3662 Wescott Hills Dr
SEWER 8 WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN PERMIT DATE iJA9
3630 Pilot KnOb Rd. WATER PERMR # 10250 SEWER PERMIT # 13 9
P.O. BOX 21199 METER # V 9! 2 77 Sd B.P. RECEIPT # 90697
Eagan, MN 55121 ~~q #~~d a S Z 1 B.P. RECEIPT DATE ? 1?4, 1 s' cl
METER SIZE
ISSUE DATE~~~ ~ 9 - PRV _ BOOSTER PUMP
SITE ADDRESS 3 n~2 1:rst~_ ti+1~S b~` PERMIT REQUESTED
LOT.. 1.rl-BlOCK___7___SEC/SUB LLS
I SEWER !rWATER _ TAPS
APPUCANT: ~r~,... ~n i d
ADDRESS: ` l _ COMM/IND RESIDENTIAL
CITY, STATE M ZIP '{6 2'~7
PHONE: ` I = + - -7Sfc 4+ ?NEW - EXISTING
PLUMBER: !SJPI- "
ADDRESS: I AGREE TO COMPLY WITH CITY OF
C(TY, STATE ~ ti~ Z~p ~'~42D EAGAN ORDINANCES:
PHONE: ARk4- 14!R
OWNER: .7"',.)(
~
ADDRESS: 7AS SIGNATURE WHEN METER ISSUED
CITY, STATE ZIP ~ ~ -T _
PHONE: 0
PLEASf ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT,-
ENGINEERING DEPT.
! SEWER & WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN PERMIT DATE
3830 PIIOt KI10b Rd. WATER PERMIT # 1025L SEWER PERMIT #
P. O. BOX 2 1 1 9 9 METER # B.P. RECEIPT #
Eagan, MN 55121 READER # B.P. RECEIPT DA7E 4,'+'"
# METER SIZE
r: ISSUE DATE - PRV - BOOSTER PUMP
SITE RESS PERMIT REGIUESTED
lOT - _ BLOCK -7 SECISUB I L
4 " SEWER t'" WATER - TAPS '
APPLICANT:
ADDRESS: • _ COMM/IND RESIDENTIAL
CITY. STATE ZIP _ • 1
PHONE:; ?NEW _ EXISTING
PLUMBER:
AQDRESS: - 171, '"jjrra r= i AGREE TO C01i1PLY WITH CITY OF
CITY, STATE Kt ZIp EAGAN ORDINANCES: I
PHQNE: ' A -
v-
~
owNER: + . - ADDRESS: SIGNATURE WHEN AAETER ISSUED
CITY, STATE ZIP
PHON E: -
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMRS, CONTACT
ENGINEERING DEPT.
, ~ .
CITY OF EAGAN ~C? Q 7~
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for S~ D,4G/`'A*''- Est. Value $121• xb Date , 19 89_
Site Address 3561 `•'~z XL`T'f 11I:.I.S 1;R
Lot BloCk ~ Sec/Sub. SU"ZSE H 1 LLa OFFICE USE ONLY
Parcel No. occurancv R-3 ±I--1 FEES
zornng -R--A
W Name Ii~Q! (Adual)Const V-14 BIdg.Permit 714.00
~ Address 121.4 $LliY. i i i. L 2SAY RI1 (alo+M1'abie) V-N Surcharge 60.50
N of stones
° efty bU.NvvILi.L Phone 431-7566 -
Length ~ Plan Review 35l,~
~o Name Deptn " snc, ciry 100.00
00 Address S.F. Total SAC. MCWCC 575.00
~ City Phone S.F. Footprints
~ - Water Conn
On Site Sewage
~ W Name on sae weli -
water Meter yu.~
Address t~wcc syscem ~ A.W. Deposit 30•00
CCW City Phone ary wecer X~L
PRV Required - S/W Permit 209(x~
I hereby acknowlege that I have read this application and state that the Boosler Pur?W - S/W Surcharge it~'
information is correct and agree lo comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. 7reatment PI 278•0C
Signature of Permitee APPROVALS Road Unit 325. l:v
A Building Permit is issued to: i4C;XNALD CO•"!$ i RUCTIQ!! Pla^^er - Park ped.
on the express condition that all work shall be done in accordance with all Cotiricil -
applicable State of Minnesota Statutes and City of Eagan Ordinances. gkiy. pff_ _ Copies
Building Official Variance - TOTAL 3 i 0 SC:. 5;J
Pwwms No. F.rmn Mad.r Dabs rdepnon. A~ I
WATER
SEWEH 13o I G
PLUOABING
0
H.VAC.
ELECTRIC
Nnpsction DaM ma~ Comwwts
Foohngsl a ~iJ
Foundabon
~
Framing ~ Q
Rook9
Ragh PIb9•
P,.* H8•
hu+. Z- 7-8 ~ v i ti S u l N Q to B~ to
Frceplace i3s t Gs6 ~
Final Htg. X
Fnal Plbg
Canst. Meler Plbg. Inspecta - Notity Plumber
ErgrJPlan
eag. Fnal -~1
Dedc FEg.
pedc Fnal
weli
Pr. oiw.
y . . ....S',.._~;. q.T-r..~ s .
I
I
(gerti#iratt of Orrupaury
~
titp of eagan
lopparb1tnd of Atmittg iwPttiDYt i
, I
This Cerdficate issued pursuant to the requtremenu of Secaon 306 ojlhe Unijorm Building I,
Code cerdfying tluu at the time ojissuance this svucture wns in compliance witle the wwious 'i
. ordinances of !he City regulaiing building construction or erse. For the following.• I
1
u. crfi,o. SF DwG/CAR eW Fbw;t rb. 16075 I,
0-4-rr Troo R3/''1 1 zo=SaWa RI Thu cow VN ~i
Xd~ 1212 S[M]IL BAY RD, B' VIIIE
OWOU of , MMCLdAID 016IIti]CTI0N, IIr
Wdins Addma 3662 WES00riT HIILS DRZVE Lmwity L 10, B7, SZINEtTSE FIIIZS
. '
D.j, APM. 4 - 1989
eoamoa~~-
POST IN A CONSPICUOUS PLACE
PERMIT # /L
PLUMBING PERMIT RECEIPT # f
CITY OF EAGAN
3830 PILOT KNOQ ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address " BLDG. TYPE / WORK DESCRIPTION
Lot Block rf Sec/Sub Res. New V~
Mult. Add-on
? Name , Comm. Repair
~ Address Other
c City - Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
t+10. FIXTURES TOTAL
Name ' : i- - Water Closet - $3.00 $ '
m ~Bath Tubs - $3.00 ?
c Address Lavatory - $3.00 tj C ~
p Ciry ; ~ _4ePhone ' Shower - $3.00
! U
Kitchen Sink - $3.00 3,
FEES Urinal/Bidet - $3.00
COMM/IND FEE - 1°i6 OF CONTRACT FEE, -1-Laundry Tray -$3.00 C.''.
APT. BLDGS - COMM RATE APPLIES ! Floor Drains -$1.50 ,
TOWNHOUSE 8 CONDO - RES. RATE APPUES ' ~-Water Heater - $1.50 -l~
MINIMUM - RESIDENTIAL FEE - $12.00 --4-Whirlpool - $3.00
MINIMUM - COMM/IND FEE - $20.00 1 Gas Piping Outlets - $1.50
STATE SURCHAAGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIn
(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYOND $1,000.00) VVell - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE:
STATE S/C: 'l FOR: CITY OF EAGAN GRAND TOTAL:
PERMIT 1k
. • • ' MECHANICAL PERMIT
CITY OF EAQAN RECEIPT #
3830 PILOT KN08 ROAD, EAGAN, MN 55122 DATE
CONTRACT PRICE PHONE: 454-8100
SRe Address `7' ; 717 } ' i BLDG. TYPE WORK DESCRIPTION
Lot /c 81ock ' Sec/Sub ~
Fies. x New -
~ Name • . F/~ ( Mult Add-on
m - Comm. Repair
~ Address L~ , Other
c City r~n~. Phone -L _s
FEES
Name ' , ci : " k •
RES. HVAC 0-100 M BTU - s24.00
i
~C Address - ' ~ { ~ ' , •-r ` ADDITIONAL 50 M BTU _ 6.00
p City: Phone , ~ (RES. HVAC INCLUDES A/C ON NEW '
CQNSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERiNin - 1.50 EA
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
ForCed Air M BTU 30•~)C APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLJES ~
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODE[.S - 42.00
Air Cond. M BTU • MINIMUM COMMERCIAL FEE - 20.00
Vent CFM STATE SURCHARC3E PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # i.`:%Q BEYOND $1,000)
Other
FEE '3I. 50
$/C: '$Q SIGNATURE OF PERMITTEE
TOTAL• 3 a . 00
FOR: CITY OF EAC3AN
. - _
INSPECTIUN RECORD
CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: 10 APPLICANT:
PERMIT SUBTYPE: TYPE OF WORK:
iNSPECTIOtJ
i•~ ~ i, , , „
; t~~~ii ?w t~i t:~~ ~ ~ra,,~
~ i htAJ,, t ',t 1'AlrRit i'f ItAil lAl:t I4 c)If11,11- lr lult rtiN; i I1-IMItIN6 I+i. l IF ~
- - -
Permft No. Wrmk Holder Dib TeMphonw s
S/YY
PLUMBING ~ s1,~71~0
HVAC
ELECT ~ OO°
ELECTRIC
Irqpwtlon Dab insp. CommwrMs
Footings I
Foundallon
Frw"
Roo&V
Raigh P1bg• C
Rough Hig- a~ f
istd.
FireplaCe
Final Htg.
Orsat Test
Finel Plbg. Plbg. InspeCWr- NotifY Plumber
Const. Meter
E^9?JPIe^
Bldg. Final
Deck Ftp.
Deck Fhal
wen
Pr. Dlsp.
CITY OF EAGAN N? I6075
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
' PHONE:454-8100 ~ 0 (09 ~
BUILDING PERMIT Receipt # ~,1
Tobeusedtor SF DWG/GAR Est Value $121,000 Date 1 -~'~'F , 1989
Sne Address 3662 WESCOTT HILLS DR
Lot 10 Block 7 SeclSub. SUNRISE HILLS OFFICEUSEONLY
Parcel No. occuPancy R-3 M=1 FEES
Zoning R=1
w Name MCDONALD CONSTRUCTION. INE- (ACtuapConst V-N Bldg Permit 714.00
o Address 1212 BLUESILL BAY RD (nuowabie) V-N Surcharge 60.50
City BURNSVILLE Phone 431-7566 #ofStories -
Length 701 PlanReview 357.00
~o Name SAME Depih 31 ' snc, ciry 100.00
0, ¢ Address SFTOtaI - SAC,MCWCC 575.00
~ City Phone S F Foolpnnts
On Sae Sewage water Conn 550.00
rQ
°w Name On Site Well - water Meter 90.00
z~ Address Mwccsyscem XX
o~ Acet De ose 30.00
aw C1ty PhOne Ciry Water X~ P
PRV Reqwred S/W Permit 20.00
I hereby acknowl e ihat I have read ihis apphcanon and state ihat the eooster Pump - Siw Surcnarge 1.00
informanon is cor t and a ree to comply wtlh all applicable State of
rdmances. Treatment PI 228.00
Minnesota Statutes 11d Ciry 1 Eag O APPROVALS
SignaWre ot Permite$ Road Unn 325.00
A Building Permn is i` ed to: MCDONA D CONSTRUCTION PfanneT park Ded.
on ihe express contlitio that all work shall 6e tlone in accortlance wtlh all Council -
1 applicable State of Minnesma Statutes and Ciry of Eagan Ordmances Bmg OR = Copies
n(ui ~~~I Vanance TOTAL 3+050.-r'0
-ilding Olficial
5-D
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagau
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCtion Reavirements RemoddlRenair Reaurements -Ofice Use OnN
3 registered site surveys showing sq ft of lot, sq. ft of house, and all roofeG areas 2 coDies of plan shawing tooti`gs, 6eams, joisLS CeR M SuNey Recd Y._ N
(20 h maximum lot caverage allowe0) 1 set of Ene`gy Calculatlons fw Aeated addNms Sals Repat _ Y_ N
7 Soils Repart it proposetl huil?ng is to be pWced on disWrbed sa1 7 site survey Por a0ditions 8 decks Tree Pres Plan RecE Y,_ N.
2 copies W plan showing 6eam 8 vrindax sizes; pcwreE found design, etc. Adddiar - indicafe if oo-site sepfk sysfem Tree Pres,Reguued_ Y. _ N
1 sel of Energy Calculations Oo-site Sep6c System Y_ N
3 copies of Tree Preservation PWn il lot plaHed after 711l93
Rim Jdst Detail Options sdec6on sheet (buil?ngs wiN 3 or less units)
Minnegasco mechanical venUWtlon torm
Plans are considered ublic information unless ou state the are trade secret and the reason.
Date » / q / 0? Coostruction Cost .119)0
Site Address 3'6Z 2 4lL5 cm1 t /%1I/jUniUSte #
Description of Work S'~ ~01~'~ S.' ~~''~Q
~
Multi-Family Bldg _ Y/2!~ N Fireplace(s) _ 0 _ 1 _ 2
Proper[y Owner ~ t~o /3oAq Telephone #(QIS ~ 3 SI -I~6
Contractor Lo Y l /Il}fc..r c.L>-rux_ti+~p
~ S~. ,d~.Y
Address 33t ~~....c~ ~ew l03 City
State /t-1 /v Zip S-S70 z Telephone # (
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitled Submitted
• Energy Envelope Calwlations Submitted
In fhe last 12 monihs, has fhe City of Eagan issued a permit for a similar plan based on a masfer plan?
_ Y _ N If yes, date and address of masTer plan:
Licensed Plumber Telephone # ( )
Mechanical Contractor Telephone J
Sewer/WaterConiractor 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.
So,
Applicant's Printed Name Appli anYs Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? Ot Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool O 30 Aaessory Bldg
? 02 SF Dwelling ? 08 06plex ? 76 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage O 22 PorchlAddn. (4-sea.) ? 33 Exl. All - SF
? 04 02-plex O 10 OB-plex ? 18 Deck ? 23 Porch (screeNgazebolpergola) ? 36 Multi Misc. ? OS 03-piex ? 11 10.plex ? 19 Lower Level ? 24 Stortn Damage
? 06 04-plex O 72 12-plex ? 25 Miscellaneous
Work Tvaes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation O 45 Fire Repair
? 33 AlteraGon O 37 Demolish Building• ? 43 Reroof O 46 Windows/Doors
? 34 Replacement •DemollUon (Entlre Bldg) - Give PCA handaut to applicant
DOSCfIDtiOn: WaterDamage_Yes Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUII2ED INSPECTIONS
_ Footings (new bldg) _ Sheetrock _ Footings(deck) _ FinaUC.O.
_ Footings (addition) _ FinaUNo C.O.
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool Ftgs _ Air/Gas Tests Final
Fmming _ Siding _ SNCCO Lath _ Stone Lath _Brick
_ Fireplace _ R.I. _ AirTest _ Final _ Windows
_ Insula[ion , _ Retaining Wall
Approved By: Building Inspector
Base Fee ^
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Pertnit & Surcharge
TreaVnent Plant
License Search
Copies
Other
Total
9524741531
02/06/2008,14:43 FAX 9524741531 Chuck Walton Q001
OLOYAL
NOME I1NPROVEM£NTS
Showroam @ 333 Grand,4vertrre, Sr Pael M'areesoaa
(651) 456-9238 - wwxcloyalhomecom -!Jc# 10353848
ADDRE35: 333 Graod Ave. 3uita103 C6ack Walbu
St Pau1,14DV. 55102 chuckw44(ZhotmeiLcom
lel~-55"S -j~p 755
4,
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.
2005 RESIDENTIAL BUILDING PERMIT APPLICATION \
t City Of Eagan p_~ cJ
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Consiruchon Reamremenis RemodellReoair Reqmremenis Office 'Use OnW
3 regislered site surveys showing sq it of iot, sq. fl of house; and all roofed areas 2 copies of plan Cer{of Suney Recd'"- Y`_N
(20°h maomum lot coverage allowed) 1 set o( Energy Calculahons for heated additions Tree Pres Plan Recd : X. _ N
2 copies of plan showing beam 8 window srzes, poured found design, e1c 1 site survey for addihons 6 decks Tree.Pres Required , YN
lsetofEnergyCalalations AddRion - mdicatei/on-sifesepticsystem Do-sileSeptic57rsiem _Y _N
3 copies of Tree Preservahon Plan if bt platled after 7J1/93
Rim Joist Detail Ophons selection sheet (bmldmgs with 3 or less units) lpv-
Date Construction Cost
T
sue naarese uniuste #
Description of Work 511,16-0 f~~CIG
Multi-Family Bldg _ Y ` N Fireplace(s) _ 0 _ 1 _ 2
Property Owner Telephone # ( )
Contractor /lI//(?l ,L~LKS
Address e ~ 2i7 ~ / v 'UC City ~Gtrvrr/r.tiki~iJ
State /yJ//lm~aT79- Zipi~ Telephone #(qsi) ~Z Z'L_
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Enefgy COde Category , Residenhal Venlilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 2597o plan review
fee applies.
Licensed Plumber Telephone )
Mechanical Contractor Telephone #
Sewer/Water Contractor 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
Applicant's Printed Name Applicant' ignature I I F ~ R 0F 2005
U
By-
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex x 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
Q OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Yor _N ? 25 Miscellaneous
Wark Types
? 31 New ? 35 Int ImpravemenT ? 38 Demolish Interior ? 44 Siding
A 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) -Gfve PCA handout to appficant
Valuation 1E o Bo Occupancy MCES System
Census Code Zoning City Water
SAC Unds Staries Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const _1/(6_ Width
REQUIRED INSPECTIONS
Footings (new bldg) FinaVC.O.
Footings(deck) ~ FinalMo C.O.
7 Footings (addition) _ Plumbing
Foundauon HVAC -
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests Final
_ Framing _ Sidmg _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
Insulation _ Retaining Wall
Approved By: T Building Inspector
Base Fee
~/f L
Surcharge (J~CiC/
Plan Review
MC/ES SAC
City SAC
~ B
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
lYl c !U - 4 -S 4
. • CERT/f/CATE oF JRu4vEr
, , ,
;s
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` S
MAIniA49 \ 6 33.
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ns
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~cs 4: ~ 9•69 ~~~p;L9~
3 \
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>
Scale: 1" = 30' i(,~ n,o
DESCRIPTION
Lot io , Block 7 ,
/ HER£BY C£RT/FY 7NAT TN/S SUVVEY, fLAN A4 REPGWT SUPIR HILLS DD TION '
WAS PRfPAR£D HY Mf OR (/HDER MY O/RfCT SfA9fRV1S/LW Dakota Cotmty, Minnesota
ANO TNAT ! AA/ A DULY REG/ST£RED LAND SURYEYqR
UHAER THE LAWS AF TNE STATE QF M/NNES07A. Plat bearings shown
o Denotes iron momunent
(Existing~ IProosed~
8140
DATf 1 /iE~ M0.
brand! anginaaring P. putvaying
2705 uuoodi trail
6urniuilla, minna-roto 55331
(vIR) 435-1966
iVl C- I D-4-39
~ RESIDENTIAL
~ BUILDING PERMIT APPLICATION
CITY OF EACAN r
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675 f r7 !
New Conetruction ReauiremenN RemodeVRenair Reouirements
• 3 registered site surveys showing sq R of bt, sq. R. of house; and all rooled areas • 2 coDies of plan
(20 % maxunum lot coverage allaxed) . . 1 sel of Energy Calculations for heated adddions
. 2 cropies of plan showing Eeam 8 window saes; poured found desgn, eta) . 1 srte survey for exterior atldi6ons & decks
• 1 set of Enefgy Calculations • . Indicate d home served by septic system loradtlition's
• 3 copies of Tree Preservation Plan if lot platted after 711193
. Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE [I I ! VALUATION g 67a0+co
SITE ADDRESS 3~6 z Wfurit"f ~-.~Pe MULTI-FAMILY BLDG _Y _N
TYPE OF WORK ~F- FIREPLACE(S) _ 0_ 1_ 2
APPLICANT
STREETADDRESS OD' F 4'1' CITY~STATEMO ZIP 590n
iELEPHONE # ' - CEL1 PHONE # FAX # TV- N/ '%2 2.
PROPERTYOWNER ~6 ~I ~ 1 S• TELEPHONE# G,sI "L097- IYDd
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MIVNL50'1'e1 RULrS 7670 CA'1'L'GORY 1 MINNPSO"1'A RULF,S 7672
(d submission type) . Residen[ial VenGlation Category 7 Worksheel Submitted . New Energy Code Worksheet Submitied
• Energy Envelope Calculations Submitted
Plumbing Contractor. Phonc # FNGV Plumbing system includcs-: _ Water Softecier I.aNm Sprinkler WaLer Heater No. of RL Baths No. ot 13adis 2 12002
~J
Mechanical Contractor: Phone #
Vlcchswical systcrn includcs: Air Conditiouing Y-I:ca: 7OF0F-
_ HcaL Rccovcry Systcm
Sewer/Water Controctor: Phone #
I hereby acknowledge that I have read this application, siate ihat the information is correct, and agree to comply
with all applicable StaTe of Minnesota Statutes and City of Eagan Ordinance .
Signature of Applicant
-
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - MuIG
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08•plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex p 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition O 36 Move Bldg. ? 42 Demolish (Foundatlon) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Staries Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings(new bldg) _ FinaVC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addirion) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ A'u/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. ^ Air Tes[ _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
W ater Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search .
Copies
Other
Total
' 1989 BIIILDING PEEtMIT APPLICATION - CITY OF EAGAN J .
SINGLE FAMILY DWELLINGS I ~ 1/ r ,
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTEt ADDHFSSES FOA CORNER LOTS - COIPfRACTOR/HOMEOiiNER LiOST DESIGN9TE HEiZCH ADDRESS
IS DESIRED. NO CHANGFS WILL BE ALLOWED ONCE HDII.DING PERMIT IS ISSOED.
MOLTIPLE DHEI.LINGS RENTAL QNITS FOR SALE ANITS i OF UNIT3
INCLUDE 2 SETS OF PLANS, CERTIFIC9TE OF SURVEY - CHECg NIT9 BLDG. DEPT., 1 SET OF ENERGY
CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHZTECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
d5`"r~~ ation: .~R 1.~. Z~
K-I-n.r~i or.l ZI ~00~ Date:
To He Used For: Valu
Site Address J&62 OFFICE USfi ONLY
~~~s•~
Lot 10 Block -7 Occupaney R-3 M_I FEE3
Zoning FF.-I
Parcel/Sub S,Aary-,e F{'Z~L4-.3 qum Actual Const V- N Bldg. Permit =0 D
Allowable V_N Surcharge 60.$0
OD
Owner 0 of stories Plan Aeview 3S%
T,.,L Length 70 ` SAC, City 160100
Address IZi7 Eluebill l~acn DePth 3T SAC, MWCC ~ I
S.F. Total Water Conn 5 0l00
City/Zip Code ~~rnssVi~ 56~3-7 Footprint S.F. Water Meter D,L17 I
Acet. Deposit 30.DD
Phone t-J3I -7$t,(o On site sewage_ S/W Permit 20100
On site well S/W Surcharge 1,00
Contractor S,q,,,,P ,qs q~>~P MWCC System ~ Treatment Pl. ~~.2
City water ~ Road Unit Z3 S'oD
Address PRV required _ Park Ded.
Booster Pump _ Copies
City/Zip Code TOTAL
APPROVAI.S
Phone Planner _
Council
Arch./Engr. Bldg. Off. 7Wn12-4
Variance
Address Council ~
S ~ w t,.--
City/Zip Code
Phone lk
NOTEz Sewer & Water PermiL fees and aecount deposit fees xill be included in the building
permit fee. Processing time for ae1rer and rrater permits is txo days onQe a lioenaed
plumber has applied for a permit at City Hall.
VALuATIoN) ~ .
. ,
GA~~E" ° ~ v , • :
~ . i. • ~
Za k Z.y = ~180
ZZ X 12..= ZGy
'lyN X Iy= InyrG
r o~s~
.3S x Z~= 9966
~c~i~~ Ic9cGS!
I2o~a~f~
vc UU1liUl11W UEk'flli'1'41G11'1
• !:X'lElilUlt EIIVF:LOYFJ AVk:llAtlC "U" U011YU'PATI08
('ro Ue su6ro:ltted aiEh buildiug permit applioalion)
,e or Tvio F'atail,yr llwolliug Uriner L1 Other Bite Addreee _l-oT IO BLoc,kr? ,
. ~
• ~uN~is~• Hi«s „4DUmn~ '
outraotor Uate Ylione
IIIEAL FEE'P UF N . • ' .
I7CPO5EU YIALL j< g Z3 JC'~ ~ 3~
FT it. 6ll~ove rad'9 0
• '1'O'1'AL EXY08E5 WALL A1iF:A Bq. FT•
wAqUE VIALL 00119'11iUUTiollt "Ull Yalue x Area
JBfQil _E1`-/'SIIU11 X aq.'rr• 11w77, I(U)(A)
[rororenae - ~I lnwn ~ • x 8(Z. E"C. fvQ Co JU) (A)
x 9(~. P'T• z e~tL.S ~U)(A)
attaclted liun x Bq. F"P. ~ u)(A)
sheete upn 8 6Q. E"f, v ~ (U)(A)
. npn x 6Q. FT. - (U)lA)
Yi111UOVISt ItUll Value x Atea • '
Ilalce & Typo SU n ~?)(p
,°X sa. F~r. ?,z, 5 a, 1 (u)(n)
x sq. FT. = (U)(A) it „ x eR. FT. ~ l~)tA? .
° x oq. FT. " (U) (n) •
UoUltg1 IOUI, Value x nrea • ,
Ilnlce & TYpa ~-bOfLs n .
~n ' x 9n. F'P. ~ ,
~~Trv npu ,
n • x et2. F'1._ ~IL~O. ~ (U 1(A)
x 8c1. F'P. , a (U)(A) ,
x sQ. g'r. _ (U) (A)
ToTnLS Z 351 ~3~q. rr.7.e,14 14711 (u) ln)
nv~:i~euE ~~u~~
ToTni, (u) (n) VALUEg . ZD4 JZCF
UIVIUEU llY ToTrtL s~ni,b ntiF:n Z35~i~p
I'
AVEIiAUE ~~l 15 ar~].eee for 1&2 fa~nily d~velliuge , .
IiooF/OEI1,I110 1 '1'o'CAL ApEA!
lletail retereuae [lUll IOZi
Irom ' u X 9R. N'~P. g -zDi7,~
°u x 9Q. (~1(A)
attaclied slieete. liUll X 8Q. F'r. ~ (U)(A) Ueecriba openiuge •lipll
in `root, 8R~ p"r. -_(U) (A)
---------"0" x X sR. irr. - (u)(n)
TaTAL M(A) YALUE9 lliYIllCU DY ZD/-JS 7tl~~4~5'""-~iRrf~~s `U~~d~.A.~ i.•.
1'0'fAL ItOOF/CEi'4 IU N2EA •
• 20
. IOZ~ •
~
AVERAdE " ° •025-i r veutilated roafe.
, • . . „
Nw~'~ --~~rN---
-
S,.S3yc-C 38+3g-r- zco+z~o~ = I I 3~ `E
--._.-------------~-------=-------?351.3~0`
~
- - - - ~ ~X r z~, ~n~,.z4 ~ -
~,(i p s
=_ZZ~S~XI~_ZZ~S_.-----------------------
- Z-14,0-----~-- - -
°,75x_i = 8,?5--------- -
_ Z~!!vXx~=_Io~SX?-lo,s-
- q=?ox_q.o =-_3~ox1_=._3co,. o-----------------------
L.~If.. . 37-
Xz~3~
_
~~,-5----------------
_ ~Ixe? o_ ~C I = lP, v
Z 5Z~ 2~
- - ~P---s------
0--------
-
_ _42~0_------------
--~'Y , o
_ . -
~~S_y--~4WuLF_~S._~!0 - -
--Rlh~--lom~r.~-
- - - - n ZSZ~ 2S _
"---r~ort.s ----qs,o 542, z5r
-
- - ~ l~ o~L,__1..1_--
--YlI1L1: SECTION-- .
. • Determining "U" values at RooF* Wall, Rim, and Conc. Block
RO0F/CEILI14a R V/L[,UE
~ 1.) Interior Air E14 1m 0.61
2.) 5/8,, aYP. Bd. .56
3.) Ineulation ~-rj,o0
4.1
50 Exterior Air Film .61
~ 2 3 (STILL)
uun _ 1/R= ~OZ I 'i'OTAL (R)=46s~~Jj
~ $Q YlAI'L R VALUE
q 6.) Interior Air Film 0.68
• 7. ) cY~~. Bd. .45
8.) Insulation /9,oa
' 9.) LIU iL-T-gi~a ~•o¢
10.) Dlasonite Siding ,67
11.? Exterior Air Film ,17
uUII 0+3 TOTAL (R)=Z'~,O I
~G
` fl
, I'L RIId R VALUE
13 12.) Interior Air Film o.68
. 13.) Inculstion 19,00
14.) Z" Fir Rfm Joiat 1,88
~ 15 t 5. )JEW11.7 F-Ils- Z, d4-
16.) Maoonite Siding ' .67
170 Exterior Air Film .17
Q
, C;Q • . . upii = 1/R= , C>- TOTAL (R)= Z~ 1,Jj+
0
FOUIIDATIOII R VALL~E
189) Interior Air Film o.68
zl r • ~g t 9. )
°s_ „ Zo )~I ~ c~i-?'SS 19~ bo
ti ~1 ' Z1. }g'~-6c~.ncrete ~~eelE-~&
' s ^ k~ 22.) ~/L'1 pLY
13 ~ 23.) Exterior Air Film .17
n
L7' (gn . nUn = 1/R= e Ulr`J' TOTAL (R)= ~ 1 i7j I
'
l4TA~L lhlMIlAER, VV~aP
Me l0 -4-89
CERT/F/CATE OF gpVEf'
r~
,
1 1 ' 1
I ~ ' S ~O
Vr c, sR
~ ~ IL~
BY e.0 uriLoTy aa d
Date 2. 29 EASEMENTS~ 6 9~
I\.CAN E1.tiTG?NDEs-"1' /
\ ~ n
s \
` ~ .
j0 I 9 0 ~ ~
po N \2~ \ (JJ, '1,~~ 0~ 1
o &
o `
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69
~8• ~~s .
4= ~ 9•v9` ~ p;i9Z
R. \ ^
o~ .
Scale: 1" = 30'
DESCRIPTION
Lot oo , Block -7 ,
/ HER£BY CfR71FY THAT 7N/S SLRVFY, iLAH Aq REPQRT SUNR~TS~ HILIS A=TION WiaS AP£PARED BY AIE OR UNAER MY O/RECT SYeERV/S/pY Dakota Coimty, MiIDiesota ,
ANO rNAT I AAl A DULY REG/STEREO LAND S~iqR
UMAER TNE LAM"S AF TNE STATE QF II/NNfS07A. Plat bearings shown
o Denotes iron montment
~bvfa- . - ~ -
~Existing j ( Pro~osed~
var£ 1 ~ tira 81~
-
brandt anglnaaring P. furvaying
2705 uroodi trail
bYfA/VjIIat minnaioto 55337
(bIR) 4350I966
. ~VI ~ f 0-4$9
. PERMIT
` CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G %
Eagan, Minnesota 55123 Permit Number: 023014
(612) 681-4675 Date Issued: 0 2/ 2 8/ 9 4
SITE ADDRESS:
3662 WESCOTT HILLS DR
LOT: 10 BLOCK: 7
SUNRISE HILLS
P.I.N.: 10-72982-100-07
DESCRIPTION:
Building',Permit Type BASEMENT FINISH
Building Wo.rk Type ALTERATION
~
~
~
~
(C) CRJ(9~ 5lin
REMARKS:
3EPARATE PERMITS ARE REQUIREO FOR ANY PLUMBING OR ELECTRICAL WORK
FEE SUMMARY:
Base Fee $35.00
Surcharge $.50
Lic. Search Fee $5.00
Total Fee $40.50
CONTRACTOR: - Applicant - sT. LIC. OWNER:
TICKNER CONST INC 18252276 0006053 GEORGE ANDY
1700 NOKOMIS CT 3662 WESCOTT HILLS OR
MINNEAPOLIS MN 55417 ' EAGAN MN 55123
(612) 825-2276 (612)452-5617
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 City of Eagan Ordinances.
- J
APPLICANTlPE MI E SIGN RE I E Y: SIGNATURE
CITY OF EAGAN - - - - "
r 1994 BUILDING PERMIT APPLICATION
"0 681-4675 2 3
~1 ~-t~}0_~ ~
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, l copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date ,1~e Val uati on of work 2.0 oob .°0
Site Address: ~Z WG~Io-r-r- E114(~ ve •
STREET SUITE p
Tenant Name: (commercial only)
LOT BLOCK ~ SUBD. I ~r n~ P.I.D. p
Descri tion of work:
The applicant is: ? Owner ? Contractor ? Other (Describe)
Name _ 6Cbri6C AAIC>c~ Phone 475z'5Z/-7
Property LnsT FIRST '
Owner Address I.~~l"r 11146'S ~
STREET STE #
City ~A6f}~f State ~-W/? Zip
Company 'rC.R~AlEe 6oAJS4uz>T'iaJ, i n) Phone 925-227A
Contractor Address l7aa n6(;KV/?71S 0~7 License Exp. `5
CitY State M nf Zip 554-1 -7
Architect/ Company Phone
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
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.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
Jy?~...Y ..r : w
? 01 Foundation ? 06 Duplex 0 11 Apt./Lodging 0'16 Basement Finish
? 02 SF Dwg. ? 07 4-Plex 0 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition O 08 8-Plex 0 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Cortan./Ind. Misc.
? OS SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public facility
? 21 Miscellaneous
WORK TYPE
? 31 New &7 33 Alterations ? 35 Tenant finish O 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst Fl. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
N of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code ~
Depth On-site sewage SAC Code /
Census Bldg i
APPROVALS tensus Unit o
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? .Site ? Footing Er Framing El Insulation
? Wallboard Eg Final ? Draintile ? Fireplace
Permit Fee vaiwctoo: $
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
90-239
ity oF engan T-20733
3830 PILOT KNOB ROAD THp,y,AS EGAN
EAGAN, MINNESOTA 55122-1897 hbyor
PHONE(614)454$100 8pecial Asaessment Search DAVIDK.GUSTAFSON
FAX: (672) 454-8363 pp,yELp, WCREq
riM vnwLErm
Date: THEODORE WACHiER
May 3, 1990 Co,,m,i Memym
TIiCMSA5 HEDGES
R@Q11B9t6d BYC Re0 Sunrise Hills CM1YAd^in¢tm[a
10 729$2 SOO 07 EUGENEV,WOVERBEKE
Land Title Inc Crty Clerk
On the attached form is the City's response to your search
request on the identified property. The information includes the
original amount of the assessments and the payoff amounts of the
assessments on the parcel. in addition, pending assessments are
included for improvement projects that have been ordered to be
installed by the City Council as they may affect this parcel.
The levied and pending assessments may or may not reflect the
complete assassment obligation based upon the parcel's current
use or 2oning. Certain parcels have not been assessed at the
appropriate rate per their zoning/use. The City's policy is to
review the assessment obligation of parcels at platting, replat-
ting, rezoning, waiver of platting, and prior to the issuance of
conditional and special use permits and certain building permits
and in other unique situations. A condition of approval requires
the parcel to assume its additional assessment obligations that
have not previously been levied for existing public improvements.
The City's Engineering Division can provide further clarification
of this policy, if you desire.
WAIVER/DISCLAZMER:
Neither the City of Eagan nor its employees guarantees the
accuracy or completeness of the information provided which was
required by the person or persons indicated. Nor does the City
or its employees assume any liability for the correctness
thereof. In consideration of receiving and using information on
the attached form and for all other consideration of any nature
whatsoever, any claim against the City or its employees rising
therefrom is hereby expressly denied. Pendinq assessments cannot
be paid until levied. Levied assessments can be paid to the CITY
OF EAGAN.
Very truly yours,~
SPECIAL ASSESSMENTS
Attachment
I
THE LONE OAK TREE...THE SYMBOL OF STRENGTH AND GROWfH IN OUR COMMUNIN
Equal Opportunity/Afflrmative Action Employer
SPECIAL ASSESSMENT SEARCH SLTMMARY
AS OF: 05/03/1990
PROPERTY ID: 10-72982-100-07 SEE COMMENTS
S/A# ASSESSMENT DESCRIPT. YEAR TM RATE TOTAL ANN.PRIN. PAYOFF CD
100151 SAN SW TRK 1970 20 8.0000 0.00 0.00 0.00 CL
101702 SLTK 494 1988 15 9.0000 151.64 10.10 0.00 PP
101703 WTK 494 1988 15 9.0000 397.20 26.48 0.00 PP
101704 WLTK 494 1988 15 9.0000 31.42 2.09 0.00 PP
101706 WSSVC 494 1988 15 9.0000 49.99 3.33 0.00 PP
101707 SSTK 494 1988 15 9.0000 733.24 48.88 0.00 PP
101708 SSLTK 494 1988 15 9.0000 51.86 3.45 0.00 PP
101709 ST 494 1988 15 9.0000 102.10 6.80 0.00 PP
SUMMARY OF LEVIED 0.00 0.00 0.00
1990 P&I CERTIFIED 0.00
SiJMMARY OF DEFERRED 0.00 0.00 0.00
SUMMARY OF PENDING 0.00 0.00 0.00
SUMMARY OF CLOSED 1517.45 0.00 0.00
Press ENTER; or F1, F4, F5, F7, FS
i
2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. single family dwellings & tovmhomes/condos when permits are required for each unit
Date7/~/
Site Address Ai , Unit #
Property Owoer C T/aj' ~ Z IZ/tG Telephone #(6 S-/ 70 ~YU
Contractor /7e4 77~q' ~ / /!!:6/44'
1 [~L/ZSli~J
Street Address E ~ City G? ~~S TP~'
Sta[e / "f Zip ~~GU Telephone # ( 9sJ ) 7.~i ^ y7} ~
Bond .S.S- Expires:
The Applicant is _ Owner Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
furnace _Additional ?Replacement _ New
air exchanger
air conditioner
heat pump
other Lu~CP (~fGThl~ilt.c~ ~~/S~Pi'YI
State Surcharge , $ .50
ER OF
Totel 1L 24 200^ ANGHOR BANK E $ 3d So
FOR DEPC~N HpLL
CITY OF EAAL AOGOUNT
~ - - 100
I hereby apply for a Residential Mechanical Permit and acknowledge that the infortnation is complete and acwrete; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
pertni[, but only an application for a permit, and work is not to start without a permi work will be in accordance wi[h the
approved pl in the case ork which requires a review and approval of plan 's~ s /
Applicant's P nted Name Ap ' ant's Signature
~-N g33 . ; ~'1S. S.a
`A soos RESIDENTIAL PLUMBING PeRnnir APPUCaTioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55722
657-675-5675
Please complete for modifications to existing residential dwellings.
Date d I 1
Site StreetAddress ~(l L/~ /NfSCc7`~ ~j/S Unit#
Property Owner /Oe' AO-u-3 /?o 1)14 Telephone # ( )
Contractor /7t4 211 Telephone #(JSJ 1 7i2?- Z7.?7
Address32fS' Citv AaS 7Y1 SWte1r4/w Zip
The Applicant is: _ Owner Contractor _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
. ' $ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
_ Add plumbing fiutures. This"fee includes installation of a water softener and/or water
heater afthe same time.' If you are installing onlv a water softener'and/or water •
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment AUG 2 ~
_ Water Turnaround (add $130.00 if a 5/8" meter is required)
Other:
l-'Water Softener _"ater Heater $ 15.00
_ new ~eplacement
_ Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge p[EC~ VME 50
, AU6 1 5 i006
Total $ ~
I hereby apply,for, a. Residential Plumbing Perrnit and acknowledge that the information is complete and accurate; that the
work will be 'in conformance with the ordinances and codes of the Ciry of Eagan and the plumbing codes; that I
'understand this is not a permit, but only an application for a permit, work is tart without a permit and work will be in
accorda e with the proved plan in the event a plan is required b viewed an , ap ved.
` ~ S ~
ApplicanYs P nted Name ApplicanY Signature
`7U 97q 3a ~ ~ ~
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New GansWCtion Reauirements RemodeUReoair Reauiremenis OKce Use Onlr
3 registered site surveys shovring sq. ft. of lot, sq. fl M house; and ~II raoteG areas 2 mpies M pWn showing foohnqs, beams, jds5 Cert ol Survey Recd Y_ N
(20%ma)imumlotcoverageallowed) 1 setMEnergyCalcula4onsforheatedaddiGons SoihRepat_, _Y._NN
1 SoAS Report d praposed 6uJding is to be placed on disWrbed sol 1 site survey for addi6ons 8 decks Tree~Pres Plan Recd., ~L-
2 copies of plan shw+'vig beam 8 window sizes, pared found desgn, elc. Addition - indrafe Aarsile sePG'c sysfem Tree Pres Required
lsetotEnergyCalculabons Oo-siteSepk SysJem. _Y°'_N
3 apies ot Tree Reservafion PWn rf lot pWttetl after 711793
Rim Joist Detal Op6ons selection sheel (buildrgs with 3 or less units)
Minnegasco mechanical ventilaAan lorm [r 311119
Date 3 ConsUuction Cost )0i 0O 0
Site Address 366Z ~~5~ I/ f~h' I~S L~'~ ~t c n~ Unit/Ste #
Description of Work r0o~ l~E ° v~t I
Multi-Family Bldg _ Y~ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner s0If,-. Telephone 3S) -/Oa
-t- ~
Contrac[or Lo i NU-, C
Address 333 G~ cr S dc l03 City 'so
State /11) /1ll Zip S370"4 Telephone #(A-1 ZV S3 2- I
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cate~ I _ Minnesota Rules 9672
Energy Code Category . Residential Ventilalion Category 1 Worksheet • New Energy Code Worksheet
(J su6mission type) Submittetl Submilted
. Energy Envelope Calculalions Submitted
In ihe last 12 monfhs, has ihe City of Eagan issued a permit for a similar plan based on a master plan?
Y _ N If yes, date and address of master plan:
Licensed Plumber r-. ~ n n n rr Telephone ~
Mechanical Contractor f1 Telephone )
tJ U MA I 5 2007
Sewer/Water Contractor 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 [he State bf MN
Statutes; I understand this is not a permit, but only an application for a pennit, 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.
c7S4 4's; t.1
Applicant's Printed Name Appli nPs Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 07 Foundation ? 07 OS-plex ? 13 16-plex O 20 Pool ? 30 Accessory Bldg
02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 27 Porch (3-sea.) ? 31 Ezt. Alt - Mulii
? 03 01 of _ plex ? 09 07-plex ? 17 Garege ? 22 Porch/Addn. (4-sea.) ? 33 6ct. Alt - SF
? 04 02-plex ? 10 08-plex ? 16 Deck ? 23 Porch (screen/gazebolpergola) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Sform Damage
? 06 04-plex ? ,12 12-plex ? 25 Miscellaneous
WorkTvpes V(~r, rhOLio" 6&r4
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addifion ? 36 Move Building ? 42 Demolish Foundation O 45 Fire Repair
A 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaC2ment 'Demolition (EnUre Bldg) - Give PCA handout to appllcant
DCSCrIptl0I1: Wa[erDamage_Yes
Valuation COccupancy MCES System
i
Plan Review 700% or _ 25%
Census Code ~ Zoning Ciry Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const I/ Wdth
REQUIRED INSPECTIONS
Foo[ings (new bldg) _ Shee[rock
Footings (deck) _ Final/C.O.
- Footings (addition) ~ FinalMo C.O.
Foundation HVAC
Drain Tile Other
Roof Ice& Water Final Pool Ftgs AidGasTests Final
X Framing _ Siding _ Swcco Lath _ Stone Lath _Brick
Fireplace _ R.I. _AirTest _final _ Windows
~ Insulation _ Retaining Wall
Approved By: ~ Building Inspector
-
Base Fee
Surcharge • ~~~0~~~~ ~p~rp
Plan Review
MC/ES SAC /9I QL-0~
City SAC
Utility Connection Charge
S8W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
77a-cPa--
~a: s ~
2007 RESIDENTIAL PLUMBING PeRnnir,aPPLicATioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please com lete for modifications to existin residential dwellin s.
DateO4' //I /Q~7-
Site Street Address ~ /f ? Unit #
Property Owner ~ kc Cn ~•~(A Telephone 6/a ) 48(o f I
Cantractor_ 2-rGA //ia` - (:7jjelu5 Q1,u~p1'~(~ -Te[ephone# (G,(,Z
Address ~2 0S -'01 ~_/ry?\ d' City 1~1 Q(L-1$_State le_j Zip~
The Applicant is: _ Owner & Occupant ~61-censed Plumbing Contractor
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Fire Repair (replace burned out fixtures, etc.) $ 90.00
This fee a lies when extensive lumbin re airs are made to a buildin .
Alterations to existing dwelling - $ 50.00
~ Add plumbing fixtures to main level lower level. This fee includes
installation of a water softener and/or water heater at the same time. lf you are
installing onlv a water sofrener and/or water heater, do not complete this section;
move to the next section and place a checkmark next to Ihe appliance(s) you are
installing.
_Septic System Abandonment
_Water Turnaround (add $136.00 if a 5/8" meter is required)
Other:
Water Softener _ Water Heater $ 15 00
_ new _ replacement
_ Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
Total y
I hereby apply for a Residential Plumbing 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 plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
accordance with the approved plan in the event a plan is required to be reviewed and approved.
Applicant's Printed Name ApplicanYs Signature
, .
,
.
r: . . . . ;~,~~~r ~~a~~~ : .
,
~i - . . .
~IT$D./;;i~~ ~v~ . . . ~A,'~r; ,:".~~.~I~~~,•; - ,
1994 PLUMBWG PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
NO. FIXTiJRES EACH TOTAL
~ SHOWER 3.00
WATER CLOSET 3.00
BATH TUB 3.00
LAVATORY yS _r~ 3.00
KITCHEN SINK 3.00
LAUNDRY TRAY 3.00
HOT TUB/SPA 'S 3.00
WATER HEATER 3.00
FIAOR DRAIN 3.00
GAS PIPING OUTLET • minimum - t 3.00
ROUGH OPENINGS 1.50
WATER SOFI'ENER 5.00
PRIVATE DISP. • Dak.c,y. lic. 20.00
U.G. SPRINKI.ER • nome una~ co.t. 3.00
ALTERATIONS • w edsiing 20.00
WATER TURN AROUND 20.00
STATE SURCHARGE .50
TOTAL:
SITE ADDRESS: 3l l 2 L? ~ s~a~ f~i /I s 'Or
OWNER NAME: 4,Jd y l' ea „qr
INSTALLER: D N Y P/d
ADDRESS: / 5 /6 ,7 C ,r,5 '4 ,,i U~
CITY: /rie STATE: /t'1 N ZIP CODE: SS 3 5` s-
PHONE ( ) ~ 3~ 02 S a 7
~~2'-cz-?c.Lt_v ZeJ, ~-e ~c.<,~
SIGNATU F PERMITTEE
, Cl"CVUSEONI<Y
: .
L, IaV
. ,..w:.:;.. , .
• : ;:F.,;,.;
<..; ,
.
.
4~L~ ~ry j
w,..... . > ' TE f ..wsi1994 PLUMBING PERMTT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL C4MIIvIERCIALlINDUSTRIAL BUII.DINGS. ALSO FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNTT.
_ NEW CONSTRUCI70N
ADD pN
REPAIR
WORK DESCRIPT'ION:
CONTRACT PRICE: $
FEE: 1°k OF CONTRACT FEE.
STATE SURCHARGE: $.50 FOR EACH $1,000 OF p'$,I~J1~TF FEE.
MITTIMUM FEE $ 25.00
CONTRACf PRICE X 1% $
STATESURCHARGE $
TOTAL $
SITE ADDRESS:
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
PHONE
FOR:
CITY OF EAGAN APPLICANT
RESIDENT 1 OWNER
Name �ct tath1r?e, phone: (GS 0 tea 0 c?
Address City Zip: �ire�, Wel�� Rl .tl� tut
Applicant ii:: Owner Contractor
TYPE OF WORK
Description of work, •05' C olcV Cl a 'r'� I►fV cyr.,1
Construction Cost:: 5150 Multi- Family Building: (Yes J No 6__)
CONTRACTOR
Name:. Name: Sk.oinqr %Lc:46ot NEtcckrt- Pc. t Liconsa C AQ i•1ii4
Address Pfla3p csK •i'CiM
City:: sk -P State wT Zip: 4
Phonfel al ya 'S-• 51 M Contact Person: ,Caney SO.1Z.ker
COMPLETE
In tho last 12 months, has
Yes No If yes,
THIS AREA C)NLY, IF CONSTRUCTJNG A NEW BUILDING
tho City of Eagan issued a pormlt for a similar plan basod on a master plan?
date and address of master plan
Liconsod Plumber: Phone:
Mechanical Contractor: Phone:
Sowor Water Contractor;
Phone:
NQ7E: Plans and supporting documents that you submit am considered to be p ublla Information. Portlons Of
the Information may be classified as non public 11 you provide specific reasons that would permlt the City to
conclude that are trade secrets.
OCT -09 -2009 10:32 From:STEINER PLUMB
4 C!tyofEaan
Tenant:
Applicant's Printed Namo
715 425 8818
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675 Siaft'
Fax: (651) 675.5694
ppllcant's Sign
To:651 675 5694 P.2'12
2D
Permit
Permit Fee
Data Rocoivod::
Use BLUE or BLACK Ink
T 1
2009 RESIDENTIAL BUILDING PERMIT APPLICATION C RIl
Date: �Q t"�`i Sit° Address: i. ],1ft
/0-/q- G%
Suite
CALL BEFOTEYOLLPJG. Cali Gopher State Ono Call at (651) 45441002 for protection against underground utility damage
CaII 48 hours before you intend to dig to receive locates of underground utilities, pgohomtr
1 hereby aCknrnModge 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 1 undoraland this is not a permit, but only an application for a permit, and work is not to Mort without a permit; that the work wiN be in
accordanco with tho approved plan In the case of work which requires a review and approv Iona
Page 1 of 3
OCT -09 -2009 10:32 From:STEINER PLUMB
SUB TYPES
Foundation
Singlo Family
Multi
01 of Flax
Accessory Building
WORK TYPES
Now
Addition
4 Alteration
Replace
Retaining Wall
PESCRIPTION
Valuation
Plan Review
(25 100 %4
Census Code
of Units
of Buildings
Typo of Construction
Framing
Meter Size;
Roviewod By:
Fireplaco
Garage
Dock
I.owor Lovol
Flro Ropair
Repair
00 0
$FaWREILId §PgaTIONS
Footings (New Building)
Footings (Dock)
Footings (Addition)
Foundation
Drain Tile
Roof: Ica Water Final
Fireplace: Rough In
Insulation
RESIDENTIAL
Base Fee
Surcharge
Plan Roviow
MCES SAC
City SAC
Utility Connection Charge
S&W Permit Surchargo
Treatment Plant
Copies
TOTAL,
715 425 8818
DO NOT WRITE BELOW THIS LINE
Porch (3-Season)
Porch (4- Season)
Porch (ScroonloatobalPorgoia)
Pool
To:651 675 5694
Storm Damago
Extorlor Alteration (Single Family)
Extorlor Alteration (Multi)
Miscellaneous
0 04 01.4111 t,rt
Domoilah Building*
Demolish Interior
Demolish Foundation
Water Damage
Intorior Improvement Siding
Movo Building Roroof
Windows
Egress Window
*Damnation of ontlro building givo PCA handout to applicant
Air Test Final
Occupancy MCES System
Code Edition a7 SAC Units
Zoning City Water
Stories Booster Pump
Square Foot PRV
Longth Fire Sprinklers
Width
Shootrock
Final C.Q. Required
Final No C.O. Required
HVAC
Other:
Pool: Footings Air /Gas Tests Final
Siding: Stucco Lath Stono Lath Brick
Windows
Retaining Wall: Footings Backfili Final
Radon Control
Erosion Control
Building Inspector
P.3'12
Page 2of3
Date:
C!ty of Eaali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
0.\ 11°'
Use BLUE or BLACK Ink
For Office Use r�C
Permit #: /z)336.0
.,,
/9-7
Date Received:
Permit Fee:
Staff:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
a-Vc
,`" s (
tsck
3/07/2012 Site Address: 3662 Wescott Hills Drive, Eagan Unit#:
Name: Jaco Botha
Phone: 651-452-4040
Address/City/Zip: 3662 Wescott Hills Drive, Eagan, MN 55123
Applicant is: Owner X Contractor
Description of work: add on to
Construction Cost: $11,986
existing
solar electric system
Company: SummitECO
Multi -Family Building: (Yes / No X )
Address: 3724 Snelling Ave.
State:
Contact: Russel Gilberg
MN
Zip: 55406
Phone:
City: Minneapolis
612-669-5365
License #: A00 510 5 Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
Home built in 1989
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
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.aooherstateonecall.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 Minnesot to Building Code must be completed within 180
days of permit issuance.
x 0 s&\ a\iyes-t
Applicant's Printed Name
x
Ap icant's Signature
Page 1 of 3
3te102, Jesficin ' fits I�>/
DO NOT WRITE BELOW THIS LINE
/03-3040
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
_ Accessory Building
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
Fireplace Porch (3 -Season)
Storm Damage
Garage — Porch (4 -Season) _ Exterior Alteration (Single Family)
_ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
Lower Level Pool Miscellaneous b 10
DESCRIPTION
Valuation
Plan Review
(25%_ 100% ()
Census Code
# of Units
# of Buildings
Type of Construction
Interior Improvement
Move Building
Fire Repair
Repair
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Siding _ Demolish Building*
Reroof _ Demolish Interior
Windows Demolish Foundation
Egress Window _ Water Damage
*Demolition of entire building - give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
_ Foundation HVAC Gas Service Test Gas Line Air Test
_ Drain Tile Other:
Roof: _Ice & Water _Final Pool: Footings _Air/Gas Tests _Final
S. Framing Siding: _Stucco Lath _Stone Lath _Brick
Fireplace: Rough In Air Test Final Windows
Insulation Retaining Wall: _ Footings _ Backfill _ Final
Sheathing Radon Control
_ Sheetrock Erosion Control
Reviewed By: , Building Inspector latirfriaiit ?Ala
5// 311
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTALN 0
Ci 7 6