4164 Cashell GlenCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4164 Cashell Glen
Lot: 2 Block: 2 Addition: Deerwood Ponds
PID:10- 19975- 020 -02
Use:
Description:
Sub Type: e - Fumace & Air Conditioner
Work Type: New
Description: Fumace & Air Conditioner
Comments: Questions regarding electrical perm
952- 445 -2840.
Fee Summary:
Contractor:
Sedgwick Heating & Air
8910 Wentworth Ave S
Minneapolis MN 55420
(952) 881 -7739
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
equirements should be directed to Mark Anderson, State Electrical Inspector,
$50.00 0801.4088
Owner:
Gregory J Hoffman
4164 Cashell Glen
Eagan MN 55122
$50.50
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$0.50 9001.2195
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
Issued By: Signature
Mechanical
EA083806
06/25/2008
ePermit
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4164 Cashell Glen
Lot: 2 Block: 2 Addition: Deerwood Ponds
PID:10- 19975- 020 -02
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823 -8046
Permit closed without required inspection(s). Letter sent to applicant on 6/12/09. (pf)
If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Pictures are not
acceptable in lieu of inspections.
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:
$88.50 0801.4085
$1.50 9001.2195
$90.00
Owner:
Gregory J Hoffman
4164 Cashell Glen
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Issued By: Signature
Building
EA086801
10/13/2008
ePermit
Wertificate af Cccupanc?
W44 of Cfagan
zodvta?eut of ftdibi% audoecfion
Tltis Certificale issued pursuant to the requirements of the Unifnrm Building Code
certifying that at the time of issuance fhis structure was in eompliance with the various
ordinances of the City regulating building construction or use. For the following:
ux caasstr,calkm: SF DWC, Biag. P«mit No. 23566
Occrpaocy 7ypc R%«41 Zniog Disttict R 1 Type Consi. VN
owwr or awjfift HWFM HM 1N' ,w&vms2214 E I 1 T1H ST, B'VillMR
eWw* naam, 4164 CA9HELL (M LocalihL2, B2. DEMP&IOCD PONIDS
;?_ Ua?c:
Buildio6 ORicial
POST IN A CONSPiCl10US PLACE
il
C17Y OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
t_ fiI F. N
It1.JUUt1 ??rta17'.
PERMIT SUBTYPE:
2TION RECORD
PERMIT TYPE:
Permit Number:
; Date Issued:
APPLICANT: ?
:;"4 'MO/
TYPE OF WORK:
I??11 1 1! I INI:r
INSPECTION .. . .A
??! lif Il ? I: r;
? . ? i i S? I
f 1,11F??? 1 H
?
I ,t ;1 k K`:? : .' 16 i, a F` I[I V L)i N!. E l 1.' 1 ti i.i
a I '? 3 6 .x ,
Permft No. Permit Nolder Date Telephone #
SNV
4 VA
t
+NAc P Fhibtl
301=?5 5
ELECTFIC
ELECT
Inepeotfon Date Insp. CommeMs
Footings I ?
Foundation ? q4
Lk)
Framing
Roofing A,
Rough Pibg.
Rough Htg.
Isui.
/
Fireplace
Final Htg.
i?
Orsat Test
Finat Plbg. & - Pibg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
i
Deck Ftg.
Deck Final
Well
Pr. Disp.
Gi7` ?
? CIT'Y OF, EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
??T/'
BUILDSNQ'
023566
05/11(94
SITE ADDRESS:
4164 CA5HELL GLEN
LOT: 2 BLOCK: 2
DEERWOOp PONDS
P.I.N.: 10-19975-020-02
DESCRIPTION:
6,611ding-Permit Type SF DWG
Ruilding W?6r? Type NEW
CJBC Occupaney', R-3 M-1
ConstrwcCion 7ype V-N
Zoning -? R-1
iBuild'zn•g Length ? 67
? Buildi.ng Width 46
`'- B•uiXd3ng st4ries r'` 2
l\'
\ti f;
•` -1???•Y3 tLW2)?r. 1,?'llit
REMARKS:
5& W PLBR - WEN2EL PLBG
FEE SUMMARY:
VALUATION
Base Fee
Plan Review
Surcharge
sac
5AC %
5AC Units
Subtotal
$930.00
$604.50
$91.50
$800.06
100
1
$2,426.00
$183,000
MISCELLANEOUS $1.828.56
Total Fee $4,254.50
CONTRACTOR: - Applicant - S7. I.IC. OWNER:
HOFFMAN HOMES ZNC 18949807 0009284 HOFFMAN HOMES INC -
2214 E 1177H ST 2214 E 117TH ST
BURNSVILLE MN 55337 BURNSVILLE MM 5-5337
(612) 894-9807 (612)894-9807
Thereby ecknowledge that I have read this applioation and state that the
informatian is correcY and agree to camply with all appli¢abla 5tata qf Mn.
Statutes and GiCyof Eagar+ OrdinanceS. ,
?
?,??-- ?? 1 1'?1
nu
APPLICA ?RMITE GNATURE ISSUED 6' SIGI ATIJR
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob fload Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITEADDRESS: Lor: z BLOCK: 2 APPLICANT:
4164 CASHELL GLEN HOFFMAN HOMES INC
DEERWOOD PONDS (612) 894-9807
PERMIT SUBTYPE:
sF owe
TYPE OF WORK:
NEW
BUILDING
023566
05/11/94
INSPECTION
FOOTINGS D, .
FOUNDATTQN DA
FRAMING ROOFING
INSULATION FIREPLACE
ROUGH IN PLBG ROUGH IN HT6
FINAL PLBG FINAL
REMARKS: S& W PLBR - WENZEL PLBG
?
-1
? ?
r+aaress 4164 r19F71. taEN Zip 55122
. , , .
L.ot z Blk 2 Sub nEEWoon rorIDs
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: /04? 7j Yes No Inspector. ?
Final grade (6" from siding)
Permanentsteps (garage)
Permanent steps (main entry) r?
Permanent driveway ?
Permanent gas
Sod/Seeded grass 1/
TraiUcurb damage
Porch ?
Basement finish ?
Deck ?
Please verify with Ne builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 6814645 before wocking in righbaf-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Convactor Copy w
SEDGWICK HEATING & AIR CONDITIONING CO. ?+eanNG JagNp C70 l33
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 881-9000 TEST RECORD
nooaess e;.?
OCCUPANT J
SOLD BV ?e Cl S?-uc
an ?Lr?'
OWNER G re 5(' ?Ho ' M'4.'J
INSTALLED BY
MAKE LeN tiJ U ?F
SERIAL NO. -5-?!o Yc'" ` " 333
THERMOSTATV PSoc-))
VALVE ? 6/A Z? ? s-)
LIMIT ?( ? Z C
LIMI7 SETTING
FAN SETTING
PILOT7YPE 'r G
IGNITION MODEL ?
?r ? ?
•
PILOTTIMWG ?? ? 7
- i
PRESSURE
PERCENTCOz ?
-
INPUT CFH ? PERCENT Oz ?
S7ACKTEMP PERCENTCO ?
MODEL 6 6t rnPP? 6o c 1 c16
INPUT I f v a G a
VEN7 SIZE
NPE OF LINER Ll v C
LINER SI2E r
-?
FILTERS: SIZE %¢"x- .7 CJ6
NUMBER?
a
WIRING j
?
!?lU gf! ? /l?J-
TEST TAG
LIGH7ING INST.
DATETESTED
COMPANYTESTING
NAME OF TESTER V?
FORM 235 (REV 11l89) FORM DISTRIBUTION: WHRE COPY - J08 FILE VEILOW COPV - CITY
?a0
M 8 9 ?
i-
Requen oate
_ 1(?
? ? Fire No Rough-In Inpseclron Rapmred
(VOU mu tall inspeclorwhen reatly) Inspection Other Than Rough-In
? qeatly Now ? Will NotiFy In50?or
? Ves ? N. Dale iieady
licensed contractor ? owner hereby request inspection of above electrical work at:
Jab Aatlress (Street 9aK o? ute No I Gty
W ?
Section No
a ? Townshi ame or No Ran o
?? Cou
?
Occupa?PRIN??mR?
`
1Y`?
Phone N
Power Supplier Atltlress
F
Elecn¢ Conbacwr ICompany Name?
? ?. ConVactorY Lcense No
e/4 o
Ma?bn Aaaress ICOncractor Owner Making Insta ladan??
? ? U ?.?ii „
AjEetl Signawre ICOnVanorrpwner Mak?ng Insiall n?
, sD a Phone Number
i a 6P
MINNES6TA STATE BOAPD OF ELECTPI? THIS INSPECTION REOUEST WILL NOT
Grigge-MlEwey 61dg. - Aoom 5173 BE nCCEPiED BV THE STATE BOARD
1821 Univerclty Ave., 51 Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phane (812) 6424)800 ENCLOSEO ,
REDUEST FOR ELECTRICAL INSPECTION k'"`°^a , ee-ooom-os
/? $ee msimction5 for,compleling Ihis form on back of yellow copy
?-`?
4 H 9 O '# ??•?
pU "X" Be/ow Work Covered by This Request ??•?.
ew Atltl Rep ypeofBmldmg AppliancesWired EquipmenlWrtetl
Home Range Temporary Service
Duplex Water Heater lectric HeaNng
Apt Buildmg Dryer LoaA Management
Comm./Industnal Furnace Other (SpeciTy)
? Farm Air Conditioner
I Other (syecdy) Confractor§ RemaBS'
Compute Inspection Fee Below*
# Other Fee # SerwceEntranceSrze Fee # Cvcmts/Peetlers Fee
Swimmmg Pool 0 to 200 Amps 0 to 700 Amps
Transformers Above 200 _ Amps Above_100 _ Amps
Signs Inspector's use oniy. E? .?? TO L
Irrigation Booms ,?% ?
?
Special Inspection
Aiarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electncal Inspector, hereby
d
h flough-in Date
(
cert
y t
at the above mspection has
been matle.
?
OFFICE USE DNLV This request witl 18 months trom
? iqIs ? /Afi5 /R?-
M48o;?a ? .??ocg` ? 6ff?y
4 747°
Request Oele "
.??
?.J rte No Rough-ln Inpsetlion ReQUired
(Vau ust cell inspeclorwhen reaEy)
ye% Ins ecLOn Other Than RauBh-In
? Reatly Now Will N?spec?o?
OaleBeeO
"?-
licensed contrector ? owner hereby iequest mspection of abova ele ic or
Job Atltlre
ss Blreet Box ar(21 e No )
Gi
?
S ctio o
??? T nsnip Name or No R No C
Occu ant?PRINT) Phone No
Pawer Atlare
ss
EI Ir al ConVac
J r IGOmpany ame) C Vac r's Li n e
M i g odr ss C ?Vact r Owner Making Inst labon?
L
Aunr1zetl5ignaWre C IIrado,Owne• in Install ?on, mber
MINNESOTA S?ATE BOARD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT
Gtlgga-MlGwey BIEg - Room 5473 BE ACCEPTEO BY TME STAiE BOARO
1821 Univcrsily Ave. St Paul. MN 55100 , UNLESS PROPER INSPECTION FEE IS
Phone,(612)64¢-0800 ENCLOSED
;EQUESToFOrR EP ECTRI?CAL MSPECTION
.?„
CU 7 4870 •:r=" Below Work Covered by This Request
E800001-0e
?.2'.` 3sd .39
' AdE tR@p TypeoFBwltling ApphancesWired EquipmentWired
Home Range Temporary Service
Duplez Wa[er Heater Electric Heating
Apt Bmidin9 Dryer Load Management
Comm./Industnal Purnace Other (Specify)
Farm Air Condihoner
olher(sueciry) Coniractor's Femeeks
Compufe Inspectron Fee Belaw.
8 Other Fee # ServiceEntranceSae Fee # Circutls/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers A6ove 200 _ Amps 0_ Amps
Signs esveaor§ use Only TpTp
Irn allon Booms
j
Special Inspection rUrA'?' ?lT•?
Alarm/Communication THIS INSTALLATION MAY B ISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 NTHS
I, the Elecincal Inspector, hereby ROUgh-in oaW
cenify that the above inspection has
been made. F,?ai 6
' oaie
OiFICE IISE ONLY ' ?
This raQUest witl 18 months lrom
`'MRY 09 '94 16:00 MERILA & ASSOC., INC.
,
<
P.2/3
CERTIFICATE OF SURVEY
FOR: HOFFMAN.-HQMES
E
,
REYiw'TJ::D
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EAG.4lV E GIN ER G DEPT.
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? C9?SHGLEN $? ?0%
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'ENGINEERING SURVEYING PIANNINQ LBQAL DEBORPTON
?MERILA l/01 73rd Ave. N0.. &uYe Ba
T ? 1?8f2) 6937?BB8
15cASSOCIA?TES. F°'c?,? b93•1p87
upr aauoac RbWawooo awros ..
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612 533 1937 06-09-94 09:59AM P002 #12
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LOT SURVEY CHECRLIST FOR RESIDENTIAL
BIIILDINCi PERMIT
PROPERTY LEGALi
Date of Survey: _
pOCUMENT STANDARDS
Registered Land Surveyor signature and company
Building Permit Applicant
Legal description
Address
Narth arrow and ]eri-scale
House type (rambler, walkout, split w/o, split
lookout, etc.)
Directional drainage arrows with slope/gradient ?.
Proposed/existing sewer and water services
Street name
Driveway
Existina
C'?D ? • Sewer sen•ice
B? ? Q • Lot corners
Qi 0? • Top of curb at the driveway
d?-o ? • Elevations of any existing adjacent homes
ProDOSed
2' pb'CI • Garage floor
8?0 ? • First floor
? • Lowest exposed elevation (walkout/window)
CY 0 ? • Property corners
D?'? 0 • Front and rear of home at the foundation
PONDIN(i AREAS (if applicabls)
0?? 0 • Easement line
0? ? ? • NWL
11 ? • fiWL
0 13 • Pond # designation
? ? • Emergency Overflow Elevation
entry,
DIMENSIONS
p' p ? • Lot lines
? 0
? ? • Right-of-way and street width (to back of
di
i
l
i
i curb)
osed decks
o
Q ? u
ng any
ons
nc
mens
- Proposed home d ,
p
pr
overhangs greater than 21, porches, etc. (i.e. all
? structures requiring permanent footings)
i
p ? • Show all easements of record and any City n
utilities with
those easements
0? 0 ? • Setbacks of proposed structure and setback of adjacent
"o
0 existing homes
if an
ements
t
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i
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,
equ
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e
a
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ng wa
Reviewed: / ?/`f
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?
October 1992
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• EXTERiOR ENYELOPE AUERAGE"U"COMPlITA7I0N.
OW N E R; c?-v„°F
tl
SITE ADDRESS:
CONTRACTOR: ?.y?t?/yytcy?,.. 1kYk-?
..,
nnrr:_ 4-Z5-94
PHONE:
PLAN # 16240 Determine working square foota9e of each
1. Total exposed wal l area..... 3Q5g• ZS sq. ft. x.11 = -433. Z02
2. Total roof/ceiling area..... /!0'1o sq. ft. x .026 = 43•43--
Total exposed wall area above.f1oor=_"3Z{qg,s
3,49, Z
a. Total wall window area ...........................................
b.* Total door area .................................................. 3-i
c. Total sliding glass door area .................................... 40
d. Total fireplace wall area ....................................... -?
e. Total wall framing area (average 10%) ............................ :R61. 32)
f. Total rim joist,area ............................................
............
floor
b
??'1loS
9-7
g. net .........................
ove
wall area a ?
,
h. . wall area above floar .....................................
i. wall area above floor .....................................
j. frame wall area at foundat=on .............
Total exposed foundation area= 1 3.1S
k. Total foundation window area ....................... -
l. Total net foundation area above grade .............. k3?7
Determine "u" value of each wall segment
(e,g. window, door, each separate wail seccion)
a.
e. 3'7 x„?„ a 31 = /l•4?
c. ? X„?„ 0 4a- = J!-o• 8
d. - z „ull
e. 30'?.33 x ?v- , 69 = A "?,lo'?'
f. 35? z„U" , 64 _ 14, Z
y, ?7tos.14 -7 X „w .6? = flD•to3g
h. X "U" _
i. X ttull _
C 1. u 1. _
J•
k. Y llull _
r ?,U"
3 . .................................Total = 333, ZV-
If item #3 is the sar
as, or less than iter
#1, you have met the
intent of SBC 6006 (1
4. TOTAL EXPqSEO ROOF/CEILING CALCULATI0t15:
Total exposed
-
roof/ceiling area........ 16
2a sq ft
J) Total skylioht area....... sq ft x"U" °
k) Total roof/ceilinq framing
(A
IOq)
s
ft
x"U" .dZ =
Ff'•??8
area
veraae
...... q
1) Total net insulated /SG3
f
"
"
roof/ceiling area....... sq t x
U
y, TOTAL j) thru 1) ?`f•U
If total of #ti is the same as, or tess than R2, you have met the intenL of
2*SCAZ 1.16008 A ard 0.
AL7ERNATE BUILDihlG ENVELOPE DESIGN
To utilize the total envelope system method, the values established by the sum
of items r3 and 94 shall not be greater than the sum of items P1 and 92.
l. + ?.. _
3. + 4. _
* LINEAL FEET EXPOSED WALL
BLOCK: ?tS.st,s-,?t3?,-r3-??t?otatrarr4til=
KNEE:
WALKOUT: I b =,?o, 6'
FULL 1: /(o7,S+ ?7 - 117s;S-'?
FIILL z:
FIREPLACE:
RIM: /?J•S?/??l.,j =35???
:` SQUARE FEET ERPOSED WALL AREA
BLOCK: j(Q'7,'? x .5
KNEE: x 5 =
WALKOUT: 60•5x 8 = 494
FOLL 1: I?SSx l? =/S/?9,5
FULL 2: 1iJLf.s x 8 =??3(0 -
FIREPLACE: x -
RIM• 35!' ° 1 =3s?i
. TOTAL
SQQARE FEET EXPOSED CEILING
WINDOWS: DOORS: 304 -016
73-1
,2-q,44,Y-/lll a64?-4 -l?•? pATIO DOORS: (??-? )?{b
3iv'zz) -I I t -iS
4-aWe,,O-l - 4t,
?164a-i4! -
?-?h?-??
? p?v-t( - Ilv•W
- a 4
a-a? -1 -i3, 3
p_T, prcTuo - i = 3a
BASEMELIT UNITS: -L?
SKYLIGHTS: /1ti"'
X541,zl
?
?
- city of eagan
MEMO
TO: DIANE DOWNS, UTILITY BILLING CLERK
FROM: ED KIRSCHT, SR. ENGINEERING TECHNICIAN
DATE: AUGUST 26, 1993
SUBJECT: STREETLIGHT ENERGY COSTS - DEERWOOD PONDS (28 LOTS)
This memo is ta inform your department to begin to invoice the energy costs at the single
family rate effective August 1, 1993 to the property owners in the Deervuood Ponds
Addition.
The City is currently being billed by Dakota Electric for streetlighting in the above listed
subdivision.
Edward J. KirsCht
Sr. Engineering Technician
cc: Michael Foertsch
EJK/je
SUB?
L ,Lt?? ?"
NEW RECEIPT li ol ,5Qd-9
RECEIPT DATE?S
TO
JOB
ONN
DATE
PLEISE HE ADVLSED THAT TfERE IS A FEE SHORTACE ON THE ABOVE
,?j Gv
II.ECTRICAL INSTALLATTON IN TME AMOIINT OF $ (/ •
SHORTACE NL6T BE PAID YHITHIP 14 D4Y5.
ovvAnvc
PaRMIIf144 7yoP?
ORIG. RECEIPT#JaJ'/
RECEIPT DATE g-157:f,?4
' ?
??/l ?'r"?
?. I I Q
RETURN A COPY OF THIS FORM WITH REMITTANCE.
_( 31 to 100 amv. circuits= (. &r.)
0 to 100 amp service=
CITY OF EAGAN
DV664 1994 BUILDING PERMIT APPLICATION
681-4675
. i
?? MdA6? U 5 1J"J4
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys,.l copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans,?il set of
specifications, 1 copy of energy calcs. i,
Nenalty applies: 1) when permit is typed, but not picked up by last working day of month
[
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date 5 / 'f / 4+ Valuation of wo"rk , D°O
Site Address: 4164- CAsrW-_t-L- Gc? ?
STREET SVITE?'#
Tenant Name: (commercial only)
LOT z BLOCK Z SUSD. DEE2we.oD PonYDS P.'I.D. a io- I 4975 - 020 - 02
Descri tion of work:
The applieant is: ? Owner 19 Contractor ? Other (DescHbe)
Name FIoFf*rA101 oer-CK?NPY ` Phone 914 -qhD-7
Property LAST F,RST
Owner '
Address Lt-_2?s Fo9c R,DAF_ C'T
STREET STE'Itl
City 64Ga^1 State M? Zip ?Ss f 2Z
Company f-idFPr+Ae1 Hk*4ES, rNC• Phone a9,+- cA&07
Contractor
-4s
Address 22r4- EAsr t+-7T'" S7eE-F_-, License # R2+s'+ Exp.3 -31
City B?v?sviu-E. State Nfj Zip 5533-7
Company Phone ?
Architect/
Engineer Name Registration #
Address
?
City Statel I Zip
5ewer & water licensed plumber w&AJi!E-L_ r-4M4Wic,4,L- Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that t'he information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances. ev : raoFfM? uo'r?s, NC. "
Signature of Applicant: ?,?? ° -
irs: v1c.F- P"--ADr,Jr
OFFICE USE ONLY
BUILDING PERMIT TYPE
? O1 Foundation ? 06 Duplex ? 11 Apt./Lodging
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition O 08 8-Plex ,? 13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. 0 10 Multi. Add'1. ? 15 Deck
WORK TYPE
,?J 31 New p 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
? +???°?,
'?.? ??.: ?,,,•,?.,?„y..,?
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
Const. (Actual ) I,?/_ Basement sq. ft. ?37Z MWCC System ?
(Allowable)
V
lst F1. sq. ft. ?3 ?2 _
City Water ?
UBC Occupancy -??/ 2nd F1. sq. ft. is PRV Required
Zoning / Sq. Ft. total Boaster Pump
# of Stories 2 Footprint Sq. ft. Fire Sprinkler
Length L On-site well Census Code !° /
Depth y? On-site sewage 5AC Code o?
Census Bldg
?
APPROVALS _
Census Unit ?
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site
? Wallboard
? Footing
? Final
? Framing
? Draintile
I? Insulation
? Fireplace
Permit fee vet?c; -
t ?-'?st g I? 3 c??
?
Surcharge ^
Plan Review k35'.?7= l?oS,y3
License (O? Z zb
-
MWCC SAC
c;ty sac fsk 9 ° +?s
Water Conn. ??r? ?g - L 3
Water Meter
Acct. Deposit
1(.?' ?3?
_ ?y?
S/W Permit
S/W 5urcharge
??3/?
I??1,93x?q: ?Sy
Treatment Pl. l
?--?
Road Unit 2??Q
Park Ded.
Trails Ded.
32.Sk Z? _ 7y7S
J`
Copies
Other ?? ? ? ? _ z ? p
Total:
QJ- f _ 8?
'
I3,? zg - 3?_
5AC %
sac un;ts
? yis,soks'y ? ???
"°Ner
?.?
??.?x 3z3 ? ?SSb?
za. 3.t- Z ? ?'? 6
?l-
?v/??, Z%,?-!6?
??yo. ?y
??
/?Z z`?°??
, ?..
a:_"s'. :-: ..; :,.... .,..t... .,;> ?h.4:»•` '... ?3;;:,;ay_,,??i ",??:y?y`. ..
?:a.<. , ?L
.,;?.
.. . y ;?.?. ..? ..:co::9 ,.:.t......q ;g
»'3w °?r{:. N''da$:v .;F:?•T'.E`!
?:
.... i
r.?..<
.?;. . 54? .tiw?r: `•
?Q:'.@+.. .
' -... ? . . .,.._. , ..
.p^k ?
?a?>i i "?J:i::
?..?. :.. .
. . , . , . .. . :y;ey1: .
^ .s .
.5 ? <.
F.. e
?.
.. . . . ., ov .Y.•3 . ?? .. i°I:'?. u... ?.v:'.?
?.
?f . 4a
;•.3`R b
.r< .
. ? ?..?
-':i:: ?•a a..r...
A? ' C?si9.f.. ? ia.2i:%:Ji'. .? ew? i?l?r? 6?a• `;'iik?:Yti'::a:L,:..: '<in?::
PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. AL50, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUTRED FOR EACH UNTT. °
1993 MECHANICAI. PERMTf (RESIDEIVT7AL)
CITY OF EAGAN ?3830 PILOT KNOB RD' ^
EAGAN MN 55122 '
(612) 6814675
t/ NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
DATE o' q "
FEES
HVAC: 0-100 M BTU ,?I, `$ 24.00
ADDITIONAL 50 M BTU ? Jyaf ?/?g?r°`? ? 6.00
f GAS OUTLETS (MINIMUM 1 C 53.00 EACH) ?
ADD-OIv/REMODEL (EXISTING CONSTRUCTION) $ 15.00 °
STATE SURCHARGE .50
?
TOTAL ?
?
SITE ADDRESS:
OWNER Iv'AME: U??/YI /a,N TJ?'J L,(
INSTALLER: A" LL ,
A1)1)RFCC• 4I. '3/ 0. a('G/? &2!:2 )&!j
CITY:
STA
TELEPHONE #:' iffy' ?IIA
ZIP CODE5LW
TELEPHONE #:
SIGNATUR F PERMITT
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHQMES AND
CONDOS WFEN PERMTTS ARE REQUIRED FOR EACH UNIT.
NO. FIXTIJRES EACH TOTAI.
? SHOWER 3.00 3. DO
`NATER CF.OSET 3.00 9 aa
? BATH T[JB 3.00 66
LAVATORY 3.00 '5? Or5
? KTTCHEN SINK 3.00 3,D0
LAUNDRY TRAY 3.00 _?.OC'J
? HOT TUB/SPA 3.00
WATER HEATER 3.00 .3-40
FLOOR DRAIN 3.00 ?.Dd
GA3 PIPING OUTLET •mjwum - i 3.00
.?_ ROUGH OPENINGS 1.50 . So
WATER SOFTENER 5.00
PRIVATE DISP. • neway. uQ 20.00
U.G. SPRIlVKLER • eome aoav const. 3.00
ALTERATIONS - to edsuo8 20.00
WATER TURN AROUND 20.00
STATE SURCHARGE .50
TOTAL: 5;,5:Q,OD
SITE ADDRESS: '411?p Y ed?
OWNER
IlNST
CITY:
STATE: /y/ /l/ ZIP CODE:
PHONE #: (?/a) 415v7 - 1S6 5
??/ZO/I?
GNATURE OF RMITTEE
1994 PLUMBING PERMIT (RESIDENITAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
Use BLUE or BLACK Ink
r-----------------+
I For Office Use �
� � Permit#: ! �� �
C��d O� ��6�� I PermitFee: V�'� �
3830 Pilot Knob Road I I
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 I I
Fax: (651)675-5694 � Staff: I
I I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: �✓�il� SiteAddress: yj�"I C*°�St,�c�� C�-�� Unit#:
�,e.
��" '��� ���� Name:_���(�ii-�G'2 Phone:
ReS�Cl�nti �/ � _� ) /
� ' Address!Cit /Zi ��� l C��''�'�-( 1 ��r�
- C�UUI'I�t' Y p�
,
� - Applicant is: Owner Contractor
� Descriptionofwork: ��° )�-�'" �
Tyji��f Wark
Construction Cost:���/� Multi-Family Building: (Yes /No�
::,' Company: ���.�il,"tl ��<'�2 ��-"Y�G'.�5, LL� Contact:��� /-[4��Ji►
���� :�.4 �
CQ11�a��OC : Address: �Sj l`�.�.�.rV S+�- City: ��¢-.�vv-��, �
��� State:J-'V✓ Zip: 5����� Phone: ��v� -°IbZ�S3'�3EmaiL�i�,�C��C*��<1 ��r�✓-�a.�
` License#: �� C��L��7 3� Lead Certificate#:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 72 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes �!ld�o. If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
N�?TE Plans�r�#,�upp�rtirr��locu`r�t�nfs#�rat ya�s�bm�#are,���r���alered tp��pu�rl���r�forrr��t�c�rt. Pcrr#�on5 bf
�the�r�fiirlrtatron`ma�r be:��as��f#�r�t�a�-rtor�-#�uh�ic��flya�i�rc��r�d�spect�r�reas�tns t1�at�auJd�er►n�t`t�ie Cf#y ta
� ,c.a � ,
'' !��ii. Grir�Gl"ei�"�.#l��t�#1`�e .;�r�tr'+�d�;�e����� '
CALL BEF R
O E YOU DIG. Call Go her State One Call at 651 4 4- f r
5 0 0 0 2 o r o t e c t i o n a a i n s t u n d e r r o u n i l i m I I
p ( ) p g g d ut ty da age. Ca 48 hours
before you intend to dig to receive locates of underground utilities. www.aoaherstateonecalt.ora
1 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.
Exterior wor authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of pe it issua
x X
Applicant's Printed Name Applicant's Signature
Page 1 of 3
Use BLUE or BLACK Ink
r----------------�
I For Office Use �
I ,[�('�j� �
• � Permit#: ���vv`-r
Clty of E���� ' '
� ��� i
� Permit Fee: �
3830 Pilot Knob Road j � ^ y- �
Eagan MN 55122 � Date Received: 0 �
Phone: (651)675-5675 I I
Fax: (651)675-5694 � Staff: �
I
-----------------�
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ��,�a ��) Site Address: �, �� C-CcS/�e �� � t�`"`� _Unit#:
x
� ���� ��' Name: Phone:
Reside�t/.; .���
(�yy'�g�� `. :.' Address/City/Zip:
: Applicant is: Owner Contractor
Description of work: Ll..� '�`^ �c�—✓S �� � � �°'�'°�
1'�pe�o�WorK �
' Construction Cost: � �. 1�U� � v� Multi-Family Building: (Yes /No�
! Company: �C� `��-
�'�'�`�- '�c�S 'l � °�� Contact: fi%l ���'�
� ���S �
� � � Address: t7�-� �� �� 5� City:
Contractar
' State:�Zip: �� Phone: �0��$��-��� Email:
' l.icense#: 0�0 1 �3� f � Lead Certificate#:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
NUTE:;Pl�ns and supporting';�locuments that yciu submi#are cansider�d to be public int'ormafion. Par#ions af
th�inforrna#ion may be clas��fie�d as non:-publi�if y�u provid,e spec��c.reasbn�:that would p�r'mit#he City to '
n�: ,Con�(ude`that the' ar�traale secrets: ' �
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.orq
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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
.
X V`�,�l L `'�4-C� L.-7 S°^- "��° X �/"`
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA152880
Date Issued:11/06/2018
Permit Category:ePermit
Site Address: 4164 Cashell Glen
Lot:2 Block: 2 Addition: Deerwood Ponds
PID:10-19975-02-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Gregory J Hoffman
4164 Cashell Glen
Eagan MN 55122
(612) 817-5242
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA156070
Date Issued:06/13/2019
Permit Category:ePermit
Site Address: 4164 Cashell Glen
Lot:2 Block: 2 Addition: Deerwood Ponds
PID:10-19975-02-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Gregory J Hoffman
4164 Cashell Glen
Eagan MN 55122
(612) 963-9175
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature