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3790 Wescott Hills Dr08/11/2011 THU 13:54 FAX 7635359225 City of Eapll 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 11001/004 Use BLUE or BLACK Ink .. For Office Use Permit #: Permit Fee: qi Date Received: Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: •-// Site Address: : 7''0 itrtt.LS 1:Tt-, Unit IS: RESIDENT / OWNER Name: g‘Gi-k A.r D 4 '.. T s -r �P-- Phone: (fig) ^ 4s•? -7.342 - s•z''y ZRESIDENT Address/City/Zip: :37ciO l/0rr.5Go'11- Pr»....L-S D Applicant is: z Owner X Contractor TYPE O F WORK S Description of work: ec.v -1,c1 1.rc fes �c X v\ j it\ -c.-\` � 2 v-) j ) Construction Cost: 2-\} S' C' Multi -Family Building: (Yes _/ No X ) CONTRACTOR Company: R IAee-\LZ E K'T'cz_k tz_s/ L.LC_., Contact: 67.E h\ 1VViZ.6e sr( Address: S 10 1 t4Anl'l SS 1.50`, 2 s-000 City: WA t‘v i.S. e>,ePt_k S State: f./l l' Zip: _.5.1:-74- Zi Phone: 611Z-• .-v k-- 4U( License #: Z-063£, 2o -S- Lead Certificate #: L--i1f} .t - -is- If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, _Yes No If Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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.gogherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and. odes 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; at the work will be in accordance with the approved plan in the case of work which requires a review and approval of plan x GAcz-E- \ �� 2SGk4kLr Applicant's Printed Name /Applicant's ' gnatu e Page 1 of 3 441/1b City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE cr BLACK ink For_Officeuse Permit #: /00C/�p Permit Fee: 96 -OD Date Received: Staff: 7 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: / %/ F—///Site Address:3 ? ' 2E -s -C45 77 19>�/5 .0,Q.E29-o-7,-4 .5 (i3 J Tenant: Suite #: IRESIDENT / OWNER Name: gr / Phon‘aro ci Address / City I Zip: 3 74104)g -ice, r -T–// 1/5- DA /7/15549, Applicant is: Owner / Contractor TYPE OF WORK )CA/lit , Z Description of work: it- q/tkle.,) i Construction Cost a 732 --- Multi -Family Building: (Yes I No ) CONTRACTOR Name:A%'4/Or-n, 4)c01./J015 License #: x©6-3 3-7r Address:_ /3� ii s ; 41�6ap'�C` ,a City: $S7 State: !2%f� Zip_ S C4124 24 Phone(9 9'33`' C34,0 Contact40ral -5'f - ' Email: ee 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: 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 provde;specific reasons that would permit the; city to conclude: that they 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.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 sta• without a permit; that the work will be in accordance with the approved plan in the case off worlyGvhich requires a review and approval of : ans. /go v Applicant'i Printed Name x Applica Signature Rage 1 of 2 C!tyofEaan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date:a -1 0 Tenant: Use BLUE or BLACK Ink Permit#: / 4; / Permit Fee: 6D,, _� b Date Received: L -3 Staff: 2009 MECHANICALn}PERMIT /( E� RMITAPPLICATION Site Address: 3790 W e5 (.o fl f 1 I l s Or. Suite #: RESIDENT / OWNER Name: R) to T Ri cha rd Tetter Phone:�(051-q53--)340 ` j {� �,t Address / City / Zip: 3790 Sco+ 1-)-i )15 cl /1 - eago i ink) 65/93 CONTRACTOR ��t, Name: }D�11 Irn Ref. - Pealing I F !g License #: 33(455? -7q Address: 5(Q`�Q(Q UM('iail R f\ �tp► �{ City: al I) Waif r State:111(1m Zip: 6608,9 Phone: *.I�51- -( 7`"1-577® Contact Person: 3 c Vena Johnson TYPE OF WORK New x Replacement Additional Alteration Demolition (.ernb4 G C CoadAOner t R_ � I^ 111. LtiUfaiI d y i 'ID k' PERMIT TYPE RESIDENTIAL Furnace COMMERCIAL _ New Construction Interior Improvement _ R Air Conditioner Install Piping Processed Air Exchanger _ Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank ( Install / Remove) Other ** When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) �/� $.50 State Surcharge) $ iJll' 50 TOTAL FEE $90.50 Fire repair (replace COMMERCIAL FEES: $70.50 Underground tank $50.50 Minimum (includes installation/removal OR State Surcharge) surcharge is $.50. increases by $.50 for each Permit Fee requires a $1.00 surcharge). Contract Value $ x 1% _ $ Permit Fee - If Permit Fee is less than $1,000, = $ Surcharge - If Permit Fee is > $1,000, surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 = $ TOTAL FEE 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.uonherstateonecall.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 no),tp start without a pgym7); that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x QenniNs Doerr Applicant's Printed Name x (_ Applicant's Signatu City otEatan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 NAY 1 x 2010 Use BLUE or BLACK Ink For ice Us Permit #: 43 Z76/ g Permit Fee: Date Received: Staff: - 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 41- 02-10 site Address: 3790 4)er coT-r'/4A- D4 E4y- /' SS /2 3 Tenant: Suite #: RESIDENT / OWNER Name: /6C.4`100 S 6 i3 75/LA. Phone: '-t - 7$V2 Address / City /Zip: 3292 Alf S�/r�%�/f PA ei9G�� #7 SS/.23 I Applicant is: Owner )( Contractor TYPE OF WORK Description of work: /n%fAJ 'L) €97c e -,7 C 3 ) I Construction Cost: 7/ J 2 / Multi -Family Building: (Yes / No ) CONTRACTOR Name: (N& /,46127') AAr;Ul P c )5" License #: Address:3939We/7004143 AO City: .,S17.Od!J'4 State: r1"/ S Zip: S 114"16 Phone: (VZ) 933-C 3Qd //joy oy DU Sreoz-/ Email: COMPLETE In the last 12 months, has Yes No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 1 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.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 Applicafit's Printed Name x--- - ' Applic 's Signature Page 1 of 2 29/88 U ~,2,pr c .1 ' I CITY O EAGA 3830 Pllot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt~ To be used for Est. Value ' Date ,19 Site Address OFFICE USE ONLY Lot Block Sec/Sub. On SBe Sewape Occupancy MWCC Syatem Zoniny Parcel No. On Site Well (Actual) Conat cc NBme City Water (Allowable) W PRV Required * of Stories 3 Address ~ City Phone Booster Pump Length Depth °C Name S.F. Total ,o . z o ~ Address Footprint S.F. ~ City Phone APPROVALS FEES ~ W Engr./Assess. Permit W w Name ~ Planner Surcharge = n Address Q Z Cit Phone Council Plan Review `W Y Bldg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, M WCC information is correct and agree to comply with all applicable State of Weter Conn. Minnesota 5tatutes and Cily 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 applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks Building Official TOTAL Psrmit No. Permlt Holder Date TeISphono it Plumbing H.V.A.C. ~E6- Electric ~ ~ , 1/v ~y'~ c llt31 n L., .t ~.A8' Softener Inapectfon Dats Insp. Comments Footings I 3~Z- Q Footings II Foundation Framing s - ~ --42 Roofing Rough Plbg. Rough Htg. Isul_ t S Fireplace ~ 3 D Final Htg. 9 (/J Final Plbg. Bldg. Final ` Cert Oca p ~ Temp. LP Deck Ftg. Deck Final Well Pr. Disp. i ` (gtrfi#iratp of Mrrupttnry Citp of (Cagan Mp;M1bUtplt# Df luilDtttg JwPQwit This Certificate isslred pursuant to the requiremenu of Section 306 of the Uniform Building Code cerrifying thar at the time of issuance this structure was rn compliance with the varrous ordirlances of the City regulating building construction or use. For rhe jollowing.• use Q.sificaoon BlaB. Pormit No. Occupancy Typt - Zonieg DisUicY Type Consl. Owner ot Bwlding Address - - , , ...i.__ Bw7ding Addre~ ' .'••1.;. l: ~ (1 S.: ,i a o.te: R a aufla;ng offictal POST IN A CONSPICUOUS PLACE INSPECTI4N RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 56122-1897 Date Issued: ~ (612) 681-4675 1 ~ f.. H.'?4 r-,-i SITE ADDRESS: APPLICANT: H'i l 1 0 H PE13MIT S,PATYQE: TYPE OF WORK: INSPECTION DA . D. F ~ L Permtt Holder Date 7elephone # PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING < <J 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 DOMESTIC ME7ER !RRIGATION ME7ER FLl3SF1 MAINS CONpUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL " CITY OF EAGAN rJ! 14 6 3 0 • 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121 BUILDING PERMIT PHO N E: 454-8100 Receipt # 91501-5 Tobeusedfor SF DWG/GAR Est.Value $147,000 Date Fehn,arv 26 ,1988- Site Address 3790 WESCOTT HILLS DRIVE OFFICE USE ONLY OnSiteSewege Occupancy R-3 Lot 2 Block 1 Sec/Sub.SliNRISE HILLS MWCC Systam X Zoning R-1 Parcel No. Onsiteweu (ActuapConst VN FEATGRE BliILDERS ciry Water X (Anowable) VN a Name z Address 15513 LOGARTO LANE PRV Required _ # of Stodes ~ City B[iRNSVILLE phone 435-8443 BoosterPump _ Length 60' Depth 40, , o Name SAME S.F.Total AddreSS FootprintS.F. : City Phone pppppVALS FEES ~a Engr./ASSess. Permit 726.00 ww Name 73.50 ~ i Plgnner Surcharge : - Address ~ Council Plan Review 363.00 Q w City Phone 100.00 Bldg. Off. . SAQ City I herehy acknowledge that I have read this applicalion and state that the Variance SAC, MWCC 550.00 inlormation is correct and agree to compiy with all applica6le State of Water Conn. 550.00 gan Ordinan Minnesota Statutes and City water Metar 67.00 ~~,~1 Signature of Permittee ~D.LH~S_ Road Unit 32$..00 . A Building Permit is issued to: Treatment Pt 204 .,_00 on the express condition that all work shall be done in accordance with all applicable State of M[in~n,esota Sta es and City of Eagan Ordinances. Parks Building Official .C7MG~_/~ TOTAL 2,958.50 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN ' SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY'CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MOST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MIJLTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF ONITS INCLUDE 2 SETS OF PLANS, CEATIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMIIfERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 7 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS - - IM FEB 7 ~ cqq To Be Used For: yL&e Ci,~," Valuation: a Date: ~ Site Address 74 Ljga,c,aw 7 000 OFFICE JSE ONLY ~ lLt ~ Lot ~ Bloek ~ On site sewage- Oceupancy P,- 3 MWCC system ? Zoning R-I ~ Parcel/Sub &"/Ij,j'E On site well Actual Const V-N ~ , City water J~ Allowable V- N Owner rp•_zn,~ ,,L., 4.12~ PRV required _ Il of stories Booster Pump _ Length ~ Address ~.o-~cvv(~~ Depth S.F. Total City/Zip Code ~„9pn~ryyv~.~ , SS33 Footprint S.F. Phone 4 If H-3 +i sa - s9 5'0APPROVALS FEES Contractor. In+ ~-4-,.. Engr/Assess Permit 72 6,, 0o ~j Planner Sureharge 73. Sp Address I s51 3-~l~ °tJPivL . • Council Plan Aeview 363,:00 Bldg. Off. 4)R-~ VZ.¢ SAC, City 100,~ City/Z1p Code Ll~~jy Variance SAC, MWCC D.OD 53~ Water Conn 952, e-0- Phone 1435_-S~4/43 zIS13rS95_0 Water Meter (I r?, 4?111 Road Unit ,32S.So- Areh./Engr. Treatment P1 ~ p y,21e:~ Parks Address Copies ~ TOTAL .7~158, City/Zip Code Phone Ik VALUATION , G, ARAGE ZZx3o=66ox~v_ 9Zyo DA~CME?.IT EMAIN Flc7pj 1(pXIZ= 1I 2 30X.3Z = 960 `6xib~ !ta 128o x 62= ~,9 36c~ ZND ~~ovlZ z~x 3y- 8$w- t~x?B-Z0g { I `l2 ~t yR~-57~ y~ 1 ~16bZ~ 88 - 017 TRI-LAND C0. SURVEYING s,TE PLAN FOR: SERVICES FEATURE HOMES 1260 YANKEE DOODLE ROAD EAGAN, MINNESOTA 55122 LEGAL DESCRIPTION; LOT? ,BLOCK I~ SUNRISE HILLS ADDITION ACCORDING TO THE RECORDED PLAT THEREOF DAKOTA COUNTY,MINNESOTA N 0021' I 3" W tb5t) s 85.01 DRAINAGE d UTILITY 2 EASEMENT ~ ~ O ILTH 5 F ~ 5 I I SCALE :I" = 30` LOT 2 I 3 I~91 g~N ! C~T i ~ - i- I w I I w U")0 cV 42' ~Dq•'' t OD Lcj o OC) OD 7 I N I N N '"l ~ ~ T tv i I s m _J5 o $q1R a,93 9 ~ 1 85.00 N 0°03'43" E WESCOTT HILLS DRIVE LEGEND INVERT ELEVATION AT SERVICE EXTENSION= S82'5¢ a ucNOTcS irr0ii AtiGYaiPAEi:T r=ROi-OSEu GiaRAu'E FLtSOR ELEVATi3N = viZ ~9 a OENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION = 89,,.9 DENOTES EXISTING SPOT PROPOSEDB4SEMENT FLOOR ' 557,97 ELEVATION ELEVATION DENOTES PROPOSED SPOT ELEVATION e- DENOTES DRAINAGE DIRECTION NOTE' VERIFY ALL FLOOR HEIGFITS WITH F1NAL HOUSE PLANS I hsreby certify that this survey,plan or / rsport wos preporad by me or under my direct suparvisian and ihat I am a duly Bcadley snson, Mn. Req. No. 13235 ~ Raqistered Land Surveyor undsr the , . Luws ot ihe Stata of Minnesotu. . Date • 2 ZO ~aty FVILtiPS PLAN StnV1Zc , ~ • . . ; 9aM W. tam su.O W°°i° Y'""', 65124 EXTERIOR ENYELOPE HYERAGE "U" COMPUTATION I 1, rnrrER # 2-i o87~ SITE ADDRESS LoT 2~ Bt-ocx ~ SuNRiSE NILQs _ CONTRACTOR FEATU2E 5pIl-DE1?S DATE PHDNE ~ Determine working square footage of each. 1. Total exposed wall area 'Z537.`~~o sq. ft. x 2. Tota1 roof/ceiling area r3 5 3 sq. fL. x .O: v Total exposed wall area above floor = "Lllo a. Total wall window area 'ZZq.lo b. Total door area ~ c. Total sliding gtass door area 44 d. 7ota1 fireplace wall area e. Total wall framing area (average 10%)...:........ f. Total net wall area above floor 1(~l_,4 le g. Total rim joist area Z~ o.s Total exposed foundation area = IOZ.qIo h. Total foundation window area............. .`1 5 1. Toal net foundation area above grade , Oetermine °U" value ofi each wall segment. a. 2z9,1a Xoluit . 5 Ily,~ b. 3 g xlou" 13 = S.ZS c. 4~ X ltull~_ ~ Zz . a. q8 gOull . 3le - 17.2a- e. I ao. Yq xlgU" L091e f. II0Z-MCtlfl x °u" .043 ° 109.83 g. Z'1b.5 x"u" ~ by 1= 1 O n. ~ 9.y5 x„W . SS = 5, Iq x "U" • o ~ ~ 3. ~r?3~I ?~~O..Total If itan 13 is the same as, or less than item il, you have met the lntent of SBC 6006(c)2. . • . ~ ..Y . ~ ~ r Total exposed roof/ceiling area = 1363 . Total gross roof/ceiling area = I 3 5 3 • j. Total skylight area k. 7ota1 roof/ceiling framing area 13 5.3 1. Tota1 net insulated roof/ceiling area....... 17 1'7-7 Determine "U" value for each roof/ceiling segment. ~ X ~lull j. k. 135.3 x i,uti 1. I Z 1'7 .7 xlluii . oZZ = Z4.'] 4................................... Total ' ~O Z If totat of #4 is the same as, or less than #2, you have met the intent of SBC G006(c)i. To utilized the total envelape system method, the values established 6y the sum of items 53 and #4 shall not be greater than the sum of itens 91 and /2. + Z. s 3. + 4_ _ MATEEIAL5 TSer:n. 3esistance "ft" Ezt erior Aia Siding Matarial 14 5 Sheathing ~Z Insula-Eion I q_ Sheatrock 0IS Interior Air Studs l••5 Rim .~I Conc. Blks. ~ PERMIT CITY OF EAGAN BWILDING 3830 Pilot Knob Road PERMIT TYPE: Eagan, MinnBSOta 55122-1897 Permit Number: 033397 Date Issued: ~ 9 ~ Z 3~ g$ . (612T681-4675 SITEADDRESS: 3790 WESCOTT HILLS DR LOT: 2 BLOCK: 1 SUNRISE HILLS P,I<N.: 10-72952-020-01 DESCRIPTION: RERo o F B~; Aermit 7ype STOFiM DAMAGE B„~i11d,'~.t~9,"Wo-rk Type REPAIR t4en50s C9dti~k'.,'^',,_ 434 ALT. RESIDENrIAL ~ a a !p `v {9 p ~ ~ _ w2 3 iuw~..g L`-'~'`~. h u { d Y T~ ~ rs ~ 3^ c w~ w. #s ~ 1~ ~ i ~ ,,:v~ REMARKS: FEE SUMMARY: CONTRACTOR: OWNER: - Appricant - TESTER RICHARD 3790 WESCOTT HTLLS DR EAGAN MN 55123 (651)452-7342 ` h~r~:by ackns~wlsriz~~ that 1, have read tHis appticativn and st,~atel that tft,~ irrfiarmeCioh.i-5 corrp;ct and" agres to ctrmply wtth eYt aRRlzcable Stat e. of' Mn, f . lSta:tuttp arlKl City of t6gan',.Ursfanc-anaoo:. r- < APPLICANT/PERMITEE SIGNATURE ~ ISSUED BY: SIGNATLIRE 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN n 3830 PII.OT KNOB RD - 55122 'i ~ 681-4675 °I ~ New Construction Reauirements RemodeUReoair Reauirements • 3 registered site surveys • 2 capies of plan • 2 copies of plans (inGude beam & window sizes; poured fnd. design; etc.) • 2 site surveys (eMerior additians & decks) • 1 energy calalatlons ? 1 energy calculations for heated add'Rions ? 3 copies of tree preservation plan'rf lot pWtted after 7!1/93 raquired: _ Yes ^ No ~ DATE: GI -~La- ctg CONSTRUCTIQN COST; Si 5-M DESCRIPTION.OF WORK: re-i! oo~- A,u-2 {v L.Q-y STRE0ADDRESS: 3~GIO ~~S~o~ 4rI4S LOT: ~ BLOCK: SUBD./P.I.D. S U- ~~/Zs~- l`S Name: Phone#CrJrIsa--T~ PROPERTY Last First OWNER Street Address: 3-9D WQ 5('A~ NZ S~l LS'~~ c;ri Uar,- aJA stace: rl1 ZiP: .~s~a3 -aas~c~ Company: Je (-V- Phone CONTRACTOR Sueet Address: License # City State: Zip: ARCHSTECTJ ENGINEER Company: Phooe Name: Registration t#: Street Address: City State: Zip: Sewer & water licensed plumber (new construction ony): Penalty applies when address chac and lot change is requested once pertnit is issued. I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply with all applica; State of Minnesota Statutes and City of EaganArdinances. Signature of Applicank OFFIGE USE ONLY Gertificates of Survey Received _ Yes _ No Tree Preservation Plan Received ~ Yes _ No _ Not Required OFFICE USE ONLY . . BUILDING PERMIT TYPE ? 01 Foundation 17 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? ZO Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous O 05 SF Misc. ? 10 = plex ? 15 Deck WdRK TYPE ? 31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) 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. Depth Footprint sq. ft. SAC Code Census Bidg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/WS 5AC City SAC Water Conn. Water Meter Acct. Deposit ' S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units CITY USE ONLY Q L ~ BL ~I RECEIPT#: U SUBD. CVkV1Yi5e, k1 (is RECEIPTDATE: PERMIT # 1999 PLUM$IIVfi PEiMTf (RESIDEN7Ii41) crrYoPEAsM 38so Pn.or KNoa Rn f.l48/k1Y, ItA 55122 (651)8$I-467b Please complete for: 'n le family dwellin s D townhomes an condos when pertnits are required for each unit D beckflow preventer for underground spAnkfer system FIXTURES EACH # TOTAL Da~~- iLiLi w ' J.Co W -1 Floor drain 3.00 x = $ Gas i in outlet ` minimum -1 3.00 x = $ Hot tub/s a 3.00 x = $ Kitchen sink 3.00 x = $ Lannd tra 3.00 x = $ Lavato 3.00 x = $ Minimum fee alterations to exisHn dwellin 30.00 x = $ 30 , ~ o Private Dis osal S stem new/refurbished ' re uires MPC nc. 75.00 x = $ Private Dis osal 5 stem abandonment 30.00 x = $ RPZ new installationlre air 30.00 x = $ Rou h opening 1.50 x = $ Shower 3.00 x = $ Under round s rinkler if dwellin is under construction 3.00 x = $ Under round s rinkler if existin dweilin 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener if dweaia under constructlon 5.00 x = $ Water softener 'rf existin dwellin 30.00 x = $ Water tumaround 30.00 x $ State Surchar e .50 $ .50 Total ~a $ '3~ . ; o \iII1~J ~Y4VY k~~ry~4 M\• VG YIiV.YK~lYYJ~ • ~ • ~ ' . . . . . . . . . • . 1 hereby. aGmoweedge mat i have reaa Ihis apWicaHOn. siate that the Infamatlon ~ cartect, and a9ree Eo cort~plY wNh all appiicable Gy' M Eagan orolnances. It Is the applicanYs responsi0ility to notlfy the property owner that the City of Eagan assumes no liebility. far any damapes pused by tlie City during ifs nonnal oparational and mainfenance actlvitles W ttie fadlitles constructed under lhis permit within Cih propertyhight4f-wayleasement. SITE ADDRESS: Y'OWNER NAME: : TELEPHONE Jt: (nreea cooE) {NSTALIER NAME: Co r~.~ t, /i I b°~?Ah'C' TELEPHONE L 1 Z- S L0 (AREA CADE) STREETAQDRESS: ~ i~S ~ Uv S~,.x n"~~•- CITY: ~nP 7r l STATE: ZIP: Y SIGNATURE OF PERMITTEE �City otEaQan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: 9- y' o Use BLUE or BLACK Ink Permit*: / 75 3 Permit Fee: chz)' \5 Date Received: Staff: 2009 MECHANICAL PERMIT APPLICATION Site Address: 5-7"/ o lW )e5CI # l i Jls Dr. Tenant: Suite #: RESIDENT /OWNER Phone: (os l 469-7 1-0 Name: 1. -1- 7P, ST e� (I /,, ,1� ` /� Address / City / Zip: 3R0 W, /S 0- �11,s Or CONTRACTOR Name: I fel I�.ef%1 �s�i (a h C i' License #: 33'1 sJ 0 Z /�,'/j,',Y)a Address:60 o me.m)Y r /a 1 )'v -c, Nil p City: Sf ivia Y �/y� ,�) 1 State: ill 11 V} ZipO8 Phone: (051_ 143q_51 )O Contact Person: )h1. wrist d h l$D n TYPE OF WORK New 1U Replacement Additional Alteration Demolition Lennox Atrnate LaSta lU 910 PERMIT TYPE RESIDENTIAL X Furnace COMMERCIAL _ New Construction _ Interior Improvement Air Conditioner Install Piping Processed _ Air Exchanger _ Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank ( Install / Remove) Other **When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes bumed out appliances, ductwork, etc.) (includes $.50 State Surcharge) $.50 State Surcharge) $ S-OISD TOTAL FEE $90.50 Fire repair (replace COMMERCIAL FEES: $70.50 Underground tank $50.50 Minimum (includes installation/removal OR State Surcharge) surcharge is $.50. increases by $.50 for each Permit Fee requires a $1.00 surcharge). Contract Value $ x 1% _ $ Permit Fee - If Permit Fee is less than $1,000, = $ Surcharge - If Permit Fee is > $1,000, surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 =$ TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One CaII 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 1 understand this is not a permit, but only an application for a permit, and work is n start without a gp{mit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. �enn+ s Doerr Applicant's Printed Name ó ÿ ÿþþ ýüý ûþþðïîþ÷íþÿ â þýô âáåâ â ÿþ÷ þýüûúù÷ô ÷ûúùßö ÷ô àþÝàûúùàý ýþßýëüÞëßýëüþÝ ýëý þ ááâúììý ÿàß â åá ëïé÷þøõ÷ôçäèå èòå öû þýí ïêäèá èâ á õüô ÷òñ ùù ýëýýëü Þíû ááâúììá÷ô àß â àß â é çåá íüúö ííìíùùíí ë ëùúöíùùüþ àþý ú îè ùùõëþ ýýúþ ý Zit) fit, . z ' fi6ak> r :. - ,��#, E '` ,sa^ d 3 Mf. Y Y Sr tko R adgF i , PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA166520 Date Issued:01/15/2021 Permit Category:ePermit Site Address: 3790 Wescott Hills Dr Lot:2 Block: 1 Addition: Sunrise Hills PID:10-72982-01-020 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 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 - Richard L & Rita M Tstes Tester 3790 Wescott Hills Dr Eagan MN 55123 (612) 245-1093 Area Lakes Mechanical 9393 140th St W P O Box 146 Montgomery MN 56069 (507) 334-6171 Applicant/Permitee: Signature Issued By: Signature