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3247 Evergreen Dr
1T CITY OF EAGAN Include 2 sets of plans, BL7ILDING PE1'LiT APPLICATION 1 sete of l energy l calculations. 7b.Be Used For 1 of 6 Plex Valuation $35-,980 6 c? oee Date July 13, 1983 Site Ptidress 3247 Everqreen Drive OE'FICE USE. ONLY Lot 18 Block 1 Sec./Sub. Coachman Erect x Occupancy R3 -Parcel #: Highlands Alter Zoning /?,-tv O^IR2r: Brutcrer Companies, Inc. AddseSS: One Sunwood Drive, P.O. Box 399 CityjZip Cod2: St. Cloud, MN 56302 Phorie #: (612) 252-6262 COntrdCtOl: Brutqer Companies, Inc. Pddr255: One Sunwood Drive, P.O. Box 399 City/Zip Code: St. Cloud, Mii 56302 PhOre #: (612) 252-6262 Arch./Ehg.: Blumentals Architecture, Inc. Addr25s: 6100 Summit Drive North Clty/Zip Cod2: BrooY.lyn Center, MN 55430 Phone #: (612) 571-5550 Repair Fire Zone -) Ey,?. Enlarge Type of Const. ? _ Move # Stories ? Demlish Front ft. Grade Depth ft. APPRDUAIS FEES Assessments Pennit _z </o Wdt2T/SEWP-Y' SIlYCt13LCJ2 ?y?L-- Police Plan Check / 70 Eire SAC -5zi_ Eng. Water Conn. y?a Planner Water Meter 60 Council Road Unit Bldg. Off. APC TCn'AL T I F?a t SO CITY OF EAGAN N? 8338 ;.3g.'A-5 3795 V11ot Knob Rood Eogan, MN 55121 ' PHOHE: 4S4-8I00 BUILDING PERMIT Receipt # T. ba'uaed fe, 1 of 6 PLEX Est. Value $69,000 pate Au QUSt 1 I q 83 Site Address 3247 EverQreen Drive Erect }(g Occuponcy R-3 Lot 1$ Block1Sec/SubCo achman Hi ghlands Alter ? Zoning R-3 Parcel .{k Repair ? Fire Zone NA E l T f C V n arge ? ype o anst. c Nam, Brutger Companies , Inc. Move ? # Srories Z i Address One Sunwood Dr., P.O. Box 399 pe,,,oiish ? Length_ ? ,_ St. Cloud ,,, _ 252-6262 Grode ? Depth Sq Ft rc Z0 °uu ? ? Name Aporarols feea Address Assessment _ ,,.. _. Water 8 Sew. Name Police - Fire Eng. Ciry Phone Planner - Councll _ I hereby acknowledge thot I hove read this aDPlication ond state that BId9• Off. _ ihe informotion is corretT and ogree to wmply with oll opplicoble APC Stote of Minnezota Statutes and Cify of Eogan Ordirwnces, SiDnoture of PermiMee ru ger ompan es, nc. A Building Permit is issued to: all work sholi be done in accordance wifh all-App{icable State pfwi Permit ''- "•"" Surcharge 34.50 Plon check 170•00 SqC 525.00 Water Conn. 450. 00 Water Meter 60.00 Road Unit 250.00 TOtpl $1829.$0 _ on the ezpren cordition thnl and City oF Eagan Ordinonces. Bulldirq Otiiciol 1T CITY OF EAGAN Include 2 sets of plans, BL7ILDING PE1'LiT APPLICATION 1 sete of l energy l calculations. 7b.Be Used For 1 of 6 Plex Valuation $35-,980 6 c? oee Date July 13, 1983 Site Ptidress 3247 Everqreen Drive OE'FICE USE. ONLY Lot 18 Block 1 Sec./Sub. Coachman Erect x Occupancy R3 -Parcel #: Highlands Alter Zoning /?,-tv O^IR2r: Brutcrer Companies, Inc. AddseSS: One Sunwood Drive, P.O. Box 399 CityjZip Cod2: St. Cloud, MN 56302 Phorie #: (612) 252-6262 COntrdCtOl: Brutqer Companies, Inc. Pddr255: One Sunwood Drive, P.O. Box 399 City/Zip Code: St. Cloud, Mii 56302 PhOre #: (612) 252-6262 Arch./Ehg.: Blumentals Architecture, Inc. Addr25s: 6100 Summit Drive North Clty/Zip Cod2: BrooY.lyn Center, MN 55430 Phone #: (612) 571-5550 Repair Fire Zone -) Ey,?. Enlarge Type of Const. ? _ Move # Stories ? Demlish Front ft. Grade Depth ft. APPRDUAIS FEES Assessments Pennit _z </o Wdt2T/SEWP-Y' SIlYCt13LCJ2 ?y?L-- Police Plan Check / 70 Eire SAC -5zi_ Eng. Water Conn. y?a Planner Water Meter 60 Council Road Unit Bldg. Off. APC TCn'AL T I F?a t SO CITY OF EAGAN N? 8338 ;.3g.'A-5 3795 V11ot Knob Rood Eogan, MN 55121 ' PHOHE: 4S4-8I00 BUILDING PERMIT Receipt # T. ba'uaed fe, 1 of 6 PLEX Est. Value $69,000 pate Au QUSt 1 I q 83 Site Address 3247 EverQreen Drive Erect }(g Occuponcy R-3 Lot 1$ Block1Sec/SubCo achman Hi ghlands Alter ? Zoning R-3 Parcel .{k Repair ? Fire Zone NA E l T f C V n arge ? ype o anst. c Nam, Brutger Companies , Inc. Move ? # Srories Z i Address One Sunwood Dr., P.O. Box 399 pe,,,oiish ? Length_ ? ,_ St. Cloud ,,, _ 252-6262 Grode ? Depth Sq Ft rc Z0 °uu ? ? Name Aporarols feea Address Assessment _ ,,.. _. Water 8 Sew. Name Police - Fire Eng. Ciry Phone Planner - Councll _ I hereby acknowledge thot I hove read this aDPlication ond state that BId9• Off. _ ihe informotion is corretT and ogree to wmply with oll opplicoble APC Stote of Minnezota Statutes and Cify of Eogan Ordirwnces, SiDnoture of PermiMee ru ger ompan es, nc. A Building Permit is issued to: all work sholi be done in accordance wifh all-App{icable State pfwi Permit ''- "•"" Surcharge 34.50 Plon check 170•00 SqC 525.00 Water Conn. 450. 00 Water Meter 60.00 Road Unit 250.00 TOtpl $1829.$0 _ on the ezpren cordition thnl and City oF Eagan Ordinonces. Bulldirq Otiiciol No.: to compip with IIN Cifp oi Eayan Address: to emnphr w1lh ehe Ciyr of Eagoe of Insp.: Connection Cherye: Actourrt Deposit: _ Permit Fee: Surcharge: Misc. Choroes: - Total: Qots Raid: ConnscHon Charpe: Account Depesit: _ Permit Fee: Surchorpe: Misc. Ciwrges: ? Totcl: Dots Pcid: 425.00 pd 0. Box 27789 iaan. MN 55121 T.,.,:.. _ pr,,,,er; 111rutt7er Co Address: Site Addreas• ?245 rveT-TC.ct: f. Plumber: Meter No.: Size: Reader No.: 1 esm h ooesply whh !la Cltr ef Eaqan Ordlnontw WATER SERVICE PERMIT PERMIT NO.: DATE: _ No. of Units: _ Connectlon Charge: 450.00 Pd _ Atcount Depostt: _ Permit Fee: SurCharge: . ??(? ?}•`i - MisG. Clwryes: T t I• oa. gy pcrre Paid: Date of Insp.: InsD•: ici -1 lf OF EAGAN SEWER SERVICE PERMtT 3830 Pilot Knob Road 98 PERMIT NO.: ;P. O. Box 277 MN 55121 DATE: fagan, No. of Units: :51 tltit 82' CO ;O ner . w Address: ' 3245 L'vergreen Dr L19 [31 Coac;v*a n iiig}ilanc .c site ,4ddress: s .on ra ors mF?r: PI u t., ? ? >? 00. 00 pd - . ' 1 e9ree to oomPly wilb ths Ci1y oi Ea9on Connectlon Charge: 425,00 jkl , Ordln6eem AccouM Deposit: ?? Permit Fea: Surcharpa: g Misc. Charoes: y Qcte of Insp.: Total: , i.,e„ • pots Paid: CITY OF EAGAN SEWER SERVICE PERMIT 3830 PiiQt Knob Road 0044 P. O. Sox :1199 PERMIT NO.: Eagan, MN 55121 DATE: ? ? •'- ? _ Zoninp: No. of Units: CITY OF.EAGAN Remarks NU Addition COACHMAN HIGHLANDS Owner c..oo. 3247 18 EVERGREEN DRIVE EAGAN NIN 551 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1975 Paid Uil r arcel 10 2750 -010-03 STREET RESTOR, 1974 rt +1 GRADING 1007 1986 354.14 35.41 10 ,/z/ -/Q j /O- /-? SAN SEW TRUNK 1968 Paid un r axcel 10 2750 -010-03 SEWER LATERAL 1984 11 11 t? *WATERMAIN 1972 Paid un r parcel 10 2750 -010-03 WATER LATERAL ?. 1975 * WATER AREA 1972 WATER LATERAL 1975 STORM SEW TRK ? 1975 S70RM SEW LAT CURB & GUTTER ' SIDEWAIK STREET LIGHT 2 37651 8- -83 WATER CONN. 454.00 tt ?t BUILDING PER. SAC 525.00 PARK INSPECT'ION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: I (651) 681-4675 ? SITE ADDRESS: ' ' 110 i : •t t? ,??i ? r.? .:?. PERMIT SUBTYPE: APPLICANT: rtr a?.•;r F. ?,?.? Mi.?i??.a f TYPE OF WORK: fi1 1-t'R1F'X I+M V t- ty A r tt ja( 1•rr10 t ; r, I11 1 I INSPECTION „ , ,. i 1 fIf3F'n . :4 i'39„ 324 1 "Ih , A Nt -1 I ?.?. Permft Holder Date Telephone # SEWER/ WATER • PLUMBING HVAC Inspection Uete Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGN HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS coNOUCnvirr resr HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL ? . ? Receipt PLUMBING PERMIT Permit No. . ' , CITY OF EAGAN Fee Fill in »umbgred spaces 5/C ° TYpe or Print legib/y Tat Lf r 1. Date ?/?!??/,? 2. Installation Cost 3. Job Address?-- Lot z? =61k. Tract 4. Owner / - > - - - ., 5. Contractor 'Phone `Y f , 6. Addresv/fcr;V 7. City ._ State ZiP ' i 8. Building Type: Residential 0 Commercial ? Institutional ? 9. Work Description: New 1,;:L Add O Alter O pepair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tark Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains ' Drinking Ftn. Slop Sink I Gas Piping Outlets ? 12. 1 hereby certifiy 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 454-6100 ? '? Receipt " PLUMBING PERMIT Permit No,r-.?? = (j / CITY OF EAGAN - Fee O ? Fill in numbered spaces S/C Type or Print legibly TOt. n? ? ' _U . 1. Date ?? ???--' 2. Installation Cost !a - ? , ???/y/'? ?• ? ??1, ?f ?c , , ?", l : ?? 3. Job Address -3 Zq 7 % Lot??Blk. ? Tract i' 14 f, 6 S? . ? ? F4, Qwner 5. Contractor A 6. Address ` 7 Phone 7 =' - 7. City _l ?Ti 5tate ' f /) Zip S. Suilding Type: Residential ;H 9. Work Description: New U 1 10. Describe 1 11. Commercial ? Institutional ? Add ? Alter O Repair ? No. Z Fixtures Water Closet No. Fixtures Cesspool/Drainfield ? Bath tubs 5eptic Tank ? Lavatory Softner Shower yvell Kitchen Sink Urinal/Bidet Other _L 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 ordi,nancgs and_codes gqverning this type of work. ?. Signed i; r 4/ for / Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN • ?; Fee ' Fill in numbered spaces S/C Type or Print le+yib/y Tot. 1. Date 2. Installation Cost ? • 3. Job Address Lot u Blk. Tract 4. Owner 7-C. r-/L i ,, f f} i. J?= S 5. Contractor ?hone ` i 6. Address 7. Cityl_' 1L =v State J; Zip 8. Building Type: Residential ? Commercial ? Institutional O 9. Work Description: New ? Add ? Alter ? Repair ? 10. Descriheill? Jrt?-by, Fuel TYPe 11. No. Eauioment 8TU - M. Ea. Forced Air No. EQUiament CFM Ai H li Mfg. r and ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Air Cond. Other 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 lnsp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454$100 -r---??--,- ..-,--F---,. CITY OF EAGAN 8?118 $l•`'R• k`5 3795 Pilaf Knob Rood Eoqon, MN 55122 PHONE: 454-8100 BUILDING PERMIT Recelpt # T. e..." s.,. 1 of 6 PLL•':{ fi69,000 n,,.e t.uguat 1 ,a83 Site Address -'-`*1 liVCLZ?lCCII urtvC Lot' 18 Block 1 Sec/SubCoacliman Highlands Parcel # - / 0 + «d 7 S - m/ Pd- O .4 W Name DruLgar ?vmFanies, Lnc. = Addr ss ?e Sum+tOOd DZ., P. 0. Box 399 ? _. S?t. C'loud 25 p Name _ uU Address F- r:... hlome _ Address I hereby acknowledge that I heve read this appiication ond stote that the informotion is correct and ogree to comply with oll applicuble Stute of Minnesota Statutes and City of Eagan Ordinances. Siqnafure of Pertnittee ? /1 Bullding Permit is issued to: oll work shall be done in accordance BuildinQ Offfcioi Erect )a Occupancy " ? Alter ? 2oning Repoir ? Fire Zone ' Enlarge ? Type of Const. Move ? # $tories Demolish ? Length Grode ? Depth Sq. Ft. Water 8 Sew. Police Fire Enp. Plonner Cauntii Bldg. Off. APC Permit J`T V. V V . Surchorge 4 Plan check ?? SAC Water Conn. 450.00 Woter Merer 60• 00 Road Unit 250 . O0 Torol $1829.50 on tha cxpress tondition that ond City of Eognn Ordinances. Parmit No. Permit Holder Misa Permit Np. Holdar P %U' l p fQ. ? V1 S 8'--8"^?'? - ?? fp ?,?,r G?-Z7 ? A" /OSSI !M`$ 6teC, ate Inapection D Insp. Other Footingg Foundsti r ' ? Framin Rouph HVAC InsulBtion Final Plbg. . . ? Final HVAC Final Water ???ibe Location: ?- ?- weu ' d- ? ? ?? Sewer • ? ???/ e3 -? r . Pr. Disp. B7? A-5 CITY OF EAGAN ?`"`y? ?? .?'+• , 9795 PIIM Knob Rmd ` Eagan, MN 55122 PHONE: 454-8100 BUILDING PERMIT ' 2eceipt Te 6a uwd for 1 of 6 PLEX Est. Value $69 ,000 pate August 1 _ 1q 83 Sire Address 3247 Cvergreen Drive Loe • 18 elock 1 Sec/SubCoaclunan Hiphlands Purcel # /O - /g0 7 S- m/8O- O( rc IName uiu?rci wauyuuiaaI tu?. Z Addreu OAe SunWOOd DT., P.O. SoX 399 cioua _ 2sz-e2 z V? ?- Name _ Addreu Nome 1 hereby ocknowledge thot I hove read this opplitotion und slote thot the inlormation is conect and ogree to comply with oll upplicoble Stote of Minnewto Stotutes ond City of Eogon Ordinonces. Sipnoture of Pertnittee A Building Permif is issued to: oll work shuli be done in xcordorxe with all opplicable Sta1e of Mii Building Official Erect }i( OccuponcY _ R-9 ?? Alter ? Zoning Repolr ? Fire Zone N Enlorge ? Type of Const. _?.._ Mave ? Jk Staries DemolisFi ? Length_ Grade ? Depth Sq. Ft.- Aoororals Fees Assessment Permit -- Woter & $ew. Surchorge Police Plon check Fire SAC 450.00 Eng. Woter Conn. 60.00 Plonner Wnter Meter 250•00 Council Raad Unit Bldg. Off. APC Total $1829.50 _ on tM express condition 1hat ond City of Eoyan Ordinance:. Permit No. Permit HoldBr Misc. Permit No. Halder Plumbin9 H.V.A.C. 3q ?lf/ ILL?mAr a'27 43 Well Water Dizp. 5nver Electric InspecTion Dete Insp• Other FOatings Foundati t Fremin Raugh PI69. ' ?' -P3 Rwgh HVAC InwlMion ? ? C? Final Plbg. ,2; A ' - Final HVAC . ' Finel ? Weter Dascribe Location: ' wan sam. Q QA Pr. Disp. rL` (°'° . . . RESIDENT / OWNER Name: G6 1 441 61-1 LAAJD5" T i1/LISPhone: Address / City / Zip: Sik. d LJ r j P D Applicant is: Owner X Contractor TYPE OF WORK Description of work: RE R Construction Cost / � OC) Multi - Family Building: (Yes x / No ) CONTRACTOR Name: ROD F ) i- c,P41,1r N4 -t-/✓C . License #: a ° l 7� l . 5-3 Address: S Q CJA-44 j /-U A- City: S7' G'4 /e./-/A- L State: /4/-J Zip: SS2 7 / Phone: 76 3 - S 0 - d Y Yy Contact: (�5- 2R' Y Email: ��1%/ Y� © o a MA o Cosh COMPLETE In the last 12 months, has 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: _Yes Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: 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 Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 Tenant: 141.E • x . cam, x 0-z41 Applicant's Signature App cant's Printed Name r Permit #: 94(0.7 3 Permit Fee: , 2S' (P12.5"//0 Date Received: Staff: Use BLUE or BLACK Ink 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: - . 2 .S - /0 Site Address: Dr Ji �,� � R. gu /L Df�G / t.t i S2J43 3'v-45 32 uite #: 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.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 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 r . �3� , 3� 3�, �3� ��� 3� �3; 3aUS; �� `� l Use BLUE or BLACK ink .------------------ � For Office Use � I ',� l.�'� ��G I I Cit of �� a� ; P�,�#: � � ; � � i Permit Fee: � �S � 3830 Pilot Knob Road � � l�� � I Eagan MN 55122 � Date Received: � Phone:(651)675-5675 � � Fax:(651)675-5694 i Staff: � V_���������������J 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: � I�� Site Address: �� 4�-b'��� �V�-�`-l>1w�.� �J�—�V�— Unit#:�7' �.�� Name: Phone: Resident! +�wner Add�e�i c��y i zp:��.37—3���1 �U"t���� 1�1,11�. Applicant is: Owner � Contra�tor Description of work: �� ` �"� Type of wor� ,� Construction Cost: � 15���� Multi-Famity Building:(Yes /No� Company: �W� �• �� • �1'��.. Contact:��y P�1�1�1G Cantra�tor 1� Address:'J.�� �(.�.�'✓� 1 w� f�i� City: ��� ����l���. State:l��� Zip: S� Phone:��"�'�7��13� Email:(t1�� ��P1C.Qr���^�Y►'�tt �s� License#: � 6��� �� Lead Certiflcate#: 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 moMhs,has the City of Eagan issued a pertnit for a similar plan based on a master plan? Yes _No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanicat Contractor: Phone: Sewer 8�Water Corrtractor: Phone: NOTE:Plans and suppordng documerrts',#ha#you�ubm�t are consider+ed to be pubftc irrt'o►ma#ivn. Parl�or��of ' t�e information may be cJa�sifi�d as»anyaubiic if you provf�r sRecitic reasons t�at would pennit#�e Gity#� ; conc�ude that the` are trsde se.�rets. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protedion against underground utility damage. Call 48 hours before you intend to dig to rec:eive loptes of underground utili6es. www.aopherstateonecall.orq I hereby adcnowledge that this iMormation is complete a►id acxurate;thffi 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 onty an application for a permit, and v�rk is not to start without a pertnit; that the work will be in accordance with the approved plan in the case of wo�ic which requires a review and approval of plans. Exterior work authorized by a building permit issued in accoMance with the Minn State Building Code must be completed within 180 days of permit issuance. X �R�-��� X Applicant's 'nted Name Applicant's ignature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA143395 Date Issued:06/14/2017 Permit Category:ePermit Site Address: 3247 Evergreen Dr Lot:18 Block: 01 Addition: Coachman Highlands PID:10-18075-01-180 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Julie L Larsen 3247 Evergreen Dr Eagan MN 55121 Haley Comfort Systems 4320 Hwy 52 N West Frontage Rd Rochester MN 55901 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink For Office Use *Lay of Ealail P ,ft# Permit Fee: C7 3830 Pilot Knob Road Eagan MN 55122 �`- M`, > Date Received: Phone:(651)675-5675 buiidinalnspectionsecitvofeaoan.com SEP 1 9 2917 Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit T A-kiT)- 1..'• ir-tAs-rt„i Name: t✓�-:. -Nru< N, IA (3\11a4�C', i S__.<..: a ;ti n Phone: 9�� Resident/ Owner. Address 1 City f Tap:':01 N.1..e-raly" o, \f-e- v.% -tip) -, 3 I .1 Applicant is: Owner X Contractor Type of Work Description of work �." °` -c� ! "A Construction Cost Multi-Family Building:(Yes I No_J Company: ` =;'1 r`,42-. Contact VCV. Contractor Address: 7-`1";"; 7 z` City: State:iy,,," Zip: `j�SS Phone: (2 3S)- 3 -3 Email: 5x\7)-a-0-o, ;4sl a , r Y, License#: e4C-t-3 1 ct Lead Certificate#: If the project is exempt from lead certification,please explain why: 1 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: iNnOormatil"Poanmanyd buclassM►epq lngddocum a oeptusbt .fyoyuusuptdeare dsider reasdontost atpubes woulUior p ► . heCty concloftu dtthey arse trade s+ecriets 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.cityofeaaan.co isubscribe. 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)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utiBies. waw.eonherstateonecail.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 permk;that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. J's �-1 t i`Ca=�� FZ yam- �.�..+^ r - Z------Applicants Printed Name pplicarrf's Signatur Page 1 of 3 ,,, Da_ i o?.3 - , (9Lf 7 / O NOT WRITE BELOW THIS LINE �� SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) _ Multi / 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 1)+CLL_O d Occupancy MCES System Plan Review Code Edition Of , / 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 ip Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: 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 A / 14 Base Fee ` l l Surcharge z '' Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge ri.riv Treatment Plant Copies / * /If' .„2 t 67 TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA157106 Date Issued:08/05/2019 Permit Category:ePermit Site Address: 3247 Evergreen Dr Lot:18 Block: 01 Addition: Coachman Highlands PID:10-18075-01-180 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). 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 - Julie L Larsen 3247 Evergreen Dr Eagan MN 55121 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature