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4230 Dodd RdEB.D0001_08 gJa?/q2- REQUEST FOR ELECTRICAL INSPECTION 0, % K.-1 5.8 5 4 • See instructions for completing [his town on back of yellow copy ? "X" 9elow Work Covered by This Request# ew Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other-(Specity) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps / -. ec 15 0 to 100 Amps 60 `d Transformers Above 200 Amps _ Above 100 Amps Signs Inspectors use only: 77 / TOTAL ;Q Irrigation Booms / (? iW lf 75 Special Inspection V Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee p COMPLETED WITHIN 18 MONTHS I, the Electrical Inspector, hereby Rough-in fe - 14 ), certify that the above inspection has been made. Final Date I OFFICE USE ONLY This request void 18 months from K15854 s a7 ??- a 13 °n f Rapuest Dete 7 No, Rough-In Inspection Repairer? ? Ready Now J&Will Ni mapeclor .1 -7 Z„ Yes C-No When Ready? I $1 licensed contractor O owner hereby request inspection of above electrical work at: Job Address (Street. Gov or Roule No.) City 4230 Dodd Rd. Eagan Section No. Township Name or No. Range No. County Dakota Occupant PRINT) Phone No. Mark Calvin 454-2501 Power Su rprer Address 55024 Dakota Electric Assoc 4300 W. 220th St. 1110 Farmington, MN Electrical Contractor (Company Name) Contractors License No. Corrigan Electric 0 39549 - 8 Mailing Address (Contractor or Owner Making Installation) P 0. Box 475 Rosemount, MN 55068 Aultroriz s nature ICOntractor) er Makin Installation) - ,. Phone Number & [2ti?) 423-1131 MINNESOTA STATE BOARD 0 LECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-MMwey Bldg. - Room S-1 73 BE ACCEPTED BY THE STATE BOARD 1621 University Ave.- St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. Address 4230 ixtnn R(laln Zip 5512_3_ Lot 2 Blk I Sub EVELAN1D THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 04/30/93 Yes No Inspector: 92 Final grade (6" from siding) t/ Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass Trail/curb damage V, Porch Basement finish Deck 177 Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy _ Werti f icate of cccnpanc? (it) of Wagan Wtvartmtnt of 13xith* axdpcct{on This Certificate issued pursuant to the requirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Use classificatioSF D{W Bldg. Permit No. 126$ Occupancy Type l G&VM Zoning District R 7 e 802 4CM Owner of Building Address Buil" Address 4230 DOM R W / Locality U, B1, EVEUND 04/30/Q3 e Date: Building Official POST IN A CONSPICUOUS PLACE CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 INSPECTION RECORD Control No. 0954 PERMIT TYPE: 00 1 i ID ' NA Permit Number: so j 2018 Date Issued: 08/17/92 SITE ADDRESS: t OT: 2 i1.' A N 0600 Rtr F. Vf I ANO li PERMIT Riy,13TYPE: tit OC K , I APPLICANT: CAtVCN MARK tf.l?) 454--WSGI TYPE OF WORK: NEW INSPECTION TYPE ,•??,i iNt: .DATE INSPTR. INSPECTION IrnigtNii DATE INSPTR. 1PC,UtAf10 N FtHAL FIRUP1 Al r Kt`Meti1?Y'?i PRV & W CONTRA(IOR -- 30HN'::0N EXCAVAt.ING Permit No, Permit Holder Data Telephone # S/W PLUMBING HVAC lKiyv o?c' ELECTRIC !x85' ??a ?, °° ELECTRIC Inspection Date Insp. Comments Footings l 8? 8r Qot ?? Foundation Framing / p) S 11FF'? Roofing Rough Plbg. -7? N ?° `? -fps - C? Rough Mg. Isul. Fireplace lO/8 Final Mg. - 9 2 Orsat Test 3 Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr,/Plan Bldg. Final 7 Deck Ftg. Deck Final DO Well Pr. Disp. PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: 4230 DODD RD LOT: 2 BLOCK: 1 EVELAND DESCRIPTION: 8uildilg Permit Type Building Work Type UBC Occupancy Construction '°1',ype Zoning Building Length Building Width Control No. 0954 PERMIT TYPE: Permit Number: Date Issued: SF DWG NEW R-3 M-1 V-N R-1 Be 47 s( i Rrl } r?'';i'? /t '!r r ( `t'ar E? { BUILDING 001288 08/17/92 REMARKS: PRV S & W CONTRACTOR - JOHNSON EXCAVATING FEE SUMMARY: VALUATION Base Fee Plan Review Surcharge SAC SAC % SAC Units Subtotal $549.50 $357.18 $40.00 $700.00 lee $1,646.68 $60,000 MISCELLANEOUS $1.610.50 Total Fee $3,257.18 CONTRACTOR: OWNER: - Applicant - CALVIN MARK 802 GOLDEN MEADOW RD EAGAN MN 55123 (612)454-2501 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. L 6? 11 N in APPLICANT/PERMITEE SIGNATURE ISSUED Y: IGNA RE PERMIT N RE> CTIVA,TE CITY OF EAGAN 1992 BUILDING PERMIT 681-0675 APPLICATION to lzi' ! f) ewu n , -. ^^' ally SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy talcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy talcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month i hi h l n w c I nest is made r lot thane is re nested once permit is issued. Date_ Valuation of work 500 Site Address: AN . .44, S?» STREET SUITE • Tenant Name: (commercial only) LOT BLOCK SUBD 11. 1. D. Descri tion of work: The applicant is: ?1 Owner IsrContractor ? Other (Describe) Name ?I u/aJ zl%o i Phone s-{-2 Sod ' Property AST LAST FIRST Owner Q le) 802 6-01 * 1X J k'04W l a Address ,y 1 STREET STE M s . City State'- Zip .?Z3 S0.me Company .hone Contractor Address Ro 2 GdICXP,,?V craLicense ??Exp . City _i7`r.¢N J State./w'--l-I Zip -!5'1Z- !! Company AZIIIIIJ Phone Architect/ Engineer Name Registration IF Address City State Zip Sewer & water licensed plumber T s;eW ?YL??uafisve . 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 w' all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basemene ini"sh 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool ? 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 'P(31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) Y- N Basement sq. ft. MWCC System e-s (Allowable) N 1st Fl. sq.. ft. City Water Ys UBC Occupancy i 2nd F1. sq. ft. PRY Required YC-S Zoning R_1 Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length D On-site well Census Code Depth On-site sewage SAC Code of APPROVALS Planning Building Engineering Variance REQUIRED INSPECTIONS ? Site ? Wallboard ? Footing ? Final ? Framing ? Draintile ? Insulation ? Fireplace Permit Fee Surcharge MA iew City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % 00 SAC Units o) ValMUM: BSMT', g 8 4 000 _ 30y,-,?Z= r.('0% 16= 10,560 25Y3X-950 Gx 10- ca loco N ou__ GGmT= (D)o X 53- x15= 1S1rSo 5353 r7 9!, 240 Assessments STATE RESIDENTIAL CONTRACTOR/REMODELER LICENSING INFORMATION PERMIT # 1. I have made application for license to the Department of Commerce. Date of Application Residential Building Contractor Remodeler Signature Date 2. I am exempt because I am a on specialty remodeler. Signature Date 3. I am exempt because m y annual gross receipts are less than $15,000. ' a Signature Date 4. I am exempt because contracts on individual projects in aggregate do not exceed $2,500. Signature Date Questions regarding the licensing law should be directed to the Department of Commerce, 133 East Seventh Street, St. Paul, Minnesota 55101, (612) 296-6319 Licensing Information, (612) 296-2594 (Enforcement). 'Certificate for- Mark Calvin Cons . Eagan, MN 55123 DELMAR H. SCHWANZ -8625- q,s n'?y 38 J21.49+ T NavSE /t ? fAR9hE „ I Scale: 1 inch - 40 feet o Denotes Iron monument ODenotes proposed elevation ltJ o e Set wood hub tJ N ?gg44 a Rusting spot elevation N Proposed garage floor elev. Q3Z, q tV Proposed top of block elev. 933 , fp lap htg g3qq . Proposed lowest level e .3. & = 933.14 GRQ. Y?f/?1G gM - Top nut of hydrant between Lots-2-and 3, ° 1aP dub 9?4 ' j1.4 934Jb ' q33. g3.3Z NoQ-sz-Z8 `- 14 J-- crib. N °L4 Also showing the location of a proposed house thereon: j?UDD _ > =?OOse. staked 08 ?O®V'-i - .UI • 1 hereby eertny that this survey, plan, or report was prepared by me or under my dlred supervision and that t am a duly Registered Land Surveyor under _ ,r / i?L' ''•MI w ?'T the laws of the Stall of 0/ Minnesota. Dated July 30, 1992 Revised 08-13-92 Delmar H. Schwan MMnMOls Rphtntlon me. 3128 tion Co. 161/7 ; DELMAR H. 8CHWANZ urmetmveroRS. M. A 91maee unaa lM M W4 am" N °anMr°te 11750 SOUTH ROBERT TRAIL ROSEMOUNT. MINNESOTA 68013 '312/143-118! q g3.oD q2q ? SURVEYOR'S CERTIFICATE ,?pq -13 -03 It/ Z h t? O ' N ? h? 1 m jN \ti ' 3 L oT Z ? ¢0A t J ?I g.z Q ;4?i9 z1.3t' I ° ? g3 °- ?Zescription: Lot 2, Block 1, EvELAND ADDITION, according to the recorded _ plat thereof, Dakota County, Minnesota. EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION DATE ? f OWNER 1 I KLr?- [A1 V;,3 SITE ADDRE e /? SS 15j1o 30 D _ ,4nn0,d CONTRACTOR PHONE Determine Working Square Footag e of Each. 1. Total Exposed Wall Area W Sq. 1gLd9, Ft. X .11 = I . 2. Total Roof/Ceiling Area 1??69•cX? Sq. Ft. X .026 = ~ 3. Total Floor/Cant. Area Sq. Ft. x .05 = ?J Total Exposed Wall Area Above Floor = I1V'1, W a. Total Wall Window Area. . . . . . . . . . 7. 7? b. Total Door Area . . . . . . . . . . . . 1327k C. Total Sliding Glass Door Area . . . . . . d. Total Fireplace Wall Area . . . . . . - e. Total Wall Framing Area (average 10%) g, f. Total Net Wall Area Above Floor . . . . . (?S C9 g. Total Rim Joist Area. . . . . . . . -? Tot al Exposed Foundations Area = r h. Total Foundation Window Area . . . . i. Total Net Foundation Area Above-Grade Determi ne "U" Value of Each Wall Segment. a. 7, X "U" 075 - 9. 4 b. Lu. X "u" 07 = C. X llull A), DO d. X lull e. X "U" _ f. ?C35- 600 X 'lull 4-2 g. X lull - - h. X "U" - - i. X "U" - - -- SUBTOTAL 4. TOTAL = f If item #4 is the same as, or"less than item N1, you have met the intent of SBC 6006 (c) 2. L Total Exposed Roof/Ceiling Aeea j. Total skylight area k. Total flat root/ceiling framing area 1. Total not inslted flat roof/ceiling area . M. Total vault roof/ceiling framing area-108 n. Total net inslted vault roof/ceiling area Determine "U" value for each roof/ceiling segment. i, Rdl X OUR I ? a -1.?p k, x "U" ( ? 3 1. X "U" ( ? a X41 m. x "U" a n, x "U" / 5, TO TAL' If item 15 is the same as, or less than item 12, you have met the intent of SBC 6006 (c) 1. Total Exposed Floor/Cant. Areas o. Total floor/cant. framing area (avrg. 108) __-,- p. Total net insulated loon/cant. area . . . Determi ne "U" value for each floor/cant. segment. o, x "U" P. x „u" NO --- 6, TOTAL = F---:] If total of 16 is the same as, or less than 13, you have met the intent of SBC 6006 (c) 3. 3. ` ON 6. ALTERNATE BUILDING ENVELOPE DESIGN To utilize the total envelope system method, the values established by the hum of items 14, 15 and 16 shall not be-greater than the sum of items 111 12 and 13. 1. /(0.??0 2. -L 69 4. / y S-,? 5. aA (n4 Da to qo? - N Total Exposed Wall Area Above Floor &js ' oX) a. Total wall window area . . . . . . . . . . b. Total door area . . . . . . . . . . . C. Total sliding glass door area . . . . Y d. Total fireplace wall area . . . - e. Total wall framing area (avrg. 10%) . f. Total net wall area above floor . . . . g. Total rim joist area . . . . . . . . ./?.. U Total Exposed Foundation Area - C2 Total Foundation Window Area - Total Net Foundation Area Above Grade a Determine "U" value of each wall segment. b. - x "U" c. x Pull d. x "U e. x *lull _ f. -7? x ..o" -_- g x „U" _ I (Y4 h. x "U" _ x fluff SUBTOTAL 11:l.V J 3 Ull ?'. •'?+7' S. A: [ SIDING Int. Air .68 s:It. Iii Stud (9.57 Shtg. o7CX9 Siding '(91 Ext. Air .17 • Total "R =/O,?`? " THRU INS, UALL Int. Air .6n u/ S.R. C SIDING 5. R. 9S Ins. 1 .00 SHTG. c?D (D Siding (9 Ext. Ai•r .17 Total "H" 0.97 1/R : "U" = THRU CLG. Int. Air .61 THRU CLG. Int. Air .61 MEMBER S.P. (yINSULATION S.R. (/b-") Clg. Ilenb. `1•,'.6 Ins. (1`F 11) 00 Ins. (!O") 31.4- Still Air .61 Still Air 61 Total "R" = 45.741 i Total "R" =37.55 1/R 2 full _ / •l/R = "U11 t ? THRU CONC BLOCK ..Iht. Air .68 C.B. (Y- 11) 1.1 1 Opt. 'Ins. S•00 Ext. Air .17 Opt. S.R. Opt. Sid,. Total "R" _ ?'9cD 1/R = "U" _ THRU' MH JOIST Int. Air ,68 Ins. 11j, (.X) 1h" 'Wood .1 . a 9 Shtg. a,0(0 Siding (g l rxt. Air . .17 Opt. Brick Total "R" = C??.`// 1/R = "U" ? 40-so #qoo 1 U 2000 FIREPLACE PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD - 55122 651 681-4675 Dater S'foo, e-? Description of Work: 69EX Construct newifireplace-! x Gas -Masonry Alterations to existing Install gas insert only Other Install pas line only Job address: Lot: )- Block: _ I Subdivision/P.I.D. #: ?Vclawcl W&210 Applicant (circle one only): Owner Contr Permit Fee: $60.50 Name: Liss,-' Lean I )e 0iL Phone #:[ -1 ( 621z? PROPERTY Last First n /fOa OWNER 3 ?J Street Address: VO la P? City Ea State: AL Zip: #: (area code) FIREPLACE INSTALLER Street Address: City GAS LINE INSTALLER Street City State: Zip: 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 d CiTof g Ordinanc s. Sign re ZW. Zip: Phone #: (area code) G 9 OFFICE USE ONLY BUILDING PERMIT TYPE ? 16 Fireplace WORK TYPE ? 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Census Code 434 SAC Code 01 REMARKS Chimney/flue must be inspected before concealing. ? 39 Gas Line ? 41 Wood Stove ? 40 Gas Insert /d qpa 17, 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) 3 (? CITY ? . _ OF 3830 PILOT KNOB B RD RD - 55122 651.681-4675 New Construction Reautrements Remodel/Reoairz reme D 3 registered site surveys showing sq. ft. of lot, sq, it. of house 2 copies of plan and gH rooted areas (207, maximum lot coveTaae allowed) 1 set of energy calculations for heated additions ? 2 copies of plans (show beam R window sixes; poured fnd. design; etc.) 1 site survey for exterior additions a decks ? 1 set of energy calculations ? 3 copies of tree preservation plan R lot platted after 7/1/93 DATE: ?7 g S1 CONSTRUCTION COST: /? 5 0D DESCRIPTION OF WORK: ?i e? s Ya'?? STREET ADDRESS: H Z '! D 0, a/cle ?- LOT: 'e)-- BLOCK: SUED./P.I.D. V PROPERTY OWNER Name: C71 4!11?9 •0- a-, 'cz 'e .-t Phone #: 19 f`r Last first Street City r?-s z-+_. State: 1 ?? Zip: Company: Phone #:? ) f (area code) CONTRACTOR Street Address: -9 C- 5 rc P +? ?• License # u 9 0/ 9l Exp. Z dO City 67a State: v zip: M Z 't ARCHITECT/ ENGINEER Company: Name: Telephone #: area code ( Street City Sewer & water licensed plumber (reaulred for new construction ant : State: renalty applies when address change and lot change Is requested once permit Is Issued. Zip: I hereby acknowledge that I have read this application, state that the information Is correct, and agree to comply State of Minnesota Statutes and City of Eagan Ordinances. ` /J // ^ n Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes Tree Preservation Plan Received Yes (1- I No No - Not Required Registration #: Dl?U uv all applicabi OFFICE USE ONLY r „ .% BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea. 0 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE 31 New ? 35 Tenant Impr ? 39 Gas Line On ly ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof * Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width APPROVALS Planning Basement sq. ft. Main level sq. ft. _ sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Engineering OL Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies /67.2 y,yo Valuation: $ 9Fl D? Total: ! 7 •? ,w SAC Units % SAC 4ddlTD,J /6 xi./ = a?? x y? = Ss?6n i:,Flf:3113:E:F?. 5 PATE O?/J.2/99 IDr NAPE-, Variance TE=RMINAL_ NO-, 770 TIME- 16.06.0'3 R 0 CONSTRUCTION 3210 9001. 4230 DODD RE, :1.67.25 Z 34::30 9001, 4230 DODY., RD n.25 2.V...i5 9001 4230 DODD RD 4.50 , 3430 9013i 1.041 WEDGWOOD 0.25 320 9001. 1.041 HEDGWOOD 60.(10 i 2153 900 J. J.041 WEDGWOOD 0.50 Total Recr-.?ipt Amount: R3''2.75 CR J.1.32:a 4• USER Ili g NANCY Census Code SAC Code No. of Units No. of Bldgs MC/ES System City Water Booster Pump PRV Fire Sprinklered c foY Calvin Construction Co 161/7 lVr.6iddtr ?F vbA 1ZUt?$ nr r r t i m: d. w ?r?r«;. t , MN 55123 DELMAR H. 8CHWANZ LAND SURvayelN, INC. 01 W IW O Uneo LM a Ter 91m of 111 - ale 11150 SOUTH ROBERT TRAIL ROSEMOUNT. MINNESOTA 65066 614/429.1760 DELMAR H. SCHWANZ -- 8625 - N 1 0 0 Q h? a a m ?to ti S s/d/SE_ ?z -T okoc N 41''8 1'. °133. 2 SURVEYOR'S CERTIFICATE Q - AIQ'13 OB rV Z i// q?u 93.00 gti1? L oT B I li? to PD I N E ?4cPOLO I ?_ L 7 I; Scale: 1 inch 40 feet o Denotes Srcn monument c:) Denotes proposed elevation W o - Set wood hub i j54 - Fainting spot elevation Z ? f7-60 f33.J4 Proposed garage floor elev. U'7. 9 Proposed top of black elev. q 31 , 4 4t proposed lowest level ell+v33. & ' m GAQ. 99 = Top nut of hydrant between Lots 2 and 3, Mock 1, BYEI.AND ADD. 934 x?/ =933dZ TO to Nub ° 0-11-Description: Lot 2, Block 1, EVELAND ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. 4 ,?eq 430' Also showing the location of a q31' proposed house thereon. ?-ae staked 08- ?D g ------ = P.R.V. VOUIR I hereby Mr61y that this survey, plan, or un was IVJ,,171,, prsp oed by me er un do my direct aapervlslon and Ihst t em • duly Re Ra0ist lNersd Lsnd Surwyer er under the laws of the Stale of Minneaels. // T 0e1e4 July 30, 1992 Revised 08-13-92 Oelnur N. Schwan: MMnaaeta RptahNlon Ne.1646 CITY OF EAGAN CITY USE ONLY L-C B 1 MECHANICAL PERMIT RECEIPT # G v z/ (03 SUBD. 6-6,f%A?Z A&-e (612) 681-4675 DATE a g? RESIDENTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELIJNGS. ALSO, COMPLETE FOR TOWNHOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNIT. OWNER: rk J4 /!!v ADD-ON A/C ADD-ON FURNACE El SITE ADDRESS. , r? p r/ /? 30 () QDCGC ADD ON/REMODEL (EXISTING CONSTRUCTION ONLY) $ 15.00 INSTALLER. ?¢/divl HVAC: 0.100 M BTU 24.00 PHONE #: ADDITIONAL 50 M BTU 6.00 ADDRESS: CfOiCYP n! / le,,4ao - GAS OUTLETS - MINIMUM 1 @ $3 EA. 3.,f!70 CITY. {11 ZIP: ?S1Z ?1 SURCHARGE: $ .50 S? SIGNA =" TOTAL: $?/ ? NO PERMIT REQUIRED FOR DUCTWORK ONLY! COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAI/INDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: CONTRACT PRICE: FEES 1% OF CONTRACT FEE. STATE SURCHARGE IS $.50 FOR EACH $1,000 OF PERMIT FEE. $ PROCESSED PIPING - $25.00 MINIMUM FEE - $25.00 OWNER: TOTAL: $ STIE ADDRESS: TENANT: SUITE #: INSTALLER- ADDRESS: CITY. ZIP: PHONE #: CITY SIGNATURE: SIGNATURE. CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN MN 55122 PHONE: (612) 454-8100 FOR CITY USE ONLY PERMIT # RECEIPT #--=Q;q 6 -77? DATE: RESIIENTTAI; PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. -- ----- ------------------------ ------------- ------ WORK DESCRIPTION ---------- --------------------' COMPLETE THE FOLLOWING: / NO. FIXTURES EA. TOTAL NEW CONST V ADD-ON MINIMUM 15.00 ADD ON SHOWER 3.00 REPAIR WATER CLOSET 3.00 1,00 BATH TUB 3.00 3,00 LAVATORY 3.00 3 00 y? OWNER NAME: !// A rk c oJo KITCHEN SINK 3.00 DO LAUNDRY Y 3.00 o0 SITE ADDRESS: y>I gJ HOTTUB/SPA 3.00 WATER HEATER 3.00 LOT: A BLOCK L SUBD. ® ,?r,OC L FLOOR DRAIN 3.00 5,00 GAS PIPING OUT. nn INSTALLER: (MINIMUM - 1) 3.00 100 'rL ROUGH OPENINGS 1.50 3,o O y? ADDRESS : p / O J? 9)L- ftga2 Z0fa OTHER WATER SOFTENER 5.00 // CITY: hde?a ZIP: f?- ,O -O PRIVATE DISP. 15.00 _ U.G. SPRINKLER 3.00 PHONE SUBTOTAL S S a, 0 o ST. SURCHARGE .50 SIGNATURE OF P ITTEE ^ TOTAL: $ D wJ o PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ------------ CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: FEES 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 18 STATE SURCHARGE TOTAL: (SIGNATURE) CITY OF EAGAN _...'I RECEIVES jU f 9 1390 M E M O R A N D U M TO: Tom Colbert, Public Works Director FROM: Joe Earley, Assistant City Attorney DATE: July 18, 1990 RE: Sterns Addition/Eveland Easements Eagan City Project No. 561 Our File No. 206-6676 Tom, Enclosed please find an original executed Release of Claims document signed by Bert and Fern Eveland. This payment was made in settlement of additional damages claimed by Mr. Eveland in connection with the Easements over Lots Two (2) and Three (3), Block One (1) Eveland Addition for the Sterns Addition (Project No. 561) JPE RELEASE OF ALL CLAIMS FOR AND IN CONSIDERATION of the sum of $2,500.00, the receipt of which is hereby acknowledged:, KERB L. EvCGgPJD pt I, BERT R. EVELAND,4for myself, successors, heirs, administrators and assigns, due hereby fully and forever release, acquit, and discharge the City of Eagan and its past, present and future officers, directors, officials, attorneys, principals, representatives, insurers, employees and agents from any and all past, present or future actions at law or in equity for damages sustained or received prior to the date of this Release arising out of the construction of Permanent and Temporary Easements over Lots Two (2) and Three (3), Block One (1), Eveland Addition, in connection with Eagan City Project No. 561. Dated• BE T R. EVV FERn1 L. EvR-1-400 Subscribed and sworn to before me this =day of J , 1990. nMl.Mn• 'vim 1 1 Notary v1AP ^,NiAf?-.4(J,/J',t P/,A4Ah NNATL ? . ? - XCTFkY P:""-L C-tt184i 50TA > q f ? ?4kir u s L A - x Au;;;, My Commm. Expfiireres . =.3394 YVVWV/VVVVVW'?VVVV\" VVVVV'VVVVV'?VV'' V 9 J •? y .Jg6+l2a.i"Y0 DRAINAGE AND UTILITY EASEMENT IN CONNECTION WITH EAGAN CITY PROJECT #561 THIS UTILITY EASEMENT, made this ,,70,"" day of „ker , 1989, between BERT R. EVELAND and FERN L. EVELAND, h sband and wife, herein referred to as "Landowner" and the CITY OF EAGAN, a municipal corporation, organized under the laws of the State of Minnesota, hereinafter referred to as the "City". W I T N E S S E T H: That the Landowner, in consideration of the sum of One Dollar ($1.00) and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, does hereby grant and convey unto the City, its successors and assigns, a permanent easement for drainage and utility purposes, over, across and under the following described premises, situated within Dakota County, Minnesota, to-wit: The east 20 feet of Lots 2 and 3, Block 1, Eveland Addition according to the plat thereof on file and of record in the office of the county recorder Dakota County, Minnesota. Together with A temporary easement for construction purposes over, under and across the east 70.00 feet of Lots 2 and 3, Block 1, Eveland Addition according to the plat thereof on file and of record in the office of the county recorder Dakota County, Minnesota. Said temporary easement to expire November 1, 1990. See also Exhibit "A" attached hereto and incorporated herein. The grant of the foregoing permanent easement for drainage and utility purposes and temporary easement for construction purposes includes the right of the City, its contractors, agents and servants to enter upon the premises at all reasonable times to construct, reconstruct, inspect, repair and maintain pipes, conduits and mains; and the further right to remove trees, brush, undergrowth and other obstructions. After completion of such construction, maintenance, repair or removal, the City shall restore the premises to the condition in which it was found prior to the commencement of such actions. And the Landowner, its heirs and assigns, does covenant with the City, its successors and assigns, that it is the Landowner of the premises aforesaid and has good right to grant and convey the easement herein to the City. IN TESTIMONY WHEREOF, the Landowner has caused this easement to be executed as of the day and year first above written. BERT R. EVELAND FERN L. EVELAND STATE OF MINNESOTA ) ss. COUNTY OF 1 A k7 ; A ) The foregoing instrument was acknowledged before me this 'C`day of 5 4FM' r 1989, by BERT R. EVELAND and FERN L. EVELAND, h sband and wife. l AMAMAAMNMMAAAAAAAAAAAMAAA/NMM JOSEPH ° EARLEY t y NOTR FCB LIf IHi SOTA +5?? • D"I pTA Y My Gomm. Erp.re_ .?u 3, 1994 .?.vw vvvvvv• APPROVED AS TO FORM: C't ttorney's Of ice a: ? 2 -i j APPROVED AS TO CONTENT: (f/1Mc..- 4 = Public Works Department Date: I?- • IS • 8CA \?? rl to Public NORTH LINE OF THE NE 114 OF THE NW 114, SEC. 25, T. 27, R 23 500-90 NE CORNER OF TpE NWI/4, SEC. 23, i. 8 C.S•QH. NO. 30 MAFLEY AD40J ,. 8 40 45365 5/ 2O0.f4 .a 20.0 F C ' W I IEASEMENT TEAWPOR ARY' ? : I 0 " p ACS 4 a § 234.0 .........a 70 0 c ......g 2 . . 1 40 40 226.42 • '. t • 2680 ' I.:;,' ,•? ' "3 ..`Q r°3l 19 1 70.0 .... R - M7 80 QS ; L :66.87 219 70 ; 40 20.0 200.00 . 1 . '?9 SOUTH LINE £VELAND ADDITION I tPROFOSEO/ ,.. ......DRAINAGE 9 i r , UTILITY EASEMENT t t t t " Exhibit A ; PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA075733 Eagan, MN 55122 . Date Issued: 11/01/2006 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4230 Dodd Rd Lot: 2 Block: 1 Addition: Eveland PID 10-24850-020-01 Use Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: If altering the opening size, a framing inspection is required. Smoke detec tors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard-wired detectors are required Bat tery operated types are acceptable if the wall/ceiling finish (i.e. sheetroc k) has to be removed to install a smoke detector. Tim Schenk Elder-Jon es Building Permit Service 1120 East 80th Street, Ste. #211 Bloomington, M N 55420 952-345-6040 Fee Summary: BL - Base Fee $2K $69.00 0801.4085 Surcharge - Based on Valuation $2K $1.00 9001.2195 Valuation: 2,000.00 Total: $70.00 Contractor: -Applicant - Owner: Home Depot at Home Services, The Dean B Gisselman 5169 Winnetka Avenue North 4230 Dodd Rd New Hope MN 55428 Eagan MN 55123 (763) 367-9740 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 Use B or LACK Ink r--- For Office Use L-~ City oPermit T E~#: I 11 D I I b I Permit Fee: I 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 I C' Fax: (651) 675-5694 I Staff: I I I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date:.4-M2C'/ Z 6, Site Address: ~1 ZED ,t t~~ LEA AyJ 123 Tenant: '-7~~A A) Suite RESIDENT/OWNER Name:`_A)~J Fs A~ t4 nLe ~f Phone: (r~57 Address/ City/Zip: q 2 a,-, rl a c ~ 3 Applicant is: X_ Owner Contractor TYPE OF WORK Description of work: A1PA) /P.5 Construction Cost: 47*~~V o Multi-Family Building: (Yes / No ) CONTRACTOR Name: License Address: City: State: Zip: Phone: Contact: Email: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. -Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that 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.org I hereby acknowledge that this information is complete and accurate; that the work will be in conforma ' the ' nces 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 n o start out a rmit; that the work will be in accordance with the approved plan in the case of work which requires a review d app~va+ s s. x~Vj X ' Applicant's Printed Na e A s igna r Page 1 of 2 EAGAN 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 I TDD: (651) 454-8535 ( FAX: (651) 675-5694 I JUL 0 2020 build i nginspectionsacityofeagan.com ECEI!/E 0 8r 2020 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 7/10/2020 site Address: 4230 Dodd Road r For Office Use Permit #: / ` EK Permit Fee: Date Received: 77o 4() Staff: Resident/ Owner Type of Work J Unit #: Name: Dean Gisselman Phone: Address / City / Zip: 4230 Dodd Road Eagan, MN 55123 Applicant is: Owner ✓ Contractor CuEli+n./ Adc(;41bri Description of work: Bathroom remodel - please see drawing for details Construction Cost: 7200.00 Multi -Family Building: (Yes / No ) Contractor Company. Minnesota Rusco contact Julee Massie Address: 5010 Hwy 169 N city. New Hope State: MN Zip: 55428 License #: CR002173 Phone: 952-935-9669 Email: julee@minnesotarusco.com Lead Certificate #: NAT21315-3 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 may be 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 Clty's website at www.cltvofeaaan.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. CaII 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. xJulee Massie X C Ilia / '�' s Applicant's Printed Name Appiant's Signature DO NOT WRITE BELOW THIS LINE SUB T11PES Foundation _ Fireplace Single Family _ Garage Multi _ Deck 01 of _ Plex Lower Level 1-/93o Dod /iz15 _ Porch (3-Season) Porch (4-Season) _ _ Porch (Screen/Gazebo/Pergola) Pool WORK TYPES New _ Interior Improvement _ Addition _ Move Building ?( Alteration _ Fire Repair (_� Replace _ Repair Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% X) Census Code # of Units # of Buildings Type of Construction Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS _ Footings (New Building) Footings (Deck) Footings (Addition) Foundation Foundation Before Backfill Roof: _Ice & Water _Final _ Framing 30 Minutes 1 Hour Fireplace: _Rough In Air Test Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: _ 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 Final / No C.O. Required HVAC _ Service Test Gas Line Air Test Pool: _Footings Air/Gas Tests _Final Drain Tile Final Siding: _Stucco Lath _Stone Lath _Brick _ EFIS Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: , Building Inspector Hood RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Radio Meter Read Copies TOTAL Pv1-7v- 0,6,o/Noow Op Page 2 of 3 EAGAN 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-5694 bui Id' ngi nspectionsOcitvofeacian.com Date: r For Office Use Permit#: /!� 47�� ea .o° Permit Fee: Date Received: Staff: 2020 RESIDENTIAL PLUMBING PERMIT APPLICATION 7/10/2020 Tenant: Resident/Owner Site Address: 4230 Dodd Road Suite #: Name: Dean Gisselman Phone: Address / City / Zip: 4230 Dodd Road Eagan, MN 55123 Name: Minnesota Rusco License #: PC749301 Address: 5010 Hwy 169 N City: New Hope State: MN Zip: 55428 Phone: 952-935-9669 Contact: Julee Massie Email: julee@minnesotarusco.com Type of Work Description New 1 Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. Description of work: Bathroom remodel - install new valve for shower Tankless Water Heater Standard Water Heater Water Softener Septic System New Abandonment Lawn Irrigation ( RPZ / _ PVB) Add Plumbing Fixtures ( Main / _ Lower Level) Description: Connection to City Water from Well RESIDENTIAL FEES $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 New fixtures, adding or removing piping (includes State Surcharge) $60.00 Septic System Abandonment $100.00 New Residential (fee collected with Building Permit) $115.00 New Septic System (includes County fee and State Surcharge) $60.00 Connecting to City Water from Weil* + $290 for Meter and $200 for Radio Read = $550 *Sewer & Water Permit also required for connection charges TOTAL FEES $ 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.00pherstateonecall.org 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 webslte at www.citvofeauan.com/subscribe. 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. xJulee Massie Applicant's Printed Name x '4' 7'yl7 w Ap cant's Signature Page 1 of 2 PERMIT City of Eagan Permit Type:Building Permit Number:EA164175 Date Issued:09/21/2020 Permit Category:ePermit Site Address: 4230 Dodd Rd Lot:2 Block: 1 Addition: Eveland PID:10-24850-01-020 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Dean B Gisselman 4230 Dodd Rd Eagan MN 55123 (651) 341-7376 Pella Northland 15300 25th Ave N #100 Plymouth MN 55447 (763) 745-1400 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA164610 Date Issued:10/02/2020 Permit Category:ePermit Site Address: 4230 Dodd Rd Lot:2 Block: 1 Addition: Eveland PID:10-24850-01-020 Use: Description: Sub Type:Reroof Work Type:Replace Description:Includes Skylight Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Dean B Gisselman 4230 Dodd Rd Saint Paul MN 55123--201 (651) 341-7376 Ashton Mcgee Restoration Group Llc 5555 W 78th St, Suite J Minneapolis MN 55439 (952) 426-3736 Applicant/Permitee: Signature Issued By: Signature