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3238 Evergreen Dr<* -? 2% b S 2006 RESIDENTIAL BUILDING rERAIIT arrLicaTioN #3"; r.zs City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCtion Reouirements 3 regislered site surveys showing sq. ft. of l04 sq. tC of house; and all roofed areas (20%maximum lot coverage allowed) 2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 set of Energy Calculations 3 copies of Tree Preservation Plan if bt platted after 711193 Rim Joist Detail Options selection sheet (6uildings wdh 3 or less unifs) Minnegasco mechanipl venGlaUOn form RemodeVReoair Reauirements Ofifce Usg.Onlv 2 copies of plan showing (ootings, beams, jasts Cert of Survey, ReaJ Y . N 7 set of Eneagy Calculatbns for heated additions Tree Pres Plan Recd Y _ N, t sde survey for additions & decks Tree Pres:Reqwred `Y N Addifion - indicafa if on-s'rte sep6c sysfem On-site Septic System -_Y_-N Date ?! Construction Cost Site Address 3 Z Z g l UnitlSte # ?- 323b 3 3z '?z3`f VZ36 3a39 Description of Work V4Ci(.e :y1Q n ? W 1 n L?9v7S Multi-Family Bldg ? Y _ N Fireplace(s) _ 0 _ 1 _ 2 PropertyOwner l o,,k. N mA ,) 149 040W I vwn N Omt S Telephone #( ) ?(1 Contractor Tit YkA r$_,?q r) d ?_A 'Kf_1()6 Address 'j3Sl biekwoock [y N It 130 City 61eovC State /? IJ Zip `7's3L6J Telephane #qo'j ) 1L?` DS?/? COMPLE7E THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Su6mitted . Energy Envelope Calculations 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, dafe and address of master plan: licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of NIN 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 p1an in the case of work which requires a review and approval of plans. 2 ?il?tTTlh?J4t? C Applicant's Printed Name ApplicanYs Signature ClTY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (651) 681-4675 SITE ADDRESS: PERMIT PERMITTYPE: au.r.LDitvc Permit Number: 034067 Date Issued: 11117 / q8 3228 EVERGFYEL-N OR LOTe 68 f3l.pCK, 1 CC1ACSiA1AN HIGHLAN05 P.'i.IV.e 10-18075-500-01 DESCRIPTION: P L ex muLrz? (M.zsc,) REPAtiR 434 ALT. RESIDEN7IAL i ? . ? RER00F1 6 BGilding-A_ermir Typs t3uildinq W6's4; Type ,`Census Cnde - ? i - :. ?. .?- -- REMARKS: ThCLUC1ES FEE SUMMARY: 3Z'3b. 3232 . 3234 , 3:'36. FiMti 3.^38. VAL.UAT;Ct)N Base Fee Surchar-ge Total Fee $137 .?5 .._.._.._?.... _. _w....._..? ? .:_? B. $191.25 $8,000 CONTRACTOR: - a p p 1 i c a n t- OWNER: ' BEISSEL WINDOW & SIDING 24616536 CONCHMRN HIGHLAi+1175 AS50C. 3;e'13 EVERf,REEIV pR 3228 EVERGftEEN DR E?AGRN MN 55121 EAGAN MN 55122 (612) 0.51--6835 R C hereby acknowledge that S Nave read thi5 a'Pplicatican and 5tote that the infarmation is correct and agree to comply with ali appli.cable Sfate cs€ Mn. Statutes and City of Eaqan Qrtlinance5... ? APPLICANTlPERMITEE SIGNATURE I D 8Y: SIGNATUR I foll ' t btain 1998 BUILDING PERMIT APPLICATION (CObIMERCIAL) CITY OF EAGAN 681-4675 .,,:. ubmit owing o o ,,.. ....•, ,.. Foundation Only VV -•,••.• New Construction . Interior Improvement structural plans (2 sets) architectural plans (2 sets) architectural plans (2 sets) civil plans (2 sets) structural plans (2 sets) code analysis t (1) (7 set) code analysis (1) civil plans (2 sets) specs projec soils report - (1) ecs (1) t landscaping plans code analysis (2 sets) (1) " Key Plan energy calculations (1) not always " projec sp Special Inspections & Testing Schedule " soils report (1) Electric Power & Lighting Form (t) notapxays " SAC detertnination letter from MCMfS - SAC determination letter from MCM1S - SAC detertnination letter from MCNVS - call 602•1000 call 602-1000 call 602-1000 Special Inspections & Testing Schedule (1) " project specs (1) energy calculations (1) Electric Power & Lightin Form (1) " S Contact 8uiltling Inspecnons tor sampie Food & Beverage or Lodging facilities: Plan must be submitted to Minnesota Department of Health. Call 215-0700 for details. DATE: ? ?- ? b"9e!?? WORK TYPE: _ NEW ? REMODEL DESCRIPTION OF WORK: CONSTRUCTION COST: 51TE ADDRESS: SUITE #: 3a7)6, 341 3a?4, 3a=a?- LOT (nC) BLOCKSUBD. G.U..AA P.I.D. # ? PROPERTY Last OWNER Street City Fust State: Zip: Company: Phone #: y-fEL UR 3S _ CONTRACTO R Street Address: lrcense # 1 \ ? _ ?City S4ate: ? ?-J - ZiP: ??- ARCHITECT/ ENGINEER Street Cily Sewer & water licensed plumber (only if installing sewer & water): Phone #: ----- _ Registration ti: _ S4i[e: -------- Lip: I hereby acknowledge that I have read this application and state that the information is correct.and agree to comply with all applicable State oi Minnesota Statutes and City of Eagan Ordinances. TENANT NAME: Phone #: Signature of Applicant: OFFICE USE ONLY 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./lnd. 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 Demolition MCN11S System City Water Fire Sprinklered Census Code SAC Code Census Bldg. Census Unit Variance Permit Fee ? Surcharge Plan Review MC/WS SAC City SAC Water Conn. S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Water Qual. Other Copies Total: % SAC SAC Units Meter Size Valuation: $ V?2% 'ib Be USed For 1 of 6 Plex CITY OF EAGAN . Include 2 sets of plans, 1 site plan w/elevations & BUILDING PERNLiT APPLICATION 1 set of energy calculations. 3R4<Q. 0tion W:T600 6? mo? Date July 13, 1983 _ ValL S1t.e P13dY'255 3238 Evergreen Drive Lot 65 Block 1 Sec./Sub. Coachman Parcel #: Highlands Own2I': Brutqer Companies, Inc. Address: One Sunwood Drive, P.O. Box 399 City/Zip Code: St. Cloud, M[a 56302 Phone #: (612) 252-6262 COntSaCtAT: Brutger Companies, Inc. AddY'ess: One Sunwood Drive, P.O. Box 399 City/Zip CAde: St. Cloud, MN 56302 Phone #: (612) 252-6262 Azch./E19.: Blumentals Architecture Address: 6100 Summit Drive North City/Zip Code: Brooklyn Center, MN 55430 Phone #: (612) 571-5550 OFFICE USE ONLY Erect >< OccuPancY Alter 2oning Repair Fire Zone Enlarge Type of Const. i/ " A1ove # Stories Demlish Front ft. Grade Depth ft. APPROVALS FEES Assessments Pennit 3ya - T4ater/Scwer Surcharge .? - Police Plan Check / ?? Fire SAC Eng. _ Water Conn. f-VA Planner Water Meter C„ Council Road Unit !ya Bldg. Off. APC Zl7PAL * / F2"( , j o Bldg. A-4 CITY OF EAGAN 3795 Pilet Knob Rood Eagan, MN 55I22 PHONBs 454-8100 BUILDING PERMIT T. e. ....e S... 1 of 6 PLEX Site Addreu - Lor 65 Block Parcel # W IN,m,_ Brutger Companies Inc. z Address One Snnwood Dr., P.O. Box 399 ,.:,,.St. Cloud el___ 252-6262 o Name _ i? Addreu ? n.., 69,000 nvergreen urive 1 Sec/SubCoachman Highlands Nume _ Address Owner I hereby acknowledge thnt I hove reod ihis apPlicotion and state that the intormotion is corrett ond ogree to comply with all applicoble Stote of Minnesota 5lotutes and City of Eogon Ordirwnces. Slgnoture of Pertnittea -R-r-UT A Building Permit is issued to: oll work sholl be done in accordance with N° 8332 Receipt # n...,. Aueust 1 83 Erect }[g Octuponty R-3 Alter ? Zoning R-3 Repair ? Fire Zone NA Enlarge ? Type of Const. V Move ? # Stories 2 Demollsh ? Length_ Grade ? Depth Sq. Ft.- Avarorola Fees Assessment _ Water 8 Sew. Police - Fire Eng. Planner _ Council _ Bldg. Off. _ APC Permit ""•"" SurcFwrge 34.50 Plan check 170.00 snc 525.00 Wafer Conn. 4S(1 _ fl(1 Water Merer 60.00 Road Unit 250.00 Total $1829.50 _ on the express condition thni ond City of Eogon Ordinances. 8ulldirp Officiol . , ':-?_••.?:?_ . :;n. , _ • _. CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road 4968= CITY OF EAGAN WATEit SERVICE PERMR P. O. Box 21198 PERMIT NO.: 3830 Pilot Knob Road 4967 8-3-85 Eagan, MN 55121 DwTE: P. O. Box 21199 PERMIT NO.: __ Zon{np; No. of Unin: Eagan, MN 55121 DATE: - 8383 pM,ner. Ar»traAr Ce _ Zonirp: No, of Units: Addrom Owner: _ Brutger Co ? sift /lddreas: 3238 Evergreen Dr L65 Bl Coachman Highlands AMmn: 3236 EverAreen Dr L64 B1 Coachman HiQhlands pl„R,r H?es ontractors tr /lddreu: MZe; eter No.: Account Connection Deposlt: Charfle: 450. 00 pd ?r. Hayes Contractors No.: 3 3 Z,f Connection Charye: 450. 00 $d ? ? Reader 5/D Permit Fee: 1 D_ 00 j2L_ Si=e: Account Deposit: ?1 cym hcompiy whb tM Cihr of Eeyee Surcharge: _ S(l ?]d lReader No.: / 9 .A h/D ?j_ Permit Fea: 10. 00 pd Misc. a,oroes: - 60. 00 pd meta ° I .lm ee eaaolr wiA t6. csty of E.qe. surcF,crge: .50 pd .rotal: p?Mncm Misc. Chorges: 11 60.00 pd met, By Dote Paid: i? Total: I pate lnspInap,; By Dots Paid: ?ab f In lrtp.: CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road CITY OF EAGAN ?.I•?'? P. O. Box 21199 PERMIT NO.: 3230 Pilot Knob Road WATER SERVICE PERMR Eagan, MN 55127 D11TE: •''" `75 P. O. Box 21199 PERMIT NO.: Zonieg: No Eagan, MN 55121 DATE: . of Units: Zon 1?: No. of Units: Owner. ,3ruager Co ??, :irut?,cr lc? Addross: 3238 Evergreen Dr L?,:i Bl Coachraan '?`?'Qm: Siro I?ddress: ? lands Stte /?ddress: Sa. Evorgravn r G oac man i{?.c ?lan,'s Plumber: '??Yes Contractors 1Kater No.: Connectia+ Char9e: 4 50. QO pd Pi""''b°r 11ayes .ontractors Meter No.: Connection (horge: 456.00 n ??: Account Deposit: Reoder No.: Permit Fee: 10. UORd 51u: Account Deposlt: 1 yrN 1e ?? whh tIN Cih of [yen 5urcharge: . So pd Recdsr No.: Permit Fee: ?• 00 t?` prlliM.o.,, Misc. CFaMe:: 60. 00 gd aetar 1 t'rN te ooinolp wifh tw Ciyr of Eegoa $urchore@c • 50 pC Totnl: Or?iw?nau. Miac. CMnpes: lg 60. OG BY Date Paid: Totcl: Dote of Insp.: IBY Date Puid: ?'? Date of Insp.: Irno.: INSPECTIDN RECORD? ? CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: I (651) 681-4675 SITE ADDRESS:' APPLICANT: 'i P?,}; 1 f- td t?F• ? PERMIT SUBTYPE: TYPE OF WORK: It! 1'R 1 i< fi F k flnf / i'• N1-t X INSPECTION D• • D• -1 ? ?? Receipt MECHANICAL PERMIT Permit No. • CITY OF EAGAN Fae Fi!l in numbered spaces S/C Type or Prinr legibly ToL , 1. Date 2. Installation Cost 3. Job Address Lot - Blk. Tract 4. Owner ; 5. Contractor Phone 6. Address • 7. City State Zip 8. Building Type: Residential 'b Commercial 0 Institutional O 9. Work Description: New 0 Add 0 Alter O Repair ? 10. Describe ' Fuel Type 1 11• No, Eauioment BTU - M. Ea. Forced Air No. Equiament CFM Ai H i Mfg. r andl ng: Boilers Mfg, Mech. Exhaust Unit Heater Mfg. Other Air Cond. ? Mfg. 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 Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 , CITY OF EAGAN Eldg. A--4 3795 PNef Kwob Reod Eogan, MN 55122 . . ' PHONE: 454-8100 BUILDING PERMIT Receip 1 .,F r, vT ,-ti• ^•o .?r,n Siro/d?u ---- ----?----- ---•- 6? oac «nan E g, au s Lot Block Sec/Sub. Paroel # !D c, Name Li u?gca a.vu?f?aaxtccs ? i.uV . i Addmss One Snnwood Dr., P.O. Bux 399 9 _._ St. Cloud ? 252- 2b2 °C Name ,o ?? IWdren Nome I hereby acknowledge that I hove read this opplication and stote tfiat the information is correct ond ogree to comply wlth oll opplicable State of Minnesotn $tatutes and City of Eagon Ordinonces. Slpnoture of Pertnittes -? A Buildlny Permit is issued to: all work shall be done in accordance Buildinp Officiol trect lQ Alter p Repoi? p Enlorpe ? Move ? Demolish p Grode fl ^ssessment _ Woter 8 Sew. Police Fire Eny. Plonner Councl I Bidg. 4ff. _ APC Qn3 2 Uccupancy Zoning `? ? Fire Zone ` Type of Const. # Stories Length Ft. Permit $urthorye 34. Plan check SAC Water Conn. 4 50.00 Woter Meter -r)(y-. o-o Rood Unit 250'00 Totol $1829.50 on the express condition tFx,i and City of Eupnn Ordinances. Permit No. Permit Holder Misc. Permit No. Holder Plumbing b G ? 'S ?Q H.V.A.C. Well Water Disp. S?wer EkCtric / O 5 Inspection Date Insp. Other Footings Foundetion ? Frammg 2 Rvuyh Plbp. RouQh HVA Insulation ?- Final Plbp. Final HVAC Final Wa"r Wscribe Location: • YVeU Sevwr , Pr. Disp. CITY OF EAGAN Remarks Li,1 ' ?' ! ' C' Addition • COACFIMAN HIGHLANDS Lot 65 Rlk 1 Parcel 10-18075-650-01 Owrer street 3238 EVSRGREBN DRIVE Stace FJAGAA1 MIN SS121 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. p ' STREET RESTOR. 1974 11 to GRADING 1007 1986 354.14 35.41 10 11-1 C' -rc-,?.;2i /U- -? SAN SEW TRUNK 1%$ Paid und r a1'COl 10 Z7S -010-03 SEWER LATERAL lgg ir n +R WATERMAIN 1972 Paid und r eel 10 2750 -Q10-03 WATER LATERAL 1975 • WATER AREA 1972 n n 1t WATIBR E 1975 STORM SEW TRK 1975 u tt t1 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT - WATER CONN. 450. OO BUILDING PER. 8337 5AC wr PARK RESIDENT / OWNER Name: - -1-1164-4(.413 S' ? tithu 1f/ Phone: Address / City / Zip: Sik- a F (Lt DP- Applicant is: Owner Y Contractor TYPE OF WORK Description of work: RE /goo( Construction Cost / / )®C Mufti-Family Building: (Yes x / No ) CONTRACTOR Name: R ,41 /U - .44-/C. License #: ao l 7� l .5 Address: S 'U' ,4t t City: Sr P L State: ,4A- Zip: S 7 Y Phone: 76 3 - D - 4 y c / c Contact: I. 2 (Z Email: I Q -'V' +w J 0 ra o f Co nit . Cosh 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 Date: P _ S /C) Tenant: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 obfl) /7U Applicant's Printed Name 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Use BLUE or BLACK Ink For tJse ii� Permit #: qNo - 7S Permit Fee: '2 Date Received: 12s 10 Staff: Site Address: 8 c • b)/1- b /AA n - 3120.3 3P , 3234, 323 ' l 3 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. App icant's Signature Page 1 of 2 C!tyofEaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED NOV 1 5 2010 Use BLUE or BLACK Ink Permit#: - ( V q/ Permit Fee: Date Received: Staff: / 2010 MECHANICAL PERMIT APPLICATION Date: l l —0-1 0 Site Address: 32 3 Tenant: Suite #: J RESIDENT / OWNER Name: VII €r%KR:E..- bs kCP Phone: l�/ l -J32 3 j Address / City / Zip: 3.z 38 �� U EJ s r -eA) D.. ' CONTRACTOR Name: J 7"!A- ( a&YY1 Awe 7— License #:l7 SCO_ t0c 4 Address: 4000 WI j,1_ V e_ A-I�14 j JX: : ) v`e) E; -op -e- State: Y IV__ Zip: ( Phone: (D 3 `-E/J—'a b --3 15J4� Contact: L� O D 4,-(X__ Email: TYPE OF WORK New )("RePlacement Additional Alteration _ Demolition Description of work: RC b 1 Get... YI G_ _ PERMIT TYPE RESIDENTIAL X Fumace 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: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) bumed out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ TOTAL FEE $95.00 Fire repair (replace COMMERCIAL FEES: $75.00 Underground tank $55.00 Minimum (includes installation/removal OR State Surcharge) $10,010, surcharge is $ 5.00 surcharge increases by $.50 for each $1,000 Permit Fee requires a $ 5.50 surcharge) Contract Value $ x 1% = $ 50 .'6' ?Permit Fee - If the Permit Fee is less than Fee = $ ..D / 17 v Surcharge - If the Permit Fee is > $10,010, (i.e. a $10,010-$11,010 Permit = $ -e d DOTAL FEE 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.00pherstateonecall.org 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 art 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 L J N) D >'4 Loco Applicant's Printed Name , _ �, �� 3 �3�, 3 �,13� 3� ��(j ��3�� d�� Use BLUE or BLACK Ink �----------------- � For Office Use � ' j Pennit#: '��Q C11��113 I Clt� Of ��l�Il � pertnit Fee: � ��-�� 3830 Pilot Knob Road � ¢1!� /,, , � Eagan MN 55122 � Date Received: d / //y � Phone:(651)675-5675 I r� I Fax:(651)675-5694 � Staff: _��_ � �..��r��J 2014 RESIDENTIAL BUILDING PERMIT APPLICATION oate: �GI,I �Ul s�ndd�ss• �c��" �3`� �V��E.£►�➢ �'t v� un�t#� ��"�3� Name: Phone: ��ti 3aa� - 3a3� £v��l �� Qyyn�� ' Address/City/Zip: Applicant is: Owner �Contractor 7yp�Of W�Nc Description of work: �� IL�(�1� 1 w� Construction Cost: � �� cX6 � Multi-Family Building: (Yes /No� Company: �� C� • �� . l Y�C-- Contact:��'"1 ��1'�� Ca►ntractar ada�ess: J� �J ��'✓� �v�.. 1'��. c�ty: �I• I'�,lG I��C... sc�e:�11� zp: ��37b Phone:l4��"��S"�OC3v� Email:`�;�7 1�1011 Y�,G� I'Y�'WW,i � �t.o�► License#: � t�� J � Lead Certificate#: If the project is exempt from lead certification, please e�lain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 morrths,has the City of Eagan issued a�rmit 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 Corrtractor: Phone: MOTE:Ptans and suppor2�ng documenis that yau s�rdmit are cc�nsidereai to 4e pubi�ic i»fvnr+�►tion. J�br#ions+Qt' the ir�'t�rmate+�n r»sy b�e�class+fied as no»pubiic it`yv�t provicile spec�c�+easons#ha#wauld pe�mlt the Cily to " cc��relude that the ar�e trade s�cr� CALL BEFORE YOU DIG. Call Gopher State One Ca11 at(651)454-0002 for protedion against underground utility damage. Call 48 hours before you intend to dig to rec:eive locates of underground utilities. www.qopherstateonecali.ora I hereby acknowledge that this information is complete and aax�rate;that the work will be in conformance with the ordinances and codes of the City of Eagan;that I understand this is not a pertnit, but only an application for a permit, and work is not to start without a permit; that the work will be in acxordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota Stabe Bu'ding Code m�t be completed within 180 days of permit issuance. X��W ��-�� X Applicant's rinted Name Applicant's ignature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA129255 Date Issued:01/26/2015 Permit Category:ePermit Site Address: 3238 Evergreen Dr Lot:65 Block: 01 Addition: Coachman Highlands PID:10-18075-01-650 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener 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. Applicant: Troy Good 3670 Dodd Rd Eagan, MN 55123 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Adeyemi N Tella 3238 Evergreen Dr Eagan MN 55121 (651) 528-0644 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature s ' Use BLUE or BLACK Ink For Office Use 4 1.111* City of�� Permit 8: / Permit Fee: / 3830 Pilot Knob Road Eagan MN 55122 € Date Received: Phone:(651)675-5675 bulidinginspectionst citvofeeaaoan.com 5Lp 19 2011 Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit 6: Name: Phos@: 9 > Resident! owner Address/City/Zip: 34.3`6 Ev-gv-csrastr, p r J� = v t ice-, Ge-3 I Applicant is: Owner ?c Contractor Type of Work Description of work .:✓rver> =� 1� v�_<t v-k j _Ltr Construction Cost Multi-Family Building:(Yes 14 ,I No_-_, Company Contact t.11`.! S`ab:9 Address: Z`t`'aC* i�J eek City: .1 ,1)rA':.tt- Contractor State:i `,. lap: �`>> s Phone:4 t 5} c-1).3 Email 5-z\o-ao-,5 z-. k‘z,e ' wsa'> License#: C-1:3 3`1 1`i Lead Certificate#: 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 supporting docents thet you submit are considered to be publicintimmason. Portions ofthe information beciassifieciesmaynoir-public It you provide specific reasons that wouldptemit-the;city to-conclude t they are trade secrets: You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.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(651)464-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www oopherstateonecaLorg I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with h the ordinances and codes of the City of Eagan;that t 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. 2-6 `N -1 5-at'3-\ t'i ses,' X Applicant's Printed Name tppiicanrs Signaturtr Page 1 of 3 . doiLDL. 3 d Se ,Uc DO NOT WRITE BELOW THIS LINE /4/6q/ 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 Occupancy 3 MCES System Plan Review Code Edition 1/1,I/kik ,, �- SAC Units (25%y. 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 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 Base Fee )1614 . Surcharge Ail Plan Review 1 MCES SAC City SAC Utility Connection Charge �� S&W Permit&Surcharge Pv Treatment Plant 07 Copies `r �` i TOTAL Page 2 of 3