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3229 Evergreen Dr-?Zg6S 2006 RESIDENTIAL BUILDING rExnuT arrLrcATioN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construcfion Reauirements 3 re9isfered sde surveys showing sq. ft of lot, sq. ft of house; and all roofed areas (20°k maximum bt wverege allowed) 2 copies of plan showing beam 8 window sizes; poured found desgn, etc. 1 set of Energy Calcuia6ons 3 copies of Tree Presarvation Plan A lot platted atter 711193 Rim Joist Defail Optiws selection sheet (buildings wAh 3 or less units) Minnegasm mechanini ventilation form RemodellReoair Reauirements 2 wpies of plan stawing too6ngs, 6eams, joists 1 set of Eneqy CakxAations for heated addNOns 1 site survey for additions & decks Adddion - indicafe i(an-sRe seAfic sysfem A 33? zs Ck. --?- s1-4 3 Office Use'AnN CeAofSuivey?Recd _Y _N TreePres'PlaoRecd ?-_Y _N. TreePres.Requ'ved ._Y _N OnsiteSepticSystem Y _N Date ?-J / ? % 0 b Construction Cost 4'Z0 m SiteAddress 3Z-ZSy3Z-Z?- 32Z.9 13 231? 3233 , 3Z3S i? UniUSte # 1 Description of Work ? Iei Cl' tTy ni ! I hQ '6+6 Multi-Family Bldg ? Y_ N Fireplace(s) _ 0_ 1 _ 2 PropertyOwner _C64c.H mAI) A?A /G4 74?n h omt 5 Telephone #( D? Contractor -t rA 0 Address ?35) rl ? ?[?lloo? Ly ? 13C? ?p City /?'Iqnk k'OVt -- State MIv Zip 7531?? r Telephone#(-V3) 1 0` DSL" COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv l Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculafions Submitted In the last 12 months, 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 SewerlWater 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. ( ?ui ? ?iZU77lh?4<? Z/1' Applicant's Printed Name Applicant's Signature i -' I 2/84 CITY OF EAGAN ? , APPLICATION FOR PERiMIT SEWER AND/OR WATER CONNECTIO.T (PLEASE PRINT) PROPERIY ADDRESS: 3 ? ? LEC11L DESCRI°TIC:I: -+L- . ? - (Int/Elock/Subclivision or Tax arcel I.D. Ninnber) l: E{=^_'1:G ST'.-iUCI?iRE, DA'IE 0^ ORIGi dAI, ;LiIi,DL`IG P=,ST ? P:LSr.?.' ? R-1 SINGLE r^ayr.L:.y -2 DUPLE{ (TN%p UINITS) V -3 TCriQN3C{?SE (THRF"' + (TNITS) ( Wi ITS) ? R-4 ApAF27P!?-:T/COiIDQ`,LNIU:I ( LNITS) ? CCMr,=CIAL/RETAII,/OFFICE D L%MUSTRIAL [j INSTITUTIONAL/G0VE,RN1= ?J AppLic.21,?V^t (PLEASE PRIHT) NII1ME. II?ME • rtT,.a ? C- C ? ADDRESS: c I ?' ?,\LL) eY+wv? .?Q?l9P CITY, STATE, ZIP: PHONE: 3} pj],7;qgg PLEASE PRINi) FOR CITY USE ONIY NPB?IE: ? ADDRE$$: gqo? PLUMBERS IICENSE: ACtive CITY, STATE, ZIP: Expired PHOiQE: ?t' L? Not af Record PLUMBER LICENSE li a? nitia 4) NA1,1E- lYLL0.?tYH1N1f ADDFESS: CITY, STATE, ZIP: PHOPIE: 5) INDICATE WHICH PEP,MIT IS BEING RDQUEST'ID: EI'MNTIECPION 'I17 CITY SE7r7ER v COAi'QEC.TICN TO CITY 69ATER ? ('JI'fI..R (PLEASE DES('RIBE) 6) INDIG, 1E C:E: ? PZ,E`,SE F:OID APPROVEp PER+1IT FOR PICi:-UP BY O[VE OF P,6WE ?°LE'1SE %fAIL APPROVEp PER^1IT TO 1, 2,30 4 11B0VE . (Circle one) 7) szGNAzt-RE: 7??. DaTe: , , .... FOEt C I T Y U S E ONLY PER*9IT ."- ISSUED FEES: $ $ io . Z; d $ $ $ ! S- -?-o $ $ $ $ $ $ $ $ . Sli:'.CH?RGE) WATER PERP1IT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE REAGER WATE? TAP (INCLJDE CORPORATTON S:CP) SE:VER ':`an ACCOUNT DEPOSIT - SEidER ACCOUNT DEPOSIT - WATER WAC SAC TRUNI; ?4ATER ASSESSME:IT TRliNK SEWER ASSESSMENT LATE°.AL BENEFIT/TRUNK SEWTER 'LATERAL BENEFIT/TRUNn WATER OTHER $ TOTAL ; $ - AMOUNT PAID jRECEIPT DOES UTILITY CONNE CTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? C? YES IF YES, THEN A"'PERMIT FOR WORK SJITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ? NO ENGINEERZNG DIVISION. LIST AS A CONDI- TION. SUBJECT TO TIIE FOLLOWING CONDITIONS: APPROVED SY: c7ly T I T L E: DATE: 7----;? / -5 V-- ? ?J? Rf? ?l ? iA ?Ff? ?k? rl !J? ? ?F ? l4 FJ? ?lf? R? wk? 14 ?J! if? R# 14 ? f! ?i? Ri /k? ?4 ?J? ? ? 1??461 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY AYPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PEBMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. "1l - To Se Used For: ) Valuation Site Address Lot ? B1ock Parcel/Sub Owner . Addres City/Z Phone Contra Address City/Zip Cod f(?'L?" ,J?j?? Phone Arch./Engr. Address City/Zip Code 0'20 Date: 1I Zg USE ONLY FEES Occupancy Zoning Actual Const Bldg. Permit Allowable Surcharge # of stories Plan Review Length SAC, City Depth SAC, MWCC S.F. Total Water Conn Footprint S.F. Water Meter Acct. Deposit On site sewage_ S/W Permit On site well _ S/W Surcharge MWCC System _ Treatment P1. City water _ Road Unit PRV _ Park Ded. Booster Pump _ Copies SUSTOTAL APPROVALS Penalty Planner TOTAL Council Bldg. Off Variance Phone # CIIY USE ONLY L °Z ? BL ? RECEIPT #: Ot!V SUBD. DATE: ? If 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH NQ TOTAL 5hower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x Floor Drain 3.00 x = Gas Piping Outlet * minimum -1 3.00 x = Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal " DakoW Cty. license 50.00 = (new and refurbished systems) U.G. 5prinkler " home under const. 3.00 = Alterations * to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL 201%?- SITE ADDRESS: ??z [ OWNER NAME: ?>L R INSTALLER NAME: STREET CITY: ?N FMA-u-- STATE: tu..,Q ZIP: 5 5`Fz? PHONE #: ( ) 53?-`C?S7 ? 1998 BUILDING PERMIT APPLICATION (COMMERCIAL) 3 40 L) ? CITY OF EAGAN 681-4675 s . .. . . _ ?.- - ------?a- uom¢ roiwwmy w wwni iIoCwl y N Foundation Onl ?...... New Construction . Interior Improvement structural plans (2 sets) architectural plans (2 sets) architectural plans i l (2 sets) (1) ? civil plans (2 sets) structural plans (2 sets) s code ana ys (1 geU code analysis (1) " civil plans (2 sets) project specs soils report (1) 1 landscaping plans codeanalysis (2 sets) (1) ° Key Plan energywlculaGons (1)notalways" ) projectspecs ( Special Inspections & Testing Schedule " soils report (1) Electric Power & Lighting Form (1) not always ° SAC determination letter from MC/WS - SAC determination letter from MCM/S - SAC detertnination letter from MCMlS - ca11 6 02-1 00 0 call 602-1000 call 602-1000 Special Inspections & Testing Schedule (1) " projed specs (1) energy calculations (1) Electric Power & Lighting Fortn (1) " Contad Builuing inspecuons Tor sampie Food & Beverage or Lodging facilities: Plan must be submitted to Minnesota Department of Health. Call 215-0700 for details. nnTF?I- ?C??cl ? WORK TYPE: _ NEW REMODEL DESCRIPTION OF WORK: CONSTRUCTION COST: TENANT NAME: C^ ° d // -" ai? / ^f OS f>7" l SITE ADDRESS: SUITE #: LOT Dc1 BLOCK SUBD. OC, CJ\-VV\ o< <-s ???•1.D. # a.9,3?3I???a33 , Phonc ft:, PROPERTY last OWNER Street City State: Zip: / ? / Company:_ 2 SSe L_W i/?rdQw ?g Phone #: CONTRACfO ?j?J? ?/ R Street Address: J`^ ? /'?L9 i'7 t?S on/ ?cense k ?P `f 5 -3 - City -------- ----- State: ZiP: _ ARCHITECT/ ENGINEER Compaziy:_ _____ Phone k: Name: __ __ Registration N: Slrcet Address: ___ ----- City --- -- Statc: _ -- - Zip' - - Sewer & water licensed plumber (only if installing sewer & water): I hereby acknowledge that I have read this application and state that the informatio r d agree to comply with all applicable State o Minnesota Statutes and City of Eagan Ordinances. Signature of Appli ? ? - OFFICE USE ONL First BUILDING PERMIT TYPE ? 01 Foundation ? 18 Comm./Ind. WORK TYPE ? 31 New ? 32 Addition GENERAL INFORMATION Const. (Actual) _ (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS ? 19 Comm./Ind. Misc. ? 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. Planning Building Engineering ? 21 Miscellaneous ? 35 Tenant Finish ? 37 Demolitian MC/WS System City Water Fire Sprinklered Census Cade SAC Code Census Bldg. Census Unit Variance Permit Fee Surcharge '-f0 Plan Review MCNVS SAC City SAC Water Conn. SIW Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Water Qual. Other Copies Total: % SAC 5AC Units Meter Size Valuation: $ ? GIT;f` OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55722-1897 (651) 681-4675 SITE ADDRESS: PERMIT PERMITTYPE: Bu1LosNr Permit Number: 03y 005 Date Issued: 11 l 1 7/9£3 3225 EVG:.ReRt_Uu nit LOT: 29 Bt.OCKa 1 COACHMAN N1G1-II.ANDS P,I.N.: 1.8-18075--290-01 DESCRIPTION: ftEROar-/ 6 F>IEx REMARKS: IracLuoEs: Bui.tdina Perm3Y. Type MULTI, (MISC,) quz-Sding Woe.k. 7ype REPA]:R Census Gode - 434 AL.7a W",ES:CDEN't"7AL ? z t r 32z7, 3229, 3231, s2:33, nwo 3235. FEE SUMMARY: b'RLIJATTfJN Fiase Fee Surcharge 7otal Fee 1; 8 .() 0 0 `1137. 25 $1A1.)5 CONTRACTOR: - Applicant -OWNER: ' 6EISSEL WTNOOW & STI]tNG 2457.E835 COflGHMfliV H:I.GHLANDa ASSQC. 3213 EVERGP,EEN pR 3:15 EVEIZGlREcN IJR EA13qN MN 5512:L Ef) GFiN MI'd 55122 (612) 451-6836 a ? Z hareby aa4cnowledge thati I have reaci This applicataon aricf state that the in'Farmar_ion is correcr_ and aqree Co camPly with a:ll appli.cahLe 5Cat2 ot' Mn. SGatutes and City of Eaqan Orclanances> APPLICANT/PERMITEE SIGNATURE ?,JIsueo er: siGNniuaE C ? ,. ? ?.a.. , A-_I:;r:% 10.r3,.•.:. [ .... %n I...?.?( ?i '.II' i:'?.;..??,?'..?,? . ?, . 1:i ? ...? 1 ....'.f ( . , ?I.;..:?.:_. -.-f::: W::, I'' IS./.??... M_.. :i..i.r'C.. . _.. .... .._. .!_.? „ .'!Ti Yi . ... .. ... ._. P74 ..... Tpr '!Ai'.!`.,'.I i u•,y J;C'a .:?'.:}h1 1.}:.`!) 9.?.', ' kY,;; k9:$:?;' l ? . .. ,::i ? ...?.:J._ 'i? • ?.:I 210Mi ... ? :'..... . ? •.'I:',.I I _ :, i I.'"-?i:.' .25 ....:i 9001 _ 1620 II /... ...i ... 2r1 .. ..i .a . ??. ... -:f? I .. f P '.... ..:" . i (:u: _i , ..... ..? ?-.r',:..?. ' ..."P. ? y l.l'n,l..f:? ,. 9M{J ............ . i.D.. NAN%..._.i l gU I L D I N S7 CITY OF EAGAN Include 2 sets of plans, vbl ? pF? ? 1 site plan w/elevations & BUILDING PERMIT APPLICATION 1 set of energy calculations. Zb Be Used For Townhouse Site AddYess ?322q Ever reen Drive Lot 27 BlOCk 1 Sec./Sub. Coachman PdZ'C21 #: II) - /p'O ),?--a )D _OHighlands Valuation S?S.,.aee?-F?,? Ql? Date May 24, 1984 OWner: Srutaer Companies Inc. Addr2SS: One Sunwood Drive, P.O. Box 399 C1ty/Zlp COdE: St. Cloud, MN 56302 Phone #: (612) 252-6262 CoritraCtAl: Brutqer Companies Inc. AddY2s5: One Sunwood Drive, P.O. Box 399 City/Zip Code: St. Cloud, MN 56302 PhOi12 #: (612) 252-6262 Arch-/ES1cJ.: Blumer.tals Architecture, Inc. AddT25S: 6100 Summit Drive North C.lty/Zlp COC12: Brooklyn Center MN 55430 Phone #: _(612) 571-555n ' OFFICE USE ONLY Erect x . Occupancy k7-1 111ter Zoning R-3 Repair Fire Zone N {? Enlarge _ Type of Const. ? Nbve # Stories Demolish Front ft. Grade Depth ft. APPROVAT,S FEE,g Pssessments Permit [9ater/Serer Surcharge Police Plan Check Fire SAC En4• Water Conn. P l anner Wa ter Meter / ?, ?, WLInCll .? ? } T] tWdd URLt Bldg. Off. - APC 6= MrAt /l F5 7. S 0 BUILDING PERMIT N° 9159 Receipt # To 6a osod for 1 OF 6 PLEX Est. Velue $58,000 Dute JUNE 11 , I q 84 SiteAddress 3229 EVERGREEN DR Erect [yj Occupancy Rl Lot 27 elock 1 ?ec/S.b. COACHMAN H IGHLAI?? 0 Zon"?9 R3 Percel No. 10-18075-270-01 Repoir ? Fire Zone N/A Enlorge ? Type of Const. V rc Name BRUTGER COMPANIES INC Move p # Stories = Address 1 SUNWOOD DR., P.O BOX 399 Demalish ? it?A Length?? ? Ctty ST CLOUD phone 252-6262 Grode ? Depth?S Ft q. .- S?E Approvah Fees ,o Name zi- ?? Address 1- CitV Phone ?,cl riLUMENTALS ARCHITECTURE INC ?uw Name Addresi sW City ? Phone 571-5550 Assessment _ Water 8 Sew. Poiice - Fire Eng. Plonner _ Council _ I here6y ackrwwledge thot I have read this opplicotion ond state fhat qldg. Off. the information is correct and ogree to comply with oll applicoble A? - Stote of Minnesoto Stotures and City of Eagnn Ordinances. Signature of Permittee A Buiidiny Permit Is issued to: BRUTGER COMPANIES INC oll work sholl be done in accordance with all opplicoble St 9 MinnesqM'$tptu CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454•8100 Permit $ 307 _ QQ Surchorge gq 00 Plon check.153.50 5AC 525.00 Warer Conn, 470.00 Woter Meter 63..00 Road Unit 960-00 To:ol +51,807.50 _ on fhe express condition Ihnt ond City of Eagan Ordinantes. Building Officiol CITY OF EAGAN ` N0. 18542 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 5121 PHONE: 454-8100 I? w BUILDTNG PERMIT Receipt # w Tobeusedfor FIREPLACE Est.Value $1,000 Date NOV 13 , 7gyQ_ Site Address 3229 EVERGREEN DR LOt 27 BIOCk 1 SedSUb. COACHMAN OFFICE USE ONLY Parcel N0. HIGHLANDS Occupancy _ FEES Zoning W Name MARK FERRELL (nauap Const - sidg. Permit 25.00 Address 3229 EVERGREEN DR (qnowabie) - S h 9 a City EAGAN Phone 894-8888 +' oBtories _ urc arge . Plan Review Lenglh _ o Name HEAT-N-GLO Depth - SAQ Ciry ?a Address 3850 W HWY 13 S.F. Tolal - m SAC, MCWCC City BURNSVILLE phone 890-0758 S.f.FOOtprinl5 - Water Conn On Site Sewage _ f W w Name On Site Wall - Water Meter z? Address Mwccsysiam - ?s Acct. Deposil i W City PhOne City watar - S/W Permit PRV Required _ I hareby acknowlege that I have read this application and slate that ihe 8ooster Pump - Sfyy Surcharge information is correct and agree to comply with all applicable S1ate of : Minnesota Slatutes antl C i? q f Eagan Ordinanc j 7reatment PI {/ ( / /? Signalure ofPermitee `n.?"'O'?" ? APPROVALS RoatlUnit HEAT-N-GLO A Buildinq Permit is issued to: Planner - park0ed. on the express condition that all work shall be done in accordance with all Councii - applicable State of Minnesota StaWtes and City of Eagan Ordinances. BIdg.Olt. _ Copies Builtling Official .(?/.?-Q1?A! r Vananca - TOTAL 25.50 P. O. Box 21199 Eagan, MN 55121 Zoning: PU 13r Addrcss: B t _?" ? • .,r .00 nd ?ter No.: ? ?ion Charge: Account Deposit: 15 . Oa p?l Stze: 10.00 pd Reod•r No • D ?? ? .3 Permit Fee: I aqne to comPlp wbb flN Cifp of Eagen Surchcrge: • 5O nd Ordinanea. Misc. Chorpes: 6L-?41- Totol: BY Date Paid: Date of Insp.: I^sR•: 3830 Pilot Knob Road P. O. Box 21195 Eagan, MN 55121 Zorinp: PUD Owner: Btutj /?ddress: Stte Add Plumber: WATER SERVICE PERMIT PERMiT NO.: DATE: 7 - No. of Units: 1 Of 0 SEWER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: 1 of 6 I sgree to eanplr with !6o Cif1 ef Eagon Ordinenees. By Date of Insp.: Connection Charge: 425.00 pcl Account Deposih S . 00 ??I Pem,it Fee: 10.00 pd Surcharge: 0 p? Misc. Charpes: - - Totol: Date Poid: CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Kncb.Rosd P. O. Box 21199 PERMIT NO.: .?'' •? ' Eagan, MN 55127 DATE: 7-` ?iry9: No. of Units: 1 ()4 F r: '' o • l, Address; "` ixSlte Addrcss:? ? ?{j { e???-??? ?,?r?.1l?lii.^,9 "naChman 'i' ? plumber: ? ,rs•Ir • '?1?? ?-?' Meter No.. ? ? Char e: . jq? f t Size: ? 1?tC.uh? Deposit4 ? ? 0') Reoder No.: ?- g Permit Fee: 10.00 PLi 1 egrae to wn+Ply with Ma Ciryr of Eogon Surcharge: •51" pd 0?dinaneu. Misc. Chorges: Total: By Date Poid: Date of Insp.: 44 Ins : p. CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilo' Knob Road P. O. Bcx 21195 PERMIT NO.: DATE: Eagan, MN 55121 ' } ? `• ' ' Zoning: No. of Unlts: r O : wne Address: ;?7?3 Site Address: 7? C;ea - ??.i, t_?.i 17 1 `? 'z ? n'+ ' ? ?' ? i b Pl er: um ,?r ,.170 pd ?.. 1 ?-84 G?,•_ I''? 5. OO0pd 1 eyros to eomPy wM6 Na Cky of Eason Connettion Charpe: 15 . 00 p(? Atcount Deposit: Ordinonas. 10.00 nd Pem,it Fee: Surchorge: .50 pd g Misc. Charpes: y Date of Ins : Total: p. i„t„ • Date Pc1d: I Receipt U PLUMBING PERMIT. CITY OF EAGAN ? Fill in numbered spaces Type or Print /egib/y 1. Date 2. Installation Cost Parmit No. ? - Fee S/C ' Tot. - ? ? '? . 3. Job Address i' I Y? Lot ? Blk. ? Tract ,?- 4. Owner 5. Contractor I Phone ' .? 6. Address i' i :"?r • ; , , ?;. ' ? C ; ?. 7. City State .1 )'?k ) 2ip 8. Building Type: Residential ,13" Commercial ? Institutional ? 9. Work Oescription: Nevy.f!l? Add ? Alter ? Repair ? 10. Describe 11. No, Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank ? Lavatory Softner ?L_ Shower Well ? i Kitchen Sink ? Urinal/Bidet Laundry Tray Other Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to camply with all ordinances and codes governing this type of work. Signed . for Rough ? f inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454,8700 Receipt g -?j- t`f 111CAL PERMIT OFEAGAN Permit No. Fes j r• C f s/c Tot. z-,r, . 1!J 1. Date 2. Installation Cost 3. Job Address 3 2, 7 LB kTrecJ 4. Owner 5. Contractor Phone 6, Address 7. City State 8. Building Type: Residential Q"' Commercial ? Institutionai O 9. Work Description: New PI Add O 10. Describe 11. Fuel Type No. ? Equioment 8TU - M. Ea. Forced Air No. EquiPment CFM Air H ndli Mfg. a ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. ? Gas, Piping Outlets 12. I hereby oertify that the above information is true and correct, and I agree to comply with all ordinances and codes gover ng this type of work. - j? Signed : ?or Rough F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 Alter O Repair O - CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILD?VG PERMIT Receipt # ? Tnhc ucce1 fnr IPjREPLOM $if00 ? ?.0 16542 m 13 Site Ad ss JZT9 ?BN DR Lot ?? Block Sec/Sub. C?C?N OFFICE USE ONLY PSfC@I N0. Occupancy - FEES mAaT{ nmm1.L Zoning - 25•00 W Name (Actuaq Const Bldg. Permit . ? AddfeSS (Albwable) e .50 - S cha rg ur City Phone # ot Stories - Plan Review ?p, Length _ F 1{+.AT-?'-C+r? Name Depth - SAC, ciri = Address S.F. Total - SAC, MCWCC ? City Phone S.F. Footprints - ., water Conn ? On Site Sewage _ F W Name On Site Well - Water Meter = Address MwCC System T <W CIt/ PhOf18 Ciry Water _ Acct. Deposit S/W P rmit PRV Required e - I hereby acknowlege that I have read this application and state that the Booster Pump - gM/ Surcharge information is correct and agree to comply with all appiicable State of Minnesota Statutes and Cityof Eagan Ordinanc 7reatment PI Signature of Permitee ? APPROVALS Road Unit NEAT-N-C1.0 A Building Permit is issued to: Planner - Park Ded. on the express condilion thal all work shall be done in accordance with all Council - applicable State of Minnesota Statutes and City of Eagan Ordinances. gldg, pry. _ Coples 25 5 Building Olficial 1' Vanance . 0 - TOTAL Permn No. Per,,,n Hade. wte Telephone # WATER SEWE'.i PLUAABING H_VA.C. EIECTRIC Inspectlon Date Insp. Commer+ts Foolings I Foundation Ftaming Roofing Rough Plbg. HoucJh Ht9. Isul. FvepLace Final Htg. Final Plbg. Consl. Meter Plbg. Inspector - Notify Plum6er EngrJPlan Bklg. Final NDisp. . ' BUILDING PERMIT Site Address Lot 27 Parcel No. _ 58 cir un Eroct lb COACHMAN HIGHLAI" 0 -01 Repoir ? ANIES ID1C Enlorye p ••a,Q ve SUNWnOD DR., P.O BOX 399 Mo p, Address pernolish D C ity c T CLOUD phone 2 5 - 6 2 6 C,rude ?' Addreas City Phone rvame Addre? City Phone 571-5550 ocknowledge that I hcve read this application ond state that motion is correct ond ogree to comply with oll oppliceble Minnesota Stofutes and City of Eogon Ordinarxes. OccuponCy ••y Zoning R Flre Zone N A Type of Const. V # Storie} Length ? r^ fl......? Fees Pertnit $ -70 7 • 0 0 su.cha?9e 29.00 Plon check 153.50 5AC 525.00 Water Conn, 470.00 Woter Meter 63.00 Rood Unii 260.00 Totol • • 5 0 Assessment Water 8 Sew. Police Fire Enp. Plonner Council Bldg. Off, APC Sipncruro of Permittea BRUTGER ES A Bulldiny Pertnit Is issued to: oll work shall be done in oooordonce with olI oppliooble Stote of Minnef Bufldinp Officiol _ v!l -/ A j ' CITY OF EAGAN N. ? 9i59 3830 Pilot Krab Road, P.O. Box 27-199, Eagan, MN 55121 PHONE: 454-8100 Receipt 6 PLEX INC on the express conditlon ehni and City of Eopon Ordirwnces. Permit No. Permit Holdsr Misc. Permlt No. Holder ff .?6? J1 S y C _ &n k,._- I '1) 9 . z Wall Disp. ESewer Ekctric !~ i f?{ YO • Q t? Irqpeetion Deto insp. Other Footinyc 7 7 Foundation Framinq Rouph Pibq. Rouph HVA Inwlation Final Plbq. /?jf a ?,(J Finsl HVAC l Finel water Describe Location: VYell Sewer Pr. Disp. CASH RECEIPT C1TY OF EAGAN P. 0. BOX 21-199 EAGAN, MINNESOTA 55121 . . . ( . DATE 19 RE EI EO OM AMOUNT $ I? OOLLARS J A .I 32 , 00 /? GASH tZCHEGK i . ,? Ly L FOR . . . . . ? . . 1 ..? . . ? . . ? FUND CODE AMOUNT ) J -714 I Thank You'" 4 F `,-,3 t, '7". .5'o ? z7.y? White-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN Remarks Addition CQAC!NlN HIGHI.AND3 Loc- 27 Rik i Parcel 10-18075-270-01 owner street 3229 EYERGREEN DRIVE state EAGAN MN 55121 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 2 STREET RESTOR. $ - 1974 to GRADING 1007 1986 354.14 35.41 10 -J?S SAN SEW TRUNK SEWER I.ATERAL 1984 t' of - 1e WATERMAIN ? t WATER LATERAL 7 1975 n n H t WATER AREA 1972 11 to of NATER LATERAI, ?!Kz 1975 1? tl 11 STORM SEW TRK N n n STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT ROAD UNIT 260.00 44005 6-12-84 WATER CONN. 470.00 BUILDING PER. k n n sac 525.00 PaRK RESIDENT / OWNER Name: - - C--- - N 4 4 LA-1,-)b5 • tGJA i?/ SPhone: Address / City / Zip: 3/"©cJ r1 i Lt DP-. Applicant is: Owner X Contractor TYPE OF WORK Description of work: Xr 12o0► Construction Cost // S Multi - Family Building: (Yes X / No ) CONTRACTOR Name: RcoF &.i ./3,41 jt /4 .A NC . License #: 0 l '7a / 5 Address: S c Q (JAS( /4 A-) E City: S7T G'''t l C. /l.4 L State: itutAJ Zip: S s 7 y Phone: 76 3 _ S+S _ 0 Y y / Contact: 2 (z r Email: » • h. t/' +UJ Y ©of - e_o ill /I e eori‘ 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 be classified as non - public if you provide specific reasons that would permit the City to conclude that they are trade secrets. City of Evan Tenant: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 App icant's Printed Name cl . S2ai , '22Zi 1 3 23 i , b 3S Applicant's Signature 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Use BLUE or BLACK Ink 7,4 Permit #: 914612— Permit Fee: ___ . [Iv Date Received: Staff: Date: Co � � s - /U Site Address: � 1/�6i�, b ). ? o lLDINb E Suite #: 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. Page 1 of 2 . �, 3 ��`� 3 � �%� 3���, :�c�3S 3�� ��� �3� ��]. � Use BLUE or BLACK ink �------------------ � For Office Use � l a 1 • j Permit#: � 1��°'�� I Clt� of E���� � � ��,a ' � Permit Fee: � 3830 Pilot Knob Road j �- � � Eagan MN 55122 � Date Received: l � Phone:(651)675-5675 I I Fax:(651)675-5694 ( Staff: � �.����������������J 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date• (� �lJ' Site Address� ��J ��� ��`-�"+�C� �`"''V�-- Unit#: 3�5��3 J� Name: Phone: i�esictentt �,��. 3�!�c'J �v��� �i1J�. . �p�r Address/City/Zip: Applicant is: Owner � Contractor Description of work: � ��� Type af Work �, ' Construction Cost:� �a�� Multi-Family Building:(Yes�/No�� Company:��� �. �. F�, l �,• Contac�:~�"t�c�F�� ���f(� .�51�� C���v�- r��. n!�.. �,ry: �t• �.�c���L COf1tf�CtOC Address� ' State:�Zip:�Z�� Phone:�4��'b v��� Email:�GK1�GC��lA.L✓�G�- ��►'�� L,C.0 License#: 4 �� Lead Certificate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan lssued 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 Contractor: Phone: N4TE:Plans ar►tl suppvr�ing dacum�artts t�#you�submet are cunsider�al to:be pubtic ir►#armatic�n. Pur��s r�# t�re enfQrmaiic�n may be cfass�fieal as nort�aublic if yoet prouide sp++�cific r�easorts tha#w�tttld p�mit the City t+a concfe�ale#tat tlte are U�de secr�sets. CALL BEFORE YOU DIG. Call Gopher SYate 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.aopherstateonecall.orQ I hereby adcnowledge that this information is complete and accurate;that the worlc will be in conformance with the orciinances and codes of the City of Eagan;that I understand this is not a pertnit, but only an application for a pertnit, ar�virork is not to start without a pertnit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plar�s. E�ctsrior work authorized by a building permit issued in accordance with the nnesota i�te B 'Iding Code must be completed withln 180 days of permit issuance. x�� ���� X ��!"�— Applicant's Printed Name Applicant' ig ure Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA144008 Date Issued:07/07/2017 Permit Category:ePermit Site Address: 3229 Evergreen Dr Lot:27 Block: 01 Addition: Coachman Highlands PID:10-18075-01-270 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - John Doherty 3229 Evergreen Dr Eagan MN 55121 Bonfe's Plumbing & Heating 505 Randolph Ave St Paul MN 55102 (651) 228-9071 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink *it CitY For Office Use of Permit8: / 52 Permit Fee: (3_ )q 3830 Pilot Knob Road Eagan MN 55122 . ,.,. , w Date Received: Phone:(851)675-5675 buiidinainsoections@citvofeanan.com StP 1 9 7017 Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name: ; Phone: 9 S Resident! Owner. Address I City I Zip:3a49-9 >� v c ,rte_✓, rti�e� :�t - it S"3 i 1 Applicant is: Owner 'X Contractor Type of Work Description of work .m''":�A 'l a"` �'-r` 1' "-k1"), Construction Cost Multi-Family Building:(Yes 14. /No ) Company: 5-*D'a. Contact XII`• 43` A,:a Crntractor. Address: Z--t tiC"' r e may: trs2. {�-(.:.v- state:i"t.� Zip: SSS �s Phone: t�- g3J. Email: �s\"a.C.o.-"1���u,� iG> k*a 1. Y, License#: '{--l'3 hZ `'t Lead Certificate#: If the project is exempt from lead certification,please explain why: -y 1 t if3= 1 +sa j Ca 17�f'.cG �d ^S �f4� I` CtJ 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 and supporting documents that you submit are considered to bepubliclntonnn. Portions o the information may be classified-is nonpublc.If you provide specific reasons that would it the OW to conclude that they: are trade se�crs. " You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up fore email update on the City's website at www.citvofeagan.comisubscribe. 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(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utiies. w ww.00pherstateonecaliorc 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. 5 2.10 Applicant's Printed Name Applicant's Signatu Page 1 of 3 29. 1 . 1-l'- fel DO NOT WRITE BELOW THIS LINE /`/ 601 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 Y Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation 124 Occupancy MCES System Plan Review Code Edition 0 / ` SAC Units (25% 100% ) Zoning s City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction l Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: )(" Footings(Deck) Final I C.O. Required i `r Footings(Addition) C Final I 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 Base Fee I) .01' 1/13414,-- Surcharge - rztt:IPtom .. z-a Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge V �1 Thi Treatment Plant 01'12- ../ 0 (-23 Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA166729 Date Issued:02/01/2021 Permit Category:ePermit Site Address: 3229 Evergreen Dr Lot:27 Block: 01 Addition: Coachman Highlands PID:10-18075-01-270 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater & Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$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 - Dylan T & Sarah B Bosak 3229 Evergreen Dr Eagan MN 55121 (701) 388-7686 Bonfe's Plumbing & Heating 455 Hardman Ave South St. Paul MN 55075 (651) 228-7140 Applicant/Permitee: Signature Issued By: Signature