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3255 Evergreen Dr:ITY OF EAGAN ICE R PERMIT CITY OF EAGAN WATER SERVICE PERMIT ` V WATER SE 3830 Pi:ot Knob Road 4 -) 3 830 Pilot ICnob Road 4 ';,j4 Box 21199 O P PERMIT NO.: 8-3-0 . O. Box 21799 PERMIT NO.: 8_3-83 . . Esgan, MN 55121 DATE: !agan, MN 55121 DATE: Zo+in9: No. of Units: :oni?g: No. of Units: 3TUt&0Y CO Iwner: LYUtKeT CO Owner; Wdress: Addnm: 3255 Evergre?r? t3r i. B1 Coac nfi n lasi(s ite ,,,ddmss. 3253 Ever reen D r L15 Ii1 Coachman !ii a1an41s Sire Address: ayas on rac ors 'iyeS ContxAGtoTS Plumber. .?? , 00 ??d lumber. 00 Ad 450 Meter No.: Connection Charqe: Aeter No.: Connection Char?: . ^ Account Deposit: ize: Account Deposit: 10.00 Y`' Size: Readar No.: 10.U0 ) ? PeRnit Fee: P ,eoder No.: Permit Fee: . SQ _?i, 1 agree to oo?nplp whl? !6w Ciyr of loyae Surcharge: Gi) lOter 00 -? T a4re? to ooa?ol?r with tht Citp ei Eaqen Surthorge: . . Misc. Charfles: ? bdinona:. Misc. C?wrpes: 00.00 ',: ;,?, a i eT Ordinenas. Total: Total: By Date Paid: ?Y )ate of I nsp.: Dote Paid: InsD.: date of Insp.: I^sp.: Pilot Knob Road Box 21199 n. MN 55121 SEVIIER SERVICE PERMIT 6(?12 PERMIT NO.: DATE: 6 No. of Un1ts: Address: 0 -L-V.7 J!\l-I s to aanpiy willi lhe Ciyr of ielon Connection Charpe: 42..7 . t -JI •?li Account Deposit: Permit Fee: 10.0?? P Su?chorpe: . SO Pd Misc. Charpes: Total: --- of Insp.: SEWER SERVICE PERMIT PERMIT NO.: 0940 , DATE: .•-. - 3 No. of Units: ;3rut er Co V- r _..i? .... . " _ 1 eom to eomPy wIh tus Cihr of Lagoe Connection Ct+arpe: 4 2 5. 04 p d Ordinences. Account Depesit: ln, Qf! Pd Parmit Fae: '; n r. d su.c.t?aroe: B Misc. Chorpes: Y Dota of Insp.: Total: Insp ; Doh Poid: CITY OF EAGAN .? Addition COACEMAN HIGHLANDS Lot 14 Rlk 1 Parcei 10-18075-140-01 Owner Street 3255 EVERGREEN DRIVE, State EAGAN NN 55121 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, AM_ 1975 Paid Ull r arcel 10 2750 -010-03 STREET RESTOR. 1974 +f I? ti GRADING 1007 1986 354.14 35.41 10 ,/Sl - SAN SEW TRUNK 1968 Paid un r parcel 10 2750 -010-03 SEWER LATERAL 1984 11 11 rr * WATERMAIN jQ']Z Paid L1I1 r arcel 10 2750 -010-03 WATER LATERAL 1975 11 11 t? * WATER AREA 1972 11 re rr WATER LATERAL 1975 " " " STORM SEW TRK f 197$ STORM 5EW LAT CURB & GUTTER ' SIDEWALK STREET LIGHT RUAD NIT 250.00 37652 8-2-83 WATER CONN. 450. 0d it It BUILDING PER. SAC n n PARK INSPECTION RECORD CfTY OF EAGAN PERNlIT TYPE: ? 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 SITE ADDRESS: APPLICANT: 1V1 I1i±F4E r hl IIF2 ... i • t s: ?,li;??? ?, ??? ? ric, PERMIT SUBTYPE: TYPE OF 1NORK: INSPECTION DA • D• !ii I F pdri -1 ? --- -- ---- ------_?? - Permit Holder Data 7elaphone # SEWER/ WATER PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBINQ PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD F4REPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATIdN METER FLUSH MAINS corvoucriviTv TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FfG DECK FINAL ? -- --- Receipt PLUMBING PERMIT ! CITY OF EAGAN f' Permit No. U Fee FiII in numbered spaces S/C Type or Prini legibly L,. Tot. ? (-D 1. Date 2. Installation Cost A? 7e c h v?? c: 3. Job Address 3 ZS? ? Lot?_Blk. Tract,?u ? 4. Owner 5. Contractor Phone yL / ` //7f ; 6. Address / 7 U(/ 7YV V • 7. City ) 7; State Zip S75c-?rz- 8. Building Type: Residential 10 9. Work Description: New $I 1 10. Describe 1 11. Commercial ? Institutional ? Add ? Alter O Repair O No. Z Fixtures Water Closet No. Fixtures Cess ool/Drainfield Z Bath tubs p Septic Tank Z Lavatory Softner Shower well t 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 wi? 311 ord 'nance; and cqdes governing this type of work. i Signed: 1 for ? Rough Final Inspections: Date Insp. Date Insp. This is your permit w hen numbered and approved. Approved ? ` CITY OF EAGAN 454-8100 Recaipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee FiII in num,aered speces S/C Type or Prinr legibly • Tot. 1. Date 2. Installation Cost 3. Job Address Lot '` i Blk. 1 Tract 4. Owner 5. Contractor Phone ' 6. Address 7. City State Zip 8. Building Type: Residential 0 Commercial ? institutional ? 9. Work Description: New O Add ? Alter El Repair ? 10. Describe Fuel Type 11. No. Equinment STU - M. Ea. Forced Air No. Equipment CFM Ai H dli Mfg. r an ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. I 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 464-6900 Bld? . A•fCITY OF EAGAN 3795 Filot Knob Raad Eogan, MN S5122 PHONE: 454-8100 BUILDING PERMIT T. k„ ,,.,a f,,. 1 o f 6 PLF:X 51te /lddrcss .3411 Lvergreeii Urive 1.ot 14 Bi«k 1 Sec/SubCoachman HiRhlandr Pnrcel # /a - /-fQ 7S - d/VA- 01 ?c Nome Brutger Companies, Inc. = Ona Sunwood Dr., P.O. Box 399 Address ? Ci St. C oud ?? 5-62 62 Own °C Nome eL 0 0 ?? /lddreu r ?-:... oL,.__ 1 hereby ocknowledge tFat 1 have read this opplication ond stote that the intormotion is correct ond o9ree to comply with oll opplitable Srate of Minnesota Sfatutes and City of Eogon Ordinonces. Siyncture oi Permittee u ., /1 Building Pertnit is issued to: oll work sholl be done in accordonce with oll Buildinp Offidol N'-, - 8? 42 Receipt # Erect 19 Nlter ? Repoir ? Enlorge p Move p Demoliah ? Grode ? Assessment _ Water & Sew. Police Fire Enp. Planner Council Bldg. Off. - APC Occupancy `•-' Zoning - Firo Zone Type of Const. # $tories Length Feea Permit ZYL. - $urthorge 26- Plan check525.00 SAC Water Conn. 450. 00 Water Meter 60. 00 Road Unit 250•00 Totol $1749.50 on ths expreu Condition thnt ond City of Eaqon Ordi?wnces. Permit No. Parmit Holdsr Misc. Permit No. Holder Plumbing -?3 H.V.A.C. l Y',Q.r ld"?9-X3 WeII Weter DisP. Sawer Electric R--tOS(*(o ? MS IkC.. E /D'17-2r3 IntpMion Date Insp. Other FooUnpt Foundat{on Frsmino . 3 RouYh Vlbp. Raugh HVA Inwlstion Final P16y. /3•? ?? Final HVAC Final 8 Waftr Dftc?ibe Loeation: VYell - Sawer Pr. Dbp. RESIDENT / OWNER Name: eeDA /t(- -0 4I1�N LIAJbj l i(/ SPhone: Address / City / Zip: S7od F L - c P DA— Applicant is: Owner X Contractor TYPE OF WORK Description of work: RE': Rooj Construction Cost: f7/ S Multi - Family Building: (Yes x / No ) CONTRACTOR Name: RCOF 41 /t41- 4A- License #: 020l 70 l 5 Address: 53— IC A44 /4U /W. City: ST: G44/CNfd4- L State: 7A-J Zip: 3 7f Phone: 76 3- S 0- 0 Y Y' Contact: /Z (ZY Email: » • mac -+! +t-A-i J NC° 0 'e - CO OVI n 000\ 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: 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 kap 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 S Applicant's Printed Name Permit #: Permit Fee: Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ( 4 7 - . 2 s /U Site Address: 3 Tel E voi-e N 1 , U Tenant: (rcL 9,S I ( "l � J , 3SSS r S , 1 Use BLUE or BLACK Ink Suite #: c 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.gooherstateonecall.orq Applicant's Signature 9:74614 — QZ7.2 Date Received: (d . I Z-' l 0 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 wit be in accordance with the approved plan in the case of work which requires a review and approval of plans. Page 1 of 2 B1dQ.; A-6 BUILDING PERMIT N° $342 Receipt * Te M wed h, 1 of 6 PLEX Est. Value $53,000 paie MM AuQUSt 1 jq 83 Stte Addreu 3255 Evergreen Drive Erecr )m OccuPancy R-3 Lot 14 BI«k 1 SeclSubCoachman Highlands qirer ? Zoniny R-3 Parcel # Repoir ? Pire Zone NA E l T f C t V n orye ? ype o ons . rc Name BrutQer Companies , Inc. Move ? # Srories Z ; nddreas One Sunwood Dr., P.O. Box 399 pemoiish ? Length_ U St. Cloud Ci Phone 252-6262 Grode ? Depth Sq. Ft.- rc N Owner Avvroral¦ Foe. p ame _ Address rn.. Nome _ Address I here6y acknowledge thot I hove reod this application ond state that the inlormotion is wrrect and agree to wmply with oll upplicable Stote of Minnesota $tatutes and City of Eogon Ordirwnces. $i0noture of PermiFtee Brutger Companies, In,, A Building Permif Is issued to: oll work sholl 6e done in accordan[e with oll o ' ble Stat? BuHdinp Officfal . a CITY OF EAGAN 3795 Pllot Knob Raad Eegon, MN 35122 PHONEs 454•8100 Assessment Permit 292.00 Water 8 Sew. 0? SurcFwrge 26.5 Police Plon check 146.00 Fire SAC 525.00 Enp. Water Conn.4S0.00 Pianner WaterMeter 60"00 Council Road Unif 250-00 Bldg. Off. APC Totol $1749.50_ on the express conditlon thni iewto_aqintes and City of Eogon Ordinoncea. . 'Ib Be Used For be ?CITY OF EAGAN , Include 2 sets of plans, 1 site plan w/elevations & ,Q? BUILDING PERMIT APPLICATION 1 set of energy calculations. ?y +P a 1 of 6 Plex ValuatiDri 0 J'3,900?Dat2 July 13, 1983 Site P3dress ?255 Everqreen Drive IAt 14 B1oCk 1 SeC./SUb. Coachman Parcel #: Highlands Owrier: Brutqer Companies, Inc. P.ddress: One Sunwood Drive, P.O. Box 399 Gity/Zip COde: St. Cloud. NIN 56302 Phori2 #: (612) 252-6262 CoRtsaCtoL: Brutqer Companies, Inc. Pddress: One Sunwood Drive, P.O. Box 399 City/Zip Code: St. Cloud, MN 56302 Phone #: (612) 252-6262 AL'C11./E11q.: Blumentals Architecture ACldx'255: 6100 Summit Drive North City/Zip Code: grooklyn Center, MN 55430 Phone #: (612) 571-5550 Erect cupancy Alter ? Zoning Repair Fire Zone Fnlarge _ Type of Const. P9ove # Stories Demolish Fxnnt Grade Depth APPROVAL.S FEES Assessments Permit ? q y Water/Sewer Surcharge ''b -714 Police Plan Check Fire ? 5'ZS G° Eng. Water Conn. rD 'a Planner Water Meter L n' Council Road Unit 2 yQ? Bldg. Off. AFC 'It71`I:L 4 (? ( `?? ? ' OFFZCE USE ONLY Oc CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (651)681-4675 SITE ADDRESS: PERMIT PERMITTYPE: ButLozNr Permit Number: 03yO39 Date Issued: y ?/ y 7/9g 3 2 4 9 t_vErtc,et_r:rd oR i -n -re 17 aL ocK e i rnArriariAn 111rOHi._Aivns P.i.iv.: 10-18075-170-e1 DESCRIPTION: REROOF! ,r,, PI_EX B,uildinq P2i°m:i.c TvoP h1U1..7'1 e (MI:SC<) Bu%ldzng Wofi°k_rYp° REPRIR CettSUS CQde 434 flLl"< RESIDENTTAL n. 71 . il si ^ ,t" r r? REMARKS: INCLUDES FEE SUMMARY: 3251, 3253,. 3S_'5 5 . 325i ,. l3N D 32 59. `dFiLllAlCOtd Base Fee Sur-charge Total Fee i o,0d0 $137, ??? $191.25 CONTRACTOR: - Awpl.tcant: -- OWNER: BETSSEL WINDOW F STI)TiVC 2R516£33F9 COfaCHMAN HICNLANDS ASSOC. 3213 EVEf7GRIiEN pR 3249 t`_4'ERGREEN pR FAGAN MN 55121 EA6AN MN 56122 (61?) 451.-0835 ? I hereby acknawiedge that Z have read this applicatir5ri and state that ttle information is correet and aqree Co camply with a11 applirable StaCe 41` Mri, Statutes and City of Eagan Qrdinances. APPLICANr/PERMtTEE SIGNAiURE pSUED BV: SIGNATURE Cr I k f?. .!-'.-(r.ll I .. , ..., ., _ ?.;.iG,'• ? ::. -. ?. . 9.`?i ?:?.I:':;:': ._..- . ...:, ??. ....: F?1 te ',?..u?? 7.: ..... .:.?....., ...I17:. I..._)... . . I ?. ?-??.,... ...? ? ) .g[i(1 f •`_:li : If4{ ... '.i!::?::. ::'?..] ? r: .u"y). -'37' ? I !..::.'•r.:.l : i. r,c; e _?.. ?. . ?:.. . i. ?'??.. ...?..?.:..? (I:: I i??.?' . ?'. -? ... n... '..? 1 I 1"'I..'?I'.•. ::!,..-y ....:Z'J,u";:. :....,...;.i, ?..?.. ;..;... . ...; . .•,C(-1(d ;... ... ,..., ??? r ? i .? ?.. .r', ? ? .. •:' I i .f. i: !:r;,i .- r i:'.`] , i .f.?'4 :? .-.?i?..r.! 1998 BUII.DING PERMIT APPLICATION (COMMERCIAL) CITY OF EAGAN . 681-4675 s il- l-1-9,F? uunm iuuuwuiy w w.un? uc..w?a?r ?.. Foundation Onl ... 1... New Construction Interior Improvement strudu2i plans (2 sets) architecturel plans (2 sets) architectural plans (2 sets) civil plans (2 sets) structural plans (2 sets) eode anaiysis code analysis (1) •• civil plans (2 sets) prqect specs (1 set) soils report (1) ecs (1) t landscaping plans codeanalysis (2 sets) (1)" Key Plan energycalculations (1)notahxays" projec sp Special Inspections & Testing Schedule " soils repoR (1) Electric Power & Lighting Form (1) not ahxays " SAC determination letter from MC1W5 - SAC determination letter from MC/WS - SAC determination letter trom MCMlS - call 602-1000 call 602-1 D00 call 602-1000 Speciallnspections&Testing5chedule (1) " pmject specs (1) energycalculations (1) Eledric Power 8 Lighting Fortn (1) " DA DESCRIPTION OF WORK: W2 CONSTRUCTION C05T: SITEADDRESS: 3o;H C/' Z( TENANT NAME: A SUITE #: LOT BLOCKSUBD. P.I.D.# Phone #: Name:--- -- ---- - --- -- PROPERTY Iast First OWNF,R Street Address:__ ___ - ------------- '- City _ --------------W- SGqte: ---------- zip' -- Compaz?y???W_Jl?` ?-•r?? ?-_?-=-/?'r f Phone 4t: coNTRAcro R StreetAddress: 1.icense # City _0! State: Zip: ARCHITECT/ ENGINEER Compairy:_ __ __-_-____ Phone #: --- Namc: Registradon #: Street Address:---?---- - ------- - City Slate: --------- Zip' ----- Sewer & waSer licensed plumber (only if installing sewer 8 water): I hereby acknowledge that I have read this application and state that the information ' ect and agree to comply with all applicable State oi Minnesota Statutes and City of Eagan Ordinances. Signature of Applica OFFICE USE ONLY Contad eunamg inspections ror sampie Food & Beverage or Lodging faciliHes: Plan must be submitted to Minnesota DepaRment of Health. Call 215-0700 for details. TG. // /i) -q/ WORK TYPE: _, NEW REMODEL BUILDING PERMIT TYPE ? 01 Foundation ? 18 Comm./Ind. WORK TYPE ? 31 New ? 32 Addition GENERAL INFORMATION Const. (Actual) _ (Allowable) UBC Occupancy Zoning # af 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 Demolition MC/WS 5ystem 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. SIW Permit SIW Surcharge Treatment PI. Park Ded. Trails Ded. Water Qual. Other Copies Total: % SAC SAC Units Meter Size Valuation: $ 2006 RESIDENTIAL BUILDING PERNIIT APPLICATION CIc," City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 4 651-675-5675 FAX 9 651-675-5694 New ConsVUCtion Reauirements 3 registered site surveys showing sq. ft. of bt, sq, fL of house; and ail roofed areas (20Yo mawmum lot coverage allowed) 2 copies of plan showing heam 8 wkvdow sixes; poured Found design, etc. 7 set of Energy Galculations 3 copies of Tree Pmservafion Plan if lot platted after 771193 Rim Joist Defail Options selection sheet (buildings with 3 or less units) Minnegasw mechaniplventilationfortn S7'!3 RemodeVReoair Reaviremenis OfficeUse:Onlv 2 copies of plan showing footings, beams, joists Cert of Surrey Recd Y _N 1 set ot Eneigy Catuiatimr for heated additions Tree Pres Plan Recd _ Y N. lsitesurveyforaddilions&tlec TreePresRequired _Y _N Addition - irMicate if on-SBe se79 f$i? ?? On-site-SepGc System _Y _ N ?? ??i7? V APR 0 Date ?' ! V ? Construction Cast site AaaTess 3 2LI q 3a51 7 Z 5'? f 3 2 5 S 3 2 5-??, 32 S q nfuste # Description of Work -?t IaL@.: n7 W, Iv1 @u1S Multi-Family Btdg _ Y_ N Fireplace(s) _ 0 2 Property Owner lo-flc.HmA? ?iIA14/iw ????OmtS Telephone#( ) Contractor ?hA 1.554 Yf(Q 16 606 Address -7?iSl htekwOO C.Q lVl -4130 ?q City State /h A1 Zip 75?q Telephane #(?3 DSVV COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventllation Category 1 Worksheet . New Energy Code Worksheet (4 su6mission type) Submitted Submitted . Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permif for a similar plan based on a master plan? _ Y _ N If yes, date 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 MN Statutes; I understand this is not a permit, but only an application for a permit, and wark 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. [ 14?? At6/T7(fiitx C Applicant's Printed Name Applicant's Signature $?331.zs PERMIT Permit Type: Plumbing City of Eagan Permit Number: EA105618 Date Issued: 07/23/2012 Permit Category: ePermit Site Address: 3255 Evergreen Dr Lot: 14 Block: 01 Addition: Coachman Highlands PID: 10-18075-01-140 Use: Description: Sub Type: e - Water Heater Work Type: New Description: Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Dayna Gardner Comments: 505 RANDOLPH AVE ST PAUL, MN 55102 651-228-9071 PL - Permit Fee (WS &/or WH) $55.00 0801.4087 Fee Summary: Surcharge-Fixed $5.00 9001.2195 Valuation: 1,040.00 Total: $60.00 Contractor: Owner: - Applicant - Bonfe's Plumbing & Heating Thomas F Kolthoff 505 Randolph Ave 3255 Evergreen Dr St Paul MN 55102 Eagan MN 55121 (651) 228-9071 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. Applicant/Permitee: Signature Issued By: Signature . � � 3��, �3 � SI, �3�5�3, 3� 5 �; 3�s7 3� 5 � Use BLUE or BLACK Ink �----------------- � For Office Use � ' j Permit#: °� �Y1�`� I C�ty of ��Il � a ��s � � Permit Fee: � 3830 Pilot Knob Road Eagan MN 55122 j Date Received: � I� f I Phone:(651)675-5675 I I Fax:(651)675-5694 I Staff: I i I `��.��J 2014 RESIDENTIAL BUILDING PERMIT APPLICATION �t�: ��, �� Site Address:��- `i�`� E�F�C��r� '�� • u��t#: 3�?'-lc1-3�.�� Name: Phone: �OWt1@t'� Address/City/Zip:�� l �3�� kh� ��1�� Applicant is: Owner �Contractor L��t�� Type of wortc Description of work: �� `w�/� ^1 � ' Construction Cost: '� a o�� Multi-Family Building:(Yes�/No� Company: !`�� • �v . I�� f�• Contact: L�� G\�Y`�1'�-1 ��t� COI��I'aC#Di' Address:��-.7 �UIpV'✓� ►7v� �� c�ty: 5� �'l L G�i A�(_„ state:�z�p: �5�� Phone:(QL2'��'bI� Email:�fJ(��2 11�1 rtiG��r�rao � c c.�v►�. �icense#: T�C- ��(�j � 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 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 8 Water Contractoe Phone: NorE;Plarrs and supporting d�rcumerri�rhat yr�rr suamit ars conslder+ear ro be p�,8lic i►�form,s#on. Par�bor�s+�# Nte rnforntat�crt may be ct�ss�fte+�f as t:crn�wblic lf you pravitl'�speci�c�asans tt�at would perrrtit#he+�ity� cancl�rcYe#tat th�,� are#rade s�ecrets. 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.popherstateonecali.orq 1 hereby adcnowledge that this infortnation is comp�te and accurate;that the work will be in�nformance writh the ordinar�es and codes of the City of Eagan;that I understand this is not a pertriit, but only an application for a permit, and work is not to start without a permit; that the uvo►k will be in accordance with the approved plan in the case of virork which requires a review and approval of plar�s. Entsrior work authorized by a building permit issued in accordance with the ' tate Bu' ing Code must be completed within 180 days of permit issuance. ��I �� _ . X c� X ApplicanYs rKed Name ApplicanY gna ure Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA127657 Date Issued:10/09/2014 Permit Category:ePermit Site Address: 3255 Evergreen Dr Lot:14 Block: 01 Addition: Coachman Highlands PID:10-18075-01-140 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Ann Hoffman 505 Randolph Ave Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 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 - Thomas F Kolthoff 3255 Evergreen Dr Eagan MN 55121 (651) 994-1864 Bonfe's Plumbing & Heating 505 Randolph Ave St Paul MN 55102 (651) 228-9071 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA131580 Date Issued:06/25/2015 Permit Category:ePermit Site Address: 3255 Evergreen Dr Lot:14 Block: 01 Addition: Coachman Highlands PID:10-18075-01-140 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)$55.00 0801.4088 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 - Thomas F Kolthoff 3255 Evergreen Dr Eagan MN 55121 (651) 994-1864 Bonfe's Plumbing & Heating 505 Randolph Ave St Paul MN 55102 (651) 228-9071 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink 41000, f For Office Use(�/ Permit s: / %J0 7 City Of E� Per it Fee: Q31 I 3830 Pilot Knob Road Eagan MN 55122 <r. Date Received: Phone:(651)675-5675 buildintdnspectionseicitvofeaa a n.com SLr 1 9 2917 Staff 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: NamC -a i 4v% . \112-g\AS P.cvs,,,._.-3-3-r:;-, r 9c 1.--,,F3) 33`) , e: Phone: Resident, Owner Address/City/Zip 3)S5 �v2yres�.a_o, r,J.ti -�-,r, o•-ii.....) --31 3..1 Applicant is: Owner X Contractor Description of workP'-' -'1"r''''''''="\ k ice'""`-t'1 a.:-, ,� ('' C,--\ _.," --lt- Type of Work Construction Cost Multi-Family Building:(Yes i No ) Company: ,,,,w-A. ,cy CZ k C.:=n=-,A--4--e---t-�-.r-s, r,�. Contact VI'', S'a‘0 Contractor ' Address: 7...-t Vic_ .'5't 'S' r" ..4 city: ls,2..)ia'tz.v' State*i'±0-1' Zip: "S`>' ' Phone:Cit 2-�5}-'33 3 Email: 5'2\o-a c'' <,s44-. s' - , a��. ' "-,., License#: t3 i:..13 3 1 1 t Lead Certificate#: P1.4 If the project is exempt from lead certification,please explain why: -y 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: NOTEE Plans and supporting documents that you submit are considered to b e publicinfonnation. 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. 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.citvofeanan.comtsubscribe. 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 hours before you intend to dig to receive locates of underground utilies. www.copherstateonecail.orc 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 accordancewith the approved plan in the case of work which requires a review and approval of plans. z..._ sil...,:d:\:,,,,,6,,,..,_,,,:„...,„.„ti...r,,. Applicant's Printed Name pplicants Signatur Page 1 of 3 " EcD.�.-,5' C 3 WRITE BELOW THIS LINE /q60D-7 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 060 Occupancy 3 MCES System Plan Review Code Edition Vii „ . SAC Units (25% 100% ) Zoning A. 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 1 ` Footings(Addition) X Final/No C.O. Required Foundation Foundation Before Backfill J 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 0 >61-4 Surcharge ri it?PL,- Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Pill Treatment Plant .., if. 4 ,2 ,2 (23 Copies r 46., `' TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA167410 Date Issued:03/12/2021 Permit Category:ePermit Site Address: 3255 Evergreen Dr Lot:14 Block: 01 Addition: Coachman Highlands PID:10-18075-01-140 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jean E Hoffmann 3255 Evergreen Dr Eagan MN 55121 (612) 386-8160 Water Heaters Now Inc 23310 Canby Ave Faribault MN 55021 (952) 688-2222 Applicant/Permitee: Signature Issued By: Signature