4533 Birchcrest CircITr oF ???AN, 8586
87!!t Pilot Kaob Read Fagae. MN 55122 PNQltEt 434-8160
BUEf.L31Na PBRMIT Receipt
To bs wed for SE flWC/G?'• Est. Value a110,Q00 Date OctQbex 14 19 a
Site ArJdreSS 4533 Birchcre$t Ci?cle
Erect
?[[$
Occupancy ?_?
2
Lot 1
Blotk Sec/Sub. Ches Mar EasC let
Alter
0
Zo?ing R-1
,
Parcet #
ir?-17150-020-01
Repoir
?
Fire Zone ?A
____-----
Eniorge
?
?'ype of Cor?st. ?
a NQme Rodger Preble Move O # Storie ?
6
? Address 1549 Elrose Ct. , f2Q8 pemol;sh p Length 6
-
? C
S,St.Pt3u1 5507? 451-3478 Grode Q Depth ?? Sq. Ft.
? 0?
? Name Owter • Approvofs Pees
u
Address Assessment
? Water & Sew.
r Cit PFrone
Police
F? Nume fire
Addrm Eng.
cW Otv- - Phone Plonner
Council
Permit `'?v• W`L
Surctwrge - 55.00
Plan cfieck 229.00
SAC ?5-. 60
woter Conn. 450• 00
Woter Meter 60• 00
Road Unit 250.00
1 hereby acknowledge that I hnve reod this opplicotion and state that gidg. Off.
ihe information is correct ond ngree to compiy with o11 opplicuble APC 'i'otal $2027.00
Stote of Minnesota $totutes and ?ity of Eogon Qrdinor?yes.1
Signofure of Perrnittee ' ?I x 1?
x e
A Building Permit is issued to: on the exp4*0 tornlition thn+
oll work sho!{ be done in occordonce with oll oppticable State: of Minnesota Statutes and City of Eaqoh 4ndirxsncems.
u+ ing ?c?o
. -F----
Permit No. Permit Holder Misc. ^-° ^'' IVo.
Piumbing ?.lp-'pGi 02-?7-83
H.V.A.C. 51? Holder
Well
Weter
Disp.
Sewrer
Electric
(nspection Date Insp + Other
Footings /?-?'J.? ?
Foundation •
K
Freming `
Rough Plbg. _ .
Rough HVAC
Insulation . ? ?
Final Plbg. • D ? -
t
?i ?" ?..?-•?° ? ,°" .
Final HVAC
?
?
Final ? S ? j
Water Describe Location:
YYeit
Sewer
Pr. Disp.
? a
S
Receipt ' .. ?
1
MECHANICAL PERM17
CITY OF EAGAN
Fill in numbered spaces
Type or Prini legibly
Date 2. Installation Cost
<-•,J ? ' ?J .
Permitldo.
Fee
S/C
Tot.
` i ? .. . . ..
3. Job Address Lot ° Blk. f Tract - r4. Owner t ,.
J-Z_._...
5. Contractor v?- ---r- Phone
?
6. Address !i ?L
7. City State r=J Zip
J
8. Building Type: Residentiai C? Commerciai ? Institutional ?
9, Work Description: New 0' Add ? AI#er ? Repair ?
10. Describe
11.
Fuel Type
No.
? Equipment BTU - M. Ea.
Forced Air i" No. Equipment CFM
Air H
dli
:
Mfg.
Boilers an
ng
Mfg. Mech, Exhaust
Unit Heater
Mf9•
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: 4 "` (--for
t Roug'h Final
Inspections: pate Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAW 454-8900
_?
Receipt ^ PLUMBING PERM17 Pewmit No.
! ,1,/,7+ ? 2 CITY OF EAGAN Fee ?
C1,,.3
Fill in numbered spaces S/C
"r Type or Print legibty Tot. C.>?o ?
1. Date 2. Instaliation Cost
IrC4 Cfe5?"
3. Job Address ?_ Lot.,2Bik. 1 Tract
4. Owner ....
5. Contractor TQ' ti{'e. {-t VA I T4"t_,r.. Phone
6. Address ?}-?'( ??
7. City Lkro( t1t! 0 State Zip -
$. Suiiding Type: Residential $
9. Work Description: Newk
1 10. Describe
11.
Commercial ? Institutional ?
Add ? Alter ? Repair ?
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink .
Urinai/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Out4ets
12. I hereby certify that the above information is true and corre,ct, and I agree to
comply with all ordinances and codes governing this type of work..
" Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
7his is ya r' whe ered and approved.
,
Approved _.+ OF EAGAN 454-$100
? fy
Receipt PLUMBIIVG PERMIT Permit No. ? ftL''
CITY OF EAGAN _ ?•
Fee
Fill in numbered spaces S/C ?
Type or Prini legibly
Tot.
1. Date 2. Instailation Cost
3. Job Address Lot Blk. ? Tract
4. Owner
.F; .. ?., ?.,
5. Contractor ??C. ? ?• Phone
,
6. Address • S<--- % ?'? i"
7. City ?--? ?7 r ,1
8. Build'+ng Type: Residential ?
9. Work Description: Newt
,?,, 7
, 10. Describe
' 11.
State >,a -a Zip
Commercial ? Institutional O
Add ? Alter ? Repair ?
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfieid
?., Bath tubs Septic Tank
Lavatory Softner
Shower Welf
.:.. Kitehen Sink
Urinal/Bidet pther
? Laundry Tray
? Floor Drains
Drinking Ftn.
? Slop Sink
Gas Piping Outlets
12. 1 hereby certify that the above information is true and correct, and l agree to
comply with alf ordinances and codes governing this type of work.
Signed : r',' for
Rough Final
InspeCtions: Date Insp. _ Date Insp.
This is your per 't hen,? mbered and approved.
Approved ? ?-?-?°-r?t..•` CITY OF EAGAN 454-8100
? ?
Receipt 46 `5 PLUMBING PERMIT Permit No. s-?j
7( S, CiTY OF EAGAN pee
,
Fiil in numbered spaces S/C
Type or Print legibly Tot.
1. Date 27 2. Instaliation Cost
3. Job Address /E t Blk. Tract ?•? ???
4. Ownefr
5. Contractor, Phone
6. Address
7. City State Zip -
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New ? Add ? Alter 0 Repair ?
- 10. Describe
11.
No, Fixtures
Water Closet No. Fixtures
CesspoollDrainfield
? Bath tubs Septic Tank
,i- Lavatory Softner
Shower We11
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
? Fioor 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 ail ordinances,and codes governing this type of work.
?5igned :
fior
Rough Final
Inspections: Date Insp. _ Date insp,
This is your per t when n?m,?.b-ered and approved.
Approved ?.?.fi-?? CITY OF fAGAPI 454-$100
'? ?
C404 .. FOEMWT
- ?
I ?
CITY OF EAGAN
?
,
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
?-
, t 9 ?
DATE
? RECEIV6D
FROM
I
AMOUNT $ .. T ?
f?
?
?.
& DOLLARS
! 100
CASH CHECK
?
. FOR
!? - . ,?.." _ ?. .1, ?._',C..? .?"!? .Y _.{?- "
!
FUND
i
Tha .
B Y
/ White-Payers CoPV
? / Yellow-Postin9 ?PY
v Pink-File CopY
i
? ??CEWr ,
?
- CITY OF EAGAN
? ?
' 3795 PILOT KNOB ROAD
r
f EAGAN, MINNESOTA 55122
i [
? .., DATE 19 ?RECElVED
I FR
AMOUNT ?
?
& DOLLARS
+oo
? CASH Q CHECK
i
? . i
FOR IC-/' •?,_,i?_.??...i' / 'c?- :'"._..r '" ..lOOL
•?:-- .? ? ?- ?. ?
?
;
.
FUND CODE AMOUNT
.. a?! '['?..?.> G' ?
/.? ,..
0
Thank You
gv?`.w
/ i
..•/ I
' i
s I
J ?
White-Payers Copy
Yellow-Posting CaPY
Pink-File CoRV
CITY OF EAGAN
Remarks
Addition CHES MAR EAST FIRST ADDN, l.ot 2 Blk 1
Owner?-L'k?'"??/ "?"'?Street 4533 13iYqhCrest C1YC1e
c
10 17154 420 41
state Eagan, MN 55122
tmprovement Date Amount Annual Years ' Payment Receipt Date
STREETSURF. 1982 2622.14 24.43 ? l04s.$$ C00$7(2 5-23-84
STREE7 RESTOR.
GRADING
i
SAN SEW TRUNK
56.00
C008762
5-23-84
*SEWERLATERAL ?Lu 679.06 C008762 5-23-84
WATERMAIN
*WATER LATERAL 1991
WATER AREA ?4 24" 1981 280-00 56
00 56.00 C008762 5-23-84
.
STORM SEW TRK 1981 351.10 70.22 C008762 5-23-84
*S70RM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET UGHT
ROT! IT ZSti. a0 39304 14-14-83
i UVATER CONN,
4SO.OQ et s?
EIUILDING PER. 8S86
SAC 525.00
tt
t?
PARK
?This request void
18 nwnths from
E 32 4 q?
Reryuest Date _ fire No. R ugh-in InsUer.tion
Required?
j1Ready Now Q Will Notify. Inspec-
qlZ? ?Yes RNo tor When Ready
?Licensed Electrical Contractor I hereby request inspection of above ,
? Owner electrical work installed at: -
Street Address, Box or Route No. CitV
g'S33 '(3?e?.??c?sst-C?2C?€, C,AC-P'?J
ection o. Township Name or No. Range No. County
D14Wt14 .
OccuGant (PRINT) Phone No.
RANG, NE ?-o?a
Power Supplier Address
uAy?am -lqco zrpM+sr. w.VawnuISMN, mu .
Electrical Contractor (Company Name) Contractor's License No.
Mm- Q0=1K2u eLem-e-kc gc?5? -c?4
Mailing Address (Contractor or Owner Making Instailation
2?1?5 ?mcs lpopc, , m . JS\2,
Auth ? ature ( ntractor/Owner aking Installation) Phone Number
rc,? gsz- ?1°?6
MINNESOTA STATE BOARD OF ELE TRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room N-19 BE ACCEPTED BY THE STATE BOARD
1821 Universitv Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
E ? -J24 9
REQUEST FOR ELECTRICAL INSPECTlON .r« Ea-ooooi-os
1 See instructions for completing this form on back of yellow copy.
"X" Below Work Covered by This Request
Now Add Rep. Type ot Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Liyhtiny Fixtures
Apt. Building Dryer Electrii; Heatin
Commercial Bidy. Fumace Silo Unioader
Industrial Bidg. Air Conditioner Bulk Milk Tank
Farm Other SPecify Other (Sp(,r.ify)
ther Specify Other Other
Compute lnspeciion Fee Below
# Fee Service Entrance Size p Fee Feeders/Subfeeders # Fee Circuits
0 to 200 Amps 0 to 30 Am s 0 to 30 Am s
Above 200 Amps? 31 to 100 Arnps 31 to 100 Am s
Swimming Pool Above 100-Amps Above 100_Amps
Transformers Irrigation Boorris Partial- Other Fee
Signs Special Inspection
$1
? MIIJ.
TOTAL
Remarks 0, / _d J
lU?Y33V..N??L) VwN0?5KL7?'4A?N?J .7dIGV??Sf? CJ1l1?.kr FKU`? ILFIN?c 1v 1??31 ?
Rough-in Date ?, the Electrical
r Inspector, hereby - rtify that the above
Final ?ry(inspection has been
made.
'7? ?
This request voitl 18 montns irom
This request void ? ?a O ?
18 months from 4 W 2 767?, c e &A& ft?s r f?°
Request Date
7 Fir
?_ T ou gh-in InsUection
equiretl?
Ready Nc?w gWill Notify, Inspec-
?
?? ?Ves ? No tor When Ready
? Licensed Electrical Contractor I hereby request inspection of above
?Owner electrical work installed at:
Street Address, Box or Route No. City
!??f J, 3 ?;r c 4 t e` c: !e lr412) C4
ection o. Township Name or No. Range No. Coui
401 ?
67
Occupant (PRINT) Phone No.
d'Vc!t Rr . /? l E? ? '7?S-! --j Y 7 t7
Power Supplier Address
/ 4?1 k /C. e5- /e , 4"- -t' n /
Electrical Contractor (Company Name) Contractor's Libense No.
Mailing Address (Contractor or Owner Making Instailation)
,S? t' ?d"ly,J 4 c-? ???? -_K; 'J"o Pv-a . /1? ??? 7j-
Authorized Signature (Contractor/Owner Making In tallationl
<
I Phone Number -
-"Y?-
_ 3 4 7,fl
MINNESOTpTgTATE BOARD Of ELECTRICITV 7HIS INSPECTION REQUEST WICL NOT
Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE 80ARD '
1821 University Ave., St. Paui, MN 55104 UNLESS PROPER INSPECTION FEE !S
Phone (612) 297-2111 ENCLOSED.
r? REQUEST FOR'ELECTRICAL INSPECTIQNd?"/4 -f ?w EB- ooooi -aa
W7673 `See instructions for completing this form on bac of yel ??Y.
?rf
X":G??`elow ?
Work Cover?d by This Request
New Add Rep. 7ype ofi Building Appliances Wired " Equipment Wired
Home Range Temporary Service
Duplex Water Heater >{ Lighting Fixtures
Apt. Buiiding Dryer Electric Heatin
Commerciai Bldg. Furnace Silo Unloader
Industrial Bidg. Air Conditioner Bulk Milk Tank
FBrm Other peci y Other (SUecify)
t er Specify Other OYher
Compute lnspection Fee Below
# Fee Service Entrance Size # Fee FeaderS/Subfeeders # Fee Circuits
0 to 100 Am s 0 to 30 Am s :LZ SSt-?0 0 to 30 Am s
a p, 101 to 200 Amps 31 to 100 Amps 31 to 100 A s
Above 200 Am s Above 100_Am s Above 100_Amps
Transformers Remote Control Cira ?,J t1 Partial%Other Fee
Signs Speciai Inspection $ y r
? TOT
Remarks
d ? A EE
_
G ?
?
Rough-in ? Date 3the ical
spector, hereby
cert'rfy that the above
Final t Qla te spection has been
made.
Tf11S (P.Ol1P.Si VO1fi -
18 months from
OFFICE USE ONLY This request void 18 monihs from validafion date printed in this x.
?
III??I?iillll(?11111II{Illllll{lillilll(I?II??-?, ???- ? ,?` `? ,??U
? 0 4 1 7 9 6 3 6*
aD
PLEASE PRINT OR TYPE
Request Date
?
i
K Rou h-in int tioa r mred?
g pec eq ' ? Yes No
Y
ll
Inspection Other Than RougMn: Ready N. 0 Will Call
d
-
- {
ou musi ca
iVie inspecTOr when reody) Date Rea
y:
I, *'censed contractor ? owner hereby request inspection of the above electrical work at:
Job Addreu (Sfreet, Box, or Roote No.)
City Zip Code
.3 . ? rci? CC? CW) 1 5 (a3
Section No. ITown:hip ame or No. Range No. Fire No. Counfy A ' n
Occoeant Phone No./^?
-l?U?- ? c40(4
Power Supp(ier Address
Elechical Conhactor (Companry Namef Conhacfor License No. Mpsfer Lic. No. (Plant Elect. Only)
- leC ` L,
Mailing Address Conka or Ow r Perfnrming InsfallafionJ
J
i
'zed M onhacto or Owner Performin Installafion) Phone No.
-)c-- 3
E841090TA-11 8/96 STA7E BOARD COPY - SEE MSTRUCTIONS ON BACK OF YELLOW COPY
REQUEST FOR ELEC7RICAL INSPECTION ? 7 4
417- J?` ?' ??Minnesota State Board of Electricity
?? k V? 1821 University Ave., Rm. S-128, St. Paul, MN 55104
' J Phone (612) 640-0800
Home Duplex Apt. Bidg. Other: New Addn
Commercial Industriai Farm Remod Re ir
Air Cond. Htg. Equip. Water Htr. Load Mgmt. Other:
Dryer Range Elec. Heat Temp. Service
"X" above the work covered by this requesi. Enter remarks in this space ond on the back of the white copy only.
-??r?a.c_e,w?-??? ????t-?? n? ci?c e;
Calculate Inspection Fee - This Inspecfion Request will not be accepted without the correct fee:
Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Mobile Home Park Stall Q to 200 Amps 0 to 100 Amps
Street Ltg./Traffic Sig. Above 200 Amps Amps
TransformerJGenerator INSPECTOR'S USE ONLY TOTAL
Sign/Outline Ltg. Xfmr. ?
AlarmjRemote ConKol
Swimming Pool
tat
d
ib
d h
ih
F
l i
U
ti
d
i
d
I h
i
I
i
b
h
irrigation Boom n on
on
escr
e
ere
ere
ins ech
ca
nsta
a
ced
t
at
R0„9+,4„ e
a
es s
e
Dare
Special Ins
edion ^
p
lnvestigative Fee
THIS INSTALLATION M Final Da
Zk/
AY BE f3RDERED DIS D 1 D WITHIN 8 MONTHS.
cirv oF EAGAN
3W0 RiiQ: Knob Road WATER SERVICE PERMIT
P. O. Box 21198 PERMIT NO
:
Eagan, MN 55121 .
Zoning: R I DATE:
No. of Units: ?
: 01Nr1Cr: - I?f1si ??2' P2't>L1 o
AddrC55: - --
? Slte Address: + 2
L. :::1 C::dt:S :FaY' 1. Zst
Plumber: Ft;"
Meter No,: Connection Charge: 4 59. 03 a?1
Size: Account De
posit;
Reoder No.: Permit Fee: ? ? • `'' ` +.?
1 ogree !o eomply witle the City of Eagon Surcherge: • 1" ;?.f
Ordinonees. Misc. Charges: 60.)() i ru ci+E? er '
Totul:
B
y Dote Paid:
Dote of I nsp.:
Insp.. !
;
CITY OF EAGAN ??? ??CE PERM
3830 Pilof Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 pqTE; 12 -19 - ?;, ?
Zoning: No. of Units:
Owner. t'ovdar. PTeLIe
Address: ?
Site Address: i;iPChrre5t C22'C1" I 2 BZ C'PeS l8r f- ISL. ?
Plumber: ''u1.'ttv-:
3iJi).0ti
1 egree to comoly wieh tbe Cihr of Ea9on Connection Chorge: d;
Ordinanees. Account Deposit:
'
Rermit Fee: ?
Surcl,Qrge. s 5Q
B
Y
Misc. CFarges: .t
?s
, Dote of Insp.:
Totol: i
+
insp.: Dote Paid: '?
7?--
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas
(20°1o maximum lot coverage allowed)
2 copies of plan showing beam & window sizes; poured found design, etc.
1 set of Energy Calculations
3 copies of Tree Preservation Plan if lot platted after 7/1193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
? ?? R
RemodeUReoair Reauirements Office Use Oniv
2 copies of plan Cert of Survey Recd _ Y _N
1 set of Energy Calculations for heated additions Tree Pres Plan Rectl _ Y_ N
1 site survey for addidons & decks Tree Pres Required _ Y`_ N
Addition - indicate if on-site septic system On-site Septic System '_ Y_ N
Date 5- / ,?2,v / Q S , /
Construction Cost
Site Address ?53
, Unit/Ste #
Description of Work o//il?"L
Multi-Family Bldg _ Y r/N Fireplace(s) _ 0 2
Property Owner 1Ci77 Telephone #(??j/
Contractor
Address City ????
State 10-wl Zip Telephone #
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 N?brksheet ???`-°?°?-?,,,,? • New Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculations Sub?nitlod;
?9 ` i
Have you previously constructed a building in Eagan wit , a similar plan? ?i1 ?! N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
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.
Applicant's Printed Name
#(
Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage 0 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New 0 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bld g) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
- Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ Final/No C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
, Framing _ Siding _ Stucco _ Stone _ Brick
, Fireplace _ R.I. _ Air Test _ Final Windows
_ Insulation _
_ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
-' 1999 BUILDtNG PERMtT APPLICATION (RE51DElVTIAt)
'7 c?nr oF EacaN
?? 3830 PILQT KNOB RD - 55122
6514814575
Un CgattMSllgo Reaukements (tentadetlR Kl4k ?aWm=0
A S ragM+ered sffe sunreys showMg sq. R. of bt, sq. tt. of house
and aM rooted cueca (20% mazlmum bt covernae ag2md)
D 3 copiea pf pions (show beam b window siiies; poured Md. design; etc.)
D 1 zef af anergy ccicvlaHona
9 3 capies af free presenatfon ptan ff lot piMtec4 affer 7J1/98
DATE:
aEsCRiPTIoN oF woRK:
2 copies of pton
t set of entW calcuicfiona toc heated addHioets
1 sffe aimey for exteriar adcNHons & ciecks
CONSTRUCTION GC?ST:
4-b' O Y"rf
STREE7 ADDRESS: ey'PFl` ??/r, .
!8"t: BLQCK: l SUBD./P.t.D. #•
Ncm?:__- Phone #: -?------
--??
PROPERTY Last Firat
CIWNER
Street Address:__? cr-ts? 4?1t'r , CitY 5#ate: Z1p: z-
Company: &G Phone 71J7- ES! ,
(ccea +cc?de)
CONTRACT4R / ?,/ ,?/.
/,Z l??L),???A. , License # 2 r' c3_19P0
Sheet Address:.,?/
City ?tl?S o"r?? State:
ARCHCCEC7/
fMGINEER Company: Name:
Telephone #: crea cade ( )
Streel Address: Regisfrvtion #:
City State: Zip:
.
Sewer & water liconsed plumber (reauired for new conftctism oniv):
Penaty oppiies when eddress thange and lot change is roquested ance permit Is issued.
?
I F4geby acknawledge that I have read fhis appUcation, state #hat the Mformotion is corr , and agree tp campty v++ltfi aN etppgcab!
Stnfie o# Minnesota Statutss and CHy of Eagan Ordirtances.
S
Signature of Applicant: ?
. OFFiCE USE OtVLY l?7??," %?
? !.i
? ?
Certificates of Survey Received Yes Na , k
??1 ,. $Ep ? 1999
Tres Preservation Plan R+eceived Yes No Not Requi+ed
OFF{CE USE 4NL.Y
BUILDING PERMIT TYPE
fl 01 Foundation O 06 4-piex
? 02 SF Dweliing O 07 5-plex
O 03 1 of _ pfex 0 08 6-piex
? 04 2-plex ? 09 7-plex
0 05 3-plex Cl 10 8-plex
WORK TYPE
? 31 New ? 35
0 32 Addition ? 36
C! 33 Alteration ? 37
? 34 Repair ? 38
CENERAL INFORMATiON
? 11 1 p-plex
? 12 12-plex
? 13 16-piex
D 14 Apartments
? 15 Lodging
Tenant Impr 0 39
Move Bidg. ? 40
Demolish Bldg.* 0 41
Demolish (Interior) ? 42
* Give PCA handaut to appi
CI 16 Firepiace
0 17 Garage
? 18 Deek
? 19 Lower Levei
? 20 Paoi
E3 21 Parch (3 sea.)
13 22 PordUAddn. (4-sea-
0 23 Porch (scresned)
? 24 Storm Damage
? 25 Misceltaneous
Gas Line Only 0 43 Siding/SoffitsiFaseia
Gas Insert ? 44 WindowslDoors
Wood Stove 13 45 Fire Repair
Reroof
icant for demolition permit
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main levei sq. ft. SAC Code
UBC Occupancy sq. ft: tdo. of Units
Zoning sq. ft. No. of Bldgs
# of Stories sq. ft. MGIES System
Length sq. ft. Gity Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinkiered
APPROVALS
Planning Building Engineering Variance ?
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/ES SAC City SAC
Water Conn.
Wa#er Meter
Acct. Deposit
SNV Permit
S/W Surcharge
Treatment PI.
,
Park Ded. ? .
Trails Ded. '
Other ?
Copies
Tatal:
SAC Units
% SAC
CITY OF EAGAN N o g 5$6
r 3799 Pilot Knob Road Eogan, MN 55124
` PHONE: 454-8100
BUILDING PERMIT ReceiPt #
To be used for SF DWG/GAR Est.Volue $110,000 Date October 14^, 19 83-
4533 Birchcrest Circle Erect ?
Site Address ?
R-3
Occuponty
Lot 2 elock 1 Sec/Sub. Ches Mar East lst Alter p Zoning R-1
Parcel # 10-17150-020-01 Repoir p Fire Zone NA
Enlarge 0 Type of Const. V
W Name - Rodger Preble Move p Stories
Z Address 1549 Elrose Ct., #208 Der„olish p Length 66
? Ci S.St.Paul 5507?h,,, 451-3478 Grade ? Depth 30 Sq. Ft.
o OGmer
Name
Approvals
Fees
u' Address Assessment Permit 458 . 00
~ Water & Sew. Surcharge 55 . 00
Cit Phone Police 229.00
Plan check
?°W` Name
?w
Fire 5
25.00
SAC
?? Address Eng. Woter Conn. 450 . 00
<"z' Ci Phone Plonner Woter Meter 60.00
Council Road Unit 250.00
1 hereby acknowledge that 1 have reod thi s opplication ond state thot gldg Off
the informotion is correct ond ogree to comply with all pplicable APC
$tate of Minnesota $totutes and City of Ea9on rdino c s.
Signcture of Permittee =
11 Rod ble
Totol $2027 . 00
A Building Pertnif is issued to: on the express condition thnt
oli work sholl be done in accordarxe with all g?plicable Sta?f Minnesota Statutes ond City of Eagon Ordinances.
O 1
Building Officiol
CITY OF EAGAN , Gm ,? clude ?_ sets of plans,
?{? site plan w/elevations &
._-----?
BUILDING PERMIT APPLICATION 1 set cf_ energy calculations.
?? `Ib Be Used For '# Valuation` .???,,,'? Date !D- 7-k
',
site Address Cl ?^c (c
1 A,
Lot ? Block Sec, fSub. ?.
C??? ?t
?
Parcel #: 10,-F7( SG ° C2--0 Alter
Repair
owner :4al S 1., ILe ,& /i Enl.arqe
Move
Address : Demolish
City/Zip Code: NIU 5-J-v7S' Grade
Phone # : 4Iv-1 - j y" 7 K
Contractor:
Address:
City/Zip Code:
Phone #:
Arch./Eng.:
Address:
City/Zip Code:
Phone # : "3 `f - S J 3 ?''
OFF"ICE USE ONLY
Occupancy
Zoning _ IX, y
Fire Zone ; 10`
Type of Const.
# Stories
Front ft.
Depth f t .
APPROVALsS FEES
Assessments Permit
taaterfSewer Surcharge
Police Plan Check
Fire SAC
Eng. Water Conn. ,r.15-a ?
Planner Water Meter
Council
? Road Unit
"
Bldg. Off . 7?P -14 r -)
APC
mrAL 7*c?
_. ?. ?..
F
S++ ? ?
?. ' ??;"? ..
+? ? ?% ?? ?4r
`? ?. ?
? t? ?. ? ,'
?._ d
; ?? ? ?'j ? '?
???',? .?
,?. .:
??--?
? '? ?
AOBE .
tOkSUITtNa (NOIN(CAS •
? PLANNIAS ond IAND -IUAVtYOAS
NGINECRING
..
.... COMPANYI INC: .. ?. .
.f000 WT 1191% 3Tf1ECT, DURN3VIllC, uIHNC30TA 55337 tN 432'3000
y
LoT 2
_ EAC,Ai?,
? LEXINGTON ? AvENUE
?
jM?-,
- , o
; : :- ;" 1
,
.
?? . ?
N
o?
?
? N
o V%
z ;
BLOCK 1- CHESMAR EAST F1K15T avD.
DMoTA 6oUN7'Y, MINNESOTA
,
d,= D5°? i '? 13q.q 1 (2 S I'378.56
0
'
------------" -75
"---__-
I
-
r -, 1 i"'1• •?f
? '• ;'`•. ?'
( N' r.
. ? • '
46.
?? &?D 20o ra r
;a-tV GAftc,rm ,-,
I ? - ?? ???1
o f
0
i ?
-_ 1q.?e . a= i
537@06'Oww 1
o i
rs ` 1.4
J ?
? -
3(0
? BiaCHGRES"f' ciRcLE?----
I hereby-certify that this is a true
described hereon. As prepared by me
?
FIN1596V GARAG6 FlOOR EL,EVATiON
? TOP OF BLACK ELEYATlON
and corc't representation of a tract of land as shaWn and
on this zQ r'' day of 5,e,_rt »^ Ll- , 19
Minnesota Itcgistration No.
DRAIPIAGE AKt7
l.1Til.ITY EA'??MENT
.,
'
' ,r . ..
?_..
W o PpNOTES IKOt?t MONUMENT SET
ti DENoTES .EXl5T1NG ELEVATION
?
? C ) DENaTES PROPDSED ELEVATcON
4
1 DEIJOTcze) DSRECTfON OF
1
-
M SURFAGE DRAINAGE
y
; GARAGE FACE
? L30' FRONT
J o 5ET&AGK LIPlE
! Sin
.
8g
l . j . ?
i
EXTERIOR EPNELCPE AVERAGE "U ` COIi?JTATIO.I
,
OWNER ;?_ ?_? ? •S'??,??-? ? ,' c /?--? ? G ?
?
SITE ADDRESS yS`3.3
CONTRACTOR 1?4i w, t DATL PHON E VJ°i31/7 J?
Determine working square footaoe of each.
1. Total exposed wall area 75- sq. ft. x .I9 =S`?/2
2. Total roof/ce3ling area .... 1??c7 sq. ft. x .04 _'l.
Total exposed wall area above floo'r =-?2'13-3 ?.?
a. Total wall vrindow area .. . . .. .. . ... . . . . .
b. Total door area ........................
c. Total sliding glass area ..............
d. Total fireplace pra11 area ....... ... ?
e. Total wall framing area t average
f. Total net vrall area above floor ........ IF-2,s ?
g. Total rir, joist area .................. ,; Z' , Z I
Totai exposed foundation area = 1?"7
h. Total foundation r:inclow area .......... 0
i. Total net foundation axea above grade . ir7
Determine "U' value of each wall segment.
a..27s-30/ x "U;: =1,/,2_ '
b. 3 X IrUt; e'4;? _ ,2?r,13r
c. r? X "U'.?
D. c X "U'`
e X I,U,I v 1
f 7 X ,: v, jQ7 7?3
g• X "U •. ? „21
h. ? X `'U'. = C?
X NUrf . 40-3 X-f, 6
3 ......................................,......Tota1
If 3tem ,#3 is the same as, or less than item #1, you have met the
intent of SBC 6006(c)2.
Total exposed roof/ceiling area = ltv2o
?. Total skylight area ............ ... 61
k. Total roof/ceiling framino area (average 10/t,Z
1. Total net insUlated roof/ceiling area .......
Determine ''U? value for each roof/ceiling segment.
? • ? X fvr s E)
k. ?1,2 y i:r, ? r o Wv2 = 7• 7 c)
1. to c, ly X ,; U ?? ? 67,? 4,
4 ......................................... Tota1
If total of #4 is the same as9 or less than #2, you have met the
intent of 5BC 6006(c)1.
Alternate Buiidirig Envelope Design
To ut3li2e zhe total envelope systera method, the values establisbed
by the sum of items #3 and #4 shall not be greater than the sur.:,of
items #l and h2.
+
3 . ?? U 7?, / 7 + 4 . .3 )0.
CITY U3E ONLY
L BL IRECEtPT #: ?
SUBD. DATE:
t
1996 MECHANtCAL PERNfIT (RESiDENT{AL}
CITY 4F EAGAN
3830 PILt?T KNC?B RD
EAGAN, MN 55122
(612) 684-4675
Piease comptete for: ? single family dwellings
?#ownhomes and condos when permits are required for eacM itnit
New construction Add-on fumace
Add-on air condi#ioning Add-on air exchanger, i,e. Vanee system, etc.
Date:
EEES
? Minimum Fee: Add-onlRerrrodet (exisiing residence ortty) <? 24.a0
??b (
? HVAC: 0-1 t10 M BTU 24.00
Additional 50 M BTU 6.00 ? Gas Qu#lets (minimum of 1 required C $3.00 eaeh) 6
? State Surcharge
TOTAL
.5o
ae), sv
?
StTE ADDRESS: 4533 BIRCHCREST CIRCLE
OWNER NAME: ToM & KATHY MAKI PHONE #.452-?404,9_.-11
tNSTALL.ER NAME: RON' S MECHANICAL, INC.
?
STREET ADDRESS: 12011 OLD BRICK YARD RD
CITIf: _s,,,AxmgSTATE: , MN ZEp; 55379
PHQNE #: ( 612) 445-8589
'r- //-Z ? - I ?
??
CITY USE ONLY
L BL
SUBD.
RECEIPT #:
DATE:
1996 MECHANICAL PERM17 (COMMERClAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675 _
,
Please complete for: ? ati commerciaVindustrial buildings.
? multi-family buiidings when separate permits are ngl required
for each dweiling unit.
DATE: CONTRACT PRICE:
WCJRK TYPE: NEW CONSTRUCTiON tNTER10R rMPRfJVEMENT
DESCRIPTION OF WORK:
FEES: ?$25.00 minimum fee ,QC 1°!o of contract pric;e, whichever is greater.
? Processed piping - $25.00
? State surcharge of $.50 per $1,000 of Wmd fee due on all permits.
CONTRRCT pRlCE x 1 %
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OVUNER NAME: TELEPHONE #:
TENANT NAME: (IMPROVEMENTS ONIY)
INSTALLER:
ADDRESS:
CtTY: STATE: ZIP:
PHONE #:
SfGNATURE:
SIGNATURE OF PERMI7TEE CITY 1NSPECTOR
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116307
Date Issued:10/04/2013
Permit Category:ePermit
Site Address: 4533 Birchcrest Cir
Lot:2 Block: 1 Addition: Ches Mar East 1st
PID:10-17150-01-020
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Jose Martinez
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 E Maki
4533 Birchcrest Cir
Eagan MN 55123
Prestige Construction & Remodeling Llc
1510 English St
St Paul MN 55106
(651) 775-7551
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165121
Date Issued:10/19/2020
Permit Category:ePermit
Site Address: 4533 Birchcrest Cir
Lot:2 Block: 1 Addition: Ches Mar East 1st
PID:10-17150-01-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 E & Laura L Maki
4533 Birchcrest Cir
Eagan MN 55123
(651) 452-4049
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA174871
Date Issued:02/24/2022
Permit Category:ePermit
Site Address: 4533 Birchcrest Cir
Lot:2 Block: 1 Addition: Ches Mar East 1st
PID:10-17150-01-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 E & Laura L Maki
4533 Birchcrest Cir
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(641) 264-4088
Applicant/Permitee: Signature Issued By: Signature