4475 Ches Mar Cir
Use BLUE or BLACK Ink
For Office Use
Q ~ u ~"J I I
Permit#:
p
City of EaRd
~ I Permifi ee: ~ l
3830 Pilot Knob Road
Eagan MN 55122 i Date Received:
Phone: (651) 675-5675 I
Fax: (651) 675-5694 I Staff:
I I
2010 RESIDENTIAL BUILDING PERMIT APPLICATION L61( S/Q
Date: Site Address: ` I C
Tenant: Suite
RESIDENT/OWNER Name: Phone:J S -,)3
Address/City/Zip: Ho r- L
Applicant is: X Owner Contractor
TYPE OF WORK Description of work: ~CSu c ~ CC, k , ~-C-e 4tCr- A-S k r.& o -j d a it-
Construction Cost: C/ Od Multi-Family Building: (Yes / No Y-)
CONTRACTOR Name: 6,U 4/f-<- License
Address: City:
State: Zip: Phone:
Contact: Email
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 112 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:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
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.gol)herstateonecall.org
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 pla
x x
Applicant's Printed Name Applicant's Signature
Page 1 of 2
l J ~O NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
Multi Deck _ Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi)
01 of Plex Lower Level Pool _ Miscellaneous
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 Occupancy .;z. - MCES System
Plan Review Code Edition 24w:7 SAC Units
(25%-100% D(y /j/ Zoning City Water -
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction- Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: Ice & Water Final Pool: Footings -Air/Gas Tests Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In -Air Test -Final Windows
Insulation Retaining Wall: - Footings Backfill Final
Meter Size: Radon Control
Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee /Q 3
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 2
CITY OF, EAGAN WATER SERVICE PERM
3834 Pifer Knob Road
P. &
. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning- - No. of Units:
Owner: fug' faSOII i C: T_
i Addrew.
Sib Address: -sY
Plumber:
Meter No.: Connection Charge:
Size: Account Deposit:
Reader No.: Permit Fee:
1 "Pee to eeaph wkb Ifs City of rows Surcharge:
Ordinances. Misc. Charges:
Total: IL
BY Date Paid:
Date of Insp.: Imp„:
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pifot knob Road
P. 8ox%21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning: No. of Units:
Owner: _
Address:
Site Address -
Plumber.
I afroe to eaorA wuh tw City of IIWE Connection Charge:
OnReo.ews. Account Deposit:
Permit Fee:
Surcharge:
BY Misc. Charges
Dote of Insp.: Total:
Insp.: Date Paid:
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 4548100
BUILDING PERMIT Receipt #
To be MW for Est. Value Date 19
Site Address Erect 0; Occupancy
Lot Block Sec/Sub. Remodel ❑ Zoning
Parcel No. Repair ❑ Type of Const. P'
Addition ❑ No. Stories
Move ❑ Length
sr Name Demolish ❑
= F i Depth
Address
b Int. Impr. ❑ Sq. Ft.
City Phone Install ❑
Name Approvals Foes
U Address Assessment Permit
City Phone Water a Sew. Surcharge
E Police Plan Review
oe
W Name Fire SAC
u'3 Address Eng. Water Conn.
<W City Phone y tl Planner Water Meter
Council Road Unit
+ 1 hereby acknowledge that I have read this application and state that Bldg. Off. r' Tr. PI.
the information Is correct and agree to comply with all applicable APC
State of Minnesota Statutes and City of Eagan Ordinances. Parks
Var. Date Copies
Signature of Permittee _
Total
A Building Permit Is issued to: on the express condition that
all work sholl be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
Permit No. Permit Holder Date TelHhone
Plumbing 5c 0'3 H.VA.C. C Ct W
elactric 0 l l l 1S Softener
Inspection Date Insp. Other
Footings I ~i
Footings II
Foundation
Framing °a
Roofing v
Rough Plbg. O
Rough Htg. jOl3y
Insul.
Fireplace
Final Htg.
Final Pibg.
Final
Cert/Occ.
Water Describe Location:
Well
Sewer
Pr. Dlsp.
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
i
Filfin numbered specs S/C
Type or Print legibly Tot.`
1. Date 2. Installation Cost
3. Job Address ' Lot Blk. Tract
4. Owner
+ i J>
5. Contractor Phone
8. Address
7. City State Zip
8. Building Type: Residential p Commercial ❑ Institutional ❑
9. Work Description: New ❑ Add ❑ Alter ❑ Repair ❑
10. Describe Fuel Type
11. No. Equipment BTU - M. Ea. No. Equipment CFM
Forced Air Air Handling:
Mfg. X 'f
Boilers
Mech. Exhaust
Mfg.
Unit Heater
Mfg. Other
Air Cond.
Mfg,
Gas, Piping Outlets
12. 1 hereby certify that the above information is true and correct, and 1 agree to
comply with all ordinances and codes governing this type of work.
Signed: 4- for
hough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt - PLUMBING PERMIT Permit No.
CITY OF EAGAN
' Fes
Fill in numbered spaces SIC
Type or Print legibly Tot.
1. Date 2. Installation Cost
3. Job Address e475 CH..;:a ' bat Blk. Tract
4. Owner ue ~plf;a,cYr~:• .
5. Contractor Phone
& Address 3-1$' - tl
7. City ',i'RL.vC, > kK Ct - r' State zip
8. Building Type: Residential Commercial ❑ Institutional ❑
9. Work Description: New Q Add ❑ Alter ❑ Repair ❑
10. Describe
11. No. Fixtures No. Fixtures
Water Closet Cesspool /Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
J Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. 1 hereby certify that the above information is true and correct, and 1 agree to
comply with all ordinances and codes governing this type of work.
Signed : r
for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
. , yr EAGAN Remarks
Addition CHES MAR 1 st AT)DITION Lot S Blk 1 Parcel_ 10 17100 080 01
Owners ,I": r ,f. . 1 - "Street 4475 Ches Nar Circle State Eagan, MN 5512,4
P,. I
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 973 2 8 r.-6-1-- 14.08 20 $ CO / / a-
* SEWER LATERAL 977 4737.30 315.82 is 15:-iq, 10 D
• service stubs
WATERMAIN
* WATER LATERAL 977
* WATER AREA 1977
* STORM SEW TRK 977
* STORM SEW LAT 977
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 2 55 - 9/ 9/85
187
WATER CONN. 500.00
BUILDING PER, 10910
SAC 529,00
PARK
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for Est. Value ` 1 . Date i ,19 iv-
Site Address OFFICE USE ONLY
Lot Block Sec/Sub. On Site Sewage Occupancy
MWCC System Zoning
Parcel No.
On Site Well (Actual) Conat
a Name City Water (Allowable)
= Address PRV Required # of Stories
C City Phone Booster Pump Length
Depth
a
.o Name S.F. Total
o < Address Footprint S. F.
P City Phone APPROVALS FEES
~ ¢ Engr./Assess. Permit
W Name
za Address Planner Surcharge
z z City Phone Council Plan Review
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 Permittee _
- - Road Unit
A Building Permit is issued to:_ Treatment P1
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks
TOTAL
Building Official
Permit No. Permit Holder Date Telephone
Plumbing
HN.A.C.
Electric
Softener
Inspection Date Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cart Occ.
Temp. LP
AkF
i . i i I
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: f
Eagan, Minnesota 55123 _ Date Issued:
(612) 681-4675 '
SITE ADDRESS: 1111 APPLICANT:
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR.
I. :Ili li
r
Permit No. Permit Holder Date Telephone ff
S/W
PLUMBING ~a Q
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Pibg- I a(~/g
Rough Htg.
Isui.
Fireplace
Final Htg.
Orsat Test
Final Plbg. A10 Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final lob-16-1 i-Ir-sk. A~ - 464, Vert- a..0j. }+s. Deck Ftg.
Deck Final
well
Pr. Disp.
MY-01FUGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box:21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning: - No. of Units:
Owner: iflri 3 ^
Address:
Site Address:
Plumber. « y7
Meter No.: 6' S-1 Connection Charge:
Siu: /(acLv Account Deposit:
~ p
E Reader No.: Z4 7-2( 2( Permit Fee:
I "M to comply w" ow city of Began Surcharge:
ordl"Dow Misc. Charges:
Total: c'-
Dote Paid:
Date of Insp.. insp.:
I2, S'
INSPECTION RECORDControl No. 0292
CITY OF EAGAN PERMIT TYPE: 00 11 l) 1 N(,
3830 Pilot Knob Road Permit Number: 40033;"
N4/27/97
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT-
4 14Ts H ULOf:k:t 1 ;
476 CHU'MAR CTR IIEpRL014 THOMAS
f.HES MAV 1 ST t r. 1? 1 131 4,046
PERMIT SUBTYPE: TYPE OF WORK:
6AR. /Al t i ',l.tif(Y :it~tr! 3 1 i~P?
INSPECTION DATE INSPTR. • TYPE DATE INSPTR.
~►ea I I Nei VRAM.I NO
INSUI.A f ION f~INAL
RFMARKSt NIUIICI 0ARAOF/ADDITION AHOVF 6ARAhE.
Parmlt No. Permit Holder Dab Telephone i
S/W
PLUMBING
HVAC
ELECTRIC ,lll0
ELECTRIC
Inspection Dab Insp. Comments
Footings 1
Foundation
Framing L -P ~G S T/
Roofing
Rough Pibg.
Rough Htg- O CE CAIZV 1Y, C. 9714.4-
W. /1(r•~L~ .7 1
Fireplace
etrYl ~G' - 0 /T
Final Hg. C ~p
Orset Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const Meter
EngrAnan
Bldg. Final
Deck Fig.
Deck Final
Well
Pr. Disp.
I 89 ,o,7wy-
Requ st 0 le Fire No. ough-in Inspection
Required? F) Ready No. ?jZMII Notify Inspector
C1 S) 7 Yes o wnan Ready?
I ?Qicensed contractor ❑ owner hereby request inspection of above electrical work at:
Job Address (Street. Box or Roule No.) City
S Ale R EAC,~
Section No. Township Name or r1m Range No. County OrcupantlPRINTi Phone No. roikkcirA
-"n.ti t l l 3`1 s -
Power Supplier Address
nse No.
Electrical Contractor (Company Name1 Contractor's Licks
(Z C (~3
Mating Address (Contractor or Owner Making Installation) 6w , \
S Vim! AA V :g~(
Authorri Signature IContrac oc'0r ner In lest Ilavion) Phone Number
tea- ~
MINNESO BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. St. Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS
Phone(612)602-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION s yq ee-o-oo~opt.oe
Ow See instructions for completing this form back of yrellov, copy, a
K D7F(l✓
18789 X" Below Work Covered by This Request 3' 1V 4
ew Add R p: Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (specify) Coglor' Remar s: ~I _ AAy .
Compute Inspection Fee Below.: }R) ~M4
Other Fee # S rvice Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool O 1 200 ps 0 to 100 Amps
Transformers Above 200 Amps Above 100 Amps
Signs Inspector's Use Only: TOTAL
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-m pate
certify that the above inspection has Final oatsdf 9~
been made.
OFFICE USE ONLY
This request void 18 months from
1I
L .11l Jleast void V(~5-
V
r6am
2 671 L i3 r cG~, rn ~,c~ X0-17 85
=6 q
Request Data Fire No. Rough-in Inspection ,
fired? ❑ Ready Now ill Nun tity Inspec-
o es No or Whe Reedy
tensed Electrical Contractor I hereby request inspection at above
Owner electrical work installed at:
Street d Ss, Box or o e No. City
X95 0v-S /ylLod
action No. Township Name or No. 77 7 County
Occ t (PRINT) n R~ 1 Phone No.
Power Sup Ii X-64 Address
l~CyJ'7'~
Elect, ca C tractor (Cp Name Contractors License No.
R C~ r p
Mailing ss (Co tractor or Owner Making Instailation)
- ~ - 3 -
Authoriz ipna re IContr ctor/Owner Making Installati n) Phone Number
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room N•191 BE AC C EPTEO BY THE STATE BOARD
I827 University Ave., St. Paul, MN 56104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 297-2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION E&u0001 -114
b ' See instructions for cpmpleting this form on back of Yellow copy. 16-11-85
,0.
n R2., R 71 X"' Below Work Covered by This Request
Add Rep. Type of auiltling Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Heating
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm other .Peet y other (Specify)
ther ueci v Other Other
ompute Inspection Fee Below
fl Fee Service Entrance Size Fee Feeders/Subfeeders k Fee Circuits
0 to 200 Amps 0 to 30 Amps 0 to 30 Amos
Above 200 Amis. 31 to 100 Amps 31 to 100 An
Swimming Pool Above 100_Amps Above 100_Amts
Transformers Irrigation Booms Partial.'Other Fee
Signs Special Inspection
Remlrks 'S~ TOTAL F~F~
j r~,J
Hough-in Date I, the Eiectriesl/
G_arb~ Inspector, hereby
certify that the above
Final ` D'ite 1//1r~~~r inspection has been
r Jam' V- made.
This request void 18 months from
T
1 1
This request void
18 months his request from m ~J1~(i 5/_']4~1}
967106 l~
'Request ate Fire No. Rovph-in Inspection
W red? ~ReadY Nowill Notify. Inspec-
-S2,- Yes (3 No for When Ready
icensed Electrical Contractor I hereby request inspection of-above
Owner electrical work installed at:
Streel Address. Be. or~g vtat No. City
-$~S~7S C; rrfs /J9i~~e CAL Cs4
ecbpn o. Township Name or No. Range No. County
Occ (PRINT) Phune No.
4 --~eNrvsox l
Power S 1, Address
T
Electrical C actor (Crimps met Contractor's License No.
Me g dd (Contr or --Owner Making Installation)
16 off ccqAtq *e! 0, .A) -
Authorize Si net ra IC tract /Owner Makin Installation) Phone yNy~umber
zlm~ g -/7 fry a
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REO EST WILL NOT
Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone 16121 297-2111 ENCLOSED.
_ ~ REQUEST FOR ELECTRICAL INSPECTION . EB-OOWl-04
an
.~6ZL4 L
'
See instructions for completing th iS~'•form on back of yellow copy. 106 ""X" Below Work Covered by This Request
GS'
of Building Appliances Wired Equipment Wired
Range Temporary Service
Water Heater Liyhtiny Fixtures
ildiny Dryer Electric Heatm
rcial Bldg. Furnace Silo Unloader
ial Bldg. Air Conditioner Bulk Milk Tank
Omer pen y Other (Specifv)
SnOther
fee Below
k Fee Service Entrenee Size s Fee Feeders rSubfeeders tt Fee Circuits
0 to 200 Amps 0 to 30 Amps 0 to 30 Amps
Above 200--Amp, . 31 to 100 Amps 31 to 100 Amp,
Swimming Pool Above 100-Amps Above 100-Amps
Tra nsiormers Irrigation Booms Partial-'Other Fee
Signs Special inspection g TOTAL FEL F E. els~ fleraa,ks
Hough-in Date I, the Elect cal//
• I nspectbr•.hweby
wrtily that the above
Final r /py(ut~~~ inspection has been
~~',~^n M:"'• ~ V/ made.
This request void 18 months from
K45103 Request Oat Fire No. Ro '.in Inspection
/ /t get, e11 ❑ Reatly Now Wlll Notify Inspector
J Ves ❑ NO en fleetly?
I licensed contractor X Owner hereby request inspection of above electrical work at:
Job Address (Street. Box or Ro NoC.) City
1 L S ' K r 11
Section N0. Township Name or No, Range No. County
Phone No.
Oc I O RINTI J 6/0M
Power Supplier G (N/( Atltlress
Electnc COniredor (Company Namel Contmctor§ License No.
fj1F0WI? f
Mailing dress (Contractor or Owner Making Installation)
Author etl Si is lConlractor(Owp rMoh lanation) Phone umber
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Mitlwsy Bldg. - Room S173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. St. Paul. MN SS104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION es-o/oo~ot-/oe q
~3 ► See Instructions for completing this form on back of yellow copy.
~
9 45103 ~ "X" Below Work Covered by This Request
ew Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
CommAndustrial Furnace
Farm Air Conditioner
Other lspecity) Contractor's Remarks' 0,4
Compute Inspection Fee Below.'
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 tc 100 Amps
Transformers Above 200 Amps Abov 0 Amps
Signs Inspector's Use Only. M TOT L S O
Irrigation Booms 3D,
Special Inspection
Alarm/Communication THIS INSTALLATION Ml ORDERW DISCONNECTED IF NOT
Other Fee COMPLETED WITHI NT i
I, the Electrical Inspector, hereby Foul oa+e
certify that the above inspection has f ,nal oa+e
been made.
OFFICE USE ONLY
This request void 18 months from
0 6 8 ~o~~o ;
Requ t Date Fire No. ough-In Inspectien li1equired Inepec8on Other Tha Rough-ln
~ (You must call inspector❑when ready) ❑ Featly Now Will Notify Inspector
Yes No Date Reatl
I ❑ licensed contractor owner hereby request inspection of above electrical work at:
Job Address (Street, Box tor, Route No r City L
i'/ ?5 C6't ~ ~Irc fZ CJ~IS ~s -t
Section No. Township Name or No. Range No. County
Occupant (PRINT)~/ Phone No. -73 V
Power Supplier Address
Electrical Contractor (Company Name) Contractors License No.
(j w"C 1-
Mailliin/g Address (Contract/or or Owner Making Installation) _
Z 75 ~r( V sir ~~_-'IL
Authorized Sipnatu` ontractor/Own~O 'lnstallaI Ph... umbe,
~L J- 7 L
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room 5128 II III I I I I I I I I III I II BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55108 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0808 ENCLOSED.
REQUEST FOR ELECTRICAL INSPE ~
CTION ' ea-ooo/o-l-as
a,/l a ~IJ See instructions for completing this form on back of yellow copy. ~Q/(p
/~~rl ~5 "X" Below Work CQvere.Sl by This Aequest117-A I
Ne Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Olhor (specify) Conlractor's Remarks'.
Compute Inspection Fee Below.
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200-Amps Above 100 -Amps
Signs Inspectors Use Only. TOTAL
Irrigation Booms
Special Inspection D•
Alarm/Communication THIS INSTALLATION MA D DISCONNECTED IF NOT
Other Fee COMPLETED WITHI ONT .
I, the Electrical Inspector, hereby Rough-in - Date
certify that the above inspection has Final Dat G~
been made. 6
OFFICE USE ONLY 1
This request void 18 months from P \ M~ - (r1 oh
0
2005 RESIDENTIAL BUILDING PERMIT APPLIC uT ~ C ~U I L
Ci Of Eagan L
3830 Pilot Knob Road, Eagan MN 55122
Telephone 9 651-675-5675 FAX # 651-675-5694 OCT 2 g ?005 i
l
New Construction Requirements Remodel/Repair Requirements Office Use OnN
3 registered site surveys showing sq. ft. of lot, sq. ft of house; and all roofed areas 2 copies of plan _-_Ced o(SuweyRecd-.I -Y _N
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heatediadditions Tree Pres Plan Recd _Y -N.
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pfes Required _Y _N
1 sat of Energy Calculations Addition - indicate don-site septic system On-site Septic System _Y _N
3 copies of Tree Preservation Plan g lot platted after 711!93
Rim Joist Detall Options selection sheett((butd'ugs with 3 or less units) 4
Date ~ n / W qonstruction Cost 1
Site Address qtA:~: S 'q- 6 ~Gl-f- Unit/Ste #
l0 .
Description of Work 1 I/ n
l~l/ ~~n M
Multi-Family Bldg _ Y - N Fireplace(s) - 0 - 1 - 2
Property Owner V 1 , 1 V 1 ► 1 Telephone # Os)) PELLA WINDOWS & DOORS
Contractor 15300 - 25TH AVE N. #100
Address PLYMOUTH, MN 55447 - City
State 763-745-1400 elephone # ( )
LICENSE # 20165884
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope 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 Telephone )
Mechanical Contractor Telephone )
Sewer/Water Contractor 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
permi at the work will be in accordance with the approved I in the case of work which requires a review and
appr al of plans.
Applicant's Printed Name Applicant's Signature
Wd9E l g •unE anvil paA1030y
• Pella Windows Sr Doors - Twin Cities, Inc. 15300 25TH AVE. N. sm coo
® PLYMOUTH, MN 55447
7631745-1400 '
r WATS 1-800-462-5359
FAX 763/745-1401
June 8, 2001
City of Eagan
3836 Pilot Knob Road
Eagan, MN 55122
Dear Jan:
Elder Jones Corporation is authorized to pull building permits for Pella Windows &
Doors - Twin Cities, Inc. Please allow their representative to provide that service for us
in Eagan. This authorization shall be valid until such time as the division manager
expressly revokes it, in writing to the City.
I request that this authorization be accepted expeditiously, so as to not delay the
processing of our building permits any further. Please call me if there are any questions,
I can be contacted at 763-745-1432.
Your immediate attention to this matter is appreciated.
cerely,
w.
Bryan .May. ]Arm
N
Replacement Sales Manager Mom
PW yr bq UJM2L9 06
cc: Kara - Elder Jones
(j 82tn t,
Deana Kraity - Replacement Sales Process Coordinator
Windows, Doors,
& Skylights
7nnii3
QATTTn UTUT TUS biBT 0b7 7TO VRd /T:OT TA,T Tn/On/4n
OS 3~ RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675 19L 2S
Now Construction Reaulremems Rsmodel/Reoatr Reauiremerds
• 3 registered site surveys showing sq. It. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan
(20% maximum lot coverage allowed) • l set of Energy Calculations for heated additions
• 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior additions & decks
• 1 set of Energy Calculations • Indicate g home served by septic system for addillons
• 3 copies of Tree Preservation Plan g lot platted after 711/91
• Rim Joist Detail Optitionn-s selection sheet (bldgs~wt h 3 or less units)
DATE J C;M ' V19% VALUATION'
SITE ADDRESS MULTI-FAMILY BLDG _ Y _ N
TYPE OF WORK awl ii J~4 FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT n
STREETA~DDRESSc~ C CITY STAT0611352_0
TELEPHLLO~~NE(# / ~PCb CELLPHONE(ft- dtF(t FAX#~5~ ~g7
PROPERTY OWNER ° iY1e TELEPHONE #
i
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I MINNESOTA RULES 7672
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: Phone #
Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00
Water Heater _ No. of R.I. Baths
No. of Baths
Mechanical Contractor: Phone III
Mechanical system includes: _ Air Conditioning Fee:
Heat Recovery System Nn ( ~ q T
Sewer/Woter Contractor. Phone # Y 2 0 20022
I hereby acknowledge that I have read this application, state that the I for ation Is cone Y
with all applicable State of Minnesota Statutes and City of Eagan Or in es. n
Signature of Applicant
l/
___..__W__..____W____.._.m_______ _OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
PERMIT cR~3'1z30
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55123 Permit Number: 025124
(612) 681-4675 Date Issued: 02/17/95
SITE ADDRESS:
4475 CHES MAR CIR
LOT: 8 BLOCK: 1
CHES MAR 1ST
P.I.N.: 10-17100-080-01
DESCRIPTION:
Building'-permit Type BASEMENT FINISH
Puilding W6,r-k Type ALTERATION
REMARKS:
A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK
FEE SUMMARY-
Base Fee $35.00
Surcharge $.50
Total Fee $35.50
CONTRACTOR: OWNER: - Applicant -
HEDBLOM THOMAS
4475 CHES MAR CIR
EAGAN MN 55123
(612)733-4296
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 Mn.
Statutes and City of Eagan Ordinances.
APPLICANT/PERMITEE SIGNATURE ISSUED Y: S AT E
INSPECTION RECORD
CITY OFEAGAN PERMIT TYPE: BUILDING
3830 Pilot Knob Road Permit Number: 025124
Eagan, Minnesota 55123 Date Issued: 02/17/95
(612) 681-4675
SITE ADDRESS: LOT: 8 BLOCK: 1 APPLICANT:
4475 CHES MAR CIR HEDBLOM THOMAS
CHES MAR 1ST (612) 733-4296
PERMIT SUBTYPE: TYPE OF WORK:
BASEMENT FINISH ALTERATION
INSPECTION TYPE .DATE INSPTR. INSPECTION DATE INSPTR.
FRAMING INSULATION
ROUGH IN PLBG FINAL
REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK
L
CITY USE ONLY ~Q r~
L 91 BL RECEIPT
SUBD. CW a l S~ DATE: 14
1995 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: single family dwellings
► townhomes and condos when permits are required for each unit
FIXTURES EACH NO. TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet "minimum - 1 3.00 x =
Rough Openings 1.50 x =
Water Softener 5.00 x =
Private Disposal " Dakota Cty. license 20.00 =
U.G. Sprinkler' home under const. 3.00 =
Alterations " to existing X20.00' _ < u
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL Z~~ U
SITE ADDRESS: yL17~ C1l C ML,c
OWNER NAME:
INSTALLER NAME
STREET ADDRESS.
CITY: ")U STATE: ZIP:
PHONE (l-Z )L1 ~ U
M114 CITY OF EAGAN ` 3 ~ 0
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681.4675 MP ~r
New construction Recuirements RemodelfReoair Recuirements
♦ 3 registered site surveys ♦ 2 copies of plan
♦ 2 copies of plans (include beam & window sizes: poured fnd. design: etc.) ♦ 2 site surveys (exterior additions & decks)
♦ 1 energy calculations ♦ 1 energy calculations for heated additions
♦ 1 tree preservation plan if lot platted after 711/93
required: -Yes _ No
DATE: 2" 13- CONSTRUCTION COST: Sr 406 -yooao
DESCRIPTION OF WORK:e wrevc 1 t r s n y
STREET ADDRESS: G~ q 73 00s M4r C. r• c Ir- ge Su ti s s, Z3
LOT BLOCK SUBD. P.I.D. #
/33- Z9~o (w)
PROPERTY Name: Ned )o"-t 7~6-v1 Phone us ~I_s ~3~1 Lh)
OWNER IST riRSY
Street Address: 11105 C 4c5 h~s- 6`r ` j z
City: tu~~y State: Zip: s^~ ! 23
CONTRACTOR Company: Phone
Street Address: License
City:
ARCHITECT/ Company: Phone
ENGINEER
Name: Registration
Street Address-
City: State: Zip:
Sewer & water licensed plumber. Penalty applies if address change or lot change
are requested once permit is issued.
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.
Signature of Applicant:
OFFICE USE ONLY /
RECEWED
Certificates of Survey Received Yes No
F c 1 4 1995
Tree Preservation Plan Received Yes No
CITY OF EAGAN •
3830 PILOT KNOB ROAD
EAGAN, MN 55122
OFFICE USE ONLY
BUILDING PERMIT TYPE
❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging cp~ 16 Basement Finish
❑ 02 SF Dwelling o '07 4-plex ❑ 12 Multi (Misc.) ❑ 17 Swim Pool
❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility
❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous
❑ 05 SF Misc. ❑ 10 Multi (additional) ❑ 15 Deck
WORK TYPE
❑ 31 New 025-33 Alterations ❑ 36 Move
❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. Census Code 4139
# of Stories sq. ft. SAC Code
Length sq. ft. Census Bldg.
Depth Footprint sq. ft. Census Unit O
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $ ~SOO
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
PERMIT Control N 0292
CITY40F EAGAN
-!3830 Pilot Knob Road PERMIT TYPE: BUILDING
Eagan, Minnesota 55123 Permit Number: 000332
(612) 681-4675 Date Issued: 04/27/92
SITE ADDRESS:
4475 CHES MAR CIR
LOT: 8 BLOCK: 1
CHES MAR 1ST
DESCRIPTION:
Building,_Permit Type GAR./ACCESSORY
,Building Work Type ADDITION
U'BC Occupancjr~_, M-1
Building Length?., .5
Building Width 24 .
REMARKS: O b' S
WIDEN GARAGE/ADDITION ABOVE GARAGE
FEE SUMMARY:
VALUATION $6.000
Base Fee $81.00
Surcharge $3.00
Total Fee $84.00
CONTRACTOR: OWNER: - Applicant -
HEDBLOM THOMAS
4475 CHES MAR CIR
EAGAN MN
(612)733-4296
I hereby acknowledge that Z have read this application and stage that the
information is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
L_ (11 1
APPLICANT! GNA IRE ISSUED Y: (GNAT RE
INSPECTION RECORD Control No. 0292
CITY OFEAGAN PERMIT TYPE: BUILDING...
3830 Pilot Knob Road Permit Number: 000332
Eagan, Minnesota 55123 Date Issued: 04/27/92
(612) 681-4675
SITE ADDRESS: LOT: 8 BLOCK: 1 APPLICANT:
4475 CHES MAR CIR HEDBLON THOMAS
CHES MAR 1ST (612) 733-4296
PERMIT SUBTYPE: TYPE OF WORK:
GAR./ACCESSORY ADDITION
INSPECTION TYPE DDATE INSPTR. INSPECTION TYPE DATE INSPTR.
FOOTING FRAMING
INSULATION FINAL
REMARKS: WIDEN GARAGE/ADDITION ABOVE GARAGE 7
I
L
PERMIT - ~ CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
681-4675
' 3_51
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested,-but not picked up by last working day
of month in which re nest is made or lot chan a is requested once permit is issued.
Date / __LZ / ! Valuation of work
Site Address: L1 '4 -7 S hC S M C TZ r r12 C LE,
STREET STE Y -
Tenant Name:
LOT BLOCK SUBD. P.I.D.' #
chu-. ~ 1~~
Description of work: Ajj,~10~ ~ , arc ~,~/re t~r4 . 4de_r-
The applicant is: 1S Owner Contractor ❑ other (Desertbe)
Name 4e-d b) o m ~.o mks Phone LA Sq - ST3 y h)
Property LAST FIRST J
Owner 1 _ X33 -4-aq~,
Address S;
STREET STE M
City State Zip
Company Y--.-Q_ Phone
Contractor Address License # Exp.
City State Zip
Architect/ Company Phone
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
'correct and agree to comply with all applicable St tteoeof Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: V-12 -
Vrrlt r. uae UNLT
BUILDING PERMIT TYPE
❑ 01 Foundation ❑ 05 Apt. Bldg ❑ 09 Basement Finish ❑ 13" Putlic.Fac.
❑ 02'SF Dwg. 106 Garage/Accessory ❑ 10 Swim Pool ❑ 14..Agricultural
❑ 03 Two family ❑ 07 Fireplace El 11 Res. Add./Porch ❑ 15 Miscellaneous
❑ 04 Multi-fam. T.H. ❑ 08 Deck ❑ 12 Comm./Ind.
WORK TYPE
❑ 31 New ❑ 34 Repair O 37 Demolish
S 32 Addition ❑ 35 Tenant Finish ❑ 99 Undefined
❑ 33 Alterations ❑ 36 Move -
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) 1st F1. sq. ft. City Water
UBC Occupancy Nl_I 2nd Fl. sq. ft. PRV Required
Zoning Sq. Ft. total Boaster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length vTi On-site well Census Code 3
Depth :2 Li On-site sewage SAC Code
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
❑ Site Footing Framing -146 Insulation
❑ Wallboard Final ❑ Draintile ❑ Fireplace
Permit Fee _ OD vokubtim. s % C 0
Surcharge 3,05
Plan Review f~ 2
License
MWCC SAC
City SAC =L'-
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surchargge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
t N
c.' 3c 26.00 - q 1 ° CIR L
I N 8 4015 ~2.~6 , X90 7 -*p
/ 1Scj.88 O•ti 10 s 00
~ ~ ~ ~ - , ~1~ x.50- l~ ~ \J - -f6-88 1 18.y~1~'` 1 y S000
0 0 k 92.2.0
I J ' TY ~5 5 2T 45', 833 ~ ~oA~}'r
CR PLAT I ter' 2 /.o DRAINAGE 10 o N n 05
10 got 3.7 `Vo
0~ RNT P I I -A/ v. o° / 2 •67 N P~ ~E`NP~ I
p .O I N8 G) o
o M Von /0
LOT 8 N 24Q0
1 2~0', o 4r)
o'
I < o1 AQ? ,y~6sTi6"
~ N c~z.4al:d.a ~ USE
m i
I
q I~/1
/9SS8 X09 a I5 5I ~ 5200
i
I
0)
.6001
I L-~l
p
SURVEYOR'S CERTIFICATE' MARK JOHNSON
CHES
L_L/ 1 .i
cO'A
,MAR
'ZT q~ o215
N 4 ' 4 ORCL E
30"E- X6.00 -
/ -
1 S . Y, $2,46 p - '70 "
! 185 $8 0.1
. ,09'.00 to - T)
',IrJaA•50`',1°1' V .0O
76.68 1 y~1o 1 p k 922.0
2
8 iV 515 27g54,~9138•33 N~:n d\~sy0 \'0 ~~4
! O
` ppA1NAGET PER P! AT I i 'r 0~.o9.N r oy~ ~0 9,23.7
V,
0 ~5EMEN Aj o oG-p / 2X61 ¢ PVLOV
Q O
o~ LOT V / 24P~ 2~3
tZ I II A ` ` ti. 0
m\1~ ^ :ham fYjsT
$1,1.1; 7 , It
~10 ({per ,
~ I '1oh19~ YJ
/9SS8 'O4. a ISIS \,1~ `5? 00 9~,ry 1,~~
N600 9!, Q
1 r1 i- g92 n
L_.~ 1 I 6 ~ / ~J
1
~7
.f_ DENOTES PROPOSED SURFACE DRAINAGE (
O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 4, FEET
DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 5.6 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = 9,L515 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = c~2t},2 FEET.
I HEREBY CERTIFY TO MARK JOHNSON THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 8, Block 1, CHES MAR FIRST ADDITION, according to the recorded
plat thereof, Dakota County, Minnesota.
AND OF THE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS
OR ENCROACHMENTS, IF ANY, THEREON. AS SURVEYED BY ME, OR UNDER MY DIRECT SUPERVISION,
THIS 24T1i-DAY OFpuc,u5T 198
SIGNED: JAME R. HILL, INC.
r
BY:
H BOLD C. PETERSON, LAND SURVEYOR
MINNESOTA LICENSE NO. 12294
PROJECT NO. BOOK / PAGE JAMES R. HILL, INC.
85e05
134/22 Planners / Engineers / Surveyors
FILE NO' 8200 Humboldt Avenue South
FOLDER Bloomington, Mn. 55431 012-884-3029
r +
CITY OF EAGAN N°_ 10 910
3630 Pilot Knob Road, P.O. Box 21.189, Eagan, MN 55121
PHONE: 4548100 S? 757
BUILDING'PERMIT
Receipt #
To be used for SF DWG/GAR W. Value $85,500 Date SEPTEMBER 9 19 85
Site Address 4475 CHES MAR CIRCLE Erect Ix Occupancy R
CHES MAR 1ST Remodel ❑ Zoning Rl
Lot 8_ Block 1 cec/Sub.
Repair ❑ Type of Const. VN
Parcel No. Addition ❑ No. Stories
MARK JOHNSON CONST Move ❑ Length
B Name Demolish ❑ Depth
Z Address 4149 STRAWBERRY LN Int lmpr. ❑
EAGAN 454-0623 Sq. Ft.
City Phone Install ❑
°d Name SAME Approvals Foes
or Adder Assessment Permit S 391.00
C City Phone Water 8 Sew. Surcharge 43, 0
Police Plan Review 195.50
~Z Name DAN MANSFELDT
Fire sac 525.00
uO Address Eng. water Conn 500.00
<W City Phone 894-3208 Planner Water Meter 63.00
Council Road Unit 280, 00
1 hereby acknowledge that I hove read this application and state that Bldg. Off. 9/4/8 5 Tr. PI. 132.00
the information is correct and agree to comply with all applicable
State of Minnesota Statutes and Ci /oaf ~Ea n Ordinances. Var. APC Date Parks Copies
C .y
Signature of Permittee-~ Total 2-50
A Building Permit Is issued to: MARK JOHNSON CONST on the express condition that
all work shall to done in occardonce with all applica State of Mi . nesota Stbttuttees, and City of Eagan Ordinances.
Building Official 2.-/ / . -i )
r
1985 BUILDING PERMIT APPLICATION --CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
COMMERCIAL SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS
& STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY
SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONS
O~
To Be Used For: ~;JnoValuation: Date:
Site Address Wa CAk 5 /11erClrc(2 OFFICE USE ONLY
Lot Block Tag 7^1 Erect 1 Occupancy
Remodel Zoning
Parcel/Sub Repair Type of Const
Addition # of Stories
Owner ~m ct 52~ ~dP7L b/eA~o n Move Length
Demolish Depth
Address Int.Impr. Sq Ft
Install
City/Zip Code
Phone APPROVALS FEES
Contractor 447.L~al~ for Assessments Permit
Water/Sewer Surcharge
Address Police Plan Review jrv
Fire SAC
City/Zip Code ~ 55 3 Engr Water Conn $ DO
Planner Water Meter 6 3
Phone //X~V-aa3 Council oad Unit
Bldg Ofeft,~M Treatment P1 =2,
Arch./Engr. L PI APC Parks
Variance Copies
Address TOTAL d )
City/Zip Code
Phone o q-7,- 3,2p;F
SURVEYOR'S CERTIFICATE MARK JOHNSON
N
HE$
ww
m c, r.9 1
'Z T N 841530 "E zsOO .R
1 qr ~z.46 ` ,,~a p~
1`\ / 185.88 X0.1 9 ovoo -may io
`J -0 76.E `,aa641°; "AT k922.o
J IUTY ~5 S I 2745 28,63 ro Nl s 'P
0 ~ EASEMENT PfJ7 ✓
I I ~ a ooqq'/ 23 01 ro RppJ gyp 9a3
p1
~O~ Y~®T BSD N 24 19~~
I~ 1I1 " q q. 2" "~a`Z~,oj ~p,~y 0
I I K I N ~ 1 WO H~uSE
1
/9S ~I m 1 52 00 , , e N
t5 °9 se 5I5I ` ~,r;
r1 I .60092
~J
g9~
~s ,tp
DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 49 FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = ~J1'3 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = 9'L315 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = 92,4,2 FEET,
A"t GAiLAGIE-
I HEREBY CERTIFY TO MARK JOHNSON THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 8, Block 1, CHES MAR FIRST ADDITION, according to the recorded
plat thereof, Dakota County, Minnesota.
AND OF THE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SHOP! IMPROVEMENTS
OR ENCROACHMENTS, IF ANY, THEREON. AS SURVEYED BY ME, OR UNDER MY DIRECT SUPERVISION,
THIS 24T4-DAY OF Auc, U 5T , 198 ~t
SIGNED: JAME R. HILL, INC.
BY: L~ 0 ,e~
HAROLD C. PETERSON, LAND SURVEYOR
MINNESOTA LICENSE NO. 12294
PROJECT NO. BOOK / PAGE JAMES R. HILL, INC.
85805
1 3q/22 Planners / Engineers / Surveyors
FILE NO.
8200 Humboldt Avenue South
FOLDER Bloornington, Mn. 65431 812-BB4-3029
FX`3'i.RTOF, EAi:r,00i't, .A`JfRaGE "I. IrA'I'IO
O'IiNER
SITE ADDRESS
CONTRACTOR DATE PHONE S d
Dete ine working square footage of each.
1. Total exposed wall area .sq. f t
OZ _
2. Total roof/ceiling area . ft. x ~•/b
n , o Z6 _
3. Total floor/cant. area . . sq. ft. x C_(oZ
Total exposed wall area above floor
a. Total wall window area . . . . . . . . L~ - v
b. Total door area . . . . . . . . . . .
C, Total sliding glass door area . . . .
d. Total fireplace wall area . . . . . .
e. Total wall framing area (average 10
f, Total net wall area above floor .
g. Total rim joist area . . . . . . . . .
Total exposed foundation area
h. Total foundation window area . . . . .
i Total net foundation area above grade. !?mob _
Determine "U" value of each wall segment,
a. x llU,l _35Z 3/b_~v
b. x 'lull
c.x hull wy_- 1Z
d. x "U,+
x 11U1' y9
f. x U" -12
Pa x - if U l l~ s A U
h. x llull~ _
i._ 1ZO.O x flu 1, _077
SUBTOTAL
y, TOTAL
If item #q is the same as, or less than item 11, you have met the
intent of SBC 6006 (c) 2.
Total exposed roof/ceiling area
j. Total skylight area
_
k. Total flat roof/ceiling, framing area
1. Total net insulated flat roof/ceiling area.... . S
M. Total vault roof/ceiling framing area
n. Total net insulated vault roof/ceilinr, area....
Determine "u" value for each roof/ceiling, segment
] - x f It
x Hull _pZ
---ems X i til _
M.
x "U"
n.
5. Total
If total of N5 is the same as, or less than N2, you have met the
intent of SBC 6006(c)l.
Total exposed floor/cant. area
o. Total floor/cant. framing area (average .10;).. _
p, Total net insulated floor/cant. area /.4o
Determine "u" value for each floor/cant. serment
~;2 Y x „u j_e7'0
P x tU, .&In c--t~
6. ..............Total
If total of N6 is the same as, or less than 13, you have met the
intent of SBC 6006(c)3.
ALTERNATE BUILDING ENVELOPE DESIGN
To utilize the total envelope system method, the values establishe
by the sum of items §u, N5 and N6 shall,not be greater than the sump
of items N1, N2 and 03.
1. 3 2.
VOO
Prepared bye/~-rUQ
N'Ts " ,wqx .a 2
?y~ o
Total ezposod wall area above floor _ y~-
Total wall window area 73-
Total door area
Total aliftig glass door area
Total f]replAce wall area 3 n-~?-
Total wall framing area (average 1W e)Y
Total net wall area above floor 5 Y7
Total rim joist area
Total exposed foundation area =
Total foundation window area
Total net foundation area above grade..........
Determine "U" value of each wall segment.
7~ d z Ru-
a. -
b. 3s o X5.7
Y "U" _
Z "u" Y Z m !S. / z
d. 3o_ o x •u" DQ~ gs
x "II" o f C 7 y
f. SY3 z "o" - _
X "U" ° ~ -
g.
IL "off
i. X "U" ` - -
Subtotal = 77- /S
I
Total eanoaed wall area above floor U
Total wall window area _
Total door area.... _ l
Total aliding glass door area
Total fireplace wall area
Total wall framing aroa (average 10$).........
Total net wall area above floor
Total ria foist aroa
Total exposed foundation area
Total foundation window area
Tbtal net foundation area above grade..........
Determina "Uw valve of each wall segment.
a. X. "U" _
b. L7 X "U"
o. - x "U" -
d. X "U"
1. to X "U"
f. icy y X "u"
g. X "U"
i. X. "U" a
Subtotal = 17 . 37.
i STUD Int. Ai.a .68 Tlfir U INS. WALL Int. Air 6f'
S.R. 6 SIDING S.R. w/ S.R. b SIDING S.R.
Stud ~o - Ins. / - c,
Slitg. SHTG. d- OL
Siding -1,7
Siding
Ext. Air .17
Ext. Air l%
Total "R" Total "R" _ 23-03
a -
1/R "U" -l-U~ 1/R - "U" 04
THRU CLG. Int: Air .61 THRU CLG. Int. Air 6i
MEMBER S.R.' INSULATION S.R. -'S(-
Cig.. Memb. Ins. ((Z") Y4!
Ins. Still Air E. 1.
Still Air .61 Total "R"
Total "R" _ 3s. 73 1/R = "U" ==0:
Jn 'n
1/R U -028
s
THRU CONC BLOCK. Int. Air, .69 THRII RIM Int. Air 6P.
C.B. oLl") 1 z ' JOIST Ins.
Opt. Ins. (d- z 11511 Wood 1.39
_ Ext. Air .17 Shtg. Z _o~,
Opt. S.R. Siding
Fxt. Air
Opt. Sid.
' Total "R" RS Opt. Brick
/ l/R s fluor c E~ Total "R"
1/R = "U" _ Oi
M , Int. Air .68 THRII INS. Int. Air 6.'.
F. C. Stud w-7 5/8" F.C. S.R. (Opt.) Shtg. -
t. BOTH SIDES (Opt.) Shtg. BOTH SIDFS Ins. J`f c~
5/8" S.R. .56 5/8" S.R. 56
S . R . - - ' S . R . ,Yom,-Sfs-
Ext.. Air .17 Ext. Air .1:'
' • Total "R" - 73 Total "R" = Pa ~.~4
1/R 1IR
= l'U725
RU STUD Int. Air .68 THRU IMS, WATA, Int. Air 6"
o S.R. Stud L-27 w/o S.R. Ins. o
SIDIP'G Shtg. ~_0i, w/ SIDING Shtg. Z-06
Siding, 67 Siding
Ext. Air .17 Fxt. Air 1"
Total "R" _ ✓~»`/S Total "R" 5v
1/R ❑ uU„ = CIS i 1/R = °II" = 0
7
5 ~
RU MEMBER Int. Air .92 THRU IP[S. Int. Air .97
CA*'T. Carp.-Pad Z_C~g AT CA*'.T. Carp.-Pad Z -0e
Vinyl Vinyl _
Und. Unr±.
Ply. GZ Ply.
Joist Depth J6 Ins. 30.0
Ply. -c/7 Ply. -7
Fxt. Air .17 Fxt. Air 1?
Total "R" Total "R" _
1/R = "U" = rUi~ 1/R= "U"'= _rj73
CITY OF EAGAN N2 15 2 9 2
( 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 Receipt g,5 R
To be used for DECK Est. Value $1,000 Date JULY 1 1988
Site Address 4475 CHES MAR CIR OFFICE USE ONLY
Lot 8 Block 1 Sec/SubCHES MAR 1ST On Site Sewage Occupancy
.
MWCC System Zoning
Parcel No.
On Site Well (Actual) Const
THOMAS P HEDBLOM City Water (Allowable)
a Name
Address 4475 CHES MAR CIR PRV Required # of Stories
° City EAGAN Phone 733-4296 454-5734 Booster Pump Length
Depth
p Name SAME S.F. Total
o a Address Footprint S.F.
City Phone APPROVALS FEES
ww Name Engr./Assess. Permit 24.00
! i Planner Surcharge • SO
zE Address
U Council Plan Review
a W City Phone
Bldg. Off. SAC, City
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC
Minnesota is correct and agree to comply with all apPli Water Conn.
Minnesota Statutes and City of Ea a Ortlinances. A Water Meter
Signature of Permittee ~lJ Road Unit
A Building Permit is issued to: THOMAS P HEDBLOM Treatment Pt
on the express condition that all work shat I be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances, Parks
Building OfficialA.1j4_I TA. TOTAL 24.50
L
m /Ill
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
° °
1 2 C°
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, _ SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACT /HOMEOWNER MOST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWE ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS 0 OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICAT F SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF CHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPEC ATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: ~ ee 1C Valuation: ^ 4 )COO ~enH+ Date:
Site Address Z111 7S C4cs Mar C1~- OFFICE USE ONLY
Lot --E Block L On site sewage Occupancy
-y ~ MWCC system Zoning
cl~ Parcel/Sub/ On site well Actual Const
City water w
Owner l r/~w,res /7~b~bu j PRV required # of stories
Booster Pump Length
Address Depth
S.F. Total
City/Zip Code Footprint S.F.
Phone W 733-y Z9 I~ cl ~/-573 APPROVALS FEES
Contractor NCd~lo ^ S Engr/Assess Permit LI 1 0-
Planner Surcharge 50
Address Council Plan Review
Bldg. Off. SAC, City
City/Zip Code Variance SAC, MWCC
Water Conn
Phone Water Meter
Road Unit
Arch./Engr. Treatment P1
Parks
Address Copies
TOTAL
City/Zip Code
Phone #
CHES
Lr o z/ / 0 8
40
30 ,726.00 - 1 ;1 0IRCL E
85 88 ,~~.ti N g4 !52.40900
n(Pto 66
\J i 0 -t6.88 tiB•`I 1 v ~lS O'Ox
~5 5I 27 Q5` '7. 833
~f IUTY 2
DRAIN ENT PER p~pT 0SS~ 7a3V7
CAgEM I I a~ I J oo / 23.67 ro P~ E~o ~ Y
( O I I v N~ o o~\
O~ v o rno0 ~ /O
LOT 8 I I P `LBO v `1 n' ~
I qr~i rg 97tr'q 0 4
l I 1 )C9Z rn 1 ~V''•~ `Cr~sT V
I rn \ Q 92~~7NG' 1
~ ~ I I j ~ ~ ~ 11 ~O HOUSE S
s
6 2 00
n
Nso p 9,7 r r, 1
I r
r L_`J i /
~J • are I • I• • 7P
• ON 91 to] L~ PA MINIM • •e 51 • • LIM *1 WU 0.110 Z4 .CUR
•
CITY OF EAGAN
APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION
(Please Print
1) PROPERTY ADDRESS: C t, v-
LEGAL DESCRIPTION:
(Lot Block SSUbdivislon or Tax Parcel I.D. Number)
IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE:
Nbn Year)
PRESENT ZONING/PROPOSED USE: R-1 SINGLE FAMILY
R-2 DUPLEX (Two Units)
R-3 TOWNHOUSE (Three + Units) ( Units)
R-4 APARTMENT/CONDOMINIUM ( Units)
COMMERCIAL/RETAIL/OFFICE
INDUSTRIAL
INSTITUTIONAL/GOVERNMENT
2)
NAME: a 5 ~ xc Z v c
ADDRESS: 3 go 31• d
CITY, STATE, ZIP: m "yy„ .3 b 6q
PHONE: el /q d0
3) For City Use
NAME: ^ r f e T~ e Plumbers License
ADDRESS: 5oa L J n n J.l 12R• Active
CITY, STATE, ZIP: red
PHONE: LJ 3 3 MASTER LICENSE # ?ttlRecord
Staff al
4) • r i~•
NAME: 122[! 1! JoHns., ecmir 3 .c.
ADDRESS: n) r,wbc.-r., LAI&
CITY, STATE, ZIP: E'~ .t/~~, a S17
PHONE:
5) u u •o• a•
JW,CONNECTION TO CITY SEWER CONNECTION TO CITY WATER
Q OTHER (Please Describe)
6) • • I
PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE
CJ PLEASE MAIL APPROVED PERMIT TO 1, 2, 3, 4, ABOVE
(Circle one)
7) & /4//T /sr
f
F O R C I T Y U S E O N L Y
PERMIT ? ISSUED
FEES:
$ SEWER PEB?1T_T (INCLUDE SURCHARGE)
WATER PERMIT (INCLUDE SURCHARGE)
WATER METER/COPPERHORN/OUTSIDE READER
$ WATER TAP (INCLUDE CORPORATION STOP)
$ SEWER TAP
$ ACCOUNT DEPOSIT - WATER
$ S~ 6p WAC
$ ra SAC
$ TRUNK WATER ASSESSMENT
$ TRUNK SEWER ASSESSMENT
$ LATERAL BENEFIT/TRUNK SEWER
$ LATERAL BENEFIT/TRUNK WATER
$ ~3o~ae WATER TREATMENT PLANT SURCHARGE
$ OTHER:
$ TOTAL
$ 7°a AMOUNT PAID/ RECEIPT f7vG~~/
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
YES. IF YES. THEN A "PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
c' 651-681-4675
New Conshuction Reaulremenh Remodel/Repair Reaufrements
D 3 registered site surveys showing sq. H. of lot, sq. ft. of house 2 copies of plan CkJ~ L- a-S
and Q_II roofed areas (20% maximum lot coverage allowed) 1 set of energy calculations for heated additions
D 2 copies of plans (show beam a window sizes; poured fnd. design; etc.) 1 stie survey for exterior additions d decks
D 1 set of energy calculations
➢ 3 copies of tree preservation plan I lot plaited after 7/1/93
DATE: S--2S-TI jj CONSTRUCTION COST: ~4 L ~IS
ua~1c ~i~ ~~J (.o Xl~//f/ LrSC~,tc /~(t
DESCRIPTION OF WORK: l,Q~ Vc"4 F,~ )Z jrc)c in
STREET ADDRESS: 'Zy 7S C6 / 44 r Cr
LOT: BLOCK: SUBD./P.I.D. 6e--c
'13 3 w
Name: a-+--? Phone#: LIS~I's~3q 1'c
PROPERTY last first
OWNER ~ tIZ, n 1e &40-
city Street Addr~ess: `7 l= l~J S State: /7 Zip: / Z 3
Company: Phone
(area code)
CONTRACTOR
Street Address: License # Exp.
City State: Zip:
ARCHITECT/ i Sc'sSur ~ " >'s e,s
ENGINEER Company: h J S 4 ~u ^ Name:
V JAI
Telephon C are co e ( 12 ) `(`7
Street A reJJss: Registration
city 1 ar' V, State: /L Zip:
r
Sewer t water licensed plumber (required for new construction only
r
Penalty applies when address change and lot change Is requested once permit Is Issued.
I hereby acknowledge that I have read this application, state that the Information Is c ct, and agr e o comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY C L 1
Certificates of Survey Received - Yes - No I
i
Tree Preservation Plan Received - Yes - No Not Required IJI~: ii
OFFICE USE ONLY F .
BUILDING PERMIT TYPE
❑ 01 Foundation ❑ 06 4-plex ❑ 11 10-plex ❑ 16 Fireplace 21 Porch (3-sea.)
❑ 02 SF Dwelling ❑ 07 5-plex ❑ 12 12-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.
❑ 03 1 of _ plex ❑ 08 6-plex ❑ 13 16-plex ❑ 18 Deck ❑ 23 Porch (screened)
❑ 04 2-plex ❑ 09 7-plex ❑ 14 Apartments ❑ 19 Lower Level ❑ 24 Storm Damage
❑ 05 3-plex ❑ 10 8-plex ❑ 15 Lodging ❑ 20 Pool ❑ 25 Miscellaneous
WORK TYPE L~~f
31 New ❑ 35 Tenant Impr ❑ 39 Gas Line Only ❑ 43 Siding/Soffits/Fascia
❑ 32 Addition ❑ 36 Move Bldg. ❑ 40 Gas Insert ❑ 44 Windows/Doors
❑ 33 Alteration ❑ 37 Demolish Bldg.' ❑ 41 Wood Stove ❑ 45 Fire Repair
❑ 34 Repair ❑ 38 Demolish (Interior) ❑ 42 Reroof
Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) U 0✓ Basement sq. ft. Census Code q3y_
(Allowable) Main level sq. ft. SAC Code of
UBC Occupancy sq. ft. No. of Units 6/
Zoning sq. ft. No. of Bldgs o
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building c~ Engineering Variance
Permit Fee 16 ~14- Valuation: $ %oegc)
Surcharge e,so ltdd/~`°~
Plan Review - l A r x /y 6 = hF,1(, $ y yo = 7395
License
MC/ES SAC
City SAC
Water Conn.
Water Meter I e( X y = N~ ~q5
Acct. Deposit
S/W Permit
i
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total: 171,76'
SAC Units
% SAC
THESE PLANS MUST
SURVEYOR'S CERTIFICATE MARK JOHNSON,,.
it ..I ~ r;
A :i El I
r +
CHES
L 'I
Cz / SAAR
'Z 7
/ q. ofFJ,3onEc .'26,00- -CIRCLE
/ SS N 81 " 52.46 N O .0~'P
1 ISFJ. yn.l 9i ,09-00 to
.50
76.E 922.0
f~J l c 1 ,is
SI .
r Cf g UTILITY 5 2.4 5 26•'y3 N o-° ~0 \ p
pRAfNAG£T PER ptp'r I z /m J o5 `p 9x3__7
O Q rAS ✓ n o° / 23.6~o PFi 6'NP 1
LOT 8 l Qo r
` s. z6p0
~ I I r ~ ti~ o~SF
z ~
m
19 51
I €AGAI ti
r I- .60 917 E I W E D
I I o
I L_~J DATE _
DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 4P FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 925.6 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = 113, S FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = 9 z4.2 FEET.
A, T
I HEREBY CERTIFY TO MARK JOHNSON THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOU14DARIES OF:
Lot 8, Block 1, CHES MAR FIRST ADDITION, according to the recorded
plat thereof, Dakota County, Minnesota.
AND OF T' 1E LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS
OR ENCROACHMENTS, IF ANY, THEREON. AS SURVEYED BY ME, OR UNDER MY DIRECT SUPERVISION,
TH I S 24T1>^ DAY OF AUC, U 5T , 198
SIGNED: JANE R/HILL, INC. n
/
CHES
L_li i o.f
MAR
1
''CIRCL. E
01 5 30"E: '26.00
85 88 N 84 ~ 52.46 0
n'
I ( y 10900
10
CS
20.50
6.88 J 1
lr,! a lU7Y ~~5 5I 2~45~,=x 2e33 N"..~ ~1''`•'~o ~6''~
ORA ,~N -r PER PLAT QOS~ 0
EAS Imo'' ~ 9 w ,O 3a3•7 ~
Q I J / 23.67 Q E~ P ' 9
/ o o
LOT N 24°°
10 i,
C: I 04o
I I r ~ ? ~ cNO `11 ~ NQUSE'
I
/9Jn m 52 p0 f G
S8 o9 se IS 51
o
SOo 9/7 G1Y t L 1 u
_ o \
PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA095310
Date Issued: 08/06/2010
OR Permit Category: ePermit
41~ it~ of E3
E
Site Address: 4475 Ches Mar Cir
Lot: 8 Block: I Addition: Ches Mar Ist
PID:10-17100-080-01
Use:
Description:
Sub Type: e-Siding Construction Type:
Work Type: Sidin,
Description: House
Census Code: 434- Occupancy :
Zonin,:
Square Feet: 0
Comments: When installing ventilated soffit material. remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Carbon monoxide detectors are required bn law in ALL single family homes.
Fee Summary: BL - Base Fee S3K $88.50 0801.4085
Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195
Total: $90.00
Contractor: - Applicant - Owner:
Schaffer Window & Siding Inc Thomas P Hedblom
2760 - 232nd St E 447 Ches l\Iar Cir
Hampton NIN 55031 Eagan NIN 55123
(61)248-469
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 Cite of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
PERMIT
City of Eagan Permit Type: Plumbing
Permit Number: EA107202
Date Issued: 10/01/2012
of 3 a R Permit Category: ePermit
Site Address: 4475 Ches Mar Cir
Lot: 8 Block: 1 Addition: Ches Mar 1st
PID: 10-17100-01-080
Use:
Description:
Sub Type: e - Water Heater
Work Type: New
Description: Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments: Jenny Hanson
3185 Terminal Drive
Suite #200
Eagan, MN 55121
Fee Summary: PL - Permit Fee (WS &/or WH) $55.00 0801.4087
Valuation: 1,500.00 Surcharge-Fixed $5.00 9001.2195
Total: $60.00
Contractor: - Applicant - Owner:
Silver Tree Plumbing & Heating LLC Thomas P Hedblom
1947 Shawnee Road 4475 Ches Mar Cir
Eagan MN 55122 Eagan MN 55123
(651) 319-4200
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.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type: Mechanical
Permit Number: EA107295
Date Issued: 10/04/2012
of 3 a R Permit Category: ePermit
Site Address: 4475 Ches Mar Cir
Lot: 8 Block: 1 Addition: Ches Mar 1st
PID: 10-17100-01-080
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Furnace & Air Conditioner
Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952)
445-2840
Fee Summary: ME - Permit Fee (Replacements) $55.00 0801.4088
Valuation: 11,000.00 Surcharge-Fixed $5.00 9001.2195
Total: $60.00
Contractor: - Applicant - Owner:
Wenzel Heating & Air Conditioning Thomas P Hedblom
4145 Sibley Memorial Hwy 4475 Ches Mar Cir
Eagan MN 55122 Eagan MN 55123
(651) 894-9898
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.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA109364
Date Issued:02/28/2013
Permit Category:ePermit
Site Address: 4475 Ches Mar Cir
Lot:8 Block: 1 Addition: Ches Mar 1st
PID:10-17100-01-080
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 P Hedblom
4475 Ches Mar Cir
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA112836
Date Issued:08/26/2013
Permit Category:ePermit
Site Address: 4475 Ches Mar Cir
Lot:8 Block: 1 Addition: Ches Mar 1st
PID:10-17100-01-080
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments: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 .
David Pederson
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 P Hedblom
4475 Ches Mar Cir
Eagan MN 55123
Dun Rite Roofing
4086 Miller View Road
Elko MN 55020
(952) 461-5155
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168546
Date Issued:04/26/2021
Permit Category:ePermit
Site Address: 4475 Ches Mar Cir
Lot:8 Block: 1 Addition: Ches Mar 1st
PID:10-17100-01-080
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Fireplace (new)
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Thomas P & Annette Hedblom
4475 Ches Mar Cir
Saint Paul MN 55123--182
(651) 324-6370
The Fireplace Guys Llc
680 Hale Ave N #110
Oakdale MN 55128
(612) 326-1919
Applicant/Permitee: Signature Issued By: Signature