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3233 Evergreen Dr-?Zg6S 2006 RESIDENTIAL BUILDING rExnuT arrLrcATioN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construcfion Reauirements 3 re9isfered sde surveys showing sq. ft of lot, sq. ft of house; and all roofed areas (20°k maximum bt wverege allowed) 2 copies of plan showing beam 8 window sizes; poured found desgn, etc. 1 set of Energy Calcuia6ons 3 copies of Tree Presarvation Plan A lot platted atter 711193 Rim Joist Defail Optiws selection sheet (buildings wAh 3 or less units) Minnegasm mechanini ventilation form RemodellReoair Reauirements 2 wpies of plan stawing too6ngs, 6eams, joists 1 set of Eneqy CakxAations for heated addNOns 1 site survey for additions & decks Adddion - indicafe i(an-sRe seAfic sysfem A 33? zs Ck. --?- s1-4 3 Office Use'AnN CeAofSuivey?Recd _Y _N TreePres'PlaoRecd ?-_Y _N. TreePres.Requ'ved ._Y _N OnsiteSepticSystem Y _N Date ?-J / ? % 0 b Construction Cost 4'Z0 m SiteAddress 3Z-ZSy3Z-Z?- 32Z.9 13 231? 3233 , 3Z3S i? UniUSte # 1 Description of Work ? Iei Cl' tTy ni ! I hQ '6+6 Multi-Family Bldg ? Y_ N Fireplace(s) _ 0_ 1 _ 2 PropertyOwner _C64c.H mAI) A?A /G4 74?n h omt 5 Telephone #( D? Contractor -t rA 0 Address ?35) rl ? ?[?lloo? Ly ? 13C? ?p City /?'Iqnk k'OVt -- State MIv Zip 7531?? r Telephone#(-V3) 1 0` DSL" COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv l Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculafions Submitted In the last 12 months, has the CiTy of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor SewerlWater Contractor Telephone # ( Telephone #( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ( ?ui ? ?iZU77lh?4<? Z/1' Applicant's Printed Name Applicant's Signature /? ^? l b CITY USE ONLY m PERMI"C #: ? ?/ RECEIPT DATE: / </? f;£SIDENTIAL MECHANICAL PERMIT APPLICihTION crrY of EAsm 3830 Pu.o'r KNOS [tD , ' 'f.A6A1PbfN551YE, ssi-sgi-?s?s Please complete for: D single family dwellings townhomes and condos when permits are required for each unit Date: Lo SITE ADDRESS: _?) OWNER NAME: TELEPHONE#: ?7S 1 (o J ?S3 (AREA CODE) INSTALLER NAME: TELEPHONE #: I AI i l 74 """11 ' (AREA COOE) 410 INE$l l.AKESTREET STREET ADDRESS: MINNEAPOLiS, fViN 66408•2998 612-824-2656 STATE: ZIP: -- o??..:?-a..6.,-..L?..;.?.L._ ..o...,i#...n.L+...:o.._._..__. .... ___ ._._...._ . _.__ _. _.. e4i'i- 11:u New residential dwelling unit under constructionand not owner/oceupied - $ 70.00 i? Add-on, modification or alteration to existina dwelling unit $ 50.00 ' • furnace replacement ? • airexchanger • air conditioner • other ! ^ Nature of work: U° State Surchar e $ 50 ? ? ?5? Total - Remii:der: Cal! for tnspectians. upaamu iivi _ -i . I C= I 2/84 ' CZTY OF EAGAN A PPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTIODT (PLEASE PRINT) 1) PROPERT"I ADDRESS : _ 3? 3? t 1' G C` F' P Zv%'. l9 *' r,FrAr• D S I°TICAI: e l i (LOt/Block/SUbClivision or TaX arcei I.D. Ntunber) c a 2 li ._r'..{I:^_'^_:G S'IRIICPTRE, D;%T' 0_' QRIGii:AL EuIi.DI.`;G F? :Sm IcS,:?NC°: ? PRES: :' Z:^„II`X:/F.-wG1DCSE7.? U5E: ? R-1 SLNGLE r^Pm.I:.Y ? R-2 DUPLEX (2Wp Wi ITS) Q'R-3 `IC4v"NrIajSE (THRE" + LPUITS) ( UNZTS) ? R-4 APAR`R'AEXT/CJDIDCk?=ILry1 ( I7iPIITS} ? CONfi1ETtCIAL/FtE,TAiI,/OFFICE ? LML'STRIAL ? INSTITUTIONAL/GGVE.4NME[v'T 2) AppI,2G'= (PLEASE PRINT) NAh?_ C' ADDRESS: ?- SU (?_ `? s??R)t?bd? ? QP CITY, STATE, ZZP: ?C 1??A mk) _ PH=i: 3) pj,j,^ijggt C PRINT) FOR CITY USE OHLY NAME_ ? ??bG , ? ADDFtESS: ?'[][? ? ? PLUMBERS IICENSE: Cl 9iC TQ, Q Active CITY, STATE. ZIP: Expired PIE: PHOq aLY - I - ? ? Not af Record _ 7 l PLU MBER LICENSE N arr nitia 4) (-?C:UYAMl'/O,•zIER NAME lrLLnac-rnirvi) : ADDRESS: CITY, STATE, ZIP: PHCE^IE: 5) IIVpICATE WHICH PEPMIT IS BEIiv'G REQUESTID: ?Cb.,iVECI'IDN 'ib CITY SET9ER ?CO:?'NECTION Tp CITY WATER ? dPEEt (PLF'-71.SE DESCRIBE) 6) INDIG= C:a: ? PLF;SE HOID APPR(JtIID PERtiLLT FOR PICi:-UP BY ONE OF 11BOVE ?°LEF'SE tiTAIL APPROVED PER11IT Tp 1. 2, 3 4 ABOVE (Circle one) 7) :-? 2 DATE: ? ? 1 F O R C I T Y U S E O N L Y • PERMIT °- ISSUED FEES: $ a /O •? S.?'..i•.,-L-D nEppirm (r, r.-?-- o i 1 ?il(7 $ WATER PERf1IT ( I1?,TCLUDE SURCHARGr, ) $ lo J f--l/ WATER METER/COPPERHORN/OUTSI?E REr1DER $ WATEf'. TAP (INCiODE CORPORATION STOP) $ SE:4ER TAn $ ACCOUNT DEPOSIT - SE:4ER $ /?• °-O ACCOUNT DEPOSIT - WAT°R $ .,/ 7o. ?--a wac $ sAc $ TRUDTK [4ATER ASSFSSAIENT $ TRliNK SEWER ASSES$MENT $ LATE°,AL BENEFIT/TRUNK SES4ER $ LATE:tAL BENE'FIT/TRUNK WATER $ OTHER $ TOTAL to O . a--O ?Q ? ,? ? J O AM0UNT PAID/RECEIPT # 3 5' DOES UTILITY CONN ECTION REQUIRE E XCAVATION IN PUSLIC RIGiiT OF WAY? ? YES . IF YES, THEN A"PERMIT FOR WORK WITHIN PUSLIC ROADWAY" MUST BE ISSUED BY THE ? NO ENGINEERING DIVISZON. LIST AS A CONDI- TION. SUBJECT TO TFIE FOLiO;4ING CONDITIONS: APPROVED BY: TITLE: DATE: _7 1998 BUILDING PERMIT APPLICATION (COMMERCIAL) 3 40 L) ? CITY OF EAGAN 681-4675 s . .. . . _ ?.- - ------?a- uom¢ roiwwmy w wwni iIoCwl y N Foundation Onl ?...... New Construction . Interior Improvement structural plans (2 sets) architectural plans (2 sets) architectural plans i l (2 sets) (1) ? civil plans (2 sets) structural plans (2 sets) s code ana ys (1 geU code analysis (1) " civil plans (2 sets) project specs soils report (1) 1 landscaping plans codeanalysis (2 sets) (1) ° Key Plan energywlculaGons (1)notalways" ) projectspecs ( Special Inspections & Testing Schedule " soils report (1) Electric Power & Lighting Form (1) not always ° SAC determination letter from MC/WS - SAC determination letter from MCM/S - SAC detertnination letter from MCMlS - ca11 6 02-1 00 0 call 602-1000 call 602-1000 Special Inspections & Testing Schedule (1) " projed specs (1) energy calculations (1) Electric Power & Lighting Fortn (1) " Contad Builuing inspecuons Tor sampie Food & Beverage or Lodging facilities: Plan must be submitted to Minnesota Department of Health. Call 215-0700 for details. nnTF?I- ?C??cl ? WORK TYPE: _ NEW REMODEL DESCRIPTION OF WORK: CONSTRUCTION COST: TENANT NAME: C^ ° d // -" ai? / ^f OS f>7" l SITE ADDRESS: SUITE #: LOT Dc1 BLOCK SUBD. OC, CJ\-VV\ o< <-s ???•1.D. # a.9,3?3I???a33 , Phonc ft:, PROPERTY last OWNER Street City State: Zip: / ? / Company:_ 2 SSe L_W i/?rdQw ?g Phone #: CONTRACfO ?j?J? ?/ R Street Address: J`^ ? /'?L9 i'7 t?S on/ ?cense k ?P `f 5 -3 - City -------- ----- State: ZiP: _ ARCHITECT/ ENGINEER Compaziy:_ _____ Phone k: Name: __ __ Registration N: Slrcet Address: ___ ----- City --- -- Statc: _ -- - Zip' - - Sewer & water licensed plumber (only if installing sewer & water): I hereby acknowledge that I have read this application and state that the informatio r d agree to comply with all applicable State o Minnesota Statutes and City of Eagan Ordinances. Signature of Appli ? ? - OFFICE USE ONL First BUILDING PERMIT TYPE ? 01 Foundation ? 18 Comm./Ind. WORK TYPE ? 31 New ? 32 Addition GENERAL INFORMATION Const. (Actual) _ (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 33 Alterations ? 34 Repair Basement sq. ft. First Floor sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Planning Building Engineering ? 21 Miscellaneous ? 35 Tenant Finish ? 37 Demolitian MC/WS System City Water Fire Sprinklered Census Cade SAC Code Census Bldg. Census Unit Variance Permit Fee Surcharge '-f0 Plan Review MCNVS SAC City SAC Water Conn. SIW Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Water Qual. Other Copies Total: % SAC 5AC Units Meter Size Valuation: $ ? GIT;f` OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55722-1897 (651) 681-4675 SITE ADDRESS: PERMIT PERMITTYPE: Bu1LosNr Permit Number: 03y 005 Date Issued: 11 l 1 7/9£3 3225 EVG:.ReRt_Uu nit LOT: 29 Bt.OCKa 1 COACHMAN N1G1-II.ANDS P,I.N.: 1.8-18075--290-01 DESCRIPTION: ftEROar-/ 6 F>IEx REMARKS: IracLuoEs: Bui.tdina Perm3Y. Type MULTI, (MISC,) quz-Sding Woe.k. 7ype REPA]:R Census Gode - 434 AL.7a W",ES:CDEN't"7AL ? z t r 32z7, 3229, 3231, s2:33, nwo 3235. FEE SUMMARY: b'RLIJATTfJN Fiase Fee Surcharge 7otal Fee 1; 8 .() 0 0 `1137. 25 $1A1.)5 CONTRACTOR: - Applicant -OWNER: ' 6EISSEL WTNOOW & STI]tNG 2457.E835 COflGHMfliV H:I.GHLANDa ASSQC. 3213 EVERGP,EEN pR 3:15 EVEIZGlREcN IJR EA13qN MN 5512:L Ef) GFiN MI'd 55122 (612) 451-6836 a ? Z hareby aa4cnowledge thati I have reaci This applicataon aricf state that the in'Farmar_ion is correcr_ and aqree Co camPly with a:ll appli.cahLe 5Cat2 ot' Mn. SGatutes and City of Eaqan Orclanances> APPLICANT/PERMITEE SIGNATURE ?,JIsueo er: siGNniuaE C ? ,. ? ?.a.. , A-_I:;r:% 10.r3,.•.:. [ .... %n I...?.?( ?i '.II' i:'?.;..??,?'..?,? . ?, . 1:i ? ...? 1 ....'.f ( . , ?I.;..:?.:_. -.-f::: W::, I'' IS./.??... M_.. :i..i.r'C.. . _.. .... .._. .!_.? „ .'!Ti Yi . ... .. ... ._. P74 ..... Tpr '!Ai'.!`.,'.I i u•,y J;C'a .:?'.:}h1 1.}:.`!) 9.?.', ' kY,;; k9:$:?;' l ? . .. ,::i ? ...?.:J._ 'i? • ?.:I 210Mi ... ? :'..... . ? •.'I:',.I I _ :, i I.'"-?i:.' .25 ....:i 9001 _ 1620 II /... ...i ... 2r1 .. ..i .a . ??. ... -:f? I .. f P '.... ..:" . i (:u: _i , ..... ..? ?-.r',:..?. ' ..."P. ? y l.l'n,l..f:? ,. 9M{J ............ . i.D.. NAN%..._.i l ? ? &) /V3? y?l I OF, C? Zb Be Used Fbr Townhouse CITY OF EAGAN BUILDING PERMIT APPLICATION Include 2 sets of plans, 1 site plan w/elevations & 1 set of energy calculations. Valuation ?35 ? 900 ?5? ? °O Date Site PddYess '6235 Ever reen Drive Int 25 Block 1 Sec./Sub. Coachman P3L'Cel #: _ /0 - (y0 7S _;,Z -,, Hi3?lands Oal'Ier: Brutqer Companies Inc Adds25S: One Sunwood Drive, P.O. Box 399 C.ity/Zlp Cpde: _ St. C1oud, MN 56302 Phone #: (612) 252-6262 COIltr'aCtpT: Brutqer Companies Inc. Address: One Sunwood Drive, P.O. Box 399 City/Zip (:pde: St. C1oud, MN 56302 Phone #: (612) 252-6262 Azch-/E71q•: Blumer.tals Architecture, Inc. AdG1TeSS: 6100 Summit Drive North Clty/Zlp COdO: _ Brooklyn Center MN 55430 Phone #: (612) 571-555o May 24, 1984 OFFICE USE ONLY Erect X occupancy (Z-I Alter 2oning Repair Fire Zone N ? Enlaxc3e _ Type of Const. -? Move # Stories DeTrolish Front £t. Grade Depth ft. APPROVAT.S EEE,g Assessmcnts PexTut ?-? 00 Water/Sewer Surcharge Police Plan Check ? r?3 So Fire , SAC _^ E-n4• Water Conn. 4'7p Planner Water Meter (Q 3. - council RDad unit 2/,o ?o- Bldg. Off. AL?c ZDTAL / , &G? ?• S C? • CITY OF EAGAIV N. ? 9isi 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127 PHONE: 454-8100 , /! BUILDING PERMIT Receipt # `7`r00 ? Te be und for 1 OF 6 PLEX Est.Value $58,000 DO1e JUNE 11 1 y 84 3233 EVERGREEN DR Site Address Erect ? R1 Occupancy - Lot 25 slock 1 sec/sub. COACHMAN HIGHLANA& ? Zoning? R3 ParcelNo. 10-I8075-250-0I Repoir ? ?? FlreZone ??/? Enlorge ? Type of Const. V BRUTGER COMPANIES INC rc Name Move ? # Storie SUNWOOD DR., P.O. BOX 399 Z ?? ?? Address Demolish ? Length ? UD 52-6262 City Phone Grade ? 3 ? ? Depth Sq. Ft.- c SAME AvVrovala Faes o Name ?u Address Assessment Pertnit $ 307 _ QQ l- City Phone Wufer 8 Sew. Surchorge 29 - 00 Police -50 Plan check 12 Gw Name BLUMENTALS ARCHITECTURE INC Fire SAC 525 _ 00 tz 6100 SUMMIT DR NO ¢0 Address Enq. Water Conn. 470 . 00 pW City BRKLYN CTF?ha?e 571-5550 Pl 6-4 00 W t M t ? anner - a er e er Council Road Unit 7rf1 00 I hereby acknowledge that I have read this apDlication and store thot gidg. Off. the in(ormation Is wrrect and ogree to comply with all opplicable rjQ AP? $tate of Minnewta Statutes and City of Eogan Ordinnnces. T?a Sipnoture of Permittee A Building Pertnit is issued to: BRUT?'iER COMPANIES INC on the express condition tha+ all work tholl be done in occordonc with ol ppli bl taM 'nnesofo Stotutes ond City of Eapen Ordinonces. - Building Officiol OF EAGAN PilotKoob i;oad Box 21199 i, MN 5572i ,!', .. WATER SERVICE PERMIT PERMIT NO.: DATE: - ; l. > , .•,. No. of Units: Slze: ..y`. uM D it 15. Reade? No.: 1J /?/? f74 /?i epos : Permif Fee: _ 10 . QO pd 1Oaref to eomply wieb the Citr of Eagan Surcharge: • 54 Pd O.riaawor. Mtsc. Cho rges: `? 3. U 0 p d m e t e r Total: BY Date Paid: Dote of Insp.: Insp,; ?:.? CITY OF EA¢AN --- _- S 3830 i'ilot Knob Road ?ER SERVICE PERMR P. O. Sox 21.99 PERMIT NO.: `' g?` 7 Eagan, MN 551;1 pqTE; 4 Zoninp: No. of Untts: ?" ' O,,,,,?,, r rutp,er Addi of Insp., Connectlon Charpe: 425.00 pd Account Deposit: _ 15.00 pd PeRnit Fae: - I0.00 pd Surcharpe: ,- Misc. Chorpes: Totol: Dote Patd: CiTY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 2179$ PERMIT NO.: =-? Eagan, MN 55121 DATE: Zoninp: No. of Units: 1 ? O/w-n.er. ? r- ?Wdress: tIfB Address: - ornr?an 111^iv.R. 7 ?S _t?-_C[Ta: .Itl:t,, ter No.: b ;,?'-:• ? "'v - ?: "ldrinktion Chorge: A7(} _ (] 0 T--. ?^ ?lytcodr?i Deposit: l 5_ f3? n i der o.: ? bermit Fee: l t! -()!? r[Z? irN to wmolyr wilh 1ho Citr of Eagan Surcharge: inaneti. Mlsc. Chorpes: Totol: C??Lti Date Paid: Box 21799 PERMIT NO.: - i, MI4 557%D DATE: 131-84 D: No. of Units: Address: a to eomply wilh MN Cify ef Eagan of Insp.: Connectron Chorpe: 425. 00 2d /kcount Depastt; 15. 00 pd Pa?mit Fee: Surchorpe: Misc. Charges: Totnl: Dato Paid: - te eanplp wilh t1M Gry of Eagan .. GAS WORK ORDER 1082 Payne Ave. STAN DARD St. Paul, MN 55101 651/772-2449 46HEATING09 & AIR CONDITIONING A Blue of' Service Co. EQUIPN LAST L vNh??a?? FIRST TYPE CITY ?a-e-,4,.) ZIP HM PH ?&?'/ 6A /-?o S3 WK PH TECH Z'41.r-, r- Y DATE_ 410 W. Lake St. Minneapolis, MN 55408 612/824-2656 ORSAT TEST RECORD C02 % METERED INPUT Cfh CHIMNEY TYRE 02 % LIMIT SETTING app ° FLUE SIZE CO % PILOT OUTAGE CONNECTOR?SIZE S?- in. NET STACK TEMP -e- I4 0 TOTAL CHIMNEY INPUT btuh _ . _' f`/ Receipt PLUMBING PERMIT. • Permit No. ! `? ? ? CITY OF EAGAN Fee . Fill in numbered spaces S/C Type or Print legib/y Tot - . 1. Date 2. Installation Cost ' r . 3. .lob Address f; r t r? +Lot Blk. ? Tract I? IrT 4. Qwner 5. Contractor Phone 6. Address 7. City ! 1 ?? ? t??"C? ? State Zip 8. Building Type: Residential,0' Commercial ? Institutional ? 9. Work Description: New-Ef Add ? Alter ? Repair ? 1 10. Describe I 11• No, ; Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank / Lavatory Softner Shower Well ? Kitchen Sink Urinal/Bidet Laundry Tray Other ? Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and 1 agree to comply with all ordinances and codes governing this type of work. Slgned . ' fOt • Rough ' Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 Receipt L'1 MECHANlCAL PERMIt Permit No. ? t,? r}. CITY OF EAGAN Fee fill in numbered spaces S/C Type or Print /egibly Tot. 1. Date 2. Installation Cost . ,`l't=" ( ( .d C ?1. ? ?. ? 3. Job Addreu 3 Z 3 3 '" Lot?Blk. ? Tract ? 4. Owner 5. Contractor Phone -t 6. Address 7. City State Zip 8. Building Type: Residential ET" Commercial ? Institutional ? 9. Work Description: New Cfi Add ? Alter ? Repair ? 10. Descri6e 11. Type Na. ' Equinment STU - M. Ea. Forced Air i L No. Equipment CFM Ha Ai dli Mfg. . r n ng: Boilers Mtg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Z Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances andcodes governin this type of work. ? Signed : 4=--_ for ? Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN ?.? 9is1 , 3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121 . PHONE: 454-8100 BUILDING PERMIT Receipt # 5 l I To be amd /or 1 OF 6 PLEX Et, ya,,, 558, 000 Date JUNE 11 19 34 SiteAddrese 3233 EVERGREEN DR R1 Erect ? Occuponcy i] c 1 . 7l COACHMFtN l? tGtILAN Rer Zoning 25 Sec/Sub 0 Lot Block DI/A Percel No. 10-18075-250-01 Repoir ? Ffre Zone SF;UTGER COMPAN I FS I NC Enlarpe p Type of Const. oc Name Move Q # Stories ; Address '' • • P.O. OX 95 Demolish p Length i ` b City Phone Grode ? Depth -3y 'erlSa. Ft. Name Jt?? npprovou g ?? q?reBS Assessment ?- City Phone Water & Sew. toc E3LU1ALNTA7.S ARCHI`!'ECTUi2E INC Police P ,,,W Name S t?`jIT DR NO Fire z ?? Addres ' S 5 0 En 0• W. W City hone Plonrwr I hereby acknowiedge thaf I hove read fhis opplicotion and stote that Council gldg. Off. the inlormntion is correct ond ogree to comply with oll appiicuble Stute of Minnesote Stotutea ond City of Engon Ordinonces. ^PC Siprtature of Permittee /1 Building Pemiit Is Issued to: oll work shall be done in octo Buildinq Officiol Permit $ 307 . 00 su?cha?ge 29.00 Plon check 153.50 sAC 525.G0 Water Conn. 470.00 Water Meter 6 ± • c 0 Road Unit 2 L,-k- U Totol !f'bO7 . 50 INC on the express Gwdition thnt Statutes end City of Ewan prdinonces. Permit No. Permit Holder Misc. Pe?mit No. Holder Plumbinq L H.V.A.C. Lq 21 Well Water Disp. S?wer ehW.ic 3 9517 !?Q onsr '? t? qo . e v Irnpection Date Insp. Other Footings 7 Foundetion Framinq c r Rouph PIbY. Rouyh HVA o1 Inwlation Final Plbg. ? Final HVAC Final Water Dewxibe Location: . VYell Sswer ` Pr. Dbp. CASH RECEIPT C1TY OF EAGAN P. 0. BOX 21-199 EAGAN, MINNESOTA 55121 . . . ( . DATE 19 RE EI EO OM AMOUNT $ I? OOLLARS J A .I 32 , 00 /? GASH tZCHEGK i . ,? Ly L FOR . . . . . ? . . 1 ..? . . ? . . ? FUND CODE AMOUNT ) J -714 I Thank You'" 4 F `,-,3 t, '7". .5'o ? z7.y? White-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN Remarks biv' 41 1r, < < f-, Addition COACHW HlGliI.ANDS Lot 25 Blk 1 Parcel I0-18075-250-01 owner Street 3233 fiVERGREEN DRIYE state EACAN MN 55121 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. Z10 1975 Psid und aTCO1 ZD 2750 Q10-03 STREET RESTOR. ' 1974 11 to of GRADING 1007 1986 354.14 35.41 10 C'- 16O /4-/S-XS SAN SEW TRUNK 1968 Paid und r aresl 10 2750 -010-03 SEWER LATERAL 1984 ? WATERMAIN 1972 Psid und arcal 10 Z750 010-03 WATER LATERAL 2S?Z 1975 of * WATER AREA 1972 01 MATEit LATERAL Z- 1975 " " " STORM SEW TRK ?g 1975 STORM SEW LAT CURB & GUTTER ' SIDEWALK STREET LIGHT ROAD UNIT 260.00 44005 6-12-8 WATER CONN. LF]Q.QQ BUILDING PER. #915 n of SAC PARK . �, 3 ��`� 3 � �%� 3���, :�c�3S 3�� ��� �3� ��]. � Use BLUE or BLACK ink �------------------ � For Office Use � l a 1 • j Permit#: � 1��°'�� I Clt� of E���� � � ��,a ' � Permit Fee: � 3830 Pilot Knob Road j �- � � Eagan MN 55122 � Date Received: l � Phone:(651)675-5675 I I Fax:(651)675-5694 ( Staff: � �.����������������J 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date• (� �lJ' Site Address� ��J ��� ��`-�"+�C� �`"''V�-- Unit#: 3�5��3 J� Name: Phone: i�esictentt �,��. 3�!�c'J �v��� �i1J�. . �p�r Address/City/Zip: Applicant is: Owner � Contractor Description of work: � ��� Type af Work �, ' Construction Cost:� �a�� Multi-Family Building:(Yes�/No�� Company:��� �. �. F�, l �,• Contac�:~�"t�c�F�� ���f(� .�51�� C���v�- r��. n!�.. �,ry: �t• �.�c���L COf1tf�CtOC Address� ' State:�Zip:�Z�� Phone:�4��'b v��� Email:�GK1�GC��lA.L✓�G�- ��►'�� L,C.0 License#: 4 �� Lead Certificate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan lssued a permit for a similar plan based on a master plan? Yes _No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer 8 Water Contractor: Phone: N4TE:Plans ar►tl suppvr�ing dacum�artts t�#you�submet are cunsider�al to:be pubtic ir►#armatic�n. Pur��s r�# t�re enfQrmaiic�n may be cfass�fieal as nort�aublic if yoet prouide sp++�cific r�easorts tha#w�tttld p�mit the City t+a concfe�ale#tat tlte are U�de secr�sets. CALL BEFORE YOU DIG. Call Gopher SYate One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.orQ I hereby adcnowledge that this information is complete and accurate;that the worlc will be in conformance with the orciinances and codes of the City of Eagan;that I understand this is not a pertnit, but only an application for a pertnit, ar�virork is not to start without a pertnit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plar�s. E�ctsrior work authorized by a building permit issued in accordance with the nnesota i�te B 'Iding Code must be completed withln 180 days of permit issuance. x�� ���� X ��!"�— Applicant's Printed Name Applicant' ig ure Page 1 of 3 Use BLUE or BLACK Ink -4[1101, For Office UseC•tyofEaauPermit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone:(851)875-5875 f 3` °.4.7 buiidinainspectionstlicitvofearian.com Staff: SEP 191017 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Aktr, 1-st , t-kKs-pr, Name: C.p } �.�. ty Z�Y� . 5=..: . a 3 ��:ti A Phone: Resident/ Otic mer Address/City/Zip:31'3 3 v-c��r-cxr _,�, rb J J �a,� n ti �)i 1 Applicant is: Owner }C Contractor Description of work ���= Type of Work Construction Cost Multi-Family Building:(Yes i No ) Company: , l.c, C. Contact W14.ki-7- 43'ab:a Contractor. Address: est i} ; -114- fi�` may_ l:�.a-z,11�a'iiv- State:1' ;:r Zip: 55c=. Phone: 17" S °33.3 Email: 5-2�-2-cz ,"4''. i -,�t'_ a ` . -,.. License#: _ 1`i Lead Certificate#: t. A 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:Pias mid supporting documents that you submit mu considered to bepiMilcinfommtion. Portions o the r.: - informal maybe coed as norrpwblicIfyou provide specific reasons that would penult the Citytwconclude that they are tradesecr�ets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaaan.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 unity damage. Call 48 hours before you intend to dig to receive locates of underground util s. www.aopherstateonecal.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 permk,and work is not to start without a permit;that the work wall be in accordance with the approved plan in the case of work which requires a review and approval of plans. P1,2_4", Applicant's Printed Name Applicants Signatu Page 1 of 3 Cti . 3 S WRITE BELOW THIS LINE l `7 /el 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 0 19Occupancy 3 MCES System Plan Review Code Edition /4 a, „ l 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 Construction7-6--- 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 11)6/14 Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge f/(11 Thi Treatment Plant (hi! „2/ 0 C2Q' Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA161651 Date Issued:06/05/2020 Permit Category:ePermit Site Address: 3233 Evergreen Dr Lot:25 Block: 01 Addition: Coachman Highlands PID:10-18075-01-250 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 - Lee A Bethune 3233 Evergreen Dr Eagan MN 55121 Quality Heating & Air Services Inc 12912 Ventura Ct, Suite 21 Shakopee MN 55379 (952) 403-1110 Applicant/Permitee: Signature Issued By: Signature