4472 Fawn Ridge TrCITY OF EAGAN Remarks
Addition FAWN TTYGF. D TTTC7N Lot 3 Blk 2 Parcel 10 *25800 (13(1 fl?
Owner street 4472 Fawn Ri dge Trai l State Eagan, NW 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. S-F,' 1981 229-35- 11-47 90
STREET RESTOR. ' 1984 49 46 - 49.95
GRADING i'' 1981 61 26 - 4.08 15
5AN SEW TRUNK " 1981 205.44 - 10.27 20
SEWERLATERAL ?7 7 1981 33,07,
-^ 1981 23 - 557 _ 1-18 90
WATERMAIN -
WATER LATERAI. ' 1981 43 67 , 2.18 20
WATER AREA 7 1981 205,44- 10-27 90
Water La eral -`' 1981 27.68 ' 1.38
STORM 5EW TRK A 1985 557.79 / 37.19 15
STORM SE LAT ? 1984 222. rjl / 22.25 10
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 s=2
PHONE: 454-8100 -,..
123916
BUILDING PERMIT Rece+pt #
To be used tor .' DWG/G?R Est value r ,? fl 0 Date ??UGU5`i' ? 19 .
SiteAddress 4472 FAy4iV AIUGt. "i:i Erect 0Occupancy- -R3
Lot - Block l Sec/Sub. FAWN 11 Remodel ?' Zoning 211
Parcel No. Repair ? 7ype of Const. Y
Addition ? No. Stories
? Name ?'-?•'?? COjiST$UCTIOij CO Move ? Length U
= 4370 iZAfl^I RD Demolish ? Depth 4 d
o Address Int. Impr. ? Sq. Ft
City ??GA$hone 4 52 --4 7 21 Inscall ? .
¢
F W Name_
? a Address
< Wz
CitV _
Water 8 S-
? Police
Eng.
Planner
1 hereby acknowledge that I have read this application and state that the Bld?
information is correct and agree to comply with all applicable State o( ?
Minnesota Statutes and City of Eagan Ordinances. AP(
Signature of Permittee ' 4,( Var.
suNs co;1 ST??UC-: b0ti :::>
A Building Permit is issued to:
all work shall be done in accordance with ali applicable State of Minnesota Stati
fiermit
arge
i-oai. eV19W
?5'
SAC
?
Water Conn.
Water Meter-?'
Road Unit Z!TU:
Tr. PI.
Copie
TOt81
'S
on the express condition that
nd Ciry of Eagan Ordinances.
I . I P+•mM No. I Pwmn Ho+a.. " I Daie I TN.plwne M 1
1-
Occ.
Disp.
4%l9lir 8 .uv
4 - 10-P,e
??
i ' '? i , • . . : . . .. .. ,
PERMIT # ?7 73 G'
`t MECHANICAL PERMIT
RECEIPT #
CITY OF EAGAN
3830 P1LOT KNOB ROAD, EAGAN, MN 55121 DATE
CONTRACT PRICE PHONE 154-8100
Site Address gLpG
npE WORK DESC RIPTION
Lot -Block -? Sec/Sub ,
•.-.` " ti.% I?J? . !?' 1
R
N
" '
•
7 es.
ew
-
•
Name yt/v d
? Addre?s ' 1,7% } <6, c lr7 7v?lyi'_
-on
?
R
a
''
' mm.
e
P
c o"wT
_ "'-St7?3
Ciry`? Phone
Other
Name 'S
FEES
c Address RES. HVAC 0-100 M BTU -$24.00
p City ''' 'H'; r» Phone ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 4.-24 BTU - 12.00
ADDITIONAL 6 M BTtI - 6.00
TYPE OF WORK
?Z
, UD
GAS OUTLETS
- 1.50 EA.
Forced Air M BTU COMM/IND FEE - 196 OF CONTRACT FEE
Boiler T_ M BTU MINIMUM - RE5IDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Vent
? CFM ?, BEYOND $1
,000.00)
Gas Piping Outlets #k
Oth
@f
i
FEE -
25,36' ,• . j .
SIGNATURE OF PEpfITTEE
s?C.
TOTAL:
FOR: CITY OF EAGAM
-?
PLUMBING PERMIT
? GTY OF EAGAN
_ 3830 PILOT iCNOB ROAD, EAGAN, MN 55121
? Name aaoaJZ-a? au ran
m
Address L4745 out Robei
?
c CiryROBeuaunt, riN phone
Name `0vn°&ru''zi4
c Address Lore I.ane
o City Ea?n• I?
Phone
, FEES
COMMlIND FEE - 196 OF CONTRACT FEE
MINIMUM - RESIDEMTIAL FEE - a10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
?
PERMIT #
RECEIPT #
DATE SePt. Z4? 1986
BLDG. TYPE WORK DESC
Res. New
Mult Add-on -
Comm.
Other Repair
F
IXTURES
Water Closet - $3.00
Bath Tubs - $3.00
Lavatory - $3.00 .
IT
Shower - $3.00
=Kitchen Sink - $3.00
,UrinallBidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
_LGas Piping Outlets - $1.50
Softener - $5.00
Well - $10.00
-?+?--Private Disp. - $10.00
s?Rough Openings - $1.50
?OTAL
? ?.Ora
s ?G?v
/-?
• .S
. ?Z. %
FEE
STATE S/C:
GRAND TOTAL•
CITY OF EASAN WATER SERVICE PERNUT
3830 Pilot Knob Rod .
P. O. Box' i199 ' PERMIT NO.:
? T
Eage:i, MN' 55127 DATE: ,
Zonirg:,. No. af Units:
Owrwr: • . ':c?•+ss
/lddmss:
Site /lddress:
trm;t
00Ud
Nw
By (Z-,
Dote of Insp.:
/O -
CITY OF EAGAN
3830 Pilot Knob Rosd
P. O. Box 21199
Eagan, MN 55121
Zaninp:
Owrxr: Mdrcss:
Site Address:
Plumber:
Dots Poid:
1J??
SERVlCE
PERMIT NO.:
DATE: '
No. of Units:
t NrM h Mw* wll1i lw CIlp oi ypn
Oaiwmmem
BV -
Dota oi I r?sp.:
C.onr»e.Ylon Charpa: ,,•
Acoount Deposih
Ptemk Fk:
Surchorgo:
Mi:c. Uwegex
Totol:
Dob Pold:
CITY OF EAGAN - 12396
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721 N2 PHONE: 454-8100 /
BWILDING PERMIT Receipt#?(
7obeusedim SF DWG/GAR EstValue $60,000 Date AUGUST 5 106
SiteAddress 4472 FAWN RIDGE TR Erect L$ Occupancy R3
Lot 3 Block 2 Sec/Sub. FAWN RIDGE Remodel ? Zoning 121) .
Parcel No Repair ? Type of Const.Vit --
. Addition ? No. Stories
SONS CONSTRUCTION CO Move ? Length 40
Name da
? R N RD Demolish ? Depth
o Address Int. Impr. ? Sq. FL
?ity EAGAN phone 452-4721 Install ?
a
F
Name $AjY]E
APProvals
i
04 Address Assessment
:
city phone
Water & Sew.
?
8ww Name ED MELICH Police
Fire
?i nddress $552 LAKE ST Eng.
aw ciry ?LS Pnone $66-3500 Planner
Council
Ihere6yacknowledgethatlhavereadthisapplicationandstatethatthe 7/18/86
gld
Off
information is correct and agre 'o comply with all applicable State of g.
.
Minnesota Statutes and City
1 O i ances. APC
?
? Var. Date
Signature of Permittee
A Building Permit is issued to: SONS CONSTRUCTION CO
all work shall be done in accordance with all applicable at o1.y;hnesota §t
Permit 313.0(
Surcharge 30.0(
Plan Review 156.0(
SAC 575.0(
Water Conn. 500.0(
WaterMeter 63.5(
Road Unit 290.0(
Tr. PI. 156.0(
Parks
Copies
2
,084.01
- on the express condition thet
of Eagan Ordinances.
Building
7his reQuest voie
le nwnths from
E 13967zsa?'4
Hequest Dale Fire No. HouAh-in Insu .tion
Heawretl?
?teaAy Nuw Q WiII Nolity, Insueo
?_ 8'r v8 ?Yes ?No tor When qeady
El LicenseA ElecVical ConVacmr I hereby repuest inspec<ion ul above
Dd Owner elecVicel wark installed et
Streei Atldress, Boz or qoute No. City
y7z ? AIn&C 771.01L t u
ecuon o. Township Namn or No. Rangc No. County
n+lt-a % a9
Occuuent (PBINT)
-ii-w 6 0 v 5441 7fl Phone No.
q&-2--)30S--
PaweNr S4up_D??ier /?`? ?
DT W ` ?l l?• (.(iZmL A?Itlress
Elecuicxl Contractor lCOmpany Namel Comranor's License No.
MailinB Address (COnVacmr or Owner MakinB lnstailation)
utho zed Sie ?u Co ractor/Ownr ine ?nstalla[ion) Phone Number
sa -)3os
IN SOTA STATE BOAflD OF ELECTflICITY ? THIS INSPECTION REQUEST WILL NOT
r? s•Midway Bldg. - Noam N•191 BE ACCEPTED BY THE STqTE BOARD
Universitv Ave.. St. Veul. MN 55704 UNLESS PROPEP INSPECTION FEE IS
Phone(612)642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION . ea-ooooi-os
p?-.7 c . /
? See in?ructions be compleling this form on beck ol vellow coov. OY? J y
E'13 9 6 7 "x" eeloW Work Covered by 7his Request
New Fdd ReO. Type oi Buil4inB A.ovlia.ces Wired Equiumant WireA
Home Range Temporary Service
Duple:x Water Heater LiGhtiny Fix[ures
Apt. Building Dryer Electrii: Heztin
Corrniercial 81dy. Fumace Silo Unlonder
Industrial Bldg. Air Conditioner Bulk Milk Tank
F8rtt1 Othe, pecifY 01her ISt1enlyl
VCCIIy O(h(Cf OtM1I;r
Compute lnspection Fee 8elow - -
p Fee ServiceEntrence5ina H iee Fextlers/5ubfewtlers N Fqe Circ?its
U to 200 Amps 0 to 30 Am s 0 to 30 Am s
Above 200 qmps; 31 to 100 Amps 31 to 100 Am s
Swinming Pool Above 100_Amps Above 100_P,m s
Transtormers Irrigation Booms Pdrtial.?Other Fee
$igns SpeciallnSpeCtion
5 ?
70TAL
ercw?ks
E
n n?.
Iflouen-in ? ?j tne cLi
Insoac'or, e,eey
h_
Final ?imspec"on has been I
r maa,.
Thle requaslvolG 18monihafram
(? kI14 RESIDENTIAL
5LJ 13 q BUILDING PERMIT APPLICATION
?7 CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
Naw Construction ReouiremeMs
• 7 registered site surveys showing sq. R. of lol, sq. ft. of house; and all rooled areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing beam 8 window s¢es; poured found design, etc.)
• 1 set of Enargy Calculations
• 3 copies of ?ree Preservation Plan if lot platted aker 717193
• Rim Joist De[aJ Oplions selecGon sheet (61dgs wAh 3 or less units)
DATE
?'-? - o d'
RemodeVReoair RewiremeMS
. 2 cropies of plan
• 1 set ol Energy CalcWatlons for heated additions
. 1 site survey far e#eriar additions d decks
. Indicate il home served 6y sep6c system for addNons
VALUATION (p i IQ o
SITEADDRESS "11-1-1-0 FQkrn ?c'c?m2 7_ra,1 MULTI-FAMILY BLDG _Y _N
TYPE OP WORK ?oo?? rr ti FIREPLACE(S) _ 0_ 1_ 2
APPLICANT
STREET ADDRESS ??? Y? Nco/I${'??G S, CITY 15urrnsu-N.?t STATE??A1 ZIP-55334
TELEPHONE # kqL3)4c'*-69mk9 CELL PHONE # Fax # (9sa) Sos- gx 46
PROPERTYOWNER !?nnmZe TELEPHONE#(6SI)'L15R-a3-5`1
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ v(INNESOTA RULES 7670 CATEGORY 1 YIINNESOTA RULES 7672
(J submission rype) • Residential Ventilation Category 1 Worksheet Submitted . Ne , A?g1y eg?E[
• Energy Envelope Calculations Submitted ? , ^ I ? ?? ?? `
? AUG 0 8 2o02
Plumbing Contractor: __
Plumbing system includes:
Mechanical Conhoctor:
Vlcchanical system includes:
Sewer/Water Contractor:
Water SoRener _
_ Water Heater _
No. of Barhs
:1ir Conditiocwig
Hcat Recovery System
Phone #
Fee:
?-
Fee: $70.00
---------------°-------------------------------°---------------------------•---------- - ------;-,-=`-= -r=-i - -n
I hereby acknowledge that I have read this application, state thai the information is corr?ct, and?agre to c ?pl
with all applicable State of Minnesota Statutes and City of Eagan Ordi ances. aUG
0 8 2002 II
. _. . Signature of AppUcanf-_? - _? •
_--------------- -°_.__.-------------___------- --
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
- Updated 4f02
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone #
1986 BOII,DIBG PEI?IIT APpLICl1ZON - CI17 OF EAGAN
: ALL CONTRAC?OHS MOST BS LICUSO TiITS THE CI?! OF
COMMERCIAL 3INGL6 FdlIILY DiiSLI:
INCLUDE 2 SETS OF ARCHITECTURAL INCLI)DE 2 SET3 OF PLANS
& STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY
SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS
ENERGY CALCULATZONS
$2,000 LANDSCAPE BOND
xo ae Used For: HOM _??'D Valuationil--a-? - n8te: 7_-1146
Site Address A?a ?-Ay',, k??(s? T/v ICS IISS OHLT
Lot 3 Hlock 1-_
Pareel/Sub r/.IINi? h/GYC+.t
Oirner SONS CONSTRUCTION C0.
Address 4370 Rahn Road, EaQan,
City/Zip Code Eagan, Mn 55122
Erect ? Oecupancy --LS
Remodel Zoning
Repalr _ Type of Const ?
Addition _ # of Stories
Move ' Length ?
Demolish Depth ?
Int.Impr. Sq Ft
Install
Phone 612-452-4721
Contraetor SONS CONSTRUCTION C0.
Address 4370 Rahn Road
City/Zip Code Eagan, Mn 55122
Phone 612-452-4721
Arch./Engr. Ed Melich
Addreas $552 Lake St.,
City/Zip Code Minneapolis, Mn
Phone # 612-866-3500
APPROVAIS FS&S
Assessments Permit
Water/Sewer Surcharge
Police Plan Review ?. .$?
Fire SAC
Engr Water Conn 00
Planner Water Meter 4aff,
ID
Council Road Unit _
Bldg Off$`Treatment P1 J SYo
APC Parks
Varianee Copies
TOTAI.
T
NOTE: ADDRESSSS FOA COR$SR LOTS - COBTBACSOF/HOlROi1B8s !l03T D&4IGPASE iiSICH
ADDAE3S IS DE3IRED. Np CBME3 NILI, HS AI,i,pNgp pgCB gpILpINC, pgRHtr
I3 ZSSOSD.
i2x ?1.52 X 5 ?5 = 25e)56
16 X ?Z ?? 56 = 1879Z
/9 X i7 = zz(5X jol?SIE
f7 ")< zo = Vvox
D
?5q6noa C-)
k
?
? t L
? ? ? a.
':f.. . ! I
•
. ? ? r? -? ?11
IR
• Vr?J VV H
• . e
EXTERIOR ET1W'LC?E AVERAGE "U ` CON?rJTATIQiI
OWVER n u• La v? r u = <. -. <<'
SITA ADDRESS_ 'Fawn.Ri,dge Trnil, Eagan, Minn 55123 '
CQNTRACTOR S?:v; C`v,i;•.:rn..<<ri?.? r?, DAT.^'._ 'HOPIEW)-`/71/
,-
Determine ororking square footage of each.
1. Total exposed wall area ft. x,1t '
2. ToC31 roof/ceiling area ... J •Y,y sq. ft. x.026 =
Total exposed wall zrea above floo'r = 9:V,9
a. motal wa21 vrinZo:•r area ................. > C??
b. Total door 2rea ......................
c. Total sliding glass area ..............
d. Total °ireplace oiall area ....... . ... •-
e. Total wall fraMing area (averagel0%)... 146'
f. Total net wall area above floor ........ 3
g: Total riir. joist area . . . . . . . . . . . . . . . . . . ) .? o. C) u
2'otal exposed foundation area a _LL-
b. 7'e:al foun3stion rrindow area ...... ..
i. Total net foundation asea above 6rade..
Determine "U': value of each wa-11 segment.
a. 116.0; x ??v?:
b. 3').1,"7 X °Ur,
C.? X "U:
D. x IIv°° ?
e. /' 0. c t g :.U,I.
f 7{ "U'' ? x S..L
p;. l d c? o }( nU..
h. g nU,:
X ,: U t,
Jr?
-) n?-
3 .................:..........................Tota1
Tf item #3 is the same as, or less than itera N1, ynu have met the
intent of SBC 6006(c)2.
,•V ? ?d..?r ,
?• ?
,.
Total exposed roof/ceiling area
i. ^otal skylight area .........., ... -?
k. Total roof/ceiling framing area (average 10•,) -li
1. iotal net insulated reo:/ceilir.g area ...:,..
Determine "Ul value for each roof/ceiling segr.:ent.
j, - X 1.U. ?
k. R .:Un r??7 24'
? . ;C X ,.U1, ! C? ? ?I = ? I ? ? _
4 .............. ........................... Totz1
If total o° t,'4 is the same as, or less than f2, you have met the
intent of SBC 6006(c)1.
Alternate Buiiding Envelooe Desifn
To utilize the total envelope syster„ nethod, the values established
by the sun of items #3 and #4 shall not be oreater than the sur.:.o:
itens ;;1 ar.! 92.
" 1. + 2. _
3. + 4.
m
s i . . ? ? ? i • ? o i . . i? ?. . ?.
•0I• 11 •sX i1.10 • ft) 0 • ? •? • ?? • i ?? • •
CITY OF EAGAN
APPLICATION FpR PERNLiT SE4dER ADID/OR WATEE2 CONNECTION
1) PROPII2TY ALroRESS:
T,FY;AT• DESCRIPTION:
(Lot B1ock Subciivision or Tax Parcel I.D. Number)
IF EXISTING STRL'CT[JRE, DATE OF ORIGINAL BLILDING PII2MIT ISSUANCE:
(Non ear)
PRESENT ZONING/PROPOSID [JSE: R-1 SINGLE FANIILY
R-2 DOPLEX (Tao L'nits)
R-3 'IOMHOL'SE (Three + Onits) ( Units)
R-4 APARTMENT/CObIDOMINIC'M ( Units)
CONIMERCIAL/f2ETAIL/OFFICE
IAIDL'STRIAL
INSTII['TIONAL/GOVERNvNT
2)
NAME: S?;iu ? ?c1r;57`sRttc ?`? n?
aonREss:
CITY, STATE, ZIP:
PHONE:
3) • r?•
N&NE :
ADDRESS
CITY, STATE, ZIP:
PHONE:
a G 11°/u
?-.Z 1•?,?- 9Y
MPSTII2 LICENSE # ayW
For City Lse
Pliunbers LicensE
ICl Active
C7 Expired
O Not Recar(
St f Initial
4) ??."!py ? ??^ ? ?
NAME: c? PYL G,?/?1..? aG // rYlt
ADDRESS:
CITSt, STATE, ZIP:
PHONE:
5) ?? • ?` • a• ?+?
?CONI?CTION 'tl? CITY SEWER ? CONNECTION ? CITY WATIIt
p OTHIIt (Please Describe)
6) ir ? • i
???^ PLEA.SE HOLD APPROVID PERMIT FOR PICK-C'P BY ONE OF AEOVE
RSL PLEASE MAIL APPROVFD ?1, 2,0 4, AHOVE
rT
(Circte one)
7)
--;--
FOR C I T Y U S E ON;,Y
a
PET.tMIT '- ISSUED
?L 7
FELs : $
$ /en
S Lr. ? - 5-a
$
S
S ?'tS O -
$ .?i 7S ?Cr?
$
S
$
$
S _ ??? • C? ?
$
$
SE:•iE.°. ?nER>1T_T (I`_ICLUD: SU2C`i?RGE)
WATER PEE21IIT (INCiiJDE SLiRCHARGr,)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLUDE CORPORATION STOP)
SE:•7ER TAP
=r?0i;:?S ??GSI: - 0_..33
ACCOUNT DvPOSIT - PJAT°R
WAC
SPC
TRUNK NATER ASSESSiiE27T
TRli:dK SEWER ASSESS:IE:iT
LATERAL BEDIEFIT/TRUNK Sc:•.TR
LATER.dL BENEFIT/TRUNK WAT°R
WATER TREATMENT PLANT SURCHARGE
OTHER:
TOTAL
$ 125LI' .S--6 AMOU;VT PAID/RECEIPT # cp ? „?.? 3
OOES UTILITY CONNECTION REQUZRE EXCAVATION IN PUBLIC RIGiiT OF WAY?
? YES IF YES, THEN n"PERMIT FOR 'AORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
C? NO ENGINEERING DIV:SION. LIST AS A CONDI-
TION.
SUBJECT TO THE FOI.T,OWING CONDITIONS:
APPROVED BY:
TITLE:
DATE :
?
S
TRI-LAND C0.
SURVEYING
SERVICES
4655 NICOLS ROAD
EAGAN, MINNESOTA
/
? J o \ ?
_ ?=24°50' 5?'V6F? :
L-55.00 oe
C_ y
?
?
SITE PLAN FOR=
SONS CONSTRUCTION
N T?nt 3?, E ?sr? ??
t,
eL
? ?
ul?.
?
o 'Fo
8" .,? ,.? ?`.Zi.2\?
N? `.
\ V A / ? 1f+ •
A=5°34?0? ?
L=48.14 ? .
vr`
It
NORTf?
SCALE?I'=40'
PROPERTY DESCRIPTION
L0T.3!, BLOCKZ,
FAWN RIDGE
uceordinq to the recorded plof thereof
DAKOTA caunty, Minneswo
LEGENO
o DENOTES IRON MONUMENT
o DENOTES WOOD HUB SET
DENOTES EXISTING SPOT
ELEVATION
DENOTES PROPOSED SPOT
ELEVATION
?- DENOTES DRAINAGE DIRECTION
I harsby csrtify fhat this survey,plan or
report was prepored by me or undar my
direct suparvision and fhat I am a duly
Reqistered Land Surveyor under the
Laws of the Stata of Minnesoto.
55122
,
-:- ..
G
PROPOSED GARAGE FLOOR ELEVATION = MOI.A-o
PROPOSED FIRST FLOOR ELEVATION = lo+l..1n
PROPOSED BASEMENT FLOOR
ELEVATION
NOTE ' VERIFY ALL FLOOR HEIGHTS WiTH
FINAL HOUSE PLANS
Bradley J. t,4Wnson, Mn. Req. No. 15235
Date :
2
Use BLUE or BLACK Ink
- - - - - - -
For Office Use - -
r I -
9--jam I
r I ~Z C J I
I
City Ol 1rJ,nQ •E~illl h n n Permit
d I
Permit Fee: t
3830 Pilot Knob Road I t
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 I Staff: j
Fax: (651) 675-5694 L-------------- -
INFLOW & INFILTRATION PERMIT APPLICATION
Plumbing I Sewer & Water
Date: Ot Site Address: t "1 d~ ~CA n ' V 0,~ 1 rq,~ i ~a G Gfl ~'N ~J 5 (n~~
Tenant: Suite
Name: ~;ia)c p' lT~ 1 i~~t Sd Yl
RESIDENT OWNER Phone:(651) 3aq - ),q 30
/
i
Address /City /Zip: Eku-)r i d n Name: License
CONTRACTOR Address: City:
State: Zip: Phone:
Contact: Email:
# I PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope)
i
TYPE OF WORK Sump Pump Repair Repair
Other: Other:
i
R Description of work: i'
s DESCRIPTION
FEES
$60.00 / 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.citvofeacian.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.gopherstateQnecall.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.
x hDm b%\` `om x
Applicant's Printed Name App i nt's Sig
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground -Rough-In Final
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116650
Date Issued:10/09/2013
Permit Category:ePermit
Site Address: 4472 Fawn Ridge Tr
Lot:3 Block: 2 Addition: Fawn Ridge
PID:10-25800-02-030
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 -
Sara Giliuson
4472 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:EA131900
Date Issued:07/14/2015
Permit Category:ePermit
Site Address: 4472 Fawn Ridge Tr
Lot:3 Block: 2 Addition: Fawn Ridge
PID:10-25800-02-030
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
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 -
Sara Giliuson
4472 Fawn Ridge Tr
Eagan MN 55123
All Around Roofing & Renovations
701 Decatur Ave N
Suite 201
Golden Valley MN 55427
(763) 447-3944
Applicant/Permitee: Signature Issued By: Signature