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3220 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 ? eirYOF EAGaN APPLICATION FOR PERMIT % '•. SEWER AND/OR WATER CONNECTIbN 1) PROPERTY ADDRESS: LEGAL DESCRZPTION: v-1 **TOTS: PAY[?lP OF F.EE AT TIhiE OF * APPISCATION DOES N(7r ODKS'PI1V1E * APPRUVAL OF PERNIIT. * * INSPF]L'TION OF SE4III2 AbID/OR M1FR. * 7TISTAT.TATTojQ$ wnj. j1()'j` . $E $?ED-:. * ULFD UKlM PERNIIT HAS BFEN' •., ? APPROVID. . ? . ' arcet_ IF EXISTING SIRL'CTLME, DATE OF ORIGINAL BC'ILDING PERMIT ISS[.'ANCE: . , (Mon Year - PRESENP 7ANING/pROPOSID L?SE: ? CA+flERCIAL/RErAIL/OFFICE , - Fl IIIDCSTRIFQ, n INSTI'IUTIONAL/GpVII2IZETr 2) ? ? R-1 SINGLE FAMILY L ? R-2 DL?PLEX (7%„p L?nits) (R-3 IOWNHOUSE (Three + Units) ( 6 Oni.ts) R-4 APAR'ITM/CObIDCk1INILTf ( Units) ADDRESS CITY, STATE, ZIP PHONE: oC V- 3) u ?: ?• NAA4E: GENZ-RYAN PLUMBING AND HEP.TING ADDRFSS: 14745 South Robert Trail CITY, STATE, ZIP: RosemounE, rIN 55068 PHONE: 423-1144 MASTII2 LICENSE# 1849M Plumbers License: Active Expired Not recorded Sta Initial 9) ••r • ? i i?• _ . NAME: . ADDRESS: CITY, STATE, ZIP: PHONE: • ? .5) i? a• i•c a• •?• ?oit? f•? p..t?+?o-? M CoNNECPION T6 CITY SE,WER ? CpNNFS.'TION ?U CITY WATER ? p1'HEI '. 6) ?•? a• • o r ? pj,,pSE HOI,D APPROVfD PERI•IIT FOR PICK-UP BY ONE OF ABpVE •- '? PLEAS?'MAIL APPROVID PERMIT TO 1, 2, n 4. AHOVE (Circi''e one) 7] ' r r.s?S' ?? ? _ ? "/ t7 /4 FOR CITY USE ONLY PERMIT # ISSL'ED 73,'s; Pd w/Bldq. Permit $ $ c c $ $ S ?DO, U-t1 s 3- 75, C-D S .. . ? FEES: $ /"GS L' SEWER PERMIT (INCLODE SORCHARGE) WATER PERMIT ( INCLC'DE SURCHARGE) $ WATER METER/COPPERHORN/0[:TSIDE READER $ WATER TAP (INCLL'DE CORPORATION STOP) $ SEWER TAP $ ACCOUNT DEPOSIT - SEWER S % ACCOC'NT DEPOSIT - WATER WAC sAC . $ TRUNK WATER ASSESSMENT $ $ TRONK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRL'NK SEWER $ $ LATERAL BEN°FIT/TRLNK WATER $ WATER TREATMENT PLANT SIJRCHARGE $ S OTHER: = .- - $ 42 U G? S I .:. ; • TOTAL . l ` E 7? RfCEIPT?i RE IPT DOES UTILITY CONNE CTION REQUIRE EXCAVATION IN POBLIC RIGHT OF WAY? O YES IF YES, THEN A"PERMIT FOR WORK WITHIN PLBLIC Q ROADWAY" ML?ST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CbNDITIONS: APPROVED BY: TITLE: ' ' ..' ,.. _ .. 16ATE : i 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 BUILDZNG PERMIT APPLZCA?ION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED YITH THE CITY OF EAGAN CI -Z?r? COl4MERCI9L INCLUDE 2 SETS OF ARCHZTECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS $2,000 LANDSCAPE BOND SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS (oZ, pd0 To Be Used For: TownhoUSe Valuation: $-a7-;6@9-?& Date: 4/8/86 site Address 3220 Everqreen Drive Lot 56 Block 1 Parcel/Sub Coachman Highlands Owner Brutger Companies, Inc. Aadress 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.O. Box 399 City/Zip Code St. Cloud, MN 56302 Phone 612/252-6262 Arch./Engr. Blumentals Architects, Inc. Address 6100 Summit Drive North City/Zip Code Brooklvn Cgnter. MN 55430 Phone 11 ?1,gJ571-5550 Erect _ Remodel ? Repair ? Addition Move ' Demolish '- Int,Impr. ? Install APPROVALS Occupancy Zoning Type of Const 0 of Stories Length Depth Sq Ft FEES Assessments Permit Water/Sewer ? Sureharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg Off Treatment P1 APC Parks Variance Copies TOTAI. ? 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 Yhis requesl voitl 8 nwnths (rom DO.-O 9 6 3 2 2 ?---5 (c rS Hequest Daie Fire No, qouph-in InsVection ` 1 ? ? ^ ? ? 1 f /? (?? Re,yeSd? ?NO I I ?Reatly Now ?ill NotitY. Insoec- J C' ??OrO r? ? tor When Ready ? Licensed Elecvical Convactor . I hereby reqaest inspection of ebove Q Owner elecVical work instelletl et Street Atldress, eox or floute No. . Ci[y 2 Yi i'? F/anan ecbon o. ? Township Name r No, qange No. ' C ounty rl'q KaRA O cupnnt (PflINT) ndinhMdn i h lunds Phone No. o er Su lier J Address ?{,? [/J /J(' i / % //• lect 'cal Contractor (COmpany N me) icensa No. Cnntracmr's L l C a?linB ress IConvaclor or Owner MakinA 1?s ailationl ? U7 ti ? ° r EQS/ '/ L ' f . Au[h z d Sugnature IC nnact Ownor Making Installationl I Ph e?ber __? L,J MINNESOTA STATE BOAXD OF ELECTXICITY ? THIS INSPECTION REQUEST WILL NOT Grie9%-Mitlwav aldg. - Noom N-187 BE ACCEPTED BV TME STqTE BOARD 1827 University Ave., St Paul. MN 65100 UNLESS PPOPER INSPECTION FEE IS Phone (612) 297-2111 ENCLOSED. jD ?, REQUEST FOR ELECTRICAL INSPECTION 9 ? 3 2?See instrwtions lor comDlalin9 Mis /orm Sn back o/ ? Ilow copy. ""X" Below Work Covered b? This Re uest es-ooooi:oa - vew? AAd Rep. Tvoe of Buildina Aooliunces Wired Equ ? iV.,en[ Wired 1 xtures ce I I I I lndustrial Bld9. 'I I Air Conditioner I I Bulk Milk Tank I N Fea Service EnbenceSize fl Fae Feetlers/5ubfeeders N Fee Circuits 0 to200Ams 0 to30Ams •? 0 to30Ams A6ove 200 qm)y 31 to 700 Amps (/ 31 to 700 qm s Swimming Pool Above 100_Amps Abave 700_P.mps Transiormer5 Irrigation f3oorris Partial-'Other Fee Signs Speciallnspection ,. _ . . _ $d'1 CA TOTAL f i, ma Eieclrrai herebY ce,tily ihet the above Final ?. g[/,?te inspection has been metle. • 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 NO 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 ?i/ 7 3 ? BUILDING PERMIT ` p Receiptq Tobeusedfor 1 OF 6 PLEX Est.Value $62,000 Date APRIL 22 11839 986 SiteAddress 3220 EVERGREEN DR Erect 121 Occupancy R3 Lot 56 elock 1 Sec/Sub. COACHMAN HIGHLANiDrOdel ? Zoning R4 Parcel No Repair ? Type of Const ir - . Addition ? No. Staries ? Name BRUTGER COMPANIES INC Move ? Length-rr_ z o Addr 1 SUNWOOD DR., P.O. BOX 399 Demolish ? Int lm r ? Depth FL?2 S St Cit . p . CIOUa -6262 612/252 Ph ? q. y one Insfall o Name SAM Approvala Fces $Q Address Assessment Permit $ 319.00 ? City Phone Water & Sew. Surcharge 31 . 00 159 50 ?W W W f V? :w a BLUMENTALS ARCHITECTS INC Police Name Fire _ ,,,,,,.,,_„ 6100 SUMMIT DR NO _ BROOKL Ihereby acknowledge that I have information is correct and agrSp Minnesota StaWtes and Cip,461F Signature ot ? BRUTGER A Building Permit is issued to: all work shall be done in accordance with?4-qpp State of Planner S',auncii Bida.Orr. 4/22/86 NC Date Plan Rewew ' 00 575 SAC . Water Conn. 500.00 Water Meter 63 . 50 Road Unit 290.00 Tr. PI. 156 . 00 Copies Total $2.094.00 on the express condition that and Ciry of Eagan Ordinances. Building Oflicial y 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 Remarks Addition ' CQA(HMAN HIGHLANDS Lot 56 Blk 1 Parcel 10-I8075-560-01 Owner streec 3220 LVERGRBBN DRIVE state BAGAN IrQ+I 55121 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. p id 1 10 2750 1- 3 STREET RESTOR. 1974 ?t tf to GRADING 1007 1986 354.14 35.41 10 Ao-/S- 8? SAN SEW TRUNK 1968 Paid und r rcel 10 2750 020-03 SEWER LATERAL 1984 * WATERMAIN ) 1972 Paid undo yr ¢ei 10 275 010-03 WATER LATERAL 1975 to to • WATER AREA 1972 It if WATBR LATFRAL 1975 r' 'o i' STORM SEW TRK 1975 n 1? 11 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN, BUILDING PER. SAC PARK I )F EAGAN Owrer. /1ddress ilot Knob Road -------- ?-----7389 ----^- ok 21199 PERMIT N4.: MN 551 ??, D^TE: `? " ? -p et No. of Units: :rut€;er „ornpan, : ' 1772 S?? ???. .verorepn _ r ve R ,oac man fi o an ; Plumber: Metar No.: 3 ? 7 ? 5i2Q; '? ac x Reader No.: 0 / Al / 1 M.w ft eanatp wh6 CITY OF EAGAN WATER SERVICE PERMIT 3''30:'°'bt Knob Rosd P. O. 6ox 21199 F'ERMIT NO.: _., Eagan, MN 55121? DATE: u r,-?? e:Y No. of Units: Brutfier .ompany .,...,o.: Address: - -?; rvergreen Jr ,oac n iQ? a? r> Site Address: f:enz-?.va?? P1uxr+ber. Meter No.: I„p , Size: </99,42 c M , _ , , " "Pririi«• [C[v??+?0?•? . n i ..... to Owlvrr wuh the c*K4" I Rbghc" J- l. . .,., k.? Misc. Gw?qes: ? p OdIM Total: .. ?? ?`' Dote Pold: Dore of I??sp•. I^sp.: J -7'4r&z r?Pr Compa'n'.r Address: 3222 Sv?rzr;,PT, ,•?i?F. ?_,•i? ?1 (;asLh:nan .i; k:.`?' ? • E? ? ? I ym f0 a0111i* Wilobthe City Of g040i Gd1?'f4Gtld1 QIOrge: OrdiMwas. Acoount Deposit: Plmlit Fel: SUfCh0/'Q0: - - ;; . } _--? - By Misc. Charflss: Date of Irrsp.: Total: CITY OF EAGAN SEWER SERVKE PERMIT 3830 Pilot Knob Road p??T NO.: P. O. Sox 21199 . Eagan, MN 55121 DATE: - Zoninp: F3 No. of Units: Own0r: ti,-uig@X` Address: Site AMrass: Plumber: I ym t0 oomwly M!bb dw C7 of 5000A "Nwoa. By Dote of Insp.: CAf1f10CtiOT1 Q1CIg0: 4 7 5 • W eC M,couM Deposit: Permit Foe: Surohorne: mIfC. a10fQei: - Totoi: DoN Paid: x• ;. CITY OF EAGAN SEWER SERVICE PERMIT ' 3830 Pilot iCnob Road p???T NO.: ' P. O. Box 21199 _ Eagan, MN 55721 DATE: Zanino: - ='w No. of Unlts: ?: .- PERMIT # CITY OF EIkGAN FEE ?' 'C90 PLUMBING PERMIT siC ?-e RECEIPT # 454-8100 MINIMUM RESIDENTIAL FEE - $10.00 + $.50 TOTAL DATE MINIMUM COMMERCiAL FEE - $20.00 + $.50 1. Bidg. Type: Res ? Comm Inst 2. New ? Add Alter Repair 3. Total Bid Price ?•U?• ??4. JobAddress 3??? Lot Block Owner 6. Contracto - /! A5ef? A/Z (Name) (Street) 7. Contractor Phone # NO. FIXTURES NO. FIXTURES NO. FIXTURES ?Water Closet - $3.00 / Laundry Tray - $3.00 __ -Well - $10.00 Bath Tubs -$3.00 = TFloor Drains -$1.50 7- Private Disp Syst -$10.00 __7 Lavatory - $3.00 Water Heater - $1.50 Rough Openings w/o Shower - $3.00 = Whirlpool - $3.00 _7 Fixtures - $1.50 Kitchen Sink - $3.00 Gas Piping Outlets - $1.50 -Urinal/Bidet ; -Softener - $5.00 COMM./IND. It?,TE - OF T BID PRICE PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE. Signed: -?r '- for Approved Inspections: Date Rough Insp. Date Final Insp. w PERMIT # ? J RECEIPT # ? c -4 (0 DATE . / j? CITY OF EAGAN MECHANICAL PERMIT 454-8100 MINIMUM RESIDENTIAL FEE • $10.00 + $•50 MINIMUM COMMERCIAL FEE - $20.00 + $.50 ?,. 1. Bldg. Type: Res Comm Inst 2. New -- V'- Add _ 3. Total Bid Price 1`?JJ 4. Job . ? Lot, =-- L?; Block _I Sgc 6. Contractor `-- -4-. (Name) 7. Contractor Phone # T FEE ' s/c - ? TOTAL ??'j • '? Alter Repair ? --2 - -? tG?S 45. Owne !/'u.J"?:?`'-?' ..; ?„ ? _ •_-f !`-J, ?4 (Street) (City) (Zip) RESIDENTIAL HEATING - 01-100,000 BTU's -$24.00. Each additional 50,000 BTU's or fraction -$6.UU RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or fraction -$6.00 MODIFICATIONS/ALTERATIONS -$10.00 minimum fee " HEATING VENTILATING HOT WATER STEAM AIR COND. eIR PIPING PROCESSED PIPING AIR HAND. EQUIP. RtFRIG. RES. GAS PIPING OUTLETS -$1.50 TANKS: LP. UNDERGROUND OTHER COMM./IND. RATE - F TOTAL BID PRICE PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE. ?-- ; ? S19r16d: fOf Approved 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 N2 11 Sig v-- -A 3830 POot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # 7obausedlor 1 OF S PLEX Est.value $62,000 Date APRIL 22 19 86 Site Address 3220 EVERGREEN i]R Erect 0( Occupancy R3 Lot, 56 Block 1 Sec/Sub. COHC:XAN riIGEaLAHOO&ei ? zoning 8e Parcel No. Repair ? Type of Const. •? Addition ? No. Stories W Name dRUTGER COMPANIES IiVC Move ? Length Z 1 StJ f?'rq00D DR.? E' . O. HD:i 3 9 9 Demolish ? Depm o Address Int Impr. ? Sq. Ft. 32 City st c1094one 612/252-6262 mstaii ? = o Name 5?E ? ? Address Name AItCHITECTS iNC I herebyacknowledgethatl information is correct and d Minnesota Statutes and Ci1 Signature A Building Permit is issued to: "nV 1`' all work shall be done in accordance with all Assessment Permit ? a 1.7 . u v , Water & Sew. Surcharge 31.00 Police Plan Review 159 . 50 Fire SAC 575.00 Eng. Water Conn. 5 0U. 00 I Planner Water Meter 63.50 Cquncil Road Unit 29U .00 Bldq. Off. 4/22/86 Tr. PI. ? 156.00 Date Copies 1 j Total 42,094.00 on the express condition that ? tes and City of Eagan Ordinances. l I - I w?mn No.- I P*rMt Holder I Dsts I TNOphoeO k I Plbp. Hty. 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 - - , 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 Jul 26 13 11:05a Bill Rascher Mechanical 6514506644 p.1 �I�c�St �Ct..Lt LPSi-�Sb�L�Lv�oZ Use BLUE or BLACK Ink .�r �� ��� p�y�r�e��.t� --------------, ; �ot off�e use i �(�, � q, � � ���� ' i �L OI L� �ll � �[/,t./lJC.--��- d � Pem�it#: � � /� � I � � � Pertnit Fee: li. 3830 Pi1ot Knob Road �' j Eagan MN 55122 j oate Received: � Phone:(651)675-56T5 � � Fax: (651 j 6755694 � Staff: 1 !������� �������J 2014 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all commercial applications. Date: I�f cZr]�I� Site Address: 3��i,� �UP� f�� U �� � ��y Tenant: Suite#: Name: �C�L1 �(1..f 1�e� Phone: �v il� /��-���"i { Resident/Owner � Address/Ciry/Zip: 3���% J'� �� Name: ��i I� I�fLSt'�1�1� f!IL�C,/1 I eL� ��C License#: � Address: �t��/ f'�cL�G�C� �j'�T.� (.._ City: �h i!�l`�`f"�(l� �"��1 CK.l� � Contractor h scate: +�1 t�.l z�p: 55b��1 Phone: (LSI-ySD -I Lp oZ � � Contact: �ill l�.45� Email: hlll � 41I�1lL (`�_-�1!'/�/'J��U7. I�L � _New �Replacement _Additional _Alteration Demolition Type of Wo1'ic Description of work: ' '- - � � l, NOTE:Roof mounted and ground mounted mechanical equipment is required to be sereened by City � Code. Please contact the Mechanicat Inspectorfor inforrnation on permitted screening methods. � RESIDENT/AL COMMERCIAL �Fumace _New Constructian Interior Improvement � Pe�'fTllt.�.�e —Air CandiGoner _I�stall Piping _Processed a � Air Exchanger _Gas �Exterior HVAC Unit � � _Heat Pump _UndedAbove ground Tank (_Install I_Remove) ! � Other � ' RESIOENTfAL FEES � �60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) � 5100.00 Residential New(includes$5.00 State Surcharge) _$ •L��� TOTAL FEE � � COMMERCIAL FEES Contract Value$ x.01 j $55.00 Permit Fee Minimum ; $70.00 URderground tank installationlremoval =$ Permit Fee � 'If contract value is LESS than$iD,010,Surcharge=$5.00 =y Surcharge` i "lf conVact value is GREATER than$10,010,Surcharge=Contract Value x$0.0005 � **'If tFie project valuation is over$'i milGon,please call for Surcharge =$ _ TOTAL FEE I I hereby adcnowledge Ihat this infomiation is complete and accurole;that the work will be in oonformance wilh tfie ordi�ances and codes of 1he City of Eagan;that I undersiand lhis is not a permil,but only an application for a permit,and work is not to start without a permit;that the work will be in accordance witfl the approved plan in lhe case of work which requires a review and approval of plans. X �r�l;1l�c�.� S� �as�.���.r _ x �-- Applicant's Printed Name Applicant's Signature FOR OFFICE USE Required UspecUons: Reviewed By: Date: Underground Rough In Air Test Gas Service Test _In-floor Heat Final HVAC Screening PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA127634 Date Issued:10/08/2014 Permit Category:ePermit Site Address: 3220 Evergreen Dr Lot:56 Block: 01 Addition: Coachman Highlands PID:10-18075-01-560 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater 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. Troy Good 3670 Dodd Rd Eagan, MN 55123 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - Andrew C Garner 1631 James Rd Mendota Heights MN 55118 (651) 900-4124 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature ". - Use BLUE or BLACK Ink For Office Use 4,`. City of EaN I Pere: r Li6-' ,0--aj--. Permit Fee: % ., i "/ 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone:(651)675-5675 buiidinsdnspections@cityofeacimt.com , � Staff: SEP9 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit �o k-1: S� ,` -ttr,- 1,t t.,-.4. K.s-pry Name: ; Phone: 9 5 � Resident! Owner Address I City I Zip:3 '`:'' ..\i,-e8r-c�✓ .r, t)rt 42� '<�_��2,n -t i SC3 i:g.1 Applicant is: Owner X Contractor Type of Work Description of work Re->v�,,:�k '1 a- .2�<t 1 Cs- ) iL. Construction Cost Multi-Family Building:(Yes )4 I No ) Company: _�`:,p-a .4. -r,.=3jcs=.A-c4 r1,�r°2 Contact Vrl`.\lam. S'2b:3 �° 'it i Address: .t '= is .± city: li-.:) )D514.:.v- Contractor State:i'.i'+'S Zip: ` 3c?5`S Phone: t 1- 3-''3).3 Email: `3.2\13- e''''';';44"-.11'""e kr3 , , License#: e:1(...'_1.3 3 71 ct Lead Certificate#: P 14 If the project is exempt from lead certification,please explain why: �yy , r-,..> 3•L;-y RJ- :"-`1 Ga 17 C'a C 4'��l cZ� t f{Z .. 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=molting documents that you submit ao,considered to bepubic ormb . Poniansorthe'. information may be.classifed non-public if you provide specific masons that would the City toconcludethatthey are tradesecriets. 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.citvofeauan.comfsubscribe. Exterior work authorized by a building permit issued in accordance with the Mirmesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(851)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utiklies. www.popherstateonecall.ora 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 pemnk;that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. S' a-1-Vz:x U ,. .}c,,-ZA 1)Lir:C, - ..".--.." -,....." Z.,:...••••,..'2,0,17'' Z._ Applicant's Printed Name Applicant's Signatu Page 1 of 3 IDI --‘ _5 7 / DO NOT WRITE BELOW THIS LINE i`7 6 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 . L, Replace — Replace _ Repair _ Egress Window _ Water Damage ' Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation 1)±0 Occupancy MCES System Plan Review Code Edition / r A,- SAC Units (25% 100% ) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of ConstructionT41-6— Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: X" Footings(Deck) Final/C.O. Required Footings(Addition) X Final/No C.O. Required Foundation Foundation Before Backfill 1 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 r 1, � Surcharge Plan Review ' " MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge ri 1--)-,) Treatment Plant (II' 14,e1 ) 62 C-2'' ' Copies TOTAL Page 2 of 3