3698 Cardinal WayCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3698 Cardinal Way
Lot: 12 Block: 6 Addition: Lexington Place South
PID:10- 45060- 120 -06
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: Replacement
Description: Fumace & Air Conditioner
Comments: Questions regarding electrical perm
952- 445 -2840.
Fee Summary:
Contractor:
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460 -6022 X253
Cindy Lilienthal
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Mechanical
EA078686
07/05/2007
ePermit
equirements should be directed to Mark Anderson, State Electrical Inspector,
Owner:
Gary L Rauk
3698 Cardinal Way
Eagan MN 55123
$50.00 0801.4088
$0.50 9001.2195
$50.50
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3698 Cardinal Way
Lot: 12 Block: 6 Addition: Lexington Place South
PID:10- 45060- 120 -06
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Lakewoods Remodeling
9001 E Bloomington Freeway #144
Bloomington MN 55420
(952) 888 -5550
PERMIT
City of Eaan
Construction Type:
Occupancy:
If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
Applicant/Permitee: Signature
- Applicant -
$88.50
$1.50
Owner:
Gary L Rauk
3698 Cardinal Way
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
Issued By: Signature
Building
EA088904
04/27/2009
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
CITY OF FA6AN
3830 Pilot-OKnob Road
P. O, Box 21199
Eegan, MN 55121
Zoninp: - °
Owror,
Addraaa:
Site /lddrcss:
.
Plumber:
Meter No..
Sb.r
Reader No,;
1 "M !n oon+* +vNlr Nkr City eF Eaqon
"Ssaes&
BY
Date of I nsp.:
WATER SERVICE PERMIT
PERMIT NO.: `% I
DATE: '''" .U" F.S -
Mo. of Units: _
Connedion Chorye: ???t•??'?k?
ACCOUI1f DepOSiti .L "? • i}S?i?C?
Permit Fee:
Suncharye: • 5 0 Ix?
Misc. Chnryes: S/L
Total: G3sh??? ?^A?{°Pj"
Date Paid:
CITX OF FAGAN
' SEWER SERVlCE PERMR
3836 Pilot
ICnob Road
P. O. Box 21799 7
PERMIT NO.: 6
Eagan, MN 55721 DATE: ' • ? ? ^" ?
Zonirg: No. of Units: ?-
OWr1er:
ACJd?ESS:
5ite Addross: 36'):; C-c'3z'QZnai 11,12 '1
Plumber.
t j ri 14 0 0 ?.)'?)::
I egm f0 00"WIly Mkb the Chy of `wo COfll'1tCti411 ChOPQQ'
. 'f i?. ??=}•',?
Ordieasaa. AcwuM bepoeit: ?
Permit Fee:
By
Surctwrpe:
Mist. Chorqes:
Dota of Insp.: Total:
Insp.: Dote Pald: _
r
Receipt ?j ) ?- PLUMBING PERMIT d
Permit No.
CITY OF EAGAN
A Fee _ J
? Fill in numbered spaces SlC ?
Type or Print legibly Tot ?
1. Date 2. installation Cnst i
?
3. Job Address LQt??' Bik.
? Tr-act'' ?
4. Owner ?? %: • ? r ;v :
5. Contractor Phone
$, Address
7. CitY f-State Zip ? --
8. Building Type; Residential 0 Commercial ? Institutional ?
9. Work Description: New 0 Add O Alter 0 Repair ?
10. Describe
11.
No,
..:L Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield I
? Bath tubs Septic Tank '
Lavatory Saftner ,
i Shower Well
? Kitchen Sink
Urinal/Bidet Other
r Laundry Tray
l
Floor Drains l' I
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 all ordinances and codes gaverning this type of work.
Si ned :
9 for
Rough Final
Inspections: Date ? Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
k r
?
BUILDING RERMIT
Te be nmd fa
Receipi #
. . . : ?:? ?.. ?'.
_ S52, 000 D_ote C?I:1 ??.i , 19 L
Site Addreae • ` ' ` ' I' +"'•?} ??.?.?, Erect pceupancy
LOt ?- ' Black
' ' - ? ? ?i ?' T';i..
SeclSub Remodel
,
?
ng '
2oni
. Repair ? Type of Conat. ?
Parcel No.
Additlon ? No. Stories
' Move ? Length .,
Name I f jt?i
` T " 1 ' F
< '?'-
li
h
d
?
D
h
? Addreas 9 1; 3 T'?''' emo
s
I
r
t I ? ept
4 -
• `{ mp
n
. Sq. Ft.
City Phone
- Install ?
- Aporovafs faes
? Name ;"?'
.; :
u? Addresa Assessment
? City Phone Woter 3 Sew.
?
JaJ., Police
Nama re
i? Address
t?.
kj?
? .
~ E
?W
? W City ? Phone `? :i ? ~ ' : `? `•' Plonner
?
`
Cauncil
I hereby acknowledga that I hove read fhis application ond state that Bldg. Off.
rhe informuFion is correct and ogree ta, comply with all upplicable APC
5tote of Minnesoto Statutes and.?itq"of ?qgon Ordinnnces. * Var. Date
Sipnuture of Pertnittes
h Building Permif is issued to: on
oll work shall be done in xcordance with ail opplicable 5tcts of Minnesota Sfatutes cnd City oi
r . `
8ulldinp Offtcial --- -
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121
PH ON E: 454-8100
Permit ' Zaa 7 . u u
Suroharge 24 7'
Plan Review
SAC
Water Conn
Water Meter
Road Unit •' t? U, ir ..?
Tr. PI. ,. 3 ^ ' -
Parks
Copies
Total
.t+s express canditlon thai
Ecpon O?dinonces.
Permit No. Psrmit Holdsr Date Telephone ik
Plumbing ? r
H.VA.C.
IA?
EMetrle '")?'?? 7 r ? ti{' c_ ?. ?? ` I f.f- ?,? ??(?• U<?
Sohenar
Irnpection Date Insp, piher
Footings i
FooUngsll
Foundation
Framing
Roofing
Rough Plbg. ...??, ??.
ROUgh Htg. ? I
InauL
Fireplece
Final Htg.
Final Plbg. r?
Final ///,?? ??f/
ce?o??. r
Water Dfscribs Locstion:
Wall
Sevrer
Pr. Disp.
CITY OF EAGAN Remarks
Addition Lexington Place South Loc 12 Bik 6 Parcel 10 45060 120 06
Dwner street 3698 Cardinal Wav State Eagan, MN
Improvement Date Amount Annual Years Paymsnt Receipt Date
STREET SURF. (p? 3 I (D I QJ C_ I 0..? .?10 LrOIIJ?fv O6
STREET RESTOR.
GRADI,NG
SAN 5EW TRUNIC 1985 247.64 16.51 15
231
7
SEWER LATERAL 101 1986 1631 .00 326 . 20 5 .30 •f'Ce? L'a// ? !/ O -r
Services 101$ 1986 729.39 145.87 5 583. Sc? Ci1'/! I?/,, Fo 1^
WATERMAIN 19$5 65.$1 13.15 5 6-'S 6--2 ,g
WATER LATERAL 1019, 1986 8 7 3. 43 1 7 4.68 5 fer ?J"- fI/ A P,
WATER AREA 1014- 1986 243 . 73 48 .74 5 C' S/ 8f
WAT LAT BEN 10LJ 1986 111.98 22.39 5 $ C ( ? ???+D r
STORMSEWTRIC 101 1986 426.54 55.30 5 .? r r( d!
570RMSEW LAT lol 1986 803.34 160.66 5 t a f?
CURB & GUTTER
51DEWALK
STREET LIGHT
Road Unit
WATER CONN. 500.00'
BUILDiNG PER, 10557
i?
++
SAC
PARK
CITY OF EAGAN
3830 Pilot Knab Road
P. O. Bax 21199
Eagao, MN 55121
Zoniny;
Owner: -3'
/lddress: `?iq8 I
Site Addrcss:
Plumber.
WATER SERVICE PERMIT
PERMiT NO.:
DATE:
No. af Units:
Meter No.: ?v Gi -Connection Charge: %'?'? ` • ?'"` ?''
Slu• r f d??' hctount Deposlt:
Reado No.. f} ? /?'1 ZZ 2 Z/ Parmit Fee: j
1 a'rN to emply wuh !M Citp of Eeysn Surdarge:
OrdiwsnaN. Misc. Choryes:
Tota1:
By ? Date Paid:
Oate ot Insp.: Irup.:
/? - 7 ' -w)
This reques[ void 5iI ?!
ntlyg from f , ? J
?059996
Heque te
? Rre No. flough-in nsuecbon
Requ r
0 ReadyNOw?.WiPI NoUtv Inspec-
'? us ?NO [or Whgn Ready
P<--censed Electncal CAhtractor I hereby request inspecnon ol above
? Owner a lecvica I work i nsta I led ac
Stree[ ^.dd ss oox or Rou e No. ?
?
i iAiyA D ?
!
z•v?S.F"'
C rty
?
e i o. o ship Name or'NO, 7,angEe ?. ,
, County
J?
OccuOant IPRINTI
q,6 4.) -/1 il p mc-?-f- Phone N,
Power Sup her Address
EI "ni-'-q ??CTRIC
? ?. nntractor's License No.
11-e2 9.
Meiline " f d1?76Tdt?ationl
1?t?ilV l
Auchor¢ed Signemre o /O a 5512A alionl
Phone Number
I
MINNESOTA STATE BOARD OF ELECTRICITY TMIS INSPECTION flEQUEST Will NOT
Grigge-Mitlwey Bldg. - floom N-181 BE ACCEPTED BV THE STATE BOAflD
MN 55104 UNLESS PROPER INSPECTION iEE IS
1621 UniversitV Ava., St PauL ENCLOSED.
Phone 18121 2872111
/EB-00001-04
1? ; sQUESTuFOR EIECT R?I CAL; INSPEC7 „O?Nek of vellow co0v.
" X" Below Wark Covered by This Request
lLCld AeD• TyDe ot Bwlding AoPlmncea Wind EqwpmenS Wirgrl
ex
ce
M Fee Service Entranca5ize d Fee Feadars/SUbfaeders N Fr. Cvcwts
(1 to 200 Am s 0 to 30 Am s d •0 0 to 30 Am
Above 200 qmpsi 31 to 100 Amps 31 to 100 Anips
Swimming Pool Above 100-Amps Above 100_Amps
Transformers rngytwn ms P3rLal; Other Fee
Signs Spea n ct on io TOTAL FEE?
fle .rks ? ?
?•? ?
the ElecVical
/? ??" IOSpBCtO(. h8?0by
cerbfY lhat the above
Finsl inspection has been
made.
request
BUILDING PERMIT
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Boz 21•199, Eagan, MN 55121
PHONE: 4548100
Receipf
SF DWG/GAR
$52, 000 „_,e JULY 11 l0 85
SiteAddren 3698 CARDINAL WAY Erect fL7 Occupancy R3
Lot lZ elxk 6 Sec/Sub. LEXINGTON PL SO Remodel ? 2oning R1
Parcel No.
? Name FRONTIER MIDWEST HOMES
qddres$ 3908 SIB MEM HWY #E
City EAGAN Phone 454-0433
z
0
t-
u
g
f
Name $AME
Phone
?W Nsme RICHARD CHARLIER
x? Address 14103 GARDENVIEW CT
?W Citv A.V. Phone 432-5492
Repair ? TVPe of Const. V
AOdition ? No.Stories
Move ? Langth 48
Demolish ? Oepth 3 6
Int Impr. 0 Sq, Ft.
Install O
Apyrs.ala Fns
Assessment
Water L Sew.
Polip
fin
Eng.
Plannar
Permit `7 407. V V
surcharge 26.00
Plan Review 144 .50
snc 525.00
Water Conn. 5 0 0_ 0 0
waterMeter 63.00
280 00
Council Road Unit
I hercby ackrwwledga thot 1 have read fhis applicotion ond sfote that Bldg. Off. 7I10I $ S Tc PI. 132.00
the inlormation is correR ond agree to ?tomplny with oll oppl' oble APC Parks
Stata of Minnesota Statutea G,E
` Var. Dete Copies
Siarwturo of Permitfas Taal $I.959.50
A Bulldirqg Permir is iaued ro: FRONTIER MIDWEST HOMES m the e?? ???? tha,
dl work shall be doro In xwrdante with all applimVq Stote of Mi oto, otutes ord Clty ot Eapon Ordirancaa
N_
J V
10557
BuiWirq Offfdot
?. 't I 22 (¢ --> Tem!
Ckcjc a- j2IanS
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Canstructlon ReauYemrnts
3 reg'atered &le surveys ahawioB s9. fl. dbl sq. ft d house; and pg roofed areas
(YO%meximum lot coverage allaxedl)
1 Soils Report N proposed hupdinp Is to be placed m disWrbed sdl
2 caples of plan shavlig beam 8 windwrsizes; pourad twnd design, atc.
1 set of EneW CalaWtlms
3 copies of Tree Preservatian Plan If lat pktted afler 7111193
Wm Jolst Delail Options adecGOn sheel (6utldings with 3 a less units)
Muuie9asw madiankal ventilalbn form
RemoEeVReoalr Reauiremenb
2 copies of pWn shox'vig Tootlngs, Oeams, pisls
t set W Energy Calala6ons ta heated additions
t site survey for additlons 8 decks
Additlon - irdicete d on-slte sep7c system
Date j?_ 67 Construction Cost 3 1, lv 1 t• 6 S
Site Address 310' 9 `^ Ipq/zjb;"L tDC V UuiUSte #
Descrlption of Work
Multi-Family Bldg _ Y _ N
Property Owner
LAKEWOODS REMODELING, INC.
Contractor = I 9001 E. Bloomington Freeway
Address Suite 144
Bloomington, MN 55420
State _ ?"-- -- --'- - -
City
Telephone #
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
r- Minnesota Rules 7670 Catego? l Minnesota Rules 7672
Enefgy Code Category . ReaiUenGal VeMilaUon Category t Worksheet • New Energy Code Worksheet
(Jsubmisslonrype) Submitted Submitted
• Enerpy Envelope Calwlatlons Submitled
In the Iast 12 monihs, has the Cify of Eagan issued a permit for a sfmilar plan based on a master plan?
_ Y _ N If yes, daTe antl address of masTer plan:
Licensed Plumber
Mechanical Contractw
Teiephone # (
Sewer/Water Confractor
Telephone #( ?
Telephone #(
i nereny apply ior a Kesidential Building Permit and acknowledge that the information is complete and accurate;
that the work wip 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
perrnit; that the work will be in accordance with the approved lan in the case of wo?e??q? and
approval ofplans. _ /3? ? ?[ I
1` IQ??' le6u 11. ocar_? LAXolP
E}replace(s) _ 0 _ 1 _ 2
Telephone # (
i9) - S!5
Ca1dSUN? _Y _N
SUISFtepdt _Y _N
TreePrm;PIBnReW _Y _N,
TroePresitequ6ed _Y_N
OrFskeSaptlcSystem _Y _N
r
Sll,?Vlnrl, 1'tmrki o1 ? ? DEC 2 6 2007
Applicant's Printed Name ApplicanYs Si ture luu
DO NOT WRITE BELOW THIS LINE
Sub Types
O 01 FoundaGon O 07 OSplex 0 13 16-plex 0 20 Pool O 30 Accessory Bldg
? 02 SF Dwelling ? OS 08-plex O 16 Pireplace O 21 Porch (3-sea.) O 31 Exl. Ak - Muiti
03 01 of_plex O 09 07-plex 0 17 Gafage O 22 Poroh/Addn. (4-sea.) O 33 Ext.Aft-SF
? 04 02-plex ? 10 OB-plex 0 18 Dedc 0 23 Porch (screen/gazebo/pergola) O 36 Multi Misc.
0 05 03-plex ? 17 10-plex 0 19 Lower Level O 24 Stortn Damage
? 06 04-plex 0 12 12-plex ? 25 Miscellaneous
Work Tvoes
? 31 New ? 35 Int Improvement O 38 Demolish Interior ? 44 Slding
13 32 Addition ? 38. Move Building O 42 Demolish Foundation ? 45 Fire Repair
1 t. 33 Alteratlon ? 37 Demalish Buildfng' ? 43 Reroof ? 46 VNndowslDoors
?
34 ReplaCement •Demolltlon (Entire Bldg) • Give PCA handout W appliwnt
Descriqtion: wamroamaae_ves
Valuation 119 U&I-)
-f-
Plan Revfew 100% or 25°k
Census Code
SAC Units
# of Units
# of Bldgs
Type of Const
Occupancy MCES System
Zoning
Stories
Sq. Ft.
Length
Width
City Water
Booster Pump
PRV
Fire Sprinklered
REQUIItED INSPECTIONS
_ Footings (new bldg) _ Shcetrock
_ Footings(deck) FinaUC.O.
_ Footings (addition) ? FinaUNo C.O.
Foundation HVAC
Drain Tile Other
Roof _ Ice & WAter _ Final _ Pool Ftgs Air/Gas Tests Final
_ Framing _ Siding _ Stucco Lath _ Stone Lath _Srick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Aetaining Wall
Approved By: Building Inspector
Base Fee
Surcharge 0-0 0
Plan Review
MC/ES SAC
CitySAC
Utility Connection Charge
S8W Permit & Surcharge
??%?V? ??
?, ? ??
Treatrnent Plant
License Search QY ? 0 '' J
Copies
Other
Total
2005 RESIDENTIAL BUILDING PERMIT
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Conshurdion Reauirements
3 regis[ered si[e surveys showing sq. R of lot, sq. ft. of house; and all mofed aren
(209o manimum lot coverage allowed)
2 capies of plan showing beam 8 window sizes; poured found design, etc.
1 set of Eneyy Calwlations
3 wpies of Tree P2servation Plan'rf lot platted aRer 711193
Rim Joist Detad Options seledion sheet (buildings witli 3 or less units)
RemodeUReoair Reouiremems
2 wpies of plan
1 set of Energy Calwlalions Por heafed ai
1 stte survey kr additions & decks
AddRlon - indicate Bon-site sepfic systen
t?1O , ° °
? OCT 2 4 2005 D
Office Use Onlv
CeRMSurveyRecd _Y
Tree Pres Required __::? N
Onaile Septic SysSem _Y _ N
Date I` l CJ Ci'J / 0<?T Construction Cost (?( sS -
Site Address Qfq Q.(-d, W Q:^4 UnitlSte #
? ( c?o G?? c? i
kaC
` NCL
6 JX
6
DescripNon of Work .
t n,
,
,
,
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2
Property Owoer Gw lA Y_aV t__ Telephone #(?J?? ) UCVx "S"1 cY.s
Contractor ? RIENIEwAI' BY ANDERSEN
1920 COiTNTY RD. "C" W.
Address ROSEVILLE, MN 55113 C'h'
State 651-264-4777 _ Telephooe # ( )
LICENSE #20130983
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Enefgy Code Category , Residential Ventilation Category 7 Worksheet • New Energy Code Worksheet
(J submission type) SubmiNed Submitted
• Energy Errvelope Calculations 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
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and 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
app#oval of plans. _ , f ,-,
pplicant's Printed Name (/ Applicant's Signature
??.?:,s...i iuv xc.oo rna toJ a1 ?
1 '446D t4!',C{?IThL ?g` 9PtUtllGyfSlY .
re al
rune t aooi
3836 PiIot Knob Rorul ,
EaSan, MN 55122 . , ?
To Wbom It May Cancern: .
EIderJones is authorizcd tapttt), buikHugPermits farRe»e,xal
8ider )ones to ptm•ide this servi bYqnd, pteascalIow
co for us in Eagan. 7Ttia endiati2atirm fis vaIid far any
. date beyond 616101; untz? a?g? j by ??tt ?? revakes it fn wilHag
to the ary-
F rcqueat this autfiodzatiou be accq7tea-expedldousl , .. • .. not our baildm,g Pmmits aay fuzti=. Plcasc calt mc tFthctc aoc ntt ?aY in ?e p?wrig ?
r canttCted at 963-502-474G. . Yqmwdona..I'can be
5."OtIY lIllIIl?ailo attenL{OD t0 ims IllAftCl IS flri?[e[NAtsti a ,,•
Sincseiely.
ond R 'Rau
nstalIation Manager
Renowa( bY Andcrscn CorPbratzan
C'r.: Kma Firie.r7nne_e
M?UY?.aL
"'",Z°a' - :- -- - _
:. ; t
:-
wVu
Rec2ived Time Jun. ). I'OlP}d
?UO 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
? ? CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date-1_/ fo / uG
Site Street Address 3?q ? LZt?I?'1? ? w t%ly Unit #
Propeety Owner C?I.GI?? Ra?U K1 Telephone# ((051) 06 6 ?Li IS
H.P. pIpEWORKS
Contractor 3R7(1 DODD ROAp
Telephone # ( )
Address EAGAN, MN 55123 City State Zip
The Applicant is: _ Owner "Contractor _Other
Alteretions to existing dwelling $ 50.00
_ Add plumbing fixtures (excludes water softener and/or water heate r--complete next
section if installing these appliances).
_Septic System Abandonment
_Water Turnaround (add $125.00 if a 5/8" meter is required)
Other:
_ Water Softener Water Heater $ 15.00
_ new _ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $ ,S 5Q
I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved. _
Mivid.? ? ffi? «a ?? ?
Applicant's Printed Name ApplicanYs Signature JUL 112005
li.c;o t-F-0
R
?
a ?.
1985 BUILDING PERNIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACiORS NUST BE LICENSED WITH THE CITY OF E6GAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
5Z ;,?o
To Be Used For: .ingl_e Familv Valuation: ,?L ^ "- Date: 6-27-85
?/no
Address: 3ardlnal Wav
Lot: Block 6_ Sect/Sub
Parcel # Lexing on PlaQgSouth
Owner ??? ?itb
Address , 345 Third Ave 5
City/Zip Code 5:_St._Paul MN 55075
OFFICE USE ONLY
Erect 'S, 1 Occupancy ?
Remodel 2oning ?
Repair Type of Const ?ST-
Addition ?
# af Stories '
Move + Length ?
Demolish ? Depth 36
Int.Impr, Sq Ft
Install
Phone 45,5-5265 , APPROVALS FEES
Contractor Frontier Midwest Homes
Address _ 3908 Siblev Memorial Hwy. #E
City/Zip Code Eaqan, MN 55122 ,
Phone 454-0433
Arch./Engr. Richard Charlier
Address 14103 Gardenview Ct.
City/Zip Code Apple Vallev MN 55124
Phone # 432-5492
Assessments
Permit m
2$9.-
Water/Sewer ? Surcharge 2(,
Police ? Plan Review t 44.$O
Fire SAC
Engr Water Conn
Planner Water Meter 63.
Council d Unit 280.sa
Bldg Off 7; Treatment Pl 132 °°
APC Parks
Variance Copies
TOTAI. T% S?' S Q
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SUB?VEYI?iO
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3908 Sibley Memorial Highway
Eagan, Minnesota 55122
Phone (612) 452-3077
Scake : I " = 140'
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Certfflcate For :
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CorpoPation
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CC'FDES
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-LEGENO -
O Denotes Iran Ilon"nt
m Denotes Woai Hub Set
x9'°e Denotes Exrsting Spot Elevatrorr
Denotes Proposed Spot Elevation
_.---- Denotes Dra inage D i rec t i on
-PHOPERTY DESCRIPTIpV-
LOi AL, BLCYK (e
l.rx,rvGTO" PLAGE. ??lA
accordirg to the recordcd pfat thereof,
Ild?n?a County, Mirxiesota
PROPOSED GARAGE FLOOR ELEVATION= 91Z.0
PFKJPOSED Top of Block ELEVATION= 1U
PROPOSED BASEMENT FLOOR ELEVATION= `i09.3
NOTE: Verify al) floor heights with Fina1 Haise Plans.
ypRS CERT IF I CAT f W-
aJFdI
! hereby certify fhat this survey, plan or report
was p'epared by me or u'der my direct supervisian
ard that 1 am a duly Registered lard Surveyor
urd r the laws of the State of Yrnnesota.
?(?L- Date: (*lll/85
Wayne D. Cordes, Minn. Reg. No. 14675
'? - -_ - 36010 Y=' ^e:- C'. Ys
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2/84
CITY OF EAGAN
APPLICATZpN FOR PEFiMIT
SEWER AND/OR WATER CONNECTIOAT
(PLEASE PRINT)
P"OD=- ?DRF-S5= 39FR f'arrlinal Llav
L£G,Z?I. DF°,G°T?TZCV: _ 19/F I exi nntnn P1 ace Snuth
(Lot/Block/Sti division or Tax Parcel I.D. Ntur.aer)
IF S?'F==E, DATE- OF Ci2T.GiAL `uiII.DL':G ISSZ:;?.,?G'•.:
-
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...^.:7T;r/PV.OPOS^?J L'S'r.': $ ?-1 Sl. -?7GL:r ^_st .ILy -_= _•; e=
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n R-a aPAR7M7ricc_B.,,y17M c uNz_s)
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?-T-: Frontier Midwest Homes Corporat'ion
ADDRE53: :
3908 Siblev Memorial Hwy.. Bldg. E-'
CIT'!, STaTy', ZLD: -Eaqan, MN: 55122 ?--•-
PHroNE= .454-0433 -- ' i
? _-
3) Pmua=- (PLEFSE PRiNi) FOR CITY USE 04LY
NAMF': Star Plumbinq
ADD-RESS:
1018 Mound Springs Ter. PLU!!BER$ LICE9SE:
Cj Active
CITY, S'IATE, ZIP: Bloominqton, MN. 55420 Q Expired
PHONE: waicn
884-4149 PLIJMBER LFLE4SE H 3329 Q Not Retord
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4) OCC[JPAIMUCF.-7NE,e-'t lrLcast Nxir?i)
?? Robert Smith
ADDRESS: 345 Third Ave. S
CIT"l, STATE, ZIP• S. S}_ paiil- MN 55075
PHO,E= 4 -5 6
5) ItdDIG,TE :dI-IICH PERi•LIT IS BEINC, RDQ[iESTLID:
? CL:1NF.CPION ZU CITY SaTEB cPlease mail gold copy to
? CONNFxtIC.i 'Io CITY [aATE2 /.Wenzei Mechanical
FR (ptrnaF pr 3600!Kennebec Dr.
O?I ?
? -?f1BE) ? aaan, MN.. 55122
bJ i:?DIG=" C::c.:
? P*.-MSE F?OID APP?GVID PEg."?.IT FOR PI?C:-U'c BY ONE OF AEGZIE
?'?LE+SE b' APP??JVID P?_?IIT TJ 1. [Z/ 3, 4 AECNE --
?n (Ci??•le one) "
? i
7) SIC:r.iLr^,: DATE:
MR RQ:w_iR?iOligf!'!?lil! ._. ? •
??ia i? fs sis?J?:aa 1e lallfJR/F?? ? i!!=??d
FOR C I'TY US E ON:,Y
PERMIT °- ISSUED
rvES: $ $•::L.. -o nr ? ---- -
s : R-?4-r -T (2_ir.uJLG JUPC:'.I:RGL?
S zU WATER PERP1T_T (IPICL'uDE SliRCHARGE)
WATER METER/COPPERAORN/OUTSID: REnD.'.R
$ WATER TAP (INCLUDE CORPORATION STOP)
$ SE:vLR TAP
$ ?S iir? _ _??C::_ .,..?C•SI'= - ?_.:
$ ACCOUNT DrPOSIT - WATER
$ wac
$ .5 d 5. ^rl SAC
$ --
TR[i'IK WATER ASSESS:!E:,T _,. .
S TRliN:C SE[•iER ASSESSMENT
$ LniE°.AL SE:iEFIT/TRU*IK SE:-E:c
$ LATERAL SENEFIT/TRU\K WATER
$ - WATER TREATMENT PLANT SURQiARGE
$ OTHER:
$ TOTAL
$ J qO,?U Ab10(J%T PAID/RECEIPT
DOES IIT:LITY CONNECTION REQUIRE EXCaVATION IN PUBLIC RZGHT OF WAY?
YES IF YES, THEN A"PERMIT FOR *AORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SUEJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DAT°_'
i
us a?q O?r w. MsM wri? ??me ml?ft
?? w? w fs? w? Ra we? w w? ?tf? ?t? rE ??'? w? ?t? wt a? ? s
tfil.�%�o
r For Office Use
.111� � � ��i Permit#: /4/- *-7/ 6%.: ,. ..0 E AG A
E Permit Fee: 2 7-", 149 1
E
~ C E I V E� Date Received: 57' . 0
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810
(651)675-5675 ITEM:(651)454-8535 I FAX:(651)675-56 4 MAY 2 8 2020 Staff:
buildindinspectionst5 citvofeapan.com a
2020 RESIDENTIAL BUILDIN T APPLICATION
Date: 5/27/2020 Site Address: 3698 Cardinal Way Unit#:
Kerry & SusanOlson952-467-6101
Name: Phone:
Resident/ 3698 Cardinal WayEa an MN 55123
Owner Address/City/Zip: Or
g n
Applicant is: Owner 6/ t Contractor PD 1.4G 0i7 „Ct
Type of Work
Description of work: replace tub with prefab shower pan & prefab surround
Construction Cost: $5,530 Multi-Family Building:(Yes_/No ✓ )
company: US Patio Systems Contact: Angie Klapperick
Contractor
Address: 7300 Washington Avenue S City: Eden Prairie
State: MN Zip: 55344 Phone: 952-467-6101 Email: akiapperick@usbathsystems.com
License#: BC661813 Lead Certificate#: NAT-F119453-2
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:
Nora Plans and supporting documents that you submit are considered to bepublic information. Portions of the Information may be
classified as non- ubllo/fou ET pro vide s eclflc reasons that would ermit the Cll to conclude that they aro trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.cltvofeaaan.com/subscribe.
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, Cat Gopher State One Call at(651)454.0002 for protection against underground utility damage. Call 48 hours before you
Intend to dig to receive locates of underground utilities. www.conherstateonecall.orq
I hereby acknowledge that this Information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit,and work Is not to start without a permit;that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
xAngie Klapperick x �k~ r U1 k
Applicant's Printed Name Applicant ,Sfgnature
fs
,61Ccdi'i' f LG4y / / 7
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family — Garage _ Porch(4-Season) ^ Exterior Alteration(Multi)
Multi _ Deck — Porch(Screen/GazebolPergola) _ 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 2, Of O Occupancy fZ, ( MCES System
Plan Review Code Edition /2� 71340SAC Units
(25% 100% ) Zoning P f) City Water
Census Code Stories Booster Pump
#of Units Square Feet lfo PRV
#of Buildings Length Fire Suppression Required
Type of Construction ' a Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) ./Final!C.O. Required
Footings(Addition) inal t No C.O. Required
Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test Hood
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
i" 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
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3
r For Office Use/
4 0 of E
Permit#:
EAGAN PV'
Date Received:
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff:
buf dinainscectionst cityofeaoan.com
2020 RESIDENTIAL PLUMBING PERMIT APPLICATION
gate: 5/27/2020 Site Address: 3698 Cardinal Way
Tenant: Suite#:
Resident/Owner
Name: Kerry & Susan Olson Phone: 952-467-6101
Address/City/Zip: 3698 Cardinal Way Eagan, MN 55123
Name: US Patio Systems License#: PC708206
Contractor
Address: 7300 Washington Avenue S City: Eden Prairie
State: MN Zip; 55344 Phone: 952-467-6101
Contact:Angie Klapperick Email: aklapperick@usbathsystems.com
Type of Work —New V Replacement _Repair _Rebuild _Modify Space _Work in R.O.W.
Description of work:
Tankless Water Heater Lawn Irrigation(`RPZ/_PVB)
Standard Water Heater
Description Add Plumbing Fixtures(^Main/ Lower Level)
p Water Softener Replace tub with shower,delta valve/trim
Septic System /
Description:
New Abandonment Connection to City Water from Well
RESIDENTIAL FEES
$60.00 Water Heater,Water Softener,or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation(includes State Surcharge)
$60.00 New fixtures, adding or removing piping(includes State Surcharge)
$60.00 Septic System Abandonment
$100.00 New Residential(fee collected with Building Permit)
$115.00 New Septic System (includes County fee and State Surcharge)
$60.00 Connecting to City Water from Well* +$290 for Meter and$200 for Radio Read=$550
*Sewer&Water Permit also required for connection charges
TOTAL FEES$
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.aonherstateonecall.orq
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.citvofeauan.com/subscribe.
I hereby acknowledge that this information is complete and accurate; that the work will be In conformance with the ordinances and codes of the City of
Eagan; that I understand this Is not a permit, but only an application for a permit, and work Is not to start without a permit; that the work will be in
accordance with the approved plan In the case of work which requires a review and approval of plans,
xAngie Klapperick x r`�; CC . .AVX
Applicant's Printed Name Applicant's-6ignature
►
Page 1 of 2