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
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