4474 Fawn Ridge Tr
2011-02-28 12:40 2803PR 7635765400 7635765400 651 975 5694 P 1/1
Use BLUE or BLACK Ink
1 D I
rmit I may, I
Dly of Eajan I Pe
Permit Fee: I
3830 Pilot Knob Road
Eagan MN 55122 j Date Received:
Phone: (561) 575-5676 I s
Fax: (651) 676-6694 start: i
2011 RESIDENTIALJ BUILDING P RMIT APPLICATION
Date: Z-~ 11 _ Site Address: y 7t f 't --&Ljo T, Unit
Name: /1 `7 rl✓ t 7`!UF-- ,ts / GF~ho 1-
RESIDENT /
jrf
3 r1o z
OWNER Address I City 1 Zip:
C~ E (o✓~o uE t .SSdI~
Applicant is: Chimer Contractor
TYPE OF WORK Description of work:.. VIL, f' rG t '
,~c`
av
Construction Cost. 7,3 6~ Multi-Family Building: (Yes _ 1 No
Companjr. Contact: r~
Address: tact tt,. ^t
0
G' City:
CONTRACTOR State. Zi : K ! Phone;
License Lead Certificate
If the project As exem t from lead certification, please explain why: (see page 3 for additional information)
6ckk,l~
COMPLETE THIS AREA 2NLY 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 locum enfs that you submit are considered to be public lntbrima6on. PodlOns of .
the iMVMNtion mfr be classified as non-public H you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at
454-0002 for rotectl '
(651) p on against underground utility damage.
Cali 48 hours
before you intend to dig to receive locates of underground utilities. www.gor)herstateonecall.aM
I hereby acknowledge that this information k rnmplete and accurate: that the work will to in conformance with the ordinances and comes nt 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 ich requires a review and a I of plans.
x
Applicant's Printed Name Applicant's Signature
Page I of 3
? CITY OF EAGAN Remarks
Addition FAWA] R'Q]GE ADDITION Lot 4 Blk 2 Parcel 1.p??RAO 040 02
owner Street 4474 Fawn Ri dge Trai l state Eagan, MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1981 229.35- 11.47 20
STR EET RESTOR. /g 1984 499. 46 - 49.95 10
GRADING r-, 1 1981 61.26- 4.08 15
SAN SEW TRUNK S7- 19$1 205.4e1- 10.27 20
SEWER LATERAL '77 19$1 33. 07- 1.65 29
' Sewex Lateral 1981 23.57- 1.18 20
WATERMAIN
WATERLATERAL ? 19$1 43.67- 2.18 20
WATER AREA 19$1 205.44- 10.27 20
Water Iateral 5 1981 27 , 68 - 1.38
sraRMSEwrRK p 1985 557.79' 37.19 15
S70RM SEW LAT- ? 1984 222. 51i 22.25 10
CURB & GUTTER
51DEWALK
STREET LIGHT
WATER CONN.
BUILDING PER,
SAC
PARK
?
CITY OF EAGAN ? 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121
, PHON E: 454-8100
BUILDING PERMIT Receipt #
To be used for Est. Value Date ,19
Site Address _
Lot Block
Parcel
- Sec/Sub. 1' '
a Name
z Address 1 ' r ' :
3 -
0 City Phone
rc
z?
oa
V¢
?
UW
W yJ
~2
2V,
UZ
? W
Q
Name
Address
OFFICE USE ONLY
On Site Sewage
MWCC S
t Occupency
i
Z
ys
em
On Site Well on
ny
(Actual) Const
City Water (Allowebls)
PRV Required # of Stories
8ooster Pump Length
Depth
S.F. Total
Footprint S.F.
City • • Phone APPROVALS FEES
Engr./Assess. Permit
Name
Planner Surcharge
Addfess
City Phone Council Pian Review
Bldg. Off. SAC, City
1 hereby acknowledge that I have read this application and state that the Variance SAC, MWCC
information is correct and agree to comply with all applicable State of Water Conn.
Minnesota Statutes and City of Eagan Ordinances. Water Meter
Signature of Permittee ___-------- _Road Unit
A Building Permit is issued to:_------------- ? -_ Treatment P1
on the express condition that all work shall be done in accordance with all Parks
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official TOTAL
FAWN k 10Cf. 7R
Parmft No. Pormit Holder Dats Talephonr ?
Plumbing
H.V.AC.
Electric
Softener
Inspection Dats Insp. Comment8
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
/ C !C-o / f
r•0?e' e
Final Htg.
Final Plbg.
Bldg. Final
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
` f-3830 Pilot Knob Ro d', P.O. Bo 2G-A199, Ea9an, MN 55121 N2 12710
PHONE: 454-8100
BUILDING PERMIT Receipt # J ?
To be used tor S.F I?t?G/GAR Est value $ 7 3, 000 Date ?TOB? 1 79 86
Site Address -
Lot 4 Block
Parcel No.
W Name SONS CONSTRUCTIUN CO
; Address 4370 RAH!r RD
° city EAGAN Phone 4 S 2- 7 2
s
Zo
o?
UQ
?
-
U¢
W W
? W
UQ
? W
A Building Permit is issued to: SO?d$ CUtJSThUCTIO.+1 C
all work shall be done in accordance with all applicable State of Minneso
Name SAME
Phone
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
Erect Lt' Occupancy R3
Remodel ? Zoning PD
Repair ? Type of Const VA
Addition ? No. Stories
Move
Demolish ?
? Length
Depth 46
Int. Impr. ? Sq. Ft.
Install O
Assessment
Water & Sew.
Police
Fire
Planner
Council
Bldg. Off. 9/12/$6
Permit $ 352.00
Surcharge 36.50
Plan Review 176 . 00
SaC 575.00
Water Conn. 500. 0 d
WaterMeter 63.50
,
Road U nit 2 9 0. U O
Tr. PI. 156.00
i
Var. Date
Copies
Total 2?141'1
on the express condition that
and City of Eagan Ordinances.
- PermN No. PwmR Holder Dsb ToNphons N
Plumbin9
H.V.A..C.
EbeMc
SoMMw
Impsction Date losp. Commanb
Footlnys l
frootlnps tl
Foundation
Frsminq
Roo1Nng
Rouyn Pley.
Rouph Ntq. / ? +? y, f p{
Iruul.
Flreplacs
Finml Hty.
Flnal Plbp.
&dy. Flnsl /
Cert. Oce.
Doclt ftp.
i Doek Frrtp.
WNI
Pr. Dhp.
, ..
, • .. 7- 7, . .?f ,
PERMIT #
MECHANI CAL PERMIT RECEIPT #??'
CITY OF EAGAN
?` - 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE PHONE 454-8100
Site Address g{
pG
npE WORK DESCRIPTION
.
,
Lot Block Sec/Sub
.? N
'
?F Name Res. ?
ew
M
Add
f
, -on
u
t
N Address C
R
i
omm.
epa
r
c City ' ` Phone i , --t • O
ther
Name • FEES
c Address RES. HVAC 0-100 M BTU -$24.00
p City Phone - ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
TYPE OF WORK -
? GAS OUTLETS - 1,50 EA.
Forced Air ?. M BTU COMM/IND FEE - 196 OF CONTRACT FEE
Bailer M BTU MINIMUM - RESIDENTIAL FEE - 10.00
UnR Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
(ADD $.54 SIC IF PERMIT PRICE GOES
Vent CFM
-
BEYOND $1.000.00)
Gas Piping Outiets #
?
Other ?
FEE f
S/C: SIGNATURE OF PERMITTEE
JM -
TOTAL:
FOR: CITY OF EAGAN
i ? Name ?t.- c? 5 ?11rr?,,.
-
'Z6 ?
Address f
' 4:
c City ? ?. ph,
Name
3 Address
p City
TYPE OF WORK
Forced Air M
Boiler M
Unit Heater IIA
Air Cond. Nt
Vent CI
Gas Piping Outlets #
?k
CITY OF EAGAN
PILOT KNOB ROAD, EAGAN, MN 55122
PHONE: 454-8100
BLDG.TYPE
ub Res L/
Mult
Comm.
. 1.,
_ Other
,;. ?.. ?
#
.•?
;
-,?
FEES
RES. HVAC 0-100 M BTU
- ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C 01V NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM -1 PER PERMIn - 1.50 EA.
COMM/IND FEE - 1% OF COh1TRACT FEE -
u . APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
u MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
U REMODELS - 12,00
u - MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
? (ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
.
`.
SIGN R P ITT
L:
FOR: CITY OF EAGAN
CONTRACT PRICE
Site Address i
Lot Block
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121
m Name ,- ' ; ? ? ? ? ? ?• ? ? ?
? Address - ''? . ? ?• , '' ; . , ri `
c City V Phone - ?
Name
c Address , ' .
p City Phone
J
FEES
COMM/IND FEE - 196 OF CONTRACT FEE
MINIMfJM - RESIDENTIAL FEE - $1U.Od
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
i
FOR: CITY OF EAGAN
PERMIT #
RECEIPT # E"' u _' ;•' i
DATE:
BLDG. TYPE • WORK DESCRIPTION
Res. New "
Mult Add-on
Comm. Repair
Other
NO FIXTURES TOTAL
? Water Closet - $3.00 $ -?-'
?Bath Tubs - $3.00
?Lavatory - $3.00
?Shower - $3.00 -j Kitchen Sink - $3.00 21,
l
Urinal/Bidet - $3.00
Z Laundry Tray - $3.00 -?
?Floor Drains - $1.50
Water Heater - $1.50 r `
Whirlpool - $3.00
1_Gas Piping Outlets - $1.50
Soitener - $5.00
Well - $10.00
Private Disp. - $10.00
1 1-Rough Openings - $1.50
FEE: '
STATE S/C:
GRAND TOTAL•
INSPECTION RECORD ?
I CITY OF EAGAN PERMtT TYPE:
3830 Pilot Knob Raad Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITEAQDRESS:
APPLICANT:
?
6 si3EIM ti c 1) ?It, 7 : t?-6 6:1 ti
PERMIT SUBTYPE:
() 1) T ( E4 t; ? :
i ra ili
TYPE OF WORK:
FrEF-MF f? t'Ohclt oNl Y
1 N d1 ki l Ft i i
iVt t!n I t r,ral, 1 ra ,?'; I i1 1;14
;l HN !iC V:l !-t..il i+ ft ti• jt l i 1 J':t)AM•.
a1. 1 .14(% ;,??? a Pt r;,3 s: tl I Nrf ? i eI I r t
Permit Hoider Date Telephone #
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING 7111ir8 ?
ROOFING
ROUGH
PLUMBING
PL}3G
AIR TEST
RQUGH
HEATING
GAS SVC
TEST
INSUL
GYP 80ARD
FIqEPLACE
FIKtEPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOM ESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDA057A71C
TEST
BSMT R.I.
BSMT FINAL
DECIC FTG
a
DCCff FINAL
P602c/I
IO` ?'!
e?1,??p
? CITY OF EAGAN
3R30 Pilot Knob Road
P. O. Box 21199
Eagsn, MN 55121
Zonlrp:
OMtMf. .
/,ddIEtS:
WATER SERVICE PERMR
PERMIT NO.:
D/?TE:
No. of Units:
Sft Addm5c - _ i
PlUfl'IbQr. 1
Meter No.:
Siza:
Reode No.• 4L??
1?/w? 1e awPif? w11h tM Cleq oi j
ova
Total: ?Oes:
?
By Dots Paid:
Dote of I nsp.: Imp.
I'
/ • / 7J '45
EINER SERVlCE PERMIT
CITY OF EAGAN S
3830 Pilot Knob Rosd p??T NO.:
.
O. Box 21199
P
.
Eagan, MN 55121 DATE: ,
Zanirq: No. of Units:
Ownsr.
Address:
Site Add
Plumber.
1 Nm h eesor wIN !M G!y of Lolve Con?NCtlon Charpe:
OdiMwas. ,..,...._.. ----
:A
PermM FN:
SurcFwroe:
Misc. CMrpes:
BY
Date of Irnp.: Totol:
Ddft Pold:
??; -
' CITY OF EAGAN 1?' p ?1
• ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 I Y- ??? 1?
BUILDIN PHONE:454-8700 Receipt # G-7U3c?
? PERINIT
7o be used for SF 15WG/GAR Est. value $73,0 0 0 Date OCTOBER ' 1 19 8 6
SiteAddress 4474 FAWN RIDGE TR Erect C? Occupancy R3
Lot 4 elack z Sec/Sub. FAWN RIDGE Remodel ? Zaning PD Parcel No. Repair ? Type of Const. VA
Addition ? No. Stories 46
a Name SONS CONSTRUCTION CO Move ? Length
z 4370 RAHN RD Demolish ? Depth 46
o Address Int. Impr. ? Sq. Ft
cjy EAGAN phone 452-4721 Install ?
a CAMF Approvals Fees
i F Name_
?°. a Address
a
Phone
Fw Name ED MELICH
x; nddress 8552 LAKE ST
a W city P'IPLS Phone $66-3500
I hereby acknowledge that
information is correct and
Minnesota Statutes and C
Signawre ot
Assessment
Water & Sew.
Police
Fire
Eng.
Planner-
Council -
readthisapplicationandstatethatthe gld
to copply ?yjth au applicable State of 9?
Var.
Permit $ 352.0(
Surcharge 36.5(
Plan Review 176.0(
SAC 575 0(
Water Conn. 500.0(
Water Meter63• 5(
Road Unit 290. 01
TcPI. 156.0(
Parks
Copies
Tota? $2, 149.01
A Building Permit is issued to: SONVCONSTRUCTION CO on the express condiGon Mat
all work shall be done in accordance with all app ?ca State of ne ta Statutes and Ciry of Eagan Ordinances.
I
Building OHicial ??
??
CITY OF EAGAN
3830 Pilot Knob Road, R.O. Boz 21•199
PHON E: 454-8100
BUILDING PERMIT
To be used tor FIREPLACE Est. Value $1, 000
Site Address 4474 FAWN RIDGE TR
Lot 4 elock 2 SeclSub. FAWN RIDGE
Parcel No
? Name MARK DliFF
3 Address 4474 FAWN RIDGE TR
° City EAGAN phone 452-0827
,o Name TWIN CITY FIREPLACE
0Q Address 1525 W RIVER RD
? City MPLS Phone 588-0791
Ciry Phone
I hereby acknowledge ihat 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 Ordin n s.
Signature of Permittee _ ' ____
A Building Permit is FIREPLAGE
on the express condition that all work shall be done in accordance with all
applicable State off?M?inn,esotaStIatutes anpd City of Eagan Ordinances.
Building Official_J.I,fJ11.11_??dd?-.?-?SL. -_--
?
Eagan, MN 55127 N° 1 4 9 5 2
Receipt # O 3? 8 'L
Date MAY 6 ,19 88
OFFICE USE ONLY
On Site Sewage _ OccuOancy
MWCC Sys[em _ Zoning
On Site Well _ (AC[ual)COnst
City Water _ (Allowable)
PRV Required _ # of Stories
Booster Pump length
Depth
S.F. Total
Footprin[ S.F.
APPROVALS FEES
Engr./ASSess. Permi} 24.00
Planner . Surcharge .50
Council Plan Review
Bldg. OH. _ SAC, City
Variance SAC,MWCC
Water Conn.
Water Meter
Road Unit __-
TrealmentPl _
Parks
24.50
TOTAL
REQUEST FOR ELECTRICAL INSPECTION es-ooaoi-os
?_ 1 Sea instructions lor complating Ihis brm on bnck of yellow copy. .. ?
?
D 2 8 2 5 0 "X" Below Wak Covered by This Request
Rdd flep. Type ol Builtlin0 Aoulumcna Wired EquiVmenl Wired
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. BuilAinq Dryer ElectriC Heaun
Commercial Bldy. Fumace Silo Unloader
Industrial Bldy. X Air Conditioner Bulk Milk Tank
Farm omP, ae, v om, isno<iWi
t ., Suecily t0er O1hi.,
Comnute lnspection Fee Befow
p Fee ServicaEntrenceSixe H Fee Fer.ders/Subteeders 1+ Fee Circuits
0 to 200 Am 5 0 to 30 qm s 0 tn 30 Am
Above 200 qmps 31 to 100 Amps 31 to 1 DO Am s
Swimming Pool Above 100_Am s Above 100_Am s
Transtormers Irrigation Booms Partial.'Other Fee
Signs Special InspecUOn $ TOT
Aemnrks
10.90 AL F
.?
D
NougO-in Ome I, tha Elec
InSDec?or, hB?BCy
certify that the abava
Final ?i?? r;?, ins0ection hes baen
'?? m3Ae.
TMe reauest voltl 18 montftirom
This request w10p//?/O ? '
18 month5 (rom O? O
D 28250
Aequest Uate Fire No. Rouph-in?lnsu?ct,on
ReQUired.
ReatlY Nuw [] Will Noti(y Inspec-
?
8-11-8]r ?1'es ?]NO lor When Ready
? Ucensed Electrical Contracmr I hereby reqaest insDection ot ebove
n nN,- electricel work instelled at
Slreet Atldress, Box or Route No. Cilv
4474 Fawn Ridge Trail Eagan
ecl?on o. Township Name or No. AT?He No. Coumy
Dakota
OccuGem IPRINTI Phone No.
William Duff 452-0827
Power $upplier Address
Dakota Co. Electric Co. 4300 220th Str., Farmington
Elecvical Convactor ICompany Name) Comractor's License No.
Total Electric, Inc. 039842 4
Mailin0 A.tlJress (CoMrac[or or Owner MakinP instailaGon)
1537 92nd La. NE, Mpls., Mn. 55434
AWbmtizetl Sogmature (Convac or?Own rMaking Installationl
? Phone Numbe.r
786-8484
I MINN?SOTA STATE BOAPO OF ELECTflICITV - i^ib °?. rt??wn ncu?? ni?? ?.?
Gripgs•Midway Bldg. - Room N•197 gE ACCEPTED BY THE STqTE BOARD
1821 Univarsitv Ava.. 51. Paul. MN 65104 UNLESS PflOPEH INSPECTION FEE IS
Phone(6t21642-0800 ENCLOSED.
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
FERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
032798
08(11/98
SITE ADDRESS:
4474 FAWN RIDGE TR
LQT: 4 BLOCK: Z
FAWN RIDGt
P.I.N.: 10-25800-040-02
DESCRIPTION:
- SCREENED PORCH ONLY
YiPermit Type SF PORCII
F3uiliiin6WArk Type MEW
g .Genst?s Gad434 flLT. RESIDENTIAL
.
,
? n ._. ..,?
E
k
1F
,Q.
s ?
". ?=^.a 2? ..::a
U"I IA g ??fl gR
d?
A_y
1-s
?..,. T sF;i Stt Tilqy $? 9 w%i au 15 ?i
REMARKS:
PLAN REVIEWED BY BTLI ApAMS< CALL 445-2840 REGpRDING ELEC7RZCAL PERMT7 AND INSPECTIQNS.
FEE SUMMARY:
VALUATION $7,000
Base Fee $124.75
Surcharge $3.50
Total Fee $128.25
CONTRACTOR: - flpplicant - st. I.TC. OWNER:
PANELCRAFT OF MN INC 17216628 0002179 VILLA ANGELA
3118 SNELLING AVE S 4474 FAWN RIDGE TR
MINNEAPOLSS MN 55406 EAGAN MN 55123
(6A2) 721-6628 (651)454-6253
x<<hareby acknowle3dge that S have; 'r?_ad`.th?.?' ?,pplica•Cio-n arid 'sCaGStft4t thv '
1n.-€0rmOtj,0» and agreeto comP?y.wi?h OR
pl'3?ab1e.?,s.?a??P si?Mrt,
Cit°y=af ?a;q ard1"h?rtc ers>
L _ _. _ .. .?. ..: ,. . _ . ? _ .,=?
? V ?-----?
APPLICANT/PERMITEE SIGNATURE
, 1998 gUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAtiAN
??? C? ? ? 3830 PII.OT KNO'RD - 66122
?
New Construction Reauirements
RemadeUReoair Reauirements -- - - `" ? ? u • 3 registered site surveys
? 2 copies of plans (indude beam 8 window saes; poured fid. design; etc.)
? 1 ene1gy calwlations
? 3 eopies of tree preservafion plan M lot piattad after 7/1193
required: _ Yes _ No
DATE: ?I
DESC PTION OF WORK:
?--a ?j Vk
STREETADDRESS: L
? 2 eopies of plan
? 2 site surveys (exterioi add'Rions 8 decks)
? t energy calculatlons for heated additions
CONSTRUCTIOH COST;
-f-
LOT: -A BLOCK: -14- SUBD./P.I.D. #:
Name: VI I 'e?-r , :?N VYr- iV-7 Phone#:
PROPERTY Les? ` ,,? `F;rst
OWNER
Street Address:
City State )92f9 Zip:
--ral (, (,?g
CONTRACTOR Company: I ?? F,v J-- Pty lcl Phone #: 4?1.I,?R71-?
StreetAddress: C License# ?2
City ?P State: J YY) Y7 Zip:
ARCHITECT/
ENGINEER
Street
City
Sewer 8 water licensed plumber (new construction only):
and lot change is requested once pertnit is issued.
Phone #:
_ Registration tl:
State: Zip:
Penalty appiies when address chang
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordirtances.
Signature of Applicant:
OFFICE USE ONLY ?Ceriificates of Survey Received ? Yes _ No
Tree Preservation Plan Received - Yes _ No _ Not Required
OFFICE USE aNLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt.lLodging
? 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem.
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory
)k04 SF Porch ? 09 12-plex ? 14 Fireplace ,
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
,1? 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Pepair M 37 Dsmcli';ion
GENERAL INFORMATION
Const. (Actual) _
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Faotprint sq. ft.
Building ? Engineering
Variance
?
?
?
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
S/V1/ Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $ O?O
? 16 Basement Finish
? 17 Swim Pool
? 20 Pubiic Facility
? 21 Miscelianeous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
°h SAC
SAC Units
1988 BIIILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVExp 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE W[iICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENT9L ONITS FOR SALE UNITS 6 OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECg WITH BLDG. DEPT.t
1 SET OF ENERGY CALCULATIONS
COhAtERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STAUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For:
Site Address
s (; S??tj& Valuation:
4y 7V FAk.t/t
Lot ?'/ Block o2-
Parcel/Sub ,C?Wro? ,Q:,1.
Owner
Address
City/Zip Code 6? &
Phone ??Z'-ObZ7
Contraetor-;?'.ef ?2r
Address ISZ!?- L.J- ??s??2 ?
City/Zip Code 1/?L ?, /??L./,
Phone fiff&-67 j /
Arch./Engr.
Address
City/Zip Code
Phone #
? Date:
On site sewage_
hE+TCC system _
On site well _
City water _
PRV required `
Booster Pump ?
APPROVALS
Engr/Assess
Planner
Council
Bldg. Off.
Variance
ONLY
Oceupancy
Zoning
Aetual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Aoad Unit
Treatment P1
Parks
Copies
TOTAL
,! ? ` _
. ,. ?C??
yses agPz,xcsrzM -. cIrr of UuM
B'aYBa ALL COMWTORS . !?,'?3 BB G.gGSAM WITH 2HE CilY OF BWM
CClHnCYAY. SZNTv[„h FAMII,Y Dl€F:L1.3WIS
Ti1CLU3E 2 SETS QF AACHITECTORAL IAICLC1llE 2 SLTS C1F PLAN i
& 3TAJCTURAT. PLANS, 1 SET OF 3 CC?iTIEICATF.,^s Ok' BURtfSY.
SPECZFICATTONS AND 1 SET OF 1 ST'T OF 6NEFtGY f;k(,CO(,AxIGNS
ENBRG. CALCULATIUNS- d?b
$2,000 LANDSGpPE BOUli 75Ctf* ?
To Be Gsed E'ar: ? f10ME Vnluationi Aate:
S1L'e A3d.=ass ?A_fAIAA) ?IGL"(rC TR, ??1*1?'",s.C? ? 9?'..X ???.?.•
.?.,e........?
r ot Blaek Z. Erect ? Oeauprancy
[-? Rf9ATdqCj2li 761kihg
??? ?N ?
ParceliSub / NW ftepair
? TyHe of C.sns`W
8ddition 4 oP utorias
Oxner SONS t;OtiST'RIICTION_ C0.
- - 4fove ? '.:ength
Demo'.2sta t)v:pth
6Adre3s _ 4370 Rahn ;taad, Eugan.
? Sr,t.Tmp;-. 84 Ft
Insc;aZ2
CitylZip C,ode Eagan, Mn 55122 ____...._.._..-..: .-W----__......-___
'7tionr:..._. 612--452-472: AP??,I MM4
.. 1
00akl•a4tar SONS CONSTkIJCTION .^0CY.
Adc:ro.ts 4370 kahn I.oad
C?t,yiZtg Code raean, Mn 55122
ptyone 612-452-4721.
A:^ch./ur,gra i d Melich
kddresb 8552 Lalce St.,
Asaessmerte Psrmli:
Water/S,swmr _y aurcharga
Poliet
Fire ?y
ing• ?
Planner
Cctmc ll .
Sldg Cf°
DPC
YKriasiee
Plaer He•aiaw
SGC
Water Gor:n
? Water hi3tor
?M ttoad tJriit
"re.-iYmont P1
Y'ark5
_ Gap3ns
T1J?TAL
Citp!Z3.p Code _Minneapo].i s, M
PnU?e ? 6124-866-3500
z-
?
?
..?.7,.?..
:5.7-51
g;K-
.
CdM: 31YDfiF'ISi£3 F(,,'R Ci1Mgg IA"YT3 - MEI!M:?R'Y"sdf?Xi MIDfS7 DT+.StC',IiATE WHIM
ILiY:3TiESS 7.u ;GkSxitgDl im UIL.I. n as&;.WWM UC:E Esi'si:f.U3'"9-s:, PL1aMI`.C
f5,?i43':?3? .....m.....?.. .?.......r.,..???.,.m...-_...».?..._.....?....?....e?.»
LVI
9v
. ??_ , ' •
5O`Id
-
7Z Z?6,t, ?%
EXTERIOR ENVELDPE AVERAC.E 1°l7" COMPUTATION ^W
JGt?l ?6?+rT eb ?
011NLkt: ? 4?_ ??E-ALTy
`-F.i'a.DpRE55: 4478 Fawn RiaQe Trail EaeaJESTW00D" ?
tj"t7RACYbR: SONS CONSTRUCTION C0. DA7E: g/3/86 PHONE:4 52_t,72i
hE7ERMINE 410RKIFJG SnUARE FOOTAGE OF EACH:
TOTAL EXPOSEO 41ALL AREA,,,,,,,, I (, L&
?. 70'TAL ROOF/CEILING AHFA,,,,,,,, t
i. TOTAI EXPOSEO 1JALL ARE.4 CALCULATIONS:
sq ft x
sy ft x "U" .026
Total exposed waly
area above floor,,,,,,,, ?G'LZ sq ft
aj Total wall windoia area:
glazed..,... 1?'L sq ft x"U" ..1 '?, M ?+"-,9,t (n
giazed,,,,,,
C
b} Total door area ,,,,,,,,,
sq ft x "U"
sq fY x "U"
c) Total sllding glass door area:
.?'3 = 5.2v
qlazad...... 80 sq ft x "U" 151
_
glazad......
d) Total flreplace wall area
e) Total wall framing area
(Averaae lOg) .........,.
f) Total net wall area a6ove
ftoor (Insulated).,....
q) Total rlm Jolst area.,....
Total.foundation
area (Exposed)...,......
h) Total foundation
window area .............
1 03.15 Sq ftx"U"
t 54 sq fc X'lull
sq ft
sqftx"U"
11 Total net foundation
area above 9rade........ sq f[ x"U"
. b i{-
. o 4
. (? `l
3. TQTAL a) thru I}
?1AQ
a
= I l.:O
v
f, ?v =i- ,y ?-
?. ff Item ?'3 fs the same as, or less than ftem fl, you have met the intent nf
2;iCAR 1.16008 A and 0.
sq ft x
sq ft x "U"
I 1 S sq ft x"U" 10
Page 1
_ . ..?
4. TUAL £XPDSED ROOF/CEIUHG CALCULATIQt15:
Total exposed
roof/ceiltng area........ ll"7(o sq ft
J) Totai skyllnht area....... sq ft x"U" ?°
k) Total roof/ceillnq framing d
area (Averaae lWq) ..... 118 sq ft x „0„ c :, "f G • 3,2 ?
I) Total net insulated
roaf/ceilinq area....... lo ,?, c sq ft x"U" •°"}' ° 2
t{ Tp7AL )) thru 1) ?-? •?°
If total of #4 ts the same as, or less than N2, you have mex the intent of
2 riCAR 1.16008 A and 0.
ALTERPIATE BUILDIFIG ENVELOPE DESIGN
To utillze the total envelope system method, Yhe velues es[abllshed by the sum
of items N3 and N4 shall not be greater than the sum of items N1 and W2.
1 • + 7.
°
3_ + 4. °
L E R 7 1 F 1 C A T I 0 N
1 hereby certffy that I have caiculated the "U" factors and "R"
values herein and that the butldinq here descrihed meets or exceeds the State
of Hinnesota Enerqy C.onservation Act.
Slqnature
(Date)
Page 2
RESIDENTIAL BUILDING
Permit Application
?i City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone 4 651-675-5675 FAX # 651-675-5694
? qoi.,;?s
New Construclion Reauiremen6 RemodeVReoair Reouiremen(s Offce Use Onlv 3 registe2d site surveys showing sq. n. of lot sq. ft. of house; and all roofed areas 2 copies of plan CeR of Survey
Recd
(20% maximum lotcoverage allowed) 1 setof Energy Cakulalbns for heated additions Trce Pres Plan Reoi
2 copies of plan shawing beam & window sizes; poured lountl design, etc. t site survey for addifions & decks Tree Pres Not Reqd
lsetofEneyyCalculatlons Add'rtion-irMicateifon•sitesepticsystem _On-siteSepticSystem
3 copies of Tree Preservation Plan if lol platted aker 711193
Rim Joist Oetail Options selectlon sheet (bidgs with 3 or less units a
Date 4 / d3 / O 3 Construction Cost
Site Address y y 7 y ?d ?„?•? I? ? c?c, e?ra ? UniUSte #
Description of Work ?
a,- 4 (?
- t4roc-F kokS_ i
Multi-Family Bldg _ Y? N Fireplace(s) _ 0_ 1 _ 2
ProperryOwner1 ?4 A wq?/,A 4-0-h114-11 Telephone#(IPSI) ySy - LPcP 5 .3
cootractor Midwest itoofing & Siding
Address 313 e son Hwy
(;hamolin MN 553 .
16
City
State Zip Telephone # (7L3 ) SFIlp - IIW'04I
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 7 Worksheet • New Energy Code Worksheet
(4 submissian type) Submitted Su6mitted
• Energy Envelope Calculations Submitted
Licensed Plumber Telephone #( )
Mechanical Contractor Telepho #(;
e, ) , •' 11?
Sewer/WaterContractor Telephone#(;?nn??
?
gy__--= =__J
I hereby apply for a Residential Building Permit and aclrnowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval ofplans.
?2r.?5d ?"/dn??{y ?
ApplicanYs Printed Name Applicant's Signatu
_15Qq
2006 RESIDENTIAL MECHANICAL rERMiT aPrLicaTiorr
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. single family dwellings & townhomes/condos when pemn[s are required for each unit
-1 ?L, xj
Da[e 4/ Q
Site Address ?Jy7y .15AtJ RV. Unit #
Properry Owuer 164)46 Telephone #( G I Z, )),g 0&?a 6
Contractor 6>ft0 eI' .S
Street Address 3?. ?,SJ 13IS T LL), City W&_eIh 0 v,..)T
State 1• ie)_ Zip 3TO ? Telep6one #( ?cr,f 1) 7 Z06 L
Bond #: lo 15 -7 ? e9 6 -7 Espires: Y/Z y D 7
The Applicant is _ Owner ? Con4actor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
? f
Additi
l /R
t
N
l
urnace _
ona _
ew
acemen
ep
air exchanger
? air conditioner
heat pump
other
State Surcharge $ .50
Total $
I hereby apply for a Residential Mechanical Pemut and acknowledge that the informarion is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand tlvs is not a
permit, but only an application for a permit, and work is not to start without a perxnit; that the work will be yi accordance with the
approved plan in the case of work wluch requires a review and approval of plans;/ ,' f ?
G-P vr -?. G d FF y/•???i,?'
Applicant's rinted Name App i anY Signa e
¦ ? lc'. •LY.'???,paWPi,tC6MILi
' ?.. ,- ' ? • ? .. .- ?I? ' 11 • I
.? ?
CITY U[' ElU:.AN
APPLICATION FOR PERMIT SEWER ADID/OR WATER CONNE=PION
?(P ease Print)
1) PROPER'11' A[)L7RESS: ?6? & rGLWLC
LFX',AL D ^FuQ2IPTION:
Lot B ock S vision or Tax Parcel I.D. Numbc?r)
IF EXFSTING $TRL'CTLIRE, DATE QF ORIGINAL Bt'ILbING PERMIT ISSL'ANCE:
Mont Year)
PRESENT ZONING/PROPOSID USE: R-1 SINGLE FAMILY
R-2 DL'PLEX ('itvo Units)
( Units)
• R-3 7X)WNHati?SE (Three + Units)
R-4 APARTMENt/CONIDOMINIL'M ( Units)
.' COl,/RETAIL/OFFICE
IPII)['STRIAL
ZNSTI'R"PI9NAG/(',0Vl•:I:NMI?NT
2)
NAME: J/Ort U/S/'?'-?- -
ADDRESS;
CITY. STATE. ZIP: a?L
PHOrE:
ru,rE:
ADDRESS:
CITY, STATE, 2IF:
PHONE:
4)
• ??i NAME:
. ? .. ? . . ?.. .? ADDRESS: ?.
CITY, STATE, ZIP:
, PFiONE:
? MASTER LICEPISE #-?
,??C 'rt • 0 ?1' C J'1
For City C
P1umUers Lice
CJ Active
Cr Expired
G7 Not Rec
Staff Initial
S)
? CONIdEX,'TION TO CITY SEWER . )r CONNECTION TO CITY WATFR
p OTHER (Please Describe)
.' 6) ?? •
? PI SE HOLD APPROVID PEI2MiT FOR PICK-t'P BY ONE OF AgJVE
IN PLFASE MAIL APPROVID PERMIT TO 1, 2, 4. ABJVE
(Circ e one)
. 7}, ! ?i7,???? . (/ '??.F'?? ?' '•? l
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
: NOT?': PAYMETTS OF PEE AT TIME OF
: ArrrsCAMoN noFS Nar wrb-rITUTE
: APPROVAL OF PERNIIT.
. :
: INSPDCPION OF SEZWEZ2 ArID/O2 FATER
: ?r.r=ONS wIId, NOT BE ScHED-
: ULID i]NI'II, PEftNIIT HAS BEQd
: APPROVID.
----------------
P ease Print
1) PROPERTY ADDRESS: _
LEGAL DESCRIPTION: "
Lot Block Subdivision or Tax Parcel ID )
IF EXISTING ST12CCiS7RE, DATE OF ORIGINAL B[.'ZLDING PERMIT ZSSL'ANCE:
PRESE6TP ZONING/PROPOSID USE: (hbn Year
0 C01MERCIAI./REPAIL/OFFICE
r7 IDIDC'STRIAL
n INSTITL'TIONAL/GOVERPA0qT
[-] R-1 SINGLE FAMILY
? R-2 DLPLEX (ltno Units)
j? R-3 TOWNHOUSE (Three + Units) ( Units)
? R-4 APARTMENT/COAIDOMINIUM ( Units)
2) ?
N71ME:
ADDRESS:
CITY, STATE, 2IP:
PHONE:
3)
• ?: a• NAME:
P,DDRESS :
CITY, STATE, 2IP:
PHONE:
MASTER LI(ENSE#
Active
E?cpired
Not recorded
Sta f Initial
4)
NAME:
ADDRE55:
CITY, STATE, ZIP:
PHONE:
5) ?? ? a: ?• : o • a? - ?? -
[] CONNECPION TO CITY SEWM Q CpNNECTZON 7U CITY WATII2 0 0'1HER '. .
6) PI.EASE HOLD APPROVEU PERMIT FY)R PICK-UP BY ONE OF AHOVE
C3 PLFA.SE MAIL APPROVID PERhIIT 1O 1. 2, 3, 4, ABJVE
1-t (Circle one)
7) ? ? '
. FOR -CITY USE ONLY
PERMIT # ISSOED
Pd w/Bldg. Permit FEES:
$ SEWER PERMIT (INCLUDE SDRCHARGE)
$ WATER PERMIT (INCLIIDE SLRCHARGE)
$ ((+3'`52' $ WATER METER/COPPERHORN/OLTSIDE READER
$ S WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ /SO ? ACCOONT DEPOSIT - SEWER
$ ACCOLNT DEPOSIT - WATER
$ J C? C1 ' cfz? $ WAC
$ S 7 S cr-7) $ SAC
S $ TRLNK WATER ASSESSMENT
$ $ TRDNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ $ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
$_ I Z l?' SlZ'? $ ?? L` ?? TOTAL
. 670 ?7s 39
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK 69ITHIN PUBLIC
Q ROADWAY" MUST BE ISSOED BY THE ENGINEERING
NO DIVISION. LIST AS A CO[VDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: tig_y?
?
^--' =TTTLE:
i
DATE :
.?TRi-LAND C0. '.'SURVEYtNG sJ-T?? PLAN Fdk: -
SERVIGEa
?sONS caNSRucTooN
` 4655 NICOLS ROAD
EA6AN, MINNES4TA 55122
?A0,
?W
N ?
? ?
. . %4
s!Q1
?... ,
?
ag .
?
,
. ?
"y
SCAL.E:I"=30'
?a .
U.:T?
?
F ?. ?.
,
F J U "
a
?
.?.
?
bp
g
?
,?? ,??0?'_ Fp? '
?
' . . . .
.?? ?'.4? * ; . .
'
.. ,. .hr..
... ? . . ,. .
PROP RTY DESCRIPTIOM
.
.
?,
?
,.
. ,
LO7-. BGOCK .
e ;'
?
. WN RIDGE
FA .
..
. ?g,..:
.
occorepao to tpn roee?ds4 oW tMtllrq}..
D?QT? CatnfY? Min"
{
Q CENQY@S IRdN QACAiUWNT PROPQSED (iARAGE FLOOR HLEVATION • 103.s°
4 DIRCTES MPAQD k1Ud SET '?.'PitOP4$ED FIRST FLOOR ELEVATIQN ¦
: KNIRTEB EXlS'YIN6 SPOT
• ?
' PitOP0U00ASEM?6NT FLOOR
. ELEYATION EL:EYATIOPI
OEMOTES PROPOSfC SPOY :
? ELEVATION
OEPIOT€5 DRAIf!?IQE OIRECTIOM
VERIFY ALL FLOOR HEtGHTB WITH
.w' FINAL HOUSE PLAIdB.,
4 9xarlW c.rtffy fAat Mls wrvoY.Plan or 17r a?'??Ly? _.?~9.?:e„aw
ffiD?i ?'? a?"eA?'md by me or under my
Oitat wperrriaian qnd that i om o dulY Bradl *new, Mo. RnMa I$2$3
RsoSterm4 LOnd SWv"ar u1Aw 4Ao • 9,? /6
i?? a?f f?» Stato o! Mtm?osatp. Dote • Y
?
,
,
\s
ExisnrG
uaisF
11', ?q
.
PROPOSED
I4'8"x106"
SCREEN PORCH
? 6 9/ V
,A s,
.
J
?
U
----
L.
N
w ,.? E
?
s
51TE FLAN -
SGALE: I" = 30'
98-1213
ANGELLA VILLA
4414 FAU.NFIDGE TR
EAGAN, MN. 55723
454-6253
304-8941
I rJ- It?I ? I
CTIONS JE°l
0
SGREEN PORGN
DAVE 50NEN
GREG LAR50N
JERRY JOHN50N
Jl1LY 14, 1999
JULY 30, 1998
0
: JOB NUM6ER
: GUSTOMER NAME
: STREET
: GITY
: NOME PNONE
: WORK PNONE CHISJ
: WORK PNONE (HERS)
: GONSTRUGTION TYPE
: SALESMAN
: PROJEGT MANAGER
: DE5IGNED BY
: DATE
: IST REV1510N
: 2ND REvISION
-,4?-
GONtITRUCTED 61' PANELGRAFT OF MINNESOTA, ING.
JMJ
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117025
Date Issued:10/14/2013
Permit Category:ePermit
Site Address: 4474 Fawn Ridge Tr
Lot:4 Block: 2 Addition: Fawn Ridge
PID:10-25800-02-040
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Andrew Cooan
4474 Fawn Ridge Trl
Eagan MN 55123
Purpose Driven Restoration Llc
325 Main St NW
Elk River MN 55330
(763) 633-4737
Applicant/Permitee: Signature Issued By: Signature