4467 Fawn Ridge TrPERMIT
City of Eagan Permit Type:Building
Permit Number:EA111980
Date Issued:07/22/2013
Permit Category:ePermit
Site Address: 4467 Fawn Ridge Tr
Lot:16 Block: 1 Addition: Fawn Ridge
PID:10-25800-01-160
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Window or Door:BACK PATIO DOOR
Perry Firkus
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Luke Palen
4467 Fawn Ridge Tr
Eagan MN 55122
(651) 246-5016
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type: Mechanical
3830 Pilot Knob Rd Permit Number: EA090102
Eagan, MN 55122 . Date Issued: 07/08/2009
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 4467 Fawn Ridge Tr
Lot: 16 Block: 1 Addition: Fawn Ridge
PID 10-25800-160-01
Use
Description:
Sub Type: e - Air Conditioner
Work Type: New
Description: Air Conditioner
Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952)
445-2840
Larry Leacock
15966 Fennel Ct.
Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088
Surcharge-Fixed $0.50 9001.2195
Total: $50.50
Contractor: -Applicant - Owner:
Haley Comfort Systems Terry L Fransen
122 West 3rd St 4467 Fawn Ridge Tr
Hastings MN 55033 Eagan MN 55123
(651) 437-0338
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
CITY OF EAGAN
Remarks
Addition FAGTN RIDGE ADDITION Lot 16 e1k 1 Parcel 10 25800 160 01
Owner street 4467 Fawn Ridge Trail State Eagan, MN 55123
Improvement Date Amount Annual Years Paymeni Receipt Date
STREETSURF. d2 19$1 229.35- 11.47 20
STREET RESTOR. ? 1984 499.46- 9.95 10
GRADING / 1981 61.26 - 4.08 15
SAN SEW TRUNK ' ' 10.27 20
SEWERLATERAL c. 1$1 33,07- 1.65
Sewer Lat. gl 18 20
WATERMAIN
WATER LATERAL 7• 2.18 20
UVATER AREA ' & 1981 r IO ZJ ZO
Water Lat. ' g 1981 68' 1.38
STORM SEW TRK n 1985 557 . 79 ' 37.19 15
STORM S 1984 222.51 - 22.25 10
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
6UILDING PER.
SAC
PARK
CITY OF EAGAN
3830 Pllot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt #
To be used for Est. Value `- A 0+' •'? Date feI';.11. 2t ,19 r' a
SiteAddress 4467 'rAi•::+ Ri(N;r TP
Lot t Block 1 Sec/Sub. ?'?°' ?; ?K'•`
Parcel No.
c Name ? , .. ., .. ? ..
= Address 0
City A ` Phone j '
°C Name ' `?S'?iGB POOL !? PATIO
=O
o u Address `
U? City phone
City
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.
Signature of Permittee
A Building Permit is issued to:___ _
on the express condition that all work shall be done in accordancewith all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
OFFICE USE ONLY
On Site Sewage Occupancy
MWCC System Zoning
On Site Well (Actual) Const
City Water (Allowable)
PRV Required # of Stariea
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit
Planner Surcharge
Council Plan Review
Bldg. Off. SAC, City
Variance SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment Pi
Parks
? ? ?? ?
TOTAL
Parmft No. Permlt Holder Data Telsphone #
Plumbing
H.V.A.C.
Electric
Sottener
Inspection Date Insp. Comments
Footings I ?
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Oisp.
? g?6
CITY OF EAGAN
r'` ,t 0 nc
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 - ? G v O 0
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used tor $F DWG/uAR Est Value $10$,000 Date SEP'rLt+BER 9 , 19 86
SiteAddress 4467 FAWN RIDGE TR Erect CN Occupancy j23
Lot 16 Block 1_secisub. FAWN RII)C:E Remodel ? Zoning pn
Parcei No. Repair ? Type of ConaL yf}
Addition ? No. Stories
Name C:ORP4RATE COIVSTRUCTION Move ? Lengm 46
W
Z
4465 WEDGWOOD DR Demolish ? Depth 48
3
0 Address
T;lnrIL wT ACA_AtA I Int. Impr. ?
- Sq. Ft
= o Name S?"? Approv?
0 u
Address Assessment _
? Ciry Phone Water & Sew.
a
W Name-
Z
0 Address
uz+ r.in,
I hereby acknowledge that I have read this epplication and state that the
information is correct and agree to comply with all applicable State ot
Minnesota Statutes and City,e Eagan O inances.
Signature ot PermiRee?L
A Building Permit is issued to: CORi'C):.ZATE COIrlSTRUi
all work shall be done in accordance with all app{(cable State of Minleso
Building Official
Police
Fire
Eng.
Planner
Council
eia9. on. s1b
APC
Var. Date
CION INC.
Permit $ 445 . S0
Surcharge 52.50
Plan Review 222 • 75;"
SAC 575.00`
Water Conn. 500. UO„
Water Meter 63 . 50
Road Unit 290.00
?
?
Tr. PI. 156.00
Parks ?
Copies
Total . ? . 2 5I
on the express condition that
and City ot Eagan Ordinances.
I I PermN No. I ltinMt Nolder I Oate I T~ont M I
Plby.
Htq.
Hty.
Final
Occ.
Disp.
°? ? .
, PEanniT #
MECHANICAL PERMIT RECEIPT # ? 3 /
CITY OF EAGAN 11-1 86
3830 PIL OT KNOB RO AD, EAG61A MN 55121 DATE: ?
CONTRACT PRICE PHONE: 4 -81b0'"
Site Addr 4467 Fa+rm Rid e Trai l BLDG. TYPE WORK DESCRIPTION
Lot ? Block ? Sec/Sub ti
?
Name Kleve
Heatin & Air Cond. Inc Res. New
?
Address 13075
Pionear Trail Mult Add-on
C
omm. Repair
c City Eden Pra irie Phone 9 1-4211
55
344
her
Ot
Name FEES
?
c Address 4466 ed ewood brive RES. HVAC 0-100 M BTU ?-$24.00 ,
p City Eaaan, 55123 Phone 454 -0644 ADDITIONAL 50 M BTU
ADD-ON AIR COND. 0-24 BTU - 12.00
TYPE OF WORK ADDITIONAL 6 M BTU - 6.00
Forced Air
M BTU GAS OUTLETS - 1.50 EA.
COMM/IND FEE - 196 OF CONTRACT FEE
Boiler M BTU MINIMUM - RESiDENTIAL FEE - 10.00
Unil Heater . BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. .? ? -/?J ?
? f? BTU R
I •50
Vent CFM ADD $.50 S C F
GOES
PERMIT PRICE
,
Gas Piping OutlEts # gEyOND $1,000.00)
Other / -,
FEE
S/C: SIGNATURE OF PERMITTEE
TOTAL•
FOR: CITY OF EAGAN
• PERMIT #
' PLUMBING PERMR RECEIPT #
CITY OF EAGAN ? ,-
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE - L, ?PHONE: 454-8100
Site Address ` s BLDG. TYPE WORK DESCRIPTION
Lot ? Block SeplSub
1 c
l
i
?
?
c r
? (Fws
Mew
L Name 'I) `-M ult Add-on
m Addrsss ?? "? Comm. Repair
c City r Phone ?'' ?'? -: ., ? Other.
TOTAL
Name ,? ?', ? ` 3' '?- ? .•'?'?+ NO FU(TURES
,?-? Water Closet - $3
00
; Addre
ss .
T-Bath Tubs - $3.00 ' -
? ~
?
O City Z a?,!' ? Qhone y ? ` J??' `! Lavatory - $3.00
J
7Shower - $3.00 > -
FEES ? Kitchen Sink - $3.00 J-
COMM/IND FEE - 196 OF CONTRACT FEE Urinal/Bidet - $3.00
T-Laundry Tray -$3.00 '-
MINIMUM - RESIDENTIAL FEE - $10.00 ?Floor Drains - $1.50
MINIMUM - COMM/IND FEE - 20•00 ?yyater Heater -$1.50
STATE SURCHARGE PER PERMIT - •50 Whirlpool - $3.00 = • uv
(ADD $.50 S/C IF PERMIT PRICE GOES
' Gas Piping Outlets - $1•50
BEYOND a1,000.00) Soitener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
SIGNATURE CIIF PERMIITEE FEE
STATE S/C:
FOR: CITY OF EAGAN
GRAND TOTAL• ? `? ?
RESlDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
?f 3830 PILOT KNOB RD - 55122
651•681-4675
New Construction Reaulremenls
. 3 regisfered site surveys sMwing sq. ft M kL sq. ft M house; and all rocfed areas
(20% maximum bl coverage allovred)
• 2 copies af plan showing beam 8 windoor size.s; poured faund design, etc,)
• 1 sN of Energy Cala;a6ons
• 3 copies of Tree Preservation Plan if lot platted afier 711193
• Rim Jaist Detaii Options selection sheet (bidgs wilh 3 w lesi units)
DATE 3 I? IO I
.iJB SITE ADDRESS
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY
TYPE OF WORK '__') 1Gllid
APPtiCANi ? `Gr'
FIREPLACE(S) _0 1(1 _2 _3
ADDRESS yy?7 '14F'i1 ?rC?Pe
PAGER #?x VI1 -,S 897 _CELL PHONE #
PHONE #
coDE
?sl ads' !/g3 F,vc# 6la ?yb ts3iy
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RUI.ES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: _
Plumbing System Includes
Mechanical Contractor.
Dlechanieal System Licludes:
Sewer/Water Contractor.
? lu?
RemodellReoairReouiremeMS -
. 2 toPies of plan
. 7 set of Eneryy CalaWtions for heated additions
. 7 site survey for exlerior additions 6 decks
3-?-01
lJ<J
--, ?j
VALUATION (EXCLUDiNG LAND) Z r? CJc? J ?
_ Water Softener _
_ Water Heater _
No. of Baths
Air Conditioning
Heat Recovery System
Phone #
Fee: $90.00
Fee: $70.00
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree fo comply with
all applicable State of Minnesoto Statutes and City of Eagan Ordinances.
Signafure ot Appllcant
Certificates of Survey Received
Tree Preservation Plan Received _ Not Required _
Phone #:
Lzim Spnnkler
No. of R.I. Baths
Phone #
Updated 1101
CITY OF EAGAN . rJo 14 9 0 7
3830 Pilot Knob Road, P.O. Box 21-199; Eagan, MN 55121
` PHONE:454-8700
BUILDING PERMIT ReceiPt#
To be used for POOL Est. Value $10, 000 Date APRIL 28 ,1 g 88
SiteAddress 4467 FAWN RIDGE TR
Lot 16 glock 1 Sec/Sub. FAWN RIDGE
Parcel No
a Name TERRY FRANSEN
= Address 4467 FAWN RIDGE TR
? City EAGAN phone 681-9337
o Name PRESTIGE POOL & PATIO
oa Address 245 E ROSELAWN AVE
?? City ST PAUL phone 488-6726
a
w Name_
z Address
u
w Ciry_
I hereby acknowledge that I have read this applil9aiion and state Ihat the
information is correct to comply w?th all applicable State of
Minnesota Statutes a d City of n Or ces.
Signature of Permittee
A euiming Permit is issuetl to: PRESTIGE P L&PATIO_
on the express contlition that all work shall be done in accordance with al I
applicable State of Minnesota Statules anytl? C?ci(y of Eagan Ordinances.
Building ONicial ?.m, r.reLI - ?y
v
OFPICE USE ONLY
On Site Sewage - Occupancy
MWCC System _ Zoning
On Site Well _ (Actual) Cons[
City Water _ (Allowable)
PRV Required _ # of Stories
BoosterPump _ Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Asse&S. Permit 106.o0
Planner Surchar9e 5.00
Council Plan Review
Bldg. Off. SAQ City
Variance SAC,MWCC
Wafer Conn.
Water Meter
Road Uni[
Treatment P7
Parks
111.00
TO7AL
CITY OF EAGAN
? 3830 Pilot Knob Road, P.O. Box 21-199 Eagan MN 55121 N 2 12600
PHONE: 454-8100
BUILDING PERMIT Receipt# WP
7obeusedior SF DWG/GAR Estvalue $105,000 oate SEPTEMBER 9 ,1986
SiteAddress 4467 FAWN RIDGE TR Erect L? Occupancy R3
Lot 16 eloc k 1 Sec/Sub. FAWN R IDGE Remodel ? Zoning pD
Parcel No.
a I CORPORATE CONSTRUCTION
w Name
o Address 4466 WEDGWOOD DR
Ciry EAGAN phony 454-0644
o Name SAME
=
$ a Address
City Phone
F W Name
Address
?d w City Phone
I hereby acknBWledge that I have read this application and state that the
information is correct and a9ree to comply with all applicable State of
Minnesota Statutes and Ci Ea an dinances.
/
Signature of Permittee
A Building Permit is issued to: CORPORATE CONS'?'?
all work shall be done in accordance with all aD? i able State of i?pesc
Repair ? 7ype of Const. Vfl
Addition ? No. Stories
Move ? Length 46
Demolish ? Depth48-
Int. Impr. ? Sq. Ft
Install ?
Aoorovals Fees
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bidg. Off.9/8/86
Var.
ON INC.
Permit $ 445.5(
Surcharge 52.5(
Plan Review 222 • 7`-
SnC 575.0(
Water Conn. 500.0(
Water Meter 63.5(
AoadUnit 290.0(
rr. PI. 156.0(
Parks
Copies
rota? $2 ,305.2`
- on the express condition that
Statutes and Ciry of Eagan Ordinances.
Building
This request void Y42 ///C?
18 months trom ? 7 6
? 6 6 0 2 4
ss?oy?
c-
- ,? , - - -
Rentiest Date Fi e No. Rouph-in InsVer, ' n
Required?
I
]Reatly NowAWill Notity, Inscel:-
I
5-18-88 Ves ?NO lor When ReadY
i[XLicensed Electncal Coniractor I hereby re0uast Inspection ol above
? Owner elecVical work installed at
Street Address. Box or floute No. C'tY
4467 Fawn Rid e Trail N. E an
ecLOn o- Township Name or No. Rrnye No. Counly
Dakota
OccuDan[ (PqINT1 Plione No.
Ter Franzen 681-9337
Power Supplier AtlAress
n a
Electncal Cnnvactor lComUany Namel Cnn[rac?or's I.icense No.
ormanDale Electric Co.
N A-040529
AdJress (ConVactor or Owner Makiny Installa[ion)
Mailinp
1 N. Prior Ave Rosevi e Mn. 55113
Authorii' atu?e ICoMrdct? ner ing Installa Phone Number
644-0655
MINNESOTA STATE BOAND OF ELECTRICITY THIS lrvsvtciiurv KtuucsT rviLL NvT
8E
Griggs-Midwav gltle• - Roam Nd91 ACCEPTED BV THE STATE BOAND
1821 Universitv Ava.. St. Paul. MN 55104 UNLESS PNOPER INSPECTION FEE IS
o..,...e 1a11i weo.nann ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ee-ooooi -o
L' // 1l /?
, See inshucliens for completing this lorm on beck of Vellow copy. f?r?? /
7D 6 6 O 2 4 "X" Below Work Covered by Ihis Request
iim AAtl Reo. Tyoe of BuilUin¢ AooI,ancee Wired Enuiumant Wired
Home Fange Temporary Service
Duplex Water Heater Liyhtiny Fixtures
Apt. Building Oryer Electric Heahn
Commercial Bldy. Fumace Silo Unloader
Industrial BIAg. Air Conditioner Bulk Milk Tenk
Farm 111, neu v 01nF,lsnec??vl
t er Suecify Otber' Othi??
omnu[e Insoection Fee Belaw
p Fee ServiceEntrenceSize /t Fee Feetlers/Subfeedars k Fee Grcuits
0 to 200 qm s 0 to 30 Am s 0 tn 30 An
Above 200 qmps. 37 to 100 Amps 31 to 100 Am s
/ 337 Swimming Pool Above 100_Am s AAove 100_Am s
Transformers Irrigation Booms s Partial-Other fee
Signs Speciai InspecUOn
0
`'
TOTA EE
eema.ks , 7A _ M
ire swiicuning uUul. _ IF _ I . ?v=
tna tfact,oA
ybruH tnax tne anov
inspection hes bean
mede.
111?019c0 REQUEST POR ELECTRICAL INSPECTION AV% ee-ooooi.oe
? Sea insfructions for completin0 this lorm on back ol yellow copy. CO g??n'
?n7 1 fl 7 "X" Below Work Covered by 7his Request
Hvx1/1Atll Reo.l Tvoe ot Builtlina 1 AnDotiaKCea Wired 1 Equiument Wired I
Water
al
Ik
N Fea SarviceEntrenee5ize p Fee Fexders/Svbfeeders u Fee Circui2s
U to 200 qm s 0 ro 30 Am s 0 m 30 Am
Above 20 _qmps 31 to 100 Amps 31 to 100 Amps
Swimming Pool A6ave 100_Am s Above 100-Am 5
Transiormers Irngation Booms Partial.'Other Fee
Signs Special Inspection /?s \
S ? TOTAI. FEE
Bemarks v-/ ?_UG ?
"'° v /l the Electricel I
Inspec,or, hereby
'? certify thqt the e6ove
rFi^al y/? ) insoec+ion nss been
rreda.
fMS repumt wtd
This reqvest witl /?/?a/d/ ? S'Q
18 rrionihs Irom ?
C 62107 Neque Date U ire No. PouPh-in Insoecti6 ,?,,/
Rg?qwj d? '? ?fleatlY Now ?vv?il Nolity. Inspec-
cv1 L?}I'ees []No tor When fleady
prLicensed Electrical Contractor 1 haraby request insPectian e( above
? Owner electrical work insfalled at:
Su¢e 21ress, 8ox or Pou No. ? Cit? A
ecvon o. Township Name or No, qang No. Counry
O parit(PqINT)
ul/ 0ig N5? Phone No.
-0
Powe pplie Address
Electrical Convactor ICompany Namel Coniract r's License No.
2
wrr?nti?r? rr r.+rimnrr
i4F nln;t-?;lationj
14540 Pi?I--,-!i:K LANE
Authpy'zqadf$?grtgty? (ErfnxreeROr. Own6f;,Ma?C?g tna1exlationl
?
?3
1
Y
•
'
9
- Phone NumOer
..,.
fJ
Fa.
G
:,._yi.. , :
,KI
YLL? ?
i
MINNESOTq STATE BOAAO OF ELECTRICITY THISINSPECTION NEQUEST WILL NOT
Grippa-Midway Bldg. - Room N•181 BE ACCEPTED BY THE STATE BOARD
1827 Univereitv Ave.. St. Peul, MN 55100 1. ' UNLESS PNOPEN INSPECTION FEE IS
vnenw 16121 6A2-06O0 ENCI,OSED.
• s ? .? .
1986 BOILDI6G PERMIT APPLICATION - CITY OF EIGAN
NOTE: ALL CONTBACTORS MOST BS LICENSED iiITH THB CIT7f OF EAGAN
SI6GLS F6MILY DWELLINGS
INCLUDE 2 SETS OE PLANS, 3 CERTIFICATES OF SURVEYp 1 SET OE ENERGY CALCULATION3
MOLTIPLE DiiEL,LIAGS - SffiIDENTIAL RENT9L i1NIT5 FOB S6LS QNITS
INCLUDE 2 SET5 OF PLANS, CERTIFICATB OF SQIt9SY - CHECg iiITH BLDG. DEPT.,
1 SET OF SNERGY CALCULATIONS
COMAERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STR[ICTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE HOND
vv
To Be Used For: Mw-- Valuation: 165? Date: ?- C) -s4
Site Address yy 67 cw, nL3. <P,4
Lot (b Block I
Parcel/Sub Ti4,.. gt019>
Owner ?`?(?OEIy (p+ul. . /?^f
Address ??16L Wdg4w0d'b-
?? , MIJ
City/Zip Code ?
Phone 4r4- 0c44f
Contractor
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Phone #
OFFICE IISE ONLY
3
Erect JS Occupancy
Remodel Zoning
Repair Type oP Const
Addition S of Stories
Move Length ?-
Demolish Depth ?
_
Int.Impr. _ Sq Ft
Install _
9PPROVAL4 FS&S
Assessments Permit L/
Water/Sewer Surcharge C?y
S Z?
Police
Plan Review -
.L?_
ZZ
Fire SAC z
Engr Water Conn
Planner
Water Meter Se3?.?
CouncilRoad Unit Zi D
Bldg OfTreatment Pl ?
APC Parks
Varianee Copies
i0T9L ,9 .3 G.
$?
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER IiDST DESIGH9TE WHICS ADDRESS
IS DESIRSD. NO CHANGES HILL BS ALLOiiED OHCE BIIILDING PERMI? IS ISSDED.
i
5 yL'
0 lDws?7g &0
wMr: ci +:st 1?tca t1?:
?i
Vhone
:
?
7AOne s
A1 (StngliLFa:nily 6 Duplex) L_,Type A2 (Rasidential
(3 stortes qr ess
+??ttier) . ..
`t.
flW rt' ,fl?1 ;;`t .N '?wtl41ng Per#InttlK +. X -t,9??tt.
.Slelt' htighi ?9?'eund #???'+'ve)• .,a?, e ? ff.
r: , 2
.1. x2: .t??ev) 9roa?..?? ? areo ? ?o ? rc.
(Over 7 stor.ia)
o Q95 ??.
t 1
?
, . ,.
8nt1d1n9 dyMliCilpixo0s t1? z(u)?? •???ft.2 roof S floor ?rN .,
qf r.im joise - Floor toist stze (2 x ??? )
? x Per+nieter ? Rim ,,ATisf-?'ea • ?ft2 .
?
? Dotrs - ? t• ., ? -7
in.ector?
tYPY1 er' C on er.l"ter?,..l'' -?R? f3» '
-•--?T-
T.
U
7XPE .
SIZE AREA (F:•4)
EACH
,1 O ?'-. _ fl 5
x ?4, ?. -r 3
?, r ? ?1 0,:(? Q • 7.?
:;3 0.0
q tetal ft.2 G1ats
State epprovtQ_' V .
4U11tER OF
U(IITS
TOTAL FEET Z
ffrepiaC4 '4trta: M14th x 1?eiaht • -?_ x ?' d- Ft:Z
' 11 . Exposed foy*tlon: N*tght x Derimeter \A,Ft.z .
?PlE?I011,OQ ??.? Rt tREp' FflR All, NEM COf1STRUCTION. MIIJOR REMOOELIMfi ANO BUILDI't6S SEING
rFi? MIItIMAI CODE AIIONANtE, IS USEO.
y ".?•.wrir,? ?S .. N?- . . .
?'?.. ? . , :'f"?-i•; ? ' ? ? ? . ? ?
.
? `i? y ? +1.,'iv? ? ,.. '?fF"5 ?, ? . .. ?rt' . :...: . - .. ? . , .. ,.. e .' in4.. ??,?y?,? :'r'
Totat doo.x's pirtiwt0r j°3L'Ztt
, ?S
;. ,.
y arta... ot.9nass ?w arN. ,...„
1411 t1'N C-) -i,-_ ft,t
'i•;
Mindoa arta A q ccq ft.2 4 wlnEowg • .?? J x A•
Rim JoiSL area A_ tt.Z U rim jolst • U x A a d,`t %
Door area A. ?-I ft. 7 door area ¦?\-rf3_ U x A•?
fireptace are& A f-.2 U iireplace ¦ F}- U xA•_?
Exposed foundation A \\\ ft." J foundation ¦ .\? U x A• \?. Z1
Framin9 area A 2L -7 p? Z ft.2 J!'raning area • ?09 U x Aa
Net Waii area a _zo..?? ft. 9 wall = ? ag? u x x•
(119; -,71' L . . . . . ... . . . u x A • ?4?..?
?•1.. Gross Nall irea x 0.11 (A-1 singie famil,y , dL.;.;=x = allowable U.c d/Code ?--?
(13. aDove)
x 0.23 (A-1 other residentia:;
x .23 'Other building,`
d .28 (Over 3 s[or+=,)
Must De larger tAan
A O ? x U Ccde `f . Z? . 13B above
?
S. Ceiling framing area (Af) aquais 10°= nf rc-;linn area ?-=---f or the Same as)
;c
A- ?..Zj+ kZ,.??
?. Gross ceiling ares -q n x !a} z(?, `?' (o tt.2
?y .
..i3 Joist area (Af) ¦ 10" Ceiling area = IA, '1ft.2
?SC. Net ceilina area (Ac) (15A - 158) • V \? Z?. 4 ft.Z
i U teilin4 x k c¦ Z?"ZiD x_LL2;E-,..?'
U froming x A f• x
5D. -QTdL U x A ................................... . ? ?. ?
-?16. Ceiling area (15A) x 0.026 (0.-1 sinyle `amily S Cuplex ode allo?o+able U A
-,?-
? x O.C33 (A-2 ather reside^:ial)
,
' x 0.06 (other)
;a BTUH Must belarger then 150 (abovt)
7 (o xI fcQriel" ?OF (or Lhe same as)
- ?-
';r
? 40TE: Use U and a value, obtained f••om nps 1,? 3 and 4.`
. ' . . . , . '?i?
. . . , ; -.y
? , ? . . - .
t? ' n °` . . ? } .. . . . .,
4+'.!`.'', w . . ?. . . .. ....='. ??N`~•!??',?.?wr?"?FS.f ? .` . «,. ? "?. ?...? .: :??_...._ _ ... .?,+..+.- ?x?i?•. . ?
-- . . ..,+? , r,a : .._......?...
,,. .... ... .
'N71LL
SECTION
STIiD
SLCTION
2ND WAI.L
SECTI')N
J
Instdr atr titm .c9
intetior •a-Ail .4!?
w7 1
(FruaLng) U . F .
?hea [t, ing Z,o(e
Sldtng . 4, 7
OutslCe aSr illn .17
ic 'OTAL \ Q . =\ Q
2nside air f?im Rx .69
Interior wail
inaulac;on (Vall
Sheathing z o a
E:ccerior vill ,:ovecing , (.`7
Extrrlor air flli; 'n - .i% ?043
R 701'AL 'z3 ?O ? .
lnCCCior air (i i:n ?° .63
RLH \. 'r.svln:.ian
,T
JOIST =!, ? I`: ir,ch w(t •+uud R=1 .$8 (Rim U??.
o? Joist)
''• Shea[htng
i'-ti[er?or vall cuvering •(--7
«tertor air ftim Re ,17 O?
:I I 2 TOTAL
. ?
? lnt«rlor ai: C!l?. R' .6E
lnsala.lor, o d
4 Cere.s?c Foundatiun Z•\O ?
??.- ? b .. (Fdn. ) U = ?
-, ?
`Extcrtor air flln R¦..17
s rornL
.?;'. - -•-? I I fxpuerd 3IuCK r--
.,".. ?.'. .
,raCe ? •
•:t;.?
--.--?-.,- .. - , .
inilOe •ir tiie .69
(4_ [ncertor r.lt •?15 (xall) l' • ? .
° F'?K!nsuiatt..n ?°?
? l..S?.et?hst.hlns ?"0(°
?or5idinq O
Jucside alr Eilm .17 .•
R TOTAL 2,Q . O ?
? v lu. - ALUE •'?:
FaAr+ING • ° CHILtNG 40,
0.61 A1r f1Tm 0.61
I
3\ 15 Insulation 44 .O
:
. ?g
0.61
3'r . 9 :!S
. .oz(. 4
JO15C
Ceiling . s ?
Air Filr 0.61
Total R q 9,n +
1
u
F!.4i ROOF OR CATiiEDRAL CEILING
-'?F Va ue R VALUE
FR,;MING CE1LING
Inside air fil,m 0.61
?-
.
I ? I
? I
?
?
Ceiiing l
Joist (Stud
Insulatlon
Air spate
Roof detkin9
Inaulatlon ` Bu11t-up roof ?
Outside a1r fllm 011
Totat
? U
R ?
?
lindow tnfiltraticn .5 cfm/lineal foot of crack
tesidential door infiltration 0.5 cfm/square foot ar dcor and mininur code requirsment
ton-residential door infiltration 11.0 cfm/lineal `oct of crack
lp 12" contt•ete block no insulation =.47 R 2.1
lb 12" concrett block insulated cores =.26 4 3.8
'
1b 12" lightxeight blotk a .32 R 3.1 ..
:p 12" lightweight blotk irisulated cores =.12 Q 9.3 '"'•
.
1 singie giass = 1.13; with sto m Nindow .54
1 doubte glass • .55
. J tripie glass • .41 • ?
:.
?
01 axterior walis and ceitings must have a vepor barrier (C.10 perm rax.).
:apor barrier must De on the inside (heated side) of wall..
iaDOr barriers of ther polyethelene thin film have no R value.
- ,
r
? ? ? V ' . ,:qevy
a • ? , ? ??
,r
,..,.. :vi_cvn c :`r..rFYi6w????44...i?S,:.J4??.arr-.r..r. ??.;-a..y..w,w}lriiibw.?+...n ..r._???.? .. ._ .. r..
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
%
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FON CORNER LOT3 - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLZNGS RENTAL IINITS FOR SALE UNITS 4 OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.t
1 SET OF ENERGY CALCULATI4NS
COPRMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used Eor: apX!{D ,14.) 1myyt iValuation:
Site Address A4(07 ?.4Ga 1,??+4?Te-. OFFIi
f p(?OJ`
Lot /6 Block ?L
Parcel/Sub ?F ,,uN krr,&? ADDN.
?
owner/Ei?RS/ ; -'V-4 fi5E v
Address 'W67 ?f}L1R7 ll L
City/Zip Code -5-5 -133
Phone -
Contractor?e?
Address
City/Zip Code. Aej 6'3-y17'
Phone _ 41-F{e
Arch./Engr.
Address
City/Zip Code
On site sewage_
MWCC system _
On site well _
City water _
PAV required _
Booster Pump _
APPROVALS
Engr/Assess
Planner
Council
Bldg. Off.
Variance
Date: W--?a gq
Occupancy
Zoning
Actual Const
Allowable
Il of stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Permit
Surcharge
Plan Review
G??ZCo SAC, City
SAC, MWCC
Water Conn
Water Meter
Boad Unit
Treatment P1
Parks
Copies
TOTAL
bb, o0
S, ou
?.[)
Phone A
? -
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*IOTF: PAYMSW OF FEE AT TIIE pF
arPLxcrTIorr noEs Wr oCNSMUM
APPROVAL OF PERNIIT.
INSPFXTION OF SEW12 AND/OI2 WA1F12
I AUaTTONS WIIS, NOT BE SCFIID-
ULID UPfl'II. PEF2MIT HAS BEEN
APPROVID.
------------
P ease Print
1) PROPERTY ADDRESS: n i .-
A?_?h))A?1?
LEGAL DESCRIPTION:-T •-
Lot Block Subdivision or Tax Parcel ID
IF FJISTING STRCLZS.'RE, DATE OF ORIGZNAL B[!ZLDING PERMiT ISSL'ANCE: '
?
Mon Yeaz
PRESENP ZONING/PROPOSID L'SE:
0 CAtiP'IERCZAL/REPAIL/OFFICE
o ?NDL5TRIAL
n INSTIIL'TIONAL/GOVERPMENT
. R-1 SINGLE FAMILY
r-I R-2 DL'PLEX (Tr,o Units)
? R-3 70WDIIi0L?SE (Three + Units) ( Units)
Q R-4 APARTMENp/COAIDOMINIUM ( Units)
Z ) ,
4#3
ADDRESS: .
CZTY, STATE, ZIP:
PHONE:
3) • r• ?: s• NAME• For City Use _
Pliunbers Iicense:
ADDRFSS: • . • A Active
CITY, STATE, ZIP: ' ' H Expired
Not recoYded
PxorE: .?- rm? LxcerrsE# D44 ? st
4) ... • . ; i?•
rAME:
?5)
ADDRFSS:
CITY, STATE, ZIP:
PHONE:
?
13ALi1Jp U.4J? UJ?yYS?LS?
? CiTsr S?a rsmcrioN rno CCiTsc wATm Q aTHEx . .
6) ? ?• ?• • i• ? PLFA.SE HOLD APPRpVID PEE2NIIT FY)R PICFC-UP ?BY ONE OF ABOVE
? PLEASE MAIL APPROVID pERMIT ? 1, y 34,_ABOVE
r ?. . .
- - ?
TOR CITY USE ONLY
PERMIT # ISSUED
? • -
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMZT (INCLODE SURCHARGE)
$ $ WATER PERMIT (INCLUDE SL'RCHARGE)
$ ? -3 $ WATER METER/COPPERHORN/OCTSIDE READER
$ $ WATER TAP (INCLCDE CORPORATION STOP)
$ $ SEWER TAP
$_ $ ACCOLNT DEPOSIT - SEWER
$ ?S^• 4 7? $ ACCOUNT DEPOSIT - WATER
$ $ WAC
$ S7S• U ? $ SAC
$ $ TRLNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ " LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$_ $ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
$ I7 ZY ' S? $ O-w TOTAL
RECEZPT RECEIPT
DOES LTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK LVITHIN POBLIC
Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITZON.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE : ?jL 3 /?lp
4?Q? 3,3 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4875
New ConalnicHon Reaulremenfa RemoCel/Reoalr Reauiremenb
a 3 reglafered slfe wrveya showing aq. R of bt, sq. fl. of houae
and gU roofetl areas (20% maxdmum lof coveraqe allowed)
> 2 coples of plara fshow beam 8 wlncbw aizex poured 1ntl. design; etc.?
> I sat of energy calculaXorts
> J coples of lree preaervaMon plan If lof plaHeO after 7/1 /93
DATE:
DESCRIPTION OF WORK:
STREET ADDRESS:
pt
LOT: --- BLOCK: ? SUBD./P.I.D. #: r aWIl
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Phone #:
Name: r--? '` flrst
Shest
ary
v
srafe: f ^'• zip: ??Z 3
Company. a Yf V, G " .P,ona C 6 rti 5/ ` 36a
(area code)
Shee1 Address: 11171 QN "/? 4tk-
City IA/h'/r/A State: I"'Ar
Company: Name:
Telephone #: (
Sheet Address: RegishaNon Ii:
City
State:
Sewer/water licensed plumher (if installina sawer/water): Phone #:
Zip: 51pi&
Zip:
I hereby acknowledge fhaf I have read Ihis apptlcaHon, state that the Information is cortect, nd agr to comply wilh all appCicable Sta1e
of Minnesota Slatutes and CNy of Eagan Ordinancea.
Signature of ApplicanY.
r
Certificates of Survey Received ,
Tree Preservation Plan Received ,
2 copiea of plan
1 set of energy calculaflons for lieoted adcltlau
i sNe wrvey tor exfeAor addiflons & decb
CONSTRUCTION COST: I ?
OFFICE USE ONLY
Yes _ No Yes _ No _ Not Required
License # 70 s_r?ExP. ? za/
;-,; ,? 2 5
T-URVEYOR'S CERTIFICATE CORPORATE CONSTRUCTION
DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 913,8 FEET
J(000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = 04-6 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = 91Y•Z FEET
I HEREBY CERTIFY TO CORPORATE CONSTRUCTION THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES Of:
Lot 16, Block 1, FAWN RIDGE, according to the recorded plat thereof,
Dakota County, Minnesota.
AND OF THE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS
OR ENCROACHMENTS, IF ANY, THEREON. AS SURVEYED BY ME, OR UNDER MY DIRECT SUPERVISION,
THIS DAY OF , 198 .
NOTE: GRADES SHOWN ARE TAKEN FROM
'fFIE GRADING AND DRAINAGE PLAN FOR
FAtJN RIDGE ADDITION, PREPARED BY
PROBE ENGINEERIPIG COMPANY, INC.,
LAST DATED MARCH 26,1984.
SIGNED: JAMES R. HILL, INC.
?
BY: ,?.i%!" (?GI ;.tn .??c:'3
HAROLD C. PETERSON, LAND SURVEYOR
MINNE50TA LICENSE N0. 12294
SHEET 1 QF 2 SHEETS
PROJECT NO. BOOK / PAGE JAMES R. HILL, INC.
86599
Planners / Engineers / Surveyors
FILE NO. 8200 Humboldi Avenue South
FOLDER Bbomington, Mn. 55431 e12-884-3029
SURVEYOR'S CERTIFICATE.
?
/
RIDGE TRpIL /
f
N FAW N o57"
019 ? t?6.
?q1'? 5g.99 R?
?
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1 1.^ -I
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gg? 2?
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16
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CORPORATE CONSTRUCTION
Z
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SHEET 2 OF 2 SNE TS
PROJECT NO. BOOK / PAOE JAMES R. HILL, INC.
,
' 86599 •
. Planners / Engineers / Surveyors
FILE N0. 8200 Humboldt Avenue South
' FO L D E R Bloolnington, Mn. 66431 e 1 z-eea-3029
1 Copy: Oftice ?
•
2,Copy: rew CM?ef
3 Copy: ?unicipality
4 Copy: Customer
St. Paul Business Center
245 E. Roselawn Ave. • Suite 29
St. Paul, Minnesota 55117
- Gci
Fhoe CREW CHI EF
uipment Needed
ac? Bob Cat
? Gat ? Truek
O 5now Fence Ll
Inspections Contract
O Walls
? Plumbing
O Footing
n Befwe Backtill
0 Other
v k r`- .
ACCOUNT NUMBER POOL SIZE DATE
?• •r <- - j ,.:
?HAME HOME PHONE
_ -----
? -- . ??,?.^J - - E c ' r • -
WORK PHONE
STREET
i
arv STATE ZIP CODE
Diagram pool site in relation to house, garage, property line, and wires. (Allow 3" variance)
?
L
I x
p Mark location of filter anlor heater by (M2).
P Indicate deep end by (X).
Does Customer wish to retain any or all dirt from pool
excavation: ?
0 Will any obstructions be encountered - such as trees,
clothes poles or powerlphone lines etc.:
1. Rain gutters adjacent to pool_
2. Retalnlng wall where dlapramed
3. Run off control or dralnfield _
••• CUSTOMER ALSO UNDERSTANDS & ACKNOWLEDGES THE FOLLOWING '''
Some damape may be done to the yard andlor drlveway enterlnp and leavlnq the ysrd durfnp constructlon: Intlal .
Customer assumes responsfbilily fof electrical wirln9 and proundinfl of the pool (Including permlt If requlred): Inltlal
Cusomter aasumes reaponslbility for the gas Installatlon of heatar If applicable (includlnq perml; If raqulred): InItlal .
If debris, structures, or substance forelgn to normal soll ahauld be sncountered while excavstlnp whlch rsquiraa abnwmal
handlfnfl andlor dfsposlnfl - Customer shall eaaume reaponaiblllty ff eny extra costa are InCUrred. Intlel .
If you wiah to chanpe: fllter posltlon, slape of land, ar anythlng slae alatad In ihls outllne, pleaae cell our offlcs -488-6728.
Crew chiefa are not authorfzed to change anyihlnp on the Job or make any promises tar work to be done by them. Any Chinpss
that are not authorized by the offlce w1ll be charped at e atandard rats - no sxceptlona.
Prestiqe Reprauntative Siqnature Cuatomsr Slpnatwe
D Elevation from location marked "A" in diapram:
L7 Show tvpe and location of slide it applicable: _
? Location for disposal of dirt:
Ll Pre:tige Pool & Patio recommends that customer install
(As soon as possible following pool conatruCtlon):
PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA102716
Date Issued: 01/11/2012
OR Permit Category: ePermit
41~ it~ of E3
E
Site Address: 4467 Fawn Ridge Tr
Lot: 16 Block: I Addition: Fawn Ridae
PID: 10-25800-01-160
Use:
Description:
Sub Type: e-Windows iDoors Construction Type:
Work Type: Windows Doors-New ; Replacement
Description: House
Census Code: 434- Occupancy :
Zonin,:
Square Feet: 0
Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL - Base Fee S4K $103.25 0801.4085
Valuation: 4,000.00 Surcharge - Based on Valuation S4K $2.00 9001.2195
Total: $105.25
Contractor: - Applicant - Owner:
Universal Windows Direct Twin Cities Federal National Mortgage Assoc
7610 Lj-ndale Avenue, Suite 40 PO Box 60043
Richfield 1\1N 55423 Dallas TY 75265
(612) 867-6679
I hereby aeknowledae that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and Cite of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
Use BLUE or BLACK Ink
For Office Use I
I Permit q~~ j
I I
City of EaEdfl I .tea
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 I Staff:
Fax: (651) 675-5694 I - - - - - - - - - - - - - - - - I
INFLOW & INFILTRATION PERMIT APPLICATION
Plumbing I Sewer & Water
Date. Site Address: et / ~
Tenant: Suite
P, Phone:
Name:
RESIDENT /OWNER /
Address /City /Zip: q -I
Name: License
CONTRACTOR Address: City.,
State: Zi Phone:
Contact: Email:
PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope)
TYPE OF WORK Sump Pump Repair Repair
Other: _f__Other:
Description of work: w C'- 0 /S 4-
DESCRIPTION 1
~FEE
0 /Each (includes $5.00 State Surcharge) TOTAL FEE $
.Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.cityofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call
48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and
codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and or ' not to start without a
permit, that the work will be in accordance with the approved plan in the case of work which qu' es a r d approval of plans.
X_ L_V x
Applicant's Printed Name Applic nt's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground -Rough-In -Final
Use BLUE or BLACK Ink
- - - - - - - - - - - - - - - - -
1 i For Office Use
City of Ea I Permit V uY I
E I X31
I Permit Fee: I
3830 Pilot Knob Road i -
Eagan MN 55122 j` -I I Date Received: 142
Phone: (651) 675-5675 I 1
Fax: (651) 675-5694 MAY 2 3 2012 Staff-
2012
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: L Vie . Pa Phone:
RESIDENT /
OWNER Address / City / Zip: d / r`'~%? 3
Applicant is: 4 Owner Contractor
TYPE OF WORK Description of work: d
Construction Cost: Multi-Family Building: (Yes / No
Company: Contact:
CONTRACTOR Address: City:
t_ V-f I- State: Zip: hone:
License Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. wwww.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by b ing permit issued in accordance with the Minnesota State Bu' in Cod be completed within 180
days of permit issyanre.
x i - x
Applicant's Printed a e Applicant's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
~ SUB TYPES l W F4 W n I2l^ e- `~I rte'
Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage F
_ Single Family Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
_ 01 of Plex _ Lower Level _ Pool _ Miscellaneous
Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
` Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation JA%~e Occupancy Rr MCES System
Plan Review Code Edition ~Z SAC Units
(25%- 100% z Zoning P City Water
Census Code y 3f Stories Booster Pump
# of Units / Square Feet PRV
# of Buildings / Length > It Fire Sprinklers
Type of Construction ~ Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC _ Gas Service Test Gas Line Air Test
Drain Tile Other:
T Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backfill _ Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By: , Building Inspector e
RESIDENTIAL FE S 'Base Fee f p~-
Surcharge
Plan Review 7
MCES SAC -
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
t e
SURVEYOR'S CERTIFICATE. CORPORATE CONSTRUCTION
a ~
I DGE
FAW t 6.a
q~ ')5899
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SHEET 2 OF 2 SHEETS
PROJECT NO. eoolt PAt39
JAMES R. HILL, INC,
86599
Planners / Engineers / Surveyors
FILE NO. 8200 Humboldt Avenue South
FQ L O E R BloolnIngton, Mn. 65431 1312-884-3029
Use BLUE or BLACK Ink
For Office Use 11
Win ~ Permit ` VU r j
City of Ea ar
I Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 j Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 i Staff:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: r Site Address: Unit
_n Name: Phone: tx J ~i ~'I ~U
RESIDENT I
OWNER ^ Address /City /Zip: of (hwv) V ,
o
Applicant is: Owner, 1 Contractor
TYPE OF WORK Description of work: V l J~ V o-wi-
Constr ction t: Multi-Family Building: (Yes No )
S
o_ ay: Contact: JS
CONTRACTOR 1, Address: O(7 City:
Wo Zip: 55 Phone: U~u C7~!~ y
State: t.C b
License U J~~ Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
b1A e AP~G,V'_ 141<
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
I NOTE: Plans and supportin.. ~gdo ~~,.4 .cu.~m
ents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.clopherstateonecail.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be c plated within 180
days of permit issuance.
X_ ffic x
Applicant's Printed Name A licant's Signature
Page 1 of 3
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot KAob 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:
By Dote Paid:
Date of Insp.:, Insp.:
CITY OF EAGAN SEWER 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:
I agree to comply with the Gtr of Eagan Connection Charge:
Ordinances. Account Deposit:
Permit Fee:
Surcharge:
By Misc. Charges:
Date of Insp.: Total:
Insp.: Date Paid:
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116621
Date Issued:10/09/2013
Permit Category:ePermit
Site Address: 4467 Fawn Ridge Tr
Lot:16 Block: 1 Addition: Fawn Ridge
PID:10-25800-01-160
Use:
Description:
Sub Type:Reroof
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.
Carbon monoxide detectors are required by law in ALL single family homes .
Eva Lewis
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 -
Luke Palen
4467 Fawn Ridge Tr
Eagan MN 55122
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:EA130737
Date Issued:05/12/2015
Permit Category:ePermit
Site Address: 4467 Fawn Ridge Tr
Lot:16 Block: 1 Addition: Fawn Ridge
PID:10-25800-01-160
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:Only replaced second story above overhead
garage door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
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: 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 -
Luke Palen
4467 Fawn Ridge Tr
Eagan MN 55122
(612) 558-8115
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:EA131227
Date Issued:06/09/2015
Permit Category:ePermit
Site Address: 4467 Fawn Ridge Tr
Lot:16 Block: 1 Addition: Fawn Ridge
PID:10-25800-01-160
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
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: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Luke Palen
4467 Fawn Ridge Tr
Eagan MN 55122
(651) 246-5016
Universal Windows Direct Twin Cities
2200 West 66th Street, #119
Richfield MN 55423
(612) 866-2888
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA133035
Date Issued:09/18/2015
Permit Category:ePermit
Site Address: 4467 Fawn Ridge Tr
Lot:16 Block: 1 Addition: Fawn Ridge
PID:10-25800-01-160
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
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 -
Luke Palen
4467 Fawn Ridge Tr
Eagan MN 55122
(651) 246-5016
Universal Windows Direct Twin Cities
2200 West 66th Street, #119
Richfield MN 55423
(612) 866-2888
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA140863
Date Issued:01/27/2017
Permit Category:ePermit
Site Address: 4467 Fawn Ridge Tr
Lot:16 Block: 1 Addition: Fawn Ridge
PID:10-25800-01-160
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
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 -
Andrew M Kahl
4467 Fawn Ridge Tr
Eagan MN 55122
Bonfe's Plumbing & Heating
505 Randolph Ave
St Paul MN 55102
(651) 228-9071
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA162125
Date Issued:06/29/2020
Permit Category:ePermit
Site Address: 4467 Fawn Ridge Tr
Lot:16 Block: 1 Addition: Fawn Ridge
PID:10-25800-01-160
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
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 -
Andrew M Kahl
4467 Fawn Ridge Tr
Eagan MN 55122
(408) 931-0573
Bonfe's Plumbing & Heating
455 Hardman Ave
South St. Paul MN 55075
(651) 228-7140
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA162042
Date Issued:06/24/2020
Permit Category:ePermit
Site Address: 4467 Fawn Ridge Tr
Lot:16 Block: 1 Addition: Fawn Ridge
PID:10-25800-01-160
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard 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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Andrew M Kahl
4467 Fawn Ridge Tr
Eagan MN 55122
(408) 931-0573
Bonfe's Plumbing & Heating
455 Hardman Ave
South St. Paul MN 55075
(651) 228-7140
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA162125
Date Issued:06/29/2020
Permit Category:ePermit
Site Address: 4467 Fawn Ridge Tr
Lot:16 Block: 1 Addition: Fawn Ridge
PID:10-25800-01-160
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
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 -
Andrew M Kahl
4467 Fawn Ridge Tr
Eagan MN 55122
(408) 931-0573
Bonfe's Plumbing & Heating
455 Hardman Ave
South St. Paul MN 55075
(651) 228-7140
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA170439
Date Issued:07/01/2021
Permit Category:ePermit
Site Address: 4467 Fawn Ridge Tr
Lot:16 Block: 1 Addition: Fawn Ridge
PID:10-25800-01-160
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Andrew M & Megan G Kahl
4467 Fawn Ridge Trl
Eagan MN 55123
Bonfe's Plumbing & Heating
455 Hardman Ave
South St. Paul MN 55075
(651) 228-7140
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA176554
Date Issued:05/20/2022
Permit Category:ePermit
Site Address: 4467 Fawn Ridge Tr
Lot:16 Block: 1 Addition: Fawn Ridge
PID:10-25800-01-160
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
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. When a weather barrier is installed or
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 -
Andrew M & Megan G Kahl
4467 Fawn Ridge Trl
Eagan MN 55123
All Around Property Preservation Llc
2265 Wayzata Blvd
Long Lake MN 55356
(763) 447-3944
Applicant/Permitee: Signature Issued By: Signature