4554 Lake Park CtReceipt
Fill in rrumberi
Type or Print
1. Date 2. Installation
3. Job Address Lot
4. Owner
5.
Permit No.
. Fee
S/C
Tot.
Ik, Tract
Phone ");Z57 4---`7 7.75^
6. Address I
7. City State Zip
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New ? Add ? Alter ? Repair ?
` 10. Describe
I
I 11
Fuel Type
No, Eqipment 8TU - M. Ea.
Forced Air No. EQUipment CFM
Ai
H
li
Mfg. r
and
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
Rough Final
Inspections: Date tnsp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
Receipt L f.`?; l PWMBING PERMIT Permit Na
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Print legibly Tot.
1. Date 1 /18j83 2. Installation Cost
3. .lob Address 4554 Ldke Pk Ct Lot(o _Bik. ? Tract
4. Owner Laubach Construction
5. Contractor Wpn2e1 Mgrfi- Phone _452_1565
s. Address 3600 Kennebec Dr
7. City Eg9an State _Mo Zip 55122
8. Building Type: Residential J7
9. Work Description: New q
10. Describe
11.
Commercial ? Institutional 0
Add ? Alter ? Repair ?
No.
` Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs 5eptic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urina?/Bidet
othe'rs&w S21.00 l
_L Laundry Tray d is-P?-,--di wash
? Fioor Drains t
t
h
er
wa
ea
er
Drinking Ftn. J
Slop Sink
Gas Piping Outlets
12. I hereby oertify that tfie above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : -4 '
' / -, . ? t E 4 for
Rough , Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
?r I
CITY OF EAGAN Remarks
Addition LAKE PARKrADDITION) qhnTPS Lot-? Rlk_Z,? Parcel #10 44200 060 02
Owner??? street 4554 Lake Park Court a State Eagan, hIN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. ,? 19 2529• 52 505• 90 5 1517.72 A012762 9-13-83
STREET RESTOR.
GRADING ,1 1135.34 A012762 9-13-83
SAN SEW TRUNK 19 6 S
* SEWERLATERAI ?,2 3313.93 A0127 2 9-13-83
WATERMAIN
* WATER LATERAL iggi
WATER AREA q 205.36
STORM SEW TRK 651.11 A012762 9-13-53
* STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
250.00 39446 10-20-83
WATER CONN. 450.00 «
BUILOING PER. $596
SAC S2S.OO
PARK
Receipt PLUMBING PERMIT Permit No. Q?
CITY OF EAGAN
Fee ?2/--
-
Fi!l in numbered spaces S/C .-S
??
Type or Print /egib/y
Tot.
1. Date 11118183 2. Installation Cost
3. Job ,address 4554 Lake Pk Ct Los(Q_Blk. ? Tract
4. Owner Laiibach Gnrl strurt inr
5. Contractor WenZpl Mech Phone _4 r? -2 _1- 5, c-, 5
6. Address 3600 ICP tlflebPC' (]r
7. City Eagan State M Zip E6322
8. Building Type: Residential P
9. Work Description: New q
? 10. Describe
11,
Commercial ? Institutional ?
Add O Alter ? Repair ?
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
? Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet
Oth
? Laundry Tray d15?OS ;--d15 WdSh
Floor Drains
at ator
?"? ?
-
Drinking Ftn. "?
J
4a `E
Slop Sink
Gas Piping Outlets '
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
,
Signed :?" Y«, C i ?l.r 44 for
Rough Final
InspectioWs: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-6100
. ?
• CASH RECEIPT ?
CITY 4F EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
19
wccsivro -
FROM
C.a,ub a ti I
AMOUNT $
& DOLLARS
?oa
? CA3H ? CHECK
KOR
Y
Thank Yo
BY
White-PaYen CvPY
Yellow-Posting Copy
Pink-File Copy
INSPECTION RECORD
CITY OF EAGAN " PERMITTYPE:
3830 Pilot Knob Road Permit Number: ,
Eagan, Minnesota 55122-1897 Date Issued: , (651) 681-4675
i SITE ADDRESS: APPLICANT:
PERMIT SUBTYPE: ' TYPE OF WORK:
INSPECTION D. . ..
i
?
F- 7
L
--------------- --- I
---
Permlt Holder Date Telephone #
SEWER/
WA7ER
PLUMBING
HVAC
inspectlon Date insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING d ,(t
?D '
ROUGH
PlUM61NG
PLBG
AIR TEST
FOUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMES7IC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROS7ATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
cirr oF E?"N
3795 PIlet KMer Raed Ea9aw, MN 5512= • .;`
PH0NE: 454-6100
BUILDIbiG PERMIT Receipt
Te b( wrd for - `?Est.Value 120,00U Dote -toti,?r ?.0
- 19
51ts kddress ?+.`;?4 La}_e 'azk 3iM CourC Erect :Q Occupancy R'3
Lot ` Block Z Sac/g„b Lake Park 5hores Nlter p Zoniny pl-I
i- 41,20J-?000-?i2
? Repoir ? Fire Zone t'A.
-
Porcel # T
Enlargs ? Type of Cor?st. ?
Name Jim Jensen Move ? ;qt Sto?es
W
z ^ddross 6744 Cedar ^.ve. So, pef„ol;,h p Length 74
? r.,... ?:LChf leld eL „? 6?ade ? Depth 32 Sq. Ft.
p Nome
t
?? Addro
i
Nome _
Addrcsa
1 hereby ackrwwledge that I have read this epplication ond state thet
the inlormation is correct ond ugree to compfy with all appliCOble
Stote of Minnesoto Stotutes ond City of Ea9on Ordinances.
Assessment
Water S Sew.
Police
Fire
Enfl.
Planner
Courxil
Bldp. Off.
APC
Permit v - j
Surchorge ' ? • QC
Plan check 2 4 1. S 0
SAC '?S.OU
Water Conn.
5
Woter Meter
Road Unit ' ` -
Totol '{ ' 5Q
SiOnature of Pertnittee I
,,aucac i Cons _, 'a c.
A Building Pem+it Is issued to: on the express conditbn iFxi+
oll work sholl be done in accordonce with all opplicoble State of Minnesoto Statutes ond City of Eaflan Ordinances.
Buildinq Officiol _
-3454
Permit No. Permit Holdsr Mitc. Permit No. Holder
Piumbing 3? z^?` ,(
H.V.A.C.
E 30V
Well
w?e.?
Disp.
Sawer
Ekctric G)M t (/q lG'3143 aEAl
" 3 L? ? g 57, t7Q
Inspmct{on Date Inap. Other
Footingt A76
Foundatlon
F?eminp
Rouyh Plbp.
Rouyh HVAC
Inwlation
Final Plbq. -3? 4,,J
Final HVAC
Finsl ? J- fi d
Dese?ibe Loeation:
E ?
.W.Disp
PERMIT #
Q ,; . • MECHANICAI PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: '
CONTRACT PRICE: PHONE: 454-8100 ? ?--
Site Address ' "t) _axe wrx ' BLDG. TYPE WORK DESCRIPTION
Lot Block ? Sec/Sub Res. New
Name & a . C . : L tc . Mult Add-on
?
Address • - :?t??
'? "?'- Comm. Repair
Oth
c
?•-
City Phone 452""2j 75 er
Name FEES
RES. HVAC 0-100 M BTU -$24.00
c Address ??-''?= =-?1 h?? $• ADDITIONAL 50 M BTU - 6.00
p City 5. St . k'aU '. Phone 45 i-6h - i (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
1 PEA PEkMI'n - 1
50 EA
GAS OUTLETS
MINIMUM
.
.
-
(
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air M BTU -It. . i)u APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLJES
Boiler M BTU MIMIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMOOELS - 12.00
Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00
Vent GFM STATE SURCHARGE PER PERMIT - .50
(ADD $:50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # $ BEYONO $1,000)
Other $
FEE:
S/C: - SlGNATURE OF PERMITTEE
TOTAL• 12,50 1
FOR: CITY OF EAGAN
4 "3830 Pi
BUILDIN"G PERMIT
To be aseii for
re a.???e?? .• .
Parcel No.
oc rvan
3 Add
o Cjty
. o Name • T M
o ? Address I r4
U -C `- . ,'i ?'AI
? City
Address
City_
Signature of Permittee
A Building Permit is iss
Building Official
CITY OF EAGAN
;nob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454•8100
Receipt #
Est. Value Date
"I OFFICE USE ONLY
LKN: c PA'.i;
Sec/Sub
On Ske 5ewage
Occupancy
. MWCC System Zoning
On Ske Well (Actual) Const
City Water (Allowable)
PRV Required * of Storles
'
Phone ?+ •u° °` ri? 3 BooeterPump Length
Depth
S.F.Total
FootprintS.F.
Phone y 7I --6:, d
APPROVALS FEES
Engr./Asseas. Permit
Planner Surcharge
Council Plan Review
Phone
Bidg. Off. SAC, City
read this application and state that the Variance SAC, MWCC
a to comply with all applicable State of Water Conn.
:agan Ordinances.
Water Meter
Road Unit
Treatment Pt
Work shall be done in accordance with all ???. :,
atutes and City of Eagan Ordinances.
TOTAL D
t
Parmit No. Permit Holder Date Tslephone ?
Piumbing
H.v.n.C. L",
4 ! ?
,
E lect ric
Saftener
Inspaction Date Insp. Comments
Footings I `O
,to
Footings II
Foundation
Framing
Roofing
Rough Pibg.
I
Rough Htg. _ a _
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Final
weu
Pr. Disp.
. `.yp'p'''°°wu°;' •. . ,. , ' . , . . '°?lF19??7?j,?,5•h1'9?.T 1?'?s"i-::p:;. . , . .- ?+w.v-v $..r-.. .. . .. . ..,e,., . . • . .. . . ..
CITY OF EAGAN '
3830 Pilot Knob Road, P.O. Box 21-1 99, Eagan, MN 55121 ?"j
' PHONE: 681-4675 -
BUILDING PERMIT Receipt #
? - AMITICN, WIJCM 6 $50.000
To be used for 3-SFJI.J P?; Est. Value DEC
Date 30 91
, 19
I
Site Address 4554 LAKE PARK CT
Lot 6 Block 2 Sec/Sub. LAKE pARK SHObtFS OFFICE USE ONLY FEES
R ,
,
Parcel No. occupancy
- 415
Bkig. PertnR .OC!
(yame J I!{ ,I$11SE N znning
(kctual) Const - Sumharge 2 S- 00
W Addf? 4.554 I.AK£ FAR1C CT (Allowable) - Plan Peview 269.00. •
Z 8 oi Stories
Q Cj? SACAK M1?,1 ZP th
Len Lkxrse
_
g
PF10Cle 454` $ S23 DePth - SAC, Ci1y
Lr Nazpg T'IPi KRECEa $IJII.DERS S.F. Total - SAC. MCwCC '.
?
AddfeS,S 1003 1 S'C31 AVE !f S.F. Foolprinis
On Site S
wa
e
water Conn
_
g
e
Cjry S ST PAIJL MN Z'jP 5507 5 Qn Site Well Water Meter -
? 4 S 1-8671
Phone =
MWCC System
nccl. oepo5it
? _
City Water
Vcem # PRV Required _ S!W Permit
I here6y ackrawtege Ihat I have read this application and state ahat the Booster Pump - S1W Surcharge
inlormation is correct and agree to comply -with all appl;cable State of
Minnesota Statutes and City of Eagan Ordinanpes. Treatment PI
Signature ol Permitee " APPROVALS Road Unit
A Building Permil is is5ued !o: Plenner - park Ded.
on the express condilion that alt work sMall be done in accordance with ali Council -- .50
applicable State ot Minnesota StaEutes and City of Eagan Ordinances. gldy_ pff, C°p'es
T09.S0 ?
Building OftiCial Variance - TOTAL .
Permit No. Pern?it Holder Date reiephorie #
S/W
PLUM6ING ?S ?' ? . (Q f
NVAC ? ?`' 3 0? 7J?? S`70>
ELECTRIC
ELECTRIC
Inspection Date Insp. Comments
Footings 1 ? --??
?
Foundation
Framing ?- 2 QgL D
Rooling 4? E'/tf? j?S-IAy?F T?' /
Rough Plbg.
Rough Htg.
lsul.
Fireplace
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Rnal
Dedt Ftg.
Dedc Final
Well
Pr. Disp.
?I
.- r OF EAGAN SEWER SERVtCE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.: 1
Eagan, MN 55121 DATE:
Zoninp; _ 7 1 No. of Units: ?
Owner: 1,41,1bac'.l i.ottst InC
Address:
Site Add
Plumbe?;
1saree ro oon*ly wkh the Ciep ef Eegaw
Ordieencas.
g?
Date o6 Insp.:
' OF EAGAN
30 Pilot Knob Road
0. Box 21199
gan, MN 55121
Address:
Connection Charpe: 425.00 pd
Actaunt Deposif:
Pertnit Fae:
5urcharpe: -
Misc. Chorpes:
Total:
WATER SERYICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
Connection Charge:
Acoount Depastt: _
Permit Fee:
Surcharge:
Misc. Charges: -
Totol:
Dute Paid:
Reader No.:
Imgrm to oawPly wilk Na City of Eagan
Ordieancu.
By
Date of Insp.:
i
C1TY OF EAGAN WATER SERYICE PERMIT "
R,.4830.Pi,iot Knob Road ?
, P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zonin9: No. of Units: 1
! Ownar. taub?iC11 GCr ?; t IIt C
/tiddress:
' Site Address: 4;54 ? ake Park C?i7-?t? Lfi B2 Uati,_e Park Sh'vres
,,l,.
Plumber r e n z t:? l} u;
1lh `/ eter No.: ?4 7 Connection Chorge: :; ; n, (}0 pd
'
$ize: !Z 11 • F ' ''+ ACCOUnt Deposit:
Reode No.: ?'?+??-? ?- Permit Fee:
. ?? t•?..
1 agrae to e"iWMM CAty,PUj10jaAt!?iil2%urcharge:
" _ _ - _ - . ? r• GAS EMtst. Chorges: ;, d
urdi
TE u
?al:
° e Paid:
Dote of In . ? insp.: - --------- -- A
?? l ° TY OF EAGAN Include 2 sets of plans,
YU 1 site plan w/elevations &
BUILDING PERMST APPLICATION 1 set of_ energv calculations.
To Be Used For S? b?J C a f--Valuation er6 e," nate /o - IM'3
Site Address: 41:S'?ry / aI?'Q AdrK Cevx-?
Lot Block sec./sub. l,,,k,pj/< S,(ass
Parcel -q42O0-o(00-0Z
Owner: j?,,m s c ri
Address: ? 7 q N (eoPai /)?c SQ.
City/Zip Code: /??i ?4 i tl,094 3 3r`/'3
Phone #:
Contractor: 4a14cA nc,
Address:
City/Zip Code: ?Joa.n..,? ?on /ynn Sf y31
Phone #: k8 / - 34e
Arch./Ehg. : ?ums,,, ?sw c/? )t^tj. r&
Acidz'ess: (e Mrn e/tse?y 4vs Su,1r lo
City/Zip Code:
Phone #: 3 y/'-rj 7 7 7
OFFICE USE ONLY
Erect ? Occunancy 3
Alter Zoning /
Repair Fire Zone
Enlarge Zype of Const.
Move # Stories
Deimlish Front 7 y ft.
Grade Depth 3z ft.
APPROUALS FF'FS
Assessments
Water/Sewer
Police
Fire
Eng.
Planner
Council
Bldg. Off. 10- '
APC
Pexmit ?
Surcharge _
Plan Check %
SAC
Water Conn.
Water Meter
Road Unit
CR
ZC>TAL ?q 0bq
? `? \
,3.2f ry REQUEST FOR ELECTRICAL INSPECTION ea-ooooi.oa
2347T See insVUCtions tor comoletin9 [his form on back of Vellaw capy.
.?: ??096
? "X" Below Work Covered by 7his Request
AAd Rep. Type of Bwltlmg Aooliances WneA EqoiOment Wir6d
Home Range Temporaiy Service
Duplex Water Healer Lightiny Fiztures
Apt. BmlAmg Dryer Electric Heatin
Commercial Bldy. Furnace Silo Unloader
industrial 81dg. Air Conditioner Bulk MiIk Tank
Farm Othei peci v Otner (SUUCiry)
1 ! I UEII y OL CI nthL'!
Comuute lnsoectfon Fee Be/ow
# Fea ServicaEnhanceSize k Fee Feeders/5ubfeeders # Fee Clrcwts
,Q 0 to 200 qm s I JS . 0 to 30 Am s .7JS,C 0 to 30 Am s
Above 200 qmps 37 to 100 qmps /C.LU 31 to 700 qm s
Swimmin Pool Above 100_Am s Above 100_Amps
Transtormers Irrigation fiooms D ParLal,'Other Fee
Signs Speciallnspection g yC TOTAL EE
flemnrks
(iough-in Oato
the EI Vi
J Inspector, hereby
ceridy thet the above
Final e hspection hes baen
made.
?
ThlerequestvoiA/8monthstmm .- `
This requesl voiA 3?2/ r?y "?57.D y
18rtpn[hsfrom
?`?, /??i SkOrIS L/Z0 9?
Q 2'4471 4b.8J. ? P `
Rxquest D.I. Fire No. Rough-in Insper.lion
Reqmred? ? ?
RUaAy Now 0 Wtll Novty InsPec-
P•4a rch 15 , 1984 Ves ?No tor When Ready
rA Licensed ElecVical ConVactor I hereby reqaest ins0ection ot ebove
? Owner electncal wark mslalled et
Slrei,t Address, Boz or ftoute No. Gty
4554 Lake Park Court Eagan
ecliun o. Township Name o, No. RanHe No. County
Dakota
Occupant (PqINT) fOY Jensen Phone No.
NEW HOUSE Laubach Construction
Power Supoiier Atldres4300 - 220th .St.
Dakota Electric Farmington, MN. 55024
Elactncal ConVac[or (COmpany Name) Cuntractnr"s Lronnse No.
Advanced Electric Co. Inc. 40242
Mailmg Address (COntractor or Owner Making InstallaUOn)
4407 Loretta Lane, Mtka, NiN. 55345
Auth ig^ature (COMracmr/Owner Making Installation) Phono Number
a 935-1329
MINNESOTA STATE BOAPO OF ELECTNICITY TMISINSPEGTION HEQUEST WILL NOT
Grigga-Mitlwey BIAg. - Room N•191 0E ACCEPTED BY THE STATE BOARD
1821 Un,versity Ave., St. Paul, MN 55104 ?. ?SS PflOPEP INSPECTION FEE IS
PFnnw 16121 297.2111 O.
REQUEST FOR ELECTRICAL INSPECTION ee-oooai_oa
' See instruetions for completim this form on back of vellow copy.
?? ??h" X'" Belo r v r d by This Request
?q c?zs
AAtl Nep. Type ot Bmlding Ap0liances Wired Equipmenl Wired
$ Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Buildmg Dryer Electric Heatin
Commercial Bldy. Furnace Silo Unloader
industrial Bldg. An Conditioner Bulk Milk Tenk
Farm [her peci v Oc r, (soecifv)
t.r pecify Ot er Olher
Compute lnspecuon fee Below _
k Fee ServiceEnlrenceSiEe b Fee Feeders/Subfeetle,s a Fee Circwtg
Uto200qms 0 to30Ams 0 to30Am
Above 200 Am ps 31 to 700 Amps 31 to 100 Am s
Swimming Pool Above 100_Amps Above 100_Am s
Transiormer5 hrigation Booms Partial,'Other Fee
Signs Special InspecUOn s10.50
OTA FEE
Reu,arks I
}?
W
I, tFl9.Ef9CTCTiical
InaOector, heroby
cerLfy thai the above
insoection has been
made.
rapueatvoltlltlmonO6trom r
This request voitl
18 rtqnths from /Q L(o (B` I LAkL P4rK. tq 091644 S kO rL5
3R (0 z.s
/o,an
flanuest Dale - -.' Fire No. Rouen-in Insoection
R?
qu
d? p?
?AeoAy NnwUl
pee
l
'
October 28, 1983 ?
v s
?No tor
When
Reatly
Leensad Electncal ConVactor 1 here4y request inspeefion of above
? Owner eiectneal work irotelled aC
SVeec Address, Box or Route No. CitV
4554 Lake Park Court Eagan
ecbnn o. Township Name or No. nnge No. Counry
Dakota
Occupan( (PqINT) for Jensen Phone No.
new house (]Laubach Construction)
Pow¢r Supplier
yd,l$,!p,! Dakota Electric
I Atldress
4300 - 220th Street
Parmin ton MN. 55024
Electnr.al Conhactor ICOmoanY Namel CoriIractor's License No.
Advanced E1 ct ' o
Mailing AAJress (COntrector or Owner Makinp Ins[ailabon)
4407 Loretta Lane, Mtka, MN, 55343
Aohonzed Si9nature (COnVactor/Owner MakinB Installa[ion)
Phone Number
1 935-1329
MINNESOTA STATE BOAflD OF ELECTRICITY THIS INSPECTION NEQUEST WIIL NOT
Griggs-Midway Bidg. - floom N-191 BE ACCEPTED 9Y THE STqTE BOARD
1821 Univareity Ave., St, Paul, MN 56106 UNLESS PPOPER INSPECTION FEE IS
PFnnu IR191 297.9111 ENCLOSED.
BUILDINd PERMIT
N° 8596
Receipt # 257Y A
Te bw wsd Fee SF DWG/GAR Fst, Value $120,000 pate October 20 _, 1983
Site Addreu 4554 Lake Park ]KNIE % Court Erect Occu
n R-3
ft po
cy
Lot 6 BI«k 2 See/SubLake Park Shores Alrer ? Zoning R-1
Parcel # 10-44200-060-02 Repoir ? Fire Zone NA
E
l T
f C V
n
orge ? ype o
onsi.
W Name Jim Jensen Move p # Seories
z Addreu 6744 Cedar Ave. So. Demolish ? Length 74
C; Richfield pho„e Grade ? Depth 32 Sq. Ft.-
g Name
Lauback Const., IriC.
ADVravak
Fees
u? Addreu 2515 W. 79th St.
t- r;.,,SloominQton ok,,,,. 881-3484
Name _
Address
I here6y acknowledge thaf 1 have reod this apDlication and stote thaf
fhe informotion is wrrect ond ogree fo comply with oll opplicoble
Stofe of Minnewto Statutes and City of Eogan Ordinonces.
Siqnoture of Permittea
Lau ach Const., Inc.
A Building Permit is Issued to:
oll work shall be done in uccordarxe with all aQplimble Sfate of/Or
CITY OF EAGAN
3793 Pilot Kneb Raad Eogan, MN 55122
PHONE: 431-8100
Assessment -
Water & Sew.
Police -
Fire
Enp.
Pianner -
Council -
Bldg. Off. _
APC
Permit ?CQR•vv
Surcharge 60.00
Plon check 241.50
snc 525.00
Woter Conn. 450 _ 00
Water Meter 6n _ nn
Road Unit 250 1 nn
Taal $2069.50
on the express condition thm
Stotutes ond City of Eagan Ordinances.
Buildinp Official
REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-os
, Sea mstructmns br completvq this form on bnck af yellow copy
E 19 5-46 "X" Below Work Covered 6y 7his Request
Nw4 Addj xao. ryoe of emieine Aaai m.cae wiree Enuiumenttt wved
Home Range Ternporary Service
Duplez Water Heater Lightiny Fixtures
Apt. BwlAing Dryer Electnc Heatin
CorrunerCial 81dy. Fumace Sib Unloader
g
fl Industnal Bldg. Air Conditioner Bulk Milk Tank
Farm Otne. 5oea_00 Oin, l5or.c.jvj
t nr Spocrty
- - ther Oihir
omuute InsoecUOn Fee 8elow
p Fee Serv,ceEntranceSixe !t Fee Feeders/5ubleeders A Px Cvcuits
6 to Z00 Am s 0 to 30 Am s Y 0 to 30 Am s
Above 200 Ampy 37 to 100 Amps 31 M 100 qm s
Swimming Pool Above 100_Amps Above 100_AmPS
TranStormer5 Irrigation BonmS Partial- 'Other Fee
Signs dSpec,al Inspection
Re..ks $ TOTAL F A/ ?
?
I F?nal
ie revuese ?oie
, -;
' ?I, t?e Elactncxl
( 0•I?rJspec?or, herehy
?t ertdy that ihe above
nspecuon has bean
? f?/ ? metle.
Thos repuest void /?3/dd
18 months (wm ??
E 1.as aR / /, /a
nequest ua?e rrte rvo. upn-in insper.t?on
/ FHo eguired? [:]Ready Now Will Nouty Insoec-
J Ol\es ?Nu or When ReadY
? Licansed Eleclncal Contractor 1 hereby requast inaPaction of ebove
? Owner alecttical work installed et:
Sveet Atldress, eox or Noure No/.J Cny
S? - O7GC-! / CCCffE C-?
ecUOn o. TownshiD Name or Nn, ange No. Coom`v
n
Oc
cupa
t
IPi1NT1 Phone No.
-/
?
-
-
/ • '{?
Power S lier Address
Elecincal nlractor (Comp^ny Name) A
? ?? ^
• `- ? Co ctor's License No. `
???J
?+aJinB P.dJress (GOnha mr or Owner Making Insta' aLOn},
Aut on Siynat re ( uaclodOwner MaWng Installation)
r
??? Phon/e /N?urn,be•r !
??` ? ? ?/
. /
L OTA STATE BOARO ELECTBICITY
a ia121 aaa-oeoo THIS INSPEGTION PE UEST WILL NOT
I-Midwey BIAB. - poo N-197
UniversitvAVe..St. Ppul, MN SStOY
BE ACCEPTED BV THE STATE BOAND
UNLESS PNOPEfl INSPECTION FEE IS
ENCLOSED.
pp REQUEST FOR ELECTRICAL INSPECTION es-aoo01-0e
.? See msimc0ons lor comoleling 1his (arm an back ol yellow copy /033040
??
°X" 8 1 W C d b Th" R t 'a u
?
I ?_ e ow or
overe y ?s eques 1
ew Add Fep Typeo7BuJdmg ApplianceSWired EqmpmentWired
ill Home Range Temporary Service
DUplez Water Hea[er ElectnC Heabng
Api. Budding Dryer Other (Specify)
Commllndustrial ? Fumace
Farm Au Conditioner
olner ?zyealyl ConVactor's Remarks
Compute Inspection Fee Belaw?-
# Other Fee # Service Enirance Sze Fee # Cvcutls/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above.i? Amps
Signs Inspector's Use aniy TOTAL
Irngahon Booms ?
? O
Special lnspection 35.50
Alarm/Communication THIS INSTALLATION MAV BE EONNECTE D IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Elecirical Inspecror, hereby
certity that ihe above inspection has
been made. Rough-in oate 7_ ?
?ai e
F, ,Sr
k
`
OFFICE IISE ONLY
This request vmd 18 months hom
/
?/?0 9a-
°o r
p 18 _7 0 ? -
??35
Request Date rte No RougM1-in InspecLOn
R qarted+
C N. .(?
G Reatly Now yly WJI No?ify Inspec?or
?When Reatly,
IA icensed contractor E) owner hereby request inspechon of above electncal work at.
Job Atlaress (SVeet B'ox/or Roule NO I
S3? `7'- 61"1 City
Secnon No Township Name or No Range No County
OccupaniiPPiNT) Phone No
7• ?
Povrer &uppliBr Atltlreas
Elacmcal Comractor iComyony Neme) .
"`?- C,.?,? ;
- E
? ConVectors Licansa No
- ?3-?
o
MaAhng Aaoress lConvaqor o- owne• Maanq Installanon)
Aut onze gnalore i on or.Owner Ma+ing Installavon) P?one Number
?
MINN SOT STATE BOAPO OF EIECT ITV / THIS INSPECTION REQUEST WILL NOT
Grig - tlway Bldg - Room 5-1?3 ??
BE ACCEPTED BY THE STATE BOARD
.(?'
1821 Unlversity Ave. 51. Vaul. MN 5 ?
? W UNLESS PROPER INSPECTION FEE IS
Phone (611) 642-0800 ?` + 7 ENCLOSED
CITY OF EAGAN N? 15080
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121
BUILDING PERMIT PH ONE: 454-8100
Receipt# ?3 ?4 I I?
To be used for GARAGE Est. Value $10,000 pete MAY 26 19 88
Site Address 4554 LAKE PARK CT
Lot 6 glock Z Sec/Sub.LAKE PARK SHORES
Parcel No.
: Name JIM JENSEN
= Address 4554 LAKE PARK CT
3
0
City
EAGAN Phone 454-8523
,o Name TIM KRECH BUILDERS
? Q Address 1003 15TH AVE N
? City 5 ST PAUL phone 451-8671
ww Name
?
i z.
Address
aw City Phone
I hereby acknowledge that 1 have rea i pplicat on state that the
informa4on is correct and agree com y wrth p01ic e State of
Mmnesota Statutes and Cit of gan rdma s.
Signature of Permittee _-L
A Butlding Permit is issued to: TIM KLf? B ILDERS
on the express condition that all work shal I 6e done m accordance with al I
applicable State of Minnesnota S[1atutes ya,nAd City of Eagan Ordinances.
Builtling Official? I111lM 1 W I11 li
OFFICE USE ONLY
On SRe Sewage - Occupancy M-1
MWCCSystem _ Zoning
On Slte Well _ (ACtuap Const V-N
City Water _ (Allowable) V-N
PRV Reqwred - # of Stories
Booster Pump _ Length 361
Depth 221
S.F. Total 656
Footprmt S.F.
APPROVALS FEES
Engr./Assess. Permit 106.04
Planner Surcharge S.DO
Counal Plan Review
Bldg. Off. SAC, City
Variance SAC,MWCC
WateiConn.
Water Meter
Road Unit
TreatmeN P1
park,Copies 1.00
112.00
ToTAL
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 Np 19 9-9 4
'
C?II.b3h
BUILDING PERMIT PHONE:681-4675 Receipt # «?
To be ?` Est.Value $SOs000 Date DEC 30 91
used for 19-
Site Address 4554 LAKE PARK CT
Lat 6 Block Z Sec/Sub. LAKE PARK SHORE:
Parcel No. N2flle J1M JENSEN
W Address 4554 LAKE PARK CT
0 ? Ciry EAGArI MN Zp
Q Narne TIM KRECH BUILDERS
V Address 1003 15TH AVE N
? Ciiy S ST PAUL MN Zip 55075
Phone 451-8671
? License k
I hereby acknowlege that 1 have read this application and state that the
inlormation is correct and e o co I ity?all apphca6le State of
Minnesola Statutes and ot gan ? a 6
Signalure of Permitee
A Building Permit is issued to:
on the ezpress contlilion that all work shall be done in accordance with all
applicable State of Minnesota Statules and Cily ol Eagan Ordinancas.
BuildingOffiaal In111tA 40? D?d
Occupancy
Zoninq
(Actuaq Const
(Allowable)
# ofslones
Length
Depth
S.F. Tolal
S.F. Footprints
On Site Sewage
On Sile Well
MWCC Syslem
Cdy Water
PRV Required
Booster Pump
APPROVALS
Planner
Council
eiay ar.
Variance
OFFICE USE ONLY
R-3
eldg. aerm@
Surchaige
Plan Review
LJCeree
SAQ Ciry
SAQ MCWCC
Water Conn
Water Meter
Acet. oeposit
SNJ Pertnit
S/W Surcharge
Trealmenl PI
Road Unit
Park Ded.
Copies
TOTAL
FEES
4i5_nn
25.00
269.00
..X)
709.50
.. , y'
1991 BUILDING PERMIT APPLICATION
CITY OF EAG&H
REDUIREMENTS:
SINGLE FAMILY 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET ENERGY CALCS.
MULTIPLE DWELLINGS 2 SETS OF PLANS, 3 REGISTERED 51TE SURVEYS, 1 SET OF ENERGY CALCS.
# OF UNITS RENTAL FOR SALE
COMMERCIAL 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF
SPECIFICATIONS, 1 SET OF ENERGY CALCS.
PENALTY APPLIES WHEN TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING
DAY OF MONTH IN WHICH REQUEST IS MADE OR LOT CHANGE IS REQUESTED ONCE PERMIT IS
ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH
ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
1? ecl uo,,. ? Ercaos;n ? „ / //
To Be Used For:A?(; 5L,'p? ?v??,?aluation : ,>Q. 0o0 Date: 1-?A 3?
'-----
Site Address ?! 7`
U FFICE E ONLY
2.
Lot ? Block FEES
Occupancy ?-3 Bldg Permit /S,oo
Parcel/Sub (.AKe_ PARK SHoReg Aaa"N. Zoning Surcharge .oo
Actual Const Plan Review zb4, o0
, Allowable License Fee
Owner =4 SC 10*7 # of stories SAC, City
Length SAC, MWCC
Address o??- Depth Water Conn.
S.F. Total Water Meter
Ciry/Tip Code Footprirrt S.F. Acct. Deposit
S/W Permit
Phone On-site sewage S/W Surcharge
Coritractor kcc/ On-site well
MWCC System Treatment PI.
Road Unit
City water Park Ded.
,
Address 0 3 Is ? ,. PRV Trail Ded.
Booster Pump Copies .so
Ciry/Zip Code ?. S7? so7 ' SUBTOTAL
APPROVALS Penalty
Phone 1-15-1-816 7 Planner Lot Change
Council TOTAL 709.50
Arch./Engr. Bidg. Off.
Variance
Address Q CoNVOiC &XJST/N6 C>txK"id A 3 scqwN PoXcH
D 5V2.'w+ar& PC*c* Avarnorl
City/Zip Code
3 oK2lyz` ZND
? 5-rDgY AaDrTlarJ
Phone # Q R&74ocEt. MA6TVR BE-DRooM SuvrW
Sewer/Water. Licensed Corrtr. . Processing time
r r mits is two ays
for once area as een approve .
=_??)X? agrees that all work shall be done in accordance with
(SlgnatureLOf erm ttee
all aoolicable State of Minnesota Statutes and City of Eagan Ordinances.
? .?... ._. ..
1
I I ?
59 /? ?/ ? / ? ? ? ? i?.? •?
CON V&RT
PO RGf o
iLV +.,
99 "
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? REMOOEL
I M as?EP--
I BBDROpN"
Suic
97
SITE PLAN
i"- zo'
pumm,nir?lh
PERMIT
CITIf"OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(651) 681-4675
SITE ADDRESS:
4554 LAKE Pt3RK CT
I.OT: 6 F10CK: 2
LAKE F7ARK SHOFtGS
P.T.7V.: 10-44200-060-02
DESCRIPTION:
T.O. & RERpL1F
PERMIT TYPE: Bu zLo z N e
Permit Number: 034029
Date Issued: 11 /16/9g
Buitdinq',permit Type STCIRM DAMAGE
F3uilding Wo'rk l"vpe REPAIR
?Csnsus Cnc€e 494 ALT", hESZDENTIAL
- \
1
?
REMARKS:
FEE SUMMARY:
CONTRACTOR: - Aopl icant -- ST. l CC. OWNER:
l-JFSTURN CEDA13 SUPPLY 15410304 20014207 JENSEf4 JIM
705 N. H6dY 169 4564 LNKE PARK CT
PLYI"IOU1"H PIN 55441 EF1GflN MN 55122
C612y 541-4207 (651)454-5523
?
I hereby acknow3edge that S haue read thzs applicsl:ion and state that the
iritarmatS.on is cQrrect and agree to enmp}.y with all dpplicable State q'f Mn.
Statutes and CiC_y nf Eaqan Qrdinahces. J
APPLICANT/PERMITEE SIGNATUFE
ED BY: 51GNA URE
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
ciTSr oF r.aGax
aaao ru.oz xivos xn - ss iza c?
681-ae75 1 1 - l L ?
New Construction Reauirements RemodeVReDair Reouirements
? 3 registered site surveys ? 2 copies of plan
? 2 copies oi plans (inGude beam & window sizes; poured fid. tlesign, etc.) ? 2 sife surveys (exlenor addRions 8 decks)
• t energy calalatlons ? 7 energy calculadons for heated atlddions
• 3 wpies ot tree preservation plan il lot platted after 7/7193
required: _ Ves _ No
DATE: /UO(J, 16, CONSTRUCTION COST; 2-S-,76 D
DESCRIPTION OF WORK: 14- T?,??
STREET ADDRESS: ?Z? L-ff4e
LOT: k (, BLOCK: ? SUBD./P.I.D. #:
Name:V b)CSb/J ?TIm 4- DrB616 Phone #: YS-2-3
PROPERTY 1.ast First
OWNER
S4eetAddress: ??E '*kIL
??? ?el?-?j 5tate: 1AW, Zip:
Company: Phone#:
CONTRACTOR 7 °? `? ?/
StreetAddress: "/? /vi /'YLC?cy License# Z?17'i67
City &m O()TW State: M/If / Zip: :Js7 ?l
ARCHITEC'f/
ENGINEER Company: Phone k:
Name: Registratian #:
Street Address:
City State: Zip:
Sewer 8 water licensed plumber (new construction ony): . Penalty applies when address chang
and bt change is requested once permit is issued.
I hereby acknowledge that I have read this application and state that the intormation is coRect and agree ta camply with all applicabl
State of Minnesota Statutes and Ciry of Eagan Ordinances.
?
Signature of Applicant: a.6??QIL ???
OFFICE USE ONLY
CeRificates af Survey Received _ Yes _ No
7ree Preservation Plan Received - Yes - No - Not Required
?
•
BUILDING PERMIT TYPE
? 01 Foundation 0 06 Dupiex
? 02 SF Dwelling ? 07 4-plex
O 03 SF Addition ? OS 8-plex.
? 04 SF Porch ? 09 12-plex
0 05 SF Misc. ? 10 _-plex
WORK TYPE
? 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowahle)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
OFFICE USE ONLY
? 11 Apt./Lodging ?
? 12 Muiti Repair/Rem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
? 36 Move
? 37 Demolition
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
Basement sq. ft. MCMIB System
_ Main level sq. ft. City Water
_ sq. ft. Fire Sprinklered
_ 5q. ft. PRV
_ sq. ft. Booster Pump
_ sq. ft. Census Code.
_ Footprint sq. ft. SAC Code
' Census Bldg
Census Unit
Building Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SNV Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
ToW I:
Valuation: $
°k SAC
SAC Units
L? BL ? CITY OF EAGAN
SIIBDQ-?LP P(6)N681E4675
RESIDENTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
CITY USE ONLY
RECEIPT ? GOIX502
DATE o3-G 2
ALSO, FOR TOWNHOMES AND CONDQS
WORK DESCRIPTION
NEW
ADD ONNST -- a gAaa;"
(?c Q.
REPAIR _
OWNER NAME: je ??4 _5?sr?j
SITE ADDRESS: qS5-4 1Q,Jlk lrAA?
INSTALLER: ?AA IG.Cq ?JK eJw5F8?
AnnxEss: 13fw
CITY: 5?_?;7: ?`- ZIP: 5SD"ZS
PHONE #: ?L?I ^ nC I
SIGNATURE OF
TOTAL
STATE SURCHARGE .50
TOTAL: S IS- S o
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
OWNER NAME:
SITE ADDRESS:
TENANT NAME: _
SUITE #:
INSTALLER:
ADDRESS:
CITY;
PHONE
FOR: _
ZIP:
CONTRACT PRICE:
1% OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1% $
STATE SURCHARGE
TOTAL:
COMPLETE THE FpLLOWING:
N0. FIXTURES EA.
REPAIR/ D ON 15.00
? SHOWER 3.00
? WATER CIASET 3.00
? BATH TUB 3.00
Q, IAVATORY 3.00
_ KITCHEN SINK 3.00
_ LAUNDRY TRAY 3.00
HOT TUB/SPA 3.00
! WATER HEATER 3.00
FIAOR DRAIN 3.00
GAS PIPING OUT.
_ (MINIMUM - 1) 3.00
_ ROUGH OPENINGS 1.50
_ OTHER
WATER SOFTENER 5.00
_ PRIVATE DISP. 15.00
_ U.G. SPRINKLER 3.00
W. TURNAROUND 15.00
(SIGNATURE)
CITY OF EAGAN
CITY OF EAGAN
? 3830 PILOT KNOB ROAD
• EAGAN, MN 55122
PHONE: (612) 454-8100
FOR CITY USE ONLY
PERMZT #
RECEIPT
DATE:
mm.:.. PLEASE COMYLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
T...:, ...::.,.,...???T?`?A?,,:'. .
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
NEW WORK DES?RIPTION
/
CONST ??
ADD ON _
REPAIR _
C
OWNER NAME:
SITE ADDRESS: VS.S4 V67i?°C _ i'A k k C?-
LOT: & BLOCK ?Z SUBD.(/lQ.L (9ald ,d*4Xe,6
INSTALLER: A • ?QGA ? ?QVI
ADDRES S: o?L o? ;- UAA !Y Nv'?aN ) )J'
CITY:?? a `t' " ZIP: .??0-25
PHONE #: Lf.? / -
'e i-? 0-0
FEES
ADD-ON MINIMUM $15.00
HVAC 0-100 M BTU 24.00
ADDITIONAL 50 M BTU 6.00
GAS OIITLETS - MINIMUM 3.00
OF 1 PER PERMIT
SUBTOTAL: $°27'?C]
STATE SURCHARGE: .50
TOTAL:
S? NAT RE OF PERMITTEE
A1:.. PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUII.DINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
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 18 $
STATE SURCHARGE $
TOTAL: $
(SIGNATURE)
CITY OF EAGAN
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS - 160%0
INCLUDE 2 SETS OF PLANS, 3 CEATIFICATES OF SURVE)C, 1 SET OF ENERGY CALCULATIONS
?< •? !'-z?
I u??
?.?< .r?
NOTEs ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL SE ALLOWED ONCE BIIILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL QNITS FOR SALE UNITS $ OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFIC9TE OF SURVEY - CHECg WITH HLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: ?_ar?.e Valuation: /D,?000 Date: S'10-
Site Address yS1V Lq,?r f4,,,F e,? f.
Lot ? Block Z
Parcel/Su6 LAkC ARK 5H0Res AhDN.
Owner JJm JChsch
Address 2/6 5-`/ lue /04rj- G,71.
City/Zip Code ,f4?4„
Phone
Contractor
Address l00'? /Fve. /y
City/Zip Code
Phone 17f,5'/ - ge 7 (
Arch./Engr. _
Address
City/Zip Code
Phone fF
On site sewage
MWCC system _
On site well _
City water _
PRV required _
Booster Pump _
APPROVALS
Engr/Assess
Planner
Couneil
Bldg. Off.
Variance
Occupancy M -1
Zoning
Actual Const Y-N
Allowable ?-N
S of stories
Length 36'
Depth Z 2'
S.F. Total (05?
Footprint S.F.
FEES
Permit
Surcharge
Plan Review
"37L1 5?jf} SAC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL
/ b
06-
!?
S -
vo
la • II?U
VALUX-n orJ
----` GA 2A G E
izX22 = .zGy
Zyx22 _ 2by
2 '
kx? _ 3Z
`z
9x24 = q?
G56 X (y = 9 /BY
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, :
1
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,
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11IF
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-- --'-? , --
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51TE PLAN .
Y 64 .:
?.
CITY OF EAGAN
SUSJECT: VARIANCE /Z9? ? ?f?
?I
APPLICANT: JAMES R JENSEN JR
LOCATION: LOT 6, BLOCK 2, LAKE PARK SHORES
EXISTZNG ZONING: R-1 (SINGLE FAMILY)
DATE OF PUBLIC HEARING: OCTOBER 6, 1988
DATE OF REPORT: SEPTEMBER 29, 1988
REPORTED BY: PLANNING DEPARTMENT
APPLICATION SUMMARY: An application has been submitted
requesting a 2' Variance to the side yard setback. The applicant
is proposing a 24'x24' garage addition to the existing house and
garage. The purpose for the garage is to allow the applicant
storage space for a van and boat. Mr. Jensen contends that in
order to obtain an aesthetic roofline and appropriate contours
and angulation for the garage to match the existing structure, a
2' Variance is needed.
If approved, this Variance shall be subject to all applicable
Code requirements.
?
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OUTLOT \ aunor •
V
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? .• lDT II 130 M
? c
9LOCN1
aA?SSEN
o Q : ? ssniam 9 OLDITION
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1/0 x, 10
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\?`^• •.. e ° ° 78 Q ? 2 • a ??o?ooo
K i hr rl ?s Y lo?
' \\ ?' 9 ?C?' ?? ? 8 3 Q.n `s, .?i? ? ( ?'e??? sm•?arr?
w \ c r .A ?,P , a _ w 4 ?+d I .. ?
? s 4 ,n•• i 8 _ - z ?J
\ur?? ,. (k$ 0 = ?V n??y ?.vuose ^/?-?,
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1 a?rwzoaa Y M y „ 1
r ? bP. i$o ?am?? t ? b? I ?i nan ?I f?v?zaa og\
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yu woo ???4. i? f -n?naww'>n-
pl t4?' > ?q u Ft ? ???'M? M ??1? h ?y?L ? °,? ,4e? •? S ? ,
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--
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44
RASMUSSEN A[qTION i? or 4. .:fq
• • " B? DAKOTA R'rCOUNTY NOAD RIGMT OF WAY MAP N0. 27 d 27A
STATE (CUFF ROAU AI .,? F HIGHWAY
.e: m
:..u?.n..?
ilL' 1'4 °F.:,.'3?;.7.<<;?3 .. . . ,.
.e,. .o. .e,. .<,.
qb
ja7
_ 1. ' ?,? ?? '7 ? •
IroY / ?
99
_ ?w
10 0?
7N\ ,' -
,_i.,,.IIii I I -
-
• 9F3-? ? ?I ? '??1o I ? ? I ' , '
.. ..,r
D ?WA'( <. ?;:. :>?l
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7(T
? 97
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,
--- -- by 5? .
?- 5m,= iao - '
'fDP OF
, /? --- -- .
\ . .,
.? ? . 51TE PLAN
r .
OtiR1 E R : ?
517E AQDRE55:
EXTERIOk ENYE'L6PE AVERAGE "U" COMPUTATION
CONTRACTOR: Lsubac?: ConstructionL Inc DATE: PHONE: 881-348l, DETERMiNE 4ORKlNf SQUARE FQOTAGE Of EACH:
t. TOTAI EXPOSED WALL AREA,,,,,,,, ?5q ft x18
2. T6TAL P.OOF/CEIIING AREA,,,,,,_, Sq ft X"U" •0?+ • Cn?
-I - - -
3. TDTAI. EXPOSED 1aALL AREA CALCULATlONS:
Total exposed wall
area above fioor,,,,,,,, . n Sq ft
a) Total wa11 window area:
i
?
. 2 qlazed...... _ ??lfJ sq fi x ??U" ` .46
3 9lazed...... ? I (42 sq fi x??U" .37
b} Total door area ,,,,,,,,, 1'7- _ sq ft x"U" ,13
c) Total slidln4 91ass door area:
2 gtazed...... ? sq ft x"U"
3 qlazed...... ? sq ft x"U"
.35 ffi _•------.
.03 m .__-- -
.Oc
.03 • 7???.
.03
.1t6 - , r7
d} Total flreplace walt arca <1-7) sq ft x"U"
e) Total wa11 framing area
(Average 10^)........... sq ft x "U"
f) Total net watl area above
f2oor (Insulated)....... 2J40 sq ft x"U"
3 sq ft x"U"
g! Total rim Joist area.e.... ?2 C?fr-
Total foundation
area (Exposed).......... ? sq ft
h) Tota1 foundation
?rindow area........... ?h? sQ ft x "U"
O Total net foundaLtoo /?
arem above grade........ ?'-? sq ft x"U"
3
.06
TOTAL a) thru I)
\
If item 13 is the same as, or less tfian item f1, you have met the intent of
S.B.C. Sectfon 6001+ (c) 2.
/ .
4. TOTAI EXPbSED RDOF/tE1LiHG CALCULATIQpS:
Tota) cxposed
roof/ceEtinq erea........ sq ft
J) Total skyS)cht area........ sq ft x"U" .46 ALP4:
k) Total roof/ceftinq framing
area (Averaae 10Y.) ,,,,,, 16 P aq ft x"U" .02 ?-?4
t) Tetal net lnsulsted /j
roof/cetltng area....... ? sq ft x"U" •02
y, T01AL j) thru 1) ?
Ef totai of !4 is the same as, or less than 02, you have met the intent of
S.B.C. Section E006 (c) 1.
ALTERttATE DUILDfMG EkVELOPE DESIGN
To utltize the total enve:ope system method, ihe vaTues established by the sum
of (iems 93 and R4 shall no[ be 9reater than the sum of items P1 and 12.
62 + 2.
3. +a.
C E R T 1 F{ C A T I 0 N
1 herebr certify thst 1 have caTculated the "U" factors and "R" ?
values herein and that the buildtnq here described meets or exceeds the State
of Mlnnesota Enerny [onservatian Act. )
Siqnature
???-? /
(Date) '
/ `
MSTRUCT I Ot7
AMING SECTlDN:
Interior atr film
1nTM sheetrock
S_5t? inches sef
R YAIUE
O.hR
Exterior air riin _ 11•it
IUIAI K 0 1f.}
V - i/R ° •o6
IJ^LL «CT101l (INSULATEO)
Interior air fllm
f1,RR
.32
9.00
Exterior air rIIm ? ??•?r
TOTAL R = 29•!1
U - 1/R = .G3
ST SECTIOfI:
tnterior air film A.FR
° fiterglass 19• '
1-e" softwood •
, n .
Er.terior air iilm u.ii
TOIAL R -J1.V1
u - e/k = .03
10!7 SEtT10"J:
Interior alr film n•hR
s`Yrofoam 7•
12" concrete bloc?c 2•27
Exterior air film n.17
1-<" styrofoarri 7.T
TOTAL R s 1ti.12
U - 1/R = . 06
SLAR Dii GRADf
el? ' • ? ` ,oa? a , ; R, ?a
?.4
.?.4 . Q?.
. . ?1: -; ' 4•
a. •.G ," . ? ' q . q',.
? ?.
q • a ' ? • ?`? '? 4J
_ • , . p : Q I
1 ; ..- :
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.?4
? ? . . ' ? ? • ' r 1
:a, , a v•,.
:
44
. ,G,.
. Q?• . . • 4'? ? ?
CONSTRUCTION ' R VALU[•
CEtLINf. SECTIfR7 (ItlSULATED): .
1 lncerior air film 11.91
2 5/8" sheetrock .39
3 20" fiberRlass 60.00
4 Exterfnr alr fflmstili) n.91
TOTAL R - 61.61
U - 1/R - ,02
CEI LIMG FRAHl17f SECTION: ?
I Interlor air film n.F1 ?
2 W811sheetrock •39 r
3 lu 7° Siberglass _L34 I
4 Interior air film still n.FI
5 n inches soft wnorl 6.93
TOTAL R = 52.014
U = 1/R = .02
CCILING SEf,TiON (ItISULATED):
1' Interior air film n.61
2 1"N" sheetr
3 fiber lass 60 00
4 f.xterior air film still 0•.1
TOTAL R = 61_61
U = 1/R = .02
VENTED
CEILINr, FRAtUNG SECTIDN:
1 Interior air film n•F
2 5/$" sheetrock .3
3 9" £iberglass 30.0
4 Exterior zir film stilt) F•h
S 9" lnches soft ?:ood 11.9
? Tf1TAI R v 1,1
U = 1!R = a02
inside a1r film _ n•Fl
2
3
4
5 4utsidc aSr i1m n.17
TOTAL R • __
U - 1/R '
_ . , .
/ _0s19 MECHANICAL(RESIDENTIAL) ? ?..?
L?1 Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complere for. Smglc Family Dwellings
Townhomes and Condos when permits are required for each unit
Date _7/ 3d l a003
site Address ys5 q 1,4& 44 Cevl'-'? Unit #
Property Owner -7;>-f ? 416 4qSen, Telephone #( d St N' S?as
Con[ractor J[ lC?6 /7V-4C 5t •
StreetAddress /3a75 '7,?OAtr/ /'-A11 City z?Yt 7rA/r7G
State //WI) . Zip ;S3y ? Telephane #( QS] ) 9$?/ 7a?I?
The Applicant is _ Owner ? Conhactor _ Other
Add-on, modi6cation or alterahon to esisting dwelling unit $ 30.00
? furnace replacement
air exchanger
? air conditioner
other
/tp/• tx)sf,Af `'?r.ace/L1.c,
State Surcharge $ 50
r. - ---- ,1
Total
I . $ 30. So
I herehy apply for a Residential Mechanical Permit and acknowledge tLat thqinformarion is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
pemut, but only an application for a pernut, and work is not to start withourmit; that th '(r?kY??ccoidance with the
approved plan in the case of wark which requires a review and approval of p ??
--%r?? C-4urdi /f
Applicant' rinted Name A phc Ys Signa
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Use BLUE or BLACK Ink
For Office Use
1
I Inoo
City of Ea an Permit
41110 4
Permit Fee: / U 4l~
3830 Pilot Knob Road I I
1 Date Received:
Eagan MN 55122
Phone: (651) 675-5675
Staff:
Fax: (651) 675-5694
2011 RESIDENTIAL BUILDING PERMIT APPLICATIONC
Date: 19-M-20// Site Address: Z-1 k e. Pa 1. k C-f Unit
Name: GA Y'I s f`c~l ~l ~L zlc lr Phone: 6,5-[ °l z
RESIDENT rte/ p
OWNER ;Address /City /Zip: !~J 7 4k& fo_rk
Applicant is: Owner Contractor
i
TYPE OF WORK Description of work: ~(~If73 pf"G
¢o
Construction Cost: 3 LCV / Multi-Family Building: (Yes No LF )
Company: &00 144f
/ Contact: giobty F
t Address: X) 6n p y-e Pr- City: ~ Ta f
CONTRACTOR 1 11 1
~
State: Zip: 3 Phone: 6 ,6 ✓ h 2 7- 70 6
License mil! 5 y Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
01AI11- J#) 1.7gg
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
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 R® berl-b0arn eke x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
qe;5q UP OaiKC
DO NOT WRITE BELOW THIS LINE G~SC~
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
Multi Deck Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi)
_ 01 of Plex _ Lower Level _ Pool _ Miscellaneous
Accessory Building
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 avo Occupancy MCES System -
Plan Review Code Edition 2661 7 SAC Units
(25%_ 100% ✓r Zoning 2-/ City Water
Census Code til3k Stories / Booster Pump ^
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
3
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC Gas Service Test Gas Line Air Test
Drain Tile Other:
Roof: 41- Ice & Water Final Pool: Footings _Air/Gas Tests -Final
Framing Siding: Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In _Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backfill _ Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee /O3 a3
Surcharge
Plan Review ~-7
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies °A P M
TOTAL
Page 2 of 3
ti IQ
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a
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.97
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100 EAGAN w
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By. Cl) w
x',TJONS DIV1S1 •a 4 H
51T5 PLAN o w x
cle)
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA127881
Date Issued:10/17/2014
Permit Category:ePermit
Site Address: 4554 Lake Park Ct
Lot:6 Block: 2 Addition: Lake Park Shores
PID:10-44200-02-060
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 by law in ALL single family homes .
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 -
Andrew F Puzder Tste
6307 Carpinteria Ave Ste A
Carpinteria CA 93013
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA127906
Date Issued:10/20/2014
Permit Category:ePermit
Site Address: 4554 Lake Park Ct
Lot:6 Block: 2 Addition: Lake Park Shores
PID:10-44200-02-060
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Lisa Nyberg
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 -
Andrew F Puzder Tste
6307 Carpinteria Ave Ste A
Carpinteria CA 93013
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
Citi of Eain
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
wo ill 2016
r
Use BLUE or BLACK Ink
L
For Office Use
pe,Tat /,
Pemr t Fee: e.0
-e
Date Received:
Stat
2016 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: /1/1/-, Site Address: 4 55 4 Like. PO4 K C _
Tenant Suite #:
ResidentlOwner
Contractor
Type of Work
Permit Type
Name: Jft r1t L L) I-k-iPhone: (/5 f "3(, J - �� g
Address i City 1 Zip: y 554 1 -4 -4C -e./ PCV1,( ' fact/41,i M N 5 1 4a.
Name: X64,. License #: u¢ `i "t p r w G
Address: 3 440 0 N4 -Q' 1)-1-1 ve City: I- idUit-.Uv 1
State: W I Zip: 5 4 4 ( Phone: `715 — M to —8667
Conti S 1 M Email: 0,(g Oak (5 a
New A Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Description of work:
JAI %-i to vvat ,fioPfc,atw
RESIDENTIAL
Water Heater
Lawn Irrigation L RPZ / _ PVB)
Septic System
New
Abandonment
Water Softener
Add Plumbing Fixtures C.. Main 1 _ Lower Level)
Water Tumaround
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (indudes State Surcharge)
860.00 Lawn Irrigation (includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes State Surcharge)
"Water Tumaround (add 5280.00 if a 3/4" meter is required)
$115.00 Septic System New (includes County fee and State Surcharge)
TOTAL FEES $
CALL BEFORE YOU [MG. Cal Gopher State One Cada at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities.
1 hereby adcnowledge that this ',formation is complete and acc taate; that the work lid be in conformance with the ord ances and codes of the tilt of
Eagan; that 1 understand this is not a permit. but only an ash for a pem , and work is not to sit without a pendt that the work will be in
accordance with the approved plan M the case of work which requires a review and approval of plans.
(3I M 6 H -013&f2,
Applicant's Printed Name
)A,?ri,t) kDA-010eA- C't)Apps s Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough -in Air Test Gas Test Final
Meter Related Items: Meter Size Radom Read Manometer Staff:
Date:
CityofEaaail
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use 1 `lc"
Permit #:
/39 o
Permit Fee: :34:71 (�
Date Received:
Staff:
9 Q _/‘
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
5-0-1‘2 Site Address: 41f7' 4i& (moi!
Unit #:
J
r
Name:WGe £c /Re, Phone: / /
2– ?`-M--qq6�
Address / City / Zip: < 7 /al—Z. ��/
1 lq--- i
Applicant is: Owner E Contractor
Description of work: Dent,/4,/2/ iv -074" ot) I
cv4c4 n
/ No )
Construction Cost: .93 (0I) Multi -Family Building: (Yes
Company: Ii0J9 eeenhA e Contact:
Address: r�i� ' /- 7 feudCity: Akti
State: Zip:, 2(5 Phone '6/1-7..?'3° Emil: e'
_ //L' -t5)4
License #: Se 6534/55" Lead Certificate #: WM-" P1/ /C# ?/— /
If the project is exempt from lead certification, please explain why:
In the last 12 months,
Yes No
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Fire Suppression Contractor:
Phone:
Phone:
Phone:
Phone:
t
.. h' L+�a' ., o✓%..., fes... `'aB .. n, k wud ». 73
>".d. ..
.
.. �
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.
Applicant's Printed Name ApplnVs Signature
Page 1 of 3
ice_,,- �L% L,Sc 8 DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Single Family
Multi
01 of Plex
WORK TYPES
New
Addition
Alteration
it Replace
_ Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100% L'
Census Code
#of Units
# of Buildings
Type of Construction
Fireplace
Garage
Deck
Lower Level
Porch (3 -Season)— _
Porch (4 -Season)
_ Porch (Screen/Gazebo/Pergola)
Pool
Interior Improvement
Move Building
Fire Repair
Repair
3+t
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundat�'on
Roof: /I!" Ice potter AL Final
Framing 17 30 Minutes 1 Hour
Fireplace: _Rough In Air Test Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Siding
Reroof
Windows
Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Pool: _Footings _Air/Gas Tests _Final
Drain Tile
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Fire Suppression: _Rough In _Final
Erosion Control
Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
30!' n/0" il
7 6d 0 /7 t /1%4
J/Av
y if
Page 2 of 3
Use BLUE or BLACK Ink
r
For Office Use I
Permit#: L/ 910 l OH�� ,�City of�a�a� i
Permit Fee: ��� 0 �,� �
3830 Pilot Knob Road — I s
Eagan MN 55122 Date Received:
Phone: (651)675-5675 RECEIVED h
buildinginspections(a)cityofeagan.com Staff: i`
AUG 0 8 2017
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: g-7 - 17 Site Address: 2L cik , Park C 17 Unit#:
' t p V� Phone: / ,,.. .,. ,.,.�
l' Name: Luk v ' IZ y� -4/.146...
�
I Resident! 1 L
14
Owner Address/City/Zip: 1..)5 /—'°1 k eC1 .
Applicant is. Owner X Contractor
Description of work: K,�`p o r i'C%.��i D t C ,l'‹Type of Work t
Construction Cost: o. (1=
Multi Family Building: (Yes /No )
' / / L)6 k fi
j Company: V(� (` /1.� d )-t-,\I--l ,_x/r(N I`-fontact: �`�
i; Contractor Address:1 .tZ I `90 fre/ya ICC /2"4 City: 1�-.1 Ike)L'j/t j M y
State: RA/ Zip: S-3-0(sict Phone:biz- 7f1- 41515Email: vete Cnns14 -';.�`/e 1, cars
_ -70 �9.3 `� /
i License# `) Lead Certificate#:
1 If the project is exempt from lead certification, please explain why:
I 4wt
�
ck /VES
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:
NOTE:Plans and supporting documents that you submit are considered to be public information Portions of the I
information may be classified as non-public if you provide specific reasons that would permit the City to concludethat they
are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on
the City's website at www.cityofeaqan.com/subscribe.
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.
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 olf ans.
j /
x Di ke Pot-kneri x -..• ._ar
Applicant's Printed Name •ppli is Signat re
Page 1 of 3
'/ y' Liffeie, ' DO NOT WRITE BELOW THIS LINE /L77 99'6
SUB TYPES
Foundation Fireplace — Porch (3-Season) Exterior Alteration (Single Family)
Single Family Garage Porch (4-Season) Exterior Alteration (Multi)
Multi v 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
ValuationCf-3OccupancyW-,-- MCES System
Plan Review Code Edition 't�° '0/j SAC Units
(25% 100%y ) Zoning y�f// City Water
Census Code Stories �v-� Booster Pump
#of Units Square Feet PRV _
#of Buildings Length Fire Suppression Required
Type of Construction -- J-6---- Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final I C.O. Required
Footings (Addition) Final I No C.O. Required
_ Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
Roof: _Ice &Water Final Pool:_Footings _Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough 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: //1/2/f , Building Inspector
RESIDENTIAL FEES mo, * J'
Base Fee 064 ii p,, ,11
.-
ti
Surcharge "
Plan Review
MCES SACpc:r,P
City SAC
Utility Connection Charge
S&W Permit& Surcharge
j.7,-7 ,c;,),, 0 (s, ,i 5-- D
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA158651
Date Issued:10/23/2019
Permit Category:ePermit
Site Address: 4554 Lake Park Ct
Lot:6 Block: 2 Addition: Lake Park Shores
PID:10-44200-02-060
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
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: 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 -
Travis Frey
4554 Lake Park Ct
Eagan MN 55122
(515) 520-9892
Coffer Custom Remodeling Llc
9221 Davenport St NE
Blaine MN 55449
(763) 786-4630
Applicant/Permitee: Signature Issued By: Signature
I—For Office Use/59-3-3D,
.,• : �i Permit#:
. %. ,, „ E AG
...... AN
39
.......=....
� ��� VE1/ Permit Fee: - C�
� . �✓ Date Received: /?-3- /9"/
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 DEC a 3 2019
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspectionsCa cityofeagan.com J
/3?-1O 19 cttth.ec yf
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: /y! 3*// Site Address: 174. ---ss--4/ L . .../z/e._ c'I 7 Unit#:
Name: ~1 l//S ,� Y Phone: s�s Z9—93�f
ReSitlettti
®YYf#4r . _ Address/City/Zip:
Applicant is: Owner x Contractor
Type of Work
Description of work: fk!7Z Ltf') — i / / �n'641096 `P/Ai&16 414—
t7�^
Construction Cost: � ^� - Multi-Family Building: (Yes /No X )
Company: 7t Z, l 4.771 l?L 5�'"1 v-Rei of L .- Contact: -LL zdani /,
Contractor
Address: 2716 (/EI Q42Aa M,- ,V• City: � ---11,64/1./
State: /NY Zip: -/� Phone:g3c s /Email: rz/44de//1a„
6 e•�A
y
License#:? e FgS Lead Certificate#: 4/47`l2O D(o 3- .2-
If
If the project is exempt from lead certification, please explain why:
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:
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.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaatan.com/subscribe.
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.
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.00pherstateonecall.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 She approved plan in the f work which requires a review and approval of pla -.
�/4m
x G� 4/4/7 ase// x
Applicant's Printed Name Applican .ign-tore
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration(Single Family)
V Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi _ 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 11
Valuation 71 teavOccupancy777" b MCES System
Plan Review Code Edition ) )"` SAC Units
(25%_ 100%0 Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction 046_ Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings (Addition) Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood
Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final
Framing `I 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough 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
ye; Shower Pan Other:
Reviewed By: S Li' , Building Inspector
RESIDENTIAL FEES �]
Base Fee l _ ;' asvo
Surcharge 5-fio Plan Review l7 0 , 2/ c op
MCES SAC
City SAC
Utility Connection Charge4:Ci (0 D
S&W Permit& Surcharge
I
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3
1 I—For Office Use /�� -7
4� i •i , E AG A N
Permit#: /S% / '
....
....� Permit Fee: 6� 0 6 CC
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspectionsacitvofeagan.com J
2020 RESIDENTIAL PLUMBINGLPERMIT APPLICATION
Date: f I Site Address: Li I 1-----P1/4(46 irk l—T- _.,,AG
Tenant: Suite#:
Name: —R- U)3 EQ1/ Phone: 51C--x29-6135-I
#wider tlOuvner "
Address/City/Zip: 4<- -Li (moi Ter fr_ GS f\J
Name: K2, '0 ---rii✓s 1 n d-gQot&L- License#: —PC(Dg 0 1
Contractor Address: 2--1 I(,) UIZPAAA cti �(, LA !VL City: PL—YfYVOUrtit
State: 1 l IJ Zip: •)5Phone: • J�o - ?
Contact: (Ls` Vah� �)r Email: b nE ! c __ 00 'Coll J
Type Of Work —New _Replacement _Repair _Rebuild ../ Modify Space _Work in R.O.W.-
Description ofwork:�A1i e'otL- 51Nxd/ 0i;c.,l—lS�wcs�22 1(41.14.4'\Tankless Water Heater ((( I N 1l
Lawn Irrigation( RPZ/_PVB)
Standard Water Heater
Decri tion Add Plumbing Fixtures( Main/_Lower Level)
p Water Softener Description: PO Appi A5`IVa 4Malt 314.
vkr
Septic System
—
_New _Abandonment Connection to City Water from Well
RESIDENTIAL FEES
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 New fixtures, adding or removing piping (includes State Surcharge)
$60.00 Septic System Abandonment
$100.00 New Residential (fee collected with Building Permit)
$115.00 New Septic System (includes County fee and State Surcharge)
$60.00 Connecting to City Water from Well*+$290 for Meter and $200 for Radio Read = $550
*Sewer&Water Permit also required for connection charges
TOTAL FEES$
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.qopherstateonecall.orq
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.cityofeagan.com/subscribe.
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 n t 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•lans
x GOkUL ICi ,
/ g//,
x j
MI
Applicant's Printed Name Applica '- Sig .t r.,
Page 1 of 2
FOR OFFICE USE
Reviewed By: Date:
Required Inspections: Under Ground Rough-In `` Air Test Gas Test : Final
Meter Related Items: Meter Size Radio Read Manometer Staff:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 TDD: (651)454-8535 FAX: (651)675-5694 buildinginspectionse..citvofeagan.com
Page 2 of 2
+ For Office Use !,
; ® a p , /C /yV�,/1 In 1 D
.. „, Titv
EAGANCIYW #:Permit
3
Permit FeetC v c•
- 'Lon
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 VEB Date Received:
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694
Email: buildinginspectionsacityofeagan.com Staff:
Commercial Plan Submittal: eplansacityofeagan.com L
2020 RESIDENTIAL MECHANICAL PERMIT APPLICATION
Date: 2/18/20 Site Address: 4554 Lake Park Ct, Eagan, MN 55122
Tenant: Suite#:
Resident/Owner
Name: Travis & Heidi Frey Phone: 952-200-8375
Address/city/zip: 4554 Lake Park Ct, Eagan, MN 55122
Name: Sayler Heating & Air Conditioning, Inc. License#: TLIC20936
Address: 6520 West Lake Street City: St Louis Park
Contractor
Zip: 55426 Phone: 612-702-6622
State: MN
Contact: Molly Neary Email: molly@saylerhvac.com ='
RESIDENTIAL
Furnace
Air Conditioner
Permit Type
Air Exchanger
Heat Pump
kachen hood and heated make-up air unit
Other
New Replacement Additional 1 Alteration Demolition
Type of Work
Description of work: Vent new 750 CFM kitchen hood,install Electro Industries 350 CFM heated make-up air and
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge
60.00
$100.00 Residential New, includes State Surcharge =$ TOTAL FEE
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update
on the City's website at www.citvofeaqan.com/subscribe.
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 Margaret Neary x Ma-gpa-et Neapu
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE 4 Zt7v
Required Inspection • Reviewed By: `I Date
Underground Rough In Air Test Gas Service Test In-floor Heat 4/ Final
• ADDRESS: 4554 Lake Park Court,Eagan,MN 55122
TABLE 501.4.3(2) (Prior to 1994)
PROCEDURE TO DETERMINE MAKEUP AIR QUANITY FOR EXHAUST APPLIANCES IN EXISTING DWELLING UNITS
(Refer to Item 5 in Section 501.4.3 to determine applicability of this table)
MULTIPLE APPLIANCES THAT ARE
ONE OR MULTIPLE POWER VENT OR ONE OR MULTIPLE FAN-ASSISTED ONE ATMOSPHERICALLY VENTED ATMOSPHERICALLY VENTED GAS OR
DIRECT VENT APPLIANCES OR NO APPLIANCES AND POWER VENT OR GAS OR OIL APPLIANCE OR ONE OIL APPLIANCES OR SOLID FUEL
COMBUSTION APPLIANCESA DIRECT VENT APPLIANCESB SOLID FUEL APPLIANCEc gppLIANCES°
1.Use the Appropriate Column to Estimate House Infiltration
a)pressure factor
(cfm/sf) 0.25 0.15 0.10 0.05
b)conditioned floor
area(sf) 4700 5000
(including unfinished basements)
Estimated House
Infiltration(cfm): 1175 250
[la x ib)
or Alternative
calculation(by using
blower door test)E
c)conversion factor 0.75 0.45 0.30 0.15
d)CFM50 value(from
blower door test)
Estimated House
Infiltration(cfm):
[lc x 1d]
2.Exhaust Capacity
80%of largest exhaust
rating(cfm): 600 600
(not applicable if recirculating system or if powered makeup air is electrically interlocked and matched to exhaust)
3.Makeup Air Requirement
a)Total Exhaust
Capacity (from 600 600
above)
b)Estimated House
Infiltration (from 1250 250
above)
Makeup Air Quality
(cfm):[3a-3b] -650 350
(if value is negative,no makeup air is needed)
4.For Makeup Air Opening Sizing,refer to table 501.4.2
A.Use this column if there are other than fan-assisted or atmospherically vented gas or oil appliances or if there are no combustion appliances.
B.Use this column if there is one-fan assisted appliance per venting system.Other than atmospherically vented appliances may also be included.
C.Use this column if there is one atmospherically vented(other than fan-assisted)gas or oil appliance per venting system or one solid fuel appliance.
D.Use this column if there are multiple atmospherically vented gas or oil appliances using a common vent or if there are atmospherically vented gas or oil
appliances and solid fuel appliances.
E.As an alternative,the Estimated House Infiltration may be calculated by performing a blower door test and multiplying the conversion factor by the CFM50
value.
CFM NEEDED: 350
SIZE OF OPENING: 8"powered
NO MAKEUP-AIR IS NEEDED: N/A