4395 Capricorn CtCITY OF EAGAN WATER SERVICE PERMR
31D30 Pilcpt Knob Road
P. O. Box 21199 ' PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning: No. af Units: i.
Ownsr: :Tnqp-,? T`i 1 ? C?ri?i•rticti?n
Address:
Site Adrlress: . G45 ['.RS,2' Crn rr I 1 R 1 L?t 2 c#er„oan:; Plc i? T
Plumber e Mach
Meter No.: Connection Chorge 450•00 pd
51=e: Acoaunt [}eposit:
Reader No.: Permit Fee: ??' • 0 10
1 aym to aomPly wkh !iw Gry of Eogon Surcharge: •:'t) '''d
Oedlnaapt. Mist. Chorgea:
Total:
, BY Dote Paid:
Dote of Insp.: Insp,;
I
CITY OF EAGAN SEWER SERVICE PERMIT
3$90 PilotKnob Road 6113
P. D. Sox 21198 PERMIT NO.:
Eagan, MN 55121 DM'E:
Zonlnp: R? No. af Unita: ?
O,yner _ .TOSepll Ni],leX Constructi.un
Address:
Slte Addi
Plumber:
I 1 o9me to oomply wilb !M Citr of taoon
i Crdinencas.
BY -
Dote
of Insp.:
Connettian Charge: 425.00 pd
Acwunt Deposit:
Psrmlt Fer: 141. Q 1'' ;??
5urchnrpe:
Mtac. Charoes:
Total:
I I7
? Insp•: laare Paid:
CITY OF EAGAN Remarks
Addition Wilderness Park 3rd Addition Lot 2 Bik 1 Parcel 10-8 252-020=01
Owner •-?..4-! ??G. Street 8tate
t/rAllA ?j? ?....? I? r4iun 11?1A/ s t! -.'?4 C(Inv.,nl`ir.nrr
f
Improvement
Date
Amoun# .- i-
Annual t I
Years
Payment
Receipt
Date
STREETSURF, '-I06 1979 69-04 10 345.20 A013075 I0-19-83
STREET RESTOR.
GRADIfdG
SAN SEW TRUNK z L 1973 168 . 89 8.44 20 76. 05 A013075 10-19-83
SEWER LATERAL
UVATERMAIN
WATER LATERAL
WATER AREA 1979 244.44 12.2 2 20 I83.34 A013075 10-19-83
STORM SEW TRK 1983 779.04 :77, 90 701.14 A013075 10-19-83
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
ROAD UNIT 250.00 37138 -13-83
WATER CONIV. 450. OO
BUILDING PER.
SAC n ? r
PAR IC
3795
,
BUILQING PERMIT
Slte Address 3Y4 raj
Lot _-2. Block _I
Parcel # 10 $4242 1
oWc Nome _
= Address
? _ r
Name chmpr
Address
Address
I hereby ocknowiedge thot I hove read this application ond stote that
the informotion is torrect ond ogree to comply with all upplicoble
State of Minnesata Statutes and City of Eagan Ordinonces.
Siynature of Permittee --
A Building Permit is issued to: `TO[3?.'pi] M. Mi1l@r CO
all work shall be done in ntcordance with cll opplicqi?lp State of Mir
Bulldinq Officiol .?C?
:-
I Eagan, MN 55122
454-8100
Receipt #
_._. .!,
Erect ? Occuponcy R"i
: dAlter p Zoning 1R-1
Repnir ? Fire Zane 13A
Enlorge p Type of Const. V
Move Q # Stories
Demolish p Length F
Grode ? Depth -3fi-Sq. Ft.
Approvals Fees
Assessment Permit 337.00
Water & Sew. Surcharge 34• •7Q
Police Plan check 168,50
Fire 5AC 525.00
Eng. Water Conn. 450 , 00
Plonner Woter Meter 60 . Clll
Council Rood Unit 2511- nn
Bldg. Off.
APC Total $1825. D4
i'st., TI2C .
on the express tOndition fhn,
nesota Stotutes ond Ciry of Eagnn Ordinonces.
Permit No. Permit Holder Misc. Permit No. Holder
Plumbing 7a 7?3 ?C t0 U.('itt ?'-3D '
H.V.A.C.
weu
Water
Oisp.
Sawer
?
EleCtric Wp "tT?TZ i tLW1a C1.&+ q
Inspection pate Insp. Other
Footings 1-2- ?
Foundetion
Framing
Rough Plbg. ?1S' W,Y
Rough HVAC
inSuiation ?.? ?_y3 f?
Final Plbg.
Final HVAC ?
Final
Water Describe Location:
wau -
5ewer
Pr. Disp. ?
-, ?
Receipt S ? (
-?,7 ` 3C-)
a
Permit No.
Fee ° ?_
s/c ` L??
: ?-c
Tot 20_5f',
s
PLUMBING PERMIT
CITY DF EAGA31!
Fill in numbered spaces
Type or Prrnt legibly
1. Date 6/2-9/83 2. Installation Cost
3. Job Address 4395 CdPY'1CC? `
2 Blk. ? Tract ? fp^a (' --?
3c?
4. Owner Joe ??1iller Constructior_ r
5. Contract&WGui]C'2 klechanical Phone 4 6 9-MOS' ?
6. Address 2071 c, j?nl t T.vr- I
7. Citv Lakeville State iy,enr, ZiP 5.,?n?tn
8. Building Type: Residential ? Commercial ?
? 9. Work Description: New Add ? Alter ?
f 10. Describe
11.
n
I
Institutional ?
Repair ?
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs 5eptic Tank
? Lavatory Spftner
_L Shower Well
Kitchen Sink
Urinal/Bidet r
O'er J
1 \
?
Laundry Tray
Floor Drains
Drinking Ftn. A
r
?
42
? Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply witkr311 ordinances and codes governing this type of work.
Signed: fOr
',' Y Rough , Final
Inspections: Date Insp. Date Insp.
This is your permix when numbered and approved.
Approved CITY OF EAGAN 454-6100
? --
Receipt MECHANICAL PERMIT
CITY OF EAGAN
Fill in numbered spaces
Type or Prim legibly ,
; 1. Date ? 2. Installation Cost
? f.
3. Job Address Blk.
? • 4. Owner
?
` 5. Contractor - ?Rhor
6. Address. ?
f ,
7. City : c_? ;;; i}tIC f C_'/Ij State
Permit No. 3 D ZS ..c?
Fee j
S/C
Tot.
I Tract
,
8. Building Type: Fiesidentia{ El Commercial ? Institutional ? j
9. Work Description: New ? Add ? Alter ? Repair ? ?
. ?
10. Descri6e Fuel Type ?.`-`?' ?•=??' _- ?
J
1 11.
I
No.
i
f Equinment STU - M. Ea.
Forced Air ? L-', No:
- Equipment CFM
Air Handlin
:
Mlfg• 7 r4 g
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work. `
Signed : for
Rough Flnal
Inspections: Date Insp. _ Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454,8100
(Irr#iftrtttt nf Orrupttttry
Citp of (Eagan
Drpttrtment n# ilixilDing 3nsperticm
This Cati ficatt itsutd purtuant to eht requiremenu of Sation 306 of tix Uniform Building
Codt rntifying that at tix time of irsrtana thir ttrurture war in rompliance witb t/x varrour
ordinarsces o f the City rcgulating building canrtruttion or ute. For the f ollowing •
SF DWG/GAR &dg.RrmtNo 8243
oowpnr.yTypeRI ryPC.wc? V F?rcZOne NA z?,?mot Rl
a,,,,dpwa,g Josenh M. Miller naa..m18133 Cedar Ave. So.. Fax
HaaWgAa&. 4395 Caoricorn Ct. L.?;ryLot 2,S10ck 1,Wilderness
ay.
?? w,?, September 30, 1983
.e.. ?? . ?....,??W, ...?.
This rqr-as[ vnid 7
+a 67ftftp;.oy,
W 078787
L a i R I i wt' l derwisn,
rank 3&'d-
??gsq
?17,00
fieqvest Date
Y ? Fire No. Rough-in Inspeciion
fleqwteA?
s ?NO
DReadY N,,AE!rf?II Nolity, Inspec-
tor When Ready
5JINfensed Electncal ConVactor I heraby raquest mapee4on ot above
? Owner electrical wark installed at:
Street AAdrass, Boz or RaWe No.
39? ?? li-«a,.4 Crty f:
E? t- ,
ecLOn o. Townshi0 Name or No. anBO o. C& "klv
Occu ant(PPINT) n
o
-??a4
? ?ll
' Phone o
??1 -y753
.
,?
o., <
ans
Powe upP i r
Q Adtlre4??? f?
f?
Electrical nn?vgctor ICOm ny N mel -
??r??te c
I Contracm,'s L¢ense No.
4l/(o/0-.Z
Mai aQd^?r?ess IContractor or Owner %king Insiailation
f
?!
AuMonzetl SiBnatme (Contracror Owner Makin installationl Phono Num?/bg r `Q $
MINNESOTq STqTE BOAND F ELECTNICITV THIS INSPECTION NEQUEST WILL NOT
BE ACCEPTEO BY THE STATE BDAflD
driggs•Midwey Bldg. - Room N•197 UNLESS GPOPEN INSPECTION FEE IS
1821 Univeraity Ave..St. Peul, MN 56104
o1 ___ 1.11, oe ,111 . ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION Ea-oaooi.oa
' Sea instruetions tar completing this torm on 6ack of yellow copV•
wBeT w -7Y9'Ork Nered by This Request 3 g gS ?
?gd Nep. Tyoe o1 Bwltling Applwncxs Wrted Equlpmant Wved
Home L ATange Temporery Service
Duplex Waier Heater ighuny Fixtures
T Apt Buildmg ryer Electnc HeatTn
Commercial Bldg. u
rnace Silo Unloader
Industnal Bldg. Air Conditioner Bulk Milk Tdnk
Farm Other oeufv 0her (SUe, afv)
t Ar yocify ihpr Other
omnuie lnsnection Fee Selow
p Fee ServlceEntranceSize # Fea Fentlers/Suhtexders p Fne Gircuiis
.Oa U to 200 qm s 0 tu 30 Am s -0 0 to 30 Am
Above 200 qm)s 31 to 100 qmps JL O 31 to 100 A s
Swimming Pool Above 100_Am s Above 100_Am s
Transformers Imgation Booms PartiabOther Fee
$igns Special Inspection
Hemerks 11
YY ?? ?l r?nA
I._
Rough-in Date
I,the EI Vlcel
Imsaa.,a.. el abY
cartrty thet the »bova
Final ? D:ite sngpgction hes been
made.
rFun rommor vnltl 1P mnnlM1w Irom
ei;30? 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date (D I ? `1 I S
6(d r? cbj{ -? Unit#
Site Street Address ?39 S (6,
0
Property Owner f w? Telephone #(t,5, ) y 5 N- 57 t-
Contractor U i? (N\J(,r ?2?3 Snc . Telephone #(LSl ) y 5'7-l1b1
Address ?18o-i9+'l^• 5? City tJState(Y+?. Zip 55cZ5
The Applicant is: _ Owner ontractor _Other
Alterations to existing dwelling $ 50.00
Add plumbing fiutures. This fee includes putting in a water softener and/or water
_
heater at the same time. !f Lrou are installinq onl a water softener and/or water
heater, do not complete this section. Move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_Water Turnaround (add $125.00 if a 5/8" meter is required)
Other:
?
Water Heater
Water Softener -- $ 15.00
new V/replacement
_
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $ I5. 5 0
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that i understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance wi rFn,) t e a roved lan in
the event a plan is required to be reviewed and approved. m
rn?r? Jm- ?ii? JUN 2 8 p5 ?
ApplicanYs Printed Name Appli nYs Signature
RESIDENTIAL ? 2 ?'-
BUILDINC PERMIT APPLICATION j B
CITY OF EACAN
3830 PILOT KNOB RD - 55122
851-881-4875 C) Z
NewConstructlon ReauiremeMS RemodaURenalrReaulremente
• 3 reglsfered sde surveys slaxdng sq. ft M lot, sq. R of Iwuse; and d roofed areas . 2 copies oi Wan
(20% maximum lat covemge allov" • t set oi Energy CalculaUons for heated additiais
. 2 copies o( plan showing beam 8 window shes; poured found design, etc.) . 1 site survey far exterior additiona 8 decks . 1 set of Energy CalculaGons • Iindicate if ham served by setic syslen for additiore
• 3 copies M Tree Preservation Plan H lot Patted after 711f93 .,. . . RM Jalst Oetail Optiats aeleclon shcet (Mdga wlMi 3 or Im units)
DATE 7` d Z VALUATION ?94D. rTfl
JOB SITE ADDRESS CA-to2 t C04 P'j GI-
IF MULTI-FAMILY
MANY UNITS?
PROPERTYOWNE,R? W?L, J TYPE OF WORK l??s?f S??f 9?-??"Sci?d-,?itr- FIREPLACE(S) _ 0_ 1? 2
APPLICANT TER REMO ING,INC. PHONE#
ADDRESS HoDkizi.blinmota 65343 MASTE$REnZODELING,INC. ZIpCODE
PAGER # %".?`!.,??NE # ?8?? ?esata 66343 fAX #
2) 932•9311
NEnt RE5IDENTIAL BUILDING ONLY - FILL OUT COMPL D ?? OT ?
Energy Code Category MINNESOTA RULES 7670 CATEGORY ppR 2??002
(check one) ? - ResideMial Venfilation Category 1 Worksheet Su ed
- Energy Envelope Calculations Submitted ^
_ 1bIINNESOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbing Conhactor. Phone #:
Plumbing System Includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00
Water Heater No. of R.I. Baths
? No. of Baths
Mechanical Conhactor. Phone #
Mechanical System Inciudes: _ Air Conditioning Fee: $70.00
J Heat Recovery System
Sewer/Water Conhactor.
Phone #
All a6ave information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that t**ti is correct, d agree to compry
with ail applicabie State of Minnesota Statutes and City of Eagan
Slgnoture of Applleanf
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 2002
CITY OF EAGAN g 3
' 9795 Pilet Kne6 Roed Eayan, MN 55I22 ?T l?l .?
PHONFi 434•8100 ??/ ??
BUILDING PERMIT Recelpt #
Ta 6e utad Ior SF DWG/GAR Eyj,yalue $68,000 DO}e July 13 fq 83
Slte Address 4395 Capricorn Court Erect )(y Occupnncy R-3
Lot z Blxk 1 Sec/Sub. Wilderness Park 3rdAltef [3 Zoning R-1
porcel # 10 54252 020 Ol Repoir ? Fire Zone NA
.Toseph M. Miller Const., Inc. E'laroe ? Type oi Conse. v
rc Nome Move ? * Srories
z Addreas 18133 Cedar Ave. So. pe,nol;sh ? Length 60
ci Farmiggton Phone 454-4753 Gmdo ? Depth 38 Sq, Ft.-
o Name pWner Avvi"uk Fees
Zu
VA
Nome _
Addreu
1 here6y acknowledge thot I have read thfs opplicotion and stote tMt
the informotion Is correct ond ogree to wmply with oll applicoble
Stata of Minnewta Stotutes and City of Eapon Ordirwnces.
Slpnoture of Permittee
A Building Pertnit It iuued to: - - - -
oll work shall be done in xcordonee with all
Buildirp OfffNol
Asussment _
Wafer & Sew.
Police -
Fire Erp.
Dlonner -
Council _
BId9. Off. _
APC
Permif )j I • vV
Surchnrpe 34.50
Plon check 168.50
SqC 525.00
Woter Conn. 450. 00
Water Meter 60.00
Road Unit 250.00
Twol $1525.00
., InC.
_ on tM expresf tondifion thm
and City of Eogon Ordirwnces.
A'a'??? & .
,-:
?5r
.. ? . ? 00° • ? 7_/-.?-3
'Db 8s IT?ed Pbz - T ?r . cm
Sibs 11aftow= ?
- 1, Slod? ?_
U* a
..Z=
80L'0!1 f= i- o sqp,?:
aql?t ?
71Adew?e ?
aty/81p Oofts
Oontraabuo
? o o?t i1l?..r..:.. ;.?U.
- a U*?? ??1Mt. 'T
? Dmi?
IYakess=
CitY/Z;P Oodes
Phens #:
l1rch./*J•:
Addr?_
ahNUp Codle_
phaw i_
•-- - - ? ,
AMONEMMI ...,--1rad!
Ift,
IIolios ?- ?
?-- ; .
,lSse ? .
1lbdKK • ? .
..
W4 • ilab
Planmw Ooau?cil ?" ? . ? ?
HLd4-
11?C
. FY
-------------
? .. -z"?..
?
<.h.. .,? .??_....._.??.
' Certiricate lt#f
, Joe Miller Cbftttuation
LAL.AL
18133 Cedar Ave. So.
FarNaington, Mn. 55624
DEi.M l4X'H. btHWAN Z
wrnwaVavoR a1 IqG.
• „: *" www uww+4+?+?dtiMesua a M;ft,?..m.
000"Wff. iMfOmw*7A lBOBB PNONE 812 423-1769
?/.Ifii2lGl? ?,?': T!/Nv.> 9io_ ss
:°
?? _`,•? $°r ?, ???
?? f
0
?
92z- ;17
I -NNIti
Z
i?
;o
r
?
?
?
<
liote: 3eaer eervice is
on Aqua.riua Lane
Xt I iriarh a 30 feok
V'00ctai l3d#ti .arj¢v8tion
drsina6e
ato"s •?eef' elevation
benotes liet ?r??ad hub
j Prwrowed garags flodr -
1 +llfvstion 9335-
? Proposed top 933•los k
Propcsea pelk out 930 ??
? Propoaed baaement floor
I I hereby certify that this is a
treut scyd correbct represeatation
"of -Ibt 2, Slbck 1, WII,'DffitHFSS
pARIC TStRb IIb13I'!'IAll, aedording
-La tto records@,Vlat thereof,
DaWta County, M3nneeata.
dEl" ghcrwing tho locatlon of a
' Probdad honse aar eLaked thereon.
"? .? .
? -_ `- fttgds Jur?e 29, 1983
AA:
:? ;; , ?:?.;;?? ?? •
'.F?"???}?kt?in'
?
.?? •?/ ? ?61, //..?' S MINNE80TA NEGIStflAT10 N0.8825
• ' ERTL•'RIOR ENVI:4orr•, r.v?ance "U" COMPCTATION_ ' ,`, ?A ,
•'?M1 ^ ' , ` ?•- , -----' ?/ O??'????d?(?l//
_ I OWNER: DATL•' C_D-L-83 _-,--
SITE ADUUSS: PnoML:
CONTR7IC'NR: SeE • M I t.L.Elg _
Determine wnrkir.q square footayc of each
l. 1bta1 cr.posed wall area...... l4E>7- sq. it. a •17 53CO'Ct'4'
2. Toal roof/ceiling area ...... 1183(D sq. ft. x.OS = 59-3 _
Total exposed wall area abovc £loor - IZq 3•3 _
••a. Tota]. wall window area ................................. 1`153 _
:::ta7. %?o:>r irca ....................................... _ 4'L
o. :btal slid;'.ng 4iHcs dociz area ......................... 4Z,
d. Total fircplace wall area .............................
e. Total wall frami.ng area (average 10:) .................. 1g8•7-
f. Total rim joist area .............................•.... 144
g. war- 4:s].l nzee above iloor .......................... . 17. 93?5
h. wall area alwve floor .......................... .,
i. wall area above f.loor .......................... ,
J. wall urea abc,ve floor ..........................
Total expose3 foundation area
k. ;btal faindation window ar.ea ........................... _
1. 7bta1 net £our.flation area above grade ................. '74"5
Determine "U" value of each wall seqment
(e.g. wi.ndow, door, each separatc wall section)
a. x ?,ull _teo?tu5_-
?. Z. g 'lUll
c. 4L g ??U" 13.1
_
a. x "U" ----
e. 194B.L ? y, l.u., .09 =
f. l44 >: „Ul, .09- 5.9?a
9. _ IZ4?.•'?_ X
x
h. -
i. _ x "U.. ------?-- -
? 1f itcir. C3 is thc snme a.,
j. Y. "U" oI less tlian itan 11,. you
havP met the intentycif; .,
k.. x liuo, ...---..._ `------- SIiC G005 (c) Z• "' .
-?'-..._.... __ • --- . - ;d;;;;: ,
,. `?
? . _ -?4•5 x ..u,. _.47 _- _ '35 •aL _. ' hf'!?;: ,
, - ---.... '1'olal ? ZS?i•zo yo!?I?Ik. J5
I•S4terior EnvelopC Average "U^ Computation
.
Total expo3ed roof/cciling area = 119 Lo
m. Total skyliqht area ............................ -
n. Total roof/ceilinq framing erea (nverayc 10%)... 116•40
o. Total net insulated roof/ceilin9 area........... Iec.oZ•4
Datermine "U" valuc for eacli roof/ceiling segment
M. - x
n. g,.U., . OZl = 7- '44
o. 10 L°'!.4 X .,U,, .elq = Z,o.ZB
Paqe 2 of 4
4 ........................... 'ML-al
If total of #9 is the same as, or less t.han N2, you have met the intent of
SBC 6005 (c) 1.
Alternate IIuilding Enve].ope Desi9n
To utilize the total envelope'system method, the values esteblished by the s:un of
items #3 and #G shall not be greater than the sum of items H1 and q2.
1. S3LP •94 + 2. 5e1'30 = 7-4
3. Z53 •Lo + a. zz.,, = 27 5.a -7
•\ i
Constructicin R-VAluc
1. XRCr.riPr gir film--- 160
2
. 4Y?p
3. ?inrt?es sofr. i??l .O
n. ? S Id??T I_ 2•!! ?.
5, Slblly?! _
6. I:xlerior air film : 0.17
-Total ? o. e.5
,.0,? = .00)
FtinlSE I+iALL
1. InLcrzor air Eilm 0.68
2. ?L GY P e? 45
3. '/?' 1 I?SUL I .OD
q. _
ZSSA,THINL; 2.0lv
G. F:cterior air film 0.17
- Tot,i Z 2.? B
0 , 0 4-
1. Interior nir film 0.60
2.
3. Z x1U 2lM JD?sT I•89
a.
? . ? l?L??L ?? - ---Ae
G. tixtcrior air film 0•17
a'o c,3L Z4.42
1. -,Intcrior nir film 0•68
1..
3.
4,
.
U.17
s nM
G,
=.i5
SI.AB ON 'GRAUP;
?y ?r
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placencnt oC in::»lil'ton. ?
?
. \
1 ?
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' NNLL SCCTinNS
!:OTF;USv 15$?0 f opayu^ wa11 arca tor
• ' fr?mc conSCructzon
, Roo,r•%ceiLi?c
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Veaeed Beac flov '
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r . •
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-----
1 intcrior air filn .O.G1 2, .
3. f?c.oc?a 1IJSU?. ?., . ?cp.n
4. Extcrior air filn (still) 0.
- Total = S / •gtJ
• . . . . . ` . . ?? i0li .
' fti?M? . '
1. Tstterioz air film 0.61
Z- 4S ?-+-rP 'PSD --? SS
3- ;7,? ? II'{SVIJ ?t'7 '? .
4. Extcrior ai.i filn (still?? ?
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2.
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? S. 011t51dC d17' fi17n 0.17
Total
?.!'?'/?'? L'? . . .
• I. Znside air film 0.61
2.
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• S. Outside air film 0.17
• ToCal
v 2? 2nsida air filtn . 0.61
2. .
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S . 4' 0. 17
S. ol]t51dC JLI' f113R
Total'
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city oF
3830 PILOT KNOB ROAD. PO 80X 21199
EAGAN, MINNESOTA 55121
PHONE (612) 454-8100
Special Assessment Search
Date: Sertenber 22, 1986
Requested by:
Walsh Ti[le Corporation
14055 Grand Avenue South
Suitc G
Burnsville MN 55337
Re: ?ailderness Park 3sd t
?10-84252-020-01 l'
BE4 &OM9UIST
tvtav«
nionans EenN
JAMES A SMIiH
VIC ELLISON
THEODORE WACHTER
Counai MemOen
nHonus HeoGes
ON ?in6lratoi
EUGENE VAN OVERBEKE
Clly Cleek
On the attached Eorm 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 ttie 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 City's policy is to levy assessments based upon the current
zoning or existing use of the parcel (whichever is higher) as
reflected in the above assessments. If, and when, the parcel is
rezoned or developed to a higher use, a condition of development
approval will require that this parcel assume any additional
assessment obligations that have not been previously paid for
existing public improvements. The City 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 requested 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 ASSESSMENTS
Attachment
THE LONE OAK TREE THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNIN
__ .I
: f:nl'dsi=cf it)I'd 1L,: i't;'.,u SF'ECIFi!_ (aSiESSMEtd7't;
::F'i=CiAL r'75S[EiSMi_N7'S til:F±i?CH SL1MI"IAiiY
I-'r:;if-`Lt:7"`d I.D. 7"t!U(-+YS I.)Ga7"E: 09!22J86 f"LF'if3;ii----'--
:o-<:, Y --2--'?-4--5--6-7-;:-'?--1 i i
, , . ,.:.?t..._.?.:,-u:. - -i,-t• ,.
{ , /..?C.??-,.«--? ???? 3 '
c:;,i,.# F:SSE.SSI°Il=Nf D/_'St:R. Y1i Y7:5 t:A'i't: T!)T'nL. r1NN.P?i1'I'd. F'AYOFF C:UMME'N'1
SL11hINAt?Y d'JF AC.1'7 1 Vk: , i1t) . p' i . pG
THiS Y'G'A/:? ? S TOT Pc4ti .00
.... ... _r 1E?_- 5'?° 4.
F'-e_.' f-i u- f-`:' iHeac7er' rtlr'rn1 or r (F.tart t?:b?.)
?
CORRECPED SEARCH, October 19, 1983
oF
3795 PILOT KNOB ROAD. P.O. BOX 21199
EAGAN. MINNESOTA 55121
PHOr,e: (eiz) asa-eioo
DATE: Aygust 10, 1983
DAKOPA CWNPY AASTRACT C0.
1250 Highway #55
Hastings, M 55033
SPECIAL ASSESSNtENT SEARCH
&'A BLOM9UIS7
Moyp
THOMAS EG/.N
JAMES A SMI7H
JERRY THGMAS
iHEODORE WACFfTER
Cainca Memc?rs
iHOMAS HEDGES
Gtv Atlm,nstrorar
EUGENE VAN OVEGBEKE
Gry C'sh
1tE?Wilderness Park 3rc1, Lot 2, Block 1;
4395-"Capri5orri Court; Eagan, MN-55I23
Parcel # 10 84252 020 01
Enclosed herein is the search which you requested made on the above described property.
Kind of Improvement Runs Beginning ' Original Amount . Balance Due 7o? i?
Street 10 yrs 1979 . $690.40 $345.20
Sewer Tnuilc 20 yrs 1973 $168.89 $76.05
Water Area 20 yrs 1979 $244.44 $183.34
Stornt Sewer Tnuilc 5 yrs 1983 $779.04 VNZM $701.14 i
** This is the coxrected 1983 unpaid balance
I further certify that according to the records of said office, the follotaing improve-
ments are contemplated or pending after having been approved, and are noia in the process
of planning or completion. '
Kind of Improvement Approximate date of Completion Approrimlte cost
NONE
WAIVER:
Neither the City of Gagan nor its employees guarantces the accuracy of the above in-
formation which was requested by the person or persons indicated. Nor does the City
or its employees assume any liability for the correctness thercof. In consideration
for the supplying of the indicated information in the above form, and for all other
considcration of any naturc whatsocver, any claim against thc City or its employees
rising thcre from is licreby expressly waived. Levied assessments ta be paid to the
County Treasurer at Hastings, hLy, 55033
Verytruly Yo 5'
\ THE LONE OAK TREE.. .THE SYMBOI AND GROWTH IN OUR COMMUNITY
IFICATION OF ADDRESS CHANGES
The following addresses have been changed from the way they appeared on
the original plat because the driveway access will be different.
Lot 1, Block 13, Johnny Cake Ridge 3rd Addition has been changed from
4601 Penkwe Way, to 460131 Ridge Cliffe Drive.
Lot 2, Block 13, Johnny Cake Ridge 3rd Addition has been changed from
4601? Penkwe Way to 4601 Ridge Cliffe Drive.
ALSO
Lot 2, Block 1, Wilderness Park 3rd Addition will now have a choice of
addresses. The addresses available will be 1118 Aquarius Lane or 4395
Capricorn Court, depending on which way the house and driveway will face.
CITY USE ONLY
PERMIT RECEIPT DATE:
ii£SIDENTiAL MECWkNIClkI. PERMiT APPLICATIOft
crrYoFewsm
. ssso Pn= xROS sn
irAeMsuv sst az
651-661-4675
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: 'Y - / 7 ' oi
SITE ADDRESS:
OWNER NAME:
TELEPHONE #: 6 -S"76 a
(AREA CODE)
INSTALLER NAME: TELEPHONE #: ? -/tQ -GOO
(AREA CODE)
STREET ADDRESS: ?'/O/ C)
GTY: STATE: 1_?A'11 ZIP:
Y
Place a check mark next to the ermit work t e
New residentiai dwelling unit under constructionand not ownedoccupied $ 70.00
t1Z Add-on, modification or alteration to existin dweiling unit 50.00
. furnacereplacement APR 2 4
?•air exchanger 2001 D
• air conditioner
• other E3y
Nature of work: VS • J°--a ^
State Surchar e $ .50
Total
Reminder: Call far inspecrions.
?:- z Z. ,4 I
-SIGNATURE OF PERMITTEE
Updated 1/Ol
? y5535 RESIDENTIAL
BUILDING PERMIT APPLICATION ,
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 I J-1 J I?.?5
651-681-4675 I
NewConsWeflon Raouiremenb
• 3 regislered s@e surveys shavug sq. ft. af lot, sq. ft of house; and all roofed areas
(20% maximum lot coverage allowed)
. 2 copies of Wan showing beam d windov saes; poured touM design, etc.)
• 1 set of Energy Calcula6om
• 3 copies of Tree Preservation Plan if lot platted after 711f83
• Rim Joisl DeWil Options seleGion sheet (ddgs with 3 or less unils)
RemodellRemir Reauirements
2 eopies af plan
• 1 sel of Energy Calculatians for healed addilions • 7sAe survey for extenor additions & decks . IiMicate if hane sened by sepfc system far add'dians '
i
?
DATE VALUATION 4 42 O ov'9
JOB SITE ADDRESS ? 39 S? CR-f)Q i C6e-n,./ C%ill-
IF MULTI-FAMILY BUILDING, HOW MANY UNTS? #_
PROPERTY
TYPE OF
APPLICANT 82 Tenth Avenue Sauth
ADDRESS
PAGER #
#
0 1 2
#
NIE1' RESIDENTIAL BUILDING ONLY - FILL OUT COA
A
Energy Code Category _ MINNESOTA RULES 7670 CATEGOR
(check one) - Residential Ventilation Category t Worksheet
- Energy Envelope Calculations Submitted
Y
_ MINNESOTA RULES 7672 ,
- New Energy Code Worksheet Su6mittad
Plumbing Conhactor: Phone #:
Plumbing System Includes: Water Softener ? Lawn Sprinkler ? Fee:
_ Water Heater _ No. of R.I. Baths
No. of Baths I
Mechanical Contractor:
Mechanical System Includes:
Sewer/Water Conhactor:
Air Conditioning
_ Heat Recovery System
$90.00
Phone # '
Fee: $70.00
Phone #
All above information must he submitted prior to processing of application.
1 hereby acknowledge that I have read this applicafiion, state that the i i s corre and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Or
Signature of Applicant
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
, Updated 1101
I
REMODELItvG,
Minnesota 55343
. -, 4
NOTICE OF BOULEVARD
SIGHT DISTANCE OBSTRUCTION
Paul and Patricia Weber
4395 Capricorn Court
Eagan, MN 55123
July 21, 2006
Dear Resident/Property Owner:
The City of Eagan actively manages its right-of-ways and, by ordinance, regulates
the installation and maintenance of trees, shrubs and landscaping within or
affecting these azeas. The ordinances aze intended to protect and promote the
safety and welfaze of the general public.
Please be on notice that your properiy located at 4395 Capricorn Court has been
found to be in violation of the City ordinances pertaining to the installation and
maintenance of trees, shrubbery or landscaping within the street right-of-way.
Eagan City Code, Section 7.08, provides, in part:
Subd I.D.3 Any trees, shrubs or landscaping planted or instadled within a street
right-of-way shall be at least ten (10) feet from the back of the curb or twenty
(20) feet from the edge of the road surface where no curb or guner exists.
Subd. I.D.4 Trees, shrubs and landscaping shald not be planted or maintained
on public or private property in such a manner as to obscrae or impede the
visual sight lines required to ensure the safe and efficient circulation of vehicles
and pedestrians on streets, intersections, trails, and sidewalks. Trees, shrubs or
landscaping shall not be planted as to block the visibility of any regulatory,
warning or street identification sign or block the illumination of streetlights...
Your property is in violation because:
? Shrub(s) or landscaping is/are impeding a sight line or creating a
physical obstruction. (Removal or trimming by the property owner is
required.)
? Tree(s) is/aze impeding a sight line or creating a physical obstruction.
(Removal or trimming by the property owner is required.)
? Other:
(Over, please)
X
Specifically, your trees located on the corner of Capricom Court and Aquarius
Lane aze growing within the required clear zone for intersections. The clear zone
exists in a vertical azea 2.5 feet to 8 feet above the street surface. We are not
requiring the trees be removed, although this is one option you have. Rather, at a
minnnum, the branches in this clear zone must be removed.
A copy of the City's "sight clearance" standard plate is included for your
reference. If you would like more information on the ordinance, the City code is
auailable on-line at www.citvofeaean.com. If you haue any questions regarding
this notice please feel free to contact me at 651-675-5641.
Thank you in advance for your understanding and cooperation.
Sincerely,
Dave Westermayer
Engineering Technician
City of Eagan
Enclosures: Sight Distance Standard Plate
G.FOrtnsBLVD SIGHT DIST-NOTICE 1 Rev 312006
October 19, 2006
Paul and Patricia Weber
4395 Capricorn Court
Eagan MN 55123
Re: Boulevard Sight Distance Obstruction Follow-Up
Deaz Mr. and Mrs. Weber:
A short time ago, you received a notice from the City of Eagan of a violation of
the City ordinance pertaining to the installation and maintenance of trees,
shrubbery or landscaping within the street right-of-way for your property located
at 4395 Capricorn Court. The putpose of this letter is to inform .you that a follow-
up inspection was recently performed by City staff and as of the date stated
above, yow property is now in compliance with City Code.
For the safety of the traveling public, I ask that you periodically monitor your
trees/bushes/landscaping in the future and maintain them in such a manner as to
keep any vegetation out of the clear zone.
On behalf of the City, I would like to thank you for your efforts in resolving this
issue. If at any time in the future you have any questions regazding the clear zone
or other right-of-way issues, please feel free to contact me at 651-675-5641.
Thank you again for your understanding and cooperation
Sincerely
Dave Westermayer
Engineering Technician
City of Eagan
G:FormsBLVD SIGHT DIST-NOTICE 3 Rev. 10/2006
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RECrIV 17
APR 2 3 2Rk4
Use BLUE or BLACK Ink
r_
For office U" _ _
Ea ° *
Dq pn Permit Fee 7
117, q I
l
3830 Pilot Knob Road Eagan MN 65122 Data Received:
I
Phone: (651) 6? S I I
Fax: (651) 67 f Statf: I
I l
_-i
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date'' kl! i t t Site Address:
Phone. 5 L
R iderr
Carne Address /City /Zip. , t i" ~ I
Aftpiicantt : Owner contractor
4
Description ofwork t ,~7 . i r tf Type ofWork Fll~
Construction cost
Multi-Family Building. ('yes 1 No Company- ' - t' ilk rtiContart } r t t, t C~ t t c contractor Add : _,c
. 6100 1. t t )i iL , ity: 1 ~ r . -
c.
State: zivMone: -7
License
I L4
Lead Certificate st ` L 104, A
If the projed is exempt from lead certification, please explain whys (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A &EW BUILDLNQ
In the last 12 m , has the City of Ewan Issued a permit for a similar plan based on a master plat?
No If yes, date and address of masiter plan:
Licensed Plumber: Pltonte°
Mechanical Contractor: phone=
Sewer & Water Contractor: Phone:
NOTE. Plans and supporting documents that you submit sree 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) 45"002 for protection against underground utility darnage. Call 48 hours
before you intend to dig to receive tora'c<, o` ,mdn qr[n td uUntii-.
I hereby ackno-Medget that ,,fits infotntation is complete an'l a-,=Jut; It le veep wiil be jr co nfrirnnance m:f, the t;,i3inances and (;odes of tt•e Ctty of
Eagan, that t understzrnrY this is not n permit, but nni, :,r iwri~c;Mion for a permit, mild wok s net to start w;U,cwt a permit; that the wnrl, will be in
acrorcance wrtn the appraved plan in ilte case of worm+u h -eyuues a re view and appruvif of plaits.
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,
a {
7C 1 t ( t., ; ~ i ~ C(
Applicisnt's Printed Name Applicarik`t Signature
lp I A
Er, r1V F r,
APR 2 3 2014
DO NOT WRITE BELOW THIS LINE ~ ZZ7~ 3
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration (Single Family)
Single Family Garage , Parch (4-Season) _ Exterior Alteration (Mulbj
Multi Deck Porch (ScreenlGasebo/Pergola) Miscellaneous
_ Gf of- Plex Lower Level Pool Accessary Building
Whit TYPES
_ New _ Interior Improvement Siding Demolish Bullding`
- Addition Move Building Rwoof Demolish Interior
Alteration Fire Repair _ Windows _ Demolish Foundation
Replace Repair Egress YVIndow _ Water Damage
Retaining Wall 'Demolition of entire building - give PCA handout to applicant
QESCRIPJION 'r-61
Valuation 101) Occupancy MCES System
Plan Review Code Edition ~7 SAC Unite -
(25°/8_ 100% V } Zoning City Water
Census Code 1-1341 Stories Booster Pump
# of Units / Square Feet PRV
# of Buildings / Length - Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final I C.O. Required
Footings (Addition) Final / No C.Q. Required
Foundation HVAC _ Gas Service Test Gas Line Air Vest
Roof: ,Ice $ Water Final Pool: Footings Air/Gas Tests ---Final
Framing Drain Tile -
Fireplace: -Rough In -Air Test Final Siding: ----Stucco Lath Stone Lath Brick
Insulation Windows
Sheathing Retaining Wall: _ Footings Backfill _ Final
Sheetrock Radon Control
Fire Walls Erosion Control
Braced Walls - Other.
Reviewed By:,_ Building Inspector
RESIDENTI& FEES
Base Fees
Surcharge
Plan Review /y 715,
MCES SAC
City SAC
Utility Connection Charge
S&W Permit S Surcharge
Treatment Plant
Copies .2S
TOTAL
Dann ~ ~t Z
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA124469
Date Issued:07/02/2014
Permit Category:ePermit
Site Address: 4395 Capricorn Ct
Lot:002 Block: 001 Addition: Wilderness Park 3rd
PID:10-84252-01-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Paul Weber
4395 Capricorn Ct
Eagan MN 55123
Northland Home Exteriors Inc
24078 Greenway Rd, Suite 10
Forest Lake MN 55025
(651) 464-0234
Applicant/Permitee: Signature Issued By: Signature
04/06%2015 15: 1 7 F,4:�t 50 f 281 2030 HN,LEV COMFOh f S'rSl E�ds 1�+ 0002/000 i'
, �r�( /v /
i
Usa BLUE or BLACK Ink
��-----------------i
�� For olfica use �
I �
� i� Pemtii#: � � I
��4� �� .IJ���� I
i� u� �
I I Pertnit Fee: �
9830 Pllot Knob Road 'i �
Eagan MN 55122 I� Date Recelved: i
Phone:(651)675-5676 �I
Fax:(651)67S-S694 , i� Statt: �
�L----------------�
20�5 RESIDENTIAL BUILDING PERMIT AP , LICATION
Date: W�'G " �s Site Addre99: s'.' r.+ Unit#:
Name: �2 u./ (,a,�'��,� Pnone:E�3'/-3 O 3- .Q/5�7
ResidenU �
OWne� Address/Clry/Zlp: �S G� ^ .' Gy"
Appllcant Is: Owner �Contra�tor
.�.yPe�Wo� Oescription of work: s� �`
Con6trucllon Cost: .��.� / �� Multi-Family ,uilding:(Yes�/No_„_,�
Company,__�c-�f� �.�'Y'7���,�5/�`�-/ Contect: F/f
Contractor Address: �,�.3� 1�i�(r"isT�� City� � � �" �
SlBte: ��Zip:�S�S���I Phone_-�7—vr�/��c�Email:
Ucenee 7F:___� �D /�/� Lesd Ce�tNloate!E�
If the project is exempt from lead certification,please explain why: (see Pege 3 for a dltlonel Informatlon)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NE BUILDING
In the last 12 months,has tha City of Eagan issued a pertnit for a slmllar plan based on s aater plan?
�Yes _,_„No Ifyes,date and address of master plan:
. __
Licensed Plumbel: Phon :
Mechanicel Contractor: ph� :
Sswsr 8 Water Contractor: Phon :
NOTE:Plens and supporting documents.that you submit+�re considered to be ublic inio►mation. Porflons.of
the information may be classitled as non public if yrou provide specfiic rQaso ' that wculd pvrmlt tho Clty ro
conclude tri�t fhe �re trade sec►e�'s.
CA4L BEFORE YOU DIG. Ce��Gopher Stata On�Call at(861�464-0002 for protectlon agalnst und rground utility tlamage. CaN d8 hou�s
before you Infend lo dlg to reCeFve locates of un�rground udUtles. ysp�yy.qQp�s�ataonecall_ora
I hereby acknowledge that thls intormation is complete and�ccurate;that the work wlll be In confortnance Ih lhe ordlnances antl todes Of tne City of
Eagan;Ihat I un4eratand q�is is not a permlt, DW only ar�appliCa6on for a permit and work is nvt te st without a permlt;thet the worlc wdl be In
ACCordance wlth the approved plan In Ihe ee9e of work which require9 e review and approval of plans.
EzteAor work authorizgd by a building permlt Issued In accordanca wlth the Minnegota Stdte B e completed wlthin 180
days of pannit iasuance. �
X_ P�r ,�C/���,�ti x - - -
AppllcanYs Printed Name Applic s slgnatu:�
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA132312
Date Issued:08/05/2015
Permit Category:ePermit
Site Address: 4395 Capricorn Ct
Lot:002 Block: 001 Addition: Wilderness Park 3rd
PID:10-84252-01-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Paul Weber
4395 Capricorn Ct
Eagan MN 55123
(651) 303-8147
Haley Comfort Systems
122 3rd St W
Hastings MN 55033
(651) 437-0338
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA146700
Date Issued:11/08/2017
Permit Category:ePermit
Site Address: 4395 Capricorn Ct
Lot:002 Block: 001 Addition: Wilderness Park 3rd
PID:10-84252-01-020
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$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 -
Paul Weber
4395 Capricorn Ct
Eagan MN 55123
(651) 454-5762
Den Mark Plumbing
8445 Quail Hill Rd
Maple Grove MN 55311-1533
(763) 416-9924
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
For Office Use
City [� Eaaall ::::
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3830 Pilot Knob Road `�`
Eagan MN 55122 Date Received: 1/-% !
Phone:(651)675-5675
Fax:(651)675-5694 Staff
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2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:
11/7/2017 Site Address: 4395 Cappricorn Court Unit#:
Name: Paul & Patricia Weber Phone: 651-454-5762
Resident/
Owner Address/City/Zip:
Applicant is: Owner X Contractor
Description of work: Bathroom Remodel
Type of Work
Construction Cost: 6,200 Multi-Family Building: (Yes /No )
Company: Minnesota Rusco Contact: Caily Alama
Contractor
Address: 5010 Hwy 169 N city. New Hope
State: MN Zip: 55428 Phone: 952-935-9669 Email: Caily@minnesotarusco.com
License#: CR002173 Lead Certificate#: NAT21315-2
If the project is exempt from lead certification, please explain why:
Home was built in 1983
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:
Fire Suppression 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 the 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.gopherstateonecall.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.
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Caily Alama Caily Alama �a .N�mt A a 3Mn°°
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Applicant's Printed Name Applicant's Signature
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- DO NOT WRITE BELOW THIS LINE (7 1c?
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SUB TYPES
_ Foundation _ Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
New a Interior Improvement _ Siding _ Demolish Building*
— Addition _ Move Building Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
— Replace _ Repair Egress Window _ Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation i , o.,:)ti .'r Occupancy XF2 4-1 MCES System
Plan Review Code Edition mil -zdm.lc SAC Units
(25%_100% ) Zoning ? J7 City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction v 5 Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) (44 Final/ No C.O. Required
Foundation Foundation Before Backfill )0 HVAC_Gas Service Test Gas Line Air Test
Roof: _Ice&Water _Final Pool:_Footings Air/Gas Tests _Final
)0 Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In Air Test Final Siding:_Stucco Lath Stone Lath _Brick^EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill T Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: 7 0 1/1"1 O'1 j 7 A- , Building Inspector
RESIDENTIAL FEES
Base Fee m: ,1 ,•m v ✓Yl e- a. O 00-—
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
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