4764 Hauge Cir
Use BLUE or BLACK Ink
r----------
For Office Use I
Permit
C95?/
ity of Ea~~
Permit Fee: -GO I
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 ► I
Fax: (651) 675-5694 I Staff:
I
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 6 I9ck# Site Address: to ~T UGC "cu ' ~'(r4~ , a !10 v~ Unit
Name:/" 2hY"54a A" Phone: 9011?
RESIDENT I
OWNER Address / City / Zip:
'7~~ c, at~
Applicant is: ✓ Owner Contractor
TYPE OF WORK Description of work: CPO ~ ~4d
Construction Cost: Multi-Family Building: (Yes / No ✓ )
Company: Contact:
CONTRACTOR Address: City:
State: Zip: Phone:
License Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
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. o herstateonecall.or
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.
X_ A__2 L5 14 93 G a_4 17 x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
130~~41&4 HIStINE l
SUB TYPES
/Foundation _ Fireplace Porch (3-Season) Storm Damage
d Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
01 of _ Plex _ Lower Level _ Pool _ Miscellaneous
Accessory Building
Tt--* ' Z D X 40
WORK TYPES
New _ Interior Improvement Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall Temolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation Occupancy MCES System
Plan Review Code Edition SAC Units
(25%-100%Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC _ Gas Service Test Gas Line Air Test
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In -Air Test -Final Windows
Insulation Retaining Wall: - Footings - Backfill - Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By: Crw (,e , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
Ll7~ Q &WO G'rc& 9
From: 952 346 0110 06/16/2011 08:57 #136 P.001/004
,,.,.w,..........
U Nth ate
Events
exceeding expectations
Date: Thursday, June 16, 2011
To: Mary Gramley . REVIEWED PLANS MUST -
REMAIN ON JOB SITE
City of Eagan
'Fax: 651.675.5694
EAGAN
From: Allison Munsell REVIEWED.
BY.
Ultimate Events ` f
DATE:
Phone: 952.358.6304 BUILDING INSPECT .NS DIVISION
Message: Please find Flame Retardant Certificates and CAD rendedn$ with this fox for
Marsha McCann's 06.18 Graduation Party.
Thank You..
Allison .
s,r 1
8933 Lyndale Ave. S. Bloomington, MN 55420 952-346-0102 952-3.46-0110(Fax)
r A 99 Cff/
From: 952 346 0110 06/16/2011 08:57 #136 P.002/004
.-A AM
ISSlJED.*6Y:
EUREKA TEi+~T f,e Div: of ~fahnecn;udioo~s:Gear LiLC`
B1NGHAMTahI NEW V'ORK-13 02:
A rtbsoft? Abut
Te;fraicl; Ledri~
Ultimate Events _
ADIDiEq&- 8933 Lyndale Ave. S.
srATu:. MN 55430
CRY. Bloomington
This Is,to=tq-WMe produces MGM b M been Mer~cMed I= meD BI inbOMRW lleiree
wardeM as. herea ter. specMd Iy nuMdO spa'.; .
CffUnCaUonislwbyrmdeGpd; fhe dec an'bvdaa. cei oc~hehnure6c~an.n~au(ac d+ llr
m M'%= mterdad ciwrk d.*d anusbid and p dthe fid ming codes:; M=M Bbb Fire:
MwW Cade; NFF*7M- thAw wii = WgrairM aff Canada X11 "UWand'."ISM,
20' x 10' frame white end section
Flame Retarded Ptrx=,Used VAU,Not..B0: R=mvd By.' usWng.Ar d
..I~ Elfer~ive For'ihe LiFe Ol''1'ha.Faibric
.t~n'uewraaeacN s~t~+c
1?95-a
From: 952 346 0110 06/16/2011 08:58, #136 P.003/004
AMK
Aft %pin
ISSUED BY:
EUREKA I TENTS/ a d`w. of Johnson moors Gear LLC
BINGHAMTON,_NEW YORK 13902,
!!gels OtNe Fbot y
,AV Ted PAWIS Desciftd
m
DEAI.ER 4111 - Ultimate Events
AD0RES& 8933 Lyndale Ave, S.
My. Bloomington _STATFlLP MN 55430
This Is tQ cMiry ttot the pmducfs hemb two bom m ackM them ranWtai inhere* flans
Murdaet a h" after specified 6y ft nferial supplier.
C9Wfi*Mcn Icherftrmde The aefida de m"b o ftr a been naarrifad+rodrib
an appnwW bm. nrw&nE chamicaf thetwI as ki6i wW passed sw fbibW g cu&m Caldaonmia Subs Fn
Manhd CDde. t+ PA-701, Ur dwftw LabaaM1titil cd Canada 01",1037) and f L1LM1WM
20'x 20' frame whfte mid section
Flame Rowdad Pwons used'Iill Not Be Ihamowad ByWashing And
is Efforrtiwa For ft Life Of ft FOIL
1feNTmEWARLlRWi'JaR1~G11 LIiG
L..:.MII'i.. .
'LIA~,~oP~p
76q
From: 952 348 0110 06/1612011 08:58 #136 P.004/004
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TENTS/CANOPIES
Call the Building Inspections Division at (651) 675-5690 to discuss building requirements for tents and
canopies.
• Permits are required for all tents over 200 square feet and canopies over 400 square feet.
• Tent /canopy setback is 20 feet from property lines.A completed Commercial Building Permit
application, $130.00 fee, and detailed site plan must accompany the written application.
A site plan shall include the following:
• Location of tent/canopy
• Size of tent/canopy
• Parking
Fire lane provisions
• Distances to structures and property lines
If applicable, provide an interior plan showing exiting/signs, stage location and size, fire extinguishers,
trash collection, seating, electrical/exit lighting, heating and floor covering.
Tents /canopies must be of an approved type and conform to provisions of the Minnesota Fire Prevention
Code, Chapter 6, Article ll.
• Smoking is not permitted in tents, canopies or membrane structures.
• Approved "no smoking" signs shall be conspicuously posted in accordance with Section 310 of the
International Fire Code.
• The tent area and surrounding 30 feet must be. clear of combustibles.
All tents need a certification of flame retardant that meets NFPA,701 and it should be permanently
affixed to the tent or canopy.
• If more than 50 people will be in attendance, 2 exits and 2 fire extinguishers are needed for the tent.
Call Gopher State One';Call at (651) 454-0002 for utility locations before staking.
Call the Building Inspections Division at (651) 675-5675 for a final inspection of the tent/canopy once it is
erected.
IMKe A )nCCA11r' Z174Y /fo9v~c dy, 6.51 Y5-(- qa7 -8
2 o
ZJ ~.IY1/1
Page 1 of 1
CITY OF EAGAN Remarks
Addition Ri gP _1 i ff Fi rgt Addn Lot S Blk 4 Parcel #10 63 80 OSn 04
Owner wQ,,?:1 :, :, !'? 1 street 4764 Hauge Circle Stte Eagan, hW 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK OL' 19$2 298.08 5 298.08
SEWER LATERAL
WATERMAIN
WATER LATERAL
WaTER AREA 1982 298.08 ?-2A-81
STdRM SEW TRK 19$2 638.24 5 638.24 12-23-81
SEW LAT
Services 1982 637.75 5 637.75 007 6 12-23-81
CURB & GUTTER
51DEWALK
STREET LIGHT
185.00 19628 - -
WATER CONN. 305.
BUILDING PER.
SAC '
PAR K
CASH RECEIPT
CITY aF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
reec¢Iveo
FROM '
AMOUNT $ I
& DOLLARS
I eo
? CASH ? CHECK
FOR
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thank You
? '/
°v- . BY
CITY OF EAGAN
3795 Pilet Knob Road Eogun, MN 55122
PHONE: 454-8100
N° 5906
BUILDING PERMIT Receipt .#
-
Te be used fer Est. Volue Dote 19
- -
"'
Site Address ` ?!+ ;.: •: ! -
Ered E]
Occuponcy
1? ? ;ff
? 13t
Lot Block Sec/Sub. Alter ? Zoning ,
Pnrcel # rrt „?,?•`?'?`:`?' , Repair ? Fire Zone
E
l T
f C
t
n
arge ? ype o
ons
.
W. Nome '---?'1?.I1 1$C)7:;T•.???'? ?.O..?P.S Move ? # Stories
z
3 1712 Hopkir_, ;r. c,-,sroad
Address
Demolish ?
Front
ft.
b r;*„ "i nnPtnnka SLL-'7"?i"? Gmde ? Depth ? ft.
ix
o .........,...
Name ?'+PPrv?u?a
~
??
Address Assessment ?
~ Cit Phone Water & Sew.
,W
Name ~" tP Pol ice
F
FW ire
Address Eng
ULD Q'Z" Ci Phone .
Planner
Counci I
I hereby acknowledge thot I have read this application and stcte that Bidg. Off. -
fhe information is correct and agree fo comply with ali opplicoble
Stote of Minnesota 5tatutes and City of Eagan Ordinances. APC
Permit
Surchorge
Plan check
SAC '
Woter Conn. '» •
?n
Water Meter
Road Unit
Total 5ignature of Permittee
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with all opplicable State of Minnesoto Statutes ond City of Eagan Ordinances.
Building Officiol
PennM DoM laued POnitN"
Plumbing ? C " e -
Mechanical v2
INSPEGTIONS DAT INSP.
Rough-In
Finol
Footings 7 Date Insp. Dote Insp.
Foundation Piumbing I/c?
Frome/ins. Mechonical ?
Final lf ? 7- SZS
Remarks:
No. - ??
cirir oF EAc,AH
3796 Pilat Knob Roed
Eo4an. Mlnwesota 65122
Plwnr 454-8100
rv' PERMIT
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
?,.
7-30-o'-! %C
Date: Receipt No.:
Single
Site /Wdress: 4764 ;':B?LE?t? Circl? Residential ?
Lot J Block 4 Sub/Sec.
Ridgecliffe 1
Orrin Thompeon Hames
Na^'? New/Alter. / Repaf r
; Address 1712 Hopkins CrBrd.
Cost of Instailation
O
City '*inmetonka ?!-?1. Phone: 5414-733? Permit Fee ^I l,1?n
Name Wenze1 11feChBIi(S8`1 Surchurge
.
? Address 161,r)t:ers!.ebec ?r.
? City "?FT?°?' ? ?' • Phone: a? 52-1565 Totol
This Permit is issued on the express condition that oil work sholl be done in occordance with all opplicoble 5tote of
Minnesoto Stotutes cnd City af Eogan Ordinances.
Building Official
No. 1-95; 0
CITY OF EAGAN
3745 Pilot Knob Roed
Easan• Mi^nesota 55122 INSPECTOR NOTIFICATION
P6n?c aSL.g100 nr?l 11nrn nv 1 A1111
pERMIT
Dote:
$ite ?.7??4 1iatl?'f-. '?
/kJdress:
La Block Z. Sub/S
Name Orrin TY,amps
g Address 1712 FopUtnc
? City ?:lllet+0llk8, i ?2.
Nome Fay Weltez' Hee.l
4637 Chiaago Ave-1S.
2 Address 3 - . '
City
This Permit is issued on the express
Minnesoto Stotutes ond City of Eogon
itidgecl3ffe lst
1 ti01'l?S
Phone: 544-7331
FOR?ALL INSPECTIONS
Receipt No.:
Single I
Residential
New/Alter./Repair
Cost of Installation
Permit Fee
Surcherge
'25-F`,r? .
Phone: Total
on that oll work sholl be done in accordonce with otl applicable State of
20.0
Building Official
CITY OF EAGAN
3795 pilot Knob Rood
Eogan, AAN 55122
Zoning:
Owner:
Address:
Site Address:
PI umber:
i_ s _ _ r u.,
1 agree fo oomply wiFh Fhe Cify of Eagan
Ordinonces.
cerir oF eaaAK
3745 Pitot Knob Road
Eagan, MN 55122
Zoning:
Owner;
Address:
Site Address:
E
Connection Charge:
qccourtt Deposit: _
Permit Fee:
5urchorge:
Misc. Charges:
Total:
nr
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
. No. of Units:
No.:
to aomply with the Cify of Eagan
Connection Charge:
Account Deposit: _
Permit Fee:
Surcharge:
Misc. Charges: -
Total:
Date Paid:
Model 43 CITY OF EAGAN
3795 Pilot Ifneb Road Eagan, MN 53122
PHONE: 454-8700
BUILDING PERMIT APPLICATION Receipt #
?- 1- _--, ,-- SF Dwlg/Gar ? . .. . 47,000.00 ,, .
Site Address
Lor 5
Porcel # -
w Nome UPI`l.
; Addreu'. 1712
b
a Name _
?
Su Address
1- r:...
4
Block - SeUSub
not recorded
Crossroad
Nome Sam2
Address
N° 5906
/ %J?
June 30 ,,, 80
Erect E Occupancy R3
Alter p Zoning Rl
Repoir ? Fire Zorre III
Enlarge ? Type of Const. V
Move ? # $tories
Demolish ? Front 64 ff.
Gmde ? Depth 26 ft.
Aoororala Feos
Assessment Permit i»•v"
Water & Sew. Surcharge 23150
Pollce Plan check 66.50
Fire SAC 525.00
Eng. Water Conn. 05.00
Planner Woter Meter 60.00
CounCii Road Unit 1$5.00
5 20 80
eid9
off
.
.
APC Total 1.298.00
on t he express condition that
soto Statutes and City of Eagon Ordinances.
I hereby ackrwwledge that I hove reod this epplication and smte that
the information is correct and ogree to wmply with all applicable
$tate of Minnesoto Statutes and City of Eagan Ordinonces.
Signoture of Permittee
A Building Permit ts issued ro: Orrix TY tson HOIIl25
all work shall be done in accordanfc,with?l le Stote.of Mina
8uilding Official
CITY OF EAGAN Include 2 sets of plans,
1 site plan w/elevations &
BUIIJJING PERNII'I' APPLICATIdN 1 set of p*e*gy calculations.
-f/7 d 0c1 ?° -
To Be Used For Ru%nE,ce _ Valuation , Date G`RZJ
Site Pddress: zt`lln`-? }4A?c,€ «. OFFICE USE Of1LY
Lot s slocx Li sec./suu. e t >?_ Occupanc7'
Parcel #:
Owmer :
Address:
City/Zip Code:
Yhone #:
Contractor: ngRIN TN(?MpS(1N I-If?AAFG
Addr255: a Division of U. S. Home Corporation
17!2 1 iePNirfs sRessaene
City/Zip Code_ MINNETONKA, MINN. 55343
Phone #: 5yq-1333
Arch. /Fng. :
Address:
Alter _
Repair .
Enlan3e
Nlove
Dennlish
Grade
Zoninq ?
Fire Zone .3
Type of Const.
# Stories
Fmnt (?y - ft.
DePth 2G ft.
APPRDUALS ?'?
AssessmentS
Water/Sewer
Police _
Fire
Pesmit / 33 `m
Surcharge 73 'm
Plan Check-lvG?
SAC $?y ?-
Water Conn.
Water.Meter (yo °°
Road Unit / $? °?
En3 -
Planner
Council ,7 _
Bldg. Off.
APC _
Gity/Zip Code:
Phone # : ??' 1 a `
minnesota zocate noara oT eiectncity
Griggs Midway Bldg. - Room N791
i0%82.1 u Jversity Ave., St. Paul, Minn. 55104 - PFwne 297-2111 1? ^
_ REQUEST FOR ELECTRICAL INSPECTION ,(G
CHECK BEL-OW WORK COVERED BY THIS REQUEST f?
E6•00001-02
84981
Type ot Building Ne Add. Rep. Check Applinnces W'ved Foc Check Equipment Wired For
Home ? ? Range 'Iemporary Wiring ?
Dupfex ? 1-1 WateiHealer LightingFix[ures ?
t. Bldg. ? ? ? Dryei Electric Heating ?
mmercial Bldg. ? ? ? Furnace ? Silo Unloader ?
Industrial Bldg. ? ? ? Air Conditioner Bulk Milk Tank ?
Fazm ? ? ? Lis[ List )
O[het
?
?
? p
He?erS? }
Herelsl
COMPUTE INSPECTION FEE BELOW
Se?vice Enhance Size: # Fee Fceders.?fR,.,., tee3eig; ; °?\Fcb Circuits: # ?ee
0 l0 100 Am s. 0[0 3D'1 m rbs?v 0 to 30 Am eies
101 [0 200 Amps. 31 to 100: Am '? s 31 to 100 Am eies W
Above 200 Amps. Above ]O(t1 Amps. Abme 100 Amps.
Transformeis Remote Conuol Circ Partial ot other fee
Si ns Special Ins ection Minimum fee S5.00
Remarks
TOTALFEE
I,the Electricallnspector,hereby certify
(Final) __
This request void
18 months from
has beeny; ade.
)late /7-
Rate fo7-.30'?'u
This jeyuest void ZS
18 monihs from pS
Dat of this Request R.1 Fire No. S 84981
I, asLicensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal wiring installed at:
et Address or Route No. ?l?`? ftUb? Ct?-?` City ?"?
3lLRion Township Range County (? IJkmo4w
Which is occupied by
Is a roughin inspection required on this job? No ? Yes(21?,? Ready Now ? Will CaVR?
Power Supplier Address Fhw1f,)6 iVr`
Electrical Contractor P? Contractor's License Nohwi
,l (COmpanv Name) ?r,,
Mailing Address _ l% ll ???.(PF /??? .
? (c1_ esyricaonr uwner makmy i nis mstauauon)
Authorized Si nature
B `H?3r-G Phone No.
(ElectrlcalL`ontra<tor or Owner Making This Installatlan)
(???? ' ry???? +???,?J e? This inspection request will not be accepted 6y the
r.' _? L;'`.\'l?r • w C? lJ State Board unless proper inspection fee is enclosed.
CITY USE ONLY
L .5 BL ? RECEIPT #: 6
SUBD. DATE:-Y/S 4?2
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD j, 3 Z.
EAGAN, MN 55122
(612) 681 -4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH ?.C TOTAL
S!i.^.`.1eP 3.00 .. _
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tu?b/S.p? 3.00 x =
a erf e 3.00 x =
rain 3.00 x =
Gas Piping Outlet * minimum -1 3.00 x =
Rough Openings 1.50 x =
Water Softener 5.00 x =
Private Disposal * Dakota Cty. license 50.00 =
(new and refurbished systems)
U.G. Sprinkler * home under const. 3.00 =
Alterations * to exiseng 20.00
Water Turn Around 20.00
STATE SURCHARGE
TOTAL
,63 9V-6- oSo-o ?/
51TE ADDRESS:?.1 LERLI RhITHONV
4764 HfiUGE C I RCLE
EAGAN , 55122
OWNER NAME:_. H 685-844$ w
INSTALLER
STREET ADI
.50
?'50
CITY: STATE: ZI P:
PHONE #: ( )
PERMITTEE
OFFICE USE ONLY
L BL RECEIPT #:
SUBD.
DATE:
1896 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please compiete for: . atl commercial/industrial buildings.
? mufti-family buildings when separate permits are = required for each dwelling
unit.
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR
OESCRIPTION OF WORK:
tS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? _ YES _ NO.
FAILURE TO PROVIDE THI5 INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO.
IF 50, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of p?rt js fee due on all permits.
CONTRACT PRICE x 1°k
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME:
OWNER NAME:
INSTALLER
STE. #
.., .. ....r n .:.ADDRESS: --
.., .-::.
CITY: V STATE: ZIP:
PHONE #: SIGNATURE:
OFFICE USE ONLY
APPLICANT
METER SIZE: DATE: INSPECTOR:
?i?? C. R. WINDEN a ASSOCIATES, INC.
!r)? IAND SURVEYORS T!l 645•3648
FOR: r 1381 EU5TI5 SL, ST. PAUI# MINN. 65100
U. S. HOME CORPORATION
N ?
? U
?
? u
Scale: 1" = 30'
oDenotes Iron Ll
?
Z
?
?
%9
147.45
?o?-?-------?
1 P4.6 (10
N ? I
3! ?
I ? I
0
? 24.6
? \ I
?
??'a 'e9 \ I
Lot 5, Block 4, Ridgecli££e First
Addition, Dakota County, Minnesota.
?'r \
s?4; ?
F/V? ?
j Io
ti
?
ti
WE HEREBY CERTIfY THAT THIS IS A TRUE AND CORRECT REPRESENTAiION OF A SURVEY Of THE
60UNDARIES OF THE IAND ASOVE DESCRIlED AND OF TME IOCATION OF All 6UIlDINGS, If ANY,
TMEREON, AND ALl VISIEIE ENCROACMMENTS. IF ANY, FROM OR ON SAID lANO.
Dotad this ? ? doy oF M°A.D. 1980
C. R. WINOEN 8 ASSOCIATES, fNC.
br Cl? dkr-,t?.
Surwyer, Minnewto Rapiserolien No. 772g
NTL19
CITY OF EACAN
- --- - -- - -
EARLY UTILITY CONNECTION PERMIT
4764 Hauge Circle LS B4 Ridge Cliffe lst
Address Subdivision/Parcel
- --- - --
--
I hereby request permission from the City:of Eagan to connect to the
sanitary sewer and water lateral line in the public right-of-way. I
- - -- -
understand that the City has not yet completed, inspected and/or accep[ed .-
the sewer and/or mater lateral. I agree noc to use, tesc, or connect these
individual services to any interior plumbing and understand the require-
--ment to cap the sewer service to prevent any unauthorized use.
- - - -- -
In accepting this permit, it 1s agreed that I will hold the City and its
agents harmless from any damage that may occur due to this early,connection.
It is understood that no Occupancy Yermit vill be issued or water allowed
to be turned on until the City utility system has been declared operational -
by the Ci[y Engineer.
Signed by - Plumber:?
- - Owner:
Developer• 0
Builder:
Dated:
CITY OF EAGAN
" EARLY UTILITY CONNECTION PERMTT -
4752, 4758, 4764, 4768, 4769, ' L3 B4, L4 B4, LS B4,, L6 B4, L7 B4,
4765, 4759, & 4753 Hauge Circle L8 B4, L9 B44 & L10 $4 Ridge Cliffe lst
Address Subdivision/Parcel
I hereby request pexmission from ihe City of Eagan to connect to the
sanitary sewer and water lateral line in the public zight-of-way. I'
understand that [he City has not yet completed, inspected and/or accepted
the sewer and/or vater lateral. I agree not to use, test, or connect these
individ_al services to ar.j iaterior plumhing and unders[and rhr require-
- ment to cap [hP sewer service to preven[ any unauthorized use. _
In accep[ing this permit, it is agreed that I will hold the City and its
agents harmless from any damage that may occur due to this early connection.
It is understood that no Occupancy Permit will be fssued or water allowed
to he turned on until the City utility system has been declared operational
by the City Engineer. °
Signed by - Plumberz?CU?
C/
Owner:
Developer:
Builder:
L'ated: ?(???/ OtJ
T
I
10??
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 4 651-675-5694
New ConsWction Reauirements RemodeUReoair Reauiremenls Office Use Onlv
3 regislered site surveys showiig sq. tt. of lot, sq. ft. o( house; and all mofed areas 2 copies of plan CeA of Survey Recd _ Y _ N
(20% matiimum lot coverage albwed) 1 sel oi Eneqy Calculations for heated additions Tree Pres PIanRecd . _ Y _ N.
2 copies of plan showing beam 6 window sizes; poured found design, elc. 1 sile survey for additions 8 decks Tree Pres Required . Y _ N
i set of Energy Calalations Addifion • inMicate if onsite septk system Onsile Septic System _ Y _ N
3 copies of Tree PreservaUon Ptan if lot plaHed after 711193
Rim Joist Detsil Oplions seledion sheet (buildings with 3 or less unlts)
Date
Site Address C '7 ?? Constructioo Cost
/-7/? (/sQ UniuSte #
Description af Work
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
PropertyOwner ?.1? G45 S Z/fl t Gr _! Telephone #( )
Contractor kh),?qz C-I,?q 4w.;'p ?:7L1i/ `n C
Address
State
i"J''"fc-GI f'?i
City
Zip Telephone #(e/2 E/6 -2d' G/
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(+l submission type) Submitted Submitted
• Energy Envelope Calculalions 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 infotmation 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
ap,groval of plans. 1-1---) /
ApplicanYs Prin d Name ApplicanYs Signa e
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) O 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interiar ? 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 (EnUre Bld g) - Give PCA handout to applicant
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 61dg) _ Final/C.O.
_ Footings (deck) FinaUNo 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
Treatrnent Plant
License Search
Copies
Other
Total
Building Inspector
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA129186
Date Issued:01/20/2015
Permit Category:ePermit
Site Address: 4764 Hauge Cir
Lot:5 Block: 4 Addition: Ridgecliffe 1st
PID:10-63980-04-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Applicant: Ann Hoffman
505 Randolph Ave
St Paul, MN 55102
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 -
Scott R Mccann
4764 Hauge Cir
Eagan MN 55122
(651) 456-9078
Bonfe's Plumbing & Heating
505 Randolph Ave
St Paul MN 55102
(651) 228-9071
Applicant/Permitee: Signature Issued By: Signature