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4133 Cashell Glen L)xl °3y8gi SEDGWICK HEATING & AIR CONDITIONING CO. HEATING iJ¢4 NO. 1408 NORTHLAND DRIVE, SUITE 310 • MENDOTA HEIGHTS, MN 55120 • (952) 881-9000 TEST RECOPJP ADDRESS ` 13 3 c-plS 14 e-~- &L&N CITY f ~ -T"" OCCUPANT OWNER ' SOLD BY INSTALLED BY MAKE MODEL SERIAL NO. 05 0-7 a 6 K INPUT THERMOSTAT 2.000 VENT SIZE ~e VALVE -Le 41 t r- TYPE OF LINER F-' LIMIT JdZ~~ C LINER SIZE X175 = ~~x LIMIT SETTING FILTERS: SIZE Z NUMBER FAN SETTING WIRING t~~1n c.rL7d~// PILOT TYPE TEST TAG ~V IGNITION MODEL LIGHTING INST. 141114 PILOT TIMING DATE TESTED (f ll PRESSURE PERCENT CO, ~ r C 4 INPUT CFH PERCENT OZ COMPANY TESTING' STACK TEMP. PERCENT CO eJ NAME OF TESTER FORM 235 (REV. 10/10) FORM DISTRIBUTION: WHITE COPY - JOB FILE YELLOW COPY - CITY INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: ' (612) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: ,yet INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR. ,if. Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspection Dste Insp. Comments FOOTINGS FOUND FRAMING ROOFING 7 ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL cd/ss~=(,. M~ A101' y+'.fir y QA I DECK FTG 714 -7 i"'f~ L • J c~ DECK FINAL INSPECTION RECORD CITY DF EAGAN PERMIT TYPE: 3830 Pilot Knob Road - Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: 3 PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. ,1 1 rar, ,~~~•+1 1 _ ~~1 ~ 1 raw ,al, 1 PJ i I r:.. J SN11 Permit No. Permit Holder Date Telephone N . k PLUMBING HVAC I /7 c5 ELECTRIC So'~ 0 ( 3 L ELECTRIC Inspection Date Insp. Comments Footings I Foundation x-- 7 Framing 15-- N Roofing Rough Plbg. G y Rough Htg. ~l Isul. 12//44J Fireplace Z.f Final Htg. Orsat Test r[ Final Plbg. 1! Plbg. Inspector - Notify Plumber Const. Meter i EngrJPlan Bldg. Final ~8 Deck Ftg. t Deck Final Well Pr. Disp. INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: + + + 3830 Pilot Knob Road Permit Number: i Eagan, Minnesota 55122-1897 Date Issued: 01; (612) 681-4675 SITE ADDRESS: 1 1 ' 1" t' `i''" 1 'i " " " APPLICANT: ui ; 1 fiL11+ F + I +1'~I11:1 1 t'11 t IJ ~i;-PI; t 1 (II PERMIT SUBTYPE: TYPE OF WORK: INSPECTION DATE INSPTR. INSPECTION 1 Permit No. Permit Holder Date Telephone A ELECTRIC PLUMBING HVAC Inspection Date Inap. 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 BSMT R.I. BSMT FINAL DECK FTG DECK FINAL INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: 1 ► I 1 i ~ APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: r r INSPECTION TYPE DATE INSPTR. INSPECTION TYPE .DATE INSPTR. Permit No. Permit Holder Date Telephone N ELECTRIC PLUMBING HVAC Inspection Date Insp. Commerts 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 BSMT R.I. BSMT FINAL DECK FTG 1. /P sLC S DECK FINAL Wertificate of Cccupanc4 critv of Wagan 2d04rta[tnt of fxil * 3ndoce ion 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: U. Clauifi Sf'' DWG Bldg. Permit No. 224g8 O-P--y Type R13/' M I Zoning District RI Type Consi. VN owner or Boi{ding WEN, PR- -PERM Address 3312 15 1 ST S1W, 80-ildiag Address 4133. C>1 amity L17, B4, WFIVT.EL Doe- Building Olfidal ~ POST IN A CONSPICUOUS PLACE RESIDENTIAL a fS BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New construction Reauimmerds RemodeVReoalr Reoutremerds . 3 registered silo surveys showing sq. it. of lot, sq. R of house; and a roofed areas . 2 copies of plan (20% maximum lot coverage allowed) . i set of Energy Calculations for heated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) • t site surrey for exterior additions & decks . 1 set of Energy Calculations . Indicate I home served by septic system for additions . 3 copies of Tree Preservation Plan I lot platted after 7/1/93 . Rim Joist Detail Options selection sheet (bklgs wIh 3 or less units) DATE S Z~ - b Z VALUATION mil? I 1 . ~o Z O , SITE ADDRESS yi(33 0 ke_U l~ IfLV I MULTI-`FAMILY BLDG _ Y _ N TYPE OF WORKn CE I& taD F NL6tl5~ FIREPLACE(S) _ 0 _ 1 _ 2 SELA ROOFING & REMODELING, INC. APPLICANT 4100 EXCELSIOR BLVD. ST. LOUIS PARK, MN 55416 STATEZIP STREET ADDRESS ID nan CITY TELEPHONE # CAI--gZ3- R41CELL (/LL PHONE # FAX # PROPERTYOWNER l av62 1 f'L2~ titer TELEPHONE#~~~- COMPLETE THIS SECTION FOR -NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 (4 submission type) - Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted . Energy Envelope Calculations Submitted Plumbing Contractor: Phone # Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor: Phone If Mechanical system includes: _ Air Conditioning Fee: $70.00 Heat Recovery System r2 f1 M [ I Sewer/Water Contractor: Phone # Fn) MAY 2 0 2002I' I hereby acknowledge that I have read this application, state that the information is corre , nd agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. y Signature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 Address 4133 CASHE[L CLEN Zip 5512 2 _ Let • t7 Blk 4 Sub w . THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: /02 Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) i/ Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass Trail/curb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff of water supply to the outside lawn 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 o - ~.a T,4r)ro Request ate Fine No. Rou in-Lin lnspeco~yi R fired Ins on other Than Rough-In (You must call inspecto when ready) Ready Now E] Will Notify Inspector 6 - 2 8 - 9 5 ❑ Yes No Date Read I licensed contractor ❑ owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No ) City 4133 Cashell Glen Eagan Section No. Township Name or No - ] Renge No County Dakota Occupant FRINTI Phone No Carol Feeser 681-9438 Power Supplier Address Dakota Electric Farmington Electrical Contractor (Company Name) Contractors License No Roehning Electric CAO 1557 Mailing Address (Contractor or Owner Making Installation) 14811 Endicott Way Apple Valley, Mn. 55124 Authonzed Siena. rum (Contractor/Owner king Instal ionI Phone Number CC G~ (lj 423-4328 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg - Room 5128 I I III II I I II I I II ~NI BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 II UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. 0-173 REQUEST FOR ELECTRICAL INSPECTION 10- S see stmctmns for completing this form on back of yellow copy 6'~Iww X" Below Work Coyered by This Request Ne Ad ep. - -Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Healer Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (speedy) Contractor's Remarks Compute Inspection Fee Below. Wire Air Conditioner # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Q Transformers Above 200 Amps Above 100-Amps Signs inspector's use only, TOTAL ,.a Irrigation Booms ®,0 20 Special Inspection l~ Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has Fines Da been made. / `f c(J OFFICE USE ONLY This request .,d 18 months from Oo 8 s 56 ® ~ ~s~ 9 Requ st Date Rre him R ghgn Inspech egwred Ins dha Other Than yough-In (You call inspector when ready) Ready Now RAf Will Notify Inspector /0- 3 i - 95 Yes ❑ No Date Ready I Glicensed contractor owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No) City y/ 3 3 Cache 11 GJerl Ea a.-1 Sechon No Township Name or No Range No Count' ` ( Occupant(PRINT) Phone No 8l - 94J38 Power Supplier address Electrical Contractor (CampertpName{ Me ORlNCr Contractors License No 71 Newer Mailing Address (Contractor or Owner Making Inslellifl onl J 3 3 at? she l/ G/z.~ a o,N ~ 5S/a Aulhon2 ignaWre ontrac /Owne kmg Installation) Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Origgs-Midwey Bldg. - Room 5-128 II II II III I I II I I I II II II BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(612)642-0800 ENCLOSED REQUEST FOR ELECTRICAL INSPECTION ~n. i ee msVUClions for completing ihis form on back o f yellow copy "X" Below Work Covered by This Request lding Appliances Wired Equipment Wired Range Temporary Service Water Heater Electric Heating Dryer Load Management ial Furnace Other (Specify) Farm Air Conditioner Contractor s Remarks ntea Compute Inspection Fee Below: # Other Fee # Sannce Entrance Size Fee # Circuits/Feeders Fee' Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 -Amps Signs Inspectors Use Only TOTAL Irrigation Booms dfo. 0 Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-In / Date - certify that the above inspection has Final oa 1 been made. OFRCE USE ONLY pQn pr1 }ry..;. This request void 18 months from 1{e1Gm1'-' I { r~ G0 64686 r 510 Request Date ire No Roug n Inpsectmn Required Ins ection Omer Than Rough-In (You must wll Inspector when ready) E] Ready Now ❑ Will Notify Inspector S ❑ Yes ❑ No Date Read 10 licensed contractor owner hereby request inspection of above electrical work at: Jol, Address (Street, Box or Route No ) City 4//.33 a. shell 61ea) ~Q 4y0 Section No Township Name or No Range No. Co Ea J'otoli. Occupan[ 1P8INTI Phone No. T- Fes" log)- IS~38 Power Supplier Address Electrical Contractor (Company Name) //per Contractors License No Y Caret erel- Mailing Atltlress (Contractor or Owner Mining Installation) qumor etl Sgnawre antra to ahmg Instairrumnl Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-MlEway Bldg. - Room &173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55109 UNLESS PROPER INSPECTION FEE IS Phone (612) 692-0800 ENCLOSED 01A6(REQUEST FOR ELECTRICAL INSPECTION ?Es ooGoot.oe ► See mshuctiors for completing this form on hack of yellow copy ii O~~ 0 O 6 JW8 6 "X" Below Work Covered by This Request is Add ep Typeof Building Appliances Wired EqulpmeniWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm /Industrial Furnace Other (Specify) Ct Farm Air Conditioner y (It other (specify) Contractors Remarks Compute Inspection Fee Below. # Other Fee # Service Entrance Size Fee # Clrcuds/Feeders Fee Swimming Pool 0 to 200 Amps 0 to t00 Amps Transformers Above 200 _ Amps Above 100 -Amps Signs Inspectors Use Only TOTAL - Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 ONTHS. I, the Electrical Inspector, hereby Rough-m Date _ Q certify that the above inspection has Final Dare been made. _f) aloft I jo~ OFFICE USE ONLY j This request void is months from CITY OF EAGAN PERMIT OR0* 10 ~ 3530 Pi1at Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 5 9 51 (612) 681-4675 Date Issued: 07/03/95 SITE ADDRESS: 4133 CASHELL GLEN LOT: 17 BLOCK: 4 WENZEL 1ST P.I.N.: 10-83570-170-04 DESCRIPTION: Building_Permit Type DECK ,building hark Type NEW r gay,/ _ REMARKS: FEE SUMMARY' Base Fee $30.00 COPY $.50 Surcharge $.50 Total Fee $31.00 Subtotal $30.50 CONTRACTOR: - Applicant - ST. LIC. OWNER: CURT'S CUSTOM DECKS 17536063 0006550 FEESER TIM 2935 194TH LN NW 4133 CASHELL GLEN CEDAR MN 55011 EAGAN MN 55122 (612) 753-6063 (612)681-9438 I hereby acknowledge,that I have read this application an•d,state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. 9(t3,D1~ 11id M 9r APPLICANT R TEE SIGNATURE ISSUED B SIGNATURE' INSPECTION RECORD CITY OFEAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 025951 Eagan, Minnesota 55122-1897 Date Issued: 07/03/95 (612) 681-4675 SITE ADDRESS: LOT, 17 BLOCK: 4 APPLICANT: 4133 CASHELL GLEN CURT'S CUSTOM DECKS WENZEL 1ST (612) 753-6063 PERMIT SUBTYPE: TYPE OF WORK: DECK NEW INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR. FOOTINGS FINAL CITY OF EAGAN ,i 3830 PILOT KNOB B RD RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681.4675 New construction Reouiraments RemedeVReoair Reoukements ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks) ♦ 1 energy calculations ♦ 1 energy calculations for treated additions ♦ 3 copies of bee preservation plan if lot platted after 7/1/93 required: _ Yes _ No DATE: 6 - 1~ G 11 r CONSTRUCTION COST: ~6 O fo DESCRIPTION OF WORK: e `lG ~D\;h C64ar- clerk Per Q-Aj - STREET ADDRESS: Yl33 CAS41OZ& (n-/-F/ LOT t! BLOCK _ V aUBD./P.I.D. (199M1491 1 PROPERTY Name: 17i 1 { C'Gr~ / ~ ~ Phone 3S- OWNER Street Address' W33 dShae-- 6LFrc/ Ciry: State: /VfJ Zip: CONTRACTOR Company: r2 ~a, ~-Fu r~ necks Phone Street Address: ~9V L' 'k" License M (0S5-y City: Geer r State: / - zip* t1 ARCHITECTI Company: Phone ENGINEER Name: Registration Street Address, City: State: Zip: Sewer & water licensed plumber. Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY RECENED Certificates of Survey Received _ Yes _ No JUN 2 8 1995 Tree Preservation Plan Received Yes No OFFICE USE ONLY a• BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish ❑ 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. ❑ 10 = plex X15 Deck WORK TYPE ,-31 New ❑ 33 Alterations ❑ 36 Move ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. 4-~ Depth Footprint sq. ft. SAC Code o L Census Bldg i Census Unit D APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ ~Zon Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies .50 Total- % SAC SAC Units r r I C ~ ~ by CA SHELL GLFN V ge8•M 0A goZ.4+a I' 1tI89° 3~y6"'E l16. O 9a"0 ro Ip cw 9o3T 51 ~ I So p Q gp4'av -sop b4-67C-VG EL, '*j%0- i 46,11 ~.n,6c b 6AScMEwtT ~jzDZ,jt 1p' +4.0 gto.S 50' /i'M^, ~ PRdPaSEO ri frr ~o ~K a t9s3 ~ ~ ~ I ~ /y, ( JI • ne`I 2 1 Uu a +q u:i ~ I I i + DRAINAGE AND 0 ' UMiry EASEmVir tigv p r~s.~i w ~ s r F „a 'yo f AN EN l RING E LOT 17, LOCK NOftTt/ W46 NI EL 5CALE 1"430' FIRST AUDITION/ ALL BEAKIMOS A5504`tVI DAKOTA COUNTY, DkNOTRS" IRON MOKLJ/+~Dr M/NN~svra I~ f i I hereby certify that this survey was prepared by me OF under my direct supervision and that I am a duly' Regis'ter8d Land Surveyor under the laws of the State of Minnesota. Date 4~4, ss3 al i ~ LeRoy H Bohlen - Re~istered Land Surveyor No. ;0795 99: 80 £6. So rot I T~J ££9 i CITY OF EAGAN PERMIT e"//9.5;;? 9 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 6 5 5 2 (612) 681-4675 Date Issued: 10/30/95 SITE ADDRESS: 4133 CASHELL GLEN LOT: 17 BLOCK: 4 WENZEL 1SI' P.I.N.: 10-83570-170-04 DESCRIPTION: B'i3.ding,Permit Type BASEMENT FINISH Building l-d,rk Type ALTERATION ,y ~t REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBTNG OR ELECTRICAL WORK FEE SUMMARY: Base Fee $35.00 Surcharge $.50 Total Fee $35.50 CONTRACTOR: OWNER: - Applicant - FEESER TIM 4133 CASHELL GLEN EAG,AN MN 55122 (612)681-9438 I hereby acknowledge that S have read this application and state that the Information is correct and agree to comply with all applica°ble state of Mrt. Statutes, and City of Eagan Ordinances. ~~~GO-7 (Y- ~ J J APPLICANT/PERMITEE SIGNATURE ISSUED B SIG TUR INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: 026552 Eagan, Minnesota 55122-1897 Date Issued: 10 / 3 0 / 9 5 (612) 681-4675 SITE ADDRESS: P.I.N° ` 10-83570--170--04 APPLICANT: LOT: 17 BLOCK: 4 4133 CASHELL GLEN FEESER TIM WENZEL 1ST (612) 481-9438 PERMIT SUBTYPE: TYPE OF WORK: BASEMENT FINISH ALTERATION INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR. FRAMING INSULATLON ROUGH IN PLBG FINAL REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY PLUIJBING OR ELECTRICAL WORK - CITY OF EAGAN 3830 PILOT KNOB B RD RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construction Recuirements Remodel/Repair Reouirements f ♦ 3 registered site surveys ♦ 2 copies of plan ♦ 2 copies of plans (include beam 8 window saes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions 8 decks) ♦ 7 energy calculations ♦ 1 energy calculations for heated additions ♦ 3 copies of tree preservation plan if lot platted after 711193 required: _Yes _ No DATE: /aza I 4 S- CONSTRUCTION COST: DESCRIPTION OF WORK: 7-(vtt5l~.e c4 4JUAC.IME✓1 STREET ADDRESS: ~~33 C45Ae,lj G 1 r~Y, LOT_ BLOCK SUBD./P.I.D. D ilnr o ( I PROPERTY Name: Phone#: -G S'1-9H3S' OWNER WT FOOT Street Address' 4l3 3 (fQ-Stie-/J City: State: ML,) Zip: S~ a CONTRACTOR Company: Phone Street Address: License # City: State: Zipm ARCHITECT/ Company: Phone ENGINEER Name: Registration Street Address* City: State: Zip: Sewer a water licensed plumber. Penalty applies when address change and lot change are requested once permit is issued. 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. 0 Signature of Applicant: OFFICE USE ONLY I r i Certificates of Survey Received _ Yes _ No C C 1 1995 Tree Preservation Plan Received Yes No OFFICE USE ONLY " ` es •F. Ia`Sj a: ~ . •x: nw BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging 9%r* 16 Basement Finish ❑ 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool ❑ 03 SF Addition o 08 8-plex ❑ 13 Garage/Accessory ❑ 20 Public Facility ❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous ❑ 05 SF Misc. ❑ 10 = plex ❑ 15 Deck WORK TYPE ❑ 31 New e, -33 Alterations ❑ 36 Move ❑ 32 Addition ❑ 34 Repair ❑ 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MCANS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV _ # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code O Census Bldg i Census Unit o APPROVALS, Planning Building Engineering Variance Permit Fee Valuation: $ /SOa Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit SM Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units CI Y OF EAGAN PERMIT ck-41'11 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 026231 (612) 681-4675 Date Issued: 08/14/95 SITE ADDRESS: 4133 CASHELL GLEN LOT: 17 BLOCK: 4 WENZEL 1ST P.I.N.: 10-83570-170-04 DESCRIPTION: (GAS) Building-Permit Type FIREPLACE Building Wp.rk Type NEW r ~tl REMARKS: FEE SUMMARY: Base Fee $25.00 Surcharge $.50 Total Fee $25.50 CONTRACTOR: - Applicant - ST. LIC. OWNER: FIRESIDE CORNER INC 16331042 0001068 FEESER TIM 2700 N FAIRVIEW AVE 4133 CASHELL GLEN ROSEVILLE MN 55113 EAGAN MN 55122 (612) 633-1042 (612)681-9438 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. lvk APPU ANT/PERIAITEE SIGNATURE ISSUED ISIG URE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 026231 Eagan, Minnesota 55122-1897 Date Issued: 08/14/95 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-83570-170-04 APPLICANT: LOT: 17 BLOCK: 4 4133 CASHELL GLEN FIRESIDE CORNER INC WENZEL 1ST (612) 633-1042 PERMIT SUBTYPE: TYPE OF WORK: FIREPLACE NEW DESCRIPTION (GAS) INSPECTION TYPE DDATE INSPTR. INSPECTION TYPE DATE INSPTR. ROUGH-IN FINAL F 231 CITY OF EAGAN RD 3830 PILOT KNOB B - 55122 1995 FIREPLACE PERMIT APPLICATION 681-4675 DATE: 14 95 DESCRIPTION OF WORK: INSTALL N€!K FIREPLACE: _ WOOD BURNING ~ GAS INSTALL GAS LOG ONLY IN EXISTING FIREPLACE INSTALL GAS LINE ONLY IN EXISTING FIREPLACE _ OTHER: AREA TO BE INSTALLED IN: STREET ADDRESS: f-7L/3 r CA LOT BLOCK SUBD./P.I.D. APPLICANT: (circle one only) OWNER CONTRACTOR 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. PROPERTY Name: v L 7 I 't04 Phone OWNER IAIIT FIRS' Signature: Street Address- 4133 C-A S A-fg'L' City: eAcs~- State: Zip: `S~j ZZ FIREPLACE Company: A -k-A ez ZO~ne M 63~ - 2 s6 INSTALLER Signature Stree ddressZ7°° tll ` 2ttzy,(~nj License L66 Ci State: Zip GAS LINE Company: Phone # INSTALLER Name: Signature: Street Address City: State: Zip: PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55123 Permit Number: 0 2 2 4 9 8 (612) 681-4675 Date Issued: 11/10/93 SITE ADDRESS: 4133 CASHELL GLEN LOT: 17 BLOCK: 4 \q3 WENZEL \~,0 P.I.N.: 10-83570-170-04 DESCRIPTION: Buildin'g,Permit Type SF DWG Building-Work Type NEW GBC Occupan y,, R-3 M-1 Construction Typle V-N Zoning R-1 f Building Length 56 Building Width 50 J i I REMARKS: S & W PLBR - WENZEL MECH FEE SUMMARY: VALUATION $176,000 Base Fee $905.50 MISCELLANEOUS $1,744.50 Plan Review $588.58 Total Fee $4,076.58 Surcharge $88.00 SAC $750.00 SAC % 100 SAC Units 1 Subtotal $2,332.08 CONTRACTOR: - Applicant - ST. LIC OWNER: WENSMANN HOMES 14231179 0001458 WENSMANN PROPERTIES 3312 151ST ST W 3312 151ST W ROSEMOUNT MN 55068 ROSEMOUNT MN 55068 (612) 423-1179 (612)423-1179 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. APPLICANT ERMITEE SIGNA RE ISS ED : SI NATUR - INSPECTION RECORD CITY OFEAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 6 2 2 4 9 8 Eagan, Minnesota 55123 Date Issued: 11/10/93 (612) 681-4675 SITE ADDRESS: LOT: 17 BLOCK: 4 APPLICANT: 4133 CASHELL GLEN WENSMANN HOMES WENZEL (612) 423-1179 PERMIT SUBTYPE: TYPE OF WORK: NEW INSPECTION TYPE DATE INSPTR. INSPECTION TYPE .DATE INSPTR. !FOOTINGS FOUNDATION 'FRAMING ROOFING 'INSULATION FIREPLACE ROUGH IN PLBG ROUGH IN HTG FINAL PLBG FINAL REMARKS: S & W PLBR - WENZEL MECH J - - - - - - - - - - - - - - - - - - - - - - REArTTVAT- _ U L1_ DVE DD ITY OF EAGAN PERMIT # t 1 fir, 5 1993 1 93 BUILDING PERMIT APPLICATION ~~IDrJ(,. 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by 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 OiQo Valuation of work 1781Z40e Site Address: STREET SUITE Tenant Name: (commercial only) / LOT 17 BLOCK ~ SUBD./,e 1 P.I.D. N Description of work: Glr/ The applicant is: Owner Contractor ❑ Other (Describe) ROA Name Zt)etx~lb.41).-) re - Phone `~Z~''~/~g• Property LAST FIRST Owner Address .331Z 1~~5 WU STREET STE 0 City Waeya'oI State IW4- Zip Company k) er64? 4n r) Prle Phone L/Z37~- y&7 -s99Z Contractor Address Z,4nie 'N" A" - License # Exp. City State Zip _ Company JP M Mann ~Z42904n 143 - Phone Z711?1? Architect/ / Engineer Name Li,*Ae i_i Ak)ae - Registration # Address City State Zip Sewer & water licensed plumber 11 c 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 applicable State of Minnesota Statutes and City of Eagan Ordinances. ~J Signature of Applicant:' OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑;lzusp a t7in sh 02 SF Dwg. ❑ 07 4-Plex ❑ 12 Multi. Misc. b 17- Swim Po T"° ❑ 03 SF Addition ❑ 08 8-Plex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind. ❑ 04 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace ❑ 19 Comm./Ind. Misc. ❑ 05 SF Misc. ❑ 10 Multi. Add'l. ❑ 15 Deck ❑ 20 Public Facility ❑ 21 Miscellaneous WORK TYPE 0 31 New ❑ 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish ❑ 32 Addition ❑ 34 Repair ❑ 36 Move GENERAL INFORMATION Const. (Actual) V-►J Basement sq. ft. MWCC System YE5 (Allowable) Y_ P3 1st F1. sq. ft. City Water ~ UBC Occupancy [L_3 M2nd F1. sq. ft. PRY Required Zoning 6_1 Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length S6, On-site well Census Code /01 Depth qq On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site ❑ Footing ❑ Framing ❑ Insulation ❑ Wallboard ❑ Final ❑ Draintile ❑ Fireplace Permit Fee v.luotion: oOO Surcharge Plan Review Gv~ t 30~tZZ (060 License MWCC SAC ZX to = Zo City SAC 6YO k/6= OZ40 Water Conn. 21o K _ Water Meter S t X 6 + 1352 Acct. Deposit Z g S/W Permit 1~2x2o~: 3c~ S/W Surcharge Treatment Pl. l 410 X 1S:_1 Z I 1 Road Unit isr FLao2, ! Park Ded. Trails Ded. 85MT = 1410 Copies Other 1.67x667_ I__1 Total: SAC % 100 ZNO f:,7 SAC Units l'/2 x~ y `1`l S b !3y 13S 152X2 a , 3~1054 i Z`45 14 ~r1S.ZU(o i 1000 CASNELL _ aL~N__ q,8•~F~ nq.\ 9oz.4.6 i. - - +r 0 IV la/ 6. ~03 ya9'o • to ►o 0q, -T P sl rp oO ~ o^' ti I q* » i »p bLt~c-tc. EL-, µ J 04RA6c ` F 6ASc M@NT ~1~. 90.'x, l tp lA.o ~ 54Ab , n ~ 9TC+s 50 j"la; Pfx~PaS~A-^ ~I 2 o a-T a X9.53 I a° I )'T L o~ 1 ~h1.s > O I cad. 1a,~ ~ ~ n~i ~ x 7 v 1 h z I«~ ydi I I s'o ~ i P"WAGE ANC U Ilj UTIL►TY 6AsxmiEur c ! / AtIc, ' o EL ,,10 IV 113.41 WEST e o S_`~RT EN IlVE RING E ,14 a4 VESCRIPT10ti F Ypn• Lor 17, BLOCK 41 NoRrif WR/VZEL SCALS FIRST 4DOITIONi ALL SEAR/NOS ASI&MkPI t4 I DAKOTA cpuNTy, ° D1:NOT05' IRON MONIJ 011,r M/NNI: S prA ~ I i I hereby certify that this survey was prepared by me ofF under my direct supervision and that I am a duly Regis;teW Land Surveyor under the laws of the State of Minnesota; = Date : aA., L`,~i'~,_ - w/► LeRoy H Bohlen- Registered Land Surveyor No. i0795 ss,S0 26. 97 7711 Tn7 rc5 LOT SURVEY CHECKLIST FOR RESIDENTIAL U o BUILDING RMIT APP CATION S2 PROPERTY LEGAL: CJ Date of Survey: DOCUMENT STANDARDS 0'0 0 Registered Land Surveyor signature and company @~-0 0 Building Permit Applicant 0-~0 - Legal description 0 D' ❑ Address 0~ 0 0 North arrow and bar scale 6~0 ❑ House type (rambler, walkout, split w/o, split entry, lookout, etc.) @~❑ 0 Directional drainage arrows with slope/gradient t. 0 3-'0 Proposed/existing sewer and water services 0 Street name F0 Driveway ELEVATIONS Existing ❑ D-~U Sewer service F 0 Lot corners Top of curb at the driveway 0 CY ❑ Elevations of any existing adjacent homes Proposed Garage floor Far-] 0 First floor f0 Lowest exposed elevation (walkout/window) II 0 Property corners ~p ❑ Front and rear of home at the foundation PONDING AREAS (if applicable) 4~ 0~-~ Easement line B~~ ❑ NWL 00 0 HWL 0~ 10 Pond # designation ❑ 0 ❑ Emergency Overflow Elevation DIMENSIONS a-10 ❑ Lot lines 0--0 0 Right-of-way and street width (to back of curb) 0 Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all structures requiring permanent footings) ❑ ❑ Show all easements of record and any City utilities within those easements 0 0 Setbacks of proposed structure and setback of adjacent existing homes ❑ 0/ O Retainin w it ents, if any Reviewed: Nam / D Ate October 1992 GENZ-RYAN CO. 612+423+1„A4P.02 Y[TrRIOP. E~YELOPE AV -n 1 DATE COMpUTATiON ti• ~ OWNER ~ A , .SITE ADDRES ?:i 1 ~ CONTRACTOR ~IK3l 4 ADDRESS PHONE RETERMINE'WOMY-V SQUARE FOOTACE'OF EACH. 1. Total exposed wall area sq. ft. x 2. Total roof/ceiling area J1 F-~ sq. ft. x .orb= -q ,yip Total exposed wall area above floor b } i a. 5a~. Qot 1 aa1U•Niadowi area Z/Q i • F. 3s:T0tm1- hnnr arms t:. "r&v-1'nf"ry+3vl A;rng ;8jmmn. dear, Rear, d .MNnrrr. ~.-.::TOt'al Ifireplee'e, Wall. area . a. 2-+1-jTotaM %ail; fzaming• aiea-(iayeragq• lOY) Z3e +`i.:TOtal -nit. wall. aie8.ab6ve•:floot • ZI f Cy ;I g. 'Total 'rim joist area - LVAO i Total exposed foundation area of h. Total foundation window area -7 i i . 1„Total net..foundation stew above grade ..•........_~=q ~1 f7e'te DeterslYne J D'~avaY6e mfr eadi walk zsegment. ' I C. "lO x fluff _ f ( J Y ~4 d- ) 1 Z Y IIUn w Z~ . 83 e. IIUII ~83 ' f. 2! X fluff i 8._ % nUn -,:;;%4 7 h.-_, E Harr 1. x ;.ull of Qi S 3. .....................:.........Total a Z13~ , 4L If item #3 is the same as, or less than item 1~ of SRC 6006 (e)2. ,,.YOtt_have- met tha inters R-95% ' - 512+423+1149 12-31-92 10: 23AM P002' #33 l GENZ-RYAN CO. 612+423+1149 P.03 Page 2 of 2 Total exposed roof/eei13i1$3}ea'~L^ j Total skylight area Total roof/ceiling framing area (average lox;:*.t4- i 1. Total net insulated roof/ceiling area 7~±-_-^ Determine "U" value for each roof/ceiling segment. I J. % ?ruff i I k. J E hurt v~7 4......... ...........................Total If total of 04 is the same as, or less Chan Q2, you have met the inten +•.„rrr ++of+:SBC,:6006(C}1. I •+}f r~tesnate;rBu3,].din~~velopc;~lesign To utilize the 'total 'envelope system method, the values established by i the sum of items 43 and 04 shall-not be greater than the sum of items @1 and >t2. i 1. + 2. i 3. 4. Y ' i I ' i i , i i 612+423+(l49 12-31-92 10:23AM P003 X33 '1'',r`,.,at`; n;#-.>ls!'(bY iii J7;gE,1..;%t,~r+~~,ip «'x, y,•£~y'X i.,9ell~tt - . ~ S ~7 Yx 4'.+ }iN'S Js..Y~gM.M1 ~`1 ~e £GtV, 7 d I ' I* A RECEIPT: 78L, 'Zai}4Y r.~ay l"a(}iG{ 'C' Jt. x z /j}~.'~ H;Iols,:,p1^t..l!y@ i}~)kNuy~?~n,k j,.. t.ti I .^.t • . , , a fi• ,j?~y.+.W~•~:.,. "yyc,~a i:..x' ,L';e:~: t DATE~ SUBD. ~V/1✓/11V~- ,3,1i'~JsS4"~,~'d tiy~ ti qlf 1,~ -Y ':.I' • r - r Bey. Y~Y ~ ~a+~!. y, i f~?~ ~ r , . ex-f 1995 MECHANkP n, ERM1. (RE P,- 'I L) W bF EAGAN ` 'I s Sv ..t'tl$ ~N OI t ! X r y • ,n° 4°i ER N~~ MN"561U Yq yak >SYJ Please complete for''. ►,,.single f8mjl~ tl~r~ llingq,, . towhp_mes:lnd;GOridgs wlie{i permits are,required for each unit t r n 4il 117 fu New constructs ri.:,,':,._ `.~y.,:~•~~.`.t~n'ufs"5 es.a.G(sRRG':•~;:;'•" . it ;r„.. :••,+'.i,.h',; a'!lr e:4~d,. ,ttr V etc. Add-on~.air`conditjQning°ssia -an alGexakianger, i.e.Vanee s7stem, -e+-.-~I!rt. .h,3j +a. ! Is 1, kJ' ! %a{. ~?a, ~ Al J"f3`F:~+*a.`4ib~ii•+&~{1 a He > ',k Y I. r k. r,a . .'e! r•'~-:.{!'rty~%''tz.'.~3,#1'c~~;~l'x:.i+{„St:;~,vuri:~'~,.!%.ri,`.f, l.'~,;d {,r.l.n•n:, -a a • ;t- i 'tt 6' yx S-'~^ei~'b 4 ~s '"X .~S ? I I r { Date: r - . . ~~'~,n, , - ' .o'.' .~~;i~~~'}-[`~P4±y.:j;.~,C.t't:.::~Y•`,"`•riFa F•fa~'~•~F'+•.'`rJ ltif,';;;.. #~{Ij", ' I ! Yk ,}ice { + 't J }a 7g{rF~ ~ til E Minimum Fee kAc -vn/Ro odel fin res;dence only) $20.00 ^f.,¢..`~e°,rvS ~yi Y§•p'k,Y •r,+~ryid ,a Y; ;:~,.;ik;,~: -.r;J,y'y,;=.. T~~~is:'.i:~yy~rs?'r..a(:.rl;'.: ;'I.-. l•+:: HVAC 0 X100M BTU z~° ~~Se~z~r~ x `:2 6.00 . Add! twnal,5Q ~T tz r" x ! to r a{,~§s ;r43 Ir~~ Pt's ~~NZy¢3,~ g^i 1. r r{ 1~ t a1 °fj'{= 5 ,y F'a,3 1 d{ -1 ' 3K f - . M - jr S' > R mmlr~um.~~f 1u $3 OQ each) Gas Outlets'( f1 r:^t, ('IS{ tar~.rpL }}!~s~-qq?~'q, ',/"''9E ~ kT!i 7!, '6r4 ! S t - ~ Ir kl~- oa~3~'x~~aas`~~~N'?G {.~34a}`~s, J 1, Vt ! 50 , ate . Surcharge Na xa,. r,~ „ SQ T T41- t YII ~ kiy°^v ~ J1(r~*GF ~ ~~.,yn.~v.f Ax{a Ni iT""e S[ , FSY ",q'„'lY'1(k!v"^ ~ .,,i 'J. x~•b..o-,; .:'.~4 ~~a,i-'//'~•~ ~,Q , 3" 1.4 SITE ADDRES,. RG .r (2z .r fqm t># ~ a a- I 1t ,fl OWNER NAME t a'a3r n PHONE INSTALLER NAME r ~n5 ° j g4 ~'V 4w F\ ^sl rwd.. r 1 V - y 7 4- tt Nf' w ~~//t~~yy'~~{{I~,'"x~"kx'~~~~~Y ~'rx Fse yx STREETADQRI=S$, =3 CITY: :~1~lLh_1 r"''oi~}e `@Sf~ STATE:! ZIP: 7 7 PHONE (lvGla) ~n „ar i T -140 PERMIT# .2 I RECEIPT DATE: 2002 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAG AN 3830 PILOT KNOB RD EAGAN, MN 55122 651-681-4675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, 41 backflow preventer for irrigation system SITE ADDRESS: 3 0, Mkit.a G 1'r-, OWNER NAME:: r C,t' , { 1 tr»~' ~'l.tit TELEPHONE 5l -W n 1/ (AREA CODE) INSTALLER NAME: H . Y - ~I Q~INB ✓ K~S TELEPHONE ID; 1 -IS I=-, l STREET ADDRESS: SOD D bDD RD (AREA CODE) CITY: ~1aYl STATE: MN ZIP: -S-C,123 SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 Abandonment of septic system. Water turnaround - existing dwelling unit 5/8" meter if needed - $118) Other: RPZ: new installation/repair/rebuild $ 30.00 lawn irrigation system Replacement/additional: _ water softener water heater 15.00 State Surcharge $ .50 Total $ I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notdythe property owner that the City of Eagan assu no liabilityfor anydamages caused bythe Cityduring itsnormal operational and maintenance activities to the facilities constructed under this permit wit ity propel y/ fight f- ay/easement. I NA URE DF PERMITTEE 1102 / CITY USE ONLY L ~ BL RECEIPT SUBD. DATE: 1995 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for. single family dwellings ► townhomes and condos when permits are required for each unit FIXTURES EACH NO. TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet * minimum -1 3.00 x = Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal * Dakota Cty. license 20.00 = U.G. Sprinkler * home under const. 3.00 - Alterations * to existing 20.00 = a0.00 Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL o~~ SO SITE ADDRESS: y13 3 ~'aShell Le&) 'Gene OWNER NAME: ~m tac o INSTALLER NAME: /,m l'ee5er STREET ADDRESS: YL 3 3 C a shell 61e,J CITY: 6a OA) STATE: ZIP: PHONE ((a/a) SIMArURE OF PERialTT PERMIT# JON %D RECEIPTDATE: USIDENn AtL'PLUMBING MM1T APK ICATION CITY OP EA6AN 88SO PILOT KNOB RD EAGAN, MN 55128 651-681-9675 Please complete for: ➢ single family dwellings ➢ townhomes and condos when permits are required for each unit ➢ backflow preventer for irrigation system SITEADDRESS: 4t3:~jCg~` ~\f ! U~ OWNER NAME::-1'ry~'civ~ TELEPHONE 1"KI - q (AREA CODE) INSTALLER NAME: M.~_rltto , g_ TELEPHONE Q' S~- 9(cD ( 60512th Avenue South (AREA CODE) STREET ADDRESS: hopidus, MIN 55343 CITY: STATE: ZIP: Place a check mark next to the permit work type New residential dwelling unit under construction and not owner/occupied $ 90.00 Add-on, modification or alteration to existing dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • water turnaround Nature of work: le n nand rytkfc ~ec~~ eY I _ Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license State Surcharge $ .50 TotaI $ 5 Reminder., Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge that I have read this application, state thatthe information is correct, and agree to comply with all applicable city of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the~City during-its norms operational and maintenance activities to the facilities constructed under this permit within City prop !right-of-wayleasement ! . I~ 1 APR 0 .3 _I O_ni SIGNA U E OF MITTEE jEy Updated 1101 Use BLUE or BLACK Ink r For Office Use City ~Permit I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 33 e -S Ise-11 6pj Unit M Name: Phone: ~,el -336 "~2oO'& RESIDENT OWNER Address / City / Zip:/ 3 3 C t /2c. C /~Yt Applicant is: Owner Contractor Description of work: lkvvf- S G r-~ i~ fr S f IS G~ l S ~v ~~t 40 TYPE OF WORK . W ' Construction Cost: l &VO Multi-Family Building: (Yes / No i Company: 31-., ' c Contact: b*-►r y'1 CONTRACTOR Address: S/O N G~ ~S S~ City: State: /I~A) Zip: 6'S Phone: & 1 2 (r~ -,-22 3 License aG 375'D 6 I Lead Certificate -036 7~ 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: .a...R ~e ~~..,....,~.W.......~se. , , ~ ~ ~ ~ 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 i 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.gopherstateonecall.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 C de must be c mpleted within 180 days of permit issuance. © S/~t L / x }'Y~~Y? h J G.~yc. 671 l j ~U x Applicant's Printed Name 1rr ant's Si ture Page 1 of 3 PERMIT City of Eagan Permit Type: Mechanical Permit Number: EA106016 Date Issued: 0810712012 itj of 0n Permit Category: ePermit R Site Address: 4133 Cashell Glen Lot: 017 Block: 004 Addition: Wenzel 1st PID: 10-83570-04-170 Use: Description: Sub Type: e - Furnace Work Type: New Description: Furnace Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, 952-445-2840 Joy Post 1408 NORTHLAND DRIVE Fee Summary: ME - Permit Fee (Replacements) $55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 Total: $60.00 Contractor: - Applicant - Owner: Sedgwick Heating & Air Conditioning Timothy J Feeser 1408 Northland Drive, Suite 310 4133 Cashell Glen Mendota Heights MN 55120 Eagan MN 55122 (952) 881-9000 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA113387 Date Issued:09/04/2013 Permit Category:ePermit Site Address: 4133 Cashell Glen Lot:017 Block: 004 Addition: Wenzel 1st PID:10-83570-04-170 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 . Elizabeth Hess Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Timothy J Feeser 4133 Cashell Glen Eagan MN 55122 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature C!ty of Eaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 MAR 31 1016 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: (3-5g Date Received://7 Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 3/28/2016 Site Address: 4133 Cashel) Glen Unit#: Res m= o� x• Name: Matt Gonko Phone: 651-686-7222 4 Address / City / Zip: 133 Cashel) Glen Applicant is: 1 Owner Contractor Type o ork Description of work: Re surface existing decking, replace railings, extend with new deck Q Construction Cost: `1'2000 Multi -Family Building: (Yes / No ✓ ) Cr Company: n/a Contact: Address: City: State: Zip: Phone: Email: License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: In the last 12 months, Yes No COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: Phone: Phone: the//jfm, 'd oma mc- m G�(�m m`. m m m am _ -'} m c t s s ,•$ i, am 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. x Matt Gonko Applicant's Printed Name 27—/6 Applicant's Signature Page 1 of 3 �/- �6 I /6,41 / DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation �4 Single Family Multi 01 of Plex WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% X ) Census Code #of Units # of Buildings Type of Construction Fireplace Garage 20 Deck Lower Level Porch (3 -Season) Porch (4 -Season) _ Porch (Screen/Gazebo/Pergola) Pool Interior Improvement Move Building Fire Repair Repair U REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: _Ice & Water _Final Framing Fireplace: _Rough In _Air Test Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Occupancy Code Edition Zoning Stories Square Feet Length Width Reviewed By: / ''3 /%1 YYf . (C /y /- RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Final Siding Reroof Windows Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required yQ Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Pool: _Footings _Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: , Building Inspector ADD 7/ A1C,' Pic P6 -s(..)/7 ' )e,s57-7 rt7 pec lL4-alto \ /71; 5.1At x / o J 2 b gv . a ./f die' 4-73T,)•9.2— Page . - Page 2 of 3 I CA SW E L L. G.L EN tetA °)0/1 /14) to 5 4 fvI /o N , a %. VIWO PRePPo Saab +sE ).P1 • 89 116. 30 �._- 7c --n 1. 0111.0° t 3 Kt4.14, 11.14123111111P11 111,.811=11 •C DRAINAGE AND uTittry EASEMEIJT 1711 0, L. ok6.5.1' t.4► 703.? P104 168.7 f Temp mac. tL, •3uo00 IsAeµe<trT tek... c ox.1T I15.61 WEST 1.00 �. DEScRiflyoN Lo -r 17, 8L oCK 4, I�-lRS RDIt17'toN, DARorA COUNTY, MINNES Ora 1 f1 41111Wil. 6-41 F.«ty+oc� GANEN 1 Dim. G-. NORTH GALE ALL DEAICIINSi A cSL1M EDi e DRNOTD S' IRON Md NL114$111T I hereby certify that this survey was prepared by me o under my direct supervision and that 2 am a duly Register d Land Surveyor under the laws of the eState of Minnesota. :� Date : __owes.,_- ._ • LeRoy - H,7Boh.len Registered Land Surveyor No. L0795 SS:90 aid SO 034 TOd ££S Use BLUE or BLACK Ink For Office Use, 5L City of ball . l Permit#: Permit Fee: (p lfl^ 3830 Pilot Knob Road Eagan MN 55122 Date Received: —77a$ Phone:(651)675-5675 Act buildinctinspections(aacitvofeacian.com Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION C � / / / li"33 (4(9 41 e Unit#: 3/ ��� Date: Site Address: • 9/1 Name: 2 7L n rr Phone: Resident/ 3.5 Owner Address/City/Zip: . J �� �h�11 &/e 'i Applicant is: Owner k"Contractor Type of Work Description of work: c5kor co .Qc'f"`"dQ, (/l t ✓1 4— W pQv-ci 5 Construction Cost: 6, Multi-Family Bui ding:(Yes /NoX ) Company: � 1 'X cE3 Contact: 4 °� 'i �$ � p 1` f Contractor Address: 57 4/5 Jk-06 6,( c // City: 1OP& P4- State:Mkt Zip:55359 Phone:763 236'30 Email: t) L ,`t'l (J 'ity5,o ''II License#: �b `I a Lead Certificate#: If the project is exempt from lead certification, please explain why: 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 maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.cityofeagan.com/subscribe. 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. 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. Applicant's Printed Name pp A Iicant's Sig�.t: Page 1 of 3