The URL can be used to link to this page

3960 Versailles Ct • ~ !!i- . _ . ~ ` . - i . ~ . A 2~catc n~ ~ccu~anc~ ~ ' ~ ' This Certificate issued pursua»t to the nquinenunts of tlu Uoiform Building Code ctrtifying that at tiu tbne of issuance this stnrctun was in compliance with the vareorrs oniinances of the City negulating buildiRg constructioa or use. For the following: 452 ux Cbmdficatkm: SE' DWG am~. fie,: rb. ~ B~ g Pf~TSIQ~1 f~FS Il~ '~T,% wi Bedding Addren 3960 VER.SAII= OWftT 1-muly L9, Bl, HEHd VATIEY 1 ; D.w q/25/q2 -T BWWmg 6fficud POST IN A CXNJSPICUOUS PLACE ~ '-w' INSPECTION RECORD C°ntr°' `CIT`rf OF EAGAN PERMIT TYPE: t#' 3830 Pllot Knob Roed ~ Permit Number. 004"0' Eagan, Minnesota 55123 Date issued: (612) 681-4675 - SITE ADDRESS: APPLICANT: + -sr,cj Vt: k:r111 1 F': ~ i PitF [ 1~, 10N Ftl}ME `1 C#t- Nlirl?1'N VAE IFY lt:lr M 01 14 1 - 5 fll'~ PERAS17%§TYPE: TYPE OF WORK: PEu t uE1 t t riEi 1'RAN 111O i MsUt A i.! pN FXNAI. F [RfF'I.AGf 1 I ta[ MFfrk • iARV S b bJ CUN14iAC f I)R -!i i: MC C H ~ - - I A e= =-I' I ' PrrmlR No. vw+rll Hotdmr OeIr Al~phonr 0 , . 31V11 . I • 'PL(AMBIW(3 , ~ HW1C ~ EL.ECTRIC i ELECTRIC ~ j YOp~C~ion OrM IMD• tonmwb a2 'i wurxdNon f,.~ ~+ar Mo. s ~ zS S! ~~t7"~t ~?*a. ~.a~'h ~-I~9~ Ds oaatr..e 9- . ~ FIMI Plbp. -r - Noqh Plyn~ Conet. Melar - BWFmd `~s.qZ S oa* PlQ- N.~ ~-11- z - jpp o.* FOW vyd ft omp. . J55~~~~yZ 1062-23 Repues, T Cy O7/92 ~~j q0u9h-In InsppChOn / FepwreC~ ? Rea Now RWtll NoLty Inspecror [}(Ves G No 'Nhan ReaOy' I Cj{licensed coniractor ? owner hereby requesl inspection ot above elecirical work ai: Job Atltlress (Street Box ar Raule No.l Ciry 3960 Versailles Ct. Ea an 777 Name or No Range No County Dakota Occupam (PRINT) Phone No Precision Homes 894 81g Power Sopplier Aaaress Dakota Electric 14300 220 St. W. Farmin ton Elecmcal Comractar IGOmpany Namel Convactor's L¢anse No. Joos Electric Co. AM01895 Mailing AaEress IConVactor or Orvner Making Installation) 2104 Great Oaks Drive Burnsville MIQ Amhanzec SignaNre (COmractovOwner Makm nj Pbone Numbei 431-4755 MINNESOtA STATE BOARD OF ELECTPIp THIS INSPECTION REOUESI WILL NOT Grlggs-MiCway Blag. - Room 5-173 BE AGGEPTED BV THE STATE BOFRD 1821 Unrversiry Ave., 51. Vaul. MN 55104 UNLESS PROPER INSPECTION FEE IS Ppone (612) 642-0800 ENCLOSED. „ REQUEST FOR ELECTRICAL INSPECTION ee-00001-0e ? See msimcLOns mr comi tms bnn on back ol yeilow copy, J 555~~ ~~b "X" Below Work Covered by This Reques! '~~,-m•~~ ew Add Rep. TypeolBwltlmg ApphancesWued EquipmeniWired X Home X Range Temporary Serwce Ouplez Water Healer Electnc Neatmg Apt Bwlding Dryer Other (Specify) Commllndusirial Purnace Farm Air Condihoner Olher(syectly) ConVacrorS Remarks: Compu(e lnspection Fee Below: # Oiher Fee ServiceEntranceSze Fee # CircuitslFeetlers Fee Swimmmg Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps 400 _ Amps SignS Inspector's Use Only TOTAL Irriqanon Booms P 1 6 5, 5 Q Special InspecM1On Alarm/Communicauon THIS INSTALLATION MAY BE ORD Ep DISCONNECTED IF NOT Other Fee COMPLETED WIT MO 9 I, the Electrical Inspector, hereby Roi oate~ ceroty that the above inspection has F,,,ai oa ~~G been made OFFICE USE ONIY This request witl 18 monIDS trom Address: 3960 VEPqpnTps CA[1RT Lot q Blk I Sec/Sub HIDDIN VAT.TF.v These items were/were not complete at the time of the final inspection. t; 9 25 92 Yes No Tnqpprror- Final grade (6" from siding) ~ Permanent steps - garage Permanent steps - main entry 11-01 Permanent driveway Permanent gas Sod/seeded grass ~ Trail/curb damage ? Porch V-1 Basement finish Deck Please verify vith the builder the ramoval of roof test caps from the plumbiag system and the shut-off of vater supply to the outside lawn faucet before freeze potential exists. ~ ~FMLlDXR9 White - City copy Yellow - Resident copy Pink - Contractor copy PERMIT ' I Control No. 0753 ~ CfTY OF EAGAN 3830 Pilot Knob Road PERMITTYPE: suiLozNG Eagan, Minnesota 55123 Permit Number: 000952 (612) 681-4675 Date Issued: 0 7/ 06 / 92 SITE ADDRESS: 3960 VERSAILLES CT LOT: 9 BLOCK: 1 HIDDEN VALLEY DESCRIPTION: -Building Permit Type SF DWG Building,`Wark Type NEW ' UBC Occupancy R-3 M-1 Construction'Type V-N iZoning ' R-1 Building Length ~ 36 Building Width 68 Buildin9 stories ~ 2 . . ji , \ ~v REMARKS: u PRV S& W CONTRACTOR - D C MECH FEE SUMMARY: VALUATION $148,000 Base Fee $807.50 MISCELLANEOU3 $12,610.50 Plan Review $524.88 Total Fee E3,721.88 Surcharge $74.00 SAC $700.00 SAC % 100 SAC Units 1 I.ic. 5earch Fee E5.00 Subtotal $2,111.38 , foONTRACTOR: - APplicant - sT. I.ICpWNER: PRECISION HOMES INC 18913819 0001049 PRECISION HOMES INC 16299 HEATH CT 16299 HEATH CT LAKEVILLE MN 55044 LAKEVILLE MN 55044 (612) 891-3819 (612)891-3819 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and C of Eagan Ordinances. ~ - ANT/PGRMITE IG TUP` ISSUEO"rBY. URE~ " INSPECTION RECORD I C°n'° 0753 CITYOF EAGAN PERMITTYPE: BuiLDING 3830 Pilot Knob Fload Permit Number: 000952 Eagan, Minnesota 55123 Date Issued: 0 7/ 0 6/ 9 2 (612) 681-4675 SITEADDRESS: LoT: e BLOCK: 1 APPLICANT: 3960 VERSAILLES CT PRECISION HOMES INC HIDDEN VALLEY (612) 891-3819 PERMIT SUBTYPE: TYPE OF WORK: SF DWG NEW INSPECTION . FOOTINfi FRAMING INSUlATION FINAL FIREPLACE REMARKS: PRV S& W CONTRACTOR - D C MECH I ~ L J P,ERMIT,# . CITY OF EAGAN REACTIVATE _ 9.441 1992 BUILDING PERMIT APPLICATION 681-0675 ~-~n 2 , REff SINGLE 3 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit 1s requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date ~'n / 257 / g2 Yaluatian of work 'Ocs Site Address: ~G1\po ~A , STREET SU17E k Tenant Name: (commercial only) IAT ~ BLOCK I SUBD. ~A!) a%y) v AT P.I.D. N Descri tion of work: The applicant is: 0 Owner Contractor O Other (Deccribe) Name Phone Property IAST FIRST Owner Address STREET STE / City State Zip Company ~ju Phone Contractor Address License !1 bool~~ Exp.~ City State Zip S'Sb Architect/ Company Phone Engineer Name Registration # Address City State Zip Sewer 6 water licensed plumber . C Processing time for sewer 8?vater permits is two days ance area has been approved. • I hereby acknowledge that I have read this applicatio state that the information is correct and agree to comply with all applicable Stat of M nesota Statutes and City of Eagan Ordinances. Appl 5ignature of icant: OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex 0 11 Apt./Lodging ? 16 Basement Finish E) 02 SF Dwg. 0 07 4-Plex O 12 Multi. Misc. ? 17 Swim Pool ? 03 SF Addition 0 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. . O 05 SF Misc. O 10 Multi. Add'1. ? 15 Deck O 20 Public Facility O 21 Miscellaneous WORK TYPE 0 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demol9sh ? 32 Addition ? 34 Repair O 36 Move GENERAL INFORMATION Const. (Actual) V41 Basement sq. ft. MWCC System (Allowable) v/;/ ist Fl. sq. ft. City Mater ~ UBC Occupancy 2nd F1. sq. ft. PRY Required M Zoning Sq. Ft. total Booster PumP d of Stories z Footprint Sq. ft. Fire Sprinkler Length 2 i On-site well Census Code Depth be On-site sewage SAC Code ~ APPROVALS Planning Building Assessments Engineering Yariance REQUIRED INSPECTIONS 0 Site 0 Footing E7 Framing ,E Insulation ? Mallboard 3 Final ? Draintile ? Fireplace Permi t Fee veimc;d,: 000 . Surcharge 3s,,,~ i t J Plan Review ~ _ 6&0 _.-L~icenie~ . z zx~o = ~Go 'MWCC SAC Z e:4- 4 = Sov City SAC 17,Skz - z5 z?y~8 ~ Z= /p8 Mater Conn. ~SX s_ SzS (c-+S 'rz = iS- Water Meter - - Acct. Deposit S/W Permit 12G/,S = S~az 5/W Surcharge Treatment P1. Road Un i t 7~ c~ ~`f77 z s" Park Ded. ~ Trails Ded. >>Sx~?.S : 93,'~.s Copies ZS~r3z,s : 8~z.s Other Total : SbG, zs -tS3= 41k03i,2,~- SAC % ~ SAC Units CONSULTIN3 EN31NfEHS PREC/S/D,t/ yo~7~$' 4.. RQ BE PIANNEflS ond LpND fUflVEYONS PIIENGINIErcRING 8K. 179 COMPANY, INC. 56 L 1000 EAST 1461h STREET, BURNSVILLE, MINNESOTA 55337 PH 432-3000''•' CERTIFICATE OF SURVEY Legal Description: zor 9 a~c,e i/~/OD~N V,4uEy 1JA.~OTA CoUN . N>/.VNESOTA. ( b,7o,u) DENOTES EXISTING ELEVATION (853. o) DENOTES PROPOSED ELEVATION ...W.-- INDICATES DIRECTION OF SURFACE DRAINAGE 853.33 = FINISHED GARAGE FLOOR ELEVATION 845• ~Z = BASEMENT FLOOR ELEVATION 53,66 - TOP OF FOUNDATION ELEVATION SCALE : 1' = 30' l84°" i ~ I i ~ ~BS;~. ~ ~c,/ ~ ~ ti •sa~.s; g~. r jI,I Gx157iN6 aa~' 'r ~ I 16•1 : ~ NouSE ~sa : Sy3'~ : ~Ro ~,y411'24 I , 6~ •~si~538 L~~J~q~y,~~-~D µig- g43.3~ . ~ m Z ~ o~ 35°i o°sq,g 0 ~ v/z.so d0e'~.53 y 35_5 `.iS~,~ ~o• i / y y6 6 0: 19° yq'OB o ~ • / 5 R= p -y• ' E E/'1 G!'1 I t~EVIEWE ~ 9R-2a• ~'°p°za•oB" o E 'Gv By - DAT£ EAGAYd ENGINEERIAIG DEPT x 2 hereby certify that this is a true and correct representation of a tract of land as shown and described hereon. As prepared by me this 24-714 day of J~NE , 19 9Z- . Minn. Reg. No. 116085 6/ C/ 1 . ; EXTERIOA FNYELOPE AVERAGE "U" LOHPUTATION lVellE. R: C ~ SITE ADDRES,. CONTAACT02 S~qy.,L DA7E: 7,~ °~i. PHONE DETEAH)NE NOAKINf SO,UARE FOOTAGE OF EACH: Q4' 1. TOTAL EXPOSED UAtL AREA,,,,,,,, sq ft x"U" . I f . 31DI`j0 2. TOTAL ROOF/CEILIHG AttEA,,,,,,,, 133p. sq ft x"U" •0 2-6d . 3y,SB 3. TOTAL EXPOSED 11ALL AREA CALCULATIONS: Total exposed wa11 area above floor,,,,,,,, 3 Z`10 sq ft (c~ e) Total wall wtndow area: 9lazed...... sq ft x "Fi" . glazed..... 2.\3p~D sq ft x"Ull b) Total door area -31o sq ft x"U" c) Total slidinp qlass door area: 9lazed...... sq f t x','U" a3^~ _ Z3 2, glazed...... sq ft x "U" ~ d) Total flreplace wall area sq.ft x"U" . e) Total wall framinq area (Averaae 15%)......... ~ I~+S sq ft x"U" f) Total net wall area a6ove fioor (Insulated)...... Z, I~D•S . sq ft x"U" g) Tota1 rlm Jolst area...... -Z-24bo`6 sq ft x"U" a E7 ' . 1IS Total foundatlon area (Exposed)......... '1ND sq ft h) Total (oundatlon ' wlndoN area............. sq ft x"U" ~ . ~ I) Total net foundaLlon area above grade........ I~ sq ft x"U" b01p TOTAL a) thru I) If Item Rj Is the same as, or less than Item /1, you have met the Intent of 2 i1CAR 1.16008 A and O. . . Page 1 • • . TOTAL EXPOSED ROOF/CEILIIIf CALCULATI01I5: ToteT exposed roof/celling area........ sq ft Total skyllahi area....... ~ sq ft x"U" ~ k) Total roof/celllnq framing area (0.veraae Tnf,),,... ~33 •sq /t x "tt" ~ ~I•~~I) Total net Insulated ~y roof/cetlinq area..... sq ft x"U" a 025 ~ lo 4. TOTAL J) th ru 1) If total of 04 ts the same as, or less than 02, you have met the lntent of 2 HCA,R 1.16008 A and 0. . ' ~ ALTEIUTATE 9UILDING ENVELOPE DESIf,N To uttltze the total envelope system method, the values establlshed by [he sum of items P3 and !4 shall not be greater than the sum of (tems R1 and 12. + z. 3. 'Z~`1•~' + a. ~11.93 . 31t~,°~g C E R T 1 F I C A T I 0 N 1 hereby certlfy [hat I have calculated the "U" factors and "R" values heretn and that the bulldlnn here descrihed meets or excee~s the State of Minnesota Eneray Conservatlon Act. ' e ~ ' "L • ' ' ~Siqne ur ` F1 L \Z~'~\ n (uate) ~ Page 2 CITY OF EAGAN FOR CITY USE ONLY • 3830 PILOT KNOB ROAD ~ EAGAN, HN 55122 PERMIT # ~ PHONE: (612) 454-8100 RECEIPT d 30 8 7 9a- PLtTHBTNG.;PERMIT DATE: RES'IDBNTIAX.;; PLEASE COMPLETE IIPPER PORTION ONLY FOR SINCLE FAMILY DWELLINGS 6 TOWNNOMES/CONDOS WNEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL NEW CONST _Z ADD-ON MINIMUM 15.00 ADD ON ~ SHOWER 3.00 3•"' REPAIR 3 WATER CLOSET 3.00 ~ BATH TUB 3.00 ~o•C° LAVATORY 3.00 U) - ce OWNER NAME: KITCHEN SINK 3.00 1 LAUNDRY TRAY 3.00 ~ SITE ADDRESS:~~.pO\1'~~\\e~ HOT TUB/SPA 3.00 p WATER HEATER 3.00 3, w LOT: / BLOCK ~ SUBI~-_4 f FLOOR DRAIN 3.00 3,`U {~,1 GAS PIPING OUT. INSTALLER: t.J-_- (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 .So ADDRESS:~I,~~ OTHER 2 p WATER SOFTENER 5.00 CITY:ZIP: SS J~-O _ PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 PHONE It~ p SUBTOTAL $ ~\S ST. SURCHARGE .50 S GNATURE OF PERMITTEE TOTAL: $ CD COMMERbIA2ijiNDIISTRIAL:j PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUZLDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ^ ° CONTRACT PRICE: FEES OWNER NAME: 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMZT FEE. LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN I CITY OF EAGAN FOR CITY USE ONLY 3830 PIIAT KNOB ROAD ' EAGAN, MN 55122 PERMIT # ' PHONE: (612) 454-8100 RECEIPT # C O Z OPCl 14EG}jANZGA7. PEithtn DATE: g~ 9Z R£SITf~~7~TA2:iPLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMZLY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION FEES NEW CONST ~ ADD-ON MINIMUM $15.00 ADD ON HVAC 0-100 M BTU 24.00 REPAIR ADDITIONAL SO M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT OWNER NAME: ~/IeUSfa~ L SUBTOTAL: $-T3: ~ SITE ADDRESS: I1(2Q5x1IINS STATE SURCHARGE: .50 LOT: / BIACK ~ SUBD. TOTAL: $ 33,So C INSTALLER: ga(fF/ISO'(J f41/i U i ~ ~ ADDRESS: ci-y~ 3 U~{'CL/ /tlG /!d SIGNATURE OF PERMITTEE CITY: ~34f2kl45uiIl? ZIP: 151<-33 7 PHONE is ; b/ 7 723 / C9MMERCIAI.jZNDASTRTAL; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, ' APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. PROCESSED PIPING = $25.00 LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN CITY USE ONLY PERMIT Uc) RECEIPT DATE: 8008 iiESID£RTIihL M£CH"ClkI. PEfiMIT APPLICRTIOR CITY OF £AfiAN 3830 Paor tcivoe ttn £AHAP bfN 55122 651-681-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: 6(.D 1( U I 6 G_. SITE ADDRESS: ~ oC 1 ~JL ~5~1 10A C OWNER NAME: ~N. ~\Dn2e~ TELEPHONE (oCjI - 6 7- Q lf ~'4n tvP. / INSTALLER NAME: TELEPHONE l45 I-3ZZ- Z,(o STREET ADDRESS: I17 5+\ ~4 ct3 ' P-O • ~V'~ ~SS CITY:STATE: rr\ti ZIP: 5:50698 -G ~ Place a check mark next to the permit work type _ Add-on, modification or alteration to existinq dwelling unit $ 30.00 • furnace replacement • air exchange-r ` •-aaFeeaditier~er' JUN 0 5 2002 ~other-- Nature of work: B State Surchar e $ .50 FTotal ,e-jr-% c'~_b ~ \ S TURE OF 17MMITTgF~ voz CITY USE ONLY PERMIT RECEIPT DATE: APPROVED BY: INSPECTOR 8008 COMMERCL4L MECEL4ftICAL PEfiM1T APPLICATION C[TY OF EA6u4N 3930 PILOT KNO$ RD EAHAN, MN 55122 651-681-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: PHONE TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENA;V'I' [N THIS SPACE? Y N. NAME: INSTALLER: STREET ADDRESS: CITY: STATE: ZIP: TELEPHONE WORK Tl'PE: New constivction Install U.G. Tank _ Interior Improvement _ Remove U.G. Tank _ Processed Piping SpecifyNatureof Work: Wl+en installing/removing ui:derground tank, calf 651-681-4675 for inspection by Fire Marshal and Plumbiiag inspector. Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. Underground tank removaVinstalla[ion = minimum fee Contract price: 5 x 1°/a (Base Fee) State surcharge calculare at $.50 for each $1,000 Base Fee TOTAL $ SIGNATURE OF PERMITTEE Updated 1/02 RESIDENTIAL aS BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Reauirements Remodel)Reoair Requiramants • 3 registered site surveys showing sq ft. of lot, sq. ft. of house, and all roofed areas • 2 copies of plan (20 % maximum lot coverage allowed) . 7 set of Energy Calculahons for heated additions • 2 copies of plan showing beam 8 window s¢es; poured found design, etc.) • 1 site survey for eztenor additlons & decks * 1 set of Energy Calculations . Indicate if home served by septic system (or additions . 3 copies of Tree Preservation Plan if lot platted after 7l1193 • Rim Joist Detail Ophons selection sheet (bidgs wAh 5 or Iess units) DATE VALUATION ~71 cI SITE ADDRESS 3~'J b VF SAi//Es G' 7- MULTI-FAMILY BLDG _ Y _ N TYPE OF WORK_ :iFF - JPo oF FIREPLACE(S) _ 0_ i_ 2 APPLICANT 1COl~£ 1501-i~JI~~Q~(JD Si(~r~t14 STREET ADDRESS(QSA~dLvIlgE QII/d . SuiT /.3d CIT1kfu~STATE&/-/ZIP , yc TELEPHONE #17~0-97y- So3~CELL PHONE # Fax #44'-9,~ 5'-/SS y PROPERTYOWNER 1rrt 1/6I/sJE 5 TELEPHONE# 625Q -497 -G/,r3 COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CA'fEGORY 1 MINVFSD_I:A-I2U6E.4 7629 - r(q submission type) . Residential Ventila6on Cate9ory 7 Worksheet Submiried • Energy Envelope Calculations Submitted "1002 Plumbing Controctor. Phonc Plwnbing system includes: Water Softener Lawn Sprinkler 1BY Fee-$90:0_ Wa[er Heater _ No. of R.I. Baths No. of Balhs Mechanical Contractor: Phone # Mcckiviic<J syslcm includes: :1ir Conditioning Pee: $70.00 Heat Rccovcry Syslcm Sewer/Water Contractor: Phone # I hereby acknowledge that I have read ihis application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinanc . Signafure of Applicant - - - OFFICE USE ONLY Certificates of Survey Received , Tree Preservation Plan Received _ Not Required _ Updated 4102 ' OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 77 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Mutti ? 05 03-plex ? 11 10-plex 0 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New C1 35 Int Improvement ? 38 Demalish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. q 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (81dg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement `Demolition (Entire Bldg only) - Give PCA handout to appifcant Valuation Occupancy MCIES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinaWi o C.O. _ Footings (addition) _ Plumbing Foundation H V AC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas i'ests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ A¢ Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply 8, Storage S&W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total , i For oni~a u5a i ~ Pertnitp: ~z City Of Eapn 1 PermrtFee 3830 Pilot Knob Road ~ Eagan MN 55122 ~ oate Received: Phone: (651) 6755675 Pax: (651) 675-5694 0~• 0~' C Gv~l~~" ~ Stan' I - 2008 RESIDENTIAL BUILDING PERMIT APPLICATION 3 P-7 I Site Address: 3~ UV VUSl i 1 1QS C-t- -6Nbl't I V ( ~S'5I L 3 • ' Date: TenaM: GV~v Suite S: RESIDENT / OWNER Name: -~-,~L~DPC~ G cteT\r:> Ptrone(66) ) ~JiI - 1-IZ61 ;;;,a I Lll i'~' Or AddresslCity/Zip:-1Lpo Ve~q'c Applicarh is: 4 Ownei _ Contractor i ` - TYPE OF WORK Description of work: gct6c[)a, I~ctsew~n~-~,- Construction Cost: Multi-Family Building: (Ves No CONTRACTOR Name: ~ 1- License Address: City: State: Zip: Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Cateoorv 1 Minnesota Rules 7672 Energy Code • Residen6al Ventila4on Category 1 Worksheet • New Energy Code Worlcsheet Category suanmed Submmea (4 sUbmission type) • Energy Emebpe CalcWatlons Submitted In the last 12 moMhs, has the City of Eagan issued a permit for a similar plan based on a master planl TYes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanlcai CoMractor: Phone: Sewer & Water Contractor: PhOne: NOTf: Plans and supporting documents that you submit are considered to be public lntormation. Partions oI the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trede secrets. I hereby ackrqwledge that this intormation is complete and aawrate; that the work will be in conformarx:e with the rndinances ard wdes of the City of Eagarr, that I unders[antl this is rwl a pertnil, but only an application fw a permit, and work is not to start wdhoirt a pertni[; that the work will be m accortlance with tFre approved plan in the case of work vfiich requires a review and app ot plafu. , x ~ ApPIIcaM's Prlnted Name , • ~ ~ ~ ~ w E T Carrt's Sigrmture Page 1 of 3 n MAR 2'~ 2008 DO NOT WRITE BELOW THIS LINE SUB TYPES ? Foundatbn ? 05-plex ? 16-plex ? Accessory Bullding ? Pool Sfngle Family ? 06-plex ? Flreplace ? Porch (3-season) ? Ext. Alt. - NuMi ? Ot W_ Plex ? 07-plex ? Garege ? Porch (4-season) ? Ext. Alt. - SF ? 02-Plex ? 08-p1ex ? Deck ? Poroh (screeNgazeDdpergola) ? Multl Misc. ? 03-Plex O 10-plex ? Lower Level ? Storm Damage ? 04PIex O 12-plex 0 lAiscellaneoua WORKTYPES IC,.CI'(ilfl'yyv LL2o`~3tn.5~.vJj~g~n..ua~n ? New ? Interior Improvemed D Siding ? Demolish Building' ? Addkion ? Move BWId4ig ? Heroof ? Demolish IrHerior g Alleradon O Fire flepalr ? Windows ? Demolish Foundatlon ? Replacement ? Egress Window ? Water Damage ' Demolilion (entire W Jding) - give PCA hafdoullo applicant DESCRIPTION: Valuation Occupancy MCES System Plan Revlew Code Editlon S/lC UnNs (25% 100°/, -xi Zoning City Water Censua Code Storles Booster Pump # of Units Square Feet PRV S of BWIdMgs Length Flre Sprlnklers Type of Const VYidfh REQUIRED INSPECTIONS Footlngs (new bidg) Sheetrock FooBngs(deck) Flnal/C.O. Footlngs (additlon) FIra1Mo C.O. Foundatlon ~ HVAC Dreln 711e Other: Roof: _Ice & W ater _Final Pool: _Footings _Air/Gas Tesu Final ~ Framing _ Slding: _Stucco Lath _Stone Lath _Brick Fireplace:_R.I. _Air Test _Final Windows ~c Insulatlpn _ Re[aining Wall t ~7 Reviewed By: T L , Building Inspector RESIDENTIAL FEES: Base Fee Surcharge aw~,/1~~ Plan Review J 1nJ~"/ 0~0~ L-> MCIES SAC (~-L~/~j~r/7iyV City SAC Utllity Connectlon Charge 4- S&W Permit & Surcharge ny~ Treatment Plant ~ ~ Copies TOtal Page 2 of 3 11 G~ U609 ~ F6-r-Qffce Use ~ Permit # City of Ea~~n I PermR Fee: ~5D- ~b I 3830 Pilot Knob Road Eagan MN 55122 ~ Date Received: Phone: (651) 675-5675 I Fax: (651) 675-5694 I Starr: L 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: S'~'~p SiteAddress: 3/&O r/er5ar'(/eS CT Tenant: Suite RESIDENT/OWNER Name: l""" dr^}' C~^r5 fer' S Phone: Address / Ciry 1 Zip. ~`~pU I~P~Sq//(2S C~ F~`g a v~- ss~a 3 CONTRACTOR Name: v0.kLG/1 4 VJA • License#: a~~3a7' P~ Address: S06 0 9k41a nd City: ll1,117n5v(ffe State:X1. Zip:/s/~7 Phone: C-W• &l) 3~~ 60J3 Contact Person: l.~40e GTPCA~je l TYPE OF WORK _ New _ Replacement ~ Repair _ Rebuild _ ModiTy Space _ Work in R.O.W. Description of work: ~l d d Nek/ -x--Jli PERMIT TYPE RES/DENT/AL Water Heater _ Water Softener Lawn Irrigation 1 Add Plumbing FiMures ~ RPZ PVB) " Main _ Lower Level) Septic System _ Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $.50 State Surcharge) 'Water Tumaround (add $136.00 if a 518" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $ 50 State Surcharge) TOTAL FEES $ I hereby acknowledge that this mformation is complete and accurale; that the work will be in confortnance with the ordinances and codes of the City of Eagan; that I undersfand 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 rase of work which requires a review and approval of plans. X l~~+v~1~ h'2CH Se ~ X1/~ ApplicanYs Printed Name ApplicanYs Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: _Under Ground _Rough-In _Air Test _Gas Test _Final ~----------------I I PeForrmOffceit # Use I t ~ 1r' ~ 0~l I ~ ~i O o I ~ ~ J ~6~n I permit Fee~~ ~ 3830 Pilot Knob Road Eagan MN 55122 ~ oete Received: C~ ~ j Phone: (651) 675-5675 FdX: (651) 675-5694 Q5-~Z'7 CC~,~/p~ I Staff:~ I I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: v~ v' C~`~~ I`QS V~• ~ _ Tenant: Suite RESIDENT/OWNER Name:&)ND/V Phone:6991- 1-' 7 2"! Address / City ! Zip: ~IXD V~~t 1 I PS 4Ui~) Applicant is: Owner _ Contractor ~ L5 n ia ,~Yywa , n u n~ TYPE OF WORK Description ofwork I~A~ v 1rn Vo1' r 1 Construction Cost °5l 000,00 MWti-Family Building: (Yes _ 1 No ~ CONTRACTOR Name: Z/{ q ~~j 5l' ~1fTC' license#: Address: -2A ~0 o 1& a Cit ' City: -G a f 1 State: 1 1 1n ZiP: 551 Z~ PhonetY -'-'rJLI-1! 2-- 1 6eritactPersvrr.l lPI L/ t U`"1 -LGI-i?:> 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 Category Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a pertnit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: P/ans and supporYing documents that you submit are considered to be public information. Portions of the information may de classified as non-public if you provide speci/ic reasons that wou/d permit the City to conclude fhat the are trade secrets. I hereby acknowledge that this informa[ion 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 accorda; ce with the approved plan in the case of work which requires a review and appro of x si lans c>S ' v` ~r-~y c.AV-s-rcm s X ApplicanPs Printed Name ApplicanYs Signature Page 1 of 3 . DO NOT WRITE BELOW THIS LINE SUB TYPES ~ ? Foundation ? OS-plex ? 16-plex ? Accessory Building ? Pool -)4L Single Family 0 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi ? 01 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt - SF ? 02-Plex ? 08-plex ? Deck ? Porth (screen/gazebo/pergola) D Multi Misc. ? 03-Plex ? 10-plex ? Lower Level ? Storm Damage ? 04-Plex ? 12-plex ? Miscellaneous WORKTYPES 9- 6 oNu5 nUaM ? New O Interior Improvement ? Siding ? Demolish Building• ? Addition ? Move Building ? Reroof ? Demolish Interior ~ Alteration ? Fire Repair ? Windows ? Demolish FoundaGon ? Replacement O Egress Window ? Water Damage . ' Demolition (entire building) - give PCA handout to applicant DESCRIPTION: Valuation Occupancy MCES System Plan Review Code Edition SAC Units (25%_ 100%~ Zoning City Water Census Code )il ~(i{ Stories Booster Pump TrT # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) Sheetrock Footings(deck) Final/C.O. Footings (addition) ~ Final/No C.O. Foundation HVAC ' Drain Tile Other: Roof: _Ice & Water _Final Pool: _Footings _Air/Gas Tests _Final ~ Framing Siding: _Stucco Lath _Stone Lath _Brick Fireplace:_R.I. AirTest Final Windows ~ Insulation Retaining Wall Reviewed By: , Building Inspector RESIDENTIAL FEES: ~ ~ 7e Base Fee ~j t~h~1i15 - ~~sUo Surcharge " ~ _ d. Plan Review n V C oorn (5W MCIES SAC City SAC D/ ~'I Utility Connection Charge SSW Pertnit & Surcharge 2713k) Treatment Plant Copies Total Page 2 of 3 , REScheck So areVersion 4. . Compliance Certificate Project Title: Carstens Residence Report Date: 05rz2ro8 Data filename: C:1 Users1 Su1 AppData\ Locall Microsofh wndowsl Temporary IMemet Files\ LrnN Content.lES\ K8201 UGSIIST_TRY_5- 22-08[1].rck Energy Code: 2000 Minnesota Energy Code Location: Dakota County, Minnesota Conswdion 7ype: Single Family Glazing Area Percentage: 5% Climate 2one: 2 ConsWction Site: OwnedAgent: Designer/Contrador. 3960 Versailles Ct. Sunday Carstens Sunday Carstens Eagan, MN 55123 3960 Versailles Ct. 3960 Versailles Ct. Permit # EA082463 Eagan, MN 55123 Eagan, MN 55123 Permit Date: 4/112008 (651)454-1729 (651)4541729 sundaykate@gmail.wm sundaykate@gmail.can Compliance: Comliance: 37.5% Better Than Coda Ma~dmum UA 104 Yow UA: 65 Assembly . . D. Ceiling 1: Flat Ceiling or Scissor Truss 500 19.0 5.0 20 Wall 1: Wood Frame, 24" o.c. 35 19.0 0.0 2 Wall 2: Wood Frame, 24' o.c. 185 19.0 0.0 10 Well 3: Wood Frama, 24' o.c. 60 19.0 0.0 3 Window 1: Above-Grade:Ynyl Frame:Double Parre with Low-E 12 0260 3 Wall 4: Wood Frame, 24' a.c 38 19.0 0.0 2 Wall 5: Wood Frame, 24' o.c. 43 19.0 0.0 2 Wall 6: WooO Frame, 24' o c. 30 19.0 0.0 1 Window 2: Above-Grede:Vinyl Frame:Double Pane with Low-E 12 0.260 3 Wa117: Wootl Frame, 24' o.c. 43 19.0 0.0 2 WallB: Wood Frame, 24' o c. 70 19.0 0.0 4 Floor 1: All-Wood JaisNTruss:Over Unconditioned Space 450 36.0 0.0 13 Fumace 1: Forced Hot Air 95 AFUE Air Cond'Rioner i: Electric Central Air 13 SEER Complience Statement: The proposed building design Gesaibed he2 is wnsistent vnth the building plans, specifications, and other calculations submitted wkh the pertnit application. The pro posed ilding has en esigned t~ t the 2000 Minnesota Energy Code qQujf~menLS in RESGreck Version 4.7.4 antl to compy with th ii t in the RES yrt~C~eckiist. lO Name - Tdle Signature Da e Project Title: Carstens Residence Report date: 0522l08 Data filename: C:1 Usersl Su1 App0atal Locall Microsoftl WindowsV Temporery Intemet Filesllowl Content.lE51 K82Q1 UGS\ 1ST_TRY_5-22- ~ r • ~ , _ ___-________I ~ For Office Use ~ City of Ea~~Il ~ Permit # h~l.~D ~ I I Permit Fee: ~ 3830 Pilot Knob Road i Eagan MN 55122 ~ Date Recerved: Phone: (651) 675-5675 Fax: (651) 675-5694 i staff: 2008 MECHANICAL PERMIT APPLICATION Date: Jr-/ 2, - OA Site Address: j g/,o?~25A'~ <C F~ C]'- Tenant: Suite RESIDENT/OWNER Name: t /2ec'_ c S~arvOftY G/}/IS'T"e-Nf' Phone:6;la7~ 709- ~3 Address 1 City / Zip: 3960 GT ~/i-L FYr SS /'L y' CONTRACTOR Name: .,8:2,of. QOz (/r Hvii c License Address: `-/3 / d T/L&i,7o., 7''L city: C/t G q r-- state: Zip: 6-51Z3 Phone: ~P- F/! 9- 7 J G v Contact Persorr jS'D 'Q 1YC[OT TYPE OF WORK - New Y--72eplacement _ Additional _ Alteration _ Demolition Description of work: /1'EO/lILC fu a>~~r' c• Ccrt-i ~s7c ~C -;A~~T jc Bcf-4} NOTE: Both roof mounteal arid ground mounted mechanical equlpmenf is required to be screened by City Code. Please contact the Mechanical Inspeetor or one of the Planners for information on ermitteal screenin methods. PERMIT TYPE RESIDENTIAL COMMERCIAL L. urnace New Construction Interior Improvement = _ AirConditioner InstallPiping Processed _ Air Ezchanger _ Gas _ Exte(or HVAC Unit ' HVAC units must be screened _ Heat Pump Under / Above ground Tank InsWll Remove) Other " When installinghemoving tank(s), call for inspection by Fire Marshal and Plumbin Ins ctor RESIDENTlAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (repiace bumea out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ TOTALFEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contrect Value $ x 1% $50.50 Minimum (includes State Surcharge) _ $ Permit Fee - If Permit Fee is less than $7,000, surcharge is $.50. - If Permit Fee is >$1,000, surcharge increases by $.50 for each StBtB SurCharg2 $1,000 Permit Fee (i.e. a$1,001-$2,000 Permit Fee reqwres a$1.00 surcharge). $ TOTALFEE I hereby acknowledge that this infortnation is complete and accurate; Ihat the wnrk vnll be in conformance with Ihe ordinances and codes of the Ciry of Eagaq Ihal I underSWnd this is nol a pertnR, Oul only an applica[ion for a pertnit, anC work is no[ [o start wrthout a permit; that the work will be in accorUance with the approved plan m Ihe case o( work which requires a review antl approval of plans. x G~ ~oLOT X ApplicanYs Printed Name ApplicanYs Signature FOR OPFICE USE ' Reviewed By: Date: Required Inspections: Under Ground Rough In _Air Test Gas Service Test In-floor Heat Final ~ . . . iaxZ~= 3rz 48"x42" window N~o~~ ~ee-n = Z~~ x iao~ t_'„vEac FT Gzaclc = 1g:5 xo.o~z~- , z g' 48"x42"window 26 S,~ ? -(oTAL f-1ocYL R2cA gjw Cvc f 7'e y0l Az X • Dal-0 -7.' E~P~s~a u~n« 137~.~. g c_ ~ 0 X , oso~ = a8 7 SR C 3 coc~ 3~ o~' k• o.~ r S . ~~~c e Su.~.Qr~y c~2s rEn~~ 39~a Ci c A CR PERMIT City of Eagan Permit Type:Building Permit Number:EA115979 Date Issued:10/01/2013 Permit Category:ePermit Site Address: 3960 Versailles Ct Lot:9 Block: 1 Addition: Hidden Valley PID:10-32900-01-090 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments: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 . Heather Connell 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 - Eric L Carstens 3960 Versailles Ct Eagan MN 55123 Connells Custom Exteriors Inc 1125 S Frontage Rd, Suite B Hastings MN 55033 (651) 438-2973 Applicant/Permitee: Signature Issued By: Signature a�ce ck�.... t. .� --� From:Taylor Gable Fax:(763)400-4503 To: Fax: +1 (651j 675•5675 Page.1_of-1-03l04J2015 1028 AM �^Fot O'�ic�Us4 I / �� ' �'Q t �._--� � 1 Pe�mkt�: �-,�� 1. 1 �(l��,7_•___�_�__--�_. i � Per�.tt��:�:..�.-- 6 ` ��,� �.� �� , � �I ��5�Reeeiv�d:�'--�"'_'�---_.�.— � V �.v� 4 A gt�Sf:��Y_�.--— �..�.- _..��.� �63�F�ilm��4'�ob F��sad i � _�.--- �a�an {�N 551�2 ' !Phon�55�67�5C9��5� !�ax: ( ) �� P��►��' /��rl�►T�� ?�Q'�� .��"'�'�t�►�- �`k-�� (� ° �I�{J ' - " l�� 131'CB'�; ,�m�.,,,.�.::.��,...-,-:-.�• f� �}�-�"J Sil4'af�(�f�59: = wM_....�....o,,.,�,,..w.--,:..o.-.�,°.. �." r� ,, :.�...��,�:.,:,.�m..,.�-�°°.`m"' Qat�. • .�.-v_.--�----- ,._,�..,�.�.°°r'".,�.,��,:_w�.�..�.�- P�ran�; �--""'"` ��nant -�°°-'"a,.°'"".,_.,- 1r � .�-�----°�--""""J.,° �� _.. �- ..�,., G �i�4 v _�j °��-' ' t�am ��5� �� ,�'• �.�--,�,�-,��'°`�..�.'.�." � � Ftesidentl�7uvr��r' �p ' ��- � p,ddress i City.1�ip:��"' �ic��e�: �. .__�-� � � �1��. ��'k °_-�—` ��, �, _�.-- � �'��' _ � ° ra��:�'�`-�--�.----°;e---" 6� ��: .�.'�- f � � �� t�,`�-�.--- �Z1._ ��--�- � p�ddress:R. � ��_. ._. -M—T--�-."'"° _ � �. �(,��j �r,��P �._�. � �orrtract�r ' ��, � � . � scaae:m..r.� ' 1�� . �� n1�il;_ � �.��d_.��:..�� t 0 �- R a W CQnt�e: "�..'_.._- „_'�,�.,w,�..�a � _,,,.._.....,,..,.�,.,.�...�-m-_°,d-.... p�41�1 . . , �� epa'rT �R�builw: �_Moc�i�y Spac� �.!� � � � New �Repi�cement �._. _ �"y��q�rlVdor� ---- _ - � > ' ' d�scri tion of work. _._. _�, _...,..,.� —�-- . ...,�.....�....� .�.,,�..,��,.�,,,,�„w:•„ � �',�.�.._..__..,�..._ �.s_��.�-- RESIaEhtTlAL. � �, �_�h/�ter Heale� $ _W�ter��itErscr �.�wn Irri��lson j_ I�P�/�._PVB� � P�r►riit Ty►p�e � Add f�lu�nbing Fixiures(�Maa:n.l,_Low��Lev21} � , _�„Sepcic System ; hkew ' V�faler fiurnaraurt� # Abandonment � m.,.,.....,.. �., ,_,n .._.... �_,..._e_._�.,_m.,,..,�..�„ _. RESiC3E�T1.4L�EESt - __ $6�,�4�Ivat�r He�ter,l/�fater Soften��, or Waker t�eaier and So#te��r�inclr�des�5,ff�5tate��rc��r�e) $6U.0�Lawn I'rri��tion�includ�s a.5;�7a minirro«rn�1�1�5wrcharr�Q.� ��.0+�Aci� Plumhing Fixture�, 5epti�5usterri Ab�nrJbnment,1/1!'�t.er Turnaround'(inclu�i�s S5.t�6 Si.ake S€�rcharge} `4Vater'(u�r��rou�d(add�2Q0.00 if-a 518"r�,eter is required} � $115.00 Seoti�Svst�m f�e+rr(�1!?.00 per as burlt�{lnelude�County 3Ge and S5.Ot7 Si�t�Surch�rge} T4TA �C�•_�� E. W..M. ...� w_.�:.,.�.t..W-�,,,�.,_....._..4a,..�.....__.e._.......__.�_..�.�_,. �F��S a � GALL BEF�IFtE Yfl�J dl�. �alE Ca+��aher St2te One Gall �i(�51)454-00p�fo.r protectipn�g�inst t�nderg�°�urid uUGly CE�m�yt,*. G�II�4�tzoaars 6eftare yau jntend I�dig to receive locales af�nd�rgrr�und utilities ww�w, �7 hf:r��6e�sn�c��j,or,c� i f,ereby acosn��v�lc�dge tt7at this Rnlormatian is carnpl�t��ntl�t,cur�le;E�aat t€�e w�•rk�11 be in�contarm�nc�veilh tite ordina�r�c�s and codes�,+4he Cily�i ��g�n: Yhaf 1 unci�r�ltiad thls is nnt c'� �efrnit, t�ut nnly�n a�plic:3tion lor� p��{, anct.wp�k is rtpt to start�without a permiE; tha!fh�work wili bt� in 4ae�otdanc�ywitPa Ihc��pr�ve�d�rl�n in thi�case of wark v�rhGc17 requires a revis�w and appeouaf of p€ans: x #��t r , r4--�. �� ;��.�-- � Applicant's PrinRed Name � � �'"`�•--_. Ap�liC� 's Sigrt�tur� ��31� i�PFIG�IJSE' ` _ ; R+e��elMed By�' t?�E� ` �z��+.�r4t�.f[l5 ��`��i�t�s ; ' ; �.,,.' � 4lnder�rQUr�tl Rau�h-:In �rr"f��t _�_,_„Gas Test Fi�ial. �let�ar Rslated�te�rts: �1rt�ter Si�e Ratllca.R�ad M�nom�ter , 8taff, Use BLUE or BLACK Ink r-----------------+ I For Office Use � ' � Permit#:��~ �� j �lt� 0� ��Il � -� � � Permit Fee: �� 3830 Pilot Knob Road I I Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax:(651)675-5694 � Staff: I I I 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ��J �I � � Site Address:v ►�Q v��( I I�S G� Unit#: � � /' /-� ,�` Name: vu��V�� l .t�l�� Phone: �-P��ii�V"'1—��?j ��_ �'I �' �I l� �� ,�� Address/City/Zip: 1 , � f � � ,� �.� :�� , Applicant is: � Owner Contractor Description of work: Ci�iL.� � V lc,�l U ►' iC V � I �� 'M��' Construction Cost: Multi-Family Building: (Yes /No� >��n ; ` � ��' 1�� d� Contact: �� 1�� sh Company:_ ,�� , � 1��5 1 i��`.�'� �l� �IG�I V1e.� � 8�``� Address � City: �� ' � <-, State:I"I,� Zip•.�� Phon� � �� Email: �� "'� License#: Lead Ce�icate#: � If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 72 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: �� ,�tl��r�r��i��c��rt��at�,��s�� '��s=c��' ��ire T�t'��+��t'�:d�r�s��t�r��'��r��t�`��`��' ��o : � � � .�. ; � � r. ��. .�.�s s�..w. > � �� r.,x��1�t�� , .... . �...�� q� � � ��rt��; �� , � � � ��,_,. �,� . ;. .. k.,�: ,,. ..�..x�,�� 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.goaherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. X Svl,�1�l�.y C��"�S X �� Applicant's Printed Name Applicant's Signature Page 1 of 3 Use BLUE or BLACK Ink r For Office Use Permit#: l 1 I - '3 City of Eaali Permit Fee: I (pi"' 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651)675-5675 Fax: (651)675-5694 Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION j Date: . �►I/I I Site Address: Unit#: Name: E(',� t��) -� ... . __ 5�2�A5 ._: a �(�� X3,3 i S �'. Q� Phone: � - i Resident/ I <7a L Owner Address/City/Zip: J 1 (O VP C S a',\e-5 C- Applicant is: Owner "/Contractor ,, Description of wor �Q a(`". ;Cxectik P cif OTT r2' S��e 1 Type of Work Construction Cost: 3 J C)C c' ' Multi-Family Building: (Yes /No ✓. �_ (( `� LL c, .nAl , (y Company: (tu.0.1.7,-1 ()me_ C Ne,Af �C�.o,A Contact: 41) � 7ll q!- 70r "1 n0 i Address: -1 tH b )".1Ito(L S. City: V 1,.�r11 e e' po(I % Contractor V F State:0 /0 Zip: JS-I O(0 Phone: l.l!( ?pr?-76)9�.Email: (64C /1< G y�,/rt o e,. C of"' I License#. ?CG�31'�C�O Lead Certificate# �J 1 If the project is exem t from lead certification, please explain why: ''?LA:l. 1 A 1°( 1 01 I COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 1 In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: I Licensed Plumber: Phone: Mechanical Contractor: Phone: 1 Sewer&Water Contractor: Phone: I fi Fire Suppression Contractor: Phone: M_4 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 the are trade secrets. ' CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. / xDa-AckL1 n� x l Applicant's Printed Name Applicant's Signature / / Page 1 of 3