The URL can be used to link to this page

3712 Woodland Tr ~-'Y CITY IOF EAGAN Permit Not-. Date: 8-26_ 3830 Pibt Knalw Raad Meter No: X e ~ f'f;L 8' *7 5ixe: ^ &CA P.d. Box 21199 Reader No: Date: 3-~f s' Eagan, MN 55121 Owner. Fn41,org t4nmps SiteAddress: 171? t7nnAlAnd Trp.- T.f 6 ?'S Thp- ZtiToodl^nds Plumber. T: kptr'I1 1P P& sl Conn. Chg: ';5!i - Q0Fd Zoning: ps AccL Dep: Ts-Q0pa No. ot Units: 1 Permit Fee: 10 _ 00, . Surcharge: - 50, J 1 agree to comply with the Gly of Eayan ~ Tr.Plant 9 04 -0Q.P(j Ordin nces. Meter. Misc.: By WATER SERVICE PERMIT I CITY QF EAGAN Permit Na Date: 3830 Pflot Knob~Ftoad Meler No: Size: ~ ~ P.O. Box 21199 Reader No: Date: ~ j Eagan, MN 55121 ; Owner. ;'-oxbesA tlomea SiteAddress: 3712 Wovdl.and 'i`rail LI4 B5 'Y'he Waodlanc!6 ; ~ i Plumber 5-dkcvilYe P fi 11 i j w Conn. Chg: 5 r0• 00pd - Zoning: ~ ~ Acct Dep: 13• d0pd No. of Units: i , ~ Permit Fee: 10' 0Qpd i ~ Surcharge: • 50pd 1 agree to comply with the Clty of Eagan ~ ~ Tr. Plant 204 • ())Pd Ordinances. ~ Meter. E7 _ j~,'J&y=? ; MiSc.: By ~ WATER SERVICE PERMIT _ . CITY OF EAGAN Permit No: 3 2f)31 Date: ~'26 g2 ; 3830 Pllot KnotbRoad g/p No; Date: P.J. Bo3c 21198 Eayan, MN 55121 ~ Owner. --i t~r< ~iome;; SitB Address: W?Od Ian i Tra f l LI O$ s T'k, p tiuvdlaad a i Plumber: ~=31rev4 1 ? c- 'D - i MWCC: r 'r'~.:'r';r Zoning- City Chg: 0011" No. of Units: - 1 r !•I~ i Acct Dep: 1 . in,t Permit Fee: • i'~PL ~$9ree to comply wtth the Cffy oi Eagan Surcharge: • `t,Ordlnances. ! Misc.: gy ~ i ' SEWER SERVICE PERMIT - CASH~RECEIPT . CITY OF. irAGAN 3830 PILOT KNOB ROAD • EAGAN, MINNESOTA 55122 DATE K Fno4 AMOUNT s of p , 8 DOLLARS . , ,ao , O CASH GA CHECK 7 &24,~~. FUND OBJECT AMOUNT Thank You BY ' . ; I ~ WINt9--P9Yers CoPY Vellovr-POatlnB CoPY PIni-FMe Copy BLDG. PERMIT NO. ' i 01-3210 Bldg. Permit 01-3422 Plan Check ~ r 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-215 Surcharge 75-38150 Road Unit r 20-2275 SAC 20-3865 Water Conn. 0 20-3868 Water Trmt. 20-3716 Water Meter C.- 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3868 Sewer Conn. ~ ~fi ~ U 28-3855 Park Ded. TOTAL a? ~71 CITY OF EAGAN ~ : 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 s• . BUILDING PERMIT Receipt~ To be used for SY DWG/CAk Est Value $141,000 Date A' iGUS?' 15 1 g b;3 { ~ Site Address 3712 1JWAI.A1+D TR OFFICE USE ONLY ~ 1C 5 TxE WOD3LANDS on sne SewaQe Occupancy R-3 !t-•1 ' Lot Block Sec/Sub. MyyCC Syatem X Zoning k-~ . Parcel No. On Site Well v-~N (Actuary Const m Name RUX$ERG t{Ut-iES City Water X (Atlowable) V"N 3 Agdress 8251 :i 23A'Pt! 3T PRV Required ~ ot Stor~es 0 C,~cy zA'~VI~ Phone 461-225~? ~eterPump Length 61` oeptn 44' ; °G0 fVlme t-AkA~ S.F. rotal ~ i Address Footprint S.F. I 1~1 City Phone ! APPROVALS FEES I W W Name Engr,/Assess. Permit 706`JU Address Pianner _ Surcharge 70•54~ ~z City PhOne Council Plan Review 3~'•00 ~ W Bldg. Off. SAC. City 100.00 I hereby acknowleiige that 1 have read this application and state that the Variance SAC, M WCC 550•00 infomation is correct and agree to comply with all applicable State of WaterConn. 550.00 ' Minnesota Statutes aAd Citypf Eagan Ordinances. Water Meter ~7. ~ Signature of Permittee Road Unit 325.00 A BuilAing Permit is issued to _RpXURt' ftr'•fF ' Treatment P1 204•`'i' on ihe express condition that all work shall be done in accordance with all appiicable State of Minnesota Statutes and City of Eagan Ordinances. Parks TOTAL 2'92 ' BuildingOfficiai - CASH,,RECEIPT CITY OT! tAGAN 3830 PILOT KNOB ROAD • EAGAN, MINNESOTA 55122 - _ i DATE J i O~V 18 X, v ~ snor,i AMoUNT , & DOLLARS ~oo . o r-?SH a CHECK 1 ~ " ' ~~ol ~ - ? FUND OB.IECT AMOUtYT Thank You BY YYhi1e--PaYera CoPY Yelow--pom0 CaPY Pink-File Copy BLDG. PERMIT NO. 01-3210 Bidg. Permit 01-3422 Pian Check " a 01-3445 Surch./Adm. ~ 411 ~ 01-3446 SAC/Adm. 01-215 Surcharge 75-38150 Road Unit ~ 20-2275 SAC 20-3865 Water Conn. p ~ 20-3868 Water Trmt. 20-3716 Water Meter ' o 20-2252 Aoct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 28-3855 Park Ded. TOTAL _ CASH RECEIPT ~ CITY OF EAGAN 3830 PILOT KNOB ROAD , El#GAN, MiNNESOTA 55122 oaTE ~ ,kECEIVED , FPA)M AMOUNT & DOLLARS ,ao ? CASH 4'CHECK wn ' c~ - - / ,f R ~ ~ ~ I ` ` I ' • ' ~i f ~ . FUND OB,IECT AMOUNT - i ~J l Thank You eY - wnKe--PereB co PY Yellovw.-POatlng Copy Pink--Flle Copy •y=F~r . .v:h.::~bF...:.1,o=i-.~:~~SLL`~j.~S2w'~-"~'r,~>~. - . • . . , - f . CITY OF EAGA# 1e 179 3830 Pilot Knob Road, P.O. Box 21-199, ~agan, MN 55121 . r PHONE: 454-8100 (2~ I Bl11LDINQ PERMIT Receipt # To be used for \1 3-58ASM PORCH Est. Value =$low Date JULY ZQ , 19 90 Site Addrets 3712 f~1~00DtJIND TR Lot Block Sec/Sub. OFFICE USE ONLY Parcel No. Occ"ca"cy - FEes ~.uE~ zoning W Name ,~a i M~ (Aclual) Cqnst - Bldg. Permit ~ Address (Allowab1e) - Sureharge 00 City WAGM Phone # oi stories ldi~ Plan Review tF Name SAM Depth ~ sac, City OU OC Address S.F. Total - SAC, MCWCC ~ Clhl Phone S.F. Foolprints - . pn Site Sewas,~e _ Water Conn yVj W Name a+ srte weu - waier Meter t= Address newcc sygcem ' - ncxt. Deposit i W City PhOne City water _ p` `PRV Required _ SAN Permit I hereby acknowlege that I have read fhis appliCation and state Ihat the eooster Pump - ~~~char9e intormatian is correct and agree lo comply with all applicabte State of Minnesata Statutes and City o( Eagan Ordinances. Treatment PI Signature of Permitee APPROVALS q~d Unit JA1~S 01t CHiRTL HD8W.6~ P~f1f1ef A Building Petmit is is5u@d to: - Park Ded. on the express cOndition that all work shall be done in accordance with al1 Council - applicable State of Minnesota Statutes and City of Eagan Ordinances. gldg, pH, _ CoPies • 8uilding OffiClal ~ 1 ' Vazie^ce - TOTAL PMmk Na Permtt HoIdK Oals Tsbphono N I WATER ~ I I SEWER I PIUTABIPIG I I H.VAC. ~ ECTpIC Q ~ / ~ ~ II irpftton ON% ComnwKs I I FooYn9sI ~i I FCu1di110f1 lil Fpming A. C'a l -orO/' i+4 Roofm9 I I A«* Piog• II AM* r.ml . lsr PIb9. hisPecta - Notily Plurtb- ~ I E"°'.r'lm I I eldg. FPW Do& Ft6 I Dedc Firral Wel Pr. Diap. I I I , , CITY OF EAGAN T-1WTFA=r==- 3830 Pllot Knob Raad, P.O. Box 21-199, EaQen, MN 851 2i PHONE: 454-8100 f , . . ~ BUILDING PERMIT Recelpt #t ~ ~ To be used br ~ ~ ' ~f+^ Est Value • 3 .I , C.;:' Date ~Site Address 37 11, ~~i 1.:~' T* OFFICE U$E ONLY ~ OnSReSewaye pccupancy • 1 Lot BIoCk ' SeC/Sub. MyyCC systsm Zoninq -1 Parcel No. On Site Well (Actual) Const u' N a N8me Cfty Wator ^ (Allowable) V' • ; = Address j• 43~'H ~T PRV Required ~ oi Stortes Booster Pum Len th ° City Phone p g Depth a Name S.F. Total ~ 0 V ~ Address Footprint S.F. ~ 1- City Phone APPROVALS FEES ~ P s Engr./Assess. Permit W Name • ~ Addresa Planner 3urcharge i..• ~ Council Plan Review •W! ~ W City Phone Bldg. Off. SAC, City ' • ' ' • L' I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC information ia correct and agree to comply with all applicable State of Water Conn. ~ J • Minnasota Stetutes and City of Eegan Ordinances. Water Meter Slqnature of Permittee Road Unit A Building Permit is issued to: Treatment P1 on the expresa condition that all work shall be done fn accordance with all appliceble State o} Minnesota Statutea and City of Eagan Ordinances. Parks TOTAL ` ~ : < • Buildinp OHicial ~ Permit No. Permit Moldor Wft TeIepAorN At Plumbinq 2 T ~ H:v.ac. 0 3 Electric / Softener Inspectlon Date Insp. Commenb Footings I Footings II Foundation Framing Roofing Rough Plbg. Rough Htg. ~ Isul. • Fireplace Final Htg. Final Plbg. Bldg. Final Cert Oca Temp. LP Deck Ftg. Deck Flnal Well Pc Disp. , ' . ts • ~ * fler#i#irafe uf Mrrupanry : titp af eagan iorpwfiatrW nf mwlaatg 3wPttimt This Certifuate issued pursuant to the requinements of Section 306 of the Unifornt Beulding Code certifying diat at the time of rssuance this strucarre ww ln compliance with rhe ?+arious • ordimurces of the Crty reguladng building canstruction or use. For the folloxring.• u,e CkM6a6oo Ly„L';•&~'F, Rrmic ?vo. 15446 it3/M 1 RI V:d ~ = $251 E. ~ T, LAEEVILII. ~ eAaa„~ M~G IOIF.S ~ euaanS Adamu 3 i WC1CtLANII) i'RAIL 10, , - t,onti~y ~~a~y-{ e ? cl~~ NO •rt POST IN A CONSPICUOUS PU1CE ~ , PERMIT # • ' ' PLUMBING PERMIT ~ J13 CITY OF EA(iAN RECEIPT A 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ~3 CONTRACT PRICE PHONE: 454-8100 Site Address 71f) ZV,7o,j4-2/1i r' BLDG. TYPE WORK DESCRIPTION Lot _LV Bloc4 SeciSub 31 Res. ~ New " =>Mult. Add-on ~ Name ~ ? Comm. Repair m Address 751 Other c City Phone ~ r RES. PLBG. ONLY - COMPLETE THE FOLLOWING: N9. FIXTURES TOTAL Name ^ U ~ '`-Water Closet - $3.00 Bath Tubs - $3.00 3 ; Address ~Lavatory - $3.00 o ary a v _ Phone 0- ? _.-a-Shower - $3.00 /_Kitchen Sink - $3.00 FEES Urinal/8idet - $3.00 COMM/IND FEE - 1% OF COAITRACT FEE Laundry Tray -$3.00 APT. BLDGS - COMM RATt APPLIES *Water Floor Dr2ins -$1.50 TOWNHOUSE & CONDO - RES. RATE APPLIES Heater -$1.50 MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE - $20.00 --L_Gas Piping Outlets - $1.50 / • ~ STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00 BEYOND $1,000.00) Well - $10.00 ~ Private Disp. - $10.00 Rough Openings - $1.50 G ATURE OF PERMITTEE FEE: STATE S/C: • ~ FOR: CITY OF EAGAN GRAND TOTAL• PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN p~ ~p 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE PHONE: 454-6100 Site Address " BLDG. TYPE WORK DESCRIPTION LotA~~~ Block 'S' Sec/Sub p~ ~ New / ~ ! ` Mult Add-on m Name Comm. Repafr Address c City Phone aher FEES Neme RES. HVAC 0-100 M BTU -$24.00 r c Address ADDITIONAL 50 M BTU - 6.00 ~ 3 ~ ~ phone~ (RES. HVAC INCLUDES A/C ON NEW ' 0 City - f!Lf CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA. TYPE OF WORK ~ COMM/IND FEE - 196 OF CONTRACT FEE Forced Air M BTU . OO APT. BLDGS. - COMM. RATE APPIJES TOWNHOUSE 8 CONDOS - RES. RATE APPLIES ; Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BT{J 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: fl SIGNATURE OF PERMITT ~ 1 TOTAL• ' FOR: CITY OF EAGAN ~ '~T-T ~~R1"YYL~~1C'. 1.7'iTr s~T ' J ~,,.r~.r-• 1'!,. y.~'..~.~'"~..('?'T~~~'' , .Y'+_ . PLUMBING PER IT For Office Use Oniy - ' CITY OF EAGAN PERMIT # CONTRAC7 3830 pKOT KNOB ROAD, EAGAN, MN 55122 RECEIPT#C-- ` PRICE PHONE 454$100 DATE: Site Address BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub Res. New Mult. Add-on Comm. Repair ~ Name enes Other ~ Address ~ CRy ~Q ~ Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: - Q NO. FIXTURE3 TOTAL Water Closet - $3.00 $ ~ Name 70Bath Tubs - $3.00 2 Address Lavatory - $3.00 ~ Gity F •,~St,cL Phone 11-24 Shower - $3.00 IGtchen Sink - $3.00 UrinaUBidet - $3.00 FEES Laundry Tray - $3.00 COMMIIND. FEE -1% OF CONTRACT FEE Floor Drains -$1.50 APT. @LDGS. - COMM. RATE APPLIES WaUer Heater -$1.50 TOWNHOUSE 8 CONDO - RES. RATE APLLIES Whirlpool -$3.00 MINIMUM - RESIDENTIAL FEE $12.00 Gas Piping Oudets -$1.50 MINIMUM - COMM.IND./FEE $20.00 (MINIMUM -1 PER PERMIT) STATE SURCHARGE PER PERMIT .50 Softener -$5.00 (ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE) We1l -$10.00 r Private Disp. - $10.00 Rough Openings - $1.50 IGIVATURE OF PERM E PERMIT FEE: ? ' D_ / V`~J ~'V' STATESS/C: ~v FOR: CITY OF EA N ~`M` GRAND TOTAL: ~ NO C0 UNTIL GAS/ELEC CITY OF EAGAN N~ 15446 INSTALLED 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 gUILDING PERMIT PHONE: 454-8100 Receipt # ~V g'/ _~-4R 3 To be used for SF DWG/GAR Est Va1ue $141,000 Date AUGl1ST 15 ,1918 Site Address 3712 WOODLAND TR OFFICE USE ONLV Lot 10 Block 5 Sec/Sub. THE WOODLANDS OnSiteSewage _ Occupancy R-3 M-1 Parcel No. MWCCSystem X Zoning R-1 On Site Well _ (ACtual) Const V-N a Name ROXBERG HOMES Ciry Water X (qllowable) V-N z Address $ZSl E 230TH ST PRVRequired _ sofStories , ° City LAKEVILLE phone 461-2254 Booster Pump _ Length 6 1' Depth _44, ao Name SAME SF.iotai . o a Address Footprint S.F. u w~ City Phone APPROVALS FEES ww Name Engr./Assess Permit 708.00 ' i Address Planner Surcharge 70.50 zc City Phone Council Plan Review 354.00 a W Bld9. Off SAC. City 100.00 I hereby acknowledge ihat I have read this apphcation and state that the Variance SAC, MWCC 550.00 inlormation is correct and agree lo comply with all applicable State of Water Conn. _550.00 Minnesota Statutes and Cit f Eagan Ordinan Signature ot Permitlee ~ Water Meter _67 90 A euildmg Permil is issued to' ROXBERG HOMES J Road Unit -z04.00 Treatment P1 on the eapress condition ihai all work shal I be tlone in accordance wit h a II applicable Stale of Minnesota StaW[es and City of Eagan Ordinances. Parks BuildmgONicial! I~ul(l~IlfA._~ -n~-!L TOTAL 2,928•90 ~ I • ~ CITY OF EAGAN NO ~ 8 ~ ~ 9 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 PHONE: 454-8100 /p G~ ~ BUILDING PERMIT Receipt p l To be used for _3-SEASON PORCH Est. Value ~8 ~ 000 Date JULY 20 , ~ g 90 Site Address .~.712 WOODLAND TR Lot 1G Black 5 SeGSub. THE WOODLANDS OFFICe uSE oNLY Parcel No. ocwpa~~y - Fees Zoning _ w NBme JAMES & CHERYL MOELLER (ACtuapConsl _ Bldg Permit 99.00 o Address 3712 WOODLAND TR ~Allowable) - Surcha~ge 4.00 City EAGAN Phone 688-2475 so~stories - Lenglh 16]!2~ Plan Review o Name SAMF. Depl~ ~]C~ SAGCiry Address S F. Tolal - SAC, MCWCC ~ City Phone S F Footpnms _ On Site Sewaga _ Waler Conn r~ ww Name On Site Well - Wa[er Maler AddreSS MWCCSystem _ Q z ACCt. Deposii aw City Phone cirywaier _ PRV Fequiretl - S: W Permit I hereby acknowleqe that I have reatl this apphcation and state Iha[ the Boos~er Pump - SNJ Surcharge inlormation is correct and agree ~o comply with all applicable State ol Mmnesota Statutes and Ci~~pp'',,o~f IE~ag/a1Nn 1Ord!i,(f~1nces. 7reaiment PI SignaNre of Permitee ~~wX ~f!!(1~Y1L~1 APPROVALS poad Unit A Bmlding Permn is issued ro: JAMES OR CHERYL MOELLER P~anner - park Ded. on the express condibon ihat all work shall be done m accordance with all Council appl¢able State of M~i(n~nesota S~t~atutes antl-~yC~ily~Jol Eagan Ordinances Bldg. Ofl. _ Copies 7 fS,JI~ ~/111~ Vanance - 70TAL 103.Oa Bmiding OHicial ~o ///y/S/ C'//G "2 (0 3 33608 00 RMuest Data Fra No. Fough-m Inspection ~//~/L+ .l Re rtetl? ? ReaOy Now J[G~JI Notify Inspetlar ~ ~ V i Ve5 ? No ~~'hen Reetly'+ I p licensed contractor r owner hereby request inspection o( above electncal work at: J00 AQCress (SVeet. 9oR or RoNe NO,) Cily ~3?12 WooAlari Trul Section No Townsnip Nama or No Raige No Counry Occupanl(PRINT) Ppone No C Sa»,e,r . IYlDeII 6`h8-2S~~J' Power Supplier Adtlress Elenncal Cqnlracmr (COmpany Nnma) , Gonlrecior5 License N. MaJing NoOress (LOmractor or O,vnar Ma4ing Installauon) ~ Aut nzetl SignaWre ICOnloripwner Ma+m Installati0n) ~ Ppon9 NumbBr 6 NESOTA STATE BOARU OF ELECTpICITY THIS INSPECTION pEOUEST WILL NOT Griggs-MlUwey Bltlg. - Room S-1]] BE ACCEPTED BV THE STATE BDARD tBRt University Ave.. 5t. Vaul. MN 55104 UNLESS PROPEfi INSPECTION FEE IS Phone (617) 64241,800 ENCLOSED REQUEST FOR ELECTRICAL INSPECTION nee-oooai-o7 ~ ? See inslmclions lor comp'etmg this fortn on back oi yellow mpy l.. 8 3 3.5_0 $ "X~elaw Work Covered by Thrs Request ew Add Rep Typeof Butlding ApplianceSWuetl EquipmentWued 1HOme Range Temporary Service I Duplea Water Heater Electric Heahng Apt. Bwlding Dryer Other (Specity) ~ Comm./Indusirial Furnace ~ Farm Au Condttioner Oiher (specRy, Contractor5 Remarks: CJ%/'F .Sot-, ricclpl Compufe lnspechon Fee Below: # Other Fee # ServiceEnirance Srze F. # CircmtsiFeeders Pea Swimming Pool ~ 0 to 200 Amps 0 ta 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps Signs inspacior's Use Onry~ TOTAL Irriga[ion 8ooms Q Speaal Inspection AlarmiCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MON I, the Electncal Inspector, hereby Fou9h-in Dale f(r- certify that the above inspection has F,,,ai Date been made OFFICE USE ONLY TM1is requast vatl 1B momM1S Irom i~/i7/8 s' g8a ~ ~ E 658.86 . ~ , 0,,dj Request 0lte ' Fire No. RougRm InapaMbn Pequieetl7 ? ReaCy Now PIW1ll NotIN Inspecror U wIfes ?NO W,nReetly?' I t~(licensed contractor ? owner hereby r est insp ction f ve electrical work at: .bb Adtlresa (SVeet, Bax or Route No ) dry 3 n Saction No. Township Nama or No. Renge No. CounrN \.CE Occupan RIIJn PMma No ckhe~c:, Power ppllar / p AEEress . K G'~!~ G(~~ ~G' r/Yl y dl 6 7z`l~ Elec[n I CAnVector (Compeny Nem ConVactor5 LJCan9e No S ~n Mailing Atltlreas (COnVector or Ow r Making In tallatlon) ~7S l, l-~C~ / 3- . Q t,L? Gc: /l') n . Auth etl SignaNre ontrec7t 6er Making Inste bn) Plone Nu 9~ Z~ / MINNESOTA STATE BOARO OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Gr1B9a-Mltlwey BId9. - Room S-1]3 BE ACCEPTED BY THE STATE BOAFD 7027 UnNerslty Ava., St. Veul, MN 55104 UNLESS PROPER INSPECTION FEE IS Plrom (812), 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION r EB-00001-07 ~ ? See insVUCUans lor completing ihla lorm an ceck of yelbw copy. E .~'J 588 fi- "X" Below Work Covered by This Request ~ e dtl Rep. TypeolBuilding AppliancesWired EquipmentWued Home Range Temporery Service Duplez Water Heater Eleciric Heating Apt. Building Dryer Other (Specity) Comm./Indusirial Fumace Farm Air Condrtioner Oiher (speclry) Comredor5 Remarks: Compute Inspection Fee Below: # Other Fee # ServiCeEntranCeSize FeB # CimwtS/Feeders Fea Swimming Pool 0 to 200 Amps to 100 Amps 7(0- Trensformers Abova 200 _ Amps I Above 100 _ Amps S19n5 Irepettor5 Usa Onry: TOTAL Irrigation Booms a Special Inspection Alarm/Communication Oiher Fee I, the Electrical Inspector, hereby Rouqn-in , oec~v G certiry that the above inspection has Final o~ been made. OFFICE USE ONLY • This requasl voltl 18 months fmm REQUEST FOR ELEC7RICAL INSPECTION ~ ~ 0 See inslmctions lor comoletinB this farm on bpck of vellow cooY. E' L 1 16 0 "X" Below Work Covered by 7his Requesf Ne4Addj Rep. Type oi Bwlaing Aoolioncna Wirae Enuiument wired Home Ranye Teinjmraiy Scrvice Dupk;x Wate, Heater Liqhtinq Fixtwes Apt. Bmldm57 Dryer Bectric Heabn Commeroial Bldy. Fumace Silu Unbader InduSinal BIAg. Air Conditmner Buik Milk Tank Farm Oinr, oe, v .Ihoe Itinoulvl 71 ucci y Other pihu, ompu(e lnspecUOn Fee Below p Fee Serv'ceEntrenceSize tl Fee Fexdeis/SUblexders N Fre Cvcu~ts U m 200 qm ps 0 to 30 qm py 0 to 30 Am 0s Above 200 qmps 31 to 100 AmPS 31 to 100 Am s s Swimmi ng Pool Above 100_Am s Above 100_Am13 Transiormers Irrigation Boorc~s PartiaL'Other Lee Signs Special Inypection $ '„zsp RerrNiks - TOTAi. P HouBh.in Date I. tM1e EI evl In50eclor, eraby ^ tily ihet the above Final ~e speclion hes been 40, mede. fhn reQuesl vo1018 monttia lrom wwo id ~ J/~o"/CJp nn OCf/b/o2 / WE U O " .lC~ wcm4L:~2'~/.li 0-7. ~ph-in InsOction ~ - Feques~~_u~ ~ IFUe No. RR ? n Vtstl N. ReaAV Nowor11When'Ready e` N Liceneed ElecVical ConvactoF ~ ' ~ I hereby request insPectron of abova ? Owner electricel wark inslalled at Sveet Address. Box or Rome No. Cnv •"~`7lZ T ~a ectmn o. Township Name or No. Ranee No. Counly O Occuprym IPRINT) Phane No. I'~~cbcr Power SupUber ( Atldress ~ A~prt(~ \ C~ tCr -C'~~4~'1VV1~ O'~l Elec al Conlractor ICOmVanY Name) ConUactor's Llcense No. •b-vv (9d"-S:'-3 Maillnq AdJ ss ICon[ractororOwner MakinG ~nstailutionl Autho ized Sipnawr IComractQr/Owner Ma BInstallation) Phone Nom r MINNESOTA STATE BOAHD OF ELECTflICITY TMIS INSPECTION flEQUEST Wltl NOT Griggs-Midwav BIdB. - poom N-191 BE ACCEVTEO BY THE STqTE BOA0.D 1821 Universitv Ave.. St. Vnul. MN 55104 UNLESS PNOPEN INSPECTION FEE IS vn- te17I642.OHOO ENCLOSED. I For Office Use I Clty Of ~apIl j Fermit# 3830 Pilot Knob Road 8001 6 0 d3S I Permit Fee: Eagan MN 55122 ~ Date Received Phone: (651) 675-5675 j Staff. Fax: (651) 675-5694 i i 2008 RESIDENTIAL BUILDING PERMIT APPLICATION O, eQ~j q Date: ~7 ~A6-Site Address: 3 71 Z. 0opZOIa4,lJ D~ 1 Tenant: / k M 0,0_4 1,0~ Suite RESIDENT/OWNER Name: jGWV,, (Ml)P/u, Phone: GSI- Z47S Address / City / Zip: r~-7I Z Applicant is: 0- Owner 4 Contractor TYPE OF WORK Description ofwork: L~ilN^t 6LjGLi'rbV-V-, Construction Cost (o aL7I) Multi-Family Building: (Yes No < CONTRACTOR Name: jbIril-GkPi'v' Tq•v_ License#: Address .~(143 ljG11MUlolk City: c,~ State: Zip: S S 12, 3 Phone: S 3PI3 Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet CateyOfy Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitted 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, dale and address of master plan: Licensed Plumber: Phone: Mechanical ConVactor: Phone: Sewer 8 Water Contractor: Phone: NOTE: P/ans and supporting documents that you submit are considered to be public information. PoRions of 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. I hereby acknowledge that this information is complete and accurate; that the work will be m conformance wrth the ordinances and codes of the Ciry 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 permd; that the work wdl be in accordance with the approved plan in the case of work which iequires a review and app `al of plans RJ~J x f ~'1/ ~ ~ l) ~C. k P/V" \ApplicanYs Printed Name ApplicanYs Signature Page 1 of 3 , . DO NOT WRITE BELOW THIS LINE SUB TYPES ? Foundation ? OS-plex ? 16-plex ? Accessory Building ? Pool `5Z Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Eut. Alt. - Multi ? 07 of _ Plex ? 07-plex ? Garege ? Porch (4-season) ? Ext. Alt. - SF ? 02-Plex ? 08-plex ? Deck ? Porch (screenlgazebolpergola) ? Multi Misc. ? 03-Plex ? 10-plex ? Lower Level ? Storm Damage ? 04-Plex ? 12-plex ? Miscellaneous WORK TYPES N H 10~I filAD i ? New ? Interior Improvement ? Siding ? Demolish Building' ? Addition ? Move Building ? Reroof ? Demolish Interior Ix- Alteretion ? Fire Repair ? Windows. ? Demolish Foundation ? Replacement ? Egress Window ? Water Damage ' Demolition (entire building) - give PCA handoul to applicant DESCRIPTION: Valuation Occupancy MCES System Plan Review Code Edition SAC Units (25%_ 100% ~ Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Const. ~ Width REQUIRED INSPECTIONS Footings (new bldg) Sheetrock Meter Size: Footings(deck) Fina1IC.0. ~ Footings (addition) ~ FinallNo C.O. _ Foundation v HVAC Drain Tile Other: Roof: Ice & Water _Final Pool: _Footings _Air/Gas Tesls _Final ~ Freming Siding: _Stucco Lath _Stone Lath _Brick Fireplace:_R.I _AirTest _Final Windows -~K Insulation Retaining Wall Reviewed By: Building Inspector - - - - - - - - - - - - - - - RESIDENTlAL FEES: Base Fee Surcharge y~ p Y~ ~I I/ Plan Review MCIES SAC l- City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Total Page 2 of 3 eck I Far Office Use ~ I Permit 8: R. I City of Eaian ' --4p~° ~ 3830 Pilot Knob Road ~ Pertnit Fee: ~•"rJ~ I I ~ Eegen MN 55122 i oate Recewed: Phone: (657) 675-5675 I Q(~ ~ Faz: (651) 675-5694 ~ Stiae: JA ~ 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: ~-1a 0 8 sne naa.em- 3-I ) a w o o d 10 ~~tso ~ 1 renanr s„ice a: RESIDENTlOWNER Name:_~~ 1 1^--., !h (D e I I e r Phone: Address / City / Zip: CONiiiACTOR Name: 23S ~ J ~ s c i" License s: " S 9 S) S' Pm 6~ ~ Address: T'• C) ~ a7 a~ ~~7 0~ City: State: mN Zip: S S/ Qa Phone_ ~ S 1- (o 8 a S a Contact Person: Y-) ike-- h- Cn ) oZ o I 4- 7$/U IYPE OF WORK _ New _ Replacemerrt _ Repair _ Rebuild -&Modity Space _ WoAc in R.O.W. Description of work• 2 J C c ~ ? '`~l /i1 PERNff TYPE RESIDENT/AL Water Heater _ Water Sof6ener Lawn Irrigation Add Plumbirg Fixtures ~ RPZ PVB) ~ Main _ Lower Level) _ Septic System _ Water Turnaround New Abandonmerrt RESlD L FEES: 550.50 Mini Water Neater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) S30.50 lawn Irrigation (inGudes $.50 State Surcharge) $50.50 Add Plumbing Fx[ures, Septic Sys[em Abandonmerrt_ Water Tumaround' (indudes $.50 Slate Surcharge) 'Water Tumaround (add $136.00'rf a 5!8' meter is required) $100.50 $eptic System New ($10.00 per as 6uift) (ndudes County fee and $.50 State Surcharge) :90.50 Flre Repair (replace bumed out appliances, dudwork, etc.) (indudes $.50 Shte TOTAL FEES S5Qk 1 hereby adcrqwledge tlkt tltis irdomtadon is complete and arcurffie: thet tlre woAc wi0 be in corNormance with itre wdirertces and coUes of Me City of Eagan: that 1 uriderstaM tltis is not a pertnit, hut ordy an application for a permit, and woAc is not to s[ert wiThou[ a pertni[; that the worlc wi0 be in acoortfance with ttre aPProved Wan in the case at work vNrich requires a review arM approval of lans. x~ x.,~ irt's PriMed Nartre /yipllcaM's SlgnaWre ° FOR OFiiCE USE Revlewed By: pate: Requlred Iispectlons: _Under Ground _Rough-In Air TeSt Gas Test _Final , 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN ~ - SINGLE FAMILY DWELLINGS 1544 4 INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SUAVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDAESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BQILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL ONITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COtR4ERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS s,N&L6F xyICTAA" To Be Used For: S- Valuation: Date: 8 8 S~ Site Address .g'I f 7, ~t)Mrr~ Qnmr~ _~h, l OFFICE USE ONLY yl oao ^ Lot /0 Block ~ On site sewage_ Occupancy R 3 M_I MWCC system / Zoning R-1 Pareel/Sub e 7/~,~OQ /a,/(~ S On site well Actual Const V-N City water / Allowable ~/-N Owner PRV required # of stories l~ ! Booster Pump _ Length Address!n 8 0~5/•Zot&.74" Depth YY, J~ ~ A S.F. Total City/Zip Code Footprint S.F. Phone ~~J APPROVALS FEES Contractor M -QJ Engr/Assess Permit `~p8 00 Planner Surcharge 7p,5o Address Council / Plan Review ~y. ° Bldg. OPf.'-{7(6,~45 SAC, City I DO, E,0 City/Zip Code Variance SAC, MWCC 550,00 Water Conn 5Z. 00 Phone Water Meter 49, po Road Unit "z 7,5, 00 Arch./Engr. 614,A(C a Treatment Pl 2oy. pu > / 0,/J Parks Address <7~S~o //~QSZTc/1/~~ pY'> Copies I City/Zip Code . TOTAL Phane ll 7jA ~ VALUATION , GA~~}v~' ~ ' ~ ~x2$ = 33~ • . ' ,.Zc> X 3o = 6ou OZ) 86y x ly-- 12D5~ gA~E ME NT rti x s1 ,2CI X / 2 - 3y8 v q = 72 I I 35 x 13 = i4-7SS r~~e - f sf Ftp ~ n, fjSrr~-r - //3f i3AH - ~4 rlti~ x 4c, = 5 63~ ~ Z 9 ~L o T1- r_v,iL . r,u9 L: A•--T I 1~ 3 XY~1 = 5rI Li 0~ ) `loG2cl ` ` KoreE~G f/cvnES nO Q e ColliU lTlN O EHtlI11EE!15 ENGINEEtIING atni+i~(ns ond lONO 3unvEVOns CO-M('ANY, INC. ~ 1000 EJlST I46M 5iREET, BUfINSVILLE, 11IIIHE:OTJ1 55337 pll A'_2-3000 Cc_°P'Z if 'kZ CCLZ~~ P~' SZL7""~/'e Z,q%zct .17c4C7-4,,c2icrz: Lor /o, aLacK S, 7"NE WMorAtios, DA.eOTq COUNTY, M/NNESoTA 5 {ev a_zl ~994.2) 0 (evs.s) DRA/A146E ANO $CALE : 30(a2s.9 ~ ~ 1/~ ` UT/UTY EA$EMENT ~ I LO~ 1 O 11 I ` C9_og;57 DENOTES EX/ST/NG E1EI%47-/GN/ I 1 (903• ~ DE"NOTES PROPO-,i5O ELEI/qT/ON I • 1 i~ INO/CATES D/RECTION OF 1 $URFfICE 49RA1N46E I` 1 f0¢,33 = F/N/SHEU 94.e96E FLao,e I 1 Z ECEI/•9T/dN I \ l \ Z I 1 ~ ~ - 1`Ji N N ~ ~ W W I 1 co 1 m ; C9o4.o) l i^~ ; (A1~.+) y, PRppo-`,EO r N o . 1 P ~j.ao ` ~qp1.8~ ~I ~ 6ARA6& 1 i5.6~ 8 <~oo oi 1 8<90 ~ o) 1 30' FRONT 66)/GD1N6 I~y.ao za.33 ~902 ~ 5 5ET4540C L/NE s a qo3.~ 5 ~ . ~ o ~`~03.6~ 7 4e4.Lo TSq 6 Da ~,c}~~~ ~L qp 69~ a1~bIl o ~ yyaooA^! ; , ~ ;z9) I hersby certify that tliie ie a t:ue and cornct repneentitian oL a tract ot land aa shovn'and dcecribcd hereon.• 1+e preparnd by me on this ~6r74 'day vt SS. • , NODEL ENEIIGY CODE - 1983 EDITION . • . • A opt on EFfect ve 84- • ner ' /%/D~~i~~• ~ ~~~5~/~i~.~ Phone . 1 Da te'. te.Address_L.~YT 10 BLQr-K S -THE WDMLeL„ ntractor_ Plione ilding ChIsslFlcations 7ype pl (Single Femlly 6 Ouplex)~T ype A2(Residentlel) iE: Complete pages j and 4 first. . ' (3,storles or esS , . (otlier) • (over 3 storlee) IiEnnL inFOnnntiotl ' . BuJ Idlng Perlme[er ft. • . j. IJall lielglit (ground to eave) ft. • . , . I• x 2. (above) grosa Hall•area Z . _ 28g~ ft, • Oullding dlmenslons (L) x(u) . ~Ft.Z rooF 6 floor area Square foot area of rlm Jolst - Floor Jolst slza (2/x . 7 • 7 X Perimeter - 111m o at area tZ , Doors - Afe3 I(Og 3~) . . . . . flilckness • In. U Factor .1~~~~ Type oF Conetruct on ~ ' Hanufacturar Perlmeter ft. . Total door's perlmater • ft. ' . . , ~ . Nilidows: Nanufac urar ejm upujy0 Stete approved U factor - ~ TYPE SIZE AREA (Ft.z) NUHBEIt OF • TOiAI FEET 2 . ' EACII ' UNITS ~ ~ e, w . ; I. iotal ft.Z Class 221G ' 1. Flreplace areai N(dth X•lielglit ~ X + ~ Ft.2 ExDOSed Fowidations flelght'X Perlmetar ? X ~ • Ft 2 )ItPlEt10N OF 71115 FORN IS REQUIRED FOR ALL NE~UA$TRUCTIpF1~lSJ0~~ROBE~I~G 1{Hp g~(j~j11G5 BEINt )VEO NIIERE ENERCY, OiIIER. TIIAN THE NINIFIAL CODt ALIONAIICE, IS USEU. , ' ' 1 i 0 . Gross Hall area ' Z gQ ft.Z ~ b Nindow area A ft.2 U Hlndows ¦ .~~i U x A¦ Rim Jotst area A ?"S-ft.Z U rim Jo1st ¦,D l U x A¦d, • Door area A_ ft. Z U door area ¦ U x A•_ ~g2 scwNIo- v _ • -fiftT7T'd'ce area A fl.z U fireplace ¦U x A- ~.3 , . Exposed foundatlon A ft.2 U Foundatlon ¦410 U x A¦, 7. Y~ Framing area A Zg~ _/p43ft.2 ' U framing erea ¦~0 ~U x A¦__ii7.~J~D tlet wall area A ft. U wall ¦ -0043 ' U x A¦ lq, I I . ~ (13B ) .101AL . . . . . . . . . . U x A ~ . 4. Gross wall area x 0.11 (A-1 single tamily 5 duplex ~ allowabla U x A/Code (1J. above): x 0.23 (A-2 otlier restdentlal) x .23 Utlier bulldings) • . , x .28 Over 3 stal•1es) . • ~ • 2~,L BlUll Must be lerger kiiar 'T x U[p~g,.__ ¦ 3/~ -°F. 13B above 5. Ce111ng framing area (Af) equals lOx of ceiltng area ar thc, same es) 5A. Gross cetling area,¦ (L) x(H)¦ 7 4 ft.2 ' 150 Jolst areA (Af) - 10: ceiling area - ft.Z 15C. ilet ce111ng area (Ar) (15A - 158) • • ~D ~ 7 fl.2 ' u ceiling x A c- iOZti x~ 23 Z~/~ U framltig x A f= 1 01` x__' p , 15U. TOiAL'U x A 16. Ceiling area (15A) x 0.026 (A71 single famlly 6 duplex - code allowable U x A • x 0.037 (4-2 otlier'resldentlal)• , • x 0.06 (other) • • • • ~~SA~ ~/~9 4OZ(/ BaUll 41ust be larger tliaii; 5U (ebove) A x 11 od = F (or tlie same as IIOTE: Use U and A values obtalhed From pages I,•j and 4.' CERTIFICATI011: I fiereby certlFy'tliat I'Ilave calculated the "U" factors and "R'O value! I,ere n an-g' tlat tlie bullding liere descrlbed meets or exceeds tlie State of Nlnnesota Energy Conservatlon Act. ' Uate . , $ gnatura 2. • . . ' ' ~ ~ 4 1 l~lo ~ g ~3h( I 14 - I w~ w5. PA -76 z'~~v~v 1 k f Z- _ / 2 3 ~~xfia l k 3 3 ~ 33 rv v " 11 ~ l/ = 2z Z 2o~tvv x 2~ ~ Z z -z4448 7N Zo ~ k = Za 20 3v ~ k Z= 7 ZZCO II ~ p ,s. . 9`°SwiN~ ~3 l~°P~• 4z ~ w f t sc, qy 2 v ~2 z1_ . 1~a8 - I I I ' ' YnLVVL/t~~Vl\J ' R ALUE U VALUE . T, Inside air film .68 ' NALL Interioc vall Aq (Wall) U. R + SECTION Insulation IC/,0 - ~ ~ Sheathing Z+D(D Siding ~(p7 Outalde alr film .17 - R TO'fAL ' Z?j. J~ I Inaide.sir film .68 STUD lnGecior wall SECTION • -~0 stud R= *W (p,~'j0(Ftaming)U. R . Sheathing ,Z.OID Stding ~ . •(D7 +~5 Outslde atr fllm ' .17 R TOTAL _ Lnatde air film R' .68 2ND NpLL , Lnterlot vell ' SECTLON. Ineu a . S . Sheathing z Ex[ wall covering , Extettar alr Etlm' R ..17 R TOTAL ~ , Interior air film Rz .68 ; R1M ~ Insulation JO1ST (nth soft wood R=1.88 (Rim V a~¦ JOiSC) Sheathing T ~ Exterior wall coveting p(0-1 . , Exterlor air film Rz ,17 ~ R TOTAL 24i4(0 ~ In[erior air film R= .68 , ~ Insulation /ii00 Foundatlon /.Za (Fdn.) U ¦ ~ _ E:c:erior air film R= .17 T F TOtAL I:J~I J \ W xposed Bluck / ~'`,rade 3. • , ' CEILlllrl 'a1Tll '!E I ~I) A1TIC SPACE AUUYE J ' : • • -A-'1+11111 A-7~tuE , ' . • FMI1Ir10 . cEtltllcl . • . . 0.W AIr Fllm 0.61 • ~ (nsulallon _ `~1~•,W . . • Jalt! • n . f r~ f~, ~ Celling • i~ ~ . 1 . . ~ ~ . 61 Alr Fllm 0.61 . , - . . `~2~(~• Tatal R . • - • • • • • • ~Z"3 U ¦ ~ .6-27. t ' ' . FLAr nqaF an cATIIE nni c~tna • R-'lelua R 'lAlllE FII,IIIIiid , . CEILIIIU Inslde alr flim 0•61 CoIlln . JnlI t . niulA lan • Ir opia • . Haof Jocking • . In~uleltan •_r. 9u11t-up raof • • . • d•~~ Out3lde alr fi m U, 1 ' . , , • . Total R ~¦U ' ' IInJoH 1li(iltratlan ,5 cfm/11nea1 foaE af crack leslJentlal Jovr Iriflltratlon 0.5 cfm/square foot or Jaor anJ minlmum coderequlremen! ton-resldentlal doar Inflltratlon 11,0 0011111leal foot of creck l6 12" concreta block na insulatlon ¦41•R 2.1 . , lb 12° coiicrete bloek Insulated cores .16.R 7.8 lb 12 llglitwelolit 61ack ' .JZ p )b 12" llylihielglit 61ack Insulatad coras.¦ .12 R 8.3 • single glass • 1.17~ xltli starmarlnda,~'.54 ' ' . . . 1 doubla glass • ;55 . • , • ' 1 trlple glass ¦ .ql • • , . , . , , • . . lll exterlor Halls and callln9s must Iiave a vapor barrler (O,lO,perm msx.). 7apor barrler must be on the Inslde (heateJ 11d(l) of ~iall. ' ianor barriers af tlle polyetlielane thin f11m hav9 no II relua. ' ~ , . . ~ , • s ' • , • ; , . . , . . . . , ~17"1990 BUILDING PERMIT APPLICATION ~ ~ CITY OF EAGAN j SINGLE FAMILY DWELLINGS M[JLTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - fi STRUCTUR.AL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPIA`G OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. nOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS"IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MLIST SHOHT A LICENSED PLUMBER. -fo ~-c A To Be Used For: UeL k Valuation: 00 Date: 7-I O' / 0 Site Address 3712 W6'4'e1u"~ --rrpd ? C~_ OFFICE USE ONLY Lot IC Block 5- FEES Occupancy Zoning Parcel/Sub ~l-/C (J`nDL~NPS AAplR1 Actual Const Bldg. Permit T I Allowable Surcharge 41,00 0',%nei Jr.lvriZS `t C~1PJ'V1 m,~;e i# of stories Plan Review ~ Length Dcuc'• l6"X2D' SAC, City Address 3~ 1z WODd,laya Trcj Depth poRCr{', J3'x 13` SAC, M[dCC S.F. Total Water Conn City/Zip Code Ft,tquy% MA) SSlz3 Footprint S.F. Water Meter 4 Acct. Deposit Phone On site sewage_ S/W Permit -40 f On site well S/I1 Surcharge Contractor L n1o r p p.,p MWCC System _ Treatment P1. .SIZb Ce~ ~ City water _ Road Unit Address PRV Park Ded. Purk MN 5-54/ Booster Pump _ Copies City/2ip Code SUBTOTAL ` APPROVALS Penalty Phone Planner TOTAL '//9?~• 0 D f-~ 1 Council / A Arch./Engr. Pil~o F ~4,f„rPs/ ) i m ~rl B^~ n Bldg. Off. p Variance Address a~.ct, City/Zip Code 5~ ~uis PuriC 5-5-4 Phone T ,SZ 4t 9 y- ~ 9-ric ~ F-\ I"'s X 1 3 = f~~l Xf/~~C7 - G7 L o / a ~ n /f -776J • ' ~aYBEkG ~a~lES ~flORE cnnsu,.li~io c~ioinECns ENGINEe(i1NG rLIllirlEns nnd t(1110 3unvEVOns ~ COMPANV, INC. L 1000 U~ST I46tlh S7REEi, ~UltI15V1LLE, 111NNESOfa 55'37 pll '1!2'5000 l.nr" io, BLOCK S, 7!!E WOODUlN05; OqKOT.9 COUNTY, M/N/UE,$UT.9 pp' 46" E ' - J / ~ (A 9 6/.5Z ~974.2) o ~Z SCALE" : = 30faas,s) lJfj/11n14(-;E ANO U17G17Y E/ISFME,VT t~2 ~ LO~ I 1 C9o3:5j OENOTES EX/ST/NG E6EV4T1Q~1/ I 1 (903• S7 l.~N07ES FROF'O!5E0 F_CEIi11710N 1NO/C47E9 D1REC7-1O1V OF I • \ 5uRr-~cE ORA/N46E I ` 90¢,33 = FlN/SNEU GAk%lGE. GLO~k Z. E'L/_=l//a7id1/ _J Do r • 1 6~ 1 lV f\I ~Y ~ Rl l3N ~p ' W I \ R\ t4•'I('loM1.n) q I 1;; ' 1 nWx1 57K'1~ ~F1~'h~ l~63 I.pO 5 r IIA Sn io.oo ~ 8 (ani Q) N ~•/~RA6E 1 ~s.6~~cio+'~ 1~ Ooi„>~ 30' FRONT Bv/Lp/N6 ~ R ~Z.na N zo_33_ ~c `5 $67-MG< L/NE R - ~ 736, o l7n7,7) l4' o~ I:q . (901: U ~f " L ~4 7i / n JrY l~ C•'I'. ryocUN^io (9'.,z'i) I tieriby certify t}iat t1tie in a t^ue Aed `~rar~petthi~n 5~a daYc°foC lind an alioxn' and deecribed liereon.• Pared by me on 19 S8 . Ninn. 1I99. No. ~6oss ~ ~ . . . *#*+#****f**#****~##**f***##*#f*#t*t C I TY O F E A A iV *~.~,A.Pj.ATT~ ~F~ ; APPROVAL OF PFT2I4rT. ' ~ APPLICATION FOR PERMIT * INSPFXTION OF SEjWEt ADID/OR 4ATFR > IIISLAT.TATTONS WIIS. NuP BE SC]IID- - SEWER AND/OR WATER CONNECTION ~ULID UNPSL PIItt'IIT HAS BFEI`1 ; * APPROVID. w ' w***+**w***r***t~x~~~,e~x::*,rti*it,t+i P ease Print) 1) PROPERTY ADDRESS: LEGAL DESCRIPTION: Lot Block Subdivision or Tax Parcel ID ) IF EXISTING 5'IRCCiLTRE, DATE OF ORIGZNAL BL'ILDING pERMIT ISSL'ANCE: ' ' PRFSENT 7ANING/PROPOSID L'SE: (14on Year) [D CQ'1'AIERCIAL/f2EI'AIL/OFFICE ~ R-1 SZNGLE FAMILY 0 IIIDC'STRIAI, ~ R-2 DCPLEX (Ttao Units) f-I ZNSTI'IL'TIONAL/GOVERNyENT ~ R-3 ZOWDII-IODSE (Three + Units) ( Onits) ~ R-4 ApARTMENT/CODIDOMINIuM ( •Units) 2) NAb'E°-L'Gf ZZ ADDRESS:.0~1.~~ -e- CITY. STATE, 2IP:~,ei PHOLNE: ~ 3) • u r• For City Ose . ' Plimbers License: ADDRFSS: Active CITY. STATE, 2ZP: Expired ~ Not recorded PHONE: MASTER LICIIVSE# StaTF Initial 4) E'*r • • 3• NAME: ~ Fy _ ADDRESS: ~'>/2 l/~/~.)i?~(3 rf/ CITY. STATE, 2IP: PFIONE: ~ . cormEcrzorr Zv ciTr sEwFx ~ mrmEcrroN zv czTY wAZER p oTHEx . . 6) PLF.ASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE - CD PLEASE MAIL APPROVID PERMIT ,l,„ /1 2. 3. q, pgp~ (Circle one) ' 7) r u.. Kmm ~~~3/Xb Y" • Y' Y:I' M ~ r ~ I" D IP' •JI'! I ~ i. •~IJti_`t u' ~ ri1 Y]I• ~ • J~ 1' • ~ ~ be, . FOR CITY USE ONLY PERMIT # ISSCED ' Pd w/Bldg. Permit FEES: $ $ /Q • 5 c SEWER PERMIT (INCLUDE SURCHARGE) $ $ /C WATER PERMIT ( INCLODE SC'RCHARGE) $ D $ WATER METER/COPPERHORN/OC'TSIDE READER S $ WATER TAP (ZNCLL'DE CORPORATION STOP) $ $ SEWER TAP $ $ /-Sc-p ACCOUNT DEPOSIT - SEWER $ $ ACCOUNT DEPOSIT - WATER $ 'Lr0 $ WAC $ O V $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRC'NK SEWER ASSESSMENT $ $ ` LATERAL BENEFIT/TRC'NK SEL9ER $ $ LATERAL BENEFIT/TRC'NK WATER S yu-U $ WATER TREATMENT PLANT SORCHARGE $ $ OTHER: S $ S/ - O C~ TOTAL RECEIPT RECEIPT DOES UTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ~ YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: ~-(SJ-L.o-,.c.e~ ~z•-uJX ~ TITLE: DATE : dP' RESIDENTIAOqUILDING Permit Applicatioo City Of Eagan 3830 Pilot Knob Road, Eagan Mu 55122 Telephone # 651-675-5675 FAX # 651-675-5674 New Construction Reoviremenis RemodeVReoair ReouiremenLS Ofrm Use Onh 3 registered sRe surveys shaxvg sq k. of lot, sq. ft. of house; and all roofed areas 2 capies of plan _ Cert of Survey Recd (20% maximum lot coverage allowed) 1 set of Energy Cakulations for heated additions Tree Pres Plan Recd 2 wpies of plan showing beam 8 window sizes; poured found design, etc. 1 sRe suney for addioons 8 decks - Tree Pres Not Reqd tseto(EneqyCalala6ons Addrtiort- irrdicafei(on-sdesephcsystem _On-siteSeptlcSystem 3 copies of Tree Preservalion PWn if lot platted afler 717193 Rim Joist Detail Options selection sheet (bldgs with 3 or tess units Date (31A Construction Cost to DO Co Site Address Unit/Ste # Description oC Work aAy1[{cp 0~ ~ Multi-Family Bldg _ Y_ N Fireplace(s) 1 _ 2 Property Owner Telep ione # (~psl ) (0E8 -f"S - - - ~ Con[ractor RENEWAL BY ANDERSEN Address ' 1920 COtJNTY ROAD "C" WEST City ROSE V ILLE, MN 55113 I State 651-264-4777 lepho ie # ( ) ,LICHNSE #20130983 ~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NENLB~ r- 11 ~t~ , - Minnesota Rules 7670 Cateeorv ] I~``eso[a Rules,7672 ~ Energy Code Category . Residential Ventllation Category 1 Worksheet 1' • NeSVjEnergVdode Wo t (Jsubmissiontype) Submitted Su6mitted . Energy Envelope Calculations Submitted Licensed Plumber Telephone% ir Mechanical Contractor Telephone J Sewer/WaterContractor Telephone#( ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 1~\ai I ApplicanYs Printed Name Applicant's Signature _ OFFICE USE ONLY Sub Types N4 ? 01 Foundation ? 07 OSplex ? 73 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 43 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New C] 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition q 36 Move Bldg. ? 42 Demolish (Foundation) ? 45, Fire Repair ? 33 Alteratlon ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Ent(re Bldg) - Give PCA handout to applicant Valuation Occupancy MCIES System Census Code Zoning City Water SAC Units Stories Boosler Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Lenglh Fire Sprinklered Type af Const Width REQUIRED INSPECTIONS _ Footings (new 61dg) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Srone _ Fireplace _ R.I. _ Air Test _ Final _ W indows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Cities Di ital Quality Control ' The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. 1L.JV ~m ~o~ o~i ~aoo.emntsn~u, r._ranunecnesn ~ . w UU; ~ re al . . . . . . . ~ , • • r~e 200~ 38 6 ~ Pilotgnob Itosd EaSsn, MN sslzz To Whom u May Coitoern: Elder 7ones is authorizad to puli buiiding pemlts Por Renewal by Mdeasem. Please allow S1cler Jonos to proyide this service for ua in Hagan. '[hia muhori28tipn jg valid for eny date beyond 06101; unbl at~anewa1 by Andetsea MMUMaxPrftdy revolaas it in wilctng W the City- I rcquest this authozization be accepted exleffltlously, ovr baildinS as oo aot delay in the processirtg of Pctmita cmy fiarthcr. contacbed at 763-502-4706. Plcaac caII mc If thcto arc nny queulona. I can be ~ _ ° Your immCdiate atteatlon tb ~Wis mattcr is a et~, - Sinoetely, _ . . *'r*jnond R Rau llation Manager Renowal by And=cn Cotpotativn ('.c~ Karn-FJd~ TnnPa .~'~..~..~4 U •~o...z ,i.~ . . o~ oNotwy .~c~oa,L Received lime Jun. 7. I:01Pld RESIDENT OWNER Name: acivsies 1 tz- Phone: t I L i t —6 7 7 Address /City /Zip: 3 L tv �04,Al fetesr T riP1 E ,l in S? l3 Applicant is: Owner Contractor d TYPE OF WORK y�� /l Description of work: fl a ir t s hk 'pr- A is i v Fo /2(1/ it Construction Cost: C o o Multi Family Building: (Yes No CONTRACTOR Name: License Address: City: State: Zip: Phone: Contact Person: COMPLETE In the last 12 months, has No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: _Yes 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. City of Eaftall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 x iTu oi e.) g_ (om. Applicant's Printed Name Ap l ant J 's Signature For t Use BLUE or BLACK Ink ffice:Use 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Permit '7�J1�' Permit Fee: i f f ry Date Received: ,r J r-9 Staff: C. C Date: CA.- I v I iN Site Address: 7 2 We.,3 (Gt r fit qs'V► t f'` L j Tenant: Li C IA^ t' 5 Ci MOC 11 e✓' C Suite 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.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Page 1 of 3 SUB TYPES Foundation Single Family Multi 01 of Plex Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall Fireplace Garage Deck Lower Level DESCRIPTION Valuation 0 62 Plan Review 0` Census Code of Units of Buildings Type of Construction REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Interior Improvement Move Building Fire Repair Repair Roof: _Ice Water _Final Framing Fireplace: _Rough In _Air Test _Final Insulation Meter Size: Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S &W Permit Surcharge Treatment Plant Copies TOTAL DO NOT WRITE BELOW THIS LINE Porch (3- Season) Porch (4- Season) Porch (Screen /Gazebo /Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Siding Reroof Windows Egress Window Pool: Footings Air /Gas Tests Final Siding: Stucco Lath Stone Lath Brick Windows Retaining Wall: Footings Backfill Final Radon Control Erosion Control Building Inspector (./AJ &11/96 Sheetrock Final C.O. Required Final No C.O. Required HVAC Other: Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Page 2 of 3 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 3712 Woodland Tr Lot: 10 Block: 5 Addition: The Woodlands PID:10- 75875- 100 -05 Use: Description: Sub Type: e- Reroof Work Type: Replace Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823 -8046 Applicant/Permitee: Signature PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K Construction Type: Occupancy: If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes. $88.50 $1.50 Total: $90.00 - Applicant - Owner: James H Moeller 3712 Woodland Tr Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: 0801 9001 Issued By: Signature Building EA091194 09/17/2009 ePermit I hereby acknowledge that I have read this application and state that the information is correct and agree to comply of Minnesota Statutes and City of Eagan Ordinances. h all applicable State