3766 Wescott Hills Dr /'&ee-,_c_
OF EAGAN f.C
~ ~
' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454•8100
BUILDING PERMIT Receipt~
7o be used for Est. Value Date r ',19
Site Address t1r' OFFICE USE ONLY
i a L i i i.I.S On SRe Sewaqe Occupancy
Lot Block Sec/Sub.
MWCC System Zoning
Parcel No. On Site Well (Actuel) Const
a Name City Water (Alloweble)
W PRV Required ~ of Stories
3 Address
~ City Phone Booster Pump Length
- Depth
` Name S.F. Total
~ ~ AddreSS Footprint S.F.
~ City Phone APPROVALS FEES
v ¢ Engr./Assess. Permit
y~W Name
W
Planner Surcharge
~ z., Address
C Z City Phone Council Plan Review
<W •
Bidg. Off. SAC, City
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC
information is correct and agree lo comply with all appliCable State of Weter Conn,
Minnesota Statutes and City of Eagan Ordinances. Water Meter
Signature of Permittee Road Unit
A Building Permit is issued to: Treatment P1
on the express condition that all work shall be done in accordance with all Parks
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official TOTAL
Permlt No. Permlt Holder Date Telephone
Plumbing
H.V.AC.
Electric
Softener
Inapection DBts Insp. COr1lRlents
Footings I "
.
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace ~
Final Htg.
Final Plbg.
Bldg. Final
Cert.Occ. ~
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
. ~ - -
(ger#i#irate of (Orrupanry
titp of olagan
Eppl''bltm Af liltdbtltg JWPtttDlt
Tiiis Cerrificate rssued pursuant to rhe reqrriremenu ojSection 306 ojtJre Uniform Building
Code cernfying that at the time of issuance this structure was in compliance with the various
ordinances of the Cety regulaling building carstruction or use. For the following.u. chf.a. SF DWG/GAR BW&. Ftrndc rb. 14620
OWUwm TYv~ R3 zooing o;wza RI T~qx ~ V~
,w
~~~mns ,XE Qd Addrm 18133 AVE., F :iTX•:
eWim„g nmmss 3766 WFSCOTf HIT LS DRNE I'mlity , S,
JUI.Y 19, 1988
POST IN A CONSPICUOUS PLACE
, . ,'K"" rs +c ~ ~ys.. "Trv.; .,.ay. sw.a. ^ m~ . ~ . _ . . . . y / R rC'~v7 •y .
PERMIT tl
PLUMBING PERMIT RECEIPT #
CITY OF EAGAN ~
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE;
CONTRACT PRICE: PHOHE: 454-8100
Site Address FAlt, . BLDG. TYPE WORK DESCRI PTI
Lot -S Block Sec/Sub ~es. ~ New
~s- Mult. Add-on
~ Name - Comm. Repair
~s Address Other
c City Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
r' NO. FIXTURES TOTI~
Name - Water Closet - $3.00 ~
c Addr U Bath Tubs -$3.Q0
avatory - $3.00
p City - ~ Y Phone Shower -$3.00 - -
~ _~_1Ki!chen Sink - $3.00 -
FEES -pnnal/Bidet - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE ~l.aundry Tray - S3.00
APT BLDGS - COMM RATE APPUES -_Floor Drains -$1.50
TOWNHOUSE 8 CONDO - RES. RATE APPUES /Water Heater -$t50
MINIMUM - RESfDENTIAL FEE - $12.00 Whiripool - $3.00
MINIMUM - COMM/IND FEE - $20.00 =Gas Piping Outlets - $1.50
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT)
(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYOND $1,000.00) Well - $10.00
- rrvate Disp. - $10.00
-
~_~G,, ~~Rough Openings - $1.50 y `
SIGNATURE OF RMITTEE FEE:
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAI: -
U
E ' , . • PERMIT #
MECHANICAI PERMIT
CITY OF EAGAN RECEIPT # ~ cJ ~G%
~
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE CONTRACT PRICE: PHONE: 454-8100
Site Address ' 1 1 ! s
BLDG. TYPE WORK DESCRIPTION
LotBlock. Sec/Sub~ Res. ~New ~
u
~ Name l, , Mult Add-on
A? Comm. Repair
9 Addr ` Other
c City Phone
FEES
Name ` 17 ` ~ RES, HVAC 0-104 M 8TU - $24.00
~
c Address, ADDITIONAL 50 M BTU - 6.00
p City Phone ~(RES. HVAC INCLUDE3 A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERiMIT) - 1.50 EA.
TYPE OF WORK ~ COMM/IND FEE - 1% OF CONTRACT FEE
(;u ' APL BLOGS. - COMM. RATE APPUES
ForCed Air 'M BTU TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent. T_ CFM . (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
Other
FEE . - -
S/C: ' SIGNATURE OF PERMITTEE
. i
TOTAL• FOR: CITY OF EAGAN
Ir.; . , .
CITY OF EAGAN :
3830 Pilot Knob Road, P.O. 8ox 21-199, Eagan, MN 55121
PHON E: 454•8100
,BUILDING PERMIT Recefpt#
To be used for SP DW(+i C.AR Est. Value $10a 1Q()o Date KhBRUA$Y 25 ,19 68
Sitl Address 3766 WESOUTT illtJ.S DR1VR OFFICE USE ONLY
R3
Lo't ~ Biock i Sec/Sub. yUNk7.S8 B1I.L$ On 3ite Sewage Occupancy it
MWCC System ~ Zoning
Pa~cel No. On Site well (Actual) Const
City Water x Ya
~ Name J0E dI LLEA COIiBT (Allowable)
= Address 1 al,s ~DIlk AV$ PRV Required # of Storfes
Booster Pump Length
0 City pARMINGTOl1 Phone 631'2001 37
Depth
•
o Nerr~e SAM S.F. Total
~ < Addr@88 Footprint S.F. '
~ City 1 Phone pppROVALS FEES
Engr./Assess, Permit
~y W Name
U ~ Address Planner Surcharge 3~. ~
= City PhOne Council Plan Review
W
` Bldg. Off. SAC, City 100.00
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC 526•00
information is correct and agree to comply with all applicable State of WaterConn. 550•00
Minnesota Stetutes and City of Eagan Ordi es.
r .q ~ water Meter 67 • 00
Signature of Permittee Z"'r'"
Foad Unit 325.00
A Building Permit is issued to: •JO Treatment P1 204•bo
on the express condition that all work shall be done in accor ance with all
applicable 5tate of Minnesota Statutes and City of Eayan Ordinances. Parks
TOTAL ~2 • d'~
Building Official ' :
INSPECTIDN REC4RD
GTY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: "'~Q
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: 4„ : APPLiCANT:
: ;r.nit HTi 1 ; nP , . .
~ ~ . . . ,
PERMIT SUBTYPE: ~ TYPE OF WORK:
INSPECTION •
'~1' . • ~ t • ~r !
L~ ~
Permk No. Pertnk Holder Date Telephone ~
ELECTRIC
PIUMBIN ' /G 9
HVAC '
Inspection Date Inap. Gommenb
FOOTINGS
FOUND
FRAMING ~ A
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
(
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
INSPECTIUN RECORD
"CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675 ~
SITE ADDRESS: APPLICANT:
~ : i i ~I t ~ i ?~F~ . ,
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .
. i .
~ t 1i:.. ~ . •1 . ; , 1 i ~ ~i i ~ ' . i ~~`f i i i~ i~i ill ~ ( f I1Pi~i 1 C~~, ~,i, ~ 1 ~ + I I I {:i~ i
~ ~
Permit No. PermR Holder Date Telephone #
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspectfon Date Insp. CommeMs
Footings I
Foundation
Framing
fl
Raofing
Rough PI6g-
Rough Htg.
Isul.
/c
Fireplace
Flnal Htg.
Orsat Test
Final Plbg. Pibg. Inspector - Not4 Plumber •
COnst. Meter
EngrJPlan
81dg. Final f
Deck Ftg.
Deck Final ~~yJ ~ r?~~ ~ O 1
weli !1F sj i2S ~
Pr. Disp. ~s- ~Q
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
851-681•4675
U
New Construction Reauirements RamodellReoairReauhements
. 3 regatered sile suneys sAowing sq. R al bl s4. ft of house: ankU mofed areas • 2 copies of plan
(20% maximum bt mverage aWwed) . 1 set ol Energy Cakulations for heated additlons
a. 2 coPies of plan shaaing Deam 8 rdridow sUm.v: Wued bund design, e1c1 . 1 site smvey far exterbr additions 6 dedcs
• t set of Energy Cakulatbns . Indicate tl home sened by septlc system for addi0ons
• 3 copies of Tree Presenatlon PWn N lol pletled after 711193
. Rim Joist Detail Options selection shee! (bMgs wiN 3 or less units)
DATE T)-IS-O I VAWA(ION 15-1 ~oq(00
JOB SITE ADDRESS 31ln (_o '~$C-O't~ k\~IV~, Z)r\J2_.
' IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PRGPERTY OWNER YAah~ 1Me,,i.Q
~
iYPE OF WORK r a- e.. - CLOQ FIREPLACE(S) _ 0_ 1_ 2
APPLICANT PHONE# LAD-5'a'-1-2,P)1
ADDRESS ~ZIP CODE 5 q
PAGER # CELL PHONE # I a la-q\G- 8°? 5 Fax #101a' 1 gt' 001AP
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Enerpy Code Category _ MINNESOTA RULFS 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: Phone N:
Plumbing System Includes: _ Wa[er Softener _ Lawn Sprinkler Fee: $90.00
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
Meehanical Conhactor: Phone #
Mechanical System Includes: _ Air Conditioning Fee:
_ Heat Recovery System r{ D
- 3ewer/Water CoMractor. Phone #
All above irrformation must be submitted prior to processing of epplication.
I hereby acknowledge that I have read this appiication, state ihat ihe information is correct, and agree to compy
with all applicable State of Minnesota Statutes and City of Eagan rdinances.
Signafure of Appltcant
Cert'fiicates of Survey Received _ Tree Preservation Plan Received _ ot Requfre _ ' . . . ` Updated 1/01
OFFICE USE ONLY
? 01 Foundation ? 07 OSplex ? 73 16-ptex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex O 16 Firepiace 0 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
O 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck 0 23 Porch (screened) O 36 MuIG
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage
O 06 04-plex 0 12 12-plex Plbg Y or _ N ? 25 Miscetlaneous
? 31 New ? 35 int Improvement O 38 Demolish (Interior) O 44 Siding
? 32 Addition ? 36 . Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
O 33 Atteration O 37 Demolish (Bidg)• 0 43 Reroof O 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bidg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Coda Zor;ng City Watar
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) FinaUNo C.O.
_ Footings (addition) _ p}miymg
_ Foundation HVAC
Drain Tile
Roof _ Ice & Waur _ Final _ Other
- FraminB _ Pool _ Ftgs _ Air/Gas Tests Final
_ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone
_ Insularion _ Wiadows (new/replacement)
Approved By , Buiiding Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
W,ater Supply & Storage
S&W Pertnit 8 Surcharge
Treatment Plant ,
Plumbing Permit '
Mechanical Permit
Cicense Search
Copies
` Other •
Total ,
,
CITY OF EAGAN : rJ! 14 6 2 9
3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121
BUILDING PERMIT PH ONE: 454-8100
Receipt# 19 I,1 C1 d
T/ 0
Tobe-usedfor SF DWG/GAR Est.Value $108,000 Date FEBRUARY 25 1988
Site Atldress 3766 WESCOTT HILLS DRIVE OFFICE USE ONLY
R3
Lot 5 Bbck 1 Sec/Sub. SUNRISE HILLS OnSiteSewage - Occupancy Rl
MWCC System X ZoNng
Parcel No. Vn
On Site Well _ (ACtuaq Const
JOE MILLER CONST Cirywater X (Allowable) Vn.
a Name
; Address 18133 CEDAR AVE PRV Required - # of Stories 48.6
° City FARMINGTON phone 431-2001 eoosterPump - Length -
oePtn 37
, o Name SAME S.F. Total
o Q Address Footprint S.F.
0,
P City Phone AppROVALS FEES
~ c Engr./ASSess. Permit $ 600.00
wW Name 54.00
~ i Planner Surcharge
xa Address Plan Review 300.00
a W City Phone Council 100.00
Bldg. OH. SAC, City
I herehy acknowledge that I have read this application and state that the Variance SAC, MWCC 550.00
information is correct antl agree to comply with all applicable State of WaterConn. $50.00
Minnesota Statutes and Ci Eaga~n Ore
water Meter 67.00
Signature of Permittee Road Unit 325.00
A Building Permit is issuetl to: _TOF. M~t T xn~oNGq• Treatment Pt 204.00
on the ezpress condition that all work shall be done in aco~ordance with all
applicable State of Minneso~[a 9pjsutes and City of an Ordinances. Parks
BuildingOHicial TOTAL 12,750.00
V
_ C
*dt%) oF eagen
PATRICIA E. AWADA
Mayor
PAULBAKKEN .
rECCYCnxisoN December 26, 2001
CYNDEE FIELDS
MEG7'ILIEY -
C°°°d Mmbers MS STACY MEYERS
RAYCO CONSTRUCTION
TttoMns He,ocFS 3801 STH ST NE
CiryAdmiNSUator COLUMB.'..A HEIGHTS MN 55421
RE: REFUND OF BUILDING PERNIIT 46727
Mm.upal Cen«r. Dear Ms. Meyers:
3830 PBot Knob Road pn August 20, 2001, a permit to reroof the residence at-3766 Wescott Hills Drivewas issued to
Eagan, tvtN 55122-1897 Rayco Construction. Your fax dated December 26th requested a refund, as you will no longer be
rhone: 651.681.4600 Performing this work. Please be advised that the City will refund $12525 to you under separate
cover. We are unable to refund the $3.00 state surchuge that was collected.
Fax: 651.681.4612
'rDD: 651.454.8535 This letter is also meant to advise you that effective January 1, 2001, the City of Eagan's Fee
Schedule assesses a$50.00 fee to refuud permits that have been processed and receipted. As a
courtesy, we aze informing contractors of this policy and issuing a full refund, minus the state
Maincenana Faciliry: surcharge, tor a cancelled permit on a"one rime only" basis.
3501 Coachmm Point If you have any questions, please feel free to give me a call at 651-681-4695.
Fagan, MN 55122 . .
Phone:651.681.4300 COLBI}+, ~
Fau: 651.681.4360 ~ ~r1
TDD: 651.454.8535 Jan Severson
Office Supervisor
.v~m:cicynFngan.com - .
cc: Dale Schoeppner, Chief Building Official
'IZ-IE LONE OAKTREE
The rymbol of.wergrh
and grovrth in our
mmmuniry
CLAIM VOUCHER-REFUND REQUEST
CITY OF EAGAN
MAKE CHECK PAYABLE TO: RAYCO CONSTRUCTION
ADDRESS: 3801 STA ST NE
COLUMBIA HEIGHTS MN 55421
LOCATION: 3766 WESCOTT HILLS DR VALUATION: $6,000.00
RECEIPT #/DATE: 16508, 8/20/2001
REASON FOR REFUND: JOB CANCELLED PERMIT 46727
TYPE OF REFUND:
Plumbing Permit 9001.4087 $
Mechanical Permit 9001.4088 $
Building Permit Fee 9001.4085 $ 125.25
Plan Review Fee 9001.4222 $
sec (MCiws) 9220.2275 $
SAC (City) 9379.4681 $
SAC (Admin) 9001.4246 $
Water Connection 92203865 $
Sewer Pemut 9220.4532 $
WaterPertttit 9220.4507 $
Account Deposi£ 92202252 $
WaterMeter 9220.4509 $
WaterTreatment 9220.4685 $
Surcharge 90012195 $
Overpayment 9001.2250 $
Glub Box Deposit Refund 9220.2253 $
Construction Meter Dep Refund 9220.2254 $
Other $
TOTAL $ 125.25
I declare under the penalties oF law that this account, claim, or demand is just and that no part of it has been paid.
Q-~-o ~1 12/26/01
SIGNATURE DATE
6127819166
12126f2061 12:41 6127819166 RAYCO PAGE 01
itAYCO CONSiRUCT10N 3801 - 5'FH STREET N.E., COLUMBIA HEIGHTS, MN 55421
FAX Bste: December 26, 2001
Pages: 2
To: From:
City of Eagan Stacy Meyers
Bldg Permits Production Assiatsnt
Phone: 653-681•4675 Phane: 612-547-3011
fax vhone: 651-681-4694 Pu phona: 612-781-9166
CC:
REMARKS: ? Urgent Q~ For yow review ? Rep1y ASAP ? Plesse wmment
Atteched is the wpy of a pernit we purchased and then t6e customer canceled thc jo6. 1 em requestion a refitnd on this
permii, permit cost $128.25
Any questions pleese call.
. ~
7988 HUILDING PERMIT APPLICATION - CITY OF EAGAN" -
SINGLE FAMILY DWELLINGS
t4
INCLUDE 2 SETS OE PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNEA LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONGE HUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS AENTAL UNITS FOA SALE UNITS !I OF UNZTS
INCLODE 2 SE'PS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COhMERCIAL
INCLUDE 2 S6TS OF ARCHITECTURAL & STSOCTURAL PLANS,
1 SET OF SYECIFICATIONS AND 1 SET OF ENERGY CALCULA'SIONS
Sl' 411~ R"tCU F
To Be Used For: A&L) Valuatio Date:
3 7G. ~
Site Address XA ' 1,41 1~~A&L, /08' D0p, OFFICE USE ONLY
Lot 6- Block ~ On site sewage_ Occupancy ~
/ MWCC system ? Zoning R-I
Parcel/Sub ~!i ,In4, Y,.v On site well Actual Const
City water ~I Allowable
Owner PRV required , 7k of stories
- Hooster Pump Length
Address Depth
- S.F. Total
City/Zip Code Footprint S.F._
Phone APPROVALS FEES
Contractor Engr/Assess Permit (0pp,oo
~ Planner Sureharge y~,4, d~
Address Council Plan Review , pO.v ~
Bldg. Off. -W~l Lq SAC, City /00.00
City/Zip Code Variance SAC, MWCC SSO,Od
kater Conn 550.00
Phone Qv^ Water Meter /Q7, OD
Road Unit DO
Arch./Engr. Treatment Pl ,204,00
- Parks
Address Copies
~ TOTAL ° -0
City/Zip Code ~
Phone 71
965 LQI
SS21 h=bh r( Zh 8
r~
665 = I~ x zj3z
V4;ELh =6hX L9b 0
NZ
x 2
6 8) = "/~z x ~Z
I~f ZI =5.1 X
R h r `j~9? x SI
1 N3
F,'~LL9 =hix h~h=ZZxZz
'1 S
' 319b?1 b9
I y •
. . .r~+-
NOI.LdVt~b/1
, 88-008
T.RI - LAN D C 0. SIT E PL AN FOR-
SURVEYING
SERVICES JOE MILLER
1260 YANKEE DOODLE ROAD C4NSTRUCTION
EAGAN, MINNESOTA 55122
LEGAL DESCRIPl'ION: LOT 5,gLOCK I-, SUNRISE HILLS ADDITION
ACCORDING TO THE RECORDED PLAT
THEREOF DAKOTA COUNTY,MINNESOTA
z
SCALE : I" = 30'
S 0°21' 13" E
$5.01 892.3
o DRAINAGE d UTILITY o
- EASEMENT -
5 I 1 5
I
L(".) I G I LOT 5 ! Oi 4
w I w
895.1 894.7
(D ~ - - 8961 896~ - - i M ~p
43 ~ 7
co 55 I co . ~
N
26.5 " .
899.3 N 1I -
SPIKE 19 ,1, \ 22 N171
-r
8989 - - 8963
0 0
8988 85.00 g~ 6
N 0° 03' 43" E 8
~
WESCOTT HILLS DRIVE
r `
LEGEND INVERT ELEVATION AT SERVICE EkTENSION=
n pFNOTES IR^N MOS:t;`.+.ENT , Rv?"vSED uARA"vE rLuOn tLE'vAliON= 5n
a DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION = c~ v
I DENOTES EXISTING SPOT PROPOSEDBASEMENT FLOOR
EL E VAT I O N E LFV(}T I QN
DEtdQ7ES on..V~.,~.~
~~Scu SF"v i
ELEVATION
~ DENOTES DRAINAGE DIRECTION NOTE' VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
1 Pereby ca pifythat t Ys aurvay,plan o~
re ort was reParad b me or under m XOn, Q„_
direct suparvision ond ihat I am a duly Bradley nson, Mn. ReQ. No. 15235
n ReQistered Land Survsyor undar the 2/~~8F3
Laws of tha State of Minnesoto. Date f~
.
ExfERIOR ENVII.OPE AVERAaS 11U61 CONPUTATIOli
. (To be eubmitted tirith building permit applicatilon)
One or Trvo Eamily Drrelling Oxner
All otlier Sfte Addreee ~..OT J'r $)k I
5u e 14, '1
Contructor C Date Phone
SS - J ~
LIIIEAL FEET OF
EXPOSED V7ALL ~y (,(JOfL~C S/ff ft. above grade Z./viZ ~
TOTAL EXPOSED WALL AREA Sq. FT.
OPAqUE WALL COt25TRUCTIONs "U" Velue x Area
. Dotail: r'U" x Sq. FT.
reference "u" x Sq. FT. _ (U)(A) _
fTOm 1 npn ~ 7[ SQ. FT. aU)(A)
attached VIUll x 8@• FT• = U)(A)
shevts np" z SQ. FT. (U)(A) .
apu x Sq. f'T. (U)(A)
WIItDOWS: "llll Vulue x Area
Malce & Type r~JyULGSyA-r npn 0,41 x 3Q. FT.~$,Z47(U)(p)
a u VIpn
" n- nUrr x 3Q. -FT. (U).(A)
x 8qw FT:
. n . .n . npu ' a S FT.. ~u)~A)
Q• _ (U)(A)
DOORS: "U" Value x Ares
Flzke & Type nUff X SQ. FT._ 53 11 7, (o)(A)
npu x_sQ.
u n FT+'~- 4-7---=... ~U~.~.~~,,... . .
r. . _ n~~nG:..
if nuu X 8Q. FT. _ (U)(A)
_ x 3a. FT. _ (U)(A)
TOTALB _ Z30Z Sq. F'T. [YI.I Z (U)(A)
AVERAQE "Ull
TOTAL (U)(A) VALUES pIIIIZ a
DIVIDED BY TOTpL NpLL AREA 21340Z ~
AVERAat: 'lUll ,115 or lees Sor 1&2 family daellinge
RoOF/CEILINas
TOTAL AREA: ~ZQQ
Detail roference L1Z1 x 9Q. F,P._~~ = ZS'Z (U)(A)
from irUu • x Sq. FT. < (U) (p)
Eittached sheete. toU+t, X $Q. FT, ~ (U)(A)
Deacribe ononinga itUtt x Sq. FT. ~ (U)(A)
in roof. x SQ. FrP. _ (U)(A)
TOTAL (ll)(A) VllLUES DIVIDED BY Z',~r Z v7 ~.~z5;? ~V+(~',\
TOTAL ROOF/CfiILIHU AREA OTi '
i AVERpafi "Ull ,025 for ventilated roote. J ~
Ab .
:
a
e
o'
V
Z /
4
S
~
. '
t
12 S - D
ff _n A
11
IS . _ . _ .
. . . . . . . .
w.
. . _ . _ . y . . _ :ie..,~
:e ; ~ -
. - .
....,~_.l.~~i--:_......_._
. 21 .
22 '
_1 T 0 1 .
24 ~
23 Y ~
II
21
21
tf ~ tuALL
11
77
33 fl
U0
14
7! -
]T
ll
Io
46 ti 1 1111
a
- ~ Dateru?ining "U" valuea at Roofg Wallt Rim# and Cona. Blook
ROOF/9EILIN4 R V U
1.1 Intarior Air Y'ilm 0.61
. 2.) 5/8,, ayp. ga. .56
3.1 IneulstioA -N-OO
4.1
g.) Exterior Air Film .61
(BTILL)
I Z 3
/a "llll e IIR~ ?~Z iOTAL (R)=
• -l - -
• $ WALL R VALU
6.) Tnterior Air Fllm 0.68
~ 7.) }+l ayp. Hd. .45
8.) Ineulation 19.00
9•) z,oQ-
10.) Maeon te Siding .67
l0 11.) Exterior Air Film .17
~ .
upu a IIRa TOTAli M= 7.3.01.
+
~
RIM R VA1,U
12.) Intarior Air Y'i1m 0.68
1.,3~.) Ineulation . .....~.~,PO
21~
^xr , 1y.) Fir Rim Joiet 1.88
z.
16.) Maeonite Siding .6
170 Ezterior Air Film .17
. e .
, d• ~~U~~ e 1/Re ~ ndn TOTAL (A)m z¢AA
U . o o0 FOUNDATION R YALU
18.) Interior Air Film 0.68
zl • • ~g 19.)
o. 20.1 R-!l y191Pp&,D I/•o(2
210 1211 Oonorete Hloak 1.28
' . 22.)
23.) Exterior Air Film .17
e
ao • npu n l/Rn TOTAI, ~A)~13,13
J
~ CITY OF EAGAN PERMIT'
3830 PilotKnobRoad PERMITTYPE: BuzLoxNs
Eagan, Minnesota 55122-1897 Permit Number: 031888
(612) 681-4675 Date Issued: 0 5/ 19 ( 9 8
SITE ADDRESS:
3766 WESCOTT HILLS DR
LOT: 5 BLOCK: 1
SUNRISE HILLS
P.I.N.: 10-72982-050-01
DESCRIPTION:
_ (NO BEDROOMS)
~uk-idin§,,~.Permit Type BASEMENT FINISH
;'Building W4.r_.k Type ALTERATION
~CeYisus @otle434 ALT. RESIDENTIAL
/
„ .
~ . , . . . _ ii,,,., . i.
\ e af
i. r
REMARKS:
A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBIMG OR ELECTRICAL WORK
PLAN REVIEWED BY MIKE BARCK
FEE SUMMARY:
Bese Fee $50.00
Surcharge $.50
Total Fee $50.50
CONTRACTOR: - Applicsnt - st. LIc OWNER:
APEND & SONS 14810250 0004660 PLUMMER SCOTT
1227 7ILLER LN 3766 WE5C0TT HILL5 DR
ST PAUL MN 55112 EAGAN MN 55123
(612) 481-0250 (612)454-7103
I hereby ac` awledge that I he~v'e "reatl '~Chis appYicatian `"ar~-ci' stats that t~e
znfGrrt~ati-o.-s c~srrect arrd agrpe to compxy ~.,ith all applicah2e State af Mcs.
Statutes n City of Eagen 6rdinances.
- . _ . ~ ~ ~ ~ , _ APPLICANT MITEE SIGNATURE ISSUED BYSIGNAWRE
.511998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD - 55122
681-4675
New Construdion Reauirements RemodeVReoair Reauirements
? 3 registared sde aurveys ? 2 copies of plan
? 2 copies of plans (inGude beam 8 window sizes; poured fid. design; etc.) ? 2 sRe surveys (eMerior add'Rions 8 decks)
? t enargy wlalations ? 1 energy wlculalions for heated aCd"Rions
? 3 copies of tree preservatian plan 'rf lot platted after 7H193
required: _ Yes No 19
DATE: /2b ZCl X CONSTRUCTION COST; 700
DESCRIPTION OF WORK: S/rL 4wiwvGotiJ8-i2
STREETADDRESS: 2766 A)ESCa77- NLI-S
LOT: J~ BLOCK: SUBD./P.I.D. _~IWAL~cKC,1i
Name: ~LU/47m~/Z SC.tl7t/j4-4TN`1 Phone#: 7/03
PROPERTY Last eirs '
OWNER
StreetAddress: 27(6 ll1LGS /JIz
City C- Ap AA/ State: /!7/? Zip: SS/2,3
Company: 4£/J,b ;0 n) 5 Phone#: #gJ DaSD
CONTRACTOR
Street Address:_ /Z 2 7 -r) L t„ ~ 2 ,L a v B License # Z/6 6 U
Ciry Sfi". t'AUL State: Zip: J:F!/Z
ARCHITECT/
ENGINEER Company: Phone
Name: Registration
Street Address:
City State: Zip:
Sewer 8 water licensed plumber (new construetion onN): . Penalty applies when address chang
and lot change is requested once permit is issued.
1, hereby acknowledge that i have read this application and state that the informati i correct and agree to compy with all appiicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received Yes No Tree Preservation Plan Received _ Yes _ No _ Not Required
CD
~
-4V
OFFICE USE ONLY ~
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging J~r, 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. O 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Pubiic Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
? 31 New Vl- 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MClWS System ~
(Allowabie) Main level sq. ft. City Water /
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. y3~1
Depth Footprint sq. ft. SAC Code o~
Census Bldg I
Census Unit o
APPROVALS
Planning Building nnR Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies -
TotaL•
% sac ~d'
sAE.U„a ~
.
PERMIT 'r ~s-4y
Cr2 3 -f3og
,AIl'/CITYOFEAGAN
3830 Pilot Knob Road PERMITTYPE: euxLoxros
Eagan, Minnesota 55123 Permit Number: 024882
(612) 681-4675 Date Issued: 11 / 2 5/ 9 4
SITE ADDRESS:
3766 WESCQT7 HIILS DR
LOT: 5 BLDCKt 1
SUNRISE HILLS
P.I.N.: 10-72982-050-01
DESCRIPTION:
(DECK INCLUDED)
BJ~ iidingi.Permzt Type SF ADOITION
euilding 44l5rk Type NEW
!"Constructxon T~pe V-N
~ ~ 1; f
~jrj ~J~"'i
REMARKS:
A SEPHRATE PERMIT S3 REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK
FEE SUMMARY:
VALUATION $12,000
Base Fee $135.09
plan Review $87.75
Surcharge $6.00
Lic. Search Fee $5.00
Total Fee $233.75
CONTRACTOR: - Applicant - 5T. LzC. OWNER:
ARENp & SON3 14810256 0004660 PLUMMER SC077
1227 7ILLER LN 3766 WESCtlTT HILL5 OR
ST PAUI MN 55112 EAGAN MN 55123
(612) 461-0250 (612)454-7163
I' .
Z hereby aeknowledge that I have read this application and state that the
li inforrnation .is cprrect a-ntl agree to comply witlt all app.Licable State ofi Mn,.
~ Statutes a City ofi Eaqan prdinances.
L ~ J
APPLICANTlP ITEESIGNATURE ISSUED Y:SI NATU
b`~ 5
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
~ 681-4675
;
~ SINGLE & 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: 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 9L Valuation of work
5ite Address: 3 7d~6 4?45s401-7` 11i22--s 6,Q,,
~STREET SUITE #
i
Tenant Name: (commercial only)
LOT BLOCK ~ SUBD. -5IJA~i ~~~7s P.I.D. #
~
Descri tion of work: `Y 5,EA5Dn) 00O267q nA/ rool-) n/ S
The applicant is: ? Owner 19 Contractor ? Other (Oescribe)
Name A4 Umnle-2 SeO-rT Phone ?/03
' Property LAST FIRST
Owner qddress -'~66 I,UES~oTr1-11u-S dQrr~r'
STREET STE
City 6-7,9&n4 N) State Z9p
Company ,4(?,P7'A/..~'+ ~ ~W AlS Phone Wgl ~WD
Contractor Address 17-%7 -r) L-L67/_ /-4n/i5 License # `7460 Exp.
I, Citv 5 T, F0A State Z;p fSi/y
Architect/ Company Phone
~i E1lgllte@I' Name Registration #
Address '
City State Zip
~
Sewer & water licensed plumber N14 Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I hav,e read this application and state that the information is
correct and agree to comply Zwil al l appla-cable State of Minnesota Statutes and City of
Eagan Ordinances. .
Signature of Applicant: ~
OFFICE USE ONLY •r ,
y
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging 16 Basement Finish
f3_02 SF_Dwg. ? 07 4-Plex ? 12 Multi. Misc: ? 17 Swim Pool
Cjg 03 SF Add.itio ? 08 8-Plex ? 13 Garage/Accessary ? 18 Comm./Ind.
? 04 SF Porch 11 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. l~ 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
jq'31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
13 32 Additian ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) ,v lst F1. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code ~
Depth On-site sewage SAC Code ~
Census Bldg ~
APPROVALS Census Unit ~
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
?.5ite A Footing 425-Framing 419 Insulation
? Wallboard 41A Final ? Draintile ? Fireplace
Permit Fee vai,ac;p,: g 1 z-i 0 "O
Surcharge
Pl an Revi.Ew
License
MWCC SAC ~oac~
City SAC
Water Conn. y x IZ ` ZY
Water Meter
Acct. Deposit J z x~y ~ 16~ ; ~
S/W Permit lYzrss~~;`lo, 3Gbf,
S/W Surcharge
Treatment Pl. - ~
Road Unit
Park Ded. ~ycK
Trails Ded.
Copies
Other
Total:
SAC % .
5AC Units
' AREND & SONS
1227 TILLER LANE PH. 481-0250 481-0251
ST. PAUL, MN 55112
37~~ W2Fsco7T' qru s b,2lv2;7
W
~
.
~
~
' 0
N)
~ - -
fi. ~ M ~ AEG~. q
j W
/D -o ;
;tba'
~ P) o o fl~o o ~~~G
So uT H ~-0 D~2-~-/ r?V(~
p60-1-- Pc a~-Fo ?2 : seu-r+
(N~T, s> PC.v~ mr~-,(Z- i5a4A~, mAJ,
! ~ f
MII313ESOTA AT,ATp' ENERGY CODE CALCULATIONS
Asx~ 9o-7s
~14rgu L um mE2 Phone 17~~Z ~~03
site pddreaa ?C
^^-.tractor A45^/6 ?nL SO^~ 5 Phone
Building Claseification - Al(Single Faraily) k A2 (Reaidential)^
(Other) (over 3 stories)
GENERAL INFORAO?TION
1. suilding Perimetar 4Z ft.
2. Wall'height (ground to eave) ft.
3. 1 x 2o qross wali 'S I ~ ft.2
4. Bulldiaq- dimenaiona !L~_ x / 4 ft.2 roof & floor area
5. Squara foot area of rim joist - Floor joist size (2 x'd Y }
1? x Perimeter g Rim joist area ft
2I'
b. DOOis - AteA
Thic esa ln- U factor
Type og Conatiruct on h Per meter V' ft.
manufacturar
'7. Totai door's perin?etar ft.
21 Y~
8, Windo~ws s Manufactt~rerAN!~ E25~~ Stat 4 a p oved
T e Size Area (Ft.2) Number of Total Ft. 2
Each Units ,
. .
TOTALS
. . 5 ~jpbYL--
=~3 ~
3 ToLal Ft. 2 c3lase 7h l~~( 14
--9- Fireplace area: Width x height ~ x = Ft.Z
-l8-:- Expoee8 Eonndatlon: Height x Perimeter x a Ft.2
COMPLSTIOli OF TBIS FORbi IS &EQUIRED FOR ALL NEW CONS'SRUCTION, H01JOR REMODELID7G
AND BUILDINGS SEING MOVSD WHE'itr FNFRGY, OTHER 'PHAN THL MINIMAL CODE ALTAPIIN!iCE.
IS USED.
. •
.
11. Framing area = 1056 of gross wall area.
12. (Gross wall area 3-? ~ )
Window area ft. Z U windows U x A
i
Rim joist area 3 S ft. U rim joist = t,a3~ U x A
poor area ft.Z U door area = U x A = ~~qy
Fireplace area - ft.2 U fireplace = ~ U x A= "
2 _
Exposed foundation ft. U foundation = - U x A=
Framinq area ?,~ft.2 U framing area =,~L U x A=
Net wall area z'o ~ U wall U x A=~
(128)TOTAL. . . . . . . . . .U x A = 37~~
.l~
13. Gtoss wall area xAM single family = allowable U x A
x,ll
x ll e
argerthan 12B
14. Ceiling framing arei equals 10q6 of ceiling area
Ceiling area = / C x = /9~, ft.2
14A. Joiat area = 10% ceiling area = Zo~ ft.2
14B. Net ceiling area = ` ft,2
U ceiling x Ac x . 0L~ ° 14,1/
U framing x Af. = ZO x
14C, TOTAL U x A =
15. Item 4 xAi (single fami3y) = 5,10 must be larger than 14C
,,M (other) to meet code
U Factor and R Factor values are available from the materials aupplier
for their products.
/-ICTU~L
14'L-4cw
CITY USE ONLY
I L & BL I , RECEIPT
II SUBO.'/..N~~~!'li-4L~ RECEIPT DATE:
~ 1998 PLUMBING PERMIT (RESIDENTIAL)
~ CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, LA1 55122
(612) 681-4675
I Please complete for. Osingle family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
i FIXTURES EACH # TOTAL
~ Shower 3.00 x
I Water Closet 3.00 x =
I Bath Tub 3.00 x =
~ Lavatory 3.00 x =
I; Kitchen Sink 3.00 x =
I Laundry Tray 3.00 x
[ Hot Tub/Spa 3.00 x =
i Water Heater 3.00 x =
I Floor Drain 3.00 x
GaS Piping Outlet ' minimum -1 ~/~~£dZ 3.00 x =
li Rough Openings 1.50 x =
I, WBter Softener ' for dwellings under construdion 5.00 X =
~Wat2f SOft@nEr ' for existing dwelling 20.00 x =
I U.G.Spfinklef "fordwellingunderconst. 3.00 =
I U.G. Sprinkler "forexistingdwelling 20.00 = e~
II Alter8tl0ns ' to existing residence 20.00
Water Turn Around 20.00 -
Private Disposal System ' MPC iic ' 75.00 =
(new and refurbished systams)
p Private Disposal Systems " Abandonment 20.00 =
I RPZ (new installation only) 20.00 =
I
' STATE 5URCHARGE 50 O
TOTAL
.I here6y adcnowledge that I Pave read this apptication, state thet the iaformaCion is corceG,-and agree to eemply wdh all applicable City of Ea9an ordinances.
, It is the applicanYS responsi6ility to notify the property owner that the City of Eagan assumes no IiaDiliry for any damages caused by the City during its
normal operational and maintenance aUivities to the facilities construded under this permit within Ciry property/right-of-way/easement.
II SITE ADDRESS:
I OWNERNAME: l1" tA{~t~ZtYl~1~
Il INSTALLERNAME: iln,t TELEPHONE#:
II STREET ADDRESS: ~ [
cIrv: ~'Tr/~ STATE: I11 ziP: S5~ 17
SIGNATURE OF PERMITTEE
CD/PERMIT FORMSlRPLBG PERMIT (RES) - 1998
E
. APFLiv^ATION I=OR PERMIT :NOM= pAWIEW oe eEe AT ~riME oP ;
nerzxcaTTOrt ~ r~ar corr ;
ar
: srrt[rre nrrRc-a[. oF rmMr. ;
~SEWER ANQ/OR WATER CONNECTION Ic~s~'IOr~ oe s~ n~.n/oa wa~a irsr~.v,xia~s wua, rivr se scm~r.m I!Nl'IL PERNQT HHS B@] APPHOVFD. (PLEASE PRINT
1) PROPERTY ADDRFSS: 37
~ LDGAL DFSCRIPTION:. $ f ~
-~~B~k7Sub i~ on or T Parcel ID
IF EXISTING STRC'CTURE, DATE OF ORIGINAL BUILDING PE2MIT ISSUP.PICE:
Mon Year
i PRESENT ZONING/PROPOSID C`SE:
Q CONAIERCIAL/RETAIL/OFFICE i-e- ~-1 SINGLE FAMILY
Q INDOSTRIAL ~ R-2 DLPI,EX (34ro Units)
Q INSTIT[JTIONAL/GOVERNMENT Q R-3 TOWNHOOSE (Three + Units) ( Units)
:Q R-4 APARTMENT/COAIDOMINILM { Units)
I2) NAN1E: ~e__
ADoREss: r ~l -3 3 4f c~.f v
CITY. STATE, ZIP:
PxoNE:-
d a For City Lse
3) ~ : `1 0'h'C~ w+°~[ti Plisnbers I,icense :
ADDRESS: Active
e" LM4 Expired
CITY, STATE, ZIP: /Yf,d,~i-r- ydVt, Not recordec
PxoNE: 4J9 y- y 7rAsTm LzCE[vss # ^20& 5''
i ( St Initia
i
e o
I 4)
NarE:
I ADDRFSS:
CITY, STATE. ZIP:
PHONE:
5) s ~ • a • u wa
CONNECTION TO CITY SEWER CONNECTION TO CITY WATEEt ~ QTfER
6) ~ ~~t,~.--- ~ s'-- / ~-a 8
* ~TIIE GOLD COPY DF THE PERMT WILL BE SENIIP DIRECTLY 70 PUBLZC WORKS 770 F1CILSTATE MEPER PICK-UP.
,*k PLE',ASE ALLAW 1WJ WORKING DAYS FOR PROCESSING. SOMEONE FROM Tfm CITY WIIS, CONPAGT YOU IF MRE x
* ARE ANY PROBLEMS. t
~~~'I+*~***,t*~*x+*~*~~,t***+****t******~~**+**~**t**~***~~**rt~w*,t*******+***x**t****~e****t**~**~****;
.FOR CITY USE ONLY PERMIT # ISSUED
~ l
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ /eq- J D WATER PERMIT (INCLIIDE SDRCHARGE)
' np $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ ACCOL~NT DEPOSIT--- WATER
$ SSD, Dz~ $ wAc
s $ _ sAc
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL SENEFIT/TRONK WATER
$ d t~ $ - WATER TREATMENT PLANT SDRCHARGE
$ $ OTHER:
S 1~121. TOTAL
RECEIPT
RECEIPT ,
DOES UTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
F__j YES IF YES, THEN A"PERMIT FOR WORK SVITHIN PUBLIC
ROADWAY" MUST BE ISSUED BY THE ENGINEERING
T, NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS: •
APPROVED BY:
TITLE:
DATE : ~ ~ 7 -X LS
_ ~
70 O'~b 7 ~5; sd
zoos RESIDENTIAL PLlJMBWG PeRnniTaPPUCaroow
CITY OF EAGAN
3830 PtL07 KN06 ROAD, EAGAN MN 55122
651-675-5675
Please compiete for modifications to existing residentiai dwellings.
Date ? l J L" 1 s~~'1 }',a~y ~,j G.,
Site Street Address 'J l~.t"ly ~;C>~ J~eVI ~ill~? ~[Id • Unit#
~
PropertyOwner Rt~'~ Telephone #*q) Contractor, 1T~~elephone # j~,L
Address 11 City 9°'J'~'1 . I.lX! State V Zip9W
The Applicant is: _ Owner \L/COntractor _Other
Septic System _ New _ Refurbished SubmiY 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Atterations to ex.isting dwelling $ 50.00
+ Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. If you are installing onfy a water sofiener and/ar water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_ Water Turnaround (add $130.00 if a 518" meter is required)
Other:
_
WaterSoftener WaterHeater $ 15.00
_ new /replacement ~,1LIN 0 4 911(17
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
Total $ ( Ji-N
I hereby apply for a Residential Plum6ing 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 f
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
accorda w~th the app a.d plan in the event a plan is required to 6r//, ie d and ved.
~ A
pplicant's Printed Name ApplicanYs Signature
4 I0)v
�,
, fi sir y 4 t4.5
s
ter: fT+k.h# x . l ''
iT AdF' 4'K.'1 '1'TSe. W�� tx
.. '1
Ew 4
!•
K xa
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA131901
Date Issued:07/14/2015
Permit Category:ePermit
Site Address: 3766 Wescott Hills Dr
Lot:5 Block: 1 Addition: Sunrise Hills
PID:10-72982-01-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Eilon Amit
3766 Wescott Hills Dr
Eagan MN 55123
Angell Aire
12253 Nicollet Ave S
Burnsville MN 55337
(952) 746-5200
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA170097
Date Issued:06/21/2021
Permit Category:ePermit
Site Address: 3766 Wescott Hills Dr
Lot:5 Block: 1 Addition: Sunrise Hills
PID:10-72982-01-050
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Phillip & Kindahl Larson
3766 Wescott Hills Dr
Eagan MN 55123
(507) 581-6083
1st Choice Remodeling Llc
540 Greenhaven Rd, Suite 206
Anoka MN 55303
(763) 515-6095
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