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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