4461 Fawn Ridge TrCITY OF EAGAN N ? 11769
3830 Pilai Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 Receipt p ? / V?60
7obeusedior SF DWG/GAR Est.value $67.000 Date APRIL 9 1986
SiteAddress 4461 FAWN RIDGE TR Erect C? Occupancy R3
Lot 13 Block 1 Sec/Sub. FAWN RIDGE Remodel ? Zoning R
Parcel No. Repair El Type of Const `7
Addition ? No. Stories
W Name SONS CONSTRUCTION CO Move ? Length 38
3 Address 4370 RAHN RD Demolish ? Depth d4
p 452-??21 Int. Impr. ? Sq. Fr
City ??`1 Phone Install ?
= o Name SAME _ Approvals Fees
$ u
< Address
Phone
w W Name ? ?'j?
i Address 8552 7'AKE SP
5 W ciry MPLS phone $66-3500
I hereby acknowledge that I have read this application and state thatthe
. information is correct and agree to comply with all applicable State of
Minnesota Statutes and Ciry o/ffagan Ordinances.
Signature of Permittee ye-a?
` SONS CONSTRUCTION CO
A Building Permit is issued to:
all work shall be done in accordance with all applicable St t6 of Minne
Building Oflicial
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bid9.0ff. 4 9 86
Var. Date 10/26/7
Permit Y JJ • V V
Surcharge 33.50
Plan Review 167 . 00
SAC 575.00
Water Conn. 500.00
water Meter 63.50
Road Unit 290.00
Tr. PI. 156.00
6 Copie<
Total $2.119.00
on the express condition that
and Ciry of Eagan Ordinances.
. ruR ELECTRICAL INSPECTION
$ea instruetions for completiM this torm on back of yellow copy.
A "X" Below Wbrk Cnvered by This Request
Bulk Mi
EB-00007-Oi
' G8) atr
M Fee SarviceEntrBnCeSize q Fav Feetlers/SUbfeaders M. Fae Circuits
U to 200 qm s- 0 to 30 qm s 0 to 30 Am
Above 200 Am?s 31 to 100 qmps 31 to 700 A s
Swimmin Pool qbove 700_Am s Above 100_Am s
Transformers Irngation Booms Partial-'Other Pee
15pecial Inspection -4
. $50. 50
I. the Elactrical
( Inapactoq hereby
certily thet the above
F??? imoection haa eeen
metle.
ilYA npueat voW 18 rtwntlre fran
This request voiE 5 ?g?g` . 61?a?y
78 months from ? ? ^` '
A ?0 53308 4? s o
Nequest Dete Fire No. qou0h-in Inspectian
Peqwred? fleatly Nuw ?Will Notify. InsOec-
A ri1 26 1986 ayes ?No tor When Ready
ffLicensed Electrical Contracror I hereby repueai ins0ection af above
? Owner electrical werk installetl et:
Streat Address, Box or Poute No. Ciry
4461 Farvn ftidge Tra,il Fhgan Miruz.
ecuon o. Township ame or No. anBe No. Cowrty
1-13 Far,.vr. Btdge b-1 Azkot(z
Occupnnt INiINT) - Phonz No.
San Construction Cp 458-4722
Pow¢r SuDVlier Adtlress
Dakota E2ectric . Farmington, Minn
Elecvical Gonvactor (Company Name) Contractor's License No.
Nelson Electrio 042-545-9
Mailine Address (Controctor ot Owner Makino Imstailation)
Webster. Mirua
Auffio?' ipnamre IC vac ? kine nstallationl Phone Number
462 -2274
MI ESpTp gTpTE BOARD OF ELEC7AICITY THIS INSPECTION REQUEST WILL NOT
Gripps-Midwey BIdO• - Aoom N491 - BE ACCEPTED BY THE STqTE BOARO
1827 UniversitYAve., 31. Paul, MN 55106 UNIESS PqOVER INSPECTION PEE IS
Phqne (612) 297-2111 ENCLOSED.
CITY OF EAGAN a t?- A
r •'' 3830 Pllot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ? Y=-? ???? J
.
PHONE: 454-81 DO
BUILDING PERMIT Receipt #
Est value $67,000
19 86
Site Address 4461 FAYdPd RIDGE TR Erect ff occupancy R3
Lot 13 Block I Sec/Sub. FAWN RrDGE Remodet ? Zoning R1
Parcel No Repair ? Type of Const Y
. Addition ? No. Stories
"»S CQN.riTRUCTION CO Move ? Length 3$
_ Name
4 ? 7' 1 ?E?tiJ Rn Demolish ? Depth 44
o Address
City LAG1 ? Fhone 452-4721 Int Impr. ?
Instau ? Sq. Ft
= o Name •?"?' ??--1
0
¢ Address
~ City Phone
F W Name ID [+,ICH
= tl Address 8552 I'AK' $T
iW City '''PL' Phone 8 6-3 (1(1
Assessment
Water & Sew.
Police
Fire
Planner
I hereby acknowledge that I have read this application and state thatthe Bld9
information is correct and agree to comply with all applicable State of
Minnesota Statutes and Ciry of Eagan Ordinances. APC.
Signature oi Permittee
^r!"dS
A Building Permit is issued to:
all work shall be done in accordance with a
Var.
Permit . 00
Surcharge 33.50
?
Plan Review167.a0 I
SAC 575.00 i
Water Conn.SUIL!_.Od '
Water Meter-63s 50
Road Unit 290 - 00
Tr. PI. 156.00
Parks
.00
on the express condition that
City of Eagan Ordinances.
, PWmN No. PwnNt Molder Dab TMWphone N
?umblng
H.V.A.C.
EleebiC s 3?o s Tbs-o
saftorw
InspeeUon Date Insp. Commenb
Foodngs l
Foodnqs II
Foundadon
Framiny
RooNny I
Rou4nPlbg.
Rouph Htp. 5 ( `
Iraul. (aw.j
FU*place
FInN 1Hy.
Flnd Plbq. " _
&dy. Final
CM. Occ. 00,
D*ek Ftp.
Dock Frmp.
Wdl
Pr. Disp.
?
.?
PERMIT #
RECEIPT #
DATE 6- Z*Jr ?
FEE ?-S • ? ?'
S/C
TOTAL a-Vk-" - `- 21C1
CITY OF EAGAN
MECHANICAL PERMIT
454-8100
MINIMUM RESIDENTIAL FEE - $10.00 + $.50
MINIMUM COMMERCIAL FEE - $20.00 + x.50
1. Bldg. Type: Res -4zComm Inst 2. New -4,1- Add Alter Repafr
3. Total Bid Price -3??-5 • ? 4. Job Address ???? ? ??" -•?' = n?? f- 1,WA 'i
LotBlock ? Sec t?? ?`' bd?? 5. Owner ??A& CLV'.Ls T.??IG.•T/JA-?
6. Contractor ??'? ni as- - 71?Ai? ?A'- -? _ _? /`?,_ r %? ?-,? ; -; _ -? ? - ?
(Name) 1 (SVeet) , . (City) (ZiP)
7. Contractor Phone # ? 144
RESIDENTIAL HEATING - 01-100,000 BTU's -$24.D0. Each additional 50,000 BTU's or fraction -$6.00
RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or iraction -$6.00
MODIFICATIONS/ALTERATIONS -$10.00 minimum fee
•` HEATING VENTILATING HOT WATER STEAM 4 AIR COND.
eJR PIPING PROCESSED PIPING AIR HAND. EQUIP. RtFRIG.
'RES. GAS PIPING OUTLETS -$1.50 TANKS: LP. UNDERGROUND OTHER
COMM./IND F.?,?/o O'f AL BID PRICE PLUS $.50 STATE SURCHARGE F,t EACH $1,000 OF FEE.
Signed: for
Approved .?? Inspections: Date Rough Insp. Date Final Insp.
_ 7
• PERMIT# 70
?
RECEIPT,/a l v9
DATE s ' ( a - ILO
CITY OF EAGAN
PLUMBING PERMIT
454-8100 MINIMUM RESIDENTIAL FEE - $10.00 + $.50
MINIMUM COMMERCIAL FEE - $20.00 + $.50
FEE 25. 50
.50
S/C
TOTAL 26.00
1. Bldg. Type: Res X Comm Inst 2. New x Add Alter Repair
44E1 FawTl F:idge Trai1
3. Total Bid Price 4. JobAddress
Lot 13 siock 1 sec Fawn Ridge 5. Owner Sons Construction
''• ''• Plumbing Rt 3 Box 99 Northfield 55057
s. Contractor
(Name) 4 61- 20 96 (streeo (cnY) (Zip)
7. Contractor Phone #
NO. FIXTURES NO. FIXTURES NO. FiXTURES
?Water Closet - $3.00 1 Laundry Tray - $3.00 -Well - $10.00
Bath Tubs -$3.00
-t- 1 Floor Drains -$1.50
? Private Disp Syst -$10.00
7F-
Lavatory - $3.00 Water Heater - $1.50 Rough Openings w/o
_:?__Shower - $3.00 ?Whirlpool - $3.00 Fixtures - $1.50
_Kitchen Sink - $3.00 ' Gas Piping Outiets - $1.50
-Urinal/Bidet - $3.00 -Softener - $5.00
COMM./IND, RAT,E - 1% OF TOTAL jpID PRICE PLUS $-50 STATE SURCHARGE FOR EACH $1,000 OF FEE.
, 1i. ?,. Flumbing
Signed: e
for
Approved Inspections: Date Rough Insp. Date Final Insp.
CITY UF EAGAN Remarks
Addition FAWN RTD =E AnDTTTnN Lot
Owner
10 25800 130 01
Street 4461 Fawn Ri rige Tra.i.l State F.agan, MN 551 23
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1981 229.35 11.47 20
STREET RESTOR. 1984 499.46- 49.95 1
GRADING 2't' 19$1 61.26, 4.08 15
5AN SEW TRUNK ?5 1981 205.44- 10.27 20
SEWER LATERAL iggi 0 _
e 23.57- 1.18 20
WATERMAIN
WATERLATERAL 43.67- 2.18 20
WATER AREA 205,44- 10-27 20
Water Lat. - 27,6g, 1.38
STORMSEW TRK 557.79' 37.19 1
STORM SEW Mi
a
L 1984 222.51' 22.25 10
n
ge
CURB & GUTTER '
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER,
SAC
PARK
RESIDENTIAL
`c?BUILDING PERMIT APPLICATION
S?0 CITY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Reauiremenls
• 3 registered sile surveys showirig sq. ft. of lof, sq. ft, of house; and all roofed areas
(20% maximum lot wve2ge allowed)
• 2 copies of plan showing beam & windaw sizes; poured found design, etc.)
• lsetofEnergyCalculations
• 3 copies of Tree Preservation Plan if lot platled after 711/93
. Rim Joist Detail Options seledion sheet (Wdgs wiN 3 or less units)
DATE Z&rZe
SITE ADDRESS
TYPE OF WOR
Water Sottencr
_ Water Heater
_ No. oP 13aths
?
APPLICANT E /
'?7" 5p" S
STREETADDRESS /?,S`Gle F44W 4j? CITY_1k,,_?.L- -STATEi'"() ZIP.
TELEPHONE # C E L L PHONE # G/'-41,'- -Grs7s' FAX # Jk_2 -f Id -..7 YI-If-_
PROPERTYOWNERTELEPHONE#
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESO'1'A RULES 7670 CA7'EGORY 1 MINNhSOTA RiII.ES 7672
(J submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope CalculaGons Submitted
Plumbing Contractor: ____
Pluinbing sysLem includes:
Mechanical Contractor:
Mechanical system includcs:
Sewer/Water Contractor:
_ Air Conditioning
_ Hcal Recovery System
Phone #
Phone #
Fcc: $90.00
?R"ee:`? $7Q_(??
?? R?`r G S ZOC2 ??.
---
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinpnces. ,
Signature of Applicant ?? ?
--- -°°•- ----- -------.___----- _-------- --------- -___------ -------------------- --°------------ -------- ....
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
'7' aD a '?' [7
MULTI-FAMILY BLDG _Y _N
K Z5ro fI' FIREPLACE(S) -:?__O _ 1_ 2
., ,
VALUATION
RemodellRenairReauirements `1'0? -?\
• 2 copies ot plan ?i1 A V
• lselofEnergyCalculationsforheatedadditions `
• isttesurveyforextenoradditions&decks
. Indicate'rf home served by septic system tor additions
_ Phone #
Lawn Sprinkler
No. of R.I. Badis
Updated 4l02
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ?< 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement "Demolition (Entire Bldg onty) - Give PCA handout to applicant ??P* S5
Valuation 1 j94,0 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 Sprinkiered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Foo[ings (deck) ? FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final
? Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Au Test _ Final Windows (new/replacement)
_ Insulation _
_ Retaining Wall
Approved By 7 1, , Building Inspector
Base Fee
Surcharge
Plan Review
MCIES SAC
City SAC
Water Supply & Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
????uf,;S?
L/r)?4) (ql-./
2r C! v` '.?
? -7 d
PERMIT # Is-o? I .. Iiq 0,?O RECEIPT DATE:
? / ?
b 2002 MIDENTIAL PLiTMBINfi f'ERMTT APPLICATION
crrY og EAeM
? S$SO PILOT KA06 RD
E?sp1v, 3uv 551 EE
651-691-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
SITEADDRESS: "r`RPI ±? Q- -
OWNER NAME: :
TELEPHONE #:
(AREA CODE)
INSTALLER NAME:
STREET ADDRESS:
CITY:
TELEPHONE #:
_ SEPTIC SYSTEM, new/refurbished (requires hvo sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• Il909lFIGATlO?dlALT. ERATlO!v TC EX15TIRG'JN:ELLING UNI:, iNCLI+DIYG:
_ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ A6andonment of septic system.
_ Water tumaround - existlng dwelling unit (+ 5/8" meter if needed -$118)
Other:
_ RPZ: new installation/repair/rebuild $ 30.00
_ lawn iRigation system
ReplacemenV dditional: _ water softener ? water heater $ 15.00
State Surcharge $ 50
? - i5 . ?
Total
MAY 2 8 2002 $
I herebyacknovAedge that 1 have read this applicaHOn, state that the information is correct, and agre to comply wifh all applicable City f Eagan ordinances. It
is the applicant's responsibility to notiry the property owner that the City of Eagan assumes no liabili ny dama sed? City durin its normal
opereilonal and maintenance activides to the faclll6es consWCted under this permit within Cit}o , trt'-af-way easement ?a?
1102
. //74o
1986 BQILDING PERlIIT APPLICAT OH - CITY OF
NOTE: ALL CONTBACTORS lNST BB LICSNSED WITH iHE CITY OF EAGAN
COMRlERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL
& STRUCTURAL PLANS, 1 SET OF
SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS ?
$2,000 LANDSCAPE HOND
SINGLS F9HILY DUELLINGS
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
To Be Used For: HOME Valuation:
---•-...... Date: ?
Site Address ,? (Z?,(y 712 OFFICE USE ONLY
Lot ? 3 Block Ereet -X_ Oceupancy iz 3
Parcel/Sub F,QW,) R , c6e
Owner _SONS CONSTRUCTION C0.
Address 4370 Rahn Road, Eagan,
City/Zip Code Eagan, Mn 55122
Phone 612-452-4721
Contractor SONS CONSTRUCTION CO
Address 4370 Rahn Road
City/Zip Code Eagan, Mn 55122
Phone 612-452-4721
Arch./Engr. Ed Melich
Address 8552 Lake St.,
City/Zip Code Minneapolis, Mn
Phone U 612-866-3500
Remodel
Repair
Addition
Move
Demolish
Int.Impr.
Install
Zoning 2.!
Type of Const 77_
0 of Stories
Length 38
Depth 44
Sq Ft
APPROVALS FEES
9ssessments Permit 33 q-
Water/Sewer Surcharge 3 3-7?2
Police Plan Review Ico -7.
Fire SAC 5I 5.
Engr Water Conn -C9p O.
Planner Water Meter
Council Road Unit 29p,
Bldg Off
/? Treatment Pl
¢
APC Parks
Variance lo.?&1v Copies
TOTAL 2 I ! ?j ,
NOTE: ADDRESSES FOR C09ATEA IATS - CONTRACTOR/HOMEOSiNER !lQST DFSIGHATE iiIIICH
ADDRESS IS DF.SIRID. NO CH6HGES TiZLL BE 9LLOiiED ONCE BQILDING PfiRMIT
IS ISSIIED.
24 x 3?, = ? ? z x s? = ?zg? ?
o t? ? ? - ( ?I-4 x
- 40o x( Z_ r ?f 8oa
Zo ? 20
,
.. .. / ? . /
..i
.._ . ? •
EXTERIOR EidVE,'LC?E AVERAGE "U ' COiI?T,ITATI0:1
,
QE?INER t?,u C.t0„0;r 11tj1.Y <<SITE A?DRESS 4461 Fawn Ridge Trail, Eagan, Minn 55123
?n c - ?
CONTRACTOR .?, ? C '.i. ?T'?i.?;• ,-i ... Cr DAT3_ 'Y.Oh.IE I1 ? - IJ?I
Determine uror4cing square footage of each.
1. Total exposed wall area ....1?J: sq. ft.
2. Totsl roof/ceiling area ... c
. / •1 ,ti' sq.
ft.
x
.oz6
Total exposed •rrall area ahove floor = 9:F'Y
a. ^_'otal wall winzc•u area ................
b. Total door zrea ......................
c. Total sliding glass area .............. S°_ •?
d. Total _°ireplace vrall area ....... . •-
e . Total wall framing area (average 10%) . . . ! L/,4
f. Total net ura1Z area above floor ........ ?/•.3
S. Total ric joist area .................. 1?c.c, u
Total exposed foundation area = '7-)-_
h. Tctal foun3stion i•;indow area ..... .
i. Total aet foundation area above grade .-7s?
Determine "U': value of each tiaall segment.
a. > IG.o; x ??U?' ., y3 = `/9. ia
b. X ??U{; ?•? ? r??
c . X "U `° ; •) _ ? ? ? fl?
D. X 'lU`' s
e. /??. c• o g ?.U,?
f X ,cU i:
Q, ! c+ i?.^ X ttU••
h. X ;'U,: . ? ...-_
i. '7-r
) ria 3C rUn • GZ ? ? , L ??
3 ............ ...:..........................Total ' I;? 9./&
If iteM .#3 ls the same as, or less than item H1, you have met the
lntent of SBC 6006(c)2.
.? - . .. ,
Total exposed roof/ceiling area
? ^otal skylight area .......... ...
k. Total roof/ceiling framing area (average 10, 9°i
1. lotal net insu].ated reof/ceilir.G area ......
Determine.."U; v21ue for each roof/ceiling segr,:ent.
i __.. X 1.U, _
k. 92 g ,:U„ ,o,J7G> _ 77 .
1. Y:4') X ,:u" ?L33
4 .............. ........................... Tota1
If total o: f.!I is the same as, or less than f2, you have met the
intent of 5BC 6006(c)1.
Alternate Buiiding Envelope DesiF,n
To utilize the total envelope system nethod, the values established
by the sum of items ff3 and tf4 shall aot be Ereater than the sur.:,of
items ,'.'1 an3 i:2.
. ' 1. + 2. _
3• +
I
;
i
; . .
i
;
?
?
, ;..
i
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*1CYPF: PAYMP.Tff OF kM AT TIME pF
APPLICUION DOES NOr CONMUM
ApPROVAL OF PERMIT.
INSPDGTION OF SESWM ADID/OR FTAIER
T11S"i`A7.TATTON$ WII.j. j`O'1' $$ $QHED--
[lt.ID urrrn. PERruT HAs sEEN
APPxwm.
. ' lll[]f1][ilf'i'RRRifiFlFxxFFariii[ixii a R+afxi[?
P ease Print
1) PROPERTY ADDRESS: 44?oI
LEGAL DESCRIPTION:
_ Lot Block Sub ivision or Tax Parcel ID )
IF EXIST2NG STRC'C1S.'RE. DATE OF ORIGZNAL BtIZLDING PERMIT ISSL'ANCE: .'
?
" (Nbn Year)
PRFSENP ZONING/PROPOiID LSE:
q COD2•1E[tCIAL/RE1'AII,/0FFICE ? R-1 SINGLE FAMILY
[l IDIDCTSTRIAL ? R-2 DL'PLEX (TLo C?nits)
? INSTI7S;TIONAL/GOVERNAE1T ? R-3 TOW[gI00SE (Three + Units )( Cinits )
Q R-4 APARTMENP/CODIDOMINIDM ( Units)
2)
? rAW:
ADDRESS:
CITY, STATE, ZIP:
PxorE:_ If77' 3) u r.?•
NAI4E s
ADDRESS: ft 3 A"r I/? J
CITY. STATE. ZIP: N`°7'1r 5;vl 1
rxorE: 1{u .2096 rAsTER Lxcavss#
4) r.• • • ? ia?•
NaMF: J?dns
ADDRFSS:
?
CITY. STATE. ZIP: --
PHONE:?,So2
? ActiVe
fbcpired
Not recorded
ta Initial
-5) ?:? r ? a: •?• : a • o? - a??
? CONNECTSON T0 CITY SEWII2 ? CONNEX,TION 2O CITY WATIIt ? OTlIER ' .
6) '? •`??• [? P7,FASE $OLD APPROVID PERNIIT FY)R PICK-C?P BY ONE OF ABOVE -.--` --
PLEASE MAIL APPROVID PEEtMIT M 1, 2, 4. ABOVE ,
T"
_ • (Circ e one) , .
7)
FOR CITY USE ONLY
.
) .
PERMIT # ISSL'ED
73 cF/ q%/•y V6
Pd w/Bldg. Permit FEES:
$ $ ?C? S v SEWER PERMIT (INCLLDE SURCHARGE)
$ $ S U WATER PERMIT (INCLODE SURCHARGE) ..
$ 6,3 'S G $ WATER METER/COPPERHORN/OC'TSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ S SEWER TAP $ $ /'?• O -0 ACCODNT DEPOSIT - SEWER
$ $ /S • U? ACCOC'NT DEPOSIT - WATER
$ .jC70 •DC? $ WAC
$ -? 75-, Ci ('-) $ SAC
$ $ TRLNK WATER ASSESSMENT
$ $ TRC'NK SEWER ASSESSMENT
$ $ ` LATERAL BENEFIT/TRL[VK SEWER
$ $ LATERAL BENEFIT/TRL'NK WATER
$ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER;
$ $ ?S ? O rJ TOTAL
?.?/?o-o fG/? LG
RECEIPT RECEIPT
DOES LTILITY CONNEC TION REQLIRE EXCA VATION IN PDBLIC RIGHT OF WAY?
? YES IF YES, THEN A" PERMIT FOR WORK W2THIN PUBLIC
Q
NO ROADWAY" MUST BE
DIVISION
LIS ISSUED BY THE ENGINEERING
S
.
T A
A CONDITION.
SUBJECT TO THE FOLL OWING CONDITIONS:
APPROVED BY:
TITLE:
DATE :
r?
<.
BURN$ C4NSTRUCT16N
- ? os ??aaRSSS :
4461 FAWN I2ZC7GE TRAIL
DATE = maY 19TH 2004
RICH-R
TYra oF. spsOLATtOp:
INSTJILL3D DYt
R-VALUZ # BAGS N92T CnVERAGE
1
j 44 55
i
T2iE DESIGN SETTLED THICKNES:
. .1364 IS LESS THAN 2$
:,:PrKe w ,?7-'9r"?-'!?'i1. µ++ t to ...
nrr0???F r d76-791FA+c R e16-3920
2d WtlZ£:ii 7002 L0 'lnt 80SL927i591: 'ON Xtl? NOIltl1f1SNI 9NId7tl: WOJJ
?
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
-:V nsa.(01;
q? "'V -3(z j4
New Construction Reauirements RemodeVReoair Reauirements '@fili:?LNs??
3 registe2d site surveys shaving sq. R ot bt, sq. fL ot house; and all roofed areas 2 copies of plan ?Y
,-
(20% mauimum lot coverage allowed) 1 set of Energy Calculations for heated additiom
2 copies of plan showing 6eam & windax sizes; pou?ed found design, etc. 1 site survey for additions & decks ? r.,sM ,[?
1 sat of Energy Calcu?Uons AddBion - indicate i/on-site septic system ?' *..??
3 copies of Tree Preservatlon Plan M lot platted after 711193 Rim Joat Dehail Options selection sheei (bidgs with 3 or less uniis
Date0'1- / ? / -4- Construction Cost 12,6 ? ? 0, 27? t? 2-
SiteAddress 4-161 ? u7J-J UniUSte #!
ij 'sS r z-3
Description of Work 1 `1Z?- w', V yc.iSY'? .FiPucT7/Lp-? ?SC?c f17? ?MS.N*'?
Multi-Family Bldg _ Y? N Fireplace(s) ? 0 _ 1 ^ 2
Property Owner E (2-t',is; T-F- Telephone # ( 6S 1 ) 4S?
Contractor il"" ? C-A . :;L ri` -
Address ? a. 'x JA 3 37 ) City W)N,ilE -AiGo %I5
State „/x/E6a`+V, ZipSS?-1[j Telephone#(lySf)?7i3-
COMPLETE THIS AREA ONLY IF CONSTRUCTIN6 A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 ?Iinnesota Rules 7672
Energy Code CategOry , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(d submission type) Submitted Submitted
• Energy Envelope Calculations Submitted -
Have you previously constructed a building in Eagan with a similar plan? _ Y
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
N If so, 25% plan review
Telephone # (
Telephone # (
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the inform4tian is cop YLand ac?urate;
that the work will be in conformance with the ordinances and codes of the City of- )E gan-an?=the_Siate?of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan.i the case of work which requires a review and
approval of plans.
20 /oc- 0,:i-- c
ApplicanYs Printed Name App icanYs Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
A 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 27 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Gara9e ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
Q 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm pamage
? 06 04-plex ? 12 12-plex Plbg_v or _ N ? 25 Miscellaneous
Work Types
? 31 New ?
? 32 Addition ?
? 33 Alteration ?
? 34 Replacement
?
Valuation ?Vv
Census Code ?
SAC Units
# of Units
# of Bldgs
Type of Const Vp\/
_ Footiugs (new bldg)
_ Footings(deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_X Framing
Fireplace _ R.I. _ Air Test _ Final
-7)( Insularion
Occupancy
Zoning
Stories
Sq. Ft.
Length
W idth
-'r!l-
MCES System
City Water
Booster Pump
PRV
Fire Sprinklered
REQUIREDINSPECTIONS
FinaUC.O.
? FinaUNo C.O.
_ Plumbing
HVAC
Other
Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
Windows
_ Retaining Wall
Approved By: _ I L , Building Inspector
Base Fee
Surcharge
Plan Review
MC(ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
35 Int Improvement ? 38 Demolish Interior ? 44 Siding
36 Move Building ? 42 Demolish Foundation X< 45 Fire Repair
37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
"Demolition (Entire Bldg) - Give PCA handout to applicant
f,
CLAIM VOUCHER - REFUND REQUEST
CITY OF EAGAN
-M ?o t "? T"
MAKE CHECK PAYABLE TO: R C Bi1RNSCOMPANY
ADDRESS: P O BOX 18338
MINNEAPOLIS MN 55418
PERMIT #'S 63314
RECEIPT #/DATE: 62967 3/12/04 VALUATION:
REASON FOR REFUND: Plan review fee incorrectly chazged
TYPE OF REFIIND:
Account De osit
92202252
$
Buildin Permit Base Fee 0801.4085 $
Construction Meter De Refund 92202254 $
Curb Box De osit Refund 92202253 $
Fire Su ression Permit 0801.4096 $
Ove a ent 90012250 $
Plan Review Fee 0720.4222 $ 744,22
Plumbin Pemut 0801.4087 $
SAC MC/WS 92202275 $
SAC Cit ) 9379.4681 $
SAC (Admin) 0801.4246 $
Sewer Perntit 6201.4532 $
Surchar e 9001 2195 $
Txeatment Plant 6101.4685 $
WaterPezmit 6101.4507 $
WaterMeter 6101.4509 $
Water Su 1& Stora e 6101.4680 $
Other (Copy) 9001.4230 $
Total $ 74422
/L are under the penalties of law that fhis account, claim, oi demand is just and that no part of it has been paid.
l ?Y?1& 4/27/04
SIGNATURE DATE
„
PAT GEAGAN
Mayor
PEGGY CARLSON
CYNDEE FIELDS
MiKE MAGUIRE
MEG TILLEY
Council Members
THOMAS HEDGES
Ciry Administraror
Municipal Center.
3830 Piloc Knob Road
Fagan, MN 55122-1897
Phone: 651.675.5000
Fax: 651.675.5012
TDD: GS L454.8535
Maintenanw Fauliry:
3501 Coachman Point
Eagan, MN 55122
Phone: 651.675.5300
Fax: 651.675.5360
TDD: 651.454.8535
www.cicyofeagan.wm
THE LONE OAK TREE
The symbol oFstrrngth
and growth in our
communiry
April 27, 2004
R C BURNS COMPEINY
P O BOX 18338
MINNEAPOLIS MN 55418
RE: 4461 FAWN RIDGE TR
BUILDING PERMIT #63314
TO WHOM IT MAY CONCERN:
A recent audit of building pernuts for the month of March found that you were
incorrectly charged a plan review fee for Building Permit 463314 issued Mazch 12, 2004.
We apologize for this enor and will send you a refund in the amount of $744.22 under
separate cover. If you collected this fee from the homeowner, we trust you will refund
this amount to them.
If you have any questions, please feel free to contact me at 651-681-4695.
Sincerely,
2aluceve?rson
Office Supervisor
cc: Mary L Arnett, 4461 Fawn Ridge Trail, Eagan, MN 55123
Dale Schoeppner, Chief Building Official
Linda Dra11e, Clerical Tech
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675 ?i:Sds-0
Please complete for modifications to existing residential dwellings.
Date _41 I _?? / O l
Site Street Address Ll 11 t.E I 1_-0LW h -V17M liLe [_..-.. Unit #
Property Owner M CNn,, (-1-y'Y\_t_;N?t Telephone# (GSI)ySZ- 2I86
Contractor No?-?rmn p\u,?.b `r?, ?Y1CJ l _T,e,.le,Prhone # c7?? 7s3-SZl ?
Address 11911C? -Q,rrQ.,E- ??-?}l?.) City ??ICJrM?? Y?el State rnrJ Zip
The Applicant is: _ Owner Contractor _Other
Alterations to existing dwelling
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
Water Turnaround (add $121.00 if a 5/8" meter is required)
"&Other: I X A ?"h2_ $ 50.00
Water Softener Water Heater
_ replacement _ additional $ 15.00
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge $ 50
Total $
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
ApplicanYs Printed Name
Appli n 'gnature
i? APR Y 2 20U4~
,ey--
?
i RI-LAND C0.
SURVEYING
SERVICES
4655 NICOLS ROAD
EAGAN, MINNESOTA 55122
SITE PLAN FOR:
SON'S CONSTRUCTION
I ..,,..
/
N
K I
92
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? L??RNESS 1 1T„
Dt I?O
w ?
?y %vO? ?r
`aO?v p ?r???rr MeM???
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SCALE: I"=41V
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0
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PROPERTY DESCRIPTION
LOT13-, BLOCKI ,
FAWN RIDGE ADDITION
aceordinp to rhe recordsd plaf iMreof
DAKOTA Co,s+ty,Mineexsa*c
IEGEND
o DENOTES IRON MONUNENT PROPOSED GARAOE FLOOR ELEVATION¦ 103:00
o DENOTES WOOD FIUB SET PROPOSED FiRST FLOOR ELEVATION a
DENOTES EXISTING SPOT PHOPOSEDBASEMENT FLOOR °
ELEVATION ELEVATION
DENOTES PROPOSED SPOT
ELEVATION
DENOTES DRAINAGE DIRECTION NpTE. VERIFY ALL FLOOR MEIGHTS MIITH
?
FINAL HOUSE PLAN8
I hereby c??fffy tAat this surwy, plan or
report wos prepared by ms or under my
direct supervision and Ma1 I am a duly
Repistered Land Surveror undM fM
Laws of the State of Minntsota.
Mn. Rep. No.1y235.
DOf1: yh /8[
CF Y OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.•
Eagan, MN 55121 DATE:
Zoning: No. of Units:
Owner: - —
Address:
Site Address:
Plumber:
Meter No.• Connection Charge:
Size: Account Deposit:
Reader No.• Permit Fee:
1 agree to comply with the City of Eagan Surcharge:
Ordinances. Misc. Charges:
Total:
B Date Paid:
Date of Insp.: Insp..
1
C•TY OF EAGAN
3830 Pilot Knob Road SEWER SERVICE PERMIT
P. O. Box 21199
Eagan, MN 55121 PERMIT NO.:
DATE:
Zoning:
Owner: No. of Uni *4:
Address:
Site Address: '!—
Plumber:
I agree to Comply with the City of Eagan
Ordinances, Connection Charge:
Account Deposit:
Permit Fee:
B Surcharge:
D
Misc. Charges:
Date of In
sp.:
Total:
Dote Paid:
06/24/2013 14:16 6128692631 BLAYLOCK PLUMBING CO PAGE 01
i
Use BLUE or BLACK Ink
For Offlce Use
I
City of Eatan I permit s!.
Permit Fee: U v ►
3830 Pilot Knob Road , I
Eagan MN 55122 1 Date Received: r~~ I
Phone: (651) 675-5675 1
Staff:
Fax: (661) 675-5694 1- 1
2013-RESflBB-NTti-r4LPLUMBING P RMIT AOP ICATION
Date: (0 - a~ - Site Address: w rte,
Tenant: ! Suite
►i1;l~t ~fG,:!1 !1'G,~!:all,; i,~)iil,~ I~; 15, ' L: inlil;~~i
T►I 4 Niil: I !Ir 1 Y'; i. ;ill V
A a„ Name' Q
!~.;;g~M11i1b!YIIlf1@';i~ Ph ne:
d.,il~~i~~~ell~Il,jl't;: ~:~nil;~f►il.li,;,.
f.'X` Address I City / Zip: oG
I ;;I;It, ;c,i;, C ►,I,, : "Irl;"';~ flaii;l;C'1;i,~~- ~
~IC Name:
A'I,~1~g4'!'~~~Mkrf,lQ~i ^nI•p,;,iCp$l::$}~~ .,:.t LICef~Se ..fL..~~.
11'I liNlllrtr I4~ 11Y1141! Address: City ,
I I ~rl C
'111i1'111'111!1 I ~ 1}IV1iI 'I; ( .
I~~A II'V~IIh~)1 I I 1 State: J.C.Ll Zip: J Phone:
it rG I 1
.~ly7I;,i.v,I~,.:,rll Contact: Email: o
l;b ill l~~" WGt~f New _ Replacement Repair - Rebuild Modify Space Work in R,O.W.
'.II 11„111 '!I..Y .~i, il:i~.1 •I I AiI
,~1r;1 ,,•,r;c,l,.1,isj.;',;:r~,-J.,;,:,,,;.,,.1,~:~.~:'-~~:~' Description of work.
'15 ii ~;1b117'~Iil II' °l''l I it lli~;tli RESIDENTIAL
' 1:. , I Al , i(I Al I,1 it 1l I ~
Py~`11(~ 14,1 i ~'A'1. ld .I i f i I I,
\ A `i
~;I{1,1 q.,1111 i,l r ,ICI 1~~I (lI!I I illi Water Heater 1.
iil!lt ill !g`irl', ~i4<. ~1!I Lawn Water Softe
Irrigation RPZ I- PVB)
Septic System _ Add Plumbing Fixtures Main / lower Level)
liil, ,111111I':`1~~id1C I rl A I1'~
,1,,, 1 , 1 I, ► New Water 7umaroun
li 1 1 s
11111 ,,tA llljl:rl 11. Ili .loll ll A11 !'I
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater ar Softener (includes $5.00 state; Surcharge)
$60,00 Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Se tic System Aban onment, Water Turnaround' (includes $5,00 State'Surcharge)
`Water Turnaround (add $200.00 If a 5/8" meter is required)
$105.00 Septic Svstem New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES
CALL EFORE OU DIG. Call Gopher State One Call at (6151) 454.0002 for protection against undergro und utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities, wmm-aonherstalionecall.ory
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance will. the ordinances and codes of the City of
Eagan: that I understand this Is not a permit, but only an application for a permit, and work is not start.:Mhout a permit; that the work will be In
aeeordan with the ap rov plan In the case of work which requires a review and approval of plans
x
Appit ant's Pr nted Name x
Applicant's I nature;:
t~tR t)>=.i=IC tEewieiued
bat+a
fa hired Iris 1
q, pectt~ns' Unddr''GrtSuhtl' .I~Ough 1:1~ „";~'AirTest- Oa5't`%dst 1=,iriaf
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117035
Date Issued:10/14/2013
Permit Category:ePermit
Site Address: 4461 Fawn Ridge Tr
Lot:13 Block: 1 Addition: Fawn Ridge
PID:10-25800-01-130
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Mary L Arnett
4461 Fawn Ridge Tr
Eagan MN 55123
Purpose Driven Restoration Llc
325 Main St NW
Elk River MN 55330
(763) 633-4737
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA178630
Date Issued:08/26/2022
Permit Category:ePermit
Site Address: 4461 Fawn Ridge Tr
Lot:13 Block: 1 Addition: Fawn Ridge
PID:10-25800-01-130
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
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:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Mary L Arnett
4461 Fawn Ridge Trl
Eagan MN 55123--209
(952) 210-2897
Schmidt Roofing Inc
3509 West Highway 13
Burnsville MN 55337
(952) 888-4889
Applicant/Permitee: Signature Issued By: Signature