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4566 Lake Park Ct? CASH RECEIPT • . ? . CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 DATE 19 RlCL?tV6O FR0M _ "t? ???? : -" _' AMOUNT $ @ DOLLARS ?oo ? CASH CHECK f ? J?GI?/?? :??!•u.?? _ ,,,%??-- ? FUND CODE AMOUNT L ? ^ c% - l ? . . ' L- . Thank You BY ''I? - - ? 7 White-Peyers CApY Yellow-Posting Copy Pink-File Copy F EAGAN Remarks LAKE PARK ? C'Tyo ADDITION? Shores Lot? ? s?x .? Parcef #lO 4420d 0 0 0 Owner Street 456b La.ke Park Court State Eagan, MIN 55122 Improvement Date Amount Annual Vears Payment Receipt Date S7REETSURF. ? i982 2529•52 505•90 5 1011.$2 A014 9-4-94 S7REET RESTOR. GFADING 1040.74 A014503 9-4-84 SAN SEW TRUNK ,t SEWERLATERAL 4142-41 7,76-16 437.77 A414543 9-4-84 WATERMAIN * WATER LATERAL 1981 WATER AREA 186.70 A014503 -4-8 STORMSEW TRK ? 596.86 A014503 9-4-84 * S70RM SEW LAT 1981 CURB & GUTTER SfDEUVALK STREET LIGHT 260.00 #44257 6-21-84 WATER CONN. 470.00 11 BUIIDING PER. #9198 sa,c 525.00 " " PARK CASH RECEIPT ? CITY OF EAGAN P. O. BOX 21•199 EAGAN, MINNESOTA 55121 DATE 19 neceivso FROM AMOUNT $ I DOLLARS t oo [:] CASH r-1 CHECK FOR ' ,, ! h RUND COOE AtAOUNT . ?? Than 4ou IV? BY ? White-Payers Copy Yellow-Posting Copy Pink-File Copy Receipt ? PLUMBING PERMIT CITY OF EAGAN Fill in numbered spaces Type or Print legibly 1. Date " 2. Installation Cost Permit No. ( (( , Fee s/c Tot. -Ad 3. Job Address 'K ` Lot ? Blk. Tract 4. Owner - , i - ' - . . i = . • 5. Contractor Phone 14/ 6. Address 7. City State ??)Ji? Zip g-z'U .? 8. Building Type: Residential P/l, Commercial ? Institutional ? ? 9. Work Description: New PZ Add ? Alter ? Repair O 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner ?'• Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray ? Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply wiih 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 ( ( J l? ? ?y y CITY Permit No. Fee ? L G S/C ? ?Tot. 1. Date " u 5 Y 2. Installation Cost y 5 L G _ v. ? ? ?' !'?" 3. Job Address ;t-?Lot?? Blk. Tract '? I-? ,'?? ? O,? 4. Owner ?'?d-?•?It./ / ? ?*?+-?-/ 5. Contractor Phone 6. Address ' y 7 y'5 ? ",• ?-•?f- ?7. City State Zip 8. Building Type: Residential LL3- Commercial ? Institutional ? 9. Work Description: New 0'_ Add ? 10. Describe 11. Alter O Repair ? TYPe v No. % Eauioment 9TU - M. Ea. Forced Air ? No. EQUiament CFM Air Handling: Mfg. Boilers ? E M Mfg, ech. xhaust 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 9comply with all o?rd?inances and cod3s gni , this type of work. S ned . V Rough Finel Inspections: date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN - ? 3$30 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 QUILDINQ PERMIT RKera ? Site Address 45 (i l: f.. A f' •T, ?' F: `{ '•'-. C`_t' Lot - Block l5ub. U:'L'"V Psrcel No. ? Nwhe Address Name ..ipF..7 C01.'?` Address ? Citv Phone, Name Address City Phone Erect LO Occupsney Remodel ? Zoning Repair ? Type of Const. Addkion ? No. Stories Move ? Length Demolish ? Depth Int Impr. ? Sq. Ft. Assessment Woter & $ew. Poliq F1n &+0• Planntr Countil Permit ?? - Surcharge ? - Plan Review SAC Water Conn. Water Meter Road Unit I hereby acknowledfle that I how read fhis opplication or+d stote fhot gldg. pff. 1 T?. PL tlw in(ormation is correct ond ogree to comply with o11 applicable A? Stote of Minnesoto Statutes ond City of Eagon Ordinontts. Perks Var. Date ?ie8 Sipnotun of Permittea , Total A 8uildinq Pern?it Is iswed fo: on the exprass conditfon Ihat dl work sholl be donw in occordonct with oll oppliooble State of Minnesota Stotutes ond City ot Eoqan Ordinonas. Buildinp Offlcid H.VA.C. Inwection Date Insp. OthN Footinps 1 Footings II Foundation Finel Htg. Flnal Plby Final Cert/Occ. Watsr Well Sewer Pr. Disp. BUILDING PERMIT r- LA ....a s.,. ?F' CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH ON E : 454-8100 $123,000 W 9148 Receipt # Site dress A. q?ab ?.r?r.h: rx C;1' K ' Erett X ? HS Occuponcy Lot E AORi .S B1Qck4 -4?-$?J?ubb 1?? U Alter ? 2oning Parcel No. Re air ? Fire Zone NIA p E l T f C .; . PF7'I,F.SEN CONS?'RC'CTIO? arqe n ? onst. ype o ? Name ? Move ? # Stories ; T-i ST 1'' ' Z Address Demolish ? Length_ b City ? ' ? ?" Phone Grode ? ?? Depth Sq Ft . . Appro vals Fees o Name o?' u? Address Assessment Permit 4' • 61 1-- City Phone Woter & Sew. Surchnrge 24 5 , ?°? Palice Plan check . I 52 S FW Name Fire SAC . _z ,? Address Enp. Warer Conn. ?7? ? • ? W City Phone p}enner 1Noter Merer 63.1 Council Rood Unit 260.1 I hereby ocknowledge thot I hove reod this opplicction and state thot gid Off 0 5 0 0 the intormotion is correct and ogree to comply with oll opplicable 9. Stote of Minnesota $totutes and City of Eagon Ordinonces. APC Total Signoture of Pennittee I A Su3lding Permil !s issued to: ` • ? 1;'.:'' ;. .?' ,. : on tha express condition fhnt oll work shall be done in o orde with II opplicabta State of Minnesoto Stotutes ond City of Eaflan Ordirances. ?? Buildin9 Official - ° Permit No. Permit Holder Misc. Permit No. Holder Plumbing y? ?{ ? ??.Z ? '?(z o 16 y H.V.A.C. Well wete? Disp. Sswer Electric 76 -qa Inspaetion Oate Insp. Other Faotinqs D Foundation Framinq k Rouqh Plbg. -'S-949 L(? Rouph HVAC I Inwlation Final Plb9. Final HVAC ??'' Final a$ ? Water pescri6e Loeation: : ?•. '? -? Well /c??? ?,? Sewer Pr. Disp. ; SERVICE PERMIT NO.: I nap.: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road „ P. O. Box 21199 PERMIT NO.: . , .. ?<< Eagan, MN 5514,1, DATE: Zontnp: Not.. of Units: Owner: /lddress: gce ar our n e ar? Stte Addrcss: ;erlZ r.qan Plumber. I yeM fo oomPlp wpli fw Cwf ef iaps Connection Charpe: w-S.OG pd OrdiNnac Account Deposit: 1.5.00 pd Prm,it Fae: pc? .50 nc; Surchor": By Dote of Inap.: CITY OF EAGAN 3830 Pilot Knob Road P. O. Box 21199 Eagan, MN 55171 Mlac. Charfles: Total: Dote P+oid: WATER SERVICE PERMIT PERMIT NO.: DATE: t Za+ino: No, of Units: Owner. Mdress: 4566 .a .e _ ar our . ;,_ :_.i? • aT : , . ores 5lte Addrcss: ;ot1z Vrin Plumber: et Meter No.: Connedion Cho?ge: Size: Reoder No.: 1oyrs* to wmply with !IN City of Eaqa¦ OrdiweecN, I.W Acoounr oepostr: , . , Percnit Fee: - . p ._ n Surcfiorge: Mlsc. Chorpes: Total: Dote BY Dote Pcid: Date of Insp.: Insp.: DaL-e ?E2hy C?cS. ?))) CITY OF EAGAN Include 2 sets of p].ans, 1 Certi?icate of Surve} '?j.F pu(a /?aR, ?? I"1 BUILDING PIIRNIIT APPLICATIOD] 1 set of_ en , calculations. l 1 q? lZ3.ooo. =' ? To Be Used For Valuation Date -? Site Pddress: ?S-?)(? P?Cr ? OFFICE USE ONLY 4s4FSIf PN??c Lot 3 slock - oZ sec. /s,ab. s,4 v re E s Parcel #: O 3 O-- Il 2? Oaner: Psldress: City/Zip Cocle: Phone #: Erect ?/- Occupancy F- - 2l Alter Zoning K-I Rep3ir Fire Zone N /A Enlan7e _ TyPe of Const. ? Nbve # Stories L?rolish Front ?O ft. Grade DePth 32 ft. APPRDUALS FEE'S Contractor. ? ? ?L ! EreS?r? nDn/>T i,zrAssessments w3ter/sewer Address: Z/;70/ Polioe Citv/Zip Cacle: dY/''LS SSY37 Fire Phone #: Arch./Eng.. Address: City/2ip Code: Phone #: raiy. Planner Council Bldg. Off. ?f APC PerMit Surcharge Co f - -? Plan Check Z 4 525 SAC 5Z5 °- watex conn. 4-lO °-p watex Meter (0 3 . ? Roaa Unit Z (o0• = mrrz 2 / / Se -? s- 28x 40= I 12ox15q- = ??t E) o °I x f 3= I 1?l X 5 4 ° ? 3 f F3 (oCoOU 13 x2t - 173 K r? _ 30 03 40 x Z6 = I I 2o x4! - 20 122,32! ---- CITY OF EAGAN No 3830 Pilot Knob Road, P.O. Box 21•199, Eagan. MN 55121 PHONE: 4548100 BUILDIMG PERMIT aeceipt # Te M aad ier DECK Est, yalue $1,200 DOte JUNE 18 SiteAddreu 4566 LAKE PARK CT Lot 3 Block 2 SeclSu6. LAKE PARK ADD Parcel No. W jN,,n, ROGER EICHTEN ? Address SAME city Phone 454-4391 o Name NU SHAPES CONST Address 13106 NARHEZ AVE SO u? City SAVAGE Phone 890-7019 N9me City Phone I heroby acknowladga that I hava read this epplication ond srote that fha in(ormotion is corrett and oqree to comply wifh oll opplicoble Stab of Minnewta Stotut??iry f gun Or i nus. Siprwturo of Permittae A Building Permit Is iuued M: NU SHAPES CONST all work sholl be done in acooManCe with all applimble Stofe of Mir 1041 / Erect .? Occupency Remotlel ? Zoning Repair ? Type of Const. AddRion ? No. Stories Move ? Length Demolish ? Depth Int Impr. ? Sq. Ft. Install ? Avorovota F"t Asussment Permit $20.50 Water 3 Sew. Surcharge 1.00 Police Plan Review fim SAC Enp. WaterConM1 Plonner Water Meter Counell Road Unit Bldg. Off. 6I17I H S Tr. PI. APC Parks Var. Date Copiea Total $21. SO on fM exprop Corditlon Ihos ttota Se ures ord Ciry of Eapan Ordinanus. Bulldinp Offitial CITY OF EAGAN AT 3830 Pilot Kno6 Road, P.O. Box 21-199, Eagan, MN 55121 l?l ? 9198 PHONE: 454-8100 ? BUILDING PERM(T Receipr # Te ba und Mr SP DWG/GAR Est. Volue sitea,ddress 4566 LAKE PK CT Lot 3 elock 2 sec/sub. LAKE PK Percel No. 10-44200-030-02 123,000 Erect DX Occupancy R3 Alter ? Zoning Rl Repoir ? Fire Zone N A Enlorge ? TYPe of Const. V Move ? # Stories Demolish p Length 70 Grade ? Oepth 32 Sq. Ft.- Aoorovals Feea a Name S. PETERSEN CONSTRUCTION Z,,dd,ass 4701 W. 110TH sT ? city MPLS pnone $84-5144 o Name _ ou Atldress ?- City - ? Fw Name _ _? Address <W CITy _ Phone Phone I hereby ocknowledge thaf I have reod this applicafion and state thaf the inlormotion is correct und ogree to comply with all applicoble Stote of Minnewto Sfatutes ond City of Eo9an Ordirwnces. Slgnafure of Permittee - A Building Permit is issued to: oll work aholl be donein a?c6 Building Officiol ` Assessment - Water & $ew. Palice _ Fire Eng. Planner _ Counctl - Bldg. Off. _ APC - Permit J 47U.7U Surchorge 61 - 0 Plon check 245 _ 25 SAC --3? 5=O O worer conn. 4 7 n_ n p WoterMeter 6 -1-O0 Road Un'it 20;n n 0 ToTal +S Z r 115 . Z 5 V CQNST on tha express condiNOn Ihni State of Minnesota Stotutes ond Ciry af Eagon Ordinonces. 7 ?16 M REQUEST FOR ELECTRICAL INSPECTION kft ea.oaooi.oa ?t ' See instmctions for compleLng this•form on back oi Vallow copy. t " Af, t 142 "X" Below Woik Covered by This Request New AAd Nep. Type of Builtling Applioncas Wiretl EquiVment WireJ Home Range Temporary Serv, ce Duplex Water Heater Lighuny Fixtures Apt. Bmlding Dryer Electnc Heatin Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air CondiLOner Bulk Milk Tank Farm ome, oE-cl v Other Isueufyl t r Snecifv Otner 01ner Compute lnspectian Fee Below p Fee Sarvic Size # Fae Fneders/5ubteeders N Fee Cvcwts 0 t a Am s 0 ro 30 qm s 71 'y r 0 to 30 Antp Abo _ mps 31 to 100 Amps DDLOC . 31 to 100 A s Swimming Pool Above 100_Amps Above 100_Amps Transiormers Irrigation Bonrris `SD PTrtial-'Othei Fee Signs Specialinspection S T L F Remarks , i ROUgh-in Final ?'11e ^1 ` '6 I, tha Ela ic Inspectoq herob artify ehat the . bove inspectian has been mede. Thla re0ueat voitl 18 montla Irom This request void ???? ? ,e mntns r,om M75??s?_ L 3 6 a fl 3W Lk Qk S1,o?vS ?`?-TV Request Date Fire No. Rnugh-in Insper.tion Re.qurted7 ?Ready Nuw ill No[dy InsOec- ?f Ves ?NO When qeady i mensed Electncal Conhactor I hereby request inspection ot above Owner electncel work instelled at Street Address, Box or Route No. L ?' - / Ci - our te ar S La - ecLOn o. io ship Nam or No. L 3? RanNe No. Cov ty , b e Occupant IPqINTI ' G f"' Phone No. rk`? 19 e. e DnS .? e ? Power Su pli¢r ? C Atldress v rl7J/i7 o lect(ca Co t ac or IComOany Nemel r ?'I l - onvacmr's License No. ?L r le- din Ad ress IC [rac[or or Owner MakinB ?stailaLo Aut nzed ignature i n recto Ow Making Insfallationl Phone Number / ?D MINNESOTA STATE BOANO OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT GriBes•Mitlway 81dg. - Hoom N-181 gE ACCEPTEO BY THE STATE BOARD 7821 University Ava., 5[. Peul, MN 65104 UNLESS PROPER INSPECTION FEE IS Phone 1812) 297-2111 ENCLOSED. Clty of Eapn ? ? ? 2 ? 4 ? 2008 D 3830 Pilot Knob Road Eagan MN 55122 Phone:(651) 675-5675 Fax: (651) 675-5694 '- __ _ _ _ _ _ _ ` _ - - - - _ ? ?.Q. ? Permit#: i ? Permit Fee: C) ? Date Received: I I Staff: L ---------------- 2008 RESIDENTIAL PLUMBWG PERMITAPPLICATlON Date: O pP' V7S SiteAddress: Tenant• RESIDENT 1 OWNER I Name: CONTRACTOR Address / C Name: ? Address: , c,ri: I'YI PhoneAY Suite #: Phone: License #: O (Y 152r4 State: r" Zip: 5540g' Contact Person: Je sS TYPE OF WORK _ New _ Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. Description ofwork: PERMITTYPE RESIOENTIAL K WaterHeater WaterSoftener Lawn Irrigation Add Plumbing Fixtures RPZ /_ PVB) ? Main _ Lower Level) Septic System _ Water Turnaround New _ Abandonmenf RESlDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, Ar Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic Sysfem Abandonment, Water i'urnaround* (includes $.50 Shate Surcharge) *VJater Tumaround (add $136.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace bumed out appliances, ductwork, etc.) (includes $.50 State Surcharge) 50 TOTAL FEES I hereby acknowledge that this informatlon is complete and accurate; that the work will be in con ance wiffi the ordinances and codes of the City ot Eagan; that I understand this Is not a permit, but only an application for a permit, antl wo s not to start wi t a permiF that the work will be in accordance with fhe approved plan In the case of work which requires a review and apprw of pi?/I / ? /f Roger Eichten 4566 Lake Park Court Eagan MN 55122 6514544391 X?d2hF? I.• No7'blaYvt- X AppliFanYs Printed me Appl anYs Signature . RESIDENTIAL BUILDING PERMIT APPLICATION C17Y OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55722 ? I 651-681-4675 NewConshuctlon NeaulremeMs • 3 regisfered sae surveys slwwing sq. tt. of bl, sq. fl. of house; and gI_I roofed areas (20°k mammum bt coverage albwetl) • 2 capies of plan showing beam & wmdrnv sizes; poured buntl des;gn, elc.) • 1 set of Energy Calculations • 3 copies of Tree Preservatbn Plan M bl plattetl aNer 711l93 • Rim ,blq Detail Optbns selection sheet (bMgs witti 3 or less uniLS) DATE y'3 8' aZ SITE ADD NPE OF APPLICANT AULTI-FAMILY BLDG _Y _ N FIREPLACE(5) _ 0 _ 1 _ 2 STREET ADDRESS Ab5 b'' 9 CIN-L? TELEPHONE # 95;t-a00--1000CELL PHONE # 5,941 / FAX # 7X- ZIp 55oy PROPERTY OWNER 9&u-, &-e,c.h,C 1EI.EPHONE #?o SI - ?/S S?- 5/3 91 ---------- ° ----------------------------------°----------° ----------------°----------- COMPLETE THIS SECTION FOR %%NEWn RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MIN??A?'R??$',?N7? (4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • N??:? f?ne??pd3 • Energy Emelope Calculationa SuOmitted ?? ?? ? Plumbing Contractor: Plumbing system includes: Mechpnfcal Conhactor: Mechanical system includes Sewer/Water Contractor: Phone # Phone # Fee: $90.00 Fee: $70.00 I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all appitcable State of Minnesota Statutes and City of Eagan Ordin ces. Signature of Applicant OFFICE USE OlVLI' _ Water Softener _ Water Heater _ No. of Baths Phone # Lawn Sprinkler No. of R.I. Baths _ Air Conditioning _ Heat Recovery System I& S-`-( - -1 5 RemotlaVReoelrHeauiremems . 2 copies of plan • 1 set of Energy Cakuletions for heated additions . 1 stte survey for eberbr atldfllons & decks • Indicste if home servetl 6y sepiic system for additions VALUATION Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation O 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 F'rreplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - MuRi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Atldn. (4sea.) ? 33 Ext. Alt - SF O 04 02-plex ? 10 D&plex )( 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous jji9 y c.???v4ca..i ? 31 New ? 35 Inl Improvement ? 38 Demolish (Interior) q 44 Siding x 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bidg)* ? 43 Reroof ? 46 WindowslDOOrs ? 34 Replacement "Demolition (EMire Bldg only) - Give PCA handout to applicant Valuafion Occupancy n- 3 MC/ES System Census Code 17(31? Zoning City Water SAC Units "- Stories -' Booster Pump Nbr. of Units - Sq. Ft ` PRV Nbr. of Bldgs ' Length I y Fire Sprinklered Type of Const W idth /l REQUIRED INSPECTIONS Footings (new bldg) FinaUC,O. ? Footings (deck) ? Final/No C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC _ Drain Tile piher Roof ? Ice & Water ? Final Air/Gas Tests Pool Ftgs Final ? Frammg _ Siding Stucco Stone _ Fireplace _ R.I. _ Au Tesi Final ?- Windows (new/replacement) ? Insulation ^ Retaining Wall Approved By Base Fee Surcharge Plan Review MClES SAC City SAC Water Supply & Storage 5&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector /JJ'icr ? ? /t?JU SEA? 6' 5 y `? ? 97? Certificate Por: Svend Peterson 4701 West 110th Street $loornington, Mn., 55437 DELMAR H. SCHWANZ LANOSURVEVONf?t IUC, Rpisterb Untln Lawt ot TM State Of MlnMwta ""'° 746TH STREET W. - BOX M R08EMOUNT, MIMNESOTA 6EOB8 Bk: 67/6 / PMONE 617 473t789 SURVEYOflB CERTIffCATE L A,rE PA,r,r Co u?er T°PLJ2 q'?' A,l / 3 3ti 4 o 00 MN ' a? N ` M ? I ? Scale: 1 inch ? 30 f t ?;yo /jO.vu N S? -/4 - s4 9y4,81 39.a7 Propoaed xouse Sy, %a 30 ? '(oP ?S 7OPCuRB 921, S Oin. oo Qu "r /U O 0 i /05!3 f ? IGarage ? 3z O 6 Lot 3 Block 2 -r.rH,ow N 9as.9 M ? Drainage and Utility Easement 2q ee ? ? Denotes iron monument ZN 919•6. :Denotree existing .elev. ? Denotes set wood hub ?J 0 Denotes proposed elev. %i9 L Proposed garage Ploor elevation . I hereb,y certify that this is a true and correct repreaentation oP Lot 3, Block 2, LAKE PARK SHORFS, according to the recorded p3at thereof Dakota County, Minnesota. Also showing the location oP a proposed house as ataked thereon, June 13, 1984. MINNESOTA HEGISTRATION NO. 8825 r .,k;;: 'K":>;:$Snn?X?k?.i??k%nM`'?'k•'::kmX:#?k"??Xwit:,':?iJXk:'k!:+;;??%N C7 TY Q;7 F AGAM ' ::A`ii4',:I:IEfi: .'a i'c"'rWIN:;L 'J[:I; i5i3 t'A'T'Ea f;C,t:lt ;"39 . 'rTMQ 07d!'m:',i ?Da ?'PoAiE- CIiF:I:!iil'R,N:= 7:i1C i 32:0 g(1"11 4566 '..i( P4', [:T I439.25 r'_:I.:i`.'; `)i?Dj. F:-F66 i'. Pf; (°.7 ?2.50 t. 4i '1 oI; a.'• liwr. p9 ot Kr.uan$ : 042.75 :R:.iic 1.1 US'e.ft CD€ NP.NCIY I ? 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New Conshuctfon Reouirements Remodel/Reoair Reaulremenis ? 3 regisiered sife surveys showing aq. k. ol lot sq. H. oF house 2 copies of pian cnd QII roofed areas (2046 moximum lot coverane allowed) 1 set of energy calculations for heated addMfons D 2 copies of plans (show beam i window sizes; pouretl ind. design; eic.) 1 sRe survey lor exterior addHiona 3 dec W D 1 set of energy calculahons ? 3 copies of hee preservaNOn plan H loi pfaHed a(ter 7/1/93 DATE: /GP /99 CONSTRUCTION COST: ? ? l9tX'' DESCRIPTION OF WORK: "ff" !7? 4 SiREET ADDRESS: LOT: ? BLOCK: SUBD./P.I.D. #: PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER Name: ?iC h fGr2 ,e?r?ri? Phone #: lPs( - /fS? -?',3?7 ? Last Firsf Street Address: 4t5Ln /1'+ P-flz IP C4 City 6161c&A State: Llifd( zip: ZL Company:_ CA-'L5?I?zpt5 /G1f- Phone#: (?1Z (area code) Street Address: 1q-FSo P?/c dd , License # 3T- iZ- Exp. City CbCrYIkGrSsFiti State: 00 Zip: Company: Name: Telephone #: orea code ( ) Street City State: Sewer & water licensed plumber (reauired for new conslructton onlvl: °enalty applles when address change and lot change Is requested once permR Is Issued. Zip: hhereby acknowledge that I hove read ihis aRPlicatfon, sfute that fhe informotlon is correct, and agree to comply wffh all cpplicabt Sfate of Minnesota Sfatutes and Ciiy of Eagan Ordinances. ' Signature of Applfcanh OFFICE USE ONLY Certificates of Survey Received _ Yes _ No ? Tree Preservation Ptan Received _ Yes _ No , Not Required - Registration #: CLAIM VOUCHER-REFUND REQUEST C[TY OF EACAN MAKE CHECK PAYABLE TO: Christians Inc. ADDRESS: 1480 Park Road Chanhassen, MN 55317 LOCATION: 4566 Lake Park Ct P.I.D./LEGAL: Lt 3 B12 Lake Park Shores RECEIPT #/DATE: 111211/6-16-99 VALUATION: 7,000.00 REASON FOR REFUND: Overpaid PERMIT #: 36304 'I`YPE OF REFUND: Elecvical Permit 3211-9001 $ Plumbing Permit 3212-9001 S Mechanical Permit 3213-9001 $ Building Permit Fee 3210-9001 $ 30.00 Plan Review Fee 3422-9001 $ SAC (MC/WS) 2275-9220 S SAC (City) 3866-9379 S SAC (Admin) 3446-9001 $ Water Connection 3865-9220 $ Sewer Permit 3743-9220 $ Water Permit 3713-9220 $ AccountDeposit 2252-9220 $ Water Meter 3716-9220 $ Water Treatment 3868-9220 $ Surcharge 2155-9001 $ - Utility Acct Overpayment 2250-9220 $ Curb Box Deposit Refund 2253-9220 $ Construction Meter Dep Refund 2254-9220 $ Water Usage Chazge 3711-9220 $ Other $ TOTAL $ 30.00 I declaze under the penalties of law that this account, claim, or demand is just and that no pazt of it has been paid. SiGNATURE fl? 9 9 nnTe P? . ? - _ ; ? . . b":1,.::rluti.?.. ?rvY-.ri-.?',.?r?"4d?vie.p•?.L?::_.n;?.4,• RECEIPT C.ORRECTION/DELETION .. -..}.?? ? { _''a.? .l' _ ••'Y`•li RECEIPT P BATCH?#:? CHANGE NEEDED: . ? ? ? k? ? I?a•?? ? c;?an%ced Awdaaq qa -?-?- a = ; ss ? . AUTH na.?5 ? ?'?? .? ?- CHANGE COMPLETED BY: ' ? ?/o ? /? ?? , - 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED YITH THE CITY OF EAGAN INCLUDE 2'SETS OF PLANS 3 CERTSFICATcS OF SURVEY 1 SET OF ENERGY CALCULATIONS To Be Used For: bGL(C. Valuation: I2OcDoe Date: '3vir6 ?TZ Site Address: ?S (P(o LA(LE Cq', Lot: 3 Block Sect/Sub Parcel Il Owner ?ae(z{Z Address Sf'?MC ?650? OFFICE USE ONLY Erect ?C Oceupancy Remodel Zoning Repair Type of Const Enlarge # of Stories Move Length Demolish Depth Grade Sq Ft City/Zip Code C,AE-r4n1 SS('ZZ - -------- Phone ?-liN V 3?-t ( APPROYALS Contractor ?u S;?c?125-Address (31b6 (&L6'Pz. htc S City/Zip Code " `Q O1nL 67 5-3'1 S Phone '940 - 10 l? Arch,/Engr. (?A,-G Address SA-tvAE 1 City/Zip Code SA-fKe Phone Il S A MEQ ? 0 6 1b ?` ?? ? ? ? O 6 ? ? Assessments Permit 2,c).? Water/Sewer Surcharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council ,Road Unit Bldg Off Y^ 17-YP Parks APC Treatment P1 Variance TOTAL n\ D ?C (C aCF e-RIkOG z) 7x$ "t1zEa*EO a` 30iscr S? Ztlo Cca4ST zFD D`ettGthlG-. q? bQNN.E -2 x8 E-i rt Dtq.. S) raoT% NS ? i b,C. 136.Ic HF-S i 5'V-PS. . c--?---,-. ` ---.?. ? ? L BL CITY USE ONLY U4101 RECEIPT #: SUBD. 1??LiA IC _ 71?UY ?'C? RECEIPT DATE: PERMIT # ?3 I? ? S O 5? \ 1999 PLUmauvfl PERmrr (REsuwNr[AL) 30 ?oF EAEiAN SSSO fILOT KNOB RD EAfiAN, MN 55122 (651) 691-4675 Please complete for: 9 single family dwellings ? townhomes and condos when permits are required for each unit Y backflow preventer for underground sprinkler system FIXTURES EACN # TOTAL Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas i in outl2t " minimum - 1 3.00 x = $ Hot tub/s a 3.00 x = $ Kitchen sink 3.00 x = $ Laundr tra 3.00 x = $ Lavato 3.00 x = $ Minimum fee alterations to existin dwellin 30.00 x = $ Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = $ Private Dis osal S stem abandonment 30.00 x = $ RPZ new installation/re air 30.00 x = $ Rou h o enin 1.50 x = $ Shower 3.00 x = $ Under round s rinkler if dwellin is under construction 3.00 x = $ Under round s rinkler if existin dwellin 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water Softener if dwelling under construction 5.00 x = $ Water softener if existin dwellin 30.00 x = $ Water turnaround 30.00 x $ State Surchar e 50 --> ----> ----> $ .50 TOtal --> --> ----> ---- > $ 3o jO - Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. -------- • -•----- ------------ --------------• ------------------------------------------ ----- ------ --------------------------- --- -- I hereby acknowledge that I have read fhis application, state that the infortnation is correct, and agree to comply with all applica6le City of Eagan ordinances. it is the applicanCs responsibiliry lo notify the property owner that the Ciry of Eagan assumes no liability for any damages caused by the Ciry during ils normal operational and maintenance activities to the facilities consVucted under this permit within City property/right-of-way/easement. SITE ADDRESS: ?f J G?(O G?s?- P? G7` OWNERNAME:: F?Gh J?? TELEPHONE#: Gr.T/ YJS? x3 (AREA CODE) INSTALLER NAME: TELEPHONE #: ?o/z S-S;? a 5 5-5- ? yo STREETADDRESS: .,;;?0 1-0 (AREA CODE) CITY: STATE: /Zfti? ZIP: ?--- - - - - - - - SIGNATURE OF PERMITTEE :. .-. ?; ' 2/84 / CITY OF EAGAN APPLICATION FOR PERMIT SELQER AND/OR WATER CCNNECTIODi (PLEASE PRINT) 1) PP.OPERI'Y ADDRESS: "I-SC0(? 1-,ciLa ?2./?- ?-FJLf?T T.Fr=,L, DESCIZItirzcN: Larr 5 d4Cz'.,-- 2 1-A ic? P.o yz?NOe?'s (Ipt/Biock/Subclivision or Tax Parcel I.D. ,Iunber) ir Z{IS='=`:G ST'Rt;CP :ZE, DAT' G_° ORIGi dAL : iiILL`L`:G P=-:.ST ISSU:?\ L;C.: ,KIR-1 S'uNGLE rP_,IILY ? R-2 DUPLEY (TLtiO LTNITS) [3 R-3 TCt^NHCYJSE (TfIl2E^ + U^TITS) ( iN2TS) ? R-a ApAF27E:?:T/CCLIDCI-IL?TILi,1 ( LiIITj i ? ccrmERczAL/RErazr,/oFFzcE ? INDosTRIAs ? INSTITUTIO.VAI,/GG4T?%-T,= 2) APpT7G;?'?T (PLEhSE PRINT) NF4ME: ADDRE55: CITY, STA'IE, ZI?: - PHONE: 3) PLL:4EER ??,?• P ASE PRINi) p FOR CITY USE ONLY ADDi2ESS: J<[?] t?`S (?pE'C-?-r 7-g PWM RS LICENSE: Active CITY, STATE, ZIP: ?dL f) ^? '?ASit? PHONE: !f'?-?7 ?_- PLUMBER LICENSE N I°U?lu 0 Expired Q Not??rd ?? arr initia 4) =TPANI'/(7,r,IM (PLEASE PR i) N7ME: ADDRESS: CITY, STATE, ZZP: Pxo:rc: nBj-?s144) 5) INDICATE WHICH PWCONNECTION T IS BEIIVG RF?UESTID: 'IO CITY SF,Tr1ER J;?,CO:.".dF]CPI01N TO CITY 4VATER ? (71'['.ER (PLEASE DESCF2IBE) 6) =DIC,1E 0:,E: a,??J PL a-,SE E?OID APPROVID PER.'KZT FOR PIC.i:-UP BY 0[QE OF ABCT,IE PLE.=+SE :IAIL APPRMc"'D PERMIT 'IY) 1, 24ABOVr-, (Circlti?one) 7) SI=?L'RE: DaTE: F O R PERMIT ° ISSUED ?-? C I T Y U S E O N L Y FEES: $ S ?a_ sa S $ $ ?L 7 e $ $ S $ $ $ SE?':ij DrA\iT?^ T", t ?y_ C:...1iL WATER PERf1IT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE RE.`-,vER WATER TAP ( I.ICi.UDE CORPORATICV S:OP ) SEWED TrP ACCOUNT DEPOSIT - =1:ER ACCOUNT DEPOSIT - WATER wac SAC TRUNiC ?VATER ASSF'SS:4E;IT TRUN?C SEWER ASSES5.IENT LATEP.AL BENEFIT/TRUNK SE:IER, LATERAL BEVEFIT/TRUNK WATER OTHER $ TOTAL $ 1a•O--° AMOUNT PAID/RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLZC RIGHT OF WAY? ? YES IF YES, THEN A"PERMIT FOR WORK WITHIN ? PUBLIC ROADWAY" MUST BE ISSUED BY THE NO E[VGZNEERING DIVISION_ LIST AS A CONDI- TION. SUIIJECT TO TfIE FOLLO!IING CONDITIONS: APPROVED BY: ?l cf ? c) TITLE: ?? DATE: a- - 84x MR sr MLs ??ine sumsc= Me qpw?fw w?a +4 ag wagrng wm ta mwse fr w?xqp jpcvw ia mAn pge, 4 CertiPicate Por: ° Svend Peterson Bk: 67/6 ? 4701 West 110th Street , 81ooMington, Mn., 55437 DELMAR H. SCHWANZ LANDSURVEYORfr, IUC. ReqishroE unGm lawt of TM Stab of Min?fota 116TH STREET W. - BOX M ROBEMOUNT. M1DWIESOTA 86Q88 / PMONE 812 423-1789 SUHVEYOR'S CBRTIFICATE I L AKE PAK,? ?a ? Rr ? n??R 8 ?30, oa N S7 -/? - Sv / i +?PIN„g ,o ' 7cPGuRB 921. 5' 9zzs ? ?• q QI. 30 0 I° , o l y? b ? TnP NUB p ? T I ? S5!o q?$ 39.67 ' • ?+'•" lD?z.?3 "-? . Propoaed Rl ? 3Z i(3araSe ?( 3z b T HO1168 ? o i9 8 sy0 rvNWffl I M? iqyi, 70 92y N 9s39 ? ? 6 i? I " 2 r? ? Lot 3 Block 2 Drainage and Utility Easement ? Scale: 1 inch = 30 feet ? C, llenotes iron monument 911•6.'.Denote8, exieting elev. OI Denotes set wood hub ? J 0 Denotes propo8ed elev, 1r9 6 Proposed garage floor elevation . I hereb,y certify that this is a true and correct representation oP T,ot 3, Hlock "L, LAK-E PARK SHORFS, according tn the recorded p3at thereoP Iiakata County, Mirznesota. P.lso showing the lacation oP a proposed house as staked thereon, June 13, 1984, T NIINNESOTA REGISTRATION N0.8825 (/ J ..r . r ' . EXTERIOR EYNBLC?E AVERAGE "U ' COi7FUTATI0i3 0WNER V. `/?L- % i-=?S ?`i? C?c>it?a SITE ADDAESS /_- '3 -' UC CONTRACTOR J? iP, DATE___ . -?Tr-d'v Determine vrorking square footaoe of each. il 1. Total exposed wall area .. .. v9eY57- sq. ft. x o z.? 2. Total roof/ceiling area sq. ft. x'9'r ???72•l/0° T Total exposed wall area above floor = a. Total wall vrindow area ................. 96. b. Total door area ......... ...... ,3 S' c. Total s-l?glass area ....... 3?/ d. Total fireplace vrall area ....... . Wc e. Total wall framing area (average f. Total net wa1Z area above floor ........ 1-9--34L g. Total rim joist area ................... f y.-L Total exposed foundation area = h. Total foun3stion window area .......... /-? I. Total net foundation area above grade .?? Determine "U' value of each wall segment. a. /i? x "U" O.ss = e8 b. .?& X "U" C.^• ,?„? _ ? i c ? X TTU:: f%..5'ti;' = 30 D._ .?? X g "V ,. ,' G = ..C,2 ? 3 e. U O, i9 , f. J9 3?. X "U `; ri 0 = S7 g • iy ; x "U 0. ovs h. i,z X ;'U' D, ti 5 ° 7 I. 3-',. X ?:U?, p.(Y ° .>` .Total = 1 10 x 3 ........................................... If iteM .#3 is tne same as, or less than item N1, you have met the in*ent of SBC 6006(c)2. ? dd ?l ..r7 ?,? , ,• r : Total exposed roof/ceiling area = ( ? ? 7 J. Total skylight area .. ...... ... c k. Total roof/ceiling framino area (average 10% ij?3 1. iotal net insUlated roof/ceiling area ....... Y Determine "V value for esch roof/ceiling segment. ? C? x ilUa z k. yn1 / ?n/ -// A v¢? 4 C?.??? 1. ?V7?-- l Tlii „?? a ?? ???. Y?J ? V / 4 .. ..... . .... . . ... . . ....... . . .? / ... . .• ' .Total If total of {'4 is the same as, or less than #2, you have met the intent of SBC 6006(c)1. Alternate Buiidiiig Envelope DesiF,n To ut111ze the total envelope syster,. method, the values established by the sun of items #3 and #4 shall aot be greater than the sur.:.of items ;fl and r;2. 1. 21o.1(P + 2. 32. 1('0 = 3D2. 3Z x 3. 31Z 1 4. 22. 4s = ?34,45 x -110`!5 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 < ? ? Please complete forsingle family dwellings & townhomes/condos whcn peimrts are required for each unit ? 5 c) Date I C) / ?5 / -45 Couv E Site Address '-I 5(o1 n L cA4 & k/44,4? Unit # Property Owner l''l /) p ?- i- y- i4- v) Telephone #((a51 )L450- u. 3al 1 Contractor Strcct Address C)1 1-] QtC.'6n Aut.- i City pa r? .,qlon Statc (Y1i,?tii-_667- a Zip 'S,56_QL4 Telephone# ((a$j ) ?I ?r> (cOc?a Bond Ezpires: The App6cant is _ Owner _V?_Contractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 ? furnace _Additional ? Replacement ? air exchanger v"? airconditioner V? _New _Replacement / th ? N ? o er v.-., ? rtf .- State Surchazgc $ 50 Total $ !.3 i?:.Zo I hereby apply for a Residential Mechanical Permit and aclrnowledge that the information is complete and accurate; tltat the work will bc in conformance with thc ordinances and codes of the City of Eagan and with the Mechartical Codes; 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 m the case of work which requires a review and approval of pl Applicant's Pri d Name A Ys i riafure Use BLUE or BLACK Ink F----------------- I For Office USe/~ ~f I I Permit City of Eap I ~ = I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 j Date Received: 'Z j Phone: (651) 675-5675 j 1 1 Fax: (651) 675-5694 1APR 12 2010 " I Staff: I I I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION CaMd 4113 Date: D Site Address: C'4~(p(o Lo K~ 'P64 K Cou y~ Tenant: J~vgP_I' e_ .ee; F za`-,_C_VV Suite RESIDENT / OWNER Name: ky Devi r~~ E`,b`-re_'R rPhone: 45-1 "Vrq- V391 Address / City / Zip: y~rro~ ~Lr/c C®vfr G~yci n Applicant is: Owner Contractor TYPE OF WORK Description of work: &e,,.,n e,,,- Construction Cost: 19, q®ZS Multi-Family Building: (Yes / Noey_) CONTRACTOR Name: Weo-c 4~~1S-r uz;! -~o-t ~ G. License ~0ga(o$ LGtST ( lcs fir: vL City: , e Address: )0(02s- State: /0.,,V Zip: Phone: (o~J l - y 9 '7 - ®9<0 3 (~(~nu rt e! ~ e Contact: W00 667- q91-04 Email: W fo 7-d; n C. COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: 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 the 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.om 1 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 wo is not to start without a permit; that the work will be in accordaWe with the approved plan in the case of work which requires a review and approv f ans. x ! f'rGC vV~v1 x Applicant's Printed Name Applicant's Signature Page 1 of 2 f DO NOT WRITE BELOW THIS LINE 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 x Lower Level _ Pool _ Miscellaneous Accessory Building T 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 ` Occupancy MCES System Plan Review Code Edition _ SAC Units (25%-100%4 Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction fill Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC 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 Meter Size: Radon Control Erosion Control Reviewed By: I L , Building Inspector RESIDENTIAL FEES Base Fee Surcharge tooM Plan Review t MCES SAC City SAC fA 69 Utility Connection Charge / S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 2 Use BLUE or BLACK Ink For Office. Use, Permit#: City of Eano~a~ I Permit Fee: 3830 Pilot Knob Road I Eagan MN 55122 I Date Received: I Phone: (651) 675-5675 I I Staff: Fax: (651) 675-5694 L _________________I 2010 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: ' y 16 Site Address: ~ 51 b Ak 45- ? A-` -T Tenant: r Suite M RESIDENT / OWNER Name:-go 6 Phone: Address/ City/ Zip: S L i ~a CONTRACTOR Name: L ~&Tucense - Address: 0,4 0) a~ City: Ff ~Y'M (f € ^ ~j, ~ State: $A It Zip: Phone: !F~- ~ 3 ~ Contact: "a L5- Email: A - r 2 C:7' Pc C r L TYPE OF WORK 4 ,/New _Replacement -Repair _Rebuild - Modify Space - Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Wat r Softener Water Heater Lawn Irrigation RPZ PVB) Add Plumbing Fixtures Main / _ Lower Level) Septic System Water Turnaround New Abandonment 742 RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) *Water Turnaround (add $166.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) 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.clopherstateonecall.org I hereby acknowledge that this i rmation is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand th' is t 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 appr ed pl in the case of work which requires a review and approval of {plans. / X L:::, X XY/T 445 "x Applicant's int d e Applicant's Signature" FOR OFFICE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test _Gas Test Final PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA092095 Eagan, MN 55122 . Date Issued: 11/18/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4566 Lake Park Ct Lot: 3 Block: 2 Addition: Lake Park Shores PID 10-44200-030-02 Use Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: huprovements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Crew2 Inc Roger W Eichten 2650 Minnehaha Ave 4566 Lake Park Ct Minneapolis MN 55406 Eagan MN 55123 (612) 276-1680 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 PERMIT City of Eagan Permit Type:Building Permit Number:EA122688 Date Issued:05/15/2014 Permit Category:ePermit Site Address: 4566 Lake Park Ct Lot:3 Block: 2 Addition: Lake Park Shores PID:10-44200-02-030 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 . William Krech 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 - Roger W Eichten 4566 Lake Park Ct Eagan MN 55123 (651) 454-4391 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature