4562 Lake Park CtCITY OF EAGAN Remarks
Addition LAKE PARK ADDITION 1Sh?res Lot-4 Blk . Parcel #10 44200 040 02
Owner Street 4562 Lake Park Court State Eagan, NlIV 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. lk? l7 1982 2529.52 0.90 1011, $2 013137 11-4-83
STREET RESTOR.
GRADING 1419-14 61
94 1 1040.74 013137 11-4-83
.
SAN SEW TRUNK 1976 a sesse un r Rasmussen Addi ion
* SEWERLATERAL 3037,77 013137 11-4-83
WATERMAIN
* WATER LATERAL
WATERAREA 186.70 013137 11-4-83
STORMSEW TRK 1 596.86 013137 11-4-83
* STORM SEW LAT iggi
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 450. OO
BUILDING PER. 8124
SAC
525,00
PARK
Receipt
PLUMBING PERMIT -? <-- ?-- : %
Permit Na
CITY OF EAGAN
Fee -
FiII in numbered spaces S/C
Type or Prinr /egib/y .. - ,
Tat
-'
. .
1. Date - 2. Installation Cost
3. Job Address ? >L4t Blk. ' Tract ,f
4. Owner r•- r r
5. Contractor
6. Address
Phone 7. City State Zip
8. Building Type: Residential El Commercial ? Institutional ?
9. Work Description: New L'7 Add ? Alter ? Repair O
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
oal/Drainfield
Cess
Bath tubs p
5eptic Tank
Lavatory Softner
' Shower -
Well
Kitchen Sink `
Urinal/Bidet
Laundry Tray OtHer ---' `1- ` ?-'
?
Floor Drains
Drinking Ftn. i ? ? • --
?
Slop Sink
Gas Piping Outlets
t_
' - ?
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 Insp. Date Insp.
This is your permit when numbered and approved.
Approved • CITY OF EAGAN 454-8100
L . ?OdA(`dLOA , 6- P)
PERMIT # > CITY OF EAGAN ? •_
FEE
MECHANICAL PERMIT
S/C
RECEIPT # 454-8100
50
MINIMUM RESIDENTIAL FEE - $10
00 +$
.
.
-?
DATE MINIMUM COMMERCIAL FEE - $20.00 + $.50 TOTAL
?
Comm Inst 2. New Add
1. Bldg. Type: Res
. Alter Repair
`?? ?`? ~?'?'? x
\ j y
,'?''' '
?? •
4. Job Address
3. Total Bid Price .
Lot BIoCk d` SBC 5. Owner ?
, ?
? ??.j
? ',.?
?? ?..,.?j \'?3 ?v?? 4? -
`.?'*Jn ' ??? 1=?'
?
.
,
6. Contracto .
(Name) (Streo
+ \ 1? ?
4 (Ciry) ` (Zip)
7. Contractor Phone #
-
RESIDENTIAL HEATING - 01-100,400 BTU's -$24.00. Each additional 50,000 BTU's or fraction -$6,00
RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or fraction -$6.00
MODIFICATIONS/ALTERATIONS -$10.00 minimum fee
? k
HEATING VENTILATING HOT WATER AtR COND.
STEAM
IR PIPING PROCES5ED PIPING AIR HAND. EQUIP. RrFRIG.
?RES. GAS PIPING OUTLETS -$1.50 TANKS: LP. UNOERGROUND OTHER
COMM./IND. RATE - 1% OF OTAL ?ID PRICE PLUS $.50 STATE St1RCHAR GE FOR EACH $1,000 OF FEE.
, ? •..
Signed: ''?.?;-. j?" forii?
?
Approved ` Inspections: Date Rough Insp. Date Final Insp.
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PIL OT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE PHONE: 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot A4 B ck Sec/Sub
Res. New
? Mult Add-on
m Name ` - • ?-
Address ? ? Comm. Repair
c CitY li
ti, -1??a:s. `Z3Phone - Other
,
FEES
Name ' RES
HVAC 0
100 M BTU
24
0
Address .
-
-$
.
0
ADDITIONAL 50 M BTU - 6.00
3
p City `? ••?,? :? Phone ? (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS
MINIMUM
1 PER PERMIT
E
(
-
) - 1.50
A.
TYPE OF WORK COMM/IND FEE - 146 OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
Boiler
M BTU
R TOWNHOUSE 8 CONDOS - RES. RATE APPUES
MiNIMUM RESiDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU , fiEMODELS - 12.00
Air Cond. M BTU- WHNIICIUM COMMERCIAL FEE .- _ 20.00
STATE SURCHARGE PER PERMIT .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Oudets # BEYOND $1,000)
Other
7
FEE
.
3 ?
? ?
j
4cs.-
S/C: a SIGN F I E
\^?? r
TOTAL:
FOR: CITY OF EAGAN
BUttDINCf PERMIT
i'+G K24
Receipt # - i 41
Te bs. aad foe SF D14G/Gr1R Esf. Value S71 _ fl( )0 Dote •= /r , 19 L?
5ite Addreu 4552 Lake Parl: Cottrt
' Erecr ? Occupancy ?
arlc Shores
Lot 4 Block 2 5ec/5ub. Laic= J Alter ? Zoning
paroal ,# 1 C] 4642nn 040 02 Repoir ? Flro Zone ?u1
E
l f C
jt
T
n
argo ? ype o
onst.
a WC Name RliviroLech HomeB, Is1C. Move ? # Srories
; l Address LI;55 'dirn:A Rnaci Demolish p Length6j,L_
b ro.,. :.'azan 55122 a.- 452-1143 Grade ? Depth 4.? . , Sq. Ft.
0! NQ? ?1er wpprovoa rees
O
?? /Wdress
Assessment
Permit 346. ????
? Cf Phone Water a Sew. Surcherfle _3=r ?o
Police Plan check 171 (3n
?°C Name Fire $AC 59 5 nn
?? Address Enq. Water Conn. ? ?
?
? W Ci phone Planner Woter Meter 6 fl C) 0
Countll Rood Unit ? ??T.,?+:4-
I hereby ocknowledge thot I have read this application ond store that gldg
Off
the informetion is correcf ond ogree to comply with pfl opplicnble .
.
Stute of Minnesoto Stotutes and City of Eegan Ordirwnces.
APC
c i 83a rn
Totol
Sipnoture of Permittee
/1 Building Permit Is issued to: Envirotech 1_oinc
oll work sholl be done in acoordance with oll oppllooWe Stote c
Auildinq Ofilciol
CITY Of EAGAN
3795 Ppof Knob Reed Esgon, MN 55122
PHONEs 454-8100
on tfie sxpress condition tFxat
and City of Eoyan Ordinontes.
PNmit No. Permit Holder Misc. Permit No. Holder
Plumbing ?
H.V.A.C.
E l?? rI• C 4eva
W?11
WKer
Disp.
Sewer
ENetric W0757ft ?t 1 ?f.C• -4$-Z3
Inspection pste Insp. Other
Footings
Fouodation
Framinp
Rouph PI6p.
?
Rouph HVA
Inwlation
Final Plbg ? c
Final HVAC
Final ?-y w ?
Watar Dowibs Location:
V11ell
Sevwr ? .
Pr. Disp.
F,K7
cIn oF IIAcAN
3745 Wlor Kneb Reod
Lagan, MN 55122
Zoning; ?
Owner:
Address:
Site Address: •
Plumber: _ "? i
lJ... .. ti
? aoree to omplr wifb t!N Cihr of Ea9en Connection Chon?e•
Ordinanas.
Acccunt De
posit:
Permff Fae:
$
' Y Surchorpa;
Dat?e of Insp.: Misc. Ciwrges:
I Total:
nsp"
' Dote Pald:
CITY OF EAGAN
3830 Pilot Knob Road WATER SERVIC E PERMIT
P. O. Box 21199 PERMIT NO.: . '
Eagan, MN 55121 D11TE:
Zoning: -L No. of Unrrs: ?-
Owner. +irotach :fot,es Inc
Address:
Slte Address: _?5&2 =ake PgZ'k Co:u't L4 :,.? , ene Pta.Tk O'1oz'w<;
Plumber: `L`
AAeter No.: Connection Q?orpe:
Size: Account Deposit:
Reoder No.: Permit Fee:
I pm fo aomptp wMle !M City ef Eaysa Surcharge:
OrdTnanam Misc. Choryes: • ??? Dii stcLer
Totol:
BY Date Paid:
Dote of I nsp.: l,m„ ,
HWER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units: -
/Jo* 6'?I'y ,o
CITY OF EAGAN??? Include 2 sets of plans,
. ---? ?1 site plan w/elevations &
BUILDING PERMIT APPLICATION 1 set of enerqy calculations.
Zb Be Used Forsk- -? W Ga'`?Ialuation???, CJ?D Date
Site Address: 7?ro 2?,¢?e N,4,E'K d u62 I OFFICE USE ONLY
Lot _?/ Block _,Z_ Sec./Sub.4'9k" $ ?Erect x Occupancy
Parcel /D Alter Zoning /lr 1
Repair Fire Zone !s?
?: .r9r,??a _,cliv, Enlarge Type of Const.
? .,,..,?... ,.?... ,?
Mve # Stories
Pddress: Demolish _ Front (f,p ft.
City/Zip Code: Grade Depth ft.
Phone #= APPROUAIS FEES
Contractor• CN J i Rorteco( 4)inp 5?NC
Address: y(SS /)tcds x?z
City/Zip Code: 4*N
Phone #: -/1??
Arch./tng.
Address:
c-??L'e-
City/Zip Code:
Phone #:
Assesssmnts
Watzr/Sewer
Police
Fire
Eng.
Planner
Council
Bldg. Off.
APC
Permit _ 3
Surcharge ??-
Plan Check
SAC S^ ?
Water Conn.
Water Meter
Road Unit Pso ?--°
momAL -t S- a R ( ??
< e--, 8 ;),, 4Z ,/) lz
MIDLAND HEATING
6442 Penn Avenue South • Phone' 869-3213
'46F kf e"?;?'? GT ?
ADDRESS APT.-F LOOR CITY r SUBURB
OCCUPANT 0'NNER t? h'? ?SS
HEAT LOSS DATE HTG. INST.
SOLD BY /?? ? o i? ? ?/ t???? INSTALLED BY
Elaehieal Wark By Gos Line By dl9i+ jo ?, C.
TYPE OF HEAT GA _ FA X HW _STEAM -SPACE HTR. -UNIT HTR. -OTHER
GAS DESIGN CONVERSION
MAKE ?! MAKE OF BURNER
Modal Cel / GU
. 6 4 Modd
Sarial k?- 26,100 2,2 - Mox. BTU Rutiny
INPUT 1610 ? MAKE OF FURNACE
Abdel
CONTROLS
THERMOSTAT ?b 7 Hwr Ptup Vsn, $ize
Valve KIND OF LINER SIZE NONE
rh?.! w..r V/: .
Limie
Dnh Hood _
Ragularor
Limit SNtiny Fil}ars Size Numbsr
Fen Setfing Chimney Loeatien Insida Outaids
Pilot Typs Chimney Construdion
Piloi Mak• O ?iC
Pilot Fbdel Smokt Bomb Wirinp
Pilot Timing Drofl ?T -Tett Teq G
L.W. Cuf Of{ Dow Praaswa Lfyhtiny lnst.
Presaure ?• U?" Psrcanf CO ?• Q
2 DaM Taated 0-4- 4
Irput CFH Pxcsef 0 Cempany Taatin9 ye,'7 ?
Stuck Temp. IO.":` Parcenf CO ?• O Namm ei Tssfar
?
Form 235
CITY OF EAGAN
9795 Pilet Kno6 Amd Eegan, MN 55122
PHONE: 451-8 f 00
BUILDIIdG PERMIT
Te bs umd fw SF DWG/GAR
71,000
$ite /1ddre55 ??v4 a,uRC caia? a.vui?
Lot 4 Bi«k 2 Sec/Sub. Lake Park Shorc
parcei # 10 44200 040 02
s Name Envirotech Homes, Inc.
= Addren 4655 Nicols Road
9 r:... EaQan 55122 ?___ 452-1148
o Nama _
Address
? ri...
Ncme _
Address
I here6y ocknowledge tFwt I hove read this applicotion and state that
the inlormotion is wrrect ond ogree to comply with ull opplicoble
Stote of Minnesoto Stotutes and City of Eagan Ordirwnces.
N° 8124
Receipt # ?&?
Erecr )a Occupancv R-3
Alter p Zoning R-1
Repoir ? Fire Zone NA
Enlorge ? Type of Const. V
Move ? # Stories
Demolish p Lengt4k
Grade ? Depth4$ Sq. Ft.-
Approvals Faes
Assessment -
Water & Sew.
Police -
Fire
Erq.
Plonner -
Councii _
Bldg. Off. _
APC
$ipnolure of Pertnittea
nv rotec omes Inc.
A Buildin9 Permil Is issued to:
all vrork shall be done in accordance with all oooli o61e&tcre c innescte
Permit 34b.UU
Surcharge 3.5-50
Plan check 173.00
SAC 525.00
Water Conn. 450.00
Worer Meter 60.00
Road unir 250.00
Totol $1839.50
_ on tha expresf conditlon that
ond Ciry of Eapan Ordirwncez.
Bulldfng Officiol
??aU/q,,_
J 35930
REQUEST FOR ELECTRICAL INSPECTION
jor See mstmctions lor compleLng this fam on pack ol yellow copy.
=X" Below Work Covered by This Request
Ee-ooao, 8
9/
ew Adtl Rep ' TypeolBwiding ApphancesWired EqmpmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heai?ng
Apt. Building Dryer Other (Specity)
Comm./Industnal Fumace
Farm Air Conditioner
Olher dryeniy) Comraciw§ Remarks.
??V??Z?.?? ?L?C?
Compute Inspection Fee Selow
# . Other Fee # SarviceEniranceSize Fee N Cucuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transtormers Above 200 _ Amps AGOVa 100 Amps
Si9nS Inspeqor5 U. Onry. " I YPTAL
Irrigahon Booms
?
•
?
Speaal Inspection ?
Alerm/Communication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTNS.
I, ihB Electrical Inspector, hereby Rough-in oate
certify that the above mspec4on has
been made. F,,,ai ?. oac ??j p
p-?
OFFICE USE ONLY
Tnis request void 18 monihs Irom
d/aG ya- /d 5?d"?'/
J 35 30 ?. ?.?? ? s°a
Reqvest Dale Fire No Roug?-m Inspechon
qequiretl?
Yeatly Now ? Will NoUfy Inspecior
G? ? Yes o When Reatly+
IFicensetl wntractor ? owner hereby request inspection of above elechical work at:
Job Atltl
s (StreeL Bor or Route No Qry
?
? ? ,
Sec?ion No fwnship Name or No Range No County
Occupanl PRINT) Plione No
Power Supplier Mdress
Electncal Cyryraaor (COmpany Name)
C » CO Conlractor5 Licensg No
Mailing Aeeress ICOnVactor or Onner Making Inslaliation)
?-
Authorrzee gna C tlract wne, Making Inslalialion) Phone Number
A_ - ) ?
!
MINNESOTA 5 0 OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT
Griggs-Mitlwey BI Rppm S173 BE ACCEPTED BY THE STATE 80ARD
1821 Unlverslly Ave.. $[. Paul, MN 55109 UNLESS PROPER INSPELTION FEE IS
Phone(61P) 602-0800 ENCLOSEO
REQUEST FOR ELECTRICAL INSPECTION
' See instructions for campletine this form on back nt y,eLtiw.copy
l"7{" rBel25 7o?er?d by This Req(jest
Ee-noooi-oa
S 77a ss
a AAA Heo. Tyoe af 9uildmg Appliances Wned Equipmenc Wired
Home Range Temporary Service
Ouplex Water Heater Lightiny Fixtores `
Apt. Building Dryer Electne HeTLn
Commercial Bldy. Fumace Silo Unloader
Industrial 61dg. Air Condrtioner Bulk Milk Tdnl<
Farm Other peci y thorJSper,ify)
1 er Svecify Other Oih,r
Compufe /nspection Fee Belaw -
k Fee ServicaEntreneaSize # Fee Feadars/5ubfeedars M Fee Cvcurts
+ 0 to 200 Am s 0 to 30 Am s 0 to 30 Aw s
Above 200 qmps 31 to 100 Aipps Z j0+ 31 [0 100 q S
Swimming Pool Above 100?Am s Above 100_Amps
Transiormers Irriga' Partial- 'OtherFee
Signs Sp ial Inspection 7 T
Remarks AL FEE
? /?y
?
• ? ?.??
flouah-in
nal
( D"o? ?
ate ^'?
? y??
I, the Elec'rical
Inspectoq hereby
cartily thet the above
spacLOn has been
de.
TNa reQUesl void 18 montha irom
Thss request void -7-? (_QkF
.pQC,? 37??j S
18 mon(hs irom CC G
w n?? ??? ke, r
? Owner
t/ - a -,-?
Electncal Convacror
ira rvo. I?ouPn-in ins0ection
Reqorted? OReedY Nuw Q Will NaLty, lnspec-
I ?NO tor When Ready
I hereby request ins0action ot ebove
elemrmal work installad aC
Svee[ AAdreSS, Bon or Route Na/J GlY ?
ection o. Township Name or No. . RanBe No. Caun?
??? ?'Y
Or,?cru^p'ant(PRINT)
C ?G(.Y ?L?? ?? Phone No. p?
r?^L ^ ?l t7
Power Supplier -,
W- ?- Address
Elactn I ConVactor ICOmpa
ny
Namel Contra ?r's License No.
/
?
?? ??
ilinB Address (Contractor or Owner Making Instailavon) ?
d
?Z
- ?_
L Fr ,
Au ? ature (COn ctor Owner Makine Installation) Phone Number
-SSOS-
MTNNESOTA 5T?90Afl0 OF ELECTRICITV THIS INSPECTION PEQUEST WILL NOT
Crigga-Midwey?BjdB• - poom N-191 BE ACCEPTED BY THE STATE BOAFD
UNLESS PFOPEP INSPECTION FEE IS
1821 Universi??/AVe., St Paul, MN 66104
..._.._,-1 .e ...« ENCLOSED.
bg2W2
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsUucUon Reauirements RemodellAeoair Re4uirements ofte.4lse S7ft
3 registered sde surveys showmg sq ii of lot, sq, fl of house, and alI, mofed areas 2 copies of plan Gedo#Suroey Recd _Y, N
(20%maeimumbtcove?ageallowe? lsetofEnergyCalculationsforheatedaddilions TE0bPr68P?tiR9Ctl _Y,N.
2 copies of plan shaxing beam 8window sizes, poured found design, etc 1 site survey fw adddions & decks FreB PresRequNef - „„ YN
1setofEnergyCalculaUons Addition - indicateifonsifesepficsystem Orn43te3epNe5yblem .....Y.,.,.,N
3 cowes of Tree Preservahon Pian d lot platted afler 711/93
Rim Jomt Detad Opfans seledion sheel (buildings with 3 or less umts)
Date J
2??
?
s OO
ConstructionCost
? ?
Site Address
?
? o
f. d
• UniUSte #
Deacription of Work /
Multi-Family Bldg _ Y_K PI Fireplace(s) _ 0 _ 1 _ 2
PropertyOwner !?+-?`-1 ct • ? Telephone#(b5t) 1-fJm2-g67Z
Contractor ?i') /? ' , ? ?t' - ? ? ?? ? - a o ? ?"d o' 7
Addresa 7L-n City
State c
Zip 5- Telephone # (7e3 S-3 7' 7 7 Y-<
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnasota Rules 7672
Energy Code Category . Residential Ventilation Category 7 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted 5ubmitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Telephone #(
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of 1VIN
Statutes; I understand this is not a permit, but only an application for a pernut, and work is not to start without a
permit; that the work will be in accordance with the approplan in the case of work which requires a review and
approval of plans
?swT La-?r
Applicant's Printed Name Applicant's Signature
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-0675
New Constructinn Reauirem9nU RemodellRaoair Reauirements
• 7 regrstere0 sde surveys showrtg sq. A. of lot, sq. ft. of house, and all mofetl areas • 2 capies of plan
(20%macunum lot coverage allowed) . 1 sef of Enryy CalcufaWns for hea[e0 addiUons
• 2 copies of plan showing 6eam 8 vnndow saes; poured found design, etc.7 • 7 site survey for ex[enoradditions 8 decks
• 1 set of Energy Calculatlans . Indicate iF home served by septic system for atldi6ons
• 3 copies o( Tree Preservatian Plan it lot platted atler 7l1193
. Run Jomt OeWtl Ophons seleation shee[ (bldgs wiN 3 or less units)
st'
G?z'1
DATE g` f/ 0Z VALUATION B _? _?? I a?
?+s?a
SITE ADDRESS ? ?t ak PaAl Ml1LT1-FAMILY Blt]G _Y _ N
TYPE OF WORK l?iWo? FIREPLACE(5) _ 0_ 1_ 2
APPUCANT
STREET ADDRESS
TELEPHONE #
ELL PHONE # <A...z FAX #
0\, a5?
«9_? %
TEI)I?ZIP SSOY
PROPERTYOWNER POA K22?n TELEPHONE# laSi- %F9
----------------"-'-----------------'---------------------------"--------------------------"
COMPLETE THIS SECTION fOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNLSOTA RI: LES 7670 C:\TEGORI' 1 MINVESOT:\ Ri'L1:S 7674
(q su6mission type) • ftestdential Ventila6on Category 1 Worhsheet Submitled • New Energy Code W orkshee[ Submated
. Enerqy Envelope Calculations Submitted
Plumbing Contractor: _-_
Plumbing system includes:
Mechanical Contractor:
Mcchanic.il svstem includcs:
Sewer/Water Contractor:
Air Conditionfng
Heat Recoven Systcm
Phone #
Phone #
Fec: Si0.00
-----------------°-------------------°•----------._.....-°----------°--------°---------°--°----------°----...-----
I hereby acknowledge that I have read ihis application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordin nces.
Stgnature of Applicant W
-------- ____-------°____----- -------------- _____ ---'.--------------'°._ .............°-----'--'° ----'
OFFICE USE OYLY
Certificates of Survey Received _ Tree Preservation Plan Received _ No[ Required _
Updated 4l02
Water Softener
Water Heater
No. of Baths
_ Phone t#
Laim Sprinkler
No. of R.I. Baths
Fee: $90.00
CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT #--°_
?...
DATE: oP
V6%- y'poo
PLEASE COMPLETE UPPER POATZON ONLY FOR SINGLE FAMILY
TOWNHOMES/CONDOS WHEN PERMITS ARE REQIIIRED FOR EACH UNIT.
----------------------------°-------°--
WORK DESCRIPTION
NEW CONST _
ADD ON _
REPAIR
OWNER NAME: ???
SITE ADDRESS: -7 J (o o4
IAT:61/ BIACK Pt SUBD
INSTALLER:
ADDRESS: l / 7
CZTY: ZIP:
PHONE #: lo ?I - /? /
N0.
?
DWELLINGS &
----------°--------------
COMYLETE THE FOLLOWING:
FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
SHOWER 3.00
WATER CLOSET 3.00
BATH TUB 3.00
LAVATORY 3.00
KITCHEN SINK 3.00
LAUNDRY TRAY 3.00
HOT TUB/SPA 3.00
d
WATER AEATER 3.00 3•0
FIAOR DRAIN 3.00
GAS YIPING OUT.
(MINIMUM - 1) 3.00
ROUGH OPENINGS 1.50
OTHER
WATER SOFTENER 5.00
PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
SUBTOTAL S o )
ST. SURCHARGE .50
? SIGNATURE OF PERMITTEE
(,d?.7a.t1a,?L ? o.d: • ?'/?- ,ofk' roTaL: s /S ,SO
?02!QSERGIAI:?INDITST?TAL;?; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRZAL BUILDIN
} MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME: _
SITE ADDRESS:_
LOT: BIACK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
CITY OF EAGAN
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
( S I GNATIJRE )
Certificate for:
Enxirotech Homes
4655 Nicols Rd.
Eagan, Mn. 55122
DELMA,it: H. SCHWANZ
LAno sU vom6 p InC.
R"iNerW Untla l. OI TM fINft M Mln?ot&
2978 - 145TM STREET W. - 90X M MOUIIT;?A SOM
sunveivn a
? ?.
? I•??? ?. / ? 9z 9 z
,4?'?P
P?
i' o d ? h
X4e
ryMM {1= 41L1789
y2?¢ ? ! sCALE:
? 1 inch - 30 feet
Elevatione shovm are
° exieting
` •? o Deaotes aec wooa
r?I?v r hub
n?NNa
? \ 3 Proposed garage
£loor elev. y27 o?
!
q25, i . \ ? ?s IV o 114"e
927,3 2$? o
? ? LaT3 d ?
?a
?
? Drainage & utility \
easement
?
-??s? -- -?
//s97
ssi_33 _ 44? ?z
I hereby certify that this ia a true aad correct repreaentAtion of
Lot 4, Block 2, LAKE PARK SHORES, according to the recorded plat
thereof, Dakota County, Minnesota.
Also showing the location of a propoaed houae ae etaked thereon.
Dated: June 3, 1983
SOLAR HOMES OF AMERICA
4655 Nicols Road
Eagan, Minnesota 55122
(612) 452-1148
EXTERIOR ENYELOPE AVERAGE " U" COMPUTATION
Owner EtJVIR OTECI? uaMES 1k1C.,
Site Address i
?'0-
Contractor ENVivoTECN F4aM?S tNC. Date WAE b,O163 Phone 452-I148
Determine working square footage of each.
1. Total exposed wal l area Z Q-22- Sq. Ft. x.17 =411 .'4
2. Total roof/ceiling area 131(o Sq. Ft. x.05 = ? S 8
Total exposed wall area above floor = 477,54
a. -Total wall window area ............................... Z Z.S: S
6. 7otal door area........... ............................ 53
c. Total sliding glass door area .......................... -73
d. Total fireplace wall................................... -
e. Total wall framing area (average 10%) .................. a`L
f. Total net wall area above floor ........................ I? 2.
g. Total rim joist area................................... isc
Total exposed foundation area= -
. -
h. Total foundation window area............... ...........
i. Total net foundation area above grade .................. -
Determine " U" Value of each wall segment.
a. 225, 5 x it U?? ? Z?i = 5r, ?GS
b. 5-3 x ,s U„ , 0(P7 = 3.ssl
c. 7 Zi x u ?? , 23 = i(? , 79
d. - X "U"
e. 1`l2 7( "U" ,a6s = i2.4$
f. I-7Z9 . s x u?? , v33 = '57, 041
g. i 5 D X U"
h. '- X "U° - = -
7. A
11 11
p V
r
?
3. ? A-(o 72 - TOTAL
If item #3 is the same as, or less than item #1, you have met.the intent of Sec.
6006 (c) 2.
, Total exposed roof / ceiling area = ?31(e
. Total exposed roof / ceilinq area = 131('
-
j. Total skylight area....................................
k. Total roof / ceiling framing area 10% ................. 13i.(0
1. Total net insulated roof / ceiling area ................ ii q.4 ,4
Determine " U" value for each roof/ceiling segment
J. - x 11 u ei - _
K. ?3t.(, x " u el .017 = 2..7-37
L. 1184-•4- Xu el .0/6 = 18.95
a. ZI , I 8_7 TOTAL
If total of 4 is the same as, or less than #2, you have met the intent of SBC
6006 (c) 1. To utilize the total envelope system method, the values establish-
ed by the sum of times #3 and #4 shall not be greater than the sum of items
#1 and #2.
1. 4-11,74 +p, 6 S. $ = 477, ?¢
3. 14-(v ,1"7-7 +4, ZI . I5 7 = I C?S. I?4
=.,.
1_ oq
ft) oa nazr\ •..:. ?.. . , ? i isW i JIYrI ?,??... .... Phond 8"
Division Nielsen Heating/A.C. Inc.
HEAT LOSS CALCULATIONS 6442 Penn Ave. South Minneapolis, Minnesota 55423
Y Iry???? II CmstnKtpe No, INSULATION
Guide -?---
Windows Doon Referenu I Out. Wall Int. W&II Ceaio Roof Floor Kina ?!?R
er o ?et-? 19-
Area I'1......<
Na TWi le-
oua ---x.lent
ot O?nr e.at
urn?. In?? '
at <?wY n?
M.
W. iL
30 ?s o .? 1? t ' , ,
?
2 ? 3G / 2 I I
Ceef. Bw
lafiltration
Class S°
Fsp. wall /.?JfH?'/! .0594
? Net emp. waA 12- ?
Int. wall '
Ceiline
Floor 310'/9 '47( S '
Btu.
Reauired w. h. ED.R. or p. ios. W.A. Le+der
Windom a
?a?n
Ne. ef MM 04 Yoecs-
. r ?
' M a? -?daaca
Ne. w
1!t? ge ana wc
a.• e4
?1 <r?et .
?...
M. !lG?? .?Ct
,
1„, ? i 59 9 '
-- Coef. Beu
1a61tratioe' :: ., 59 ? szl9
cr,„. ?s ? a?6o
Fap. wall c f4 Y 4ov
Natup.asll M28
Iatwdl:>.<',f? e U???•n rc q /9'L
Ceiling,'/
/
Y
.
'
?
.
:--
-
---
Floor . i:/MA
Total Btu.
Re9pad s4 ft. E.D.R m q. ia. WA- I4+der area ?
Z F1.1 RoemI Leegeh Widt6 HaQht
),.
.
Mw 1 t4
Ot P?n? N1Sl
af pM 11a
Ilfht/ Lvml .
a( eruk rM
M. n.
( (0
In61U1tien
CJaw Z
Enp. wal) 1 /2
Net exp. wdl 2G
Int. wall
Ceiling ...° -
Floor ,a
N0. O/ aM Of pYN 11(Ot. Ot LAOr 07. f1.
3 2
Casf. s'.:??:gea' :-
a;
a.n
Exp. wan
Int wdl
C.l1l1OQ
Floor
wioaon..va ueo?.-?..e..
l •({ PO
Ma'`,? etMM N 11 W 4e .no .?R
WI
efc.un .
p.tt.
3 z!" sz.
rAsL tu
In6tad6s'
?: - .... ,. .. .. ,. . . .
.. C?lau>:. . ...". ? ? zw •? pa
IoG.i?U? . . ...... .. .. . .
Ceilin6 ': 3! '
? rew ea: r: ,. . . / s,
I _FW ,"_?i?. .. ,. ,w;a?, • ?-
? ome&..Cr.a4.ta.cdaaa;.. . .
1 ? Y , of el?leY 7 Y ? ?
., : .
?
?,
. . ,?s: _ . . . . ...
Coef. Bto
1a6hr?on>:: .",?
,a...`='?• 5so
Esp'iv?U??,G,eti?c s8t? ? 96
,tVot esp
Ceilia?,?...-.,:.:•r. - -
F7oor': :? r`?: ?' * •. _ :"
Tewr,;:,-ma`r.. • a
Reau6ed ?C ?f..f.D.R. or iW in. WA LeRder ne? _
{ ??,
----------,
I Permit k: ?
2? n I
? PeRnit Fee:
I Da[e Received:`OrD? ? ? 2009 ?
I ?
? Staff:
I -----------------I
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address: cJ c? La?-e- ??c k- ?f- _
Tenant: Suite #:
RESIDENT / OWNER Name: Phone: )D? l -?50 1A-1
Address / Ciry / Zip: ?S a?omhEll
CONTRACTOR Name: J aA 5011 .vtn?i YlQ License #: OLQ IE03
Address:
City: c) State? ? Y t rV Zip: sEq
Phone: LQ I o? X IOR "I I Da Contact Person: C U C-,6r
TYPE OF WORK IX New _ Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Descri tion ot work: 1 0 r ?
PERMIT TYPE RESIDENTIAL
Water Heater _ Water Softener
? Lawn Irrigation _ Add Plumbing FixRUres
(_ RPZ /4- PVB) (_ Main _ Lower Level)
Septic System _ Water Turnaround
New
AbandonmeM
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or W ater Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $50 State Surcharga)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround` (includes $.50 State Surcharge)
'Water Turnaround (add $165.00 if a 5/8" meter is required)
$100.50 SeptiC System New ($7 0.00 per as built) (includes County tee and $.50 State Surcharge)
$90.50 Fire Repair (replace 6urned out appliances, ductwork, etc.) (includes $.50 State Surcharge) S?
TOTAL FEES
F#eviewei'g,,??????????????
rr
V
A?qLLit?d lrispeCt?in?s„ ,p ,r4E.fnd fi?ra;?? ,?Rcr?h hr . {1ir'fest `????
C?`'?
?p
I hereby acknowledge that llns mfortnation is complete and accurate; that ihe work vnll be m coniormance vntn tne oramances ana cooes or me ?;¢y oi
Eagan; ihat I urMerstand Ihis is not a permit, but only an application for a permit, and work is noyE start without a permk; that the work will be in
accordance with ihe approved plan in ihe case of work which requires a review and approval of plav(s.
x ?LaS6, ?a?icn x
Applicant's Printed Name Ap ' Ys Signat re
RESIDENT OWNER
Name: I)/( LJtI' (l e V Phone: )PS- i j 15g q 11211
Address City Zip: <SCIAIL (AS U)) h 'lle_J
CONTRACTOR
Name:, s e `U VI Of ri5 License n.1 1
Address: c,- S. Su JU 1 1 .0. P vek
City: c GY'( (Li) State: 111 K Zip: 553 Sa
Phone: Lc 1 L 6Iog "I Da Contact Person: J
TYPE OF WORK
X New Replace Repair Modify Space Work in R.O.W.
Rebuild
Description of work: 1 t ►rl G� 1 6 6 l (�L ,on I f�(.t ll
PERMIT TYPE
RESIDENTIAL
Water Heater Water Softener
Lawn Irrigatioq Add Plumbing Fixtures
RPZ X PVB) Main Lower Level)
Septic System Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation
$50.50 Add Plumbing
*Water Turnaround
$100.50 Septic System
$90.50 Fire Repair (replace
(includes $.50 State Surcharge)
Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
(add $165.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES 3. r
City of Eaau
6
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
X 7l SOrn l-G rSOn
Applicant's Printed Name
x
Permit CJ g
y 6 r�
Date Received: APR 2 1 2009
Permit Fee:
Staff:
2009 RESIDENTIAL l��,t
PLUMBING PERMIT APPLICATION
Date: 41 f /0‘t Site Address: ""'l 5 e. r- Li--
Tenant: Suite
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 no 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 pl
Apr s'nt's Signatt re
1
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA108359
Date Issued:12/04/2012
Permit Category:ePermit
Site Address: 4562 Lake Park Ct
Lot:4 Block: 2 Addition: Lake Park Shores
PID:10-44200-02-040
Use:
Description:
Sub Type:e - Furnace & Air Conditioner
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to Mark Anderson , State Electrical Inspector, (952)
445-2840
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jessie M Steiner
4562 Lake Park Ct
Eagan MN 55122--251
Holmin Heating & Cooling LLC
900 Park Knoll Drive
Eagan MN 55123
(651) 405-3853
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
I
I For Office Use
I I
n s I Permit I I
City of Eap I ®s
I Permit Fee: 1
3830 Pilot Knob Road j 3 I
Eagan MN 55122 I Date Received: 1
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff:
I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: q 2 oI~ite Address: H;E(a'2 L-a I`1.. Tlay/( Unit
Name: ~ecS I e. Phone:-i 2-39 Resident/ i lam.~ ~ ?n K c4
Owner Address / City / Zip: f~,~ _ti
Applicant is: Owner DQContractor
M I~ GAG' IC I c7~ 3 3
Description of work: ~
Type of Work
Construction Cost Multi-Family Building: (Yes / No )
Company: Contact: I Contractor Address: ' 1 T G 'I lac- Dr^ l) City: ~ l On -Vote r-
State: KIN Zip: ;,(i>~2C Phone:
License lk N202 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: 11 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.
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 Building Code must be completed within 180
days of permit issuance.
x x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
• t
Use BLUE or BLACK Ink
For Otfice use - - - _ - - I
(1~~ r I
Y Permit s: 31
11 " ~ I
city 0[ E~
' 514 irr} •+C I
3830 P11ot Knob Road M ~'1 ~~~u> t. Permit Fae D S
Eagan MN 65122 ti .•~.r 1
Phone: (651) 676-5076 : Date Received:
Fax: (661) 6761-6694.; I Stan:
I - - - -
2011 RESIDENTIAL BUILDING-PERMIT APPLICATION
Data: Site Address;
Unit v;
RESIDENT / Name; Phone: ' 369~S.a~
OWNER Address I City! Zip;
Applicant Is. ..Owner Contractor
TYPE OF WORK Description of work:
Construction Cost: MuIU-Famliy 6 ilding: (Ye , r. Na
Company:
~lt.Y~c: ! ~~q Zf.-C4 Contact:
[CONTRACTOR Address: C5'.. city:
State: " z1Pt' Phooe.~ lpZ' BSG~~
t .l
Ucenso L3Q ~6m~j Lead.C~ttlticate 7-
/
If the project is exemPt from load cart! '
. ticatlOn, please explain wily: (see Page Vor additional information)
I
COMPLETE THIS AREA ONLY IF :CON$IRUCTItJC3 A NEW BUILDING
In tho last 12 months, has the City of Eagan•lssuod a ponnlt fora similar plan baeod•on a master plan?
_Yes -No If yes, date and address of master pl8n:
Wconsod Plumber 1; • 1,'
Phone:
Mechanical Contractor.'
Phone:
sewer & water Contractor.
E.tho E: Plans and supporting documents,tha you subtn/t @r4 cgns! , Phone:
ad :be publlc
nfo nn f t0
re Information. permit th Pve Clty ns of
on may¢e c asslfle'd as;/(o/j~~pubgG,lf:y0tlt'a,Yl~'CI~,' would
to
cdrMdud ha?rt~ie :arb°trad~,soc. ts: asons that
CALL BEFORE YOU DIQ a^{ rr • r.'t,
Cog Oophor Ststo Ono Call al (44,1) 4b4-OO02 '(pf prp(gCtlon in
t:.elcra you int endto dip to receive locates of underground,utlllU.as,• ;I underground utility damage. C81I48.
hours
~••{•.{t 1, ty, •pi'r•~~t •t, r~^.. YIYI iI •iJ J
I rereby acknov,ledpe that this WOrmatign Is comploto4
;and accurate; / tx Y
Eagan; V131 I understand this is note pp fat In conformance with the ordinances and codes of the City of
accordance with the approved plan In lho'cale ofd only
requlres a rovlaw 8'rd-epprrooyajo plena{• to start without a permit; that the wo(x )ill De in
Exterior work authortzod by a building pormlt Iss
days or Permit Issuance, uod In accordance with tho Minnesota stato Building Code must be cample
tod within 18,.
Applicant's Printod Name x
Applicant' Signature
Page t of
PERMIT
City of Eagan Permit Type: Building
Permit Number: EA135484
Date Issued: 03/18/2016
of ER 1n Permit Category: ePermit
Site Address: 4562 Lake Park Ct
Lot: 4 Block: 2 Addition: Lake Park Shores
PID: 10-44200-02-040
Use:
Description:
Sub Type: Fireplace Construction Type:
Work Type: Free-standing Stove(new)
Description:
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: Improvements to the home may require smoke detectors in all bedrooms. Chimney/flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes(Minnesota State
Fee Summary: BL-Base Fee$3K $88.50 0801.4085
Valuation: 3,000.00 Surcharge-Based on Valuation$3K $1.50 9001.2195
Total: $90.00
Contractor: - Applicant - Owner:
Woodland Stoves&Fireplaces Joseph St Onge
2901 E.Franklin Ave. 4562 Lake Park Ct
Minneapolis MN 55406-0000 Eagan MN 55122
(612)338-6606 (651)452-5212
1 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
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA136929
Date Issued:06/07/2016
Permit Category:ePermit
Site Address: 4562 Lake Park Ct
Lot:4 Block: 2 Addition: Lake Park Shores
PID:10-44200-02-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Joseph St Onge
4562 Lake Park Ct
Eagan MN 55122
(651) 452-5212
Urban Pine Plumbing & Mechanical
815 Igelhart Ave
St Paul MN 55104
(651) 888-2275
Applicant/Permitee: Signature Issued By: Signature