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4765 Eriks BlvdCITY OF EAGAN Remarks????'??'?'C/?`'581- ,9/?2 Addition Lot 7 Blk Parcel 10 78200 Gr-O 0? Owner Wz reet __ 4765 Eriks Blvd. State Eagan,MN 55123 Improvement Date Amount Annuai Years Payment Receipt Date STREET SURF. "L 9$3 77 3687. 368.78 10 STREET RESTOR. [ GRADING 87.44 SAN SEW TRUNK ? 1976 195.00 1.00 1 Pa3d EWER LATERAI WATERMAIN *VVATER LATERAL WATER AREA 2 2-- 1280 18.67 PA 5-16-79 Servioes 1982 STORM 5EW TRK ? 1982 . . TORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 335.00 26644 9-8-81 BUILDING PEFi. sac 525,00 PARK ? BUILDING PERMIT Site Address " Lot Block Parcel # W Name ? Address O Ci ? Name ,o N2 5597 Erect ? Occupancy - Alter n.? p Zoniny Repalr ? Fire Zone - Enlorge ? Type of Const. Move ? # Stories - Demolish ? Front Grade fl Depth ft. ft. v0 Addreu Assessment Permit ~ f` Water & Sew. Surcharge Ci Phone ?? Police Plan check ?W Nome Fire SAC ?? Address Eng. Woter Conn. <W Ci Phone Planner Water Meter il C ( hereby acknowledge thct I hove reod this opplicotion ond state thot ounc gldg, pff. the informotion is correct and agree to oomply with oll applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. APC Totol Signature of Permittee A Building Permit is issued to: on the express condition that oll work shall be done in accorduncs with all applicuble State of Minnesota Stotutes ond City of Eagon Ordinonces Building Offldol CITY OF EAGAN 3795 Pilat Knob Raod 6ogen, MN 53122 PHONE: 454-8100 Receipt # Famff # Out* laued PenoIfh" Plumbing Mechanical INSPECTIONS DATE INSP. Rouph-In Finol Footings Dote Insp. Dcte Irnp. Foundation Plumbing Frame/ins. MecFanical Finpl r ' e'9 Remurks: 217/?6 s?u' ? ?? ?'? ? WATER SERVICE PERMIT 'ilat Knob Rosd PERMIT NO.: MN 55122 DATE: No. of Units: leter No.: 30 2 2 ') hConnectior? Chorge: ' - ize: Account Deposit: eader No.: Permit Fee: egres M aomply wieh the Citr of Eagan Surchar9e: hdinaeus. Mlst. CFwroes: TotoL• ?--y- Dote Paid: CITY OF EAGAN SEVUER SERVICE PERMIT 3795 Pilot Knob Read PERMIT NO.: Eagon, MN 55142 DATE: Zoning: No. of Units: ? Owner: Address: Site Address:'%r : I.C??-',; Plumber. 1 ogree M eomplp witfi the Cifir of Eagon Ordinanees. R? Dote of I nsp.: I nsn.: Connection Chorge: + 0 Account Deposit: - ?n Permit Fee: - .' . Surcharge: Miu. Chorges: Totaf: Date Paid: EAGAN TOWNSHIP BUILDING PERMIT N? 1860 , .. - ... Ownex `?n/..i!s.t.._jg? ...?:: .... . --? _.?- .... Eagan Township ?' - , ?"--'-'----- .. ...-. Town Hall ............ . Addrecs (present) -? ? ?? ...._ ....::...:......... -°-- ' sC ? __-'----......-'--"-'-- --' Suilder ...... ...........-/-.?.. ...-•----'-... f? .. .-. -s-"?c--- .'.• ... '.<..?r .-.------' -'-?------ --\ Dafe -'-'- '/G . ?6 "._.-.._...-- ...... ....... .......... '...... -.. .-----..........°` Addreu .........."' .l/?^ _-'.. DESCRIPTION 5Saries To Be Used For Fron! Deplh HeighS Esi. Cos! Pezmit Fee Remarks >a ° `- /J °'p LOCATION ° Sireel. Road or oihes DeBCripi1on of Locafion I Lot I iilocx I AGaulon or lrae[ C^? 1'his permit does not aulhori:e the use of sizeefs, roads, alleys or sidewalks nos does it give ffie ownes or his agen! the right !o create aey situalion which is a nuisance or which presenis a hazard to the healih, safely, eonvenience and genesal welfare !o anpone in the eommunifp. THIS PERMIT MUST BE KEPT ON /T?HE PREMI3E WIiILE THE WORK IS IN PRO,G/ RES . T6is is to cerfifp, 3ha2..:?.?L?----/W`i-` .... ..................-_.._bespermissioa 2o erec! q.?"..t_...:??-C`9:--¢..?_--......................... upon the ebove deseribed premise subject fo !l?provisions of the Building Ordinanee for Eagan Towns idopied Apri] 11, 1955. Q r j? . . ?t =....-??-:=?`--`--^-_•...?iti!?---'....."'_'- _....-"'---........... Per .'-----------' // ?' Chaiffnan of Tnwn 8oard ? Huildin Ins eclor l- ?. ?---- //? ? ? ? ? B P ?? ?"7 J, (afuM 4b Be Used For site Pddress L CzTY OF EAGAN BUILDING PE13MIT APPLICATION 1? - Valuation ziza, 2 Include 2 sets of plans, 1 site plan w/elevations & 1 set of energy calculations. Date Z- ?? 3 - ??. QFFICE U5E ONi,Y Lot 7 -&-1 Block ? Sec./SUb. IS7 E Frect Oc:caipancy u? Parcel #: /o-ZSz?v-6?ma?? rtwtv.Vi ,u a k? r-Alter _X , Zoning I ? / ? Fire Zone 3 Owrier. J ? / ? 1l! qype of Const. Address: ? 7(G ,S' f= !Q( ??fs i3??? m°"e # stories Cit /Zi C d - - Deiblish Front ft. Y p o e: P,'A(- 5 3 /2L- -Grade DePth ft. Pnone #: 4?4 - G? 7 G ? ? APnMrAr.s FEEs Contractor: ?Gf G ?? ( 4/vS ??(l- TIrJ? Assessments Permit ?? - Pddress: Water?Sewer burcilarge City/Zip Code: Police Fi P lan Check re gp,C Phone l 3? En1- water Conn. Planner Water Meter Arch./Ehg.: Council Roaci Unit Bldg. Off. Pddress: APC City/Zip Code: Phone #: nrPAL , CITY OF EAGAN 3795 Pilet Knob Resd Eagan, MN 55742 NO. 5597 ' PNONE: 4548100 / BUILDING PERMIT APPLICATION Rewiv+ # ` JL- T. 6e usad for AllUll•Sldlllp' Est. Value 4000.00 DoM 1/23/ , 19.Rn Sita Addreu "i'-Ilp i'?vu. Lot g BI«k 4_ Sec/Sub. 27 Porcel # W Name Wm. C. Henlev 3 Address 4765 Eriks Blvd. a 1,.-, Eagan, 55122 ?___ 454-6076 p Nome ? ?? Address ? c. Hasting, MN w Name ? z i F, Address I hereby acknowledge that I have reod this apDlication ond state that the Informcfion is correct ond agree M comply with oll opplicable SMte of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee _ A Building Permit Is issued to: ull work shcll be done in acm Building Offictol ? Erect ? Occupancy R3 Alter [A Zoning Rl Repoir ? Fire Zone III Enlarge ? Type of Const. Move ? # Staries Demolish ? Front N- Grade ? Depeh ft. AODrorale Feea Assessment _ Woter & Sew. Police _ Fire Eng. Planner - Council _ Bldg. Off. - APC - Permit • "" Surcharge 1.00 Plan check SAC Woter Conn. WMer MMer Total 10.00 on the express mndition thot Statutes and Cfty of Eagan Ordirwnces. 5111 151 4to?_) RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Canstruction Reauirements • 3 registered sde surveys showing sq, R of lot, sq, k of house, and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showirg beam & window s¢es, poured fourd design, etc ) • i set of Eneryy Calculahons • 3 copies of Tree Preservation Plan d lot platted after 711193 • Rim Jorst Detail OpUOns selection sheet (bidgs wdh 3 or less units) ' - 02-. DATE ? ^ ? ? Watcr Sollcncr Water Hcatcr No. of Ballu SITE ADDRESS ?W ? ` f ? `' J CS WA , MULTI-FAMILY BLDG Y N TYPE OF WORK r e - FIREPLAGE(S) _ 0_ 1_ 2 APPLICANT U l1e l J?? I w(?>>?l STREET ADDRESS 1??1?J ? &K (?GV1Q ?l U Pi CITY ?Ls P_STATE IV ZIP? TELEPHONE # 6S?-"15 1-0?r?CELL PHONE # fAX # PROPERTYOWNER TELEPHONE# ----------------------------------------------------------------------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ y(IVNLSO`C:\ RGLL•:S 7670 CA'CL:GORY t MINNESOTA RULLS 7672 (d submission type) . Residenhal Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted ' • Energy Envelope Calculations Submitted Plumbing Contractor. ____ Plumbing syslcm includcs: Mechanical Contractor: Mcchtmical s}'stcm includcs Sewer/Water Contractor: _ :Air Couditiouino _ Ekat Rccoacry Systcm Phone # Phone # Pcc: $70.00 ---- ----------- ° ---° -------------------------------° -° --°-------------- -------------° °------------° °------------- I hereby acknowiedge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Or ' ances. K Signature of Applicant4y --°--------- -------------- ---------- ---------------------------------------------------------------- -- OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Receroed _ Not Requtred _ lJpdated 4l02 RemadellReoair Reauirementa • 2 copies ot plan . 1 set of Energy Calculahons for heated additions . 1 site survey lor exterior adddions 8 tlecks • Indirate rf home served by sephc system for addi6ons VALUAiION $? 1R 0 ? Phonc # Lawn Spiinkler _ No. of R.I. Baths P'ec: $90.00 L gL CITY USE ONLY RECEIPT #. -? SUBD. RECEIPT DATE: PERMIT# 1999 PLUM$Ihe f'E{14IIT (fi.£SFF}EvTiihL) crrY aF EAs,aiv SSSO f1LOT KNOS RD Ei4fiAN, IriN 55182 (651) 6$1-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit : 6ackflow preventer for underground sprinkler system FIxruRes EACH # TOTAL Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ GeS i ii1 Outlet * minimum - t 3.00 X = $ Hot tub/s a 3.00 x = $ Kitchen sink 3.00 x = $ Laundr tra 3.00 x = $ Lavato 3.00 x = $ Minimum fee alterations to existin dwellin 30.00 x = $ Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = $ Private Dis osal S stem abandonment 30.00 x = $ RPZ new installetion/re air 30.00 x = $ Rou h o enin 1.50 x = $ Shower 3.00 x = $ Under round s rinkler if dwellin is under construction 3.00 x = $ Under round s rinkler if existin dwellin 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener if dweuin under construchon 5.00 x = $ Water softener if existin dwellin 30.00 x = $ Water turnaround 30.00 x ---- _ $ o State Surchar e .50 --> ----> ----> $ .50 TOtal --? --? ----> -- ----> -- ?-5- - Reminder: Call for inspections of alterations, i.e, water heaters, water softeners, etc. ?¢d ? ----------------------------------------------•--•----------- ----------------------------- -?-r-?ti'lE'-DOMQlr I hereby acknowledge that I have read this application, State that the information is correct, and agree to comply witli all applicable City of Eagan ordinances It is the applicanYS responsibility to notify the property owner that the City of Eagan assumes no liabiliry tor any damages caused by the City during its normal operetional and maintenance achvities to the facilities constructed under this pertnit within City property/right-of-way/easement. SITE ADDRESS: "l1(05 OWNER NAME: : "-? TELEPHONE #: 0 --7 L-? (AREA CODE) INSTALLERNAME: C S?C? CL.(1 . TELEPHONE#:?DE) tia3- lluy ' AR CO STREETADDRESS: CITY: e42e?,Q h?(?c,/ l? STATE: MQ ZIP: 1?)6n?Lg SIGNATURE OF PERMITTEE :;"1 XcS:n;:,,,: :: ;q:n';'I,oRYn;`Y,,;YYnri:)X?. rTTV OF 1=HC;A\' i.`,Ac4u:i:i'ri:: S 1ERi4IPd(a:_ rdr:, 09 DA7Zu C-;/qE,/Sa? T:CMlc: W4`:;.°i? TTI'; r,a?rr:::: 930 9PEo 4765 t:Rii:S =ci..VD 460.00 2?`'iR ?? ri:'.0 ? .? 4?'ic',.? `.,,1?.,> ?, . 7 Etr_l/J 1r ? ? .r1il 370 9c22C1 4763 F t::Ci:.S FtL_V'(i 50.00 e...,c'0 b9oo1 <u- .: a7?, .C^ ?:r:?:F,, I"' ?s?.?u + r:) .,n 32' 8•9rt":H. 4765 F.°f>:f};.S L•LUiI 30.00 4 7ata:! RrrFZipd: Arrc:nur, r 564.00 CR!C'32<i2 lliE'R 1:Da Nfti:C`l °>X ?. . Lot ? Block 'A PID # Plat--TW t v\ \11 2 l,v C) 1' Sewer iwater pertnit # Date 5 09 / Receipt #-??? CITY OF EAGAN 7999 SEWER AND WATER CONNECTION AND AVAILABILITY CHARGES EXISTING RESIDENTIAL PROPERTY Sewer Latem] c'*arge @ $21.85/ff Tn1nk @ $8 0/connecdon SAC Date paid Receipt # Account deposit Sewer permit & surchazge Subtotal Plumbing permit?& surchazge Total / 15.00 $0.50 $ 30.50 - Water Lateral chagge @ $22.10/ff Trunk @ $920(connection Water supply & etorage Date paid ? ?? Receipt # a 6 6 Y 9 Treatment plant Water meter `•Inspectioc,4eq4 Vissuing Account deposit Water permit glsurchazge Subtotat Plumbing permit & surchatge Total 1 Water o , Lateral chazge @ $21.85 and/or $22.10/ff Trunk @ $880 and/or $920/connection SAC Date paid *Rj_ Receipt #A 6 bYy Water supply & storage Date paid 9/8 / Receipt # d L 6 YY Treahnentplant Water meter "•Inspections req'd prior to issuing Account deposit Sewer and water permit & surcharge Subtotal Plumbing permit & surcharge Totel n?on l 1 $i'r 1ov 10--,y ?or c ?I -g23:8B- 468.00 ,-rxv:v? 15.00 50.50 Sr!`33.t? 0 30.50 $??YJ ? r;,g9 90 DO .? a? SO' 5-0:> OFFICE USE ONLY ? Property owner x m w-. k? N ? AddiOSS 1I? ?"rl . ? ,\ UC? Phone number Plumber /?_V-! i'LZ l a-G'l ?? PRV required: R-O-W Permit: Unpaid $ Permit Fees: City financed: J1/b Cltyl?/ C[y ?//'Y 6 g ?JJ RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 '? 3U S C7 New Conshucfion Reouiremenis RemodeVReoair Reauiremenls Office Use Only 3 registered site surveys showing sq k. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd (20 % maximum lot coverage allowed) 1 set of Energy Calculalions for heated addihons Tree Pres Plan Recd 2 copies ot plan showing beam & window sizes, poured found design, etc. i site survey for additions & decks Tree Pres Not Reqd 7setofEnergyCalculations Adddron - irnlkate'rfon-sdesepticsystem _On-sAeSepticSystem 3 copies o( Tree Preservation Plan if lot platted aker 711193 Rim Joist Detail Options selecton sheet (bldgs with 3 or less units r LY? DateJ( / / ConstructionCost '?Om - Site Address /?p 5 1-7,21 k"S- UniUSle # Description of Work N Fireplace(s) _ 0 _ 1 _ 2 Multi-Family I31dg _ Y Property Owner Il Telephone # ( ) Cnntractor Address CitY State -12241 Zip Telephone # (6S7 ) ??7 6 ??JJ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv I _ Minnesota Rufes 7672 Enefgy Code Categoly , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (V submission type) Submitted Submitted . Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # Telephone # Telephone #(.___)--- " ? 1 hereby apply for a Residential Building Pennit and acknowledge that the infor?nation is complete and iccuraie: that the work will be in conformance with the ordinances and codes of the City of Eagan and _the • n f M N Statutes; 1 understand this is not a pexmiY, but only an application for a permit, aB?warkot to starC Wiihuw a permit; that the work will be in accordance with the approved plan in the case of work which requires a revicw .inel approval of plans. ?? ? f C?/i1 ? ?P•,? Applicant's Printed Name Applicant's Signature 64P96 2004 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. /S.Sd Date ? ? ? S teStreet Addres fi /f C Y ? / K S Unit # PropertyOwner ??,2G/?/77 Telephone# - Contractor / T ephone # Address.3??Af L/J d City S State? Zipt?? The Applicant is: _ Owner _ Contractor _Other , Alterations to existing dwelling $ 50.00 _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _Water Turnaround (add $121.00 if a 5/8" meter is required) Other: 19Water Softener Water Heater $ 15,00 / (, replacement _ additional Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 State Surcharge F " ' ~ .nnnA $ .50 Total LL? $? VL.? 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 with the approved plan in the event a plan is re uired to be reviewed and approved. . p ? Ap icant's Printed Name Applicant's Siag ure - PERMIT City of Eagan Permit Type:Building Permit Number:EA121669 Date Issued:04/11/2014 Permit Category:ePermit Site Address: 4765 Eriks Blvd Lot:7 Block: 4 Addition: Twin View Manor PID:10-78200-04-070 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and house wrap and leave on site. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - David Johnson 4765 Eriks Blvd Eagan MN 55122 Walker Roofing Company 2274 Capp Rd St Paul MN 55114 (651) 251-0910 Applicant/Permitee: Signature Issued By: Signature  !" #$%&'()'*+*, -./$%'"&0-1L6$4@$,+ -./$%'56/7-.189::FB9 >*%-'!??6-@199ABFA<B9C -./$%'#*%-+(.&1--./$% D$%-'8@@.-??1''EP=C''.$R?'L4M@''  4"#$% &&O())**+ &&;S*+&a*-S&K>+@ /01 '234P52232O3242& 78- >-?2.$0%$(,1 ,9:&;.<- ?*+)S8\\1@8C+8@9$*+&;.<- ?@%&;.<- =-<#>$- 1-8$@*<*+ ;S&@&K@-&?*+)S8\\1@8 C-+898&C)- O\[O&3&W$$9<>+$. b+*+E ,G9>@-&A-- 2 0F<@V-F-+8&&H-&HF-&@-G9*@-&8F%-&)--$@8&*+&>##&:-)@F8Q&0T&>#-@*+E&S*+)S&<-+*+E8&@&*+8>##*+E&">.&@&"S& #(//-,%?1 S*+)S8J&$>##&T@&T@>F*+E&*+8<-$*+Q&C>##&T@&T*+>#&*+8<-$*+&>T-@&*+8>##>*+Q C>@:+&F+R*)-&)--$@8&>@-&@-G9*@-)&S*H*+&'2&T--&T&>##&8#--<*+E&@F&<-+*+E8&*+&@-8*)-+*>#&HF-8&LK*++-8>&,>-& "&3&">8-&A--&UOXU'2\[Q5!&2P2'QO2P! 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