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3818 Evergreen DrS ? 2?Lol 2006 RESIDENTIAL BUILDING rERI?uT arrLicaTroN C ?A 3.S City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsW ction Reauirements RemodeVReoair Reauirements Office?llse'Onlv 3 registered si[e survzys showing sq. ft of lot sq. ft of house; and all roofed areas 2 copies of plan showing foolings, beams, joists CeR of Survey Retd - Y_ N (20% maximum iM coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Reoj _ Y_ N, 2 copies of pian showing beam & window sizes; poured fouM design, etc. i site survey for addNOns & decks Tree Pres Required -_Y _ N 1 setotEnefgyCalculations Addifion - indicafeifon-sdesepticsystem OnsiteSepticSystem _Y _N 3 copies of Tree PreservaGon Plan if lot piatted aRer 711193 Rim Joist Detail Options selection sheet (buildirigs with 3 or Iess unifs) . Minnegasco mechanical ventilation fortn Date 11_ / ?' Construction Cost Site Address 1 G 6,t?? bY . UniUSte # a- VZI S zzzo 3zz2 ?zzy 3zz4 Description of Work ??IqLI'qye14 LV1j 6u1S Multi-Family Bldg ? Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner 0011K-0mAA) 46J 411W 1 ??4?&te5 Telephone# a IF ? '? S ? ? ApR JU/ ? ? ?Q??fi Contractor ?AISSqI'1CQ 7? ??()? waaress 235? ,f kluoocll ty, ? 13v city Ak ??ove State M? Zip 75?3LCl, Telephone #(?3 ) f?3' ov-/'/ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category , Residential Ventila6on Category 1 Worksheet • New Energy Code Worksheet (4 submissiontype) Submitted Submitted . Energy Envelope Calculations Submitted In the last 12 monihs, has The 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 Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( 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. t/l/ui 2 2du ?I`lh ?jqrr? ` Appiicant's Printed Name Applicant's Signature '7?Lu -73 zoos RESIDENTIAL PLUMBING PeRnnir aPPUCaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. ? Date!L- /1A i Site Street Address Unit # Property Owne&(cr, U -f Telephone # (N) ? . Contractor )s?` i s Telephone #(h ) __ ?-_?? ,,D Address City !F:a SWte Zip? i The Applicant is: _ Owner k_ 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 fixtures. This fee includes installation of a water softener andlor water heater at the same time. !f you are installing onlv a water sokener and/or water heafer, do not complete this section; move to the next section and check the appliance(s) you are installing. ? -Septic System Abandonment i ` _Water Turnaround (add $130.00 if a 518" meter is required) Other: _ Water Softener ? Water Heater $ 15.00 _ new -31 replacement i I Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 ? ' State Surcharge $ 50 Total ? 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 wi1! be in accordance with the approved plan in the event a plan is re ired to be review 4I and approv:.d. ?r%M?I1P, ?rrC Applicant' Printed Name pplicanY Signature "Q ? r APPUCATION FOR PERMIT . ' . . :• , ?' .. SEWER AND/OR WATER CONNECTtON ?1) PROPERTY ADDRESS- n I?I'I'LSC?ITION DOi:S t?l7i CL`%:?'.5"1'IitiPc. ; APPR0VAL OF PERhffT. ? itasPEc-izotu oF sEWM nrro/OR s,u,m. ; iM-LUXATTOrrs wui rxOr' sE saHED-1 ? ULID IJNIIL PII2MIT HAS AF,EN APPROVID. - - -. . : ? y . ? , . r • LEGAL DESCRIPTION: '0 ?L Jy?x ? ?jjiQ•/? I/J?Ar?.?) ?? a+ z?4 ..?? • i?? Lot B1ock7Subdivision or Tax Parcel:ID f) ' ? _....__.. ...: IF E?ISTING STRiCILTF2E, DATE OF ORIGINAL MiILDINv PERMIT ISSC'ANCE: .. ... . (Nbn Year .- PRFSEtVI' Zp,1IM/PROPOSID CSE: - ' . C0'1S•1ERRCIAL/f2E.TAIL/0FFICE'. '- . _ .. . . , - ? . ? R-1 SINGLE FAMILY . ' ? IA'DCSTRIAL -` Q R-2 DL'PLEX (n,p C?nits) n INSTITUITZONAL/GOVERNMEar j?<_3 'IDWNHOUSE (Three + Units) Onits) . Q R-4 APARTbENT/CONIDOA7INILTI Units) 2) • JGIL'• CD i ?s ADDREss: ,c,1 t CIT7, STATE, ZIP: ST - PHOVE: ,P? 3) For City L'se . , . n'AME: GENZ-RYAN PLU10I1G AND HEATING Plumbers I.icense: ADDRFSS:_ 14745 South Robert Trail . Active F?cpired CITY, STATE, ZIP: RosemounE, MN 55068 • Not recorded PHONE: 423-1244 M1LSTII2 LI(ENSE# 1849M StaTf Initlal q' . . .. . . eaau?? NAIMES ADDRFSS: CITY. SfATE, 2IP: P'riCNE: . . 5) C t; Di,• a.- :ieu-i<<:+•i•? ?4?.. -?e,r• y-au--, •, • ?c n lil CON:vTEL'TION 1U CITY Sn;r ?CO-'ZvTxl'ION 'IC) CITY WA'I'ER ? OT'rr]URR ' 6) ?; ""•: `'`_?i ? [? PL:,%SE HOLJ APPRG"JE) PZF21,ffT F0R PICK-UP IIY O:E OF ]BgVE PL.aAS Y'aIL APPt G'JFJ PE-'uAZT TO 1, Z. 3 4, ABOVE ? (Circle one) ?-?...? .`-?':.?r?lrni_ < ?.?iL! ?,_'? y?.. _..?_ c c<,'/'"_ ,'?-t; ic v?./•?•:.(L..?S;?y.? -:? _'? c ? FOR CITY USE ONLY PERMIT # ISSL'ED Pd w/Bldg. Permit FEES: $ $ %G, SEWER PERMIT (INCLUDE SURCHARGE) $ $ WATER PERMIT (INCLODE SL'RCHARGE) $ &3 SZ $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCL[.'DE CORPORATION STOP) $ $ SEWER TAP $ $ 0-7) ACCOUNT DEPOSIT - SEWER $ $ ACCOL'NT DEPOSIT - WATER $ ,_3-6 a a-o $ ' wAc $ $ sac $ $ TRUNK WATER ASSESSMENT $ $ " TRC'NK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRC'NK SEWER $ $ LATERAL BENEFIT/TRQNK WATER $ /.5-z•a-?j $ WATER TREATMENT_PLANT SORCHARGE $ $ OTHER: r' - S_ ?? ? Y - ?? $ ????Z•? TOTAL ?RECEIPT -RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN POBLIC RIGHT OF WAY? F--j YES IF YES, THEN A"PERMIT FOR WORK WITHIN POBLIC Q ROADWAY" MUST BE ISSUED SY THE ENGINEERING NO DZVISION. LIST AS A CONDITION. SUBJECT TO THE fiOLLOWING CbNDITIONS: APPROVED BY: ,. - .: - TITLE: DATE: _ Z//Z ?,?? BUILDING PERMIT TYPE ? 01 Foundation ? 18 Comm./lnd. WORK TYPE ? 31 New ? 32 Addition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning ? 19 Comm./Ind. Misc. 0 20 Public Facility ? 33 Alterations ? 34 Repair Basement sq. ft. First Floor sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Engineering ? 21 Miscellaneous ? 35 Tenant Finish ? 37 Demolition MC/UVS System City Water Fire Sprinklered Census Code SAC Code Census Bldg. Census Unit Variance Permit Fee 1_Y1- ahs' Surcharge LI ? C7 Plan Review MCNVS SAC City SAC Water Conn. S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Water Qual. Other Copies Total: ??I•?s % SAC 5AC Units Meter Size _ Valuation: $ 1998 BUILDING PERMIT APPLICATION (COMMERCIAL) CITY OF EAGAN 681-4675 ? bt ' ermit i?-i-1 1 9? ubmd following to o ain necessary p Foundation Only New Construction . Interior Improvement stmctural plans (2 sets) architectural plans (2 sets) architectural plans i l (2 sets) (?) ° ciail plans (2 sets) structurel plans (2 sets) ys s wde ana t (1 set) code analysis (1) " civil plans (2 sets) specs projec soils report (1) landscaping plans i l (2 sets) (7) " Key Plan energycalculations (7)notalways ° projectspecs (1) Special Inspections & Testing Schedule " codeana ys s soils report (1) Electric Power & Lighting Form (1) not always SAC determination letter from MC/WS - SAC determination letter from MClWS - SAC determination letter from MCNVS - call 602•1000 call 602-1000 wil 602-1000 Special Inspections & Testing Schedule(1) " . project specs (1) energycaiculations (1) Electric Power 8 Lighting Fortn (1) " ° Gontact ttwiaing mspecnons ror sampie Food 8 Beverage or Lodging facilities: Plan must be submitted to Minnesota Department of Health. Call 215-0700 for details. DATE: -9e WORK TYPE: _ NEW riREMODEL DESCRIPTION OF WORK: o7? v CONSTRUCTION COST: G , UU ? SITE ADDRESS: 3a1 32 0, 3-2 2-a , LOT ? BLOCK I SUBD. r, r ?t w?2?? PROPERTY Ias[ OWNEIt S7eet City Statc: Phone # Zip: Company: ?'e-\ S?V \ l. )i V?CU6 C 1'4 ?uQ ? n x._ Phone ?S ? ROi ITRAC'I'O Street Address: ??3 ?_?4?? ?•?"?'S 0 h f?V?f._ License _-?- City State: ZiP: ARCHITECT/ ENGINEER Slrecl City Sewer & water licensed plumber (only if installing sewer & water): Phottc #: ___ Regisuation #: _ State: Zip: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State oi Minnesota Statutes and City of Eagan Ordinances. rirst TENANT NAME SUITE 3aa?i ?a-a- ?,e }}t ?? P.I.D. # Signature ot Applicant: OFFICE USE ONLY ? PERMIT ? CITY P oOF EAGAN PERMIT TYPE: e u rL o z N e Eagan, Minnesota 55122-1897 Permit Number: 0 3 q 0 4 6 (651) 681-4675 Date Issued: 11 / 17 / 9 8 SITE ADDRESS: 3216 EVERGREEN DR LGT: 54 t3LOCK: 1 COACHMAN I-IT(;lil.ANLIS P.S.N.: 1.0-1.8015-540-01 DESCRIPTION: ' REROOF,I' 6 FLEX Bu31d3.nq Perm3t 'iype MUL7I. (MTSC.) Building Work,,l'vpQ F?EPAIR Census Code . 4:34 AI.i'. REB:[DENTIAL REMARKS: INCLUDES: 3218. 3220. 3222. 3224. AND 3226. FEE SUMMARY: VALUA7ION y:8.000 8ase f=ee $137.25 Surcharge 4._e4, Total Fee ? $141.25 CONTRACTOR: - A pp1 i ra„T: - OWNER: BE,LSSEL WINDQW & SIpING 2451.6835 COACHhIRN HZGNt.NNDS ASSOC. 3213 EV['RGREEN DR 3116 EVERGkEEN DR EAGAN MN 551.21 EAGFlN MN 55122 (6q2) 451-6835 I hereby acknowledae that I have read this application and state that the information is correct and agree to c:omply with all applicabla Stata ofi Mn. L 9tatutes and City o'P Eagan Ordirrances> APPIICANT/PEFMITEE SIGNATURE ISS O BY. SIGNATURE? ` J ? 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS NUST BE LICENSED WITH THE CITY OF EAGAN G I - LCaE. ZB2. COl41ERCI9L INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS $2,000 LANDSCAPE BOND To Be Used For: Townhouse SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS 3 CERTIF'ICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS Valuation: $37-,99E1-$6' Date: 4/8/86 Site Address 3218 Evergreen Drive Lot 55 Block 1 Parcel/Sub Coachman Highlands owner Brutger Companies, Inc. Address One Sunwood Dr., P.O. Box 399 City/Zip Code St. Cloud, MN 56302 Phone 612/252-6262 Contractor Brutger Companies, Inc. Address One Sunwood Dr., P.0 Box 399 City/Zip Code St. Cloud, MN 56302 Phone 612/252-6262 Aren./Engr. Blumentals Architects, Inc. Address 6100 Summit Drive North City/Zip Code BrooklXn Center, MN 55430 Phone f! 612/571-5550 Erect , Occupancy Remodel Zoning Repair , Type of Const Addition 11 of Stories Move , Length Demolish Depth Int.Impr. ? Sq Ft Install I APPROYALS FEES Assessments Permit Water/Sewer 1 Surcharge Police Plan RevieW Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg Off Treatment P1 APC Parks Variance Copies TOTAL ? 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS NUST BE LICENSED YIITH THE CITY OF EAGAN COl41ERCIAL SINGLE FAMILY DNELLINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY SPECIFICATIONS AND 1'SET OF 1 SET OF ENERGY CALCULATIONS ENERGY CALCULATIONS $2,000 LANDSCAPE BOND . To Be Used For: :iaif i Site Address off"/6"-J,226 Lotl7 S7 Block / Parcel/Sub Owner Valuation: , 3 4 " Address ? City/Zip Code ? v` ?73L Phone Contractor .? G??Jf -.a, Address City/Zip Code Phone Areh./Engr. ? Address City/Zip Code Date: Erect 1 Occupancy Remodel Zoning Repa3r ? Type of Const Addition 6 of Stories Move , Length Demolish Depth Int.Impr. Sq Ft Install APPROYALS FEES Assessments Permit Water/Sewer ? Surcharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg Off Treatment P1 APC Parks Variance Copies TOTAL Phone U "This request void /^ - 1C ?3 ??? 18? d-9 6 3 21 L 5`c:? C') N,???? ? '-l -7- =fleq st Daie Fire No. Pough-in InsDection ? Repuired? ?Reatly Nuw [?Will Notify. InSPec- ?or Wh R d _ ElYes ?NO en ea y C) Licensed Elechical Contrac[or I hereby requast inepection of above - ? Owner electrical work installed eL S[reet Atldress, Bon or Rouie No. / N Ci(1y? Vpr illecii L ( U ' 1 V V ecbon o. Township N e or No. ftanpe No. C unly l.n O uoHnll INTI pill 1/1 Phone No. Power $up lier Address n * ? N 1 ' E ect ical Convacto, Comoany Name) C ?? • Contr mr's License No. Mailing 4fldre.s or Owner MakinB Instailationl I ?y A horized Sienature (CoMr ctor Ow r akinB Ins[allation) Phone Number _2513 MINNESOTA STqTE BOARD OF ELECTRICITY Q THIS IIVSPEGTION PEQVEST WIIL NOT Griggs•MidwaV Bltlg. - Noom N•181 BE ACCEPTED BV THE STATE BOARD 1821 Univereity Ava., Si. Paul, MN 66104 UfVLESS PNOPEP INSPECTION FEE IS Phone 1812) 297.2711 ENCLOSED. ' CI ? REQUEST FON ELECTRICAL INSPECTION EB-o°°°':°° ? S ee instrvctions for rompleting this form on 6aek ot yellow copV "X" Below Work Covered by This Request -?a ? 34 hkne HAd BeO. TvGa ot euilding AOPliances WireA Equipment Wired Home Range Temporary Service Duplex Water Heater Ligh[ing Fixtures Apt. Buildinc? Dryer Electric Heatin Commercial Bldg, Fumace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tdnk F8frt1 Othe, Pem Y ther (5por,ify) t er SuoOfy Ot er Other Qomuute lnspection Fee Be/ow # Fee ServiceEntrance5iza # Fee eders # Fee Cirtuita 0 to 200 qmps O• 0 tn 30 Am Above 200 Am psl ps 31 to 100 A s Swinmin Pool Amps =00- Above 100_AmVs Transiormers ms Partial!Other Fee Signs ction S ?Jo TOTAL Remarks' ?I {-? IICII?L e -/ IG/Q / `7 (? flouBh-in inal 17 p i Daie lha E cvic Inspector, eby cerlity tAai The above insoection has been TOia request voia 18 monihs irom This repuest wid/ON/ '1 ? \-_ 55 ? ??1 G, „'ONO.,.. y[]lteaAY Now Mi I f ec WhenBeady r I J!?Licensed Elec[ncal Conhacfor 1 hereby repues[ insi tion of above [A Owner electriral work imialled at: Street Addrass, Box or RouM No. ? CitV '3 2 14S ?v?RGR??N ,tJR ira G/+r/ ct?on Toxmship Name or No. 1 11.inge No. Coonly `Occupant (RtINT) Phore No. ?_RurGGrZ os ?g?-G?-Gv Fower Supplier Atldreu Electrical Comractor ICompany Namel Con:ractofs License No. L'HLo?iJ&R Mailinp AdJ,rss (COntracror or Owner Makirg Iasrailation) 2-g;?? ??fJdi ?IZ A;go 'T ?OC//? , hG3o? AuM Sig mre IConva ar oer king i?e:talla onl PM1One Ninriber J . 6 17 ' ?' !J 3 YINpESOTA S7p7E gpppp OP EIECTIIICITY TMIS INSPECTION pEQUEST WILL NOT Griqqs-Yidwey 91dg. - Rooni N-191 BE ACCEPTEO BV THE STAIE 80ARD 7827 Universiry Ave., St. Paul, YN 55101 UMlESS PROPER INSPEGTION FEE IS Wnna (6121 297-2111 ENCLOSED. ?GI?`I I S? fiEQUEST FOR ELECTRICAL INSPECTION EB'°°°°i'°° 036214 , See iBtruclims fa completin9 this fam an baek oi yallovr caOY. ?, 7 LI f? "%" Below Work Covered by This Request Gw4Addl Rep. TrPe oi euileiw AooIWnces iimd Epuiament Wired Silo Unloader &dk Milk Tank M Fee ServiceErrtra?eSize # Fae Faetlers/Sv4feeders k Fee Circuits 0 to 200 Amps 0 to 30 Affg:is 0 tn 30 Am 5 Above 200 Ampn 31 to 700 Amps 31 to 100 Am - Swimmin Pool Above 100_I1mps Above 100_Amps Transio,mers Irtigation Booirtc Partial.'Other Fee L-L- - -JSigis I I 'Specialinspection ?S?61m?TOTAL Ne?mrks fn the Elecvupdj ILpecbr, heireby ca"iTr that the above inspection has been made. • CASH RECEIPT • CITY OF EAGAN _ 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 Itf DATE AMO Grv co ' pM ?r ?o S - -------------- oG -7o ?. U . ?y > Thank You ??- . '3"?3 f?_ 61978 B" ? ` White-Payers Copy Yeilow-Posting CoPY Pink-File Copy ? CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Assessment water & Sew. Police Fire Eng. Planner Council 6 BIdg.Off. 4 2278 Re( ceipt # 7obeuaedtor 1 OF 6 PLEX Est.value $75,000 Date APRIL 22 ,1986 SiteAddress 3218 EVERGREEN DR Erect IN Occupancy R3 Lot 55 Block 1 Sec/Sub. COACHMAN HIGHL AdMel O Zonin9 R4 Parcel No Repair ? Type of Conffi. V . Addition ? No. Stories 2 a BRUTGER COMPANIES INC Move ? Length-21_ Name ? SUNWOOD DR., P.O. BOX 1)emolish ? Depth -?? o Address ST cit CLOC? 612/252-6262 Inl Impr. ? ? Sq. Ft y one Instau a SAME Name 0 u i Address a ? City Phone Ww Name BLUMENTALS ARCHITECTS INC l? Address 6100 SUMMIT DR NO `W Ciry BROOKLlfNorQTR 571-5550 Iherebyacknowledgetha#1averea plicatii information is correct anly with all Minnesota Statutes and rdinance 'Signature of Permitte 49RUT( A Building Permit is issu d to: all work shall be done in accordance with all 6uilding ONicial N2 11838 6,17 ?'? Permi 358.00 Surcharge 37.50 Plan Review 179.00 SAC 575.00 Water Conn. 500 . 00 Water Meter 63.50 Aoad Unit 290.00 Tr. PI. 156 . 00 Var.Date I Copies?00 Total 'INC of and -on the express condition that Ea9an Ordinances. CITY OF EAGAN N 0 117 7 9 3830 Pilot Knob Road, P.O. Box 21-1 99, Eagan, MN 55121 PHONE: 454-8100 BUILDING*PERMIT Receiptp ? Tobeusedfor FOUNDATION EstValue Date APRIL 14 86 19 3216-3226 EVERGREEN DR Site Address Erect ? Occupancy Lot 54-S9ock 1 Sec/Sub. COACHMAN HIGHL ?NVigel ? 2oning Parcel No Repair ? Type of Const . Addition ? Na. Stories ? BRUTGER COMPANIES Neme Move ? Length i 1 SUNWOOD DR., BOX 399 7 ; Addre Demolish 0 Depth ss ° Ci?, ST CLOt?j 252-6262 Int.lmpr. ? ? S FL 9. one Ins?ll o Name SAME Approvals Feee a $15.00 Address $ Assessment Permit m ? Ciry Phone Water R Sew. Surcharge UQ Police Plan Review w W Name P i Fire SAC za Address Eng. Water Conn. `a 6 Ciry Phone Planner Water Meter Council Road Unit Iherebyacknowledgethatlhaver ac ' applicaionan?tat atthe Bldg.Off. 4 /14/86 Tr.PI. information is correct and agre mply with 11 app c e te of Minnesota Statutes and Ci n Ordin c APC Parks Var. Date Copies? SignatureofPerminee Total '?17?OO BRUTGER COMPANIES A BuildingPermit is issued to: Ci? on the express condition that all.work shall be done in accordance with all applicable Stat f Minn ota 5 a 'ty of Eagan Ordinances. Building Otticial CITY OF EAGAN emarks R Addition ' COACMM HIGHUUMS Lot SS Blk 1 Parcel 10-18075-550-01 owner Street 3218 EVBRGREEN DRIVE scace BAGJIN MN 55121 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. A STREET RESTOR, p iI p GRADING 1007 1986 354.14 35.41 10 ,/5l [j- /6-l5- SAN SEW TRUNK p ' SEWER LATERAL 1094 if • WATERMAIN 1972 p WATER LATERAL HM H t1 tt * WATER AREA 1072 t It 1/ STORM SEW TRK 1975 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK ITY OF EAGAN WATER SERVICE PERMIT F'rc?t Knob Road 7387 a. Box z„0s PERMIT NO.: . agen, MN 55121 DATE: 4-2c? -fi? np: ? No. of Units: 61- -1'e-. rutger .ompany r: - - I Addrma: 3._ Evergreen rrivE ',. .? +?1. ? ??: Plumber: Ge,1z-Ryan Meter No.: -?-? o i j P l 15. p 31u: ? oc -- - ? - ^ Raoddr No.: ( ).1 /ti' c• -7 1642 rG1 E 1+NUtllr •011AUilRiVe 1 prw fo aw-pyr whb tM ? p?mno? Ordieemas. ` TotaL• _ Bv Dota Poid: Dwft of Insp.: ? Irap.: y ^ 7- Xr,, CITY OF EAGAN SEWER SERVECE PERMIT 3830 Pilot Knob Rosd P. 0. Box 21199 PERMIT Nd.: Eagan, MN 55112?1 DATE: Zoninp: No. of Units: Owner: /lddross: Site Address: Plumber: 1o'rw fo cenphr wUU /iw Ciyr of gysw Ordiwnaon. conneccron aeM.: A«ount Devosir: P•nnit Fee: 5urdhorpe: c•;;; , Misc. CFarges: Total: Dnta Pcid: By Date of Ir?sp.: CITY .f EAGAN WATER SERVICE^ PERMIT ?•9M P1ot Knob Road pERMIT NO.: P. o. Box 21199 - ?. - Eagan, MN 55121? DATE: _p eX " No. of Units: Zonlrq: ;?r C?er Cor:?p?nv pwner: Add?ass: ; , A B1 coac iman Hi? sn s Sita Address: 1 '=V?r„reen Cen? -Fpan Plumber. ?- er No.: (o 7 5-67 DGIVMu?b6' ' '" ou woriv ff%?° 15 . U p iu: „ J. 0 p r No.: d N Pam+it F P Tp Misc. CF+aroes: Total: 63 . S1')pd niet "r oY . Date Paid: pote of I nsp.: f- 7 ' -! - ?Y CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road pERµlT NO.• P. O. Box 21189 • Eagan, MN 55121 D^TE: Zaninp: _ 71 No. of Units: _ - pwnsr: . Address: Site Addresx: ' - ' Plumber. 1 yrN h emplfi'wM6 !Iw CIlr of Eyew Connect(an Ghorypa: Oeiiweas. Aarount Deposit: ; - Pertnk Fee: - - Surrharps: . By Misc. CFtonOes: . Dote of Irup.: Totol: Inap.: Dote Pafd: , PERMIT #. oo CITY OF E/IGAN FEE 3 ," 0 PLUMBING PERMIT 9 454-8100 SiC RECEIPT # ,/ -ngllL J?/ MINIMUM RESIDENTIAL FEE - =10.00 + $.50 TOTAL 3i-sy DATE ?J MINIMUM COMMERCIAL FEE - $20.00 + $.50 1. Bldg. Type: Res ? Comm Inst 2. New I-Ile- Add Alter ?TRe? palr 3. Total Bid Price 4. Job AddrQss ?4IC7 / Lot? Block / Sec'??'i?n?`?•? 5. Owner 6. Contractbr ?????? (Name) Contractor Phone # NO. FIXTURES NO. FIXTURES NO. FIXTURES ?.Water Closet - $3.00 Laundry Tray - $3.00 - Well - $10.00 -Bath Tubs - $3.00 $ 0 -'' Floor Drains - $1.50 t 1 = ? 0 Private Disp Syst - $10.00 nin w/ R h O 3.0 Lavatory - ?Shower - $3.00 Water Hea .5 er - $ ?Whirlpool - $3.00 gs oug pe o Fixtures - $1.50 _Kitchen Sink - $ LGas Piping Outlsts - $1.50 -Urinal/Bidet?$3. -SoWer - $5.00 COMM./IND. AT - 1% OF B P?ICE PLUS $.50 STATE SURCHAR CiE FOR EACH $1,000 OF FEE. Signed: for Approved Inspections: Date Rough Insp. Date Final Insp. PERMIT # CITY OF EAGAN FEE 2---4 • MECHANICAL PERMIT -,, RECEIPT # 454-8100 S/C ? MINIMUM RESIDENTIAL FEE - $10.00 + 5.50 TOTAL DATE !^`'?? ~ MINIMUM COMMERCIAL FEE - $20.00 + $•50 1. Bldg. Type: Res L Comm Inst 2. 3. Total Bid Price ' ? 4. Job Address :J Z Lot -J' BIoCk ? SeC LQ 6. Contractor )L (Name) (Streetf 7. Contractor Phone # ? Add Alter Repair Owner RESIDENTIAL HEATING - 01-100,000 BTU's -$24.00. Each additional 50,000 BTU's or fraction -$6.00 RESIDENTIAL COOLING - 01-24,000 BTU's -$12.OU. Each additional 6,000 BTU's or fraction -$6.00 MODIFJCATIONS/ALTERATIONS -$10.00 minimum tee Y HEATING UENTILATING - HOT WATER STEAM AIR COND. aIR PIPING PROCESSED PIPING AIR HAND. EQUIP. RtFRIG. RES. GAS PIPING OUTLETS -,$1.50 TANKS: LP. UNDERGROUND OTHER COMM./IND 4RATE s-1d% O 3JTAL BID PRICE PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE. ?? `- ?.,,,? .lEC.- - '? "F'I?' ? ?Vsv? Signed: for Approved - r ! Inspections: Date Rough Insp. Date Final Insp. ' 3830 Pilot Knob R d! P.O. Box?ZG-A1 9, Eagan, MN 55121 11779 PHONE: 454-8100 ? BUILDING PERMIT Receipt # FOUiJDN'1'I ON r-.. nfl}e A?PR iL 14 ,o 66 Parcel No. Repair Addition W Name BtIUTGER COI?lP1,NIES DeMove molish 3 Address 1 SUNWQOD DR., SOX 399 a Int Impr. City ST CLOPP6ne 252-6262 Instau Z o Name 5AME ? ? Address City Phone Address Phone ? I hereby acknowledge that I have repd ?plication information is correct and agree t6 ' mply with all al Minnesota Statutes and Ciry o6fa " n Ordinar?Ces. ` ,?. Signature of Permittee BRUTGER C A Building Permit is issued to: all work shall be done in accordance with all applicable Occupancy Zonina Type of Const No. Stories Length Depth Sq. Ft Assessment _ Water & Sew. Police Fire Planner of Bldg. of Permit ?1=' • ?'? Surcharge Plan Review SAC Water Conn. Water Meter Road Unit Tr. PI. Parks Copie . [he express condition that . PwmR No. PNmN Holdw Dsb TMephone N lumWny [ . H.V,A.C. iecbic Ir3l ??g ?? softef"W InspeeHon Dsts Insp. Commenh Footlnys I Foodnys ii ' Foundatbn FrarMnp RooHnQ Rouyh Plbp. Rouph Htp. IrouL Fireplaee Ffnsl MIQ. Finel Plby. &dy. Finsl Cert. Occ. Dock Fty. Deck Frmp. Wdl Pr. Dbp. CITY OF EAGAN ?. ? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ``-' PHONE: 454-8100 BUILDING PERMIT Receipt # To be used tor 1 OI' 6 PLE:K Est value $ 75 ,000 Date APKIL 22 Site Address 3218 EVERGREF.N DR Erect JC Occupancy 'Z3 Lot-55 Block 1_Sec/Sub. COACIiMAN HiGti10*48S1 ? Zoning A 4 Parcel No. Repair ? Type of Const j/ Addition ? No. Stories BR(J'CGI:R CUi•:PANYES INC Move ? Length 21 5 Name = SUNWOOD L1R., P. O. BOX 3Spfmolish ? Depth o Address Int Impr. ? Sq. Ft 32 city 5T CLU?ne 61'1/252-6262 Install ? = o Name- SA? Approvals Pees ? ¢ Address r .?:.. Phone I hereby acknowledge th information is correct ai Minnesota Statutes and Signature A Building Permit is issued to: all work shall be done in accordance with all Assessment Permit $ 356.00 1 Water 8 Sew. Surcharge 37.50J Police Plan Review179• 00 I Fire SAC 575.001 Eng. Water Conn.500.00 Planner Water Meter63. 50 ,Council Road Unit 290.00 Bldg. Off. 4f ZZI8 Tr. PI. .156.00 Var. Date Copies 2159.00 t ..,1 i Total '' ' I on the express condition that an Ordinances. ..,.,,,.,,.y v...v.... I _ IPwmn No. I P..mn M~ I DEa I TO.p"N « 1 Date Vlbq. M9• P"• Final Occ. RESIDENT / OWNER Name: e0A-C 1-4 14 -41- AIl✓1-( LADS' .T6tit 1 - Address / City / Zip: S AJO . J r L4 I DA- Applicant is: Owner X/ Contractor TYPE OF WORK Description of work: RE-1 Construction Cost: 7/ S ©C � Multi - Family Building: (Yes x / No ) CONTRACTOR Name: RccF an /41 /4 --N'. License #: ac l '7 / .-.3 Address: S (JA-144 ,4(* /. ' : City: ST: M-f/ i-/ L State: Zip: 5 '? Y Phone: 76 3 - S S D d c y e -+- v-s u./ it, Nro Of- . C o3 Contact: �� 2 ( � Email: h Co Owl �/ 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: Sewer & Water Contractor: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may classified as non - public if you provide specific reasons that would permit the City to conclude that they are trade secrets. City of Eaall Tenant: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 Applicant's Printed Name X Applicant's Signature Far fi Permit #: Permit Fee: Date Received: Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Use BLUE or BLACK Ink Date: ( S Site Address: (3 ? lc:; CUEize,Reen) b R• /Lc), i (i(1 32 -19 r 39-2 1 2-24 s 8 #: 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.Qopherstateonecall.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. Page 1 of 2 City of Eaaall 3830 Pitot Knob Road Eagan MN 55122 Phone: (651) 675-5875 Fax: (651) 675-5694 P Use BLUE or BLACK In MEMEIM Permit*: /77 Perm Fee: t6 v ' 06 Date Received: Stan: J 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: � t3 ,Site Address: `' I r. f rQ r"' Tenant ,Sina'Ih0,C©/ [RESDENTI OWNER 1 Name: " A$ F1 Address /City /Zip: Suits t1: CONTRACTOR NanteLMILBERT COMPANY INC.dba CULLIGAN WATER Address: 1801 50"' ST EAST City: .: INVER GROVElIG'TS, State: MN Zip: 55.077' Phone: 65.1 ••:451;-2241 • Contact: BILL.MILBEATj . Email: TYPE OF WORK — Neils eplacement Repair _ Rebuild _ Modify Space Work iq.R.O.W. Deseription of Work:. PERMIT TYPE RESIDENTIAL • . Water Heater ' Lawn Irrigatipn L. RPZ /_ AVS) Septic System • 'New • . _Abandonment ' ater Softener Add Plumbing Fbdures L_ Main / _ Lower Level) Water Turnaround RESIDENTIAL FEES: $55.00 Min imam Water Heater, Water Softener, or Water Heaterpn. Softener (Includes $5.00 State Surcharge) • $35.00. Lawn lrrlgation (Inckides $5.00 State Surcharge) $55.00 Add Plumbing Flxtutes, Septic System Abandonment. Water Turnaround* (Includes $5.00 State Surcharge) 'WaterTumaround (add $168.00Ita 5/6• meter Is required) • $103.00 Septic System VIA ($10.00 per as built) (Includes County fee find $5.00 State Surcharge) $95.00 Fire Repair (replace bumed out appliances, ductwork, eta) (includes $5.00 State Surcharge) TOTAL FEES $ r CALL BEFORE YOU DIG. Call Gopher State One Call at (851) 454-0002 for protection against underground utility damage. Cali 48 hours before you Intend to dig to recetva locates of underground utilities.. www.000herstateonecalt.orr I hereby acknowledge that this hhffrmatlon Is complete and accurate: Mat the work wilt be In conformance with Me ordinances and codes of the City of Eagan; that I unders red this Is • a permit. but oniy'en application' for permit, and work is to ` • a parmlt: that the wok w ul be In accordance with pproved pia Ina e cased • Ich requires a review and apprvvsl of x• ' Applicant's P Name Applicant' ure - - , 3a I (�, �3a1 � 3a�� �aaa, 3a�y� 3�a�, Use BLUE or BLACK Ink .------------------ � For Office Use � • j Pertnit#: ! � 1G��11/V � Clt� of ����Il � Permit Fee: � �� a S � 3830 Pilot Knob Road � Eagan MN 55122 � Date Receiverl: �'�� � i Phone:(651)675,5675 I Staff: � Fax:(651)675-5694 � � a��������� �������J 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: !� 6 r7-C�� Si�Address: JO��� - ��� �u�X`u'�'�,�� ���� Unit#: �b°-�b��a Name: Phone: ReSitien#/ �?W11�t' ' Address/City/Zip: ��.«D- 3�.Io �U��,(��� �Q-t�� Applicant is: Owner � Contractor ' Description of work: � ���� Typ�Of Work ,,, Construction Cost:� 5 �b Multi-Family Building:(Yes�/No_� Company: l�'F' G�7.- /V• � _ �1�1G• Contact:'�'��V`�+''� C7A�TI�� � COtl�MGt�t Address: �75�� �U.i�IPV� IA(�'�_ ►V�. City: �' 1°n�����(.. state:�l� Zip: �� Phone:IO��05'b��1 Emai�: f��f�-O✓1,�. c�n.C.� �U��� I.� License#: � �1ci-t�� Lead Certificate#: If the project is exempt from Isad certification, please explain why: (see Page 3 for addi�ional information) 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 8�Water Corrtractor: Phone: �11U�TE:Plans atrd sapport�ng dt�cumerrts tha#you subt»it ar+e consic�►►�r�ed to+be prt16l�'c ittlr�rm��rn. Por��ns of ti►e�r+formatton may be c�assi�c�al as nort-p�btic�f you pro�icie�cifie reas�r�s�af wc�ul�`permft#he C�ty to conclude#hat`#he� are trade se�r� ` CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utiliry damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qo�hers#ateonecali.orq 1 hereby acknowiedge that this infortnation is complete and accurate;that the viro�lc will be in confonnance with the ordinances and codes of the City of Eagan;that 1 understa�this is not a permit, but only an application for a permit, and rnrork is not to start withart a permit; that the work will be in acxordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit iasuance. �, _.. x�E�U �a�R�t �lC� x ApplicanYs rinted Name Applican s ignaturoe Page 1 of 3 Use BLUE or BLACK Ink For Office Use )147 :::( ? /6-7506� City of��� 9 4 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone:(651)675-5875 buiidinatinspections@citvofeaaan.com Stat SEP 1 9 /_U,7 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit tk Aktr,- 1.stela- Kr(%ri Name: C'''';' }�r, �n �ti` *� r�. : �-sc�:� Phone: 9 S :X5 3 - Resident/ Owner Address!City t Zip: 3a‘ Applicant is: Owner X Contractor Description of work � `'' N "'-' -` tj-lk Type of Work Construction Cost Multi-Family Bulking:(Yes )4 I No ) i Company: i a -> - =ma c�! ;�, c - Contact kl `. Contractor. Address: 7—'1. } City: l{- �jt,i .v' Trp: S 'gPhone: t fl3}, Email: 5.2ba .,� �. i�, k+ 1 . M License#: .13 'cE Lead Certificate#: R- If the project is exempt from lead certification,please explain why. it_,._- G 17�c c -� s 2 tl' i ct-t; 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: Fire Suppression Contractor: Phone: NOTE Plans aid supporting documents that you submit s considered to bepubdcinformatton. ions of the infonnatlort_may be classittedas nonpublicIt you provide specific reasons that wouldpsrmitthe City to cde that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.cornIsubscriibe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground unity damage. Call 48 hours before you intend to dig to receive locates of underground utikies. www.aopherstateonecall.oro 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 pert;that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Tipp kr�- i .z i , Applicant's Printed Name I ppliceM's Slgnaturc� Page 1 of 3 ,. • - �iD/L- DO NOT WRITE BELOW THIS LINE / y- 06 SUB TYPES _ Foundation _ Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage — Porch(4-Season) _ Exterior Alteration(Multi) Multi X Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex _ Lower Level — Pool _ Accessory Building WORK TYPES New _ Interior Improvement _ Siding — Demolish Building* _ Addition _ Move Building — Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation — Replace Repair Egress Window Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation 1.)( 0 Occupancy 3 MCES System Plan Review Code Edition r _ a SAC Units (25%X 100% ) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction '5 Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings (Addition) X Final/No C.O. Required Foundation Foundation Before Backfill / HVAC_Gas Service Test Gas Line Air Test Roof: Ice&Water _Final Pool: Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: , Building Inspector RESIDENTIAL FEES f Base Fee ' 4 � . '. Surcharge r11 -fP )ii Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant 0 C23Copies 0112' 2,-if TOTAL Page 2 of 3