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3235 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 1'n/q RESIDEN'I'IAL MECHANICAL Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Please complete £or: Single Family Dwellings & Townhomes and Condos when permits aze required for each uni[ S 30.? 1 II Da??? / x!? / 63. SiteAddress_,3,?k--,sc? Unit# PropertyOwner (T(`h(1 Telephone#(LSI )A1'C650 Contractor 1 Wohlers Southside Htg. & Air, Inc. Street Address 6950 W. 146b St., 34106 City Apple Valley, MN 55124 State (952) 431-7099 Telephone # ( ) Bond #• Expires: Q?I a ? y Rl-1. 054 7C48 The Applicant is _ Owner - -x Contractor _ Other Add-on, modi£cation or alteration to eaisting dwelling unit $ 30.00 J? fumace replacement air exchanger air conditioner _ New _ Replacement other State Surcharge $ .50 ?5? Total 7 Z003 NOV 7 $ ? I hereby apply for a Residenfial Mechanical Pemut and aclmowladge that the 1BY is comp ete an accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and witb the Mechanical Codes; that I understand Uns is not a pernut, but only an applicafion 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. r,)aC,1e_ 1 -R1 - CC-?-Z l.C XTu"-? ApplicanYs Printed Name ApplicanYs Signature (n`JS 4 7 30 ?SZ? 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. single famity dwellings & townhomes/condos when pemvts are required for each unit Date / _?? / 0'?__ Site Address -M,5J Lvc,)jI {? ?T)r _ Unit # Property Owner m h n \Jpu m Telephone #( j(6() Contractor Wohifts ,?U- FhC??P? -d' -?/?? ?i?c-?• Street Address &I City ?!/i ?? ???_ac? hone# q;J'-?V ? l l i -A T S1 s State S?JIIV e ep p Z - C Bond ? L Expires: The Appticant is _ Owner ? Contractor _ Other Add-on or alteraGon to existing dwelling unit $ 30.00 furnace _Addition al _Replacement air exchanger ? airconditioner _New ?Replacement other State Surcharge $ .50 $ !3D• Total JUL 2 3 2004 I hereby appIy for a Residential Mechanical Permit and aclrnowledge that tbe info tion is complete and acc? ; that the work wili he in conformance with the ordinances and codes of the City of Eagan and with the ? understand tlris is nof a pernrit, but only an application for a perxnit, and work is not to start without a pernut that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. I?inle I ?. y??hl°rs Applicant's Pnnted Name App icant's Signat,ure _I J ' I 2/84 t CITY OF EAGAN i APPLICATION FOR PER1`4IT -' SEWER AND/OR WATER CONNECTIODT ' (PLEASE PRINi) 1) PROPII2TY ADDRESS: r.Frar• DESCRIPTICN: c9 4 (Lot/Block/Subcttvision or Tax Parcel I_D. Nimber) ir E{I;='=`:G STRliCP^:2E, DA_r. Oz' ORIGii:AL .=:iiIIZ`L"G P.=?:,IIT ISSU?NC`_': J P:2=5r?_ -l U=_: O r2-1 SI?;GI.P. r^PNSLY ? R-2 DUPLE.`{ ('IT%0 U1iIIT5) Gd'R-3 M^ZII3CUSE (THI2EE + UNITS) ( iTNI'SS) ? R-4 APAR`I?=/CO?2LCI?LTNIL^1 ( Wi ITS) ? CON?ME..'2CIAL/RETAII/OFFICE ? INJUS7RIAL Q INSTITUTIONAL/GCVER???,= 2) APPI.ICA?,T (PLEASE PRI4T) N)blE= 1 ? Cu,t4?f'r? C ADDRESS: CIT`l, STATE, ZIP: ?}. C???? ? V ?IJ. . PHOiNE: j) p=ffiER (PLEASE PRINT) FOR CSTY I1SE ONLY NAME: ?, ?.}? h'S In4 ADDRESS _ T ? ? PlUMBERS LICENSE: ? SsQ) r Q Active CITY, STATE, ZIP: Skltl.irn Py, Expired PHO?= 4 ?ic? ay-17?3°3 PLIIMBER Q Not of Record LICENSE N arr nitia 4) OC,'CUPANP/C7'T-jIER NPl"IE,': ADDF2ESS: CITY, STATE, ZIP: Pf IONE : 5) INDICAT'E WHZCH PERNLIT IS SEIiv'G RMUESTED: ? CCA;NECL'ION 'IO CITY SF.TrlER ?CONIQECtION TO CITY 6JATER ? rJI'fER (PLFIISE DESCRIBE) (YLtAStYN1Ni) o) l:lllllf?:i ;:; U::t: ? ? PLF.A.;E I?OID APPROVEp pER,titIT FOR PICiC-UP BY ONE OF ABOVE °I.EASE RTAIL APPROV'cM PER:%lIT TO 1, 2. 0, 4 AEOVE ? (circle one) 7) SI=7[.'RE: ? .4426?? Z74 DATE MRw i1ffm;ii:i??iYKl?:?1l•?:??'?? F O R C I T Y U S E O N L Y PERMIT °- ZSSUED I FEES: $ SE:^iE? oEoMrT (I`IC:.:;DE SliRCH?;'?G?) $ WATEP. PERf1ZT (INCLUDE SURCHARGE) $ oWATER METER/COPPERHORN/OUTSIDE READER $ WATEP, TAP (INCiiiD: CCRPORATICN STCP) $ SE,dER TFo $ ACCOUNT DEPOSIT - SEiqER $ iS_? ACCOUNT DEPOSIT - WATER $ ..sl7 c _ e-o WAC $ SAC $ TRliNK WATE.°. ASSESSi'-1E:IT $ TRliNK SESJER ASSESSMENT $ LATERAL SENEFIT/TRUNK SEL9ER $ LATERAL BENEFIT/TRUNK WATER $ ' OTHER ' $ TOTAL $ 5" 8 9•-9 ° A:`10UNT PAID/RECEIPT $ s4Sc 3' S DOES UTILITY CONNECTI ON REQUZRE EXCAVATION IN PUBLIC RIGHT OF WAY? 0 YES IF YES, THEN A"PERMIT FOR WORK WITHIN , Cr? NO PUBLIC ROADWAY" MUST BE ISSUED SY THE ENGINEERZNG DIVISION. LIST AS A CONDI- TION. SUBJECT TO TFIE FOLL0:4ING CONDITIONS: APPROVED BY: at'?p TITLE: DATE: 7 ---y ??i+w?w?s?? E??e? ?:+?w?iaa?w}+Rawt?w?l??? w.art?seww?t?frt??tw? 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 SUILpINCs 3 / CITY OF EAGAN Include 2 sets of plans, 1 site plan w/ei.evations & BUILDING PERMIT APPLICATION 1 set o` er.ergy calculations. 'Ib Be Used For Townhouse Valuation S?,-eee V?,Coo ,= Date May 24, 1984 _ Site PLidress: ?Z35 aaQ F'a'-- ^ EuE(1Up?F?J O?. OFFICE USE ONLY Lot 24 Blodc 1 Sec./Sub. coachman Eiect Y, Occupancy ?-? / - S H?ghlands _ p,lter Zoning ?- Parcel #: /O o _ -Q 5 2 -/kB , Repair Fire Zone Enlarge 'I'ype of Const. y Oaner: Brutger Comnanies, Inc. _ # Stori s Move e AddZ'ess: One Su nwood Drive, P.O. Sox 399 Deirolish Front ft. Grade Depth ft. City/Zip Code: st. Cloud, MN 56302 Phoile #: (612) 252-6262 APPROVALS FEES CAntYaCtAT: Brutger Companies, Inc. Addr'e55: One Sunwood Drive, P.O. Box 399 City/Zip Code: St. Cloud, MN 56302 Phone #: (612) 252-6262 AYCh./EricJ.: Blumentals Architecture, Inc. AdC1Z'255: 6100 Summit Drive North City/2ip Code: Brooklyn Center, MN 55430 Phone $: (612) 571-5550 Assessments eo Permi.t 349 Water/Savaer %: Surcharge 3?v. p0 Police " Plan Check Fire SAC r72 5? Eng, water conn. Planner Water Meter ("3'°= Council Road Unit o, es!- Bldg. Off. APC TOraL / , ? 7 7 • 5 BUILDING PERMIT $72,000 N° 9162 Receipt # Dare JUNE 11 19 84 StteAddress 3235 EVERGREEN DR Erect 6 Occupancy Rl Lot 24 elock 1 Sec/Sub. COACHMAN HIGHLAIQ,? 0 Zonin9 R3 rercei No. 10-18075-240-01 Repoir ? Fire Zone N A E T V nlarge ? ype of Const. W nlame BRUTGER COMPANIES INC µove ? # Stories Z Address 1 SUNWOOD DR., P.O. SOX 399 pemolish ? Length City ST CLOUD Phone 252-6262 Grade ? Depth3 Ft & L S - - - q. .- rc SAME Avvrovols Feot o Name _ ?? Address r Citv - CITY OF EAGAN "3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 PHONE: 4548700 1 OF 6 PLEX Phane r'W Name BI'UMENTALS ARCHITECTURE INC ?z Address 6100 SUMMIT DR NO x? ?3 City BRKLN CTR phane 571-5550 < I hereby acknowledge that I have read this opplication ond stote thal the informotion is correct and ogree to wmply wiih oll applicable State of Minnewta Stafutes und City of Eogan Ordirwnces. Assessment - Woter 8 Sew. Police - Flre Eng. Planner _ Council _ 81dg. Off. _ APC Permit $ 349.00 Surcharge 36.00 Plon check 174.50 SAC 525.00 Worer Conn. 470.00 WaterMerer 63.00 Rood Unit 260.00 roral $1,877.50 Sipnoture of Permittee I A Bullding Permif Is issued to: BRUTGER COMPANIES INC on tha express cordition thm oll work ahall be done in accordance with o?ll ooh/?cab?lei S?fnte ?Tinnewtn Stotutes and Ciry of Eaqan Ordinances. Buildinp Officfol `??e?1?CVi.?f'a'+^? OF EAGAN PilotKoob i;oad Box 21199 i, MN 5572i ,!', .. WATER SERVICE PERMIT PERMIT NO.: DATE: - ; l. > , .•,. No. of Units: Slze: ..y`. uM D it 15. Reade? No.: 1J /?/? f74 /?i epos : Permif Fee: _ 10 . QO pd 1Oaref to eomply wieb the Citr of Eagan Surcharge: • 54 Pd O.riaawor. Mtsc. Cho rges: `? 3. U 0 p d m e t e r Total: BY Date Paid: Dote of Insp.: Insp,; ?:.? CITY OF EA¢AN --- _- S 3830 i'ilot Knob Road ?ER SERVICE PERMR P. O. Sox 21.99 PERMIT NO.: `' g?` 7 Eagan, MN 551;1 pqTE; 4 Zoninp: No. of Untts: ?" ' O,,,,,?,, r rutp,er Addi of Insp., Connectlon Charpe: 425.00 pd Account Deposit: _ 15.00 pd PeRnit Fae: - I0.00 pd Surcharpe: ,- Misc. Chorpes: Totol: Dote Patd: CiTY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 2179$ PERMIT NO.: =-? Eagan, MN 55121 DATE: Zoninp: No. of Units: 1 ? O/w-n.er. ? r- ?Wdress: tIfB Address: - ornr?an 111^iv.R. 7 ?S _t?-_C[Ta: .Itl:t,, ter No.: b ;,?'-:• ? "'v - ?: "ldrinktion Chorge: A7(} _ (] 0 T--. ?^ ?lytcodr?i Deposit: l 5_ f3? n i der o.: ? bermit Fee: l t! -()!? r[Z? irN to wmolyr wilh 1ho Citr of Eagan Surcharge: inaneti. Mlsc. Chorpes: Totol: C??Lti Date Paid: Box 21799 PERMIT NO.: - i, MI4 557%D DATE: 131-84 D: No. of Units: Address: a to eomply wilh MN Cify ef Eagan of Insp.: Connectron Chorpe: 425. 00 2d /kcount Depastt; 15. 00 pd Pa?mit Fee: Surchorpe: Misc. Charges: Totnl: Dato Paid: - te eanplp wilh t1M Gry of Eagan Raceipt ? PLUMBING PERMIT • Permit No. ? -' ?•f ' CITY OF EAGAN Fee Fill in numbered spaces S/C TypP or Print legibty Tot x) ? 1. Date 2. Installation Cost -, 3. Job Address ?-%! ' • ? Lot Bik. Tract ' t;?l 4. Owner •. , { .-,rt-, ; + ? 5. Contractor C L ± Phone 6. Address 7. City , State t ° Zip i_ 8. Building Type: ResidentiaLC'1? Commercial 0 Institutional ? 9. Work Description: New.rB'- Add ? Alter O Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs $eptic Tank / T Lavatory Softner / Shower Well ? ? 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 comply 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 454-8100 t-)g-g4 < e Fee S/C Tot. 1 ? ?s C i '? y 1. Date 22. nstallation Cost ;? . 3. Job Address 3 1 3?- 4 Lot L Bik. (Wat?A- 4. Owner p 11 v 5. Contractor Phone 6. Address 7. City State 2ip 8. Building Type: Residential ? Eommercial O Institutional O 9. Work Descriptian: New 0' Add ? Alter ? Repair ? 10. Describe Fuel Type 11. No, ? Epuioment 8TU - M. Ea. Forced Air No. Equiament CFM Air Handlin : Mfg. ? g 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 gogorn his type of work. Signed: ?. ?rr.?/? -'-• ?r ? Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 PERMIT Pernait No. Psrmit No. Permit Holder Misc. Permit No. Holder Plumbiny ?f •? ? ? ? ? / ? H.V.A.C. Wall Watsr ' D'esp. Sewer elec.ic Irapection Date Inap. Other Footinpt g ? B Foundation '?/; 03 ,?'?t Framioq 6 Rouph PIb9• ? ,j• ? ^? - yB? Rouph HVA ' 1/1 ?? -f aAC o N y P G4ys*S ?Q Inwlation Final Plbp. - Final HVAC Final Wa"r Describa location: • YVell Sewer Pr. Disp. CITY OF EAGAN ?J? 9162 - 3830 Pilot Knob Road, P.O. Box 21-199, Eagsn, MN 55121 • PHONE: 454-8100 BUILDING PERMIT Receipt T• rm w.a sa. 1 OF 6 PI.Ex ce. v..i,.. $72.000 ,ti,.e JUNE 11 84 Site Ad Ze Lot Parcel No. ? Neme Z Addre ? City _ Ernect r] Occuponty i`1 ?if? p zoninp R Repoir ? Firo Zone N Enlarye Q Type of Const. V Move Demolish ? ? # Stories Length a ? ` ' Grade ? Depth ? ?> Sa. Ft. o Name ?? Addre r City _ Nane ?+a.?v?aua?aaauu aLL?\r?l?iLi?.lVf?iJ ;a?\ , Addrg? ` ` . 571-5550 City ts Phone I hereby acknowledge fhat I have read this applicution and state that the information is wrrect ond ogree to comply with oll opplicable Stote of Minnesoto Stotutes ond Ciry of Eogon Ordinonces. Assessment _ Woter 8 Sew. Police Flre Enp. Plunner Council Bldg. Off. _ APC Permit • 60 Surchorye 36.00 Plon check 174.50 snC 525.00 Water Conn. 470.00 Water Meter 63.00 Rood Unit 260. 00 Totcl $ , • 5 ? Sipnature of Permittee I A Bullding Permit is issued to: BHUT(;Er< COMPAPvIES I.NC on the expreu condifion thnt all work sholl be done in occordonce with oll )ooble State, of Minnesoto Stotutes ond City of Eayan Ordinances. Bufldinp Official 'r% , 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 V' Addition ' COACMAN NIGHI.ANDS Lot 24 Rlk 1 Parcel 10-18075 o'vuner screet 3235 EVERGREEN DRIVB stace EWAN MN Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. ZV 1975 Paid und r arcel 10 750 010-03 STREET RESTOR. 1-9 1974 to it GRADiNG 1007 1986 354.14 35.41 10 SAN SEW TRUNK G4 0 196$ Paid und arcel 10 2750 0i0-03 SEWER LATERAL 1984 11 <i • WATERMAIN 1972 Paid und r arcel 10 2750 010-03 WATER LATERRL ZgZ 1975 of +? WATER AREA 1472 it 1VATER LATBRAL 28 1975 " " " STORM SEW TRK ? 197g +f is it STORM SEW LAT CURB & GUTTER SIDEWALK 5TFEET LIGHT ROAD UNIT $260.00 #44005 6-12-84 WATER CONN. 470.00 If BUILDING PER. #9197 ir 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:Plumbing Permit Number:EA141667 Date Issued:03/23/2017 Permit Category:ePermit Site Address: 3235 Evergreen Dr Lot:24 Block: 01 Addition: Coachman Highlands PID:10-18075-01-240 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (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 - John Young 3235 Evergreen Dr Eagan MN 55121 (651) 681-0550 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink For Officee Us.110110, �j CityU EaN I Permt 8: 14.16 /6 Permit Fee: q 3_ /67 3830 Pilot Knob Road Eagan MN 55122 u ' Date Received Phone:(651)675-5675 buiidinainspectionsi tcityofeagan.com SEP 1 9 2017 Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: AAiv,- l.!yA. .cs-ph'( Name: l.uL3v. ,nl �. S �:.�, a>�=�c�:ti Phone: 9s X5 3=S"4,tg Resident1 owner Address/City/Trp: < Applicant is: Owner 'X Contractor Type of Work Description of work 2",�1vNi .12‘ - `- " r� 4J.\ Construction Cost Multi-Family Building:(Yes 1 i No ) Company: a 1�>ylsL :=n=� suc:-4\ m, rte. Contact t't.1`. Contractor. Address: Vi -' c_ �t 4 rs3- City: t�..:) 1 5-ttv v-- State:i"� , Zip: -`s Phone: (Z"�5} °a-)-.3 Email: 5x'ri- a'> -,.1 License#: 6(1-1-' 1`t Lead Certificate#: P14 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 supporting documents that you submit re considered to be pubficinfOrmafibm Portionsofthe information may be chissiftecras nonPublic:if you provide specific reasons that would permit:the rto conclude that they; are uedesect+ets. 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.comisubscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(851)454-0002 for protection against underground utility damage. Call 48 hods before you intend to dig to receive locates of underground utilities. www.c*opherstateonecalloro 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. GJ''749 tk7 s�j �y'.-z-t. ✓ Applicant's Printed Name tppllcants Signature Page 1 of 3 3 oma?35- CU66: MO RIT 13ELOW THIS LINE I q 5 " 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 COccupancy12,-(..„, MCES System Plan Review Code Edition / ¢ „=K 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 Construction / Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: X" Footings(Deck) Final/C.O. Required f ` 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 Base Fee icy i /, Surchargeniji Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plantk ii 2 62 C-22 01MCopies f TOTAL Page 2 of 3 y �—.� For Office Use / / /5-663 /5-6 3/ ,,::,,,,..1 ® //p/ :::::e: A -J CEIVED 1-//-/2 Date Received: 3830 PILOT KNOB ROAD ( EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 JUL 11 2019 Staff: buildinginspections a(�cityofeagan.com 2019 RESIDENTIAL PLUMBING PERMIT APPLICATION Date:_k_r _l___"/ Site Address: 3 35 i'�V P✓� O V )41h) /a-I SS Tenant: - to�►h 1 r i qJ Suite#: Resident/Owner Name: - l`�r P e: 'k257 /4'i a55-0 Address/City/Zip: 10 t w 'f Y14 et-Pi L `_ f/ia '` Name: License#: Contractor Address: City: State: Zip: Phone: Contact: Email: New Replacement —Repair —Rebuild Modify Space Work in R.O.W. Type:of World• — — — — Description of work: Water Heater Lawn Irrigation( RPZ/_PVB) • Water Softener • Add Plumbing Fixtures ( Main/ Lower_ Level) Description Septic System Description: _New Abandonment — _ Connection to City Water from Well p RESIDENTIAL FEES _ $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 New fixtures, adding or removing piping (includes State Surcharge) $60.00 Septic System Abandonment $100.00 New Residential (fee collected with Building Permit) $115.00 New Septic System (includes County fee and State Surcharge) $60.00 Connecting to City Water from Well* + $290 for Meter and $190 for Radio Read = $540 I. *Sewer&Water Permit also required for connection charges TOTAL FEES $ 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 %'ou 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.com/subscribe. 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 th the approved pl n in th ase of work which requires a review and approval of plans x ( t _ Applicant's Printed Name Applicant's Signature Page 1 of 2 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA157148 Date Issued:08/06/2019 Permit Category:ePermit Site Address: 3235 Evergreen Dr Lot:24 Block: 01 Addition: Coachman Highlands PID:10-18075-01-240 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - John Young 3235 Evergreen Dr Eagan MN 55121 (651) 681-0550 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA171896 Date Issued:09/07/2021 Permit Category:ePermit Site Address: 3235 Evergreen Dr Lot:24 Block: 01 Addition: Coachman Highlands PID:10-18075-01-240 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 & Marilyn Young 3235 Evergreen Dr Saint Paul MN 55121--176 Renewal Andersen 1920 County Road C West Roseville MN 55113 (641) 264-4088 Applicant/Permitee: Signature Issued By: Signature