100
COMPLIANCE: Passes
Maximum UA = 17
Your Home UA = 12
29.4% Better Than Code (UA)
Gross Glazing
Area or Cavity Cont. or poor
Perimeter A-Value R-Value U-Factor UA
Ceiling l: Flat Ceiling or Scissor Truss 44 38.0 0.0 1
Wall 1: Wood Frame, 16" o.c. 104 19.0 0.0 5
Window: marvin: Wood Frame, Double Pane with Low-E 12 0.280 3
Floor 1: All-Wood JoisUTruss, Over Unconditioned Space 44 30.0 0.0 1
Crawl l: Masonry Block with Empty Cells 52 20.0 OA Z
Wall height: 4.0'
Depth below grade: 3.5'
Insulation depth: 4.0'
Proposed and Maaimam U-Factor Averoges
Proposed Maximum
Average U-Factor Allowed U-Factor
Above-Grade Windows and Glass Doors 0.280 0.370
'
.7l?VEY0R'9 CERTIFICATE eURR OAK BUILOERS, INC.
EAGAN
~o ~?~o~ sY REVI ED
_ ING INSPECTIONS L?EPT.
897.6
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DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT ScT SCAL=: 1 INCH -30 FE =T
• DENOTES IRCN MONUMcNT FOUND PROPOSED GARAGE FLOOR -(i99.8 FcEf
X000.0 DENOTES EXIS i ING ELE`JATION PROPOScD LOWEST FLOOR - e4 I • 4- F~_ `T
(000.0) DENOTES PROPOSED ELEVATION PFCPCSED TOP OF BLOCK - 400.2. FcET
W'E HEREBY CERTIFY TO BURR OAK 9UILDERS, INC. THAT TrIS IS A TRUc AND COFIRECT
REPRESENTATION OF A SURVEY OF THc BOUNDAnIES OF:
Lot 3, Block 3, THE WOODLANOS, ecccrtirg to the recorded
plat thereof, Ockota County . Minnesctc.
IT DOES NOT PURPORT TO SHO`N IMPROVcMENTS OR ENCnOACi-iMENTS. EXCEPT AS SHOWN. AS
-40,Szq
~ For Office Use I
City of Eaian ~ Pe"it #
~ ,
~ Permll Fee~"7~ I
3830 Pilot Knob Road
I
Ea an MN 55122 ~
y I Date Received: ~
Phone: (651) 675-5675 ~ i
Fax: (651) 675•5694 ~ stan:
~ _
2008 MECHANICAL PERMIT APPLICATION NOV 14 2008
Date: Site Address:
By-
Tenant• Suite
RESIDENT/OWNER Name:B/4G Phone:6S1-qiS-9087
Address / City / Zip:.3(o76- ldbo0z-~ p TQC..
CONTRACTOR NameQ1J~ ~ocNe N~c~RT,N, ~ ~I2 License " LT 5~;~3t-F(v2
Address:/20(( 1166W141-lnrU 57-
City: ~7-STiN~ S State: l~ Zip: S~'~3
Phone: y1y7 Contact Person: •
TYPE OF WORK - New -~j Replacement _ Additional _ Alteration _ Demolition
Description of work: ~~~%L-t4GC f-c.Kv?/+c~ i/rv ~~s~of.uriaFL
NOTE: Both root mourtted artd ground mounted mechanicaf equipment is required to
be screened by City Code. Please contact the Mechanical Inspector or one of the ,
Planners for informafion on ermitted screenin methods.
PERMITTYPE RESIDENTIAL COMMERClAL
~ Furnace - New Construction _ Interior Improvement
Air Conditioner _ Install Piping _ Processed
_ Air Exchanger - Gas _ Exterior HVAC Unit
' HVAC units musl be screened
_ Heat Pump Under / Above ground Tank Install Remove)
Other " When installing/removing tank(s), call for inspection by Fire
Marshal and Plumbin Ins ector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fire fepair (replace burned out appliances, duciwork, etc.) (includes $.50 State Surcharge)
$ 6-0 'S0 TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x i%
$50.50 Minimum (includes State Surcharge)
_ $ Pe"it Fee
- If Permi F.U is less ihan $7,000, surcharge is $.50.
- If Pertni Fee is >$1,000, surcharge increases by $.50 for each State Surcharge
$7,000 Pe"it Fee (i.e. a$7,001-$2,000 Pe"it Fee requires a$7.00 surcharge)
$ TOTALFEE
I hereby acknowletlge ihat Ihis informahon is complete and acarate, [hat ihe work will be in conformance with the ordinances antl codes of Ihe Cily of Eagan; Ihal
I understand Ihis is not a permit but only an application for a permit, and work is not to statl vnfhout a permit; ihat Ihe work will be in accordance with the approved
plan in Ihe case of work which requires a review and approval of plans
X X fe"
Applicant's Prinie Name ApplicanPs Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough In Air Test Gas Service Test In-floor Heat Final
City of Etan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: A/Ne►►1k a 1b zc12 Site Address ...3C 7S Wood I cies 'Tr.), ! Ett ctn 1 rn,tl :-.512.3 Unit #: A/ % ft
Name: • 11 F Ct,rul W;r3b nskr Phone:
RESIDENT /
OWNER Address/City/Zip: 34,-7S 1Al.-L41!''nI rr-c„ 1 , Ea, ge1n, Ma'5-1Z3
TYPE OF
Applicant is: Owner A Contractor
Description of work: Ajew w ; n C L4,v
Construction Cost: 41 `i , 900 Multi -Family Building: (Yes / No
Company: MAG ,,.«
Address: 17 c5 S C;oc r/L ,,..) Ave,
License # RC yI b(v1 ci Lead Certificate #: 0 713 75%
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: )J 1 A Phone:
Mechanical Contractor: t 1 Ik Phone:
Sewer & Water Contractor: 10 1A Phone:
NOTE: Plans and supporting documents that you submit are considered to? be public information Portions o
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the 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 of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
Actin %rr rh
Applicant's Printed Nalfie
x
Applicant's Sigifature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168258
Date Issued:04/14/2021
Permit Category:ePermit
Site Address: 3675 Woodland Tr
Lot:3 Block: 3 Addition: The Woodlands
PID:10-75875-03-030
Use:
Description:
Sub Type:Reroof & Windows/Doors
Work Type:Replace
Description:
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. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
*Roof permits issued between December and March will be inspected in the spring or when weather warms up.
Valuation: 10,000.00
Fee Summary:BL - Base Fee $10K $191.75 0801.4085
Surcharge - Based on Valuation $10K $5.00 9001.2195
$196.75 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 -
William F & Carol A Tstes Wirsbinski
3675 Woodland Trl
Eagan MN 55123
Garlock French Roofing
2301 E 25th St
Minneapolis MN 55406
(612) 722-7129
Applicant/Permitee: Signature Issued By: Signature