3596 Woodland Tr r •--'~r
~ - ' INSPECTION RECORD ~
~ CITV OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITEADDRESS: i r, ~ r~~ ! ; APPLICANT:
~ li?rflli nNi) i i; ~~z~~;T . M~?Kr
i;;~ i, i~;~ .~t~t~ tt,i, i~~~,~
' PERMIT SUBTYPE: TYPE OF WORK:
INSPECTiON .
~r.
i
+f~',Ila~Pa tlii 1 1'Ii1l i
. ! 1? I i~•~. i~;~li.~f i hl II
~ ~
, Permit No. Permit Holder Date Telsphone i
~ - ELECTRIC 5 g l0/9 ~ ~~Q
•
PLUMB G
' HVAC r~~ ~ C. f S~'DOC~S
Inspeetlon Date Insp. Comments
FOOTINGS 4j
'L
FOUND S~jl/
FRAMING
( -LJ
ROOFIN(i
ROUGH
P UMBING
PLBG ~ G
AIR TEST -
ROUGH o 6
HEATING . '~1
GAS SVC ~1~. .
TEST V
INSUL I113 44- OAG
OYP BOARD
FIREPLACE
FIREPLACE •
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLQG FINAL
BSMT R.I. ~ 4
BSMT FINAL ~ -7
DECK FfG
DECK FINAL ~
W-CrdficQte 0f cCC1tpQliC~
igitv of Wagan
Zepaxtraeut of ZKitbaig 3u3pccrion
This Certificate issued pursuant to the rrquirements of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building constructioR or use. For the foltowing:
t}se Clusifiaion: BW Bldg. Permit No. 297Q9
O«upwncy Type R3' uI Zoning Distria R I Type Const. VN
Owner ot BuildinE ~M JOHNSM OONST Addh,= BOX 2 1327 . EACM
Building Addras 3596 W00DIAM TRAII, t.csq L 14, B I, IHE WOODI.iAi+ID6 47H[
r ~
Datt:
BaifdiaE Official
POST IN A CANSPICUOUS PtACE
RESIDENTIAL
U D BUILDING PERMIT APPLICATION a ~ c) c)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 y-~- 0 ~
651-681-4675
New Conshuction Reavirements RemodellReuair Reauirements -
• 3 registered site surveys showing sq. ft of lot, sq. ft. of house; and all roofed areas • 2 copies of plan , .
(20% maximum bt coverage albwed) • 1 set of Energy Calcula6ons for heated additions
• 2 copies ot plan showing 6eam & window sizes; poured found tlesgn, etc). . . 1 site survey for exterior addi6ons 8 decks - ,
• i set of Energy Caiculations
• 3 copies of Tree Preservalion Plan if bt platted aRer7/1f93
• Rim Joist Detail Op6ons selection sheet (hldgs with 3 or less units) -
DATE VALUATION (EXCLUDING LAND)
JOB SITE ADDRESS
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER jjL&,g&n d- QJJUr'tor
TYPE OF WORK FIREPLACE(S) _0 _7 _2 _3
APPLICANT AINeAFMW PHONE #
ADDRESS u~aas 40211111111111111 ZIP CODE
PAGER # 21~N'F~~ CELL PHONE # FAX #
65U633-~61
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 -
(check one) - Residential Ventilation Category t Worksheet Submitted
- Energy Envelope Calculations Submitted
vIINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: Phone
Plumbino Svs[cm Includcs: _ Waler Sottener _ I.awn Sprinkler Pee: $90.00
Water HeaCer No. ol` RL BaLhs -
No. of Baths
Mechanical Contractor: Phone #
Meckianical Sysfetu Includes: _ Air Conditionittg Pee: S70.00
Hcat Rccovcry System
Sewer/Water Contractor: Phone #
All above information must be submitted prior to processing of application. nn 2
ll ~
I hereby acknowledge ihat I have read this application, state that ihe information is corr , and agree to co I with
all applicable State of Minnesota Statutes and City of Eagan Ordinances. b,'~ I
Signature of Applicanf
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1101
OFFICE USE ONLY
O Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dweliing ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 0 7 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 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
"MOO R}~{ r -
Nbr. of Bldgs Length Fire Sprinklel~~~~sib a'-"v',
Type of Const Width AVA
ti18d
1a»s-ee~~~;
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) ' FinaUNo C.O:' `
_ Footings (addition) Plumbing
_ Foundarion - HVAC
Drain Tile Roof _ Ice & Water _ Final _ Other
_ Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Fireplace _ R.I. _ Air Test _ Finaf _ Siding Stucco Stone
_ Insulation _ Windows (new/replacement)
Approved By , Building Inspector
9ase Fs2
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Trea[ment Plant , , .
Plumbing Permit
Mechanical Permit License Search
Copies
Other
Total
Address 3596 "ID.tND istAn. Zip 55123_
LAt ' '14 Blk I Sub IHE WOODLIDID3 4111
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECfION.
Date: 97 Yes No Inspector:
Final grade (6" from siding) J
Permanent steps (garage)
Permanent steps (main enhy) i/
Peimanent driveway ~
Permanent gas ?
Sod/Seeded grass J
TraiUcurb damage v
Porch ?
Basement finis6 ?
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler sys[em. ~
White - City Copy Yellow - Resident Copy Pink - Contrnctor Copy
_ PERMIT
Ci'TY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B u z L o z N c
Eagan, Minnesota 55122-1897 Permit Number: 0 2 9 7 9 9
(612) 681-4675 Date Issued: 0 4/ Z 2 I 9 7
SITE ADDRESS:
3596 WOODLAND 7ft
LOT: 14 BLQCK: 1
THE WOOOLANDS 4TH
P.I.N.; 10-75879-190-01
DESCRIPTION:
6uildiatg. Permit 7ype 5F DWG
atu3lcki€rg '4qrk Type NEW
r""UBC pccupanck", R-3 U-1
Construction Ty?pe V-N
:2nrring R-1
, euildirig Lenqth + 78
s\ Buildiilg WidtiS 52
4uildirig-stories
- u~re Pe.et~ 3.206
-de 101 ti- F A M. D E T A C H
~
-e., t'i
1 ~
REMARKS:
S& W PLBR - MATTHEW DAN7ElS PLBC;
FEE SUMMARY:
VALUATION $190,000
Base Fee $1,337.25 MISCELLANEOUS $1,539.50
Plan Review $869.21 Total Fee $4,799.96
Surcharge $95.00
SAC $950.0LA
SAC ~ 100
SAC Units 1
Subtotal $3.251.46
CONTRACTOR: - Applicant - sT. Lzc OWNER:
JOF!NSON CONST, 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
I herekay ackncswledge thaC I ha.ve read thig,a=pplicAtion anO, stata that t-itie
information is correct and agrse to comply with el1 eppiicable State of Mn.
n Ocdinances.
5tatutes and City ofi Eaga
L
D~I rYt ~f-
APPLICANT RMITEE SIGNATURE 'iS9Eb~Y'. S~6 A ~
~/N~n' r~I
( ~ 'I' ~
?I~
?
/
~
14q9f97 BUILDING PERMITAPPLICATION (RESIDENTIAL) tr~'~(qQ,~(~
CITY OF EAGAN
3830 PILOT KNOB RD - 65122
687-4675
New Construction Reouirementa RemodeUReneir ReauiremeMs
? 3 registered site surveys ? 2 oopias of plan
• 2 capies of plans (include beam & window saes; pouratl fid. dealpn; au J ? 2 aile aurveys (exterior edaitions 8 dadcs)
? 1 energy calwlations ? 1 ene
rgy cetwlationa Mr heated atlditions
? 3 eopies of tree preservation lan iI lot plaCed after 7H/93
required: _Yea , 1No
DATE: CONSTRUCTION C05T: ay~i000 ,oo
DESCRIPTION OF WORK: 0L~ o°`''o==:~
STREET ADDRESS: 3 54 (D 4seod.l~s,,,~ Y.t.e._O
LOT 1,41 BLOCK ~ SUBD.IP.I.D. #-It W°~001110(c N44
PROPERTY Name: cSe~wise~.. r?nroRr- Phone
OWNER M..
Street Address:
City: State: Zip:
CONTRACTOR Company: /)')A-,er- )srdru&a„u ~..s~ Phone ys/- ic7 6
Street Address: D, o. &x cmar? License 3a8e
City:Jf=agv r State: Zip: Ssia l
ARCHITECTI Company: Phone 290 -90 q 8
ENGINEER
Name: 008A. Ca...L..-- Registration
Street Address:
City: State: Zip:
Sewer 8 water licensed plumber (new construction onty): 1wa41-1 &w«..tQe . Penally applies when address change
and lot change are requested once pertnft is issued.
I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to compiy with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: ~
OPFICE USE ONLY
Certificates of Survey Received v Yes _ No
Tree Preservation Pian Received _ Yes _ No Not Required QAIM~'`;`.
OFFICE USE ONLY
~4 ~ eµ•r•eBUILDING PERMIT NPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish
R' 02 SF Dwelling o 07 4-plex ? 12 Multi Repair/Rem. 0 17 Swim Pool
0 03 5F Addition o 08 8-plex n 13 Garage/Accessory o 20 Public Facility
0 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
0 05 SF Misc. 0 10 _-plex o 15 Deck
WORK TYPE
.eT 31 New ? 33 Alteretions o 36 Move
? 32 Addition o 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actuai) J xl Basement sq. ft. 2-102- MC/WS System ~
(Allowable) ~Ai Main levei sq. ft. 2-1H0 City Water ~
UBC Occupancy 3, 0 -1 sq, ft, Q44_ Fire Sprinklered
2oning 2-I ~ sq. ft. 2-58 PRV
# of Stories i sq. ft. Booster Pump
Length '7?' sq. ft. Census Code. + at
Depth szl Footprint sq. ft. 3 Lo ~ SAC Code 0j,
Census Bldg ~
Census Unit ~
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $ 1 qC~o.
Surcharge
Plan Review so u ,L
License z.-,susy ~yp S
MC/WS SAC 74x it g, y
City SAC X 7 92.2,
Water Conn.
3x Water Meter 4 xs i V3
Acct. Deposit '
S!W Permit 5-5-0, -
S/W Surcharge '4j"°-
Treatment PI. ~v zg
Road Unit S" r. s 9.'s
ParkDed. z'3q.'srb~asy= is sV`.s
Trails Ded.
Other ti"' z ti s
~sx ry
Copies z~
F~ec/~ Z58 30 = G 300. -
Total: •
% SAC
SACUnits ~•S~ Z q'
3z x zy
~,c s 7G9
g~~ ~ = 1 3.5~
,4q,~ov. S
FPR-14-1997 16:59 SRMES R HILL, INC. 312 890 0244 P.@2.%03
` CERTIFICATE 4F SURVEY
R . For: MARK JOHNSQN CONSTRUCTI4N
PROPERTY DESCRrnTioN: IA)t 14 Block i THE WOODLANDS
FOURTH ADDITION. Dakot;a Co tv Minnesota.- -
We hereby certify that this is a true ond correct survey of the obove descrbed property and thaf it
was perfamed by me or under my direct supervision Qnd that i am c duly Licenio ~ w a~r
under the laws of #he S'tate af Minnesota. Tnat this survey does nat purpa
improvements, easements or encroachments, to the praperty except os stiown thereon.
Signed th+s 14th day of April 11997. James R Hi1J, Inc.,
B 1277 ~4 c
V 2:~
' z panid R. McGib6an, Minneseta LS. 1Vo. 18883
EAGASY
Notes: ~
1. Buiidirg dimensions shown are far o Denotes set iran monument
~
norizonfal & vertical of structure on1y. Denotes found iron monument
x927,68 Denotes existing elevat;on
See Qrchitectural plons for bullding dc (930.00) Denates proposed eleuation
#oundation dimensioti9. Denotes proposed -drainage
2. No specific soils investigation has been
completed an this lot by James R. Nill, InC. flertch Mark: e12-78 -W'i °d` 3
The suitablify of sols to support the specifc Proposed Gcrage F1oor=
hause pfoposed iS not the respoflsib'dity af proposed'Garage `fop Btock=
James R. HiN, {nc, or the surveyor. ' Proposed House Top 8lockm
3. Na specific title sear:h for exi5tcnce or non- Proposed Lawest Flaor=
existence a( recorded or unrecorded easements
has 6een conducted by the surveyor as a part of
this survey. Oniy easements per the recorded plat &$rings a2'e on assumed datvm
are shown,
4. Praoosed grades shown were taken from SC2tle: 1"=30'
the grod'+ng dc/ar deWopment plan prepared by
e.R.w.. IiVC. page 1 of 2
James R. Hill, ine.
PLANNERS ENGINEERS / SURVEYQRS
a
25d0 W. CIY. RD. 42 • BUftNSMLLE, MN. SS337 • 812-896-60"
BY
DATE 4-/i- 9 7
BUILDING INSPECTIONS DEPT.
-ti aPR-14-1997 1e:59 SahE3 R HILL, IhC. o12 995 6244 P.03103
A CERTIFICATE OF SURVEY DRu,,,,,GE. UrUTM Mp PO,,,aNG
For: MARK JOHNSON CONSTRUCTiON FASNINT PER RLATr~
D)
9598 WOpALAND TRAII.
~ nT
~.v t ` A r
583e54,
A~~
i>rE~`
r ~
j LOT 14 ~
~ I f'1T •r-
^
/ =W
CO
CY DEC.~c (897„4)
302. N 1 ~ ~ a f 13'CAK
m o t ~ Z
N
~
H O USE z~ ~ P~~ i m
~
S
910.9 sExcH MARtc
roa aF sqke
~w I
ELEV=906.72 .ap S /I~ 7
~ 5 np~Q' 1 /r
t~5.0~~ 1 o f S r ~ v.=N895 4 n~ T~ oF SPIKE
` TV e o 5 , ELEW-902.62
n 7 ~78.41 4~ ' ` •
854
8 za i ~
407LA-(qU--
~
Scaie: 1A=30' Page 2 of 2 James R. H]ll, IIYC.
' TOTRL P.03
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLIC TION
PROPERTY LEGAL: C2
~ DATE OF SURVEY: P~ ~/~u 9 7
LATEST REVISION:
~
DOCUMENTSTANDARDS
0-'0 ? • Registered Land Surveyor signature and company
66alo ? • Building PertnitApplicaM
47~~ 0 • Legal descriptlon
pp-'o 13 • Address
-m-,/o ? • North arrow and scale
? • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
~g 0 • Directlonal drainage artows with slope/gradient %
a~ 0 ? • Proposed/eristing sewer and water services & invert elevation
~ 0 • Streetname
? ? • Dtiveway
ELEVATIONS
Exdstlna
@ o ~ • Sewer service (or Proposed)
0~~E] ? • Properly comers
?
~ • Top of curb at the driveway
~ 0 • Elevations of any eristlng adjacent homes
~ Prooosed
? • Garage floor
0 0 • First floor
P--~0 ? • Lowest exposed elevation (walkouNwindow)
P-- 13 0 • Property comers
12-'13 ? • Front and rear of home at fhe foundation
PONDING AREA Qf anolicable)
C" o ? • Easement line
IT' ? ? • NWL
e / ? ? • HWL
C(? ? • Pond # designation
? Z ? • Emergency Overfiow Elevation
DIMENSIONS
IK'Cl ? • Lot lineslBearings 8 dimensions
? ? ? • Right-of-way and street widtlh (to back of curb)
0-'? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2',
porches, etc. (i.e. all structures requiring permanent footings)
e' ? ? • Show all easements of record and any City utilfies within those easemeMs
ff--? 0 • Setbacks of proposed sVucture and sideyard set6ack of adjacent exassting structures
? d? • Retaining wail requirements if any
Reviewed:
ame Dat
January 1996
CRAq79DeIBlDGPRMT.FM
• 1 I ~I'~
WOODLAND TRAIL
-fr--fi~ N...~ I I I 1 1
5' - 22~ 1 2• BEND L SEwEP SERwCES TD Ei ~'C SGR 76.
~ ~ z FSEE SHT. 2439 U y. Ha1EP, SERVICES i0 BE 1- TYPE K COPPER.
p~
U 3. GURB BO%E$ T0 BE PL<CED ON FROPERTY IiNE. o] ~ I ~
A. E%TEND SERVIf,ES t5 in10 PROPER7Y. i~t
O AJ.D S s 7 ¢ I ~I ~ 10 67 0 5. H~RANiS TO BE INSTALLED 4 FL BEHIND ~ a t
RO' ROw ry01 a 12 B>CM Of CUFB. q I I i
341 1 0~p~f' ~ T Y P. 31' q I~ 6Z~ 6. `EWER SERVICE INbERfS A R E A S S T n K E O f O R p ~ I I
W I
6" - 11 1/4' BEND B- A m.0 1,~5 CONSiPUCPOH - NOT VFRiFiED Ai-BUILT ELEVATIOK
. 6' - 22 1/2• BEND ~srli ° ~ae/vv.vc~[.iq ,WVR?R
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LOCATION AND DEP7H. ND CONNECT W
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" F.iiTMIOR ENVELOPE AVIItAGE "U" COMPUTATION
OWNER ?AVl~ ~W424 IrS-CTM PLAN N0.
SITE ADDRESS DATE Af (7-4 L
CONTftACTOR KMZ-V- -*D1Wt)b1J C8/Jv7. pgpNE Determine vorking square footage of each
1, Total exposed wall area..... . 1~~ sq.ft. x.4~
2. Total roof/ceiling area...... 7410,0 sq.ft. x.4Z~
3. Total floor/cant, area....... sq.ft, x
~
Total axposed wall area above floor ~?~7
a. Total wall window area rJb. Total door area ~a2
c. Total sliding glass door area................ 100.0S
d. Total fireplace wall area
e. Total wall framing area (average 10%)......
f. 1'otal net wall area above floor 2 ~
g. 'fotal rSm joist area ~
Total exposed foundation area
h. Total fourtdation window area
i. Total net foundation area above grade........
Determine "II" nalue of each wall segment
a.-466 X nv„ ,33 =
b. 40.v'L x "U" .b = 51Z
c. 100t05 z "II" .35 - %~.02
d, x "II" -
9. q S nQn p f._.S'r` 7C „U„ g. 23q O x "II" ,042 = O.
04-
b. x "0" -
i.~ x "U" ,025 = t 1LF
4. Totam = 3~~1
If item #4 is the same as, or less than item #1, you have met
the intent of SBC 6006(e)2.
Total exposed roof/ceiling area vtW ~d
j. Total skylight area
k. Total roof/ceiling framing area(aver.(.10016"o/c), _
(.0625924"o/c) ...~F~
1. Total net insulated roof/ceili.ng area Determine "U" value for each roof/ceiling segment
J. X nUll -
k.~ x nUo
1. •b? _
x "U" .o'L1 ~
5 . Total = . Z
If total of #5 is the same as* or less than #29 you have met the
intent of SBC 6006(c)1.
Total exposed £loor/cant. area
m. Total floor/cant. framin area (average .10,~).........•
n. Total net insult.ed floor%cant. area
Determine "U"'value for each floor/cant. segment
mo x "D° _
n. x "U" _
6 . Total
If total of #6 is the same as, or less than #3, you have met the
intent of SBC 6006('0)3.
AI,TERNATE BUILDING ENVEIAPE DESIGN
To utilize the total envelope system methal, the values established
by the sum of items #4, #5 ard $6 shall nc~ be greater than the sutn
of items #1 % #2 ard $3.
i, +65M 2. 55,12 3. = 42~~q3
4. 3%P~a1 5. 4M7, 6.
Prepared by
Date ¢45-
; CITY U5E ONLY p/
' L _4V_ BL _ • RECEIPT
SUBD. RECEIPTDATE:
1997 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 6814675
Please complete for: . single family dwellings
. townhomes and cAndos when perm+ts are required for each unit
_:TNew construction Add-on furnace
Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date:
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each)
? State Surcharge .50
TOTAL ~
SITE ADDRESS: 5
OWNERNAME: 0 0/U PHONE#: `~jI-/G7.6
INSTALLER NAME: gUeS(I/LC6 t/AQ EAIL) PHONE DB
STF2EET ADDRESS: ~~y~j vc g'
CITY: lR'lI/gOE STATE: ZIP; ~53f~
D=fCl~a.P~
I NATURE OF PERMITTEE
~ . t
cirr use'OraLY,
L BL RECEIPT#:
SUBD. RECEIPT DATE:
1997 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB Rb
EAGAN, MN 55122
(612) 681-4675
Please complete for: . all commercial/industrial buildings.
. multi-family buildings when separate permits are no required for each dwelling
unit.
DATE: CONTRACT PRlCE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: ~ $25.00 minimum fee or 1°/a of contract price, whichever is greater.
. Processed piping - $25.00
~ State surcharge of $.50 per $1,000 of ermit fee due on all permits.
CONTRACT PRICE x 1 %
PROCESSED PIPING
STATE SURCHARGE
TOTAL
- - - - - - - - -
SITE ADDRESS:
OWNER NAME: TELEPHONE#:
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
PHONE
SIGNATURE:
° • SIGNATURE OF PERMITTEE CITY fNSPECTOR
~ CITY USE ONLY d~
L ~ BL / RECEIPT a
SUBD. DATE: 'SjVIf
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 551.22
(612) 6814675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EASH ZIQ. TOTAL
Shower 3.00 x OL. - 6.66
Water Closet 3.00 x ~ = i~•aa
8ai'r5 Ti1u 3.0 ^v = b.oa
Lavatory 3.00 x (o = / • oa
Kitchen Sink 3.00 :c / = 3•oa
Laundry Tray 3.00 :c
Hot Tub/Spa 3.00 :c =
Water Heater 3.00 :c
Floor Drain 3.00 x 3 = 9•00
Gas Piping Outlet' minimum - 1 3.00 :c i = 3.00
Rough Openings 1.50 :c 2 = 3.e6
Water Softener 5.00 x =
Private Disposal ' Dakota Cty. Iicense 65.00 =
(new and refurbished systems)
U.G. Sprinkler " home under const. 3.00 =
Alterations ` to exisun9 20.00 =
Water Tum Around 20.00
STATE SURCHARGE .50
TOTAL
SITE ADDRESS: 3S96 21aealand /itz.i l
OWNER NAME:I daA ~12rison &6Zrae4on
INSTALLER NAME: /!ZAbPLi.) Zanids. .Z?c.
STREET ADDRESS: AS.23o Irf-ouse/ 1NQ
CITY: ~j! ese~noun~ STATE: / i? ZIP: -6S06'y
PHONE
OfFICE USE ONLY
L BL RECEIPT ' SUBD. DATE'
1896 PLUMBING PERMIT (CpMMERCiAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675 '
Please complete for. * ail commerciallindushfal buildings.
? multi-family bufldings when separate permits are ~t required for each dwelling
unit.
DATE: CONTRACT PRICF:.......
_
WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR
DESCRIPTION OF WORK:
IS WATER METER REQUIRED7 _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? _ YES _ NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESUL7' IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM7 _ YES _ NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINi:LER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever Is greater. State surcharge of $.50 per
$1,000 of pgEmd tee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
giTE enncFSS:
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
PHONE SIGNATURE:
APPLICANT
OFFICE USE ONLY
METER SIZE: " DATE: INSPECTOR:
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA123038
Date Issued:05/28/2014
Permit Category:ePermit
Site Address: 3596 Woodland Tr
Lot:14 Block: 1 Addition: The Woodlands 4th
PID:10-75879-01-140
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
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 by law in ALL single family homes .
Meg Nathan
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 -
Paul J Vetter Iii
3596 Woodland Tr
St Paul MN 55123
(651) 454-5062
Garlock French Roofing
2301 E 25th St
Minneapolis MN 55406
(612) 722-7129
Applicant/Permitee: Signature Issued By: Signature