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4740 Burr Oak StCITY OF EAGAN 3830 Pilci Knob Road P.O.`8cac 21199 Eagan, MN 55121 Owner. Site Adi Plumbe Permit No: Date: B/P No: Date: Ytl MWCC: 550.00pd City Chg: 1,•l% 001)d • .:,,n Acct. Dep: Permit Fee: - ,- t , Surcharge: No. of Units: I agree to camply wfth the City of Eagan Ordinances. SEWER SERVICE PERMIT Conn. Chg: 5 Si1. Acct Dep: 1 ` •'?(?'`' Permit Fee: ? ? • M.p`,: Surcharge: _ • 5QF'c= Tr. Plant Meter. - - Misc.: Zoning: No. of Units: 1 agree to comply with the City oi Eagan , Ordinances. i By ; WATER SERVICE PERMIT r n? CiTY OF EAGAN Permit No: 'Date: ' 3830 Pllo1 Knob Road Meter No: Size: P.OrBwc 21199 ` Reader No: Date: Eagan, MN 55121 LDG. PERMIT N0. 01-3210 Bldg. Permii `01-3422 Plan Check 01-3445 Surch./Adm, 01-3446 SAC/Adm. 01-2155 Surcharge ?83860 Road Unit 20-2275 SAC 20-3865 Water Conn. 20-3868 k'ater Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permi 20-3743 Sewer Permi 79-3866 Sewer Conn. i? 6 al -3855 Park Ded. TOTAL (gtrtt#ir?tit nf Mrrupttnry titp of (Cagan Brparirnmf ,u# liuilbtrug ,?nsperti,om Thrs Certif?cate issued pursuan! to the requirements of Section 306 of the Uniform Building Code ceriifying thar at the ttme of issuance tleis structure was in compliance witk the various ordinances of the City regulatrng building construction or use. For the following.• :'.'r' llae Clessi6ation x >: . ` ? Bldg. Plrmit No. Occupaacy Type Zpning pistrict . 7ype Canu. 1 ndarem .?.? W. SI', t'v'.Y.11D`P-W'' A00lfS9 (.OCtlity Dut: BwlQing 09kia1 POST IN A CONSPICUOUS PLACE ? CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box21-198, EagBn, MN 55121 PHON E: 454-8100 ? BUILDING PERMIT Receipt # To be used for Est Value Date 19 . , Site Address - f?740 6urr Ouk OFFICE USE ONLY Lot Block Sec/Sub On Site Sewage Occupancy . MWCC System Zoning Parcel No. dn Site well (Actual) Const City Water (Allowable) ¢ Name W r Address - PRV Required # of Stories 3 ° City Phone BoosterPump Length Depth s ,o Name . S.F.7otal ? Q Address Footprint S.F. ? City Phone APPROVALS FEES V a En r/Assess. 9 ? Permit W Name ? = Address Planner Surcharge ? Z w Cit Qfione Y Councii Plan Revie?nr a Bldg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC information is correct and agree to comply with all applicable State of Water Conn. Minnesota Statutes and City of Eagan Ordinances. Water Meter Signature of Permitfee - Road Unit A Building Permit Is issued to: Treatment Pl or+the expfess condition that atY work shall be done in accordance with ail Parks appiicabie State of Minnesota Statutes and City of Eagan Ordinances. Building Official TOTAL I , . I Permit Na. t Psrmlt Holder I Dste I Tslephone # I ? I ElectriC Softener ' ' V inspection Date Insp. Comments Footings ! Footings il Foundation Framing S Roofing Rough Plbg. Isul. Final Htg. Final Plbg. Bldg. Final Gert Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. ? • ° PERMIT }F ? - ' PLUMBING PERMIT REeEIPT # '7 • CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: ?/V0 /r PHONE: 454-@100 Site Address Lot ? Block , , Sec/Sub i: m Name m Address c Ciry Phone Name ? Address _--_:- p City Phone FEES COMM/IND FEE - 196 OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE 8 CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.U0 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATUAE OF PERMITTEE FOR: CITY OF EAGAN BLDG. TYPE WORK DESCRIPTION Res. New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE F OLLOWING: N0. FIXTURES TOTAL -LWater Closet - $3.00 S ? r Bach Tubs - $3.00 :? - "? _? sa_oo - -_-- - - - - - ?Shower - $3 00 - - - -- - - . T-Kitchen Sfnk - $3.00 - UrinallBidet - $3.04 Laundry Tray - $3.00 ?Floor Drains - $1.50 T-Water Heater - $1.50 ? Whirlpool - $3.00 r Gas Piping Outlets -$1.50 f (MINIMUM - 1 PER PERMI'n Softener - $5.00 Well - $10.00 Private Disp. - $10.00 = r Rough Openings - $1.50 ` FEE - ? STATE S/C : GRAND TOTAL• ?? ` • --- ? ,• . ' MECHANICAL PERMIT RECEIPT # L CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: E-S-8$ CONTiiACT PRICE: t?tj rr PHONE: 454-8100 ; SitQ Address BLDG. TYPE WORK DESCRIPTION , Lot.?_ Biock ;? _ ? - , ? • Sec/Sub ? R e s. Mew ? Name= tediCi _ Hty. & A. . , t1C. Muft Add-on . a? 76 Address 3650 Kenn ebec Dr. • ? Comm. Fiepair c City Eaaan Phone 45 2-2775 Other .-? Name 'riunbeowind Contracta[s, Inc. FEES ? c Address 3663 W. 15 6th St. RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6 00 O C?tY R???t Phone 42 3-230 . (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINiMUM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air I W 004A gTU 24. APT. BLDGS. - COMM. RATE APPLIES B ii TOWNHOUSE 8 CONDOS - RES. RATE APPLIES o er M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU g MINIMUM COMMERCIAL FEE - 20.00 Vent CFM R STATE SURCHARGE PER PERMIT - .50 Gas Pi i O l 1 1 (ADD $.50 S/C IF PERMIT PRICE GOES p ng ut ets # • BEYOND $1,000) Other $ FEE: 25 50 , S/C: SIGNATURE 6F PERMITTEE TOTAL• FOR: CITY OF EAGAN CITY OF EAGAN 3830 Pilot Knob Raad, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454•8100 BUILDING PERMIT Tobeusedfor SF' 4)WG/<.Aft Est.Value 5138.OW 14 9 1 "pi Receipt Date MAY 4 Site Address 9248 WAQGA9Y_"*-+ y*,O&rr (??r Lot 1 Block 3 Sec/Sub. OAiC Cf,TFF Parcel No m Name TINBERW1ND C()1iTAAC'TORS* INC z AsIdress 3653 a' 156TH ST o Pity k?SEMC}l'P:'1 Phone 423-2306 OFFICE USE ONLY On 51te 5ewage Occupancy R'3 M"1 MWCC System x Zoning it'1 On 51te Well (Actual)Const y-K City Water x (Allowable) V-m PRV Required x # of Storfes Booster Pump Length 76 ' Depth 32' S.F. Total Footprint S.F. , o Narr?e SAMfi ? s Address ?°C- City Phone ¢ W i 5 2 w Name_ Address City _ 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 5tatutes anll City of Eagan Ordinances. 9lgnature of Permittee _ A euilding Permit is issued to: TIMBERF1IIdD CONTRAC'l`ORS on the gxpress condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City ot Eagan Ordinances. Building Official APPROVALS FEES Engr.lAssess. Permit (09$.00 Planner Surcharge 69.00 Council Plan Review 349•00 Bldg. Off. SAC, City 100. 00 Variance SAC. MWCC 5 50• 00 WaterConn. 550.00 Water Meter _67,QQ Road Unit 325•00 2o4'? Treatment P1 Parks 2 • ? TOTAI. CITY OF EAGAN Remarks Addition DAK ..T F A DTTTQN Lot 1 Blk 3 Parcel 10 53550 010 03 Owner Street ?7yv 'd5taie DaK S' . Improvement Qate Rmount Annual Years Payment Receipt Date STREETSURF. S4 1981 250.88 25.09 10 STREET RESTOR. GRADING SAN SEW TRUNK 7 1973 104.12 6.94 15 SEWER TERAL 1981 SL+],.]( 54.1$ 10 WATERMAIN WATER LATERAL WATER qREA 1982 161.31 10.75 15 STORM 5EW TRK 1^ 1979 350.52 17.53 20 STORM SEW LAT CURB & GUTTER ' 51DEWALK STREET LIGHT WATER COlVN. BUILDING PER. SAC PARK CITY OF EAGAN Permit N,o: 3830 Pilot Knob Road Meter No: '410 3 f.? ST ? P.O. Box 21199 Reader No: 31, 2 Eagan, MN 55121 Owner._ := t t.?;_:,,? •_^r??st . ?y75?0 l3u Site Address: ?sr. ^ r Y "? „- Conn. Chg: 550.00pd Acct Dep:- 1 5. 00r(? Permit Fee: 1 OC r-? Surcharge: 50.zci Tr. Plant_ - ? 0 4 . r;)pd Meter. F7 ()ctn ' MISC.:-_ ;'Wl R•.'(liTTRFl) Date: 25-3.8 Size: Date: Zoning: R? No. of Units: I agree to co ly with the City ol Eagan Ordinan s. By WATER SERVICE PERMIT CITY OF EAGAN rJ2 14 9 3 6 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUlLDlNG PERMIT PHONE:454•8100 Receipt# To be used for SF DWG/GAR Est Value $138,000 Date MAY 4 ,198$ SiteAddress Fl9Fl0 l3c Lot 1 Block 3 Sec/Sub. OAK CLIFF Parcel No. c Name TIMBERWIND CONTRACTORS, INC ? Atldress 3663 W 156TH ST 0 City ROSEMOGNT phone 423-2306 ? Name_ i0 1- o a Atldress ? City_ f¢ °w Name_ ww r z z. Address V 4w CitY_ I hereby acknowiedge that I have read this application and state that the informalion is wrrect and agree to comply with all applicable State of Minnesota Stalutes and City of Ea/gan O/rtlina?ces/.? . Signature of Permittee?1/?? l?Lrvl..-v!? _ A 8uilding Permit is issued to: TIMSERWIND CQNTRACT0RS_ on the express condition t hat al I work shal I 6e done in accordance with al I applicable State of Minnesota Sta[utesy ya?nd Ciry of Eagan Ordinances. RuildingOfficial?l}U.G _ , OFFICE U5E ONLY On Site Sewage _ Occupancy R-3 M-1 MWCC System X Zoning R-1 On Site Well (ACtuap,Const V-N City Water X (Allowable) V-N PRV Required X # of Stories Booster Pump _ Length 76 ' Depth 32' S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit 698.00 Planner Surcharge 69.00 Council Plan Review 349 00 61dg. Off. SAG City 100.00 Variance SAC,MWCC 550.00 WaterConn. . 550-00 Water Meter 67 _ 00 Road Unit 3_2_5.oo Treatment Pl 204.00 Parks TOTAL 2,912.00 This req-esl void 1 J/ i/ rj/ ?3J?-??/ 8 ?pnths from 7/5 O ?/?'' DD 8 1842 ?3-3 &? ?) ' ;e 6 7 Reqoesc pate Fire No. FouPh-in I p ction I I ? [,? Hequiretl? Reatly Nuw XWi11 Notily. Inspec- JK[Ves ?Nn Inr When ReaAv 29 Licensed Electncal Contracmr I hereby request inspection of above ? Owner ,? U?, OA.?is leGrical work instelleA at Sveet Atldress, Box or Route No. Citv ecuon o. - o. Cnunty OAkfiiFr /+DP or/ R1C PA1k-oTi4- OccauantlPRINTI ?j / M Be- cJi ,J ? (_"F?,UT AC'I"a2S' Phone No. Puwer SupD??er Adtlress R ??-/ SJ??i ) /? ?I /?(D ?GN /`?/IV Elechical Contractor IComuany Nnmel CoMractor's License No. ?,?°??E o s?o - s I Mailing AAdross (ContreCto or Owner Making I stailationl ? ? ?3?tJ Gil, /?fS? sr cE VR« tfJ .s5ia Authorizetl iBnature (Comractor ner M kinB InstallatioN Phone Number ? -73 O MINNESOTq STqTE BOA OF ELECTflIGITY THIS INSPECTION NEQUEST WILI NOT Grigga-Midway Bldg. - floom N-191 BE ACCEPTED BY THE STATE BOARO 1821 Universitv Ava., SL Paul, MN 66104 UNLESS PNOPER INSPECTION FEE IS Phona(672) 64&0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION E13-00001?06 0 See instruetians lor completing Ihis lorm on beck ot Vallow coCV. D? 1842 "x' BeloW Wmk Covered by This Request AAd Y1ev. +vae ol auiieina Aoolioncea Wbed Enuiume., Wiren Home Range Temporary Service Duplex Water Heater Lightiny FixWres Apt. Building Dryer Electric Heatun Commercial Bldy. Fumace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tdnk Farm omr, aeu v 1he, (SneuN) [ P.! $VCCI Y OihC! OIM1(?! Compute lnspec[ion Fee Belaw q Fee Servica EntraneeSiie n Fea Feedees/5ubfeaders N Fee Circuits Z a0 0 to 200 qm s 0[0 30 Am s IO ??• ? 0 to 30 Am s Abov 20 e 0 qmpsl 31 to 100 qinps 14 20. 00 31 to 100 A Swimming Pool Above 100-.4m s Above 100_Amps Transiormers Irrigation Booms jQ PertiaL' Signs Speciallnspection 50 S q TOT Rema.ks ' , ?1 r. GZ. ? /?J RouBh-in . u u1e I, th Elecbi ec c ?so , .eov Final ^ ? ?e / certily thnt fhe xbove // J ? inspection has been 1 i A\ p? / made. •hia reaueat voiE 18 moniRS irom This request voitl -{!?///?e ?B mo?[hs ?rom iryy ? ?1843?? ? RenLesr Uaie , Licensed Electrical Convactor ] Owner iheel Address, Baz or flnute Nn. UccupantlPRINTI Power $upP?ier A Etechi?Tl Con[rec[ ICOmpany Nam Ma?l?np AtlJress ((.ontraetor or Owne ln.3 cJ, !+ul?orize iBnature (COnVactor OH ? ire No.L Rough-i nsuection ?j? ?' Repuire . ?Reatly Now ? Will Notify InsPec- ??os No ior Wh¢n PeatlY I hereby reQUest inspection of above electrical work instelled aL City y 5 c E??sa,J :r.r / !k 3 pa,eorA Phone Ne. 'S AAdress A.CtiI ? 670rt) C nV:ictor's License N n 'v 1S-'?o -S " `f3 - ? ? O MINNESOTq STp7E BOA GliOF ELECTNICITY THIS INSPECTION REUUEST WILL NOT ges•Midway Bldg. - oom N•187 BE qCCEPTED BY THE STqTE BDAND 19E1 University Ave.. St. Peul, MN 55704 UNLESS PqOPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ee-oo^oo't-oe See insVUCtions for completin0 this form an baek ol vellow coFV. fuJ '8.18 4 3 "X" Below Work Covered by Ihis Request Fdtl 8eo. Tvoe o1 BuilEing Aovlioncen Wired Eqoipmant Wired Home Range Temporary Service Duplex Water Heater lightiny Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Fumace Silo Unluader Industrial BIAg. Air Conditioner Bulk Milk Tenk Farm Other aoc? y 1hcr (SUnn(y) uecify Ot er Other omuute Insaeclion Fee Below p Fae ServiceEntrence5ize tt Fee Faxders/5uhteetlers ? Fae Circuits /2 .00 0 to 200 qm s 0 to 30 qm s 0 to 30 An+ s Above 200 qmps 31 to 700 Amps 31 to 100 A s Swimming Pool Above 100-Amps Above 100_am s Transiormer5 Irrigation Booms 16V Partial-'0 e Signs Special Inspection S TOT L F Aemirks 12 SL) , OD flough-in ? D1te I, the ectrical In5p0Ctoq y ertify thet tha above Final ' Date ? 3i insoaction hes baen m,ae. TMa repuasl vold 18 months Irom ?-(+--- ? RESIDENTIAL BUILDING PERMIT APPLICATION ? CITY OF EAGAN o'- G4? New Construction Reauirements • 3 registered site surveys showing sq. R. of lot, sq. ft. of trouse; and all roofed areas (20% maximum lot cove2ge allowed) 2 wpies of plan showing beam 8 wind(yw sizes; poured found desgn, etc.) • t set of Energy Cafalations • 3 copies of Tree Preservalion Plan rf bt platted after 711/93 • Rim Joist Detail Options selecGan sheet (bldgs with 3 or less units) DATE f/ I JOB SITE IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER Wtl I if/Ic ? i? q w TYPE OF WORK I'?? ? ?wo,,. 1?4A FIREPLACE(S) _0 APPUCANT Wl?ll /?I? PHONE# _ ADDRESS 41-? `/O PAGER # H, nv1 ,? r 1-' ? Z _1 _2 _3 ZIPCODE ?S" 2 FAX# 6 7'- S?5?- WoF NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MIVNESOTA RULES 7670 CATEGORY 1 (check one) - Residentiai Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: _ Plmnbing SysCcm Includcs: Mechanical Contractor: mcch:uiical Svstcin Includes: Sewer/Water Contractor: Phone # Phone # Fee: $9Q00 Pce: $70.00 All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is conect, an " gr-ee-to coF7io all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature ot Applicant ?' V'" ' Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ S t' RemodeVReoair Renuirements -q 6" . 2 copies of plan "l A l?--P?-e o • 1 setof Energy Calalations for heated addiGons ?? • 1 site survey for ezterior additions 8 decks 1_ I g_O ? l ? VALUATION (EXCLUDING LAND) 0 / Vou • o?lc S F 3830 PILOT KNOB RD - 55122 ?'i ? 651-681-4675 ?' // o CELL PHONE # Watcr Softener _ Wafer Hcater No. oF 13aths Phone #: L1cm Sptinkler No. oFR.I. Baths Air Conriitiocting _ Hcal' Recovcry Systcin Updated 1101 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 07 OS-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 70 08-plex ? 18 Deck ? 11 10-plex ?919 Lower Level ? 12 12-plex Plbg_Y or_ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn.(4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire B ldg only) - Give PCA handout to applicant Valuation ?oGO ?G Occupancy MC/ESSystem Census Code Zoning City Water SAC Units O/ Stories Booster Pump Nbr. of Units ? Sq. Ft. PRV Nbr. of Bldgs l Length Fire Sprinklered Type of Const .S-,(L Width REQUIRED I NSPECTIONS _ Footings(new bldg) FinaUC.O. _ Footings (deck) p? Final/iVo C.O. _ Footings (addition) 7 Plumbing Foundation HVAC Drain Tile Roof Ice & Water Final Other ? Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Fireplace _ R.I. _ Air Test _ Final _ Siding S[ucco Srone _ Insulation _ Windows (new/replacement) Approved By 1,a , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies - -)-? 't' Other Total 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN ?, 3830 PILOT KNOB RD - 55122 C?. -- ?- cC? 657 •681 •4675 New Construction Reaulremenh ? 3 regisfered sRe surveys showing sq, tt. of lot, sq. H. of house and all rooted areas (24% maximum lot coveraae cllowed) % 2 copies of plans (show beam & window sixes; poured ind. design; etc.) ? 1 sH ot energy calwlatfons > 3 copies M tree preservatlon plan R lot platted affer 7/1 /93 DATE: `"1 2? 1 "1'"l DESCRIPTION OF WORK: STREET ADDRESS: I?I U 1")I LOT: ' BLOCK: ? SUBD./P.I.D. #: Remodel/Reoair ReautremenTs 2 copies M plan 7 sH ot energy calculailons for heatetl addMlons 7:Ne survey For exferior addMions & decks CONSTRUCTION COST: 1'„ I C1S? 9b 7rb Name: ? C ? -e? ? ?a w ? ? t Phone #: PROPERTY Last Fl(st OWNER ??,? J Street Address: City COM7RACiOR ARCHITECT/ ENGINEER State: License # Company: Phone #: LEVF • ' (area code) 9190 W. 123'h 5T. Street Address: SAVAGE, MN 55378 612-445-4 City Lic. #6863 state: Company: Name: Telephone #: area code ( ) Street City Sewer 8 water licensed plumber (reaufred 1or new constructlon onlv): State: Penalty applies when address change and lot change is requested once permit is issued. I hereby acknowledge that 1 have read this application, sTate that the informaHon is cortect, and State of Minnesota Statutes and City of Eagan Ordinances. /1 Certificates of Survey Received _ Yes Tree Preservation Plan Received _ Yes Signature of Applicant: _ OFFfCE USE ONLY _ No No Registration #: te? U O?O 6-17'Yl ?'t Zip: Zip: Zip: to comply with all applicable I Not Required L I IJ.7J - / I CITY USE ONLY ?y L? BL ? RECEIPT#: /D?o r"/ dl SUBD. RECEIPT DATE: 3 S 1999 PLUM8INH PEi14iIT fuS1DENTuW CPtY OF EAfiAN 3830 Pv.or KNoe sn r.Aenx. MN ss122 (e51)681-4075 Please complete for: ? single family dwellings ? tpwnhomes and condos when permlts are required for each unit ? backflow preventer for untlerground sprinkler system FIXTURES Shower Water Closet Bath Tub lavatory Kitchen Sink Laundry Tray Hot Tub/Spa Water Heater Floor Drain Gas Piping Outlet " minimum Rough Openings Water Softener ' for dwellings under construcUOn Water Softener ' for existing dwelllnq U.G. Sptinkler • for dwelling under const. U.G.Sprinklef ' forezistingdwelling Alterations * to extstlnp resldence Water Tum Around Private Disposal System " MPC iic. (new andrefurbished systams) Private Disposal Systems " a,nandonment RPZ (new inst811ation/repair) EACH . #_ TOTAL 3.00 x = 3.00 x = 3.00 x = 3.00 x - 3.00 x = 3.00 x = 3.00 x = 3.00 x ? - 3.00 x = 3.00 x = 1.50 x = 5.00 x = 30.00 x = 3.00 30.00 = 30.00 = 30,00 = 75.00 = 30.00 - 30.00 = Rominde Call 687-4875 for inspactlons of water heaters, water softeners, alteretlons, etc. STATE SURCHARGE .50 TOTAL 3L'ZS d _...---.....••--------••••---------••••-•---•--••-.•••----?-•--._......--•-----•-•----•• ....................... •---•----•-----......••-•--- I hareby adcnowletlge that I have r•-""- ---°--°-- -??-?--•??_.?_:__,_,?_. ,,, ,,.,._.,,,? and agree to comply wlth all epplicabla Ciry of Eagan ordinances. It is the applipN's responsi6ltlry U ies no Ilability for any dama8es qused by the City dunng Its normal opereGonal and malntenance acti MCGREGOR, WILL , 4740 BUfiR OAK STREET lin City propertyldghlrof-way/easement. SITE ADDRESS: EAGAN, MN 55122 (651) 890-9419 OWNER NAME; INSTALLER NAME _N=_?'jm ??,????)nJ(, TELEPHONE #: ,j 3 STREETADDRESS: CITY: _??JLS STATE: ZIP: SIGgYqTU6a0F PERMITTEE CDlPERMIT FORMS/RPLBG PERMIT (RES) - 1999 L ? gL J_ CITY USE ONLY RECEIPT #: 03 SUBD. b Sk RECEIPT DATE: PERMIT# ??147 1999 PLUM$llvfi PERMIT (USIDENTIAL) crrY oe EAsr.uV 3$30 PILOT KNO$ RD EAfiRN. MN 55122 Please complete for: ? single family dwellings (651) 6e1-4675 , > townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas i in outlet * minimum -1 3.00 x = $ Hot tub/s a 3.00 x = $ Kitchen sink 3.00 x = $ Laundr tra 3.00 x = $ Lavator 3.00 x = $ Minimum fee alteretions to existin dwellin 30.00 x = $ Private Dis osal S stem new/refurbished ` re uires MPC iic. 75.00 x = $ Private Dis osal S stem abandonment 30.00 x = $ RPZ new installation/re air 30.00 x = $ Rou h o enin 1.50 x = $ Shower 3.00 x = $ Under round s rinkler if dwellin is under construction 3.00 x = $ Under round s rinkler if existin dwellin 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener if dwelling under construction 5.00 x = $ Water softener if existin dwellin 30.00 x = $ I Water turnaround 30.00 x ---- _ $ State Surchar e 50 --> ----> ----> $ 50 7otal --> --> ----> .... > $ Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. ----------------------- -------------------.---- ----------------------------- -- I hereGy acknowletlge that I have read this applicafion, shate that the information is coved, and agree to comply with all applicable City of Eagan ordinances. It is the applicanPs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and mainterySnFe ac6vities to the f' ities constructed under this permit withiqCity property/right-of-wayleasement. SITE ADDRESS OWNER NAME: : INSTALLER NAME: STREET ADDRES?S CITY: ? ? i ? . • ? -' EANF'4l-. . LHB 1:;7 JI IL 25 1989 1 1:;":>: 51 tili IL 25 1989 ]. ].W'58 • • ? # ? 0 ? rxr LTG/262CLlil. LIYl89. LIl'/1='i_. . k::Ih1M t1Ii_HALL RUBCR'f 15570 CL_AF:ET F;O_,EMliUl`d"I' S.`'_?nl,S Vlhd;90871-1108816. VYFi/79. VMAiFOf;D. Vh1Oi2Ti'I-1i_i. . E:XMfSEF. Urirjt010747. c;'fTCk::kk:JS304213. #FLFiG: P!_(1Tt:_'=; RE:VGKE:Li -- Ni i 1=LT TNtiUFi i ? 40 • ? ? s . + F'Rtc:i-%- ( l. ;), fd49S?L ''I:I`.'! {) ?L[ick- . r .:.C ?i;rc:,K;l_t-+`Y S::rl1PP?.... ir:IFIE.IZI?I?AL p..i:ir•,ii_ f=?l`,111 ,r=i[Y.:'F;"i ??; ?vir._ -?. ?..p.??D .?' f.;r..:•.:'cc: "'v?.,i:-. (_, .... t, L):.if E. l.;c.._...1 ?_. _iil ? ?.h.n.-.i.rdi? 1?OVITRi f'(tli:,..: I.HI: ?.,, ,.,c:,_;w•-?? h?- r-tI. " - - Cr ,?,-• , -:: . ??Q,C?•o'o.rsc"'..'? ? l?arc`!? o? ? ??3 -71// ? ? p v -52 /617, .- ? ?.. CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION *ATF: PAYMP.TTS'' OF FEE AT TIlE OF aPrr.icaTION noFS Wr o20riTUTE APPROVAL OF PIItbffT. I IMPDCrsorr oF sEwM r,cro/OR MRIEa TntcTnr.ramrpNS y,11s, NOr gg SCHgD- []I.ID UN1rII. PIItNIIT FIIA.S Bffid i APPROVID. P ease Print ^^ 1) PROPERTY ADDRESS: ??21r? ,<1.1/0 LEGAL DESCRIPTION: Lot T ; loc s NLot B ock Sub ivision or Tax Parce ID ) IF E}ISTING STRL'C,`iS,?RE, DATE OF ORIGINAL BUILDING PERMIT ISSi'ANCE: ' PRESENT 20NING/PROPOSID LSE: {hbn ear ? COMMERCIAL/RETAIL/OFFICE R-1 SINGLE FAMILY ' C2 IPIDL?STRIAL ? R-2 DL?PLEX (TWO C?nits) ? INSTjTUTIDNAL/GOVIIRNMg,Nr ? R-3 TOWNia)SE (Three + Units) ( Onits) . [? R-4 APARTMEN'P/COAIDOMINIUM ( Units) 2) NAME: „11t, ADDRE'SS: CITY, STATE, ZIP: Ro°emotln . Mp 5 b - PxCNE: 423 2305 3) ? a?• NAME? ? Olberg : ',ei2r'?f? Trenc':?inr, ADDRFSSC 4,?-, -l ' ,^£ R?l CITY, STATE, ZIP: Eagan, t?n. PHONE: 454 3620 MASTER LICENgg# 003 4) •• • i?• , NAhE: , Semo adB a_plicant _ ADDRESS: CITY, STATE, 2IP: PHONE: Active Exp1red Not recorded t?aff Initial r• • a• : o • aa - ?? ? CONNE(.TION T0 CITY SEWER ? CpNNE(,TION DO CITY WATER ? OTHER 6) n • • r is ? PLEASE HOLD APPROVID PIItMIT FY)R PICK-OP BY ONE OF ABOVE .. ---'---- PLEASE MAIL APPROVFF:D PERMIT ZO 1. 2. 3, 4, AHOVE (Circle one) It•1° :fOR CITY USE ONLY PERMIT # ISSUED 9 D Pd w/Bldq. Permit ? FEES: S /6 5 -o SEWER PERMIT (INCLLDE SURCHARGE) $ $ WATER PERMIT (INCLUDE SL'RCHARGE) $ G 7•t9 D $ WATER METER/COPPERHORN/OOTSIDE READER $ $ WATER TAP (INCLLDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ ?Sr'C9(J ACCOONT DEPOSIT - WATER $ _?5- dZ $ WAC $ o-o $ SAC $ $ TRDNK WATER ASSESSMENT $ $ TRLNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRONK WATER $ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ ``? 71' TOTAL - Sl 3? 3? PS? 5? RECEIPT RECEIPT DOES LTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY? r-1 YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SDB,7ECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: ??? DATE: ? 12-s- 1988 SUILDING PERMIT APPLICATION - CITY OF EAGAN #1413? SINGLE FAMILY DWELLING3 INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SUAVEY, 1 SET OF ENERGY CALCULATIONS r ,A NOTEs ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE HIIILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL ONIT3 FOR SALE UNITS 0 OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL X" INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: Valuationv ?S/?J?fO.t3urr ak ? ? Site Address , Lot L Block Parcel/Sub 041C1er Address 3?(j w /arGigfS% City/Zip Code )Zs6A4ey w), /?? REG'a i, r' k? 9*?t38 Date: Z$ t l ?J$? OQ'l On site sewage Occupancy MWCC system ? Zoning R -1 On site well Actual Const V-N City water _ Allowable Y-N PRV required c/ # of stories Hooster Pump _ Length Depth S.F. Total Footprint S.F. Phone '{ Z3-2,3 Qki I APPROVALS Contraetor ? Engr/Assess Planner Address 3(,(a3 /SCeTrf-ST Council Bldg. Off. City/Zip Code. ?osrnn,,??:T Al,u Variance Phone q'Z`3 ^ 2-3 O 6 Arch. /Engr. Z",j ??A(iC[vJ Address 313 f Fi3Vti City/2ip Code P,U„oTi-I ir.(.v SS 4'q1 Phone fl rj 5 3-`t('-)O FEES Permit 78,00 Surcharge 69.00 Plan Review 3yq. 00 =S/,3 SAC, City 10,7,Ot? SAC, MWCC SSO. DO Water Conn 550.00 Water Meter ao Road Unit 25,00 Treatment P1 204,03 Parks Copies TOTAL ' k~ ?AR a(yE 3.'?,67k2? _ zl_g?K Z ? VqLuA7I 0 rl G '13 LI 3 716 X 14- joozL+ AsEr? Entt-- 42Ne zLI = 1008 z x I y = zs u?z4= 9G Il32'-A 13= lk r FLo ?re.._ 2x? = ty ? ,? s << X y? S 6ny T g?w I U7/G = SG S'?l G ? !3 2 ? /loo 55860 ' 13714? -, r ? ' I 6;+8 • u?i {. fi9•UU? ii;J•UU+ iuu•uu+ 55U-ou+ ? 5>u•iiu? I <'!' • U U + J 325•uu+ ? 204•UU+ ? ?`??'.?9t!•i)Uc ? I ,. Certificate for: , Mike Kimm ( - Timberwind Contractors, Inr. Home For: Larry H. Whitson DELMAR H. SCHWANZ LAND SURVEYORS. INC. Repietmatl UnUar Lewa of ilie Slete of Minneeate 14750 SOUTH ROBERT TRAIL ROSEMOUNT, MINNESOTA 55068 SUFVEYOR'S CERTIFICATE p\ I'l J ? t? ?!J ? ti V) Y Q ? Scale: 1 inch = 30 feet; w Denotes iron 0 Denotes set wood Denotes existing elevations ODenotes proposed el Book 1.2 , Page J j 612/423176'E A G A N R E V I E W E D oA.?/. l! i RED UATE 1,1/a?r ?..T ? M A N o G A Nr ?-_--- I ? 87o ??y ? J 4 ?p („Pfl fi= 355.1?? N??r 00 ??9 9.6a zt! 78 Lot 1, Block 3, OAIC CLIFF, accordiry to the recorded plat thereof, Da.Y.ota County, Minnesota. 11 Also showing the location of a pzoposed House as staked thero I hereDy certify that thia survey, plan, or report was preparaE by ma or under my tlirect supervision anA thet I am a duly Regfatered land Surveyor undar tha lawa o1 the State ol Minnasota. Datad 04-26-88 1 ? fJ ? ? ? ?J 6111V?11Y LiVG1iFLUV NLSE. Dalmer H.Se?wanz Minneeote Regiatration No. 8825 ,.? . . ??. CITY OF EAGAN EXTERZOR ENttELOPE AVERAGE 'U' OYINER: SITE ADDRESS: ? i CONTRACTOR: 5t,Mp-.r?+71,?11?ti? ?'? ?GT" DATE: 2? PHONE: ?&- •?S Determine rrorking square footage of eac6: 1. Total exposed wall area ... SQ72.pf'j sq. ft. x.11 = G.?jl •`? 2. Total roof/ceiling area ... I.,)Z, sq. ft, x.026 Total exposed wall area above floor a. Total wall window area ............................ 2e;p? 6. Total door area ...?NSFl?r. 14JYAP6 .'R?5-.•.......... ( o.fo9 c. Total sliding glass area .......................... KjM1r--- L-? CA14?E d, Total fireplace wall area 1;y.30 e. Total wall framing area (average 10%) ............. f. Total net wall area above floor ................... 4147-10 g. Total rim joist area .............................. 2¢18,0?0 Total exposed foundation area = 44,p O h. Total foundation window area.:k.?XlA. WY? ...... i. Total net foundation area above grade .............. . Determine 'U' value of each wall segment: a. x 'U' b. x ' U' c . x ' U' d . . c:> x , U, e. N x lU' f . d x ' U' 8. x IUI h, x 'U' i, x 'U' ,42 = 2bo.St 4, gp2 ??22 = . o9v = 3 . ................................................... Total If item 03 is the same as or less than item 111, you have met the intent of SBC 6006(c)2. Total exposed roof/ceiling area - J. Total skylight area ............................... hI?r-*3r-., k. Total roof/ceiling framing area (average 10%) ..... 1. Total net insulated roof/ceiling area .............. 4[718.fl-? OYER ,.: Determine IUI value for each roof/ceiling sepent: J • x ' u' k. 113.1? x' u' 1':I l:,-,? _ •1??? 1. x'u' ,a22 = 22• 4IA- 4 . ...................................................... Total = AC>62a1- If total of #4 is the same as or less than f12, you have met the intent of SBC 6006(c)1. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of Items p3 and #4 shall not be greater than the sum of Items f11 and I12. 1. + 2. 3. + 4. - 2 SINGLE & DOUBLE FAMILY HOMES 1984 ENERGY CODE REQUIREMENTS On or about March 1, 1984, the following energy code requirements should be calculated and included with a building permit application. 1. Roof - ceiling assemblies - R-38 U= 0.025 Averaqe 2. Exterior walls & rim joists - R-20 U= 0.11 Average 3. Eloors over unheated spaces - R-20 U= 0.05 Average 4. Exterior overhangs will be considered as exterior wall. 5. Foundations (all exterior walls) - Minimum of R-5 insulation. 6. All insulated areas must be separated from the heated space by a well-lapped or sealed vapor barrier with a minimum perm rating of 0.1. A 4 mil. polyethlene sheet or equivalent meets this requirement. A Kraft face R-19 type insulation will be accepted in the rim joist areas. Air chute baffles are to be placed in every rafter space. . GUIOELI nE TO (R) FACTORS (COn lSbRi,C nhrlUnl, , OF TY PICALLY USCD PROGUCTS . ?R) (R) Interior Air Film (tlalls) D.GII Cypsum or plaster board 318" 0,32 Ea[erior pir Fllm (Ualls) 6.17 Cypsum or Vlaster 4oard I/2" . 0.45 lfttcrlor Fir film (VCnted Ceilinq) 0. 6 1 Cypsum or plaster board 518" 0.56 Eatcri,r Air Film (Vented Ccilln9) 0.61 Plywood 3/8° 0.47 Interlor nlr Filn (Ilcn venteA) 0.61 Ptywood I/T" 0.62 Eaterior Air fllm (Ilou Ven[ed) 0.17 Vlywewd 3/4" 0.93 - Sheathing, reg. densl[y I/2" 1,32 tlumlnuw Sidina 0.61 Sheathinn, rea. density 25/32" 2.06 Aluminum wi[h 0acker 1.82 Naii-basc 5he:.[hing 1/2'• 1.14 Aluminum with Backcr 6 Folled 2.96 .. 1/2 x 8 lco sidinq (kaoa) . 0.81 euilc'up Roofs 0.33 .. I/Ib x 12 11a1d0oard Sidinq 0.67 Asbesros-ament shinal?z 0.21 ' - hsbcstos siAinns 1/4 Lapoca 0.21 Aspholt ro11 roofing 0.15 " ' . Stucco (Oro:m and finlsh Coat) Aspahi[ Shingles . 0.44 3/4" Vood Subfloar or Sn<acning 0.94 Insulation: 2-2 3/4" Fi6erqlass 7.00 ' 1/2" Plywood b6cathinq 0.62 losulation: 3 1/2" ilber9lass 1F.00 ' . 1/2" Particlc tlu:.rd 0.66 Insulation: b" Fiberglass 19.00 WODS: . BLOIJIIIf, VOOLS . . , ilr, pinc L slmilat soft Itoods 1 1/2" 1.89 Approx. 3" • 9.00 ' .. 2 I/2" 3.12 Apvrox. 4 1/1" 13.00 . . 3 I/2" 4.35 Aporox. 6 1/4" ?.' 19.00 5 1/2" 6.87 AvProx. 7 1/4" 24.0a . :{ - - ' Approx. 14" 30.00 ' Approx. 18" 40.00 AU o[her in5ulation materials must be .... . ' Fllled verified (n Faeror) (A) Vermiculilc - . . ' 8" [oncrete eloc4 (S G G Re9.) 1.11 1.93 . . . . 12" Lanvece ¢lock (S L G Re9.) 118 ;.?5 8" Li9hI 1JCi9h[ 2.18 5.03 . . . IY' Liqht eei9ht ' 2.48 ?-- 5.82 , - . . .. ... , e__srtesa..nrtnne.__?>_cn>nan_ . NOTE: (U) x Area Square Fect -?u nii vinea.,: - (w/smrns I° co 4" Spacc) . ' SL Removal DouCle Glazing (0.0G) .S$ Thermo or wclded 3/16" air space .69 1/4" air .pacc .65 ' 1/2" air space .58 (Other wlodows specifically tezted.can use better ratings) ---1 3/4 solid core aoor .46 whtorm, erooA .JI . r/storm, metal .26 _ ?ease StcelUOOr Insl/n/CL 7.45R .1; -? Slldfnq Llass Ooor, Vood .65 . Mewl .115 ' . . . fr V ? ROOF I LEILiNC, - (R} VAL O I11Te71* F:tR F(U`1.r? o SrY UV. ED. - . S?' . Q lNSU?A j1o? ': ?: ,- ??,?• C41 , ? EX jE1?;o(? AiR FtLM ? (S7ILL) . ,t?« _ i fiZ _ > syz T6 7AL `- (TZ) VALC O ?? << l?asU?AT{ot? s?al` I°t,0'O 9Q ZS??J1 gu1L7;?1Tc ? .2`Plp u EX;_T!or- f+tX FILP't V?= ToYAL (R?=23.U? ? • ' ? <?) ?fatu= ?L 1?1T?.Harc Ai r? Flul , . ' 6 S '/i {NSULAT101'? . ?? . 10 2" FirL- R,r,rj ?DlST ?.,59. : is Z•a<, • u• Mhs?r?fTE s?olrG : (o'j : tiQ ExT?otoR AiF_ ftLM : 4=1 ?• R. ull ? : .To?fP' (R)=14ql 50VDATIOt't . ? • - Ctz? VFlLU= tN JEt7lDV- Atrc FILI-i ,Q 3l2' F/q• 1N?L ' 1?;? C ?? . C, i c. , '? . EX ? cP?lo?t AIR FICM •eaz?1 41 ? Floors ove; unheated spaces must have mininum R-factor of R-20 (tuck-under garages). Floors ovzr outdoor ait (ovcrhanss) nust tiave a ninimum P.-factor af R-33. '. . CITY OF EAGAN • PIINIrNii "U" VALUE Ai\TD A-FACTOR AT RQOF, 14ALL, RIht fu\'D CONCRETE BLOCR PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA108066 Date Issued:11/14/2012 Permit Category:ePermit Site Address: 4740 Burr Oak St Lot:1 Block: 3 Addition: Oak Cliff PID:10-53550-03-010 Use: Description: Sub Type:e - Water Heater Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Tony Boerner 2090 County Road 42 W Burnsville, MN 55337 952-435-2442 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 - Will F Mcgregor 4740 Burr Oak St Eagan MN 55122 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA119003 Date Issued:11/13/2013 Permit Category:ePermit Site Address: 4740 Burr Oak St Lot:1 Block: 3 Addition: Oak Cliff PID:10-53550-03-010 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 . Lisa Nyberg 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 - Will F Mcgregor 4740 Burr Oak St Eagan MN 55122 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature JUL-7-2017 14:47 FROM:TREBILFOUNDATION SYS 3205938720 TO:16516755694 P.2/6 Use BLUE or BLACK.Ink • For Office the Cityof Eaaau Pink* 3830 Pilot Knob Road RECEIVED Permit Fes: R,2, -.S"' 1.,. ED Eagan MN 56122 Data Received: —Ate Phone;(861)675-5676 1411w Fax:(651)6715.6694 JUL 0 7 2017 stag J 201.6 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 7'1' '1 IL 7 Sits Address: " I4 0 l.Xt Q 0.k. ST. Unit 8: Name:, 1 11 VAC`S Resident/ Phone: 1012'386-5)$5 . Owner Address/City/Zrp: • Q C sr, Applicant is; Owner X Contractor Typo of Work . Deecripticn 91" 43 rk:3 % II'► 16y 1d/k.) struCtion Cost: S-7, Multi-Family Building:(Yes /.No • Company: Jesse Trebil Contact Christine Cotttrtactor Address: 60335 us hwy 12 City: Litchfield State: Mn Zip: 55355 Phone 3205938729 Email.. Info@safebasernents.com License BC446489 Lead cortincato 0 NAT1106229. • If the project is exempt from lead certification,please explain why: er, Q I / U!L" t4; a"0 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the'City of Eagan issued'a permit fora similar plan based on a master plan? Yes rNo If yes,date and address of master plan: Licensed Plumber; Phone: , Mechanical Contractor. Phone: i Sewer•&Water Contractor: . Phone: • • IFire Suppression Contractor. Phone: _ k 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 per►rlit the.City to • • ., .. .. conclude that they are'trade secrets. _ CALL BEFORE you DIG. Can Gopher Stets One Call at(881)a544002.for protection against underground utility damage. Call 48 heals before you intend to dig to nicelve locates of underground utilities. wwwsosherstareonecag,p(g I hereby acknowledge Chet this Information iis complete and accurate;.that the work will be in cenfteti nco with the ordinancesand codas of the City of Eagan;that I underetend this is not a permit,but only an application for a permit,and work is not to sten 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 plane,. Exterior work authorized by a building permit issued in accordance with the Mlnnssots State Building Code must be completed withal 150 days•of permit.Issuance. xChristine Smith x�� 414:44:6 • . tic. 7f Applicant's'Printed Name Applicant's Signature Page 1 of 3 JUL-7-2017 14:48 FROM:TREBILFOUNDATION SYS 3205938720 TO:16516755694 P.4/6 . • ' 147 L(C) ( _.-t-t_s I( Oci-LL SI— szi(Liyo y DO NOT WRITE BELOW THIS UNE SUB TYPE1 * Foundation _ Fireplace Porch(8-SSeason) Exterior Alteration(Single Family) ! Single Family ,_ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) _ Mum Deck _ Porch(ScreenlGarebolPergoia) ,_,•, Miscellaneous 01 of_,Plex _ Lower Level ._._ Pool _ Accessory Building WORK TYPES New _ Interior Improvement Siding _ Demolish Buildings Addition __ Move Building Mood _ Demolish Interior ___. Alteration _ Fire Repair ` Windows .1•11110Demolish Foundation Replace je Repair ` Egress Window _ Water Damage — Retaining Wall 'Demolition or entire building.-give PCA handout to applicant DESCRIPTION Valuation 4©(Po Occupancy 2.1? G 1 MCES System Plan Review .. / Code Edition 2P r y SAC Units (25% 100° // Zoning P City Water Census Code y,3+(/ Stories — Booster Pump �-— #of Unite / Square Feet PRV #of Buildings / Length f _ Fire Suppression Required Type of Construction 7,4 Width REQUIRED INSPECTIONS �_� Footings(New Building) Meter Size: Footings(Deck) Final/C.O.Required Footings(Addition) 4 Final/No C.O.Required Foundation HVAC—Gas Service Test Gas Line Air Test Roof: ice&Water Final Pool: Footings _AIr/Gas Tests _Final Framing 7 Drain Tile Fireplace: Rough In _Air Test Final Siding: Stucco Lath . Stone Lath .„.„Blick Insulation Windows Sheathing Retaining Wall:._Footings_Backfill_Final Shootrock Radon Control Fire Walls Fire Suppression: Rough In Final Braced Walls Erosion Control Shower Pan Other: Reviewed By; ,Building Inspector RESIDENTIAL FEE Base Fee 131 2 Surcharge Plan Review P MCES SAC City SAC Utility Connection Charge SSW Permit&Surcharge Treatment Plant Copies (� .___* TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA158656 Date Issued:10/24/2019 Permit Category:ePermit Site Address: 4740 Burr Oak St Lot:1 Block: 3 Addition: Oak Cliff PID:10-53550-03-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Joel Ciagne 4740 Burr Oak St Eagan MN 55122 Minneapolis St. Paul Plumbing Heating Air 640 Grand Ave St. Paul MN 55105 (651) 228-9200 Applicant/Permitee: Signature Issued By: Signature