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4778 London Lane----? -F.- : ....,_..... 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 '` i ?' ' ! ??" • Est. Value 1''"-' .' - ? Date ji . [1 '19 SiteAddress 4776 Lom,(?: u,? Lot -' Block t Sec/Sub. BRITTAt:Y lUT!# Parcel No. I Name Tl>I.L!_4 ',0t< SGILDF.kS. IhC I z Address 12617 L;, I':GC<!?r.N AYE o City hi'PLE LALLi•"Yphone 431-11UC ¢ .o Name •t ? Q Address P City Phone f¢ p W aame j F W _? Address Q W City Phone I hereby acknowledge that I have read this application and state that the information igcorrect and agree to comply with all applicable State of Mhnesota Stetutes and City of Eagan Ordinances. Sii nature ot Permittee - A Building Permif is ii5ued to: •l t,Li,i?.;_ ):. f?4.?'. .: . .G on 0 express condition that all work shall be done in accordance wilh ail applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Ojficial OFFICE USE ONLY ? On Sire Sewage _ occupancy MWCC System _ Zoning On Site Well (Actual) Const City Water X (Allowable) "t-+• ? PRV Required # of Storles ' Booster Pump _ Length 5h ? { Depih 4Y ? i S.F. Total . ? Footprint S.F. , APPROVALS FEES ???•00 ? Engr./Assess. Permit Planner Surcharge "t?'oU Council Plan Review jn 5•00 . BIdg.Off. SAC,City 1')U.00 Variance SAC,MWCC 550•00 WaterConn. 550.00 Water Meter 07.W Road Unit 325•? ' I Treatment P1 204• U0 ? Parks TOTAL CASH RECEIPT ' ?CITY•OF -EAGAN ? 3830 PILOT KNOB ROAD ' EAGAN, MINNESOTA 55122 ?i DATE 19 x ?--° NECErvEn r- ? F? I ? AMOUNT ' $ --.. ? . .. ' ? & DOLLARS im ? ? CASH E? CHECK . _r FUND OBJECT AMOUNT Thank You - BY Whfta-PayersCopy 8481 Vellow-Posting Copy . Pink-File Copy -CITY OF EAGAN -' 3830 Pilot Knob Road, P.O. Box 21 •199, Eegen, MN 55121 PHON E: 454-8100 BUILDING PERMIT To be used for Est. Value ''%0+000 .. :,. . „ Receipt # Date ,19 Site Address Lot Block Sec/Sub. Parcel No. a Name W = Address 3 ° City Phone o Name ? i Address ? City Phone Name City Phone I hereby acknowledge that I heve 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. Signature oi Permittee A Building Permit is issued ta on the express condition that all workshall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Oflicial OFFICE USE ONLY On Site Sewage Occupancy MWCC System Zoning On Site Well (ACtual) Const Ciry Water (Allowable) PRV Required # of Stories Booster Pump Length Depth S.F. Total Footprint S.F. APPROVALS FEES Engr.lAssess. Permit Planner Surcharge Council Plan Review Bidg. Ott. SAC, City Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks TOTAL Permit No. Permit Holdor Dats Telephone # Plumbing 7 T ,. t -- H:V.A.C. D,C Electric oi Softener Inspsctlon Dete Insp. Commenta Footings I Footings II Foundation a (?,? <>?, F c ;o- Framing i' ? S, i,?s u- -/ !F • Roofing Rough Plbg• Rough Htg. IsuL 0/k- r Fireplace Final Htg. 5]S_ ? Final Plbg. Bldg. Final ? 88 w? ?tj '? d Cert. Occ. Ac cT' ? c. Temp. LP SC? 2 Deck Ftg. Deck Final Well Pc Disp. :- ? + ,. .. (gprtifiratr of (IDrrixpttnry Citp of eagan aPpul'b11Pt[Y Df l1tTjdtlUo jItB}iPtYiI1T[ Thrs Certificate issued pursuant to the requiremenu of Section 306 of the Uniform Building Code cenifying thar at the time of rssuance this structure was in compliance with the various ordinances of !he City regulating building construction or use. For the fo!lowing: u: Cj.,.r.rion ?yI?1G; ecrniit ra. 2 I 5 oaua-y rype zo,;ns Dis? °j ryz const. Vn o.roaoreuam? 7.l?uF'r'?XR+ BUT??.I7FELS, '?°' naa?xi 1 117 ?; AI'f'fi 7 %;; Building Addreav Lucalily..? Datc Building O?iaal POST IN A CONSPICUOUS PLACE ? _ i.. _. PERMIT i PLUMBING PERMIT RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: _ CONTRACT PRICE PHONE: 454-8100 ? Block I Sec/Sub Name ? Name _ c Address p City?l?@ Phone COMM/IND FEE - 1% 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 SUFiCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) . SIGNATURE OF t FOR: CITY OF EAGAN BLDG. TYPE WORK DESCRIPTION Res. x>= New X)ODC Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: y0. FIXTURES TOTAI ?Water Closet - $3.00 ? Bath Tubs - $3.00 Lavatory - $3.00 ? =• ? Shower - $3.00 Kitchen Sink - $3.00 1_'?1r5' ?fi&IE$i'dA- $3.00 ?Laundry Tray - $3.00 ? Floor Drains - $1.50 ? Water Heater - $1.50 - - 7 Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) -SoNener - $5.00 -Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: STATE S/C: ` GRAND TOTAL: 1 PERMIT # ; • • ' MECHANICAL PERMIT , , j RECEIPT # - CITY OF EAGAN ' , 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: jULY JJ3 r 1.?,°88 : CONTRACT PRICE: PHONE: 454-8100 { Site Address ' on vn ., , . re BLDG. TYPE WORK DESCRIPTION ? Lot Block Sec/Sub XXXY New ?XX rx Res ? . y? Name Muit Add-on ? 2 m Address 14745 South Rohert Trail Comm. Repair ' c Cit R°GOWUntf M 423-?1144 Ph Other _ i y one 55068 Name Tollefson 3t111ders inC. I FEES RES. HVAC 0-100 M BTU -$24.00 c AddresS 12617 Fair e8n 7?v'erqi6 ADDITIONAL 50 M BTU - 6.00 p City Fxpple Va11eY, N 2 1bhone 431-1100 (RES. HVAC INCLUDES A/C ON NEW ? - 55124- CONSTRUCTION) 1 PER PEFdAIT - GAS OUTLETS MINIMUM 1 50 EA ) - ( . . TYPE OF WORK ' COMM/IND FEE - 1% OF CONTRACT FEE I Forced Air M BTU 30'? APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPLIES Boiler M BTU R 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 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # " BEYOND $1,000) ? Other ? :?i.sa FEE: ?? U ?-. S/C: SIGNAT E OF PERMF EE TOTAL: 3?•n? I FOR: CITY OF EAGAN CITY OF EAGAN Permit No: Date: 3830 Alot Knob Road B/P No: Date: ' P.O: Box 21199 Eagan, MN 55121 Owner. 'ar''"' ~'`:FyQn -+, .. i,ondca I.nne ?2"? ."1 Site Address: Stat 'Plumbing Zoning• _ MWCC: ? Pj1. ?Fd City Chg: 1 '1?' • ?f.Pd No. of Units: ? Acct. Dep: 1 agree to comply with the City ot Eagan Permit Fee: Ordinances. Surcharge Misc.: By ? SEWER SERVICE PERMIT CITY OF EAPAN Permit No: 383G'3+i1o1 Knob Road Meter No: P.O. Box 21199 Reader No: Eagan, MN 55121 Owner• SiteAddress: I.2:' Plumber. B1 $ Conn. Chg Zoning: r 1 j Acct Dep: No. of Units: i Permit Fee: Surcharge: I agree to comply with the City oi Eagan Tr. Plant Ordinances. Meter. Misc.: BY WATER SERVICE PERMIT CITY OF EAGAN Permit No: 1830 pllot Knob Road Meter No: 2 72_ 3 __S[ 5/Sl P.O. Box 21199 Reader Na /(p oZ !}? Eagan, MN 55121 Eldrs. n Lane ?nn. Chg: _ - 5:) ri? -; r- ct.0ep:- 15 i)(!,)c; rmit Fee: 10. Qf n" rcharge: SO d Plant_Z04 00rd Date: ' Size: Date: , Date: Size: -31 " oc j Date: ?1- ?T_ Cl_?S-0 ? ? Zoning: No. of Units: I agree to omply with the C1ty of Eagan Ordina B APPLIANCE PERFORMANCE TEST Attach to gas Ilne ad/acent to regulator Heating Contractor C?MrWtedlur Hfg 8, aC Name of Tester ?1,4YrZi Date ) °.. s;'_ .? e Job Address;' Heating Contractor Controlled Air Name oi Tester Date ' Percent qZ ?., 7/? Percent CQ2 Percent CO o Stack Temp. /fY? BLDG. PERMIT NO. I ?5 Q I I ? ? L' ? ?? L? c? C'r`` I ??'? -??11'1 C . 01-3210 Bldg. Permit ??0 ?C 01-3422 Plan Check 01-3445 Surch./Adm. 'J 01-3446 SAC/Adm. r J L-) 01-2155 Surcharge -7 F) 4' ? 75-3860 Road Unit 3;D-13 C'P ? 20-2275 SAC ?5" J C= y -? 20-3865 Water Conn. ?5 5 C` C'G ? 20-3868 Water Trmt. 00 ? 20-3716 Water Meter Ko r 20-2252 Acct. Dep. ? 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. loG 28-3855 Park Ded. TOTAL , CITY OF EAGAN N° 15 215 -? 3830 Pilot Knob Road, P.O. Box 21 -199, Eagan, MN 55121 PH ONE: 454-8 100 1 BUILDING PERMIT Receipt# C To be used for SF DWG/GAR Est. Value $160, 000 Date JUNE 17 ,1 g 88 Site Address 4778 LONDON LN OFFICE USE ONLY 23 1 BRITTANY lOTH Lot Block Sec/Sub. On Site Sewage Occupancy R-3/M-1 MWCC System X Zoning R-1 Parcel No. V N On Site Well (Actual) Const - m Name TOLLEFSON BUILDERS INC City Water X (Allowable) V-N z Address 12617 FAIRGREEN AVE PFV Required # of Stories ? City APPLE VALLEYPhone 431-1100 eooster Pump Length 56' Depth 48 ' , p Name SAME S.F. Total o ? Address Footprint S.F. Va m City Phone APpROVALS FEES ~¢ ;;y Name Engr./Assess._ Permit 770.00 t z - Address Planner Surcharge $0.00 x aw City Phone Council PlanReview 385.00 Bldg. Off. SAC, City 100.00 I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC _ 550.00 information is correct and agree to compl with all applica6le State of Water Conn. 550.00 Minnesota Statutes and City of s. Water Meter 67.00 Signa[ure of Permittee Road Unit 325.00 A Building Permit is issu TOLLEFSON B DE INC Treatment P7 204.00 oniheexpressconditionthatallworkshallbedonei ancewithall applicable State o f Minnesota Statutes and City of Eagan Ordinances. parks / ` ? M t TOTAL 3?031.n0 Building ONicial_ J,? , 1 ? ? " 78 6 REQUEST FOR ELECTRICAL INSPECTION eVs-oyoooM i See instructions lor tompleting tbis form on 6ack o1 vellow covv. "X" Below Wark Covered by This Request Add ReD• Type ot Building ApPliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lightiny Fiztures Apt. Building Dryer Electrie Heatui Commercial Bldg. Furnace Silo Unloader Industrial Bidg. Air Conditioner Bulk Milk Tank Farm Othr.r per,fy OtherlSpeci(yl t er uecify Other Other Comtrute lnsDection Fee Selow N Fee ServiceEntrancaSize q pee Feeders/Su6feeders b Fe,e Circuits Z.G'v 0 to 200 Amps 0 to 30 Am s I'I 19-c-'Z 0 to 30 Am Ds Above 200 qmps 31 to 100 Amps 31 to 100 Am y Swimming Pool Above 100_Amps Ahove 100_Amps Transformers Irngation Boonis ,N!'} Partfal-'Other Fee Signs ' Speciat lnspection TOT e _ Rerrtarks F 'm to ri ? r / s Roueh-in te I, the cal • ? ?y Inspector, hero6y ihat She e6 certif Finel `11e ? y ove inspection has been • ??Q? made. rhls request vold 18 monlhs trom hstrom0 ?//•J° ? 18 'mon[ 'd E-49 7 8 6 1.r-,26 61 6 '/U C^ ;?- ? ?6 Request'Oate. Fire No. Rou in Inspection Req - ed? ?Ready Now ?`Will Notify Inspec• ? ? 1'es ?NO lor When Ready aLicensed Electrical Contractor 1 harehy request insDection of above ? Owner electrical work instatled at: .. , Street Address, Box or Route No. / 7 -,S-- L/ Ciry j? G-? ?/ / ection o. I Township Name or No. 1 Rang No. Coun1 Occupant (PRINT) - ? 7'a 4I `?? Phone No. e c Pow Sup/Ulier ? KG5 , ??C_T O ! ? Address 1 - ?-? ?/1''? / v1 ?' /?°J Elec^trical Contracmr (Company Name) 4/?Z°i') e L Contractok's License No. MailinB Address (Comractor or Owner Making Instailation) Authp ized SignaWre IG ntractor/Owner Making ffiistallalionl / Phone Number / '?rQ ? J -CC? Cd MINNESOTA STATE BOAHD OF ELECTHICITY THIS INSPECTION REQUEST WILL NO7 Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 Universitv Ave.. St. Paul, MN 55104 UNLESS PNOPER INSPECTION FEE IS Phone I6121 642-0800 ENCLOSED. 5 0 3 z-1 Z RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EACAN MN 55122 651-681-4675 New Conetruction Reaulremente • 3 registered site suneys showing sq. fl. of Iot, sq. tt, of house; and ?I roofed areas (20% maxhnum lot coverage albwed) . 2 copies of plan showfng beam 8 wuMow saes; poured found design, etc.) • lsetolEnergyCakulatlons • 3 copies of Tree Preservatlon Plan A bt platted atter 7H193 • Rim Joist Detail Options selectlon sheet (bklgs with 3 or less units) DATE RemodeVNepalr Reaulrements • 2 copies of plan • 1 set of Energy Calculatfons for heated additions • 1 site survey tor exterioradditions & decks • Indkate H home served by septic system for addttiais (?l.o.-) ?> VALUATION S SITE ADDRESS q7 7$ Z_d/ud/d 'j MULTI-FAMILY BLDG Y N NPE OF WORK ?e Shnx FIREPLACE(S) ? 0_ 1_ 2 APPLICANT u 4r STREET ADDRESS 631S' Ms'&nrwf Sa r.?st D1 D CIN 0kr*l0M"* STATE HiJZIP 5-SO66 TELEPHONE #5?07-11y6- 91I -10 CELL PHONE # 5707 -a29/ _ 10 Zd FAX # a Y6 c PROPERN OWNER /5 -b Rh y' / ?_--k- TELEPHONE # C9 COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CA'TEGORY 1 (4 submission type) . Residential Ventilation Category 1 Worksheet Submitled • Energy Envelope Calculations Submitled Plumbing Contractor: Plumbing system includes: Mechanical Conhactor: Mechanical system includes: Sewer/Water Contracior: ? Air Conditioning Heat Recovery System Phone # Phone # Fee: $90.00 Fee: $70.00 I hereby acknowiedge that I have read this application, stqte that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and Clty of Eagan Ordinances. Signature o}AppliCant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 ? Water Softener Water Heater _ No. of Baths _ Phone # Iawn Sprinkler No. of R.I. Baths City of Eaqan Cash Receipt geceipt Date 1014101 Time Frinted 8e10;16 Receipt Nuober 1203 FIREsIQE CURNEk 4776 LONDGN LANE y 96@1.2195 .51 BF 43177 9001.4085 60.00 SF' 43177 TOEal ReCeipt F:oaunt 60.50 L'sc-r Hhsi;GRkdd ? . s ? ? ?--A --\ 2000 FIREPLACE PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD - 55122 651 681-4675 Date: 69 G ? ' L/ ?? ? ? if_ Description of Work: )'? Construct new fireplace Install ;2as insen onlY Other L,-'Gas _Masonry s L U 10-01-0c7 AlteraHons to existing Install gas line onlv Job address: ? ?O!A h GI h?. Lot: Block: ? Subdivision/P.I.D. Applicant (circle one only): Owner Contractor Permit Fee: $60.50 Name: g C.`C" ? C k EC1L Phone #: ?J-51 ` ?9?Jr'J Z1s???D PROPERTY Last First OWNER . Street Address: L?? 14G Gi GYl ?('A YI g City ?c4 U GI Gl State: )*YL' . Zip: vm 4- Company: co ho (azea code) FIREPLACE ?'? INSTALLER Street Address: V I r eity ?(n V`A S ?) r' , Company: //ll GAS LINE INSTALLER Street Address: City m Q 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 d City of Eagan Ordinances. c ' signac,ue I •r??_? _---:_? _A41- -z:p: .SS-33 Phone #: (azea code) i ? ? OFFICE USE ONLY BUILDING PERMIT TYPE ? 16 Fiteplace WORK TYPE ? 31 New O 32 Addition ? 33• Alterations ? 39 Gas Line ? 34 Repair ? 40 Gas Insert GENERAL INFORMATION Census Code 434 SAC Code 01 REMARKS Chimney/flue must be inspected before concealing. ? 41 Wood Stove 4 1988 BUILDING PERNffT 9PPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS 151 INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURUEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR COANER LOTS - CONTRACTOR/HOMEOWNER MUST DFSIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL ONITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Osed For: I Valuation: Date: Site Address tD 01.o AJ Lot A3 Block / Parcel/Suvgei?.9nJy /v? Owner-7-0-!/e-f sZi Address f ' ee,? A? . City/Zip Code 1/A//P4 Phone //d e) Contractor AjA,,,jt ? Address City/Zip Code Phone Areh./Engr. Address City/Zip Code Phone 1l /6 ,,,o ,OFFICE USE ONLY On site sewage Oecupancy R 3 M-I MWCC system ,G Zoning - On site well Actual Const N \I City water ? Allowable - -' V- N PRV required # of stories - Booster Pump ` Length ? Depth 8 ' S.F. Total Footprint S.F. APPROVALS Engr/Assess Planner Council Bldg. Off. Variance FEES Permit 79o,00 Surcharge '60 Plan Review O 3135',o SAC, City J oo, oa SAC, MWCC 550.0-0 Water Conn c7 , o a Water Meter 60100 Road Unit 3 o a Treatment Pl 7 oy , Dfl Parks Copies TOTAL ? ? a A VALuA-no&4 C A RA 60E Zo X Zfi = 5 LI o 3 5.-- ?qv X ly i rz y?? 39 x ZZ = 85s Z yc J5P = 3? ZI X 21 = 4yj _----- ? 3z? ? 13-- 17zI)I) !sr FLooR 135rn ? : l J w`q ?'?? x? = ! z z x ? ? / q ZZX z ? ?II f ?yul? ?. ?6s 15-c -7 L Y?+D t?vu1L 3 y 1l 26'/L ? =- Z yor +70 ?oS?q XY?j = 5336f ------., 151 nl E3O I3 E CDIISULTI?I? [tid111EEAS . PIANNEAS and LAHiunvEVOns OPA b Pr4NGINCOMEPf-nNfliNY,G INC. ? 1000 UST 1i61h STREET, BURNSVILLE, u1NlIESDTx 55337 PII 432'D000 C4C rZ zc cLZe o? -41'e u / ?e?al .??cr? 2ro icrt: LoT 23, BLAOcK / BR/TT?1A/Y /OTN ADD/TioA,1 , 0440T4 CDVNTY, M/NNe?5Or4` ; ?v / a [?4a -?? oENoTES EX/ST/N6 Ec.E vqT/oN 044 7) OENOTES OR0P05ED ELE I/•9T/Dnl /NOlCATE.S D/RECT/DiV OF SURFfJCE DR91A.146E ` s: 94500 ? F/N15HE,9 64,646E jL.00oe EGEI/AT/ON k-Y 0 v . a` m i1 v /? . \ 1 !o ? ^ 039•2S 3a' f',QONT Bv/CD/N6 SETQ?ICE' L /NE a? q `OQ 41 '• ? V Y I ??E ? SCAGE : /„ _ so` `rSe ? F DRAWA6E Ao,o UT/LITY EASEMENT \ A 4?. PO Q? ? l? M / I 10) \, P v;?? o '*y S .. i .9? ?•• ?J qd' 1 j S 6 0 69S ?\ \ V,`? J?pQ'Vy \ ??I?1 ' ? ? , h 0 _ ?- ?943 0 ? v I hertby certify that thia ie a true and carrect repreaontation of a tract of land as thoxn'and deecribed hereono. Ae prepared by mn nn thiz J T''','day ot L 19 $g- . -/7?88 C/+?4?/EEL ECEl?A7?aNS A.vD ??11 inn. Rlgs No..13C.?-a ? ? .••.-• w?KC?r GcrarioN?C.vc'o ? N B" To 4 0 ARoP GAk . i+i-" S 4 c..., lb"?_ 7???--- fitLGnN E:-4 'I"?J1::-.. ZIiVG DEPT, /0 ?? • . ?. ?. O ? • '' " ? CITY OF SIIILDIN(3 DEPAR7SMENT i:XTERIOR ENYII,OPE AVERAC3E "U ll COMPUTATION (T b o e submitted with building permit application) . Oae or Two Family Dwelling ' Owner T! ,EF'-Sn N f?tx (? A t '611 Other . . Site Address Ldf AlLse4k t orrAy+ 10" xminaw Contractor 15u .F5n?j a„ i,E ?? 25 , ? Date Pho ne . LINEAL FEET OF . EXPOSED YlALL cto : 2 _ - - ft* above grade = a . a ? . TOTAL E7LDOSED WALL ARE,A SQ. FT. 0?AQUE WILL CONSTRU,TIaPt: "U" Value x Area Detail ?z4 Mt:? "U" .043 x SQ. FT. ! ?nntG u ?? ???w(?1)(A) U ? ? ?A? reference , ?(U) x SR iZIM ?? n U Prom attached IIUII ? Q -?-?' --?-4U) (A) , sheets nU,I n n x . F SQ T. x SQ. FT. - ?U)??) - (U)(A) U x 5Q. FT. (U)(A) WINDOWS: nUn yalue x Area riake & Type r4C2(x-. QA+VIT opn 4 3 • ?? ?? ? ??U??- x sQ. Fr.44=_a t ?/ (u) (A) nII n x SQ. FT. -__._.__ -?' ( II)(A) n n -?-npll - x SQ. FT.?- (U)(A) . , z.SQ. FT. _ ?UXA) DOORS: "URI Value x Ares Pizke & Type STl_ Znl? nun P/t77D-??npn? x S@. FT.?= 4, (U) (A) ?t u u u 3 ? g SQ. FT.-?.= u u nUn (Q)(A) ___ -? -??? ? , g SQ. TT. (U) (A) TOTALS ?as?n-??SQ. 1"I'._Ifoh.C / ?U??A) TOTAL (U) (A) VALOES AVERAc3E nU" _/ldo./n l = 0-7 DI VIDCD BY TOTAI, ti;IAI,L AREAa3`S.aa ? AVERAGE "U" • 1 r leas for 1&2 fami],y dwell inga ROOF/CEILINGi TOTAL lREA: _?.? . Detail reference r?,i ? 1 l7.? Yrom n u- ` X SQ. FT. 8_?(U)(A) attached sheets. „U,i --__ x SQ. FT. = (U)(A) Deacribe onenings INto ---=-? _? x sQ. P"P. = (U) (A) in roof. .. _ uQn $ s4. FT. (U) (A) :. - TOTAL (U) (A) VALUES DIVIDED BY ? 7• ?7?i- a SQ. ??Le7 i ?-7-y,?(J - ?T CV/y ?> . i ? ?•? - TOTAL RaO?/CEILIN(3 AREA S? . . a . f?Z? ?. • AVERA(iE "Urf .025 for ventilated roofs. • . ? - . ----------------- _9.5o_x F3.8? xrl;?3 36 - .4183 _ Zz --- -------- -__------ --- ------- - -- -a ??? ??- 6'j -X?3a±?_t?g+-a -2?) M S'o?sr -----------_ . ? x (6a -t- sz _4--s4 } Sz.? _ - 16-7. s8 -K- ---- --- w tN DOWs _ :;?b x 3(--,) ---- _ - --- -- -ao x ?o -'---6-? -x ---- "------ 8-C? ----- ----- ------------ ---------- - -- - a4x?o - _ ao•D x.L _ = _ _?0.0 _----- -- _ - ---- -_----- - ---- -- - - - a4x 46 ---- 8.0 - x ? - -------- -------- I -- ---__---- -----------_--?-.c? ?------- -- --- _3°5Tt- =--ZS •CO dU _. L?' Pl?FTl!'? X 7_ _ C?,A ^/-) ---.NeT_ Ex r?s?D _W?u_,_ ECZUr?t.,S ____-- ---(? ____CO?IL•---SS•7? - ------- QfY? __W(NL?t?`?-_4r?-•f?0-- --- ------ - -- DD02S--j3300. ---- 200? - -------- -- - - --- ---- _ 3oxz8 =__?q-o?-_------ -_ _ - -- _ ___-- --- ---_____----19?-?.a8-?-- APRLICATIDN FOR PERMIT SEWER AND/OR WATER CONNECTION ;'. ...... ............=..F,..,.?., .x• . •-; .*k N(7PE: PAYMQRP QF FEE AT TIME OF * ArPracMoN noES Wr cnrr ? ? * STINPE APPRGVAL OF PE[thffT. .*, • f * INSPF7CfION OF SFxNIt ADID/OR WATII2 .*k. ; irisrAr.tr,TioNS war. Nar sE SCErnFn t .*t I!NPIL PERMffT HAS Bffid APPRC7VID. •,t+f.*+**ftfrx*s.fti.,t+r:t++r?xt?*:y.ex*+x ity oF ecician . , (PLEASE PRINT 1) PROPERTY ADDRESS: 7•FY;AT. DESCRIPTION; IF EXISTING STRL'CTURE, DATE OF ORIGINAL BLILDING Pa T ISSUANCE: Mon Year PRESENT ZONING/PROP05ID USE: ? CONAEF2CIAL/RETAIL/OFFICE ,:fl R-1 SI[vGLE FAMILY Q INDCSTRIAL E=IR-2 DDPLEX ('iSao L'nits) Q INSTITUTIONAL/GOVEW?IEINT ? R-3 TOWNHOUSE (Three + Urjits) ( Units) Q R-4 APARTMENT/CONDOMINIUM ( Units) 2) \4• I-a 1?lT?u•?,lAL?: 76 ?Y ? ADDRESS: a ? t?,CITY, STATE, ZIP• AV?O PHO[?TE: 11 , --, 3) y?• NAME ; ` ADDRESS: CITY, STATE, ZIP: ? PHONE: ` 4) LVAME: ADDRESS: CITY, STATE, ZIP: PHONE: ? V-4y.`I4 "AsTER Lzc.EvsE # Plumbers License: ? Active - Expired _ Not recorded .- st Ia?nit a? 5) s a ?? NO M oie CONNECTIO[V TO CITY SEWEft CONNECTION TO CITY WATER O OTHII2 17 6) , k***k:k***ie*******?r**** tt*?F* :kak*?Y************ie*****irtk*'k'k**/r*******?F*****vkikik***tFYttYir******'kir********aF* k THE GOLD COPY OF THE PERMIT WILL BE SENI' DIRECi2,Y TO PUBLIC WORKS TD FACILITATE METER PICK-UP. * E PLEA.SE ALdAW RWO FARKING DAYS FOR PROCESSING. SOMONE FROM Tfli CITY WILL CONrACT YOL IF 'PHERRE ? r ARE ANY PROBLENLS. * * **************************************,?***********************************************************f : FOR CITY USE ONLY PERMIT # ISSLED L Pd w/Bldg. Permit C $ s 17• o-a $ $ $ $ S $ $ $ $ ezJ RECEIPT FEES: $ ?4 `S-D SEWER PERMIT (INCLIIDE SURCHARGE) $ /D '5-2) WATER PERMIT (INCLUDE SDRCHARGE) $ WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLL'DE CORPORATION STOP) $ SEWER TAP ACCOUNT DEPOSIT - SEWER $ ACCOC'NT DEPOSIT - WATER $ wAc $ sAc $ TRUNK WATER ASSESSMENT $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SEWER $ LATERAL BEN°FIT/TRCNK WATER $ WATER TREATMENT PLANT SURCHARGE $ OTHER: $ .? /cl-a TOTAL - ?',5'a s v RECEIPT DOES DTILITY CONNECTION REQLIRE EXCAVATION IN PC'BLIC RIGHT OF WAY? ? YES IF YES, THEN A"PERMIT FOR WORK tiV2TH2N PDBLIC Q ROADWAY" MLST BE ISSUED By THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE : ? OFFICE USE ONLY O 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 07 05-plex ? 13 16-plex ? OS 06-plex ? 16 Fireplace ? 09 07-plex 13 17 Garage ? 10 0&plex O 18 Deck ? 11 10-plex O 19 Lower Level ? 12 12-plex Plbg Y or _ N ? 20 Pool ? 21 Porch (3-sea.) O 22 PorohlAddn. (4sea.) ? 23 Porch (screened) 0 24 Storm Damage ? 25 Miscellaneous [3 30 ACCessory Bldg O 31 Ext. Alt - Muki ? 33 Ext. Alt - SF ? 36 Multi ? 31 New O 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition O 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration O 37 Demolish (Bidg)` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement "Demolkion (Entire Bldg only) - Give PCA handout to applicarrt Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addirion) _ Plumbing Foundarion HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final • _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Buiiding Inspector E3O I3 E CDIISULTI?I? [tid111EEAS . PIANNEAS and LAHiunvEVOns OPA b Pr4NGINCOMEPf-nNfliNY,G INC. ? 1000 UST 1i61h STREET, BURNSVILLE, u1NlIESDTx 55337 PII 432'D000 C4C rZ zc cLZe o? -41'e u / ?e?al .??cr? 2ro icrt: LoT 23, BLAOcK / BR/TT?1A/Y /OTN ADD/TioA,1 , 0440T4 CDVNTY, M/NNe?5Or4` ; ?v / a [?4a -?? oENoTES EX/ST/N6 Ec.E vqT/oN 044 7) OENOTES OR0P05ED ELE I/•9T/Dnl /NOlCATE.S D/RECT/DiV OF SURFfJCE DR91A.146E ` s: 94500 ? F/N15HE,9 64,646E jL.00oe EGEI/AT/ON k-Y 0 v . a` m i1 v /? . \ 1 !o ? ^ 039•2S 3a' f',QONT Bv/CD/N6 SETQ?ICE' L /NE a? q `OQ 41 '• ? V Y I ??E ? SCAGE : /„ _ so` `rSe ? F DRAWA6E Ao,o UT/LITY EASEMENT \ A 4?. PO Q? ? l? M / I 10) \, P v;?? o '*y S .. i .9? ?•• ?J qd' 1 j S 6 0 69S ?\ \ V,`? J?pQ'Vy \ ??I?1 ' ? ? , h 0 _ ?- ?943 0 ? v I hertby certify that thia ie a true and carrect repreaontation of a tract of land as thoxn'and deecribed hereono. Ae prepared by mn nn thiz J T''','day ot L 19 $g- . -/7?88 C/+?4?/EEL ECEl?A7?aNS A.vD ??11 inn. Rlgs No..13C.?-a ? ? .••.-• w?KC?r GcrarioN?C.vc'o ? N B" To 4 0 ARoP GAk . i+i-" S 4 c..., lb"?_ 7???--- fitLGnN E:-4 'I"?J1::-.. ZIiVG DEPT, /0 ?? • . ?. ?. O ? City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4778 London Lane Lot: 23 Block: 1 Addition: Brittany 10th PID:10- 15009- 230 -01 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: Replace Description: Fumace & Air Conditioner Comments: Expired Perm Fee Summary: Contractor: Controlled Air 21210 Eaton Ave Farmington MN 55024 (651) 460 -6022 X253 PERMIT City of Eaan Closed w/o Required Inspections. Letter sent. Questions regarding electrical permit requirements should be d 952- 445 -2840. ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature - Applicant - 12 -12 -08 pf Owner: Edwin I Rarick 4778 London Lane Eagan MN 55121 Permit Type: Permit Number: Date Issued: Permit Category: Mechanical EA081127 11/16/2007 ePermit ected to Mark Anderson, State Electrical Inspector, $50.00 0801.4088 $0.50 9001.2195 $50.50 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply of Minnesota Statutes and City of Eagan Ordinances. h all applicable State Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA147223 Date Issued:12/18/2017 Permit Category:ePermit Site Address: 4778 London Lane Lot:23 Block: 1 Addition: Brittany 10th PID:10-15009-01-230 Use: Description: Sub Type:Residential Work Type:New Description:Garage Heater Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Edwin Tstes I Rarick 4778 London Lane Eagan MN 55121 (612) 850-1134 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA156126 Date Issued:06/17/2019 Permit Category:ePermit Site Address: 4778 London Lane Lot:23 Block: 1 Addition: Brittany 10th PID:10-15009-01-230 Use: Description: Sub Type:Residential Work Type:Gas Line Description:Install gas line from meter into house Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Edwin Tstes I Rarick 4778 London Lane Eagan MN 55121 (651) 688-6986 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA165606 Date Issued:11/10/2020 Permit Category:ePermit Site Address: 4778 London Lane Lot:23 Block: 1 Addition: Brittany 10th PID:10-15009-01-230 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors - See Comments Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:11/13/20 Per Jake, contractor put in 2 new openings for the windows. We will use this permit, but they need to fill out an application and have plan a review with Jake. pf Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow 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 - Edwin I & Marilynn E Tstes Rarick 4778 London Ln Eagan MN 55122 Hoyt Exteriors Inc 15112 Galaxie Avenue Apple Valley MN 55124 (651) 246-4801 Applicant/Permitee: Signature Issued By: Signature