4795 Eriks BlvdCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4795 Eriks Blvd
Lot: 1 Block: 5 Addition: Twin View Manor
PID:10- 78200 - 010 -05
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
Fee Summary:
Valuation: 3,000.00
Contractor:
Capstone Bros. Contracting
216 North River Ridge Cirle
Burnsville MN 55337
(952) 882 -8888
Applicant/Permitee: Signature
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
$90.00
Owner:
Norman Mundahl
4795 Eriks Blvd
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Building
EA084180
07/11/2008
ePermit
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
$88.50 0801.4085
$1.50 9001.2195
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
W'ei.?tificate vf cccuvanc4
(944 of Wagan
?eparbacxt of '.8xitbiug 3nocctiaa
This Certificate issued pursunnt to the requirunents oj the Uniform Buildrng Code
crrtifying that at rhe time of issuance this structure was in compliance wirh the various
otdinances of the Ciry regulating building corutructiort or use. For the following:
uY cbSSirakc SF I31G sa& re.mit rb. 340
oa„p-y Tya 13 z?ing o;wim fl 1 rype consi. VN
Owner of Buiidins im7TH M1Nf1AHf . nemesa 7L• FJ2TK 'R$LVbrH11GN
Building Addreas 47q? TKIS TffVn [.acaliry T I RS 1%" UT17t.1 vA*Y'D 1 cf'
i
Date-. . . , /
BuildinsOffxial ; i
POST IN A CONSPICUOUS PLACE
r ?
CITY OF EAGAN
Addition
r
Owner
Remarks
Manor L Blk 5 ?Parcel 10 78200 UJ4 05
Screet? 0 . ik? Vd. ? .) r E r> ', state. ? E?an,MN 55123
Improvement Date = Annual Years Payment Receipt Dete
STREET SURF. 1983 3687.77 368.78 10
STREET RESTOR.
GRADING ?p 1982 1311-56 87-44
SAN SEW TRUNK 1976 195.00 13.00 15
• SEWER LATERAL (A 1982 4142.2 276.15 1
WATERMAIN
• WATER LATERAL 1982 1
WATER AREA 7i
* Services 82 1
STORM SEW TRK (p O ], $Z Cl. OO 37.4o l.
?t STORM SEW LAT 1982 15
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILOING PER.
SAC
PAR K
? INSPECTION RECORD
. CITY OF EAGAN PERMIT TYPE:
1--3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(651) 681-4675
SITE ADDRESS: '
i IJ M V 7 (4d M A lJ f.) f?
PERMIT SUBTYPE:
I y uF"tin
TYPE OF WORK:
INSPECTION
i
? . .
, .
J ir !- V[ F 4? t() kt Y r PA1+. N r'oVA1' Y K.
t-J r?tJ MHV V F ". o:t"r-,i:' R vr,H i' iio iNf
o 0 " I * ' APPLICANT:
I ? I ki $;i
Ib 4:' ; + 1 1 4 4
?
?
? 3 4, 3 Permit Holder Date Telephone #
SEWER/
WAl"ER I
PLUViBING
HvAC 3 . j/r{
Inspection Date Insp. Com ents
FOOTINGS ?A?t?//??
t
FOUND v ae
FRAMING
ROOFING Z ? 2 G
r•? ?+
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
?l ! y
/?W/?(q
` ?
/1/d'?' ln_?(Jiy i,r/,qT -11k.C 7
GAS SVC
TEST
1
INSUL
GYPBOAFD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
corvoucrivirr
TEST
HYDROSTATfC
TEST
BSMT R.I.
BSMT FINAL
DECK FfG
FCK FINAL
ih?`
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(651) 681-4675
SITE ADDRESS: APPLICANT:
5 ? , ..
PERMIT SUBTYPE: TYPE OF WORK:
1 F
"l 4
i,a I
LL=
1 itk'; l S: 11 i-1 1;191 1
?
Permit Holder Date 7elephone 0
SEWER/
WATER
PLUMBING
HVAC
Inspection Date insp. Comments
FOOTINGS
FOUND
FRAMiNG
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
coNOUCrivirv
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
c?rv o!= EAunn
CA5H:CI=Sc a 7'El;hf:[NAL. N0: 731
DFl7E.r, 18/13098 TIME: i.Eis4?^K
I%
NAMF_r JUDI7hl A MUNDr-,NI_
?i°it•, 9001 4795 IrFS:CK'F.i i{L.V 4VA0:3.96
x -
'1ota.L I"tncraprt Amour,t o 4 k4Q3.96
CR'.ll02i7
USE:R IA; NANCY
%;w#Rtrt*?k%km?kM?'A'Xr<Y<wY?Y:?Y.: `?F?Y;;g?,k";iwk>K46Y,t?!?;YSM?(;':;k
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(1151)681-4675
51TE ADDRESS:
f',I,N, : 10-78200--010-05
PERMIT
4 7 9 1? L P zr: ' s t3i..V c
LOT? 1 t;LQCK. 5
-flidjiNvrs I,.i mANc,;? 1`Ir
PERMIT TYPE:
Permit Number. F ?? I L 1) 1 N a
03Date Issued: Q y 3?
72l431 119p,
DESCRIPTION:
E?urfi ding?P-e rmit Tvpe SP Dblc,
NL6:
?C7BC' OCCGpariCy R - 3
f CoFlsCrpGt3.4n Typ?-? V W
r Zoriina R-1
r?Buildirrg Lenoith 1 39
? Buikdlng kfidth ? 50
Bui,ldinq
?._.e-,4,?eo?tcade 101 1 -• rAm. oEracw
,«
'.3',??36i`....1??`u/' ?;•'.? :.' ?i„.?-riw:.,vl??',?'s?st•'°;i.'kS :;.?
REMARKS:
PLrWiv i7rVrewFo Bv cpr-fzt.r rioVFlCVr:,
S& WP1111*IRER I:, 6EN7_-F2YAN PHnyE #-0i3-1.14Ae
FEE SUMMARY:
1rAi.uArrnn?
??se Fee
Plari Review
tiurcharqe
SFaG
sAc -?
SAC Wnite
SubtoCal
$1.,@57.25
$687.21
TE7.m0
$1. 000. 00
1.00
1
$ 2 . g ?l 1 , 46
$ i?qnee0
M1SCo FEES
'("otal FPe $0..403,y6
CONTRACTOR: OWNER: APp.ticarit -
muNoHH L J uDznt
r 4 82 4 F.RIK'S ELVq
EAGR14 MN 55122
. (651)454-6878
2 hPrehy ae.krtow3edqe tharr T have read th3s appliaaC:ion and statp Chat Lhe
in'Formation is correct and sqree fia aorriply with all applac.;{a1e State af Mn.,
L Statutes and Citv of Eagati Ordinanres_
?
Ui l. r? I
APPLICANT/PERMITEE SIGNATURE UED BY: SIGNA7UR
1998 BUILDING FERMIT APP'LICATION (RESIDENTIAL)
--r` ? CITY OF EAGAN
3830 PII.OT KNO 7 RD - 65122
? 3([ ' D
? -
New Construdion Reauirements RemodeVReoair Reauirements
? 3 registered site surveys ? 2 copies of plan
• 2 wpies of plans (inGude beam & window smes; poured fiC. deaign; etc.) ? 2 ske surveys (eMerior edORions 8 decks)
? 7 energy calwlations ? 7 energy calwlations for heated addRions
? 3 copies of tree preservation plan if lot platted after 7l1/93
required: _ Yes X No
_--I (
9e?
DATE: CONSTRUCTION COST; Is?S ac7()
DESCRIPTION OF WORK: SiN6L6 TA/')/lY
STREETAODRESS: ?7 ?I ?'? J ?RIKS iJ-vTJ , +
LOT: I BLOCK: S SUBD./P.I.D. #: -TWlA) UiEid 1JAn)6e_
PROPERTY
OWNER
CONTRACTOR
Name: MU/UDRNL 1UuRMAA) 1 1.1 uaj7W Phone #: ?,91- 454 - 6$ -7$
Last First
Street Address: 4b? 14 ??f K5 ?UD City ?A(?/i>t1 Stau: A) Zip:
Company:_ "?ELF Phone #:
Street Address:
City
S+ate:
ARCHITECT/
ENGINEER Company: ME0? ?ic?RFT/AJ6 J IQL,?16/f) Phone #:
Name: _ rgEp /IlV e25 Registration
?
Street Address:
City
Stste:
Zip:
Zip:
Sewer 8 water licensed plumber (new construction only): Ge-,VZ-,C(A&) Penalty applies when address chang
and lot change is requested once pertnit is issued. '
14 a3-
I hereby acknowledge that i have read this applicatlon and state that the infortnation is correct nd agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances. t
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received V/ Yes _ No
Tree Preservation Plan Received _ Yes _ No ?
License #
.? _
BUILDING PERMIT TYPE
OFFICE USE ONLY
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Poo{
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Pubiic Facility
? 04 SF Porch ? 09 12-piex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actuaq S- A/ Basement sq. ft. F?V
=L2,S ?
MClWS System
(Ailowable) `5 - Main ievel sq. ft. o City Water
UBC Occupancy
? G 2Af,c sq.
.
ft
Fire Sprinklered
Zoning tD4: sq. ft. PRV
# of Stories / sq. ft. Booster Pump
Length sq. ft. Census Code. / o/
Depth 4-8 Footprint sq. ft. SAC Code o/ _
Census Bldg I_
Census Unit
APPROVALS
Planning Building Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MC/WS SAC
City 5AC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total
Valuation:
cn,7 -C) O
8g2xZ57r
IUU /?OclXW....
Or7x G =
'46 x /!o =
?Ci L
$
9z, ?g6=
? 2 9o?C
e-?
7 3 40
Vly-\? ? S c- " ? ? ') 2 . S ?
?z ?p
% SAC
SAC Units
MINNESOTA
1-1 Fnmily Residential Building
RESIDENTIAL "COOKBOOK°f WORKSHEET
A plican[Namc, r
d A,V '? JLr '
f H Phane
. Da e
?//,?" /? J Statement o[Compliaoce: Building Official Use
Applicant Address The proposed bullding design represented in these
documenls is wnsistent with the building plens,
specifications, and olher calculations submiped
Building Addrcss:
??, ?K S'
. i
?L-?,j? wilh Ihc permlt epplicetion. 1'hc proposed
building hu been designed Io meet Ihe
rcquimmcnts of Ne Minnesota Energy Code. .
kR c;R 10 MN.
, Ap licanUEngineer
MINIMUM REQUIREMENTS for "Cookbook" Option:
Entry Doors 1-3/4:" solid wood w/ storm Ceiling with energy truss R-38'"* Rim joist R-19
door br equivalent (Min. 7%," top plate to sheathing)
Foundation Windows* Insulated Glass w/1/2" gap in Ceiling with low heel truss R-44'* ? Floor over R-24
wood or vinyl frame unconditioned space
•Include square footage in calculation of Window/Door Area Ceiling-no attic R-38 w/ R-S sheathing
to determine above grade Window U-Vatue.
mswanon Yeriormance a[ Winter Ueslgn Conditions
Window and Door Area 100 x a? 1 ?fJ + A) p? % WINDOW U-VALUE :
As % of Exposed Wall Area l6ove Grade Window rnd Grona Wall Arav Wiodow/Door Ares Source: NFRC ? or ASfIRAE 1993 Hendboak
FoUOdatlonWindow/Door Aree .?.
? •1
? MAXiMiTM WiNnnW 11_ver11111?e
Check Wall
Type Used WAI,1. TYPE MAXIMUM WINnOW AND DOOR AREA % OF EXPOSED WALL AREA
12% 14% 16°!0 18% 20% 22% 14% 26% 28% 30% 32°h 34%
TYPE A 2x4 &aming, R-13 insulation, sheathing R-7 or greater. 0.55 0.47 0.41 036 033 030 0.27 0.25 0.23 0.22 0.20 0.19
TYPE B 2x4 framing, R-I S insulation, sheathing R-5 or greater. 0.52 0.45 019 0.35 0.31 0.28 0.26 0.24 0.22 0.21 0.20 0.18
1'7'PE C 2x6 framing, R-19 insulation, sheathing less than R-5. 0.48 0.41 03b 0.32 0.29 0.26 0.24 012 021 0.19 0.1 S 0.17
? TYPE D 2x6 framing, R-19 insulation, sheathing R-5 or greatet. 0.5 0.48 0.42 0.37 0.34 03 ( 028 0.26 0.24 0.22 021 0.20
TYPE E 2x6 framing, R-21 insulation, sheathing less than R-5. .Sl 0.43 038 0.34 030 0.28 0.25 0.23 0.22 0.20 0.19 0.18
TYPE F 2x6 haming, R-21 insulation, sheathing R-5 or greater. 0.58 0.50 0.44 0.39 035 032 0.29 0 .27 0.25 0.23 022 0.21
i ms iaoie comams mierpoieuons ot me vawes m the Energy Codc, Pan 7670.0475, Subp. 2.
This is a summary only. Olhu rcquirements may apply. See the Minneso[a Energy Coda ?/5196
Quesiions? Cell DepaAmrnt of Public Service InCormation Center al 612/296-5 l75 or 1-8001657-3710.
- ? w S?Ivy7
1-2 FAMILY RESIDENTIAL BUII.DINGS PACKET
NIINNESOTA
1-2 Family Resideretial Buildings
SUMMARY OF BASIC REQUIREMENTS
ROOF/ INWA c nnRC•
• Either meet "Cookbook" criteria as outlined in Residential "Cookbook" Worksheet OR
meet U-Value criteria as ouUined in Exterior Envelope U-Values Worksheet.
O R OP i7'B TA•
• Slab on grade floots must have continuous perimeter insulation of R-10 to depth of frostline.
• Foundation walls must be insulated with R-] 0 minimum from top of wall.
• Loose fill insulation installed must provide the required performance at winter design conditions.
EFFF.C'TIVENESS OF RFO 17uFD TAF Ma INS Ti ATION
• Building design must meet Category 2 requiremenu for vapor retarder, air leakage and wind wash barriers, and
ventilation.
DUCT INSULATION A1vD AT.TN('•
• Insulation for ducts encased in cement or within ground must 6e R-5. Insulation must be instaped on bottom and
side of plenums.
• Ducts installed in attics, garages, exterior wa]ls or unheated crawlspaces must be R-8, minimum.
• Retum air ducts conducting air into a furnace through the same space as the fumace must be sealed continuously
airtight.
• For ducts running outside the vapor retarder or of greater than 0.25 inches water gauge pressure, all transverse joints
must be sealed.
NVAC PIPE INSLn ATION•
Insulation Thickness,lnches
PiQes 1" and Pipes
System Runouts• Less 1-'/." to 2"
}JPA}?? 1/ I_11 1 IL
Cooling (Suction) /, 3/1
'Applies to runouu not exceeding 12 feet in length to individual tecminal units.
SERVICE WATFR AF'4TiNf:e
• Either the first eight feet of both inlet'and outlet pipe must be insulated with %: inch thick pipe insulation or heat traps
must be installed.
• Energy requiremenu for swimming pools and spas aze in Part 7670.0710, Subpart 5, page 55 of the code.
MATERIALS A INn.ATION INFO MATION•
• Materials and equipment must be identified so that compliance can be determined. Completed insulation receipt attic
card must be supplied near access opening.
• Manufacturer manuals for a(1 installed equipment requiring preventative maintenance for efficient operation must be
provided.
• Insulation R-Values, window and door U-Values, and heating and cooling equipment efficiency must be clearly
marked on plans.
'I'his is a summary only. Other roquiremenu may apply. See the Minnesota Energy Code 2/5196
Questionsl Call Departmrnt of Public Service Information Center at 612/296-5175 oc 1-5001657-3710. ?• on
A ENERGY
A/! Buildings
SUMMARY OF BASIC CATEGORY 1 AND CATEGORY 2 BUILDING REQUIREMENTS
E:: FOR INSULATION PROTECTION, AIR TIGHTNESS, AND VENTILATION
[ MiNlMUM: Alt huildings must meet t6e foltowing miaimam code reauirements:
VENTILATION: A Category 2 building is one where infiltration and passive ventilation (operable windows) are
relied on to provide necessary year-round ventilation. If one or more of the Category i measures below is
incorporated into the residential design, 6owever, a residentiai meci?anical ventilation system as specified 6elow
must be installed.
VAPOR RF.TARnF.RL' A vapor retarder, also known as a moisture barrier or vapor barrier, must be installed on the
warm side of insulated ceiiings, walls and floors. Polyethylene vapor retarders musi be 4-mills or thicker. The code
requires a vapor retarder to be installed only on rim joisu that are susceptible to condensation from moisture diffusion.
AIR BARRIER: A barrier against air leakage must be installed to prevent leakage of moisture-laden air from the
conditioned space into exterior ceilings, wa11s and floors.
• Plumbing and heating penetrations must be air sealed. An air bazrier must be provided behind any tub or shower that
is located on an exterior wall.
• Air sealing must be done at all dropped ceiting areu, chimney flues, ventilation ducts, and other fire stops that
peneuate the vapor retarder.
• Holes in the building envelope for electrical and telecommunications equipment must be air sealed, inciuding the
service entrance, wires, conduit, cables, panels, recessed light ftxtures, and fans (where vapor retarder is penetrated).
• Joints in the building envelope must be sealed, including azound window and door frames, between wall cavities and
window or door frames.
• Tested air infiltration rates must not exceed 034 cfm/squaze foot of operable sash crack for windows, 0.5 cfm/square
foot for residential doors and 1.25 cfm/square foot for commercial doors.
WIND WA4H BARRTF.R; pn air-impermeable barrier must be installed at the attic edge (baffles must be rigid
material resistant to wind drivrn moisture); and overhangs, such as cantilevered floors and bay windows.
meet all requirements as
RESIDENTIAL MFCupNI A NTI ATTnN CYCTFM L'!1D DTi CiTC*TT7 A T RiTii TiA S
A system that, by mechanical means, is capa6le of inuoducing and distributing outdoor air to all habitabfe rooms and
removing indoor air at a rate of not less than 0.35 air changes per hour or 15 cfm per bedroom plus another 15 cfm,
whichever is greater.
AIR i,F.AKA BA Ri R: A barrier against air leakage must be installed to prevent leakage of moisture-laden air
from the conditioned space into the building envelope:
• Electrical boxes and fan housings must also be sealed.
• Ali rim joists, band joists, and where floor joists or trusses meet outer walls must be sealed.
• The top of interior partition walls that join insulated ceilings must be sealed.
• Ioints must be sealed between wall assemblies and their rim joists, sill plates, foundations, between wall and
roof/ceilings, and between sepazate wall panels.
WASH BARRiF.R: All ex2erior joints in the building envelope that may be sources of air teaks must sealed
This is a summary only. Other requiremrnu may apply. See the Minnesota Energy Code. 2/5/96
Questions° Call Departrnent of Public Srnice Information Center at 612296-5175 or 1-800/657-3710.
P ?
q LOT SURVEY CHECKLIST FOR RESIOENTIAL
'
? BUILDING PERMIT APPLICATION
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PROPERTY LEGAL:
DAT? OF SURVEY:
LATEST REVISION:
DOCUMENTSTANDARDS
Z7
• Registered Land Surveyor signature and company
• Building Permit Applicant
• Legal descrip6on
• Address
• North arrow and scale
• House type (rambler, walkout, split w/o, split entry, lookout, etc.)
• Directional drainage arrows with slopelgradient %
• Proposed/existing sewer and water services.S.inuedsleMetien
• Street name
• Driveway
ELEVATIONS
Existin
• Sewer service (or Proposed)
• Property corners
• Top of curb at the driveway
• Elevations of any existing adjacent homes
Prooosed
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• Garage floor
• First floor
• Lowest exposed elevation (walkout/window)
• Properfy corners
• Front and rear of home at the foundation
PONDING AREA Cf a?olicablel
• Easement line
• NWL
• HWL
• Pond # designation
• Emergency Overflow Elevation
• Lot IinesBearings & dimensions
• Right-of-way and street vridth (to back of curb)
• Proposed home dimensions inciuding any proposed decks, overhangs greater than 2',
porches, etc. (.e. all structures requiring permanent footings)
• Show all easements of record and any City utilities within those easements
• Setbacks of proposed structure and sideyard setback of adjacent ebsting structures
• Retaining wall requirements, if any
Reviewed: T-6
te
January 7998
CRAIG190&2L0GPRMf FM
t-eruricax:e or tiouse i,ocation r'or:
Judy & Norm Mundahl
48.24 Erick's Eau2evard
Eagara, M 55123
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SURVEYOR'S CERTIFICATE
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1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
? CITY OF EAGAN
3830 PILOT KNOB RD - 55122 'a co ?
651-681-4675
New Conshucfion Reaulremerds Remodel/Ranair Reauirements
D 3 regisiered sile suneys show(ng sq. H. of lol, sq. H. of house 2 copies of plan
and a11 roofed areas (2017, maxtmum lot eoveraae allowed) i set oi energy cakulaltons For heofed addRions
D 2 coples of plana (show beam i window sizes; poured fnd. design; efc.) 1 aXe survey for exterior addMions 6 decks
? t set W energy calculaHons '
? 3 copiea of hee presenaNon plon M lot plotted aHer 7/1/93
DATE: J?" 17
'! I CONSTRUCTION COST:
DESCRIPTION OF WORK: ORAP /?&f)/Q1?J Z2,6Gk
SiREET ADDRESS: °t'"7 / S? ?RI KS RLjJD , AP) z-
LOT: / BLOCK: 5 SIJBD./P.I.D.#: %W/A) U!E(.J /1'IA.kOk
Name: MUN DA Ht- 1j09A 4 OD r TN Phone #: 6,T-1 PROPERTY Last Firsi
OWNER
SheetAddress: 4)9a4 Eoq(KS RLJo,
ciy ?A?G /tX) strne: Ma? Zip: SS`?i zZ
Company: SELF Phone #•
(area code)
CONTRACTOR _
Street Address: License # Exp.
?-
Ciiy State: Zip:
ARCHITECT/ ?? ?
ENGINEER Company: Name:
Telephone #: area code ( )
Sheet Address: Regishafion
City State: Zip:
Sewer 8 wafer Ilcensed plumber (reauired for new conslrucflon onN):
PenaMy applies when address change and lot change is requesfed once permff is issued.
I hereby acknowledge thut 1 have read this applicahon, state ihaF the informafion is conect, and agree to comply wRh all applicabl
•State of Minnesata Statutes and City of Eagan Ordinances.
SignaTUre of Applicant:
OFFICE USE ONLY RECEI?TFi.?' ?
CeRificates of Survey Received _ Yes _ No MAY 17 1999
Tree Preservation Plan Received _ Yes _ No _ Not Required BY.
OFFICE USE ONLY
BllILDING PERMIT TYPE
-, _
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-piex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ piex ? 08 6-plex p 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-piex ? 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 Only . ? 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 appli cant for demolition permit
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zaning
# of Stories
Length
Width
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City 5AC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
_ Basement sq. ft. Census Code ?l 3
_ Main level sq. ft. SAC Code ?
_ ?/ sq. ft. No. of Units
_ sq. ft. ?
No. of Bldgs
_ sq. ft. MC/ES System
_ sq. ft. City Water
_ Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
Building V" V Engineering Variance
Valuation: $
l 2, u2N = ';W
'A Iu
Kh?
r
SAC Units
% SAC
Certificate of House Location For:
Judy & Notm Mimdahl
4824 Erick's Soulevard
Eagan, M 55123
H99219
DELMAR H. SCHWANZ
urro aunv[rons, INc.
Mph1?n01hW?r Lw? M 7Ml1? M WnnwM?
14760 SOUTH R08ERT TRAIL ROSEMOUNT. MINNESOTA 55060 eIz4:3-17e9
SURYEYOR'S CEfiTIFICATE
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the lews 01 tM S1Ne of IAlnnsson.
o.t.a 12-27-98
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DeImer H. Schwena .
MMnwoto IlplnrNim No. L62S
CITY USE ONLY
L ? BL S yy. RECEIPT#: 149/?1.'
SUBD.? ` RECEIPT DATE: / a? S Y
1998 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PxLOT IINOB RD
EAGP.N, bP7 55122
(612) 681-4675
Please complete for: ? single family dwellings .
? townhames and condos when permits are required far each unit
? backflow preventer for underground sprinkler system
--------- - - - - ----- - -- - - ------- -
FIXTURES -- - - - - - -
EACH ----- -
#
TOTAL
Shower 3.00 x 1. PO
Water Closet 3.00 x 00
Bath Tub 3.00 x
Lavatory 3.00 x 2_ _ Pi •°O
Kitchen Sink 3.00 x 1_ = 3•0"
Laundry Tray 3.00 x ! _ !?
Hot Tub/Spa 3.00 x ?G
1
Water Heater
3.00
x ?
.
°
Floor Drain 3.00 x
Gas Piping Outlet ` minimum -1 3.00 x
Rough Openings 1.50 x y 50
Water Softener ' for dwellings under construdion 5.00 x =
Water Softener ' for existing dwelling 20.00 x =
U.G.Sprinkler "fordwellingunder const. 3.00 =
U.G. Sprinkler `forexistingdwelling 20.00 =
Alterations `to existing residence 20.00 =
Water Turn Around 20.00 =
Private Disposal System " MPC iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems * nnandonmen2 20.00 =
RPZ (new installation only) 20.00 =
STATE SURCHARGE .50
TOTAL
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
I hereby acknowledge that I have read this appliption, state that the information is correG, arw agree W urpl'r w'M 0 cPF! i=`'l° Ci;' c f F'-9zn ordinances
It is the applicanPS responsibility to notify the properry owner that tha City of Eagan assumes no IiaGility for any damages caused by the City during its
normal operational and maintenance activHies to the facilities constructed under this permit wilhin City property/right-of•wayleasement.
SITE ADDRESS: 4 7q ?) CJ?K-?U? ?\v d
OWNER NAME: 1 IOIZYY? M-? C? vJ1 ??
INSTALLER NAME:
STREET ADDRESS:
CITY:
TELEPHONE #: `1Q3- vI `i `i
STATE: ZI P: ? r
CDlPERMIT FORMS/RPLBG PERMIT (RES) -1998
CITY USE ONLY
LOT ? BL ? RECEIP'f #:
SUBD,?i?LW??,7 RECEIPT DA'fE:
199$ M£CiiANICAL PEftMIT (BESID£MfIAL)
CITY OF ElkfiRN
S$SO PILOT KNOB fiD
EAfiAN MN 5518E
nace: I`??.I?'S f qR (612) 681-4675
Complete this section onfv if you aze installing HVAC in single family, townhomes or condos under
construction and not owner /occupied
• HVAC: 0-100 M B T U $ 24.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @$3.00 ea.) 3°0
• State Surchazge: .50
• TOTAL: ? -c3o
Complete this section on if you are remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Note: Mechanical permit is not required for alteration/add-on to ductwork in
existing residential units; but is required for the following:
Install fumace _ Install air conditioning
_ Install air exchanger, i.e. Vanee system, etc. _ Other
Minimum fee applies to all remodel or add-ons of existing residences $ 20.00
5tate Surchazge .50
Total: $ 20.50
SITE ADDRESS: 4195 C 1Lx" Elod
OWNERNAME: 1bv-(Tl I 7L1 Id CLM& PHONE#: LI ?`i
INS"fALLER NAME: ILA a O.X1 PHONE #:
STREET ADDRESS: I" I"WiD X) ^lJ w u ? d' ??
CITY: STATE: ?rI N ZIP: 65Q lo ?
?
SIGGNA RMITTEE
1S/FORMS BLD/MECH PERMIT (RES) - 1998
CITY USE ONLY
L BL RECEIPT#:
SU61D. RECEIPT DATE:
APPROVED BY:
1998 M£CfiANICAL f'ERMIT (COMM£(tClAL)
CITY OF £A6AN
S$SO PILOT KNO$ RD
EAfiAN, MN 55122
(61E) 6$1-4675
Please complete for: ail commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE: CONTRACT PRICE:
WORK TI'PE: NEW CvNSTRUCTIaN INTERIdR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater.
Processed piping - $25.00
CONTRACT PRICE x 1%
PROCESSED PIPING
PERMIT FEE
STATESURCHARGE
TOTAL
SITE ADDRESS:
($.50 per $1,000 of cermit fee due on al] pertnits.)
OWNER NAME:
PHONE #:
TENANT NAME (IMPROVEMENTS ONLY):
INSTALLER:
ADDRESS: PHONE #:
CITY:
STATE:
ZIP:
SIGNATURE OF PERMITTEE
CLAIM VOUCHER-REFUND REQUEST
CITY OF EACAN
MAKE CHECK PAYABLE TO: CENZ-2YAN PLBG CO
ADDRESS: 14745 SO ROBERT TR
ROSENIOUNT MN 55068
LOCATION: 4795 ERIK'S BLVD
RECEIPT #/DATE: 12/16/98 - 101032
REASON FOR REFUND: DUPLICATE PERMIT
P.i.D./LEGAL: Ll, B5, TWIN VIEW MANOR
VALUATION:
PERMIT #:
TYPE OF REFUND:
Electrical Permit 3211-9001 $
Plumbing Permit 3212-9001 $43.50
Mechanical Permit 3213-9001 $
Building Permit Fee 3210-9001 $
Plan Review Fee 3422-9001 $
SAC (IvfC/WS) 2275-9220 $
SAC (Ciry) 3866-9379 $
SAC (Admin) 3446-9001 $
Water Connection 3865-9220 $
SewerPermit 3743-9220 $
Water Permit 3713-9220 s
Account Deposit 2252-9220 $
Water Meter 3716-9220 $
Water Treatment 3868-9220 $
Surchazae 2155-9001 $
Utility Acct Overpayment 2250-9220 $
Curb Bos Deposit Refund 2253-9220 $
Construction Meter Dep Refund 2254-9220 $
Water Usage Charge 3711-9220 $
Other $
TOTAL S43.50
l declare under the penalties of I w that this account, claim, or de mand is just and that no part of it has been paid.
Date: December28, 1998
b
ciTV use oNLv z
L BL 5 RECEIPT#:
SUBD,.? RECEIPT DATE: G/
1998 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PIIAT iQdOB RD
EAGP,N, A4N 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required far each unit
D backflow preventer for underground sprinkler system
FIXTURES ?
EACH
#
TOTAL
Shower 3.00 x Le_
Water Closet 3.00 x "?L = A
Bath Tub 3.00 x
Lavatory 3.00 x Cl_
Kitchen Sink 3.00 x J_ = 3
Laundry Tray 3.00 x 1 = :3
Hot Tub/Spa 3.00 x _i
Water Heater 3.00 x 1 = 3
Floor Drain 3.00 x = 3_
Gas Piping Outlet ' minimum - 1 3.00 x = 3
Rough Openings 1.50 x 1.50
Water Softener `for dwellings under construction 5.00 X =
Water Softener ' for existing dwelling 20.00 x =
U.G. Sptinkler • for dwening under const 3.00 =
U:G.Sprinkler `forexistingdwelling 20.00 =
Alterations * to existing residence 20.00 _
Water Turn Around 20.00
=
Private Disposal System ` MPC iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems • nbandonment 20.00 =
STATE SURCHARGE 50
TOTAL 1>44.00
------------------------ ------ --------------------------------------------------------------•- • •---------------- • ------------------------
I hereby adcnowledge that I have read th-is application, atete that the infomia6on is cortect, and agree to compty xfith ali appliwble City of Eagan ordinances.
It is the appliwnt's responsibility to notity lhe propeRy owner that the Ciry of Eagan assumes no liability for any damages caused by the Ciry during its
nortnal operational and maintenance ac[ivdies to the facilities consiructed under this pertnit within City property1righ4of-wayleasement.
SITE ADDRES55 `P'3TGJ l
OWNER NAME: t36.Q-m ; f •? ?LU\4t ?
INSTALLER NAMEA D,t112 ?l,{ Q11 TELEPHONE #'
STREET ADDRESS:
CITY: e?kCF-'e-=L1-(* STATE: rnK) ZIP: !S?;6(D
JS/FORM5 BLOG/PLBG PERMIT (RESIDENTIAL) 1998
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA157808
Date Issued:09/09/2019
Permit Category:ePermit
Site Address: 4795 Eriks Blvd
Lot:1 Block: 5 Addition: Twin View Manor
PID:10-78200-05-010
Use:
Description:
Sub Type:Residential
Work Type:Underground Sprinkler System
Description:PVB
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - RPZ/PVB/Lawn Irrigation $59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Norman Mundahl
4795 Eriks Blvd
Eagan MN 55122
(612) 716-6517
Drain Pro Plumbing
8815 - 209th Street W
Lakeville MN 55044
(952) 469-6999
Applicant/Permitee: Signature Issued By: Signature