4375 Bent Tree Lane
N'186
2
ri 2.4
,t,
Repu ate
? ? Fire No. Rough-In Inpsection Req ired
(You must cail inspector w en ready) Inspection Other Th Rough•in.
0 Ready Now ] Will Notify Inapector
G+ Yes ? N Date Aeady
licensed contractor D owner hereby request inspection of above elec al w ?
Job Address (StreeL Box or Fiou No.) i
'JiLl
r... Ci
?
` .ti ."G ? ? ?
J?? ?
Section No. Township Name Dr No. Range No. u
Occupa t(PRINT) Phone No.
enes
Pow upplie, ? ???±? `? Atldress 3
Electnc Contractor (Company Name) CLicense No.
Malling Address IContracfor or Owner Mak(ng instal(
?
? ?
,,
.
AutContract Ip ne r kf
_____.___.._ ._._.._?.....?I???? Pho Num r
?57-
MINNESOTA STATE BOARD OF ELECTRtCITY V THIS INSPECTION REQUEST WILL NOT
Griggs-MiCway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOAAD
1821 University Ave., St. Vaul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Vhone (612) 642-0800 ENCLOSED.
9?`
, ?1 62g
REGIUEST FOR ELECTRICAL INSPECTION
? Se? instructions tor compleBng this torm on back of yellow copy.
X" Below Work Covered by This Request
0 E13-00001-08
.?S p Z 3
ew 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
Other (specify) Contractor's Remarks:
Compute lnspeciion Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Pee
Swimming Pool 0 to 200 Amps jo 0 to 100 Amps a
Transformers Above 200 Amps Above 100 Amps
SignS Inspector's Use Only: TOTAL ?
Irrigation Boams ?
Special Inspection ????
AlarmlCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHf MON ' C
I, the Electrical Inspector, hereby Rough-in i ? oalle,/,
certify that the above inspection has
been made. Final ? Date
OFFICE USE ONLY ~
This requesi void 18 months from
. .?
?..? ..
WtL`dfiCQte of cCC1t.pQnC?
t (M4 of Cfagan
zepartmeat of exil+bing 3"oection
This Cenificate issued pursuant to the requirements of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the variaus
ordinances of the City regulating building construction or use. For the following:
Use Classifica[ion: SF DW Bldg. Permit No. ZM
Occupancy Type rVA41 Zoning District RI Type Const. IN
o,+wr of suita;ng KRYZER FiUILE1zS naaress 7310 BOT-$+IAi$ AvL. TNVER cR7I7F'. HR7'MS
Suilding Address 4375 'B?iI?TI' M LANG' t.ocaiiry L 10, B.3t_AII.LA+1d RI1)(E -31t?
'paza• A
Building OEficial% `
POST IN A CONSPICUQUS PLACE
Address 4375 BENr IREE LANE Zip 5512 3
LoV • lo Blk 3 Sub Augm xmcE 3xn
THESE IT'EMS WERE / WERE NOT COMPLETE AT THE ?WE O? THEfINAL INSPECTION.
Date: shlp 9 Yes No Inspector•
Final grade (6" from siding) ?
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas ?
Sod/Seeded grass
?
TraiUcurb damage
Porch
Basement finish
w
Deck
Please verify with the buitder the removal of roof test caps from the plumbing system and the shut-off of water suppty to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
L4 -79
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
wlq. 7?
New Construction Reauirements RemodellRenair Reauirements Of?e ?lse'?nl?
3 registered site surveys showing sq. ft. of fot, sq. ft. of house; and all roofed areas 2 copies of plan Cetfs??$0e??+c?
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions r,ed Pras Plan Red ?Y N,
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks
1 set of Energy Calculations Addition - indicate if on-site septic system O"t"4061Yst", ?Y
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Options selection sheet (bidgs with 3 or less units
? I 5 - ! 0 ?
D
t occ
a
e Construction Cost
Site Address 1D Unit/Ste #
Description of Work
Multi-Family Bldg _ Y ?? Fireplace(s) _ 0
Property Owner ' P 0?'Ji'?
d v elephone # 4)04 ?'Ifl ?
r'r
P -
Contractor G?
Address _b ??b? City ?????°? i"??'_ ?
C?
State Zi Telephone # qbp ?33?-??127
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categoml Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(q'submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? ^ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewec/Water Contractor
Telephone # (
Telephone # (
Telephone # ( )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans. 11
_:2CR I/Jll/ek-
Applicant's Printed Name A cant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation
0 02 SF Dwelling
? 03 01 of _ plex
? 04; Q2-plex
? 05 03-plex
? 06 04-plex
Work Types
? 31 New
? 32: Addition
? 33 Alteration
? 34 Replacement
? 07 05-plex ? 13 16-plex ? 20 Pool
? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo)
? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 12 12-plex Plbg_Y or _ N 0 25 Miscellaneous
Valuation
Census Code
SAC Units
# of Units
# of Bldgs
Type of Const
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water
_ Framing
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
0 33 Ext. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
O 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
*Demolition (Entire Bldg) - Give PCA handout to applicant
Occupancy MCES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Final
Width
REQUIRED INSPECTIONS
_ FinaUC.O.
_ Final/No C.O.
_ Plumbing
HVAC
i Other
_ Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
^ Windows
_ Retaining Wall
Fireplace , R.I. -Air Test _ Final
Insulation
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
4375 8 E N r i R r: E t.. A N E
LO`T"a 10 F"I C,ICKa 3
AUJ"t)MN RT:OG;E3RfJ
P?I.N< g :t 0....11:3 V) 2--• 100.-. G13
DESCRIPTION:
REMARKS:
PRv
FEE SUMMARY:
`.3 £: i>J PL BR _-
E3ase Fee
P:tan Revi.ew
S u rchar, q?.}
SAC:
,AC =<
SAC: lJ ni ts
Subtota:l.
VAUuA7-xcaN
$ 8 'a 3 < +4 0
$554 e 45
; 8 0 ., 5 0
;fiF?00> 00
:t oo
1
$ ,:7 2 8 7 ? 9 5
68
40
BuILDING ?
0228f-l0
02,1:1.4J94
??me ? 0 F
q ., m ma g a n
$161.,000
MJ:`;[.rEL, l_ANE(lUS
CCIF'Y
T.eital i ee
$;1,828 450
....?, ,., .. ,...._._. .?.??_??.
$4,116e95
vvl's I Ia?v?v??. ..?.Y ......,.,..,, ? .. ? e ?......, VYYIYGII.
ICRY'LEft Eil..O?•'.S 1.4501.65:3 0006781 g1CRYZER E31.OF2S
7310 t3URh1AN WVL. E 731.0 BCIi?MAIV A',1E
7iVVEf-t GRClt/E HTS MN 55076 :CPdVER GROVE f-il"5 hihJ 55076
450_165:3 (612)450--:1.663
SF t3 WG
NEw
R -. 3 M - a_
V-N
Fz - 1
?--Am? .O.L I llld.l
? )WPLICANT/PERMITEE SIGNATURE -' ISSUEDIBY: IGNAT RE
?.?;t5:`..,?eC.i.,?
... ...' .?,.p';•:-'
t3 .site ? Footing ffframing
#al]bo'trd k ? Final _ 0 Drainti,le.
E2 Insulat?tc?n ,
C1 f?r+?pl???
Permit fee weuNtlam ?11
?.??..?......?..
Snreharae P ? f . /;? .-
Building Permit Survey for:
KRYZER BUILDERS
/
Q)
h• ? ? ?? ? ??9? F
w ? Se
/
00
? o...
(,? .?a 9?`?• X ?9 :...... ....; :.10.00 ,?
.o :?• 5°? ???o `'? _.; '? . 'Fv
?
1x
?X;:. ry. ? ?... ..? a,
g?5• Sp
ia ? 7 x
. ?
170
L PROPO5ED
S ? ry? DRIVE
?
? \ \ ? ? QOJw
h.
h ss?X / CIY
°
w ., ???
?? o
/ S6 ? • $ o
44V
30
EA G A N 1151
O
R E V 1 fE'YY E ti ,o
f.•• ?ryfr.r
"y X
9x
?1 - D$
F-AGA..? F, NGLNEURT_ G DE . ?
' S
N ? iY ? ?? ii ? p :.? _. ., ?:,. ? . .... „ . ...i' 0
Scale: 1 inch = 30 feet
o Denotes Iron Monument Set
o Denotes Iron Monument Found
sso.lx Denotes Existing Elevation
so. x Denotes Proposed Elevation
Denotes Proposed Surface Drainage
? Denotes Hub
Garage Floor Elevation = 952.00
Top of Block Elevation = 953.00
Lowest Level Elevation = 944.33
Area = 12,000 square feet (0.276 acre)
/
LEGAL DESCRIPTION
Lot 10, Block 3, AUTUMN RIDGE THlRD
ADDITION, according to the recorded
plat thereof, Dakota County, Minnesota.
I hereby certify that this is a true ond correct
representation of a survey of the baundaries of
the land above described and of the location of
a proposed house.
Dated this 6th day of January, 1994.
REHDER AND ASSOCIATES, INC.
Aivin R. Rehder, Land Surveyor
Minnesota Registration No. 13295
Revised house location February 15, 1994
Rehder and Associates, lnc.
CML ENGINEERS AWD L.AND SURVEYORS
3440 iederal Drlve • Suite 240 • Eoyan. Wnnesota • Phone (612) 452-5051
JOB: 944-1 173.14
. LOT 6IIRPEY CHEClCLIBT F0IR jtEBZDENTIAL
SIIZLDIWG ERMZT 71P L1C71TION
?pERTY ZEGALt C?
?
Date of Survep: 4Z6
DOCtTMENT BTl1N'DARDB
0
M • Regfstered I,and Survaycr siqnature and company
?, []
a • 8uildinq Permit applicant
? • I?egal description
Y • address
MD • North arrow and bar sca2e
D' O 0 • Houre type (ramblar, walkout, split w/o, split sntry,
8""13 0 1 ookout, etc.)
• Directional drafneqe arrows vfth slope/qradient ?.
0 D D • Proposed/existinq sewer and water services
8?--n 0 • Street name
IY CJ 0 • Driveway
ELEVATIONS
• xxisting
sewer service
[?' 0 0 • Lot corners
D D D
D • Tcp of curb at the driveway
0 • Elevations of any existing adjacent homes
D ? 0
?
• PrQposed
Garage floor •
0 0 • Fizst flocr
0'"'?j7 0 • Lowest expoced e2evation (wa2kout/windcw)
Q
P Property corners
D
D • Fzont and rear of bome at the tounaation
N"REA
D 0'??D • Easement 2ine
D V • xwL D • HwL
0 P103 Ponc? t desfqnatian
D • Emergeney Overflow Elsvation
?D
0
• D2MEN6ION6
Lot lines - -
H'?0 0 • Riqht-of-way and street width (to back of curb)
la''? 0 • Propcsed home dimensions includinq any proposed •decks,
cverhnngs qreater than 21, porches, etc. (i.e. all
structures requfring permanent foctings)
? 0 0 • Show all easements of record and any City utilities within
D'?0 0 • those easements
Setbncks of proposed structure and setb ack of adjacent
existing homes
D? D • Retaininq wall reQuirements, if any
Reviewed:
Name / Date
OCtob et 1992 ,
' • ' CITY OF EAGAN
EXTERIOR EEVELOPE AVERAGE 'U' GOMPUTATION
OWNER:
SITE AnDF.E33: _ L".ilj i0 "??K-.3
CONTRACTOR: DATE: PHONE: Determiie working square footage of each:
1. Total exposed wal ,? area . . .? ?? I sq. ft. x .11 Oq
2. Total roof/ceiling area sq. ft. x.026
Total exposed Wa11 area above floor = J?cS 1
a. Total wall window area ...............
.............
- K 2
b. Total door area ...................................
c. Total sliding glass area ..........................
d.
Total
fireplace wall area .........................
?rft=
?
F
e. Total wall framing area (average 10%) ............. .
?
f. Total net wall area above floor ...................
g. Total rim joist area
Total exposed foundation area = /ol
h. Total foundation window area ....................... r4,2dL,?'
i. Total net foundation area above grade .............. lG'4
I?etermine ' U' value af each wall segment:
a . .? ? 1 x ' U' .,.? / _ 22v
b . x ' U'
I
I
C. X U
d x ' U'
e. 9S x ' U'
x ' U' l 1 ?1 ,
g • a.2? x IU I
h. x 'U'
i. % ? j?....?..._... X , U , ?Z T . ?..._,.
3 . ........... ..................... .....:',...... ...... Total = U2 ??'•/
If item #3 is the same as or less than item 4d1, you have met the intent of SBC
6006(c)2.
Total erpos-d roof/ceiling area = / „z<5,2,-
j. Total skylight area ............................... ?
k. Total rooflceiling framing area (average 10%) .....
1. Total net insulated roof/ceiling area ..............
OVER
Dt-terma ne "J" value for each roof/ceiling segment : '
J • ---- x fU r
k x
+ UI ?
'?J l
X , v t _?2..'? 5
4 . ................................... ......... ....a..... Total = 2
If total of 414 zs i;Me sat e as or less than #2, you have met the intent of SBC
6006(c)1.
Alterna':e Building Envelope Design
To utilize the total envelope system method, the values established by the slim
of Items #3 ar,d #4 shAli not be greater than the sum of It?;,is #1 and #2.
,l'7 '? . :...??. ?'I J O
2
3. u. _ ?7,>5'
- ?:
??:'K?lc=#?k??c??K:?k?'i?°"n?]k?k?.?kaK?k#'.?4°??lc?k:??ita??:??K?K????? d'•rF.
C1TY Clfi EACAN
CA::iH'1:C::i:°; 7._i"-, TEFti'4[ttAI... 1`dClc 998
IsA'I'Eu 12:f21./`•.?a3 :t:i. a iE:, ;j.6
M..
NAME;; KRYZE:'R EIt_l:I:!...7)t::1:6
;;r :!.tl .<.i?(:'i09. 4.375 Iif:::PTr "j"h'k::E 60 ,.00
2i. "r.`.'r 9001. 4375 I:04T TfiE`::
0.50
...
Total Ret:.ei ?# F,er,?:)l.?r?t ? ?.!.)
F ,? F:.i:1 a ..:,
GR1.21.5:1, 3
?.;SEF: :f. t:t u :1AN
2
1999 BUfLDING PERMIT AFPLICATtON (RLSlDENTL4L)
CITY oF EArAN
r„ 3830 PcLOT KNOIB ruD - 55122 :S(, p . 90
651-881-4675
sommmmk
D 3tsoktmed ab wr+?ays sMwArig sq. ft. M bt, sq. #. of hause 2copin of plaa
oW,d rooted areas M msximum lot wrerm auovgd) 1od of eow r.aicuadona #u
D 2copM of pba (sirow been 3 wlndarrsim; poxed tui•+tasign, dc.) 1 sb +umay for odKW addidonlidecks
D 1sd of epergy CakukW?ns
D 3 copbs of iree pnwvdion pan ff Nrt pWW afbw 7H193
#?A1TE: ?
6,? CON5TRi1CT10N COST: 1- .z?, ? ._._.?...._
oESCRIPTION OF wORK: _?l??l?? ,?`'I?? t
•,:j ??-
Z-14.
LOT: _ 10 SLOCK: 3 SiJB0.IP.1.D. #:
Name•_ Phone #: ?
PROFERTIf tad Fkst
OWNER Street Address:_ C-13 7 ? _AR ^' ???? ?-/?'f• ,
state:lokl• zip:
Company. 4h/214=i2 &/r,QcX? Phone #:
(va code)
COM'FdACTOR
?# Rxp.
cRY _?'?. ?/ zip: Q? ?
aRCHItEcr/
ENGINEER Company: Name:
Teisphone #: ( )
Stmet Address: iiogistratfon #.
City State• 7.ip: •
Swar & wdw kosW piumtw fty cpnatrugla+ onivl: Telephons #:
- Pauft appM whm addrm chmmge m+d id change fs nequaW am pemit is iasuod.
'. ibmby scknovAWp tlW 1 have read ft aMftduit, sqrte t!a# ft bfamation k wrect, wW qm to taomply wffh dqq. af Nhnnoa obaft OrA tl
' of Eapn tNdinanm. .
ftnature of Appkant
CfFFiCE USE ONLY
Certificates of Survey Received Yes
No
DEC ` 6 ?.`99-
-?f t,-D
Tree Presenration Pian Received Yes No No# Required
OFFtCE USE ONLY
BUtLDING PERMIT TYPE
17 01 Foundation ? 06 4-plex ? 11 10-piex 0 16 Fireplace O 21 Parch (3-sea.)
? 02 SF DwetGng ? 07 5-plex ? 12 12-piex 0 17 Garage ? 22 Pordi/Addn. (4-sm
O 03 9 af „_ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screeneecl)
? 04 2-plex ? 09 7-piex ? 14 Apartments X 19 Lower Level ? 24 Starm Damage
0 05 3-plex 0 10 8-p{ex 0 15 Lociging C! 20 Pooi 0 25 Miscellaneous
WORK TYPE
)<, 31 New C] 35 Tenant Impr 13 39 Gas Line Qnly 13 43 Siding/SofFits/Fascia
0 32 Addition 0 36 Move- Bldg. 13 40 Gas insert 13 44 Windows/Doars
? 33 Atteratian ? 37 Demolish Bidg." ? 41 Wood Stove 13 45 Fire Repair
O 34 Repair 0 38 Demolish (Interior) 0 42 Reroof
* Give PCA handout to applicant far demalition permit
GENERAL INFORMATION
Canst. (Actual)
(AIlawable)
UBC Occupancy
Zoning
# of Stories ?
Length '
Width ?
APPROYALS
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Planning Building 15-94
?
Census Cade
SAC Code
No. of Units
Na, of Bldgs
MC/ES System
Gity Water
B4QSter Pump
PRV
Fire Sprinklered
Engineering Variance
?
?' .
J
, l
Permit Fee
Surchar.ge
Plan Review
?icense
MC/ES SAC
Gity SAC
Water Conn.
Water Meter
Acct. Deposit
StVN Permit
SJW Surcharge
Treatment Pi.
Par1c Ded.
Traiis Ded.
Other
Copies
Total:
Valuation: $
9I 1 ??' -. oo? 1
?
SAC Units
% SAC
PLEASE COMPLETE FOR SINGLE FAMILY DWEIJrINGS. ALS4, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED F4R EACH UN1T.
,r,ZNEW CONSTRtTCTION
ADD-6N AJC
ADD-ON FURNACE
FIREPLACE INSERT
DATE
HVAC: 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OUTLETS (Mnvuvtvlu t @ $3.00 EAcx)
ADD-ON/REMODEL (ExisTIlVG coNSTRUCTioN)
STA'TE SURC]HARGE
TOTAL
SIT'E ADDRFSS:?
OWNER NAME:
INSTALLER:
?
FEES
$ 24.00
6.00
$ 20.00
.SO
, Sb
TELEPHONE #• ?n-' ,'??2
ADDRESS:
CITY• STATE• ZIP CODE. f_ 5o1Q?
TEIEPHONE #: °`?.23'°57,57
1994 MECHANICAL PERMIT (RESIDErfTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
1994 MECHANICAL PERMIT (CQMMERCIAL)
CITY OF EAGAN
3834 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCLAL?INDUSTRIAL BUII.DINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS QR OTHER MULTI-FAMII.Y BUILDINGS WHEN SEPARATE
PERMTTS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
li,Ki-E: C.?NffiKAt,``i' PitICE: $ NEW BUII,DING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1 °lo OF FEE $
PROCFSSED PIPING: $25.00
MINIMLTM FEE: $23.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF FEE.
8x}x..k.Yv:::.•: }?}:a
TOTAL $
SITE A:DDRESS
QWNER NAME: TEI,EPHONE #:
TENANT NAME: (nMPROVEMEryTS oN,Y)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE #:
SIGNATURE 4F PERMITTEE CITY INSPEGTOR
? L /0 _ B? ?
???
I SUBD
? NEW RECEIPT # RECEIPT DATE 3,o?-
m
JOB
OW NER
Y
-
,TE
D
PLF1?SE BE ADVISED THAT THERE IS A FEE SHORTACE ON THE ABOVE
ELECTRICAL INSTALLATI4N IN THE AKOUNT OF $ 4?4-1 a
SHORTAGE FSL6T BE PAID WHTTHZN 14 nAYS.
REMU?RK5
??- 4J
?.7 0 to 30 amv. circuits= ? V?
,
1 31 to 100 amp. circuits= CO
0 to 100 amp service=
? 101 to 200 amp, service=
C
_ TOTAL FEE DUE=
,
LESS FEE RECIEVED )Vy?
TOTAL FF.E SHORTAGE DUE
PEF2MII# IvifGAy
ORIG. RECEIPT#, rA; I p
RECEIPT DATE
RETURN A COPY OF THIS FQBM WITH ItEMITTANCE.
? CLAIM VOUCHER - REFUND REQUEST
CITY OF EAGAN
MAKE CHECK PAYABLE TO: Allied Fireside
ADDRESS: 2700 N. Fairview Avenue
Roseville, MN 55113
LOCATION: 4375 Bent Tree Lane P.I.D./LEGAL: Lt 14 91 3.t,A.utumw Ridge 3rd
RECEIPT #/DATE: 123111/2-7-00 VALUATION: REASON FOR REFUND: Duplicate permit PERMIT #: 39549
TYPE OF REFUND:
Electrical Pernut
Plumbing Pernut
Mechanical Permit
Building Permit Fee
Plan Review Fee
SAC (MC/WS)
SAC (City)
SAC (Admin)
3211-9001
3212-9001
3213-9001
3210-9001
3422-9001
2275-9220
3866-9379
3446-9001
3865-9220
$
Water Connection
Sewer Pernut
Water Permit
Account Deposit
3743-9220
3713-9220
2252-9220
$
$
$ 60.00
$
$
$
$
$
$
$
$
Water Mefer 37 f 6-9220 $
Water Treatment 3868-9220 ' $
Surcharge 2155-9001 $ •50
Utility Acct Overpayment 2250-9220 $
Curb Box Deposit Refund 2253-9220 $
Construction Meter Dep Refund 2254-9220 $
Water Usage Charge 3711-9220 $
Other $
TOTAL $ 60.50
1 declare under the penalties of law that this account, claim, or demand is just and tha t no part of it has been paid.
February 7, 2000
L
SIGNATURE DATE
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'9 FIREPLACE PERMtT APPLtCATION
CITY OF EAGAN
3830 PILOT KIVOB RQAD - 55122
651 681-4675
Date:'?- 3 - CZo
Description af Work: r Construct new fireplace _Gas _Masonry
? Install gas inseM ondy Other
Job address:
Lot: ? C?
Lo? h-?
Block: Subdivision/P.I.D. #:
Applicant (circle one only):
PROPERTY
OWNER
FIREPLACE
INSTALLER
GAS LINE
INSTAI,LER
UJ t
Owner o ctor
Street Address:
Gity
Company:
Street Address:
City
Company:
Street Address:
City State: Zip:
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
?
Yphone - n
?
17
State: Zip:
MN
661
Fee: $60.50
Phone #:
(azea code)
SEate: Zip:
Phone #:
(area code)
? Go. 5 b
tdM to existing
gas line ontu
FEB _ 7
OFFICE USE ONLY
BUILDING PERMIT TXPE
? 16 Fireplace
WORK TYPE
0 31 New ? 33 Alterations
0 32 Addition ? 34 Repair
GENERAL INFORMATION
Census Code 434
SAC Code 01
REMARKS
? 39 Gas Line ? 41 Wood Stove
? 40 Gas Insert
Chimney/flue must be inspected before concealing.
ONM^m
J
f ^-F? .. ., . ' . ..
L ?? gL CITY USE ONLY
?
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sugD. t??si.?.,v vA vt
RECEIPT #; I p -d -9) 0
RECEIPT DATE: `CQ
PERMI7# -?)? ?C, `(
2000 PLUMING PERMIT (RESIDENTIAL)
CITX OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
651-681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTl1RES
EACH #
TOTAL
Alterations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas piping outlet * minimum -1 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink SAJ 3.00 x = $
Laundry tray 3.00 x = $
Lavatory 3.00 x = $ 3 . ? ?
Septic System new/refurbished * requires MPC lic. 75.00 X = $
Septic System abandonment 30.00 x = $
RPZ new installation/repair/rebuild 30.00 X = $
Rough opening 1.50 x = $
Shower 3.00 x = $
Underground sprinkler if dweNing is under construction 3.00 x = $
Underground sprinkler if existing dwelling 30.00 x = $
Water closet - 3.00 x $ `z,, o ?
Water heater 3.00 x = $
Water softener if dwelling under construction 5.00 x = $
Water softener if existing dwelling 30.00 x = $
Water turnaround 30.00 x $
State Surcharge .50 -> ----> ---> $ .50
Total _> $ 3 n,
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
---------------------------------------------
I hereby acknowledge that I have read this application, state that the information is correct, and agree to compljr with all applicable City of Eagan ordinances.
!t is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement.
SITE ADDRESS: 113 7 S bey?,l"'r
OWNER NAME: : \'&?Yti (Y ?)j', uc;c TELEPHONE #:
(AREA CODE)
INSTALLER NAME: LA(,"'.2eTJC c PG. vA(3 ),fG- TELEPHONE #: (o S- r- q s' ?
STREET ADDRESS: W.Z-G L^012o 4-v,j So (AREA CODE)
CITY: STATE: /L1 ?? ZIP:
t,
SIGNATUR OF PERMITTEE
1994 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMFrS AND
CONDOS WHEN PERMITS ARE REQUIRED FQR EACH UNIT.
----------------------- - - - -------
NO. FIXTiTRES
SHOWER
-3 WATER CLOSET
BATH TUB
LAVATORY
KITCHEN SINK
LAUNDRY TRAY
HOT TUB/SPA
_.? WATER HEATER
FLOOR DRAIN
GAS PIPING OUTLET • m?mum - i
ROUGH OPENINGS
WATER SOFTENER
PRNATE DISP. • vai.cry. iic.
U.G. SPRTKKLER • home unaer consc.
ALTERATIONS • to ?c;ng
WATER TURN AROUND
STATE SURCHARGE
TOTAL:
E&CH TOTAL
3.00 , Cf ?
, u o
3.00 ?
3.00 ,
3.00
,
3.00
3.00
3.00
3.00
3.00 3
3.00 3
1.50
5.00
20.00
3.00
20.00
20.00
.50
???
! ) t' ?J i
SITE ADDRESS: _ ?13? 7-? /??? ? %•^? ?
OWNER
INST
'J O-A kK-
.-x, c
CTTY: U? ? STATE: ZIP CODE: 537 Z,?L'
PHONE #:
` _?..........
SIG E OF PERMITTEE
i
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1994 PLUMBING PERMTT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6$14675
PLEASE COMPLETE FOR ALL COMMERCIALJINDUSTRIAL BUII.DINGS. ALSO FOR MULTY-
FAMILY BUILDINGS WHEN SEPARATE PERMTTS ARE NOT REQUIlZED FOR EACH
DWELLING UNTT.
NEW CONSTRUCTION
ADD ON
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE: $
FEE: 1°6 OF CONTRACT FEE.
STATE SURCHARGE: $.50 FOR EACH $1,000 OF ???i?? FEE.
NIINIMUM FEE: $ 25.00
CONTRACT PRICE X 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
$
$
$
TENANT NAME: ST'E. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE #:
STA1'E: ZIP CODE:
FOR:
CITY OF EAGAN APPLICANT
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118498
Date Issued:11/01/2013
Permit Category:ePermit
Site Address: 4375 Bent Tree Lane
Lot:10 Block: 3 Addition: Autumn Ridge 3rd
PID:10-12302-03-100
Use:
Description:
Sub Type:Reroof & Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
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.
Fee Summary:BL - Base Fee $12K $221.25 0801.4085
Surcharge - Based on Valuation $12K $6.00 9001.2195
$227.25 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 -
Roger A Norris
4375 Bent Tree Lane
Eagan MN 55123
Minnesota Exteriors
8600 Jefferson Hwy
Osseo MN 55369
(763) 391-5514
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA147313
Date Issued:12/27/2017
Permit Category:ePermit
Site Address: 4375 Bent Tree Lane
Lot:10 Block: 3 Addition: Autumn Ridge 3rd
PID:10-12302-03-100
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Paul E Lann
4375 Bent Tree Lane
Eagan MN 55123
Robert Boldt Hvac
4310 Trenton Tr
Eagan MN 55123
(651) 454-7760
Applicant/Permitee: Signature Issued By: Signature