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3763 Woodland Tr ~ CITY OF EAGAN g~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 - 18365 PHONE: 454-8100 BUILDING PEFiMIT Receipt # To be usedr 3gSEJON POxCH Est. value ,000 Date SEp 13 g 90 Site Address 3763 il00Dl.AHD Tit Lot 3 Block t Sec/Sub. ~E ~D~DS OFFICE USE ONLY Parcel No. occuPancy R-3 -2 FEF_S Zoning W Name JOHN 6 APIlIETT6 DOLEt~C lActuaqConst - BIdg.Permit # Address 3763 YOODLAND TR (lUbwable) _ o Surcharge 3 • ~ , City EAGAN Phone 683-0773 # or sto~ie ~e~~ ~ ~14 Plan Review ~ Name SAME oeptn OKk snc, c+ty ~ Address S.F. Total ut - SAC, MCWCC ~ Clly Phone S.F. Foolpnms _ On Sile Sewage _ Waler Conn yVj W Name On Sile Weli - Water Meter i~'-y Address WnvCCSystem _ i W Clty PhOne Ciry water - ~O3i1 PRV Required _ S/W Permil I hereby acknowlege that 1 have read this application and state that Ihe Booster Fump - SNV Surcharge inlormation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatmenl PI Signature of Permitee APPROVALS Road Unit A euilding Permit is issued to: JpN OR Al1NETTE DOLENC Planner - Park Ded. on the express condilion that all work shall be done in accordance wlth all CounciI applicable State of Mmnesota Statutes and City of Eagan Ordinances. gldg, pff. _ Copies Buildiny OftiCiel ~ Variante - TOTAL 93.50 Pumk No. PMmit Haldw Date TaNphonW # WATEA SEMfER PLUMBING H.V.A.C. ELECTRIC Irawoetioo Ds/s Insp. ComenMis Footengs I Fourdation Framin9 S Roofrg R-0 Plb9• Ra0 FIe9• Q5 Fireo- FinaJ Htg. Fnal Plbg. Const. Meler Plbg. Inspector - NoUly Plumber ErgrJPlan Bldg. Final nock Fiy. f ? oea~ FwW o weu Pr. Disp. CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for SF DW/W Est. Value ;151 1400 Date 3L1:.Y 7 Site Address 3763 W(?(aDI.AND TR Lot Block 1 Sec/Sub'~'~{g ~D1•AND" OFFICE USE ONLY PSfCeI NO. Occupancy TA-3 K-1 FEES Zoning R-1 fi W Name S,; :.etOlF' (actuai)const ON sidg.Perma E18.0 o Address 2S{~E~ li~.LF:'.~i14 AYB (Albwable) V~N Surcharge 7S.S~ City OAKDALE Phone 779 -b 1" # ot swries 620 PlanReview 404•00 Length o Name SA-'g DePth 3.1-1 SAC. City 1100•00 ~ AddreSS S.F. Total City Phone S.F. Footprints _ SAC. MCWCC '~~p4 On Site Sewage _ Water Conn 5~0.~ ~ yVj W Name On Site Well - Water Meter 40, 40 AddreSS MWCC System xx m W City Phone City Water Aoct• Deposrt 30• ~ ~ PRV Fequired _ SNV Permit 20. I hereby acknowlege that I have read thfs application and state that the BoosterPump - S/W Surcharge 1•~ in(ortna6on is correct and agree to comply with all applicable State of Minnesota 8tatutes and City of Eagan Ordinances. Treatment Pi 228 • 00 `.Siqnature of Pertnitee APPROYALS Road Unil 340• OC) 5.i 1CRvISS H0!!ES Planner - Park Oed. A Building Permit is issued to: on the express condition that all work shall be done in accordance with all C43uricil - applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Ofl. _ Cop1B3 Building Official variance - TorAL 3,266. SO Permk No. Mrmk Holde? Dtb Talaphane # WATER SEWER PLuti,eI14G g 0 ro H.v.ac. ELECTRIC I,.p.clJo, DO. ~nsp. Coc„nwft Footings I Foundatbn Frar„i?g 4 Roofing Rm* Plbg R«,g+ Hts. ' ' ~ lsui. FireplaCe Z ~ ~ 0 Final Htg. iG Q p- = Final Ptg. Cwnst. Meler Plbg. Inspector - Nocify Plumber ErgrlPlan /U Bldg. FirLal A0 DeGc Ftg. Deck Finel Well Pr. Disp. PERMIT # ' MECHANICAL PERMIT RECEIPT # _ CITY OF EACaAN 3830 PILOT KNOB ROAO, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 For Office Use Only: ' 31te Address +BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub Res. New Mult Add-on m Name Comm. Repair ~ Address Other c City Phone ~ Name - ~ - ~ : FEES ~ RES. HVAC 0-100 M BTU -$24.00 c Address L a C . ADDITIONAL 50 M BTU - 6.00 it Ci LF Phone (RES. HVAC INCLUDES A/C ON NEW 0 H CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIn _ 1,50 EA TYPE OF WORK r ;C COMM/IND FEE - 1% OF CONTRACT FEE - Forced Air M BTU ~APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 ~ Unit Heater M BTU REMODELS - 12.00 Air Cond. ,~M BTU MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping OuUets # BEYOND $1,000) Other FEE ~ "T- _ '\~~C~~'S,~~ SIGNATURE QF PERMITTEE S/C: TOTAL• ~ FOR: CITY OF EAGAN -~...-:a.i.~".. • . . , .f:o`:-:'r~'attt~37"~..ti..,.. . . . ir a:. Y! PERMIT # PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3930 PILOT KNOB ROAD, EAGAN, MN $5122 DATE: CONTRACT PRICE PHONE: 454-8100 Site Address BLDG. TYPE W4RK DESCRIPTION Lot Block SeC/Sub Res. New ~ Mult. Add-on m Name ` Comm. Repair ~ Address Other c City ~~~9~ Phone RES. PLBG. ONIY - COMPLETE THE FOLLOWING: - N,Q; FIXTURES TOTAL ,~Water Closet - $3.00 S ~ G Name Bath Tubs - $3.00 ~ C: Address..f ~ -$3.00 c ~Lavatory p Ciry " Phone - ;shower - $3.00 - _,4-Kitchen Sink - $100 FEES Urinal/Bidet - 53.00 COMM/IND FEE - 196 OF CONTRACT FEE -/-Laundry Tray -$3.00 c l' : APT BLDGS - COMM RATE APPLIES --A-Floor Drains -$1.50 ~ TOWNHOUSE 8 CONDO - RES. RATE APPLIES V Water Heater -$t50 MINIMUM - RESIDENTIAL FEE - $12.00 --,/_Whirlpool - $3.00 - - v U MINIMUM - COMM/IND FEE - $Z0.00 -_,z_Gas Piping Outlets - $1.50 STATE SURCHARGE PER PERMIT - .50 ( INIMUM -,4 PgR PERMFT) (ADD $.50 S/C IF PERMIT PRICE GOES Sof~ner -$5.00 ' BEYOND $1,000.00) Well - $10.00 _Private Disp. - $10.00 ~ ~Rough Openings - $1.50 SIGNATURE OF PERM6tTE FEE: 6 J~ f ~ I STATE S/C: '0 FOR: CITY OF EAGAN GRAND TOTAL• SEWER & WATER PERMIT . . OFFICE USE ONLY CITY QF EAGAN PERMfT DATE 7/ 1,`+;' R'J 3t30 PIIOt Kn0b F.W. R WATER PERMIT 10642 SEWER PERMiT # P.O. BOX 21199 ' METER ~aV QT B.P. RECEIPT # C298 i E8Q8f1, MI4 55121 ER # ~ B.P. RECEIPT DATE 1 7 $9 METER SIZE o ISSUE DATE PRV - BOOSTER PUMP SITE ADDRESS cy) ~CA J\~ ~PERMIT REQUESTED LOT •.BLOCK SECiSU6 ~20 16 r._ S APPUCAT: <M X SEWER x WATER - TAPS ADDRE ' CIlY, ST TE L , ZiP $ ~ ~ - ~MM/IND k RESIDENTIAL PHONE: ~ 7 ~ ID ~ 1 x NEW _ EXISTING PLUMBER: w sa~6 L ~ /w r5 ~ nlAL ADDRESS: 1 AGREE TO COMPLY VYITH CITY OF CITY, STATE Zip EAGAN ORDINAN ES: , PHONE: _ - ? ~ ~4'/ "1 OWNER: ADDRESS: SI URE WHEN M ED CITY, STATE ZIP PHONE: PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORNI SEWER PERMITS, CONTACT ENGINEERING DEPT. - - - - SEWER & WATER PERMIT OFFICEUSE ONLY CITY OF EAGAN PERMIT DATE 7/' g/89 3830 PoDt Kf143t,LN. WATER PERMIT # 10642 SEWER PERMIT # P.O. Box?y1 199' METER # B.P. RECEIPT # C2984 Eagan, MN 55121 READER # B.P. RECEIPT DATE T 17 89 METER SIZE tSSUE DATE - PRV - BOOSTER PUMP SITE ADDRESS 1c- l PERMIT REDUESTED LOT ,LBLOCK SEC/SUB a~ I L ' APPLICAAIT: X SEWER X WATER _ TAPS ADDRES8: '~~'1 l_11 ~ y - COMM/IND ~ RESIDENTIAL CITY, STATE - ~ PHONE: ~ -&Iqi4 , A NEW _ EXISTING ;PLUMBER: ADDRESS: 1 AGREE TO COMPLY WITH CITY OF rt; E~?GqN OI~DINANCES: i CITY, STATE ZIP~ 1 I PHONE: OWNER: ~ADDRESS: SIGNATURE WHEN METER ISSUED CITY, STATE ZIP PHONE: PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ~ ENGINEERING DEPT. ~ CASH RECEIPT . a CITY OF tAGAN L 3830 PILOT ICNOB ROAD IEAGAN, MINNESOTA 55122 ~ . OATE ~ ' m~CM t AMOUNIT L Lr v J 8 DOLLAAS loo ? CASH ~,CHECK i FUND 08JECT AMOUNT Thank You ev whits-PaYm coPY C relbw--aoanrq copy Pink--F'de Copy CITY OF EAGAN NQ 16760 3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121 ~ BUILDINa PERMIT PHONE: 454-8100 Receipt # Tobeusedtor SF DWG/GAR Est.Value $151,000 Date JULY 7 ,1989 Site Address 3763 WOODLAND TR 3 Block 1 SedSub.THE WOODLANDS OFFICE USE ONLV Lot _ PafCBI NO. Oaupanty R-3 M-1 FEES Zoning R=1 w Name S J KROISS HOMES (ACtuapConst -N Bldg Permil R7R_00 3 AddresS 2508 HELENA AVE (nuowabie) V=N 0 City OAKDALE Phone 779-6144 xof Siories Sumharge 7S_50 Lengtn 621 Plan Review 409 .00 ~o Name SANIE oePm snc.ciry 100.00 AddrBSS S F. Totai - SAC,MCWCC 575.00 City Phone S F. FootpriNS _ OnSReSewage _ WalerConn 580-00 ww Name OnSaewelb - WaterMeter 90.00 AddfBSS MWCCSystem n aw C1tY Phone QlyWater XX Acct.Deposit 30.0 PRV Required _ SM/ Permit 20.00 I hereby acknowlege that I have read this apphcauon and state that the Booster Pump - SrW Surcnarge 1-0 0 mformation is correct and agree o compl with all apphc ble State of Minnesola StaWtes and City of Ea a nces. Treatment PI 228.0 0, Signature of Permitee APPROVALS Road Unit 340.0 0 A Bmldmg Permrt is issued to: S J KROISS HOMFS Planner - park Ded on the ezpress contlition that all work shall be done in accordance with all CouncA _ applicable State of Minnesota QS1a~Wyl f tes an y dy~Ci 11 ry~J ot Eagan Ordinances. Bldg Oft Copies 0 BUilding Oflicial ~1 1~, 1 I ~ Vananca - TOTAL 3,266.5 CITY OF EAGAN NO 18365 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDWG P MIT PHONE:454-8100 Receipt # DECK & To be used tor 3-SEASON PORCH Est. Value $7, 000 Date SEP 13 1930 Sile Address 3763,WOODi AND TR LOt 3 BIOCk _I SBGSub. THA WODDi.ANnS OFFICE USE ONLV PdfC21 NO OttuOancy R-3 11=2- FEFS Zoning a Name JOHN & ANNETTE DOLENC w (AC1ua1) Consi _ Bltlg Perma 90•00 3 Address 3763 WOODLAND TR (Allowable) o - Surcharge 3.50 City EAGAN Phone 683-0773 x of Siones SAME Lenglh ~rcl~ 12x14 Plan Rewew o Name Deplh Deck 2~2 ~ p snc, ciry ~a Address S.P.TOtaI - SAC,MCWCC ~ City Phone 5 F. Footpnnls _ ~ On Sile Sewage _ Waler Conn ww Name OnSiteWell ~ - WaterMeter AddfBSS MWCCSyslam _ iw CifY Phone City Waler _ Fttt Deposit PRV Required _ SlVJ Permil I hereby acknowlege that I have read Ihis application and state that the Boosier Pump - Shv Surcharga information is correct and agree to comply with all apphcable State of Mmnesota Statutes and City o Eagan Ordinances. ~pireaiment Pi Signature ot Permitee 'WVLC APPROVaIs Road Unil A Buiiding Permit is issuetl to: _ JOHN OR ANNETTE DOLENC Planner - park Ded. on the ezpress condition that all work shall be done in accordance with all Councd applicahle State of Minnesota StatuteIs and Cit~1y ol Eagan Ordinances. gld9 ory Copies BuildingOHicial-Li~l1I1.J ~'i LY Vanance - TO7AL 93.50 ' (ter#ifira#r of (Orrupttnrg , Citp of (Eagan Er{rttrtmen2 of luilDfing Insprriiun This Certificale issued pursuant m the requiremenls ojSection 306 ajthe Uniform Burlding Code certiJying that at tke lime ojrssuaxce this struc7ure war in compliance with the various ordinances of the City regulating building construction ar use. For !he jollowing: uuclr.ao. SF DF7G/GAR Bldg RmmNo 16760 O=reMr Tsx R3/M l Lvning WNa RI rya c~a VN owneT of ewlmneSJ RROISS HOMES Addon,,2508 HELENA AVE.. OAKDALS ~ BwldmgAddrm 3763 WOOHLAND TRAIL Looif„YL3 BI THE WOODLANDS OfTOBF,R 10 1989 / Bwlding Ofli,dJ'r' POST IN A CONSPICUOUS PLACE BLDG. PERMIT NO. fi . v , 01-3210 Bldg. Permit iL. 01-3422 Plan Check 44 19 Gu i 01-3445 Surch./Adm. ~ • ~ ~ 01-3446 SAC/Adm. S 75~J 01-2155 Surcharge --7 / 75-3860 Road Unit 0 cc ~ 20-2275 snc 5 Lo Ci v36 20-3865 Water Conn. S~n o(D 203868 Water Trmt. 2~ 8 203716 WaterMeter G~ oc) ~ 204252 Acct. Dep. -50 ~n ~ 20-3713 Water Permit I U DO 20-3743 Sewer Permil IC) 00 793866 Sewer Conn. I cv': Go 28-3855 Park Ded. TOTAL ~ - ~ ~ . • DATE: 7/18189 :3qF; ,3763 TePO0DLAFID TH. L3 Bl, WOODLANDS I \ a . ~ ~-.s11 1 R Your Sewer & Water Permit for the above property has been compteted. It wilt be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WOpKS (454-5220) FOH YOUR PERMANENT WATER TURN ON. - Your Sewer & Water Permit for the above property cannot be completed for the following reasons: " Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. - COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hail. Meter size must be , confirmed by Bilt Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY BEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. ' - 7/18/89 . DATE: 3763 WOODLAND TR., L3, B1, 6100DLANDS I ~ xx~YO'ur Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CAIL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. _ Your Sewer & Water Permit for the above property cannot be completed for the following reasons: - Your Sewer 8 Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. - COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspeclors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. ~~as~ yr a 38 59. Requesl Dale Fire. Rougn-in Inspeclqn ? ~ ~L7 ReW~r~' Reatly Naw ? Will NoLty InspBtlW ?Yas ? No When Reatly7 r 10 licensed conVactor [owner hereby request inspection of above electncal work at: be AEOress (Sttee1. Box' w @oute No ) Qry W dODLAr.i L I2. GkQ~IJ Sectan No. TownsNp Neme or No Range No. LouMy OccupaM (PRINT) Phone No J o~ DoL~~. 0~73 Powar S,plie, qtlpress Eleclrcal Cqnlractor (COmpany Name) GonlrMtorS L'¢ense No M6dmg qtlEress (ConVacfor or Owner MdFing Insta118LOn) ~ 3163 Woo~c.40,J ' 79. Authorue0 Sgnalvr (q ~tp r/pvn r Making InstalWtion) P~one Num - 07 13 MINNE STATE 90AH0 OF EIECTPICRY TMIS INSPECTION REOUEST WILLNOT Grlp ey BIEB. - Foom S1T3 BE NCCEPTED BV THE STATE BOARD 1871 n anky Ava, 51. Mul, NN 55101 UNLESS PROPER INSPECTION FEE IS • 1Y~ NP-0!W ENCLOSEO REQUEST FOR ELECTRICAL INSPECTION t„~EB-00001-OB S ? Sae insimmions Iw CompleLng this lorm on Eack ol yeliow copy. ~ 3 H 3 5 9 "X" Be/ow Work Covered by This Request ew Atld Rep- • TypeolBUilding, AppbancesWired EqwpmenlWved Home Range Temporary ServiCe Duplex Water Heater Eleciric Heating Apt Building Oryer Other (Specity) Comm/Indusirial 'Furnace Farm Air Condrtioner OIM1er(specdy) Conttactor§ Femerks Compute Inspection Fee Below: 3 # Other Fee B ServiceEntranceSrze Fee 8 CircmWFeeders Fee Swimming Pool 0 to 200 Amps Amps Transformers Above 200 _ Amps A 70 Amps Slgns Inspector5 Use Only. TOTAL Irrigalion Booms 30i 5-0 Speciallnspection niarmlCommunicauon THIS INSTALLATION MAY BE ORDERED DIS NNECTED IF NOT Other Fee COMPLETED WITHIN 18 MO I, ihe Electncal Inspector, hereby Rou,,n,n certi ihat Ihe abOVe ins echon has N P Final Dete been made. f OFFICE USE ONLY fLn 1 TNS repuesl voiC 1B monms Imm vv~ ~ 8//~/Sy 2 2 5 9 9 Requasl Date Frte No. 1 RougRin Inspectwn RequiretlT ? Aeady Now f~Will Natity Inspector r~ as ? No VJhen Reaey? ; I,iicensed contractor ? owner hereby request inspection of above electrical work at: J00 A mss (S eel, or Route No ) C Iy ,763 4J 7.C411, Sectqn No. Township Nama ar Na Range No Counly Occupant TPRINT) M~S ~ (y ~ P~ N Y Power Supplier Aptlress oT~9 3cv ST tJ <9 OTAOCI~ Elepnal Conhador (COmpercy Nnme) 1 CqnVeclor5 L¢ense No. w c~c 01-106/54 MaiGng ress nirac~or or Owner Making Installation) L~ l~+/ D•4 01?~ .S'S//~ uthor i ature (COnVactor ner ak Installation) Pdhone Numbar r MINNESOTA STATE BOAHD OF ELECTfiICfn' THIS INSPECTION REOUEST WILL NOT Griggg-Mitlwny BWg. - Room S173 BE FCCEPTEO 8V THE ST.4TE BOARD 1821 Universily Ava., SL Paul, NN SStOd UNLESS PflOPER INSPEC110N FEE IS Plrore (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION r E8-0000y1-07 ? See ireVUCrons Ibf cclfnpleting ihts farm on beck ol yelbw copy. 93,5 J J~ 0 22a99 "X" Below Work Covered by This Request e Add Rep. Typeoteuilding AppliancesWired EquipmenlWired Home Range Temporary Service Duplex Wa[er Healer Electric Heating Apt Building Dryer Other (Specify) ; Comm./Indusinal Furnace Farm Air Conditioner Other (speary) CqnVactor5 Remerks: . Compute /nspection Fee Below: # Other Fee # ServiceEntranceSae F # Cimwts/Feede 6e Swimmmg Pool 0 to 200 Amps 0 to 100 mps Transtormers Above 200 _ Amps SignS Inspectort Usa Only: ~ TOTAL Inigation Booms Speciallnspection (Jt vc Alarm/Communication ~ f Other Fee "IN I, the Electrical Inspector, hereby Rouqn-in 71V , ~ r certify that the above inspection has Final been made. . OFFICE USE ONLY . This request mitl 18 months (rom 2007 RESIDENTIAL MECHANICAL rEitnliT nrPLICA"I'ION City Of Eagxn 3830 Pilot Knob Road, Eagan MN 55122 Tclephonc # 651-675-5675 Please complete foe single family dwellings & tou•nhnmcs/cundos when pcrmitti are required liv each unii Date 0 8/ 1 6/ 0 7 Sitc Address 3763 WOODLAND TRAIL Unit # Property Oe-ncr JOHN DOLENC Telephone 651 ) 683-0773 Contractor GENZ-RYAN PLUMBING & HEATING Street Address 2200 W HWY 13 City BURNSVILLE State MN Zip 55337 Tclcphonc# (952 ) 767_1000 Bond 929298827 Expires: 8I14108 't'he Applicanl is _ Owner X CooVactor _ O[her Firc repair (replace burncJ uul appliances, duclwork, clc.) $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-on or alteration to existing dwelling unit $ 50.00 furnace _Additional X Replacement _ New air exchanger X airconditioner heat pump other S[a[c Surchargc s .50 Total $ 50.50 I hereby apply for a Residential Mechanical Permit and acknowledge ihat lhe information is complete and uccurate; tha[ the work will be in confonnance with the ordinances and codes of the City of Eagan and with che Mechanical Codes; that I understand this is not a permit, but only an application for a permi[, and work is not to start withou[ a pertnit; that the work will be in accordance wi[h Ihe approved plan in the case of work which requires a review and approval of pla KIM RENVILLE ApplicanYs Printed Name icant s Si tu-r8--- ~ 1989 BOILDIBG PERMIT APPLIC?7ION CTTY OF EAGAN IGIGO SINGLE FAMILY DiIELLIRGS M1pLTIPLE DiTELLINGS CIX4fERCIAL 2 SETS OF PL9NS 2 3ETS OF PLANS 2 SETS OF dRCHTlECTU8A1. 3 HEGISTEEIED SITE SOHVEYS 9EGISTfiAED 3ITE SIIR7E2S - 8 ST80CTUAlL PL1?NS 1 SET OF El9EAG1 C9LCS. (CHECE WITH HLDG DIV.) 1 3Ef OF SPECIFICATIONS 1 SEf OP EBEAGY CALCS. 1 3ET OF F.NEAGS CALCS. MULTIPLE DWELLINGS RENT6L IINITS FOR SALfi IIBTTS f OF DHTTS 80TEs 1DDRESSFS POH COAIQEA LOTS - COATRACTOA/HOMEOWNEA lIQST DFSIGNATE YSIC9 1DDAFSS IS DFSIRED. HO CAANGFS AII.L BE ALLOiiED OACE HOII.DING PERMIT I3 ISSUED.. SEi1ER 3 X1TER PERMIT FEES AND ACCOIINT DEP0.SIT F6F3 WILL BE IPCLIIDED WTTH THE BDILDIN(1 PERMIT FEE. PROCESSING TIME FOR 3C'iTEB !AD N9TER PEAFlI?S I3 ?ii0 DAYS ONCE A PERMIT HAS HEEN COMPLE2ED INDICATIBG A LICENSED PLOlBEA. PENALTY 6PPLIFS HHENs PERMIT IS NOT PAID FOA IN 36ME MONTH IT IS REQUESTED. LOT CAANGE IS AEQUESTED ONCE PERMIT IS ISSIIED. =auH a~ ~99e To Be Used For: 5 ' Yaluation: Date: Site Address -576,3 W/)/yl n~I fi. OFFSCE US6 OHI.T I Sl,ooo- Lot ~ Bloek ~ ^ Occupancy R 3 M -I F'EFS "I Zoning IZ-1 Parcel/Sub 00(~C =~C'r\AS Aetual Const v-hi Bldg. Permit B18,00 ~ C nI '1,~ Allorrable N-N Surcharge 75,5~ Ormer C>T~ J~ m) I~S 8 of stories , Plan RevieW c> o0 Length G2' SAC, City 1o- S a~.~0 Address Depth 35' SAC, MWCC '~5 1-0 J S.F. Total {iater Conn sa oJ City/Zip Code Pootprint S.F. ilater Meter 90,00 Aeet. Deposit 30.00 Phone On site aewage S/W Permit 20,00 ~j On site well , S/A Sureharge I,Do Contractor 1-i(9 YVL e_S [iHCC System / Treatment Pl. z~ 3,a? p Citq vater Road Unit y0,00 Address < j-~P (ePlLG, ,l-~-t)F PRV required _ Park Ded. Booster Pump _ Copies City/Zip Code 0 A K,a a i_~ 3IIBTOTAL /PPROVAI.S Penalty Phone YPlanner _ i02AL Z-:: 77 Q Council Arch./Engr. Bldg. Off. 00 Sv".r?w~~, Varianee = Address c-, 0~ VI,Le Citq/21p Code Phone A 6ARA6t ` . 29 u K~ Sy 8 X /5 = ~ ~Z o .§L5-~fm- i-ix14: S~ 24 . &yg I I`]~F X !y I SS F~o~r~ SSwtT= Il~fu 2 X6 X'Z = Z~1 Zx7 = I~4 IxID= 1~ ~2~2- X >YD- 6z~ov Zn0 F.-ooilL ZS 3°v = ~ob-I I x lo = 1~ I~{x8=~~z i 5Ds3 b SUFtVEYOR'S CERTIFICATE 5•S• KR015S ~ REVIEWED 30 BY ~ 1 A~ ~ i 41 ~O tK .90 8,hv 0.0 Q0 yy4i 151 ~L ~ Poa, 10 (10 3 < Ln N , ' ~~38o I < 'n . J TY ~ r R/, A~ MENT pER L~At J 1 O g C~ ~ EpSE / 0 1 ~ R G' DENOTES PROPOSED SURFACE DRAINAGE Da e ~GI~E~ 1 O DENOTES IRON MONUMENT SET JINCH = 3o FEET 0 DENOTES IRON MONUMENT FOUND PROPOSEg•~ARAGE FLOOR - gq,, g FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR -$9a.! FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - 8qg.l FEET WE HEREBY CERTIFY TO S. S. KIZo 155 THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 3, Block I, THE WpODLANDS) according to ihe recorded plaf ihereof, Dakota County, Minnesota. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS Z6TN DAY OF JUNE , 1989. SIGNED: J ILL, INC. /0~~ 0 BY: (2~ .,z HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 12294 m ~ o o °o ~e o~ ° - ~ James R. Hi , inc. - r mJ n 2! v_i:z > m ~ p PLANNERS / ENGINEERS / SURVEYORS o m o~~ D Z~, ~ T A m 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029 0 ~ a ~ , 'o G . CYTY G~ DATE /0-~-BG JOB ADDA~S3Wr _ ,3 Q I K I . W Oed ~te,.~vLQem )EATI17C CONTflA~ 0 _~,Oo~Lo I'}[ONE 4 060 ~ ~ ~ coxriucroa o on :n s~ua /<Z4o:.rs ptioxz 7 7 9 G/¢5t Bae1o intoraation belox avet be eupplled tro¦ the Ehergy Code Calculatloae Yornheet aPproYOd by the Building Department for thie etructure, If-lr-K4 139S • s~o /q9 n5 IJ32-- • 1. Sq. teet of exposed vall aren above grnde~7a-7 X"U" • x 88 degree deeign teap. 9 9 9 2. • SQ, ieet of ceiling areal/SL X{1 Factor degrees.• -2o8 7 3. 3q* ieet.ot iloor over unhested apace -~6 x"U x gg degreee, A. A. Sq. feet of uninaul'ated baaeaont floor area ![~-c x 1.25 _/40B. Sq, feet ot bsaenent Sloor vith R-5 ineul'ation x,73 s• 4.3q. feet ot unineulated iowndation wall area belor grede x8. B. Sq. feet of fotmdatlon xall area insulatnd'to R-s oa entire in?11 or E-10 to the deei/sin"6"t line /3.~--o x4.4 S94 0 6. Lia Seet of inillteratlon for xindoxa 3s3 x(0.5)x (1.08) x88.deproea. ( Baeed on aaah opeaing aicea. /6 77S- 7. 9q. SeeO ot door ares _ 4o x(1.25) x(1.08) x 88 degrees 47S2- sq. SeeE ot ellding door area 84 x(0.5) x(1.08) x 88 degreee ~9 9 z 9. Alloxnnce for kitchen and bath Sane r 1 kitchen fans @ 600 BTU each '6a'L ~ -F' bath fans e 200 BTU each (o o 10. Alloxaace for fireplacea ~ 24" to 32" oPenlns v iooo BZ'u . .Y_ z 34'}to 42" openin8 o 1300.BTU 16~~ 44" A 14YgEP OjkIliIIB Q 1500 $j'U 11. Tota1 BTU loae for above itexs So.86 7 12. Add for c.oabustion air (SBC ~722)__ (,001 x net loea iro¦ ite¦ it ' 11 z(12.5) x(.075) x 88 degreea 13. Ada r li aAI 12 sso6.~ 14• l4axlsua incraaee alloxance by (2 HCAR 1.16007- 1,16008) Anexer above.by 115¢ • 63,32- 3-' Ol7fPl1P OF FURHACS SHAI,I, NOT EXCEID TOTAL OF 14. Thie le the eize of tlirnace you ahould use in thie etructure, the code doee allox you to use the nezt eice avillahle. groviding approyrlate eiaed •quipaeat Se not' available. . NOTSi Input Sa 25)G hlghere exsaple---- A$0,000 BTU output fuzaace xould havn a 62, 500 inDLLt iatinv. EXTERIOR ENVELOPE AVFR/IGF "II" COF1f'IITAfIOP! r ~ ~ OWNERSLEvC- K.R-ot ss---- nnrr: - 3--24-8"1 SITE ADDRESS: k7 T PI!OME: CONTRACTOR: STEV6 (C(2U1SS ~p-~_ ~~¢,Q~ B' 'Q'M~. 4.3caDLANps Determine workiny square footage of each 1. Total exposed wall area..... aBaI.S __sr~. It. Y_ll__= 3 10.3 2. Total roof/ceiling area..... IIf4 sq. ft. x.026 = p"~,~,q Total exposed wall area above floor= A440 a. Total wall window area ~(03 b. Total door area 37 c. Total sliding glass door area ~p d. Total fireplace wall area - e. Total wall framing area (averaye 10I" ) 2 44- f Total rim joist area p g. net wall area above floor J 81(0 h. wall area above floor i. wall area a6ove floor j. frame wall area at foundat.ion Total exposed foundalion arca= k. Total foundation window area /a ~ 1. Total net foundation area above grade (0~-,5 Detei-mine "u" value of each wall seyment (e,g. window, door, each sepirate kvail section) a. A65 z 'lull b. 37 x V_ ,4~ c. Sb z°u° d. Y, 'lull _ e. X„ull , p~ = a 'rl f. ~oS Xlu„ , 64 = • a y. 181~ x „ull h. X ituii _ i. X llull _ ,7. X 'lull If item 93 is the sai k, /a X "U" 5.4 as, or less than itei / kl, you have met the X "U"_ ~.D intent of SBC 6006 ( 3 . .................................Total 57•B - .or Envelope Avera9e "U" ComputaCion rage t ot 4 Total exposed r.oot/ceilin9 area = III~ i~ m. lbtal s}:ylight area n. Total roof/ccilingframing arr_a (;ivcr.agc 107.)... /11.4 o. Total net insulated rooE/cci].i.ng orea...... _L.OVa 69 i Determine "U" value for each roof/ceili.ng segment M. x ,.u., _ n. a -,u-, .024_-= o. loaa.~ X„U„ 107, - oRo. 4 1bL-al = I~i ~I •U 'f total cf n4 is the same as, or less 1:han 02, you have met the intent of SNC 50C'S ;r.1 1 , Alternate Building Enve].ope Design 7b utilize the total envelope'system method, the values established by the saa of items 'r,3 and i'-9 shall not be greater than t]Ze stun of items fll and 92. i. 3 + z. 2 s. + a. 0?~•8 = D.la Rpor/cesLiuc , . t • J . . Construction R-Valt~c ~ ~ , InJ~tc~Jrior air f.tlmp . 0.61 ' ` J ~ 3. 4. Extcrior air filn (sTOe~ 2 0, . V utT . 4 S 8~ • ~ . ' FfIA•M a ' . . ' znted Hen[ f.Low ~ 1. Inter.iaor nir ftlm 0.61 uP G f3I~ . . 3 ` I4SUL 38.3s ~ ' • d. rxCecior air Liln (sr.il -----,~--------rotat 2 - 90.Is FIC. 95 , • . . . . ~ . . . . ~ U - . oz4:. - _ _ . ~ • CotivrV.'vcri mr~_ r. t l.•~.i-v'.v 1 L^~~', r i4.o.-~-A~. a 1t ~ c. l . InsSdc air filin 0.61 . , 2. . . 3. • - , q_ ~ t n(~n ~ S. Outsidc air film Total 0.17 3 ¢ • 1. Tnsidc air film 0:61 • 2. kec[ flov up • ven[ed 3- . 4_ • . _ " ' • ~ ' ' S. Outsidc aic filin 0.17 . TSG. i6.~ . • ~ . ' : Total 3 O ~ I u' 'v 1. Znsid'c air fiJin • 0.61 y •t-S'=A 2. ~ - • ' ~.!-'-11~1°t - . _ ' . , „`~;,c,~~L•i1~:~":... 3. _ • • . r.: ow.~'. 4. •~.~.~..f~'..,:•;,:;., • Outsidc oir filin 0.17 .:j•,::..,:•. f . l . . Tota1 ~ . • ' ~ I ~ / . . ' . . ` ` ' , . • • . BOr_pII;RI) Notc: U;o additional sheets if morc cpaco i: ' • iieeclecl for cletails and calcu?ations, d , ` . Heat ~ ' . . e ~ ' . • flov up . • ' ' . le • . ~ • . . • - ~ ' PI,. !7 . t• . : . • of ~~~oyue wa11 nrea for ' ;RY: COIU; trticllun r~ , , • ~ . . . . 4.,;J ~ . , ' ' _O -yL".1s7~_~.D. a~ -C., , , . ~y1 ~ i ~ , . a ~ ~ ~ ;e d. Z~/$Z.....fiF~T~!'...- . ..Z~O~j :MqV 5.~fl.1 6;>~. _ ,.`z. r 3IC. . G. E>:l,orii,r nir (ilm U.I'/ ' . . ~ ai.~ •~,>~;,i !v. 85 P1G. 11 TG I'VIF1J OF ~F r''• ~ inl'rrlnr , ir 'llci q.Gll =.r. . `,.`i' . FIWtE HAI.1. 1. 2 • ~L.. , ~ . • _4"_.... r~sui._ L_LQ. S. - .(vZ ;9ga~; ~ ~ _ 4 • . ~ r , ~ ' - --{d G. tirlcr~o~aii l.ili.1 0. 17 ~ Tutil~c I'IC. 92 ~ ~ 6.7 ~ O • V I Il . f71 .x' I~7 _ ~ ..~-~-Oj • . • 1. ]nir.l'iUf Oit' lili~...."'...".___"'__ ' 1'~..'/ , ~."._~~S~u _.~°~Q , . - , ' • ' ~ • . ol 4 • _2S~3-Z-.S~Fflo_....- - ,',c\ FC~x =!"~l 5. ..6',d.~v~..... _.__..__...._..-.~eZ ~ i";~. ral t~. ExCrrli•r nir i i Im il. 17 _------------...__To t:.1 I~~~~z~:-9i ~ ( ~ • ` - l:.-~ i : . . . , S~•' " u • ' ~ 1 hi P~~~9GK , I r f i I•., n . • ' ~r.: 4!. . . , . 'r -------•-C~ • . . . - - t Aa : --...._.._1-12.8 . . • 7 . ~ • q_ ~rtcH , ~ ~ -----•---t. ~o - o. ........_....5. `~'~~i . . p i1 • : . l- 9 ~ y S.: y. ~ , ~i, .a. ...____....~.~g . n. Yro1rcL~.wt _.lor;!v•~L,~_.........----~ • l . u ~!ianJ~~ 5. . , ~ V~ ' ~ ' • U. 17 'y r ~ / • , . G. t-.<i~-~ ~ : .'x/ ; • ~ : ' ~ • ~ - ' ` " ' {.I . ~rr _ ~ r 4.;~,~:.. l iir.~ 1 _ \ ~ ` - . ' 1• • _ . . , ° II) R~~~` t • U a . , . ' iT~~'. ~ • ' r' ~ ~ ~ IIA . r. ~ fh S //l.i •di.dfi~ . ~ • - - ~if Z ~ "!l" valuu, denth nnd : ' • ~ ' ~ Ik~•t'C: IndlcaL~: ` ,1 o. _ ' ' ~',Li:rnan[ of in•inl.iCion. / ul Y , ~ ~ . ; . pLAQ ~ L i r~ F~4 FT ~P.~PosE ~~N, L, L. - ~LpGf~ ; 42,f 35) 1-14- f-8 t-,M-4-ia1-4-4- ~4- _ l53 iC.?~~E ~ , 42-rz+ 3sti4+8 ~U~"'' ~ i 3+IVtS+14=~52 ~VI~I.Z ~ a~t38t4t-31ofi~4t ~.EpLACE ~ Tz, I H : I s3+isa = 30~ ¦ SGZ , ~T, SK~OSED WA l..L. A~2EA t3Loc.IC.'. /s3 K , S ~.ti E-F- ~ ~ x s ~ K 8 = W'0' f,-U l. L. Fu L,L Z"- is2 k~ =~a~~ ~ - , - F, , ~c I 3os ~IM • ¦r'jQ~'-~-, ~K}~pS~D GEILIIJC~ g96t I ratsot ¦ ¦ Doo~ ~ W Dv,15 L~] a ? ~ sp L-T- l 1 -!0 3°- ~ 3~1 3 x s s-r?r -1 I - ~D 1 zo 256 r->f+-- i i i? - 44- DIZ.S . LL -2,0~P~cT 10 llo DI+ -l /~b 3ZitooN-I ' q i (0 °-Il L4Z2~u--il - ZZ.'~ , 3z Za DN --n-r4- -~a • S ¦FS H'_} U AJ I+5 3&2Aot+~llll ~3 3~24-I1 A03 . /)a- 4OW 4jr : . ~ 3 L6 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLA\S 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGI' CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE 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 CO`1PLETED. PERMIT MUST SHOh' A LICENSED PLUMBER. . A0 2 6 RECD To Se Used For: -J)£CK d-3 9frso,inrchValuation: re~~ Date: 66r$D Sice Address 3 12) b^^DbLA1,J D /R. OFFICE USE ONLY Lot ~ Block I FEES Occupancy R-3 M-2 zaning Parcel/Sub THC W^CL1~L~n~DS Actual Const Bldg. Permit c7D,On Allowable Surcharge Owner,JOL /1/1 4-4,~e.~ ~e4lcl # of stories Plan Review 3~~ -r Length ~C[~I 17 fi~~l SAC, City Address ~~~O~L~~~~ Depth ptfz~c :2(- x22 SAC, MWCC J- 1~ 55~23 S.F. Total [dater Conn City/Zip Code GAc7+bN /7/J Footprint S.F. Water Meter / Acct. Deposit Phone 093 -0773 On site sewage_ S/W Permit On site well S/W Surcharge _ Contractor MWCC System _ Treatment P1. City water _ Road Unit Address PRV Park Ded. Booster Pump _ Copies City/Zip Code SUBTOTAL APPROVALS Penalty Phone Planner TOTAL g.~Q Council Arch./Engr. Bldg. Off. Variance Address City/Zip Code Phone n UAIu. /,'171f-J ~ P ,Z4 H ~I L n 'L ' • N/C,. ~ s.s. KRoiss SURVEYOR'S CERTIFfCiATE t EAGAN 3a / REVIEWED Q` 1 43Y /-,Rn- . . . / . O SJ .O O ~O o ~7~ p A~A \ \ o.rF ~ .ts Q~/ ~~n• ~ ly4} O F- •a 9e / r , 00 Q.' ~ ~ S ~ zy . ~ tK q) ~ ~ 40 (~P ? '--i ~ i ~ yl • ° ~'J S~ . .1 l-wq~ S '1~''I ~iQ ~3r ~R y . 0 QOtiyb S ti`~t \ p ~ lo lj i I OQ 3 ~ 2~ I N °s ~ i ~ ~3, ti ap I /t38o qr~ ~ I u') :J ~ \ .QO I 9Se O~ Y~ r -'J ~ pIrJMENt P a Pi.pr j 10 0 ~ - - A0 a' Y~ ~ ~4qas~ 9 Y IE 9 7 , r~E D DENOTFS PROPOSED SURFACE DRAINAG / By O DENOTES IRON MONUMENT SET D,zl~-~"5 1EEEI_ X000 0 DENOTES XOI T NG EL VATION UND pROPdSE'D'EST'fCOOR'LR8~~~T' ' (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - 898. z FEET WE HEREBY CERTIFY TO S, S. KRo iSS THAT THIS IS A TRUE AND CORRECT REPRESENTATION.OF A 3URVEYC)FTHC BOUNDARIE~ : Lot 3, Block I, TIIE IhpODLANDS~ accordln o the recorded plal ihereof, ~akala-C~un1Y-~~Nlnnesota . IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN, AS SUf-1VEYCD BY ME OR UNDER K^Y DIRECT SUPERVISION THIS z/oTl-1 DAY OF J U~1 E , 19H7. SIGNED: J ILL, INC. BY: ~ ' HAROLD C. PFTEf1SUN, LAND SURVEYOR MINNESOTn LICENSE NUMBER 12294 I y . :~o ~~o o ~A James R. Hiil, Inc. m J n Zc tn~ ~ Rl ~ o m o~•.z ~ Z~, W PLANNERS / ENGINEERS / SURVEYORS ' p ~,u < "'m - 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-3029 -88A ~•,~t~; '.t::r+;~:.: . . . , ..y ',C i , i( iti•5:; . ' . • i', • . . . 2004 RESIDENTIAL BUII.DING PERNIIT APPLICATION • 'i` City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 na-9-oq New Construdion Reauirements RemodeVReoair Reauirementa Otfira Use OnN 3 registered site surveys showing sq, fL of bt sq. it of Muse; and all roofed areas 2 copies ot pWn Cert"'~'a~t ,SL~ rvey:R~d;;,~Yy~ (20°~ maximum bt coverage allowed) 1 set of Energy Calalations for heated additions 7teePles Plan Recd - Y N 2 copies M plan showiig beam 8 window sizes; poured fand design, etc. 1 site survay for addltions 8 decks Tiee Pres~R, e_q"~~ r' N 1 set of Eneigy Cakulations Addition - indkate iI on-site sepGc system 3 copies of Tree Preservafion Plan H lot platled after 717193 Rim Joisf Detail ODtions seleclion sheet (bldgs wBh 3 or less units ~ Date /(:D ~fy Construction Cost SiteAddress -1~71 [03 V,~ bZ)~~Al~.t~~~~'~-n.~~.- UniUSte # \,-C~ ~ ~t'~T,~o c-C, \ Description of Work =e~ L;1°C-J~c ~•L_ Multi-Family Bldg _ Y vl N Fireplace(s) _ 0 _ 1 _ 2 Property Owner Telephone Contractor Je_. ~a 1~G:~ 'G Address City State Zip Telephone #(10G~ rCirG"~= C' 3 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Ivfinnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Energy CAde Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone ) Mechanical Contractor Telephone UUM D Sewer/waterContractor Telephone ) JUL 2 3 2004 By I hereby apply for a Residential Building Permit and aclrnowledge that the informatio ' p e e an 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 pernut, but only an application for a pernut, 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 ofplans. J ~~tv ~pvE"~ Nd~ ApplicanYs Printed Name App1` anYs Signature OFFICE USE ONLY Sub Types ' ? Ot Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling O 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 Ot of _ plex ? 09 07-plex ~11 17 Garage ? 22 Porch/P,ddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-ptex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage ? 06 04-plex ? 12 12-plex PIbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvemenl ? 38 Demolish Interior ? 44 Siding )4 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors 0 34 Replacement 'Demolitlon (Entlre Bldg) - Give PCA handout to applicant Valuation ZliDOO.' Occupancy U MCESSystem Census Code q3t Zoning R-1 City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bidgs Length Fire Sprinklered Type of Const y- N_ Width REQUIRED INSPECTIONS _ Footings(new bldg) FinaVC.O. Footings (deck) FinaVNo C.O. ~ Footings (addition) = Plumbing Foundation HVAC Drain Tile Other Roof Ice & Water Final Pool Ftgs AidGas Tests Final '16 Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ AirTest _ Final _ Windows Insulation _ Retaining Wall Approved By: M Building Inspector Base Fee I ~ 3 D5 Surcharge ~I -U U ~S(~) 2 96 ~ 00 Plan Review MClES SAC City SAC Utility Connection Charge S8W Permit & Surcharge Treatment Plant License Search Copies Other Total 15~ a~ / I Sl?RV'EYOR'S CER'T`ii=iCAi t , p ~.1. EAGAN REVIEWCD ~ oY JDM ~ ~ r• ~ DATE a~. ~ • : ~ia ~ ~J'~ 1 ~ ? U Q o y~ Q A~1~{ \ c1v9 4"5 ° 3 / . O~ Q•~ / ~6 } ~p,~ 3 ~ ~9. ~ tK `30 ~o ' y I 10 i ~ \ Gi - po 3° I N ~s ' ~ ~'~38o I < 'n : J ~ i; ~ pSo O~ 7Y ~ r J g R/, \~!~J p~EMENT P aI P4Af I 10 / V I E' E ~ 13Y DCNOTES PROPOSED SURFACE DRAINAGE / O DENOTES IRON MONUMENT SET DafQ :r_ X000 0 DENOT[S EXISTING EL VATION UND PROPT*WEPf DL' Rj $ L1#T (000.0) DENOTFS PROPOSED ELEVATION PROPOSED TOP OF BLOCK- gqg.L FEET WE HCREBY CERTIFY TO S. T, 1<2o i SS THAT TI-iIS IS A TRUE AND CORRECT REPRESENTATION OFA 3URVEYaF THE BQUNDARI€S_QE: \ LoT 3, Block I, TI-IE 1M~ODLANDS~ accordinq~io the recorded plaf tl~ereot, p1 p.Snunty ,~v11 np es o ta IT DOES NOT PURPORT TO SHOW IM°ROVEMENTS ^R c-NCROACHMENTS, EXCEPT AS SHOWN. AS SURVEY[D BY ME OR UNDFFl R^Y DIRECT SUPERVISION THIS z/oTN DAY OF JUNE , 1989. SIGNED: J ILL, INC.. BY: ~ a,zeCt~~aon~ HAROLD C. PETEFlSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 122E4 ~ ~ ~ nonwAm:cra,mv ! p p I o^ ~ o T-0 o o" oC_ D James R. Hill, inc. m N m ~ m Z PLANNERS / ENGINEERS / SURVEYORS ~ o m oD m ~o < U m 9401 JAM[S AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029 ~ u~• ~ City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 3763 Woodland Tr Lot: 3 Block: 1 Addition: The Woodlands PID:10- 75875- 030 -01 Use: Description: Sub Type: e- Reroof Work Type: Replace Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Fee Summary: Valuation: 3,000.00 Contractor: Hometown Restoration 7308 Aspen Ln N #110 Brooklyn Park MN 55428 (763) 494 -8695 Total: Applicant/Permitee: Signature PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K - Applicant - Construction Type: Occupancy: If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Pictures are not Permit Type: Permit Number: Date Issued: Permit Category: Comments: Permit closed without required inspection(s). Letter sent to applicant on 2/11/09. (pf) Owner: John W Dolenc 3763 Woodland Tr Eagan MN 55123 $88.50 0801.4085 $1.50 9001.2195 $90.00 Building EA081160 11/19/2007 ePermit I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 3763 Woodland Tr Lot: 3 Block: 1 Addition: The Woodlands PID:10- 75875- 030 -01 Use: Description: Sub Type: e- Reroof Work Type: Replace Description: House Census Code: 434 - Zoning: Square Feet: 0 Comments: If there is no ice protection inspec acceptable in lieu of inspections. Fee Summary: Valuation: 3,000.00 Contractor: Hometown Restoration 7308 Aspen Ln N #110 Brooklyn Park MN 55428 (763) 494 -8695 BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Construction Type: Occupancy: on prior to final, you must meet inspector with ladder and flat bar. Pictures are not Owner: John W Dolenc 3763 Woodland Tr Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 $90.00 Issued By: Signature Building EA082833 05/01/2008 ePermit I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State PERMIT City of Eagan Permit Type:Building Permit Number:EA138029 Date Issued:08/04/2016 Permit Category:ePermit Site Address: 3763 Woodland Tr Lot:3 Block: 1 Addition: The Woodlands PID:10-75875-01-030 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - John W Dolenc 3763 Woodland Tr Eagan MN 55123 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (952) 985-6675 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA167030 Date Issued:02/18/2021 Permit Category:ePermit Site Address: 3763 Woodland Tr Lot:3 Block: 1 Addition: The Woodlands PID:10-75875-01-030 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - John W & Annette M Dolenc 3763 Woodlands Trl Saint Paul MN 55123--240 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA175049 Date Issued:03/09/2022 Permit Category:ePermit Site Address: 3763 Woodland Tr Lot:3 Block: 1 Addition: The Woodlands PID:10-75875-01-030 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - John W & Annette M Dolenc 3763 Woodlands Trl Saint Paul MN 55123--240 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-7052 Applicant/Permitee: Signature Issued By: Signature