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3231 Evergreen DrL40 gL CITY USE ONLY (]? _L RECEIPT #: / Qff7d"1:P-- SUBD. RECEIPT DATE: /O o2?7 1998 PLiJNIBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, NA7 55122 (612) 681-4675 Please complete for: D single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinklersystem - - - - - ---- FIXTURES ------------------ EACH ----------------- # TOTAL Shower 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 'GVater Heater 3.00 x = Floor Drain 3.00 x = G85 Piping Outlet ' minimum -1 3.00 x = Rough Openings 1.50 x = Water Softener ' for dwallings under construction 5.00 x = Water Softener " for existing dwelling 20.00 x = U.G. Sprinkler 'fordwelling underconst. 3.00 = U.G.Sprinkler "forexistingdwelling 20.00 = Alterations ' to existing residence 20.00 = Water Turn Around 20.00 = Private Disposal System ` MPC iic. 75.00 = (new and refurbished systems) Private Disposal Systems `Abandonment 20.00 = RPZ (new installation only) 20.06 = STATE SURCHARGE 50 50 ??J TOTAL o ------------------ ------•------ --•------------------------------------- I hereby adcnowledge thst I have read this applicetion, state that the infortnation is correct, end egree to compy wRh all applicable Ciry of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused 6y the City during its nortnal operational and maintenance adivities to the facildies wnstruded under this permit within City propeRy/right-of-way/easement. SITE ADDRESS: OWNERNAME: ?-v?TA ?li-Ta?2 INSTALLERNAME: OW 0106,,Z`/Z TELEPHONE#: 1'-7- O.xS-f°` STREETADDRESS: ;?D4 C.qme'?r !?Q _J irr 5lG CITY: ?'Gi?Indu?! STATE: SIGNATURE CD/PERMIT FORMSlRPIBG PERMIT (RES) - 1998 -?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 Z PLUMBING (RESIDENTIAL) J14S Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit Date_R_/_q / _ Sit Add it # U e ress n PropertyOwner Telephone .. ? ? '( ? Contractor ? ? Address City State ' Zip J?elephone # The Applicant is _ Owuer _ Contractor _ Other Septic System New _ Refurhished Submit 2 sefs of pians and MPC license $ 100.00 Indudes County fee. Additional consultant fees may apply. Alterations To EzisGng Dwetling Unit, Including $ 50.00 _ Adding fxtures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system _ Water turnaround (+ 518" meter if needed -$121.00) Other: _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawu irrigation system _ Water softener ip Water heater $ 15.00 ? rgplacement _ additlonal $ .50 State Surcharge Total I 6ereby apply for a Residenrial Plumbing Pernut and acknowledge that the information is complete and accurate; that the work will be in confoimance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a permit, but only an applicarion for a pemut, and work is not to start without a pernut that the work will 6e in accordance with the appro ed plau in the case of ?ork which requires a review and approval of plans. / ky ? ApplicanYs Prited NariVe' Applicants Si ?e<; . i i 2/84 i CITY OF EAGAN , APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTIODT (PLEASE PRINT) 1) PF.OPEIYrY ADDRESS: (Dal )'? it'PP 1 ????12 r.FrAi, DESQZT_DI'IC:I: 4(o el ? QS?U (Lot/Block/Sutxtivision or Tax arcel I.D. NuNer) 4 9-3 u EtI:='= :G STRL'CPTRE, DA'Ii, G=' ORIGi 7AL ; iiIiCDIG FE:7;?!IT Icw?:iC°: '•:' ? P.'LSr?`_ ?' ::^21I`r,/FRC)°OSr.?? U5E: ? R-1 SIUNGLE r^P`n.I:,Y .cr-__-_? , V 2 DUPLE{ (?Sti0 W ITS ) -3 TcumC{JSE (TfIRE" + LP.VITS) ( UNITS) ? R-4 APARZPffE?:T/CvDIDCMLVILnl ( LNITS) ? CCNIMERC7AI,/REI'AII,/OFFICE ? LMUSTR7AL Q INSTITG"i`IONAL/GG?/'??IMIIV'T 2) gppj,jC-m'T (PLEASE PRINT) NAME: ADnREss: crrY, srATE, zrP: a?+. c1?,??1 ?mu PHOiNE: 3) pI.U,BER PLEASF PRINT) DIFU'IE: FOR CITY USE ONLY L , anoREss: q9a? T? ? ta i G1p? Pll1MBERS LICENSE: F71 Active CITY, STATE. ZIP: mu. .7 L] Expired ,- PHONE: pLpMBER LICENSE N Not af Record a?t niti? 4) O=j{jy'I'/Or,,Z= N71ME: (NLtAStPF1NT) ADDRESS: CITY, STATE, ZIP: PHO:Qfi: 5) INpICATE WHICH PEPNLLT IS BEIie'G RDOUESTID: aCO.'z1E'.CPION 'Io CITY Sa7ER Ef'CO1"?=IOV To CITY 64ATER ? Cn'IliE2 (PLF115E DESCRIBE) ? PL.;`,SE F?OLD APPR(7VID PERAiT FOR PICi:-UP BY ONE OF 71B(TJE ?°IZ'1SE :17LiL APPROVr'D PIIZMIT 'LU 1. 2,?3 4 r'1HWE . ?? (Circle one) 7) DATE: 0?1-,30 7/ y . . .. .. .. . : e F O PERMIT °- ISSUED I T Y U 5 E 0 N L Y FEES: $ / ? ,Se $ $ $ $ $ $ $ $ $ $ $ $ . SrW= WATER PERP1IT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSZDE READER WATE'_2 TAF (INCLliDE CORPORATICV STOP) SEWER ?`ao ACCOUNT DEPOSIT - SE6VER ACCOUNT DE°OSIT - WATER WAC SAC TRUNK WATE.°. ASSFSSMEDIT TRUNK SE64ER ASSESSMENT LATERAL BENEFIT/TRUNK SEZIER LATERAL'EENEFIT/TRUNK WATER OTHER $ TOTAL $ qpg.Sd AM0UNT PAID/RECEIPT $ ..r,Cg-o 3,f DOES UTILITY CQNNECTION REQUZRE EXCAVATION IN PUBLIC RIGcIT OF WAY? ? YES , IF YES, THEN A"PERMIT FOR WORK WITHIN ? PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOFIING CONDITIONS: APPROVED BY: TITLE: ?L1,fe 12_l..E/ DATE: 7 =- ,f Sp ?a fs? ? w? in ?v ?t? ?a ?tr? w? ?e ??e s? w?+ Ra R+ ia s? ?? wt? w? ? se ?? w?+ nt ??a w? w? 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 5u oN(-? A-? 3 a ? Or CITY OF EAGAN Include 2 sets of plans, 1 site plan w/elevations & BUILDING PERNIIT APPLICATION .l set of er.exgy cal.culations. 'Ib Be Used For Townhouse Valuation 2,1 Date May 24, 1984 site Address: 3231 SA9wf"k9 Dri--. GvagliRE-eu pv-. oFFzcE usE orLY rAt 26 siax 1 Sec. /Sub. Coachman ELec r X occupancy R- 1 Parcel #: /0 ")Yp -,'_? xaighlands Alter Zoning K?5- S 60- ( ge ir Fire Zone N/R OW110L': Brutger Comoanies, Inc. Address: One Sunwood Drive, P.O. Box 399 City/Zip COd2: St. C1oud, MN 56302 Enlarqe _ Zype of Const. ? Mbve # Stories Demolish Front ft. Grade Depth ft. PhoIle #: (612) 252-6202 APPROVALS F'EES CbRtY'dCtAT1 -^•'_^_eT - --nanies, Inc. Address: O^e 5u-.woc3 ]rive, P.O. Box 399 City/Zip Code: S*_. clond, MN 56302 PhOri2 #: (612) 252-6262 A'[Ch./E'lg.: Blumentals Architecture, Inc. Address: 6100 Summit Drive North City/Zip Code: Brooklyn Center, MN 55430 Phone #: (612) 571-5550 Assess[[ients Pertnit Water/Seaer Surcharqe 29 • =° Police Plan Check l?3, 5O Fire SAC 525, U- Eng. Water Conn. q ?p.°° Planner Water .Meter (P3, = council Road vnit 260. Bldg. Off. APC 'IOTAL ?1 ? ? ? • J? CJ BUILDiNG PERMIT N° 9160 Receipf # ( ?U? Te 6e uted h, 1 OF 6 PLEX Eo, yelue $ 5 8, 000 Dare JUNE 11 , lq 84 Sitenddress 3231 EVERGREEN DR Erecr ?X Occupancy Rl Lot 26 elock 1 Sec/Sub. COACHMAN H IGHLANIAfier 0 Zani?A R3 ParcelNO, 10-I8075-2E0-0I Repofr 0 FlreZorre N A Enlarge ? Type ot Canst. V ? Name BRUTGER COMPANIES INC Move ? # Stories = Address 1 SUNWOOD DR., P.O. BOX 399 pemoliah ? Len th 17 9 City ST (,'LOUD Phone 252-6262 Grode ? g ?Q N Depth ?`Sq. Ft.- o Name V ?... Address ? City Phone Apororels Fees Assessment _ Woter & Sew. ?a BLUMENTALS ARCHITECTURE INC Pouce - FZ Name 6100 SUMMIT DR NO F?re _ x? Address Eng, _ ??Z., City BRKLYN CTRphone 571-5550 pionner _ Council _ I hereby ocknowledge rhat I hove read this applicnrion and state that gldg. Off. the inlormotion is wrrect ond agree to comply with all opplicoble APC - $tote of Minnewto Stotutez and City of Eogon Ordinnnces. Sipnature of PermiHee _ A Building Permll is issued to: oll work shall be done in acw Building Officiol CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Permit $ 307 • 00 Surchorge 29 00 Plon check 153.50 snc 525.00 Water Conn. 470.00 WaterMeter 63.00 Road Unit?60..,00 Total +S`1,807.50 COMPANIES INC on the express condition thnr >, Sta of Minnesota Statutes ond City of Eaqon Ordinonces. 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 Reoeipt PLUMBING PERMIT • Permit No. V CITY OF EAGAN Fee Fill in numbered spaces S/C ? Type or Print /egib/y Tot. 1. Date ? 2. Installation Cost 3. Job Address -: - ?-IT=•Lot Blk. Tract _x 4. Owner ? 5. Contractor ?•' ? Phone ? fi. Address ? ? - . i• ._ 7. City State ?iI!Zip '`, .- 8. Building Type: Residential Z3'' Commercial D Institutional ? 9. Work Description: New,Ef Add ? Alter ? Repair ? I 10. Describe I 11. No. ? Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs $eptic Tank i Lavatory Softner Shower Well ? Kitchen Sink Urinal/Bidet Other Laundry Tray ? 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 comply with all-ordinances arld codes governing this tYpe of work. Signed : 'c f Z ' for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 c _';? t _0 JICAI. PERMIT OF EAGAN Permit No. Fee ?'c> c c SIC Tot L? 3 -G 1. Date 2. Installation Cost 3. Job Addreu 32 ?.? ot -? (? Bik. ? 4. Owner State 5. Contractor Phone ?% Z 3 - •' ' `? ?1 6. Address 7. City 8. Building Type: Residential ? 9. Work Description: New f:f I 10. Describe 11. Tract Zip Commercial El Institutional ? Add 0 Alter O Repair ? Type No. Eauioment 8TU - M. Ea. Forced Air No. Equiament CFM Ai H dli : Mfg. r an ng Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. ` Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes gov rnm this tYpe of work. Signed : 7 -"or " Rough Final Inspections: Date Insp. Dete Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 CITY OF EAGAN n •+ 3830 Pilot Knob Road. P.O. Box 21-199, Eagan, MN 55121 ?p? 1\ ? 9161} • PHONE: 454-8100 BUILDING PERMIT Receipt T. bs au?d fer 1 OF 6 PLEX FM v„?,,. $58, 000 n„.e JUNE ].l oii4 Site Address ?"_'" `. . ""•" ""`• "y` Erect Ef' Occuponcy A'%.L Lot 26 Block 1 Sec/Sub.COACHMAN HIGHLANLk%er ? Zonin9 Parcel No, 10-18075-260-0I Re oir ? Fire Z , p one Enlarge BRUTGEZ COMPAPaIF',S INC ? Type of Const. rc = Name Move WOOD 13R ., P. O. BOX 3 9 9 p # Stori7? ? ? Addre City % Demolfsh LOU Phone 2_`i 2 - 6 z f) ? Grade 0 n Length Oeoth,?% `-- Gr, Ft Phone Assessment Woter 8 Sew. , Police ' Fire Erp. Planner Council Bldg. Off. APC Permit Y `j v i. v v Surcharge 29.00 Plan check o 0 SAC Water Conn. ' o o Water Meter 0 Rood Unif ` F t) . 00 NaTIB "'rva-.ua?arLU.? c?I?t.ai.laL?.1u:.[r:? ilv Addr SUMI"9IT bR NO ? , Cr' •, City ' Phone - I he?eby acknowledge that I have read this opplication and state that the informafion Is correct ond ugree to comply with oll opplicabla Stote of Minnesoto Stctutes and City of Eogan Ordinonces. 5lgnoture of Permittee A Building Permit is issued to: Br'UTGER COMPANSE all work shall be done in accordonce witfi oH opplicable State of Mii Building Offitiol Torol IT . 5 0 INC on the express condition that ota Stntutes cnd City of Eogan Ordinancea. Permit No. Permit Holder Misc. Permit No. Holder Plum6in9 H.V.A.C. y? ? f?. ? ?a? Ja weu Water Disp. Sawer - Electric vQ • v? Inapection Date Insp. Other Footings ? Foundation Framing Rouph Plbg. ..6' y Rouph HVAC ? Insulation Final Plbg. Fioal HVAC ? ca Final $ Deswihe Location: E - r m p. 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 ' ? ?? I ? I Gf < < _ Addition COACH?1AN HIGHI.ANDS Lot 26 Bik 1 Parcel 10-18875-260-01 I owner street 3231 EVERGRF.P.N DRIVE state FAM MN 55121 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 2"70 1975 p r - 1- 3 STREET RESTOR. 1974 n n GRADING 1007 1986 354.14 35.41 10 SAN SEW TRUNK IfO 1968 Fiad u11d r il"CQZ 10 Z7rJOd -01d-03 SEWER LATERAL 1994 t? t1 tt * WATERMAIN ? 1972 Paid WLd u'CfJl lO 27SO -OlO-Q3 WATER LATERAL SIZ- 1975 81 of • WATER AREA 1972 of is MATSR LATBRIIL 2 1975 " " ro STORM SEW TRK ?$ 1975 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT ROAD UNIT 260.00 4005 6-12-84 WATER CONN. 470.00 BUILDING PER. #9159 'r 11 SAC 525.00 PARK RESIDENT / OWNER Name: UAL x� )' ' Phone: Address / City / Zip: CONTRACTOR Name: )rSOAJ ?\ Lt.AnNLII 1 T License #: Sg r ) Srl Phi Address: 3 KV Imo} City: { t9 State: Zip: ( :1l �1 Phone L- 0 ' )-- r ) b t Contact '^' Q.. ! k itik" Email: TYPE OF WORK Newacement Additional Alteration Demolition Description of work p tILCaF t-t-0 --C-e (. N OT E Roof mounted and ground mo�nted mechanical eq ipment is equ r+ d to be screened by Ci t Code Pl ease contact th Mechanic Insp ector f information o n e p ermitted screening metho PERMIT TYPE RESIDENTIAL - Furnace COMMERCIAL New Construction Interior Improvement ---- Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank ( Install / Remove) Other ** When installing /removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add -on or alteration town existing unit (includes burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $.50 State Surcharge) $ TOTAL FEE $90.50 Fire repair (replace COMMERCIAL FEES: $70.50 Underground tank $50.50 Minimum (includes installation /removal OR State Surcharge) surcharge is $.50. increases by $.50 for each - $2,000 Permit Fee requires a $1.00 surcharge). Contract Value $ x 1% _ $ Permit Fee - If Permit Fee is less than $1,000, = $ Surcharge - If Permit Fee is > $1 ,000, surcharge $1,000 Permit Fee (i.e. a $1,001 = $ TOTAL FEE City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 Use BLUE or BLACK Ink Permit #: /c� Permit Fee: 3D- Date Received: //(p Staff: Cy 2010 MECHANICAL PERMIT APPLICATION Date: L - -` U3 Site Address: 3\ 6 ll ev `l r e £' ir.j tl JY Tenant: Suite #: CALL BEFORE YOU DIG. Cali 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.gopherstateonecaliorq 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 with the approved plan in the case of work which requires a review and approval plan k is not to start with.°..,. permit; that the work will be in accordance Eagan; that I understand this is not a permit, but only an application for a permit, a x NUC.L1. PADA I %NAOS, t'ci Applicant's Printed Name Applic. nt's Signature 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 Use BLUE or BLACK Ink ,40", For Office Use City of ll Permits: Permit Fee: q s. l 3830 Pilot Knob Road Eagan MN 55122 =�", . , ..' Date Received: Phone:(851)675-5875 buildinalnspections@cityofeadan.com Ste 1 9 29917 Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Th Name: ) Phone: 9 �4.--;)-r))) -- 3*43`a,te Resident/ owner Address/City 1 Zip: 3 A3 1 '� v-c�,r12-a..r, Applicant is: Owner `X Contractor Type of Work Description of work -v� Construction Cost Multi-Family Building:(Yes /No ) Company: `7`*j-.aContact k'i`t`.1L Contractor. Address: 2-`14:,;(-' g `5''r �- City: L-.:),2,0��-1.4.v- State: t`1 Zip: 5S< Phone: iZ-`�5 g3)-3 Email: 5x\r-ra-,:4s.. t1a.e1 a t , Ucense#: B{-• '3 `c Lead Certificate#: l I If the project is exempt from lead certification,please explain why: 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 sung documents that you submit are considered to bepublioinlOrmalion.Portions of the information may be classified as°nonpublic if you:provide specific reasons that would permit he city arconcludethat they are trade secriet� 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.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 unity damage. Call 48 hours before you intend to dig to receive locates of underground utilities. 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 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. ' X Applicant's Printed Name App scants Signatu Page 1 of 3 2-s1 -t16-114-11/2-&c-1( Dig. DO NOT WRITE BELOW THIS LINE /Y'J/ 6J e/ 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 0 i Occupancy MCES System Plan Review Code Edition / I, „ /1.-- SAC Units (25%x 100% ) Zoning I °'. City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction ip 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 ! 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 tt � Base FeeAl "" �„ Surcharge vr, ,,,,p,,pcA4 Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge PNI 0 -^ � Treatment Plant2 62 r Copies r TOTAL Page 2 of 3 ELV-P2202-0064 Permit Date: 02/09/2022 Project Name Residential Site Address 3231 Evergreen Dr, Eagan, Dakota County Applicant Name METRO STAIRLIFTS Address 19215 FLAGSTAFF AVE S Phone (651) 403-3038(651) 403-3038 Owner Name Judith Morris Project Contact Judith Morris Address 3231 Evergreen Drive Phone (651) 681-9683 Contractor Name Phone Contractor: Designer: Inspector Matt P Peterson Phone Plan Reviewer Phone Description of Work New Installation Fees Total Fees $144.95 Total Fees Paid $144.95 Total Fees Due $0.00 NOTICE This permit is valid only for the work described and does not grant permission for additional or related work. A separate permit may be required for work not included in the scope of this permit. Permits become null and void if the work is not started within 180 days from the issue date and will expire if the work is suspended or abandoned for a period of 180 days any time after the work has commenced (see Minnesota Rule 1300.0120). 443 Lafayette Road N., St. Paul, MN 55155 (651) 284-5071 www.dli.mn.gov 443 Lafayette Road N., St. Paul, MN 55155 • (651) 284-5005 • www.dli.mn.gov An Equal Opportunity Employer 4/12/2022 APPROVED FOR USE METRO STAIRLIFTS 19215 FLAGSTAFF AVE S FARMINGTON, MN 55024 RE: PERMIT # ELV-P2202-0064 Project: Residential Location: Eagan, MN 55121 Address: 3231 Evergreen Dr Dear Sir or Madam: Minnesota Statutes Chapter 326B provides that the Department of Labor and Industry, Construction Codes & Licensing Unit, Elevator Safety Section, inspect and approve elevators and manlifts (endless belt lifts) before they can be legally used in Minnesota. An Inspector from the Elevator Safety Section recently inspected your facility and determined it meets requirements of the Minnesota Elevator Safety Code. NOTE:Compliance with Minnesota Rules and the ANSI/ASME A17.1, Safety Code for Elevators and Escalators does not necessarily assure compliance with the Americans With Disabilities Act of 1990. Sincerely, Matt P Peterson Elevator Code Rep Construction Codes and Licensing \ Elevator Inspections CC: METRO STAIRLIFTS 3830 Pilot Knob Road, DALE SCHOEPPNER ElFormCE2R 443 Lafayette Road N., St. Paul, MN 55155 • (651) 284-5005 • www.dli.mn.gov An Equal Opportunity Employer CERTIFICATE OF APPROVAL PERMIT TYPE; Elevator Permit | Installation | Residential SITE:Residential Address:3231 Evergreen Dr City:Eagan, MN This approval is for permit work performed by METRO STAIRLIFTS under permit number ELV-P2202-0064. If you have questions related to the issuance of this permit call: (651) 284 5071 Department of Labor and Industry Construction Codes and Licensing | Elevator Inspections