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4612 Lenore Lane e Use BLUE or BLACK Ink ®~L~( l For Office Use I • t ( I l~ U U 1 6 2010 1 Perm ~ it (ei' Y of Eajan I Permit Fee: / i 3830 Pilot Knob Road t I Eagan MN 55122 j Date Received: j Phone: (651) 675-5675 1 Fax (651) 675-5694 1 staff. I l t 2010 RESIDENTIAL BUILDING PERMIT APPLICATION i JLS ill - l Date: flilo\kO Site Address: Tenant: Suite RESIDENT fOWNER Name: Co tT Phone: tts~" lot 7 Address / City 1 Zip: 0 r I 2... Applicant is: _ Owner )Contractor TYPE OF WORK Description of work: N 2.w 1)9-c L Construction Cost $ 10, R -?.T. t? D Multi-Family Building: (Yes No Xj License #:Lfs CONTRACTOR Name~~ tJ C cCj 5-? Address: l~ ` s~ J 1 City: It 9A-A, State: Zip: I -zPhone: Z°' 13 "T S 71 Contact: kTCA Vj , 6C10r Email: _16 D 4ka l~& ~ ~-STO re- • ri 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 classed 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 Cali 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.g_opherstateonecali.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x ~0.Vt J ~~tt~g2t° x Applicant's Printed Name A ica 's S' re Page 1 of 2 Au~( 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) T Multi 1Y Deck - Porch (Screen/Gazebo/Pergola) - Exterior Alteration (Multi) 01 of Plex Lower Level Pool Miscellaneous Accessory Building WORK TYPES New _ Interior Improvement - Siding - Demolish Building* - Addition - Move Building - Reroof - Demolish Interior - Alteration - Fire Repair -Windows - Demolish Foundation - Replace - Repair _ Egress Window - Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy MCES System Plan Review Code Edition LA" SAC Units (25%_ 100% V) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction VA Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required T' 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 li Meter Size: Radon Control Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge' rs S&W Permit & Surcharge x / 3t Treatment Plant Copies TOTAL Page 2 of 2 ~I - L40tz~"' L n' ' 4 612 9 76 C. R. WINDEN & ASSOCIATES, INC. LAND SURVEY02S Td. 643.3646 FOR: 1331 EUSTIS St, ST. PAUt, MINN. 53106 U. S. HOME CORPORATION 1 ~OQ p Scale: 1 40` ,~~y~a qc© O Denotes Iron 920. y r0 . N c 1 t 2, Block 11, Ridqecliffe First - - Addition. Dakotan County, Minnesota. 1,6 1Z ZMAI 7 7. WE. HERUY CERTOY, THAT THIS IS A TRUE AND CCRRFCT REFR$SENTATtON OF A SURVEY OF THE RO,IMIDARIES OF THE LAND MOVE DIKRIUD AND Of T14E LOCATION OF ALL BUILDINGS, IF ANY, T"ERWK AND ALL VISRLE ENCi OACHMENTS, W ANY. FROM OR ON SAID LAND. De►i1' 111, 3: r+, ;I Jclit~►ct+~Aa E it. R. 1MiNDffN 46 ASSOCIATES. iNCt'. - • t-~u„se LaCCt~d ~Qy 1, l98.sr-~,~u. ~ G~~+e bt► . S,,,vrrer, Msw~aete Rpisfrstiea Ne.'7?~as t7D -4-3 CITY OF EAGAN Addition R1dgeCliff Fixst Addn Lot 2 BIk 11 Parcel #10 63980 020 ll Owner Street 4612 Lenore Lane state Eagan, NIN 55122 Improvement Date Amount Annual Years Payment fieceipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 147.62 C00 11 2-18-82 SEWERLATERAL ? 1982 1305.42 5 1305.42 C007616 12-23-81 WATERMAIN WATERLATERAL 1982 1260.79 5 1260.79 C007616 12-23-81 WATER AREA lli .E)2 COO 11. 2-18-82 STORMSEW TRK 1982 638.24 5 638.24 C007616 12-23-81 STORMSEWLAT 1982 955.45 5 955.45 C007616 12-23-81 ervices 1982 637.75 5 637.75 C007616 12-23-81 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 280, WATER CONN. 500.00 ? If BUILOING PER. ilqRAI n n SAC n n PARK CASH RECEIPT CITY OF EAGAN P. 0. BOX 21-199 EAGAN, MINNESOTA 55121 r DATE 19 _ necerveo AMOUNT $ FOR E]CASH M CMECK 8 DOILARS ,oo FUND CODE AMOUNT TI?Mk You 'J4< ,Ja ?_ cr? By White-Payers Copy Yellow-Posting Copy Pink-File Copy BUILDING PERMIT CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 4548100 Rettipt DFiG/!?: Fn_ vai"R `: , U00 Site Addresa I+ENORE LM Lot Blxk Sec/Sub. ' Parcel No. W Name ? Address City Phone ,0 Name Ou U? Address - ? City Phone Name Address City Phone Assessment Water 3 Sew. Police Fire Erq. Plonner Council 1 hereby acknowledge that 1 hove read this application and state thaf gldg. Off. the informotion is torrect ond ogree to comply with oll applicuble APC Stata of Minnesoro Stotutes ond City of Eaqan Ordinpnces. Var. Date Permit Surchorye Plan Review . SAG u ' Water Conn. " Water Meter Rood Unit T.Pw- Total Sipnotum of Permittea ? A Building Pertnit Is iuued to: " on ths exprca condition Ihat oll work shatl be done in xmrdonce with all opplicable State of Minnesota Statutes ond City of Eoflon Ordinonces. Erect LI Occupency Remodel ? Zoning Repair ? Type of Const. Enlarge ? No. Storiea Move ? Length Demolish ? Depth Grede ? Sq. Ft. Install ? Appro.at. F•e. Buildinq Officiol Pwmk No. Pwmk Holda Doa Tele hono # Plumbin0 ji / = *?,/ ? -/ % H.V.A.C. 9 electric = 3(-6 v v-v soft«w ImpWion Date Insp. Other Footinp? Foundation Fnminp - 7??/ o /?p¢ •F DQ?.?- r Roo}Iny Rouyh Plbp. Rough HVAC Inwlnion Fiml P16a Finsl HVAC Final -90 Cr't/Oce. W.nr DawiM Lousion: NNII SsvNr Pr. D'qp. PERMIT Psrmit No. - - pa f1/l !n numberod apsces S/C Type oi Prini /sgibly TM. 1. Date 2. Iristallstion Cost 3. Job Addrass `+6"2 ' r;. Lot ' Bik. ? Tnet 4. Ownar 5. Conuactor Phone '•,r-?.?•. ' "37 Chic: • - 8. Addren 7. Ciri 8. Building Type: Residential 0 9. Work Desaiption: New 13 SUM ." , Zip Commercial ? Institutional ? Add ? Altsr O Rapeir ? 1 10. Dsscribe I'a'tall forced air he '.:" r. . Fusl Type t 11. No• Eauioment BTU - M. Ea. Fwced Air No. Eauioment CfM Air Handiin : Mfg. p - Boilers Mech Exhaust Mfy. . Unit Fleater Mf9• Air Cond. Other - Mfg ^ Go, Piping Outlatt 12. 1 hereby certify that tfie abova information is Vue and correct, end I agrea to comply with all ordinancas:qpd codes goveminy this type of work. i 5ynsd: / . ?,,,i ?T for Rouph Fiml Inspections: Date Insp. Date Insp. This is your psrmit when numbered and approved. Approved CITY OF EAGAN 464-8100 Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN _ Eee - fill in numbered spaces S/C Type or Print /egib/y Tot. ? - 1. Date 2. Installation Cost 3. Job Address Lot Blk. Tract 4. Owner ?+' 5. Contractor fPhone 6. Address 7. City State Zip 8. Building Type: Residential L?l Commercial ? Institutional ? 9. Work Description: New [Z Add ? Alter ? Repair ? 1 10. Describe I 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other.. /ri ' Laundry Tray - Floor Drains ? , Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the a6ove information is true and correct, and 1 agree to comply with all ordinances and codes governing this type of work. Signed: for Hough Final Inspections: Date Insp. Date lnsp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464$100 CITY OF EAGAN {??0 12677 3830 Pilot Knob Road, P.O. Boz 21-199, Eagan, MN 55121 PHONE: 454-8100 BU ? ILDING PERMIT Receipt# ? To be used br DECK Est Value $800 Date SF'PTj'`'IBEK 23 , 19 86 SiteAddress 4612 LENORE LN Erect 91 Occupancy R3 RIDGECL Lot2 Block 11 SeclSub IFFE 1S'1Memodel ? Zoning . Parcel No. Repair ? Type of Const Vn Addition ? No. Stories a Name TERRY GOULET Move ? Length z Demolish ? Depth 10 o Address S??E ? t City Phone 454-4877 Int Impc Install ? Sq. F = o Name SAME Approvs ? ¢ Address ASSeSSment _ ~ Ciry Phone Water & Sew. F W Name ? ? Address < W City Phone I hereby acknowledge that I have read this appl icaiion and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and Ciry o( Eagan Ordinances. Signature of Permittee ,? Zi- '-:/ 'I / L ° A Building Permit is issued to: Trltutx ?sVUi.rl1 all work shall be done in accordance with all applicable $tate ot Building ONicial Police Fire Eng. Planner Feea Permit "+? •'"' Surcharge • 50 Plan Review SAC Water Conn. Water Meter Council Road Unit Bldg. Off. 9/23/8b Tr. PI. Var. Date I Copieso Total ? on the express condition that Statutes and City of Eagan Ordinances. I I Psrmk No. I Parmit Holdx I Date I TNsphona M I Plbp. Nt9• Plby. Final Oec. Dlmp. CITY OF EAGAN SEWER SERVICE PERMIT 3830 Filot Knob Road P. O. Box 27199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: D 1 No. of Units: 1 Owner: Qrria -,°.i?sason Address: Sire Address: 4712 Leuore Lane 1.2 F11 Pic!eeCliffe Plumber: Wenze `Tec, 1-28-85 49222 •0 9 p 1 a,rae ta eonnly wIM !ha CM7 of Laps Connedion Charpe: 425.00 pd OrAiwanoss. Account Deposit: '- 5. 00 Pd Permit Fee: 00 pd Surcharpe: :D pd e G,aroes: Miu y . Date of Irrsp : Total: . Inso.: Dats Paid: CITY OF EAGAN 3830 Pilot Knob Road WATER SERVICE PERMIT P. O. B,x 21189 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: ' 1 i No, of Units: rr n Owner: t iompson Address: Site Address: 4612 .er.ore Plumber. Meter No.: Connection Charge: > :: ?' •?:1 ?Q S(ze: Account Deposit: ? . , Reoder No.: Permit Fee: n ? I a!ne to comihr wkb Mhs Cfey Oi Eagan Surcharge: '' O',i^esem Misc. Charges: ' nd reeter Totol: By Date Paid: Dote of Insp.: : Ins p. CITY OF EAGAN 3830 Pilot Knob Road P. O. Box 21199 Eagan, MN 55121 Zoning: Owner: x I.n 1 I.io1""' yo , /Addrcss: M 1lddress: ? r o r n,r . T -?Br£-f?-?---?-- PJumber• Meter No.: 3 V Stze: ?Yf1?? R .?, der r No.: .6_9 /- 1ayrM fo wmplY with !he Ciry oi Eeywn Ordinenpa, Dote of Insp.: ? ? - WATER SERVICE PERMIT NO.: DATE: No. af Units: Connection Charye: Accaunr Deposit: Pertnit Fee: Surcharge: Miu. Ciwrges: 1 3::. roroi: 63.00 ,e t, r Date Paid: PERMIT 0 . . FJZOI ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN . ? . • INCLUDE 0 SETS OF PLA,NSc .. 1] CERTIFICATES OF SURVEY Plan Number: Yf 1% Q SET OF ENERGY CALCULATIONS To Be Used For: Valuation: 5-? -p--- Date: \^ \l. Site Address: y6\2 ?..,a.?e??. `.... SS,pco.vo • • Lot: 2 Block: V Sect/Sub:Ridgecliffe i Erect: x Occupancy: Parcel #: owner: ORRIN 7HOMPSON HOMES Address: a iwsiono ., ome orporation? 1712 HOPKINS CROSSROAD City/Zip COde: FAINNETONKA,MINN.55343 Phone # : `J41A - l Contractor: Address: City/Zip Code: Phone $: Arch./Eng: Address: City/Zip Code: Phone#: Remodel: Zoning: Repair: Type Of Const: -? Enlarge: $ Stories: Move: Length: _ '55 Demolish: Depth: 4.1 Grade: Sq. Ft.. IAAPPROVALS Assessments: Water/Sewer: Police: Fire: Engr.. Planner: Council: Bldg. Off.: APC: Variance: Permit : ao Surcharge: 2 5° Plan Rev.: ? SAC: S25•- Water Conn: C; .° Water Meter 6::'3.0 Road Unit: 2e;o.00 1??:TPG 137-.=' ? ILYU--50 CITY OF EAGAN N? 9 8 6 3 3830 Pilot Knob Road, PA.,Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt * & '; ? To 6e urd fer SF DWG/GAR Est. Velue $ 5 5r0 0 0 pate JANUARY 2 8 y 1q 8 5_ SiteAddreu 4612 LENORE LN Erect k1 Occupancy R3 RIDGECLIFFE I Lot 2 elock 11 GeclSub Remodel ? Zoning Rl . Repair ? Type of Const N7 Parcel No. Enlarge ? No. Stori ORRIN THOMPSON HOMES Name Move ? h ? 3 Length h 41 D . ? Address 1712 HOPKINS CROSSROAD Demalis Grade ? ept Sq. Ft. City P'1TKA Phone 54 4 7 3 3 3 Install ? Approvols Fees SAME Name Zp 0 0 ? Address Assessment Permit • - V? Weter & Sew. Surchorge 27 • 50 Cit Phone Y Police Plan Review 149.00 tW Name Fire SAC 525.00 (q Address Enp. Woter CAnn. 500, 0 U 'W City Phone Plonner WoterMeter63-Q0 Council Road Unit 28n- n 0 I hereby ockrwwledge that I have reod this opplicution and stote that gldg. Off. 1/21/8 5 T P 13 2. 00 the inlormotion is correct and agree to comply with oll opplitoble APC ? Total $1,.50 State of Minnewto Stotutes nd City of Eog O inarxes. _ Var. Date Siynoture of Pertnittee A 8uildiny Permit Is issued to: ORRIN THOMPSON HOMES on the expreu conditlon tho+ te o/p innesota Statutes ond City of Eapan Ordinonces. le y5?a oli work shcll be done in atcordance wirh nll app??'' )ub ? ? Buildinq Officiol If?J?- 'lf iZ7 it CITY OF EAGAN' N 0 12671 3830 Pilot Knob Road, P.O. Be,x 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # 7 To be uaed ror DECK Est. value $ 8 00 Date SEPTEMBER 123 19 86 SiteAddress 4612 LENORE LN Erect :n Lot 2 Block 11 Sec/Sub. RIDGECLIFFE 1STfiemodel ? Parcel No. Repair ? Addition 0 W Name TERRY GOULET Move ? Demolish ? o Address SAIKE Int ? lm r City Phone 454-4877 . p . Instau ? o Name SAME APPr = occupancy R3 Zoning Type of Const. V n No. Stories 18 Length Depth Sq. Ft ? ¢ Address Assessment ~ City Phone Water 8 Sew. ? Q Police Name Fire Address E ng. W a City Phone Planner Council Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gid 9/23/86 Off information is correct and a9ree to comPI with all a licable State of Y PP . . 9 Minnesota Statutes and City of Eagan Ordinances AP( . SignaWre of Permittee-?? Var. A Building Permit is issued to: TERRY GOULET all work shall be done in accordance with all applicable ?tpte oi MinnefoT3'St?ti Feea Permit $14.50 Surcharge .50 Plan Review SAC Water Conn. Water Meter Road Unit Tr. PI. Parks Copies?? T?t.i on the express condition that and City of Eagan Ordinances. Building Official REQUEST FOR ELECTRICAI. INSPECTION Es'00001-04 ' See imtruetions for completing this form m back of Vellow copy_ "X" Below Work Coveped by This Request 0 Fge Service EntrancaSi2e !f Fea Feeders/Su6feeden k Fee Circuits Oto200Am s 0 to30A 1 Oto30Me Above 200 qmps 31 to 100 Amps 31 to 100 A mps Swinttning Pool Above 100_Punps Above 100_Amps Transformer5 Irrigation Booms _c7 0 Partial.'Other FSlgns Speual Inspectfon Syb? TOTAL FEE/ya.?U Remarks . /?i "•• ... ` 1. [he Elecb}eer pector. hereby I / -- Final ti/y thet the above Date _pection has heen reyuest wia This re4uest void ? ,/ ??6'L` 6 mon?}tqhs frpo?mp T // 1 Ill1 ll II L a- %'u ??fXA?D I 7 U-CJU Request Date ,./ ? ? Fire. No. Rough- spection Rep ired? OReadY Now(? Will NotifV InsPec- [or When R d 1 Zt?' .? Yes ?Na ea Y ?L'fuensed Electrical Contractor 1 hereby repuest inspeciion ot above Owner electricai work instelled at: Street Address, Box or Rou[e No. City %,1L I?NOR? '?-?N? ?b?A?? ecbon o. Township Name or No. Range o_ Co(u?nty lJN y-uJ A Occupant (PRINT) Phone No. O?wa Power Supplier Address Elec[rical Contracto(r? (C?ompany Namel ?'I..l. G F'i?-V-Xtt_ Contr.?acpmr's License No. Mafling Address (Contractor or Owner Making Instailation) KVt i?, cu r-w Authorized SiBnatu Con ctor/Owner Making Installation) < Phom Numiber YS0-sros?- MINNESQYA STATE BOAND OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bidg. - Room N-191 ? ACCEPTED BY THE-S7ATE BOARD 1821 University Ave., St. Paul. MN 55104 ' UNLESS PROPER INSPECTION FEE IS Pn...w /6121 297?171 ENGLOSED. , ` RESIDENTIAL 30 is BUILDING PERMIT APPLICATION 5 CITY OF EAGAN 3830 PlLOT KNOB RD, EAGAN MN 55722 651-681-4675 New Construction Renuirementa • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house: and all roo(ed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservalion Plan if lol platted after 711/93 • Rim JoiSt Detail Options selection sheet (hldgs with 3 or less units) DATE 2- /Q- D ji 3,17 5 Remodelf Repair Requirements • 2 copies of plan • 1 set of Energy Calcutafions for heated additions • 1 site survey (or extenor additions & decks • Indicate if home served by septic system (or additions VALUATION ?0 SITE ADDRESS q/ L 6i 6a-e L?V? MULTI-FAMILY BLDG _ Y ?N TYPE OF WORK -i?Q.? FIREPLACE(S) _ 0 ? _ 1_ 2 APPUCANT STREETADDRESS CITYLte,-STATE?ZIP!??' TELEPHONE #= >ELL PHONE # FAX # G1 SZ eC?`24 ?P PROPERTY OWNER SCi{ TEIEPHONE # ?05` ?? 7S'?? 3I ----------------------------------------------------------------------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ NIINNESO'1'A R[fl.l:S 7670 CA'1'LG01tY 1 MI. i' {[???,'fj1jEi? (v submission type) . Residential Ventilation Category 1 Worksheei Submitted • nergy Code WorAsheet I . Energy Envelope Calculatlons Submitted JUL 15 2009 C U Plumbing Contractor: __. _. ___________________________ Phonc # BY _ Plumbing system includcs: Watcr SofCcncr Iawn Spi-inl:lcr P'ee: $90.00 Water Heatcr No. oF R.I. Baths No. oF t3aths Mechanical Contractor: Mcchaiic<il svslctn includcs: Sewer/Water Contractor: Phone # Phone # Pcc: $70.00 --------°--------------°-------...---------------------------------•-----------------------------------------•---------- I hereby acknowledge that I have read this application, state that the information is correct, and agree io comply with all applicable State of Minnesotq Statutes and City of Eagan Ordinances. SignatureofAppllcant CJo4??ak'?"""rl? OFFICE USE ONLY tlir Condilioniiin Hcat Rccovcry Systciu Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updaled 4102 4 RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN 55122 651-681-4675 New Construction Reauirements • 3 registered site surveys showing sq. ft. of lot, sq. fl. of house; and ali rwted areas (20°6 maximum lof wverage allowed) • 2 copies of plan showing beam 8 window sizes; poured found design, etc.) • 1 set of Energy Calculatiwrs • 3 copies of T2e Preservation Plan if lot platted after 711193 • Rim Joisl Detail Options selection sheet (bldgs with 3 or less units) DATE 7- 12-'_G2 RemodeBReuair Requirements I l ? ?? • 2 copies of plan • 1 set of Energy Calculations for healed additions • 1 site survey for eztenor additions & decks . Indicate if home served by septic sys[em for additions VALUATION 4?D `? SITE ADDRESS ^_? Ce` ?. I„eJwQ 1,.,V\ MULTI-FAMILY BLDG _ Y _ N TYPE OF WO APPLICANT STREET ADDRESS l d O`L 1, IU t(0`ike't RAAq- TELEPHONE # 105, CELL PHONE # FIREPLACE(S) _ 0 _ 1 _ 2 CITY &Wli STATEMOZIP 5337 FAX # lkSTZ09)~ftq(p PROPERTY OWNER JC?tk &16T TELEPHONE # COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ y11v?rI:SO"l'?A RUI.1•:S 7Ei71) CATCGORP 1 - ?II??N F 7?2(J submission type) • Residential Ventilation Category 1 Worksheet Submitted New ksheet • Energy Envelope Calculations Submitted ? 1 5 2002 Plumbing Contractor: ______________________________ Phone # Plutnbing sysCem includes: Water SoFtcner I.awn 5prinkler IVatcr Hcatcr No. of'R.I. 13aths No. of Baths Mechanical Conhactor: Vlcchmiical systciii incltidcs Sewer/Water Controctor: Phone # Phone # Fcc: $70.00 -°------°----------------------------------------------------------°-----------°----------------------°-------------- I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinance Signature of Applicant -------°--°-----------°------------------------------------------------------°-----°-----------------------°-----------------------°---°-------------------- OFFICE USE OIVLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 _ Air ContliUoning _ Hcal Rccovcry Systciii i .. ?? ? 7 ? 1986 BIIILDING PERMIT APPLICATION - CITY OF EAG9N H01'E: ALL COBTRACTOES MQST BE LICENSSD flITH THE CITY OF EAGAN SINGLE FANIILY DiiELLINGS INCLUDE 2 SETS OE PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS M[iI.TIPLE DWELLINGS - RESIDENTIAL EENTAL DDiITS FOR SALS IINITS INCLUDE 2 SETS OF PLANS, CExTIFICATE OF 5II8oEY - CHECS iTiTH BLDG. DSPT., 1 SET OF ENERGY CALCULATIONS INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANSp 1 SET OE SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $29000 LANDSCAPE BOND To Be Used For: 46aJ ,?tFG?C Valuation: ?? • Date: 57-715 "Z56 Site Address L?.?d- Lot Bloek Pareel/Sub Owner ?o-oat Address le/L City/Zip Code Phone y?77 Contractor Address City/Zip Code Phone Arch.lEngr. Address City/Zip Code Phone # Erect Remodel _ Repair _ Addition _ Move _ Demolish _ Int.Impr. _ Install _ APPROVAIS Oecupancy O'? Zoning Type of Const ? # of Stories Length Depth Sq Ft 0 Assessments Permit (t Water/Sewer Sureharge 5-° Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg Of-f6 Treatment P1 APC Parks Variance Copies TOTAL , NOTfi: ADDRES3SS FOR CORNER LOTS - CONTAACTOR/HOMEOiTNEE MUST DESIGNATE BHICH ADDRESS IS DBSIRED. NO CHANGES WILL BE ALLOflED ONCE BQILDING PERMIT IS ISSIIED. - 4U1L CQ ? ? 09" C. R. WINDEN b ASSOCiATfS, INC. (J IAND SURVEYORS Tet 645-3646 FOR: 1381 EUSTIS ST., ST. PAUL, MINN. 55108 U. S. HOME CORPORATION 1 ? 1 ?1 ? I ryD \ /1 -- b???? s? t5 _ <1/P ? . ? --l ? , rj?30 D 5cale: 1" = 40' z O Denotes Iron i ,- - h P??? / • ` ? ? ? 5 CJ?? \o 30 ? , . r ? aU? i d ° h 'f ? (o a? ? - o •33 ? -„ ??? ?? ? - ? _ _ _-- Lot 2, Block 11, Ridgecliffe First Addition, Dakota County, Minnesota. `f?1z-. ?.?? a?-r? f 1?` k, _ 3 5 lZ- 27. 7 7 WE MEREBY. CERTIfY-THAT TH15 JS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF TME 6pUNDARIfS Of 1HF lANO ABOYE DE$CR16fD AND OP THE LOCATION aF All BUIIOINGS, IF ANY, TMEREON, AND All VISIBLf ENCROACNMENTS, If ANY, PROM OR ON SAIO UND. Dotad ihia 3r? doy of JoMO !?4 A:D. 1985 C. R. W{NOEN a, ASSOCIATES, INC; Youse Locof?? ,Moy/. /9?.5 P?w ? Is`? ? by ??G''?_?'?-•-?- . . . /70-43 Svrvoyor, Minnesota Ropiifration No. ?72ro ?„ . .? • • FOR: P? <v 1 / r? U. S. HOME CORPORATION P PN? 0 a ?. ? NIO ? - b ? 41 / 9( ty" L_`J t L_ ? N\ ?,''i v ryp ? D S?`9J ?4? n ? ?B .o ? ,, o y o ? yG. ? • °^?? a, O G `/ ° ? 9J WE NERE6Y tERTIfY TNAT tOUNDARiES Of THE lANO TMEREON, AND ALL ViS16LE 0 ? / b C. R. WINDEN 3 ASSOCIATES,% INC. LAND SURVEYOt15 ToL 646-3648 1381 EUSTIS SL, Si. PAUIO MINN. 83109 , , 4t N o? 30 0 . , . ` 1 +Q (F9` ? / o ? N Scale: 1" = 40' -z O Denotes Iron _ p o Denofe5 Wcod 544kc b. ?- ? , 30 (95A9s i / Ja N ?Z ?A\4N ??1P Lot 2, Block 11, Ridgecliffe First Addition, Dakota County, Minnesota. Note: Propose8 garage floor E1. = 952.63 (900,0) Denotes proposed finished ground E1. --?-- Denotes direction of surface drainage Vertical Datwn - N.G.V.D. 1929 TMIS IS A TRUE AND COIiRECY REPRESENTATION OF A SURVEY Of 1HE AlOvE DESCRIlED ANO OF TNE LOCATION Of All lUItD1NG5, If ANr ENCROACMMENTS. IF ANY, fROM OR ON SA10 IAND. Do1aA this 3-"? dOy 9f ??e?+•Q?? A.D. 1985 C. R. WINpEN ; A550CIATES, INC. 6r Surv*yer, Minnowta Rpbtrolien Ne. 77" ...?„ . • _ _ . ? . , ; i ? ? 2/84 .; .? / CITY OF EAGAN . . / APPLICATION FOR PERMIT ll - SEWER AND/OR WATER CONNECTIODT " (PLEASE PRIHT) 1) PROPEFYPY ADDRFSS: Aa? _ 42nr?rP IT.CAL DESCE2IPTICN: 02 1S7- (LOt/Block/Subdivision':or Tax Parcel I.D. Ntsnber) 1F P':^:11 ._. .:._ ? T IS -. .. ---- PRESEN'T -_^,II?:/P.POPOSED LtSE: ? R-1 SINGLE FAMILY ? R-2 DUPI.E{ (Zir10 LINITS) p R-3 •7'OWNFiGi]SE (2'f-?2E',E + UNITS) ( UNITS) p R-4 APARZP=/CONDCkdaIIIM ( UNITS) ? CaAMERCIAL/RE,TAII{/OFFICE 0 n',DUSTRIAL ? INSTITUTIONAL/GOVERNMENP 2) AppLICANT ` (PLEASE PRINT) NAME: lC.J TI /2'° i n FLfG n 17`e i n z ` . ADDRESS: CITY, STATE, ZIP: PHONE: 3) pLUMgER PLEASE PflINT) NAME: FOR CITY USE OHLY ? EN7E ADDF2ESS• V? . k` ' ? s?,?(FNINFRFCIIRIVE EqGAN M1NN.55122 - PLU ERS LICENSE: A ti CITY, STATE, ZIP: 452•1565 ?...----- t ve Q Expired PHOIVE: . PLUMBER LICENSE # 001445M2 0 Not f Record a ni 1a 4) OCCt?PANT/(7PJ[JER .. (PLEASE PRINi) UAME: _I-r=????r Ec.? l?•1- : iUDI2ESS : _ CITY, STATG, ZTP: PHONE : 5) INDICA'I'E WHICH PERNIIT IS BEIIC RDQUFSTE]: ? CONNECrION TO CITY SEL-IER CONNEICTION TO CITY WATER ' ? 0`PIiFR (PLEASE DESCRIBE) 6) IIvDICA2'E CNE: ? PLFASE HOID APPROVID PEI21vIIT FOR PICFC-UP BY ONE OF ABWE PLEIISE MAIL APPRqVfI) PERMIT TO 1, 2. 6, 4 ASWE (Circle one) ? ,+ ) . .. .. .. .. .. .. . , ., .: .. . .. .. . . , ? . ... .. - .. .. .: -_ ,?. ?n ,a?s , ,5.. ::.sr. ?ia ?r l.r r?Fyria?,awi??ir i? " ?..t 1M?,w?I?Fri? l1n? ?! +r!t !!ik ??!?S!*?'1t,}r! ,. ., .. .. . Tf . . ?:aasa... F O R PERMIT # ISSUED C I T Y U S E O N L Y FEES : $ -o, S a $ ?o•sa $ ?3 s d. $ $ $ $ ? J $ oa, o0 $ .??? 0 0 $ $ $ $ SEWER PERMIT (IDICLUDE SUP,CIiARGE) WATER PERDq2T (INCLUDE SURC[IARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE COF.PORATION STOP) SEWER TAP ACCOUNT GEPOSIT - SEWER ACCnUNT ,DEPQS_C'I.' WAC SAC TRUNK WATER ASSESSMENT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SEWER LATERAL BENEFIT/TRUNK WATER OTHER $ TOTAL $ ' AMOUNT PAID/RECEIET "#_ 4 -- , DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A"PERMIT FOR WORK,WITHZN ?...,?, PUBLIC ROADWAY" MUST BE ISSUED BY THE !?' f NU EIvGINEEkING DiVISIUh. LiST A5 A CONDI- TION. SUBJECT TO T[iE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE : by%13/2006 08:34 ERGAN EN3+C7M DEV -i 91512866118E N0.281 DE1 2(IOb RESIDENTIAI., MFCHANICAL PER?'??IIT APPLICATIUN cicy orEagan 3830 Pilot Knob Road, Eagan MN S5122 Telephane # 651-675-5675 Piease coiMlete For. aingle family &wallings & tewnhorrtes/aonclo8 When permita ere required for each unit pate ? / ( 3 / C) c Site Addreae ? CD C- K,--e- . ; Rit 0 i C ,--/-- Praperty Owncr J CO CtX ? .5 eZ Telephone N { 6SI Caatracrar lti\ a/\. Le w-e ? S P(- eit; Street Addrecs oN k,-- S City 12t'CL/ i i st.t. Zip .? s v a 3 r lephone 9 c61z} _?'66 -- Ii?k I DOAQ 0; ?. / ? 7 ? ?X}1ICCS7 - I n-? CS 7o O o , The Applicunt is Qwasc ,?C , Co?tractor _ Other ?I .sidd-0n oC alteratiop to eyisting dweAfng untt i $ 30.00 ?C `urnace _Additior:al LReplacement _ New ; air exchanger ? ? air condltEoner I _ heat pump n/ other ?2C.?"(G G C-2 /eV C i i State 3urcparge $ .SC rotat s 30 - S o Y hm-eby apply tor a Kesidenusl MechaniCal Parmit and ackaowl.ed;a tliflf t118 infOrmstioo is complete and accu:ate; tiat the wcrk will be in coafvrnwnce with du ordinaaces and codes af the Ciry of 6agan and witit Q1e MeChdaiCal Codes; L'iat Iurderstand :his is aat a parmit, but otily an applieation for a permit, and worls ie not to stare witbout a pamit that 1he work wi11 be in accordaoce arith the approved plan in the casa of wark which requires a review and appxaval ofpIans. 1? a2 Ln I?o ? Y??ZO-Q, ? ApplicanYs Printed Natrte ApplicanYs Sigitature PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA083794 Eagan, MN 55122 . Date Issued: 06/25/2008 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4612 Lenore Lane Lot: 2 Block: 11 Addition: Ridgecliffe 1st PID 10-63980-020-11 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: Expired Permit -Closed w/o Required Inspections. Letter sent to homeowner 1-16-09 pf A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are required in all sleeping rooms prior to final 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: Renewal Andersen Wendy J Badger 1920 County Road C West 4612 Lenore Lane Roseville MN 55113 Eagan MN 55122 (651) 264-4777 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 Eagan. Permit Number: EA095238 Date Issued: 08/04/2010 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 4612 Lenore Lane Lot: 2 Block: II Addition: Ridaecliffe 1st PID:10-63980-020-11 Use: Description: Sub Type: e-Windows iDoors Construction Type: Work Type: Windows Doors-New ; Replacement Description: House Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, 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 S3K $88.50 0801.4085 Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Renewal Andersen Wendy J Badger 1920 County Road C West 4612 Lenore Lane Roseville NIN 55113 Eagan NIN 55122 (61)264-4777 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature PERMIT City of Eagan Permit Type: Plumbing Eagan. Permit Number: EA101602 Date Issued: 10/17/2011 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 4612 Lenore Lane Lot: 2 Block: II Addition: Ridgecliffe 1st PID: 10-63980-11-020 Use: Description: Sub Type: e - Fixtures Work Type: New Description: Main Floor Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Renae Freimvald 2200 Hwy- 13 W Burnsville. mn 55337 952-767-1870 Fee Summary: PL - Permit Fee (miscellaneous) $50.00 0801.4087 Valuation: 1.450.00 Surcharge-Fixed $5.00 9001.2195 Total: $».00 Contractor: - Applicant - Owner: Genz Rvan Plumbing & Heating Wendt- J Badger 2200 West Highway 13 4612 Lenore Lane Burnsville NIN 55337 Eagan NIN 55122 (92)767-1000 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature PERMIT City of Eagan Permit Type: Plumbing Eaaan, Permit Number: EA101835 Date Issued: 10/27/2011 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 4612 Lenore Lane Lot: 2 Block: 11 Addition: Ridaecliffe 1st PID: 10-63980-11-020 Use: Description: Sub Type: e - Water Softener Work Type: New Description: Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Don Istel 2500 HN\ c' 88 =215 Minneapolis, MN 55418 612-354-3350 Fee Summary: PL - Permit Fee (WS &or WH) $50.00 0801.4087 Valuation: 500.00 Surcharge-Fixed $5.00 9001.2195 Total: $55.00 Contractor: - Applicant - Owner: Istels Installation LLC Wendy J Badger 200 Hwy. 88, Suite 215 4612 Lenore Lane Minneapolis NIN 55418 Eagan NIN 55122 (612) 34-330 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 Cite of Eaaan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature Use BtUE or BLACK Ink � For Offlce Uae I � �V ��� i • I Pertnit#: j Vl�� O��u��+�►�; � PermitFee: ��' � � I � 3830 Pitot Knob Road I Date Received: � Eagan MN 55122 � ; � i Phone: (651)675-5675 � staff: ------J Fax: (651)675-5694 _ _ �---------- . _ 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 7J 23' �S Site Address: �'{�Q�Z �—��O�'E �CZ-'�C Tenant: �`� �� Suite#: � g Phone: �(~y�'2 b�O g 2 ��`''`; ���'! Name: Address/Ciry/Zip: Name: �1� �W�1b�Y1Q. "6 ' .��icense#: ��112 P r`1 Address: I�'I(D J� �ll�t'i1t'.�S S+' �Fi ,_City: �rIOY �,,.��.Q,� State:�_Zip: J��J�"Z.. Phone: q�` l��'83� � _ Contact: Email: _New �Replaoement _Repair ,_,Rebuiid _Modify Space _Work in R.O.W. Description of work: �'-G �� �'� ��'r RESIDENTIAL � Water Heater Wat�ar Softener Lawn Irrigation(_RPZ/_PVB) Add Plumbing Fixtures(_Main/_Lower Level) Septic System Water Tumaround New Abandonment RESIDENTIAL FEES: $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge) $60.00 Lawn Irrigation(includes$5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Seatic Svstem Abandonment,Water Tumaround'(inciudes$5A0 State Surcharge) "Water Tumaround(add$200.00 if a 5/8"meter is required) $115.00 Septic Svstem New($10.00 per as built)(indudes County fee and$5.00 State Surch TOTAL FEES$ \D� �� CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 I'or protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. w�ww aopherstateonecall.orp I hereby acknowledge that this ir�formation is complete and accurate;that the work will be iri cor�fortnance 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 wc�rk 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 plar�s. , X � I ��� x�►6 Appl�cant' rinted Name ApplicanYs Si n ture k k i.y x. P l..:... . .,R '