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4272 Augusta Lane ` Use BLUE or BLACK Ink Foi nffire Use - ~4✓ i - ' / j Permit O City of Eq,~ V 1 n J 1 Permit Fee: 3830 Pilot Knob Road I Eagan MN 55122 ~ E r E ' ;='r O I Date Received: I ~ ~ I Phone: (651) 675-5675 I I Fax: (651) JUL. stair-~~~----~~~~ ..a~ 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: a [ , d Pk L+ ow ~,c Phone: 65\- t4s;L 9%17. RESIDENT / e1 OWNER Address/ City/Zip: _r'"1 $r»+t"t Applicant is: Owner ***Contractor TYPE OF WORK Description of work: R ~,we rr C PQe,-4 yu 6"( a Construction Cost: df Multi-Family Building: (Yes No Y-) Company: { ~ Rltxirtl\ eny I Contact: )C~ t ire ' CONTRACTOR Address: il,4i; +P S4~ l.~ p k,-° K City: Wsor. 4 d k ~f State: tAR Zip: ) T Phone: 46 I 3 oll ° t S I. License a D& 4 % Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan 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.gopherstateonecall.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 plans. x ! N,O►A .J . S1 VC, Y_ x Applicant's Printed Name Applicant's Signatur Page 1 of 3 DO NOT WRITE B OW THIS LINE 20 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 MCES System Plan Review Code Edition SAC Units (25%_ 100%TX) 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) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test 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 Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC ICJ Utility Connection Charge U S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2of3 qz 9 z A-),qz~2, - I-o" 00J,7 "RI - LAND COO SITE FUN FM SURVEYING SERVICES JOE MILLER CONSTRUCTION INC. 4655 NICOLS ROAD EAGAN, MINNESOTA 55122 N ~ AUGUSTA LANE " SWW44'11 q o ij aq.20 o a N sy Zo ) f 0 SCALE I3 5 OUSE SCALE I" s (,ARAr6E o (-I CSET GARAGL I {LaeA +8`ubw M . 1 I Top GJ,VA .19 2r W r Zy I r`~~r~ I a DEC K ! / r o Q ? ~ o- l v- 00 z I /-7, s I 15 - 59.20 k, g S az1 S OCP 10''44" F- PROPERTY DESCRIPTION LOT 4 , BLOCK, SUNSET FIRS T ADDITION according to the recorded plat thereof DAKOTA County, Minnesota o DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION =q 3?- c DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION = 931/r, DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR = 925, 9-3 ELEVATION ELEVATION DENOTES PROPOSED SPOT ELEVATION NOTE. VERIFY ALL FLOOR HEIGHTS WITH ..,-DENOTES DRAINAGE DIRECTION FINAL HOUSE PLANS I hereby certify that this survey, plan or report was prepared by me or under my direct supervision and that I am a duly Bradley . wenson, Mn. Reg. No. 15235 Registered Land Surveyor under the e~zs/gS Laws of the State of Minnesota. Date r j CITY OF EAGAN WATER SERVICE PERMIT " 3830 Mot Knob Road P. O. Box ?1 "9 PERMIT NO.: Eagan, MN 55121 DATE: " Zoning No. of Units: Owner: j{ Address: 1 - _ - Site Address: i L rt Plumber. Mew No.: 3-Sq~ ! 77 Connection Charge: Sita: SfF Raf E•. Account Deposit: 15.00 D ~h1 / 8 Reader =fi' 10. U0p2 No.: Permit Fee: I some to comply widr the Croy of Loges Surcharge: . 5Cip~i Orri Misc. Charges: 1 - 0 TO 1i Total: . %t)d By Dote Paid: Date of Insp. Insp.: o z CITY OF EAGAN WATER SERVICE PERM 3830 Pilot Knob Road P. O. Box 211$9 PERMIT NO.: Eagan, MN` 55121 DATE: Zoning: _ No. of Units: Owner: ;r ! Z _RT . ; _ Address: Site Address: 427-2 Auru.4 La Plumber. ~1-.-•~ui.' Meter No.: Connection Charge: Size: Account Deposit: . Reader No.: Permit Fee- I else to - *!I vhh the Cal of legew Surcharge: ordiaaftem Misc. Charges: Total: By Dote Paid: Date of Insp.: Insp.: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box. 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: No. of Units: 1 Owner: [ Address: Site Address:., Plumber: E`7 fr + ~SY n : n. _ II agree to "Upb with the City of Im"a Connection Charge: ~INSeee. Account Deposit: L Permit Fes: ~•r Surcharge: S(ep•i BY Misc. Charges: Dote of insp.: Total: Insp.: Dote Paid: CITY OF EAGAN~ 17731 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 Y PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for DECK Est. Value $1.000 Dale -Atli -18, 19 90 Site Address 4272 AUGUSTA LNI 4 2 SUNSET 1ST OFFICE USE ONLY Lot Block Sec/Sub. Parcel No. Occupancy FEES w Name RICHARD A HOWLETT Zoning Zs*~ (Actual) Const Bldg. Permit t Address 4272 AUGUSTA LH (Allowable) Surcharge • SO City RA"N Phone 452-8812 # of Stories ~ Length Plan Review =o Name SAME Depth 14l' SAC, City Address S.F. Total i SAC, MCWCC City Phone S.F. Footprints On Site Sewage Water Conn ~ru Name On Site Well W 1Y Water Meter ~ MWCC System U5 Address Acct. Deposit a W City Phone City Water - PRV Required S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge intormalion is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI Signature of Permitee APPROVALS Road Unit A Building Permit is issued to: RICHARD A HOWLETT Planner Park Ded. on the express condition that all work shall be done in accordance with all Council 1.50 applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Oil. Copies 27.00 Building Official , Variance TOTAL Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING H.VAC. ELECTRIC kapeetion Date Insp. Comments Footirgs I Foundation Framing r_ pp S Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Mg. Final Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final Deck Fig. G, ~r4+~Ow~ 9 ker , 7 } Deck Final fl ~e f0 Well 6 -722 0.S Pr. Disp. CITY OF EAGAN 10 0 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be Rasa for U Est. Value Date' ri 19 r ? = Site Address - 4 2 7,e Erect Occupancy y - Lot 1 Block a Sec/Sub. Remodel ❑ Zoning i Repair ❑ Type of Const. r., Parcel No. Addition ❑ No. Stories Move ❑ Length W Name ' Demolish ❑ Depth I, Address i Int Impr. ❑ Sq. Ft. City Phone Install ❑ F Name Approvals Fees u0 Address Assessment Permit .00 F City Phone Water 8 Sew. Surcharge 1 - C~ 0 Police Plan Review Z 1 ~0 W Name Fire SAC 2'- - G 0 4~ Address Eng. Water Conn. ' ' ,t • 0 U UW City Phone Planrter Water Meter 3 • (10 Council Road Unit • LJ 0 I hereby acknowledge that I have read this application and state that Bldg. Off. J,' 3I Tr. Pl. 0 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 . " rJ A Building Permit Is issued to: t^ 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 Telephone Plumbing 1 75 r 9 M)kL H.VA.C. 4 CO p , C'1 b ~oO~Z Electric ) l~. rla`, ?r Y_~ ~/i •x Softener Inspection Date Insp. Other Footings I ~i Footings II Foundation Framing Rooting / Rough Plbg. Rough Htg, Insul. Fireplace Final Htg. ~a Final Plbg. C, Final Cert/OCC. Water Describe Location: Well Sewer Pr. bisp. L _ , Cities Di iittal Quality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print Jegibly Tot. 1. Date 2. Installation Cost 3. Job Address Lot ti Blk. -~L- Tract 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential ❑ Commercial ❑ Institutional ❑ 9. Work Description: New ❑ Add ❑ Alter ❑ Repair ❑ 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well 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 I agree to comply with all ordinances and codes governing this type of work. Signed: for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 r ` Receipt MECHANICAL PERMIT Permit No. i CITY OF EAGAN Fee I Fill in numbered spacer S/C Type Ol Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address Lot 1, Blk. ? Tract 4. Owner 5. Contractor _ v Phone 6. Address 7. City State Zip B. Building Type: Residential Q Commercial ❑ Institutional ❑ 9. Work Description: New ❑ Add ❑ Alter ❑ Repair O 10. Describe Fuel Type 11. No. Equinment BTU - M. Ea. No. Equipment CFM Forced Air Air Handling: Mfg. Boilers Mach. 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 I agree to comply with all ordinances and codes governing this type of work. Signed : - _for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN Remarks Addition SUNSET FTRST AnnTTToN Lot 4 elk 2 Parcel 10 72985 040 02 Owner Street 4272 Augusta Lane State Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1981 168.57 8.43 20 I .0 O / 7.5 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA JI& 1981 168.57 8.43 20 $ , 05 R0149-7s- STORM SEW TRK 1985 547.79 36.52 15 4-74.-7-7 fi O 16 7s' STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 55088 9/4/85 WATER CONN. 500.00 n of BUILDING PER. 10891 if If SAC 525.00 " PARK Cities Digital Quality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces sic Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address LotBlk. Tract 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential O Commercial ❑ Institutional ❑ 9. Work Description: New ❑ Add ❑ Alter ❑ Repair ❑ 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well 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 I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 *m~ * x= CITY OF EAGAN 0 17226 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for GARAGE Est. Value $99000 Date OCT 24 , 19 89 Site Address 4243 AUGUSTA CT OFFICE USE ONLY Lot 1 Block 1 Sec/Sub. SUNSET 10TH Parcel No. Occupancy 1 FEES Zoning W Name DANIEL 3 WENDE 0' BRIBN (Actual) Const v~ Bldg. Permit 148100 o Address 4243 AUGUSTA CT (Allowable)=U Surcharge 4.30 City PAGAN Phone 451-4939 # of stories Length Plan Review o Name HOMEOWNER Depth 24' sac, City 00 Address SAME S.F. Total 24' sac, Mcwcc City Phone S.F. Footprints On Site Sewage Water Conn LU w Name On Site Well Water Meter Address MWCC System <W City Phone City Water Acct. Deposit PRV Required SM Permit I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI Signature of Permitee I APPROVALS Road Unit A Building Permit is issued to: DANIEL O' BRIEN Planner Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies 112.50 Building Official Variance TOTAL Permit No. Permit Holder Date Telephone # WATER SEWER i PLUMBING H.VA.C. ELECTRIC Inspection /Date Insp. Comments Footings 1 30`4j, ) Foundation Framing I Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final JJ Deck Ftg. Deck Final Well Pr. Disp. CITY OF EAGAN At +y--- 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ? 13 ? s 4 PHONE: 454-8100 BUILDING PERMIT Receipt# To be used for 1•i~/t~11!i Est. Value Date ,19 Site Address 424-1 UC;US' ' A ( Erect ❑ Occupancy Lot Block 1 Sec/Sub. 10TH Remodel ❑ Zoning i Parcel No. Repair ❑ Type of Const. Addition ❑ No. Stories W Name iJJ l1, ' I3 R I. is iy Move ❑ Length z , Demolish ❑ Depth 32 c Address , i .T,..ILL AV}~ Int. Impr. El Sq. Ft. City Phone 451-4939 Install ❑ = o Name Approvals Fees i Address Assessment Permit ' 41 ~ City Phone Water & Sew. Surcharge a 3 9 . 70 Police Plan Review 5 W W Name Fire SAC 625.00 .13 Address 5 2 5. 0 0 Eng. Water Conn. z City Phone Planner Water Meter 67. 00 Council Road Unit 3 0 5. 0 o 1 hereby acknowledge that I have read this application and state thatthe Bldg. Off. Tr. PI. 1 ` information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Parks Signature of Permittee Var. Date Copies Total A Building Permit is issued to. 7f1P~` I L L O' TiiZ I on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Holder Date Telephone # Plumbing Electric ~r j• J~ / :y Softener L Inspection Date Insp. Comments Footings I Footingsll > - w Foundation 3 I C~~i_ /~+•s / ~S n0 Framing Roofing ~lc7) Rough Plbg. ,/4 Rough Htg. q,4 insul. C-R--4~ GJCS CJD, &50r1 S Lu. o 4~ s Fireplace ~/o j N 5 J Final Htg. Final Plbg. . Bldg. Final Cart. Occ. Deck Fig. - / - - - AW Deck Frmg. Well Pr. Disp. G--~;k 'o d- C 1~, This request void fr4/~/ / rtweQu om a1 dJ1 ° X686 y ,3 i I Re 7t Dat fire No. Rough-in Inspeclinn / J~ R q red? ❑Ready Now ilI Notify Inspeo Yes ❑No qr When Ready mensed Electrical Contractor I hereby request inspection of above ❑ Owner electrical work installed at: Street Address, Box or Route No. City action o; Township Namn or o. Range No. Cou Occu t IPRINTI Phme No. i-&9e Powe u plier Addr ss Elect ical Contractor (Company Name.) Co actors License No Mailing Address I on or or caner Makin InslallaUOn) 6 6 3 Author ed Signature IContr rer Walking Iris aLOnl Phr a Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Be.. N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (012) 297.2111 ENCLOSED. rr~] REQUEST FOR ELECTRICAL INSPECTION ER-00001-04 See instructions for completing this form on back of Yellow copy. "•X" • Below Work Covered By This Request ID-068656 Home Range - Temporary Service Romp,te Type of Building Appliances Wired Equipment Wired Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo llnloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other pecilY they (Specify) t er SP-Cy Other Other pectionFee Below p Fee Service Entrance Size p Fee Feeders/Subfeedars p Fee circuits 0 to 200 Amps 0to 30 Amps cot. 30 Aim s s Above 200 Amps 31 to 100 Amps 31 to 100 Am Swimming Pool Above 100_Am s Above 100_Am s Transformers Irrigation Booms #ic~ Partial-'Other Fee Signs Special Inspection $ / Remarks TOTAL FEE Rough-in Date ':h I, Electrical e /~~,•YJ In~etor,. hewby er i y that the above F mat r D to inspection has been r~( /'9 4l made. Thla request void t9 months from CITY OF EAGAN N2 17731 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 m PHONE: 454-8100 BUILDING PERMIT Receipt a l.~ I ~JpG~ To be used for DECK Est. Value $1,000 Date APR 18 g 90 Site Address 4272 AUGUSTA LN Lot 4 Block 2 Sec/Sub. SUNSET 1ST OFFICE USE ONLY Parcel NO. Occupancy FEES Zoning w Name RICHARD A HOWLETT (Actual) Consl Bldg. Permit 25.00 o Address 4272 AUGUSTA LN (Allowable) Surcharge .50 City EAGAN Phone 452-8812 #of Stories - Length 30 Plan Review is Name SAME Depth 1_4, SAC, City uQ Address S.F Total SAC, MCWCC • City Phone S.F. Footprints On Site Sewage Water Conn W Name On Site Well Water Meter Address MWCC System aw City Phone City Water Au1 Deposit PRV Required SAN Permit I hereby acknowlege that I have read this application and state that the Booster Pump &W Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and ity_ol/Ea~ga~n 0 mances. Treatment PI Signature of Permitee ' & APPROVALS Road Unit A Building Permit is issued to: RICHARD A HOWLETT Planner Park Ded. on the express condition that all work shall be done in accordance with all Council 1.50 applicable State of Minnesota Statutes and City of Eagan Ordinances Bldg Olt. Copies Budding Official ~II~~~(°,U l1 pifl,il 4 Variance TOTAL 27.00 3.s 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements RemodeUReoair Requirements Ofte Use OnN 3 registered site surveys showing sq. ff. of lot, sq. ft. of house; and all roofed areas 2 copies of plan showing footings, beams, joists Cad of Survey Recd - _ Y _ N (20% maximum lot coverage allowed) 1 set of Energy calculations for heated additions Soils Report . _Y _ N 1 Soils Report if proposed building is to be placed on disturbed soil 1 site survey for additions & decks Tree Pres Plan Recd _Y _N 2 copies of plan showing beam & window sizes; poured found design, etc. Addition - indicate if on-site septic system Tree Pres Required _Y N 1 set of Energy Calculations On-site Septic System _Y _ N 3 copies of Tree Preservation Plan it lot platted after 711/93 Rim Joist Detail options selection sheet (buildings with 3 or less units) Minnegasce mechanical ventilation form Date-:) / l U ~3 r Construction Cost Site Address y~ 7 /7V ~r U S 1 N Unit/Ste # Description of Work 900}- , SlOINIr , I lNnoW S Multi-Family Bldg - Y Y N/ Fireplace(s) 0 - t - 2 Property Owner I`\04A R h Telephone # (6S 1) y) 3 ~cS Contractor SL~ Address City State Zip Telephone # ( ) 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 (4 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 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. K1crk,9-l~ D 4uul-f I Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt - Multi ❑ 03 01 of _ plex ❑ 09 07-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screen/gazebo/perola) ❑ 36 Multi Misc. ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex ❑ 12 12-plex ❑ 25 Miscellaneous Work Types ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish Interior ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish Building* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Description: Water Damage Yes Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) _ Sheetrock - Footings (deck) _ Final/C.O. - Footings (addition) _ Final/No C.O. _ Foundation _ HVAC _ Drain Tile Other Roof - Ice & Water _ Final - Pool _ Ftgs _ Air/Gas Tests _ Final - Framing - Siding - Stucco Lath - Stone Lath -Brick Fireplace - R.I. -Air Test -Final _ Windows - Insulation _ Retaining Wall Approved By: Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge SSW Permit & Surcharge Treatment Plant License Search Copies Other Total I I IS 1 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS OF RENTAL UNITS OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: £Ck Valuation: f 000 Date: W Oo- Site Address )4~94 Z- 9uSTLI 41). OFFICE USE ONLY Lot 14 Block t? FEES Occupancy Zoning Parcel/SubSUNSEZ-FIRS ADDITION Actual Const Bldg. Permit aS.oo Allowable Surcharge "60 Owner p IC4R2b /4• 11 7GG wLE_7-r # of stories Plan Review A Length 3D` SAC, City Address ~1~701 406-uS-r/4 Lit/ Depth /N' SAC, MWCC S.F. Total Water Conn City/Zip Code( }~✓/~3 Footprint S.F. Water Meter Acct. Deposit Phone On site sewage- S/W Permit On site well S/W Surcharge Contractor MWCC System Treatment P1. City water Road Unit Address PRV Park Ded. Booster Pump Copies /,So City/Zip Code SUBTOTAL APPROVALS Penalty Phone Planner TOTAL Council f Arch./Engr. Bldg. Off. q/~I Variance Address City/Zip Code Phone # "+RI - LAND CO. SITE FUN FM SURVEYING SERVICES JOE MILLER CONSTRUCTION INC. 4655 NICOLS ROAD EAGAN, MINNESOTA 55122 N AUGUSTA LANE In Ao -P SOIYIO'440g~ AV q o 8,9. 20 o i _ a" z°~ SCALE t•i "GARAGE 5 140Use 5£T(.ARRLL •1 I ~ t°p uaN I l~ al ~l W 2y W ~'1 DECD o- ~ 2 I I Z s I IIS _ 89.20 4 Aye 5 0O° 16 LH' E 101.1 PROPERTY DESCRIPTION LOTS, BLOCK, SUNSET FIRST ADDITION according to the recorded plot thereof DAKOTA County, Minnesota LLbtrii3 o DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION = 93? -5 a DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION = 933.1c DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR = 32g S3 ELEVATION ELEVATION DENOTES PROPOSED SPOT ELEVATION NOTE. VERIFY ALL FLOOR HEIGHTS WITH DENOTES DRAINAGE DIRECTION FINAL HOUSE PLANS I hereby certify that this survey,plan or report was prepared by me or under my direct supervision and that I am a duly Bradley . wenson, Mn. Reg. No. 15235 Registered Land Surveyor under the B/zs/B~ Laws of the State of Minnesota. Date CITY OF EAGAN N°_ 0 9 3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454.8100 Rece+pr # d T. be wed ter SF DWG/GAR Est. Value $62,000 Date SEPTEMBER 4 19_.85_ Site Address 4272 AUGUSTA LN Erect Ek Occupancy R3 Lot 4 Block 2 Sec/Sub. SUNSET 1ST Remodel ❑ Zoning R1 Parcel No. Repair ❑ Type of Const. VN Addition ❑ No. Stories JOE MILLER CONST Move ❑ Length 50 Name Demolish ❑ Depth 35 Address 18133 CEDAR AVE SO Int. Impr. ❑ Sq. Ft. City FARMINGTONPhone 431-2001 Install ❑ Approvals Fees g Name SAME ~S Address Assessment Permit $ 319.00 C City Phone Water 6 Sew. Surcharge 31 _ 00 Police Plan Review, 1 59 _ 50 w Name Fire SAC 525.00 T Address Erg. Water Conn. 500.00 <W City Phone Planner Water Meter 63, 0 Council Road Unit 280.00 1 hereby acknowledge that I have mad this application and state that Bldg. Off. 9/3/85 Tr. Pl. 132.00 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 Signotum of Permittee Total 21009-50 A Building Permit Is issued to: JOE MILLER CONST on the express condition than all work shall be done in accordance with all/yp ica71s/g Store/of mne o Statutes and City of Eagan Ordinances. Building Official ` I~~/-c -~C 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS To Be Used For: /(({U aluation: 2-_Date: 97-142-6Pc - Site Address: '7"c?'7a G'CC~Jfa/a1-t_.C OFFICE USE ONLY 2 Lot: Block p~ Sect/Sub Erect J~ Occupancy ~J Remodel Zoning Parcel it Repair Type of Const Enlarge 11 of Stories Owner Move Lengthd Demolish Depth Address Grade Sq Ft City/Zip Code Phone APPROVALS Contractor Assessments Permit -13a ~ ~~qq~~ n Water/Sewer Surcharge -,3J Address 3 e44 C.GU..e J2 , Police Plan Review -5-0 Fire SAC ig " City/Zip Code -5519, Engr Water Conn Op J Planner Water Meter 63 Phone f Council Road Unit Bldg Off E..- Parks Arch./Engr. APC Treatment P1 Variance Address TOTAL ~Q y . S b City/Zip Code Phone # T RI - LAND CO. SITE RUIN FM SURVEYING SERVICES JOE MILLER CONSTRUCTION INC. 4655 NICOLS ROAD EAGAN, MINNESOTA 55122 --CE - N AUGUSTA LANE in A o I/' p 11.2 0 4 av Z° SCALE A6E 5 ' HOUSE _ GAR SET GARRGE • ~ I tep c..,W -z- . J W s_ J i r ~ yw I a t.~ N al aN a ~ I I Z i f - L+ - - - ~f 89.20 4 5 Olt S 00 10' 44" E T, PROPERTY DESCRIPTION LOTS, BLOCK Z, SUNSET FIRST ADDITION according to the recorded plat thereof DAKOTA County, Minnesota LEGEND a DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION= 932.5 DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION = 933.ic DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR = 9z9.g3 ELEVATION ELEVATION DENOTES PROPOSED SPOT ELEVATION DENOTES DRAINAGE DIRECTION NOTE: VERIFY ALL FLOOR HEIGHTS WITH FINAL HOUSE PLANS I hereby certify that this survey, plan or report was prepared by me or under my direct supervision and that I am a duly Bradley . wenson, Mn. Reg. No. 15235 g Registered Land Surveyor under the B~ZS/as Laws of the State of Minnesota. Date C i 2/84 CITY OF EAGAN / APPLICATION FOR PERMIT •Uu~ SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PRCP= ADD?SS: y~ 72 I.E AL DF_Szz_T_",rmz: It A 2 w i~ (1-0t/B10cx/_tuZ ivisicn or' ax Parcel I.D. N~„~ I IF Eyl =::G ST?i'C U tE, DATE OF CZT_GiIML `UILDI :G P=-'ST ISSL;A PnrSL^_ Z. '..MT CPCSE7 IISE: ❑ R-1 Sz FP"ASLY ❑ R-2 CUP':.'Y (7%0 LTrI-S) _ ❑ R-3 Mt ZHCUSE (T-Fm= L: I'T'S) ( L~7I S) p R-4 APA.:T=]T/CC_'.JCi.M,j::-.I ( UNITS) p CCiL~ItCLAI/RESAIL/CrFZC ❑ MMUS 7U.AL, ❑ L%TSTI_L.'I'I0NAL/G0VF_ DM7 2) APPLICA__N (PLEASE PR1Gf] PrCR ESS: / YI ~'3 C Q~~ n r~uc CITY, S-=-, ZIP: -Fi4MM t M[ T!e,J /sts) S~ Boi ~ PHONE: ~3/- 10D1 3) PLLmE:? .~7 (PLEASE PRINT) FOR CITY USE ONLY ACCRESS: 3 Q~ PLUMBERS CENSE: ~p Activ CITY, STATE, ZIP: r~ysftss~. pt •~'-Tym~ Ex red Na i'n t of Record PHONE: S'S7- 309' PLUMBER LICENSE H 4) CY.C'UPPN; /C!:CIE'-t (PLEASE PRf:li) art is:a ADDRESS: CITY, STATE, ZIP: Set,►,e PHONE: 5) INDIMT'E INIHICH PER:-UT IS BEING RILMESTM: e'comNEcTION TO CITY SEWER WOJNECTIGN TO CITY HATER ❑ 0_11TR (PLEASE DESCRIBE) 6) MDICATZ ❑ PF=ASE IOLD APPRO= PERMIT FOR PICK-UP BY ONE OF ABOVE ❑ PLEASE :'AIL APPROVEZ) PERMIT TO 1, 2, 3, 4 ABOVE (Circle one) 7) SIa a LRE: l v - DATE: s aZ 3' gS F V.1 r • i ST~Ri1'~^f•S'i'~3RTSf~-rr • - 7-1 71 1 • 7• .+a~e~a~a73TaL1 y~ t• •,•ll fT~Si, v: , u• ~ +RAi~-M/vA!/iOl~~~ltlY~i ~iir/~iisii:salR! 11~i F O R C I T Y U S E O N L Y PERMIT u ISSUED FEES: $ /0 5 U SE:4ER PERMIT ( I`ICL :DE -SURCHARGE) $ WATER PERMIT (INCLUDE SURCHARGE-) $ 3 WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ SEWER TAP $ AC GSI $ lco ACCOUNT DEPOSIT - WATER S rJ WAC $ 3a ou SAC $ TRUNK WATER ASSESSMENT $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SET.-TER $ LATERAL BENEFIT/TRUNK WATER $ f c v WAFER TREATMENT PLANT SURCHARGE $ OTHER: $ TOTAL $ ~5_3 0( AMOUNT PAID/RECEIPT S X73/ DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? 0 YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE C] NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE : ~?Aj ~F Ej~ i on mwj f~wq RJg RAW •um 1! No-" mpg /k40 04 w f! W ~pq Ol4m /4w I! ~A w m orAVoFeagan 3830 PILOT KNOB ROAD. P.O. BOX 21199 - BEA BLOMOUIST EAGAN. MINNESOTA 55121 Mav PHONE (612) 454$100 THOMAS EGAN JAMES A SMITH JERRY THOMAS DATE: Sept 20, 1985 THEODORE WACHTER Own 'i Me.o s THOMAS HEDGES Gfy Ad-Mt'01p EUGENE VAN OVERBEKE SPFCIAL ASSESSMENT SEARCH ON0.rk DAKOTA COUNTY ABSTRACT COI RE: Sunset First 1250 HWY 55, P 0 BOX 456 Lot 4, Block 2 HASTINGS MN 55033 Enclosed herein is the search which you requested made on the above described property. Kind of Improvement yPa~- Beginning Original Amount Balance Due San Sew Trunk 20 1981 $168.57 $126.42 Water Area 20 1981 168.57 126.42 Storm Sew Irk 15 1985 547.70 511.27 I further certify that according to the records of said office, the following improve- ments are contemplated or pending after having been approved and are now in the process of planning or completion. Kind of Improvement Approximate Date of Completion Approximate Cost NONE WAIVER: Neither the City of Eagan nor its employees guarantees the accuracy of the above infor- mation which was requested by the person or persons indicated. Nor does the City or its employees assume any liability for the correctness thereof. In consideration for the supplying of the indicated information in the above form and for all other consideration of any nature whatsoever, any claim against the City or its emplovees rising therefrom is hereby expressly waived. Levied assessments to be paid to the CITY OF EAGAN, 3830 Pilot Knob Road, P. 0. Box 21199, Eagan, MN 55121. Very truly yours, SPECIAL ASSESSMENT DIVISION THE LONE OAK TREE.. THE SYMBOL Of STRENGTH AND GROWTH IN OUR COMMUNITY ity of eagan 3830 PILOT KNOB ROAD. P.O BOX 21199 BEA BLOMQUIST EAGAN, MINNESOTA 55121 Mawr PHONE (612) 454-8100 THOMAS EGAN JAMES A SMITH MC ELLISON THEODORE WACHTER Special Assessment Search Ca I]Membe,$ THOMAS HEDGES CIN Atlmmutiator Date: EUGENE VAN OVERBEKE Decenber 31, 1986 City Cie* Requested by: Re: Sunset First 10-72985-040-02 DAKOTA COUNTY ABSTRACT CO 1250 HWY.551 P O BOX 456 HASTINGS MN 55033 On the attached form is the City's response to your search request on the identified property. The information includes the original amount of the assessments and the payoff amounts of the assessments on the parcel. In addition, pending assessments are included for improvement projects that have been ordered to be installed by the City Council as they may affect this parcel. The City's policy is to levy assessments based upon the current zoning or existing use of the parcel (whichever is higher) as reflected in the above assessments. If, and when, the parcel is rezoned or developed to a higher use, a condition of development approval will require that this parcel assume any additional assessment obligations that have not been previously paid for existing public improvements. The City Engineering Division can provide further clarification of this policy if you desire. WAIVER/DISCLAIMER: Neither the City of Eagan nor its employees guarantees the accuracy or completeness of the information provided which was requested by the person or persons indicated. Nor does the City or its employees assume any liability for the correctness thereof. In consideration of receiving and using information on the attached form and for all other consideration of any nature whatsoever, any claim against the City or its employees rising therefrom is hereby expressly denied. Pending assessments cannot be paid until levied. Levied assessments can be paid to the CITY OF EAGAN. Very truly yours, SPECIAL ASSESSMENTS Attachment THE LONE OAK TREE . THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITY Cities Di itg al Quality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. f `]1"': F!IL t'I -5••_ff i+`'l~'!_i".~; :-•11'J\..~"~ SUMMARY ~•i\J~ II.. / WAJt"i,_+ A}I-;1r ._7: _ -SPECIAL r-;. i T i...`t:':!`_>fi?'"p r iii. t ic.. Y1 us R:i1c' (ofAi ANN.PRIN.. I" AYONs C.YH°It9f-N jp"Ey RK iju _ .cx./ r ; .Oo .00 PREPAY • 4..1`.. Wks ~yi•,'"'i .:Y• x . 4_iol 100.57 .00 .00 PRe: PW . ~.c- e O;,llHi"MP 01 Ih_i.i 0' ,i1(-<s.OaA r Cpm) or City of aaii 3830 Pilot Knob Road Eagan MN 55122 Phone (651) 675-5675 Fax: (651) 675-5694 2013 RESI l Date: Go M I t ?J .ry Nr Ifthe project is Use BLUE or BLACK Ink For Office Una 2� Permit #: I° I f 33 1 Permit Fee: 1-10.9° Date Received Staff; ENTIALBUILDING PERMIT APPLICATION Site Addre s: 4 2 1 i A v j v S#i0► unit #: Name: 13e\4 N oN ke k 1 Phone: C(o S I) 1 52-8112 Address / City / Zip: 312 A vrf t► Lvt A j lhA t J SSIVI Applicant is: Owner X., Contractor Description of work: _ ") Construction Cost Company: P,tQ-eYsn O a G` k enj Address: 2200 We'Sk (7(o4'` S'V 1 1,1 i city: k4 -4\C --t Phone: ( 1 �Ce�-2888 Multi -Family Building: (Yes / No, ) Contact M A SS K. j_ (gyp r State: 1A%1`.1 %1`.i license #: Co 3 So t Lead Certit;7 to #: N � — 3L-VA.a T — Y• exempt from lead ce cation, please explain why (see Page 3 for additional information) p: sLt12-3 COMPLETE 4i IS AREA ONLY IF CONS1RUtl1NG A NSW BUILDING Irl the last 12 months, has the City of _Yrs No If yes. date and eddy L censed Plumtjer; MCChanical Cornhector• Svaer ••?r agan issued a permit for a similar pin based on a Master plan? ss of master plan: 015 Phone. --a Phone. • >� Water contractor: �jyI,, .��,j /,,, Phone; la k_ l6""' J� � y,' ▪ ,r - l 1 al !1 7 1 t')I 1»sn .,1 6/alai/Jo/d as no f}��4 • ,, , . �f f x v_; , ti,a' i . �j n; aY . i �. r ` �. J� �:1 •:` su. -,F� ��.''0� l '..c.. * r ; • '1' f —','.; 'I �itilii✓ �y�� a.�I 4 vq .1 ) CAU. BEFORE YO ...�.,.._;,. ♦ � �c\'�v�i �! ri .% �..,„:61*;�;1 �.r �,. ,T,5:'.',.� SIG. Call Gopher State One Call at (661) 454-0002 for proteion against underground utility damage. CaII 48 hour; before yeu intend to dig to receive locates of un ound utilities- • \ ! er -IA - , ecalt I h4reby acknowl that this information is plate and accurate; that the work Will be ' conformance with the adrnantes 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 aceandanlce with theapproved plan in the case work which requires a review and approval of plans. Exterior javrk aeth4rized by a building penml da of rmk issuance. x l ',1 Appf Ieaued In accordance with the MI no le Bulking Code be completed within 180 Z/ . /L f//L►-L s Signa' r :' ` TO/T0 39 d SMOQNIM 1 Sel3/1INfl Pagel of 3 8T6E998ZT9 SZ :LT ETOZ/8T/90 PERMIT City of Eagan Permit Type:Building Permit Number:EA171635 Date Issued:08/24/2021 Permit Category:ePermit Site Address: 4272 Augusta Lane Lot:4 Block: 2 Addition: Sunset 1st PID:10-72985-02-040 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Richard A & Beth Howlett 4272 Augusta Lane Saint Paul MN 55123--207 (651) 895-9765 Built Strong Exteriors Llc 2215 Quebec Ave S Lakeland MN 55043 (651) 702-1300 Applicant/Permitee: Signature Issued By: Signature