4161 Cashell Glen
1 -t :w i
Werti ficate of cccnpanc~
City of Vagan
Teva lmew of en"ins 3nocction
This Certificate issued pursuant to the requirements of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following:
ux cuwwmmion: SF DWG Bldg. Pami, No. 23483
ox P-Y Type R3/M 1 Toning Disaia PD Type cone. VN
Owsa of Building SIEPH-AN HOMES Add,t~4130 M A<3WW DR, EAAM
Building Adams 4461 4ASHQ1, GM l'XnGty L4 B4 DMUO0D PONDS
Building
POST IN A CONSPICUOUS PLACE
i
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
PERMIT SUBTYPE: TYPE OF WORK:
I
LL
Permit No. Permit Holder Date Telephone #
I SAN
PLUMBING ~ - 5
HVAC /q 9 Qw ~-ill
ELECTRI
ELECTRIC 47
Inspection Date Insp. Comments
Footings I
Foundation
Framing 1019) Q y , , I
Roofing G!~
Rough Plbg.
l °'rt
•~J /~y / . i ,a.t / i, - 7 Rough Htg.
S
Isul.
s--~-~
Alf
Fireplace S~ Q L!,-)Z !f ~
Final Htg. 0 W„ f /Q
Orsat Test SJ
-Z '
Final Plbg. jD Plbg. Inspector -Notify Plumber
Const. Meter
Engr./Plan
6
Bldg. Final ~/3 A
Deck Fig.
Deck Final
Well
Pr. Disp.
~S /~YFGr ~S>L /rldi~
C-,
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(651) 681-4675
SITE ADDRESS: APPLICANT:
yl ~O( I I . p f N
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR.
F
L
Permit Holder Date Telephone #
SEWER/
WATER
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
.rya'>: :.k7 '.a• ,
7gg
Kri""x:"..xTx;T:~•d ,.i: . Ageb.LS' .
1994 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681.4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
- - - - - - - - -
NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
FIREPLACE INSERT
DATE May 18. 1994
FEES
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM i @ $3.00 EACH) 9.00
ADD-ON/REMODEL (EXISTING CONSTRUCTION) $ 20.00
STATE SURCHARGE .50
TOTAL $ 33.50
SITE ADDRESS: 4161 Cashell Glen, Eagan, MN
OWNER NAME: Steph-An Homes TELEPHONE 681-9777
INSTALLER' Kleve Heating & A/C, Inc.
ADDRESS' 13075 Pioneer Trail
CITY: Eden Prairie STATE' Minnesota ZIP CODE' 55347
TELEPHONE (612)941-4211
z2,&
SIGNATURE OF PERMIITEE
Address 4161 CA&EM GLEN Zip 5512?
Lot 4 Blk 4 Sub wwwwp rows
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: G~~I S Yes No Inspector:
Final grade (6' from siding)
Permanent steps (garage) ✓
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
Trail/curb damage
Porch
Basement finish e/
Deck
Please verifraw" th the builder the removal of roof test caps from the plumbing system and the shutoff of water supply to
the outside wn faucet before freeze potential exists.
Contact engineering division at 6814645 before working in right-of-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
119 8 419Werv
Request Date Fire No Rough-In Inpsection Required Inspection Other Than Rough-In
5/10/94 (you must call inspector when ready) ❑ Ready Now Z Will Notify Inspector
yy yes ❑ No Date Ready
I , licensed contractor 0 owner hereby request inspection of above electrical work at.
Job Address (Street Box or Route No) City
4161 Cashell Glen Eagan
Section No Township Name or No Range No County
Dakota
Occupant (PRINT) Phone No
Steph An Homes fiR&xfi*A
Power Supplier Adch.-
Dakota Electric 4300 220th St. W., Farmington
Electrical Contractor (Company Name) Contractor's License No
Joos Electric Co. CA 00961
Mailing Address (Contractor or Owner Making Installation)
3980 Beau D' Rue Drive, Eagan, MN 55122
Authorized Signature Contractor/Owner Making Ins Lo Phone Number
688-6180
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT
Griggs-Midway Bid,, - Room S-170 BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. St. Paul. MN 55100 UNLESS PROPER INSPECTION FEE IS
Phone (612) 602-0800 ENCLOSED,
RE
0ST FOR ELECTRICAL INSPECTION EB-00001-09
. S2?! udions for completing this form on hack of yellow copy
~~SCGG~
011978 ` f
~ "X" Below Work Covered by This Request
e Add Rep. Typeof Building AppliancesWned Equipment Wired
X Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Building Dryer Load Management
Comm./Industrial X Furnace Other (Specify)
Farm Air Conditioner
other (specify) Contractor's Remarks
Compute Inspection Fee Below.
# Other Fee # Service Entrance Size Fee # Crtcuds/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps 74,
Transformers Above 200 _ Amps Above 100 _ Amps
Signs inspectors Use Only TOTAL
Irrigation Booms $94.50
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 1 NTH
I, the Electrical inspector, hereby Rough-m Date
certify that the above mspection has Final ate I J
been made.
OFFICE USE ONLY
This request void is months from
PERMIT C a~~ 3
CITY OF EAGAN PERMIT TYPE: S ``t y
3830 Pilot Knob Road Permit Number: 023483
BUIL N Eagan, Minnesota 55123 Date Issued: 05/03/94
(612) 681-4675
SITE ADDRESS:
4161 CASHELL GLEN
LOT: 4 BLOCK: 4
DEERWOOD PONDS
P.I.N.: 10-19975-040-04
DESCRIPTION:
B.uilding-Permit Type SF DWG
Building Work Type NEW
U BC Occupancy", R-3 M-1
r Construction Type V-N
Zoning PD
/ Building Length. i 60
Building Width 53
Building stories 1
REMARKS:
S & W PLBR -
FEE SUMMARY:
VALUATION $121,000
Base Fee $713.00 MISCELLANEOUS $1.828.50
Plan Review $463.45 Total Fee $3,865.45
Surcharge $60.50
SAC $800.00
SAC $ 100
SAC Units 1
Subtotal $2,036.95
CONTRACTOR: - Applicant - ST. LIC. OWNER:
STEPH-AN HOMES 16819777 0001457 STEPH-AN HOMES
4130 BLACKHAWK RD 114 4130 BLACKHAWK RD
EAGAN MN 55122 EAGAN MN
(612) 681-9777 (612)681-9777
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with, all applicable State of Mn.
Statutes and City of Eagan Ordinances.
L4~~ ~
APPLICANT/PERMITS SIGNATURE ISSUED U. SIGNATURE
INSPECTION RECORD
CITY OFEAGAN PERMIT TYPE: BUILDING
3830 Pilot Knob Road Permit Number: 023483
Eagan, Minnesota 55123 Date Issued: 05/03/94
(612) 681-4675
SITE ADDRESS: LOT: 4 B L O C K : 4 APPLICANT:
4161 CASHELL GLEN STEPH-AN HOMES
DEERWOOD PONDS (612) 681-9777
PERMIT SUBTYPE: TYPE OF WORK:
SF DWG NEW
INSPECTION TYPE .DATE INSPTR. INSPECTION DATE INSPTR.
FOOTINGS FOUNDATION
FRAMING ROOFING
INSULATION FIREPLACE
ROUGH IN PLBG ROUGH IN HTG
FINAL PLBG FINAL
REMARKS: S & W PLBR -
F-
L
c~
r.~ r rui Hrr~ cc - 7v ~i •
,
c~-c~p 3
9
r 257 °712$..
CA $99,5
b' 86,0! _ _ _4fi - Id F M g99.S
ANM;Lc-"0 it
~ 10
•~o I 17 i
~9`j~9Q sti ~c ~ I
~a
0 4,
3
c N s~a~ o ~p p gLde-IL Ec. 9n4.,3
Q.s , U~ o t~t.o n yo~,o m T~ ~AfjcMEN'"C ~4, S`J$+.Z...
CQ ? tt,d d' i _ fi O
~i , m pa,opcsEO p 1 Z
m
I~oJ SC r.
m pQT
'4 r4
G AN
R E V 1 EWE D
1 (0 z 9 y
sL ~ i - - - s
575.00 5 5°oa'Sy,.~
ga3y
DESCRIMON NORTK
1.07 if,, BLOCK Yl SCALE I''-30'
DFFRWOOD POMPS, ALL 8£ARMGol ASSUMSP
DAKaTA COLNTY, 0 DENOTES IRON MONUMENT
MINNAIA
II
VEE G DEPT
II
hereby certify that this survey was prepared by me or
under my direct supervision and that I am a duly Registered
Land Surveyor under the laws of the State of Minnesota,
Date: ~S9
eRo Bohlen
Registered Land Surveyor No. 10795
LOT SURVEY CHECKLIST FOR RESIDENTIAL
w
' m N BUILDING PERMIT APPLICATION
> y
J PROPERTY LEGAL: * lgrG
00 -J
W y
w a co
Date of Survey:
zz f (n r
DOCUMENT STANDARDS
T"❑ 0 Registered Land Surveyor signature and company
p~,C] ❑ Building Permit Applicant
p~ ❑ ❑ Legal description
❑ 0 ❑ Address
p'~ ❑ ❑ North arrow and-bar scale
211" ❑ House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
CY ❑ ❑ Directional drainage arrows with slope/gradient
Q''❑ ❑ Proposed/existing sewer and water services
9❑ ❑ Street name
C~ 0 ❑ Driveway
ELEVATIONS
Existincf
❑ ❑ Sewer service
N ❑ Lot corners
Top of curb at the driveway
0 C' ❑ Elevations of any existing adjacent homes
Proposed
0~0 ❑ Garage floor
C~ ❑ ❑ First floor
[y ❑ ❑ Lowest exposed elevation (walkout/window)
❑ ❑ Property corners
❑/15 ❑ Front and rear of home at the foundation
PONDING AREAS (if applicable)
❑ 0~ ❑ Easement line
❑ @~ ❑ NWL
❑ ❑ HWL
❑ 0 Pond # designation
0 ❑ Emergency Overflow Elevation
DIMENSIONS
6' ❑ ❑ Lot lines
P.- 0 ❑ Right-of-way and street width (to back of curb)
per' ❑ ❑ Proposed home dimensions including any proposed decks,
overhangs greater than 2', porches, etc. (i.e. all
structures requiring permanent footings)
C~ ❑ ❑ Show all easements of record and any City utilities within
those easements
p' ❑ ❑ Setbacks of proposed structure and setback of adjacent
existing homes
❑ d~0 Retaining requirements, if any
Reviewed:
Nam / Date(
October 1992
2 3
I I
6"- 1/16
BEND
9 - - 9
6 x 6" TEE
EAGAPJ DOE'S x'(51 CUB RAN7EE
H ; :'1CY OF UTILITY LOCATIONS
NC i E ~,^•T IQ11 THIS DATA is FOR
4 9 10" PURPOSES
R~ O;.LY AND
JvIiVG IT SHOULD THE
0R.."! ON THE SITE.
cT
N SCALE IN FEE-
0 25 50
J
5
LJ
6 BM=
BENCHMARK TOP NUT
ELEVATION =902.62
J
SEMENT °
N
EXIST. 27" SAN. SEWER
4?ir LOC.
f p .r-CiIGf. T
i'.i.~`:. rvrSTlN
FOR MTY
LCCATE
I I I I
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I
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I-
I.
REMDVE PLUG-7
x-751. L.F. 183Y P C- 0.4
I.
$DR- .5 _
rr, .~t..tY.tlt:::rDGErs.fti j'iGt3fi!#Ai~!E
I I kL AG.; NJRAC OVUM] LOCA7J0 sS ,
r
/Or~ ELEVA f0#A:..THI
M1nr
. a Va YWI
~7 D..--,-,
...............X a {'`1;7iV:,,?. .:.FJlitl.. c..L
Ys_
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...............131...... JI IV.1%1-K ...r-.........
Rnri
H ~.-ON 0
d THE S9Tf.:...:::.......
W.Z .
ID... .
m
QD.CO OD.
WAS PREPARED BY ME OH DEER
4AT I AM A DULY REGISTER-I I- ~ McCombs Frank Roos Associates, Inc.
F_111ACE SIZE CAILULATION WORK9HEET
V DATE
SITE ADDRESS _ _Y .
PHONE 1 7J t
HE IATING MriRA.CTOR ~L F U
~31 . .~a r7
Oi~]ESPNON%_
'GENER;S, CONI RACTOR OR OWNER 5-re PN -A?-)
CA.LCIi!.:4.IONS PREPARED BY .1~) ~1 TiN_
The basic information below, must be ascertained from the-plans for-the structure to.be
built.
Sq. feet of exposed wall area above grade ~7~775 x "U" ?S Z7, 57
aS S x 30 degrees.
2, Sq. feet of exposed window area x a /d ~d ~ Js
Y
50 degrees.
3. Sq. feet of exposed door area x .•U"
50 degrees.
a u x Q4. 9_?53.
4. Sy. feet of ceiling area _rlo-.3__ x 'll"
x 2 BTU/5q. 3 03 d0
5. Sq. feet of basement floor area
6. Sq. feet of basement wall area below grade %7 x 75 7 S
3 BTU/sq. ft.
27S.k0 x (.5)S
7. Lin, ft. of infiltration for windows / -CJ
x (1.085) x 90 degrees.
S. Lin. ft. of infiltration for doors r,v2 x (1.?5)
X (1.085) x 90 degrees.
.
9. Lin, ft. of infiltration for sliding glass doors 6 ~L. . 0 Z X
(.75) x (1.085) x 90 degrees.
10. Allowance for kitchen and bath fans:D
kitchen fans @ 600 BTU ea.
/ bath fans E 20.0 BTU ea.
'1• Allowance for fireplaces: # 6 U 1.320 BTU ea. - p
12. Total BTU loss for all above items
13. Add for combustion air (SBC 7722) (,001) x net loss above,
x 112.5) x (.075) x 90 degrees.
14. Add line 12 and line 13.
15. t.a:<imum increase allowable by SBC 6067 is line 14 x 115%.
Output size of Zurnsalll T cween line 14 and line 15.
Applicant Signature
PERMIT
CITY OF EAGAN
3&0 PIIor Knob Road PERMIT TYPE: 5 U 1 L 0 T. N G
Eagan, Minnesota 55122-1897 Permit Number. 0 3 4 27 B
(651) 681-4675 Date Issued' 12 / 7 4 /9 8
SITE ADDRESS:
4166 CA'SHEL.L GI_FrJ
oT: `i F,LOGI.: n
0ELRW000 Por1Lts
P.I.IV,: 7.0-19975-040-04
DESCRIPTION:
RER00F
Gu,kfcfino`-Pernlit. 7"vr~~: ST"OFIrI OHMAGE"
Bt'ildinq 48 1. Tv pe RC'PA1R
,f-k-nsus code 434 ALT, RES10ENTIAI_
I i
f t~
VV_ 31 i
` V
REMARKS:
FEE SUMMARY
CONTRACTOR: - Aop.licant - STD LIC. OWNER:
MIDWEST CI uAI'v T7hIBf:ROOF 180811r19 20147336 SCHULI BILL
1003 CLTFF ROAD E 4-1f;I CASHELL GLEN
6URNSVII--L MM 55337 AOAF! MN 55122
i0t2) 808-1199 (G5"1)454-651.2
I hereby acknowledge that T have read this app lioatior and state that the
information is correct and agree to onmply wl.th all applicable State of Mn.
Statutes and Citv of Eaaan Ordinances.
APPLICANT/PERMITEE SIGNATURE SUED BY: SIGNA UR
-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 to 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 Deerwood Ponds
Addition.
The City is currently being billed by Dakota Electric for streetlighting in the above listed
subdivision.
w
Edward J. Kirscht
Sr. Engineering Technician
cc: Michael Foertsch
EJK/je
w Vi,YDff'~YM. ~'L Y.p~:~C'
e
1994 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
NO. FIXTURES EACH TOTAL
f
SHOWER 3.00 3.04)
_ WATER CLOSET 3.00 O Q
7 - BATH TUB 3.00 / , 6,0
LAVATORY 3.00 q, DO .
KITCHEN SINK 3.00 3.-04
LAUNDRY TRAY 3.00 5100
HOT TUB/SPA 3.00
WATER HEATER 3.00 3.•Od .
FLOOR DRAIN 3.00 •ar
GAS PIPING OUTLET • i 3.00
ROUGH OPENINGS 1.50 O
WATER SOFTENER 5.00
PRIVATE DISP. • Datcty. 20.00
U.G. SPRINKLER • home under cost. 3.00
ALTERATIONS • to eating 20.00
WATER TURN AROUND 20.00
y3f so
STATE SURCHARGE .50
TOTAL: 41 O Q
SITE ADDRESS: 4116 / &&j2a
OWNER NAME:! -Qi~7 p~'O
INSTALLER: GG'~,P ~111.f~ Jla/hAA/
ADDRESS: 1959 A2 22/.!~'/10~ L
CITY: S".1,92 STATE: 1041 ZIP CODE: -5-6X-2
(l0/02) ,/~50? - /5 5
CIAD/f'7 0Z ` c~7L4 on~ll.9'l'/~
SIGNATURE O"ERMITTEE
.,41 CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION>NnD
681-4675
11
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy oerterg
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, I copy of energy calcs.
Penalty 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 If Valuation of work Z~LU'Odc1
Site Address: VOW (y'?04//A'L/~
STREET SUITE #
Tenant Name: (commercial only)
LOT BLOCK SUED. !6,,7ZZ/
Description of work: e_
The applicant is: ❑ Owner Contractor Other (Describe)
Name Phone
Property LAST FIRST
Owner Address
STREET STE #
City State Zip
Company ST1f}~~ ~s Phone 72
Contractor Address Yl,?V License # 18- Exp. p5
City State " Zip
Company Phone
Architect/
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 application and state that the information is
correct and agree to comply with all(tI Fp•}ycable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: l
OFFICE USE ONLY
BUILDING PERMIT TYPE '
❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basemi! t Finish
Iff 02 SF Dwg. ❑ 07 4-Plex ❑ 12 Multi. Misc. ❑ 17 Swim Pool
❑ 03 SF Addition ❑ 08 8-Plex ❑ 13 Garage/Accessory 0 18 Comm./Ind.
❑ 04 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace 0 19 Comm./Ind. Misc.
❑ 05 SF Misc. ❑ 10 Multi. Add'l. ❑ 15 Deck ❑ 20 Public Facility
❑ 21 Miscellaneous
WORK TYPE
ID 31 New ❑ 33 Alterations ❑ 35 Tenant Finish O 37 Demolish
❑ 32 Addition ❑ 34 Repair ❑ 36 Move
GENERAL INFORMATION
Const. (Actual) V41 Basement sq. ft. ~~0 MWCC System _
(Allowable) ~V? ~ 1st F1. sq. ft. to City Water
UBC Occupancy RF ,"-I 2nd F1. sq. ft. PRV Required
Zoning ru Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code
Depth 53 On-site sewage SAC Code
Census Bldg
APPROVALS Census unit -L
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
❑ .Site 93 Footing 03 Framing 8 Insulation
❑ Wallboard JFs7 Final ❑ Draintile ❑ Fireplace
Permit Fee Valuation: $ 2 t Ooo
Surcharge j~S~ -GIs - G`r
P
lan Review o~ t~~ lisp 2 ~i zz= lag
Lise 29
MWCCnSAC Ile
City SAC zSk y - 1490
S~6X6 Z.
Water Cann. S 6 /
Water Meter /dry 72
Acct. Deposit f-
S/W Permit j(pvGX(,Qs ~W)L/
S/W Surcharge
Treatment Pl.
Road Unit j ~2 D 03p
Park Ded. i
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN ~jIOYYYI d rYlClqc,-
t 3830 PILOT KNOB RD - 55122
3 I a~ 681-4675 ti LAXU VPCL.
New Construction Requirements Remodel/Repair Requirements
♦ 3 registered site surveys ♦ 2 copies of plan
♦ 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ♦ 2 site surveys (e)denor adddions & decks)
♦ I energy calculations ♦ I energy calculations for heated additions
♦ 3 copies of tree preservation plan if lot platted after 717193
required: _Yes _ No
DATE: I 1 j 3' R~ CONSTRUCTION COST; fa354 CG
DESCRIPTION OF WORK: 'Re-ymY tc)i m chmcA<a2.
STREET ADDRESS: _+CP ( l (1Sf ICS I Gltn
LOT: LA BLOCK: SUBD./P.I.D. O_R XZ A-l,~r~(~ ~dL1
Pk~ o
2
Name: 50y) Uj t pvc U Phone -454 - (.D51
PROPERTY Last First
OWNER
Street Address:-41(A CCa<Shel l ~1P~1
city (CA~ State: HYI. Zip: 5'53a;Z
Company: (Yl du=t T YY1btr-Q Jr Phone Fcs' 1144q
CONTRACTOR
Street Address: IC(J3 E. 0-k R R Rd - License # a01 L4-1 33(D
city 1~1Arn5vi I le State: Mn. Zip: 5533'7
ARCHITECT/
ENGINEER Company: Phone
Name: Registration
Street Address:
City State: Zip:
Sewer & water licensed plumber (new construction only): Penalty applies when address Chang
and lot change is 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 applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: Cti~ A--_~ a! qN
OFFICE USE ONLY li)
Certificates of Survey Received Yes No
l
Tree Preservation Plan Received Yes No Not Required
PERMIT
City of Eagan Permit Type: Plumbing
Eagan. Permit Number: EA097685
Date Issued: 01/10/2011
OR Permit Category: ePermit
41~ it~ of E3
E
Site Address: 4161 Cashell Glen
Lot: 4 Block: 4 Addition: Deenvood Ponds
PID:10-19975-040-04
Use:
Description:
Sub Type: e - Water Heater & Water Softener
Work Type: New
Description: Water Heater & Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments: deb larson
8815 209th st
Lakeville. mn 55044
952-469-6999
Fee Summary: PL - Permit Fee (WS &or WH) $50.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
Total: $55.00
Contractor: - Applicant - Owner:
Drain Pro Plumbing William Schult
881 - 209th Street W 4161 Cashell Glen
Lakeville NIN 55044 Eagan NIN 55122
(952) 469-6999
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 Cite of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
Use BLUE or BLACK Ink
r
For Office Use
I I
Cit of nEan Permit#: j
Y I ,,may I
J I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 J 1 Date Recei d: - t
Phone: (651) 675-5675 I { I I
Fax: (651) 675-5694 i Staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICA ION
Date: 10 2-0 f ( Site Address: C G9 ~.W S ~4 67~ Unit M
Name: [ [r 4:~4_14U L_ t Phone:
RESIDENT /
OWNER Address / City / Zip: &45rs-f 43EX - C~ ~ i ry k0c-/ 2----
Applicant is: Owner Contractor
L~}ii. cJily y S ►d /~/(r ts'' tGGO
TYPE OF WORK Description of work:
V
Construction Cost: t5 13, OC90 Multi-Family Building: (Yes / No )
Company: &dk JhOVe6~ 14P1r~-a S u cc c- Contact: 5e cif G044 ,t'- o
CONTRACTOR Address: - o a J City: /l'//1 X4/ C& d
Stater Zip: 5 53 -L Phone: & 3 -O`f cS "Q,17 r
License - 2 Lead Certificate h aA1 •
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
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 A* 1l e'UI IY1 P V V0° x P111will
Applicants Printed Name App ican s Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA112833
Date Issued:08/26/2013
Permit Category:ePermit
Site Address: 4161 Cashell Glen
Lot:4 Block: 4 Addition: Deerwood Ponds
PID:10-19975-04-040
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 -
William Schult
4161 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:EA125305
Date Issued:07/21/2014
Permit Category:ePermit
Site Address: 4161 Cashell Glen
Lot:4 Block: 4 Addition: Deerwood Ponds
PID:10-19975-04-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
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 by law in ALL single family homes .
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 -
William Schult
4161 Cashell Glen
Eagan MN 55122
Polar Builders Inc
1103 West Burnsville Parkway
Suite 110
Burnsville MN 55337
(612) 432-1597
Applicant/Permitee: Signature Issued By: Signature