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4675 Fairway Hills Dr. • CITY OF EAGAN -?? 3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ' PHONE: 454-8100 UILDING?ERMIT Receipt # .? , i o be usea ra? ur tnw/c:wK Est. Value 4114,0 Site Address 4675 lAIRYAY HILLS DR- -, Lot L9 Block 4 Sec/Sub. FATRWAY HILLS Parcel No. " i W IVflfilB 5a3ius L7NRTY It?rI?M ll ? Acrdress,--IDQi T?FPAIIY City '`EAr-AN Phone 4S2_S9RS , o Name SAMR Address ? City Phone Name _ Address Phone I hereby acknowlege that I have read this application and state that the infortnation is coRect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signeture of Permitee A Building Permit is issued to: -???UCTION CO on the express condition that all work shall be done in accordance with all applicable State of Minnesota 5tatutes and City of Eagan Ordinances. Building O(ticial 1 ^ -I Occupancy R-3 -Mm1 Zoning .?? (Adual) Const (Adowabie) Ymm # of Stories Length -WO oepn, S.F. Total _ S.F. Footprinis _ On Site Sewage - a, sita weli MWCC Syslem x Ciry Water -X-- PRV Required Boasler Pump x APPRUVALS Planner _ Cauncil ? BIdg.Off. _ VarianCe _ a sf ? ? .? ? ? J .. FEES Bldg. Permit 067 • W Surcharge 37.00 Plan Review 4a•? SAC, City 10DAM SAC. MCWCC 650,? Water Conn 860-00 water Meter 93-00 Acct. Deposit 30.00 snN Permit -10-00 S/W Surcharge - ? Treatment PI 276•? Road Unit 370• ? Park Ded. Copies TOTAL 3-40sa.? • PertnN No. PKmit Holder Date Telsphone #t WATER SEYlER PLUMBING H.vAc. ? ? ?1,3 [r q 3 - //? E?FCrAic ra- /7 g' g!v S Mspeetion Date In . Gomrnents Footings I ? Foundalion Framing Roofing Rough Plbg. ,^ Rough Hlg. 0"7 !B Isul. Q Fireplace l??l LfJ Final Htg. ?J - Orslal Test Final Plbg. Plbg. Inspector - Notify Plumber Coast. Meter Engr./Pian Bldg. Final Dedc Ftg. Dedc Final weu Pr. Disp. CITY OF EAGAN PERMIT TYPE: `III I 0I NrI 3830 Pilot Knob Road Permit Number. Ea an, Minnesota 55122-1897 9 Date Issued: (612) 681-4675 SITE ADDRESS: {y f N . ri APPLICANT: r;aIP 41A Y fill 1.'-. IlR , , : h4.1tti ? ii I I 1 '? t r, i .' . •? ;?, !,t;q'I PERMIT SUBTYPE: i , •.?4 TYPE OF WORK: INSPECTION .• . .A ;,:???. i ? r•t I 1 ?;?? r 1 Nn? ! Ot'Mi1RY'; F- ? AND l N`',pF G 7 iUNS Permit Holder Date Telephone N PLUMBING HVAC Inspectlon Dete Inep. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG I FINAL HTG dRSAT TEST BLDG FINAL / DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL INSPECTIQ ? CITY OF EAGAN PP-RMIT TYPE: 1A' I"`' 3830 Pilot Knob Road Permit Number: `' I Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: ;+.';, t;. I?a1t1 k 1 tl;IJA" !11 I 1 ' PERMIT SUBTYPE: I I t I1k1 ( [hlei r.H i 09t, TYPE OF WORK: fd f 1,1 r i Nn i Permit No. Pertnit Holder Wte Tplephone # S/W PLUMBING HVAC ELECTRIC ELECTRIC InapeCtion Date Inap. Comments Footings I Foundation Framing Roofing Rough PI6g. Rou9h Htg. Isul. Fireplaoe Final Htg. Drsat Test Final Plbg. Plbg. Inspector - Notity Plumber Consl. Meter EngrJPlan Bldg. Final DeCk Ftg. 3G???? Deck Flnal J weli Pr. Disp. CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: Permit Number: Date Issued: t411 I 1 I) t! 0.•?- ;it: Hd/tl/! I SITE ADDRESS: , i f4WA Y 11 1 1 I i PERMIT SUBTYPE: I A1 II kftl 1 11 I11 •?1 1; I 1' 1 111N t Mll1.l}i It(1M ! INSPECTION D• • D• ?!??tl 1 t! t? i , i I I.. A', 1 1'111t/?I1 I't I,MI I I. I:i illll(:t li I lit, AP1Y !''I UMIIINII Ok f I II I11.1i !11 LIfil APPLICANT: TYPE OF WORK: Permlt No. Permit Holder Date Telephone A ELECTRIC PLUMBING HVAC Inspactlon Date Insp. Commenta FOOTINGS FOUND FRAMING 17,? - ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTCi DECK FINAL r (Iprfi#iratt of Mrrupanry Citp of eagan loppwwu,w Af "bptg jwPttIDri This Cenifrcate issued pursuant to the requirentents ojSection 306 of the Unijorm Building Code certifying rhat at the time of irsuance rhis structure was in compliance wilh the various ordinances of the Ciry regulating building rnnslructioe or use. For the foUowing. un clumfKatkm Sg DW/GAR 19552 Nae. Pennic no. O-UP-Y Tra - SCNS OU?S1?? t7u IUY A?, OVA= ? ??b75 FAIlbdAY l.TS DitIVE ? L , , ?? . 11/x2/ql ? ¢- u.? ewia? or.i POST IN A CONSPICUOUS PLACE .. __' . . _. ._ _A __. . --.-.-.. • -.. -,r _ .r..-. .. ?.,.?- .- ,.?:.y,..,.. .._n. . .r...,._ .. ,?.-+... > --.. rv . -.?.. SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN METER # PERMIT DATE ?3830 Pilot Knob Rd. Eagan, MN 55122-1897 cH?P #? ?o?a o/8 PERMIT # 1=='?1 ° e4J u S .. ' --?? METER SIZE B.P. RECEIPT # ' ? - DATE . A I c; ;:a _,;t? 1 ISSUE DATE O-a3-97B.P. RECEIPT DATE E,f./ ?T/Ai ? _ PRV A BOOSTER PUMP I ITE ADDRESS -E? ::' GrA`I e: IL1 S PERMIT REQUESTED OT ' BLOCK 4 SEC/SUB FAI ?2WAY H I LLS x SEWER fWATER - TAPS PPLICANT: DDRESS: - COMM/IND = RESIDENTIAL ITY, STATE ZIP X NEW - EXISTING ?PHONE: Lawn Sprinkler Meters are to be Installed PLUMBER: ? ? Ahead o,f'bome4ic Meters on Water Line. ADDRESS: f:if Crqdit WILL NOT be given for Deduct Meters. ? CITY, STATE L•: - ZIP i , PHONE: ? I AGR E TO COMPLY WITH CITY OF I' OWNER: _CNSTl?.t(CT7Ct CC EA ORDINA ( . ADDRESS: 1:!?) 1- TIFFANY ? ? CITY, STATE S?Abl Yh Zip ? PHONE: SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PRUCESSING. CAL L 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. fr I =WE'R & WATER PERMIT ? OFFICE USE ONLY ? METER # PERMIT DATE ??•I15/91 ? CHIP # PERMIT # 12215 ? -- - METER SIZE B.P. RECEIPT # ? ISSUE DATE B.P. RECEIPT DATE "? ( _ PRV >BOOSTER PUMP ADDRESS 4675 cAi1T"1AY HILLS DR 9 BLOCK 4 SEC/SUB pAI&WAY HILLS CITY, STATE ZIP _ PERMIT REQUESTED X SEWER X WATER _ TAPS - COMMiIND x RESIDENTIAL X NEW _ EXISTING • Lawn PLUMBER: ?,?_?? `x. ? , ? S !A? i , Ahea, ADDRESS: S`i/ ? f7' i- A. ? Cr6di CITY, STATE ZIP PHONE WNER: SONS GUHSTRUCTIOIti CO DDRESS: 1041 TIFFANY ITY, STATE EAGAN MN ZIP 55 123 HONE: 452--53 SS 'LEASE ALLOW TWO WORKING DAYS FOR PRaCESSING_ cJ eters are to be Installed e ic Meters on Water Line. T be.Agiven for Deduct Meters. % OMPLY WITH CITY OF SIGNATURE WHEN METER ISSUED INSPECTIONS. FOR STaRM I ?• ?? ? 1..?. ? ,. ' ? __'__ _ h/S,?rr?' ?' ' "_. _ _. _ . ._ . . . . ,_ AUCa 15, 1 99 1 DATE: 4675 FAIRiIAY HILI.S DR (SONS CONSTxUCTION CO) RE: X Y?ur Sewer & Water Permit for the above property has been completed. It will be held at the Oublic Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO r• CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot I be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be I confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. ? WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. ? - REOUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. J 1 /Secretary, Building Inspections Oept. J J CITY OF EAGAN Ng 19552 - , 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE:454-8100 Receipt# /I 1?/:?? y To6eusedfor SF DWG/GAR Est.Value $114,000 Date AUG 14 1991 Site Address 4675 FAIRWAY HILLS DR Lot 9 Block 4 Sec/Sub. FAIRWAY HILLS Parcel No. wlName SONS CONSTRUCTION CO ? Address 1091 TIFFANY City EAGAN Phone 452-5355 o Name SAME g? Address City Phone Rw Name E, ; Address a W City Phone I hereby acknowlege Ihatl have read this application and stale Ihatthe information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permitee A euilding Permit is issued to: SONS CONSTRUCTION CO on Ihe express condition thal all work shall be done in accordance with all applicable State ol M.in?ne?s?ota S?tal?ute?s? andC?fty ? of Eagan Ordinances. Building Official ( ?vu?___i4_?? vIAA. I?yy LI I I1 \ OFFICE USE ONLY Oaupancy R-3 7-1 Zoning R-1 (Aquap Const V-N Bldg. Permit (Allowable) Surcharqe # ol Stories Lenqih Deplh S.F. ToWI S.F. Footpnnts On Site Sawage On Sile well MWCC Syslem Ciry Water PRV Raquired BoOSter Pump APPROVALS Planner Council Bldg. Off. Variance FEES 689.00 57.00 448.00 100.00 50 ' Plan Review -49-' SAC, Cily - n SAC,MCWCC 650_0 WaterConn 660.00 waterMeler 95-00 X X ncd. oeposa 30.00 SM'Permil 30-0 n X S!W Surcharge - 50 Treatment PI 276.00 RoadUnit 370.00 - Park Ded. Copies - n TOTAL 3,405.5 /U33i '2 57227 [p " $ ? °? _ &, 9 5 Reqvest Date Fre No. Rou Inspection 1 O/ O? /?11 Re i tl? ? Ready Now ?`X ?^B^ R ?spec?or '?Yes ? No ea Y- IX_ licensed wntractor ---? owner here6y request inspection oi above electrical work at: Job Aecress TSireet Box or Rome No.i ? City 4675 Fairway Hills Eagan _ $ecnon No. rownsnio Name or No. Range No. -- ?--- Counry Dakota ar,ioant ?,PaINT, 'fons Construction Fnone No. 452-5355 Power Sup0lier Dakota Electric Atltlress 4300 220 St. W., Farmington, MN Elecincal Contractor (Gompa Nam¢i Joos E?lectric Co. ConRaclor's Litense No. AM01895 Mening A?Cress iGOnrcaclor a Owner Making Instellalion? 2104 Great Oaks Drive, Burnsville, MN 55337 - - - - -- ?_ AuIDm¢ed Smnawre iGon:ranor:Owner'?* ?g talialion, Pnone Number 431-4755 MINNESOTA STATE BOARO OF ELEC ICITY? 7 Crig9s-11,11ewey BIOg. - Foom St]3 1821 Universily Aoe., SL Paul. MN 55104 . . PM1One (612) 642-0800 THIS INSPECTION REOUEST WILL NOT BE AGCEPTED BV THE STATE BOARD UNLESS PROPEGV INSPECTION FEE IS ENCLOSEO. ?/ REQUEST FOR ELECTRICAL INSPECTION , '* esooom -oa /?/9/ il? See Insumc!lons lo: rompleting "is lorm on back of yellow copy_ 0S 72 2,7 "X" 827ow Work Covered by This Request ew QdtljRep: Typeof8uilding AppliancesWiretl EquipmentWired X i Home x Range Temporary Service Duplez Water Healer Electric Hea[ing Apl Building Dryer Other (Specity) CommJindustrial Furnace Farm Air Conditioner ONe? ?syecily) Conlrocmrs Remarks? Compute Inspection Fee Below: # Other Fee # ServiceEntranCeSize Fee k Circuits/Feetlers Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps 47 Transtormers Above 200 _ Amps A 00 _ Amps Signs inspecrors Vse Only. TOTAL Irrigationeooms . ?f^ $65.50 Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 HS. I, ihe Electrical Inspectoc. here6y Roo9nm certity that the above inspection has been made. Finai OFFICE USE ONLV ? ThI6 1BQ11B51VOld 18 II10n1h6 fIORI I ,. _ ,0- u-? O 993 0 . . ??? S 4 Re est Da e ? r?/? ? Fire No. O i Irrspeclion Pequiretl (You m st call inspector whe r aay) Yes ? No Inspection Other Thai Pough-In ? Ready Now Will Notify Inspector Date Reatl I? licensed contractor Ld'bwner here6y request inspection of above electrical work at: Jab Atlaress (Slreet. eox or Route No.) Ciry 4J-'71 Dr c- Section Na. Townsnip Neme or Na. Renge No. Counry Dak-dt-A- Occupant(PRINT) 12o?,-t S 13•?cdle Ppone No. 6g3- -u Pow e r Supplier Adtlress ( ? IJakUf-I E'UL'?YiL Eleqrical Conlracbr (COmpany Name) GonVactor's License No. Mailinq Atltlress (ConVactor or Owner Making Installation) AuNorizetl S wner aking Inslaila?ion) Phone Number ? 3:?a C,g3?096 MINNES A STATE BOARD OF ELEC RICITY TMIS INSPECTION REQUEST WIIL NOT Griggs-Midway Bldg. - Room 5-128 1821 University Ave., Sl Paul, MN 55104 BE ACCEPTED BV THE STaTE BOAVlD UNlESS PROPER INSPECTION FEE IS Phone(612166E-0800 . . . FNCLOSEO. '? 0?/ ? REQUEST FOH ELECTRICAL INSPECTION ee-ooooi-os ??? ? See inshuclions Por completing ihis brm on back of yellow capy. *?tp?q 53 5 y?7/9 5 "X" Belovc Work Covered by This Request Nev Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Neater Electric Heatin Api. Building Dryer Load Management Comm./Intlustrial Furnace Other (Specity) Farm Air Conditionar ONer (specily) Comractor's RemaMS: Compute Inspection Fee Below: N Other Fee # Sarvice Entrance Size Fee # Circuits/Feeders Fee Swimmin Pool 0 to 200 Amps 0 to 700 Amps Transformers Above 200 Amps Above 100 -Amps Si ns inspenor's use Oniy: TOTAL Irrigation Booms . y6. ?CJ Special Inspection . Alarm/Communication ' THIS INSTALLATION MAY BE ED SCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MO HS. I, the Electncal Inspector, hereby R°°gh'in oai cedify that the above inspection has been made. F?nai oai OFFICE lISE ONLV This request vaitl 18 monihs Imm Address: 4675 FATTUAY HILLS DBIVE Lot q Blk q Sec/SUb g??rAy These items were/were not complete at the time of the final inspection. " 11/22/91 Yes No Final grade (6" from siding) ;/ Permanent steps - garage ? . Permanent steps - main entry Permanent driveway Permanent gas Sod/seeded giass Trail/curh damage Porch Easement finish Deck Please veri£y with the builder the removal of roof test caps from tha plvmbing system and the shut-off of water supply to the outside lawn faucet be£ore freeze potential exists. ? ? PE<'RIfOMRP White - City copy Yellow - Resident copy Pink.- Contractor copy RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Conetructlon Heaulremanta • 3 registered site surveys showing sq. R of lot, sq. fl. of house; and aU mWed areas (20% maximum bt cove2ge albwed) • 2 copies of plan showing beam & whdow sizes; pouretl lountl design, etc.) • lsetolEnergyCakulatbns • 3 coples of Tree Preservatbn Plan tl bt pletted etter 711193 • Rim Joisl Detail Opt ns selecfion et (bklgswHh 3orless units) DATE -S? -/=V- ?s 7. ?!!D BemodeVRaoaU Heaulremenb . 2 copies of plan • i set W Energy CalCUletions for heated atlditions • 15tte5urvByforeMerbraddAion58tleCk5 . IrMkate il hane served by sepllc system for additbns ? VALUATION 7 ?ISb. SITE ADDRESS ?4 15- ?a?2wA-u fI,GG (N2. MULTI-FAMILY BLDG _ Y Pl- N NPE OF WORK ?JE'vb F FIREPLACE(S) _ 0_ 1_ 2 , APPLICANT _r STREET ADDRESS ?lS??EA.1?Y?-i CINLr,n/ Przn)KiFSTATE TELEPHONE # %7- S7Y-Sa 3S CELL PHONE ll FAX # PROPERTYOWNER SvG TELEPHONE# ----------------° ° °---------°------------------------------°---------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY ZIP .SS.3y6 Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINf OTA R (4 submission type) . Residential Ventilation Category 1 Worksheat Submitted • N?y??rk?e? lJ • Energy Envelope Calculations Submitted MAY 2 4 2002 Plumbing Contracfor: Phone # _ ___?_ Plumbing system includes: Water Softener Lawn Spruikler ---icc.......a„ „ Water Heater No. of R.I. Baths No. of Baths Mechanical Conhacfor. Mechanical system includes: Sewer/Water Conhactor: _ Air Conditioning Heat Recovery System Phone # Phone # I hereby acknowledge ihat I have read this applicaTion, sTate that the inform with ail appiicable State of Minnesota StaTutes and City of Eagan Ord' e SignatureofAppll t .__._.....--•-°?---..._...------__._ ?? OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Fee: $70.00 ,°----°--------------- and agree to comply Not Required _ Updated 4102 PERMIT CiTY OF EAGAN 3830 Pilot Knob Road PERMITT v E:? ? BUIIDING Eagan, Minnesota 55123 Permit Number: 021654 (612) 681-4675 Date Issued: 0 7/ Z Z I9 3 SITE ADDRESS: P.I.N.: 10-25600-090-04 4675 FAIRWAY HILLS pR LOT: 9 BLOCK: 4 FAIRWAY HILLS DESCRIPTION: -? Bu?ilding,._Permit Type DECK ,Building ?Wark Type NEW ,-UBC Occupancy-, R-3 Building lengthl? f? Building Width - ? t, \ ? '- / REMARKS 16 16 FEE SUMMARY: Base Fee $25.00 Surcharge $.50 Total Fee $25.60 CONTRACTOR: OWNER: - RPPllcant - BRADLEY ROBERT 4675 FAIRWAY HILLS OR EAGAN MN 55123 (612)683-0967 I hereby acknowledge that I have read this infiormation is correot and agrse to comply Statutes and City nfi Eagan Ordinances. l APPLICA /PERMITEE SIGNATUFE application and state that the with all appliaable State of nln. I -I ? ISSUED Y: IG AT RE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: LoT : e a La c K: q APPLICANT: _4675 FAIRWAY HILLS OR BRADLEY ROBERT FAIRWAY HILLS (612) 683-0967 PERMIT SUBTYPE: TYPE OF WORK: DECK NEW BUILDING 021554 07/22/93 INSPECTION D. . D. FOOTING FINAL ? ? I?, . i I?.,J.. {,I f1 I.o • 1 ' Iq r,a 0,; N C ci ':1 I i?Mli.A I; f I t'(UfK' d L- d I H f 1 V f li ? f f:.' , . REACTI'vATE _ iECENED CITY OF EAGAN PEwMI7 f# ' 1993 BUILDING PERMIT APPLICATION 22.5?? lo? J U L 1 5 1993 _- 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, l.set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month• in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Z5Z-i4[ IS / I9J3 Valuation of work CFi,?,t .Fee ) Site Address: q6'15 H,'IIs [7r 1-1 N sSi?-3 STREET SUITE / Tenant Name: (commercial only) ? LOT 'I BLOCK 4 SUBD. P.I.D. N Descri tion of work: 0r,.E_ Ie?I ceda.,- de,l- w;rtK o.,a_ s+?;r...Q C 3- s+e s The applicant is: M Owner ? Contractor ? Other (Describe) Name F3r0.die? t S'sc., Phone 1&-11 -gb7-,L_?Da.,S Property LAST FIRST bga-oti?? rib,?e_ Owner C?j I}?y5 e? e pddress 4(*?5 STREET STE / City State MrJ Zip Sb 123 Company fi L.?r ?re?n Phone Contractor Address 3R7-3 L=A?te a?. No e#? Exp. City Q o?:s State ?''? Zip Company N 'k Phone Architect/ Eng(neer Name Registration !I Address City State Zip Sewer & water licensed plumber . Processing time for sewer 8 water permits is two days once area has been approved. I hereby acknowledge that I have read this•application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: 7?rl u- 5- BUILDING PERMIT TYPE ? 01 Foundation ? 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 SF Misc. woRK nrPe Ot 31 New ? 32 Addition OFFICE USE ONLY 0 06 Duplex ? 07 4-P1ex O 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'1. ? 33 Alterations 0 34 Repair ? 11 Apt./Lodging ? 12 Multi. Misc. ? 13 Garage/Accessory ? 14 Fireplace g 15 Deck ? 35 Tenant Finish p 36 Move ' 5 M6 flasemen.t.Ein?'rsh ? 17 Swim Pool ? 18 Comn./Ind. ? 19 Comm./Ind. Misc. O 20 Pub11c Facility ? 21 Miscellaneous ? 37 Demolish GENERAL INFORMATION Const. (Actual) (Allowable) ? UBC bccupancy ? Zoning N of Stories Length Depth i APPROVALS Planning Engineering RE('1UIRED INSPECTIONS ? Site ? Wallboard Basement sq. ft. lst F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Variance g Footing $ Finat MWCC System City Mater PRV Required Booster Pump Fire Sprinkler Census Code Rw SAC Code O Assessments O Framing O Insulation ? Draintile ? Fireplace Permit Fee ?oo Surcharge ,? Cb Plan Review License MWCC 5AC 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 % SAC Units vaLuatim: g CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.s 10-25690-090-04 PERMIT 4675 FAIRWAY LO7: 9 6LOCK: FAIRWAY HILLS PERMIT TYPE Permit Number. Date Issued: HILLS DR 4 auzLqrwe 032380 07/06/98 DESCRIPTION: Btt°ild'zng, Permit Type Building?Work Type ?.'Census Cade ` i !y l ; . i., ,;,_ ? ? BASEMENT FINISH ALTERATION 434 ALT. RESIDENTIAL , ? ?? ? .. , w .?• .. I ? % t ? REMARKS: PLAN REVIEWED BY MIKE BARCK CALL 445-2840 REGARDING ELECTRICAL PERMIT AND INSPECTIONS SEPARATE PERMIT REOUIRED FOR ANY PLUMBING WORK FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: - Applicant - sT. Lzc LUTZ, GEORGE 14355841 4A06 L 7 20 W 152ND ST URNSVILLE MN 55306 612) 435-5841 OWNER: BRADLEY ROBERT 4675 FAIRWAY HILIS DR EA6AN MN 55123 (612)683-0967 I hereby acknowledge t:hat I haVe read this intormatiap is correct and agree to comply Statutes and City nfi Eagan Ordinances. L . ' APP ANT/PERMITEE SIGNATURE / applicatzon and sCate Chat th:e with all applicable State ot Mn. _ Z--?L ISSUED BY: IGNA RE t 1 323it 998 ,/ New Construction Reauirements BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PII.OT KNOB RD - 65122 I ??• 681-46TS ? 3 registered sile surveys ? 2 wpies of plans (inGude beam 8 window sizes; poured fid. design; etc.) ? t energy calculatlons ? 3 copies M tree preservation pian 'rf lot platted after 7H193 required: _ Ves _ No DATE: DESCRIPTION OF WORK: RemodeVReoair Reouirements ? 2 capies oT Plan ? 2 sfte surveys (e#erior additions 8 dedcs) ? 1 energy calalations for heated addkions CONSTRUCTION COST; c?ccs?Q ??sE?.: .$-Uc- STREET ADDRESS: `4 05 ,,)cOT: ? BLOCK: 4- SUBD./P.I.D.#: VA,I Y W(AA/1 ? I S Name: _ Phone #: l0 D 3-674 / PROPERTY Last F;nt OWNER ?r ( 1 ( y? Sffee[ Address: `r(OZ J City _?jJaQq?l/? State: Zip: Company: Phone #: `c3 S^ SN -r / CONTRACTOR l r,( ? f 3/31/9q 61,?r• ? / Street Address: `b ? ? ? `? 1?. License # 4? ?o City State: KA--- Zip: ARCHITECT/ ENGINEER e:omQany:_ Phone #: Name: Registration #: Street Address: City State: Zip: Sewer & water licensed plumber (new construction onry): . Penalty applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply with all appliqb! State of Minnesota Statutes and City of Eagan Ordinances. , n Signature of Appiicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservatlon Plan Received _ Yes _ No L OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation O 06 Duplex ? 02 SF Dwelling ? 07 4-plex O 03 SF Addition ? OS 8-piex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 _-plex WORK TYPE ? 31 New A 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Pianning 0 11 Apt./Lodging x ? 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace _ ? 0 15 Deck ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Variance LJ ?L ?- -2_ Permit Fee Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S!W Permit S/VN Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: /?VI Engineering Valuation: $ t y ' i? 1 16 Basement Finish 17 Swim Pool 20 Public Faciliry 21 Miscellaneous MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit °k SAC SAC Units . PERMIT C03q5-39 `?CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 5 3 8 2 (612) 681-4675 Date Issued: @ q/17 / 9 5 SITE ADDRESS: 4675 FAIRWAY HILLS OR LOT: 9 BLOCK: 4 FAIRWAY HILLS P.I.N.: 10-25608-090-04 DESCRIPTION: (MUDROOM) REMARKS: SF (MISC.) ALTERATION } . ? .;: .. ?...._:L:;. B'uilding`-Rermit Type 8uildin4 Wo ?= 'rk,Type ? i .s ? ?. ..-, f _. A SEPARATE PERMIT TS REQUIRED FOR ANY PLUMBING OR ELEC7RICAL WORK FEE SUMMARY: vaLuarroN Base Fee Surcharge Total Fee $54.00 _ $1.59 $55.50 CONTRACTOR: $3,000 BRAOLEY ROBERT 4675 FAIRWAY HILLS DR EAGAN MN 55123 (612)683-0967 OWNER: _ Applicant - T liereby acknawledge that I have read this information is correct and agree to comply Statutes and City of Eagan Ordinances. .. APPLICANTlPERMITEE 5 ATURE d;pplieation and state that ttre with all applicable 5tate of Mn. I I' SSU D : SI TU?EI ?- INSPECTION RECORD ; CIl'Y OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 BUILDING 025382 04/17/95 SITE ADDRESS: APPLICANT: LOT: 9 BLOCKc 4 4675 FAIRWAY HILLS DR BRADLEY ROBERT FAIRWAY HILLS (612) 683-0967 PERMIT SUBTYPE: TYPE OF WORK: SF (MISC.) ALTERATION DESCRIPTION (MUOROOM) INSPECTION FRAMING .. . ROUGH ZN PLBG D. ROUGH IN HTG FINAL FOtlTLNGS INSULATION REMARK5: A SEPARATE PERMT7 IS REQUIRED FOR ANY PLUMBING OR ELECTRICAI, WORK ? ? r • . , ,ro,'• .. . , _ ,', CITY OF EAGAN 41 ie, 1?0 J§,iil 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 ? 3registercd ske surveys ? 2 eopies o1 plan ? 2 copfes of plans (inGude beem 8 window saes; poured fid. design; etc.) ? 2 site eurveys (exteriw add'Rions 8 dedcs) ? 1 energy calwlationa ?1 energy calculetions for heated additions ? 3 copies oi hee preservation plan 'rf lot platted aRer 7/1193 required: _ Yes _ No DATE: &jjr I-11 i y y 5 CONSTRUCTION COST: -9)9so DESCRIPTION OF WORK: Add.+j? aF m4d? w++-G;.. ?x:3?r= 4a.-as? STREET ADDRESS: ' LOT ? BLOCK PROPERTY OWNER CONTRACTOR ?{'b75 Fa??wa..., 1?lls'nvt ?.ayc.. SUBD./P.I.D. Name: Br4 dLr.. I?oStr+- Phone#: 683-UyeZ- W id6T StreetAddress• q6-75- F-a;.??., thifs City: Eu u6_-•, State: M nJ Zip: SS i 2 3 Company: Street Address: City: State: ARCHITECTI Company: ENGINEER Name: State: Street Address- Ciry: Zip: Sewer & water licensed plumber: N,+ f n o Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes '_ No is correct and agree to comply with all Phone #: License #• Zip. Phone #- Registration #? F= APP 0 7 1954 Tree Preservation Plan Received Yes No BUILDING PERMIT TYPE OFFICE USE ONLY ? 01 Foundation o 06 Duptex ? 11 Apt./Lodging o 0 02 SF Dwelling o 07 4-piex ? 12 Muiti RepaidRem. o 0 03 SF Addition o 08 8-plex o 13 Garage/Accessory ? 0 04 SF Porch o 09 12-plex o 14 Fireplace o )( 05 5F Misc. 0 10 = plex o 15 Deck WORKTYPE - - ! Mur???co,,., ?-31 New o 33 Alterations o 36 Move 0 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION IL -;'t :N -;..? & ? 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous Const. (Actuat) Basement sq. ft. MCM/S System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. ysy Depth Footprint sq. ft. SAC Code _Q/ Census Bldg / Census Unit Z9_ APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ ,P . ooo Surcharge • Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit sNV Permit y8 X S-Y SNV Surcharge Treatment PI. Road Unit Park Ded. . -r- - Trails Ded. Other Co ies _ -Y p Total: ? I r % SAC '- ? - SAC Units 7999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ? Co I 651-681-4675 ?tf?""_" ? L78w Constructton Reaulrements RemodellReoair Reauhemen ? 3 reglsfered sNe surveys showing sq. fl. of lot, zq. tt. of house and gll roofed areas (20% maxlmum lot coveraae allowed) ? 2 copfea of plans (show beam S window slzes; poured Md. design; Mc.) ? 1 sef of energy calculatlons ? 3 coples ol hee preservation plan X lot plalted alfer 7/1193 DATE: L./30I99 DESCRIPTION OF WORK: v root-- ?• ?. add?' oF deLlL Soa? 2-1 STREETADDRESS: 4'(o'1?j? ? •i+S ??,- a,r".7..., ? LOT: 9 BLOCK: 4 SUBD./P.I.D. #: FU;-fj H; lis PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER Name: F)rad(,.. (Zn?.-{A Susae. Phone#: Lasf Pint Sfreet Addresr. F7--;rcJ" 4'II s Dr City State: Zip: ?S? 23 Company: Phone #: (area code) Sfreet City 2 copies of pian 1 set of enetgy calculWlons for heated addlNOns 1 sRe survey lor exterior oddMions E decks CONSTRUCTION COST: ? est. 4r 150 License # Exp. State: Zip: Company: Name: Telephone #: area code ( ) Sheet City Sewer 8 water Ilcensed plumber (reaulred for new construcHOn onlv): State: Pe:ratFy applies when address change and lot change is requesfed once permR is issued. . Zip: I hereby acknowledge that I hwe read this application, state fhat the IMormaNon is conect, and agree to comply with all applicabl Sttlfe of Minnesota Sfatutes and City of Eagan Ordtnances. 11 Signature of Applicant: Certificates of Survey Received _ Yes Tree Preservation Plan Received Yes OFFICE USE ONLY _ No - No - Not Required Regisfration #: -! ; 0 rdgg OFFICE USE ONLY BUILDING PERMIT TYPE Y? . ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex O 17 Garage ? 22 Porch/Addn. (4sea. ? 03 1 of _ plex ? OB 6-plex ? 13 16-plex ? 18 Deck ? 23, Porch (screened) 0 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 Sidi ng/Soffits/Fascia O 32 Addition ? 36 Move Bidg. ? 40 Gas Insert ? 44 Win dows/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 demol ition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code d/ UBC Occupancy sq. ft. No. of Units ? Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS v Planning Building Engineering Variance 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 Total: !;q 4 Valuation: $ ? i SAC Units % 5AC 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) ? CITY OF EACAN 3830 PILOT KNOB RD - 55122 I?071 851-881-4875 w CanshucHOn ReaulremeMS J S?)L--Ov a S reglatered Yfe wrveys ahowlnq sq. l! of bt, sq. fl. 01 house and gO roofetl areas (20'iG mmcimum bf eovemae olbwedl > 2 coples of plans (show beam 8 wlntbw stzes; poured fnd deslyn; efcJ > 1 set of energy calculaHom ? 3 coples of hea preservaflon plan H IW plaNed after 7/1/93 DATE: 0 DESCRIP'fION OF WORK: I-.? v? ?C? STREETADDRESS: ? 'Si?,?S^ ?i; LOT: ? BLOCK: ?_ SUBD./P.I.D. #: PROPERII( OWNER COMRAC70R ARCHITECT/ ENGINEER , •.. .- ::,? '.:??R7u'.3?1?1 411, S1.15 Called 515100 1 f6t of 6f19fgy CClCUIOflO(15 fIX hBCW OddIHOfIi 2 copiea W plan 1 site survey for extedor addlNOns & tlecks e (30 COST: `7 . CX)C) ? Name: '.)C`CI 1'I Phone #: lasf Flrat Sheet ciy cG c 0 r\ ? srate: f1?OJ np: 55101Q Company: Phone #: ? 523 --& 3S (area code) Sfreet Address: CG'C'f`?c l l Cl?lJ Llcense ffi 6,ExP. ?_ ciy zlc?m(?lsIN-1 stote: m1v Zip: 55t7C 3 Company:_ Telephone #: ( Sheet Address:. CNy ) Name: Regishafbn M _ Sfate: Z1P: SewerJwater licensed plumber (H installina sawedwatar): Phone #: I hereby acknowledqe ttat 1 have read this applkafbn, sfate thaF ihe infortnaffon ia To gree to comply with aU appAcable StatE of Mlnnesota Sfalutes and CNy ol Eagan Ordinances. 1 Signature o} Applicanh OFFICE USE ONLY Certificates of Survey Received _ Yas _ No r.lar - 4 ? Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY J? BUILDING PERMIT SUBTYPES ? 01 Foundation O 07 05-plex ? 3 16-plex ? 27 Porch (3-sea.) ? 02 SF Dwelling ? 08 06-plex 7 Garage ? 22 Porch/Addn. (4-sea.) ? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 04 02-plex ? 10 08-plex ? 19 lower Level ? 24 Storm Damage ? 05 03-plex ? 11 10-plex Plbg _Yor_N ? 25 Miscellaneous ? 06 04-piex ? 12 12-plex ? 20 Pool ? 30 Accessory Bklg. WORK TYPE JK'31 New ? 36 Move Bldg. O 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding ? 33 Alteration ? 38 Demolish (interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors " Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code 0( # of Stories I sq. ft. No. of Units rI Length ? H S4• ft• No. of Buildings 1 Width i 0 Footprint sq. ft. Const. (Actual) -ov Basement sq. ft. Census Code (Ailowabie) -?ay Main level sq. ft. MC/ES System UBC Occupancy - _ sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning B uilding ? Engineering Variance ? 31 ExL Alt - Multi ? 33 Ext Att - SF ? 36 MuRi 439 Permit Fee 5urcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Oed. Trails Ded. Other Copies Total: Valuation: $ •0C) SAC Units % SAC `n 1991 SINGLE FAMILY DWELLINGS 2 SETS OF PLANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCULATIONS ? CITY OF EAGAN MULTIPLE DWELLINGS 653•00+ 57•00v !F4H•U0v 7_, 211•50r 3,[+05•50" 2 SETS OF PLANS y? REGISTERED SITE SURVEYS - ........ ..,... (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST wORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESI DESIRED. NO CHANGES WILL RF. AT.T[1tTF.11 f1NCF. RiTTTi17TTC DFRMTT WATER TSHOWIME ?fI ?IHAS PLUMB RERMITS IS TWO DAYS ONCE ?It??? ? 114,000 To Be Used For: 1,Fam_nor ' Valuation:XA%,'j= Site Address 4675 Fairway Hi71s Dr. Lot 9 Block 4 Parcel/Sub Fairwav Hills Owner _ Sons Const.Ca. Address gmm 1091 Tiffany City/Zip Code Eactan Mn. 55123 Phone 452-5355 Contractor Same Address Qamo City/Zip Code same Phone same Arch./Engr. _ Stock orint Address same City/Zip Code Phone # OFFICE IISE ONLY Occupancy lZ 3 M-1 Zoning R- 1 Actual Const V-/./ Allowable V-N # of stories L.ength Depth S.F. Total Footprint S.F. On site sewage_ On site well MWCC System tf? City water ? PRV Booster Pump APPROVALS Planner _ Council Bldg. Off. .?S-5 9/ Variance FEES Bldg. Permit 689,0 Surcharge 57,00 Plan Review yt/ J3,oo SAC, City IOOtOo SAC, MWCC S ,00 Water Conn. bO.Ob Water Meter q5',00 Acct. Deposit 30,00 S/w Permit 3OsW S/W Surcharge iS"U Treatment Pl. 2 00 Road Unit 3'70400 Park Ded. Trail Ded. Copies SUBTOTAL Penalty LoE Change TOTAL ,C/GA%// ayze:r agrees that all work shall be done in accordance with (Signature of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. EXTBRIOR.ENV8LOP8 ENBR(iY CODB COMP.UTATIO1i WOBKSHS$T Zb Determine darpliance with the tdinnesota Fhergy 0ode (Sectian 502 of the stabe Amended 1983 Model &rar9Y Coda) P[OjeCt Tlt? Bradlev Job Site Addcess?Lot 91 Slock 4, Fairway Hil].s. - r 1. EXPOSED WALL CALCULATIONS A&FA 'U" YJ1IA8 ARFA x "U' A. Opaque Wall . 1. Masonry/Concrete . a. x • b. x ? C. Y ? 2. Fourdat at Wa GX a. ` S x .01 4.71 3. wow Frame w%U d. II18111dted ACed Y .047 b. FIa111iIYj AI63 (Ave. 15$ $t 164 OC) ? I40.1 Y Ih ¦ ?. ! c. Framing Area (Ave. 10i at 24' x) x,?,_ • _ 4. Peripheral Floot' Fdge/Rim Joist a. 210 x -o4„ b, x . B. G.lazing l. Windows . a. ? s b. 4o Y .47 2. DOOYS x ? C. DOOCS . 1. id70d a. Solid 2D z(, ? 1. 2 b. With etorm x = 2. Metai x ' ¦ 3. Overhead x ¦ 4. Other x • D. 70TAL N%IL 11RF1?f sq. £t ......:............. . Z--J I e)_ E. TOTAL OP AIiFA X"U" ............... ...................................• 2(02 .! G II. ROOF/CEILING CALCULATIONS A. Roof/Ceiling Insulated Area J[e14.(e x • OZ B. Faoof/Ceiling Framing (Ave. ]Si at 15" x) • x ? C. Roof/Ceiling Framirg (Ave. 10i at 24' x) x . 0 2 D. Skylight x ¦ E. TOTAL ROC1E'/CEII.IAG ARFA sq. f t .............. i? q 4 F. ZUPAL OF ARFA x"U" .................................................. 3.$7 Ai. BU1LDiNG 81iVBLOPB BEQUIRBM8NT8 TpML AM ? ?• ALLOWA8L8 (Fczm i.D i II.E) (I'ram V.) • (Araa x'IJ') A. ncposed wa]1: ?1f?,? Y . 11 ?= b•? B. Pco£/Ceilirgs i'1g 4 . x _---pa;.. C. TOPAt. ALU1hF+BLE HUIIaING IIWEGDPE ('ltiotal of A i B abwe) ... 7342S . Co2- IV. ACTUAL BUILDINQ BNYBLOPB ACTUAL (At6a x 'U') A. ExpOSed VJ311 (FtOm I.E) ' Z(e Z. 1 b 8. Roof/Ceili[g (FtGm II.F) C. TOTAI. ACiL1AL BUIIDU1G FNVF3L)PE Cibtal oE A i 81............ *(Nwts eoa nqrleements 1f less tW III.Q V. REQUIRED "U" YALU&4 T?,LLS InO?? /CEI?NG Detached ore and tMV fami]y dwalliNs .11 .026 * Multi-Family Residential Suildings •238 •M (3 stories or less in height) * All Other donstruction Tjpes (3 seories or ]ese) .238 .06 • 1+71 Other Ganstructicn Types (More than 3 st.ories) .28 • .06 • esua on eooI na•sin9 agree ays (iats/sc. raYU JW,1ust •Y' raiws aceordinaly for athor tacaLi.qli CERTIFICATiON I hereby certify that I have oampleted the above lnbotmdUM.md ftt 1t oalpliRa with L Minnesota Stat$ Enerc? Code. / „ BCSD 3-89 CC/SA9/6579 CITY OF EAGAN FOR CITY USE ONLY 3830 YIIAT KNOB ROAD EAGAN MN 55122 PERMIT # PHONE: (612) 454 8100 RECEIPT # 99G.kidNxC$I:;?'Ett?f?'f DATE: 9' ..............:... ..........,.............. PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ------------------- WORK DESCRIPTION NEW CONST ? ADD ON REPAIR OWNER NAME: SITE ADDRESS: 'Y(o ?,!? n LOT: / BLOCK ? SUBD. INSTALLER: GIIVZ-RYAN PLi1MBING & HEATING ODMPANY ADDRESS: 14745 South Rohert Trail CITY: Rosemount ZIp: 55068 PHONE 423-1144 FEES ADD-ON MINIMUM $15.00 HVAC 0-100 M BTU ,24-00_ ? ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 ? OF 1 PER PERMIT 7?±e SUBTOTAL: $?/ STATE SURCHARGE: .50 TOTAL: $ w 4o--?--? ' SI ATURE OF PERMI TEE COMMEOIALJTtIDUSxItZAZ;; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/ZNDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BIACK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: FEES 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. nnCCE:SED ?IP::QG $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE TOTAL: (SIGNATURE) CITY OF EAGAN CITY OF EAGAN , 3830 PILOT RNOB ROAD " EAGAN, MN 55122 PHONE: (612) 454-8100 $fi'?.,?,?$mgwm / -----------°-- WORK DESCRIPTION NEW CONST X ADD ON REPAIR _ OWNER NAME: Snns Construction S1TE t,DDRESS: 4675 Fairway Hills Drive IAT: 9 BLOCK 'Y SUBD. ?? INSTALLER: R C Plulbirlg ADDRESS: 5910 CMester Ave CITY: Northfield Zip; 55057 PHONE # 461-2096 PERMITTEE "FOR CITY USE ONLY PERMIT # RECEIPT #-17? DATE: DWELLINGS & °----------------°------ COMPLETE THE FOLIAWING: FIXTURES EA. TOTAL ADD-ON MINIMUM 15.00 SHOWER 3.00 .3. - WATER CLOSET 3.00 q- BATH TUB 3.00 G, - LAVATORY 3.00 /a ? KITCHEN SINK 3.00 -3 - - LAUNDRY TRAY 3.00 31 HOT TUB/SPA 3.00 WATER.HEATER 3.00 -3. - FLOOR DRAIN 3.00 a - GAS PIPING OIIT. (MINIMUM - 1) 3.00 3 - ROUGH OPENINGS 1.50 z-SD OTHER WATER SOFTENER 5.00 PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 SUBTOTAL S ST. SURCHARGE .50 TOTAL: S 6-1)'('?D NO ? ? ? / ? ? ? L ? 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: PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ----------------------°-------°-------- SITE ADDRESS: LOT: SLOCK _ 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 ?soBe ?' ENGINGGtilNG COMPANM, INC. CO P4flNJi6flf uuJ?IAND fbflYfYORS IUSJq EABT 148m 6TREfiT, dURN6Y11.LE, MINNE807A 6639t PN 46E-s0U0 Certificate of Survey Legal Uescrl t?l.on: 4or j?, a-ecae ¢, ?-.4lawAr .114rs1 aA"rq cMIPvn; nWi•urvE'sor•4. SCALE i 1' - 90' V030,5 ) DENOTBS EXISTINC3 ELEVATION ' DENOTES PROPOSED ELEVATlON IMQICATES DIRECTIQIJ OF 6URFACE DRAINAGE 034: 33 = FINISHED GARAG@ FL4pii ELEVATION O G-B = BASEMENT FLOOR ELEVATIDN 1a34S3 m TOP OR 81.OCK ELEVATION / 2? e8 ?oZB,¢r 5 " 'n 79s/',0 M0, W Nus J?64069 ? • sso a? \ PkoR?E? ? HouBE ? ___ • 3?,1b ?3_o,i? eo ORA/NA6E AMv U7lL/7Y E4,,:,rh7E1vT BOOSTER PUMP REQUIRED ?. 7) R ?'0 I EAGAId 10 1 ? I al ? ? q I a ? ? ? ?s1 DEPT 1 haraby oarllty 1ha1 thls ts a Uue and aoneot represatttaUon o} u lraal o( land as sliown and desovtbad horaen. As Inapared by'ma on tlila day ol ,??6?T - ,1s?- • n?EV?$?wU 8-8-9/ AI?Eb P9yULN7 . . . W/Nrrowy, ,Ps!/Jep ?p?b?b NovfC . . ?n? . . . .. . . . EL??9Ti?, ? ??05 ? Minn, iiey. Ho. , :I, p fT F,ppNT Bf//LDlAI'G S'E7344(? UNE 10 86 I t4 O .a ( o ? ?? I , ? IfONGINGGRING C PLRNVIgs° a ?°?ANp si11RV6YVNS lab 94 , .41COMP19NM, INC. -..IUUU EABT 140 81flEfiT, IiVRNBYIL4F:, MINNE80TA 6833f PH 438^3000 . Certificate ofi Survey Legal Descrj #Rion: `or 9 azoex 4, rA??cu4r ,yias, DAK074 COuN7'Y, M/?VNES07q. scnLIE 1 10 . ao' / ,vBa°?z%Z l ai ese i Q030,f) DENOTES EXIST{NG ELEVATION ' 0034w0) DElVOTEB PROP06ED ELEVATfON -• INDICATES DIRECTION OF 6URFACH DRAINAGE D/ 34.33 m FINISHED GARAGH FLQOR ELEVATION 0 6- B= BASEMENT FLOOR ELEVATION 1,03483 m TOP OR BLOCK ELHVATION , N 79°/5'q?• 6 ? W N \`?? ?M30G? i26«6E . ?j w ? L3_o,?? ? ? • ?. ----- -? N N.c \i • ?S? $ 5.50 PKait?SED $3-ia.5o HauBE C) D441N46E 4AID 0711-17Y E.401YI4/tIT BOOSTER PUMP REQUIRED +- ,$p F .T FRGWT BV/LDrNG sEraacx u,vE , . , ,.? '-1•? I 10 t,u I ( 0 ° az.a? o • ? ?--? I ? io 90.3 pZ.E N 86 ?I ,,.:. ;. ;J (. £Ni ? 4C 4 N ? ?l I ? ? ? ? ?. ,. ? 1 hareby oerllly tltnl ihls Is a lrua oud aorraot rspresaitlatbn ot o lraot ot laod as ahown end desorlbad bennn. At poeryelaJ Ily"ma ott 11118' ?? dey oi Av6u5T ?,18?. R6vi4ao B•8-9/ •vavfn cwyuiNr kNiveyHnS. ,e.vlfBO iROPbbC?i 1/?lifE ElEY9Ti?, ? . , HU6 0' '91 08:01 TO 4525355 FROM PROBE ENGiNEERINi T-502 P.01 PctT?av flQBC .. , 1 . CONSUI.jIICl 6NOINfEIif (03 ' 1?SIC?..?(?ICGAIDlG PLI1Nn6i nnJ LAND 9IlACOMPANY, INC. ? N44321o3ouO IUUU LA9T Iti6ih BTflEETs FIUA NBVILLE:, MlNNE80TA 6CCertificate of Survey . Legal Descri tion :(-ar 9, azoce 4, le?flawqr 111as, DA.E'OTq CO11A17y M/.vNES07q, DENOTES EXISTING EI.EVA710N ' C/o3/•S ? DENOTES PpOPOSED ELEVATIOIV ? (NDICATES DiRGC7iON OF SURFACE DAAINAGF o/ 3,/ 83 . FINlSHED QARAGE FLOOR ELEVATION D¢./Z c BASEMEN7 FLOOR ELEVATION 3/o z-ib = TOP OF BLOCK ELEVATION SCnLE r t• a 3a 1 N8a°/2'/2 w (A°a84') ? .V 79e . /za /S g5 , WH • 3o FT. fR[xMT yUILplNa sEraac,e u•vE ?-? ? ?v ? ? _ • 43 .AW83 649.6) ? ?•?_ i .yJ `'° ------ --? ?5o A I $ PkaRZS?O ?10150 Hou6E •,,.`(?a3?.5? m s4m ?- p,PA/NA6E ?"o 0T/L17Y Efl,$EnJENT? ? 1 7W-0 ?`F.P• 1 _-- ? 8b /l OZ?E ?orsa) N =r i/ 1 l I D? ?Ll . u , a - 4 I 32.33 a ? g I lo i N ? • • ? ,? I jar Yh ? V ? I? I ? I a ? ? ? i 1 i ,?? / () I f L/ -1 ?I Acf'???1\ J }In?se Si?S yo" frvm cvr6 'to QyfIS'bnp? ?1pre'k ? i lieteby oarUfy Uiat tbla {a e true ead aotreat rep+*saulaflan nt a Iraol ol lmiJ as ahown RL1G 07 '91 08:01 TO 4525355 FROM PROBE ENGINEERING T-502 P.01 flOB6 . , #37z4.or . GONfUI.T1N0 6N0 HEEliS BK/?3 ' ' ?j1j(;. AlANN6RS nud ?AND ?118V8VqRS C4MPflNY, l1VC. ? „IUUiI CAai 148fi BiflEETi dURNBVILLE j MlNNE80TA 66311 PM 4113'30U0 Certificate of Survey ? Legal escr' t? ion : LOT 9, azocX 4, FA/RW/lY yius, 0.9A1,0rq COUN71? M/NNESOYi4, SCALE t 7" - 30' / it/BD01211Z l pENOTES EXISTINQ EI.EYA710N ' (/o3/•S ? DENOTE6 PROPOSED ELEVATION -+ INDICATES DIRCCTIOiJ OF SUNFACE DHAINAGE D3/ /.83 a F{fVISHED QARACiE FLOOH ELEVqT10N D 9; /2 x BASEMENT FLOOR ELEVATtON zon-16 TOP 4F BLOCK ELEVATION .3o FT. Frtavr BwcD;?v? C? ?% ;? /, SETBACK UNE ? w ' o028.¢? '? ? /ozy,83 ?.? ` lD$l. ??_? ! ?a3oz_ ? 3).,r ??? ?V w \ ) ? e 'PRoPoSED --- 'IS' ? E GK i n re-d ; X i(o, D•FA/N46E /1N0 UT/L/?Y E4fEYf7tNT, s'- 1$ PknR%ED I `/0:5o HotaBE I ? ? r?DA fP \ ?/o3i.Z ?I ?- ? ? 90.35 „ i=0 7' '?" 86° //' 02 E /?o ;Zz`.7> N ?r I/1 4.86 ? S) I "i i J ?. 1,I i ar Iku 1 \ _ w ?y h ON ?` ? I ? t I i ? II +?, 1 lioreby aertily lllal thla ia e?gue aiiJ aorreol repieseulat{on oi s tioal of IanJ as shown , qj . s 4q0 RECEIVED Use BLUE or BLACK Ink OC I 0 2010 For Offs e Use',------ City o Eaht'adfl Permit ~ U- ~ ~ ~ 3'830 Pilot Knob Road Permit Fee: Eagan MN 55122 j Date Received; j Phone: (651) 675-5676 i staff: Fax: (651) 675-5694 1 - 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 0_ 0 Site Address: `'Gt i f UJ 0.u 1 S j y Tenant: Suite # RESIDENT /.OWNER Name:!' 'Sue- Phone: (PSI 62 3 C)%7 Address / City /zip: y ! 5 a 1 r W 0.Q Of ]Is [),r 1 y e Applicant is: Owner Contractor 73 TYPE OF WORK Description of work: e- p~0.C~5 W \ Y~c~ dVJ S \ `f\ 2'X 1 S~' 1r~q O~¢ ►~t Construction Cost: Multi-Family Building: (Yes / No 'y 9 <2 CONTRACTOR Name: W% r,c W CO trtiG2-oi S License o~ Q ?J Address: 990 Lone, )oy jq4i %C,jq,ty: Ga qQ r'I State: M N Zip: 6 6 1' d) Phone: G G I Cl QG 0106 Contact: ! V O-Y\Cy -SO 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: NO VE; Plans and supporting documents that you', submit are considered to be'publio information. Portionsi of the linformation may be cl ssified as non-public if you provide spedific reasons':tha>' would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (661) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby, acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in ' accordance with the approved plan in the case of work which requires a review and approval of plans: ,n, ff I 4 x !V c ~~~rvlieS'q x / Le Applicant's Printe Name ~J Applicant's Sig ure Pag of 2 PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA099218 Date Issued: 05/24/2011 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 4675 Fairway Hills Dr Lot: 9 Block: 4 Addition: Fairwav Hills PID: 10-25600-04-090 Use: Description: Sub Type: e-Windows iDoors Construction Type: Work Type: Windows Doors-New ; Replacement Description: House Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Window Concepts NIN Robert S Bradley 990 Lone Oak Rd =114 467 Fainva Hills Dr Eagan NIN 55121 Eagan NIN 55123 (651)905-010 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature 1 ____U_s_e_BLUE or BLACK Ink 6~- For Office Use - - _ - - _ -~_7 - j bo . j Permit C~ I City o Eap / I Permit Fee: (2 Q I 3830 Pilot Knob Road Date Received: Eagan MN 55122 1 Phone: (651) 675-5675 1 I Fax: (651) 675-5694 ApR 13 Staff----------------- 2012 MECHANICAL PERMIT APPLICATION P-0001 Date: " Iv I/ Site Address: . I Y V"1 ~ Tenant: Suite RESIDENT / OWNER Name: Phone: ~ (fJ M (1, Address / City / Zip: ~ ~Name- tac~.nse CONTRACTOR Address: City: State: Zip: Phone: ' 7 7 Contact: Email: New Replacement Addition I Alter ti Demolition TYPE OF WORK Description of wor . NOTE: Roof mounted and gro nd mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL umace New Construction Interior Improvement PERMIT TYPE Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under /Above ground Tank Install Remove) Other R L FEES: 60.00 Minim Add-on or alteration to an existing unit (includes $5.00 State Surcharge) 100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x1% $60.00 Minimum (includes State Surcharge) Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 Surcharge - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $10,010411,010 Permit Fee requires a $ 5.50 surcharge) TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with th Mve Ian in the se of work which requires a review and approval of plans. CV M (w, x x Applicant's Printed N me Applicdrlt% l na ure FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening Use BLUE or BLACK Ink For Office Use i I Permit J I I I City of E Permit Fee: I 3830 Pilot.Knob Road l I Eagan MN 55122 i Date Received: I Phone: (651) 675-6675 I Staff: Fax: (651) 675-5694 ! 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION -Date: -1' ;;~U' 11 Site Address: qUI!5 r~rV1~a {b [2r, Tenant: Suite Resident/Owner Name: xj Phone: Ci 2,' ~Qlp1 Address / City / Zip: Name: Wenzel-Plymouth Plumbing, LLC Licensem 061555 Contractor Address: 1710 Alexander Road City: Eagan State: MN Zip: 55121 Phone: 651-452-1565 Contact: Carl Michels Email: cmichels@wppmn.com Type of Work - New _ Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. Description of work: Demo Pressure Booster RESIDENTIAL Water Heater Water Softener Lawn Irrigation RPZ PVB) Permit Type Add Plumbing Fixtures Main Lower Level) Septic System New Water Turnaround X Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) "Water Turnaround (add $200.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ N/A 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.gor)herstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit;ewt the work will be in accordance with the approved plan in the case of work which requires a review and approval of x Carl Michels X Applicant's Printed Name cant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final PERMIT City of Eagan Permit Type:Building Permit Number:EA150640 Date Issued:07/17/2018 Permit Category:ePermit Site Address: 4675 Fairway Hills Dr Lot:9 Block: 4 Addition: Fairway Hills PID:10-25600-04-090 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 - Kyle R Blakeborough 4675 Fairway Hills Dr Eagan MN 55123 (612) 432-7612 Crew2 Inc 2650 Minnehaha Ave Suite 100 Minneapolis MN 55406 (612) 276-1680 Applicant/Permitee: Signature Issued By: Signature