3257 Evergreen Drox 21199 PERMIT NO.:
MN 55121 DATE:
uxtit;;ar o No. of Units:
/lddress:
No..
No.:
IO OOM* WIHI IM CIty Of EYvOA
of I nsp.:
'OFEAGAN
Pilot Knob Rosd
Box 21199
% MN 55121
Address:
0 "r- 0.) a 0k.E)4
to eanpfr wieh the Gry of Eetar
of 1 nsp.:
Connection Charge:
Attount Deposit: _
Permit Fee:
5urcharge:
Misc. Chorges: _
Totol:
Date Paid:
SEVUER SERVICE PERMIT
PERMIT NO.: 6039
DATE:
No. of Units:
Cor?nection Charge:
Account Deppsih _
Permtt Fae:
Surchorpe:
Mtsc. Charpes:
Total:
Qats Paid:
CITY OF EAGAN
3E:3 Pilot linob Road WATER SERVICE PERMIT
4951
P. O. Box 21199 PERMIT NO.: _
? Eagan, MN 55121 DATE:
Zoning: No. of Units:
?r_ IIrutger o
Address:
Si? ???: 3259 ergreen r I. 2 B oac an ixg an s
a es on rgc o
? Plumbor: rs
? Mater No.:
?
Connection Charge: ?(] ?lr
.? .
51xe: Acoount Deposit:
? Reader No.: Permit Fee: 1000 • F
1 agme to eomplp whh Iw Cilp of Eogan Surcharge: .50 pci
Ordinenert. Misc. Chorpes: _ 6•0_ p rilatBT
Totol:
By Data Paid:
pnte of Insp.: Insp.:
CITY OF EAGAN SEWER SERVICE PERMIT
3a30 Pilot Knob Road 6035
P. O. Box 27799 PERMIT NO.:
Eagan, MN 55121 DATE:
Zonlnp: No. of Units:
pr,,,,,r: Brut er Co
Ibddress:
Site /lddi
? Piumber
.
33 37652
3
2
-
-
l
' 1 04M te eemplY wit4 NN Cth of Eataw
Cannedton Charge: 425.00 Rd
; OrdIMRCli. ACWUI1t DCpOSit:
? Permit Fae: 10.00 p
Surcharpe: 50 10.
gy Mtsc. Che?oes:
Dote of Insp.: Totoi:
Insp.: Dots Paid:
CITY OF EAGAN
e,,,,s,;,,„ •COACHMAN HIGHLANDS
Owner
Remarks
Loc 13 eik 1 Pefcei 10-18075-130-01
Street 3257 EVERGREEN DRIVE state EAGAN MN 55121
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF, 170 1975 Paid un r arcel 10 2750 -010-03
STREET RESTOR. it of It
GRADING 1007 1986 354.14 35.41 10 ?35'I / 0- /O 76,? JO - 5-
SAN SEW TRUNK 41tl iQ -2750 )-010-03
SEWER LATERAL 1994 it ti 11
- _
*WATERMAIN p' r 1 2']S - IO-O3
WATER LATERAL IW' 19 7 5
tt
e?
n
* WATER AREA
1979
tt t? r?
STORM SEW TRK Ii
STORM SEW LAT
CURB & GUTTER '
SIDEWALK
STREET LIGHT
250.00 37652 8-2-83
WATER CONN. 450.00 n n
9UILDING PER. 8340
SAC
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 Permit No.
CITY OF EAGAN pee
?.
6 Fill in numbered spaces S/C
Type or Print legr6/y Tot. o{?
? - y -?
1. Date 2. Installation Cost
3. Job Address 3ZS 7 ' LotBlk. Tract •' '? ?r ?? c ;si
4. ow,er
?:i, .-, G! Phone
5. Contractor /??i C/?
6. Address
i ?-
,
7. City State Zip
8. Building Type: Residential W Commercial O Institutional ?
9. Work Description: New gI Add ? Alter 11 Repair ?
1 10. Describe
1 11.
No.
Z Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
'L Bath tubs Septic Tank
Z. Lavatory Softner
Shower Well
KitChen Sink
Urinal/Bidet Other
Laundry Tray
1 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
II rdpar ces and?odes governing this type of work.
oomply 711
Signed : fo
r
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved_ : ? ; _ `--CITY OF EAGAN 454-8100
Receipt MECHANICAL PERMIT
CITY OF EAGAN
?
Permit No.
?.,.,
fill in numbered spaces S/C
Type or Print /egib/y Tot.
1. Date 2. Installation Cost '
3. Job Address- - i- F' i? Lot /- Blk. ? Tract
4. Owner
5. Contractor Phone
?
6. Address
7. City State Zip
8. Buifding Type: Residential C( Commercial ? Institutional ?
9. Work Description: New Q Add ? Alter ? Repair 0
10. Describe Fuel Type '
11,
No.
? Equipment 8TU - M. Ea.
Forced Air No. EquiPment CFM
Air Handlin
:
Mfg. g
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond. '
Mfg.
Gas, Piping Outleu '
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 num6ered and approved.
Approved CITY OF EAGAN 464-8100
r,Ids;. A--6
BUILDIfir1G PERMIT
CITY Of EAGAN
379! P}lat Knob ReaA Eogan, MN 55122
PHOlIE: 454-8100
6 PLEX
SFTB AddrESS - J&"71 LVCL6LCC41 LL1.YG
1.or 13 Bl«k 1 Sec/Sub. Coachman High1F
Parcel # /O - /-F 0 74; - */321-0 /
W NOme LLµ4L6L vvwYtiuica? il{l.
?Z Address Qne Sunwood Dr., P.O.
r:... St. CZOllC1 0L?..__ 292
0
ol
o?
u?
F
8?43
Receipt
Erect XX Occuponcy R-3
AIter ? Zoning R-3
Repoir p Fire Zone iNA
Enlargs D TYpe of Const. v
Move ? # Stories 2
Demolish ? Length
Assessment
Water 8 Sew.
Potice
Fire
Eng.
Plonner
Council
1 hereby ackrsawledge rhat 1 heve read this opplitolion ond state that Bldg. Off.
the in4ormation is correct and agree to comply with all oppliCable APC
Stote of Minnesota Stotutes and City of Eagan Ordinances.
Fees
Permir 292.00
Surcharge 26.50
Plon theck 146.00
'SAC 525.00
Woter Conn. 4 S Q- OQ
Water Meter 60. OU
Road Unit .250-.00
Totol $1 9 . 50
Sipnoture of Permittee a , C. I
A Building Permit is issued to: on the express condiHon lhm
oll work shall be done in eccordanee with oll npplicable Stat' of AAiwwaota-StefG e ond City of Eogan Ordinances,
8uifdinq Officiol
Permit No. Permit Holder Misc. Permit No. Holder
Plumbin9 ? -? ?
?
L2J
H. V.A.C.
V ?D lY ? IMDt-'V1 ?O ? f`/ J
Well
Water
Disp.
SaWer
Electric AqOS(p?
Inapection Date Insp. Othar
Footingc
Foundation
Framing
9
Rouph Pibg. d_ . 0
'57-4
Rouah HVAC
r
Inwlsti
on
Final Plbg. /-T
?
Final HVAC ?
Final
Water Deact'ibe Location:
YYeil
Sewer ?
Pr. Diap.
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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
Bl,dg. ? A=6
N° 8343
S 7
BUILDING PERMIT Receipt ?j ???`
To ye wad fa, 1 of 6 PLEX Est,yalue $53,000 pote Aug ust 1 _ 19 83
Site Address 3257 Evergreen Drive E
t O R-3
rec
}a ccuponcy
Lor 13 elock 1 Sec/Sub. Coachman Aighlands qlter ? Zoning R-3
Pareel # Repnir p Fire Zone NA
E
i T
f C V
n
arge ? onst.
yce o
? Name BrutQer Companies , Inc.
Move ?
# Stories 2
; Address One Sunwood Dr., P.O. Box 399 pemolish ? Length_
b C; St. Cloud phone 292-6262 Grade ? Depth Sq. Ft.-
m Name OWRer Apvrovab . .. Feoa
?
?o
? Address
Name _
Addrese
1 hereby ackrqwledye that I hove read this applicotion and state that
the inlormation is correct and agree to wmplY with all applicable
Stafe of Minnewta Statutes ond City of Eagan Ordirances.
Sipnoture of Permittee Tll
A Building Permit Is issued to:
all work sholl be done in accordonca wfth
Buildin0 Officfal
CITY OF EAGAN
9795 PIIW Knob Reed Eagan, MN 35122
PHONF: 454.8100
Assessment -
Worer & Sew.
Police -
Fire
Erp.
Plonner -
Council _
Bldg. Off. _
APC
Permit t7c.vv
surchorge 26.50
Plan check 146.00
5nC 525.00
Water Conn.450.00
Worer Meter 60.00
Road Unic 250.00
roral 1749.50
_ on the express condit(on tha,
City of Eagan Ordinances.
czTY oF EACAN
'!b B2 USed FOr 1 of 6 Plex
Inclixie 2 sets of plans,
1 site plan w/elevations &
BUILDSNG PERMIT APPLICATION 1 set of energy calculations.
_ Valuation %_347-800 <j0a J Date July 13, 1983
51t2 Fi1dY25S 3257 EveYgreen Drive
Lot 13 BloCk 1 Sec./Sub. Coachman
Parcel #:
Highlands
oWReY: Brutqer Companies, Inc.
AddT2SS: One Sunwood Drive, P.O. Box 399
City/Zip Code: st. Cioua, ruv 56302
Phone #: (612) 252-6262
COT1tYdCtOT: Brutqer Companies, Inc.
Address: One Sunwood Drive, P.O. Box 399
City/Zip COde: St. Cloud, MN 56302
Phore #: (612) 252-6262
PSCh./II1q.: Blumentals Architecture, Inc.
A[ldx'255: 6100 Summit Drive North
Clty/Zip COd2: Brooklyn Center, NIN 55430
PhonO #: (612) 571-5550
OFFICE USE ONLY
Erect ? Occupancy 1-3
Alter Zoning
Repair Fire Zone
Ehlarge _ Type of Const.
Move # Stories r??
Demolish Front ft.
Grade Depth ft.
APPROVALS FEES
Assessments Permit 2 ?
?-Tater/Seaer Surcharge 26
Police Plan Check /'I b
Fire SAC
Ehg. Water Conn. 5
Planner Water Meter 90
Council Road Unit ? -76
°
Bldg. Off. r
AFC
T17I'AL ?? t 1?5?
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
. � � 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:Plumbing
Permit Number:EA131618
Date Issued:06/29/2015
Permit Category:ePermit
Site Address: 3257 Evergreen Dr
Lot:13 Block: 01 Addition: Coachman Highlands
PID:10-18075-01-130
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)$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 -
Deborah J Evans
3257 Evergreen Dr
Eagan MN 55121
(651) 442-3696
Benjamin Franklin Plumbing
5720 International Parkway
New Hope MN 55428
(612) 604-4285 X61
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
For Office Use
411PC of��► Permit S: /yf��
�
Ci
Permit Fee: %2�� 1
3830 Pilot Knob Road
Eagan MN 55122 ) Date Received:
Phone:(651)675-5675
buildinalnspecctionst6 citvofeagan.com Staff:
SEP 192017
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
i ptib,- L.t,-a t^lK4 phs
�s 1.v:3.� tit't't t� ]�.`�y` �^;�>;'1 A
- Name: z <� -AS Phone: 9 --"A.5�II
Resident!
Owner Address/City t Trp:3 � �v.2v c�✓�2� r:�/Q �=3 Vti•-) S5 I
Applicant is: Owner X Contractor
Description of work -2-e-- r7:rv" .1 ?
�� 1
Type of Work . r Construction Cost Multi-Family Building:(Yes l No )
Company: 3 a zt' . " -5 "4.44 A%-'-- Contact tf.`.
Contractor.
Address: 2-n G4 n :t+ j-t t- City: t ��..114A.-.v—
... .. ... . . ... . . ... .
State:in Zap: 5S`-'‘g•-:` Phone:4 l "3.S 3,.32'3)3
s3a,3 Email: 5-4\p ,,. s. �, k* r evl
License#: 'C.t�'3 `t Lead Certificate#: i% //4
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:
NOTA Plans and supporting documents that you submit are considemd to be pubilcinformatton. Fttrttons of fhe:..:
information maybe clasalledasclassified nonpublic it youprovide specific reasons that would peimitthe city to conclude- tthey
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(851)454-0002 for protection against underground utility damage. Call 48 hours before
you intend to dig to receive locates of underground utiklies_ www.copherstateonecaILoru
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinary 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.
Applicant's Printed Name Applicant's Slgnatur
Page 1 of 3
� � vc ' 6-/m C/2--(
DG7 - VE -DO
NOT WRITE BELOW THIS LINE /L-/ -0�
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 Dx., MCES System
Plan Review Code Edition II r 1 "` SAC Units
(25%X 100% ) Zoning 1 '': City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction7-5--- Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
" Footings (Deck) Final I C.O. Required
f ` Footings(Addition) X Final I 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 / 1,,„,/Base Fee K � ' ,1 /
Surcharge r 6 R/Pc
Plan Review
MCES SAC
City SAC
Utility Connection Charge �j�
S&W Permit&Surcharge V
i pv
Treatment Plant
Copies `
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA165830
Date Issued:11/23/2020
Permit Category:ePermit
Site Address: 3257 Evergreen Dr
Lot:13 Block: 01 Addition: Coachman Highlands
PID:10-18075-01-130
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
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 -
Dettie Murphy
3257 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