4471 Fawn Ridge Tr\?4' • ? ...'y ?,
3830 Pilot
BUILDING PERMIT
To 6e used ter SF DWG/GAFc
to
SiteAddress 4471 FAWN RIDGE TR Erect
Lot 18 Biock 1 secISub. FAWN RIDGE Remodei
Parcei No.
Repair
Addition
¢
REYLA
Name
T.iD KOMES
Move
W
3 3471
Address i?i 173RD Demolisn
Int Im
r
o
Tnnnaw¦
e?c_»?? .
p
z F Name S? Approvals
,°? ¢ Address Assessment
Water & Sew
s W City ?
I hereby ackr
information i
Minnesota S
Signature of
A Building Perm
all work shall be
Building Official
CITY OF EAGAN ?,t
ad, P.O. Box 21-199, Eagan, MN 55121 `?? 2
PHONE: 454-8100
Receipt #
67,040
Police
Fi
875 re
Eng.
Planner
Council
ition and state that the 6 3? ?
gldg' Off.
all applicable State of
>s. AP C
4
- , _
Var. Date
K EYLA?3D
with all applic
12361
19 86
Type of Const ya
No. Stories
Length 42
Depth 413
Sq. Ft.
Fees
Permit _$ 334.00'
Surcharge ?? O?
Plan Review
SAC ?' 00
Water Conn. 5 0 Q. 04
water Meter 63.50
Road Unit 290.00
Tr. PI. 156.00
Parks
Copies-?>z , 115F. 00
on the express condition that
d City of Eagan Ordinances.
PermN No. Permit Holder Date Telephons k
Plumbiag -7 }? ???-- ? 0 fo
H.V.A.C.
ElectNc .-
? 5oftmsr
Inspectlon Date Insp. Commanh
Footings I 8/,2, ?
Footinys II
Foundation
Framiny a
Rooffng
Rough Plbq.
Rough Htg.
InsuL i
Firsplace
Final Hty.
Final Plby.
Bldg. Final
Cerl. Occ.
Deek Ftg.
Dsck Frmg.
WNI Describe loceHon:
Pr. Disp.
.T ? . ? . ? ,. .
?, .
CtTY
3830 PILOT KNaB I
! Site Address y`/ //
Bl
'
k r* wti rC' 3c.
/:
? S
Lot
oc ec
? Name ti C 'v
?
?
c
C-
f?U b, ?10I MA 1484
Addr ss
PI Ph
Ci
ty one _
Name
c AddreSS ?y ? ??? L,
? ?ity Phone _
TYPE OF WORK
Forced Alr ?Z M BTU
Boiler M BTU
Unit Heater M BTU
' Air Cond. M BTU
Vent CFM
Gas Piping Outlets # ?
Other
FEE
S/C:
TOTAL:
. 1 ..?" , a e . ' . . .
PERMIT # .-
L PERMIT RECEIPT # _
EAGAN
D, EAGAN, MN 55121
DATE:
?a-a1oa
BLDG. T1fPE WORK I
Res. ? New _
Muit Add-on
Comm.
Other Repair .
FEES
RES. HVAC 0-100 M BTU -$24.00
ADD1T10NAL 50 M STU - 6.00
ADD-ONAAIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - FiESIDENTIAL FEE - 10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SllRCHARGE PEfi PERMIT - .50
fADD $.50 S/C IF PERMIT PRICE GOES 7- A
o? 5 S ? ??. ,1 {y-- ' --
, )rj SIGNATURE OF PERMITTEE
FflR: CITY OF EAGAN
3830 PILOT
PLUMBING PERMIT
CITY OF EAGAN
Site Address
Lot Block ' Sec/Sub
? Name '
?o Address
,
c Ciry Phone
? Name
? Address
(D Ciry %Phone
FEES
COMMlIfVD FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - ,50
(ADb $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
t
_1
SIGNATURE OF PERMITTEE
FOR CITY OF EAGAN
PERMIT # / '`J ?, /
AECElPT #
MN 55121 DATE _
BLDG. TYPE WORK DESCRIPTION
Res. ' (Vew
Mult Add-on
Comm. Repair
Other
NO. FIXTURES TOTAL
` Water Closet - $3.00 ?
` Bath Tubs - $3.00
? Lar+atory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
? Floor Drains - $1.50
_.L_Water Heater - $1.50
Whirlpool - $3.00
` Gas Piping Outlets - $1.50
Softener - $5.00
Well - $i0.00
-Private Disp. - $10.00
Rough Openings - $1.50
FEE .-
STATE SfC:
GRAND TOTAL: ' ?
CITY OF EAGAN WATER SERVICE PERMff
830 ?ilof Knbb Road
. O. Box 21199 PERMIT NO.:
MN 55121
n DATE:
,
sga
iny; , ' No. of Unita:
?. ' ^_'v Lati?? ??r.e ,
roas:
fie Nddrcss: •; ? , - ; i . .1 -
umbe
No. ? ction ChorQe:
i:e:
der No.:
`
I
C
l
i
h
„ a
` , S Il r c?
?
?
!
M
t
asm !o aomp
lr w
? ?
1?
? - ?.lE`l3lisc.jC??+?
w?eas. 15 f? , •? n ?,d 'fP
??`1 _ 5!1 ?i' rY2r
?-??-
Date Pofd:
f I -
InsP
o
nsp.: •
CITY OF EAGAN WATER SERVICE PERIIAlT
3830 Pi{ot Kni,b Rosd pERM17 NO.:
P. Q: 6ax 21199
Eagan, MN 55127 D/1TE:
?
Zoninp:. - '. No. of Unfts:
Ownsr:
Address:
.; ., 71 pawn R,d7z 1 t' a. d- e
.,
Site Address:
'Techanic?.
p ;;
Plumber. c ? ?
?
Meter No.: ?
p4 ??ll????? • {'
?
ReadeF No.: G/ v i ? v e•. .
1wynw to cswPh? whb tlw C1M of
BY -9-?c;4z
pote of I nsp.:
Ji-13-.q6
Date Poid:
?.
? C.
?.
? ? I I I I
?
CITY OF EAGAN
3830 Pilot Knob Fioad, P.O. Box 21-199,
I ' PHONE:454-8100
BUILDING PERMIT
To be used tor SF DWG/GAR Est Value $ 6 7, 0 0 0
te Address 4471 FAWN R IDGE TR
it 18 Block 1 sec/sub. FAWN RIDGE
W Name KEYLAND HOMES
3 Address 3 4 71 W 17 3 RD
° city JORDAN phone 435-3323
Name SAME
Address
Phone
F W Name HALLQUIST
=a Address 5001 W 80TH ST
s W City BLMGTN phone 831-1875
an, M N 55121 N 0 12361
Receipt # 6?Q6
Date JULY 2 8 ,1 g86
Erect IN Occupancy R3
Remodel ? Zoning R 13-
Repair ? Type oi Const. Vri
Addition ? No. Stories
Move ? Length 42
Demolish ? Depth d A
Int Impr. ? Sq. Ft.
Install ?
A ppro vals Fees
I hereby acknowledgethat I have read this application and state thatthe
information is correct and agree to comply with all applicable State of
Minnesota Statutes and C rdina ces.
Signature oi Permittee
A euilding Permit is issued to: REYLAND HOMES
all work shall be done in accordance with all applicable Stat f Minnesota
Building Official 4
Assessment Permit $ 334,00
Water & Sew. Surcharge 33.50
Police Plan Review 16 7. 00
Fire SAC 575.00
Eng. Water Conn. 500.00
Planner Water Meter 63.50
Council Fioad Unit 290 . 00
eldg. Off. 6/30/86 Tr. PI. 156 . 00
Var. Date Copies 2,119 . 00
Total
on the express condition that
and City of Eagan Ordinances.
CITY OF EAGAN Remarks
Addition FAGTN RTT1r$ AiInTTTf?N Lot 18 Rik 1 Parcel 1 o 2;R(ln 1 R(1 n1
Owner
5treet 4471 Faun RidaP Trail Scate F3gan hM1 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. ? 1981 229. 35 - 11.47 20
STREET RESTOR. ? 1984 499.46 49.95 10
GRADING / 19$1 61.26- 4.08 15
SAN SEW TRUNK 1981 205.44- 10.27 20
SEWER LATERAL - 7'7 1981 33 . 07' 1.65 1;
Sewer Lat. 1981 23;57' 1.18 20
WATERMAIN
WATER LATERAL 1981 -.43. 67' 2.18 20
WATER AREA 19$1 205.44- 10.27 20
Water Lateral $ ° 1981 27.68 1.38
STORM SEW TRK 1985 557. 79 - 37.19 15
STORM SEW AT- 1984 222. 51 ' 22.25 10
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
Thisrequest witl
18 months Irom
X 15 5 4,1 c_A?-„-y,
HeQUest Da?e
? Fire No. RooPh-in Inspecuon
Required?
?Aeady Now oUty Inspec-
d(I 5 ?NO ?or When Ready
ense?leclr?qai Contractor I hereby mquest ins0ection ol eDova
?
? Owner elactrical work in5tailed at:
Street Atldress, Box or Pome No. Crty
/
ecuon o. Townshi0 ame or No. anye No. COulltWWY
Occapent (P ) Phone No.
Power 5 p lier ' Adtlress
Electrcal ractor ICOmpany Namel Conlrar "s Lmense o.
G
Mai ddress onvacmr or O?e r I eking nst ilation
G s• o
?
Authorized S?g ure ICo Owner Mak- g Installa nl Phone Number
M?pNE?TA STATE BqRRO OF ELE I ITY THIS INSPECTION HEQUESTWILL NOT
1821 U BE ACCEPTED BY THE STqTE BOA0.D
Griqgl?Mitlwev Bltlg/ Noom N-191
nivarsity Ave., 5?. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 297-2111 ENCLOSED. _
^ ! REQUEST FOR ELECTRICAL INSPECTION AWIN
`°- .. ....
' See irmtrueLOns for completine thia torm on beck ol yellow coDV.
,C 15.941 . "X" Below Work Covered by This Request ?v l?r y
Nevy AAd Reo Tyoe ol 8uiltlin0 Applioncea WiraA Eqmoment Wired
Temporary Service
Duplex Water Heater LighLn, Fiztures
Apt. BuilAing Electric HeaUn
Commercial Bldg. ace Silo Unloader,
Industrial BIAg. Av Condiboner Bulk Milk Tenk
Farm
OtFY! Oecl V
01M1e.l ISnrcIIYI
t,r Suon y ther Olh??
/1SOBC!/O/1 fP.P. BCIOW
Y ServtceEntmnceSixe e Fen Feetlers/5ubleeders b Fex Gvcuits
? U to 200 qm s 0 to 30 Am s i 0 tn 30 Am s
Above 200 qmps 37 to 100 qmps ?;Gd 31 to 100 Am ?
Swimmfng Pool Abave 100_Am s Above 100_Amps
Transrormers Irrigation Booms ? PartialOther Fee
Signs Special Inspectwn $
TOTAL'FEE?1
Remarks U ?v )
/ ? jJC.k
Houeh-i^ ( ? 1e I, th'y.Electt¢al
? ??soect
o., ne.eey
certity thel the abave
Final 0^?e ?nsDeelian has been
TMn reauest vaitl 18 monlb from
. RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
NewConsWCtion Reauirements
• 3 registered site surveys showirg sq. tt of lot, sq. ft of house; and all roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing beam & window s2es; poured found design, etc.)
• 1 set of Energy Calwlations
• 3 copies W Tree Preservffiion Plan d lot platled aRer 7/1193
• Rim Jois! Delail Op6ons seledion sheet (bldgs with 3 or less units)
DATE Z
SITE ADDRESS ?
TYPE OF WORK i/'nc5l-
APPLICANT
STREET ADDRESS
?TATE?'?I,ZIP
TELEPHONE #-7 59-?f-6,"C'CELL PHONE -_? ?IU -71 7 a FAX #
PROPERTYOWNER TECEPHONE#6?t? • 6 Wal-
----------------------------------------------------------------------------------------°-----
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RUL.ES 7670 CA"1'EGORY 1 MINNESOTA RULES 7672
(+1 submissian rype) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted ?
Plumbing Contractor: Phone #
Plumbing system includes: _ Water Softcncr _ I.awn Sprinkler Fee: $90.00
Waler Heater No. of R.I. Baths
No. of I3aths
Mechanic6l Conhactor: Phone # ? ?
Mechanical system includes: Air Conditioning 1?b.iJb .
_ Heat Recovery System Mqy 2 g 2002
Sewer/Water Contractor. Phone #
By
---------------------------^----°--------------...-------------------------°--------°-----------°---°-------------- -
I hereby acknowledge that I have read this application, state that the information is ?ct, and agree to co ly
with all applicable State of Minnesota StaTutes and City of Eagan Ordi es.
Signature of AppllcanT
----------------------------- -.._..--------------- °------------ °-------------- ___-------------------- -"---- ---------------- -----_--------------- --•
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
q q• D-15-
Remodel/Reoair Reauiremenb
• 2 capies of pWn
• 1 set of Energy Calculatians for heated additions
• 1 site surveyfor extenor addi6oris & decks
• Indicate'rf home served by septic system foradditions
?VALUATION -7 S
MULTI-FAMiLY BLDG Y N
_ FIREPLACE(S) _ 0 _ 1 _ 2
Updated 4102
P
2/84
CITY Or EAGAN
APPLZCATION FOR PERMIT
SEWER AND/OR WATER CONNECTIODI
(PCEASE PRINT)
1) PROPERI^! p.DD:ESS:
t.FrAr DESGRIT_'TZCV:
1., ?P_SLY
? R-2 DUPL...t"{ ('IR'o UrIITS)
- = 0 R-3 TC7..?'F?C±i?E ('!'f%= + D!]ITS) ( WI':'S)
0 R-4 [-?AR'^IL-1TT/CC?ma.1TIIDbi ( [J.1iZT8)
? CCI,ME?CI]-%I,/RE:AIL,/OFFICE
Q 11\'DL'Si^?L
p I!%STI'I'GTIO.IAI,/GGVE1r2rag:-,r
:::G SPcECPJ:'tE, DATT' 0" Oc2TG1^.Tt1L t`U2I.DL`:G PZp;•ST
?'^7I?:r;/paDPOSr."?J US:
PDES=1 R-1 S"'\ GZ:
</ tu-r1,11?.:?v'1" ?YLtASE PRInI) .
ACD.L2ESS:
CIT`!, =!'y, ZIP:
PHOlNE: U00(f7 =
3) PLL; tSE.'Tt
NP.ME:
PI'iDRE'SS:
` CITY, STATE, ZIP;
PHOVE:
4? ?uPANI'/CT.v
jIE2t (PLEASE PRINi)
NRME 1 ?
ADDRESS:
CZT"L, STATt, ZIP.
Pfi(?:+IE:
FOR CITY USE ONLY
PlUH8ER5 LICEYSE:
? Active
Q E:pired
Q Not of Record
art nttia
Jl uuulCiiPE WEiICH PERMIT IS BEING FiEQ[jESTgp:
GL.'VNE(.TI0LN TO CITY SbT,9ER
? CONNFCfION '10 CITY L4ATER
? a'71ER (PLZ1SE DFSCRIBE)
6) I"i:DIG,:. C2:L:
7) SIGzATL-gE:
? PI=!',SE f?OID APPRUVID pg;,"4IT FpR PICIi-UP BY ONE OF ABOVE .
pLE'SE f`+`?. APPItOVm PERtiLiT TrJ 1, 2. 3, 4 A£WE
(Circle one)
DATE: ? ? ( 01?
?! ?lolil.?f4fiRaai?A? ael?g?caaR s/la?aRaar is?si:a:?ait?aR#f?YS?f?a a??i[sascsar
e .
FOR C I T Y U S E ONi,Y
PERMIT '-` ZSSUED
L?
Fz'T'S :
$ i, .z
$ /?1?- Sa
$
S
$
SE.":LR nERHrT (l?? T?CL'J n`?:?RGE)
--?Lr^ . .7U
WATER PER!`tI^.' (Ii7CLUDE SliRCHA2Gc,)
WATER METER/COPPERHORN/OUTSIDZ REe=,DE2
WATER TAP (INCLUDE CORPORATION STOP)
SE;vER TAP
$ 0_..'3
ACCOUNT DEPpSIT - 4TATER
$ j D C7 . C9 O WAC
$ _ 2 7 S?• n ? SP.C
$ TRlii]K 6PATER ASji,SSilE.`7T
$ TRtiV?C SE[4ER aSSESS~IENT
+S _ LATE?1L SENTEFIT/TRU`IK SE::TER
$ LATERP,L BEVEFIT/TRUVK WATrR
$ ?'s?O ?ra WATER TREATMENT PLANT SURCHARGE
$
S
/, o d
OTHER:
TOTAL
AI?IOLT::T PAID; 4ECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
7-7 YES ZF YES, THEN n"PERMIT FOR 'rIORK WITHIN
PUBLIC ROADWAY" MUST SE ZSSUED BY THE
7_7 NO ENGINEERING DIV:SION. LIST AS A CONDI-
TION.
SUBJECT TO THE FOLL019ING CONDITZONS:
APPROVED BY:
TITLE:
DAT° : (-
Paqe 1 of 4
EX RIOR ENVCLOPE AUfRAGf "li" COMPUTA71pN
.?
QWN ?' . ?
ER. nnrr:
------ --__' 8tS
? SITE ADDRE55:? PIIONE:_
<:. ??" _?__-
' CONTRACTOR: ' • f.PN?p??
Determine working square footaqe of each
1. Total exposed wall-area..... 4__sq, ft. x.11
2. Total roof/ceiling area..... tp4o sy, ft. x`026 =
. I -d-S-
? Total 'exposed wall area aNve I'loor=_ ?711?
a .; Total.wall window area.... ' .................................. .
b. Total ,door area.:. ,
C. `?Tota'1''°slldin9 glASS.door nrea...............
..? .........................
......... ;
d. " 7otal fireplace wall area........
................................
e. Total wall framing area (average 10%)........... I?Z
.................
Total rim-'joist area ............................................. 132
net viall";far,ea above floor ..................................... / 3 f'
h. ; wal,l,area a6ove floor .............................
........
wa11',area above floor...
...........................
..?
J. frame wall',.d1'ea at foundation ...................... ... .... .
........r..
Totdl exposed foundation area= _?(Q_, V
--
- ;
k. -Total founda=tion window area ....................... ?
1. •Total net,f0undation area a6ove grade ..............
i •?=' -
' Determine "u" value of each wall segment ?
• (e.g, window; door, each separate wall secCion)
a. 1571 _ X "Ul.774_ , .
.: ?.
b. 38 x „ull , 31 . C. 40 _ x ?v„ , ? .
d, X .1ul. _
e , X „ u ?. . O? --- ----1 ?----
r._ ? 3z X „u„ ?-?-
9• i3157 x ,l u.,
n. x „Ull _
.,
t. x „ull
j, x „u„ _
k,
x llu„
if item N3 is Che sam
as, or less atifan item
N1, you have met,the
InCent of SOC 6006 (C
x liui,_ L2$-_`
3 . ...................... ........... rotal = Z-1
.
OL
Cnvelopo Average "U" ComputaL•ion
Tol•nl exposed rool/ceilin9 area ? ID40?
m Totul skyli.yht area ............................ I
n. TotaJ, roof/ceiling fxaming area (avcrage ].02)... 104
_
o. Tol•ul net insulated roo.C/ccilinq arc:a........... p zi_
? Determine "i]" valuc for each roof/ceilin9 segment
Page 2 oE 4 M, I
, ??• ?I
+..
x ?,ull
a ??u"
o. 13?2 - X „u„ , OL = ($ ,'j
9
;
........ ................. .. 1bLa1
Tf tot;al ' of 1#4 is the sume as, or less t:han 42, you have meL the intent of *r ?
' SHC 6006 (c) 1.
'
, . Alternate Buildin Enve]ope Desiqn
"r7b utzliz e the total enyel ope'system method, the values esl-ablished by the s••.im of
ztems N3 and #9 shall not be greater L-han the sivn of items Ikl d if2.
.F2._ Z7
3. + 4. ? ,Z (p
1*
? ;;
r I?
7?
? .
?. , j?
?h
YlAl.f. . CCTi0N3
c J?1 uf rpuque voll nren for
rnmq cc,iu:rruct lun
S1C
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1986 BDILDING PER2QT APPLICATION - CITY OF EAG9N
NOSEs 9LL CONTRAClORS MOS2 BE LICENSED WITH THB CITY OF EAGAN
SINGLE FAFIILY DAELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SUAVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLE DWffi.LINGS - RSSIDENTIAL EENTAL QLiITS FOR SALS DNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIJRaBY - CHECK iiITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COiq1ERCTer:
INCLIIDE 2 SETS OF ARCHITECTURAL
1 SET OF SFECIFICATIONS AND 1
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For:
& STRUCTURAL PLANS,
SET OF
Site Address q`fZ/
Lot ZZ Block ?
Parcel/Sub
Owrter ??? /]/1? lb`O7?L??
Address ? ? 7 ? /s? / 73?.?l
Citq/Zip Code
-,Ptione 3 3
Contractor
Address
City/Zip Code
Phone
Arch./Engr.
Address
Phone # e3 a
City/Zip Code
n
a
Z S .
Date: / v (0(,
Erect ? Oeeupaney
8emodel _ Zoning E2LL/
Repair ? Type of Const ?L
Addition 4 of Stories
Move Length yZ
Demolish Depth 49?
Int.Impr. Sq Ft
Install
arpaovAts FEES
Assessments Permit 35z!
Water/Sewer Surcharge . O
11
Police 2
Plan Review
Fire 9AC
Engr Water Conn
Planner Water Meter' - ?
Council Road Unit
Bldg Off19-19? ej(_Treatment Pl
APC Parks
Variance Copies
20T9L
NOTEs ADDRESS&3 FOR CORNER LOTS - CONTRACTOR/HOMEOi1NEA MOST DESIGN6TS AHIC9 ADDAESS
IS D&SIRSD, NO CBANGES NII,L HE ALLOWED ONCE BOILDING PERMIS IS ISSOED.
,
,
,
S!J-RVEYOR'S - CE-RTIFICATE KEYLAPJD HOP1ES
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F'ROJECT NO.
86507
?
SHEET 2 OF 2 SHEETS
BOOK / PAGE JAMES R. HILL, INC.
Planners / Engineers / Surveyors
FILE NO.
FOLDER
8200 Humboldt Avanue South
Bloatnington, Mn. 55431 812-884-3029
$URVEYORYS CERTIFICATE KEYLAND HOMES
DENOTES PROPOSED SURFACE DRAINl1GE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET
• DENOTES IRON h10NUh1ENT FOUND PROPOSED GARAGE FLOOR = 9lZ,8 FEET
X000.0 I7ENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = 910•0 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF E3LOCK = 4/3•7 FEET
I HEREE3Y CERTIFY TO TIIAT TI{IS IS A TRUE AND CORRECT
REPRESENTATION UF A SURVEY OF THE [3011NUARIES OF:
Lot 18, Block 1, FAWN RIDGE, according to the recorded olat thereof
Dakota County, Plinnesota.
APID OF THE LOCATION OF A PROPOSED BUILUING. I7 DOES NOT PURPORT TO SHOb! IMPROVEMENT$
OR ENCROACNh1ENT5, IF ANY, THEREOfd, AS SURVEYED E3Y P1E, (JR UtJUER MY DIRECT SUPERVISION,
THIS DAY OF . 198 .
SIGNEU
NOTE:
PROPOSED ELEUATIONS SHOWN ARE AS
TAKEN FROP1 TFiE GRADING & DRAIPdAGE
PLAN FOR FA4JPJ RIDGE, PREPARED BY gy
FROBE ENGINEERING INC., LAST DATED
MARCH 20, 1985.
PROJECT NO.
86507
FILE NO.
FOLDER
BOOK / PAGE
JAME . ILL, INC. ?
? ,
i ,:??????
H/1ROLD C. PETERSOIJ, LAND SURVEYOR
P1INIIESOTA LICENSE 110. 12294
SNEET 1 OF 2 SHEETS
JAMES R. HILL, INC.
Planners / Engineers / Surveyors
8200 Humboldt Avenue South
Bloorrilneton, Mn. 56431 012-884-3029
U6
v 111 D I or officeLUS
I I
Cit of E*1SE Permit
I
Permit Fee: I
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I nr' I
Fax: (651) 675-5694 i Staff:
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date' . ~of Q / Site Address: 7
Tenant: Suite M
RESIDENT / OWNER Name: $ Phone:C 4/ g~ 0
Address / City / Zip: _I-l -7 /
Applicant is: Owner Contractor
TYPE OF WORK Description of work:
Construction Cost: Multi-Family Building: (Yes / No
17
CONTRACTOR Name:L4J_4,LM .4144.) License
Address: -q7q &A
City' zl-UD State: M) e Zip: S ~0 < T _
Phone:&~ o ~P Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet. . New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
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 the are trade secrets.
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 withou a permit; that the work will be in
accordance with the appr ved plan in the case of work which requires a review and approval of plans.
x J 1.1 YI x
Applicant's P ' d Name Appl4~Ld
Sig
nature
Page 1 of 3
Use BLUE or BLACK Ink
a r
For Office Use
Permit#:
31 City of Eagan I
I Permit Fee:
3830 Pilot Knob Road I ~
Eagan MN 55122 IVf= Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 SE? 7 ton ~ Staff: ~
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address:
< rr Unit
i..-.~...~...~..__..,.-_ Name: / / ~ ✓ 0 Phone:
RESIDENT
OWNER Address / City / Zip: 6 q - 1` t" 7-9 Al t-
Applicant is: Owner Contractor C:C- i
Description of work: ~CC(C kq- X P_ePA 4 (0e- aJ1_ /0X10 1)C
TYPE OF WORK
Construction Cost:l Multi-Family Building: (Yes /No " )
I
i Company:C Contact:
3
CONTRACTOR Address: City:
State: Zip: Phone:
License M 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. www.popherstateonecall.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 Sta Building Code must be completed within 180
days of permit issuance.
x J-Am F✓ T K Je
Applicant's Printed Name App i ant's Signature
Page 1 of 3
aL(-7r DO NOT RITE BELOW THIS LINE 3
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
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 0 Occupancy MCES System
Plan Review Code Edition SAC Units
(25%_ 100%X) Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction 42 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:
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
RESIDENTIAL FEES
Base Fee 0 c
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge 0
Treatment Plant
Copies
TOTAL
Page 2 of 3
.,SURVEYOR'S. CERTIFICATE KEYLAND HOMES
N
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APO. N LAC tJ
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SHEET 2 OF 2 SHEETS
PROJECT NO. BOOK ! PAGE JAMES R. HILL, INC.
86507
Planners / Engineers / Surveyors
FILE NO,
8200 Humboldt Avenue South
• FOLDER Slootnington, Mn. 65431 612-884-3029
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117846
Date Issued:10/23/2013
Permit Category:ePermit
Site Address: 4471 Fawn Ridge Tr
Lot:18 Block: 1 Addition: Fawn Ridge
PID:10-25800-01-180
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
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 -
James T Soukup
4471 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:EA146342
Date Issued:10/20/2017
Permit Category:ePermit
Site Address: 4471 Fawn Ridge Tr
Lot:18 Block: 1 Addition: Fawn Ridge
PID:10-25800-01-180
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Matthew Ingle
4471 Fawn Ridge Tr
Eagan MN 55123
Estate Claim Services LLC
934 Cromwell Avenue, Suite 2
St Paul MN 55114
(651) 309-1114
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA170400
Date Issued:06/30/2021
Permit Category:ePermit
Site Address: 4471 Fawn Ridge Tr
Lot:18 Block: 1 Addition: Fawn Ridge
PID:10-25800-01-180
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
Matthew Ingle
907 Pleasant Valley Ave Ste 3
Mountt Laurel NJ 08054
(612) 986-8215
Hero Plumbing Heating & Cooling Inc
10900 Hampshire Ave S
Minneapolis MN 55438
(612) 827-4674
Applicant/Permitee: Signature Issued By: Signature