3579 Woodland Tr
. INSPECTIDN RECORD
CITY OF EAGAN PERMIT TYPE:
` 3830 Pilot Knob Road Permit Number:
, Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: ~ I I i t . I I , : ~ • , , (1 14 k' C ~ APPLICANT:
f i + t;t <<1 ~
;1,.,1-! ANIi Itt iin .1 MAVt
~i~ , . ~:i, . •~I;~ ~ ,i . ,
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .
•'f~hl l t!~. r ui~! t P~li,
~'1 Mnli1 11 ~I iii. hl(51 1!I! ~i fll?HEI I`~ i I
~ - ~
~ ~
, Pertnit No. Permit Holder Dats TNephone #
ELECTRIC 6,(`QgQ O 00
, PLUMBI 9 7 5 4z3-
HVAC 127Y,2&liu C /0 ~ ~
InspecUon Date Insp. Comments
FOOTINGS
l
FOUND
FRAMING
,,drecr.r
ROOFING
ROUGH
PLUMBING
AIR TEST
ROUGH
HEATING p-S L
GAS SVC j~ 1 f
TEST - ~
!0 /-~~-y
INSUL
Ee - -
GYP BOARD
~ FIREPLACE
FIREPIACE ~
AIR TEST
FINAL PLBG d'~'~ ~ l cV d~- l
rrY w(r /.0• ,n eQ~rK Goa A
FINAL HTG
ORSAT
TEST u~
BLDG FINAL ~ .
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FlNAL
Wertificate of Cccupanc~ ~ ~it~ o~ ~agan .
~rt~ccNt ~('r ~~[ii~g ~N~pcrtion
This Cenificate issnerl purauant to the requirements of the Uniform Building Code
certifyiRg that at lhe tinee of rssuance this structuie was ia compliance with the various
ordinaitces of tJee City regWating building construction or use. For the following:
Llse QicsificaioASE Q@1~'~ Bldg. Permit Na. 26158
OC-w--r Type R3/t)1 z,on;,g o;,o;a R 1 rype cmst. VN
OWWO(8,;1&,~C JLH ON OCl'b~TIQd ,~,,,~~P.O. HCQC 21327, F1~',~1N
e, eami,g ,4aa=3579 WOOULAPID IRAII. B38 IHE WOOfJ[ANID6 41H
< <
Date•
POST IN A CONSPICUOUS PLACE
,
. i
~ . a ~ . . ~ _ , . . _ . ~ ~Sfi
Address 3579 WOont.ANm rttAIr, Zip 5512 3
Lot 9 Blk 3 Sub lHE wOODI.E1tIDS 41H
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector: e
Final grade (6" from siding) ~
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway ?
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish ~
Deck
Please verify with lhe builder the removal of roof test cap.c from the plumbing system and the shutoff of water suppty to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 6814645 before working in righbof-way or installing underground sprinkler system. ~
While - City Copy Yellow - Resident Copy Pink - Contractor Copy
ii17 FS ~4?' ~
oo4oso~ ~lo°°
Requaei oala FVe No. Rough-In Ir~specNon Reyulretl Ins eotlon Otber TM1an RougRln
p (VOU ust call inspector when reatly) g Ready Now ~ Will Notily Inspector
9•~~+ /--C~ ~ Ves ? No Date Reatly
IN licensed contractor ? owner hereby request inspection of above electrical work at:
Jab AdAress(She{e~t, Box oe F/au~te No.) Ciry
~s GG~OOG'-./1NLl I~P. ~i96/fN
Section No. Tovvnshlp Nzme or No. Range No. Cou/n,[Jy
KD 779
Occu ant(PRINT) / /I Pho~ne /Na. /
~l DldrvJ 0/v C. o iv _ri-'e ~ c, r o~v 7 d/ ~~0 7 a
Power upplier Addrass
Ko ~ LA CT,~°,cr F/fiP/VrrvG 172~ N
Elact'cel Contrac(or (COmpeny Name) Contraotor's Llcense No.
/t's~ C- _T,j L QX 0 /~/32
Malllny Atltlress (COnlraclor ar Owner Making Installallon)
, 0.' ~o;.
Auhorize nature (COntrfldor/0wner Making Installallon7 Phone Number
n.e `P'_5 3 -I `!G G
MINNESOTA STATE BOARD OF EIECTRICITY II pI1N ~Iry1I THIS INSPECTION REOUEST WILL NOT
Griggs-Midway Bldg. - Floom 5428 Ip lu B~I I I1I .II I III I II 6E ACGEPTED BV THE STATE BOARD
1821 University Ave., 51. Vaul, MN 55104 11 ~I ~lU III j II UNLESS PROPER INSPECTION FEE IS
VM1One I9121 662AH00 N ENCLDSED.
/J REQUEST FOR ELECTRICAL INSPECTION eqe-a~o1aoi-os
~~/(/9~ ~ See ins~mctions lor comple[ing thls form on back oi yellaw copy. s~ Y-/
A T l
u 064 0O Q °X"6@low Work.P,uered by This Request
Ne Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. 8uilding Dryer Load Management
Comm./Industrial Furnace Other (Specit )
Farm Air Conditioner
Dthar (spacity) Convactors Remii'.
Compute Mspecfion Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps ~Q 0 to 100 Amps O
Transtormers Above 200 Amps Above 00 -Amps
SignS inspecmrs use Oniy. TOTAL
J>,4SC)
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rouyn-m ^ oala,
O`
certity that the above inspection has F~nai oa~e/
been made.
OFFICE USE ONIV
This request voitl 18 monlhe fmm
CITY OF EAGAN PERMIT U410
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 026158
(612) 681-4675 Date Issued: 0 8/ 15 / 9 5
SITE ADDRESS:
3579 WOODLANp 7R
LOT: 9 BLOCK: 3
THE WOODLANDS 4TH
P.I.N.: 10-75879-090-03
DESCRIPTION:
Building Permit Type SF DWG
Building Wo7rk Type NEW
%~UBC Desupancy~~ R-3 U-1
Canstructian Typ,e V-N
Zoning R-1
Building Length 73
Building Width 48
Building 5tories 1
J` 3qbare Feet 2.699
.
. - I
REMARKS:
S& W PLBR - MATTHEW DANIELS PLBG
FEE SUMMARY:
VALUATION $162,000
Base Fee $1,197.25 MI3CELLANEOUS $1y892.50
Plan Review $419.04 Tatal Fee $4,439.79
Surcharge $81.00
SAC $850.00
SAC % 100
SAC Units 1
Subtotal $2,547.29
CONTRACTOR: - Applicant - sT. LIC. OWNER:
JOHN50N CONS7, MARK 14511676 0003288 MARK JOHNSON CONST
P 0 BOX 21327 P 0 BOX 21327
EAGAN MN 55121-0327 EAGAN MN 55121
(612) 451-1676 (612)451-1676
Z hsreby acknowledge that I have read this application and state that the
information is cvrrect and egree to comply with all appYicable State of Mn.
Statutes and City of Eagan Ordinances. APPLICANT/P RISSUED B SI ATURE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: B U I L D I N G
3830 Pilot Knob Road Permit Number: 026158
Eagan, Minnesota 55122-1897 Date Issued: a 8/ 15 / 95
(612) 681-4675
SITEADDRESS: P.I' N. : 10-75879-090-03 APPLICANT:
LOT: 9 BLOCK: 3
3579 WOODLAND TR JOHN50N CONST, MARK
THE WOODLANDS 4TH (612) 451-1676
PERMIT SUBTYPE: TYPE OF WORK:
SF DWG NEW
INSPECTION . D•
FOOTINGS FOUNDATION
FRAMIMG ROOFIN6
INSULATION FIREPLACE
ROUGH IN PLBG ROUGH IN HTG
FINAL PLBG FINAL
REMARKS: S& W PLBR - MATTHEW DANIELS PLBG
~
F
. _ ~
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 ~ ~ '1 • ~'1
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) n
681-4675
New Construation Reauirements RemodeVReoair Reauiremenla
? 3 registered site suneys ? 2 copias of plen
? 2 copbs of Dlans (inUude beam & window sizes; poured Md. design; etc.) ? 2 atte surveys (erzterior additiorro 8 tledcs)
? 1 energy calculafions ? 1 energy calwlations for heated add'Rlons
? 3 coDie$ of tree preservationy lan if lot platled after 7l7193 raquired: _ Yes JC No
DATE: -02$ - 95 CONSTRUCTION COST: /101o 0 0.o 0
DESCRIPTION OF WORK: -Mcw G.naL.lia.. S~n~v Fo.~.~r~; (v
STREET ADDRESS: 357y WeoJ l" 7'r,; (
~oT ~ BLOCK 3 SUBD./P.I.D # e~O°0~1Own~S
PROPERTY Name: Jatnnse.. M.-~C ~ Phone
OWNER
Street Address*
Ciry: State: Zip:
coNrRAC7oR Company: Ma,J( J"sen t,e,4e4- Phone 4TI-167`
Street Address: p. e• gok c113o'!7 License 3*1$7"
City: 9!aa•.r• State: M~t Zip• Ss
ARCHITECT! Company: Phone !5')o -ROYB
ENGINEER
Name: Registration
Street Address*
City: State: Zip:
5ewer & water licensed plumber; /haF~ew tjo~. o-t s . Penalry applies when address change and lot
change are requested once permR is issued.
I hereby acknowledge that I have read this appiiption and state that the informatlon is correct and agree to comply with ail
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY ZYes RECENED
Certificates of Survey Received J U L 2 $ 1995
Tree Preservation Plan Received _ Yes ~
OFFICE U5E ONLY
.s "4~~ L:..4,:w.Tl+.
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish
6z~- 02 SF Dwelling ? 07 4-plex ? 12 Mufti RepaidRem. ? 17 Swim Pool
? 03 SF Addftion ? 08 8-plex ? 13 Garage/Accessory o 20 Public Facility
0 04 SF Porch ? 09 12-plex 14 Fireplace ? 21 Miscellaneous
0 05 SF Misc. ? 10 = plex o 15 Deck
WORK TYPE
ji'31 New o 33 Aiterations o 36 Move
0 32 Addition o 34 Repair ? 37 Demolition
GENERAL INFORMATION •
Const. (Actual) -L;C- N Basement sq. ft. MCM/S System GC
(Atlowable) --Lr-,v Main level sq. ft. 4,7ga City Water oC
UBC Occupancy 3 u-i sq. ft. Fire Sprinklered
Zoning !Z-/ sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length _Z sq. ft. Census Code. /o/
Depth 1~116 Footprint sq. ft. Z
SAC Code ~
Census Bldg _L
I S„~ 40 Census Unit
APPROVALS
Planning Building Engineering Variance
Permit Fee Vaiuation: $ C'OD ~
Surcharge
Plan Review
License
MC/WS SAC rb '14a
City SAC ~Z ~ sv (GVC _
WaterConn. ysxrY = /?.f ~Zrb~ '
Water Meter
Acct. Deposit (~.s" G6 ~ 7s5 (y•zsx/•~ ~
S/VN Permit
S/W Surcharge
Treatment Pi. g,yr > 1 za ~/y
Road Unit ~ F~s g 9 ~
Park Ded. r2. s= L~,r• =z n,cs. r= ~8
U
Trails Ded. ! x,?s 7.57 ~r
~oo KSy'-
Other q y99 x is ° 7,Y~S1
CoPies
~dSgy~ ~ lyiskas=
Total: '
C r~ 3 ~ 37r
% sAC 1200
SAC Units Z z x 7 y ' 7°y
s) x 7 Z.
~q.afYi.Y~ ' , ~
~/71~ / CV f~ y K zo ' s~ /l
Q ZO
07i20i55 13:45 002
s+• t+ ' i
¦,,.~a , 3579 WOObLAND TRAIL I
i
~
CERTIFICATE OF SURVEY ~
For MARK JOHNISON CONST. ~
~
. ;
;
~
PROPERTY DESCRIPT[ON: L-ot BIOCk 3,THE WLiODL.AN[]S
FOURTH ADDITION Dakota Gounty,, Minnesota. i
i
We hereby certify thflt this is a trua 8nd corfect suNey of the ebove descxibed property and that It was ~
pertormed by me or under my direct supervision and that 1 am a cluly Llcensed Surveyor under the
laws of the State of Minnesota. This survey does not purport to show all improvements, easements
or encroachments, to the property except as shown thereon. ,
EAGAN
Signed this• IT' day of MA"A I'1 E D James R HtU, lt1C.,
P"',t ( L . ~ ~
~ . 8y'
~ • YMORT , LAND SUK'VEYOJt
E) J MiNNLySCYI'A LICEI35E N0. 21401
^ ' a~'r~V Qa . 1?1lV(' DF~'J,'
Nates:
1. Bui{ding dimensions shown are for 0 flenotes set Iron monument
• Denotes found iron monument
horizontal & vertical location of siructure only. X 927,68 penotes exisbng eievaeon
See architecturai plans br building 8 (930.00) Denotea proposea eteveaon
fOUndHtIOC1 tlll11@tlSloflS. -----40~ Denoles proposed drelna8e
2. No speoific soils Investigation has been g811Ch Mafk: 812,78 - TNH AT COR. LOTS s a r.
compieted on this lot by James R. Hiil, Inc. eLocK s.
The suitability of soils to support the spectilc Praposee cerege Ftoor= 909. 9
house proposed is not the responsibility of Proposed House 7op Block= . 9ro..1 _
James R. Hill, Inc. or the surveyor. Proposed Garage Top Blocka 9101 3
3. Proposed grades shown were taken from Pro ~W~ F~~~ 9a ~
the grading &/or development plan prepared by Bearings are an assumed datum
B FtW Scale: i 30'
Page 1 of 2
A o
James R. Hill, inc.
o ~ ~
W0~ p~ m~ Z
a D PLANNERS / ENGINEERS / SURVEYORS
y W
O m f 2500 W. CTY, RD, 42 t BURNSVILLE, MN. 55337 # 612-890•8044
~
. '
wo 003
357y WOOGLAND TFiAIL
,
SUIRVEYOR'S CERTIFICATE MARK JOHNSON CONST.
WOOD LA N D TRA r.
L
480.
=N-89~=53`3Q"W 9062 J06.3
15.33 i 4 t~ 9 Z4' sois
eos.e~ ~ ~ ~ 1
1a.
O ISAN,
SERV. A,~R e,~7g0
9ENCH MNRK ERV,. ' $
TOPOPPtPE
ElEV,.907.37 ~ r?~ '~'A"°,opsE'G d , •a
• ~~ora r0 ~o "~'1"p?~uc
8.8r -_i C'~~ ELEV..908.08
EHIWSEG
oa,.~ hduse e
N~ ~ JN a
• 899.3 ~ ~k 902,3 ~ h dEC~ , ~x~~ o .
,
g~ v~899`.6
y ~
y o
~
r1
I 0',' g
~ L OT / eso.4
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c~o "P9
1 A ~y
'10
;p F \ ~ POND JP-61
NWL=864.0
~ $sFS HWL=876.0
DFtAINAOE 6 UTILITY
EASIEMENT PER PLAT
0~~
Cc ~
~ O m o ~ O T~~ W D y James R. Hil1~ i1 1c•
a~ o m-~' a A m0 Z PI_ANNERS / ENGINEERS / SURVEYORS
~ . p m u~i (~7i t
E
N ' 2500 W. CTY: RD. 42 9 BURNSVILLE, MN. 55337 • 812•880•8044
' • LOT SURVEY CHECKLIST FOR RESIDENTIAL - °
~ o BUILDING PERMIT APPLICAT N
J N ~
5: PROPERTY LEGAL; o - ~
J H ~ ~
~ a m DATE OF SURVEY:
W 1~
LATEST REVISION: 7 / / 9S
U 1~ y
c: O ~ ~Tr I
DOCUMENT STANDARDS
2"'o 0 • Registered Land Surveyor signature and company
bb7"13 13 • BuiidingPermitApplicant
M"o ? o • Legaldescriptlon
W'? ? • Address
~ o c3 • North arrow and scale
W-" 13 0 • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
dr"~O 0 • Directional drainage arrows with slope/gradient %
470 0 • Proposed/exdsting sewer and water services & invert elevatlon
~ • . Street name _
O O • Driv6wey
ELEVATIONS
~ 'sdn
~ ? • Sewer service
?m" a ? • Property comers
? p ? • Top af curb at the dr(veway
~ o 0 • Elevations of any ex(sting adjacent homes
Pro os
0 • Garage flaor
~o ? • First floor
0 • Lowest exposed elevation (walkoudwindow)
t1r 13 O • Properlycomers
? • Front and rear of home at the foundatlon
PONDING AREA fif aoolicablel
~0 C3 • Easement line
M,-'C3 0 NWL
~ ~ HWL
, o y • Pond # designadon
? • Emergency Overtlow Elevatlon
DIMENSIONS
e~O ? • Lot lines/Bearings & dimensions
G-`0 ? • Right-af-way and street width (to back of curb) •
[9~ ? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2',
porches, etc. (.e. all sVuctures requiring permanent faotlngs)
? • Show all easements of record and any City utilides within those easements
? • Setbacks of proposed sVucture and sideyard setback of adjacent existing structures
? ? • Retaining wall requiremenis ny
Reviewed: ~!41 gi_
me / Date
Juy 1995
10 11
30' B-B 12
10 ~ -
I
13 - i
I
34' 9-8
MH4 i MH8 M
M
r ~
0,-
?
s~ X 6~ TEE 6" X 6" TEE
12'-6" DIP CL52
HYDRANT 6" x 6" TEE
6" R$V 8'-sp DIP CL52
~
s ~ I 6" - 11 1/4° BEND HYDRANT
I ---?--1-- ---8--- ----9 - 10
-
6" - 22 1/2° BENO 11
_ _ _ _ _ _ _ _ _ _ _ T _ Z _ _ _ - •
_ _ _ _ _ _ _
- - - - - - - 6FiLV{V 0- ::AGA(1~~~ S NOT ~'iUARANI', 0 = 41°48 290
~ R = 5T0.27
I 'FHE ACCURACY OF TILITY LOCATIO(V L= 37234 '
~ AM~ Di-? ELEVfdl'IOfUS. HIS DATA i-S F -
1 ~1:AA`i ION PURP SES OidLy P, D
~ PE910ir'S USIiVG IT OULD VEF;I; Y riE
I IV
'F aWA"tfORl ON THE ITE.
WARNING !!i . ' .
APPROXIMATE LOCATION OF o• 6" - 4:
WILLIAMS BROS. GAS PIPELINE a~p6~,~,5
:::::::::::P~ STA5+59:48
: .
. . . . . . .:::::::::::::::::::::::::NIGH POfMt-EL~V:°:908:34::........
PVI:EI:EV 1-i :910:13 : .
. . . : . . . . . : . . . : • . . . . . : : . . . . . . . . . :LOW: POINT:ELEV 906:84 : : : : : NjGM POINT STA = 8+65.85~ : : ' :
t00.00' VG 4OW:POtNT STq =:7±27 $0:
: . . . . . . . . . . . . . . . :P1/l: STA 7+09:4$ : : . : PVf £LE!f = .908.94: : . . : ' . :
`
ap. . . . . . . . . . . . . . . . PYI :ELEV :906.08 . . .
. . . .
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. . . :RE: 909:20 E~45T 1~--1642-8 . . CA5T R-1642*-8
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. I.E :894;44:::::::
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El(TERIOR ENVELOPE.AVERAfF. "U" CONPUTAjION
ant,fa: d'/I~..,,k \a~~~c~,ws-t-~-
SITE AOORESS: T.-;,` (
COHTMCTOR: Mc K.'.~-~r~ca.- DATE: 241s, (9S PHONE: C/s~-/.[~;7(n
i DETERli1NE 410RKINf SQUARE FOOTAGE OF EACH:
1. TOTAL EXPOSED liALL hREA,,,,,,,, ~j2~J /,ZS sq ft x"U"
2. TOTAL ROOF/CEILiNG AREA,,,,,,,, Z I-]I , dD sq ft x"u" •026 _ C-o,~-j
TOTAL EXPOSED WAII AREA CALCULATIOtlS:
Total exposed wall
•rea above floor,,,,,,,, 7~ sq ft
a) Tota) wall window area: '
"7
4lazed...... sq ft x"U"
-r qlazeA...... sq ft x l.u.,
b) To[al door area , , , , , , 77, Z/Z' sq it x "U"
c) Total sliding qlass door area:
LOU'i ~q?aznd...... 17 f' sq ft x~~U" ~2 . r'J~i~SO
.
qiazed...... sq ft x nUtf
d) Total fireplace wall area sq fC x"U" ~
e) Total wall framinq srea
(Averaga 10t)..... sq ft x U )
f) Total nat wall area a6ove
ftoor (InsulateA)
1, 2-vr~ sq ft x"U" '~3 •~~•U~
q) Total rim Jolst area...... Zsq ft x"U" ~,~i
Totel faundatlon ztCp•DU
area (Exposed)......... sq ft ,
h) Total foundatlon
. wlnQow area............. sq ft x"U" ~ -
I) Total net foundatlon ' _ ~p
area above qrede........ 2( ~~U sq ft x"U" 9`T . 22~4~0
3. TQTAL a) thru i) - 3F71
~
If item ?'7 ts the same as, or less than ftem pi, you have met the intent of
S.R.C. Sectlon 60Qf+ (c) 2.
~._,,..~.~...__..~..__..,.-.~....r....__..._..__.___^^-_._~
. ~
_ , .
• 4, TDTAL EXPOSED IlAOF/CEILINf, CALCULATIQNS:
Total exposed 21 71 vv s
roof/celling area......,. ~ q ft
J) Total skylfaht area....... sq ft z"U^
k) Total rooF/celllnq framing ~L~ 0 1 ~OZ~
area (Averane IOT,)...... 7•~ sq ft x U'
1) Total net Insulated ilii
roo//cellinq area....... eq ft x U i
TOTAI .I) thru 1)
If tota) of #4 fs the same as, or less than F2, you have met the Intent of
S.B.C. Sectlon 6046 (c) 1. „
,
ALTEHIIATE BUILDItIG ENVELOPE DESIGN
To utll(ze the total envelope system methoA, the values establlsheA by the sum
of ttems 07 and #4 shali not be greater than the sum of Items fl) and /2.
1. + 2.
3. + 4. ~ .
C E R T 1 F I f. A T I 0 H
I hereby certlfy that 1 have calculateA the "U" factors and "R"
values hereln anA that the buildinq here Ar.scrlheA meets or exe ds the State
of Nlnnesota Enerqy Conservatlon Act. ~
V
. qnatu?e
~ ~ 9S
(Date) '
~9~~e
CITY USE ONLY
L 7 BL ~ RECEIPT # a~
SUBD. DATE:
1995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
• (612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
X New construction Add-on furnace
Add-Urt 21r Ccnd!t.j01ii5g ~ i+[Sd-On 81P eXG5a1 j8i, i.c. v5ii8c aVaiefll, ZtC.
Date:
FFFC
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU --6-.N
? Gas Outlets (minimum of 1 required @$3.00 each) (4) la• 00
? State Surcharge .50
TOTAL ~ • ~
SITE ADDRESS:
OWNER NAME: PHONE
INSTALLER NAME:
STREET ADDRESS:
~
CITY: STATE: ~ ZIP: ~
PHONE ((a~1'~) 95 (4'eDEED ~ C
SIGTJATQR'
cirr use oNLv
L _ BL _ RECEIPT
SUBD. DATE:
1995 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commercial/industrial buildings.
? muRi-family 6uildings when separate permits are ~ required
for each dwelling unit.
unjE: _ CvN i RAC7 ?RICE: _
WaRK TYPE: _ NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: o $25.00 minimum fee pL 1% of contract price, whichever is greater.
• Processed piping - $25.00
• State surcharge of $.50 per $1,000 of pgrmit fee due on aIi permits.
CONTRACT PRICE x 9%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
51: EE AuG'i :t5S: .
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
PHONE
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
L9 gL ~ CITY USE ONLY RECEIPT
SUBD.r i ~f~i,dLo 46~-- DATE: 4/2 ~5
1995 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH NO. TOTAL
Shower 3.00 x I = 3•(Ju
Water Closet 3.00 x 3 = ci .('y-)
Bath Tub 3.00 x I _ .c27
Lavatory 3.00 x 4 = 11)
Kitchen Sink 3.00 x 1
Laundry Tray 3.00 x 1 = .~c
Hot Tub/Spa 3.00 x t
Water Heater 3.00 x Z = ~.o •c~
Floor Drain 3.00 x ~•LO
Gas Piping Outlet * minimum - 1 3.00 x
Rough Openings 1.50 x
Water Softener 5.00 x =
Private Disposal " Dakota Cty. license 20.00 =
U.G. Sprinkler * home under const. 3.00 =
Alterations " to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL ~C'~ •C~
SITE ADDRESS: 3529 wL-Alo,11''1 Tr.
OWNER NAME: V115'Cb(11(10
INSTALLER NAME: ~~MI ~C1.C11P~.S InC.STREET ADDRESS:
CITY: ~O~QXS1Q~.(1~ STATE:ZIP:
PHONE ( (.Q ~L) JALa , ?~~l
Sf T
OFFICE USE ONLY
L BL RECEIPT
SUBD. DATE'
1995 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for. ~ all commerciallndustriai buildings.
~ multi-family buildings when separete permits are D41 required for each dwelling
unit.
DATE: CONTRACT PRICE:
kiVC?RK ry.°E;
_ !:R"^^"'STR''CTIOtJ i~u OiJ RCPAiR
DESCRIPTION OF WORK:
IS WATER METER REQUIRED? _ YES _ NO. IF 50, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? YES NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of ermit fee due on all permits.
CONTRACT PRICE X 1%
STATE SURCHARGE
TOTAL '
SITE ADDRESS:
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
PHONE SIGNATURE:
APPLICANT
OFFICE USE ONLY
METER SIZE: DATE: INSPECTOR:
LOT 1- BLOCK -j- SUBD.
RECEIPT # 620146 DATE /
1996 CITY OF EAGAN
IRRIGATION PERMIT (FOR BACKFLOW PREVENTER) '
COMMERCIAL INSTALLATIONS: FORM MUST BE COMPLETED BY LICENSED PLUMBER ~
Date: :2-3 -ZCO _ Commercial GPM
_ Residential (boulevards) GPM
_ Existing residential
Area/address to be irrigated: 6)t-J/ 1~,-
tnstaller~, t ~Yn-C~-~n~.~ Owner ? Plumber ~ .
Street address: 17 43 5 {q-v e
City, state & zip coded i 4A~-k 55y47 Phone 7~'
c
Owner Name•
Street address: 7 c?
City, state & zip code: :a-oa..--- Phone
Irrigation contractor, if different than installer:
U
Telephone
I hereby ackaowledge that I have read this application, state that the information is correct, and agree to
comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property
owner that the City of Eagan assumes no liability for any damages caused by the City during its normal
operational and maintenance activities to the facilities constructed under this permit within City
propertylright-of-way/easement.
Applicant's i nature Title
Approved by: Date: 7 -
PRV ? Yes ? No New service ? Yes ? No
Meter 5ize & Cost
S~
Fees due: a~ ' l ~ Calculated y • f~
~~y X l"
~ 6 - 2- W
7Zo-4~9 PVfl go
PROCEDURE FOR IRRIGATION SYSTEMS - 1996
An irrigation permit j$ required - please contact Protective Inspections at 681-4675.
Fees
Commercial project: $25.50 irrigation permit to cover installation of backflow preventer.
$50.50 water permit fee only if new service is installed.
$300.00 per tap if installed by City.
Residential project: $20.50 irrigation permit to cover installation of backflow preventer.
$50.50 water permit fee if new service is installed.
$760.00 oer connection - WAC.
$396.00 per connection - water treatment facility.
Existing residence: $20.50 irrigation permit to cover installation of backflow preventer -(not
required if backflow preventer previously installed).
Meter charge: If gallons per minute are less than 25, a 1" meter will be required at a cost of
$182.00. If gailons per minute are m4.Ce than 25, a 2" turbo with strainer will
be required at a cost of $822.00. This information is to be supplied by the
designer of the system.
No meter will be sold before all sewer and water inspections are complete on a new service. If new
service lines are not req iu red, one check may be written for meter and permit costs. Receipt will be coded
to 20-3716 (meter portion only) with pink copy forwarded to Utility Billing Clerk.
The installer is to contact Protective Inspections at 681-4675 for inspection of the inside water line and
backflow preventer. The Public Works Department may be reached at 681-4300 for water turn-on and set
and seal of the meter. Inspection hours are 8:30 a.m. to 3:30 p.m. Monday through Friday. Requests for
A.M. inspections should be made on the preceding work day. Requests for PM inspections will be accepted
until 12:00 noon.
~
City of Eaaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Permit #: 740 /
Permit Fee:
.Date Received:
Staff:
2010 RESIDENTIAL BUILDING/PERMIT APPLICATION
Date: 3 Site Address: &Od.9 f t
Tenant: G 4.4( Gdet 4.84 4, 7 I
Suite #:
RESIDENT / OWNER
Name: '/Zee /r f o � �� z
Address / City / Zip: 3 s",-.9 1.Jovv , g. •
Applicant is: CirOwner Contractor
Phone: C/2 - 34c . fl -f'6
/11.4
TYPE OF WORK
p P
Description of work: 'e S
Construction Cost:
Multi -Family Building: (Yes / No(
CONTRACTOR
Name: %`0 /'WAN 464*4„5 License #: 20J '' 2 iT Vii%
Address: 7",,,r1 16' c Asp- C City: (4 4 ✓s: L t..1
State: "I Zip YPhone: ?S Z -77J ".
Contact: g/,/ ufy Email:
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:
NOTE: Plans and supporting documents that you submit are considered to be public information.Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Cali 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 i hat the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x e/o
Applicant Printed Name
City of EaRail
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
V.00 vj6b4 Li tDc7 fl
k e-GLUC a LAOK InK
For Office Use
Permit #:
Permit Fee:
60.00
Date Received:
Staff:
/(?-/)
2012 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
Date:
Tenant:
1 / 151 1 2- Site Address: 1 (kO (
C� VQ, d- Yl 1 lay 1 Le _ LAA- I -e.r
IRESIDENT / OWNER
CONTRACTOR
TYPE OF WORK
PERMIT TYPE
Name:
Address / City / Zip: .2)S.19 fiV O oc41&fl d Ti - L . • oil 11V11) S S 1D-3
Suite #:
ve - -tv t (e RUTH. f - k- Phone: LQ- 12 3 Lo-
CONTRACTOR
o-
14-1)1_11/
�,.�
Name:DO I'/I t' t"I V ..V a, -h License #: i 22-0 OD
Address: 19 b'4 AMC( O " . `, C City:
i S1-0195
State: Zip: Js � Lo S-33 Phone: )— ` 2j7 . q 2G-1 v 2ta
Contact: • /ILA Email:
avec otle lou'
Imo'
-Replacement A-dditionai
Alteration
Demolition
Description of work:
NOT€: Roof rticunted and ground mounted- mechau ca[ eyu piiient isrequired to be screened by`Cityi
Code Please contact the" Mechanical Inspector for information;on permittedscreening methods.•
•
I RESIDENTIAL FEES:
$60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
COMMERCIAL FEES:
$75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x 1%
$60.00 Minimum (includes State Surcharge) = $ Permit Fee
- If the Permit Fee is Tess than $10,010, surcharge is $ 5.00 = $ Surcharge
- If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee
(i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) = $ TOTAL FEE
RESIDENTIAL
Furnace
Air Conditioner
Air Exchanger
Heat Pump
Other
New Construction
Install Piping
Gas
COMMERCIAL
Interior Improvement
Processed
Exterior HVAC Unit
Under / Above ground Tank (_ Install / Remove)
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before
you intend to dig to receive locates of underground utilities. www.aopherstateonecall.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.
Y �� Phis
Applicant's Pri ted Name
x
Applicant's SignattCyt`e
FOR OFFICE USE
Required Inspections. Reviewed By: Date:
Underground Rough In Air Test Gas Service Test In -floor Heat Final" HVAC Screenin7
Use BLUE or BLACK Ink
I For Office Use ( I
41 fill) j Permit t
City of Ea I Permit Fee: C%'a I
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff: I
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
^
Name:
Phone:
Resident/ 11
~i~ G~✓~~~~ ~1~
Owner Address / City/Zip:
Applicant is: Owner Contractor
Type of Work Description ofwork:
Construction Cost: Multi-Family Building: (Yes / No )
f w
Company:- 7 1n~15 ~ Z_ L( Contact: ~ ) '
Address: I7~~Z w., ~ (`0, ~ ~ ~~y 7j~yrrs
Contractor City:
State: L^ Zip: Phone:
License ~f gg 7 Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
6.1 k_ ti 1 cffe)
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:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
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.oooherstateonecall.ong
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.
Exteriorwork authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
'r
X CJ ';'t
1 f ~ - r~- x
Applicant's P inted Name Applic Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA167589
Date Issued:03/23/2021
Permit Category:ePermit
Site Address: 3579 Woodland Tr
Lot:9 Block: 3 Addition: The Woodlands 4th
PID:10-75879-03-090
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. 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: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Gregory J & Michelle Butler
3579 Woodland Trl
Eagan MN 55123
Ez Home Solutions
2595 hamline Ave N
Roseville MN 55113
(651) 214-7483
Applicant/Permitee: Signature Issued By: Signature