619 Autumn Oaks CtkEl?,?IIVATE FOR DECK 9/20/$8 CITY OF EAGAN
PLAN REVIEWED 3830 Pitot Knob Road, P.O. Box 21-199 Es an MN 55121
45?80b9%331-4880 PHONE: 454-8100 ? g ?
BUILDING PERMIT Receipt ?
To be used for Est Value Date ` ,19
Site Address OFFICE USE ONLY
LOt Block SeC/Sub. ' On Site 5ewage _ Occupancy
MWCC System _ Zoning ?
Parcel No. on Site Well _ Type ot Const
City Water _ (Actual)
a Name ' (Allawable)
m ik of Stories
z Address Length •
City Phone Oeptn
S.F. Total
p Name Footprint S.F.
?< Address APPROVALS FEES
? City Phone Assessments _ Permit ¢ Water/Sewer Su?charfle
? W Neme Police _ Plan Review
Address Fire = SAC,City T
?z
Engr. SAC, MWCC
? W City Phone Planner _ WaterConn.
Council _ Water Meter
I hereby acknowledge that I have read this application and state Bidg. Off. _ Road Unit
that the information is correct and agree to comply with all applicable APC - Treetment P1
State of Mfnneaota Statutes and City of Eagan Ordinances. Variance _ Perks
Copies
Signature of Permittee TOTAL ?.
A Building Permit is issued to: on the express cond{tlon that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinancea
Buiiding Official
' Permit No. Permit Holder Date Telephone
Plumbing
H.v.aa
Electric
.
Softener
Inepectlon Date Insp. Commenb
Footings I
Footings II
27 _
Foundation
Framing Q G?is6?.- NS _
Roofing
Rough Plbg.
J o ? d?-, ?• 'li ,
Rough Htg. 7 ?
Isul.
Fireptace
Final Hty. C ?
Final Plbg.
Bldg. Final
CiBrt OCC.
Temp. LP o Q?,4 4 n
Deck Ftg. ?. ?
oec
Well
Pr. Disp.
Cities
iizital
itv Control
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, . PERMIT #
MECHANI CAL PERMIT RECEIPT #
CITY O F EAGAN
3830 PILOT KNOB RO AD, EAGAN, MN 55122 DATE: z?-?'?;?'
:ONTRACT PRICE: PHONE : 454-8100
lite Addreiss BIDG. TYPE WORK DESCRIPTION
.ot 'Block Sec/Sub Res. -r? New ?
`
Mult. Add-on
Name
? Comm. Repair
? Address
Other
c City Ph one
c Address -
p Ciry
TYPE OF WORK
w
FEES i
RES. HVAC 0-100 M BTU -$24.00
I
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEkilAlT) - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
MINIMUM RE5IDENTIAL FEE - ALL ADO-ON & !
REMODELS - 12.00 ?
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES I
BEYOND $1,000) ?
Forced Air ? M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. --? ?-? M BTU
Vent CFM
Gas Piping Outlets # -?
Other
FEE:
S/C:
TOTAL•
. , ?.
Ter#tf ira#t nf ((Orrupanry
Citp of (eagan
arpwtmmt of lldlding 3wrrtinn
This Certificate irsKed pursuant 1o the requirements of Section 306 of the Uniform Buifding
Code certifyiRg that at !he time ojissuance this structure was in compliance with the various
ordinances of the City regulaling building construction or use. For the following.•
use aasi5ation t : ! :+v r ! GAR rnmit ?Vo.
MB
?
O-UWXT Tw r t:}3AR E5 ??g DuW 4 ! c,-a CQt-, !T?(tY.. ?. t?., ..ri.?,..
owoer or euibiug . . ?' ? . _ qddr?
&Wmng neetm LomfiL 3 , $ 3 ,
?
Dateo,'ryd._V n :
? OfficW
POST IN A CONSPICUOUS PLACE
PERMIT #
CITY
3830 PILOT KN08 I
CONTRACT PRICE:
Site Address " ; i ' ,+ K
Lot Block _; Sec/Sub
m Name i- i? ?!LZ
? Address
a,
c City
? Name !&_
; Address
p City Phone
COMM/INO FEE - 1°rb OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.U0
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
OF
FOFC CITY OF EAGAN
EAGAN, MN 55122 DATE: -i - S
`BLDG. TY?E WORK OESCRIPTION
Res. New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOL40WING:
?O. FIXTURES TOTAL
Water Closet - $3.00
2? Bath Tubs - $3.00
11_Lavatory - $3.00
_LShower - $3.00
I Ki±chen Sink - $3.00
Urinal/Bidet - S3.00
I_Laundry Tray - $3.00 _7- Floor Drains - $1.50
I_Water Heater - $1.50
Whfrlpool - $3.00
- Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - S10.00
Private Disp. - 510.00
?Rough Openings - $1.50
FEE:
STATE S/C:
GRAND TOTAL
--- _. .,?...-?------,.
BLDG. ....a?,.-,... .?.-...r.,-......._. ? .._. _
PERMIT N0. , .
i . j 1
_' "_ ?._- ', , .._ . . _ _. .
._ . . . . . . '
.
01-3210 Bldg. Permit
q1-3422 Plan Check - -
07-3445 Surch./Adm. - !
0'1-3446 SAC/Adm. --- -', ?
01-2155 Surcharge
17-3860 Road Unit '
20-2275 SAC
20-3865 Water Conn. -=' ?-? ?-- ?-
20-3858 Water Trmt. -''-? '`-
20-3716 Water Meter ?•"
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 5ewer Permit
79-3866 Sewer Conn.
H-3855
Park Ded. ?
TOTAL ;)' ? 1 f I '1'0
crnr oF EaGAN
3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT
To be usedfar ?I'a ??•'C;/(;Ai? Est. Value 'ifJa+a00
Site Address t19 AL'1
Lot 13 Block ?
Parcel No. .
OAK$ CT
CUUt!TRY NOLLOW
s Name 5x C1'U?StLXS FiU'MrS
Z Address .4194 COi.''Ni''YSII)L ii.+2
° CitY E'ACAN Phone `+5rf-TrJ25
¢ Name S •'?t'??
o
? 4 Address
1,- City Phone
u¢
W W W
Name "
_za Address
uZ
t W City Phone
'
I hereby acknowledge that I have read this application and state
&hetthe infarmation iscorcect and agree tocomplywith all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
9ignature of Permittee
A Building Permit is issued to:
all work sfhall be dane in accordance
Building Official
Receipt
Date
.!!lt:L AkY 29
???7 t-
19 dt;
OFFICE USE ONLY
On Site Sewage Occupancy R3
MWCC System ^ Zoning R 1
On Site Well Type of Const yfi
City Water
P. ?; . b'. ?t (Actuary
,. (Allowable) vn-
* of Stories
Length
Depth (??
S.F. Total
'
Foatprint S.F.
APPROVALS FEES
rl/?
y f5 r?'?t? ? 1J W '
Assessments Permit
Water/5ewer Surcharge
Police _ Plan Review TqC' - 00
Fire SAC,City I?-1L=.C7U
Engr. _ SAC. MWCC 556-Cp[1
Planner _ Water Cann. CtiD
Council _ Water Meter ?a? _ C1L1
Bldg.Off. ? Road Unit 325.'sJU
APC _ TreatmentPl 14:,4, .1?0
Variance _ Parks
Copies
TOTAL ?? •? • • 0(-`
on the express condition that
Minnesota Statutes and City of Eagan Ordinances.
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
1 • 111111iMN UAk
i) tiMJ 1 i: " laiil 1 Ilt,1
? PERMIT SUBTYPE:
tiiiifii I ra
N RECORv
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
h t kl '. 1111: Cf,11iNEH 1 NI
(, ? •1 ?, ? I(?i.'
TYPE OF WORK:
rd ? u
i,? •:.? ;, i? i i??r,? t?,??.>
r I ra A?
c1, • n ?F i ?
c+Ft/'t t 14
I r-
Permit No. Permft Holder Date Telephone #
SNV
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspectian Dete Insp_ Commerrts
Footings I
Foundation
Framing
Rooflng
Rough Plbg.
Rough Htg. I
Isul.
F?repieos
Final Htg. j? -6 -9w
r ?
Orsat Test
Fin81 Plbg. Pibg. Inspector- Notity Plumber
Const. Meter
EngrJPlan
Bldg. Finai
Deck Ftg.
DeCk Final
Well
Pr. Disp.
?-- I
CITY OF EAGAN Permit No: Date: `
3830 Pilot Knob Road Meter IVo: 1 9!2 74 0°Z Size: s?g ?O
P.O. Box 21199 Reader No: 0 Date:
Eagan, MN 55121
Owner. -A=. ^t;arJ.t::s ?'_omes
SiteAddress:r19 kutuuui C)a',cs Court L13 f>' ('.013a1-15' t?oll.c;•'_- I
n?..,,?.,... ^nta t c C .?.• ?id1?t??? ?
Conn. Chg: 5s0. 00p(V71 r??..---
Acci. Dep:
,?
Z kW?in
9
Permit Fee: _
L?
Surcharge:
Tr. Plant
Meter.
Misc.:
WATER ;
Rl
with the Clty ot Eagan
Conn. Chg: ?'Llpd Zoning: ',l
Acct. Dep: . "' ' rNo. of Units: -
Permit Fee: '
Surcharge: 1 agree to comply with the City of Eagan
Tr. Plant Ordinances.
Meter.
WATER SERVICE PERMIT
CITY OF EAGAN
3830 Pibt Knob Rosd
P.O. Bdx 21199a
Eaga% IAN 55121
.
Owner.
Site Address:
Permit Na
B/P No:
I'_ Omf'_!3
kn?c;s Court
Date:
Date: -
c;ountrq
MWCC: ;50.o')pr Zoning• `.r
City Chg: 1``.•, ,' . No. of Units:
?. . , ?, •,._'
Acct. Dep: I agree to comply with the CHy oi Eagan
Permit Fee: . Ordinances.
Surcharge
SEWER SERVICE PERMIT
Owner. ";or.:es
SiteAddreSS.';3.2 1°'JttumA'C?2''cs GourL LI?
Plumber. ?'eLe f g '? F. ?''I'>;tu?ahOlz
Thrz request void
18 rtqn[hs from D ;6831t?_? 116C7
Hepuest Oale
2 ? ('?„Z??'
? ? Frte No. Rouph-.n sp clinn
fleq iretl>
?Ves N
eTAyNowOWiilNnufylnspec-
lor Wh
n R
o e
eatly
uecincai i.oniractor I hareby reQUast msoeetion of ebove
? Ownr.r elecfricel work mstalled at
Sveet Atldress, Bo or Fy/ule Nu. )?
K T r? U • d Y 1
C?. T City ?
t?j . ?T
ecuon o. Township Name or No. qany. No. Covmy
o
Occcupa? t (PpINT)
J,?'. ^ P3 /'?[ S Phune No,/?
7?7 J
P? Su I er
?e Atltlress
c( r ? 1
? ?! / ?r7ll?
Elal Con[ ar.[or ( omy?ny Namel Con rnr.lor's L
m
mso No.
? ,-
?r ? ,?? '
°?
Q /
.? ?
MailmB ,
tlJress (Convact"O or Dw er Ma mp Instalabon
Nq l)
?
?
- / ? ?/
?
? d ? Q ? S, ?/
Aut on ?gnatore ICOnha lo
r Mabng Installation) Phone N nb¢r
U
/Y
MINNESQTq STq'FEAOAflD OF EIECTNIGTY /, TMIS INSPECTIDN REQUEST WILL NOT
Griqps-M-dwey Bl&g, - qoom N•191 v BE ACGEPTED BY THE STATE BOARD
1821 Universitv Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 842-0800 ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION 00% ee-ooooi-oe
1 Sae instructions br comoletina this lorm on beck oi yellow ropv.
IuJ 76831 "X" 8elow Work Covered by 7his Request .
Add Neo. Tvde of Bwleine APPboncea riirad Eqmpment Wved
Home Range Temporary Service
Duple.x Water Heater Lighbn, Fixtures
Apt. 8wldmg Dryer Elec[nc He2Ln
Commercial Bldy. Furnace Silo Unloader
InAustrial BIAg. Au Conditioner Bulk Milk Tank
Farm O[ne, pau y ohpr (SVe?afvl
t er ucr.i y ther Oth?er
fPP HE/OW
p Fee ServicaEntranceSiza k Fee Fanders/5ubfeatlels 1? Fee. Cvcwts
Uto200qms 0 to30qms Otn30Ams
Above 200 qm)s 31 to 100 Ainps 31 to 100 Am s
Swimmin Pool Above 100-Am s Above 100_Am s
Transiormers Irngation Boort?s Partia6'Other Fe
Signs Speciallnspection $
TOTAL E
Ae?+arks
C .
o'SO
1'f
./ 3 v?Rr r
HouBh-m . Date I. Ihe E
? ??soa?1o., na.eev
certify thet the abova
Final msoec[ion hes been
moae.
Thie reauest voia 18 manina irom
Thfs requesl volA
18M mhs Irom
0 76834i;q
3 --ZG -`w- io?"
censed Electncal Contractor
Owner
ire
o;
- I?fleatlv Now Q Will NntHY InsPec-
No tor When qeatly
I hereby reauast msoacbon ot ebova
oia
Stree[ Address, Boz or Route Na.
? ._ '_"" . ....... ..??.o ??e.. a.
Ciry
em
oel o C/
. awnshio Nime or No. Ran9e o. Counry
O C ?
ccuuant (PqINT)
c
i v
" Phon/?e N(o.
L
C
s 0 ?T7
P
(C \ L?f ? ( {? / ?
r 7/ ? ?
ow SuP01i¢r
? AAdr ss
EG
El
?al Contractor IComp.ny Name.) ,570 ,? "„ c sU
CoMrar.YOr's Licenye No.
f
c G
•?'
Mading AdJress (Contract r or Owner Making Instail ? on)
7 T 11L I
V L
i
3
A
h N r "? 55
9
ut
on ignature ICmhactor/Owner a
9 king Installationi
" phoii
umber
M??uueenr. .. ? ? ? /
tlgu.uwNoom -nu UINELECTNICITY
Gripga•MiOwa I-1 ,_/
1821 91
University qve.. St. Peul, MN 66104
Phone (612) 642-0800
I HIS INSPECTION qEQUEST WIIL NOT
BE ACCEPTED BV THE STqTE BOARD
UNLESS PROPER INSPECTION FEE IS
ENClOSED.
I
REQUEST FOR ELECTRICAL INSPECTlON epa-ooooi-os
, See ina<wciions lor com0letnig this Imm on beck of Vel low eopV. 0 p??
r 7j 8 3 4 .""X"' Below Work Covered by IhIs Request
n
?Fdd' Reo.l Type ol 9u0tlmg ' Apolioncna Wved ' Eqmpment Wired ?
fKl?-fome r Ranqe TTemnorarv Service
Water
I I I I Industrial Bida. I I Air Contlitioner I I tlltlk Mllk lank J
p Fee ServicaEntranceSii Fexders/Subfenders b Fee Crtcurts
U to 200 Am s 0 ro 30 Am s 0 to 30 Am s
Above 200 qm n 31 to 700 AmpS 31 ta 700 A s
Swimmmg Pool Above 100_Amps Above 100_AmVS
Transiormers 820rtis
lrrigatio2 , S Pnrtial-'Other Fee
Signs SVeciallnspection S5
errarks ,s? T /A ??
I noogn-in I, sthe Elecfimal
<
j ? ?pec?oq he?eby
-arbly thex lhe nhove
rmal ^ ?111E°?? mspecUOn has bean
rnm rayuas+.oia
& 5 33 L-
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 I
Please complete for. single family dwellings & townhomes/condos when permits aze required for each unit
30° EV
Date OW_
Site Address l e tok 7,
?n i'? 1 1 A- 1L5
UYIrJ ? Unit #
Property Owner ttV.C. 0??rzx 16 OIIJ Telephone #(??ea1. ) Q(? •"?J? 3?
Contractar A-?? we vi.4{L,?S ' p..?
StreetAddress (4 11? ?-Y, W 41co 1 City /^'In(JU? Lb_u&
State Zip Telephone # L43 )- S9 3 ?
Bond #: \ ?Va 3 ?Q?Q Expires: %?S
The Applicant is _ Owner _Contractor _ Other
Add-on or alteration to eaisGng dwelling unit I, $ 30.00
furnace
-
_Additional _Replacement
li
_ ai?xchanger II
??airconditioner
- _New _Replacement
other
-
i?
54
State Surcharge
L 1 2 2?04
Tatat
ey
11
I hereby apply for a Residenrial Mechanical Pemut and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechamcal Codes; that I understand this is not a
permit, but only an applicarion for a permit, and work is not to start without a perntit; that the?w' rk will be in accordance with the
approved in the case of w wluch requires a review and approval of plans. /
??? ' -
Applicant's Printed Name A t's Signature
.
II
RESIDENTIAL
BUILDfNG PERMIT APPLICATION
v cinr oF Eacaw
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New ConsWCtlon ReauhameMe
• 3 registeretl sfte surveys showing sq. ft. oi bi, sq. f4 of house; antl oU roofed areas
(20% msxYnum bt coverage allawed)
. 2coples ot plan shawNg heam & window sizes; poured found dasign, etc.)
• iselotEnergyCaiculatbns
• 3 copies of Trae Preservation Plen rf bt platted atter 711/93
. Pim JOiSt De19i1 Options 89IeCtion sheBt (bWgs w%h 3 or IeSS uni1S)
DATE
SITE ADDRESS
TYPE Of WOR
APPLICANT_
-&DZ
?
STREETADDRESS 1'7lOV WuS?(,?r?"JOn
TEI,EPHONE # ?SZ ???ZPL3v CELL PNONE #
? S cirv ?MULTI-FAMILY BLAG _ Y -V N
_ FIREPLACE(S) _ 0 _ 1 _ 2
FAX #
5 :53Yq
PROPERTY OWNER m! ciu 2 L er6op TELEPHONE # ?O5 I-Y`r2"eo6 F
---------------------------------------------------- ---------------- ---------------- m -------------
COMPLETE THIS SECTION FOR NEW RESIDENTIAL BUILDINGS ONLY
Energy Coda Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submittad 'I
Plumbing Con}racfor:
Plumbing system includes:
Mechanical Conhacfor. _
Mechanical system includes:
Sewer/Water Contmcror:
_ Air Conditioning
_ Heat Recovery System
Phone #
Phone # '
--°--------------------------°--°------._.....-------°--°-----°-----°-°---°-----
I hereby acknowledge That I have read this application, state ihat The information is
with all applicable State of Minnesota Statutes and City of Eagan _O?ances. _r-
Signalure of
OFFICE USE ONLY
_ Water Softener
_ Water Heater
_ No. of Baths
Phone #
Lawn Sprinkler ?
No. of R.I. Baths
BemodeVFleoefr RenuiremeMs
. 2oopiesWplan • lsetofEnergyCalculationstarheatetledd0bns
. isAesunreybrexlertnradditions8decks
• Indicate 8 Frome served by septic system for atltlArons
VALUATION Fee: $90.00
Fee: $70.00
?
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
, Updated 4/02
CITY OF EAGAN
3830 Ailot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
3 ??
BUT,LD?N16?7
024471
08/31/94
SITE ADDRESS:
619 AUTUMN OAKS C7
LOT: 13 BLOCK: 3
COUNTRY WQLLQW
P.I.N.: 10-18275-130-03
DESCRIPTION:
i' .. .
B,uiilding
Building
t
(sAs)
ermit 7ype FIREPLACE
?rJ<, l'ype NEW
01 7L
('4 i?`?
REMARKS:
FEE SUMMARY:
Base Fee $25.00
Surcharge $.50
Total Fee $25.50
CONTRACTOR: -
FIRESIDE CORNER INC
2700 N FATRVTEW
ROSEVTLLE MN
(612) 633^1042
Appl3cant - ST. LIC
16331042 0001068
55113
OWNER:
PROPP MIKE
619 AUTUMN OAKS CT
ERGAN MN
(612)452?8069
I heweby acknawledge that Z have Nead t;his
infbtmatiern is oorrsct and agree to caMpJy
Statutes arrd C ty of Eagan Ordi.nances,
L
APPLICANT/PERMITEE SIGNATURE
appl,zcatian; an,d state tMat the
with a1l a{aaplicablo Stete Pf P4n.
Aaca& R" I
ISSUED B SIG ATURE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITEADDRESS: L oT: is BLOCKc 3 APPLICANT:
619 AUTUMN OAKS CT FIRESIDE CORNER INC
COUNTRY HOLLOW (612) 633-1042
PERMIT SUBTYPE:
FIREPLACE
TYPE OF WORK:
NEW
DESCRIPTION (GAS)
BUILDING
024471
08J31/94
INSPECTION .. . ..
ROUGH-IN FINAL
?
? r
-1
-1
CITY OF EAGAN p
1. 1994 BUILDING PERMIT APPLICATION
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surv?ys, 1 copy of energy
calcs. 11
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.,
Penalty applies: 1) when permit is typed, but not picked up by las?t working day of month
in which request is made, 2) address is changed ar 3) lot change is requested once permit
is issued. •
Date & / 3 / / "? 4 Val uation of work z-?'O
Site Address: ?l ?/V U'z u w! rt) ?A fC s C'7"
STREET 6UITE #
Tenant Name: (commercial only)
LOT ? BLOCK yA
I
SUBD.
P.I.D. # I
Descri tion of work: ?- - ? /QOpp
The applicant is: ? Owner gl:Contractor ? Other (Describe)
Name-.%W ('r'12t3 V? ?F' IM?ICL- i' Phone
Property LA5T F,aST ,
Owner qddress _?o/ 9-? U 7v vf? .c1 E7xGCS Gr?
STREET STE p
City GF A gi? ? State /vo Z i p
11 Company L?,?- Phone "_3 Zb 6(
Contractor Address 2Z00 ?? ?;ZVlG-?JAd(.icense # I ;0'xA Exp.
City 4-1 A4 State Zip
r
Company Phorre
Architect/ i
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 a plication and state that the information is
correct and agree to comply with 11 appli ble State of M'nnesota $tatutes and City of
Eagan Ordinances.
Signature of Applicant.
?
. . ,
^ 7988 BUILDING PE,(,4IT1,?PPrL1ICAT,ON - CITY OF;EAGAN
jYo?t? IS ?r5-5 Y/fd,.)
?
SINGLE FAMILY DWELLINGS N7r P r " A4 ?T f-?' 7:7
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
11
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEQWNER MQST DESIGN6TE 4IHICH ADDRESS
IS DESIRED. NO CHANGES WZLL SE ALLOWED ONCE HIIILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS NENTAL ONITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SUBVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COhMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,'
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: D?'-- 'L Valuation:
Site Address 6'19 rE(X7urt1.J oAKs
Lot 13 Block 3
PareellSub eo?,..r? R'Y yo[..LOCJJ
Owner M t t« /isr'?
Address 6/c? 14 07 v^n) 6AKS c
City/Zip Code
Phone
33 - Y Sa w
Contractor 13y owAJE72
Address
City/Zip Code
Phone
Arch./Engr. N°' t..) C"?'yT':f'.v,J v,•j'
Address
City/Zip Code _
Phone I!
On site sewage,
MWCC system ,
On site well _
City water _
PRV required ,
Hooster Pump _
APPROVALS
nate: 9? ??71 ZS
11
Oecupancy
Zoning
Aetual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Engr/Assess
Planner
Council
Bldg. Off.z? q 4b
Variance
f?
Permit llc-
Sureharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL
CERTr"r ICA7'E OF SURVEY
FOR KURTH SU RVEYING INC.
INEflEBY CLpTIfT THA7 TMIS iUqyEY. PLAN. OR p(PORT WAS /qEPAPEO 4002 JEfFER SON STREET N.E.
!Y Yf GA UMOEq 4T DIRECT SUPEFVISIDX A1 TNA 1 AM A DULY COLUM8IA HE IGHTS MINNFSOTA $5421
XE615TEPE0 LAND Su 0 UN EN TN SO TNE STATE OF YINME90TA. 612-108-9769
UGJ
A
' o
re
scALe i"• Q
MINNESOTA REGI9 ON No
PROPOSED
iGt13 • _
.
.
GRADES ' O'IRONMONUMEMT
, sEARlM6t ARE ON AN
AfsUMED DATUM
?
GARAGE SLAB • ? 0 ' 60 0 SPIKF SET
TOP OF BIOCK• I-)' lPOT ELEVATION
BASEMENT FLOOR• CJ?? ( )' PROPOiEp ELEV.
--!¦ DkAIMA6Y ARROW
8-)° '-7 ?i ? O 1_._
v o -- ?-co--
r?--=-------- -
?I
JI .
,
9I
?I
2 r??
S ?f\
?° SF vT-
3
Q?x
2-1
?
0,
0
?
_--?
- - !U
lw? d
?
?
?
0
La9_?; c
,
o- L
J5
\ J
xq e
aw.?,Iv
5 -13
-0
Q?
.
' I
i a hL
?
J
P ? C ?n'R•,
,
CITY OF EAGAN
I N? 14 5 7 8
3830 Pilot Knob Road, P.O. Box 21 -199, Eagan, MN 55121
PHONE: 454-8 100 Q O? I ?
BUILDING PERMIT Receipt# ??
Tobeusedfor SF DWG/GAR Est.Value $102,00 0 Date JANtiARY 29 ?g 88
Site Address 619 AGTGMN OAKS CT OFFICE l1SE ONLY
Lot 13 Block 3 Sec/Sub. COliNTRY HOLLOW te
e gncY
?? R3
1
MwoCSys
m onn R
ParcelNo. OnSiteWell TypeofConst yil
GiTy Water X (ACtuaQ
ST CHARLES HOMES P.R.V. X (Allowa6le) ?-
a Name
z Address 4194 COUNTRYSIDE DR Length rie3
? City EAGAN Phone 454-7925 oeotn 62
SF Total
, p Name SAr1E Footprint S.F.
?a Address APPROVALS FEES
P
City phone
Assessments
_ Permit ?
580.00
51
00
? wateVSewer Surcharge .
w W Neflle Police _ Plan Review 290.00
t z
x-
Address Fire _ SAC, City 1 O() _(lp
pt7 Engr. _ SAC,MWCC SSfI !lp
gW City Phone planner _ WaterCOnn. SSn np
Councll _ Water Meter ? ?7 np
1 hereby acknowledge that I have read this application and state Bldg. Oft. _ Road Unit 125_ np
thattheinformationiscortectandagreetocomplywithallapplicable APC - TreatmantPt 704 np
State of Mfnnesota Sta[ and Cit ot Eagan Ordinances. Variance _ Parks
Coples
Signature of Permitte ?? ^ Q TOTAL $2, 71 7_ 00
A Building Permit is issued t: ST CHARLES HOMES - on the express condition that
all work shall be tlone in accordance wit II applicabl tatg of innesota Statutes and City of Eagan Ordinancea _
Building Official
r
/US
• 1988 SUILDIN6 PERMIT A LICAlAN - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOA/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OE PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
7 SET OF ENERGY CALCULATIONS
COP'AERCIAL
INCLUDE 2 SETS OE ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
.,...
To He Used For: 4TNGT.F. FAMTT.Y nWRT,L?uation: /?, Date:
Site Address 619 AUTUMN OAKS CT.
Lot 13 Bloek 3
Pareel/Sub COUNTRY HOLLOW
Owner MIKE AND SHIRLEY PROPP
Address 255 WESTVIEW DR.
City/Zip Code W.ST.PAUL, MN 55118
Phone 455-7936
Contractor ST. CHARLES HOMES I
Address 4194 COUNTRYSIDE DR
City/Zip Code EAGAN, NIN 55123
Phone 454-7925
Arch./Engr.
Address
D & F DESIGN
On site sewage_
MWCC system ?
On site well
City water
PRV required _
Booster Pump _
Occupancy IZ'3
Zoning R- I
Actual Const V-N
Allowable V-N
df of stories
Length
Depth 63.0 ?
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr/Assess Permit 8 O.U p
Planner Surcharge
Council Plan Review ,00
Bldg. Off. /V?7Z5 SAC, City l00.00
Variance SAC, MWCC 550,00
Water Conn 55z), Od
Water Meter 6r7, 00
Road Unit S, va
' Treatment Pl Aoy.M
Parks
Copies
TOTAL
City/Zip Code _
Phone Ik 431-6107
vALuaTioN
i
rbA RA6E
3O X22? (P60*1? = r192.0
??MENr ? I&rF'L
12X?5= ??u
6 x ly_ ?y
Sx?L1= 'lo
14x4= IL
zr?x?y= 11 6?
3 xi?= y?
zx?6= 3?
? fol ?6 IC?S`B
101 _--
,...
.,,
?- . =. . .
?o +
???? ,•?+
„7- _,-
;? o +
e co lo+
2s'17, 3 M
CERTIFICATE OF SURVEY
FOR lAc?"?t?& rm - - I"LaSC I.LL, KURTH SURVEYING INC.
INERLBT C[RTIlT TMAT THIS iYRV[Y.PLAN, OII REPONt WA! Pplp11pE0 4002 JEFFERSON STREE7 N.E. ltME OR YNOER MY OIRECT SUPERVISION AN9 TNA 1 AM A DULY COLUMBIA HEIOHTS MINNESOTA 55421
REOISTERED LANO SU UN ER TM 1W50 TNE STATE OF MINMESOTA. 612-788-9769 1? 2?? Cp
OATE
PROPOSEO SCALE 1"?
MINNESOTA REGIS ON NO.1(o1?3 o.IRONMONUMENT
GRADES BEARINOi ARE ON AN
ASSUMEO DATYM
GARAGE SIAB • Q? *' 60 0 SPIKE SET
? I-)' fPOT ELEVATION
TOP Of BLOCK•
' PpOP08Ep
BASEMENT FLOOR• iRZO 1 O ELEV.
a DRAINAO[ ARROW
?I
)01
u) ?
?I
"'91
al
z r
' _ -%5
,q GE\
?x
?S
\
\
Ca
I
tWo
?
r?.
1 ?,
1
Lo r'!
0
Ss os;
?o
O
. ?
? ?.
. Q1,
0
?B
?
?
c
0,
0
?E-
?,3•? \O
'\ ?
\ ` ?
?
Q
'V '
I ry,?1?
C I \
? O
?-
v47'J?,1
x
? ??? ??
l'llivn W VIH SfHit tNERGY CUDE CALCULATIONS '
BASED ON CHAPTER 5 OF THE MODEL ENERGY CDDE - 1983 EDITION . • Adopt on EfFective 1 1784
'
Owner
' Phone S ?`3b oate. I - , -?d
-- 1
SI te Address c,.a..-I..
Contractor Lj, phone 4(?l) ?105
Building Classlfication: Type AI (Single Famlly 6 Ouplex)?Type A2(Resldentlal)
NOTE: Com lete
p pages 3 and 4 first. (3 stor{es or ess
?
(pther)
, (Over 3 storles)
GENERAL INFORMATION ,
1. ti
Bullding PerlmeterL?????', G?ft.
. 1
2. Wall helght (ground to eave) ? ft.
3• 2
I. x 2. (above) gross wall area ft.
4. euilding dimensions (L) "- X(W) ' It.009 ft.Z roof 6 floor a
rea
5. Square foot area of rim Jolst - Floor Joist slze (2 x/O ? )
. 107 X Perimeter = Rim Jo sVT t area = CQb co ftZ
12 'Lpp
6. Doors - A?ea IIZ?,?
Thickness •
?
?
In. U facto ,
r I I
Type of Constructlon Perlmeter ft.
Manufacturer .
7• Tvtal door's perimeter ft. . .
8. Windows: Manufacturer In) 621 tIATS
State approved
U fact
or
TYPE SIZE AREA (Ft.Z) NUMBER OF TOTAL FEET Z
' EACH ' UNITS
9• Total Fr.z cia55_ ??ZZ, 10. Fireplace area; Width X height ? x Q Ft.2
)l. Exposed foundation: Height X Perimeter ?(D X7.00 r.77 ?? pt,Z
COMPLETION OF TNIS FORM IS REQUIRED FOR ALL CO STR CTG'-7ON, MAjOR RE 0 E NG AND BUILDINGS BEINE
MOVED WHERE ENERGY, OTHER THAN THE MINIMAL CODE AILOWANCE, IS USED.
iz. rramtng area = 10% of gross wall area.
13.. Gross wal l area 7? ?j?j t Q
Wlndow area A ft.2
? Rim Joist area A ??Q(QGQ ft.z
Ooor area A ' 'j? • ft.2
PKd vIL,
fi,r.6pJ;.Ace area A ft.Z
Exposed foundation A ft.z
Framing area A 241 IAtZiG?j) ft.2
P1et wall area A 1 ej?*1-rj ft.
ft.2
U wlndows = I 27LO . U x A d ?(.QiDl
U rim Joist = •?'1 U x A, 6 1 •
U door area = • ??" U x A=
U
?uo p??_
• ?'7 _
U x A
U foundation a!?? U X A?
U framing are a U x A= Z3il?(?
U wall = ?44-?j Ux A= (k4 1 70
(138) .TOTAL . . . . . . . . . . U x A a ? -r
14. Gross wall area z 0.11 (A-1 single family & duplex = allowable U x A/Code
(13. above)
x 0.23 (A-2 other resldentlal)
x .23 (Other 6u11dings) •
. x .28 (Over 3 stories) . , •
A t1'T ?
U +? BTUII Must be larger thar
(P8-°
II
x
Cqdg.._o (?
r
F. 136 above
15. Ceiling framing area (Af) equals 10% of ceiling area ?. or the, same as)
15A. Gross ceiling are a = SL) x(W) ? I(.Q Q ft.Z '
156 Joist areA (Af) = 10b ce111ng area ft.Z
ISC. Net celling area (Ac) (15A - 15B) ft.2 '
U ceiling x A cA 1 dZ Z x??j = :31 1 g(D U framing x A f= X_?_ ?L?
150. TOTAL'U x A ........................... ...............
16. Ceiling area (15A) x 0.026 (A-i single family & duplex - code allowable U x A
x 0.033 (A-2 other resldential)•
x 0.06 (other) • • •
/ o'Llp ,{ r32 BaUH Must be larger than •15U (above)
A i15A1 x U(codel= `'t1 U 7 F (or the same as )
NOTE: Use U and A values obtalned from pages 1,•3 and 4."
CEiITIFICATION: I hereby certify that I'have calculated the "U" factors and "R" values
here n and that the bullding here descrlbed meets or exceeds the State of Mlnnesota
Energy Conservatlon Act. ?
te
gnature
2.
._..----
?,v >C( 29 ?5+ (? f? z?v8o, o
`i ??4 k (?l ,7fi49i5t 5;5t5,? f 9ef9---?)= 19 v8.o
?
?oF I c0o? ?
fl? I
I
I
I I
I I
(
1N INtbW`?-
?- zr?? -Z = Zz?_5- ? t? = 135, a
C ' -
L?'r7.(?5n-3= ???u`-?? X Z = SZ?-'`?
?'-2co5a-? = 7?'x 2?, S
ZZeo x 2 = 4/4,o
?- Zro?'-Z= I??? X I = I?
I 3 22, 7.-r
Z-' S1Z, DI?, = z-I , o
I I ZLo
? ?
I
CEILI1ih ',11i11 'lEll pf1 ATTIC SI'ACE Atl04E
-A``RUa AIAtilE
? FRAI1111G CElLU1G
0.61? A1r Film 0.61
tnsulallan ??',Ca7
? 3 a datst
,ro Celling_` • ??
?
.,
,• 0.61 Alr Flim 0.61
Tota1 R
, . , nz3 u • a' ? . azz
: .
Ftar nnaF ap c_ nai cqLrno
'A-Vblue , R 9AlUE
FRAIIIIIG. CEILIt14
Inslda alr (11m 0•61
'•? CaIlln •
•,__._?_, Jo I a t1 s u
•?,_.?._,.. Ir ?p?c?
•?_,r_, Naaf J4cking •
• insulation
• ' Built-up roaf
0.17 Outside a1r film U,I7
.Total 'R '
' I?? .
1lndow infiltratlon ,5 cfm/ltneal toat af crack • 1 . .
tesidential door infiltratlan 0.5 cfm/square Foot ar doar anJ minlmum code•raqu,lrement
lon-residentlal door 1nf11traClon 11.0 cfm/llneal foat of crsck
. . • • .
ib 12" cancrete black na lnsulatlan ¦:47•R 2.1 . ?
1b 12" concrete black insulated cores '¦.26 a 9.8 ' 15 12" llglit-delalit black '¦ .32 R 3.1 '• ; .
1h 12" lightwei"ght block Insulated cores s.12 R 8.3
• • '• ;
1 single glass • 1,13; Hith storm ,»tndaw '.54
1 double glass • :55 • • ' .' . .
1 trlple glass • .41 • . ' ' .
I11 extertor walis and ce111ngs must have a vapar barrler (0.10 perm max.). . • ?apar harrier must 6e on the inside (lieated slde) of wall. ,•' .' •,
ianar barriers af the polyethelene thin fllm hav9 no R value,
. ? ?
. , ,
'WICLL •
. SEC?i011
srvu
SLCII011 :itU pALI, •
S ECilotl .
&LI
' .totsr
.:
. ?' ? .
' \ . I. . .
.
? u rnLUE
in?ld? ?lr t?lro .6g .
Idtarlot w4ll . ?`??s • (N??l) •U ¦ ? M
[nsulatlon . • ??,?
shesthing
, •
Slding . . ,L7 • " ' .r•
Outllde alt [Llro .lI .
._, .
• a totaL 23,Q3 *
Inslde,alr ttlm .68
Intartar vall 11.3' . .1 .
b .eaa ((") a.
J'*W/p. 50(Ftamind) U . ? r
Sheaehing 7?
siatne
Dutiide air
Lllra..l? • .--
• 0. 70TAL
?.Inildis air tllm ' Ra .68 • ' • •
? Intertoc vall . , • ,
Itioulaelan ' .(Nall 1 U w t ¦
? 9l??atRln ? Z ,
_ Exe?tlor vall n ring ,. ?
^ Eae?rloe alr Ellm R .,l?T? •
?_ .
0. TOtAL ?
: lntnrlnc air (Llm Re :68 •
? Inaulatlon ' I1,0b . ?
t)i lnch, #oEe•xuud R?1.88 (AIm ?¦??
91iaaehing Jaist)
? Exteclor wall eorecing ,67
^ Exeatlot ait [llm k+
,
. ' R ToiAL -k. 9 {a ' • .
' ' ' • ?
_ interloe air tilm Rs .68
tnoul,elon ' , 'C?",?b • , ' ,
? FoundaClnn
_ Extatlor alr I?lm R¦_11 '(Fdn.) U • A' • ,
.: : . n rvrnL _ ?.r3
' ? .
."E:tposed 8luck ,
-?`` • '
APFLICATION 1=0R PERMIT
SEWER AND/OR WATER CONNECTIQN
*? iiwRr+??:xxxxxxxx??xxiFFne?txxR?
? NOTE: PAYM1f OF FEE AT TIME OF
? APPLICAI'IIX] OOFS NDT CON- *,.
? STTNPE APPRG9AL OF PE[iPIIT. '
x
I[1SPFZTION OF SEWER ANID/OR WA7IIt
; ioSrncuTTONS wna, caar se scmcn.m ;
y UN1ZL PERPIIT H14S HE@1 APPROVm. ?
lu?k ii/e*iSf+ftf}tttkiffli#iit?lttfltt+t*k?'
!tV oF eagcan
(PLEASE PRINT
1) PROPERTY ADDRFSS:
i FI;AT DESQ2IPTION;
Lot/Block/Subdivision or Tax Parcel ID
IF EXISTING STROC7.S7RE, DATE
PRESENT ZONING/PROPOSID USE:
Q COMME[tCIAL/RETAIL/OFFICE
Q INDL?STRIAL
Q INSTITfJTIONAL/GOVEE2NMENT
)F ORIGINAL BUILDING PERMIT ISSIIANCE:
Nbnt Year
I? R-1 SINGLE FAMILY
Q R-2 DUPLEX (3too Unit's)
Q R-3 TOWNHOL?SE (Three +,Units) ( Lnits)
Q R-4 APARTMENT/CObIDOMINIUM ( Units)
2) ? NAME:
aDDREss: 310Q! L Vit1DAt? ' AAV_ A ).
CITY, STATE, ZIP:
PHONE:
3) NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE: MASTER LICENSE # `-
Ij Active
Fapired
Not recorded
t I nl
4) ?e:K :aa •.u=,
NAME:
ADDRESS:
CITY, STATE,_ZIP:
PHONE:
5) ? ? • a
? CONNECTION Tp CITY SEWER
6)
TO CITY WATII2 'O OTFIEI2
'k THE GOLD COPY OF TM PERNffT WILS, BE SENP DII2ECTLY TO PIIBLIC WORKS TO FACIZSTATE METER PICK-OP. *
PLEASE ALIAW 7W0 MRKING pAYS FOR PROCESSING. SONIDONE FROM Tfo CITY WILL ODNPACP YOC? IF M-IERE *
* ARE ANY PROSLENIS. *k
?**********,?*****?***?***??«**+??*x**?*+r***x*,t*:r?***,r***x*****??***,r***,e**??:**??*****?************?
FOR CITY USE ONLY
PERMIT # ISS[]ED '
9s-3 z...
Pd w/Bldg. Permit FEES: -
$ $ //0 "5-2) SEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMIT (INCLODE SIIRCHARGE)
$ $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLDDE CORPORATION STOP)
$ $ SEWER TAP
$ $ l<S?U D ACCOUNT DEPOSIT - SEWER
$ $ ACCOUNT DEPOSIT - WATER
$ J SD 'D O $ WAC
$ ?o L9 n $ SAC
$ $ TRLNK WATER ASSESSMENT
$ $ TRCNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRCNK WATER
$ rX? Y`ee-) $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ /'7 71i O D $
TOTAL
FoS/-3 ?zV38
RECEIPT RECEIPT
DOES UTILITY CONNEC TION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
F--j YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC >
Q
NO ROADWAY" MUST BE ISSLED BY THE ENGINEERING
DIVISION
LIST A
.
S A CO[VDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: ?CJ7t-d
TITLE:
DATE:
k 9- 5?90
1witVoF
3830 PIIOT KNOB ROAD. PO. BOX 21199
EAGAN, MINNESOTA 55127
PHONE (612) 454-8700
Date: .S-//- X `/
7.# J 7 950
Special Asaessment Search
Requested By: D C 4
Ae:
VIC ELLISON
Mayor
nionaas EcuN
DAV1D K. GUSTAFSON
PAMEL4 McCRFA
1HEODORE WACHTER
CouncilMembers
1HOMAS HEDGES
QNAdminishalor
EUGENE VAN GdERBEKE
p . ? CttyCletk
&3
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 levied and pending assessments may or may not reflect the
complete assessment obligation based upon the parcel's current
use or zoning. Certain parcels have not been assessed at the
appropriate rate per their zoning/use. The City's policy is to
review the assessment obligation of parcels at platting, replat-
ting, rezoning, waiver of platting, and prior to the issuance of
conditional and special use permits and certain building permits
and in other unique situations. A condition of approval requires
the parcel to assume its additional assessment obligations that
have not previously been levied for existing public improvements.
The City's 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
required 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 emgloyees 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 COMMUNIiY
?111Ia( dtV OF GCCOC]an
3830 PILOT KNOB ROAD. P O 80X 21199 VIC ELLISON
EAGAN, MINNESOiA 55121 mayor
PHONE (612) 454-8100 7HOMASEGAN
Special Assessment Search Dpv? LqMCCRfAN
THEODORE WACHTER
Counal Members
Date: Januar 27 1988 THOnvsHEOGEs
y , cirv aammistrator
EUGENEVAN OVERBEKE
Requested By: Re: Country Hollow OiNaeru
First Security Title Inc 10-18275-130-03
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 levied and pending assessments may or may not reflect the
complete assessment obligation based upon the parcel's current
use or zoning. Certain parcels have not been assessed at the
appropriate rate per their zoning/use. The City's policy is to
review the assessment obligation of parcels at plattinq, replat-
ting, rezoning, waiver of platting, and prior to the issuance of
conditional and special use permits and certain building permits
and in other unique situations. A condition of approval requires
the parcel to assume its additional assessment obligations that
have not previously been levied for existing public improvements.
The City's 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
required 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,
? l
?. ?'j,Ri„? S. Gl?e ?
SPECIAL ASSESSMENT?
Attachment
THE LONE OAK iREE. ..THE SYMBOL Of STRENGTH AND GROWIH IN OUR COMMUNIiY
Cities Di
? 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.
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7n
3830 PoLOT KNOB ROAD. P.O BOX 21199
EAGAN, MINNESOTA 55127
PFIONE: (612) 454-8100
4 5ao4
8pecial Jlssesssant Bearah
aate: 5-aa -?9
Hequested Bp:
R•:/o-lSa?s- 130-O3
Lo+13, 8 1ock 3
C.oun4•-y No!/oW
29- ss1
v1C BLISON
M?
1HOMAS E('?PN
Q4VID K. GUSTAFSON
PAMFIA McCRFA
1HEODORE WACHIER
Cpl? MBRIGBR
7NOAM5 HEDGES
CiN Ack,*W,Cdo,
EUGENE VAN OVEiffiC#
aW cwk
On the attached form is the City's response to your search
request on the identified property. The information includes the
oriqinal amount of the assessments and the payoff amounts of the
assessments on the parcel. In addition, pending assesements are
included for improvement projects that have been ordered to be
installed by the City Council ae they may affect thie parcel.
The levied and pending assessments may or may not reflect the
complete assessment obligation based upon the parcel's current
use or zoning. Certain parcels have not been assessed at the
appropriate rate per their zoninq/use. The City's policy is to
review the assessment obligation of parcels at plattinq, replat-
ting, rezoning, waiver of plattinq, and prior to the issuance of
conditional and special use permits and certain building permits
and in other unique situations. A condition of approval requires
the parcel to assume its additional assessment obligations that
have not previously been levied for existing public improvements.
The City's Engineering Division can provide further clarification
of this policy, if you desire.
IMIVER/DIBCLAIMBRe
Neither the City of Eagan nor its employees guarantees the
accuracy or completeness of the information provided which was
required 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 usinq information on
the attached form and for all other consideration of any nature
whatsoever, any claim against the City or itg empioyees 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 ESSMENTS
Attachme? LONE Oac iREE. ..THE SYMBOI OF STRENGTH AND GROWIH IN OUR COMMUNItt
TRANSPC'; tGN ILic Fi:62 SPELIr=3L F:Sc,ESSMi=RITS
SPi_CIAL F=.'_SCS ;h'ENT:= SF_r=1FiCH SLIMMHF:Y
F'ROh Fli? "Y _` .D. Tlt-aF:Y:: Dy'f't: 05!'22i E9 --SF'ECI FtL. FLAG:t°--
1-2'-3-4-'5- ti--7- 5-9- i C+
5. H. # r`;:-SE =4c.t__r;?' DE 3Cr,. vR YFCS F>ATE TOi AL ANN. fF:Th:. YAYQ-F E'.GNMEhl-
1014i' S'•'REET wt4ti 87 _ 9,,00Y. 112.62 .nr> ,00 FREF'A'z'
101605 SLTr°.5 es 15 0.005: z`4'=.n;-, .00 .Cw PREPAY
10160: tu_TK5015. 80 15 q..jijY: 100.77 .00 .00 FF:EF•AY
101605' f"-?ET•5 - 68 15 9,00"(. 770.44 .00 .00 F'F{EF'r^y
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101604 9;Y49i ss i°, 4.00;: 43-.g_, .00 ,00 FrEFhr
10168S Si_iE--«;i rc'.S i°i 9.007. 456.36 .C5C+ .OC; PREPAY
101u86 I+d-ik. 4=1 8E 15 9.00":: 4I7.37 .OC; nC, PREPAY
suMrwR c?? PCIIV.!- .00 .00 .00 comm
fH; S WA'_, TG? ='- I . 00
III= city oF erigan
3830 PIIOT KNOB ROAD, P.O BOX 21199 Order No. TI 36757 VICELLiSOtv
EAGAN, MINNESOTA 55721 M?f
PHONE: (612) 454-8100 gpecial ASS@39IDBIIt S@8TC71 pqvTMioKMGUST?50N
PAMEIA McCRFA
THEODORE WACHTER
c
Ddt07 march 22, 1988 ?'?? Ma?n
1HOPAFS HEDGES
CMyArlmnitlral«
Requested $y: Re: 10-I$275-130-03 EUGENE VAN OVERBEKE
L13 B3 Country Hollow ? GNC?
First Security Title 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 levied and pending assessments may or may not reflect the
complete assessment obligation based upon the parcel's current
use or zoning. Certain parcels have not been assessed at the
appropriate rate per their zoning/use. The City's policy is to
review the assessment obligation of parcels at platting, replat-
ting, rezoning, waiver of platting, and prior to the issuance of
conditional and special use permits and certain building permits
and in other unique situations. A condition of approval requires
the parcel to assume its additional assessment obligations that
have not previously been levied for existing public improvements.
The City's Engineering Division can provide further clarification
of this policy, if you desire.
WAIVER/DISCLAIMERS
Neither the City of Eagan nor its employees guarantees the
accuracy or completeness of the information provided which was
required 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,
!,/-vi ? /?71C
SPECIAL A SESSMENTS
Attachment
_, THE LONE OAK TREE. ..THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNIN
TrFaivSr-,crlora 1D: Fj768 sPEctr-ai._. rasSE:aSrie.rars
sPk.caAL At+sFssriEN-rs sErRcH S" UMhtAi=1Y
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101473 STfi`:ET W149 87 ._ 9„00% 112.62 22.53 90.10
1OF'491 L11Il_{-f.[f=:S 00 u .On/ 1265.84 1265.94 1265.84 F'E:hIS7
1tiP505 U'1"II_ITIE;: 00 !i 00:! 1331.31 133'!..31 1331.31 F'rND
?-??x#z SUIIPIARY f]I=' ACTiVE 112.62 22.53 90.10 COC1M
THTi, YF.Af2.S 1C1't F'9:i 34.36
SUI''IMARY OF F'ENDTNCi 2597.15 2597.15
Fress EDJTLR (Cammen.t.s) ? 1=t or F2 -tl-Ieadet Porrri) or F7 (Restart F760)
-
-Y1114 ' -: l?c,v
4?mC city oF eagnn
3830 PILOT KNOB ROAD, P.O. BOX 21199 ?VIC EWSON
EAGAN, MINNESOTA 55121 nnayor
PHONE: (612) 454-8700 TM0MAS EGAN
Special Assessment Search DA`i1DKGUSTAFSON
PAMEIA NkCRFA
- ' 1HEODORE WACFRER
' Cauncll Nsmbers
Date: F??? 29, 1988 TM°"?s" °Es
Re ested B EUGENEVAN OVERBEKE
? Y? Re: Country Hollaa cdr c?rk
Universal Title Insur Co 10-18275-130-03
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 levied and pending assessments may or may not reflect the
complete assessment obligation based upon the parcel's current
use or zoning. Certain parcels have not been assessed at the
appropriate rate per their zoning/use. The City's policy is to
review the assessment obligation of parcels at platting, replat-
ting, rezoning, waiver of platting, and prior to the issuance of
conditional and special use permits and certain building permits
and in other unique situations. A condition of approval requires
the parcel to assume its additional assessment obligations that
have not previously been levied for existing public improvements.
The City's 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
required 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 ASSESSMENT
Attachment
THE LONE OAK TREE.. .THE SYMBOL OF STRENGTH AND GROWfH IN OUR COMMUNItt
rRAivarai_rznN rz;: F?762 - SPErcA!_ faSsEssMENTS
SPF CIAi,_ Assr<..}SMEr!rs sEHFCCH su MMARv -
F'ROi'EF.?'Y I.D. TOAf3YS vA'fE=: 02i26!39 ---SFEC7:AL FI.AC;S----
1--2- 0-4-5" 6-7-8-R-10
1 i.i- i. 82:'5- i. ';0-0U
--
u ---
' __'_
;S, A. # A55ESSMEhlT
DESCR. R YRS RATF_ TOTAL. Ah1N, PRlhl. f='AYCI=F CLlMI'iF_h7'T
101473 5"fI=tE1=T pJ199 87 :; 4.!00j°l. 112,62 22.5' 90.10
1C?F'491 Ul'.[I._l:"i"SES 00 n .00% 1265.24 1265,84 1265.94 F'rND
10F'50; Ul"TLI'T7:1_.S 00 U .00l 1331.31 2331.31 1331.31 PERID
?aFttttw? iUMMAf,y Ct#= l=HCi'IV'L-" 112.62 3:2.5= 90.i.o CL1mM
?t#??•?? TH.T.S Y'i_AR'S 1'tJT F°<I 34. =,b
M I? x 1F#'? SLI,1Y'IAf{Y (J1=" PEP`aD I SVI] 2597. L J 2597.15
F`ress ENTER tConimr-nt>7 , F1 c,r F2 tl-leacier Furm? oi^ F"7 (FiEStai^t R768)
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 619 Autumn Oaks Ct
Lot: 13 Block: 3 Addition: Country Hollow
PID:10- 18275- 130 -03
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Applicant/Permitee: Signature
Construction Type:
Occupancy:
A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
Total: $90.00
Owner:
Douglas C Haralson
619 Autumn Oaks Ct
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
Issued By: Signature
Building
EA082565
04/14/2008
ePermit
- Applicant -
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.
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117670
Date Issued:10/22/2013
Permit Category:ePermit
Site Address: 619 Autumn Oaks Ct
Lot:13 Block: 3 Addition: Country Hollow
PID:10-18275-03-130
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Jason Bunes
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 -
Peter B Otto
619 Autumn Oaks Ct
Eagan MN 55123--162
Custom Creations Remodeling Inc
1321 Andover Blvd NE Ste 112
Andover MN 55304
(763) 441-5907
Applicant/Permitee: Signature Issued By: Signature
Cita of aoan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #: /316 / ? (N/
Permit Fee:
Date Received:
Staff:
L
r 00
J
2016 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
Date: '2t ) (p Site Address: l4 l 4411y) Colkit
Tenant: Suite #:
Resident/Owner
Contractor
Type of Work
Name: 1:3-C ' `JCI(\\cam O G Phone: 61 12-Z3 7
Address / City / Zip: (St,ct - 05,- Cotiff
Name::\i' CC)1\ License #:
Address: 3 43yy\cwk Nom'' ' 2a8' City: ccc5 1
State: lv\-"IN Zip: Phone: (95 ) — TOS
Contact "A \\VsXYY\1
•
New / `' Replacement
Email: \\0}W\1 od-iy a% cc3W\Garsh.
Additional Alteration Demolition
Description of work: A/C £r c:W cciva( -C,. & ce►\
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City )
Code. Please contact the Mechanical Inspector for information on permitted screening methods. I
RESIDENTIAL i COMMERCIAL
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge
$100.00 Residential New, includes State Surcharge = $ TOTAL FEE
Furnace
Air Conditioner
Air Exchanger
Heat Pump
Other
New Construction
Install Piping
Gas
Interior Improvement
Processed
Exterior HVAC Unit
Under/Above ground Tank ( Install / _ Remove)
COMMERCIAL FEES
$60.00 Permit Fee Minimum
$70.00 Underground tank installation/removal
Surcharge = Contract Value x $0.0005
If the project valuation is over $1 million, please call for Surcharge = $ TOTAL FEE
Contract Value $ x .01
= $ Permit Fee
= $ Surcharge
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 \-)-(5/\03\,\I‘ }� cAvr, ,
Applicant's Printed Name
2444\ ADkrot‘Pk.
Apblicant's Signature
FOR OFFICE USE
Required Inspections:
Underground Rough In
Air Test _
Reviewed By: Date:
Gas Service Test In -floor Heat Final HVAC Screening
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA166654
Date Issued:01/26/2021
Permit Category:ePermit
Site Address: 619 Autumn Oaks Ct
Lot:13 Block: 3 Addition: Country Hollow
PID:10-18275-03-130
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Peter B & Donna L Otto
619 Autumn Oaks Ct
Eagan MN 55123--162
Home Depot Usa Dba The Home Depot
2455 Paces Ferry Rd
Atlanta GA 30339
(763) 852-1044
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA167391
Date Issued:03/12/2021
Permit Category:ePermit
Site Address: 619 Autumn Oaks Ct
Lot:13 Block: 3 Addition: Country Hollow
PID:10-18275-03-130
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Peter B & Donna L Otto
619 Autumn Oaks Ct
Eagan MN 55123--162
(612) 237-7223
Bruckmueller Plumbing Inc
3992 Pennsylvania Ave
Eagan MN 55123
(651) 686-6696
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168305
Date Issued:04/16/2021
Permit Category:ePermit
Site Address: 619 Autumn Oaks Ct
Lot:13 Block: 3 Addition: Country Hollow
PID:10-18275-03-130
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Peter B & Donna L Otto
619 Autumn Oaks Ct
Eagan MN 55123--162
(612) 237-7223
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature