4123 Cashell GlenCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4123 Cashell Glen
Lot: 15 Block: 4 Addition: Wenzel 1st
PID:10- 83570- 150 -04
Use:
Description:
Sub Type:
Work Type:
Description:
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
e- Fireplace
Gas Fireplace (new)
Contractor:
Hearth and Home Technologies
2700 N. Fairview Ave
Roseville MN 55113
(651) 633 -2561
Improvements to the home may requ
concealing.
Carbon monoxide detectors are required by law in ALL single family homes.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
e smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
$88.50 0801.4085
$1.50 9001.2195
$90.00
Owner:
Ryan D Johnson
4123 Cashell Glen
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Issued By: Signature
Building
EA091800
10/28/2009
ePermit
- INSPEC
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1837
(612) 681-4675
SITE ADDRESS:
I PERMIT SUBTYPE:
I I I :fi, r ? NW,.
TYPE OF 1NORK:
r i HAt
?
N RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
It111 1 11 1 Nf3
6f:;A:' L ;
k}t;/ t:;i9 7
' 7- ?' '•' qppLICANT:
Permit No. Parmit Hoider Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMINQ
ROOF(NQ
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATINQ
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
rFSr
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG y ?
DECK FINAL Q
e . . , 11,431
' 'CItY UF EAGAN
3830 Pilat Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
E1"a11t t I f,l t N
PERMIT SUBTYPE:
1CORD
PERNIIT TYPE:
Permit Number:
Date Issued:
ni?-?AHM iac?NIFa:
1 2 1 d;':i• 1l79
TYPE OF WORK:
t; li t 1. 1i1I. tv+i
0.' I Fi fi #;
61f.Jto rqr;
INSPECTION D. . .•
; 1••1 Iil ;', f!??p.? ? f 1 ii I-I i,: ;
I I tJr14 I I itii? f 1 ai?
M?
w: ?
P}.a+arf?S:. r, N ta F'L Ffk 13F Nr' lavar? ??lk(i
f
a*
Permit No. Permit Holder Date Telephone #
ELECTRiC !I G ?,
PLUMBING '11619?
HVAC &3-11V41
Inspection D In p. CDmmenls
FOOTINGS ?%? /jy
r ?? 7 &
FOUND
E?
?'?.J
!
FRAMING ?
ROOFING
ROUGH
PLUMBING ? ? ?
PLBG
AIR TEST
ROUGH
HEATtNG ?
GAS SVC
7EST
INSUL ?
GYP BOARD
FIREPLACE
FIREPLACE
AIF TEST
_
FINAL PLBG
FINAL HTG
OFiSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DEGK FTG
DECK FINAL
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Conatructbn Beaulrements
• 3 rBglslered stte suneys showing sq. ft M lot, sq. ft. W house; afW glf rooted areas
(20% madmum bt coverage albwed)
. 2 copies ol pMan showing beam & window sizes; pouretl found tlesign, etc.)
• 1 set ol Energy Cekulatbns
. 3 copies of Tree Preservatlon Plan d bt platted afler 7/1l93
. RM Joist DeffiII Optbn85electbn eheet (D0.1gs w0h 3 Or Iess units)
DATE 5 -ot A - O 2?
SITE ADD
TYPE OF
WORK-
APPLICANTA4
STREET ADDRESS
TELEPHONE till
AULTI-FAMILY BLDG _ Y _ N
FIREPLACE(S) _ 0 _ 1 _ 2
kLiAe-SiATE Ad.? ZIP ? 3-7
Fnx 9saOD'1-'D?
PROPERTYOWNER PVO, ti ?' J Ao fo!?:C3Yl TELEPHONE#C65!)6gd-63S':?
COMPLETE THIS SECTION FOR ^NEW,• RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(J submission type) • ResideMial VeMilation Catagory 1 Worksheet Submittetl • New Energy Code Worksheet Su6mitted
• Energy Envelopa Ca1cu12tions Submittad
Plumbing Confractor:
Plumbing system includes:
Mechanical Confracfor: _
Mechanical system includes:
Sewer/Water Conhactor:
Phone #
Phone #
Fee: $90.00
Fee: $70.00
- °-------° -------------- °----°------°-- °----------°-----------------------
I hereby acknowledge that I have read this appllcation, state ihat the information fs correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Or inance .
Signalure of Applicanf
OFFICE USE ONLY
_ Water Softener
_ Water Heater
_ No. of Baths
Phone #
Lawn Sprinkler
No. of R.I. Baths
_ Air Conditioning
_ Heat Recovery System
NemotleUNeneir Beaulremenffi
• 2 cOpieS Of plan
. t setaf Energy Cakulatbnsfortreated add'AWns
• 1 SlteSUrveYtoreMeriOraddllion5&decks
• IMicate fl home served by Septic systam tor add'Abns
VALUATION 1 ' fG226p'
Certiflcates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Vpdated M02
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
1 3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
NewConaVUCtbn BeaulremeMa
• 3 reglalered sRe surveys showing sq. fL of lof, sq. N. of house; and gII roofed areas
(20% maAmum bt coverage albwed)
. 2 copies ol plan showing 6eam 8 wmdow saes; poured found design, etc.)
• 1 set oi Energy Cakulatbns
• 3 copies of Tree Preservathn Plan if bt pletted aiter 7/1/93
• Rlm Joisl Detall Optbns selecNOn sheet (Dklps with 3 or less units)
DATE 5-JJ _0?
RemodeVHeoalr Neauirementa
. 2 capies of plan
. 7 sat of Energy Cakulations for haated adCilions
. 1 stte wrvey for wderbr addttbns & decks
. Indicete'rf home serveA by saplk system tar aCOAans
?
VALUATION ? I a-i I Ob •
AULTI-FAMILY BLDG _ Y ? N
FIREPLACE(S) X 0 _ 1 _ 2
STREET ADDRESS l a ay 7/VIGojlef kx,
TELEPHONE kNaJ 707-695q CELL PHONE #
?_STATE O ZIP SZ'7
FAx #r,95a) -70 z - 01(-) ? 5
PROPERTYOWNER ?V(LYl 7??J40S(rn TELEPHONE465698 -6333
COMPLETE THIS SECTION FOR -NEW° RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RLJLES 7672
(4 submission type) • Reaidential Ventilation Category 1 Worksheet Submitted . New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted I Plumbing Conhactor:
Plumbing system includes:
Mechanical Conhactor.
Mechanical system includes:
Sewer/Water Coniracror:
_ Water Softener _
_ Water Heater _
No. of Baths
Air Conditioning
Heat Recovery System
Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone #
Phone #
Fee: $90.00
Fee: $70.00
-----°-----°------------°----------------°°-°°---°°------------------------------------°------------------------
I hereby acknowledge that I have read ihis application, state that the fnformation is correct and agree to comply
with all applicable State of Minnesota 5tatutes and City of Eagan Or inanc s.
Signature of Applicant
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
I Updatad 4/02
APPLICANT (')C'1116') Rlil1116cl
4. ?1 ' Y
tcertiticate af Cccupanc?
Wit'1 ? "an .
zeOartmcat of 8xi[biag 3nOection
This Certificate issued pursuant to the nquiremenrs oj the Uniform Building Code
cenifyireg that at the time oJissuance this st'ucture was in complrance wirh the various
orcGnatces of the Ciry rcgulating building consbuctiors or use. For the jollowing:
uYcL.1e?: SF DLiG/GAR eie8.e?ar+o. 27886
o--wMrTyp. R-3 U-1 ZmingoWxic
o,,,,aore„ud;,g WENSlfANN HOM6S
eu;w;ngnm? 4123 CASHELL GLEN
;
e.aim o?am
PD R-1 rracmm. Vn
Add? 3312 151ST H.. ROSEMOUNT, MN
Lmwqy i-7 LIRNZF.1. 7ST
C,<o
POST IN A CONSPICWUS PLACE
Address 4123 USHELL GLEN
I:ot , ?15 Blk 4 Sub
Zip 5512
WENZEL 1ST
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPEGTION.
Date: /5 S(O Yes No Inspecror:
Final grade (6" from siding) 111?
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway ?
Permanent gas y1
Sod/Seeded grass J
TraiUcurb damage ?
Porch ?
Basement finish ?
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shuboff of water supply to
the outside lawn faucet before freeze potendal exists.
Contad cngineering division at 681-4645 before working in right-of-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy (o
2 9 4- 3 4 0 ? OFFI E IISE NLV This aqoest.oid 18 monMs Irom validaeon dale pnnkd'q?? V
p?
PLEASE PRINT OR TYPE
Reqoeet Da.
6/ 24 / 96 Raugh-in imvetlion reqmred2 7{$Yes ? N. Inspedion Oiher TFwn Rough-In [] Ready Now7 0 Wiil Coll
a
(rou mu.t wn tne in.aaror ,ne? reaaY) oab aeo
Y.
I, El licensed conhactor 0 owner here6y requesf inspedian af }he above electncal work at.
Jo6 Pddress (Sireet, Box, or Roole Na,) Cip Zip Gode
4123 Cashell Glen Eagan
Sernon No Township Nome ar N. Fire No. Counry
71 77 Dakota
Ocwpont Phone No,
Wensmann Homes 423-1179
PowerSuppLer Pddrexs
Dakota Electric C 4300 220th ST. W., Farmington
Beclriml Conhaclur (Compoiry Nome) ContmAOr limme N. Masren c, No- (Plant Eletl Only)
Joos Electric Co. CA 00961
MalLng Addross (COnhacror or Owner Pedoiming Insmlloeon)
3980 Beau D' Rue Drive Ea an 5 22
Aothoraed Signature(ContmclararOwnerPedorming InsWlloAOn) Phone No.
EB-OOOOlA-10 6195 STATEeOApOCOW-SEEIN CTION BACKOFYELLOWCOPY
I1111 II I II I II} ?I RE"UEST FOR ELECTRICAL INSPECTION 4??`"'?
Minnesota State Board of Electncity
3, Unive'si * 0?2 9 4 3 4 5* Pnone (61 z) sa2-osoo ll?l/' Paul, MN 55104 ???
Home Duplex Api. Bldg. Other: New Addn
Commercial Indusfrial Fartn Remod Re oir
Air Cond. Htg. Equip. Wafer Htr. Lood Mgmt. Ofher:
Dryer Ran e Elec. Heat Tem . Sernce
"X" above the work covered by this request Enter remaiks in this space and on the bock of ihe white copy only.
Calculate Inspection Fee - Tha Inspechon Requesi will noi be accepted withoui fhe mrred fee-
Olfier Fee # Serrice Enirana Size Fee # Circuils/Feeders Fee
Mo6ile Home Pork Stall 0 to 200 Amps 0 to 100 Amps
Sireet Ltg./TmHic Sig. Above 200 Amps 100y_Amps
Tronsformer/Generator INSPECTOWSUSEONLY OTAL
Sign/Outline Lig. Xfmr. V 93.50
Alarm/Remofe Control
Swimming Pool
I herob <em( ?hm I ins e el
smmd
Ilano? dezm he.mn on ihe d
aMS
Irfi9aflon Boom 0.ough-In ?
!
oe••_
ecial Ins
edion
S
p
p
Investigatrve Fee Final D.re ?.1?.
7?
THIS INSTALLATION MAY BE ORDERED DISCO E TED IF NOT COMPLETED WITHIN 1H MO THS.
PERMIT 6P'? ??--
i `CIT?( OF EAGAN ?/ao?g?
? 3830 Pilot Knob Road PERMIT TYPE: BuzLozHG
Eagan, Minnesota 55122-1897 Permit Number: 0 2 7 B 8 6
(612) 681-4675 Date Issued: 0 6/ 19 / 9 6
SITE ADDRESS:
4129 CA5HELL GLEN
L07: 15 BLOCK: 4
WENZEL 157
P.I.N.: 10-83570-150-04
DESCRIPTION:
Q
Permit Type
W4rk Type
e
68
48
2
2,270
101 1 - FAM. DETACH
REMARKS:
S& W PLBR - GENZ RYAN pLBG
FEE SUMMARY:
Base Fee
Plan Review
Surnharge
SAC
SAC ?
SAC Units
Subtotal
m-
"-aa?a;ii ? n„ 4'M,afiL.
SF DWG
NEW
R-3 U-1
V-N
pq R-1
?A:c,
g"?P?•«?53? pi s e]
"sa
_«an m
ai ???¢:``F?P.+? ?a
renI;y?,.,`?s":RS`t,'I:'-_' -{
a A":
$157,000
VALUATIQN
$1,172.25
$586.13
$78.50
$900.00
100
$2,736.88
MISCELLANEOUS $1a923.50
Total Fee $4,660.38
CONTRACTOR: - p,pplicant - sT. I.IC.OWNER:
WENSMANN HOMES 14231179 0001458 WENSMANN HOMES
3912 15157 5T W 3312 1513T W
ROSEMOUNT MN 55068 RpSEMOUNT MN 55065
(612) 423-1179 (612)423-1179
I' .. . Y ... ?
, ?.heYe.by acktrW?fec?t??? Chat"SFF
infiormata,an.=is``caYM"r.oct 'a;ri'd 'ac
9tat'ea_t`es ?and-,- Ezty,. ?ct?g#h;: t?r
APPLICAN ! RMI?EE SIGNATURE
a;?Sp1:??+?,tziQh.a,n.d s????
?a .?t?mpLy y3th al?? app?X'c?bi?` ??ate 'o?f ?lrt ' -
..
?
. n.:= r.?..=.? n?v
?
-?0 R 4 aj ? m,?-
ISSUED BY SIGPSATURE -?
141K CITY OF EAGAN 3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) ,_ n/? q?
? 681 ?675 (? ??
New Construdion Reouirements RemodeUReoair Recuirements
? 3 registered site surveys ? 2 copies ot plan
? 2 copies of plans (inGude 6eam 8 window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks)
? 7 energy nkulafions ? 1 energy wlculations far heated additions
? 3 capiea oi tree preservation I n H IW platted after 7/1193
required: Yes No
DATE: 4 ? ?9 6 CONSTRUCTION C05T:
DESCRIPTION OF WORK:
STREET ADDRESS: ?
LOT L BLOCK Li SUBD./P.I.D. #:
PROPERTY Name: WAO,,?44-r? !? Phone#: f7 r
OWNER """
street Address- ?
City: State: 'L Zip: s`? 6 v
CONTRACTOR Company: S,awk-Q-- Phone #:
Street Address: License #:
ARCHITECT!
ENGINEER
City:
Company:
Name:
Zip:
Registration #•
Street Address-
City: State: Zip:
State:
Phone
Sewer & water licensed piumber: /,?otvt, . Penalry appiies when address change and lot
change are requested once permit is issued
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: ? iA- • ?`?.`? -
OFFICE USE ONLY REC[e EDD
Certificates of Survey Received Yes No ,j Q sjp?r
Tree Preservation Plan Received Yes ? No --------
OFFICE U5E ONLY
BUILDING PERMIT TYPE
• ? .
0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
??02 SF Dwelling ? 07 4-plex o 12 Multi RepairlRem. ? 17 Swim Pool
03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. 0 10 = plex ? 15 Deck
WORK TYPE
p 31 New o 33 Alterations ? 36 Move
? 0 32 Addition ? 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MCNVS System ?-
(Allowable) ? N Main level sq. ft. z& City Water L-?
UBC Occupancy 3 l?- 2~`3 sq. ft. !o? ? Fire Sprinklered
Zoning P-b - sy. ft. PRV
# of Stories ZL6szer- sq. ft. Booster Pump
Length 6" sq. ft. Census Code. /O/
Depth 5/,9_ Footprint sq. ft. z, Z?o SAC Code CS
r ? Census Bldg
Census Unit ?
APPROVALS
)
Pfanning Building Engineering Variance
-?
Permit Fee Valuation: g
Surcharge ? ------___
Pian Review
License ? x
MCNVS City SAC AC /X 2Z ? 07 ???; I62Y?
Water Conn. / K 1 8 = 3b
Water Meter 'x y "/y
Acct. Deposit ?/' o/y ?7 x z? J
S/W Permit M15'x
S/W Surcharge _19 ? f-
Treatment PI. X
Road Unit y x v = y? ' (? D
Park Ded. ( yx?6.S - 23 r?
Traiis Ded.
Other
Copies uM g? g?? . 33,r l6 '??
2 ?'? ?? sx3L ?
TotaL• ? ZZ,r = ?16
?,?,c : /Sa (?sXZ?
% SAC
SAC Unit3 x ?-
?O/?xsy- ?ZZ x16'
57? FOJ. ) I_p 1 OS ' S5 1 b: J'A
t
w
AMsZsh? : . . .
F1 t23 c asNELA-
G' A S +H--E- l. L •
/, •?? e?°>
.
13
? 90lb"3
? qo`9
?x
s? p
_ _ -? _ S__•,¢;
J'E\?
?y 1
O? {b'
Gx 'pb.b ??ry
-! 1
87, !;ail V'w
NORTH
SCALS 1"=3Q'
ALC SEARtNas A55UM9D
o pENOTES 1RQN M D NUM&N7
095c91pT'LaN-__
L o r 15, BLOCK 4.
WE NaE I
FIRSr APDrTiON,
DAKcTA COUNTY,
M1n?NE SorA
ip7 C+,?t_ot..U-- CL. 912Co
6aS6ME?-T El-. 9ayJ. S
T Yaereby certify that tkzis survey was prepared by me or
under my direct supervision and that S am a duly Registered
Larid Surveyor under the Laws of the State of Minnesota.
Date=./kx?F41 LeRoy ? . Bohlen
Registered Land SurveyoY' No, 10795
--
i sn?iwr.?
,. _ . A . . .. . .
a
N B9 0,53'S'6
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4,7-.a I +•
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? IA?C O p'LL.O ?? a r
?-.°M f?.a 0?s ? a o C:K 904,¢ ?
4r ?
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? ORA1uAsE AN? G A !?"
? I J tILl t'Y EqSCMENT ' • + R E Vl E.ED
4 ? 3Y_
7A7F
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? poua e??_q' N ?? ?o•°
i
LOT SURVEY CHECKLIST FOR RESIDENTIAL
' ILDING PERMIT APPLICATION
? PROPE RTY LEGAL:
O'F SURVEY
:
DATE
LATEST REVISION:
? y DOCUMENTSTANDARDS
a z ?„
m?O ? • Registered Land Surveyor signature and company
• Building PermitApplicant
yv ? ? • Legal description
a?o O • Address
? ? • Nortfi arrow and scale
? ? • House type (rambler, walkout, spl"d wla, spl'd entry, {oakout, etc.)
GY ? ? • Directional drainage arrows with slope/gradient %
? • Proposed/ebsting sewer and water services & invert elevation
I9' ? ? • Street name
? ? • DrNeway
FI.EVATIONS
Edstina
q'
o ? • Sewer service (or Proposed)
?
¢T ? ? • Property corners
?
? ? • Top of curb at the driveway
/
r9' o ? • Elevations of any exassting adjacent homes
Prooased
?? ? • Garage floor
B?O ? • First floor
?o ? • Lowest exposed elevation (walkouUwindow)
? • Property comers
? ? • Front and rear of home at the foundation
PONDING AREA (if aoolicable)
? • Easement line
d ? ? • NWL
? • HWL
?-'O ? • Pond # designation
? ? e?O + Emergency Overtiow Elevation
DIMENSIONS
?o ? • Lot IfnesBearings & dimensions
Zr?0 0 • Right-af-way and street width (to back of curb)
Zr'(3 ? • Proposed home dimensions including any proposed decks, overhangs greater than 2',
porches, etc. (.e. all structures requiring permanent footings)
CC+T ? ? • Show all easements of record and any Cily utilfies within those easemeMs
Cr'-Ll ? • Setbacks of proposed sWcture and sideyard setback of adjacent eristing sVuctures
? q/b • Retaining wall requiremen
-10
71
Reviewed:
Januery 1996
caAWweAeLocPaar.rt FM
. . , bAT£? --
?? J ECT£RIOR EWELOPE AVE[tACE "U" COMPUTATIOr
OTdtiER kVft+J-s??44N
SITE ADDRESS `;7??-?--`??'?-' `
CONTRACTOP
ADDRESS 'PHONE
DETERMINE WORRING SOUAAE FOOTAGE OF EACEI.
I. Total exposed wall area .,... eq. ft. a_? ? (?'J ?
•2. Total roof/ceiling area aq. ft. a,oab
Total exposed wall area above_flqor • ??
'A, tfot&Lwald,ewindowcazea..«..«..........................._..
It : :To:tal-- door. ar.ea .............. .......? ..............«:.«..........
3??
:c ?otal'licbixt8.:glass. door, aLea, .......«... «.......... .?.. fc7t7
'd 'Total ifireplace, wall. ar.ea.«. ...................«....... _..
'21 ",Totd]t d'allJr•aming, aiea•?-(qvefagG? 101) ...........,.,, z/
*-E. ,':Total .xiet, wal1• area,e6dve•,floac ...?.........,. .. ? .. Z?
.
°g, 'Total ii'm joist atea .... .,.......................
Total exposed foundation area -
h. Total foundation windoW araa :.:...............•
•1. ,Total net..fonndatioa,aiea• above, grade ,.•........y;??
-Deterdarie "U's• vaYae=i4 eaca aaU•csegment.
72 •JC aUn 9 z, /A
b. ,? E liplt ?-
q Zq ?7
c. rOV E nUn',' .Z-/? • /,?
a. -' a #tuf,
e. ?'2{ 7C fi-V
f. x,IUII
$, 34? x "v" • C?/ -
/ 2,6,. qo
/9•/1
h. x 111?
. '.
x Irpot Z5. 77
3 . ...................... .........Total • ? /s?o
If item 03 ia the eame as, or less lhatt item #19 yau have met the intent
nf SBC 6nn6 (c)2.
?? i?Yr? •
,.,
Total exposed roaE/ceiling area
?. 7'ntnl qkyLiPht rron ....................•...... -' ---
k. Tota1 reof/celllnR Ernni.ng ncnn (nvrtnPe109.)..
1. Total net insulated rooE/ceiling area ......... Dntermine "U" vnlua Eor each rcof/ceiling segment.
,
. ?- X rtVu. -?? ..
? i• - -
gIfUn ?Z'?
?, . ?
1. )??C/ x rrUn pZ QV -
h......... ..............................Total ZO ?
If." tntal of ll4 1e the same as. or leea thnn #2. you lirive me[ tlie i.ntent
,. „C •SPC..6006(c)1.
,t7 _•±-Alterriate_Bu?J.din? EryvelopP ;Ans ipn
?
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I
PERMIT
?Cify OF EAGAN
? 3830 Pilot Knob Road PERMIT TYPE: a u I ? o T N G
Eagan, Minnesota 55122-1897 Permit Number: 0 3 0 213
(612) 681-4675 Date Issued: @ 6/ 13 J 9 7
SITE ADDRESS:
R1213 CFiSNELL GLEN
LOT=15 8LC7CK: 4
WEN.'Et. 1S'T
F.I.Ne< 10-83570-150-041
DESCRIPTION:
eriris.t 1'yr?e
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REMARKS:
FEE SUMMARY:
S Ll I^ C h 7 ?e
l'Ot81 Fe2 ?=t??'l.:iG?
CONTRACTOR: OWNER: - Applicant -
..1 30 +1I4 SOPd RYflN
11123 CASHELL GLEN
EFttiAtJ Mld
' (61?)G26-?707
F ..? -{S y?g Aa F 5 „'$._.
i Ile V`L?by I?fvi}f`lQ?tdI?V"?? 4M.?X$?
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APPLICA RMIT I ATURE ISSUED SIGNATIJRE
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CA SHELL 'rG L
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LOT 15, BLOCK 4.
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Firtsr ADDlTIDnI,
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ALL BfARIN05 A5511ME0
o DENOTgS 1904 MONI.IMEN7
?itSEMEw?'C E?-. 9e??S
T YAereby certify that ttiis survey was prepared by me or
under my direct supervision and that I am a duly Regi.stered
Land Surveyor under the I.aws of the State of Minnesota.
Dat;e:jKjg
?I,eRoy . Eohl.en
ReOsCerecl Land Surveyor No. 1079?)
S'79 f-'iil fllll 05 '96 lh:-l'?
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r . ? 5
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1997 BUILDING PERMIT APPLICATION (RESIDENTIAL)
?o ?8830 PILOT KN B RDN 65122
681-4675
RemodeUReoair Reauircments
-q-- SUBD./P.I.D. #:
? 3 regiatered site surveys ? 2 wpiea M plan
• 2 eopies of ptans (indutle beam & wintlow saea; poured fid. dasign; etc.) ? 2 aite surveys (exterior adCifiona 8 dedcs)
• 7 energy calculations ? t enargy calculations kr heated addkions
• S coprea W tree preaervatlon plan if lot platted efter 711/93 ,
required: _Yes _ No •
DATE: CONSTRUCTION COST
DESCRIPTION OF WORK:
STHEET ADDRESS:
./
LOT ? BLOCK
6-8?b?Cw
PROPERTY Name: ( J??`n svl\ LA? Phone #: ?-?33 H
owNeR
CONTRACTOR
ARCHITECT!
ENGINEER
Street Add
?
City: 6 1'" _ State: ? Zip:
Company: S?IT- Phone
Street Address:
City: State:
License #:
Company: 54y? Phone #:
Name:
Registration #:
* so,.sv
L?A ?
'P/i z-
Zip:
Street Address:
City: State:
Sewer & water licensed plumber (new construction onty):
and lot change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the
State of Minnesota Statutes and City of Eagan Ordinances.
OFFICE USE ONLY
Signature of Applicant:
Certificates of Survey Received ` Yes
Tree Preservation Plan Received , Yes
_ No
_ No • _ Not Required
Zip:
Penalty applies when address change
and a§y¢e )4/qghiply with all applicable
RECEIV ED
JUR? 10 1997
BY: ?
r: - CITY USE ONLY
L4-L,rL_ BL ? RECEIPT #: e;?O 9
SUBD. DATE:
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 6814675 _
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES
Sh EACH
3
00 I?IQ, ?
ower . x
Water Closet 3.00 x T-
daih i uu 3.00 X a- ?
Lavatory 3.00 x ?
Kitchen Sink 3.00 x
Laundry Tray 3.00 x
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x
Floor Drain 3.00 x
Gas Piping Outlet * minimum - 1 3.00 x a+
- _
Rough Openings 1.50 x 77
Water Softener 5.00 x =
Private Disposal * Dakota Cty. license 50.00 =
(new and refurbished systems)
U.G. Sprinkler * home under const. 3.00 =
Alterations " to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL ? . ?
SITE ADDRI
OWNER NA
INSTALLER
STREET AC
CITY: f`?M -
STATE: ZIP: ' ?fyZg
? ?
PHONE #: 4
? cinr use oNLr
L 1? BL
SUBD.
RECEIPT #: ?0A49
DATE: *94'
1996 MECHANICAL PERMIT (RESIDENTIAL)
CtTY OF EAGAN
3830 PIIOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction Add-on furnace
Add-on air conditioning Add-on airexohanger, i.e. Vanee system, etc.
Date:
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
• Gas Outlets (minimum of 1 required @$3.00 each) ?
? State Surcharge .50
TOTAL &O
SITE ADDRESS: -/-??v L/ / L= /u J
OWNER NAME: (/41251?I)/7 40I72!?-5 PHONE #:
INSTALLI
STREET
CITY: P'-5 /nf STATE:ow ZIP: ,2?
PHONE #: (lp?? '
ZfIGNATUR ????
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ms=va?:r,ATl?? ON TNE SITE.
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA112703
Date Issued:08/22/2013
Permit Category:ePermit
Site Address: 4123 Cashell Glen
Lot:015 Block: 004 Addition: Wenzel 1st
PID:10-83570-04-150
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Laura Gillespie
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 -
Ryan D Johnson
4123 Cashell Glen
Eagan MN 55122
Able Restoration Group Inc.
17316 Kenyon Avenue, Suite 103
Lakeville MN 55044
(952) 378-5000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA112736
Date Issued:08/22/2013
Permit Category:ePermit
Site Address: 4123 Cashell Glen
Lot:015 Block: 004 Addition: Wenzel 1st
PID:10-83570-04-150
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Laura Gillespie
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 -
Ryan D Johnson
4123 Cashell Glen
Eagan MN 55122
Able Restoration Group Inc.
17316 Kenyon Avenue, Suite 103
Lakeville MN 55044
(952) 378-5000
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
�-----------------,
� For Office Use I
� af� ' l`�^��^ � �
� � � Permit#: �
� lV lJ • O O �
3830 Pilot Knob Road � Permit Fee: �
Eagan MN 55122 I �
Phone:(651)675-5675 � Date Received-�; '�'� �
Fax:(651)675-5694 ,�UL 2 2 20�5 I I
� Staff: �
���������������� J
. 2015 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commerciai applications.
Date: �/8/15 SiteAddress:4123 CASHELL GLEN, EAGAN, NIDT 55122
Tenant: Suite#:
•° ' rqqp��E����������nodE� Name: � Phone:
���������� RYAN JOHNSON 651-686-6333
� a a �M�� ,� =
�� � ����' _ Address/City/Zip: S�� �
— ya�����u�^� Name: K&S HTG. , A�C & PLBG. INC. � License#: 4 3 6 8 9
���� ,
: ���� 6fi�
��,�y� Address: 4205 HWY 14 W Ci}y: ROCHESTER
�c��i�rac�+�r;��r�n��r ,
��������' State: MN Zi 559Q1 Phone: 507-361-2332
„rs� r�.��ey, p:
— ������u„ � Contact: HEIDI BROWN Email: HBROWN@KSHEATING.COM
������� ��: �
— ;�°� � New X Replacement � � Additional � Alteration �� Demolition �
' = E,[r iHtyyE°hr, _
�'1`�p������; Description of work:
��� _ � - -
,p����P�"a����n ��t'���ea���On`����tt������ ector�F�r n o�rr��"�t�n z�r�—c�.-�Ei�"����i�'�€���i�'���+y`�
�c��q�<< � � � p ��� p���t'�����r���.4���F►c�ds.
pma�5��r��H� z
�r,G�, �RESIDENTIAL COMMERGIAL � �
- ��� N h�, �
� �����"! X Furnace _�New Construction _Interior Improvement
�mt'�
` ���`��� � X AirConditioner InstallPiping Processed
��1"ri"tl�'�a/�� — —
,F'��"�'� Air Exchanger Gas Exterior HVAC Unit
t � <�� — — �
� ti� �°��'�'� _Heat Pump Under/Above ground Tank �Install/_Remove)
` �ti�� '� � ��� r� � �
s �_ __ _Other
RES/DENT/AL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge
$100.00 Residential New, includes State Surcharge =$ 60. 00 TOTAL FEE
COMMERCIAL FEES Contract Value$ x.01
$60.00 Permit Fee Minimum, includes State Surcharge
$70.00 Underground tank installationlremoval =$ Permit Fee
"If contract value is GREATER than$2,010, Surcharge=Contract Value x$0.0005 -� Surcharge*
If the project valuation is over$1 million,please call for Surcharge =$ TOTAL FEE
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 RICK KEEHN X ���
Applicant's Printed Name Applicant's�Signature
�(3T���FI�US� Su��F�r�� � -� 's'��h�°"� _ �` - ' , � , _.� � u���oN,�w��-����� ���I�'�'ll� _
t uh�a�b�F= �� i �'� � — r n h��u � � r � �i � �,�ro �,� - s
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`�a���� =� -�� � � �` � '����a�d� �� � � � ����� � ��� �.z =_ ---�--��a
•Und�,JWo��t� ���ugh��= �i�`���' �����i�-����,#r���' ������h�d�� ,.. �� a�= FiUAC ac��er�i � 4� J'
— , � _ _ � 2 �_ -t �N .w �