4628 Halden CirCITY OF EAGAN Remarks
Addition i Lot $ alk 7 Parcel #1 ? fi39R(0$(1 QL
Owner 4AIi"1 • st,eet 4628 Halden Circle state_Eaean, 14W 55122
{I
Improvement Date Amount Annual Years Payment Receipt Date
I STREET SURF.
a STREET RESTOR.
GRADING
S SAN SEW TRUNK 41k4 198 184 49 12,30 1$ 147.62 coo7636 2-18-82
SEWER LATERAL
I ?' WATERMAIN
9 WATER LATERAL 1'r- 3;
35 1? _
/O WATER AREA 14.(2 COO G 6 2-18-82
ii Storm sewer tru
? STORM SEW TRK 6 1982 63 -24 - T 63894 C0076I6 12-23-81
STORM SEW LAT i.: :;5 i`" .5 i
Services 1982 637.75 5 637.75 C007616 12-23-81
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 185.00 27051 9-29-81
WATERCONN. 335.00 11 rr
BUILDING PER. 6901
sAC 525.00
PARK
Cities Digi
itv Control
The following image represents the best
available image from the original page.
Every effort was made to capture the? content
from the original page.
' • CASH RECEIPT ?
CITY OF EAGAN
3795 PILOT KNOB ROAO
EAGAN, MINfVESOTA 55122
DATE
RfiC EI V HD
FROM
19
AMOUNT $ I
Ar DOLLARS
too
? CASH ? CHEGK
FOR
White-Payers Copy
Yellow-Posiing Copy
Pink-File Copy
Thank You ---
/ ?(° ?- • B Y
?? ?
cirY oF EAGAN
3796 PIlet Knob Reed Eayan, AAN 551I2
PHONE: 454-8100
BUILDING PERMIT Recelpt #
Ta 6a urA #a& ?. ? F.s V..I... n..._
Site llddrcss 0 l ' 1U 7: ?
Lot Block Sec/Sub.
Paroet #
oWc I Nome ;:Jil :'Vli.f."a
? Addron ns "ro:'-sroad
C / I /'1 ?I •? ?.
A Name
?? Address
r3.., oa ----
Name _
/lddrcss
( hereby acknowledge that I have read this opplitotion and stota that
the informotion is correct ond ogree to comply with oll applicable
State of Minnesoto Statutes and City of Eoqan Ordinances.
Erect Q
Alter ?
Repoir ?
Enlorye ?
Move ?
Demofish p
Groae n
nrI c:•y
20, io 11
Occupancy
Zoninp
Firc Zone
Typa of Const.
# Stories
Assessment
Water 8 Sew.
Police
Firo
Enp.
Plonner
Council
Btdp. Off,
NPC
Surchorge
Plnn check '
SAC
Water Conn. `
Woter Meter '
Road Unit °
Totol
Signoturo of Permittee ?
A Building Permit is iuued to: on the express conditbn tFxsl
all work sholl be done in eccordance with all nppliaoble Stote of Mfnnesota Statutes ond City of EaQon Ordinonces.
Buildinp Offlciol
Permit No. Parmit Holder Misc. Permit No. Holder
Plumbinp WE11 Z-?l
H.v.n.c. 2?(a 2
vwu
w.a.
Disp.
Sownr
eaetrrc
Inspection Data Insp. Other
Footinp
Foundation
Framinp
F
Rou? PIbQ
Rouqh HVA .,. ?
Inwletion p?+
Final Plby. jA3 •
Final HVAC e
Final - 31 I CAJ
Wahr Dneribo Location:
VWII
Uwar
Pr. Disp. .
CITY OF EAGAN
3830 Pitot Knob Road, P.O. Box 21-199, Eagan, MN 55121 I ~ q? i A
PHON E: 454-81 O0 ?
BUILDING PERMiT Receipt #
To be used for &?L'- TTUN Est. Value Date - - ,19
Site Address 4628 MLA)EN C i";
Lot 81ock t Sec/Sub. UIDGECLIM iSr
Parcel No.
o? Name P iCHAFD MR=
= Address 4628 HA+07wkj CIR
? City '--wW Phone 452-5123
, c Name LYNN I EfiTL'?1 0OM"1'iC11C.`lYOM
210 ? v 'Y ?
o ? Address 729
"? Ciry "I;'???+Cr? Pnone (507 a93-3232
r?
? W Name
W y?
H
Addre
ayZj Clty_
I hereby acknowledge that I have read this application and stale that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to:_ j'Yr40 dMEx CONS7
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
BuildingOfficial----_-_--_- _.-
OF FICE USE ONLY
On Site Sewage
m
MWCC S
st Occupancy
Zonin 7"3
e
y
On Site Well g
(Actual) Const
City Water (Allowable)
PRV Required # of Stories i
Booster Pump Length 20,
Depth 121
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. _ Permit 3114.00
5.50
Planner _ Surcharge
Council Plan Review S7*00
Bldg. Off. SAG City
Variance SAC, MWCG
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
f -7E" 50
TOTAL
Permit No. Permit Holder Date Tslsphons *
Plumbing
H.V.AC.
Electric
Softener
Inspection oate Innp. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
BIdg.Final ?Dft /Q-Z?`? ? d?ppr fi'4
Cert. Occ. 0-Z7- 9 Ce ?? ? -OS
Temp_ LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
Receipt ? MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fes
PiII in numbered spaces S/C
Type or Print /egib/y Tot
.
1. Date 2. Installation Cost •' ?
? i
??'=
't
'
',
=
3. JobAddress Blk.
?
- ru
Lot
• ! Tract
4. Owner
ORFLIid TIt, .MPSOT. HJMFS
5. Contractor Phone -5
?'?`
6. Address
7. City ' State " 2ip
8. Building Type: Residential C) Commercial ? Institutional ?
9. Work Description: New El Add ? Alter ? Repair O
10. Describe ?tZ ?t 1 L: orco.- :i= Fuel Type
1 11•
No.
' Fouioment 8TU - M. Ea.
Forced Air P'J41L ` P r'' No. Equipment CFM
Air Handlin
:
Mfg. g
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond, . ? ?
Mfg.
? Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and 1 agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
I This is your permit wfien numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt - PLUMBING PERMIT Permit No.
CITY OF EAGAN
. pee .
Fill in numbered spaces S/C
Type or Print legibly Tot.
' i .
1. Date f
2, Installation Cost
3. Job Address Lot Blk. ? Tract 4-
4. Owner
5. Contractor Phone "i ? q, :J -
6. Address _ _??_? .•. ;? .%? .
7. City State Zip
8. Building Type: Residential Commercial ? Institutional ?
9. Work Description: New ;3, Add ? Alter 0 Repair ?
I 10. Describe
I 11.
No.
?
' Fixtures
Water Closet No.
- Fixtures
aol/Dr
Cess
infield
? Bath tubs p
a
Septic Tank
/ Lavatory Softner
Shower Well
? Kitchen Sink
% Urinal/Bidet
Laundry Tray Other
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correCt, dnd I agree to
comply with all ordinances and codes governing this tYpe of work.
Signed : far
Rough F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
t.2
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675.
SITE ADDRESS•
' J. ta Y? : td Fi l- O?; K:
„ lie?L[1?:M i;I17
PERMIT SUBTYPE:
fo E r
ON REC4RD
PERMIT TYPE:
Permit Number: ';?
Date Issued:
APPLICANT:
i.:No t'."sT .IAMI
4s.6-At7fi
TYPE OF WORK:
r-4i i:1
r-t) t) r e v??1 " I I 1 1 114 aI
Permit No. Permlt Holder Uate Telephone 8
ELECTRIC
PLUMBING
HVAC
Inspectlon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGFi
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BIDG FINAL
BSNFT R.I.
BSMT FINAL
DECK FTG
l8l¢?
? .
--
DECK FH W
I !- /19czL?7 ?
r - ?
_
CITY OF EAOAN WATER SERYICE PERMIT
3795 Pilot Keo6 Road PERMIT NO.:
Eogon, MN 55122 DATE: -
ZO^'^9: No. of Units: '
Owner:
?
Address:
Site Address: r1,j24 ? i{ l
Ptumber.
Meter No.: Connection Chorge:
Size; Account Deposit
:
Reoder No.: Permit Fee:
I u9roe to compir wifh t6s Citr oF F.igew Surchorge:
Ordin
anees. Misc, Chorges:
Total:
BY Date Paid:
Dute of Insp.: Insp,;
ctinr tF UGAN SFVHER SERVICE PERMIT
3795 Pllet Knob Rftd PERMIT NO.:
Eagen, MN S5122 DATE:
Zoning: ' T No. of Units: Owner. ;
Address:
Slte Address:
Piumber:
/ _, .. . _
1 ag?es tn eanplY wifb Mbe CiFy of Eagon Connection ChanDe: .
Ordinanees. Account Deposit:
Permit Fee:
SurchQrge:
By Misc. Charges:
Date of Insp.: Totol:
Insp.: Dato Poid:
- -- .?
CtTY OF EAGAN N° 6901
3795 Wlot Kno6 Rmd Eagan, MN SS112 -
PHONE: 456-8I00 K
BUILDING PERMIT Receipf
te b* w.e fe. SF DYG/GAR en. voiue $47,000 o,re SePtember 29 19 81
sira nde.ess 4628 Halden Circle Plan 100 Erect XX o«upancr R-3
Lor $ Block 1 kC/g„p, Ridgecliffe lst nirer p zonin9 PD
parcel! # 10 63980 080 Ol Repolr ? Flre Zone NA
Enlarge ? Type of Const. V
W Name ?rin ?lOIDp30II $02Re6 Move ? # Srories
z Address 1712 Hopkins Crossroad pe,,,oii:n ? Lenych 60
Ci Mtka. 55343 phone 544-7333 Grode ? Depth-)A-Sq. Ft.-
°C
Name ?E'?° Approvals Foes
p
o? qdAreu Assessment Permit 269.50
u? Woter & Sew. Surchorge 2-3 5n
Cit Phone P
l k 134. 75
Pl
h
?w Name o
ice
Fire an c
ec
SAC 525.06-
Fw
i
?-
A E 335.00
t
C
W
,
?
ddress
W np. er
onn
a
60• 00
M
<
ci phone Planner Worer
eter
165.00
Council Rwd Unit
I hereby ackrwwledge that I hava reod this npplicofion ond stote tFwf Bldg. Off.
fhe information is correcf and agree fo wmply with oll opplicable
A? $1532.75
Tofal
Sfote of Minnesofa $tafutes and Cify of Eogan Ordirances.
Signoture of Pertnittee
A Buildinq Permif is issued to: ?T? ? O 30ri xOIDEB on ths axpren conditlon thm
Store Minnewta Statutes und City of Eayan Ordirances.
all work sholl be done in acw rxe wi ?
?
Buildfn0 Officiol a
4t?yo
1b Be Us
czTr or• ?c,Arr
BUILDINC; PEF?I4IT AI'= LICATION
?-v
ed For Valuakion 4s'
?rc\?
include 2 sets of p1.3ns,
1 site plan w/elevations 6
1 set of energy calculations.
oate Q-2y-$l
Site Address: 446.'Ze A?.249H ? p?gti loc? OFFICE USE OHI.Y
Lot' $ Hlock- -Sec./Suti. Erect ?c OccuP?c7'
?
Parcel # : o $? :??r Zoning ,?
Repair Fire Zone N?
Enlarge TYPe of Const. ?L
Owner: -
Nb # Stories
ve
P?dY'ESS:
a Division of U. 5. Hom? C
D?Olish
Flront ft.
Clt]+?ZlP L'Od2: PKIfJS CFOSSROAD
MIIJNETONKA. A"I"dN «303 Gr3d0 ?P? ??'j/ ft.
Fhone #: S`4 4- 133 3 APPRCVAJ.S FEES
Contractor: BRRINTH9MPS8P! I18N4Eo----
Pddi'ess: a Division o( U. S. Home Corporation
1112 1101 . WW?I,RUAU
C1iY/Zlp COd2: MINNFTONKA, MINN. 55343
Pharie #
Arch. /ESng. .
Ptldress :
City/Zip Code:
Phone #:
Assessrnents
Water/Sewer
Police
Bldg. Off.
P.PC
Fire
EnJ •
Planner
Council
?
Pennit 9195/
Surcharge ,;?3
Plan Check / 3 `/ ?
SAC Sa,S?
Water Conn. 3 3,5
Water ^leter 6 Q
Road Unit / 867-er
=AL `? IG3 ' 7 S
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 M 15601
r
BUILDING PERMIT PHONE: 454-8100
? Receipt# ..
7obeusedfor ADDITION EstVa1ue--_,$11,000 pate SEPT 13 ,1988
Site Address 462$ 11ALDEN CIR
Lot $ Block 1 Sec/Sub.RIDGECLIFFE 1ST
Parcel No.
m Name RICIiARD BERNDT
? Address 4628 HALDEN CIR
3
0 City EAGAN Phone 45 -5123
alName LYNN R OWEN CONSTRUCTION
?Q Address 329 ZND AVE NW
? City WI'NNEBAGO phone (507) 893-3232
°W Name_
?w
i? Address
Q W Clty_
I hereby acknowledge that I have read ihis appbcation and state that the
mformation is correct antl agree [o comply wRh all applicahle Slate of
Minneso4a Statutes and Gty q?t ?Ea?g?anO?rd,inannces?
Signature of Permittee
A Bwlding Permit is issued to:_ I.YNN'B_OLIE$-CD$ST
on the express condition that all work shall6e done i n accordance wrth all
apphcable State of Minnesota Statules and City of Eagan Ordinances
Building Olhaal-oza?'a_oqt--
OFFICE USE ONLY
on site Sewage _ occupency R-3
MWCC System _ Zoning
OnSdeWell _ (ACtuaqConst
City Water _ (Allowable)
PRV Requiretl - # of Stories 1
Booster Pump _ Lenglh 20'
oePtn
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess Permit 114.00
Plenner Surcharge 5.50
Council Plan Review
0
57.0
eldg. Off. _ SAC, City
Variance SAC,MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
TOTAL 176.$0
Th,y?enues: wid
?18?.77'852
L$i F') t ]Z,C - I
30( c10
-? -z-7 (o cz--
Fe.nuest Da[e
?? ???? Firp No. Roupn-i Insper,lmn
Feqiiretl>
?
'
?RaaAyNOw?Will Noufy Inspec-
?or Wh
fl
i
es ?Nn en
eaAy
?Li?;ensed Electncal fonVactor ? I hereb
y request mspecbon ot above
Owner elecfncal work installed at
t ddress, Box or Raute No.
?vzfr Wst? C +? CitY
lEbtom
ecLOn o. Township Name ur No. Fonge Nu. Co ly
?A ?-o ,
OcCU ani (PPINT1) I1?,?•pC !?? l,?
?1 1 {f_ T11_1'\/?N' ??r`?'? Phone No.
Power Pulier Adtlress
f:AFM11'j6ivj
Electnca(l1Contra?cto?r tCCOmVa/?n?y Namel
?Ylr I?1?1-t` LonV1^?dr,ytopr'[?Lici?nse No.
IV?'72,F-L
MaJine Address (COnvavmr or Owner Making Instailavon)
I I t (- " Cc.I fF P
Auihonzed Si t6re ( onuact)r Owrser Makuvg Installauon) Phnoe Nuymber
?1IV ??05'
MINNESOTA STAiE BOARD OF ELECLHIUTY THIS INSPECTION HEQl1EST WILL NOT
Griggs-MidwaV Bldg. - qoom N-191 , 8E ACCEPTED BV THE STpTf BOARD
1821 UniversRY Ave.. SI. Paul, MN 55704 ' UNLESS PflOPEP INSPEC710N FEE IS
o1,.__ iaiv, ooz11111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
i1 7lJ?5//11?' See inshacpuns tor complaling ihis form on back o( yellow capV
!
?'X'" '" Belnw Work Covered by This Request
a?..p EB-OOOUL03
?..
2 1 71C J
Ne Add Hep. Typ. ol Builtling AuPlianws Wired Eqmpment Wired
Home Ranye Temporary Service
Duplex
Apt. BwlAing
Commercial Bldg. Water Heater
Dryer
Finnace Liyhting Fixtures
Electnc Heatin
Silo Unloader
Industnal Bldy Air Cnnditioner Bulk Milk Tank
Farm Otner ,neci v Oih?.j ISne(ifyi
t er pnulvl Other Othrr
(:ompute InspecUon Fee Belaw
A Fex ServnceEntrgnceSize H Fee Feedars/Subfeednrs N Fee Cvcurts
? U to 100 U to 30 Amps 2.0- 0 to 30 Am s
,-101 to ?OQ-Rm 31 to 100 qmps 31 to 100 Am -
? J\60Ve, ?Q(L__j4jmps ll6ove 1 00_Amps Above 1 00_Amps
!J r?dstbrnie RemoteControl Circ. .)- Pamal.'Other Fee
? Sig s' SpeciallnspecLOn
7?J
qe11„?r? ?1 TOTAL FE
RouBh-in
Final ."'., ') Unte
?31tj??
Electncal
cerUty thqt tha xbove
' ion hes bean
rtwde.
Th,s requev-t vo,d
18 nronlhs frwn
S35 I -7
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
657-6814675
New Constructlon Reauirementa
• 3 registered she surveys showing sq. it, of bt, sq. tt. ol house; and ?II roofed areas
(20% maximum lot caverflge albwed)
. 2 copiesof plen showing beam & wintlow sizes; poured iound design, etc.)
• lsetofEnergyCabulatbns
• 3 copies of Tree Preservatpn Plan tl bt plaped aker 717193
. RImJOW DetailOptlansselectionsheet(bWgswdh3orlessuniGS)
DATE
SITE ADDRESS
NPE OF
APPLiCANT
STREET ADDRESS /(!// Xl Ly.I?,YY?"///
TELEPHONE #??A11y?CELL PHONE
MULTI-fAMILY BLDG _ Y _ N
2_'"4IREPLACE(S) 0 _ 1 _ 2
fAX #
PROPERN OWNER TELEPHONE # (/J.? 2?-'26?V
------------° ---------------------------------------------------------°-------°------°-----
COMPLETE THIS SECTION FOR -NEW° RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINI?ESOT?
(+? submission lype) • Residential Ventilation Category 1 Worksheet Submitted • Ne? tasy od e E
• Energy Envelope Calculations Submitled
1 ?l ? i 4 2002
Plumbing Contractor:
Plumbing system includes:
Mechanical Conhacfor:
Mechanical system includes:
Sewer/Water ConhaCtor:
_ Air Conditioning
_ Heat Recovery System
Phone N
Phone #
I hereby acknowledge that I have read this application, state that the information is correct,
wlth all applicable State of Minnesota Statutes and City of Eagan Ordinpnces.
Sigrwfure of ApplicaM
OFFICE USE ONLY
_ Water Softener
_ Water Heater
_ No. of Baths
Phone #
Lawn Sprinkler
No. of R.I. Baths
IlemodeVHepelr ReauiremeMS a ? ° -75
. 2 rnpies of plen ?
. tselofEnergyCalculalionslorheatededdtlbns
• lsilesurveyforeAerbratl0ftions&decks
• Iritlkate M home seroed by septic system tor atldilions
VALUATION I?5'-A?
Fee: $70.00
agree to comply
Certificates of Survey Received _ Tree Preservation Pian Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation O 07 OSplex ? 13 16-plex ? 20 Pool 13 30 Accessory Bldg
? 02 SF Dwelling E3 08 06plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Otof_plex 0 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4sea.) ? 33 Ext.AR - SF
? 04 02-plex • O 10 OS-plex ? 18 Deck ? 23 Poroh (screened) ? 36 Muitl
0 05 03-plex O 11 10-plex 0 19 Lower Level O 24 Storm Damage
O 06 04-plex O 12 12-plex Plbg_Yor_ N O 25 Miscellaneous
? 31 New 0 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition O 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)• O 43 Reroof 0 46 WindowslDoors
? 34 Replacement •pemolition (ErHire Bldg onty) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) FinallNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retauung Wall
Approved By
Base Fee
Suroharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S8W Permit & Surcharge
Treatment Plant
Plumbing Permft
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 028289
(612) 681-4675 Date Issued: 0 8 J 0 6 J 9 6
SITE ADDRESS:
4628 HALDEN CIR
LOT: 8 BLOCK: 1
RID6ECLIFFE 15T
P.T.N.: 10-63980-080-01
DESCRIPTION:
puiidinc,?.?PermiC Type
Build'zng W''pxk Type
,r
Census Code
?f`a
--
pECK
NEW
434 ALT. RESIDENTTAL
t't "p As"wi
/XL
.;.3 ?.. .,. .', ?? .,s. w .. _, 3e ...
REMARKS:
FEE SUMMARY:
Base Fee $45.00
Surcharge $.50
Total Fee $45•5e
CONTRACTOR:
OWNER: -
CHRIST
462$ HA
EAGAN
(612)456-0175
Applicant
JAMES
LDEN CIR
MN
( ° n
I hereby acknowledge that I have read this application,and state that the
information is'norrect and"agree Co aomplywithall applicabYe State of Mn.
Statutes and City o'f Eagan, Ordinances. ,
L . _
lY(lY1Ul d
APPLIC T/PE TEE SIGNATUfiE
ll„?t
?cyla 1\'A?l-
SU B : IGN?TURE ?
CI1fY OF EAGAN
1130 PILOT KNOB RD - 55122
? 1996 BUILDING PEaMIT APPLICATION (RESiDENTIAL)
681-4675
? 3 repislered site aurveys
? 2 copies of plana (induda beam b window sizes; poured ind. design; etc.)
? 1 energy pltulatlons
? 3 copiea of tree preservafion plan N lol platted after 717/93
roqu6ed: ? Yea _ No
? 2 copfes aF plan 7M y
? 2 slle surveys (exterior additions 6 decks) 1
? 7 energy aleulations ta heated eddRions ( Z?
DATE: GL 44 9-6/ CONSTRUCTION COST: U
DESCRIPTION OF WORK:
.
STREET ADDRESS:
LOT BLOCK SUBDJP.I.D. #: L25 14jJ
?
PROPERTO" a' N8[178: ?R 16 Phone #: ??6 U1 75
owNeR " .'' w, .M„
Street Address• WCI-02? ?ao'le"+",
City: State: )"/V/ Zip' -- - s1 Z z`
CONTRACTOR Company: 1-7 Phone
Street Address: License #City: State: Zip'
ARCHITECT! Company: n v n'?- Phone #-
ENGINEER Name: Registration #'
Street Address,
Ciry: State: Zip:
Sewer & water licensed plumber: Penalty appiies when address change and lot
change are requested once pertnit is issued.
I hereby acknowiedge that I have read this appiication and state that the infotmation is corcect and agree mply with ail
applicable State of Minnesota Statutes and City of Eagan Ordinances. _ /--?) // /0000 /
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received
Tree Preservation Plan Received
_ Yes No
_ Yes _ No
I III I S$ iJy6
OFFICE USE ONLY ir, ' . + ,
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex
0 02 SF Dwelling ? 07 4-plex
0 03 SF Addition o 08 8-piex
n 04 SF Porch o 09 12-plex
a 05 SF Misc. ? 10 = plex
WORK TYPE
wli New o 33 Alterations
0 32 Addition o 34 Repair
GENERAL lNFORMATION
Const (Actuao
(Allowabie)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
? 11 Apt./Lodging .o
0 12 Multi Repair/Rem. ?
0 13 Garage/Accessory o
0 14 Fireplace o
mr"?15 Deck
? 36 Move
0 37 Demolition
\)N Basement sq. ft.
Vnl Main level sq. ft.
R• 3 sq. ft.
9-1 sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Pianning Building
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SIW Suroharge
Treatment Pi.
Road Unit
Park Ded.
Trai{s Ded.
Other
Copies
Total:
16 Basement Finish
17 Swim Pool
20 Pubiic Facility
21 Miscellaneous
a_
MC/WS S stem
City Water 'r , r __ '
Fire SprinklO:ed
PRV Jg"
Booster Purtfp ;
Census Code. 43d
SAC Code or
Census Bidg ?
Census Unit O
Engineering
Valuation: $
Variance
% SAC
SAC Units
. .?_
' ? . • ?DC. R. ?NINDEN 3 ASSOCIATES, INC•
, J IAND SURVEYOQS TaL 646•3646
1781 EUSTIS ST., ST. VAUL, MINN. 55100
?FOR: 1
' U. 5. HOME CORPORATION
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SCALC 1.,= 30' O o 2c,3 l+ \' ?S? T?
O pENCTES ?RON ? p
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M ,V
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7 y ?N ,° v'o
:,ot 8, Sloci; 1, Ridaecliife First
Addition, Dakota County, Minnesota.
\
N'E NEREBY CERT!FY TMAT TMIS IS A iRUE AND CORRECT REPRESENTATION Of A SURVEY Of THE
60UNDARIES OF iHE IAND A60VE DfSCR16ED ANO OF THE OLOCATION SOAIDALAND."DINGS. IF AN1;
TNEREO?+. AND Atl VISIBIE ENCROACHMENTS. IF ANY, FROM
? r1 31 C, R. WI N ? OEN S ASSOCIATES, INC.
Dotad ihis dor oF =, -A D. 1C ,
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Swvayer. Minnewfa Ropisrrotion No 79?..
1988 HUTLDING PERMIT APPLICATION - CITY OF EAGAN ?r
SINGLE FAMILY DWELLINGS 1'.6G O`
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WfiICH ADDRESS
IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE HDILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL ONITS FOR SALE IINITS 4t OF IINZTS
INCLUDE 2 SETS OF PLANS, CEATIFICATE OF SURVEY - CHECR WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CONII9ERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: ?- Valuation: ?D Date:
Site Address 11628 yALp6?N Q,QGLE
//ODo
Occupancy
Zoning
Actual Const
Allowable
Ik of stories
Lengt'h
Depth
S.F. Total
Footprint S.F.
Q-3
1
IZ'
Lot &' Block 1
Parcel/Sub Ri pGFCLIFKE /Si AzPmoN
Owner A i C h a, r4
Address 1-16 JLg Yo- ldeno C?.'.
City/Zip Code ?q a N ';?? / ait
Phone ? /,:;? - T 97 1a-3
/?, dGVC?N???St
Contractor a(VA/it)
Address 3a? 2,v.1 A Ue , IU•a,,,'
City/Zip Code ,ViJ
Phone 5-6 7`" 8 93 - 3? ? ?-
Areh./Ehgr. ^ ^ GJe-
Address 3.2 aT'?/ ?de v• kL;
City/Zip Code u/i AJ.VC64,qa)/?NJ 5-60 y'?-
I
On site sewage_
[•IIJCC system _
On site well _
City water _
PRV required _
Booster Pump _
APPROVALS
Engr/Assess
Planner
Couneil
Bldg. Off.
Variance
FEES
Permit 1114,oo
Surcharge 5,J J
Plan Review V), OV
SAC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL ?To. S
Phone 4f 5-0 ?;- 9F 3 ' 3.2- 3 ?--
v A? u A-7za yJ
/0 8-00
,- .? _
G19• . . ?n
FOR:
U. S. HOME CORPORATION
?
?
V?
G. R. WINDEN & ASSOCIATES, INC.
IAND SURVEYORS Te1645•3646- --1381 EU5T15 ST., ST. iAUI, MINN. 55108
?_ -Q
/ \ F
?
SCALC 1"= 30' / (/ >-
0 pE:N0TE5 ,RON??
Q ?? / 2 ?o bx '
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vT
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Lot 8, Block 1, Ridgecliffe First
Addition, Dakota County, Minnesota.
WE MEREBY CERTIFY 7HAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF TNE
60UNDARIES OF THE IAND A80VE DESCRIBED AND OF TME LOCATION Of ALl DUIIDINGS, IF ANY,
THEREON, AND All VISiBIE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND.
Qowd thi,91b_day oF A.D. 198/ C. R. WINDEN 8 ASSOCIATES, INC.
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Survaror, Minniswm Raqueration No 772C-'
NAt?a
•.,_ .,,
ONNER: y \ / Gr
CITY OF EAGAN
EXTERIOR ENVELUPE AVERAGE 'U' COMPUTATION
SITE ADDRESS• '7? llla.xye:/tJ (??e 2?0 -'
CONTRAC?OR:'?`J/?? '1. Q[tJP/U 6/US't DATE:,7 S%" PHONE: S47-P/`3-30 3o-
Determine rrorking square footage of each:
1. Total exposed wall area ... 7?• sq. ft. x.11
2, Total roof/ceiling area ... ??i? sq, ft. x.026 = ?4.,
Total exposed wall area above floor = ?Q a• 5,
a. Total wall window area ............................ ?
b. Total door area ...................................
c. Total sliding glass area .......................... --
d. Total fireplace wall area ......................... -
-
?-
e. Total wall framing area (average 10%) ............• - -
?
?Za
f. Total net wall area above floor ...................
g. Total rim joist area .............................. 5? S• S
Total exposed foundation area = 9b
h. Total foundation window area ....................... -
i. Total net foundation area above grade .............. 90
Determine IU' value of each wall segment:
a. ?
x
L
' U'
b. ?
.
36. 23? x 'U'
c. x 'U' -
d. x 'U' -
e, X fU' . 6 17
-
f, o S x 'U' . 6?7 = E2 S'-?/
g. 41a . 19 x I u' , a 3
IUT
i.. 9D X lU' e D ? _ -?+
3 . ........... .................... ................ .... Total
If item 113 is the same as or less than item 111, you have met the intent of SBC
6006(c)2.
Total exposed roof/ceiling area
j. Total skylight area ............................... ?
k. Total roof/ceiling framing area (average 10%) .....
1. Total net insulated roof/ceiling area .............. v?-
OVER
• _.w ? _ .
Determine 'U' value for each roof/ceiling segment:
J. 7C VU?
k. Xtpt
1. C?-X iur
4 . ...................................................... Total = /, 0J
If total of !/4 is the same as or less than 1/2, you have met the intent of SBC
6006(c)1,
Alternate Building Envelope Design
To utilize the total envelope system method, the values established by the sum
of Items li3 and 114 shall not be greater than the sum of Items {11 and #2.
,. 49. I:q g' + z. ? d 76'
s. ?."7a + a. 9• a 5
2
4bL6
? ' '
FOR:
U. S. HOME CORPORATION
N ?
C. R. WINDEN 3 ASSOCIATES, INC.
IAND SURVEYORS 7tl 645•3646
1381 EUSTIS SL, ST. PAUI# MINN. 55100
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?
C1?
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-1/i'p
ScALE: 130'
O DENOTES 1 RON
p \ \ 3 t. S ?O
?g
NC)
Lot 8, Block 1, Ridgecliffe First
Addition, Dakota County, Minnesota.
WE MEREBY CERTIFY THAT THIS IS A TRUE ANO CORRECT REPRESENTATION OF A SURVEY Of THE
60UNDARtES OF THE IAND ABOVE DfSCR16E0 AND OF TME LOCATION OF All 6UIlDING$, IF ANY,
THEREON, AND All VISIBIE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND.
Ootad this 94k)_day oF sEr'j. A.D. 19$1 C R. WINDEN 6 ASSOCVATES, INC.
„ 1 .
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SurvaYOr. Minnesoto Ropinrotion No 7=
73519
7.)
2005 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.
oate ? 1 I ? ! 0 ?
??P,tr1 ?.1 r
Site Street Address L11P?b
Unit #
Property Owner Lu ol DQi C'lUqLYY1TiLY1 Telephone #((p5
H.P. pIPEWORKS
Contractor 3670 DODD ROAD Telephone #( )
Address EAG ' City State Zip
/
Contractor _Other
The Applicant is: _ Owner -
Alterations to existing dwelling $ 50.00
Add plumbing fixtures. This fee includes putting in a water soften er and/or water
heater at the same time. li you are installinp on! a water softener and/or water
heater, do not complete this section. Move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_WaterTurnaround (add $125.00 if a 5/8" meter is required)
Other:
Water Softener ? Water Heater $ 15.00
_ new ? replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge i
$
-
I Total 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 required to be reviewed and approved.
t?1 ? b?G1 u ?'?vl 1?'` 1MnGl Vl
ApplicanYs Printed Name Applicant's Signatu SEP 0
6 p??py ' I I?
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B$%-'855.->>1''CNA<''M*45-,'#$.''
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4$-C.-'%C$$'#0*$)*+H'5+.?-% * +.'C 'S9:"\['9Z:7:9Z:' '.%N-)0$-'C'P*+C$'*+.?-% * +O
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EC1/ +'L + R*)-')- -% 1.'C1-'1-I0*1-)'@* N*+'"!'P-- ' P'C$$'.$--?*+H'1 L' ?-+*+H.'*+'1-.*)-+ *C$'N L-.'SD*++-. C'= C -'
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5'N-1-/2'C%&+ @$-)H-' NC '5'NCM-'1-C)' N*.'C??$*%C * +'C+)'. C -' NC ' N-'*+P 1LC * +'*.'% 11-% 'C+)'CH1--' '% L?$2'@* N'C$$'C??$*%C/$-'= C -'
P'D*++-. C'= C 0 -.'C+)'E* 2' P'XCHC+'K1)*+C+%-.O
(??$*%C+ A4-1L* -- '=*H+C 01-5..0-)'#2 '=*H+C 01-
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA169131
Date Issued:05/17/2021
Permit Category:ePermit
Site Address: 4628 Halden Cir
Lot:8 Block: 1 Addition: Ridgecliffe 1st
PID:10-63980-01-080
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Dante Sena Deguzman
1512 Pinetree Trl
Eagan MN 55122
Minnesota Restoration Contractors Inc
12252 Nicollet Ave
Burnsville MN 55337
(612) 280-4807
Applicant/Permitee: Signature Issued By: Signature