4561 Lake Park Dr
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. CASH RECEIPT •
CITY OF EAGAN
P. O. BOX 21-199
EAGAN, MINNESOTA 55121
DATE 19
Rcceivao
rr+dM
AMOUNT $ I
DOLl.ARS
1 oo
? CASH ? CHECK
FOR
J "J/ &12' 0
White-Payers Copy
Yellow-POSting Copy
Pink-File Copy
Than You
BY
CITY OF EAGAN . q?'j24
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 C-1 L%
BUILf?NG PERMIT
' nwr-/cAR
Site Address .
a
Lot
Percel No. _
ctiia nnn
? Name '--?---
Z Address
? City Phone
o Name `T • E • PARRANTO
zu SIBL MEM
u? Address
?- Citv EAGAPI phone -
Name
I hereby ocknowledge that I hove read
the informarion is correct and ngree
State of Minnesota Statutes,-and City
Sipnature af Permittee
A Building Pertnif Is issued to: -?
oll work shall be done in atcordonte(v
BuildinQ Officiol
Receipr #
.,_._ OCTOBER 18 .,, 84
Erect ? bccupancy R3
Remodel ? Zoning H.L
Repair ? 7ype of Const. V
Enlarge ? No. Stori
Move
? 5
Length
Demolish ? Depth 4-2-
Grade ? Sq. Fi.
Approvois Fees
Assessmenr _
Water & Sew.
Police
t . 0
orga 4.00
check z 3 . 0 0
Enp.
Council
and stote thaf Bidg, off, 10/18 f 8
all opplicnble APC
b ces.
- Var. Date
SAC 525.00
Water Conn. 470.00
Woter Meter 63.00
Road Unrt 260.00
Parks
Total $2, 094
•
?
on tha expreas condition thar
•a Statutes ond City of Eaqon Ordinances.
Permit No. Permit Holdsr Data
Plumhing • ? ? Yi ? ?/ ;f
H.V.A.G. C Y1 e( 1. fI ' :? ?!
Electric
I?Q r?b ??-? + U+L `?? f d
&oftener
Inspection Date Insp. Other
Footingg •? -
Foundation S,
Framing
Raugh P16g.
Rough HVAC
Insulation 7?s7 r
F;nal Plbg.
Final HVAC
Final
Cert/Occ.
Water Describe Loca
- ? ?' -
-/?
wali ?il•?
Y
Sewer !
Pr. Disp. `-
'?. . ?: .
BUILSINC?PERMIT
To be used foP DZCK
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Receipt #
Site Address 4561 LAM lARK
Lot 3 Block ? Sec/Sub.
Parcel No.
W Nart
? Add
Clty
Phone
o Name "?
?? Address
City Phone
Name
Address
City Phone
I hereby acknowlege that I have read this application and stale that Ihe
in(ormation is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. ;
Signature ot Permitee
A Building Permit is issued to: DON OR SYI.VIA HAU],A
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
,
Building Oflicial ;
. ?
r d
`'a
1991_
OFFICE USE ONLY
Occupanq M-Z FEES
Zoning _
(Actual) Consl _ Bldg. Permit 23,00
(Allov+able) - Surcharge .50
# of Staries
Length 17 ' Plan Review
Depth SAC, Ciry '
S.F. Total _
SAC,MCWCC
S.F. Footprints _
On Site Sewage _ Water Conn
On Site Well - Wate( Meter
MWCC Syslem _
City Water _ Agct. Oeposit
PRV Required - SMI Permit
Booster Pump - Syy Surcharge
Treatment PI
APPROVALS Road Unil
Planner
CounCil - Park Ded.
81dg. Off. --
_
CoPies • ?
Variance - TOTAL 26•00
' Permk No. Pennft Hdder Date Telephons *
WATER
SEWER
PLUMBING
H.VAC.
ELECTRIG
Mspectlon Qate insp. Comments
Footings I
Foundation
Framing
Roofing
Rcxigh Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orstat Tesi
Final Pibg. Plbg. Inspeclor- Natify Plumber
Const. Meter
Engr.IPlan
Bldg. Final
Deck Flg.
Dedc Final =
K
Weil
Pr. Disp.
Recsipt MECHANICAL PERMIT Permit No.')
CITY OF EAGAN Fee _a; ? • ?v
?
Fr!l in numbered spaces S/C
TYpe or Prrnt/egibly ` -
J Tot.
1. Date 2. Installation Cost _ y"' 1 <.1,,
3. Job Address '11?eV Lot Blk. ? Tract ?
T, 7?? '
4. Owner I.,LC
5. Contractoc ?? ?.? [- f ?? ? • ?'; ' G Phone 6. Address
7. City - ' State , Zip )- ?
?
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New/(3 Add ? Alter ? Repair ?
10. Describepk Fuel Type
f ? `
11.
No.
? Equioment 8TU - M. Ea.
Forced No. Equipment CFM
Ai
N
dli
Mfg. r
an
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
? _
Air Cond. /-Y,=
Mfg.
Gas, Piping Outlets
12. I helby4rtify *?at the
Rough
and correct, and I agree to
is type of work.
for
Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt ? PLUMBING PERINIT Permit No.
CITY OF EAGAN -
' Fee Fill in numbered spaces S/C w J?!
? TYRe or Prin[ legibty j Tot.
1. Date 2. Installation Cost
3. Job Address -'r':: G ! = ` ; k• ! if. Lot _ Bik. ? Tract
:
4. Owner 1-t::
5. Contractor 1_ r 1 Phone ¢5-:i
6. Address /A
7. City State 1-1._t Zip
8. Building Type: Residential 10 Commercial O Institutional ?
9. Work Description: New B Add ? Alter O Repair 0
I 10. Describe
? 11•
No, Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
-?- Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other',,;; : J.;
i
Laundry Tray .
I Floor Drains
E
Drinking Ftn. i _ n AL
?q
Slop Sink
Gas Piping Outlets '
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : - for
Rough Final
Inspectiont: Date Insp. _ Date Insp.
This is your permit when numbered and approved.
Approved _ CITY OF EAGAN 454-8100
CITY OF EAGAN WATER SERVICE PERMIT
3530 Pilot Knob Road
P. O. Box 27199 PERMIT NO.:
Eagan, MN 55121 DATE:
o^i?+g: No. of Units:
Owner.
\.
/?dress.
i ?'vq
,XSite Addrcss: .
= .
Pltanber: 7 U 1 I 18S
nnace, N.: 3? 9 a ?y ?? c??,?;?R?, ??:
stze: ?? ? b?`` o??a,r?r vepostt:
ReCder Ne_•
T-- Permit Fee.
I qroe M oomplq wfth !ha City af Eeqsn Surchorge: .
awIMRCq. MI9C. CEIOfgCS: ., . . -
Z
? Totol:
BY
-6 Dote Paid:
Dntt of Insp.: r/•Z Insp,;
CITY OF EAGAN WATER SERVICE PERNUT
3830 Pilot Knob Road
; P. 0. Box 21199 PERMIT NO.:
i Eagan, MN 65121 DATE: `"
? zo^i^D: 1 No. af Units:
? Owner. Y EPa r z a nze
Address:
Site Addrcss. `;56I LaLe Par'l. T); ive }15 ? l I,a1ke Par?_ S?icres
Plumber:
14kter No,: Connedion Cherye: '° .?0 pd r
Sixe: Aocount Deposit: 15.00 ?
Reader No.: Permit Fee: I 0• ? pd
1 egm to oomPly wkh Hia City ef Eegen 5urcharge: .50 $c'; ,
OraNO11Cm MiSC. Chorges:
Total:
BY Dote Poid:
Dote of Insp.: lnsp.:
CITY OF EAGAN SEVI/ER SERVICE PERMIT
3830 Pilot Knob Road ` 117 2
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE: 10-I9- 4
Zoninq: R1 No. of Units: 1
pw„r. JE Parrarnto
Address:
Sire Address: 4561 T.ake Park Drlve LS H1 Lake Park 5hores
Plumber: WenSCl
10-18-84 47124 •
1.or.. te eenNl?r w1el? Nu Grr .i Eo*s. Connection Cho?e: 425. 00 pd
OrAlMnoa. /1ccour+t Deposit: 15.00
P
Pem,tt F.e: 10.00 p
SurcharQe: .50
?
BY Misc. Charpes:
Dote of I nap.: Totoi:
I nsp.. Dote Paid:
CITY OF EAGAN Remarks
Addition LAKE PARK 0DITIfflgb-0TeS Lot 5 eik 1 Parcel #10 44200 050 01
Owner screet 4561 'T,&kq' Park Drive State Eagan, MN 55122
improvement Date Amount Annual Years Payment Receipt Date
STREETSURF, A 1982 2 2, 2 0. 0 505.92 A0155$3 -- 5
STREET RESTOR.
GRADING
94-61 94 , 14 rt +i
SAN SEW TRUNK sne
?SEWER LATERAL 271 . 1
WATERMAIN
,yVATER LATERAL
WATER AREA 1 . O4
STORM SEW TRK 5- 542.
,STORM SEW LAT 1991
?
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 260.00 #47124 10-18-84
WATER CONN. 470.00 1? T?
BUILDING PER. #9624 "
sAC 525.00 " "
PARK
CITY OF EAGAN N? 9624
3830 P"I K P
. ? ot Trob Road, .O. Box 21•199, Eagan, MN 55121
PHONE: 454-8100
BUILC?NG PERMIT Receiot #
Tybe uted fer SF DWG/GAR Est. Value $118,000 0O1e OCTOBER 18 1y 84
SiteAddress 4561 LAKE PARK DR Erect 99 Occupancv R3
-
I.ot 5 elock 1 Sec/Sub. LAKE PK SHORES Remodel ? zoning T
Percel No. Repair ? Type of Const. V
Enlarge ? No. Stories
? Name STEVEN PARRANTO Move ? Length 59 -
= Address 4573 LAKE PK DR Demolisn ? . Depth 42
9 city EAGAN phone 454-6463 Grade ? sq.Ft.
o IN,rn, J.E. PARRANTO ASSOC
i? Address 3908 SIBL MEM HWY
? c;,y EAGAN pho„g 454-1600
Name
City
Phone
I hereby ocknowledge thot I have read this application and stote that
fhe inlormotion is correcf an ogree fo wmply with oll opplicoble
State of Minnewta Statutes City of n Ordinance:.
Sipnofuro of Permittee j? ?-?-
A Building Permit Is issued fo: •E. PARRANTO IT
oll work sholl be done in accordarxe ithpll pooliwble te Mf,
Approrola Faes
Assessment _
Woter 8 Sew.
Police -
Firo
Enp.
Planner
Council
BIdg.Off. 1jI8 8
APC
Var. Date
Permit 9 V
$urcFwrge • 00
Plon check Z39.00
5nC 525.00
Water Conn. 470e00
Woter Meter 63 •QD
Road Unit 260 _ 00
Parks
Total :?Z, U94 - 6U
on the axpreu condiMon Ihar
Stotures ord Ciry of Eayan Ordinances.
Buildirp Official
BUILDING,PERMIT
To be used for DECK
Value $1,000
Site Address 4561 LAKE PARK DR
Lot 5 Block 1 Sec/Sub. LAKE PARK SHORE;
Parcel No.
w IName DON & SYLVIA HAKALA
o Address 4561 LAKE PARK DR
Ciry EAGAN Phone 626-5059
o Name SAME
g? Address
City Phone
Ww Name
Address
`aW City Phone
I herehy acknowleqe that I have read this application antl state that the
inlormalion is correct and agree lo comply with all apphcable Stale of
Minnesota Statutes and Ciry of ga?Ordin ?
Signature of aermrtee 5
A Bwlding Permit is issuetl ta6/DON OR SYLVIA HA A.A
on [he ezpress condition ihat all work shall be done in accordance with all
applicable State of Minnesota SptaWtJes and City of Eagan Ordinances.
HuildingOilicial ?, Ifl Il fIA.L11L?
' T
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
N_° -19039
Receipt # c 13 ?L^ 7/
Date MA7t 10 , 19 2
OFFICE USE ONLY
Occupancy M-2 FEES
Zoning _
(Aduaq Const -
0
Bldg. Parmil 25.0
(Albwable) - Surcharge .50
N ol Stories
Length 17 ' Plan Review
Deplh 14 ' SAQ City
S.F. Total - SAC, MCWCC
S F. Footprinis _
On Sne Sewage _ Water Conn
On Site Well - Water Meter
MWCC System -
City Water _ Acct. Deposit
PRV Required - S/VJ Permit
Booster Pump - SM/ Surcharge
Trealment PI
APVROVALS Roatl Unit
Pianner - Park Ded.
Counnl
BIdg.Off. _ Copies .50
Vanance _ TOTAL 26.00
? ?
• • .
w 1
ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
INCLUDE Q SETS OF PLANS,
CERTIFICATES OF SURVEY
? SET OF ENERGY CALCULATIONS
To Be Used For: s',F J???wL¢? ?? ?L?aluation: 4nr&&- Date: 067- /?? /WV
Site Address: 5?'5-e/ I Ig,?? ? • •
Lot:S- B1ock:_4_5ect/Sub:<;
ct: Occupancy: 9_3
Parcel #: ?
eihodel: Zoning: pl-I
Repair: Type Of Const:
c ?.
Owner: , f LZL'x/ a ?/4lZiZa4NZ Enlarge: # Stories:
Move: Length: ?
Address: Zi4ga:??pe Demolish: Depth: 4L
City/Zip Code: L-7?),Ly4,a/ Jy)Af, Grade: Sq. Ft.:
Phone #:
contractor:
Address: 2?J'?{y r; lOLty Zn12:74 4tu ly Assessments: Permit: Q
Cit Zi Code: L-
Y? p Water/Sewer:
? Surcharge: 59.°'
" Police: Plan Rev.: 23q.°-'
Phone #: YS`y- / 6 OU Fire: SAC:
Engr.: Water Conn: 410.a
Arch./Eng: Planner: Water Meter (03.s.
Address: Council: Road Unit: 2G0_'
Bldg. Off.: Parks:
City/Zip Code: APC:
nr,.,..?4. ?'?'4'/ /0_(J_?4 J ? )?v?`I variance: ? ?? ?9yl7?0
34??52n54 = S140?
33?xsq = I6 (?4
24 l? Ze) -T:?G 2
Z? x 34 =?8? x??? 4U4Z?
I 1? ?-7o
476•00+
59•00+
239 • 00 +
S25•00+
470 • 00 +
63•00+
260•00+
2r094•00*
I
REQUEST FOR FLECTWCAL INSPECTION ee-ooooi-oa
, See iineruetians tor eovVbtiWlbs fom on ?ck o, y,llow cooy.
A ?'I K"'X" Be/ow Work Covered'by This Request
Add Rap. Type oi BuslAinp AWiisKes lyiretl Equipment Wired
T Home RaiWe Temporarv Service
p Fea ServiceEntreneeSiza M e Foeders/SUbFeeders N Fee Circuita
Oto200Am Om30 AnW Otn30Am
Ahove 200 qm 37 m 100 Ar?s 31 to 100 Amps
Swimming Pool Ahove 100_Am s A6ove 100_Am 5
Transformers irtigatian Baorrs Partial-'Other Fee
" $ di1
/// TOTAL
1, the EIeCVic'al
InsDactor, hereby
certrty thet tha above
inapection has been
mnaa.
This requesl wid y g ?-z
18 months (rom'
A 0R11 707 =5 ?? tk
a ?slg?i
iU.UG
R Oate
?
4 fire No_ Ibupl?in Insvection
I?puir¢d?
ONeaay Nuw Q W1II NoufY Inspec-
DYes ?NO [or When fleatlY
Llcensetl Elecvical Contrac[or I hoepy ntct.eat inapacbon ot above
? Owner e1ee4ieel work inslallatl at:
Street Address, Box or ib
No.
C itY ?y ?? ?
5- ;l
? 1 ?
•
ection o. Towia i Name m No. 11aepe o. Counly
Occ nt IPRINT) yPh?oJ (?e NUo. • /
/?
O
(.!
Power Supplier AAp?ess
?
Elec[rical Gy?nyaepq?(
1J m?M1Y'N'TRTC
+s
•?? ? x
SL
i? CoQtrac r s license No.
/
'?
i1L,1tl -
?
. . ,s
7 ?
/0
?=v
p T
MailinB Address (
E VALLEY MN 55124
Aulhorized SiOmhR (Cannactor Owmer Making Insiallationl Phone Number -
MINNESOTA STpTE BOApD OF ElEC7RIGf/Y THIS INSPECTION REQUEST WILL NOT
Grigps-NidweY Bldg. - Room N-191 BE ACCEPTED 8Y THE STATE BOAHD
1821 UniversitYAva..St. Paul, MN S5104 UNLE35 PROPEP INSPECTION FEE IS
?? 111117k 297?11111 ENCLOSED.
REQUEST FOR E1.ECTRIGLL INSPECTION ea.aoooi -oa
- ' 8ee imtruet:maa b completiag Lria fmm m enck oi vel low coov. ?l ) p Y
A nQn r] nA "X" He/ow Itloik Cowered by This Request
NwIlAddlReu.1 Type ol Buiidine 1 Apoliaews Viretl ? EquiOmBnt Wired ?
Buik Mi
# Fee ServieeEntaateSixa p Fea Feedars?SUbTeeders % F e C.rcu'ta
U tu 200 Anips 0 tp 30 q ? 0 to 30 Am s
Above 2_A 3a ta 700 Ar?s l, . t10 31 to 100 A s
Swimmin Pooi Ahove 100_Am s Above 100-Amps
Tram#( mers tlnrigatianBOOms Partial,'OtherFee
?/P) +PU 0igx; I I ISpecial lnspectton I?Et`? ?' 1
Nemerks ? .J TOTAL FEf?y 1-0
ibWh-in ? `--?
i, Ihe Elactrical
? Inspecbr, hereby
/ cer dy that the above
Final e ?4- 7 spectmn has bae.
This request void 1?-Z ar s ? E y
18 upnths from
A 08 0 70 4 LJEe PK'
pegu?s ?ate F re A1o- IAS?YMfrn M1spect, u"v ?Neady Nuw [?W*Ff NotAy Insoec-
? es ?No 10r When Ready
Ukricemed Electrical eoMracior I ryeFayV raymgi InsDection of above
?Owner elaevical work inslalled et:
Str¢et A , Box or R. e N
1 ?• Citv.?
1 "
? ?
cnan o_ Town5hi0 Neme m No. rge No. Lounty
Occu [PRIllj) Phane No.
Pow¢r SaPPIi a Adyesy?
EI¢c,[rieel CoMractw CPFPD?Y `
?s? ?? ?4
?
?E Co ractor's L?ense
No.
?oa
?
Ma??i
Addp?S?Y?`3?+
1
?V 1 G
Authoriz 1 tracta Owner Wkinp I.svila[ion) Phone Number
YINNFSOTA STATE HOAilO OF EIECTMICTf TFIIS INSPECTION REQUEST WILL NOT
GriggsAtitlwey Bldp. - ibpn 11-191 BE qCCEPTED 8Y THE STATE BOARD
7821 UniveraityAVO-. St. Paul, NN 55704 UNLES5 PROPER INSPECTION FEE IS
I IRyll ?,1111 ENCLOSED.
*?**?**?*****?**?****************?***?*
CITY OF EAGAN
11
CASHIER: JS TERMINAL NO: 763
DATE: 09/11/00 TIME: 09:14:40
ID:
NAME: DAVID WEBB CONSTRACTORS INC
3210 9001 4561 LK PARK DR 111.25
2155 9001 4561 LK PARK DR 2.50
Total Receipt Amount: 113.75
CR137194
USER ID: JAN
1-1
Name: A ` / q hi A fi' Y/ Phone #:
Laat Flrst
D 3 repistered fite wnsys showinp tq. ll. of bt, sq fl. of houte
and gH roofed areas LZO'r6 mmximum bf covamae olloweN
> s cowe• a Warn cuww eeorn a winaow saes; aoured ma. deag,: erc.>
? t set a en.rpy caacwanoru
a 3 coples ol hae presenatlon plan H lot pWtled aRer 7/1/93
DATE: ()
DESCRIPf10N OF WORK:
STREET ADDRESS:
2000 BUILDING PERMIT APPLICATION (RESIDENITIAL)
CIn OF EAGAN ? ' 1 ?
3830 PILOT KNOB RD - 55122
651-881-4875
Remotlel/Reoalr Reauiremenh I - O
LOT: ? BLOCK: I SUBD./P.I.D. Y:
Name:
PROPERTf
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
prI
ciy f? s1? /I sta?e: Lp: ,S
Sheet
Company: U?/ ?vv'Pb,7 ?` ??T2 ? Phone 0: G/ ?- J l? ?00'i?
(area code)
Sheet Addreu: 0 Ucense q,b HL Z Fxp.3-31 J/
CHy / `, cG, l'LY" State: /4? Zip; S`.S?ZI2-3
Company:
Telephone i: ( )
Sheet Address: Re9iskaflon Jf:
CHy
.
.15
UO
zcopi..of aa,
1 set Ot enerpy cdculatlons fa heCf9d pOdlMOna
i aite wrveY 10f extaAOr adtliHOna R tlecka
CONSTRUCTION COST:
State:
SeweNwater licensed plumber (H installina seweNwaterl: Ph°^e #:
1 herebY acknowledpe fhaf I have read this apPlicalbn, aFate that the
of Minnesota Sfalutea and CMy of Eagan Ordinances.
Signalure of Applicant
Lp:
wNh aU appAeable Stade
SEP g ° 2000
OFPICE USE ONLY
Certfficates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
0 01 FoundaUon ? 07 05-plex
? 02 SF Dwelling O 08 06-plex
? 03 01 of _ piex O 09 07-plex
? 04 02-plex ? 10 OB-plex
? 05 03-plex O 11 10-plex
? 06 04-piex ? 12 12-plex
WORK TYPE
? 31 New
? 32 Addition
? 33 Alteration
O 34 Repair
O 13 1&plex ?
0 17 Garege ?
? 18 Deck ?
? 19 Lower Lsvel ?
Plbg _YOr_N O
O 20 Pool ?
21 Porch (3-sea.)
22 Poroh/Addn. (4-sea.)
23 Porch (screened)
24 Srorm Damage
25 Miscellaneous
30 ' Accessory Bidg.
O 36 Move Bldg. O 43 Reroof
? 37 Demolish (Bldg)' ? 44 Siding
? 38 Demolish (Interior) ? 45 Fire Repair
? 42 Demolish (Foundation) ? 46 Windows/Doors
• Give PCA handout to applicant for demolition pertnit
'GENERAL INFORMATION
SAC Code
No. of Units
No. of Buildings
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
W idth
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq.ft.
MISCELLANEOUS INSPECTIONS
O Stucw/Stone
APPROVALS
Planning Building
Permit Fee I % ?. 'a- `
Surcharge
Pian Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
5/W 5urcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total: I (3
sq.ft.
sq.ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
_ Engineering Variance
Valuation: $
? 31 Ext. Alt - MuW
? 33 Ext. Alt - SF
O 36 Multi
SAC Units
% SAC
3ygs?
n.
1999 FIREPLACE PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD - 55122
651 681-4675
Date: )I- 6-91
Description of Work: Construct new fireplace Gas Masonry Alterations to existing
Install pas insert onlv n ` X-- Install 2as line on1_v
Other QJ)
/ 19 r . _ ? ? ..
Job address:
Lot: ? Block: Z_
Subdivision/f'.I.D. #: 24
Applicant (circle one only): Owner Contracto
Permit F : $60.50
Name:Q f a.. OQ n t
'(/IV1A- Phone#: (pSf `(S'7- 77,21
?
PROPERTY ast First
ONVNER
Street
Ciry State: Zip:
Company: G88 LiIIe Plus, IIIC. Phone #: G? 1'? I?" -?a O
4806 Bntledge Street (area code)
FIREPLACE Prior Lake, MN 56872
INSTALLER Street Address:
City State: _ Zip:
Company: Phone #:
(azea code)
GAS LINE
INSTALLER Sffeet Address
Ciry State: Zip:
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 Ord' ances.
a
9
S a e
cirr use oNLr
L ?BL RECEIPT#: y 3 13
t a
SUBD. S,\A0j1y` RECEIPT DATE: -2J - ?- ? G
PERMIT# 9 J
2000 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PIIAT IQIOH RD
EAGAN, DIII 55122
651-681-4675
Please complete for: ? singte famiiy dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
EACH N
TOTAL
Alterations to exi ting dwglling - minimum fee
Describe: ? -< -c ,Ai, $ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas piping outlet ' minimum - t 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry trey 3.00 x = $
Lavato 3100 x = $
Septic System newlrefurbished ' requires MPC Ile. 75.00 x = $
Se tiC SyStem abandonment 30.00 x = $
RPZ new installatioNrepair/rebuild 30.00 % _ $
Rough opening 1.50 x = $
Shower 3.00 x = $
Underground sprinkler if dwalling is under construUion 3.00 x = $
Under round sprinkier if existing dwelling 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 existing dwelling 30.00 x = $
Water turnaround 30.00 x - = $
State Surcharge .50 -> -> -> $
7otal -> -> -> ---> $
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
---• •---------------•----------------•-•---•--------------------------•-----------------------------------------------------------------
1 hereby adcnowledge that I have read this appliwtion, state that the infortnation is cortect, and agree to compy wi[h ail applfwble City of Eagan orclinances.
It is the applicanPs responsibility to notify the property owner that the City of Eagan assumes no liebility for any damages caused by the CRy during iGs
nortnal operational and maintenance adivities to the facilities construded under this permit within City property/right-of-way/easement.
SITE ADDRESS: 2 -
OWNER NAME: : P` k ALI< TELEPHONE #: lo S? ???? ? W 7? I
(AREA CODE)
INSTALLER NAME: zn 1 TELEPHONE #:
^ _-----.. (3CREACODE)
STREET ADDRES
CITY: STATE ( v' ZIP:
X-A
w SIGNATURE OF PERMITTEE
' C[TY USE ONLY ?
LOT 5 BL ? RECEIPT #:
SUBQ-? ?GLti.K Ui,i, RECEIPT DATE:
.,--?
1999 M£CHANICAL PEftMIT (RESIDENTIAL)
ctrY oF EAsAv
3830 P[LOT KNOB RD
f.E4fiAN MN 55122
(651)681-4675
Date:
Complete this section onlv if you aze installing HVAC in single family, townhomes or condos under
construction and not owner /occupied
• HVAC: 0-100 M B T U $ 30.00
ABDIT.O;:AI, 50 M BTU 6.00
• Gas outlets (minimum of one required @$3.00 ea.)
• State Surcharge: .50
• TOTAL:
Complete this section only if you are remodelin,a, adding to, or repairing existing single family dwellings,
townhomes, or condos. Please indicate if it is a new item, replacement item, or repair.
New ? Replacement
_ Repair _ Other
,,?<Umace
_ Air exchanger, i.e. Vanee system, etc.
Renrinder: Ca11681-4675 for inspections.
Air conditioning
Other
$30.00
State Surcharge: .50
Total: $30.50
SITE ADDRESS: ?? W \ -Z-JM 102t,L
OWNER NAME:--z1)S'f1\ PHONE #: ?S=1\.?=g1cZ?
PISl'ALLER NAME:-?\`E' "\o'?? LQ? dFIL? PHONE i#: L7.?kl-cn?,--v? ?
S"CREET ADDRESS:' k
CITY: ?A' nQ STATE: ? ZIP:
SIGNA'I'URE OF PERMITTEE
JS/FORMS BLD/MLCH PERMIT (RES) - 1999
1991 BUIL1 N ERMI AP ICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
M[TLTIPLE DWELLINGS
l
CONII4ERCIAL
:
2 SETS OF PI.ANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
_# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, SUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH $EQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN CDMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For; Valuation:
Site Address ke? (QJ /k- IYIUe,
Lot j Block ?
Paicel/Sub -Lftk, Pfix? 26oU
Owner L04k_f
Address 4S(o? L4X? ??IL? ? •
City/Zip Code
Phone 4Sq-q 1al ?I?2G o? ?
Contractor J?V-T -Mg
Address ?
City/Zip Code
Phone 3 S- ?oq
Arch./Engr.
Address
City/Zip Code
Phone #
YAY 0 " RECD
Date: 6-7-q (
USE ONLY
FEES
Occupancy Bldg. Permit 25, ov
Zoning Surcharge ,5x>
Actual Const Plan Review
Allowable SAC, City
# of stories SAC, MWCC
Length ?? yc/Y Water Conn.
Depth Water Meter
S.F. Total Acct. Deposit
Footprint S.F. S/w Permit
S/W Surcharge
On site sewage_ Treatment P1.
On site well _ Road Unit
MWCC System _ Park Ded.
City water Trail Ded.
_
PRV _ Copies .150
Booster Pump _
SUSTOTAL
APPROVALS Penalty
Planner Lot Change
Council TOTAL 11.00
Bldg. Off. ,p.5 Llopl
Variance
ow? agrees that all work shall be done in accordance with
(S gnature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
I
? 2/84
#)7 CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTIODT
(PLEASE PRINT)
1) PROPERTY ADDRFSS: y 5 G/ L64F
TFr3nr• DES(?tIPTION:
(Lot/Block/Sulxlivision or Tax Parcel I.D. Ntmber)
IF EXiS'7-0 ST°S.'CSf,, C?._? OF O°7^T_`7u v'T=i;?;G :?:•iIT
PRESE^]T SCi1IX:/PROPOSfD USE: J? R-1 SINGLE FAMII.Y
? R-2 DUPLEX (RTtiU UAIITS)
? R-3 'IC7WNHOUSE (TFREE + UT7IT5) ( UNTTS)
? R-4 APAR'INP[u'T/CONIDCMINIiM ( UNITS)
p cCDSAERcIAr,/?.-?oFFzcE
? uMusTRTAT,
? INSTITUTIONAL/GO?P
2) APpLICANT (PLEASE PRINT)
AII1ME:
ADnxESS:
CIZ^r, srATE, ZIP:
PHONE:
3) PZZ14BER
Nd\ME: '
PLEASE PRINT)
? FOR CITY USE OXLY
. ..
Z./
PLUNB
RS LICENSE:
ADDRESS: 3Np KENNEBEC DRIVE. EAGAN, MINN. 55122
Active
' CITY, STATE, ZIP: 452•1565 Ezpired
PHONE MASIER Q Hot?hl?R
e?rd
: PLUMBER LICENSE N 001445M2 .
lil -?%?i
a
4) OCC[JpANr/awmR (GtPLEASE PRiNT)
ADDRE55: •?S?zi„? ?r.S ? 3 -
CITY, STATE, ZIP:
PHONE:
5) INDICATE WHICH PERMIT IS BEING RqQUESTID:
? CONNF.(.TION TO CITY SEWER
? CONNECPION TO CITY ?IRTER
? OTHER (PLEASE DESCRIBE)
6) INDICATE ONE:
? PLEF.SE AOID APPRWID PERNLiT FOR PICK-UP BY ONE OF ABCx7E
? PLEASE MAIL APPRpVED PIIRMIT ZU 1, 2, 3 4 P,EpVE
? (Circle one)
7) SIGNANRE: i?,.??j,? DATE: ?G
/ /
.. .. .. .. .. . . ? .. : ..
F O R C I T Y U S E O N L Y
PERMIT " ISSUED
FEES: $ /n 5 U
$_ /D S O
$' 63.pZ7
S
$
$
l5 ?c?
$
$ `-(7()- UD
$ SZ j-?
$
$
$
$
$ SEWER I'ERMIT (I:4CLliDE SUP,CHARGE)
WATER PERP4IT (INCLUDE SURCAARGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLUDE CORPORATION STOP)
SEWER TAP
ACCOUNT DEPOSIT - SEWER
ACCpUNT DEPOSIT - WATER
wac
SAC
TRUNK WATER ASSESSMENT
TRUNK SEWER ASSESSMENT
LATERAL BENEFIT/TRUNK SEWER
LATERAL BENEFIT/TRUNK WATER
OTHER $ 1109 ") TOTAL
? r. .-^.
. . .:?ie..,-. - ... . "_' z`"•, ' +.
$ AMOUNT PAID/RECE.IPT.a.#
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
YES IF YES, THEN A"PERMIT FOR WORIC WITHIN
v' PUBLIC ROADWAY" MUST BE ISSUED BY THE
hTO £NGiii+c,ER.ING DIVISIQN. LIST AS A COP:DI-
TION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE: (
•t wan wi.
EXTERIO& ENVELOPE AVERAGE 'U' COMP[TfATION
OWNER S'I &-T/L: dJ
siTe nnnRess L?Y[?
nnTE ioI ?7IF3?
Determine wocking square footage o£ each
1. 1bta1 Ezposed Wall Azea ... 4- O sg.ft. x?? 2.-7 2?
2. 1bta1 Roof/Ceiling Area .... sq.ft. x.Qk- 34•37 7t
, JZ_to
1bta1 Exposed wood wall Area Above Grade
A. Total Mall Window Area ...................... (-p, O Q- .
II.
B. 1bta1 Door Area .............................. I. 40. b Z
II.
III.
C. Total Sliding Glass Door Area ................ p L
D. Total Fireplace Wall Area .................... I. I bO_ o a
E. 1bta1 Wood Wall Framing Area (Avg. lOB)...... I.
II. -
III.
F. 1bta1 Net wood wall Area Above crade......... 1. 1-79 q Z
II.
III.
G. Total Rim Joist Area ......................... I. Iq-p.? ?
II.
III.
1bta1 Exposed Foundation Area = lQ,p. 3?
H. lbtal,toundation Window Area ................. I. -
II. -
I. 1bta1 Net Foundation Area Above Grade........ I. 1401 Determine "U" Value of Each Wall Segment
A. I. , ?1e,04- X NUN .?7 = 5?.93
Ij• - X YUN
B. I. 4o2- X U. / 0(0CT
X "p"
III. % `U" ^- _
C. 1. 40-07- X NUo .JT . - I.}f.Io4
D. I. I L.O. o O X "U" ??p g = ¢R ?? ?
E. I. 14O X 'U" . O? = e2a. ??Z
II. 7( RU" ?-
III. X 'U" ?q
F. I. Q Z. X RUN Y
. D- - 1. b 3
II. 7( "p• _
IIZ. ? % 'U°
G. I. 10.0,31o X "U" • 04 = .S'? 1., !
II. 7{ •p^ _
III. x ^p"
X "U" _ ?.
I I . X ' U'
I. I. ? 40,X "Uw •( = r?o ?
3. ......................................... TOTHI.......
If Item t3 is the same as, or less than Item t1, you have met the intent of
SaC 6006 (02. •
Total Exposed Roof/Ceiling Area = ??a d?'
J. Total Skylight Area .......................... I.
K. Sbtal Roof/Ceiling Framin9 Area .............. I.
L. Total Net Insulated Roof/Ceiling Area........ I. ?? R 9 4sZ?
Determine "U" Val
J. X
x. x
L. 1 I cg 0(,x
a . .............................
ue For Each Roof/Ceiling Se9ment
wUs
•U' I -C5, '-13
"U' , VZr'J 7?-
TarAL .........
If total of t4 is the same as, or less than t2, you have met the intent of
SBC 6006 (c)t.
Alternate Building Envelope Design
7b utilize the total envelope system method, the values established by the su of
Items 43 and #4 sha11 not be greater than the sum of Items #7 and 2.
,. 47 k 2a + 2.
3.oZ:5+4.
? P?FD
v ?
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(Page 2)
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s/C Door 3•07
Comb. Door 1•25
bct. Air Film .17
R- 5.?7
1 =UoY .193
5.17
7nt. air Film .68
3/C Door 3•07
Ext. pis. Film .77
FW 3•92
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3.92
7nt. Atr Film .68
Panel noor 1•89
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e Qypsum .45
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Soft Wood 4.35
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soft wooa 4.35
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?^ Gyps= •45
31" 3of'6 Wood 4.35
1" StyroPoem Shtg. 5
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1 = II oP .087
11.52
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? aypsm .45
11" soft wood 6.85
° Insulated Shtg. 1.22
Tnmilite siaing .67
• Eat. Air Film .17
R - 10.04
1 U of .10
10. -
Int. Air Film .68
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„ soft wooa 6.85
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1
= II oi' .045
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° =T151118ti0II 19.00
2° Insulated Shtg. 1.22
Siding
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5-21^ soft wood 6.85
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soft wood
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R =
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9^ Znsulation 30:00
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5/8" GYPsi- .46
12" Insulation 3a:?
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R = 39.75
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39.75
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I a V
SIOMA
SuRveYtniG
sEAVIcEs
3908 Sibley Memorial Highway
? Eagan, Minnesota 55122
Phone: (612? 452-3077
BENCHMARK
Top Nut Hydrant between
Lots 2 and 3. Hlk. 1, „
Elev. = 920.53 N.G,V.A.';
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Scale: 1 inch m'40 feet ~
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CERTlFICATE OF SURVEY FOR:
Mr a Mrs. Steve
Parronto
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LAKE PARK'
o Denotea Iron Monument
.9?ezo Denotes?Existing Spot Elevation
,,?-- Denotes Surface Drainage
* BEARSNGS SHOWN HEREON ARE HASED ON
AN ASSUMED DATUM.
PRDPOSED GARAGE FLOOR ELEV. = 920.8
PROPOSED,TOP OF BLOCK ELEV. = 921.2
88.00
ORlVE
- Property Description -
Lot 5, B Oc , LAKE PARK
SHORE3, according to the
recorded plat thereof, Da
' County, Minnesota
PROPOSED BASEMENT FLOOR ELEV, m 913,0
NOTE: Verify Final House Plans_for Floor
Heights and Conatruction Details.
I hereby certify that this survey, plan o
report was prepared by me or under my direct supervision, that I am a duly
;•, Registered Land Surveyor undes the laws
of the State of M nnesota.
1'c._. a.
Wayne Cordes, h! nneeota Req. No. 14675?
October 15, 1984 ,/
?
- " '4iLY!HV Y
Al0 MA
SUAVEYINO
SLFiVICEB
3908 SiAfey Memorial Highway
` Eagan. Minnesota 55122
Phone: (612) 452-3077
SENCHMARIC
Top Nut Hydzent between
Lote 2 an8 3, Hlk. 1,
Elev. - 920.53 N.G.V.I1.,;
?
alAS
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j_ ot 'Y'
!e?
? h M
Scale: 1 inch _'40 feet a
?
i
CERTIFICATE OF SURVEY FOR:
Mr a Mrs. Steve
Parranto
o co
gz ?
5 ?
Ri P?URN°' . . + I
p ? '„
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ol NC. ?"`' S'
"?oo ??.. d3??
? s,31 s .° '..-
? ? P P? ? \y
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I
1 ?
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I W
W
t /? Q
' Lot 5
Iq / F
\ A
~ , • ? =?a ??,.eG:
I ' Q }? p; -' --'
? ? • >- 340 --?
Propoeed .
M
?House
/,.
z
' 34.0 ;
.--Y4O.__. ?_,.`6.l7
> ?
ti
""'-5 E443 "E
con
LAKE PARK4"
o Denotes,Iron Monument
111e20 penotes Existing Spot Elevation
'_-- Denotea Surface Drainage
* BEARINGS SHOWN HEREON ARE BASED ON
AN ASSUMED DATUM.
PROPO5ED (3ARAGE FLOOR ELEV. = 920.8
PROPOSED TOP OF BLOCR ELEV, m 921.2
PROPOSED BA3EMENT FLOOR ELEV. s 913.0
.
\
A?~
1 \\
1 \
1 ? \
I
I ?
, 13 \
T ? % x9o?y
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I ?
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? ?an
?. ?% T p Woa6 Nu0
? •, U 9?a 60
W ?3
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o A ?7
=wi
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rc ?r
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85.00
ORfVE
- Progert Deacription -
Lot?, B OLAKE PARK
SHORE9, accordinq to the
recdrded plat thereof, Da
" County, Minnesota
NOTE: Verify Final House Plana foz Floor
Heiqhta and Conatruction DeLails.
I hereby certify that thia survey, plan
report was prepared by me or under my
direct supervision, that I am a duly
Regiatered Land Surveyor under the laws
of the State of Minnesota.
.._r. v. w.viaaco ? ri? .u.caa?a.u ncy •
octoberl5, 1984
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4561 Lake Park Dr
Lot: 5 Block: 1 Addition: Lake Park Shores
PID:10- 44200 - 050 -01
Use:
Description:
Sub Type:
Work Type:
Description:
Census Code:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264 -4777
e- Windows/Doors
Windows/Doors-New/Replacement
House
434-
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
- Applicant -
Construction Type:
Occupancy:
Carbon monoxide detectors are required by law in ALL single family homes.
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
$88.50
$1.50
Total: $90.00
Owner:
Don M Hakala
4561 Lake Park Dr
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Building
EA089046
05/05/2009
ePermit
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA138936
Date Issued:09/27/2016
Permit Category:ePermit
Site Address: 4561 Lake Park Dr
Lot:5 Block: 1 Addition: Lake Park Shores
PID:10-44200-01-050
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Don M Hakala
4561 Lake Park Dr
Eagan MN 55123
Lindus Construction
879 Hwy 63
Baldwin WI 54002
(715) 684-4647
Applicant/Permitee: Signature Issued By: Signature
e a ¢ For Office Use
t. EAGAN N Permit#: 7.3121
Permit Fee: CPO
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 (0-7
- � ���,' ��� Date Received:
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-561194
Email:buildinginspections(a?cityofeagan.comStaff: '51(
Commercial Plan Submittal:eplans c{r7.citvofeaoan.com OCT 0 9 2.018 ,
2018 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of paper plans with all commercial applications as well as an electronic set of the
submittal,submitted via email,CD or flash drivei' ,�
Date: 9'L i O Site Address: 4 S to ` ,�t -4 �/•
Tenant: Suite#:45.11-91 L
Namelbbl * � VCO, a Phone:t 4511
.
1 — 1Q
1 a..t
Resident/Owner i^-
Address/City/Zip: I 1_44-e/11C44. %V. �,`'.Arif% 1 r VN 'S t 1
Name: Snelling Company License#:
Contractor Address: 1400 Concordia Ave. City: Saint Paul
State: MN Zip: 55104 phone: 651-646-7381
Contact: Jody Pflipsen Email:jody@snellingcompany.com
New X Replacement Additional _Alteration Demolition
Type of WorkDescription of work: LLCI f �C,
NOTE:Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
RESIDENTIAL COMMERCIAL
X Furnace New Construction Interior Improvement
Permit Type X Air Conditioner _Install Piping Processed
Air Exchanger Gas Exterior HVAC Unit
_Heat Pump _Under/Above ground Tank ( Install/_Remove)
Other
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit,includes State Surcharge
$100.00 Residential New,includes State Surcharge =$ (00,00 TOTAL FEE
COMMERCIAL FEES
$60.00 Permit Fee Minimum Contract Value$ x.01
$75.00 Underground tank installation/removal,includes State Surcharge =$ Permit Fee
Surcharge=Contract Value x$0.0005 -$ Surcharge
If the project valuation is over$1 million,please call for Surcharge =$ TOTAL FEE
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.cityofeagan.comtsubscribe.
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 t 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.
xPhilip Krinkie x ,;
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground _Rough In _Air Test _Gas Service Test _In-floor Heat _Final _HVAC Screening