4452 Johnny Cake Ridge Rd? _ _ -__ rN-STECTMN-RUCURlY ---- ----
CITY I CITY OF EAGAN PERMIT TYPE: cfi, ? o I ati
? 3830 Pilot Knob Road Permit Number. ;z : S'3 ? 7•?a
k L----Eagan, Minnesota 55122-1897 bate Issued: + {4 !?°
! (612) 681-4675
SITE ADDRESS: APPLICANT:
?
r ,. ,, 4'... . r.l1k F R11
PERMIT SUBTYPE: TYPE OF WdRK:
:I ;A 11
.?; • ?•• ?? ? ? ??r? t 0. ik fiF Ftfiflk
INSPECTION DA • ,.
f I?: , tn,'. ? { ? , i , " . ; W. 1. , . , ; jI: t :ip; 1 d'
?
44S4. +1466_ ANt) 446i1
?
?
Permit Holder Date Telephone #
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
ta TY OF EAGAN Remarks
Addition WoodQate 3rd Addition Lot 11 Rik 1 Parce ?? 84602 110 Ol
I Owner ?-? '--- ?' '•_,,:7a?tStreet 4452 Johnlzv rako u;Anp uA_ State F.aznT MN 55722
L
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 370 476.67 158.89 476.67 C0023 , 1--7
STREET RESTOR.
? 33 GRAOiNG 1974 $37.67 $7. 53 5 PAID
sAN sEw TRUNK 1974 $65. 31 $4. 35 15 PAID
i * SEWER LATERAL 1976 3
WATERMAIN
WATEF LATERAL 76 3
* WATER AREA 1976 3
,?3? TORM SEW TRK 1976 1628.80 $542.93 3 PAID
*; TORM SEW LAT 1976 3
CURB & GUTTER
SIQEWALK
STREET LIGHT
WATER CONN. $160. 00 1763 12-5-75
BUILDING PER. 12-5-75
sAC 12-5-75
PaRK lOO.OO
c:ITY OF EAGAN Fiemarks
Addition Wood ate 3rd Addition Lot 12 Bik 1
Qwner y Street 4454 Johnnv Calce Rzdge Rd.
L
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 3-70 7
STREET RESTOR.
GRADING 1974 $37.67 $7.53 5
)y) SAN SEW TRUNK 1974 65. 31 $4.35 15 g 9,Z,
* SEWERLATERAL 1976 3
WATERMAIN
* WATER LATERAL 1976 3
* WATER AREA 1976 3
4 TORM SEW TRK 1976 $1628.80 $542.93 3
* lIfTORM SEW LAT 1976 3
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. $160. 00 1763 12-5-75
BUILOING PER. 03808 1763 - -
sAC $425.00 1763 12-5-75
PARK
Y OF EAGAN Remarks '
Addition • Lot 10 Blk 1 Parcel 10 84602 100 Ol
Owner Street 4456 Johnny Cake Ridae Rd. StateEagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
i GRADiNG 1974 $37.67 $7.53 5
I SAN SEW TRUNK 1974 $65.31 $4.35 15 ? 7.1
* SEWERLATERAL 1976 3
WATERMAIN
* WATERLATERAL 1976 3
* WATER AREA 1976 3
*9I STORM SEW TRK 1976 $1628.80 $542. 93 3 7
*IISTORM SEW LAT
3 1976
3
CURB & GUTTER ?
SIDEWALK
STREET LIGHT
WATER CONN. $160.00 1763 12-5-75
BUILDING PER. 1763 12-5-75
sac 25.00 1763 12-5-75
PARK $100.00
.... r tJt EAGAN Remarks -
Addition -]hloodgate ? 3rd ?Addi . i on Loc 9 eik 1 Parcel ' `7' '
Owner? Gc, ?. ?,??e-fi v st,,et 4458 Johnny Cake Ridge Rd.' State Eagan, NW 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
I GRADING
SAN SEW TRUNK
SEWER LATERAL #q
-
' WATERMAIN
* WATER LATERAL 1976
* WATER AREA 1976
* STORM SEW TRK 1976
* STORM SEW LAT 1976
CURB & GUTTER
SIDEWALK '
STREET LIGHT
WATER CONN.
BUILDING PER. '
SAC 425-00 3763 12-5-72
PARK ?
DATE: 6/17/91
RECEIPT: 101805
SITE ADDRESS4458 JOHNY CAKE RIDGE ROAD Unit # Permit # 13835
L 9 B t Sect.ISub. wOnnr,aTE 3un
INSPECTION RECURD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS:
it???r+NY I nKr- ftTilfil' ftq
?ul?HRfE SNU
PERMIT SUBTYPE:
.11 .
a.R„ i rt t reO
e2y/ i :
As /2'1 /97
, APPLICANT:
• i NIPlt?'?rt I I?IM'., 1 N?
0 rttti
TYPE OF WORK:
F{f pAIR
1, ? ;.iI i i,' i." ';iptNE3/Sf1FFI1/fA:yC.YA
? ... „
, . ..
? ?_. . ..-. ... ,
.
Rt"MANK':,: )NJ ! 4V.4 ( i1ii 1;') 446r: (LEiI 14) 44-'•H (101 9) .1OHMNY tAKF RIf1OF R1l
Permit No. PermR Holder Date Talephone 11
ELECTRIC
PLUMBING
HVAC
Inspecdon Date Inap. Comment4
FOOTINGS
FOUND
FRAMIN(3
ROOFlNG
ROUGH
PLUMBING
PLBG
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 FtNAL
DECK FiG
DECK FINAL
i
Receipt NECHAIWCAL PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Prin[ legib/y Tot '
1. Date 2. Installation Cost
3. Job Address tot 'Blk. / Tract
4. Owner
.
5. Contractor rLu a} -?_,, _,;?; , ?, ; -;; Fhone
, ,li ..
6. Address 100 i X E N IA AV E. U-i .Lj '
7. City
6f6e Z i p
8. Building Type: Residential ? Commercial D Institutional ?
9. Work Description: New ? Add ? Alter ? Repair ?
10. Describe Fuel Type
11.
No, E,quinment BTU - M. Ea.
Forced Air No. Equipment CFM
Ai
H
dli
Mfg. r
an
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg.
Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for `??i?•+'j (r,¢S 4 7"
Rough Final?-(-Fi 30-
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-6100
GEO. SEDGWICK HTG. & AIR COND. CO.JA
0 HOUSE HEATING TEST RECORD _,
OCCUPANT
HEATLOSS
SOLD BY _
CITY?;;Ct lj,J
= R //?or,0#V_?Aa p S .4-94
INSTALLED
Elec#rical Work By Gas Line Bysi.,",j) SF (ZJ-?G t?Cl?
TYPE OF HEAT GA_ FA_
,,Z- HW_ STEAM SPACE HTR. UNIT HTR. OTHER
/ GAS DESIGN CONVERSION
MAKE G?ALCZk
Model G ?
Serial
INPUT
? CONTROLS
*?
?,
THERMOSTAT,L,?S.?L Heat Plug
Valve
Limit
Limit Setting °
?
&
Fan Setting
Pilot Type
Pilot Make
Pilot Model
Pilot Timing
L.W. Cut Off
Pressure _3'S Percent C0
Input CFHy0 2
Percent 02
Stack Temp. ° Percent CO ?S__
DATE HTG. INST.
MAKE OF BURNER
Model
Max. BTU Ratinq -
? " hlc
Vent Size
KIND OF LINER SIZE NONE
Draft Hood Regulator
Filters Size Number
Chimney Location Inside ?-- Outside
Chimney Construction
Smoke Bomb Wiring
Draft 629 Test Tag ?
Door Pressure Lighting Inst. V
Date Tested
Company Testing ?
Name of Tester
Form
_-.uE OF EAGAN WATER SERVICE PERMIT
3795 Pilet kvn;o koad PERMIT NO.: -1897-_
Eogoa, MN 55122 DATE: 1 9,/1,v75
Zoning: TZIZ No. of Units: 4
Owner: New Horizon Homes Woodgate III
Address: " /:? 1
- /SL-L.?/ ?-
-
Site Address: -452- 54-56-58 /Johnny Cake R1dg67
Plumber: nhompson Plumbinq Co.
Meter No.: Connection Charge;640.00 pd
Size. Account Deposit: -______.
-
-
Reader No.: d
Permit Fee: 10.00 bl`Ile
1 agrea to comply wifh fha Village o{ Eagan Surcharge: ???0
O'dinanees. Misc. Chargea.-.??e d 6
?
TO[3I:
BY Date Paid:
Da[eotlnsp.: -Insp.y:- ` ;.
?.
YILLAGE OF EAOAN
3795 Pibe Knob Rood
Eogon, MN S51Y2
SEWER SERVICE PERMIT
PERMITNO.: 2654 DATE: 12/12/75
Zoning:Ri i No. of Uni[s: 4
Owner:_New Horizon Homes Woodgate III
Address:
Site nddress: 4452-54-56-58 Johnny Cake Ridge
Plumber: ?'hompson Plumbing Co.
I ogm ro complr wieh tM Villoge ef Eoyan Connection Charge:1700.00 pd
Ordinonc„. Account Deposit:
Permit Fee: 10.00 b111ed
S h • 0 i e
By:
Date of Inap.:
lnap.:
uzc azge.
Misc. Chargee:
Total:
Date Paid: _
% /0/9/ ??f
p 9648?,?? / Lc??(
Repuest Oate Flre No. R gh-inlnspeclion
Requiretl? ? eady Now ? WIII Notify Inspector
7
When Reatly4
` ?e$
I-censed contractor ] owner hereby request inspection oi above electrical work at
Job Hatlres (SVeeryt BoK or Route No.,
?V_ _
Ciry jno"A \
`-?? •`?'
Section No. ITownshipAame or No
L Range No. County
04
------
-
?
Phone No^?
Oc pant? T?? J I ?
?
U
?
e
--
-??y
PowarSupplier
ftldress
Eiecmcal C nVacror ICOmpany Name ConttactorS License No.
?Dy?s?
Maiing adr?fslCOn;ractor Ow Mabng
?/ ?t.Y
2 tailatwn)
I
Authoriz d igna<<re i omrect Ownar ktng Inst t i Phone Numoer
y
MINN1[501A STATE BOAPO OF ELECTRICITY GVV V THIS INSPECTION REOUEST WILI. NOT
Grigya Mitlway BIEg. - qoom S173 BE ACCEPTED BV THE STATE BOARD
1821 Universiry Ave.. SL PauI.MN 55104 UNLESS PPOPER INSPECTION FEE IS
PhOne(613) 642-0800 ENCLOSED.
9 REQUEST FOR ELECTRICAL lNSPECTION es-ooom-ae ? I
?? See inslmctions lor completir.g Ihls lorm on oack ol yellow copy /Q
"X" Below Work Covered by This Request ?'?'•??
ew tld Rep. • v TypeoBuilding AppliancesWired EquipmentWiretl
Home Range Temporary Service
Duplez Water Heater Electric Heating
Apt. Builtling Drye Olher (Specify)
9 Air Conditioner
ly) ConVetlor's Pemarks:
isuec
Compute lnspection Fee Below:
p Other Fee # ServiceEniranceSize Fee # Circuits/Feeders Pee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 700 _ Amps
Si9n5 Inspecror's Use Only: TOTAL ?
Irrigation Booms / /
Special Inspection ? ?
Alarm/COmmunication THIS INSTALLATION MAY BE ORDE ISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Elecvical Inspector, hereby Ro°9"-'" Da[e
/ r
certify that the above inspection has
been made. ?e
OFPICE USE ONIX -- Thls request voiC 18 monins from
This request voiE ? ? - CA
16 ,nontns erom ?
A 1 R4(l1
G- II i SI 1 1000 ci QA?£ 3rd
Q
34,X Yq
/o• o0
Request Date Fire No. Rough-in Insuer.tion
flequireA?
o
94fradv Now EjWill Nify InsVec-
p
?•??- Q3 ?Yes lo lor Wh
:en fteadY
[]Xicensed ElecVical Con[ractor I hereby reQUest inspection of abova
? Owner electrical work instellad et:
Sheet Address, B x or Route No. City
a Td N n? A? f?L? ?
ecuon o. Township Name or No. qanpe No. County
piqYOTA
Occupant (PflINT) Phone No.
ko)l !T-
Power Supplier Adtlress
58' L?.
Elecvical Convuc[or ICompany Namel Contractur's License No.
?L.? c. c ?Ll (n 9
MailinB /?ddress fCOnVac or Owner Makinp I stailationl
? ?' , ? ?,J . o ? rn ni . ss
Authzed Signatur (COnnactor/Owner Making Ins allatinn) Pho e Number
MINNESOTA STATE BOARD OF ELECT.ICI 7HIS INSPECTIpN HEQUEST WILL NOT
Griggs-Midwey eldg. - Noom N-191 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55109 UNLESS PROPEfl INSPECTION FEE IS
Phone (672) 297.2117 ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION ea-ooooroa
-,Sbe instructions forcompleting this form on back of yellow cooV. ;.:
??? 4?? - '"X"" Be/ow Work Covered by lhis Request 3 Ct $ C? 9
Add fleD. Tvoe of Builtlina Aooliencns Wired Equipmenl Wired
I I I I Duolex 1 I Water Heater I I Liqhtinu Fixtures I
c
? ?• ? ? Commercial Bldy. Fumace Silo Unloatler ?
n lnAustrial BIAq. Air ConAiiioner Bulk Milk Tank ?
w
M Fee ServiceEntranceSiie H Fee Feeders/5ubfeeAers k Frte Circuits
0 to 200 qm s 0 to 30 qm s 0 to 30 Am s
Above 200 Amps 31 to 1 DO qmps 31 to 100 A s
Swinuning Pool Above 100_Am s Above 100_Am s
Transiormers Irrigation Buoms Partial%Other Fee
Special Inspection JS
I?T?e €IecLiwl
Inspector, thereby
cartify that the abova
?inspection has been
mede.
?sl :
i0 Qd(oD? ino o/
w G .Tr<.
CITY OF EAGAN
3795 pi.lot Knob Rcad
Eaoan, P4innesota 55122
PERNIIT NO.: 53
The City of Eagan hereby grants to Comnere Soft Water Co_
of 3801 California St ta E _
a tJater Softener Permit for: (Owner) M McCartv
at 4456 Johnny Cake Ridge , pursuant to applica,tion dated _ 7/16/76 __„_
Fee Paid: S5-00 dated this 21 day.of aL7,y 9-7 G-i.
.50 s/c
Building Inspector
Mechanical Permits:
Bid Totals
16 ?46Od ?ao ?•
GJ G .a!
CITY GF EAG:27
3795 Pilot Finob Road
Eagp.n, i?L.nne3ota 55122
PF-TUvaT Pd0 e ;
The City o: Eagan hereby grants to Commers Soft WaEer Co.
of 3801 CaliforniaSt. N.E.
a WATER SOFTENER . Permit for:(Owner) CharlesAndrew ?
at 4454 Johnnv Cake Ridaq pursuant to application dated 8/11/7E
Fee Paid: $5.00 dated this 12 day of Auaust ? 19 7ti
.50 s/c
Building Inspectov
Mechanical Permits:
Bid Total:
cITr .r,F
d )D
U
--?---------
De La`;:n I.,,ts to Thompaon Plurl;ing Co.
•^ 12201 Minnetonka
- PLit"?I*IG per;;it for: (G,;nsrj New Horizon - Woodqate SIZ
v4443-95-47-d9, 443Q-41 Woodgate Pt., 1724-26 Woodgate I,n, 4468-70-72-74, 4459-62-64-66
t9,952-54-56-53, 1700-02-09-06,
- -------- ----
1708-10-12-1 Wmdcjate Pt:
L?e 2P?2 =.'-i;ed thiS 12 u,V 75
Dilled: ,s 22+AF) s/c --- -- -------- --
,?7 0 °--°
L ". . .?..,,.1:
n? ri7.ot Yneu Fnad
J.; ?
Eag=?n, Ninnosoj-a 5?122
711 •
PEP,MiT NO.: 804.
The City o? r^,wgan hereby grazits to
Geo. Sedgwick Heating 6 A/C
of 1001 Xenia Ave. So., Y¢ile. 55416
a ftSATING Perinit for• (Oi,mer) ? HORIZON - WO6tX?ATE III
------ g'idye ---
?4? 444%-*#-`?s-5H Johnny Cake ursuant -bo a 3/76
_, p ppiic?.tion daced
r--e Pu:.c:: S80.00 dE.ted this I2th aay of March ? 9 76 _
. 00 e c
Uni_-'ir,g Ir.sp^, t,v
r•ic:`iar:icc:l rarr;its:
Eid Totsl:
?
2005 RESIDENTIAL BUII.DING PERNII'f APPLICATION
City OfEagan
3830 Pilot Knoh Road, Eagan MN 55122
Telephone 4 651-675-5675 FAX # 651-675-5694
Telephone #(
New Construclion Requi2menfs RemodelfReoalrReauirements Office Use Onlv
3 registered site surveys showing sq. R. of lol, sq. @. ot house; and all roofed areas ? 2 copies of plan Cedof Survey Recd . " Y N
(20% maximum lat coverage allowed) 1 set of Energy Cakulations for hea[ed additions Tree Pres Plan Redtl `- _Y 1'_ N,
2 copies of plan show(ing beam & wirtdow sizes; poured fouM desigq efc. 1 site survey for additions 8 decks Tree Pres Requfred -' . _ Y_ N
15etofEnergyCalculatlons Add'NOn - indicete'rfon-sdesepfksystem On-sile5eptic5ystem _Y _N
3 wpies af Tree Preservatbn Plan i( lot piatted aRer 7l1193
Rim Joist Delail Options selecUon shcet (bulldings with 3 or less units)
Date7/ b l Q? ConstructionCost f! Z? 6So
SiteAddress Ctik?c Eotid UnidSte #
?.._ MN sizZ
Description of Work /1)6w dcciC
Multi-Family Bldg Y? Y_ N Fireplace(s) _ 0 Z( 1 _ 2
65'1 67S STZL w
Property Owner /
7onya KPp ? Telephone #( b f-I ) 5 OS 3 76 Y ti
Contractor
Address City
State Zip
Lf
UL( - "` ° 6 2005 ?
COMPLETE THIS AREA ONLY IF CON ?Tll G A NE BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residenliel Ventilation Calegory 1 Worksheet • New Energy Code Worksheet
(4 su6missiontype) 5ubmitted Su6mitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N if so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
??? " 3
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.
ApplicanYs 15rinted Name Appiican Signature
OFFICE USE ONLY
Sub Types
? 07 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace 0 21 Porch (3-sea.) 0 31 Ext. Alt - Multi
? 03 01 of_ plex ? 09 07-plex ? 17 Garege ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lawer Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex plbg_v or _ N ? 25 Miscellaneous
Work Types
O 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
-¢j' 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish 8uilding' ? 43 Reraof ? 46 Windows/Doors
? 34 Replacement •Demolitlon (Entlre Bldg) - Give PCA handout to applicant
Valaation cp 0-tc Occupancy MCES System
Census Code Ll tZoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const 4/d Width
Footings (new bldg)
X Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice& Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
_ Insulation
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Gonnection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
FinaUC.O.
X Final/No C.O.
_ Plumbing
HVAC
Other
_ Pool Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
U , Building Inspector
? ?"
?
:r-
r _
?
?/ ,F9 7?
d p??n
&T ?
9shh
( ? ?ntn 4?NrvNQ ?.
! ? ol
Gbo'J 3-?12'J 24 t/7 NroNQT. hSl?h
-;dhcvo? .
. ??
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot I{nob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Vo J"
? ?v`'"'?`?`??
Q,f.
._
New Construction Reaui2ments RemodeVFteoair Reauirements Of6ce Use Oniv
3 registered sde surveys showing sq. 8 of lot, sq. ft of house; and all roofed areas 2 copies M plan Cert of Survey Recd
(20% maximum lot coverage allowed) 1 set of Energy Calalatians for heatetl additions Tree Pres Plan Recd
2 copies of plan showing beam 8 window sizes; pouretl (ound design, etc. 1 site survey for addilbns 8 decks Tree Pres Not Reqd
i set of Energy Calculalions Add'N'on - irMicate if on-sife septic sysfem _ On-s@e Septlc System
3 cop'es of Tree Preservation Plan if lot plaUed after 711l93
Rim Joist Detail Options selection sheet (bidgs wifh 3 or less un'As
Date
103 K
Q ?Construction Cost 8J'
n
Site Address
? ? ^ ? ?- ,
?(? f?C?
UniUSte #
rR /ZZ
Description of Work 0V(Yti44-- e DEl,e
Multi-Family Bldg ? Y _ N NSreplace(s) L? 0 _ 1 _ 2
Property Owner A? Telephone #(or, 'I Z D p
Contractor
Address j_ A Pt City FA645?
State _ &A /11V Zip Telephone # (fOS1) '7i19 ' /(9 DD
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv I
. Residential Ventilation Category 1 Worksheet
(4 submission type) Submitted
• Energy Envelope Calculations Suhmitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
Telephone # (
Telephone #(
Telephone
I1 JUN 1UI
I hereby apply for a Residential Building Permit and acknowledge that the Ormation p te and accurate;
that the work will be in conformance with the ordinances and codes of th City of Eag the State of MN
Statutes; I understand this is not a permit, but only an application for a pe anct-work=is -- art u+ithout 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.
?_ 1M k-
Applicant's Printed Name Applicant's Signature
RESIDENTIAL
??? BUILDING PERMIT APPLICATION
CITY OF EAGAN
3$30 PILOT KNOB RD, EAGAN MN 55122
851-881-4875
New Constructlon ReaulremeMe
• 3 registered sBe surveys showing sq. n. of bt, sq. ft. ol house; antl all roofetl areas
(20% me)umum bt covarage allowed)
. 2 copies of plan showing heam & wintluw sizes; poured faund desgn, efcJ
• lselotEnergyCakulatiorre
• 3 copies of Tree Preservation Plen N bt plalled aker 7/1/93
. Rim,bist Deteil Optbns selectlon sheet (bldgs whh 3 or less un0s)
DATE 2 11-2/D.2
SITE ADO
NPE OF
4ULTI-FAMILY 8LD6 J<Y _ N
FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT /- A lti4 126I^V' xLv'[U!/` S ?/
STREETADDRESS tSS?? ??qwn Q-v CIN?..?STATE/?.t21PEY-103-
TELEPHONE #?SI 6?P5- ,? $U CELL PHONE # 6?i :1 NJ? S$V ?_ FAX # rSl ?? Z B/ q5^
PROPERTYOWNER 1/Dl Ff DDe TELEPNONE #1SI 9DS 3 96 y
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNFSOTA RULFS 7672
(4 submisaion type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculafions Submitted
PIum6ing Contracfor. `_
Plumhing system includes:
Mechanical Contractor.
Mechanical system includes:
Sewer/Water Contracfor:
_ Water Softener ,
Water Heater y.
No. of Baths
Air Conditioning
Heat Recovery System
_ Phone #
Iawn Sprinkler
No. of R.I. Baths
Phone #.?
18y ?
Phone # - - -- =--- _?
I hereby acknowledge fhat I have read this application, state mat the information is correct, and aqree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant t4^/ uJ
---.......................... ----'-°---------°-------°-..........._.----._...__..r.......?..M.
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
pemotleVHeoeir Reaulrements
. 2 copies of plen
• 15etofEnergyCatulatbnsiorheffiedatld'dbns
• 1 sNe survey tor eoAedor adtlHbns & Oecks
• IndMaie it home seNed by saptic system for atltlAbna
C?"
VALUATION tii '? C
rS1"Y L?I' E'A3APd
CAtiNI[-Fi- S CI fiMLNAI_ N0: i i5
IJA'iF ° i.0/0`_3l`-Jti 1"f.ME: 08:32;50
10
NAME: SUX3l;fi9fdV GRC;UP SNL'
20.,` 3001 95.00
300 3001 l.70Q 1400DGA"i F' I._ 'r?'.r4„ i,`i
300 3001 !i'i"i' PIpI...NItJ'T L..AN 274.75
320 9001 085 fi5 WAI._NU'i Lr1N 274.75
32:i.u 9001 1793 w;ni...Nur LAN 262.25
3210 :3001 1.501 MIAI...NUT L_AN t?'r.'4,.7..`
Jii':LO 900! 4444 J01-INtJY CY 274.75
^:c?:LO 9001 4452 1QtINNV [;K 274.75
,';;r1.Q 9001 4460 JOHNNY (::K 224.75
3e 1.0 9001 4403 lOtINNY C1: 224,. r'S
CR098299 ** .r„r),.!TINU1-
!1!;E:'R .T.Si. P,Atdf.;V ik1 CON'1-SNUL:
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C;.T.TY G= EAGRN
rA;3NTF:R, , C'c.I.:MI:NFlI_ N0: Ti'.:,
UATE,: 1.0/09!98 'iIMF: 06:32.52
iV,
NFlrr-_? sLI::+uRz.nN r.r,OuP rN.r.,
Mn 9001 078 WAi.,nur i...N a62.25
300 3001 :I.7£36 PIALN!.JT I_n 26'r?,25
10'I:al RE`Ce:Lp1, AmOun$: 2Vfii(J.iS
CRQ3f;293
UF34_'R 7:D: NLtPlCY
' CITY OF EAGAN
? 3830 Pilot Knob Road
? Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT
PERMIT TYPE: e u x L. q r Nr
Permit Number: 6 3 3 5 7 3
Date Issued: 10 / 0 2 J 9 8
4452 JOHNNY CAKE RD
LOT: 11 BLOCK: 1
WObI7GATE 3RD
DESCRIPTION:
r. o. sRERo o F --v?,
BuildingT?.permit Type ?fTN'D. MISC:
f?uki,lding WtYrk Type y?3yREPAIR
F?C a nsus C o d e -?-7 A{?--NfrN'Ft€S .?vftl-_o
i:
?
r1
7
lel;?? L.. '? 3!
REMARKS:
REPLACING ROOFS INCLLIDING:
FEE SUMMARY:
Base Fee
Surcharge
Total Fee
4454. 4456, AND 4458.
VALUATION
$274.75
$284.25
$19,000
CONTRACTOR: - Applicant - OWNER:
SUBWRBAN EXTERIORS 28818232 WOppGATE ASSOCIATION
9701 PENN AVENUE SOUTH 4452 JOHNNY CAKE RD
BL:OOMINGTON MN 55431 EAGAN MN 55122
(raz) sas-szsz
? I
y?1 her?by 4Cnuw?,e°dge t1?at I have road th?,s applicatian artdpstatetihat-,ths ?;.
'.Infai"tnation''is ctsr:h2et and agree to comp°ly witFi al1 ;aPpliisa6le Stato"°v'f Mn.
Statutes and City af Eagan Ordinances.
APPLICANT/PERMITEE SIGNATURE ISSUED BY: SIGN TURE
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-84602-110-01
DESCRIPTION:
.. s?-?....: ,
...Ya
4 ,
"? .-?.., ... ? .+ .
REMARKS: •
INCL 4454 (LOT 12) 4456 (L07 16) 4458 (LOT 9) 70HNIVY CflKE M2TDGE RQ
FEE SUMMARY:
VALUATION
Base Fee
Siarcharge
Total Fee
PERMIT
PERMITTYPE: ausLozNG
Permit Number: 0 2 9 7 7 2
Date Issued: 0 4/ 21 / 9 7
4452 JOHNNY CAKE RID6E RD
LOT: 11 BLOCKe 1
WOOfJGATE 3RD
) --. SZDING/SOFFI7JFASCIA
?U.ildzn?g,,.,Permit Type MULTI. (MISC.)
:.Buiidi'hg Gfnrk Type REPAZR
CensuSC'oda434 ALT. RESIDENTIAL
?
$137.25
$4.00
$141.25
$8,000
C($NTRACTOR: - applicant - sl'. LzC.OWNER:
EXTERTOR INNOVATIONS INC 18840814 0009318 WOODGATE 70WNHOMES ASSN
2157 OVERl00K DR .70HNNY CAKE RSDGE RD
B'LOOMINGTON MN 55431 . EAGAN . MN
(612) 884-0814
? I hereby acknowledg!e that;T hau;e read this aPP1.?,aat,i.bri an-d StdC2 that tha . I
infiarmation is eb-rrect and agree to-lapmpl"Y'With' alI applzcable Szate•2sf Mn.
Stetutes and City of Eagan Ordznances.
APPLICANTlPERMITEE SIGNATURE
nRflll !( Vl ?
rl SUE B. I U--
lqqql 997 BUILDING PERMIT APPLICATION (RESIDENTIAL) ?41 ,2j
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
681-4675
New Conatruetion ReauiremeMs
• 3 registered site surveys
? 2 copies of plans (Indude beam & window sizea; pouretl fid. design; eta)
? 1 energy calalations
? 3 copiea of tree preservation plen H bt platted efler 711193
required: _Yes _ No
DATE: `1- L(- 9 7 CON:
DESCRIPTION OF WORK: 54j,?; -` . ?,4C4 't
STREETADDRESS:
COST: C7 I/? U .
Lor BLOCK SUBD./P.I.D. #: rUfrl?'.?l]? o.,?NrL
i,
JI,1z?-??
PROPERTY
owNeR
CONTRACTOR
Name: It?urJt?`?f ?awv.?.ca,'r? 9CS'cz .
,?
Street Address• y r-,(cc
Phone #:
d- S q-4- L-ti,
City: 52-w4 C, ?..! State: KA-'u Zip:
Company: Phone#:
StreetAddress: Z?Jro br License#: ?0kk
City:'i3 (vv?,...State: apk .h/ Zip:
ARCHITECTI Company:
ENGINEER
Name:
Phone #:
Registration #:
Street Address:
City:
Sewer & water licensed plumber (new construciion only):
and iot change are requested once permit is issued.
Penalry applies when address change
I hereby acknowledge that I have read this application and state that the iMortnation is cortect and agree to comply with all applicable
State of Minnesota StaWtes and City of Eagan Ordinances.
Signature of Applicant: ??`,?.w
OFFICE USE ONLY
Certificates of Survey Received
_ Yes
_ No
Tree Preservation Plan Received - Yes _ No
RemedeUReoair ReouiremeMs
? 2 copies of plan
• 2 sfte surveys (exterior edditiona 8 decks)
? 1 enargy celwlations for heated edditions
- Not Required
State: Zip:
APR 0 4 1997
1998 BIIILDING PERMIT APPLICATIOIQ (COMMERCIAL) I v-??c??
5
? CI 81-467 ?
Submit following to obtain necessary permit
Foundation Onl New Construction interior improvement
structural plans (2 sets) archttectural plans (2 sets) architedural plans (2 sets)
civil plens (2 sats) strudurel plans (2 sets) code analysis (1) "
code analysis (7) " civil plans (2 sets) projed specs (7 set)
soils report (t) Iendsceping plens (2 sets) Key Plan
projedspecs (1) codeanatysis (7)" energywlculations (1)notaM+ays"
Special Inspedions S Teffiing Schedule " soils report (1) Electric Power & Lighting Foim (1) not aH+ays °
SAC detertnination btter irom MGWS - SAC detertnination letter from MCfWS - SAC determination letter from MCNVS -
tall 602-7000 call 802-1000 cail 602-1000
Special InspeGions 8 Testing Schedule (1) "
project specs (7)
energy qiculations
"
(7)
Eleclric Power 8 Li hting Form (1
Contact Building Inspections for sample
Food 8 Beverage or Lodging facilities: Plan must be submitted to Minnesota Department of Health. Call 2150700 for detaiis.
DA7E: 121( -Z a WORK TYPE: NEW REMODEL
DESCRIPTION OF WORK:
CONSTRUCTION COST:
51TE ADDRESS:
TENANT NAME:
r?
LOT BLOCK I SUBD. CS0 <Q 9.??? ?
I
Nazneuo-?G aiw- Phone #:
PROPERTY Last I First
O„'NER Street Address:M5-?. 44sq. 44s4,4 4q3$.
SUITE #:
P.I.D. #
City State: MtJI Zip:
Company: Phone #: CJ -7-3Z
CONTRACTOR 270(
Street Address: 974Yl A?Q S, S? 107 License 442-4? ?
City I??I?M/ti State: /'tVl Zip:
ARCHI7'ECT/
ENGINEER Company: Phone #:
Name: Registration
Street Address:
Ciry State: Zip:
Sewer & water licensed plumber (only if instelling sewer & water):
I hereby acknowledge that I have read this applicatian and state that the information is cortect and agree to eompiy with all applicable Siate of
Minnesota Statutes and City ot Eagan Ordinances.
Q?'HOQO?-•`
Signature MApplicant: J A? A
CITY OF EAGAN
3830 PIIAT RNOB ROAD
EAGAN, MN 55122
YHONE: (612) 454-8100
w
FOR CITY USE ONLY
PERMIT #
RECEIPT # ? OS
DATE: 7
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNNOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST _
ADD ON ?
REPAIR _
FEES
OWNER NAME : /lX?` 1t a-rG?? b?
SITE ADDRESS: y'459 ?ekKx? ?aKe, ?dqe, leoA-
IAT:? BIACK ? SUBD. G!/ d e
INSTALLER: b 14G
ADDRESS: rl?o?D I'-Y5? .at.??t
CITY: NglDk UQu2P,{ zIP: 551?-?
PHONE #: 43(- r) oqQ
ADD-ON MINIMUM $15.00
HVAC 0-100 M BTU 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
SUBTOTAL: $ /S aU
STATE SURCHARGE: .50
S'o
TOTAL: $ I S -
?;? -_uqQ1j,A--"
SIGN UR F PERMITTEE
, ?
?'.QPIME?CTALf;idUt?STIi`IAT.:; rI.EASE COI?iPI.ETE TniS PORTZON i0R n:.L COMMEP,CIA:,/?*IPUST.RIAL BUILDZNGS,
APARTMENT BUILDINGS, AND MULTZ-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUZRED FOR EACH DWELLING UNIT.
-------------
CONTRACT PRICE:
OWNER NAME:
SITE ADDRcSS:
IAT: BLOCK SUBD.
INSTALLER:
ADDRESS•
CITY: ZIP:
PHONE
FOR:
CITY OF EAGAN
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING @ $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL:
(SIGNATURE)
$
$
PERMIT # ? ?" ?) i ?_ RECEIPT DATE:
R£SIUElYTIAL PLUl61BINfi PERMIT APPLICAT1ON
CITY OF EAfil4N
S$SO fILOT KNOB f[D
ExsAN, auv 551 as
651-681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
SITE ADDRESS:
?j O q
OWNER NAME: : TELEPHONE #:
, (AREA CODE)
INSTALLER NAME: _ ,xl,?/ - TELEPHONE #:
STREET ADDRESS: ?YtS" y J?e?k.c, [,r-? " 7?? "? yv?"
CITY: STATE: }7?? ZIP: ?S?iY2?
Place a check mark next to the permit work riue
New residential dwelling unit under construction and not owner/occupied $ 90.00
Add-on, modification or alteration to existina dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repair/rebuild of RPZ
. lawn irrigation system
• waterturnaround
Nature of work: L/,? SA1A-V'-k.-
Septic System, newlrefurbished - $ 225.00
• includes County & Consulting Inspector fees '
• requires MPC license
Water turnaround - existing dwelling unit, including: $ 50.00
• 5/8" meter 115.00
$ 165.00
State Surcharge $ .50
TOtal
Reminder: Schedule inspections of alteretions, i.e. water heaters, water softeners, water turnaround, etc.
I herebyacknowledge that I have read this application, shatethatthe information is wrrect, and agree comptywith all applicable Cilyof Eagan ordinances. It
is the applicanPS responsibilityto notify the property owner that the City of Eagan assumes no liabil' for any damages cause ?y the City during its normal
operational and mainlenance activities to the 4cilifies constructed under this permit vithin CiTy o erty/rig -of- y/eas t.
S NATURE OF PERMI E ated 9/01
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsVUCtbn ReauiremenGS RemodellReoair ReouiremenGs
3 registered site wrveys showing sq. fl. of lot, sq. fl. of house; and all rooFed areas 2 copies of plan showing footings, beams, joisis
(20 h mazimum lot coverage allowed) 1 set of Energy Calculations for heated additions
1 Soils Report if proposed building is l0 6e placetl on disiurbed sal 1 sile survey (or add'Aions & decks
2 copies of plan sMvring heam & window sizes; poured found design, etc. Adddion - indicate i(on-sife sepfic system
1 set of Energy Calculations
3 copies of Tree FeservaUon Plan if lot pWtted aRer 7A193 ? ?•
Rim Joist Detail Op6ons selec6on sheet (6uildings wAh 3 or less uni(s)
Minnegasco mechanical ventilauon fortn ?
/_?Q.o?
C
Office Use OnN
Cert af Suney Reod _ Y _ N
Soils Report _Y _ N
Tree Pres Plan Recd _ Y _ N.
Tree Pres Required _ Y _ N
Oo-siteSeDticSystem _Y _N
Plans are considered public information unless vou staYe 4hey are 4rade secret and the reason.
Date
Site Address ?/- ?
?? L 1 h?i Coo?truMion Cost ? ??0• O
? e V I C V UniUSte #
Description of Work Re l C' x /t/e 0 t?d W I?'r SGkme?
Mulri-Family Bldg _ Y _ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner w OO v y!p?C C? / 'CJ"O C'O Wh e%S Telephone # 2>
Contractor L (.J oe/t: V Sd 111
naaress
State m 07 1 A V i v? cicy vio v N, e./
Zip 5 Telephonc # ?Zj qIG` /? 7p /
COMPLETE THIS AREA ONLY IF CON8TRUCTING A NEW BUILDING
- Minnesota Rules 7670 CateEOrv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Workshcet
(4 su6missiontype) Submitted Submitted
. Energy Envelope Calculations Submi[led
In ihe last 12 monThs, has ihe 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:
Llcensed Plumber
Mechanical Contractor
Sewer/ Water Contractor
Telephone # (
Telephone #(
Telephone # (
i herehv annlv Fnr a ReciAential RnilAino Permit anA arknnwleAor that ihe infnrmatinn is cmmnlete and accural
e•
, . . , - - -- ----o - -- -- - -? - '
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 oniy 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 ofplans.
L.41ZRy &,?e vsv? r??
Applicant's Printed Name ;pficam! ?ignature
. '?r ??lg.C? ?,?
. ?ow?,?
? Dcc ?? )?E.C ?.?
?
V?r`? C
/
J4-0??
,???
?,? -
??5?
? ?f? "n;?
, ? ? ? ???
o'
q
? ?
.? ?`
J?
.
? ,= --...._ _
REVIEIW?D
- _. _ __------ -
BY: %?"
DATE: ?( 2- S Iv 7,,
BUILDING INSPECTIONS DIVISION
_..________ __. _
__- -O ------
?' . . ; '7? J o /-? n.,/ C ?j ? ? `$? r ?af ?,o ?? - --
.j
?
>,,?
,?.
Clty of Ea?aIl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
-------------------
"` -- -- ? For office use ?
? Permitp: 7 ,I
I
UL 2 8 20?B ? PermitFee: ? I
? I
? Date Received: ?
I ?
I Staif: ?
i !
2008 RESIDENTIAL BUILDING PERMIT APPLICATION L???C?, 7-
Date:
Tenant:
Sulte #:
W d L,) ?'l e h
RESIDENT / OWNER one:
Name:
e??'
Address / City / Zip:
Owner I? Contractor
A
licant is:
pp
_
TYPE OF WORK Description of work: ?+ Y '?.?
f No ?
' 06 Multi-Family Building: (Yes L
i
C
C
onstruct
on
_
ast:
r 0-1 I n C
L ID P
Te Y
CONTRACTOR . License#:
-
G
Name:
? 4n V I v d•
Address• m( ? ? 4-
?..
/1'1 ! n ri Zi
: /? ?
v L
H 1 \ 6 St
t
.
p
a
e:
City:
t: V S
eco _ ? r C
ontact Person:
Phone:
a _ .
-- --' E T::ES A.°.EA ONLY IF CONSTRUCTING A NEW BUILDING
1
--
? Enesgy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksfieet ?
I (4 submisslon'type) • Energy Envebpe Calculations Submitted ?
? fn the last 72 months, has fhe City of Eagan issued a permit for a similar plan based on a master plan4 ?
?_Yes _No If yes, date and au'dress oi mas?er pian: ?
[ Lice!lsec# !'lusn4er: Pn6nB: ?
?
IYICt.lK11114p{ lio{uPaL'LOG. CttVlle•
Sewer & Water Contractor: Phone:
NOTE: Plans ami supporting documents that you submit are considered to be public information. Portions of
the information may be cfasslfled as non-public if you provide speciiic reasons that wouM permit the C7ty to
conclude that the are trade secrets.
I hereby acknowledge thai ihis information is compleie and accurate; that ihe work will 6e in conformance wi[h the adinances and codes of the City of
Eagan; that I understaod this is not a pertnd, but only an application for a permit, and vrork is rwt to start without a parmii; that the work will be in
accordance with the approved plao in the case of work which requires a review and approvai of pfans. . P
X Lejvvy ??fie ?sa? x ary-% Gzlkiw
ApplicanYs P nted Name Applicag s Slgna re
? Page t of 3
Site Address:
. .?
DO NOT WRITE BELOW THIS LINE
SUB TYPES
? Foundatlon ? OSplex ? 16-plex ? Accessory Building ? Pool
? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi
? Ot of _ Plex ? 07-plex ? Garege ? Porch (4season) ? Ext. Alt. - SF
? 02-Plex ? 08-plex kV Deck ? Porch (screen/gazeho/pergola) ? Multi Misc.
? 03-Plex ? 10-plex ? Lower Level ? Storm Damage
? 04-Plex ? 12-plex ? Mlscellaneous
WORK TYPES
? New ? Interior Improvement ? Siding ? Demolish Bullding•
? Addition ? Move Building ? Reroof ? Demolish IMerior
? AReration ? Fire Repafr ? Windows ? Demolish Foundetlon
? Replacement ? Egress Window ? Water Damage
' Demolrtion (entire buiiding) - give PCA haMnut to applicant
DESCRIPTION:
]
ValuaNon
Occupancy ^' t
MCES System
Plan Review Code Edttion N« Z-aaI SAC Units
(25%_ 100%a I Zoning Clty Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length l0 Flre Sprinklers
Type of Const. Width
Footings (new bldg) Sheetrock
ZO Footings(deck) Fina1/C.O.
_
Footings (addition) FlnallNo C.O.
Foundatlon HVAC
Drain Tlle Other:
Roof: _ICe & Water _Final PooL• _Footings _AidGas Tests _Final
Framing Siding: _Siucco La[h _Stone Lath _Bridc
Fireplace:_R.I. _AirTest _Final Windows
Insulatton Retaining Wall
Reviewed By: ? . Building Inspector
--------------- ----------------------------------------------------------------------------------------------- ------------------------- -----
RESIDENTIAL FEES:
sase Fee Ic-/x- T e e-
Surcharge
Plan Review
MC/ES SAC
City SAC
Utlllry ConnecNon Charge
S8W Permit & Surcharge
Treatment Plant
Copies
Total
Page 2 of 3
gt-
?6
CiV of E*Il
383D Pilot ICnOb ROad
Eagan MN 55122
Phone:(651)675-5675
Fax: (651) 675-5694
--------------
j For OffbO U60 I
? I
f Par»ir.: Sl ?t 3 ?? i
?
F Pe'mit Fee: 39?
I
; Data Pecerved: '
i
__-_____ rJ
2008 COMMERCIAL BUILDING PERMir APPLICATION
n4me: a-2..3 -G&Sft,ddreaa:
1..
Rs
Tenant
(Tenwrt is: _ New / _ Existing) Suiee v:
PROPERTY OWNER Name- Phone-
Address / City ! Zip:
Applicant is: _ Ovmer _ Gantractor
TYPE OF WORK Description ot wnrk: ` CP--
ConshucUon Cvst: 00
CONTRAC70R Name: l.iCense
Addfess_ 8141 PEARSON PKWY
City: pNpp 763-6W1197 State: Z'P:
Phone: Contaa Person:
ARCNITECT / Name: RegistraUon s:
ENOI!lEER Adtlress:
City: Siate: ZiP=
Phone' CoMact Person: .. ,......-
Licensed plumber installing ngw sewerlwater service: pho"a
Nom Pbm a?+d mrpportr+,g aocumenrs n,a y«r sua.nn a?p c?skWed ro r,e pnatc nita..,,8rOn. rorrwns a
Hre fi?fom?atwn may be clsaslRed as non-puWlc !f you provlde apecilic .easo»s tlist wou/d pennif the Cky fo
conlude th8f H?e are Made secrsfs.
1 hareby acltnorNeAge that this intormabai "s compete arxl aaurate; Mat me wonc wiu be 3n confonnarwa with me ardinsnces and codes aF the Ciry of
Eagan; that I UndOBtantl this is not a pemtiit, but onry an application tor a permit, antl work Is rwt to start withaut a parma; that the work wlll be in
eCCUld&nCe with the apMOVed Plan in the 08S8 d wark which requues a revl9w drM approval of ptans, r?
t?lC' Ap x
pli?aM's Print?ed Name APPN nYs 9t9nawre
Page 1 oi 3
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ANDERSDN
2008-09-09 27:07 ANDERSON 6513861096 » 651 675 5694 P 1/4
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City of Ea?aIl ; Pemn°: ? ?C/?
? Pormi1 Fee= ? b? S I
. 3830 Pilot Knob Raad
. Eagan MN 55122
8
Fax:(651)675-6694
2008 RESIDENTIAL
Dete: 12;;;? Ske Addreas:_446?
Tenant:
sulte M?.Q4S'?. ??f Q? 1? ?
RESIOENTlOWNER Name?????- (017- 54%46? 14,105
Address 1 Gty I Zip;44 7-4457) '„'?Hmw CA" 2-r 6 2v! - ?
AppliGant is: _ Owner Coniractor
TY?E OF WORK DescHptlon of work: ky-e-oce-
Construction Cvst: _ I(O..T i it lfJ (r Mulfi-Family Bulltling: (Yes X / No _J
CONTRACTOR Namg: CV"T??? uce^8e?
Addresi_.-?C`-?AA!A6
CR1', a ? Zip: rC- •?-? ?.r L
ca,tau Person: .
CCS?IIPLETE THfS AREA 2NLY IF"CONSTRUCTING I? NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code • RB6idBntlal Vanlqation Cataqory 1 WMraheet • New Enargy Cods Worksbeel
Category Submined Subminae
(J submlaaion type) . Energy Envelope Ce1CUIdtI0n6 Submittetl
In ths Iss! 12 momha, haa the City of EeBen fesued a psrmil for w simllar plan based on a master plen?
_Yea ,^NO N yes, date and address ot mester plan:
Lleeneed 7lumber. Pho^s•
Mecbenical Contrector: Phone:
Sewer dt Wstet COnirector: Phone:
NOTE: Pfana end supporting documents thet you aubmR ere consltlsred to be publfc lnformaNon. Porflons of
the InlormaHon may be claaslNed as non-publlc I/ you provlde specl8c naesorts fhat would perm/( the Clty to
I haroby azknowletlge Mat IhIB IMOrmellon Is completa flnd aoGUl0t0; that ths wark will be In wnfor+nance whh Iha ordinartcas and codaa 011h8 Ciry d
Eq 9n; Mlal I untlerstaM Ihis Ie not a permi4 but onty en appllw1ion for a permit, and work Is ?M te a? wllMut a pennil: that the wOrk'?4ll b9 In
acMtdanca w11h tl?a approved p19n in the tase m work which r9puires 9 reWew antl ep W p?en0.
YT?ID ? ?A?.SA.L
ApplleenYa rMtatl N'ame AppUeanYa Slgnature Page 1 013
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BUILDING PEfiMIT APPLICATION
2008-09-09 21:08 ANDERSON
6513881098 » 651 675 5694 P 2/4
American Family Insurence Group
.?.... ...,?«•
N'OODGAI'E_III_HpME017
HaildlnR
E:terior
Roafing
DescrivHou Base Servlce Replacemeut Aclwl Caeh
oty Uoit 'ce G'hprge Taus Cost 7'otel DeprecieHOp Value
Tlrejol&iwing ilsms reJtect nplacsmen! ojroq/'on fbis strucfure, lnrwed indkntedroqris oypraxLaatefylO ysarr ald BassAan meraqs
coadilion and Lfs exyecktncY of 30 ytery. 39%dsprocla(fon has bssw appl/eQ, price includes dr6ds n»wwL
I- Remove Tear uff, haul and pispux of comp. shingtts - 3640 year
46.57 SQ S.W.96 E0.00 SO.IX) f2,373.21 4763.16 (3396) $1,390.05
2- Repixe Raifing felt - 1,5 Ib.
46.37SQ $19JI $16.83 EI8.34 .f953.06 -$308.95(3375) 5644.11
3a - Remove Additional chacge for high roof (2 slories ur greater)
46.375Q S4.43 Eo.00 E0.00 520631 -$68.08(33Ar) S13813
3b - Rcplace AAAiticmal charge for high roo( (2 srories nr groa[er)
46.57 SQ E 11.39 $9.72 50.00 S340.15 •3175.04 (33%) E365.11
4- Rcplace F7ashing - pipe jack
4.00Ea 523.19 $1.73 $1.57 $96.04 -E31.13(33%) Slrt.91
5- Repluce Rwf vent - turUe typc
16.00 EA $36.05 $10.57 $17.69 S601.06 -$794.86(33%) 5406.20
ti- Fteplace Exhxust cap -[hrough nw(
4.00 EA $64.98 54.77 S8.64 $27333 -$88b2 (33%) 1184.71
7- Replace ICe & water xhield
1.337.00 SF S1.75 5330) 55127 $1.889.31 -5612.55(3376) S1.276.76
8- Replace Flashing. 14" wiCe
zO.DOLF $2.68 a0.98 $1.71 $56.29 -318.25 (3356) 538.04
9- Rcplace ftnof venl - lurbine type
4.00EA 570.16 $5.15 a11.10 $296.97 -$96.30(335E) 5200.67
10 - Replace Chimney (lashing - averago (32" x 36")
1 .OOEA E209J2 S3.84 $2.74 S216.30 -$70.12(33%) SI46.18
11 a- Remove Exterior cwer for ventilalion duct, 5" nr 6"
I.OpEA f2.61 $0.00 $0.00 $2.61 -S0.86(33%) S1J5
I 16 - Replace Eaterinr cover for ventilation duc[. S" m 6"
t.UfIEA a4335 $I8J2 $1.69 S63.56 -SI4.80(339E) $4$.76
12 - Repiace t uninete4 - 30 yr. - wmp. Shinglc dg. - w/ou[ fell
53,675Q $149.69 E14730 $237.83 58,419A1 -52,729.66 (33%) S5.689.35
13 - Replace Ridge cnp - composition shingks
136 73LF 53.15 $7.90 56J5 $44.5.41 -S144.38 (33%) 5301.03
TOtaL' $26058 f355.15 $16,432.62 -S5,336.76 S11,095.96
Gutterx/oownspoutv
WOOM:ATE III HOIviEOWNIItS 003 (1284558 7/23Y2008 Paga 4
ASSOCIATIONS
Use BLUE or BLACK Ink
i For Office Use
l
Perm m
City of EaEdn t
t Permit Fee:
3830 Pilot Knob Road t I
Eagan MN 55122
Date Received: j
Phone: (651) 6755675
Fax: {651) 6755694 Staff: 1
I i
1W - 4~ - - - - - - - - -
2093 RESIDENTIAL BUILDING PERMIT APPLICATION
O3
Date: Site Address- LAL-k 1~~t
Name: Phone:
Resident/
s Owner Address 1 City f Zip
3
M ~yry_ Applicant is: (?wrier 2S Contractor
3
4 Type of Work .E Description of work: .Q ~S G
g T Y Construction Cost: Multi-Family Building: (Yes ! No __J
a -
Company: ~ . 1 Contact _ Z&
Contractor Address: 0. Q City. 0 S.e_p Gh
`State: _ Zp:3 (p 2 Phone:Q , Z L (01
a License C LA T 112 t 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 hermit 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:
5 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 they are trade secrets.
CALL BEFORE YOU DIG. Cali Gopher State One Cali 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.go-oherstateone-call.org
i hereby acknowledge that this information is complete and accurate; that the work wilt 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 worts 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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days ofpetin! Issuance.
H
Applicant's Printed Name , Applicants Signature
Page i of 3
4 -
qc~ 5 oZ at e ~ we BM or BLACK Ink
~
I For OMae Use
\J i Pon**.
es! 0 '
,.i y '
LAI
Eagan HN 66922
Phone: J561) 67544
Fax: 01 W L
2013 RESIDENTIAL BUILDING PERMIT APPUCAVOW
Omuta- 8ita Address: r
Resident!: •~tc1'bl \1Ndld'
OMilse7 Address / Ck 1 TTp-
AWICSt IS omm
Desa#don of work:
Type of Work
Bt dn9: {Yes tab
C t~ Mull-fat *
c& L
Address:156-3 # Dc r ciw_
Contractor
z4x
Slow.
uconw* LAed GerlWicaft ML 57396-/
I if the praiw is exwnpt foti feed cerfi waftm please P 1 why, (we Pale 3 for aMWW )
4
P ~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A ENALENNG
for a sknftrPlan trassd on a mraslsr t?
M the last 12 ma dhe, has dw City ad i issued a P
Yes No It yes, date arxi address or nmster plane
Phone:
L3eemed Pliunber.
Mum
f lileedrorrica~ C~anlr~Ctor:
. m°
Sswsr 3~ 11iFatar Coetraclo~: _Phone:
-
sutxnaYare cvieslckr+edfv tae public irearoa: Pbrff~0r~ Of
AtCf7 iP~ts and srrppottir~ docutr►eftJst~ ys~u Pew the Cify to
the i~nrrt►ation:.+neY be; c/assifieaias nwApublic if you I
iracte secc~-
~~w~ ~r-r~~ Y~ cad ceafwsr tidate tMe cell at qty ~eaa2 for prober~on t~ s ha+rs
bekwe you iaa to dig to receive locWW of w derWcund
I hereby sdwowwip tied eis bficrnta0oo is compiew and eaairaw turd ow work wA be in poidummice vAh to codes to CKY O to to 15"m Mot 1 mdwdwd #6 is not a pemst b,d a,* an SW*mdon
for a per- and wo* is not to sled vMwut a permit;
swoniwroe wins the approved piers in the cm otwork wliM M**se a rsvksw and ap prava► of plans.
E.xlwW work Mdwrbsad by z band is omwdw" wft tae Nkmesoft dials Bu&ft Cade mustbe tompM~tad s 100
ow Of pen um
X PARL-s;vdi , awil.~
Poo Sww"o
PeW 1 of 3
Appiitrant's Printed dame St . „ _ / ~CCe
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA144686
Date Issued:08/03/2017
Permit Category:ePermit
Site Address: 4452 Johnny Cake Ridge Rd
Lot:011 Block: 001 Addition: Woodgate 3rd
PID:10-84602-01-110
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.
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 -
Nagwattie Gopaul
4452 Johnny Cake Ridge Rd
Eagan MN 55122
(651) 235-2913
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature