4785 London LaneCITY OF EAGAN '; a 40 '.
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 /; ,; ? -
BUILDING PERMIT Receipt# >
To be used for W;/G'i4- Est. Value Date '' ?" ,19
Site Address ?LOh15Oiv 1_.N OFFICE USE ONLY
Lot Block ? Sec/Sub. Bkl"C'"'+t1v On Site Sewa9e Occupancy
MWCC System Zoning I
ParcelNo. V-N
OnSiteWell (Actual) Const
a Name
City Water
(Allowable)
W
z
i2t'1
F-.?t?GK::E'v
'7 A`3c
Address PRV Required # of Stories
,
,
t°
City dAi-LF?hone 437.-59f1
BoosterPump
Length ,
?
Depth
, o Name S.F. Total
? Q Address Footprint S.F.
P City Phone APPROVALS FEES
¢
? En r/Assess.
9' Permit C-(?
Name 82
(X
? Z Planner Surcharge '
?g Address 391 ,00
`W City Phone Council Plan Review IOU
OU
Bldg. Off.
SAC, City .
`%SC'.JO
I hLieby acknowledge that I have read this a
lication and state that the
Variance
SAC, MWCC
pp
information iscorrect and agree to comply with all applicable State oi WaterConn. 150•Oil
Minnesota Statutes and City of Eagan Ordinances. 0
00
Signgture ot Permittee Water Meter
Road Unit •
325. u0
A Buildin Permit is issued to: "i: ? L!%k- i-''C
9
Treatment Pl 2Qdy,QQ
on the express condition that all workshall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks
J
??
Building Official
TOTAL
'
?
BLDG. PERMIT NO.
-
/.
01-3210 Bldg. Permit
01-3422 Plan Check
01-3445 Surch./Adm.
? 01-3446 SAC/Adm.
? 01-42155 Surcharge
?
t 75-3860 Road Unit
20=2275 SAC
20-3865 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.
28-3855 Park Ded.
TOTAL
:.)
?..J?
?
..?;
?
CASH REQ,EIQT - '
?CITY OF EAGAN
, 3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122 i
DATE ?•? ? 19? ?
PECEIVED , /
aa+.`/li?..?
AMOUNT
61?
FUND
AMOUNT I
-?- I
-t--_
?
.j
Thank You
sv
VdhNe--Payars Copy .
Vellow-POSting Copy
Pink-File Copy
. . ?? CITY OF EAGAN
3830 Pllot Knob Roatl, P.O. Box 21-199, Eagan, MN 55121
PHONE:454•8100
BUILDING PERMIT Fieceipt #
To be used for ' Est. Value °Date ,19
Site Address , OFFI CE USE ONLY
Lot Block Sec/Sub.
On Site Sewege
OcCUpancy
MWCC System Zoning
Parcel No. On SRe Well (ACtual)Conat
a Name Ciry Water _ (Allowable)
W
z
Address PRV Required
- ? of Storles
0 City Phone 'f j/.- 116,e, Booster Pump _ Length
Depth
'c
o
Name
S.F. Totai
.
o `
Address
Footprint S.F.
U
lm City Phone APPROVALS FEES
yVj W Name Engr./ASSess. Permit
? Z
_ -
Address Planner Surcharge '
Q W City Phone Council Pian Review
Bldg. OH. SAQ City
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC
information is cortect and agree to comply with all applicable State of Water Conn.
Minnesota Stetutes and City of Eagan Ordinances. Water Meter
Signature of Permittee Road Unit
A Building Permit is issued to: Treatment P1
on the express condition that all workshall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks
Building Official TOTAL
- Permit No. Permit Holder Date Talaphone X
P
i
lumb
ng
? ?
H.V.A.C. ?,
Electric ?
Sokener
Inspsetlon Date Insp. Comments
Footings I b
Footings II
Foundation
Framin9 ,
(f7-'' ?
Roofing
Rough Plbg.
Rough Htg.
Isul.
7 -J,S'
Firepiace
Final Htg. ? P
Final Plbg.
Bldg. Final
CP.R. OCiC. CA?'?GG U= ts VY/INt.? ?? ?y O"S ?
Temp. LP
Deck Ft9. f?f.+c,? ,f /frr" ?4iL G??? %'7/?ii?'i
Deck Flnal ^
Well / S S ? ? !/-7?"Y ?•l
Pr.Disp. L I?
(ger#ifirat.e nf Orrupxnry
Citp of (Eagan
Er}rarbnmt of luilbing Jnspertiun
This Cenifrcate issued pursuant to the requiremenu oJSection 306 of the Uniform Building
Code cenifying that at the time of issuance this structure was in compliance with the various
ordinances of rhe City regxlating building construction or use. For rhe fo!lowing.•
Uae C7aaificarion 'J ` ! Bldg. 14rmi1 No. . ?'rl
O=Pa-YT"e
2oning Dislnq Type ConsY.
Owoer of &uldiog j" .. . pddress ?
. ... ..?....? .Fl' ? n 1 ? .'?.i':
&tildins Addreffi " .. .. . ? . [,ocaliry ?.
euiwme arciai
POST IN A CONSPICUOUS PUCE
PERMIT #
•• ? ' MECHANICAL PERMIT RECEIPT # 6 ?
' CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: mY 13?
I CONTRACTPRICE:14/7S,j 4cnp6n ?uriE PHONE:454-8100
Site Address •a
Lot ri Block 1 Sec/Sub
ditiC
? Name _Genz-Ryan P&H
m Address 19745 Sotth Raberr Tx
c CityN.osamountR t+al Phone-423
? Name
c Address12617 1?at=aAn n_c,m,u
p City %pple Va lley,_?hone 431-1100
TYPE OF WORK
Forced Air 1 2` M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU $
Vent. CFM $
Gas Piping Outlets # $ t _ +n
Other 4'
FEE: _34
90
.
S/C: 50
-l ly n
TOTAL:
BLDG.TYPE WO
Res. Neu
Mull Adc
Comm. ReF
Other
FEES
RES. HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMI'n
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
REMODELS
MINIMUM COMMERCIAL FEE
STATE SURCHARGE PER PERMIT
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
K ??;'.-%I.•?'?.?1 A
SIGNATURE OF PERMITTE
FOR: CITY OF EAGAN,
- $24.00
- 6.00
- 1.50 EA.
- 12.00
- 20.00
- .50
PERMIT #
. PLUMBING PERMIT RECEIPT q
CITY OF EAGAN
3830 PILOT KNOB RQAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8700
Site Address 4 r, el _/ C) '?
Lot Blnck ? Sec/Sub
? Name
m
m ,
Address' %' S
c City , f'
F-'V$ Phone gZ 2 u'? s
,
Name ?c ? ,
3 Address
O Ciry Phone
FEES
COMM/IND FEE - 146 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
FOR: CITY OF EAGAN
BLDG. TYPE/ WORK DESCRIPTION
Res. New 61?
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
3 Water Closet - $3.00 ?
? Bath Tubs - $3.00
?Lavatory - $3.00 (
? Shower - $3.00
?-Kitchen Sink - $3.00
-Urinal/Bidet - 5100
_2?1_aundry Tray - $3.00 ?
?.-Floor Drains - $1.50
?Water Heater - $1.50
Whirlpool - $3.00
a::Gas Piping Outlets - $1.50 ;
(MINIMUM - 1 PER PERMIn
_SoRener - $5.00
_Well - $10.00
_Private Disp. - $10.00
_Rough Openings - $1.50
FEE:
STATE S/C:
GRAND TOTAL:
CITY OF EAGAN "
454-8100 ?
DEPT. OF BUILDING INSPECTIONS
Correction Notice
L.ocated at °voen? Z /V'
Date
Inspector Ciry of Eagan
DO NOT REMOVE THIS TAG
I have this day inspected fhis structure and
these premises and have found the following
violations of city codes governing same:
?IVhen corrections have been made, please
call 454-8100 for inspection.
CITY OF EAGAN Permit No: Date: 6'27 °`'
3039 Pilot Krrob Roatl Meter No: qe 7 yC? 5 Size: Sl?' ,Qo e
P.O. BoK 21199 Reader No: 1J E oo? 3 7. 3T Date: _/O -.2G' kg
Eagan, MN 55121
Tollefson Bldrs.
SiteAddress: '- '5 Londou Lane L20 .91
Plumber. >`ar Pl.uabina
Conn. Chg: Zoning:
ACCt. DBp: - ?'o ncl No. of Units:
Permit Fee: _ _'10n'
Surcharge: r!)nrl 1 agree to compty with the Clty ot Eagan
Tr. Plant
Meter. Ordlnances.
Misc.:
WATER SERVICE PERMIT
sr?
CITY OF EAGAN Permit No: ?-27-5$
3830 PilotJCnob pDad Date:
Meter No: Size:
P.O. Box 21199 ' Reader No:
Eagan, MN 55121 " Date:
vwner. --+aisvu atuYS.
Site Address4785 LOQdfln Lane T_9A it n.jz._
Conn. Chg: 550.OOqd Zoning: R,1
Acct. Dep: 15 • OQncl No, of Units: I
Permit Fee: 10 00pd
Surcharge: • SOnd I agree to comply with the Clty of Eagan
Tr. Plant ?04nti
r?vp Ordinances.
Meter. 67. OQ
Misc.:
By ;
WATER SERVICE PERMIT ?
CITY OF EAGAN Permit Na ti0,61 Date: '-' 7 -"`sq
3836 Pllot Knob Rced B/ P No: Date:
P.O. Box 21199
Eagan, MN 55121 ?
Owner: '"011efson B2dis
Site Address: 4785 Londor.
Plumber: 5tar P.uri',., -_-.,
MWCC: Zoning• '
City Chg: No. of Units: "
• : .. ?i
Acct. Dep: I agree to comply wMh the City of Eagan
Permit Fee: . ri37; Ordinances.
Surcharge:
ey
SEWER SERVICE PERMIT
, -- • CITY OF EAGAN N2 1514 0
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100 ---?
141-1
BUILDING PERMIT Receipt #
? ?
9
To be used for SF DWG/GAR Est. Vaiue $164,000 Date JUNE 8 ,19 88
Site Address 4785 LONDON LN OFFICE USE ONLY
BR N 10 H
Lot 20 Block 1 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
¢ Name - TOLLEFSON BU ILDERS . INC City Water -X- (Allowa6le) V-N
z
W Address 12617 FAIRGREEN AVE PRV Required - # of 5tories
?
City APPLE VALLE?hone 431-5921
Booster Pump
_ Length 72?
Deptn 361
, p Name SAME S.F.7otal
? Q Address Footprint S.F.
?m City Phone APPROVALS FEES
Ux
W
Name Engr./Assess. Permit 782•00
82
00
?= Planner Surcharge .
_.
¢ Address
Council
Plan Review 391.00
W
4 City Phone Bldg. Off. SAC, City 100.0
0
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC 550.00
information is correct and agree to comply with all applicable State of Water Conn. 5$0.00
Minnesota Statutes and Cit f Eagan Ordinan s.
?
water Meter
67.0
0
Signature of Permittee ai Road Unit 3.25-0
O
A Building Permit is issued to: TOLLEF50N BUILDERS •-JI!(C Treatment Pt 204.00
on the express condition that all workshall be done in accordancewith all parks
applicable State of Minnesota Statutes and City of Eagan Ordinances. 3
051.00
Building Official ? TOTAL ,
?? ?
9 3 6 9?/7? ?
Fiequest Date
?2 _2 Fire No. Rough-i spection
Require
No
? Ready Now oiify InspecWr
When Reatly?
I? licensed contractor ? owner hereby request inspection of above electrical work at:
Job A r s IStreet. Box or Route No.)
.s? Lo.?ao?
/A,V? City
?
SecMion No. Township Name or No, Range No. Coun ?/?{ // /'
!? / %/ ?? / ?
Ocwpant (PRINT) Phone No.
POwer Supplier Address
EI ' r (Comp y Name)
0Va o .v ok'
-r L e.s'e Conheclork License No.
4 0/f
eiling AQdress (COntractor or Own Making Ins Iletbn)
' '
d
A orrzed " na re( ractor/ e rg I t i n
t Phone N ber ( ?j (
'?'%4- O j-
O ?1n
MINNESOTA STATE.BOARD OF ELE RICT/ 7HIS INSPECTION REQUEST WILL NOT
Origgs-Midway Bltlg. - Room S77 BE ACCEPTED BYTHE STATE BOARD
1827 Unlverelry Ave., St P6, 5104 UNLESS PROPER INSPECTION FEE IS
Phone (672) 692-0800 ENCIASED.
LECTRICAL INSPECTION
ji? See instructioos for compFeting.this to.rm on back of yellow copy.
lf' 47936 "X" Below Work Covered by This Aequest
dMilli Es-ooooi-a7
ew Add Rep. ? Type of Building AppliancesWired _ EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (speci(y) Co k R marks:
Compute lnspection Fee Below:
'
# Other Fee # ServiceEnlranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
S19f1S Inspector5 Use Only: TOTAL J
Irrigation Booms
Special Inspection
Alarm/Comm unication
Other Fee
I, the Electrical Inspector, hereby
cerlify that ihe above inspection has
been made. Rough-in
Final
Date
OFFICE USE ONLY
7his request void 18 monlhs from
ThiS request void eZ- ?????]I
18 months trom
E 4 9 3 3 01..?n ?-, 7c.? ?c? - C?f?--?.'?1*0
Renuest Daie Fire No. Hough-in Insper.tion
Reqy,ired? ?
XjYes No
Ready Now iII Notify Inspeo-
* r When tieady
Licensed Elecvical Contractor I hereby request inspection oi above
? Owner electrical work instalied at:
Street Address, Box or Route No. f
" 7 / OS- &6' O /'jG' a / City
ection o. Township Name or No. Range No. ?
Cow/
•
G
e
OccuVan( (PRI TJ /-?
?
- Phone Nc+.
el
-s
0 ( 16?
Pow¢r upplip r
l<a? 9_G?? Atldre55
?
G`?ro?-? -? ? hC--
Electrical Con[ractor (COmpany Name)
f Contractor's License No.
Mailing AdJress (Contractor or Owner Makfng Ins ilation)
? c,-,'. L' r2 - C)<?G?F
Authori d Signature (Contractor/Owner M ing Installation)
_ ???e? Phone Number
I g'tC-?'I3t'l ?/
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTIDN REQUEST WIIL NOT
Griggs-Midway Bldg. - Hoom N-191 gE ACCEPTED BY THE STATE BOARD
1827 Universitv Ave.. St. Paul. MN 65104 UNLESS PROPER INSPECTION FEE IS
Phene16721R420800 ENCLOSED.
cjJ/Glg? REQUEST fOR ELECTRICAL INSPECTION ee-oooot-os
10, See instructions for.comoletio9 tAis form on 6ack ot yellow copy.
E 49830 "X" BeloW Work Covered by Thls Request
New Add Rep. Type of Building Apptinncee Wirod Equipment Wired
Home Range Temporary Service
Duplex Water Heater Liyhtin,y Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldy. Furnace Silo Unloader
Industrial 81dy. Air Conditioner Bulk Milk Tank
Farm Otner ver.i v 01her (Suecity)
t r,r Suecify Other Othvr
Compute lnspection Fee Below
M Fee Service EntrenceSize R Fee Feeders/Suhfeeders N Fne Cirr.wts
Z, D to 200 Amps 0 to 30 qm s 13 30.QU 0 to 30 Am ps
Above 200 qmps 31 to 100 Amps oa 31 to 100 Am s
Swimming Pool Above 100_Amps Above 700_Amps
Transformers Irrigation Booms SZj Partial.'O
I' I Signs I I ISpecial Inspection ?g TOTAL
Remarks / ?EE.? ?,y
'n n r ? y?% ?
??
RouBh-in te
C? I, the Electricnl
! ?
?
s-!? J Inspector, hereby
if
thet the above
Final ( ?
? ( 7• y
inspection has been
?
c7l mede.
This re4uesl voitl 18 montha from ' - ' . _ !.
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN ?
SINGLE FAMILY DWELLINGS 1INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDAESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL [TNITS FOR SALE UNITS
# OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CONIlMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For• Valuat ion:ry Date: Co-/ - 8 f
Site Address ?AA7Z:- oo?? OFFICE USE ONLY
1 ` t t
b '
Lot j2(2 Block !
I
On site sewage
Oceupancy
R-3 M•I
MWCC system ? Zoning ?L-(
Pareel/Sub On site well Actual Const V-N
City water ? Allowable
Owner PRV required # of stories
- Booster Pump ` Length -O"
Address Depth
S.F. Total
City/Zip Code / Footprint S.F .
Phone f-92 i APPROVALS FEES
Contractor Engr/Assess Permit 7 8Z,00
Address
City/Zip Code
Phone
Areh./Engr.
.
Address
Planner Sureharge ,00
Couneil Plan Review 3 9a ?
Bldg. Off. ?io/3 SAC, City _
Variance SAC, MWCC 4 00
Water Conn t),00 J&S
Water Meter 6 Dt7 .
Road Unit ,p0
Treatment P1 p pp
Parks
Copies
- ` TOT9L
City/Zip Code ? .
Phone #
, e.
vAL-uA'TipN
(T ARAU,C
1 t)< 26 - N&E
l`1XZ2= 30?
qy E$=
8ygx?y? ?Is?2.
1?smr
ZXI 3 = ZG
261?36= ?o06
y x ?t : i c.
?L
I338 X 13° 1r? 394
NouSF
_---
?Sw.r
Z? ? _ ty
?63l3?(
e
.. '
. .
!
RoQE
ENGINEEB1NG
COMPANyi 1NC.
? 1000 U5T 1461n 57AEE7,
TaI.14EFSo.t-/ BU/LD?KS
\ 0 /488. oi
CDH5UlT111U EHOINfEAS •
pIRFIHEAS ond LAHII iUflVEY4AS
BU(l}iSYILLE, MUitiESOiA 45337 PIi 1:2'3000
Ct_Tt?Z?Z CLZl?e O? ey
Zra?al .?k.icrL.diian: LOT zo, BLoCK l, BRiTT,qN!' /oTH 40Di7'10n1,
. GAKOTA c'OU/V-IY, M INNE50'7'R
S CALE : /" = 3b'
+
LONAON
,?
LANE ? ` ?
, ?O 3
ti? ?0 ?38.s?
6_
10 V /
(q,qA";
I ?i $ 6pRP?
o\
0
/6.53 z3 ??aE
0 ev.?'°'
? ?,y?
I
?3?9'
L ? ?i v? I (93i
m ?
?' ) !D I
J \
I \
g ?• ?-9
h
i ?`9Cr ?? \
DENOTES EX/STIN6 ELEI/AT/ON
C94-105') DEvOr6S PRo.,POSEO ELEv4T/oN
,..•-? /NOiCATES' p/RECTIoN OF
SuRFACE D,P4/N466
9'9"/-83 = Fi,U1syEO 6H.P.46E FLDOR ELEt/AT/D1,1
40• F?eoN r eviZ.DiAJs
SE7-a4CK L /,tlE
04 `V' \
N6 ' \\ <'
?,
37&:10, .
?
?
15
, i !R--• ??_? !- _- ? u ? ?
0
i/??? ? 3 ti''.. ?l?.?? }`'?7 k. ?
o. ?
?
?r.t..i:a?:.J,d ?_ "4;': _?7:• °-,?._.L? `Ti? ? ?i i1
LOT zo
? ? /')i" r ? ?
L-) L_?,?
7=oo ---
1 777=/?I
?9z9?a)
N o° 22' 23" w
c ? TY PonrD
iFtE ?, = 9/7, 7
/932.0_1?
(73z, D)
?
N
2 N
?N
0
?
ti)
I.hersby cartify that thia ie a t:ue and corrnct rnprzeantation of a tract of
land as ahoxn'and deecribcd heraon.• 1+e praparad by me on thii Z? 3R_-day ot
/?AY ? 19 S g . •
CITY OF BUILDIN(i DEPARTMENT
EJCPERIOR EIZVELOPE AVERAt3E ISlJ 'l COMPUTATION
(To be submitted with building permit application)
One or Two Family Dwelling ' Owner "Tc?)iEF-s14 O111 ,L-,?E1?
All Other Site Addrees 1lQ9-4;, Z,oNSwy
Contractor OUJEE!5?)N P?i 11UD9;.r? Date Phone
LINEAL FEET OF .
EXPOSED YJALL U70it. above grade
TOTAL EXPOSED 6YALL ARr.A SQ. FT.
0?AQUE WP,LL CONSTRUCTIOr; : "U" Value x Area
De tail Fe4Mo "U 11 , 043 x S2,
reference nnmG "U" . x SR,
from -L?lM olUit • D4d x SQ,
attached °UII x SQ,
sheets
nUn K SQ.
WINDO'iYS: "Ull Value x Area
FT. P?Z.G(? (U) (A)
FT. 19s--76= S-4,U (U) (A)
FT. ???.?3 = _? SC2 U) (A)
FT. = U) (4)
FT. _ (U) (A)
FT. _ (U)(A)
Diake & TYPe -EN?aL C-6!!!T' nUn ;4P, ' x SQ. FT.Q1•4/ (U) (A)
" ° nUu x SQ. FT. - (II)(A)
n n nUu x 8Q. FT. (U)(A)
u ° liUn S.SQ. FT. - (U)(A)
DOORS: "IIll Value x Area
Tiake & Type ?6T(? nUn .. /4 x 3Q*
u u P?77D upel .4'7 x S .
n u nUu x SQ.
n n _ nIIn x SQ
.
TOTALS 20•a.-:?SQ.
AVERAQE "U"
FT. 4G = ( . (U) (A)
FT.84=S??(U)(A)
FT. _ (U) (A)
FT. _ (U)(A)
LeT. Ifo[?•1,?7 / ? (U) (A)
TOTAL (U)(A) VALUES /?.?/ ?
?
DIVIDED BY TOTAL 17ALL AREA`'331@41?"aa
AVr:RA(iE llUlo(j][5 r less for 1&2 family dwellings
ROOF/CEILIN(3 :
TOTAL AREA: _E40 -
Detail reference
"nT" • O?
u
SQ. l7.?
FT. .?U =.?(U) (A)
from ?flUu x SQ. FT. ? (U) (A)
attached sheete.
? @fUll
- x SQ. (U)(A)
Describe onenings uUff x gQ, ?, _ (U)(A)
in roof. nQ?I s SQ. F4'. = (U)(A)
TOTAL (U) (A) VALUES DIVIDED BY 1-1 Iv
TOTAL R00Y/GEILIN(3 AREA 840 '
AVERA(3E "Uff .025 for ventilated roofe.
SS ExR't-=ZD WWt.I,
9 .50 X (36 -t- ae t Z-0 -+ ZD ? = f (G 7 • ?D
8•83 xrc?g +36 + 30 + 3g) }_i 183 . Zz
a380.?? _
iw,.?. _ _ - - ----- ------ -- --- __
j . 671 X a-E-
?
,
li ?Z Xsz+s4 4-s-2?D = IB?. sg -3? -- - -
?
? -- -- -- ---
F,
? Wwoows --------------------------- --
G?D
?? ao x -70 x
?i a4Xbo t = ?o.o
j?
? 5?4 x?
? i,? 2.5 Nef Ex POSEU wAu, EM-urMS
?-
? STC. Se R- ° I?? .._ CD1?lC• _ ?S-7?
---
_ -- ------ - L-500 Pl4T10X Z =-- B?.DU -----_ ____------2t1'? --18?•?$
__ - ----?--- ? ------ ------_ _ __-- 1 ???oo ?-_ -- - -- ---wrnlMAJs-4+1:?0 _ _7450-94
-- - --- ---. ?
. ------ -__ _- - ---
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- - .._ _ Di002s _ 13300. --- --
_
'? 30XZ8
APFLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTIQN
*_....? ................=.xx...?xx.. ,
? NOTE: PAYMh4Tf OF FEE AT TIME pF
; r+eriacaaioU ooss NoT coN- ;
e STITtTfL APPRCVAL OF PERFIIT.
* +
; iNSrEcriaN oF sBM r,ND/cR wr,xEa ;
,*t It1STALiATIONS WIII, IQ7r gg SCED7I,m
t I.TNPIL PE[tMIT HAS BE@] p,ppg(7yFD.
f**##4lf4Fi#*t#t#***lit4fi4tYi*trf**+4**
ity oF eagan
(PLEASE PRINT
1) PROPII2TY ADDRFSS
LEGAL DE5C?2IPTION; T ?
IF EXISTING STRL'CTURE, DATE OF ORIGINAL BUILDING pERMIT ISSLANCE:
Mpnt Year
PRESENT ZOIVING/PROPOSID USE: •
? CONMEIZCIAL/RETAIL/OFFICE I? R-1 SINGLE FAMILY
Q INDT-ISTRIAL ? R-2 DUPLEX (3Sao C'nits)
? INSTI4L'•TIONAL/GOVERNyENT ? R-3 TOWNHOL?SE (Three .+ Units) ( Lnits)
Q R-4 APARTMENT/CONDOMINIUM ( . C'nits)
2) ... . NAME:
AoDRESS: .?ol ? a 'h v ?
CITY, STATE, ZIP: J^'a -
PHONE:
For City Use
3) NAME: Pltunbers L-? ce e:
ADDRESS: Active
I Expired
CITY, STATE, ZIP: Not recorded
PHONE: ( MASTEK LICENSE #?' StaT Initia?
4) e?i,^?3\.a ?,.i? ?+•
NAME: S
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5) s?a • a? • ?? .. ? a?
?C.`ONNECTION TO CITY SEWER CONNECTION TO CITY WATIIZ ? OTHII2
6) THE F************************ ** ******************************?**************************************w
?
?
' GOLD COPY OF THE PII2NffT WILL BE SETTr DIRDCIY,Y TO PUlBLIC WORKS TD FACILITATE METER PICK-UP. *
'. PLEASE ALTAW 7TnA WORKING DAYS FOR PROCESSING. SOP9E70NE FROM TIm CITY WILL C7DNTACT YOt? IF TfERE *
' ARE ANY PROBI.IIMiS. *
?**************************************t***********************************************************?
FOR CITY USE ONLY
PERMIT # ISSDED '
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLUDE SURCHARGE)
$ $_ 16 • j--lll WATER PERMIT (INCLUDE SURCHARGE )
$ WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLLiDE CORPORATION STOP)
$ $ SEWER TAP
$ $ f?• U"77 ACCOUNT DEPOSIT - SEWER
$ $ ACCOUNT DEPOSIT - WATER
$ $ WAC
$ $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRDNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ /4/-/'??`" Q ? $ ? ?t C D TOTAL
_ -& - ?Sh 5?
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQLIRE EXCAVATION IId PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PLiBLIC
Q ROADWAY" MLST BE ISStiED BY THE ENGINEERING
NO DIVISION. LiST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: Ja,S,??
TITLE:
DATE : ? ./ 7s 71/--d
le /Z/'J / T? / 5-/z/ o
Toll¢fson Buiid¢rs, Inc. ?,--o %, /- ;t»?
CUSTOM DESIGNED HOMES
12817 Felrgrssn Awnue
Appls V811ey, MN 53124
City of Eagan
3830 Pilat Rnob Rd.
P. 0. Box 21199
Eagan, Mn. 55121
Attea: Bill Sruestle
Pha ns (612) 431-1100
Re: Iiandrail installation on
fzont steps at
4985 London Lane, Eagan
We, the undersigned buyers of the abave referenced property, acknowledge
that we are aware that the City of Bagan recommends a handrail on stairways
exceeding a height af 30 i.nches. As we pr.efer Chat the handrail not be
iastalled, we further aciaiowledge that we will not hold Tollefson Builders, Inc.
or the City of Eagan responsible for.any problem or i.njury resulting from the
elimination of the handrail on the front steps to our home.
?
uyer
Buy r
Date
? _ _ }__ _ _ _ _ _ _ _ _ _ _ _
? Permit #:
? Permit Fee: O' D v ?
I I
? Date Received: ?
I ?
I Staff: I
I I
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 5.? 4? Site Address: 2/
?????
7
Tenant: Suite #:
?
-7
7S/"
?
+ 6
-
RESIDENT! OWNER 5
?D d?5
Name:
) r 1. Phone: 4
d
4
Address 1 City I Zip: H 7 ?A0'L ('l)/v Z,/v
Appiicant is: _ Owner ? Contractor
4?
e
i
TYPE OF WORK j
* )
Description of work: '
, .J
Construction Cost: UL)U Multi-Family Building: (Yes _/ No ?
CONTRACTOR Name: ( U h N C 113 C v) vt. License #: 2 Q 07o 4r
Address: Fi-(Jy,.?? (z (lG 7?
, State: ,M/L/ Zip:
City: &f? r n
.
Phone: (?, 7?'" ?(? FS ' SSS?_ Coniact Person: ?0"h i P</
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 CategoN 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a pertnit 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 supporfing.documents that you submit are considered,to 6e pubtic information. Portions of
` the intormation,may 6e classified as no»-public,ifyou providespecificreasons that woWd permit the City to ??
conclude thaf the ;`are trade secre#s.
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the
Eagan; that I understand this is not a pertnit, but only an application for a permit, and work is not to ste#f witho
accordance with the approved plan in the case of work which requires a review and approval lans
X???? ?P(l
ApplicanYs Printed Name Applic t's 5ignatur
and codes of the City of
?at the work will be in
Page 1 of 3
RESIDENT OWNER
Name:
4el 60 r" ct,C 4 Phone: 6 C 74 ,2/
Address City
Applicant is:
Zip: 14 7 C. ti 01 1)(\--/ /v
Owner Contractor
TYPE OF WORK
Description
Construction
of work: itg.e ,ti J
J
J 6
I� t�� Multi Family Building: (Yes No ?e)
CONTRACTOR
C Cost:
Name: (Oh k C (j J t) i-t 5 License 2 CS
Sq
Address: 50, (sh, 4 4/-
Cit /f f,4 /,t 5 State: Zip: 5f C)
Phone: ‘57 -,-3 g 5556 Contact Person: TtK e. h 4 e
COMPLETE
Energy Code
Category
(I submission type)
In the last 12 months, has
Yes No If yes,
THIS AREA
Minnesota Rules
ONLY IF CONSTRUCTING A NEW BUILDING
7670 Category 1 Minnesota Rules 7672
Residential Ventilation
Submitted
Energy Envelope
the City of Eagan issued
date and address of master
Category 1 Worksheet New Energy Code Worksheet
Submitted
Calculations Submitted
a permit for a similar plan based on a master plan?
plan:
Licensed Plumber:
Phone:
Mechanical Contractor: Phone:
Sewer Water Contractor:
Phone:
NOTE: Plans and supporting documents that
the information may be classified as non
conclude
you submit are considered to be public information. Portions of
public if you provide specific reasons that would permit the City to
that they are trade secrets.
City of Evan
Tenant:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
Applicant's Printed Name
Applic• is Signatur
rOffr Ui
Permit A
Permit Fee:
Date Received:
Staff:
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 4 40 5 Site Address: 7 U h vim/
Suite
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordina
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to st without
accordance with the approved plan in the case of work which requires a review and approval tans
1 oI
o g9c
o'o
s and codes of the City of
at the work will be in
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA109435
Date Issued:03/11/2013
Permit Category:ePermit
Site Address: 4785 London Lane
Lot:20 Block: 1 Addition: Brittany 10th
PID:10-15009-01-200
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Renae Freinwald
2200 Hwy 13 W
Burnsville, MN 55337
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Cynthia L Gorsuch Tste
4785 London Lane
Eagan MN 55122--271
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA109435
Date Issued:03/11/2013
Permit Category:ePermit
Site Address: 4785 London Lane
Lot:20 Block: 1 Addition: Brittany 10th
PID:10-15009-01-200
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Renae Freinwald
2200 Hwy 13 W
Burnsville, MN 55337
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Cynthia L Gorsuch Tste
4785 London Lane
Eagan MN 55122--271
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
C!ty of Eap
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received: ✓?'�
Staff: 44L
2014 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications. Ave
/
Date; 7 J Site Address: 417 �� /� M,t L ° � v1/ e
Tenant:
Suite #:
Nam l� P D f 0 0ti 61 '(zits I,LL+1� PhonelD5) - Y ' �� fo
Address / City / Zip: , /3-fr)
Name: L1 8E Cern f 3 S L/ ibe sr '.5 Iiit� OLn(/7/
c"----
Address:y�C a 7 6-1-5 T I i i Z t� /f City: A- f'vac�^
State: I 1 t' y'� Zi '� 53O Phone:76 a 0 g Tk)
Contact;�.l )fl � Obi) r\ ((a! �4 ,_ - . �3 _ g / 6
New Replacement Additional Alteration Demolition
Type of Work Description of work: :•id CL C -es, AC e-r\C,G
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City,
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
J
Permit Type
RESIDENTIAL
Furnace
it Conditioner
Air Exchanger
Heat Pump
Other
COMMERCIAL
New Construction Interior Improvement
Install Piping Processed
Gas Exterior HVAC Unit
Under/Above ground Tank ( Install / _ Remove)
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit (includes $5.00 State Surcharge)
$100.00 Residential New (includes $5.00 State Surcharge)
COMMERCIAL FEES
$55.00 Permit Fee Minimum
$70.00 Underground tank installation/removal
*If contract value is LESS than $10,010, Surcharge = $5.00
**If contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005
*"*If the project valuation is over $1 million, please call for Surcharge
_ $ TOTAL FEE
Contract Value $ x .01
_ $ Permit Fee
$ Surcharge*
TOTAL FEE
=$
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 o
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 thAapproved plan in the cas of work which requires a review and approval of plans.
ApplicarZP�am
FOR OFFICE USE
Required Inspections:
Underground Rough In Air Test Gas Service Test In -floor Heat Final HVAC Screening
x Pt= - C I`L 01 A A
Applicant's Sigture
Reviewed By: Date:
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA149664
Date Issued:06/05/2018
Permit Category:ePermit
Site Address: 4785 London Lane
Lot:20 Block: 1 Addition: Brittany 10th
PID:10-15009-01-200
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: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Cynthia L Gorsuch Tste
4785 London Lane
Eagan MN 55122--271
Superior Remodeling Inc
1003 Fairway Drive SE
New Prague MN 56071
(952) 292-7267
Applicant/Permitee: Signature Issued By: Signature