4746 Hauge CirCITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
1 . 11.
, ?. t 1+?! 1 I t; i I
PERMIT SUBTYPE:
II - ? 1, f tNr;?,
I N AI
INSPECTION REC4RD
PERMIT TYPE:
Permit Number:
Date Issued:
iil1 . f,l APPLICANT:
f?•, I.' 1 i.' c1 N?
TYPE OF WORK:
i 1, r,M i mi,
1 ; r MANK?,? A •-.fs•nVA iI t't ?eMr i t-: irlU+lii,ll, t,Ir: nrvr r i rl lirri.al 131111r
HuI 1 11 1 wi;
N:AITH
0 1 fty/q n
F- ?
? ----------------------------------_?
Permft No. Permft Holder Date Telephone #
S/1N
PLUMBING
HVAC
ELECTRIC
ELECTRIC
inspection Date Insp. Commerts
Footings I ?s4`
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
FlfepleCe
Fnal Htg.
Orsat Test
Fnal Plbg. Pibg. Inspector - Notity Plumber
Const. Meter .
Engr./Plan
81dg. Final
Deck Ftg.
Deck Final
weu
Pr. Disp.
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS: '
? . '±i,ll(;i i 1 K
PERMIT SUBTYPE:, s=
F
L
PERMIT TYPE. • ???? ?1 0 1 N Gi
Permit Number: o .1 ''
Date Issued: 0 ° `b '
° ` 4.7" W-' .
t+i nrK: APPLICANT:
r . ?
? . . , ?. ,
TYPE OF WORK:
nI ,. haI I ON
\
7
?
Permit Holder Date Telephone M
PLUMBING
HVAC
Inspection Date Inap. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
FOUGH
HEATING
GAS SVC
TEST
INSUL
Al??!
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONOUCTIViTY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
[ [
DECK FTG
DECK FINAL
CITY OF EAGAN Remarks
Addition Ri QPcliff First Ar1dn Lot Z Rlk4 Parcel 910 63980 020?01
Owner Street 4746 Hauge Circle stateEagan, hW 55122
Improvement Date Amount Annual Years Peyment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
5AN SEW TRUNK -'! 0 1982 298.08 - -
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA 19
R
STORM SEW TRK 19$2 R),,
.
12-23-81
TORM SEW LAT
S
Services 1982 637.75 5 6 --
CUFB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 260.00
WATERCONN. 470.00 11
BUILOING PER, 9667
n
tr
SAC ?+ »
PARK
, CASH RECEIPT
CITY OF EAGAN
P. O. BOX 21-199
EAGAN, MINNESOTA 55121
?
DATE I I ` ? 19
RECGIVCD
FROM -
AMOUNT $
? DOLLARS
+oo
? CASH b,qHECK
FO R 1- ` ?_
*?f?'? • I i i_ ...)
l
Y\
FUND CODE AIAOUNT
! .
J
?
Thank ou'?:
. ? ?,f. .
9 Y ? • >6 -1' 1 * _.?
- ?,
White-Payers Copy
Yetlow-Posting Copy
Pink-File Copy
CITY OF EAGAN
. 3830 Pilut Knob Road, P.O. Box 21-198, Eagan, MN 55121
sUILDING PERMiT PHONE: 454-8100 Recefpt #
Te be used fm SF DWG/G1U2 Est_ Value $64,300 Dete NOVEMBER 6 1Q 84
SiteAd ess 4746 HIIUGE CIR
Lot ? Block -^?eclsub. DCTE L FF
Percel No.
? Name ` a`s" aaiv?aa ?va. ?ava-aL,.:
Z Address 1712 Fin K1NS CR SSROAL
9 City Phone 44-733??
Name
Phone
I hereby acknowledge thot I have reod this
the in{ormaFion is torrect ond ogree to c
Stote of Minnesota Statutes and City of
Sf9noture of Pertnittea L' ' ;; i' c" '
A Building Pertnit Is issued to: OR
all work sholl be done in accordante with
Erect 6 Occupancy R3
Remodel ? Zoning R
Repair ? Type of Conat. V
Enlarge ? No. Storie?
Move ? Length
Demolish ? Depth ?-
Grade ? Sq. Ft.
Approrals Fees
Permit - - - - - --
Surchorye 32000
Piun check
SAC ?0O
Water Conn. 4
- 70*00
Woter Nkter G
???
Road Unif
Parks
Total $1#837
•
? on ths exprcss corditlon thoo
Minnesota Sfatutes and City of Eogen Ordinonces.
Assessmenr
Warer & Sew.
Police
Firo
E??fl.
Planner
Council-?-y?-??
ond stote thot Bldg. Off ??'? ''? `??
all upplicoble APC
IOIIG2S.
Vef. DH2@
\Lw AA\
Permit No. Parmit Holder Date
Plumbiny
H.VA.C. ? I l lnJ E.?? I? ? I? C{ S??C- (o
Electric C' G ?/•2 ?•? `f U. ?
Softener
Inspection Date Insp. Other
Footings
Foundation
Froming
Rough Plby.
Rouqh HVAC ,
Inwlation g ?s ?ff
Final Plbg.
Final HVAC
Final
Csrt/Occ.
Water ??ibe Location:
Wel I
Sswer
Pr. Disp.
Roaipt MECHANICAL PERMIT Pwmit No.
CITY OF EAGAN
FN Fill in numberod tprca S/C
Type ar Print lsyib/Y Tot
?
1. Date 2. Irxtallstion Cost j
3. Job Addrew Lot Blk. Tract 1
i
4. OwrNr ?
5. Conuactor Phone ;
6. Addrsss rr.. .
7. C'ity State tip
8. Building Type: Rasidsntial 0 Commercial O Inttitutiornl O
9. Work DescxiDtion: Naw Q Add ? Alur O fiepair O ?
10. Describe :r;+ ^ Fusl TYpe
11.
No•
' Equiamepi BTU - M. Ea.
Foroed Air No• Eauioment CFM
Air Handlin
.
Lff 9. p
Boilen
MfQ. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfp.
Gm. Pipiny Outteti
12. i heroby csrtffy that the abovs information is true and oorrect, ond I ayrea to
oomply with all ordinanoes and code: goveminy this type of work.
Siyr?ed : ' . ?
for
Rauqh FinN
Inspections: Dste In:p. Date Insp.
Thi: i: your permit when numberod and approwd.
Approwd CITY OF EAQAN 464-8100
i
Receipt PLUMBING PERMIT • Permit No.
' CITY OF EAGAN Fee ,
? -
Fill in numbered spaces S/C
Type or Print /egibly Tot. 1. Date 2. Installation Cost
3. Job Address "i :?G- t?`: • r - Lot Blk. Tract
- '
4. Owner 11 5. Contractor 6Jc ??•?_:: ? / " ; C.Phone --) 5
6. Address
7. City :- State Zip 8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New 13 Add ? Alter ? Repair O
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
.? Shower Well
/ Kitchen Sink
Urinal/Bidet Other 'J-%`
i Laundry Tray ,;. .1..
,f,r. •
' Floor Drains ,
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed :
for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY QF EAGAN 464-8100
GITY OF EAGAN
3830 Pilot Knob Road 3EWER SERVICE PERIIAIT
P. O. Box 21199 PERMIT NO.:
Ea98n, MN 55121 DATE: ?] 1 S_::;
Zonrng.
-?--
No. of Unlts:
Owner. .'S t:omes Cor
!
Address:
Stte Address; 474?i Hauze Circle
L2 P4 Rfd;teCl.iffe
Plumber: en''•el ?IeCn
' 1--,- 4
14
r. d
I nrw to eewplr whh !Me Ci1p ef tyes Connection Chorpe: 42 5. 00
pd
Ordiaa?. Account Deposit: '
15.00 Pd
Permit Fee: 10.00 nc?
B Surchorpe: • 5 ?_ 6? <I
Y Misc. Chor+pes; .
Dote of Insp.:
Insp.: Total:
Dote Paid: _
CITY UF EAGAN
3830 Pilot Knob Road
P. O. Box 21199 ,
Eagan, MM 55121 -
Zonirg: -
pwner: ' 'ior:nes Inc
WATER SERVICE Pe1iMIT
PERMIT
DATE: _
NO.: 5g22
No, of Units: -
Address:
Stte Addrcss: ?+i4? ?lav?e Circle L2 B4 Rid eClfffc 1
O enze . ec.
Plumber: _
AAeter No..
Size:
Readar IVo.:
1 pme fe oasph? wilh !IN Ciey of hqP¦
OrilmoneM.
` By
i I Date of 1 nsp..
CITY OF EAGAN
3830 Pilot Knob Road
P. O. Box 217"
Eagan, MN 55121
oning:
ner: { t :
?Ow
Address:
Site 1lddrcss:
d\Plumber:
Metsr No.. -- S q
Reo No.: ?-
1 wrM to oarply wMb the C7ty of lasan
Oidinenem iJ
By V?
Date of Insp.:
!S 8 5
Connection Charge:
Acooimt DeposiL. 11"
PeffT11t FC@: , • f _ ()?,.
Surchorge: • ? ` -)J
Miac. Chorfles: 63.00 pd meter
Totnl: _
Dote Poid:
WATER SERi/ICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
con ?`rim; a,a?: ?. on n,?
Permit Fee:
Surcharge:
Misc. CFwryes: 1 -
Totai:
Date Paid:
This repuest mid
1 ?nths /rom
d975 L-
/l-ZO ,g/
vd.Do
ucensea ueccncai i,onvamor , I ?r?
v Fl9?est inspection ol abova
Owner eleetrifal wpk installed et:
Sheet Address, Boz or floute No.
VtA4u CiP-c,uz Citv
06/aIJ
ecLm o. Townshio Name or No. ee No. Copun,ty
Occuu
an
(P
INT
t
R
) Phon¢ No.
.
?
!
?
?
?{. ?,_I ?y???
^
Qlryp
- I'VO,•?'4jpW ? ?u7"IC'
Power Su
pp
ii
e
r Adtlress
?j
?
,
p
? I?f?T . ?YPrv_C7??Gw
ElecvicalCon[rac[or IComDany Namel
8F-LL E'4- cTNC- Contraclor s License No.
43957-s-Z-
Mailing Address (
COnVactor or Owner Making InsW ilation)
f
AuMorized Signa re 1 mracmdOwner MakinB Imlallalim) Phone Number
? ? ' LY9J
MINNESOfq STpTE BOARD OF ELECTpICiTY THIS INSPECTION REQUEST WILL NOT
Griqgs-Midway Bldg. - Room N-181 BE ACCEPIEU 9Y TME STAiE BpppD
1821 University Ave., St. Vaul, MN 56704 UNLESS PpOPER INSFECTION FEE IS
phone (612) pg7?111 ENCLOSEO.
CITY OF EAGAN IV? 9667
3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 4548100
BUILDING PERMIT . . Receipt # ? Q
To M med 4w SF DWG/GAR Est yalue $64,300 Date NOVEMBER 6? iq 84
SiteAddress 4746 HAUGE CIR Erect IN Occupency R3
Lot 2 Bl ock `? Sec/Sub. RIDGECLIFFE I Remodel ? 2oning Rl
Percel No. Repair ? Type of Conat. V
Enlarge ? No. Stories
W Name ORRIN THOMPSON HOMES neove ? Lenpth 40
Z Addresz 1712 HOPKINS CROSSROAD Demofish D DePth 46
? City MTKA phone 544-7333 Grede ? Sq. Ft.
w N SAME ApProvab Fees
Z,F ame
?? Addreas
t- City Phone
Neme
Address
City Phone
I hereby ackrowledgs that 1 hove read this opplicotion ond stote that
the inlormation is carrect and agree to comply wlth ull opvlicable
State of Minnesota $tatutes ond Ciry of Eogan Ordirwnces.
SipnMUrc of Permittee
Asussment
Woter & $ew.
Police
Fire
Enp.
Plonner
Cawxil
Bldg. Off.l l/3/84
APC
Ver. Date
Permit 0
SurcFarge 32 • 00
Plan check 162.50
SAC 525.00
Warer Cann. 470. 0 0
WoterMeter 63.00
aoad unir 260.00
Parks
rotai $1, 837.50
A Building Vertnir Is iuued to: ORRZN THOMPSON on the expreas cordition Ihat
ail work shall be dona in ac wit??h o/il aDV icubl St te of Minnesoro Stotutes and Ciry af Eoyan Ordironces.
Buildiap Official ' C 0
-
REQUEST FOR ELECTRICAL IN5PECTION
' See irehuetions (m eo;pleting this fnm on baek of rellow eoOY.
"? 4975 ""X'" Be/ow Work (.overed by This Request
MrA Qdd pOP. Type of 8uiltling APDliKaa A4eA EpuipTBnt Wiretl
Home Range Temporary Service
Duplex Water Heater Ligh[iag Fixtures
f1pt. Building Dryer Electric Heatin
Commercial Bldg. Furnace Silo Unloader
Industrial 81dg. Air Conditioner Bulk Milk Tank
Farm O?he? oeci v ?n?. IScedfyl
t .r. VevfV OMcr
Comnute lnsoeciion Fee Below
i N
Fee
ServiceEntrenceSiza
p
Fae
Feaders/Sub(eetlers
M
Fee
Circuits
IQXD 0 to 200 qm 5 0 to 30 Annins I ?iL'-t? 0 to 30 Am
- Above 200 qm>s 31 to 100 Amps 31 to 100 q n4rs
Swimming Pool Above 700-Amps A6ove 00-Antim;
Transtormers Irtigaiion Boorts S? Partial%Other Fee
Signs Special Inspection gLfl) /O TQ?FEE
Rema?ks
? ?
I u
floueh-in Date
`
ecvical
/ y??
(/ O Im oacmqher
aby
cartilV tha1 the, above
Final 13' pation Aaa beon
? ande.
(INsrepues[vdE iBmOntlnfrom
- o•*
325•00+
32•00+
762•50+
525•00+
470•00+
63•00+
260•00+
1)837•50*
? . .
ALL CONTRA R E LICENSED WITH THE CITY OF EAGAN
.
7 INCLUDE Q SETS OF PLAIhS,
n? 0 CERTIFICATES OF SURVEY
Plan Number: SET OF ENERGY CALCULATIONS
To Be Used For: Valuation: p ' Date: k0-3\
Site Address: y1A6 \N?„-4k,,\.,
Lot: Z Block: `? Sect/Sub:xidgecliffe 1 Erect:
Parcel #:
owner: ORRIN THOMPSON HOMES
Address : a uiwsion ot U. s, ttome corporatiwr
1712 HOPKINS CROSSROAD,
City/Zip Code: MINNETONKA, MINN. 55343
Phone #: S`?'`?-1133
Contractor:
Address:
City/Zip Code:
Phone $:
Arch./Eng:
Address:
City/Zip Code:
Phone#:
Remodel:
Repair:
Enlarge:
Move:
Demolish:
Grade:
C Occupancy:
Zoning:
Type Of Const:
# Stories:
Length:
Depth:
Sq. Ft.:
?=3
R-I
Q
40
4(1
Assessments:
Water/Sewer:
Police:
Fire:
Engr.:
Planner:
Council:
Bldg. Off.:
APC:
Variance:
Permit: 25. "-'
Surcharge: 32.°=
Plan Rev.:
$PlC : 5Z5. ?i
Water Conn: ¢-70
Water Meter 63.=`
Road Unit: 'L((op,=
1 -- ' Parks :
? / S'3 7,60
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
LOT:
4746 HAUGE CIR
RIDGECLIFFE
PERMIT SUBTYPE:
GARAGE/ACCES50RY
2 aLocK: 4 APPLICANT:
JENSEN BOB
(612) 726-0797
TYPE OF WORK:
NEW
auzLQxNG
024178
07/19/9A
INSPECTION .. . ..
FOOTING5 FRAMING
FINAL
REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL WORK
F
L
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
7
J
PERMIT
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681 •4675
PERMITTYPE: euxLozNG
Permit Number: 024178
Date Issued: p 7/19 / 9 q
SITE ADDRESS:
4746 NAUGE CTR
LOT: 2 BLOCK: 4
RIDGECLIFFE
P.I.N.: 10-63980-020-04
DESCRIPTION:
?,
Building-_Permit Type
,tBuilding Wnr.k Type
i
i _..
i
f C
1 ?
?
\\ 1 -?'
`
GARA6E/ACCESSORY
NEW
K?'
L:
yr c_. y? ``l; ?\
REMARKS:
A SEPARATE PERMTT IS REQUIREp FOR ANY ELEC7RICAL WORK
FEE SUMMARY
VALUATION $6,000
Base Fee $81.00
Surcharge $3.00
Total Fee $84.00
CONTRACTOR:
OWNER: - Applicant -
JENSEN BOB
4746 HAUGE CIR
EAGAN MN 55122
(612)726-0797
I hereby acknowledge that I have read this application and state that the
inforrnatian is correat and agree to comply with all applicable 5tate ofi Mn.
Stetutes end City ofi Eagan prdinances.
?
?
APPLICANTY PERMITEE IURE S?ED` SIG AT REI .A`
i4ilt
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered sit surveys, 1 copy energy
calcs. Jf1E_ 't 4 1994
COMMERCIAL 2 sets of architectural & structu al-;L].ans._L.W„o
specifications, 1 copy of energy ca .
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
a
Date Valuation of work 4 6, 2
Site Address: `17jb C,.c,t,
STREET SIJITE #
Tenant Name: (commercial only)
LOT 2- BLOCK I SUBD. A4&Aen P.I.D. #
Descri tion of work: `$r.)Ad ? C.f4fL 6hR.A
The applicant is: Tkf Owner ? Contractor ? Other (Describe)
Name 7er15ey1 h Phone L+5Y'905--6 N
Property LAST FIRST c7 41 ,o
Owner Address 40A 14a0o4 G nc5-1.-
STREET SlE p
City State Mh Zip 5'SV?
Company Phone
Co ntractor Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber Processing time for
sewer & 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:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation El 06 Duplex ? 11 Apt./Lodging
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex p 13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? OS SF Misc. ? 10 Multi. Add'1. ? 15 Deck
WORK TYPE
,R 31 New ? 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
REQUIRED 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
19 Footing
,5 Final
;ff Framing
? Draintile
?
aL
?
?
? Insulation
? Fireplace
Permit fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
vatuac;on: S ?/JG/>
i
? .,
? N
? 16 Basement Finish
O 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Census Bldg
Census Unit
Assessments
SAC %
SAC Units
y iyo
C. R. WINDEN 3 ASSOCIA7E5, INC.
v LANO SURVEYORS TO1. 643-3648
FOR: 1381 EU5T15 Si., $T_ PAUI, MINN. 55108
U. S. HOME CORPORATION
N
Scale: 1" = 30' 'I
O Denotes Iron ?i
Gara?t 7'06; fS I ;t
'?rvm {J ? .ZQ ;-F EaSzlr.B+??C ,
I N 89°13' 47"1•v
170. 00
?
"v 71-?:-
Li 20
? N _79
J ?
,
V LU ?,-
CC 9.
- 0 ? `? 0
, ? == o
ttro
ffn?? J•?: ^
?
?
_ !o I I
?I 170.00 I
Addition, Dakota County, Minnesota.
WE MERESY CERTIPY iHAT TMIS IS A TRUE AND COIiRECT REPRESENTATION Of A SURVEY Of TME
60UNDARIES OF THE lANO ABOVE DESGRISEO ANO OF THE LOCATION OF All 6UILDINGS, If ANY,
iNEREON, ANO ALl VISIBLE ENCRpACMMENTS. IF ANY, FROM OR ON $AID IAND.
Dotad Ihis..??k day eF CctD6er" A.D. 1984 C, R. WIN EN 3 ASSOCIA7E5, INC. -
House Loco iec? h;ov, 30 1984 -?w f? ? ?J',, %? ?/??
? br l?F.?.rr'c."C???/G?. ?,
Surrvror. Minlletole Ropistration No, 7726
-49
DRpILotNAG2,E ANBlockO 4, UTtLRidaecl1TY iffe EAFiSrsEtMENT
Ni1S19
- ° -
1
?'iNY'MMT+1`?PMM?`fl`:'P?M?tµ?pCr1?T+Mi±Vr??rM?m?M?'rvrry"ns1??+MN ^
?GE3N. ' • '
r77Y OF
CFi?IIE1'" (J' -: = iT?.'RAc^F 'temN.. 1\106 ?i Tim..
204
fiAME c Sm?JRA t AM' wq-
,3"'iGI 900: eFF't6 ?-?Ai3?E .KrCivl]CI
2.3.??J '9CJtl1 474
!-?'J('.y?. Y;?? ' CI. ?'rC3
j .
? .. .
7otA1 Recei,?.?,WIXtauh4 -" ' 50M
GR(194863
usF?1; ID: NANwS!
R
?, ?r
PERMIT ° C11'Y OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
suxLDaNa
032477
07/@9/98
SITE ADDRESS:
4746 HAUGE CIR
LOT: 2 BLOCK: 4
RTDGECLIFFE 1ST
P.I.N.: 10-63980-020-04
DESCRIPTION:
B„ttil,d°i°RM_ Permit Type
-04?1tling4 Vork Type
,;t'='Gensus GGde` _
_` m..
ab
?
F:^G
€
ng'
NYx ? ?na
v 1` ?
BASEhIENT FINI5H
AL7ERATTON
434 ALT. RESI[7ENTIAL
tG GI ?_. r?BR
?g is s?re, mF g
?6'q f 9 .?itPoi
L ??° „H r8 i?
?Fl$ `? 6? s1N&? es_"s1? W Hfl ?y
P3 ' k3 CE l& "? }q f g (?Y
'A6fW?`E?? v+3Pt $ " K . ?.
?u
REMARKS:
FEE SUMMARY:
Base Fee $50.00
Surcharge _ .50
Total Fee $59.50
?. ??.,-L - ?--- -
APPLICANT/PERMITEE SIGNATURE
17 8 BUILDING PERMIT APPLICATION (RESIDENTIAL)j2V?
2 CM`Y OF EA(3AN ?
asao rB,ar xxoB xn - ssiaa
681-4676
New Construction ReauiremeMS RemodeVReoair Reuuirements
? 3 registered sde aurveys
• 2 copies of plana (inUude beam & window sizes; poured fnd. design; etc.)
? 1 energy calculetions
? 3 copies of tlae preservation plan H IM platted aiter 7l1/93
required: _ Yes _ No
DATE: 7 ' I -9 8
DESCRIPTION OF WORK:
STREET ADDRESS: &4 / 41
? 2 eopies of plan
? 2 site surveys (exterior additions 8 decks)
? 1 energy ealculations for heated additions
CONSTRUCTIQ N. COST; "? o 0OO.
? . I I't?07' ?! ,ro0 rh ?
BLOCK: ? SUBDJP.I.D. #: i? f Lt ?1 f C? i?e- ElrS+ 841i-h'Bz?
PT- N+?, 10 -1t 39 c -n?t --oy
PROPERTY
OWNER
CON'I'RACTOR
ARCHITECT/
ENGINEER
Name: car-o n ? JQ?'? *(V"4 ai Phone #: ys? -Q4; 473
Last First
Street
4
Ciry F 4 A Q State: m? Zip: IZ.
Registration #:
Street Address:
Ciry
Sewer 8 water licensed plumber (new construction onty):
and lot change is requested once permit is issued.
Zip:
Penalty applies when address chang
I hereby acknowledge that I have read this application and state that the infortnation is conect and agree W comply with all applicabl
ry of Eagan Ordinances. 12
Signature af
USE ONLY
_ Yes _ No
State:
Tree Preservation Plan Received - Yes - No - Not Required
Company:_ ?V / 1? Phone #:
OFFICE USE ONLY
BLIILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dweliing ? 07 4plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 _-plex
WORK TYPE
? 31 New -Ef?-33-Aiterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
?....?? ':.
13 11 Apt./Lodging -f52 -1-6 Basement Finish
? 12 Multi RQpair/Ftorn. 0 17 Swim Pool
? 13 Garage/Accessory ? 20 Public Facility
? 14 Firepiace , ? 21 Miscellaneous
? 15 Deck
? 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq. ft.
sq.ft.
sq.ft.
Footprint sq. ft.
Planning Building
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S!W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Treils Ded.
Other
Copies
Total:
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Engineering Variance
- ?/
?
?
Valuation: $
!
? ?:? ?d1 uf
% 5AC l... _ _._.,.__....?......_.._,_._?
SAC Units
4746
C. R. WINDEN & ASSOCIAtES, iNC.
tAND SURVEYORS TfL 645•3646
"'R' a 1381 fU5Tt5 SL, Si. PAUt, MINN. 56109
U. S. HO*!E CORPORATION
N
Scale: 1" = 30'
O Denotes Iron
?
tr
V
p ? ?11
d
170.00 ? 1O I? o ==2o.e ? ? ? zo
V 3? N ? 25.5 'o I
?
oG0- 4 e _ J `g^ ? I LU
V p ? ?-? ?mn' R ? t?n '1F--2'ove?ha?9 O=
'? I ? h 4 I O?9
r4 46,5 Q -Z"
?
G O a Q"'"tI_"_' O
S I
Q IO V
,
T 4t Zo
; Nz ? n
DRAlNAGE AND70
UTILCITY EASEMENT
?
Lot 2, Block 4, Ridgecliffe First
Addition, Dakota County, Minnesota.
Note:
Proposed garage floor E1.= 96/.03
(9 OD ) Denotes proposed finished qround E1.
i Denotes direction of eurface drainage
Vertical Datum - N.G.V.D. 1929
WE MERE6V CEpTIfY TFtAi TMIS IS A TRUE AND COaRECT RfiRESENTATION OF A SURVEY OF THE
lOUNDARIES OF THE IAND A60VE DESCRI6ED AND Of THE IOCATION Oi Atl lUIIDINGS, ti ANY,
TNEREON, ANO All VISIlIE ENCROACHMENTS. IF ANY, fROM OR ON SAID IAND.
Dotad this
30? _Sor o1-Qdober A.D. I994 C. R. WIyDEN { ASSOCUTES, INC.
•r ??..?--.? ? ???«--!'!?-a?` .,
Sur."r, Minnowta Raqistrmion No. 7726
nian
I 2/84
CITY OF EAGAN
/ APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTIODT
(PLEASE PRINT)
1) PROPEl7PY ADDRESS:
rFr;ar• DESCRIPTION: /4'
(LOt/Block/Suhdivisi'on or Tax Parcel.I.D. NUMber)
IF EXiJ'^_ .G S'T?J..C-..n.mr, "': v n''_ ? O?" .,1.n`,..'"r ?-'_._''. _?'C? L`
' ?_.a o 1T
(rA: z_n/ Y°ar)
FRESEdT -I=_NrVP?20POSE7 USE: P' R-1 SINQ,E FP.MILY
? R-2 DUPLEX (7^7o UNITS)
? R-3 TOWNHOLTSE (THfZ.E + UNITS) ( UNTTS)
? R-4 APARIMQNT/COIMaMIIVI[M ( UNITS)
? CUAMERCIAL/RETAI24%OFFZCE
? 7S,'DUSTRTnr,
Q INSTIT[PPIONAL/GOVERNMIINf
- 2) AppLICANrf (PLEASE PRINT) -
NAME: C ----
h2p i nJ I i-tr• n'iYS r--?
ADDRESS:
CITY, STATE, ZIP: M{ k,? N4 ,? 4 S=> ?I-.3
PHOiNE: 5??I )33 3
3) PILZMM NA
P?: PLEASE PRINT)
?, FOR CITY lISE ONLY
?
? WENZEt .._., .. _.._ .
m
PLUXB,ERS LICENSE:
P,DDRESS: 3800 KENNEBEC DRIVE. EAGAN, MINN.5S122 r-71 Active
' Cl'PY, STATE, ZIP: 452•1565 0 Expired
.
MASILN
[] Hot o Rd
PHONE: PIUMBER LICENSE # 001445M2
TE-57FF-5-1 tia
4) OCC[JpANT/awNII2 (PLEASE PRINT)
D]ANIE:
ADDRESS:
CITY, STATE, ZIP:
PHOrIE:
5) INDICATE WHICH PERMIT IS BEING REQUESTID:
Q CONNECTION 'IO CITY 5aIER
Q CONNEClION TO CI7.1' WATER
? dPEiER (PLEASE DESCRIBE)
bJ 1NU1(iK1t: UNt;:
7)
? PLEASE HOID APPROVED PERMIT FOR PICK-UP BY ONE OF ABWE
? PLEASE MAiL APPROVID PERNiIT TO 1, 2, } 4 ABWE
(Circle one)
DATE: I 1 .$ ?S
_ •?.?.?.+?.d.a.?.?.,..t?:.?.,?rsr?.•?:?
.................. r??? .:?:..:.,. .
?+?a;?ii?;?:.f;i?:i?rr??i!?-irk!?-*r??!!,???.?.
.
.
?.?...
F O R C I T Y II S E O N L Y
PERMIT ISSUED
FEES: $ SEP7ER nERM_TT (I:ICLE;DE SUP
CHARGE)
.
$ WATER PERMIT (INCLUDE SURCHARGE)
$
WATER METER/COPPERHORN/OUTSIDE READER
$ WATER TAP (INCLUDE CORPORATION STOP)
? SEWER TAP
$ ACCOUNT :DEPOSIT - SEWER
$
. ACCbUNT DEPOSTT - WA'.?'ER
$ WAC
' $ SAC
• $ TRIINK WATER ASSESSMENT
$ TRUNK SEWER ASSESSMENT
$ LATERAL BENEFIT/TRUNK SEWER
$ T,ATERAL BENEFIT/TRUNK WATER
$ ' OTHER '
$ TOTAL
:;?r., .-.
. . .h
T
$ -
-----
. ?/• ?d
--------- AMOUNT PAID/RECEIPT.y#
,.
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
YES IF YES, THEN A"PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
7 NO ENGINEERING.DIVISIQC,_ LIST AS A COP;DI-
;._.. . T I UN .
SUBJECT TO THE FOLLOWING COND2TIONS:
APPROVED BY:
TITLE:__?
DATE :
-I u? aO 2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 9 651-675-5675 FAX # 651-675-5694
New ConsWdion Reauirements RemodeVReoair Reauirements Office Use Onlv
3 registe2d site surveys showing sq. ft. of lot sq. ft of house; and all roofed areas 2 copies of plan CeA o( Survey Recd _Y _ N
(20% mazimum bt coverage allowed) 1 sel of Eneqy Calculations for heated addNOm Tree Pres Plan Recd _ Y_ N,
2 copies ot plan showing beam & window s¢es; poured faund desgn, etc. 1 site survey for additlons 8 decks Tree Pres Required _ Y_ N
1 set of Energy CalculaUons Addition - indicefe if on-site sepNc system Oo-site Seplic System _ Y_ N
3 copies of Tree PreservaCwn Plan'rf lot platted afler 711193
Rim Joist Defail Options seledlon sheel (buildings with 3 or less units)
Date '7 lc2i?l QS CoostructionCost? ?0?
Site Address / 7 y6 Unit/Ste #
ct?Qvl Ni(j
.S ?.Z.
Description of Work Cl/
?e,? /Gt('PYh en ?
LJ?hC?? r?t S ???
Multi-Family Bldg _ Y_X N Fireplace(s) _ 0_ 1 _ 2
Property Owner ?S-Gn s)y !5 G Y' Ol,_ Telephone #(?_W)`£S 2 Z6 6 3
Contractor AaYI"qC' ?
t
?
e__?l o C P?
"
?
/
Address o2?? QLP'? z? 16 C' City ?iV,4 Fq/f
State Zip SYU 2 2- Telephone #( 71S) `FZ.S -'7 777
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv 1
. Residential Ventilation Category 1 Worksheel
(Jsubmissiontype) Submitted
• Energy Envelope Calculations Submitted
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheel
Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building 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 State of MN
Statutes; 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.
2/? ys/<<
ApplicanYs Printed Name
c?_? 45a
Appli Ys Sign e
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt- Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. AIt - SF
? 04 02-plex ? 10 DB-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 MiSCellane0u5
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement •Demolition (Entire Bldg) - Give PCA handout ta appliwnt
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings(new bldg) FinaVC.O.
_ Footings(deck) FinaVNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs
Air/Gas Tests Final
_ Framing _ _
Siding
Stucco
Stone Brick
_ Fireplace _ R.I. _ Air Test _ Final _
_
_
Windows
_ Insulation _
_ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Totai
Building Inspector
Akft
Clty of Eapn
3830 Pilot Knob Road
Eagan MN 55122
Phone:(657)675-5675
Fax: (651) 675-5694
-- -----------
I ForOffceUse ?
? Permit#: B .?? I I
? ?CJD
- I
I Permit Fee: /In ?
? I
? Date Received: ?
i i
I Staff: I
i
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: i-'?a U8 Site Address: ??7??a ?i?1?c„? ????c%
Tenant:
Suite #:
RESIDENT/OWNER Name: S?ti,.? C?o Phone:
Address / City / Zip: 47L/41, c C? vc/c
Applicant is: _ Owner ? Contractor
TYPE OF WORK Description of work: 1'r?s? ?iG
Construdion Cost: Multi-Family Building: (Yes No ?
CONTRACTOR Name: 3?J License #:
Address: J7fq7 1;4
N??d ??.
City: ?rn-m Fcs?, State:?(Aj Zip:
i
?
Phone: S?3 / -2Sg6 Contact Person: t-J--z9z
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
C8t2gory . Submitted Submifled
(4 submission type) •. Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a pertnit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan: -
Licensed Plum6er: Phone:
Mechanical Contractor: Phone:
Sewer 8 Water Contractor: Phone:
NOTEs Plans and supportrng do6omg6ts thatyoa submit°are considered to, be publrc informat?on Port?ons of
roJide specdre re`asons that would permii the City to :
the information ma
be classi?ed
as
'non-public if you
,
p
y
,
conclude that fhe 'are frade?`secrets.._; . `?'.< ? -?,.'?
I hereby acknowledge that this infortnation is complete and accurate; that the work will be in confortnance with the ordinances and wdes of the City of
Eagan; that I understand this is not a permit, but onry an application for a permit, and work is not to start without a permd; that the work will be in
accordance with Ihe approved plan in the case of work which requires a review and approval of plans.
X eJ.-,,k X- `??- w-
Applicant's Printed Name ApplicanYs Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA108899
Date Issued:01/23/2013
Permit Category:ePermit
Site Address: 4746 Hauge Cir
Lot:2 Block: 4 Addition: Ridgecliffe 1st
PID:10-63980-04-020
Use:
Description:
Sub Type:e - Water Heater
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Tony Boerner
2090 County Road 42 W
Burnsville, MN 55337
952-435-2442
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Sandra J Caron
4746 Hauge Cir
Eagan MN 55122
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature