4783 Highcroft CtINSPEC'
? CITY QF EAGAN
` 3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT SUBTYPE:
N
JCORD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
TYPE OF WORK:
fiu ?I VrwEi
e:????00
lVilA2 f4l
II - t- 1 Nr, . I I I !NAt
Permit No. Psrmit Hoider Date Telephone M
ELECTRIC
PLUMBINCa
HVAC
Inspectlon Dete Insp. Commenffi
FOOTI NGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PIBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FiREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
/O
L
• ?b
W,ertifica#e af Cccupanc? ?.?.
(AM of Wagatt
2*0artatcut of ZxOixg 3860errioa
This Certijcate issaed pursuant to the nquirements of the Uniform Buiiding Code
certifying tltur at the tune of issuance this structure was in compliance wirh rhe various
orrtinances af the Ci1y regutating bttilding constructiorc or use. For the following:
use Clusificaim: SF DWG/GAR ele&Nn,,;cNo. 27572
0-up-y Type R- 3 U-1 z;g Disict PD R-1 Tra cw,st. VN
Owimof8m1di,gJOE MILLEB HOMES Aam,ms 3459 WASH?NC:'rott Qe_ _ t?er.ep9
g? 4783_HIGH-ROFT CT Local;ty L10, B1, ST. CHARLES WOOD
Dam. h,?/??co
?
POST IN A CONSPICl104JS PLACE
:'i 1
MN :
. IN
C[l`TQF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
StTE ADDRESS: '
1 il1
?
I I e- 14AK1. F°. l411 U1l
? PERMIT SUBTYPE:
? I ..i,;
TYPE OF WORK:
ivrii
iNSPECTION .. . .•
? i IsMlMf? ? iiii? t I•t?,
I f?`,lil ?l f 1+ICd ? ; ' ; I ::+ ;
I
I M AkKs x 4; J-- t1 fIJ fil: - 14 d: 4.t '..f tJt p Fi1VtI t•!/l f( R
ON
PERNi1T TYPE:
Permit Number; Date Issued:
.. , s, . ...: - .
qppLICANT:
1e tfl n4:r : ,
t r, i =:! ;lh?i •H?,r? R
r
.,
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t
Perm3t No. Permit kolder Date Telephone #
ELECTRIC
PLUMBING
HvAC
inspectfon Date Insp. Comments
FOOTINGS S
? .i
Zze
FDUND
c
?..R?
f7' C'Z 4? W
FRAMING
ROOFING
ROUGH
PLUMBING _3
O 6 ?? ? ?
PLBG
AIR TEST
ROUGH
NEATING
-601? epa
GAS SVC
TEST
-3O"7?
INSUL
GYPBOARD
FIREPLACE
.?
FIREPLACE AIR TEST
,??,q
,? ?
!/?
??
FINAI PLBG
G
FINAL HTG
by
OftSAT
7EST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FiG
OFCK FINAL
AddiCSS _ 4783 HIGHCROFT cT Zip 5512 ?
I.ot io Blk
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTTON.
Date: /(/09(P Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent dmeway
Permanent gas x
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the pWmbing system and the shut-off of water suppiy to
the outside lawn faucet before freeze potential exists.
ContaM engineering division a[ 681-4645 before working in right-of-way or installing underground sprinkler sysrem.
White - City Copy Yellow - Resident Copy Pink - Contraclor Copy ?
Sllb ST CHARLES WOOD
I II I I? ?NI III?I - REOUEST FOR ELECTRICAL INSPECTION ?9?' 7
Minnesota State 8oard of E{ecSricity
?827 University Ave., Hm. 128, t. Paul, MN 55104
* 0 P26 5 6 1 2 2* Phone (612) sa2-oeoo (a(a?f6 13V7
Home Duplex Apt. Bldg. 01he ?- New P,ddn
Commerciol Indusfriol Parm Remad Re air
Air Cond. Htg. Equip. Water Nh. Load Mgmt. Other:
Dryer Ran e Elec Heat Tem . Service
"k' above fhe work covered by fhis requesG Enter remarks in this space and on /he back of the whife ropy only.
Calculafe Inspedion Fee - This Inspection Requesf will nof be accepted wifhovf the cormct fee:
Olfier
F Fee # Service Enfrance Siie Fee # Circuih/feeders Fee
Ma6ile Home Park Stall 0 to 200 Amps ? 0 to 700 Amps
Q
Sireat Lt9.5 rafflc Sig. Above 200 Amps A6ove 100 Amps
Tronsformer/Generalor INSPECTOp'SUSEONLV TOTALI ^
Sign/Oudine Lfg. Xfmr.
Alarm/Remofe Conhal
Swimming Pool ?
I hem cem Mar I ?nx ' I?nehA ' d cnb he?un on ?he dams swred
Irrigafian Boom Raogh-In D
?oecial Inspecfion
?estigative Fee Final ?
3 INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS
2 6 5- 612 ? O? USE /OyyyLY This requesf void 18 months (rom mlidonon dak pnnted in Mis bog
y? j??p a L ?5% ?
gl
PLEASE PBINT OR TYPE fJ A
Requea4 D.I. Rough-In inspxlion reqWred2 a ? No Inspeclion DtherThon Rough-Im Q Ready Naw ?WIRCaII
J u n e 11 , 19 9 6 n?-ust call the inspedor when raody) Dak Ready:
I, icensed con}rncior Q owner hereby requesf inspecfion of ihe a6ove eledrital work at:
Job mss Street Box, orhcroYt Rouh No.1 Court
+8? I?ig CiryEagan Zip Code
$5123
Section No. Township Name ar No. Range No. Flre No. Comry
Dakota
Omupant Phane No.
Joe Miller Homes 454-4663
Powxr Supplier Pddres Q 220t}1 S'ti1
Dakota Electric FArmin ton MN 55024
Eleqnml Contmnor (Company Name) Canlmcbr Limnse No. Maskr Li<. No. (Plam EIM. Only)
MIdland Electric 16
Moiling Pddnes (Conhodar orOwner PeRorming Insallanon)
22691 Red Fox DR Lakeville,MN 55044
+ S' aNre (C?cto o Owner Pellalion)
\ n `l? _ PMne No.
461-1444
X11A-10 6/95 BOARDCOPY-SEEINSTRIICTIONSONBACKOFYELLOWCOW
City of Eapn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (657) 675-5675
Fax: (651) 675-5694
2008 RESIDENTIAL
Date: Site Address:
Tenant:
- -----------i
I Fqr?Qt6ce 4se I
I
? Permit#: Q2 a`-JS -y
! 3 j
i Pertnit Fee:
? Date Received:
j Staff: ( ,70 I
I
NG PERMIT APPLICATION
Suite #:
RESIDENT/OWWER Name:,&_/,6!F 22'i/?/ Phone/'-,?ti/ Z?SJ
Address 1 CityI Zip: EC! Gfli AI/l SV2 -2
Applicant is: _ Owner -.)( Contrac[or
TYPE OF WORK Description of workyvCl2?? G/9 d v4114jLz Ly5
Construction Cost ln Multi-Family Building: (Yes No ?
CONTRACTOR Name:l.445/<_iLicense#: 2V /y ??
Address: Zzgre2/3
City: State:? Zip:
Phone:,2o2-S- ContactPerson:ZwVCL
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Enef9Y COde . Residential Ventilation Category 1 Woiicsheet • New Energy Code Worksheet
CatEgOry Submitted Submitted
(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 plan4
_Yes _No If yes, date and address of master plan:
Licensed Plumber: - Phone:
Mechanical Contractor: Phone:
Sewer 8 Water Contractor: Phone:
NOTE; Plans and supporting documents thai yoa submit are considered to be public information. Rortions of
the information may be classified as non-public; if yoa provide specrir?,reasons Lhaf woufd permit the City to
?i
„
concfude'thatthe are trade secrets.
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 pertnit, 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 ? TF? ??//1 y?`1C'°rsy
ApplicanYs Printed Name pplicant's Signature
Page 1 of 3
PERMIT # is- ' q -I r
RECEIPT DATE:
2002 ftESIDFMPIAL f'LUMBINfi PEfiMIT ?PPLiCATION
CITY OF ERfiAN
3$30 fILOT KNOB RD
FasAN, MN 55122
651-6$1-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
SITEADDRE55: ?iGl?O?1 li?
OWNER NAME:: TELEPHONE#:
(AREA CODE)
INSTALLER NAME: S?I?.UC ?G'LT??r TELEPHONE #1'L/3L/
,?y / (AREA CODE)
STREETADDRESS: /C/a?3
CITY: ? 1 SY - / Q1??z STATE: ///,Kl ZIP:
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license)
includes $40.00 County fee $ 100.00
Note: Additional consultant fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
V Adding fiMures to lower levels or room additions, excluding qaater softeners and water heaters. $ 50.00
_ Abandonment of septic system.
Water turnarounpd - expist?ing dwelling unit (+ 5/8" meter if needed -$118) I
Other. V) ('x.4-l
_ RPZ: new installationfrepairlrebuild $ 30.00
_ lawn irrigation system
ReplacemenUadditional: _ water softener _ water heater $ 15.00
State Surcharge ?UN 1 9 g 50
Total gy $
I hereby acknowledge that I have read this application, statethat the information is correct, and agre to comply ith all applipble City of Eagan ordinances. It
is the applicant's responsibiliryto notify the property owner that the City of Eagan assumes no li ityfor any d mages ca sed by the City during its normal
operetional and maintenance activities to the kcilities constructed under this permit vithin pro ri ement.
SIGNATURE OF PERMITTEE 1102
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
U 3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
NewConstruction Reauirements
• 3 regislered sAe surveys shawing sq, ft. of lot, sq. ft. of house; and all (oofed areas
(20°k maximum lot coverage allowed)
• 2 copies of plan showing beam 8 window sizes; poured found desgn, etc.)
• t set of Energy Calalalions
• 3 copies of Tree Preservation Plan if lot platted after 711/93
• Rim Joist Defail Opfions selection sheet (bldgs with 3 or less units)
? (7 . r?;o
RemodeVRenairReauiremants L
2 copies of plan
• 1 set ot Energy Calculations for heated additions
• 1 sile survey for extenoraddAions & decks
• Indicale it home served by seplic syslem for additions
DATE 6'1 2?I6? VALUATION
SITE ADDRESS
TYPE OF WORK Jk``?5???? ? ?`??-s? •
APPLICANT
STREETADDRESS
TELEPHONE #
PROPERTY OWNER
2 8?4?D
MULTI-FAMILY BLDG _Y N
_ FIREPLACE(S) _ 0 -0_ 2
CELL PHONE 35_?& FAX #
A/alP
TELEPHONE#
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNFSO'fA RULES 7670 CATF.GORY 1 MINNESOTA RUI,LS 7672
(q submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Contractor:
Air Condilioning
Heat Recovery Systein
Phone #
Phone #
Fce: $90.00
??g ?_ 0 U m
I hereby acknowledge that I have read this application, state that the injqrmation isltbrb? , mply
with all applicable State of Minnesota Statutes and City of Eagan OrIO(ances.
Signature of Applicant
OFFICE USE ONLY
Water Softener
Water Heater
_ No. of Baths
Phone #
Lawn Sprinkler
No. of R.I. Baths
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
O 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 6ct. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck O 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex i?,r 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation ?9 Occupancy ?l C 7-'Vl? MC/ES System
T_?_, ?
Census Code Zoning City Water
SAC Units 19-1 Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const V n' W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) ? FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundarion
? HVAC
Drain Tile 7 Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
? Franting _ Siding Stucco _ Stone
Fireplace 4 R.I. ?*Air Test ?/ Final _ Windows (new/replacement)
? Insulation F _ Retaining Wall
Approved By rZ , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
?-•
--I v
y PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: Bu z Lo z n G
Eagan, Minnesota 55122-1897 Permit Number: 0 2 7 5 7 2
(612) 681-4675 Date Issued: 05 /16 /96
SITE ADDRESS:
4783 HIGHCROFT CT
LOT: 10 BLOCK: 1
ST CHARLE5 WOOD
P.I.N.: 16-65870-100-01
DESCRIPTION:
Permit Type SF C3WG
rk Type
NEW
R-3 U-1
e V-N
PD R-1
68
38
2
2,146
101 1 - fAM. DETACH
?g
e? ? ?
??.?a ?3 ??E'6 a?} :"?? ? "?i$ `cksa ?t ?st.g. '4?y ? m ma
{?ID . m, ??
REMARKS:
5& W PIBR - M& W SEWER AND WATER
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SflC
3AC %
SAC Units
Subtotal
VALUATION $178,000
$1,277.25 MISCELLANEOUS $1.923.50
$638.63 Total Fee $4,828.38
$89.00
$900.00
10@
1
$2,904.88
CONTRACTOR: - applicant - ST. I.IC.OWNER:
HORTON INC OF MN, D R 14544663 2000565 ,70E MILLER HOMES
3459 WA5HINGTQN pR 204 3459 WASHINGTpN DR
EAGAN MN 55122 EAGAN MN 55123
(612) 454-4663 (612)454-4663
& 0Y4, ! I(NIDI ? AtIA C rn?
° APPLICANT/PERMITEE SIGNATURE ISSUED B SIG ATUR
ltmql CITY OF EAGAN
3830 PILOT KNOB RD - 55722
1996 BUILDING PERMIT APPUCATION (RESIDENTIAL)
681-4675
RemodeUReoair Reavirements
? 3 registered site surveys ? 2 copies of plan
? 2 copies ofplans (include beam 8 window sizes; poured ind. design; elc.) ? 2 site surveys (exterior additions & decks)
? t energy calculetions ? 1 energy caleulations Tor healed additions
? 3 copies of tree preserveiton plan H bt platted a8er 7/1N3 .
required: Yr Yes _ No -
DATE: CONSTRUCTION COST: ?2,Z 9 7?
DESCRIPTION OF WORK: AP?
STREET ADDRESS: /iJ' 717'i4??G;.z? I mr. ? t
LOT lL BLOCK ? SUBD./P.I.D. #: 5?• acr?e5 [.Uvczi
PROPERTY Name: Phone #:
OWNER """
Street Address*
- City: State: Zip:
CONTRACTOR Company: i'1k/le?- 4,krkS Phone #:
Street Address: 3L/S9 : a??? bY, License #: ,??-??s7
City: State: MAI Zip: 55?23
ARCHITECTI Company: Phone #:
ENGINEER
Name: Registration #:
Street Address-
City: State: Zip:
d /?? __ Penalty applies when address change and lot
Sewer & water licensed plumber: ?.r1.±/ -?ekfGV d- lCl
change are requested once permit is issued.
1 hereby acknowiedge 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: l h????yO U?O?
OFFICE USE ONLY ' ?????E 11
Certificates of Survey Received Zyes No
'
Tree Preservation Plan Received _ Yes No -"--"-'
OFFICE USE ONLY
BUILDING PERMIT NPE
3v` "`<%t ^..'.?Rc• '""'..
?, -
w.
0 91 Foundation o 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
??02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. 0 10 = plex ? 15 Deck
WORK TYPE
?31 New ? 33 Alterations ? 36 Move
0 32 Addition o 34 Repair ? 37 Demolition
GENERAL lNFORMATION
Const. (Actuai)
(Allowable)
UBC Occupancy
Zoning s' f v "` r`?
?,- ?s
•
# of Stories
Length
Depth
APPROVALS
Planning
Building
Engineering
Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS 5AC
City SAC
Water Conn.
Water Meter
Acct. Deposit
5/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
°k SAC
SAC Units
Basement sq. ft. ?i &l MC/WS System vC-
.¢ N Main level sq. ft. ?i S/f City Water
?_? 2"?= sq, ft. 1&7 Fire Sprinklered
-D C- sq. ft. PRV
t 3s..,- sq. ft. Booster Pump
l08 sq. ft. Census Code. /°/
36 Footprint sq. ft. SAC Code .0/_
Census Bidg /
Census Unit i
Valuation:
/1//fliN/ _
$ 178,0 0 0 " '?l?A? _ /r?, 385-
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?• CERT{FICATE OF SURVEY M 3 2-13 9 2- 9 6
for
' JOE MILLER HOMES
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Top curb to Gar slab = z, 3
Top block = 96l? Fi3 S/?/g G
Lowest bsmt flr
Scale: 1" = 30'
4783 Highcroft Court
DESCRIPTION
I hereby certify that this survey, plan, or
report was prepared by me or under my direct
supervision and that I am a duly Registered
Land Surveyor under the Laws of the State
of Minnesete.
Da
No. 8140
Lot 10, Block 1,
ST. CHARLES WOOD
Dakota County, Minnesota
Plat bearings shown
o Denotes iron monument
? Existing j Proposed
BRANDT ENGINEERING & SURVEYING
1600 West 143rd Street, Su ite 206
Burnsville, MN 55306
(612) 435-1966
LO
10
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LOT SURVEY CHECKLIST FOR RESIDENTIAL
?UN ?ERMITAPPLI?I
PROPERTYLEGAL: I zOy I 6
DATE OF SURVEY:
LATEST REVISION:
ly-i
• Registered Land Surveyor signature and company
• Building PeRnit AppllcaM
• Legal description
• Address
• North arrow and scale
• House type (rambier, walkout, split w/o, split entry, lookout, etc.)
• Directional drainage arrows wifh slope/gradient %
• Proposed/extisting sewer and water services & invert elevation
• Street name
• Dr(veway
ELEVATIONS
e% ?
B--? ? ?
9?-O ?
Gl--0 ?
W-'? ?
a-'a ?
G?/? ?
[9' ? ?
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Ca'? ?
p-'o ?
Gi-'o ?
t9- ? ?
ET-' ??
? [3' ?
• Sewer service (or Proposed)
• Property comers
• Top of curb at the driveway
• Elevations of any exisiing adjacent homes
Prooosed
• Garage floor
• First 8oor
• Lawest exposed elevation (walkouUwindow)
• Praperty comers
• Front and rear of home at the foundation
PONOING AREA Qf aoolicabiel
• Easement line
• NWL
• HwL
• Pond # designa8on
• Emergency Overtlow Elevation
DIMENSIONS
• Lot Iines/Bearings & dimensions
• Right-of-way and street width (to back of curb)
• Proposed home dimensions including any proposed decks, overhangs greater than 2',
porches, etc. p.e. all structures requiring permanent footlngs)
• Show all easemeMs of record and any City utilitles within those easemants
• Seffiacks of proposed structure and sideyard setback af adjacent epsting structures
• Retaining wall requiremenis, if?
RB?eW?:
January 1986
cwuciwWKocanrnr.rM
2+-50
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4y-,; le. I" = 30
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3. 5uv? - 13" e%' E
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CITY OF EAGAN
, 3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
030900
10/02/97
SITE ADDRESS:
4783 HIGHCROFT CT
IOT: 10 6LOCK: 1
ST CHARLES WOOD
P.I.N.: 10-65870-100-01
DESCRIPTION:
?Puild,xng-L,Permit Type
?uild1nt? W6,??.k Type
"Census? Code- ?'s,?
?
?F
DECK
NEW
434 ALT. RESIDENTIAL
_?'??, IV
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
Total Fee
$50.00
$.50
$50.50
CONTRACTOR: OWNER: - applicant -
KARAM KANAL
9783 HIGHCROFT CT
EA6AN MN
(612)310-7400
??
tra?e'b'y Acknowledq4 thate?? h?Vje,Cr rea?€ L on : th
in?armat,ion is correct and ag?rse to ?omp?p',wt,th'ir6T1' a'ppli4ble ?taC?.??"? Mrt SCatutes and City of-,Eaga?n Ordk?ances =
?
? ... mC_ ,rC,...,s.. ?.».......;.vme „ar t « _..a
/'
? O ?O o1997 BUILDING PERMIT APPLICATION (RE5IDENTIAL)
ciTY oF encarr
, 3830 PILOT KNOB RD - 55122
681-4675
New Construccion Reauirements
RemodeVReoair Reauirements
`?7\)00- 1,?3\0 14Uo
Phone #:
? 3 registered site survays ? 2 copies of plan
• 2 copies of plans (include beam & window s¢es; pourad fid. design; eta) ? 2 site suneys (extenar addHions d Ceeks)
• t energy plculations ? 1 energy calculations for heated atlditions
• 3 copies of tiee preservation pian 'rf lot platted after 711/93
required: _ Yes _ No DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK: t3p-olrl
STREET-ADDRESS: "
v/ ?
LOT / 0 BLOCK
SUBDJP. D. #:
PROPERTY Name: KA(Zl?V\ KHEiHjJI.
OWNER ,,,.. „w„ '
StreetAddress: LAS'a \L,.o\.cTrZ
City: ? State: N N_
CONTRACTOR Company: ?AA.kA I\nc??
Street Address:
City:.
ARCFflTECT/ Compar+y:
ENGINEER
Name:
Zip: S? 1 Z Z
Phone #:
License
4sv . "yv
Zip:
Phone #:
Registration #:
Street Address:
City:
Sewer & water licer°.ed plumber (new construction oniy):
and lot change are, equested once permit is issued.
Zip:
Penalty applies when address change
I hereby acknowledge that I have read this application and state ihat the information is correct and agree to comply with all appiicable
State of Minnesota Statutes and City of Eagan Ordinances. 'In
OFFICE USE ONLY
Certificates of Survey Received
Tree Preservation Plan Received
Signature of Applicant:
_ Yes _ No
_ Yes _ No
State:
State:
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex
n 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 _-plex
WORK TYPE
A 31 New ? 33 Alterations
32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Ailowabie)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
? 11 Apt./Lodging ?
? 12 Muiti Repair/Rem. ?
? 13 Garage/Accessory ?
n 14 Fireplace ?
l( 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 -Cib_
Engineering
Variance
:?E
?--
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City 5AC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SIHN Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
?.?.,.u._.-.?..-..?^..,?°"° .....
Valuation: $
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bidg
Census Unit
-7
?
CERTlFICATE OF SURYEY M 3
for 2-1392- 9F
/
JOE MILLER HOMES ?C4 ''
? S, IX
I
? ?96a,s61 I W l
5
w
C\l O
O oo
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oCO
z
( I - I S '36'18"E
140.00 1
Ln J ?9r?i.?6)
51-
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z
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y ?
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lo,ij-
14t.yb :,E ?
Ng0'05'57 960,3
Top curb to Gar slab = z3
Top block = 961,£:3
Lowest bsmt flr = 9!a1_
Scale: 1" = 30'
C'r
?43'r9 C
? 96 .60J?.6o?0
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959?0 ? ?
-7 _ ?-
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n1,11r.
4783 Highcroft Court
DESCRIPTION
I hereby certify that this survey, plan, or
report was prepared by me or under my direct Lot 1?, Blor.k 1,
supervision ond that I am a duly Registered ST. CHARLES WOOD
Land 5urveyor under the Laws of the State Dakota County, Minnesota
of Minnesota.
Date
Plat beanngs shown
o Denotes iron monument
No. 8140 ? Existing j Proposed
BRANDT ENGINEERING & SURVEYING
1600 West 143rd Street, Su ite 206
Burnsville M
N 5530
, 6
(612) 435-1966
L /0 BL /
SUBD. /1•t. ( '? L(/?
?
CITY USE ONLY
1996 PLUMBING PERMIT (RESIDENTIAL)
CtTY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 551::2
(612) 681-4675
RECEIPT #: 56O6
DATE: 6113 9
Please complete for: ? single family dweilings
? townhomes and condos whcan permits are required for each unit
FIXTURES EACH NSL _ TOTAL
Shower 3.00 x /
I,Nater Cl;,sa. 3.CG x ? - _q
Bath Tub 3.00 x
Lavatory 3.00 x
Kitchen Sink 3.00 ;<
Laundry Tray 3.00 x
Hot Tub/Spa 3.00 :c =
Water Heater 3.00 :c _? = 3
Floor Drain 3.00 x
Gas Piping Outlet ' minimum - 7 3.00 x
Rough Openings 1.50 :< ?5 _
Water Softener 5.00 x =
Private Disposal ' Dakota Cty. license 65.00 _
(new and refurbished systems)
U.G. Sprinkler " home under const. 3.00 =
Alterations ` to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
'fnTr°.L .o?. d,
SITE ADDRESS:_
OWNER NAME:_
INSTALLI
STREET ADDRE!
cmr:
PHONE #:
???NATd'dRE-OFPEFf R1f f TT
?Oc.l?/YJOU!}f STATE: 8N ZIP: !?"
OFFICE U5E ONLY
L _ BL _ RECEIPT
SUBD. DATE:
1996 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? ail commercialfindustrial buildings.
* muki-family buildings when separate permits are n?2 required for each dwelling
unit.
DATE: CONTRACT PRICE:
WORK TYPE NEW CONSTRUCTION ADD ON REPAIR
DESCRIPTION OF WORK:
IS WATER METER REQUIREDI _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE iNSTALLED? _ YES _ NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RE3UL1' IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINYCLER PERMIT.
FEE: $25.00 minimum fee or 1°k of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of pgrmit fee due on all permits.
CONTRACT PRICE x 1°h
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME:
OWNER NAME:
INSTALLER:
ADDRESS:
cmr:
PHONE #:
STE. #
SIGNATURE:
OFFICE USE ONLY
METER SIZE: " DATE:
STATE: ZIP:
APPLICANT
INSPECTOR:
t
CITY USE ONLY
L ?U BL ? RECEIPT #:
SUBD. /4 4"• CX4?C? l??0'& DATE:
1996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
X New construction Add-on fumace
Arid-on air conditioning Add-on air exchanger, i.e. Vanee system; etc.
Date: S-13-IF6
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) $26Mfi
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each) 6•oU
? State Surcharge .50
TOTAL 36 ,Sa
SITE ADDRESSO V7 F3
OWNER NAME: PHONE #: `3
INSTALLER NAME•
STREET ADDRESS: CITY: ? k STATE: ZIP: S-sz-?v
PHONE#: (6lZ ) y60-?2,Z
STGAAT[JREPFIVtKMII'I
CITY USE ONLY
L BL _ RECEIPT #:
SUBD. DATE:
..„
1986 MECHANICAL PERMIT (COMMERCIAL)
• CIN OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for. ? all commerciaUndustriai buildings.
? multi-family buildings when separate permits are ngi required
for each dwelling unit.
DATE:
WORK NPE: NEW CONSTRUCTION
CONTRACT PRICE:
DESCRIPTION OF WORK:
INTERIOR IMPROVEMENT
FEES: P $25.00 minimum fee gr 1% of contract price, whichever is greater.
• Processed piping - $25.00
• State surcharge of $.50 per $1,000 of 2=339 fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME:
TELEPHONE #:
TENANT NAME: (IMPROVEMENTS ONLI)
INSTALLER:
ADDRESS:
cmr:
- PHONE #:
STATE: ZIP:
SIGNATURE:
SIGNATURE OF PERMITTEE CIN INSPECTOR
- - - - - - - - - - - - - - - - -
For Office Use
City of a all Permit
3830 Pilot Knob Road Permit Fee.
Eagan MN 55122 r
Phone: (651) 675-5675 Date Received:
Fax: (651) 675-5694. I Staff: I
L-----------------
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date:'°5~fD Site Address:
- Kamal Karam
Tenant: 4783 Highcroft Court Suite
Eagan, MN 55122
RESIDENT / OWNER Name: 6518828853 lone:
Address / City / Zip: ,r,,
CONTRACTOR Name: NORBLOM PLUMBING CO. License O(P (52 F(
Address: (612) 827-4033
City: 2905 GARFIELD AVE. SO. State: Zip:
MINNEAPOLIS, MN 55408
Phone: Contact Person:
TYPE OF WORK _ New Replacement - Repair _ Rebuild Modify Space _Work in R.O.W.
Description of work: i " 1r y' he~i~
PERMIT TYPE RESIDENTIAL
I Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
RPZ / _ PVB) Main _ Lower Level)
Septic System Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
*Water Turnaround (add $165.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
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 j rn it orbI o rn- x
Applicant's Printe Name A icant's Signa ure
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In rur Test Gas Test Final
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA130413
Date Issued:04/23/2015
Permit Category:ePermit
Site Address: 4783 Highcroft Ct
Lot:10 Block: 1 Addition: St Charles Wood
PID:10-65870-01-100
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Applicant: Craig Angell
12253 Nicollet Ave. S.
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
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 -
Kamal G Karam
4783 Highcroft Ct
Eagan MN 55122
Angell Aire
12253 Nicollet Ave S
Burnsville MN 55337
(952) 746-5200
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA140538
Date Issued:12/29/2016
Permit Category:ePermit
Site Address: 4783 Highcroft Ct
Lot:10 Block: 1 Addition: St Charles Wood
PID:10-65870-01-100
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kamal G Karam
4783 Highcroft Ct
Eagan MN 55122
Estate Claim Services LLC
934 Cromwell Avenue, Suite 2
St Paul MN 55114
(651) 309-1114
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA140986
Date Issued:02/06/2017
Permit Category:ePermit
Site Address: 4783 Highcroft Ct
Lot:10 Block: 1 Addition: St Charles Wood
PID:10-65870-01-100
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kamal G Karam
4783 Highcroft Ct
Eagan MN 55122
Estate Claim Services Llc
934 Cromwell Avenue, Suite 2
St Paul MN 55114
(651) 309-1114
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA161033
Date Issued:04/30/2020
Permit Category:ePermit
Site Address: 4783 Highcroft Ct
Lot:10 Block: 1 Addition: St Charles Wood
PID:10-65870-01-100
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 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 -
Kamal G Karam
4783 Highcroft Ct
Eagan MN 55122
(651) 310-7400
Milbert Company (culligan)
1801 50th St E
Inver Grove Heights MN 55077
(651) 451-2241
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA167528
Date Issued:03/18/2021
Permit Category:ePermit
Site Address: 4783 Highcroft Ct
Lot:10 Block: 1 Addition: St Charles Wood
PID:10-65870-01-100
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 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 -
Kamal G & Leslie A Karam
4783 Highcroft Court
Eagan MN 55122--410
(612) 978-7411
Norblom Plumbing
1465 Selby Ave
St Paul MN 55104
(612) 827-4033
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA178425
Date Issued:08/16/2022
Permit Category:ePermit
Site Address: 4783 Highcroft Ct
Lot:10 Block: 1 Addition: St Charles Wood
PID:10-65870-01-100
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.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
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 -
Kamal G & Leslie A Karam
4783 Highcroft Court
Eagan MN 55122--410
Neighborly Property Group Llc
7401 Metro Boulevard Suite 350
Minneapolis MN 55439
(952) 797-6545
Applicant/Permitee: Signature Issued By: Signature