The URL can be used to link to this page

4773 London Lane. . ... :.. ..,,, , CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 • ?J DATE 19 R[C PROM f AMOUNT $ ?& DOLLARS 1 oe ? CASH CHECK I y[?y JLiI.? ? /? % 7 FUND CODE AMOUNT I ? i? f J_' C ? ?. Thank You ? BY White-Payer3 CopY Yellow-POStinB Copy Pink-File Copy BUILDING PERMIT To be used for 5"r' !;h't_;/GA$ Est. Value s125+t-K t' Date -----?-? ?. ; .19 h7 Site Address 4773 LONUQN LN OFFICE USE ONLY BR; TI^t'`' Z{ "V; lot 1 7 Block 1 Sec/Sub On Site Sewage _ Occupancy '+ S . MWCCSystem ? Zoning NI ParcelNo. L n On Site Well _ (Actual) Const x Name TC;LL;:; :>un BLt?1?t5 City Water L? (Allowable) "' 3 Address 12'}I' qVG PRVRequired x #ofStories ' 0 City ?' •`• Phone 431-11 W Booster Pump _ Length ? i Depth 0¢ `:I'' NBmE S.F. Total ? ? Q ? AddreSS Footprint S.F. I ? City Phone APPROVALS FEES {I ~¢ P i ? 5713.501 uW W Name EngrJAssess. erm t ? i Planner Surchar e 62. ?U ! =o Address " g 25 289 Q W City Phone Council Plan Review i . ? Bldg Ott City SAC 1jU•UO{ lhereby acknowledge that I have read this application and state that the . . Variance , SAC, MWCC 52 g• VO info[mation is correct and agree to comply with all applicable State of WaterConn. 5145.00 - Minnesota Statutes and City of Eagan Ordinances. 67 00 Si Wt f P i Water Meter . ena e o erm ttee A Building Permit is issued to: Si1 L1,r. Y iu ?. ?a'1,C)k5 Road Unit 305. UU 16U.00 on [he express condition that allwork shall be done in accordance with all Treatment P1 applicable State of Minnesota Statutes and City of Eagen Ordinances. Parks Building Official r TOTAL CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 Rgceipt OCTUBEB 20 BLDG. PERMIT N0. t_' l 17 01-3210 Bldg. Permit •'?/ 01-3422 Plan Check 01-3445 Surch./Adm, i 01-3446 SAC/Adm. 01-2155 Surcharge i , Y ( 17-3860 Road Unit 20-2275 SAC r 20-3665 Water Conn. 20-3868, Water Trmt. 20-3716 Water Meter ,- ?. ; 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 11-3855 Park Ded. TOTAL ?-? , CASH RECEIPT CITY OF EAGAN 3830 PICOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECEIVED . FROM ' - ' - AMOUNT $ & DOLLARS ?oo []CASH b'CHECK row / FUNO CODE AMOl1NT ? L / l Thank You BY ? , - White-Payert Copy Yellow-Posting CopY Pink-File COpy i INSPECTION RECORD ?^^ CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: I AW _t 1 PERMIT SUBTYPE: TYPE OF WORK: ? INSPECTION D• . .• I I ;?:,,.,,k s: % ct',iI;A ir t I f j iI i4 e;i r-i i<M r I rf 0 11 i1 Permft No. Ponnk Holder Dete Telephons N ELECTRIC 00 PLUMBING HVAC Inapectlon D&m Insp. Commanb FOOTINGS ? FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING OAS SVC TEST INSUL 4 2 ? GYPBOARD FIREPLACE C 2 ? FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL ! BSMT R.I. BSMT FINAL DECK FfG DECK FINAL INSPECTIDN RECORD? ? CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: `' '•' }? •'s? ? Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 i SITE ADDRESS: i i . . i ?iqV}iuY?l I.t1Y?1( ict, t 11 40Pi 1 ! i+ { I! PERMIT SUBTYPE: ?H, a?? ? i 0 i 541 , APPLICANT: TYPE OF WORK: i Of#', 1 ai r4 r:ni if1ra Fri„ia3H I N Nt t:;, I I I, 1 r4 nI Permit No. Pertnit Holder Date 7elephone # ELECTRIC 9 ? PLUMBING ?9 f ?j ?p??•?a?? HVAC Inspection Date Insp. Comments FOO7INGS FOUNO FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING 3 ? GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. -'?--.- BSMT FINAL J T? DECK FiG __ _ ? DEGK FINAL . /I /?ln•.'C LJlJ ld.,' G" -- 1 .L ? ?7/f 7 ? G?iI?T A IY1??? l-Ori/?lOiZ TIJ CITY OF EAGAN . 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454•8100 ? BUILDING PERMIT Receipt# To be used for Est Value Date ,19 Site Address ' ?• OFFIC E USE ONLY Lot BIoCk Sec/Sub. OnSkeSewage Occupancy ' MWCC System Zoning ' Parcel No. On Site Well _ (Actual) Const a • . Name Ciry Water (Allowable) z Address - `" - PRV Required # of Storles ?7_ i ? ? City phone Booster Pump Length i S ? Depth I , p Name S.F. Total 'i o i U Address Footprint S.F. ? ? City Phone APPROVALS FEES I Engr./ASSess. Permit pj W Name ? Z Planner Surcharge _? Q W ¢Z Address City Phone Council Plan Review Bldg. Off. SAC, City I hereby acknowledge that I have read this application and state that the variance SAC, MWCC ' information is correct and agree to comply with all applicable State of Water Conn. Minnesota Statutes and Ciry ot Eagan Ordinances. ' ' `' Signature o} Permittee Water Meter Road Unit • • ''!?? •'??' A Building Permit is issued to: ' " Treatment P1 T u`'•?'• ` on the express condi[ion that all work shall be done in accordance with all applicable State oi Minnesota Statutes and City of Eagan Ordinances. parks ?25 Building Otticial TOTAL ' Permit No. Permit Holder Date TeleDhone ? Plumbing ? 'J H.V.A.C. ?% Electric Softener Inspeccion Insp. Comments Footings I Footings II Foundation N Framing Roofing Rough Plbg. • /-11 ? r Y. Rough Htg. ISUI. Fireplace ? ? - o4p Final Htg. Final Pibg. j r Bldg. Final CertOca _y Temp. LP Deck Ftg. Deck Final Well Pr. DiSp. p Il?? O a? J? y?? '?'.CF.':. n - ?. ? ' i (. ?j-_,.. ? U PERMIT# MECHANICAL PERMIT RECEIPT # ' CITY OF EAGAN NovemOeT 10, 1987 ? 3830 PILOT KNOB R OAO, EAGAN, MN 55722 DATE: CONTRACT PRICE PHONE: 454-8100 ?I Site Address 4773 Lon 17 n Lane 1 BLDG. TYPE WORK DESCRIPTION Lot Block IIrAttany Sec/Sub lOth Addition Res. xxxx New XAXX ? Name Genz-Rya n P&H Mult Add-on 14745 South Robert TYail Address Comm. Repair ? c CityROSemlourit, MN phone 423-1144 Other 55068 Name TollBfBOn Builde=8 InC. FEES RES. HVAC 0-100 M BTU -$24.00 r_ Address 12617 Fa ir reen Avernu ADDITIONAL 50 M BTU - 6.00 HVAC INC6UDES A/C ON NE1N RES ? CjTyAppLe V81ZQ Y.t7 ?hone XR-' 32-11 . ( CONSTRUCTIOI?') 55124 1 PER PERNIIT) - 1 GAS OUTLETS MINIMUM 50 EA TYPE OF WORK . - . ( COMM/IND FEE - 1% OF CONTRACT FEE Forced Air 100 M BTU 24600 APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPLJES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU $ REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM g _ 1 PERMIT PRICE GOES pp gEy Gas Piping Outlets # .50 R ) OND $1p Other •. , FEE: c- S/C: SIGNATURE OF PERMITTEE TOTAL• 26.00 FOR: CITY OF EAGAN • . , + , PERMIT # PLUMBING PERMIT CITY OF EAGAN RECEIPT # ; 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: :ONTRACT PRICE: PHONE: 454-8100 , Site Address ' I / / ' ? / "v 1 y / %v`- Lot ' Block Sec/Sub ? , Name ?6 Address c City Phone ? Name c Address O Ciry ? Phone FEES COMM/IND FEE - loib OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - 50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATURE OF PERMITTEE , BLDG. TYPE WORK DESCRIPTION ? Rea ? New ? Mult Add-on = Comm. Repair ? Other ? RES. PLBG. ONLY - COMPLETE THE FOLLOWING: ? NO. FIXTURES TOTAL ; - Wa1er Closet - $3.00 S ! Bath Tubs - $3.00 ? ?-' _Lavatory $300 _J-Shower-$300 ? ? Kitchen Sink - $3.00 Urinal/Bidet - $3.00 i ?Laundry Tray - $3.00 T_Floor Drains - $1.50 ? '? % Water Hea[er - $1 50 Whirlpool - $3.00 ? - ?Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) _Softener - $5.00 _Well - $10.00 Private Disp - $10 00 . . *E:Rough Openings - $1.50 FEE: STATE S/C: ' ,- CITY OF EAGAN GRAND TOTAL• .ir . , T.exttf'tratP uf Orrupttnry Citp of eagan Bepttrtmrnf uf Building Jt"rriimt This Cenifrcate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of rssuance rhis structure was in comp(iance with the various ordinances of the City regulating building construction or use. For the following: u, a.?emuoo a IXdGG/GAR mag. tennit ro. I• :-, OCCUPencS TyPe ? T4ning Distna R1 Type Consr ??; i owar ar ewaing nad? 12617 FA7Rra2FFN ,At?F, a- V- BwldingAddras Innlity f.•17. Bl. BR= D„e: JAUAtty IS- 19Rv Building Officiel POST IN A CONSPICUOUS PLACE ? .,. _ ._. PERMIT # /. PLUMBING PERMIT RECEIPT # ? CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: LL PHONE: 454-8100 _ ? Name Address c City Phone Name ; Address p City Phone FEES ' COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE 8 CONDO - RES. RATE APPUES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 ' STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT fHfjE GOES BEYOND $1,000.00) / j? o i , SIGNATURE OF FOR: CITY OF BLDG. TYPE WORK DESCRIPTION Res. OK New K- Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL _Water Closet - $3.00 $ _Bath Tubs - $3.00 _Lavatory - $3.00 _Shower - $3.00 -Kitchen Sink - $3.00 -Urinal/Bidet - $3.00 _Laundry Tray - $3.00 _Floor Drains - $1.50 _Water Heater - $1.50 _Whirlpool - $3.00 _Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) ; -i-SoRener - $5.00 _Well - $10.00 _Private Disp. - $10.00 _Rough Openings - $1.50 FEE STATE S/C: GRAND TOTAL: BUILDING PERMIT To be used for CITY OF EAGAN .? . 1644V 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127 PHONE: 454-8100 Est. Value e'1+0o0 Receipt # TSAY 11 1s 89 Site Address ?L.AN't Lot 17 Block -I Sec/Sub. g"I=T,A1dY 1!'"T!! OFFICE USE ONLY P8fC81 N0. Occupancy - FEES ¢ n_ .? Name 'p., ` K Zoning (Aduap Const Y26.00 Bldg. Permit 3 Address qAIVy' (Allowable) - • 50 o r ? t Surcharge ? City Phone 341"2a2? '?• #o+stories - Plan Review 54- 7 11 Length a p , . Name :'sAME Depth - SAG City Z AddfBSS S.F.7otal - SAC, MCWCC ? C12y Phone S.F. Footprinis _ Water Conn On Site Sewage - F w Name On Site Well - Water Meter ?? AddfeSS MWCCSystem - Z Acct. Deposit aw City Phone City Waler - NJ P it S PqV Required erm , - I hereby acknowlege that I have read this application and state that the Booster Pump - SPN Surchar9e information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI Signature of Permitee APPROVAIS Road Unit A Building Permit is issued to: Planner - Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Off Bidg CoPies . . _ Building Official Variance - TOTAL Permit No. Permit Holder Date Telephone A` WATER SEWER PLUMBING H.V.A.C. ELECTRIC Inspection Date Insp. Comments Footings I Fourxlation Framing Roofing Rough Plbg. Rough Htg. Isul. Freplace Final Htg. Fnal PI6g. Const. Meter Plbg. Inspector- Notify Plumber Engr.IPlan Bldg. Final Deck Ft9. I Z f'% ? Deck Final Well Pr. Disp. CITY OF EAGAN Permit No: Date: 3830 Pilot Knp? Road B/P No: 71486 Date: P.O. Bo 27199 Eagan,?N 55121 ? 11 (Al..?''.f tiUl`t 'iSlc?`:44 .. 'v e i i Owner. 477= 'oxw"'n7 i.aue 1.17 El T.;rittanY l?r}: Site Address: ? Ry:tr (iati, Side 5 'a i' Plumber: 5z5.C0 ' " MWCC: p? Zoning- City Chg: 1,11) "Gov" No. of Units: ? Acct. Dep: 1 s t'0i)d 1 agree to comply wlth the CNy of Eagan p -, nn..• Permit Fee: ' ?' Ordinances. ,? ?0 Surcharge: By SEWER SERVICE PERMIT ? ? ,._.,,e?.,.. ..?._ CITY OF EAGAN " Permit No: ?1.3 2 Date: 1-12 3830 Pilot Knpu hoad Meter No: Size: P.O. Box 21189 Reader No: Date: Eagan, MN 55121 nw,,o,. °'etieisuV' °T::rs. Site Address: y lUt Conn.Chg: '25•`???pd Zoning: Acct. Dep: !C: il?D? No. of Units: ? Permit Fee: P Surcharge: •0Pd I agree to comply with the City of Eagan Tr. Plant 1UQ•00Pd Ordinances. Meter. 67 _ nnn?i Misc.:- PRV REOUIF.;:" gy CITY OF EAGAN ' Permit No: Date: ' I I 3830 Pilod Knob Road Meter No:•• Size: P.O. Box 21199 Reader No: Date: Eagan, MN 55721 Owner. ollefsoiz :'I1drs. SiteAddress: 4773 Lonu'on Lane L17 T31 3ritt'any lOth Conn. Chg: 525. OOnd _^ i;?01%ing: F1 ? ACCt. Dep: 15. QODd ,.aII InQ11116.tJfflul1w. ?- ? Permit Fee: L?? • ??A`? , ? . ? ? ? ?TNG - GAS Etc. ? Surcharge: 9???mply with ihe City of Eagan i Tr.Plant 3? rd?/Ac Meter. (.,; ; 49- + MISC.: ;1°^ ^7nTTTRRP. By WATER SERVICE PERMIJ __ -? CITY OF EAGAN N2 14 3 2 5 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE:454•8100 Aeceipt# fr -/ ?(-,7 To be used for SF DWG/GAR Est. Value $125, 000 Date OCTOBER 20 19 87 SiteAddress 4773 LONDON LN Lot 17 Block 1 Sec/Sub. BRITTANY lOTH Parcel No. _ ¢ Name TOLLEFSON BLDRS z Address 12617 FAIRGREEN AVE ° City A.V. Phone 431-1100 =lName SAME I U Address U4 ? City Phone ?a UW FW Name - _ za Address U Q W Clty- I hereby ecknowledge that 1 have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City f Eagan Ordin?a/nres. Signature of Permittee Gfl?s[?l , V? A Building Permit is issued to: TOi.i FFRQN Ri.nRS on the express condition that all work shall be done in accordance with all applicable State of Minne?so-t?a?(t,atutes and Cit?y?-9fEagan Ordinances. Building Official `? ?""?``?J?-e? ?? OFFICE USE ONLY On Site Sewage _ Occupancy R3 MWCCSystem X Zoning R1 On Site Well (ACtual) Const Vn City Water X (Allowable) Vn PRV Repuired $- _ # of Stories 70 8ooster Pump Length 32.3 Deptn S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit ? 578.50 Planner Surcharge 62.50 Council Plan Review 289.25 Bldg. Off. SAC, City 100.00 Variance SAC, MWCC $2$.00 Water Conn. 525.00 Water Meter 67.00 Road unit 305.00 Treatment Pt 180.00 Parks 632.25 ?2 TOTAL , CITY OF EAGAN N? 16446 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 ? Z , BUILDING PERMIT Receipt # To be used for DECK Est. Value $1, 000 Date 14AY 11 , 19 89 SiteAddress 4773 LONDON LANE Lot 17 Block L SeGSub. AR7TTANY 10 H Parcel No. W IName ROBT KARRICK 3 Address SAME ° City Phone 341-2222 (W) Zo Name SAME g¢ Address ? City Phone ua wW Name ?,7- Address a W City Phone I hereby acknowlege tha , ave re ? i'appGcatio 'a stat that the intormation is correct nd agree t oly it al plicabl State of Minnesota Statu[es nd Ciry-ot n O din es. < Signature of Permit?e A euilding Permit is issued to: ROBERT KARRICK on the express condition that all work shall be done in accordance with all applicabie State of Minne ta Statutes and Ci oi.Eagan Ordinances. Building Official /-2, 1?1 - S Occupancy Zoning (Actuaq Const (Allowa6le) # of scories Length Depth S.F. Total S.F. Footprints On Site Sewage On Sile Well MWCC Sysfem City Water PRV Required Booster Pump APPROVALS Planner Council Bldg. Off. Variance OFFICE USE ONLY _ FEES 81dg. Permit Surcharge Plan Review SAG City SAC.MCWCC Water Conn Water Meter Acct Deposil S.NJ Permit S/W Surcharge Treatment PI Road Unit Park Ded. Copias TOTAL $26.00 .50 IIII I) II IIII? II III III I II?II ?II III?I II??I 8212UE essity Ae., dRm. ER-128ASt.'PaulP, MNT55O104 * 0 2 6 5 S 5 7 9* Phone (612) 642-0800 9? 3/q(? Home Duplex Apt. Bldg. Other: New Addn Commercial Indusfrial Farm Remod Re air Air Cond. Hig. Equip. Water Hir. Load Mgmt. Other: D er Ran e Elec. Heat Tem . Service "X" above the work covered 6y fhis request. Enfer remarks in this space and on the back of the white copy only. , ?Olt?2t- ?eue ? Calculate Inspection Fee - This Inspection Request will not be accepted withovt fhe corred fee: Olher Fee # $ervice Enhance Size Fee # Circuils/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Street Ltg./iraffic Sig. Above 200 Amps Above 100 Amps TfOnSfolmef/Genefafof IHSPECTOR'SUSEONLY TOTA,L Sign/Oudine Ltg. Ximr. YLI? so Alarm/Remote Control Swimming Pool thot I ins Med ihe elechiml imtollation descAbed hercin on ?e dales sfated oerrfif Irrigation Boom I, Da« ecial Ins S ection F p p Invesiigative fee FInal ?1e THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS. 2 6 5- 5 5 7 ? LJ ?F??USE/DNL?Y This request void 18 months from volidation date printed iis bay. J ?y? T! ? ax'?267e- PLEASE PRIM OA NPE ? Rryuast Dala S e p t 11 1996 Rough-in inspetlion required2 [.}Net ? o (You masf call Ihe inspeclor when ready) Inspection Other Thon Rough-In: ? Ready Now iidVRI Call Dale Ready: I, icensed contracfor 0 owner hereby reqvesT inspection of ihe above elecfrical work ot: 1ob Address (Sheet, Boz, or Roufe No.) '4773 London Ave Cily Eagan Zip Code 55123 $eqion No. Townehip Nome or No. Range No. Fire No. County I I Dakota Ottupanl Phone No. Tony Pontrell 452-9256 Power Supplier Address N/A Eledncal Contracior (Company Namet Conhattor License No. Master Lic. Na (Plonl Eled. Only) Midland Electric CA 01236 Mailing Address (Contratlor or Owner Performing Inskllafion) 22691 Red Fox Dr Aufhorizy 1 ? ? I Si iare (Co r o wner Pedorming Imkllafion) 1 Ph2; 6 1-14 4 4 EB•0OOO1M10 6/95 (4??'STATEBOARDCOPY-SEEINSTRUCTIONSONBACKOFYELLOWCOPY ? ?(? ?o ?i?i? REQUEST FOR ELECTRICAL INSPECTION ? Z jli? See fnslmctions for compleling ihis brm on back of yellow copy. "X" Be/ow yVork Covered by This Request ?Q??n ??- y?K<'... ?.? Ne Add Aep. =ype of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Oryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (specify) Conhactor's Femarks: Compute Inspectian Fee 8elow: V 15eazoN Jf Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 _Amps S19f1S inspector's Use Only: TOTAL Irrigation Booms m (? ? ? O, S ecial Inspection ` Alarm/Communication ED DISCONNECTED IF NOT THIS INSTALLATION MAY BE Other Fee COMPLETED WITHIN 18 MONTH . I, the Electrical Inspector, hereby certify lhat the above inspection has been made. Rough-in Final % ) i? r Dat v ? OFFlCE USE ONLY . This request void 18 months from ? . 6 ? a? 9V Req est Date Fire No. ough-In!:?speciion Requir Inspection Olher Than Rough-In J u n e 20 1995 (You musl I inspector wh ady) ? Ready Now ? Will Nofiry Inspector , Ves ? No Date Read ,I > f licensed contractor ? owner hereby request inspection of above electrical work at: 4 7 dd3ss (,Stree[, Bpx or Roule No.) Lonaon Ave '? g a n Section No. t Township Name or No. Range No. d K O t 2. Occupanl(PRINT) P No 9256 ? Tony Pontrelli Const 4 L- Power Supplier Adtlress N/A ElecincalContractor (COmpany Name) Gontrec[or's License No. CA 01236 Midland Electric Mailing Adtlress (Contraclor or Owner Making Installation) 22691 Red Fox DR Lakeville,MN 55044 Aut rized Sig Wre ( oniractodOwner Making Installation) Phone Number 461-1444 1CITY I I T II A ? mS 8 M IIII III III I?I III I I I I II II II ?? IIII I III E D ? MN 55104 P o 7254 I R NSPECTON EE OP UNLESS R h 2 ne ! . ? ENCLOSE l/?,?S??rJ REQUEST FOR ELECTRICAL INSPECTION « ee-ooooi-os , See instructions lor completing this form on batk of vellow coov. 0` 6 5A5 6 "X" Below Work Covered by 7his Request AAd Rep. Type of Building Appliances Wired EquiVnienl Wired Home Range Temporary Service Duplex Water Heater Liqhtiny Fixtures Apt. Building Dryer Electrie Heatin Commercial Bldg. Fumace Silo Unloader Industrial BIAg. Air Conditioner Buik Milk Tenk Farm Other pec:i y Other ISper,ifyl t er Specifv Other Othc, Compute Inspectron hee (ielow M Fae ServiceEntrancaSize tt Fee Faeders/Subfeeders 4 Fee Circuits r U to 200 qm ps 0 to 30 Am s .60 0 to 30 An us Above 200 qmps 31 to 100 Amps 31 to 100 Am s Swimming Pool Above 100_Amps Above 100_Amps Transformers Irrigation Boon-is Partial-'Other Fee Signs Speciallnspection $ ? Rertw3rks ? TOTAL FEy? Rough-in Date n - y 6 y , the Elec ical / L IISpBCtOI, h9 9 y f final P ?`?te certi y thHt the above / ?( . inspection has been i d" 1-6 made. This request voia ltl montne trom This requesc void ?-? 19 months trom ?- 6 5?95 6 /. /.? 7 y?&, s t .? 7. Request Date rire No. RouP4??Inspertion I ?? Requi ed7 []fleady Now [!?Will Nntify Inspe<:- 1 ?? 3` W Yes ?No tor When Ready ?'fJ1 Licensed Electrical Contractor 1 hereby request inspection of a6ove 1-1 1 Owner elwr.triral wnr4 inctallod ui• MINNESOTA STpTE BOAND OF ELECTRICITV THIS INSPECTION REQUE57 WIIL NOT Griggs-Midway Bldg. - Hoom N•197 BE ACCEPTED BV THE STqTE eOAHD 1821 Universitv Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS CITY, • OF EAGAN PERMIT ?kOU? 3830 Pilot Knob Road PERMIT TYPE: e u r La x NG Eagan, Minnesota 55122-1897 Permit Number: 0 2 5 7 4 9 (612) 681-4675 Date Issued: 0 6/ 9 g/ 9 5 SITE ADDRESS: 4773 LQNpON LANE LOT: 17 BLOCKa 1 BFtTTTANY 107H P.I.N.e 10-15009-170-01 DESCRIPTION: SF PDRCH ADDI7IQN „ p? aR? ry? ? a .wt ? 1k2 REMARKS: SEPARATE EIECTRICAL PERMIT REQUIRED FEE SUMMARY: VaLua-rrorv Base Fee Surcharge Lic. Saarch Fee Total Fee $112.25 $3.90 $5,00 $12e.25 $6y0YJe CONTRACTOR: - Applicant - ST. LIC. OWNER: TONY PONTRELLT CONST 14529266 2002584 KARRZCK Bp6 889 GURRY TR 4773 LONOON I.ANE EAGAN MN 55123 EAGAN MN (612) 452-9256 (612)454-2779 ??a kQi.?l I m, 9- ISSUED BY: S GN RE CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ? S 7 1995 BUILDfNG PERM(T APPLICATION (RESIDENTIAL) ? 681-4675 ? New Construction Reauirements RemodellRenair Reauirements ? 3 registered site surveys ? 2 copies of pians (inciude beam & window sizes; poured fid. design; etc.) ? 1 energy eelculations ? 3 copies of tree proseroa8on plan if bt platted after 7/1/93 required: _ Yes _ No DATE: ??r? ' 7,5 CONSTRUCTION COST: ?- DESCRIPTION OF WORK: STfjE-ET ADDRESS: jLOT _P7 BLOCK ? ?T SUBD./P.I.D. #: /L /A21629? 10, /?l ?FlCf7? PttoPERTY Name: ?r?2(ltc.:?? 6L'&4 AN 1.J Phone #: y 5LL a 77 / OWNER FIRS' StreetAddress• L17 73 L v"vu-1 L--? N? City: Lvq!??Xa o? State: ?W__ K3 Zip: CONTRACTOR Company:_TopcyvA2.?U? Cc2iy.r;L Phone#: `45 2 '?d56 ? Street Address: ?,?`? rzvz? V-w.k I License #• _VQ2Q S E'VE) ? City: `b19AN State: M ILi Zip:-E la ARCHITECTI Company: A/ p- Phone #• ?9, ENGINEER Name: Registration #• Street Address• City: State: Zip: Sewer & water licensed plumber: "l ??? . Penalty applies when address change and lot change are requested once permit is issued. -T' I hereby acknowledge that I have read this apptication and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ? OFFICE USE ONLY ??CENED Certificates of Survey Received _ Yes _ No MAY 2 6 1995 Tree Preservation Plan Received Yes No ""'"°"""" .--•i„ ??...r? _*___2 copies of plan / ? ? a:• [: °` ?"' _Z, 2 site surveys (exteria additions & dedcs) /p ? i n,w ? 1 energy calwladons tor heated additions i-ic,4- (,-1'/-,- OFFICE USE OIVLY BUILDING PERMlT TYPE p 01 Foundati?n r3 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish * 02 SF C?welting [3 G? 4-plex o 12 1llulti Repair/Rem. ? 17 Swim Pool * 03 SF Addition ra 08 8-plex o 13 Garage,',4ccessory ? 20 Public Faciliry OZ04 SF Porch ? 09 12-plex ? 14 Fireplace a 21 Miscellaneous a 05 SF Misc. 0 10 = plex ? 15 Deck WORK T1PPE 0 341 New ? 33 Afterations ?36 Move ag?- 32 Addition ? 34 Repair ri 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq: ft. sq. ft. Footprint sq. ft. Planning Building MC/WS System ? City Water Fire Sprinklered PRV Booster Pump Census Code. -17? SAC Code 0/_ Census Bldg / Census Unit O Engineering Variance Permit Fee Valuation: $ &,, `z?-o Surcharge Plan Review License S ?f MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: ry??? - °lo SAC SAC Units . ? . • ? ? ? a? Tu.CFSoN Bv/GGL?kS )ROBE ? 92,.0, - CCHSllITfHD EHOIHEE!IS ?NGINE??ING PLANNEAS ond LAHD j?RVfYOflS ?? 7¢ COMPANY, INC. ?R6E 1/ 1000 US7 li6ih 57FFE1, BURNSVILLE, WI!lHE:OTA 35937 pfl i?2-j000 C?T'ZZZ?Z CCZ?e gy_%SZ? e y ?a?cl .Dcs?T-?p?icrz • . GOT /7, BLOCK /, BRITTANY /o7Fl ADDIT/L41; DAKOTA Clx/N7Y MINNESOTA CV21- L) DENOTES 67X45TlN6 E(.m? VAT/ON (9¢9•-<) DEN47ES PROPDSEO E"L,5_VAT10N i? /NDICATES D/KECT/oN OF SURFACE DRAI/JA6E 9j3.89 = F/N/SNE"D GARAGE FL002 ELEV471ON 564tE : i' - -So, ORA/NAGE AND UTIL1Ty ERSEMENT -- L ? ?•'? ? ?? "s. J ? b , A, J?. L / / c ?•'i 0 ?O \ \ \ y?! ?? \[? `¢z. S 9 + \ 5 ??p \\.3`?.wk3• ?5?2?1 \ /?o • ?5' ?. 30 FRaNT 9U/LD/N6 v D pd?? $ETO9CK L/NE p? F I heraby czrtify that thie ia a t:ue and correct repreeantation oC t tract ot ? land az ahcxn'and deacribed hereon,• Ae prepdrad by me on this 6714 'day of OcTa&er_ , 19 97. ReViSED rolijf97 , FLIVPEp }rouSr s- n ? n i ?a ? ?' V? . . : . CI7Y OF L'.A_r,Ay CAf:iNTER: ; TEfihf?NA!_ NOa 32 BFlTF.;; 0$03l96 TI:MEg 14:44,33 I% NAMEw T0NY F'ONTt;El_L_i C[]NS'rFUC7I0N 329.0 91101 4773 I...t7NDQN I...AN 5000 205 9I701 4773 LClNIiON I..AN 0.50 3430 9001 4772 !_t:1ND[7N L.AN 5.00 7ota1 heceipt Amount,„ 55or0 CFiUt,c 8'?E, l.lSEh ID: NANCY - CITY QF EAGAN PERMIT ' 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Number: 027820 (612) 681-4675 Date Issued: 0 8 j 13 j 9 6 SITE ADDRESS: 4773 LONDON LANE LOTc 17 BLOCK: 1 BRIT7ANY 10TH P.I.N.: 10-15009-170-01 DESCRIPTION: BASEMEN7 FINISH AL7ERATION 434 A17. RESIQENTIAL REMARKS: AX '1.x ?i?E ,???? ??. s zwV 4 , t' : -?z '4w . ?. ?. ' ' FEE SUMMARY: Base Fee Surcharge Lic. Search Fee Total Fee $50.00 $.50 $5.00 $55.59 CONTRACTOR: - flpplicant - S7. LIC.OWNER: 70NY PONTRELLT CONST 14529256 2002584 KARftICK BOB 889 CURRY TR 4773 LpNDQN LN EAGAN MN 55123 EAGAN PiN (612) 452-9256 (612)454-2779 ? ? oB: S?? ?T ?? CITY OF EAGAN ? 3830 PILOT KNOB RD - 55122 ?.3?? ? ? 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) ??, ? 681-?4675 ?1?? ?-?; w Construdion Reauirements RemodeVReoair Reauiremen ? 3 registe?ed site surveys ? 2 copies of plan ? 2 ?opies of plans (include beam & window sizes; poured tnd. design; etc.) ? 2 site surveys (exterior add'Rions & decks) ? 1 energy calculations * 1 energy calculations for heated additions ? 3 copies of tree preservation plan 'rf lot platted aRer 7N193 required: _ Yes No DATE: ?J "" O? S?f C? CONSTRUCTION COST: ???? ?? ?? DESCRIPTION OF WORK:???' ?" ?" ?"? ? ? ? ? STREET ADDRESS: ?? y ? 7? ?-r'sti+QU°'?.-? ?--?' ? ? LOT ?? BLOCK ,?_ SUBDJP.I.D. #: ?+?? ?'Q?'`'Y /d ?4?1?"l?V- PROPERTY Name: ?r-?rtR.<<-?- T?? ?-14Patv Phone #: yJ`'?' ??? g OWNER ? ?* FIRST Street Address: y 77-3 ?? ?"'`?' ?''$'`?? City: ?'??? ? ?? State: M /?+ Zip: CONTRACTOR Company: ?6"N'f?' ?sr?.?.F? ? l? ??? Phone #: ??°?°??? Street Address: ? ? ?c?+'+-?-Y ?'?'??? ? License #: a?? ? ? ?`f ? City: z'? 4 R°+?-? State: °'""? Zip:? ? ARCHITECTf Compan : Phone #: ENGINEER Name: Registration #: Street Addre : City: State: Zip: Sewer & water licensed plumber: change are requested once permit is issued. Penalty applies when address change and lot I hereby acknowledge that I have read this application and state that the info ation is correct and agree to comply with all applicable State of Minnesota Statutes and Gity of Eagan Ordinances. ;? _ Signature of Applicant: ?? ? `?` OFFICE USE ONLY 1???j-?ry?????? ira ?s ?? Certificates of Survey Received _ Yes _ No ??? ?? E???• Tree Preservation Pian Received _ Yes _ No __ J??.... ? o 0 OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex 0 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 = plex WORK TYPE ? 31 New ::-,G-33 Alterations 0 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of 5tories Length Depth APPROVALS Planning _ ? .? 0 11 Apt./Lodging 16 Basement Finish ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 13 Garage/Accessory ? 20 Public Facility ? 14 Fireplace ? 21 Miscellaneous ? 15 Deck ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. 3 `? SAC Code a? Census'Bldg / " Census Unit 0 Engineering Variance Permit Fee Valuation: Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit i S/V1! Surcharge ; Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units $ , ,. _ .. `# SINGLE FAMILY Di1ELLIHGS lOo0 1989 B(JILDIHG PERMIT APPLIClTION CITY OF EAGAN I+IDL IPLE DiiE Y 2 SEfS OF PLANS 2 SETS OF PL,ANS 2 SETS OF AACHITECTURAL 3 EEGISTERED STTE SOR9EYS HEGISTBRED SITE SDRQEYS - & STBUCTQRAL PL1lNS 1 3h'f OF ENEAGY CALCS. (CHECB fiI'1'H BLDG DIV. ) 1 SET DF SPECIFICATIONS 1 3E! OF ENERGY CALCS. 1 SET OF ENEltGI CiLCS. MULTIPLB DWELLINGS RENTAL IINTTS FOA SALE ONTTS f OF ONITS liOTEt ADDRES3ES FOR COHNER LOTS - CORTRACTOA/HOME01iNER liOST DF5IGN9TE i1HICH iDDRF55 IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BOILDING PERMIT IS I53DED.. SEWER & i1ATEA PEIKIT FEES AAD ACCOONT DEPOSIT FEFS iRLL BE INCLUDED iTITH THE HOILDIN(i PERMIT FEE. PROCFSSING TIME FOR SEWER AHO WATEA PERHITS IS Tfl0 DgYS ONCE A PERMIT HAS BEEN COMPLETED INDIC?TIAG A LICENSED PLMMEA. PENALTY APPLIES WHEids PERMIT IS AlOT PAYD FOR I[d SAME MOPdTH IT IS REQIIESTED. LOT CHkATGE IS REOQESTED ONCE PERMIT IS YSSTJEDo ,. NAY p ? 1989 To Be Used For: iCC ck Valuation: Site Address -4/773 4n.va,1_ 6?11-4 Lot 19 Bloek S Date: S-s'?8`9 Occupancy Zoning Aetual Const Allowable # of stories Length 42'/z Depth IS Pareel/Sub F?R07VV 002 A0>rroQ4 Owner ,g-wj /Zwju L, K?v4k ,ddress 5?9-?rti? City/Zip Code S`IZ Z l?cv.z -ls=! -.2 7 J! ? C? 6?' • Phone vJo,.L 3q 1-zzz2 Contractor Address Citq/Zip Code Phone Arch./Engr. _ Address City/Zip Code S.F. Total Footprint S.F. On site sexage On site well _ MWCC System _ Citq vater _ PRV required _ Booster Pump _ - r COtMERCIAL F'EF.S Bldg. Permit .?a 5urcharge ,577 Plan Review SAC9 City SAC, MWCC Water Conn Nater Meter Acct. Deposit S/W Permit S/W Sureharge Treatment P1. Road Unit Park Ded. Copies 3QBTOTAL Penalty TOTAL ,2 !? .S APPAOYALS Planner Couneil Bldg. Off. ?51to Variance Phone # . ? ToucFSav BuiccEZs [,Ou? [oNSULTiHa fH61HEfA5 ? 92/.O/ ENGINEEAING PLA!lHEAS and IAHG 3URVEYOf15 gw?e- 7f- COMPANY, IMC. PA6E ?i ? 1000 U157 146N SiAEE7, BUflH:VILLE, YI}INESOTA 55337 P11 432-3000 C uz e Z&qcl 22e,s?2lart • , Lo7 /7, BLOCK l, BK/TTANY 107// ADDIT/ON, DAKOTA CGYliV7Y, MlNNE907A DENDTES EX/5TIN6 E(LVAT/ON (9¢?.? 9EN07Z'$ PROP05E0 ELEVAT/O/l/ ?-? 11VOICA7ES D19ECT101V OF 9URFACE pRqlMq6E 9¢? 83 = F/N/5HE"D GAR466 FLOa2 ELEVAT/ON SCAGE : /" - 30, ? 1,= ' byo ?'3i5 / % ? / ? ?l, ?_l v I ? ?oI .lv y \ r 1? ? ? ? + \ -•s ?o ? ? `$`?e ?'o??? _ ? ?? ?p1 o-pll? ORA/NA6E AND UTl L I -ry EASEMENT ?- ? ?P ? .T _ 5 ? n??•q,y, °' F? V ` /`io • ?5. 1 Q 30' Fi20N7' 911/LD/N6' $ETaACK C/i1/E rq--s p? C94o,e ?i,y, Y ??Oi ?' I heriby cartify that thia ia a t:ue and correct reprzeentation oC a tract of land aa ahoxn'and dcecribed hernan.• Ae praparad by me an this b'°'."day of RCVISED f0111/97 , FLIPPED HOVSf 1. k ._ Der-eer- , 19 97. ??l q? ?(? _.PD?ti??f.? Nlnn. 7lea. Ho,/36co ? 1 SINGLE FAMILY DWELLINGS . sr 120 37 BIIILD NG PERMIT APPLIC9TION - CITY OF INCLDDE 2 SETS OF PL6PS9 3 CERTIFICATES OF SIIRVEY, 1 SET OF ENERGY C9LCQLATIONS HOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOME05iNER MOST DESIGNAYE WHICH ADDRESS IS DESIRED. NO CH9NGES WILL BE 9LLOWED ONCE BQILDING PERMIT IS ISSQED. MQLTIPLE DWELLINGS - RFSIDENTIAL RENTAL [JNITS FOR SALE [I@?IYS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SQRVEY - CHECg iiITH BLDG. DEPT.t 1 SET OF ENERGY CALCULATIONS COLMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $29000 LANDSCAPE BOND To Be Used For: Site Address Lot _jz Block Parcel Owner Addres City/2 Phone Contractor Address _ - City/Zip Code Phone Areh./Engr. Address City/Zip Code r Phone 4k Valuation:? 06-119, Date: 1Q-1,5-$7 1 ? Swo On Site Sewage Occupancy R-3 MWCC System ,- Zoning R -I On Site We11 Type of Const City Ldater a/ (Aetual) V-N (A1lowable) V-?,i # of Stories Length 70,DD ` Depth S.F. Total Footprint S.F. APPROVALS FEFS Assessments Water/Sewer Police Fi,re Engr Planner Council B1dg Off 1 i9 APC Variance Permit S7B. SD Sureharge 62.50 Plan Review 25 781. SAC, City In U,Qa SAC, MWCC S ZS,oo Water Conn 2510t) Water Meter 6r) , W Road Unit o0 1,60s, Treatment Pl 1 90,cX3 Parks Copies TOT9L ? ?' i4 !? AC?? z . .? • a> --_ ? . , . , 22xz$ - 6/G „ , ?? K y = 80 _.-.----- ?sox ?o772 731svv) i- .-,?FSxzX= ,oGy X iy- 1ST FGonP, 38x??'- /06?/ lox ?'Z,? (2u I Ietf X 44= SZo9 G Z N,? FL QOR 38XZ8 = 10614 Xyy= yG?l.6 , Tu?FSon? Bvic??e.s AO B E CnNSUlTIHO EHOIHEEAS ?K ¢ PNGINE??ING flfllINEAS ond LAHd '?URVEYOlit 7 COMPANY, 1NC• PAbE ?? t 1000 E157 1461h 57REET? BURNSVILLE ? YINNESOTx 5!337 PH 432-SOOQ Cf'P"'ZZvZ C Qae ,QC4gr4Q2iort:. L07 17, .BLOCK /, BRITTqNY • DAKoTA Cl.Y/N7Y, MINNE.S07:A /aTN ADD/ T/N DE/VOT'E5 EX19T11V6 ELLVAT/ON (94?-? 0EA40745S PROPOSEO 4E?VA7'10M /ND/CATES dIRECT/oN OF 9URFACE DRA/M46E 9¢3.83 = Fl/V/SHE"D 6ARAG6 FG04i2 ELC1/A7-1DN 5c416 : i" _ -901 .? ( 4 4.3' < ?LJ 0? ? \ \ \ \ ? ? S6e c'a \ / ORA/NAGE AND \ UTILITy EASEMENT `>'60 \ '^ ? . o (G Y V y 1 o` R.P no t 1 9 L??.?Y tz: ? ° N?` \;? L¢L. 2) . p ? ? ? A ?v ? ?•3 ??2,9? W 4n J? ID ,?h io. . n?^" ? zti , z / . , ? .30 • AROivr 911i[.oIAi6 $ETa9CK L/A/E--? ?y?s ? o ?i ?.? ?;? ? I heTibY enrtit that thin ia a. t:ue dnd cot^ract t^npreeantrtian thit of a tTact of %'_ day ot 6 land +?s shoxn' and dencribcd heraon,• 1+a prepared by me on . ? ?CTtlBEi? • ? 19 97, REV?SED to/iil97 , FLIPPED Hnusa: lleg. N0913 dEC'D OCT 2 6 1987 • _ CITY OF BUILDIN(3 DEPARThIENT . EXTERIOR E1IVELOPE AVERACiE IIU II CO[4PUTATION (To be suhm3;tted tivith building permit application) One or Ttivo Family Dtirelling Owner N.1 Other Sfte Address L6Wft? („A*Jlr Contractor L , Date Phone LIPtEAL FEET OF E.'CPOSED PlALL ,, ft. above grade TOTAL EXPOSED 1YALL AREA SQ. FT. OPAQUE tNALL COP1STRUCTION: "Ull Va1ue x Area Detail; n?w??- "U" .043 x SQ, reference n °wry ' ItUlv- • = ? x Sq. from RZ)js'? nUn d0 x SQ, attached flUff x SQ, sheets flUff x SQ. nUn x SQ. FT. . Dw 77,g7(U)(A) FT. 43r,7A.40(U) (A) FT. 7! Ze4-C4=e_4LQ (U) (A) FT. _ (U)(A) FT. _ (U) (A) FT. _ (U)(A) YlII1D04VS: "Ull Value x Area Diake & Type n „ _JI??? , 7??. ?tUr? . [?.9 x - SQ. FT. $,Da = ,OL (U) (A) n f, nUn x SQ. FT. _ (U)(A) it nUn x SQ. FT. _ (U) (A) nu rr x SQ. FT. _ (U)(A) DOURS: "U" Value x Area t•Ia'•:e & Type 4L, lAJSw?L, J? x S , a7 Q? nUn X Sq. It n njJtt q• _ x S a. TOTAI,S `}10?2.4 SQ. AVERA(3E IIUII FT. 54.00 = ?]..A•Q- (U) (A) FT. 2o DD = QI ,-7,a (U) (A) FT. _ (U) (A) FT. _ (U) (A) r'T. J70. ?`? (U)(A) TOTAL ( U) ( A) VALUES DIVIDED BY TOTAL V7ALL AREA Z4 ' 07 Z AVERAGL "U" 5r less for 1&2 family dtirellinga ROOF/CEILINGs ? TOTAL AREA: r?j Detail reference flpl ? ,QZ? X from ilUl? • x attached sheets. fluil x Describe onenings viUir x in roof. nU?? x TOTAL (U)(A) VALUES DIVIDED BY Zp,7¢ SQ. FT. -_96S0.7 (U) (A) SQ. FT. a (U) (A) SQ. FT. = (U)(A) S0. FT. _ (U)(A) SQ. FT. _ (U) (A) T7-A,LS 98, N.fT zo.7 TOT11L ROOF/C W AREA ISS.OD ?DZ AVERA(3E ??U?? .025 f r ventilated roofa. C 'I wok( - 619EET " - ?? wAu? _ = 2, C,oAJe? _.0 X C38+38 t- Z(o+Z lo? = SS•76o ? r(/71\C?lD171? 1 S?l .7?? ?. G?Z•`?'g 1? b-NAows 27x 14 = Z-? x Z= S.Za 24X !Co = 5• 3 )( 1= 5•3,V _..__24 xz4 -X 4.oo 3zxl(D= 7-I X ! = 7.)0 Zg X Z4- = 8- o X 3= z4, o0 28xz.4 = 9-3 X to = 93-?0 138-40 -? >00?P-5 3,°- snwl Z- 5•c, = 3s, o0 ZS 57?- s?k- = z 1oa (v9- p?-Tia - 4Z,oo 98-oo?c t??.T ?xpos? ?? c44LL u ?1 m U 1tilAk-', 14LL z4 Zl? x:?8 9 88•00 _ zrZ.4g _ - - ?38-4a S3 .I _ 9g,oo --WALL SECTI0N-- Determining "Qll valuee at Roofl, Wall, Rim, and Coac. Block ROOF/CEII,IP1Ci 1.) Iaterior Air r'ilm 2. ) 5/8" (iyp. Bd. 3.) Insulation 4.1 5.) Exterior Air Film (STILL) R VALUE o.6t .56 4S.00 .61 n?Ju a 1/Re .O?l -iOTAL (R)=9W0,7g ? . WALL 6.) Interior Air Film T.J 1" GYP. Bd. 8.) Insulation 9. ) 10.) Masonite Siding 11.) Exterior Air Film R VALUE 0.68 .45 ?q,oo Z, o¢ , .07 .17 l'U" = t/R= .04'? TOTAL (R)= 03-OJ? RIM (R) VALUE 12,) Interior Air Film 0.68 13.) Insulation 19,00 140 2'l Fir Rim Joist 1.88 15. ) guic.T 7'-?"!lar 2, 04 16.) Masonite Siding .67 170 Exterior Air Film .17 nUu = tIR= rG?a TOTAL M= Z44? P'OUNDATION R VALU 180 Iaterior Air Film 0.68 t9.) 20.) 21.) 12" Coacrete Block 1.28 22,) RIL-?tA 105uL, S?oo 23.) Exterior Air Film t7 nUn = t/R= •OqS TOTAL (R)= I19•)3> APFLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION ? ? NGPE: PASMESIP OF FEE AT TIME OF . x i APPLSCMION DO£S NJT C'ON- * STIISTIE APPIX°idAL OF PII2NIIT. y a ; rNsrncriaa oF sEWER r,rD/OR wATEa r ;. * Z@STALiATIONS VIIId, [dOT Bg SCEWLFD * [!NiIL PIIt6ffT HAS BEEIi APPROVID. .*, -dtV il+f.*,r+f R+l+*!f?#+#.tf#f r4 f Rf f,rf l44+*tr oF eagan ` (PLEASE PRINT 1) PROPERTY ADDRFSS : . . . <-/ 22. T.FY;A7• DESCRIPTION: Lot Block S vision or Tax Parcel ID IF EXISTING STRt'CTURE, DATE OF ORIGINAL BUILDING P?,_J'2MIT IBSUANCE: Mon Year PRESENT ZONING/PROPOSID USE: Q .COTMEPCIAL/RETAIL/OFFICE Q INDOSTRIAL ? INSTITUTIONAL/GOVERNMENT SINGLE FAMILY ? R-2 DUPLEX ('Iwio Cnits) ? R-3 TOWNHOUSE (Three.+ Driits) Q R-4 APARTMENT/CONIDOMINIUM Units) Qnits) a> . ». . NAME: LA-.?? s; "? ? ?DREss: CITY, STATE, ZIP: PHO[VE: 3) ' NAME: ADDRESS: CITY, STATE, ZIP: ?i7:Y_.1rs e tx-.?? i!'37.? •.?5?5 ?? . PHONE: MASTER LICENSE # Ij Active Expired Not recorded St Ia n€? i al 4) NAME: ADDRESS: CITY, STATE, ZIP: PHONE: 5) s ? ? • ?• ? : • ?e i ?, CON['.CTION TO CITY SEWER ?ONNECTION TO CITY WATER a OTFER /??? ?? / 6) ***************************?*?********************************************************************** * THE GOLD COPY OF 7HE PERNffT WILL BE SENr DIRDCfLY TO PUBLIC WORKS TO FACILITATE MEIER PICK-UP. * * PLF.A.SE ALIAW ZWO WORKING DAYS FOR PROCFSSING. SONIEONE FROM TfM CITY WILL CONi'ACT YOU IF 7ME * * ARE ANY PROBIEMS. * r?**************************************************************************************************i -/_-31 -4.1vU _ FOR CITY USE 4NLY PERMIT # ISSUED - 3?z Pd w/Bldg. Permit FEES: $ $ ?? - 5-0 $ $ $ 67 • 0--D $ $ $ $ $ $ $ $ f?crD $ $ $ ? Z S_ cr-a $ $ $ S $ $ $ $ $ $ ?rF U L!-7? $ $ $ $ . ? y `t O ?a ifJ `f 7 0 RE EIPT RECEIPT SEWER PERMIT (INCLUDE SURCHARGE) WATER PERMIT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLt'DE CORPORATION STOP) SEWER TAP ACCOLNT DEPOSIT - SEWER ACCOL'NT DEPOSIT - WATER WAC SAC TRLNR WATER ASSESSMENT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SEWER LATERAL BENEFIT/TRUNK WATER WATER TREATMENT PLANT SURCHARGE OTHER: TOTAL DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ? YES IF YES, THEN A"PERMIT FOR WORK 6VITHIN PDBLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SOBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE : , L/ 7 BL ? CITY USE ONLY RECEIPT #: ? SUBD. IO ? DATE: 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAM 3830 PILOT KNOB RD EAGAN, MN 551,22 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH ? TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 ;c = Lavatary 3.00 x = Kitchen Sink 3.00 ;c = Laundry Tray 3.00 ;c = Hot Tub/S a y r 3.00 ;r = Water Heater t? ?t 3.00 ;c = Floor Drain 3.00 x = Gas Piping Outlet " minimum -1 3.00 :t = Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal * Dakota Cty. license 65.00 = (new and refurbished systems) U.G. Sprinkler ' home under const. 3.00 = Alterations " to existing 0.00 = ` U Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL a 6- S o SITE ADDRESS: ? ? -7 -3 2-0^ ? a? 1-'`' OWNER NAME: 1% C".n 4. ? INSTALLER NAME:- Pe- s s;'~ ?- STREET ADDRESS: g6 v) ? ef -fe? Jo-, 7 r-.' I CITY: I G, 14 STATE: ;17?? A-1 ZIP: S 510 PHONE #: ( 2 s Z ? Toll¢fson Builders, Inc. CUSTOM DESIGNED HOMES 1 267 7 Fairgreen Avenue Apple Valley, MN 55124 January 11, 1988 Mr. Bill Burestle City of Eagan 3830 Pilot Knob Road P.O. Box 21199 Eagan, Mn. 55121 Dear Bill: Phona (612) 437-7100 Tollefson Builders acknowledges that the City of Eagan will not be responsible for street maintenance in the Brittany lOth Addition until such time as first layer of blacktop is installed. Tollefson Builders will assume responsibility for maintaiaing access into all streets in the development in the intrim period. Sincerely, oann Wollschlager General Manager - iewed an Acknowledged: Buyer 41 q 41 2005 RESIDENTIAL BUII.DIl?'G PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 9 651-675-5694 #?-o. I'Q New Construction Re4uiremenLS RemodeUReoair Reauirements Office Use Oniv 3 registered site surveys showing sq. ft. of lot, sq. f4 of twuse; and atl roofed areas 2 copies oS plan Cert of Survey Recd _ Y_ N (20% maximum lot coverage allowed) 1 set ot Energy Calculations for heated additions Tree Pres Plan Recd _ Y_ N. 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions 8 decks Tree P2s Required Y_ N 1 set of Energy Calculations Addition - indicate if on-sife septic system On-site Septic System _ Y_ N 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheei (buildings wAh 3 or Vess units) DateLPL_ Construction Cost Site Address Y773 ? ? ? a'n ? .7?( UnitlSte # Description of Work J'l'???? l7??.? ? G??'zl ? _ Multi-Family Bldg _ Y a N Fireplace(s) _ 0 2 Property Owner fJ'?y °? /9?1?1 J'1 dY? C,? Telephone #OS/ Contractor i A ? 4? Address .s74 ?- State /YvL/ Zip 573-9/?2 City '7 T 0-e`j Telephone # (7(3 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category '- Minnesota Rules 7670 Categorv 1 _ • Residential Ventilation Category 1 WwksFieet- (d submission type) Submitted '!'1 I ?,5 n • Energy Envelope Calculations Submitted'' ?? . l ? In the last 12 months, has the City of Eagan issued a permit for a similar pla?n bcds'ed ori _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor 5ewer/Water Contractor Minnesota Rules 7672 • New Energy Code Woricsheet Su6mitted ,irj Telephone # ( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; and the State of MN that the work will be in conformance with the ardinances and codes of the City of Eaaan Statutes; I understand this is not a permit, but only an application for a pernut, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. N V _ Telephone #_(_1 ) Applicant's Printed Name Applicant's Signature SD.Sa ? i? '? ?-? -------------- ? ?? 41 ? i?AX o1?7 2oa9 ??7?I I Permit#: l.! /? I City af Eaaan .? - ' 1 1 3830 Pilot Knob Road ? Permit Fee: ? Eagan MN 55122 i i Phone• (651) 675-5675 I Data Received: I Fax: (651) 675-5694 ? Staff: ? 2009 MECHANICAL PERMIT APP, LICATION Date: 6 - ZI-0 Site Address• Tenant: Suite RESIDENT! OWNER Name: phone Address / Gity / Zip: 'Y77,3 Lo? c1o/? ?-N CONTRACTOR Name: g?? -,v,vooQ 14 WnBirvS £ yilf?n/?! Licens? ?C?.T SRf? y4, 2- Address: N0 y' .//?"ikiYl,i i?,.• ? 5r City: ? s>1„iq5 State:l Zip:?a?3 Phone: ? `7- c// ?7 Contact Person: TYPE OF WORK _ New ? Replacement _ Additional _ Alteration Demolition Descriptlonofwork:Rcd0L,4C_E ?4+ nt tS 5 RESlDENTlAL PERMIT TYPE COMMERClAL _X_ Fumace _ New Construction _ Interior Improvement ?Air Conditioner _ Install Piping _ Processed _ Air Exchanger _ Gas _ Exterior HVAC Unit _ Heat Pump ? Under I Above ground Tank (_ Install I Remove) " When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RES/QENTIAL FEES: $50.50 Minimum Add-on or aiteration to an existing unit (includes $.50 State Surcharge) $90.50 Flf@ f2p81f (replace bumed out appliances, ductwork, eta) (includes $.50 State SurCharge) f $ J O- S?O TaTAL FEE COMMERClAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x 1% $50.50 Minimum (includes State Surcharge) - If P rmi Fgg Is less than $1,000, surcharge is $.50. -$ Permit Fee • If Pertnit Fgg is >$1,000, surcharge increases by $.50 for each =$ State Surcharge $1,000 Permit Fee (i.e. a$1,001-$2,000 Parmit Fee requires a$1.00 surcharge). TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and qodes of ihe City of Eagan; that I understand ihis is nol a permit but Only an applioatian lor a permit, and work is not to s[art 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 lans. ? n . ? ?nyvri?v?G YLc??t-i,FjrN??` .5: Effr.eV/t x ' ?( G ? K? NOuFLG. x KJ AppticanYs Printed Name Applicant's Signature City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4773 London Lane Lot: 17 Block: 1 Addition: Brittany 10th PID:10- 15009- 170 -01 Use: Description: Sub Type: e - Fixtures Work Type: Replacement Description: Main Floor Meter Size Meter Type Comments: Fee Summary: Jason LaBelle 700 Prior Ave N St Paul, Mn 55104 PL - Permit Fee (miscellaneous) Surcharge -Fixed Total: Manufacturer Contractor: - Applicant - Home Depot Plumbing Contractor - Jason LaBelle 40805 Forest Blvd. North Branch MN 55056 (651) 645 -5040 Applicant/Permitee: Signature PERMIT City of Eaan Serial Number Remote Number Owner: $50.00 0801.4087 $0.50 9001.2195 $50.50 Kent R Hammer 4773 London Lane Eagan MN 55122 -2714 Permit Type: Permit Number: Date Issued: Permit Category: Plumbing EA081466 12/14/2007 ePermit Line Size 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 ÿì ÿ þýý üüÿÿ úýýììïíí àöú åà þýø þýüûúùøöþëö øöûúùõ öùøöþëö äöþÚäöûúùäýëýööþöõýóüöôóõýóüöþÚ çö î ý âà ô ÿóæ ââ öóïßøþÛ÷öø Þèììà óú þýöö ïêèìåìæå éýì òùñ øðõ ùù òóùýóü çô óóö âà ôìÿáàà äõæ äõæææà ßâÞâ öüú íö ùù ëöó öö öóùúùùüþ ëä þý òúë îö ì ùù÷öóþ ýö ýúþ ýö ì ÿ þ ý ýüüûúùù øûûüüììþíûí à ø îà ýü üûúùø÷ ó üæ óùø÷ ÷ó üæ ü ûñú ê ñ ûñú üÞ ãå ü ßàê ÿ þ ýñ ßßì ñö ïóüõáóâíéèëèìëà ÷ø üû þ öç éèîèî öÿõ ôó ÷÷ ô ñ÷ûñúþã êâ ññ ßàêèýÜìàà ÿ þ ÿ þ à ïßíßì úø þ ÷÷ æñ þ ñ÷ø ÷÷ ú ü æ ü û ôøæÿ þ å è ÷÷ á ñ üþ û û øüþ û PERMIT Permit Type: Plumbing City of Eagan Permit Number: EA105689 Date Issued: 07/25/2012 Permit Category: ePermit Site Address: 4773 London Lane Lot: 17 Block: 1 Addition: Brittany 10th PID: 10-15009-01-170 Use: Description: Sub Type: e - Water Heater Work Type: New Description: Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Kris Oien Comments: 3670 Dodd Rd Eagan, mn 55123 651-365-1340 PL - Permit Fee (WS &/or WH) $55.00 0801.4087 Fee Summary: Surcharge-Fixed $5.00 9001.2195 Total: $60.00 Contractor: Owner: - Applicant - Champion Plumbing Kent R Hammer 3670 Dodd Rd., #100 4773 London Lane Eagan MN 55123 Eagan MN 55122--271 (651) 365-1340 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:EA157142 Date Issued:08/06/2019 Permit Category:ePermit Site Address: 4773 London Lane Lot:17 Block: 1 Addition: Brittany 10th PID:10-15009-01-170 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Kent R Hammer 4773 London Lane Eagan MN 55122--271 (651) 247-4738 Apex Energy Solutions 9655 Newton Ave S Bloomington MN 55431 (651) 688-2739 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA166373 Date Issued:01/06/2021 Permit Category:ePermit Site Address: 4773 London Lane Lot:17 Block: 1 Addition: Brittany 10th PID:10-15009-01-170 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Kent R & Andrea J Hammer 4773 London Ln Saint Paul MN 55122--271 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature