4558 Johnny Cake Ridge RdCITY OF EAGAN Remarks
Addition Woodaate lst Addition Loc 4 sik 4 Parcel IO 84600 040 04
Owner 4 `-?.?r?? Street 4558 Johnny Cake Ridge Rd. scate EaQan, MN 55122
2,?d r
Improvement te Amount Annual Years Payment Receipt Date
STREET SUR F.
309 STREET RESTOR.pAVING 1976 $992.92 $330.97 3 PAID
GRADING
PAVING 1974 $115.45 $23.09 5 PAID
SAN SEW TRUNK 1974 $93. 54 $6. 24 15 PAID
* SEWER LATERAL 1975 15
WATERMAIN
* WATER LATERAL 1975 ZS
* WATER AREA 1975 15
* STORM SEW TRK
* STORM SEW LAT 1975 $2036.55 $135.77 15 PAID
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 2700 4-16-76
BUILOING PER. 3894
SAC
PARK
CITY OF EAGAN ? In
? 2???
3830 Pilot Knob Ro d, P.O. Box 21-199, Eagan, MN 55121 ?`--
PHONE: 454-8100
BUILDING PERMIT Receipt # *"\i
Toheusedtor J''nDl`rION Est.Value $18,000 Date SEPTEMB`.tL 2 19 36
Site Address 4558 JOHNNY CAKE RD
Lot 4 Block 4 Sec/sub. WOODGATE
Parcel No.
W N?me STEVS BEHDER
3 Address SA?''iE
0
Q
o
z?
Ua
?
~ i
?
c W
W
?-Z
U?
cr W_
?
Planner
Road Unit
Tr. PI.
a- navo IcaU ana aNNiwm???i a?i? aiaie u iai inc Bidg.
id agree to comply with all applicable State of
City of Eagan Ordinances. APC
Signature oi Permittee
Ei0VE2 CnN';TRUCTION
A Building Permit is issued to:
all work shall be done in accordance with all applicable State of Minnesota
Erect ? Occupancy "% `'
Remodel ? Zoning
Repair ? Type o( Const Vn
Addition ? No. Stories
Move ? Length 22
Demolish ? Depth 1 d
Int. Impr. ? Sq. Ft
Install ?
A Dvrov als Fses
Assessment
Water & Sew.
Police
Permit `714 0•''V
Surcharge 9.00
Plan Review 64.25
SAC
Water Conn.
Name Fire
Address Eng.
Var. Date I Copie
Total ?
on the express condition that
of Eagan Ordinances.
Building Official -` ` / - 11
Pwmit No. PermN Holda Dets TNephone M
c, ca ?
M.Y.A.C.
Electric
3 7 1,5
8oRMN
Inspeetbn Dab Inap. Comnwms
FooHnysl
Foofinys II
F
lri
ftandng
fl
lnsuL e
Fkopbce
Flnsl Ht¢
FinaI Plby.
Bldg. FkW -? --k
corL o«.
Dqck Fty.
LT
Deck Frmy.
WON o?? ?l.p?'911D' 1L- 2-,Pf ?
P.. oisp.
? `• r • s
CONTRACT PRICE
Site Address '4'- " } y
Lot Block ?
? Name
? Address %
c City ?'• f'
m
c
3
O
Name _
Address
City _
PLUMBING PERMR
CiTY OF EAGAN
3830 PILOT KNOB ROAD, E11GAN, MN 55121
PERMIT # y 7? sq
RECEIPT #
DATE
Phone
FEES
COMMIIND FEE - 146 OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/1ND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
OF PERMRTEE
FOFt CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Res. ? New
Mult Add-on
Comm. Repair
Np. FIXTURES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.00
_
Lavatory - $3.00
:_
Shower - $3.00 `
Kitchen Sink - $3.00
UrinallBidet - $3.00
1
Laundry Tray - $3.00 -
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
Soitener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE
v
STATE S/C:
GRAND TOTAL•
MECHANICAL PERMIT RECEIPT # 7"Z17aZ.
CITY OF EAGAN 6? ? 8 7
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
Sec/Sub
? Name ;?tz?r. t?n?rHexTCAt,
? Address 3600 Kennebec Dr
c Ciry EgQan Phone
Name
City
TYPE OF WORK
Forced Air
Unit Heater
Air Cond.
Vent.
Gas Piping Outlets #
M BTU
M BTU
M BTU
30,1100 M BTU
CFM
BLDG. TYPE WORK DESCRIPTION
xx
Res.
New
xx
Mutt Add-on
?
A
Comm. Repair
i
-1565 Other
.?
?
FEES
RES
HVAC
100
M
U
.
0-
?T
_
_., ,,$2400
ADbITIONAL 50-I'BTU '- - 6
00
.
(RES. HVAC INCLUDES A/C ON NEW '
CONSTRUCTION) ?
GAS O
T
E
S
M
'
U
L
T
(
INIMUM - 1 PER PEHMIn - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE ?
APT. BLDGS. - COMM. RATE APPLIES ?
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES ?
MINIMUM RESIDENTIAL FEE
AL
D
-
L A
D-ON & ?
REMODELS - 12
00
12,00 .
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $
50 S/C IF PERMIT PRICE GOES
?
.
BEYOND $1,000)
FEE iza-vu
S/C: J.5 SI
GNATURE OF PERMITTEE
TOTAL $ 12FOR: CITY OF EAGAN
c/
CITY of EAGAN
' BUILDING PERMIT
.....
.._....
Ownex ...?..Kkd/1...?..,/?..y.7.. i?I.?.L..?l??.-?- ....... .
Addrece (Prasen!) ??..G^!.P ....... ?L.?l./.L?r'......?..Q.(J.?....??
susiae: ............... ........ .......... . ....... ......t ........ ._.......................,..
Addrau ..e-.h..... ?..?,..P....1.?n .......................
DESCRIPTION
. i.
N4 3894
3795 Pilat Knob Road
Eagan, Minnesota 55122
454•6100
D.l. Y:.1..6.: : .7...e? ............. _......
Slosies To Be U:ed Fox FranS Dep2h Haigh! Eal. Cos! Parmi! Fea Remuln
I I 9l?
Sfraef. Road or olher Descriplion of Loeelion I Lo! ? Slock Actatrion os '1-racz
r
`
4
'7?7 0 %164ny !
wdfl
a
,
This permit does not aulWorize the use of slteats, roads, alleys or sidewalks nor does it give the ownar os his agant
the righ!!o crea2e anp siivaiion w6ieh is a nuisanee or which presenls a hazard !o the healSh, safelp, convanienee and
general welfara !o anpone in the communify.
THIS PERMIT MUST BE JV,EPT ON TH PREMISE WHILE THE WORK IS IN PA04R SS.
This is !o cer2ify, lhai_W..........Y6.--?.? .l.t_.---has permkaion.!o erect a---• --:.`::?? . ......................................_upon
the above desaribed remise subjec! !o the provisions of all applica6le ces for the Eagan.
?1. Z - ? Per .
? -'----' --....... -' -'- --°°...............'-'---'------.. ...... . .. . ....° ---._-'..._ . .. ................._...._.........._.........°-...
. Suildiny Iaspeelor
......... Mayorf
,
CITZ OF Ep,rryrT ?
3719: i'il<oi; I':'nob l;cad ?-?
1:(in:]i-,:i0'tfi 5',122.
i _ .
PL,?31Ii NO.675 1
I':,e Ci_ty of i,:3.?an hereby gr:.zts to ThamPeon P1umbing Oo.
,, iaaoi ntnnetonxa eiva. ' ? .
------- Nindso"rev.Tbzp: , . .__._ _.?
. _
a PLUMBING ?, pe=it for: (Owner) K?Ten Anderaon, & New Horiaon Aom?ee
?Va}f, 6?4558 Johnny Cake Rid?j.-uant to appiication dated 5/5/76 _
billed
rV?. ?;; 160.00 aated this Stltiay oi maY ? 19 76
4.00 5 c
Statement R865
Duiiding Inepector
. i
[ . - .. ' i
i:`1 TO'i.;3.1
I
I
? 7
flEQUEST FOR ELECTRICAL INSPECTION eeo-oawpt_,n/a
II, See insfrvetiona /or comoletinp Ihis form on beek o/ yellow coov.
ir 1--7 1 q q "J(" Below Work Covered by This Request
NswIRAtll Nen.l Tvoe of BuilCinn I Aooliances Wired I Equiument WireE I
ex 1 I Water
ce
N Fee SarviceEnbenceSixe r Fee Feetlers/5ubteedere b Fee Circuits
1 1 'L,00 U to 200 qm s 0 to 30 Am s 0 to 30 Ani
Above 200 qmps 31 to 100 Amps 31 to 100 qm s
Swimming Pool Abave 100-Am s Above 100_E+m s
Transiormer5 Irngation Hooms Partiab'Other Fee
L Signs Speciallnspection 5 n ?
Aem?rks ZL.?Q T? L ?
/ ?_f? ?
I, the E7aCT?mal
Inapectoq heraby
eertifY that the above
inspectian has Gean
meAe.
2j Licensed ElecVicdl Contractor 1 herabV reQUest ins0ection oi ebove
? Owner electrical work installad et:
Stteet Address, 6ox oT Novte No. Crty
4558 Johnny Calce Rd. E an
ecNO. o. Township Name or No. Range o. County
Dalcota
Occupdnt(PRINT) - Phone Na.
Steve Zeafler 452-4740
Power Supplier Addtess
Dakota fvjq?ingt
Elechical Conbactor (Companv Nnmel Contracmr's License No.
Ailitn Ri?,trir
Mailine Address (Conhactor or Owner Making Installation)
Aut¢orized Si amre ontractor Owner Making Inslallatm ,
• MdhtFW0 mber
l ?-
1 452-1565
'411 ? 'T OF ELECTflICITY ? THIS WSPECTION REQUEST WILL NOT
:I 9E ACCEPTED BV TH€ STqTE HOApD
Gr?p9s i
weY 9. - om N .191 UNlESS PPOPEF INSPECTION FEE IS
<1821 varsitYAVe..St Paul, MN 55104
` pA..e 19121 297."Il 'ENCLOSED.
This request voitl
18M nlhs from . ?
/l ^ 7 A r A . i _ ! ? A L_ r5F
.hiz requesl voitl
18 mon[hs (rom .
C 44176
11/?/5?1o ?a-o?a ?to4o3
.? 1,3
4 (.o.flo
Hequest Dale
9
b Pire No. Rouph-in InsVO6tuon
R ?red?
?AOady Nuw WiII Nolify InsPec-
[o
Wh
B
-a3 - Yes ?No r
en
eadv
Licensed Elec[rical Convacwr I haieby request inepection al ebove
Owner electrical work installed et:
Sveet Address, Box or Route No.
e
R Citv
S .Johhn
aAe.
c/
ectmn o. Townshi0 Name or o.
I RanBe No. County
?
ko4
OccupnntlPplNTI Phone No.
rr over
Power S1ie
17
f
El
4- Atldress
f
F
o
a'
ic_
ec or?
arm ?
Elecvical Convactor IComDany Name) Conlractor's License No.
M rd lah d Ele?-kr j e,
Mailing Address ICOntrector or O er Makine Instailationl
d25'o b?/ Co ??l BurnS vi ! lC,
o
A.uthori ed Signature 1 ntractor/Owner Making Installationl Phone Number
?9a -9d1t
MINNESOTq STqTE BOAND OF LECTflICITY THIS INSPECTION pEallEST WILL NOT
GripBe-Midway Bldg. - floom N•197 8E ACCEPTED BY THE STqTE 9pqq0
1821 Universitv Ave., St. Vaul, MN 56104 UNLESS PNOPEfl INSPECTION FEE IS
PM1nn. 16121 297_21 t 1 E NC LOSED.
c?/?L/?? REQUEST FOR ELECTRICAL INSPECTION EB-OOWI-04
Il, See imhoc[ions for camoletinB this form on back of yellow ropy. ??90 3
44176 x" Below Work Covered by lhis Request
AAd Rep. TYpe ol BuilOnnB Aaalioncea WiroE Equipment WireA
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. BuilAing Dryer Electric HeaUn
Commercial 81dy. Furnace Silo Unloader
Irnlustrial Bldg. Air Conditioner Bulk Milk Tank
Farm ONr.r Oeu y Othee ISpcr.ityl
I P.I SpC(:I y 1 C( Olhl+.f
Conlpute Jnspectron Fee Below
p Fea SarviceEnbenceSize # Fee feaders/Subfeeders # Fca Circaits
0 to 200 Am s 0 to 30 qm s ? 0 m 30 Am s
Above 200 Amps? 31 to 100 Amps 31 to 100 qm s
$wimming Pool Above 700_Am s Above 100_ s
Transiormers Irrigation k3ooms Partial•Othe
$igns Speciallnspection
$ '
ror
Remarks
6..5a
n? F A nd
Rough-in Da?e I, tha EI ctri ?
insoec,
Final . ?ereby
certify t t ihe a ve
, ' s0ectio as en
matle.
Thla reaaeat vdG 18 montM iram
YILLAGE OF EACAN
3795-94o!,KnoA Road
Eogon, MN 55141
2oning:
Owner:
Address
Site Add
Plumber: _
Meter No.:2
S'Ize: =
Reader No.:
WATER SERVICE PERMIT
PERMIT NO.: 1975
DATE: 5/5/76
No. of Untta: i
Connection Chazge: 140.00 pd
Account Deposit
Permit Fee: 10.00 bill 865
Surcharge: • SO hill 865
Misa Charg •
Total:
Date Paid:
I agrea to complr with fho Villa9a of Eagan
Ordinance65/y
eY Lxia ??"-'?
Date of Insp.:
Insp.: -
YILLAOE OF EAGRN
3795 Ploe XaolLRoad
Eagon, MN $5112
ZOI11flg: RT
SEWER SERVICE PERMIT
PERMIT NO.: 2733
DATE: 5/5/76
No. of Units: 1
Owner: ye HOrJ vc%n
-
Address:
Site Address: QS.Sa Toh vrakn Ridqo Td R l.W d?a P T_
Plumber: Thnmpno++ pl +mtiing [b
#2700 4/16/76 100.00 pd
ifh the
l
1 u^ Connection Charge
Villa
a of Eo : 350.00 Pd
y w
agree ro cany 9
g
Ordinoneas. Account Deposit:
Permit Fee: 10 .00 bill 865
Surchazge: .50 bill 865
, gy; Misc. Charges:
Date of Insp.: Total:
Insp.: Date
` CITY OF EAGAN ?1
3830 Pilot Knob Road P.O. Box 27-199. Eaaan. MN 551211N2 12542
I
PHONE: 454-8100
BUILDING PERMIT Receiptp
7oheusedfor ADDITION Estvalue $18,000 Date SEPTEMBER 2 t9 86
SiteAddr ess 4558 JOHNNY CAKE RD Erect ? Occupancy R3
Lot 4 Block 4 Sec/Su6. WOODGATE Remodel ? Zoning
Parcel No Repair ? Type ol Const Vri
. Addition $X No. Stories
? Name STEVE ZEHDER Move ? Length ZZ
3 S?E Demolish ? Depth 14
o Address Int. Impr. ? Sq. Ft.
City Phone Install ?
=o Name HOVER CONSTRUCTION
$04 Address 557 - lOTH AVE NO
P Ciry S ST Pphone 457-2751
F w Name
s ? Addiess
i W Ciry Phone
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 t Eagan Ordinances.
Signature of Permittee?%'-? ??
A Building Permit is issued ro: HOVER CONSTRQCTION
all work shall be done in accordance with all apolicable STate of Minneso
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Council
BIdg.Off. $/27/8?
APC
Var. Date
Fees
Permit Y?°"•-"'
Surcharge 9.00
Plan Review 64 . 25
SAC
Water Conn.
Water Meter
Road Unit
Tr. PI.
Coples
T,,.s, 2 1.
on the express condition that
City of Eagan Ordinances.
Building
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
s 20, V
NewConstruction Reauirements RemadaVReoair Reauiremenis Offce.Use Oniv
3 registered site surveys showirg sq, fl. of IoL sq. $. of house; and all roofed areas 2 copies of plan Cert of Surreq Recd. Y N
(20%maximum lot coverage atlovred) 1 set of Energy CalculaUons for heated additions Tree Pres Plan ReW Y_ N_
2 copies vf plan showing 6eam & window saes; poured fountl design, etc. 1 5Ae survey (or additions & dacks T2e. Pres.Required Y _N
lsetofEnegyCalculations AddRion-indicefeAon-sdesep5csystem On-site'SepticSystem _Y _N
3 copias of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Date 15 Conshuctio
n Cost
Site Address ?J7Cl , )0/??N n
UniUSte #
Description oF Work P-)57N, 6?? pjJtc'11_7-?
Multi-Family Bldg _ Y ?'-IV Fireplace(s) _ 0 <1 _ 2
Property Owner c Telephone # ( r/ ) '1 W 10 G
Contractor ? L
Address City
State !m Zip Telephone #(°?? Z) fJ ? ??1?
COMPLETE THIS AREA ONLY IF
A NEW BUILDING
- Minnesota Rules 7670 Cateeorv I _ Minnesota Rules 7672
Ene[gy Code Category . Residential Ventilation Calegory 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructecl a bui;ding in Eagan with a similar plan?
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Y_ N li so, 25io plan review
Telephone #(
Telephone #(
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application fo a permit, d work is not to start without a
permit; that the work will be in accordance with the approv plan i t e e w k which requires a review and
approval of: lans.
^11f?av
' .?
Applicant's Printed Name Appli t's Signature
RESIDENTIAL
BUILDING PERMIT APPLICIo1TION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
,:
New ConsVUetlon Reauiremenls RemodeVReoair ReauiremeMs
• 3 registered site surveys showing sq. R. of lot, sq. R o( house; and all roofed areas • 2 copies ot plan
(20% maximum lot coverage allowed) . 1 sef of Energy Calculations for heated additions
• 2 copies of plan slawing beam d w(indmv saes; poured fowM design, etc.) • 1 s@e survey far exterbr additions & decks
• 1 set of Energy Calcuiations . Indicafe if hane served by septic system for additions
• 3 copies W Tree Preservation Plan if lot platted aRer 7l1193
• Rim Joist Detail Options selec0on sheet (bldgs with 3 or less unils)
DATE at 9 ' ?J • O ? VALUATION I ScJQ 4P
JOB SITE ADDRESS ISS? ??Y1?.?1 CIXY-v '??+aA.Q_ 61L?aa
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERiYOWNERI)OO4
TYPE OF WORK? ? ??? ?o? • FIREPLACE(S) _ 0_ 1_ 2
APPLICANT??L1?o?.?ci4 PHONE# ??{0?•?ay???
ADDRESS ZIPCODE
PAGER # CELL PHONE # FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMP
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category i Worksheet Sut
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Ptumbing Contractor.
Plumbing System Includes:
Mechanical Conhactor:
Mechanical System Includes:
Sewer/Water Contractor:
Air Conditioning
_ Heat Recovery System
Phone #
Phone #
Fee:
$70.00
All a6ove information must be submitted prior to processing of application.
I herebyacknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordin ?Sces.
Stgnature of Applicant _?
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 2002
_ WaCer Softener
Water Heater
_ No. ot Baths
Phone #:
Lawn Sprinkler ree: $90.00
No. of R.I. Baths
r
"•••,•.•..W?i issu ?.e.uv rnn ?oo ?!1'496.7 tSI;LYCItAL ISY8IVUl51[.7CIV
re al
n
?une 7, 2007
City of Ea.gan
3836 Pilcrt Snoh Road
Eagan, MN 55122
To Whom IC May Concern:
Elder 7ones is authorized to pull building permits for Renewal by Andszsen. Please allow
Elder Jones to proyidc this seriice for us in Eagan, `I'h;s auth(xi2at;cm is vaiid for any
date beyond 616101; wntil aRenewal by Andersan managor expressly revokes it in writing
to the City.
I reqnest this autliorization be accepted expedidously, as to nok delay in the prvicessing oF
oor building pcmi[ts any fuzthc
contacted at 763-502-4706. r. Plcasc call mo If thcic arc any questionR. I can be
Your immc,diaxe attention to this mattcr is appreciatecL
Sincenely,
I ymond R. Rau
nstallation Managar
Renewal by t#ndasen Corporatitan
C:r.: Kara.F.icie,r Snnea
GfiAOAMh'??G
J
AMAL
ea
n
?Y ?Onlroe6s?pp EyDIf4! Ja0. 71,20pg
w1 UU'L/ UU'L
Received Time Juo. 7. i:07pld
1986 BQILDING PERlIIT APPLICATIOA - CITY OF EAG9N
HOTE: ALL COATRACTORS MOST BE LICENSfiD iiITH THE CITY OF EAGAN
SINGLS F9hIILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLS DSiELLINGS - RESIDENTIAL
INCLUDE 2 SETS OF PLANS, CfiA
7 SET OF SNERGY CALCULATIONS
CONAIERCTAT_
RSNTAL DNITS FOB 3ALE QBITS
OF SORVSY - CHECB iiITH BLDG. DSPT.,
ZNCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
-??,/ 6U
To Be Used For:? ?1?1//ON Valuation: ? Date:
Site Address VfS ? .70rvr-?
:
Lot 7 Block T 41
Parcel/Sub G/ o 0 q(9 14 T.(--
Owner STEv6 Z ENAD)_r It-
Address %S- 1 cvJ/Ca
City/Zip Code
Phone
Contractor dn v )5,& cow t ffl.
9ddress 5 f7 /p FIv 0 dL` I'V6
City/2ip Code ,S'r /,049 4, L SSd
Phone `/ 'S ;? ' 417 S /
Arch./Engr.
Address
?U
Erect
Eemodel
Repair
Addition
Move
Demolish
Int.Impr.
Install
APPROVALS
City/Zip Code
Phone #
a-S-
i 7S?
NOTfi: ADDRESSSS FOR CORNER LOTS - CONTRACTOR/HOMEOWNEB MIIST DESIGNATE AHICH ADDRESS
IS DESIRED. NO CHANGES URLL BE ALLOWED OPCE BUILDING PERMIT IS ISSIIED.
_ Oceupancy 93
Zoning
Type of Const -7-,u
?If of Stories
_ Length 4?
_ Depth ?
Sq Ft
FSfiS
Assessments Permit (
Water/Sewer Surcharge
Police Plan Review ?
?S Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off reatment P1
APC Parks
Variance Copies
TOT9L 5
?
Na F0ELD & NOWAK
7415 WAY2ATA 0LV?
scate: 1* = 301
MIkNEAVO15, MINME50'.1
I jt?j
JOHNN Y ?a -0 `
CA?E Jk?,L??a?`?
oti RJDC7E
f I ,1
/
..,
?
?
!?=' ?=?E?-
w
?
. o
.SO6? 'DFSCRIPTION: Lot 4, 37.ock 4, WOODGATE, 1 '
,
,
we hereby certi£y ?haf this is e irue and correc' reAresantation of a surve?'of
ihe boundaries of ihe tand aCove described and of the locafion crall bulldings,
if any, fhereon, and all visibir enCroeChments, if any, from or on said ianC.
DatQd lhis 24th dav of November
, 1975 . . ECaAN, P-tELD 'a NOWAK, IMC
??.??.sa/ 2? ?oy a?M?.cfi urveyor
Fi le N0.1 DAK. 18 , Boak Na_ 2056 - 59 bY?
s?
9sES`X i ?FICFiTG OIf' a7YiRVEY . .
Far New Horizon Ho mes, Inc.
? v 1? 1 2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City OfEagan
3830 Pilat Knab Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements RemodeVReoair Reauirements l7(fice Fke OnN
3 registered site surveys showing sq. fl. of lot, sq. N. of house; and all mofed areas 2 copies of plan C?rt aF Siwey Recd
(2(Pkmarimumlotcoverageallowed) isetofEnergyCalculationsforheatedaddifions Tr69PCe5PIiSR6dx€ ?-Y_N_
2 wpies of plan showing beam & window sizes; poufed found design, etc. 1 site surve9 for additions & decks 7ree Pres RgqU?red ? V ? R7
iseto(EnergyCalalations Add'Rion - indicafeifonsdesepticsystem i3usdeSeptiCSystem ..?.Y?N
3 copies of Tree Preservation Plan if lot plafled after 7!1 l93
Rim Joisl Dehail Options seledion sheet (buildings wilh 3 or less units)
Date 0,9 / tg?_ / GS Construction Cost 9 '240 -
57,5-T
Site Address y J-o ? A j' Cfe?d?fe- p?
n, of'g e /f!-42 Unit/Ste #
f-
G4 /YJ
Description of Work 5/lyi4,9
Multi-Family Bldg _ Y J(N Fireplace(s) _ 0 ? 1 ^ 2
Property Owner 06 .?-
9
Telephone # (6'/a2 ) ,3S`1
Contractor -Z???-
Address City
State /21 /jJ Zip ? 7-/O 9 Telephone # (45 7 ) ?20V- 'e-106 y
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeory 1
(J submission type) • Residential Ventilation Category 1 Worksheet
Submitted
• Energy Envelope Calculations Submitted
A NEW BUILDING
Minnesota Rules 7672
. New Energy Code Worksheet
Submitted
In The last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan8
_ Y _ N If yes, date and address of master plan:
Licensed Piumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and aceurate;
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.
5?d77- VG
Applicant's Printed Name
kp'plicanYs Signature
Use BLUE or BLACK Ink
� For Office Use �
• I ����I
City of Ea�aIl � Permit#:
� Permit Fee: v� � I
3830 Pilot Knob Road
Eagan MN 55122 � Date Received: �
Phone:(651)675-5675 � �
Fax:(651)675-5694 I Staff: I
I I
�____�___�___�___J
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
�k �
��` ,� , Name: ��J('�, �1���� Phone:
@S
Vlt[1g �. Address/City/Zip: ��� �1 rlll�/�� ���� ,3�j'� �f�
� �
�; �. ���� ' Applicant is: Owner Contractor
Description of work: �` ���
Qf r
� � ,:� �,y
� " Construction Cost: "1 �G�U. � Multi-Family Building: (Yes /No
� � � //
� Com an ��S�I !_ /((�'��c,k Z�1 t�l j Contact: S���'�
� � :�� p y� .�
��,�" C '., Address: f�0 7��/�L%��Gr,.J �t�Ll� r�l� /t/ City: /—� C..k �( tF�`r�
� ��
�# State:f�Zip: !�;�z� Phone: 7(�—��'lS�maiL_S�csir�%c�/��fftrD"��6tis .�'o�
H� 4�� ;�
�� 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:
��e r�na�"nn��►a}r ! �' n` ic y �rot± e' th �r�` R ta
� � � rv. v�
x :��. ;
�>> �
<�� �_ .� � . . � .�� � m .�,.
�/ ,�tt� �. ���°'�`
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.ao�herstateonecall ora
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.
Exterior work authorized by a building permit issued in accordance with the Minnesota S Buildi Code must be completed within 180
days of permit issuance.
x- �/ D� UN.S'�K d G/
ApplicanYs Printed Name � X a fs Signature
Page 1 of 3
Use BLUE or BLACK Ink
Icy `
(1 �� For Office Use
'" Permit#:41)16 City Ol EaaaliPermit Fee: / / 7•a U
vlf
3830 Pilot Knob Road
Eagan MN 55122 Date Received: --2
Phone: (651)675-5675 I ";
Fax: (651)675-5694 ° Staff:
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
Name: bt)Li Phone: 6S/ " 71.1? - 70(
e17114rf-YA
,4 O Address/City/Zip: � 57) 4Jlt�a '; ( �y u r'i 4 4 6 ,
Applicant is: Owner A Contractor
Description of work: k;( -1,04.)t'6;_ ii c` 3l'«- 6r6
e.Te
Y t W°rk .—
Construction Cost: _ c'f 6 5"--c) Multi-Family Building:(Yes /No )
•
Zr 44i :4 Company:' % /t1 'f � 43,4 Lr. =2$ Contact: 'v2 fi ✓ (iiilj.
Ctor «...; Address: ,L ';:3 Z. i.'�&k PIA- City: Z..,,,,.4 e//iL
State:AA/Zip: Ltq Phone: /2 6 ZrOt Email: /44:17', 1--,-41t)c-,216.1 (.412e:�}v�Y'S�r
License#: />G I t Z C-; Lead Certificate#: V
If the project is exempt from lead certification, please explain why:
.414.r v/or.;r/11 [5'T,.'v4l /ICC.')C
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:
Fire Suppression Contractor: Phone:
e. Plans and snip® �, Bry:®cumerttstthat yo • t are• ,c. ;idered�t®b r/ic info tion. P ons o
the information mays Ossified as non-pub �� •m u yf. f ific reason that woupermit the City to
conclude . - fi trad- res:. wx an"
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.gopherstateonecall.orq
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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x Lt./A:0u vt 7— x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
/q36,3)'
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation Fireplace _ Porch (3-Season) _ Exterior Alteration (Single Family)
Single Family _ Garage Porch(4-Season) Exterior Alteration (Multi)
Multi 1c,
Deck Porch(Screen/Gazebo/Pergola) Miscellaneous
01 of_Plex _ Lower Level _ Pool _ Accessory Building
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 *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation ( 0 0 Occupancy ji; � MCES System
Plan Review Code Edition -1 vyiNT,:)(y" SAC Units
(25%_100% X ) Zoning --e— City Water
Census Code / Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction VO
Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
tx Footings(Deck) Final I C.O. Required
Footings(Addition) XFinal I No C.O. Required
Foundation Foundation Before Backfill I HVAC_Gas Service Test Gas Line Air Test
Roof: Ice &Water Final Pool: Footings Air/Gas Tests Final
Framing )c 30 Minutes 1 Hour Drain Tile
Fireplace. In Air Test _Final Siding: Stucco Lath _Stone Lath Brick_EFIS
Insulation Windows
Sheathing Retaining Wall: Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: IL" , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge `101 OfilJO"
Plan Review \AN PI)
MCES SAC
1, 3 Ili
City SAC
Utility Connection Charge
S&W Permit&Surcharge ( c rTreatment Plant3 . ,,) ,,
)
Copies er i .D.
TOTAL
Page 2 of 3
•
•
RECEIVED
P!!! ‘-,--, �--'�-z.� • tom' ''r`„.1+ JUN 2 1 2017
i E , FIELD & NO AK -+r, I
� ” ;
` •if
` 7415 WAYZATA BLVD, �lfill, MINNEAPOLIS. MINhL30TA t
./
WItrtit
CERTIFICATE OF SURVEY '
Fay New Horizon Ho mes, Inc. iyS/J
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ist
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•
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%k e \iC7 V4110 ...,444.4 I///
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ey
DESCRIPTION: Lot 4, Block 4, WOODGATE. b rPr ii''')
we hereby certify that this is a true and correct representation of a survey of
the boundaries of the land above described and of the location of all buildings,
if any, thereon, and all visible encroachments, if any, from or on said land, ,
Dated this
'24th dayo f November , 1975 . EGAN, LD & NOWAK, INC.
t 'k, s1,--See/ h .kz d6,?, Q��"�,e4, f97� urveyo � f • • 1.4.)
ito �od DAL 18 iBook to 2Q56 - 59 bY C,-,„ ,rt .
•9x •,'- 77