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4558 Lake Park CtCITY OF EAGAN Remarks Addition LAKE PAFtKrADDITION Shores Lot-? Blk_?. Parcel #1() 442pCI 050 02 Owner Street _ 455o Lake ?ark Co,urt_ State Eaga.n, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1982 2529• 52 505• 90 95 STREET RESTOR. GRADING SAN SEW TRUNK 1976 a sessed und r Rasmussen A 1 lOll * SEWER LATERAL WATERMAIN * WATER LATERAL WATER AREA A012845 -29-83 STORM SEW TRK 513 * STORM SEW LAT 98 CURB & GUTTER SIDEWALK STREET LIGHT 38803 9-23-83 WATER CONN. 4SO.00 BUILDING PER. 8529 SAC 525,00 PARK n ? Receipt PLUMBING PERMIT Permit No. ?F 7 CITY OF EAGAN F8. Fi!l in numbered spaces S/C Type or Prini /egib/y Tot. ._- 1. Date 10/24/83 2. Installation Cost `- a. Job Addreu 4558 Ldke Pdrk Cdt s_ eik.Z Tract fC?L_ 4. Owner J. E. Parranto -a S 5. Contractor wenzel Mech. Phone 452-1565 s. Address 3600 Kennebec Dr 7. City tdgdn State Mn Zip 55122 8. Building Type: Residential 50 Commercial O Institutional ? 9. Work Description: New Cj Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cess ool/Drainfield _L, Bath tubs p Septic Tank Lavatory Softner Shower Well ? Kitchen Sink Urinal/Bidet Othe / Laundry Tray r water heater Floor Drains disposal Drinking Ftn. ' d 15hWdShet" Slop Sink Gas Piping Outlets E 12. I hereby certify that the above information is true and correct, and 1 agree to comply with all ordinances and codes governing this type of work. Signed : for Rough , Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 ?'?-- Receipt - MECHANICAL PERMIT Permit No. CITY OF EAGAN ? Fee.=:+?• .;s:: Fill in numbered spaces S/C ? Type or Print legib/y ? ? . l ? 1. Date 2. installation Cost ? I?`_ , ? . .t._ .'" ?? • ' 3. Job Address ¢_:JQ.1 _2-Jr Lot 4r]-? Blk. c- Tract _ ---- _ ' -? ?i 4. Owner - - - - - ? 5. Contractor Phone r 6. Address 'T 7. CitY State Zip 8. Building Type: Residential lt Commercial ? Institutional ? 9. Wark Description: NewX Add ? Alter ? Repair ? 10. Describe 11, Type • - No. ` EauiFment 87U - M. Ea. Forced Air No. Equipment CFM dlin : Ai H Mfg. . r an g Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mtg. 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 Flnal I Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. ? Approved CITY OF EAGAN 454-8100 --, Receipt PLUMBING PERMIT Parmit No. ?- / ?i - CITY OF EAGAN ,- , , Fee !? `( Fill in numbered spaces S/C . Z)! I TYpa or Print /eglbly Tot. .?; ; • _ -• 1. Date 1.0/24/83 2. Installation Cost I 3. Job Address 455$ Ldke Park U _GBlk. 2- Trac? ?-- ?/! nr? 4. Owner ,l _ F _ Parrantn 5. Contractor Wenzel Mech. Phone 452-1565 s. Address 3600 Kennebec Dr 7. city Eagar State Mn ZiP _551_22 8. Building Type: Residentiat Q 9. Work Description: New q ? 10. Describe I 11. Commercial O Institutional ? Add ? Alter O Repair ? No. ? Fixtures Water Closet No. Fixtures Cesspool/Drainfield I Bath tuhs Septic Tank Lavatory Softner Shower yvell _L Kitchen 5ink Urinal/Bidet Other Laundry Tray water hPatnr Floor Drains disposal Drinking Ftn. i?iSnwc?Sh??r SlopSink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes goveming this type of work. Signed: for , Rough Final Inspectionsi' Date Insp. Date Insp. This is your permit Wvhen numbered and approved. Approved !._t : CITY OF EAGAN 454-8100 _ ; . CASH RECEIPT • CITY OF EAGAN 3795 PILOT KNOB ROAO DDLLARS I oo ? CASH [:] CHECK / White-Payers Copy J Yellow-Posting Copy Pink-File Copy EAGAN, MINNESOTA 55122 Th u r HY CITY OF EAGAN w' ?15 f) q ' 3795 Pikf Kwob Rood Eagon, MN 55112 • PHONE: 454-8100 BUILDfNG PERMIT To be uMd foe `'1' Wr;'Ir;.,^ Est.Value ~7?1,00?' Rece+pt # Date `'•r"oCE:"1beL `'1 y , 3 Stte /tddreu a e ar Court Erect ^__3 Occuponcy Lake l'arr,: ShorES Lot Block Set/Sub. Alter p Zoning ' ?i- 4z 2,'}0-050-02 Pcrcel # Repoir ? Fire Zone ?A Enlorye p Type of Const. ??t' or Name J• f•• A Irma ?arra _ito Move D # Sro e i 1734 Colv-in Ave. Addross ? - Demolish Q fi Length 7- T ':_1;' S?116 4 i4-HZQ 1600 Grode p DepthS Ft . Ci Phone . q. ? Name ? Approrals Pees i? Address Assessment Permit ' ?9: 5=1 ~ Ci Phone Water 8 Sew. Surcharge ? Potice Plon check ? U ?W NOn1e Fire SAC _? Address Eng. Water Conn. *150• 00 uZ <W G Phone Planner ?:? Warter AAeter Councll Road Unit I hereby acknowledge thot I hove reod this opplication and state that gldg, pFf. - fhe informotion is correct ond egree to comply with all opplicoble ^PC 57 Total 7 1 Stote of Minnesota Stotutes and City of Eogan Ordinonces. Signoturc of Permittee , . A Building Permit is issued to: on ths express tonditbn thnt oll work shall be done in occordonte wlth ell opplicable Stote of Nlinnesofu Statutes and City ot Eoyon Ordinontes. Buildirp Official Psrmit No. Psrmit Holder Misc. Permit No. Holdar Plumbi?g 3? l ` H.V.A.C. E Q WNI wn.? Disp. S?w?r EUctrie Irqpection Date Insp. Other Footin9s qd! Foundetion M q Froming -43 RouYh PIbO? Rouph HVA Inaulrtion f?7i?3 Finsl Ptbg. Finsl HVAC Final Watar Desc?ibe Location: YYell Sewsr Pr. Disp. f CITY OF EAGAN SEWER SEItViCE PERMIT 3830 Pilot Knob Road P. O. Box 21799 PERMIT NO.: '• "; Eagan, MN 55121 pqTE; 1`v-7- s.i Zoning: 41 No. of Units: ? Owner: 3E P82'T8IIt0 /lddress: Site Addr Plurnher. , ` 1 aoroa to eompy wkh the Cinr of Eagow Connection Charpe: 425. 00 jd_ Ordinanep. Accowit Deposit: Permit Fee: 10.00 Surcharpe: BY Misc Chor es: . fl Date of Irtsp.: Total: Insp.: Date Paid: I CITY OF EAGAN 38-20 Pilot i:nob Road warER sERvicE PERMiY P. O. Box 21799 PERMiT NO.: Eagan, MN 55121 DATE: g- Zoning: - ZI No. of Units: ? Owner, ji- > Address: Sita Address: _4r:48 ps,.t- Pf umber: - ° c*3 r' i a,?: AAeter No.: Connection Chorge: A;n(jf1 rx ! Stze: _j_ _ A a t D c oun e Poslt: Render No.: Permit Fee: - + '? ?,- •, ; I a9? to emPh wuh tM City oi Edwn Su?charge: Ordiwena.. Misc. Chnrges: F.n nn • d m A,Z,a2 p Totol: BY Date Paid: Date of Insp.; Insp ; G-?!?' ? EJ ?CITY OF EAGAN Include 2 sets of plans, ? 1 site plan w/elevations & NG PERMIT APPLICATION 1 set of energy calculations. Zh Be Osed Fbr{?y y Valuation Site Pddress: Lot ? Bloclc Parcel #: -/ C7 oo - Cb ScU - U 2 J Cocle: Date OFFI(E USE ONLY Erect ? Occupancy ?Alter Zoning ?/.. / Repair Fire Zone Enlarge _ TWe of Const. /,?.. . __:-- Nkove # Stories DeTnolish Front ft. Grade Depth fto Contractor: i Address: / % ?" /y c_j City/ZiP Coc1e: Phone # : Arch. /IIng. : Adclress: Gity/Zip Cocle: Phone #: APPROVALS FEES Assessments Pesmit Water/Sewer Surcharge ? q 9 CD Police Plan Check Fire SAC '92 S' a4. Eng. water Conn. Planner Water Meter '- Council Road Unit Bldg. Off. APC TO'I'AL ? ? ?- -7 ' GC) CITY OF EAGAN NO 8509 9795 Pllot Nno6 Road Eagan, MN 55722 PHONE: 434-8100 BUILDING PERMIT ReceiPT # Te be wed ier SF ?WG/GAR Est. Volue $75,000 Dote Sen Pmh r 4 1 19--B.3- Sire Address 4558 Lake Park Couxt Erect $$ Occupancy R-3 l.ot 5 Block 2 Sec/Su6. Lake Park Shores Alrer ? Zoninq R-1 10 4420 0 050 09 Repotr ? Fire Zone NA pa?? # - - - E l T f C t Vn n arpe ? ype o ons . W Name J.E. S Irma Parranto Mrne ? # Srories ; Address 1734 ColVin AVe . _ Oemolish ? Lengthb$ b ?.,-_St. Paul 55116e.___ 6S4-RTWn 1F0f1 Grode ? Depth36 Sq. Ft.- p Na? Op,IIer Approvala Faes oU Address Assessment Permit 367.00 u? Water & Sew. Surcharge 39.50 Cit Phone Pol ice Plan theck 183.50 Name Fire SAC 525.0 Address j Eng. Water Conn. GSfI !1 W ci ph? Plonnef WaterMeter 60•0? Council Road Unit 250.00 1 hereby acknowledge that 1 hove read this op0licotion ond stafe thot gldg. Off. fhe mformofian is correct nnd agree to comply wifh oll opDlicoble $] $]5.?0 Stofe of Minnewta Stotutes and Gty of Eogan Ordinnnces. APC T?a? _ Sipnofure of Permittea .h. rma araanjV A Building Permif fs issued to: ^ on fha express conditlon thal oll work sholl be done in accordonte with oll ppli b Stot ? f 'po fatutes ond City of Eagan Ordinances. Buildiag Official ? ? REQUEST FOR ELECTRICAL INSPECTION ? EB-00007-04 I ' Sae instructions far completing this form on back of yallow copV• "X" Below Work Cavered by This Request J7 q "7 Z,`7 A tl Nep. TyDe of Bwitlme Apaboncea Wired Equ,umen[ Wired Home Range Temporery Service Duplex Water Heater i?ht?ny Fixtures Apt. Bwlding Dryer Electnc Heaun Commercial 81dg. umace Silo Unluader Industrial 81dg. Air Conditioner Bulk Milk Ta'nk Farm Omer Peci v ???e? ISUCC,?y1 t er Suocify ther Oiher Compute Inspection Fee Below # Fee ServiceEntrence5ize p Fee Feeaars/Subieeders N Fee Cvcmts D to 200 qm ps 0 to 30 Am s '12. 0 to 30 Am s Above 200 qm ?y 31 to 700 Amps - 31 to 100 Am s Swimmm Pool Above 100_Am s Above 100_Am s Transiormers Irngation Booms 5 Parbal.'Other Fee Signs Special Inspection 5 , I? TO Remarks COI? ? L? T AL .?? I, trT-?. I InsOactor, hereby ceriity that Ne above inspection has been -JTJ This requesi void 1+ ?? 18 mon(hs Imm ?? A 1 979a 'E? aj LakL PacY- Sko /t.g 34?z-7 Renuest Date '- - ?v/ Pire No. Roueh-in InsDer.bon Re?qwyr tl> L+?'9os ?NO ady Noyv Will NotitY Inspec- lor When fleady [?Licensetl Electncal Contractor 1 heraby reqaes[ inspeclion of ebove ' ? Owner electrical work installed al. SVeet Address, eoz or Ro e No. Ciry ? S 8 4E a.?v ecLOn o. Townshi0 Name or No. HanNe No. Co Y n / O vpantlPqlNTI Phono No. Powe Sup er K Address , Electnqql7G ctor ICOmpany Namel Contrar r's Lmense No. ?????RICK EL O 9 Mailm9AtlJr ?"y}?tpcXg?-pR?ry Ma mg nstatlaLanl a '? ?E Authorized ign3lLre ( ne n¢Ippt*I,iqt?pn? Phone mber I J?J1L?d MINNESOTp STqTE BOAPO OF ELECTRICITV TMIS INSPECTION NEQUEST WILL NOT Grigqs•Midwey Blde. - poom N-791 BE ACCEPTED 6Y TME STATE BOAND 1827 University Ave.. St. Peul, MN 55104 UNLESS PROVER INSPECTION FEE IS Phone f812) 297.2111 ' ENCLOSED. ??Jn31 REUUEST FOR ELECTRICAL INSPECTION 0 0 2? lo- See instmctions tor camplehng Ihis farm on beck of yellow mpy „X" Below Work Covered by This Request Ee-00007-09 .,. : Ne ,4dtl Rl!1. Type of Building Appliances Wired Equipment Wirad Home e Temporery Service Duplex r Heater Electric Healin Apt. Building r i oad Management Comm./Industrial Fumace Other (Specify) Farm onditioner Other (speay) ConVectars Femerks: Compute Inspechon Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Am s 0 to 100 Am s Transformers Above 200-Amps Above 100 -Am s Sigf1S Inspeaors Use Only: TOTAL COQ Irrigation Booms 1'?? a Q Special Ins ection Alarm/Communication THIS INS7ALLATION MAY B ORDEHED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MON I, the Electrical Inspector, hereby Rough-in oaie cartify that Me a6ove inspection has been made. Finai xr? oa?e ,y OiFICE USE ONLY ? This request voi0 18 monlhs from Request Date Flre o I FM-ugh-in Inspection Requiretl" (Yau must cell Inspector when reatly) Inspecllo OtherThan Rough-In eatly Now ? WIII Notriy Ins clor ? 17 ?- ? ? Yes LQ.Rd Date Reetl ? Q' ? ? ` 4 Iicensed contractor ? owner hereby request inspection of above electrical work at: Job AEtlress (Sireet, 6ox or Routa No ) Qq SecOOn No Township Name or No Range No Coumy .?A K6M9 Occu ??PRINTJ I Phone No [ /Z /9 o PowerSUppher Atldress D EI? ?T A K.H iAt 7 A.( MAI Elecircel Controcror (Canpeny Name) Coniracrors Ucense No e i: - A ?14d --? 7 eiling Atltlress (COniractor or Owner akinq Installation G & ' ? V ntraclor ne akmg Insta11a0 ) Phone Number = -1.J V ? ESOTA STATE OAH OF ELECT RY Grlggs-Mltlwey Bltl . - Room 5-128 1821 I1nlvereiry Ave., St. Paut, MN 55104 Phone (612) 64P-0800 Or THI$ INSPECTION REOUEST WILL NOT BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS ENCLOSED CITY USE ONLY LOT 5 BL ? RECErPT#: 98 ?- SUBD(?FGQ RECEIPT DATE: 1997 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PII,OT KPIOB RD EAGAN MN 55122 Date• (612) 681-4675 / Complete this section onlv if you are installine HVAC in single family1,townhome. or condos that are under construction and are not owner /occupied. • HVAC: 0-100 M B T U $ 24.00 ADDITIONAL 50 M BTU 6-99- • Gas outlets ( minimum of one required @$3.00 ea.) _- • State Surchazge: .50 • TOTAL: Complete this section onlv if vou are remodeline addin¢ to or repairing eaistin¢ sinele famiYv dwellings, townhomes, or condos. Add-on furnace , Add on air conditioning _ Add-on air exchanger, i.e. Vanee system, etc. _ Other Minunum fee applies to all remodel or add-ons of existing residences $ 20.00 State Surchazge •Sa Total: $ 20.50 SITE ADDRESS: q55 q `a.lc c. r Q,t,-lc- 0 OWNERNAME: INSTALLBR NAME: ??-r r GILSOY? ??? ? STREET ADDRESS: 3(PS 0 k-txt-n.z? G f)y -? ? CITY: Ea ax? PHONE #: Lo S I - ???{ - ??5? PHONE#: ?PS I ?'-ES ? -?7?5 STATE: ?l ZIP: IGNATURE OF PERMITTEE CITY USE ONLY p D L ? BL 0 RECEIPT#. /?? SUBD. Lihi G Y - J (J I-B:- RECEIPT DATE: F>` C)a`00 PERMIT # !YU O?S 8000 PLUM$INfi PUATf (MIDffNT1AL) crrY oF ewsM 3830 PH.or Kxo6 Rn E4&RN,1NN 55122 651-681-4675 Please complete for: ? single family dwellings ? townhomes and condos when pertnits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Alterations to existing dwelling - minimum fee Describe: -- ? $ 30.00 Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas i in outlet ' minimum - t 3.00 x = $ Hot tub/s a 3.00 x = $ Kitchen sink 3.00 x = $ Laund tra 3.00 x = $ Lavato 3.00 x = $ Se tiC S StOfll newlrefurbished • requires MPC Itc. 75.00 X = $ Se tIC S Stem abandonment 30.00 X = $ RpZ new insfallatioNrepaiUrebuiid 30.00 x = $ Rou h o enin 1.50 x = $ Shower 3.00 x = $ Under round s rinkler if dwelling is under consWCtion 3.00 x = $ Under rounds rinkler ifexistin dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater . 3.00 x = $ W ater softener if dwelling under construetlon 5.00 x = $ Watersoftener ifexisttn dwellin 30.00 x = $ Waterturnaround 30.00 x ---- _ $ State Surchar e .50 --> ---> ----> $ .50 Total --' -' ----> -W> $ Reminder. Call for inspections of alterations, i.e. water heaters, water soiteriers, eic. - ----- - -- -- ---- ------ • - -------------------------------------------------- --------------------- - -- - ----------- -- - ------ - -----------? I hereby acknowledge that I have read this application, state Ihat- thei nformafion is correct, and agree N comply with all applicable City of Eagan ordinances. It is the applicanPS responsibiliry to noti(y Me property owner that the City of Eagan assumes no liability for any damages pused by the Ciry during its normal operaUOnai and maintenance acdvicies to the facilities consVUCted under this permit within City property/nght-of-way/easement. SITE ADDRESS: OWNER NAME: :/y /?? ??? F- TELEPHONE #: INSTALLER NAME: /o/ - TELEPHONE #: rCt?/29 /?? ? ,/? (AREA CODE) STREET ADDRESS: iA&V C?3"+"0'/PGf? U rI/ e - CITY: STATE: /tw ZIP: .g.S y ? SIGNATURE OF P MITTEE 81GNIA SQJRVEYING SEFtVICES 3908 Sibley Memonal Highway Eagan. Minnesota 55122 Phone: (612) 452-3077 Survey For: AfP 49 AIrs. R%Chard KI'ous . ? San, M.VI. r,p - ieo.oo (?. ) xuv: e1Y7 C!? `?°s?Os91 01 '?w.•'EAIST .. , • ,- ` Ra ?s? sao? i O . ?, 6 V +=?t? 6'i°?AZ _.4•?,c ? / ¦x?st?na W,q...aa v?oow_ rrn6 ?r,.. y? , . .?a R G? I ? '?Q F I T I I ?50 , r .p x99,0 ??00.9. I^I ?? I I .444 ?p? E I ? p 0? I 1? I.S? $ /j? p , t f N.Y Y A ?9.4 W , in _;' . 4 o OQ ? LOT 5 . ? ?. ? q0 ' SCALE • 1 i h- 40 f '4' r.• ? i? - -? s: O O 1= ? i , aarn<n (V81633 44p W nc - eet Q,Denotes Wood Hub Set j•• ?? +? : 0Denotes Iron Monuments Found '0Denotes Iron Monuments Set Mrarked ' with Registration No. 14675 ? BEARINGS SHOWN HEREON ARE BASED ON ASSUMED DATUM. ?"- Denotes Drainage Direction CJ I hereby certify that this is a true and correct representation of [he boun(laries of: PROPOSID GARAGE FIAOR ELEV.= 101.5 Lot 5, Block 2, LAKE PARK SHORES, PROPOSED FIRST FLAOR ELEV.= 102.8 according to the recorded plat thereof, Dakota County, Minnesota. PROPOSED BASEMENT FIAOR ELEV.=94.0 As surveyed by me this 7th day of June, 1983. Wayne ?. C' des?gistered Land Surveyor \ Minnesota Reg. No. 14675 ? Revised - September 20, 1983 -.000) 6 1 S.S4 J s ? ? 7-------? . R ? r y ? \ A?% \ ,.?1? ?o0.20Sap Xa? 11 ' , 7-, ,r O o ?t ,.. PERMIT Permit Type: Building City of Eagan Permit Number: EA105895 Date Issued: 08/02/2012 Permit Category: ePermit Site Address: 4558 Lake Park Ct Lot: 5 Block: 2 Addition: Lake Park Shores PID: 10-44200-02-050 Use: Description: Sub Type: e-Siding & Windows/Doors Construction Type: Work Type: Siding & Windows/doors Description: House Census Code: 434 - Occupancy: Zoning: Square Feet: 0 When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure Comments: maximum ventilation to attic. Call for final inspection after installation. Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing BL - Base Fee $8K $162.25 0801.4085 Fee Summary: Surcharge - Based on Valuation $8K $4.00 9001.2195 Valuation: 7,500.00 Total: $166.25 Contractor: Owner: - Applicant - Mary J Wescott 4558 Lake Park Ct Eagan MN 55122 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. Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - - I For Office Use I ~ Permit City of Ea I Permit Fee: 1 3830 Pilot Knob Road ( I i I Eagan MN 55122 I Date Received:. Phone: (651) 675-5675 s pQ, I %1f1 I Fax: (651) 675-5694 Staff: S I I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION rr V 9111113 A 1 Date. . Site Address: ySrS~~0P a a►ver' FAIiAN /tliy Unit 6S/ Name: /Glee SrEk SAP, WEfGa ff Phone: Resident! j'j 6w,t/C qfL ~6o yYgO Owner D Address / City / Zip: Applicant is: _)L Owner Contractor Description of work: IJ,04do ADDmy/ Type of Work Construction Cost: Iq, Multi-Family Building: (Yes / No Company: S~ Contact: Contractor Address: City: State: Zip: Phone: License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) V-1 1981 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 W^ 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. Exterior work authorized by a building permit issued in accordance with the Minnesota Stat Building Code must be completed within 180 days of permit issuance. ff~n1nn d x XV SrfwA~r ,may lNES01-1- x V V l Lam Applicant's Printed Name Applic t' Signature Page 1 of 3 tr q5 5 ~l La Ke ?c rl~, Cw~4 DO NOT WRITE BELOW THIS LINE I I~ SUB TYPES Foundation _ Fireplace Porch (3-Season) _ Exterior Alteration (Single Family) 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 Valuation f Occupancy C, - MCES System Plan Review Code Edition AW7 SAC Units (25%_ 100% Z Zoning 1Z City Water Census Code Al 3g Stories / Booster Pump # of Units Square Feet 37~' PRV # of Buildings 1 Length 27 Fire Sprinklers Type of Construction Width / y REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock JuV Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEE #44j4, A,W li r;. y!J /5 Base Fee l Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 SIGMA SURVEYING Survey FOr SERVICES Mt.p Mr s. 3908 Sibley Memorial Highway Eagan, Minnesota 55122 Phone: (612) 452-3077 77 Richard Kraus Sen. M.K. Top • 100,00 (Assn iNV: E1.91 ~3~d o 1 -EAST 65.54-,j,0':' \ s?off I,r _ T 1i U Ea4e±~en R s,d98 3 N H 61 0 s, - ~ 99.•130 T.L . O \ ' J4 K .K QA I OQ RO'Cop Llo b 0 t>.et O~ x't9.o •y Cp rc. 11 C4 JP0 q'7.6 x• / /.1 / p\\ I 0(^vQjBI 99.2 ' 1j /1 ~tT I1'A' I x99.0 22 OA i 0, o f I I /0° 00.9.. X00 103.44 •p 7'!' ax~sz>va oAp ~m v N R ~0 1.4 to", oA ly - or ooR.. T7.'18: O - lo 1 ~I f 1 31: E.A,G LOT 5 ti BY: 0 $ ~3 U) 1.312-11LDING NG IN fir" CTIO IVI`aIQN - A941.0010 (Igly 7') tt~ s PW60 DPA"WAY MOltled H(O E4141Ylry~ I ~V 10 60.00 Nato-3-3#44"W SCALE 1 inch - 40 feet r-, q Denotes Wood Hub Set ! 40 Denotes Iron Monuments Found 'O" Denotes Iron Monuments Set Marked with Registration No. 14675 BEARINGS SHOWN HEREON ARE BASED ON ASSUMED DATUM. Denotes Drainage Direction I, hereby certify that this is a true and correct representation of the boundaries of: PROPOSED GARAGE FLOOR ELEV.= 101.5 Lot 5, Block 2, LAKE PARK SHORES, PROPOSED FIRST FLOOR ELEV.= 102.8 according to the recorded plat thereof, Dakota County, Minnesota. PROPOSED BASEMENT FLOOR ELEV.=94.0 As surveyed by me this 7th day of June, 1983. Wayne D. C' des, Registered Land Surveyor Minnesota Reg. No. 14675 Revised - September 20, 1983 Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - - I For Office Use Permit I City of Ea Ed~ I Permit Fee: 1 3830 Pilot Knob Road 2 f Eagan MN 55122 Date Received: _3 Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit ~ ~ t eiy 131 I Name: ~ralw r Phone: e Resident/ Yn -8 Z41,-,, Q f-~w 6o fr- Owner Address /City /Zip: Applicant is: Owner Contractor Type of Work Description of work: Construction Cost: Multi-Family Building: (Yes / No Company: 916!'F Contact: Contractor Address: City: State: Zip: Phone: License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. I 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. Exterior work authorized by a building permit issued in accordance with the Minnesota State ildin Code must be completed within 180 days of per it issuance. Applicant's Printed Name Applica t'n gnature Page 1 of 3 AC100+ Gold P) L,i7-. )1153? 1/55 19A P/4? 4. a ''ECFIVED JUL 18 2013 vers PRODUCT INFORMATION FASTENERS' ASD PERFORMANCE DATA Allowable Load Capacities for AC100+ Gold Installed into Normal -Weight Concrete with Threaded Rod and Reinforcing Bar (Based on Bond Strength/Concrete Capacity)1,2,3,4,5,6 Nominal Rod Diameter or Rebar Size (in. or #) Minimum Embedment Depth (in') Minimum Concrete Compressive Strength, (f'c) 3,000 psi 4,000 psi 5,000 psi 6,000 psi Tension (lbs) 3/8 or #3 2-3/8 1,045 1,085 1,115 1,145 3-1/2 1,540 1,600 1,645 1,685 4-1/2 1,980 2,055 2,115 2,170 1/2 or #4 2-3/4 1,720 1,785 1,840 1,885 4-3/8 2,740 2,845 2,925 2,995 6 3,755 3,900 4,015 4,110 5/8 or#5 3-1/8 2,420 2,515 2,585 2,650 5-1/4 4,140 4,300 4,425 4,530 7-1/2 5,960 6,190 6,370 6,525 3/4 or #6 3-1/2 2,870 2,980 3,065 3,140 6-1/4 5,795 6,015 6,190 6,340 9 8,715 9,050 9,315 9,540 7/8 or #7 1 or #8 3-1/2 2,870 2,980 3,065 3,140 7 7,905 8,205 8,450 8,650 10-1/2 4 8 12,940 3,505 10,030 13,435 13,830 14,160 3,640 10,410 3,745 10,720 3,835 10,975 12 16,555 17,185 17,690 18,115 1-1/4 or #10 5 4,900 5,085 5,235 5,360 10 14,200 14,740 15,175 15,540 15 23,500 24,395 25,115 25,715 1. Allowable load capacities listed are calculated using an applied safety factor of 4.0 which includes assessment of freezing/thawing conditions and sensitivity to sustained loads (e.g. creep resistance). Consideration of safety factors of 10 or higher may be necessary depending on the application, such as life safety or overhead. 2. Linear interpolation may be used to determine allowable loads for intermediate embedments and compressive strengths. 3. The tabulated load values are applicable to single anchors installed at critical edge and spacing distances and where the minimum member thickness is 2.5 times the embedment depth. 4. The tabulated load values are applicable for dry concrete. Holes must be drilled with a hammer drill and an ANSI carbide drill bit. Installations in wet concrete or in water -filled holes may require a reduction in capacity. Contact Powers Fasteners for more information concerning these installation conditions. 5. Adhesives experience reductions in capacity at elevated temperatures. See the In -Service Temperature chart for allowable loads. 6. Allowable bond strength/concrete capacity must be checked against allowable steel strength to determine the controlling allowable load. Allowable shear capacity is controlled by allowable steel strength for the given conditions. 6 www.powers.com Canada: (905) 673-7295 or (514) 631-4216 Powers USA: (800) 524-3244 or (914) 235-6300 I— l, For Office Use • Le 0 9D + r�� Permit#: -_ � Permit Fee: . �; Date Received: A �`' ?; 1 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 ECEIVE V (651)675-5675 (TDD: (651)454-8535 I FAX: (651)675-5:: Staff: • buildinginspections(cDcityofeagan.com MAR 3 0 2020 J 2020 RESIDENTIAL B In • ING PER IT APPLICATION Date: Site Address: Unit#: Name: Rick Stewart Phone: 612-910-8779 Resident! 4558 Lake Park Court Owner Address/City/Zip: I/ PPApplicant is: Owner Contractor /Zw h Type of Work Description of work: Addition – / Z A K i k cit, Construction Cost: $15,000 Multi-Family Building. (Yes /No ✓ ) Company: self Contact: Contractor Address: City: — State: Zip: Phone: Email: License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: sn...1 _- 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 ou •rovide s•=cific reasons that would•er mit the Ci to conclude that the are trade secrets. I 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.citvofeapan.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.aopherstateonecall.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. xRick Stewart x 5 Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE L4 6 L6 e x- ck R,Dcil • •SUB TYPESI _ Foundation Fireplace Porch(3-Season) — Exterior Alteration (Single Family) 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* -I:. 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 f/S4,60 Occupancy 1-pc- / MCES System Plan Review ?C Code Edition Zv/s MN.I)? . SAC Units (25% 100%T( ) Zoning f2'.1 City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction VTh Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required '- Footings (Addition) "(' Final/ No C.O. Required ?c; Foundation / Foundation Before Backfill HVAC _Service Test Gas Line Air Test Hood )C; Roof: )C Ice &Water )c Final Pool: Footings Air/Gas Tests Final 1C. Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In _Air Test Final Siding:_Stucco Lath Stone Lath Brick_EFIS x. Insulation Windows )c 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: , Building Inspector RESIDENTIAL FEES * ,,/e� ietald- Yes›2 6(i/c/acvt spde c Base Fee Zy s x 8 : Iq .--A $9 9.-3 :,--0/8, 63.�3 Surcharge 4.4 led thd ed. G ¢/�.L7I 7,:ere-) Plan Review 1, MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 Miles Johnson /6090, From: Erik Slettedahl Sent: Monday, April 27, 2020 2:13 PM To: Miles Johnson Subject: RE: Message from KM_C654e It looks okay. the lot is large so there is quite a bit of coverage room Erik From: Miles Johnson<mjohnson@cityofeagan.com> Sent: Monday,April 27, 2020 10:11 AM To: Erik Slettedahl<ESlettedahl@cityofeagan.com> Subject: FW: Message from KM_C654e Erik, can you look at this addition, I did not know that it was located in Shoreline district. Thanks, Miles i Or E4.., r0 y 4 ' \ Miles Johnson V ax+ ,� 'Z`, Senior Building Inspector ,. 3830 Pilot Knob Rd I Eagan, MN 55122 e o 1 Office:651-675-5684 �'/ httos://www.citvofeagan.com 0(/SNI* • From: noreply@cityofeagan.com<noreply@cityofeagan.com> Sent: Monday,April 27, 2020 10:31 AM To: Miles Johnson<miohnson@cityofeagan.com> Subject: Message from KM_C654e 1 . SIGMA Survey For 1 �Di SURVEYING SERVICES Mr 8 Mrs. 3908 Sibley Memonal Highway Eagan, Minnesota Richard Kraus Phone: (612) 452-30773077 ......„, I , \\\ I . t _ 6 z . 7 Sin,n.K. *.P-ieo.Oo I;M•*. A. I.m. trim ` '°°•. 4.64 :� EAST 66.54 .o,SSa 4( , '\ JQassis 8 a9 ! ' .� '+' .ice �� \, QO ' i' / •di �� \ 99. • +i. j t / \ 1 �j� i\ `�, 1 `, 4;0 .o s., . l 0 IL Y + tom•! 100.20'i•.� x+• CO 7 cCO•, 0`v ' ,�pae' , .V,�•f f a. t1;S� it :V9.o a / � �' "o e' 1 i '•R 9.2 Lii • pq " . �4 M1V�AGy ' r 4139 • I 1 itIV- i ,s'' 011121‘ 0,1..." da Iri � Y41 t 1 •o x 44 4Afir 0t009 . ..4 I I f 1 r� Z I + 1 ma+ .UMrrIra 4 411411.A6t N k/01.4 CI) ea' ttl\,Oh 4�yI Y+OOR_ ',MIS 0 ;4'f '' ' 3 :_ CI i 4 p o O¢ d' :.; I L 0 T 5 so .zs. f'• s- 0 ►'r 1_ ca •.: - \ dooa a ii ................ , 60.00 ' N81 - . 033 44NW• SCALE s 1 inch = 40 feet CI a Denotes Wood Hub Set 3•• 0 T ; = ' "0' Denotes Iron Monuments Found .-O" Denotes Iron Monuments Set Marked ' ' wi-th Registration No. 14675 * BEARINGS SHOWN HEREON ARE BASED ON ASSUMED DATUM. - Denotes Drainage Direction I hereby certify that this is a true and correct representation of the boundaries of: PROPOSED GARAGE FLOOR ELEV.= 101.5 Lot 5, Block 2, LAKE PARK SHORES, ' PROPOSED FIRST FLOOR ELEV.= 102.8 according to the recorded plat thereof, Dakota County, Minnesota. PROPOSED BASEMENT FLOOR ELEV.=94.0 As surveyed by me this 7th day of June, 1983. .0 C.42....--- . \\it iillur Wayne D. C. 'des,-Riegistered Land Surveyor Minnesota Reg. No. 14675 Revised - September 20, 1983 EI-For Office Use I 1 „ �� "� Permit#: /1‘e7/q7r 4---c..., Permit Fee: 00 'v v 7.. 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: buildinginspectionsCc cityofeagan.com 2020 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 05/28/2020 Site Address: 4558 Lake Park Court Tenant: Suite#: Resident/Owner Name: Rick Stewart Phone: (612) 910-8779 Address/City/Zip: 4558 Lake Park Ct., Eagan, MN 55122 Name: self/home owner License#: ContractorAddress: City: State: Zip: Phone: Contact: Email: Type of Work —New _Replacement _Repair I Rebuild _Modify Space _Work in R.O.W. Description of work: Tankless Water Heater Lawn Irrigation( RPZ/_PVB) Standard Water Heater I Add Plumbing Fixtures(✓ Main/ Lower Level) Description Water Softener Description: move kitchen sink, install outdoor spigot 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 $60.00 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 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.citvofeagan.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 IA 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 ply-.. / xRick Stewart x k Applicant's Printed Name Appli'. Sign- + e Page 1 of 2 PERMIT City of Eagan Permit Type:Building Permit Number:EA161614 Date Issued:06/04/2020 Permit Category:ePermit Site Address: 4558 Lake Park Ct Lot:5 Block: 2 Addition: Lake Park Shores PID:10-44200-02-050 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Mary J Wescott 4558 Lake Park Ct Eagan MN 55122 (612) 910-8779 Bormann Brothers 17593 Foxboro Ct Farmington MN 55024 (952) 891-8586 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA161841 Date Issued:06/15/2020 Permit Category:ePermit Site Address: 4558 Lake Park Ct Lot:5 Block: 2 Addition: Lake Park Shores PID:10-44200-02-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Mary J Wescott 4558 Lake Park Ct Eagan MN 55122 Angell Aire Inc 12253 Nicollet Ave S Burnsville MN 55337 (952) 746-5200 Applicant/Permitee: Signature Issued By: Signature % 16 00 0 0 RECEIVED EAGANJUNg82020 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 I TDD: (651) 4548535 I FAX: (651) 675-5694 bu i ld inginsoectionsOcitvofeagan. com r For Office Usee ( � Permit #: /U/ ? 7 o Permit Fee: / ` 7' 0 Date Received: Staff: 2020 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 06/26/20 Site Address: 4558 Lake Park Court Unit #: Name: Rick Stewart Phone: 612-910-8779 Address / City / Zip: 4558 Lake Park Court Applicant is: ✓ Owner Contractor Type of Work Description of work: Deck Construction Cost: $2000 Multi -Family Building: (Yes / No ✓ ) Contractor Company: self Contact: Address: City: State: Zip: Phone: Email: License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: R1 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.citvofeaaan.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. CaII 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.000herstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in onformance 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 wis no • -tart without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approv )(Rick Stewart Applicant's Printed Name ignature . DO NOT WRITE BELOW THIS LINE SUB TYPES `Foundation _ Single Family Multi 01 of _ Flex ORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100%, Census Code Fireplace Garage Deck Lower Level -Isss Lr*c -AkK /9aYo6 Interior Improvement Move Building Fire Repair Repair # of Units # of Buildings Type of Construction Porch (3-Season) Porch (4-Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) 7( Footings (Deck) Footings (Addition) Foundation Foundation Before Backfill Roof: Ice & Water _Final Framing ' 30 Minutes 1 Hour Fireplace: _Rough In Air Test _Final Insulation Sheathing Sheetrock Fire Walls Braced Walls _ Shower Pan Reviewed By: /�f. �L.-`� , Building Inspector 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 a- z ckk rLe�e Hsgc. yzt `30 l4 MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Service Test Gas Line Air Test _ Hood Pool: _Footings Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath _Stone Lath _Brick _ EFIS Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Radio Meter Read Copies ir TOTAL 'f ? Page 2 of 3 Z/9,* /mei_ 04- 4; tb SIGMA SURVEYING SERVICES 3908 Sibley Memorial Highway Eagan, Minnesota 55122 Phone: (612) 452-3077 Saw. ru'. 1..- p0.00 IN'. ERNI Survey For: Richard Air 8 Mrs. Kraus • 4 49 'e' 1%� sQo� tX\t«NR OA'Mr• V %OWN. 17.711 L IEWED �BY DATE: B'J LD SCALE : 1 inch = 40 feet a Denotes Wood Hub Set I.. • • Denotes Iron Monuments Found 'ODenotes Iron Monuments Set Marked with Registration No. 14675 * BEARINGS SHOWN HEREON ARE BASED ON ASSUMED DATUM. - - Denotes Drainage Direction 0 0. PROPOSED GARAGE FLOOR ELEV.= 101.5 PROPOSED FIRST FLOOR ELEV.= 102.8 PROPOSED BASEMENT FLOOR ELEV.=94.0 C x- 6 • C4 60.0 - %" ° 33144I. I I hereby certify that this is a true and correc representation of the boundaries of: Lot 5, Block 2, LAKE PARK SHORES, according to the recorded plat thereof, Dakota County, Minnesota. As surveyed by me this 7th day of June, 1983. `d. Wayne D. Cckdes, Registered Land Surveyor Minnesota Reg. No. 14675 Revised - September 20, 1983