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4850 Four Seasons Ct ? ? I INSPECTIDN RECOR.D Control No. 1383 CI i Y OF EACAN PERMIT TYPE: 6011911014 ` 3830 Pilat Knob Road Permit Number; !01s26 Eagan, Minnesota 55123 ? Date Issued: 12111. J 9? (612) 681-4675 S1TE ADDRESS: L qT r 00 1 ;. P t ,y,. n : #a# f1PPLICANT: qAr?ii Fpt1R SEA50MR CT f5i3 CqMSr INC 1.INTSPERIMA NOl1D$ 5TH (612) 69#-30411 PERINIT SUBTYPE: :; F' (AJtI TYPE OF WORK: m ,...t :.? ?- 1 -??a "` -Y_+J-f ? _ .? . . •? - . . ._. . ? .- - . ..?? . _. . , ? ?{?111I?_??????C ? ?tJ 4t i?.r.~??Y -t:aYSlll RFNARh 141•[tt:r,r YFT i 9 & N CON7RAr. TOR - SCHUi 7xES PLBN Pmmft IVci, ParmR No1dK Dete TNophorn N Sl11V PI.UMBING Ar/ Kvac ELECTRIC ELECTRIC h?sPwtlon Date bap. GvmnWft F«,ndshon Framing /l-p3 ? Rooft Roug, Ptbg. R"O ft- Y ? FireplaCe f ?2! - 13 43 Fnal Hlg. Orset Test Fnal Pibg. -? - ? Plbg. Inspeclor - Notlly Wumber C*n,st Meter EngrJPlan Bldg. Flnal l Deck Pt& Dedc Final wen Pr. Disp. ? • ??.?ti?icate of cccuoanc4 of 0"au zt"rrmat ef eMmis 3rowdion This Certificate rssued pursuant to the mquirements of the Uniform Building Code cerri,fying that at the time of rssuance this structune was in compliance with the various ordinances of tlie Ci1y regulating builduig construction or use. For the following: t,, use ca. . . 5F DWG eUg. rermak No. 1926 O-VP-r TAX zon;ng nisv? R I Type Cowc VN F.S BOM .- 2500 W CIY RD 42, BOR1SVIIi8 POST IN A CONSPICUOUS PIACE Zip 5512 2 L:ot' 12 _ Blk i Sub wKrsEEz-rnTr: wrxmS 5TH THFSE TTEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION. Date: Yes No Inspector: ? Final grade (6" from siding) Permanent steps (garage) ? Permanent steps (main entry) V/ Permanent driveway Permanent gas f Sod/Seeded grass ? Trail/curb damage v Porch v? Basement finish ,,. " Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off oF water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 6814645 before working in right-of-way or installing underground sprinkler system. ? White - City Copy Yellow - Resident Copy Pink - Contractor Copy INSPECTION^RECORD CITY OF EAGAN PERMIT TYPE: ` ?' I ' I "' ``` 3830 Pilot Knob Road Permit Number: ."'? Ea an, Minnesota 55122-1897 9 Date Issued: i (612) 681-4875 ' SITE ADDRESS: pppLICANT: i i?? i ,.?? ???? t ? ,,;. > > tiufi ?,1 r3`,IiN•: ? t t? r?a lcil ? I I+t l: ?. I rJ! '. IJlI?'.I IPifi t fltfti!`"; ?rf11 (r.?,•? j?,F3 36}fi! ! PERMIT SUBTYPE: TYPE OF WORK: . ? INSPECTION DA . .• i : t!,, . 1-` f' f' I:`i + l 1 hJ:i 1 ? ? ? Permit No. Permit Holder Date Telephane # ELECTRIC ?J (j Q 155 PLUMBING HVAC Inspection Dete Insp. Comments FOOTINGS 716 /? ! FOUND FRAMING 8-zS-5o <`'u3 pIc ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBO FINAL HTG ORSAT TEST BLDG FINAL BSM1dT R. f. BSMT FINAL DECK FTG pEr,i: i 1^:AL ? ? O/F ?_. . ? ? REQUEST FOR ELECTRICAL INSPECTION ? See inalruaons lor completing Ihu^ torcn on Dack of yellow copy '9(" Below Work Cavered by This Requesl Ie 2, ` ,''g 0.5 3Cp 8? e Add Rep TypeoiBmlding AppLZncesWired EqmpmeniWiryd Home Range Temporary Service Duplex Water Heater Electric Heating Ap1. Buildinq Dryer Other(Specify) Comm./Intlu5lrial Furnace Farm Av Condmoner Oiher (syecdy) ConVaotor's Remarks Compule Inspection Fee Below N Other Fee # ServiceEntrenceSae Fee # PrcunslFeeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Tiansformers Above 200 _ Amps 00 _ Amps SigOS Inspector§ Use Only TOTAI Irrigation8oom5 Special inspection Alarm/Communicaiion THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee ? COMPLETED WITHIN 18 MONTHS. 1, the Electrical Inspecior, bereby i Rouqn,io oate cert ty that the above inspecllon has been made. F,,,ai .: , oaI OFFICE OSE DNLY This request witl 18 mmihs Irom y r/ va--- 3 4 3 2 3L 105,3cocY Request Date ?/? /? J ?Y / Fire j Aou n Inspection i Yes NO ? ? Reatly No i I Notify InspectOt When ReaGY? IZ licensed contractor ? owner hereby request inspection of above electrical work at: Job tldress (Street. Boz w R No 1 O City ? Seclson No Township Name or No Range No Cou OccupantlPRl T) Phone No Power S rer Atltlress Electr ¢al vac?or ICOmpany Nama? i Cqqirec§ L nse No ? 1{ t/ Mading Atlaress IC hactor or Owner Making Installanonl " Aulhori e ignaWre wner Makinq Inslallal Vy r - Phone Numper ? MINNESOTA STATE BOAqD OF ELECTRICITY ? THIS INSPEGTION REOUEST WILL NOT Griggs-MlUway BWg. - Room S173 BE ACCEPTEO BV TME STATE BOARD 1821 Univerolly Ave., SL Veul. MN 55104 l1NLE55 PROPER INSPECTION FEE IS inona (612) 642-0800 1? . f? _ ENCLOSED. ? 71567 ?2 3/ u?o?e 5'? (X 15?:) 8 8? pD fl uest D le J_?_ ?^ / ? Fne No Rough-in In ?retl'+ Yes ion ? No Reatly Now ? ?/' ,Q W itl NoOfy Inspedor ? V When ReadyT A i,censed contrector I.] owner here6y request inspection of above electrical work at: ' tlress V I eox or qoute No ) ?? Ciry / !? Secnon No Township Name or No Range No Counry OccupanI NTI54 - Pnone No Power SuOPlrer Atltlress Eleclncal Con c Company Name) ? Contra r§ License No V MaAing A s 1 recloror Own aking Irtstallalionl 1 /f+?/ ? Aulhonzetl Sgn IGo IractorlOwner Making Installalmn) Phone Nu er Z MINNESOTA STATE 80AflD OF ELECTRICRY THIS MSPECTION REQUEST WILL NOT Grlggs-MiEway Bltlg - Hoom 5'173 BE HCCEPTED BV THE STATE BOARO 1821 Universily Ave., $t. Gaul, MN 55100 UNLESS PROPER INSPECTION FEE IS Vlrone (612) 64241800 ENCLOSED /- 7,ii -?!iEQUEST FOR ELECTRICAL INSPECTION EB-00001-08 715?'r^.y ? Sea insVUCLOns for complelinq this brm on back oi yellow ropy ?^, ?, /^. ? ? ` "X" Be(ow Work Covered 6y Thrs Request Q? 1 ?-_? J e Atltl Rep TypeofBwlding App6ancesWired EquipmeMWired Home Range Temporary Servwe Duplex er Heater - Electnc Heating Apt. Bwlding er ? Other (Specify) Comm /Industnal nace l Farm Conditioner Oiher (spernly) CanVeatork Remarks Campufe Inspechon Fee Below: # Other Fee # Service EntranceSrze Fee # Ciroui7s/Feeders fee Swimming Pool 0 ro 200 Amps ip too Amps Transformers Above 200 _ Amps Ab ve - Amps Signs inspector's use Oniy ? 1 ? TOTAL ? Irrigation Booms ? J X Speciai Inspeaion v AlarmlCommunicatron THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONT I, the Electncal Inspector, hereby Rouqn,n oa+el?? !l certifY that the a6ove insPection has been made. Final oate ? • OFFICE USE 3NLV This request voitl 18 manths rom A III IIIII I? I li II Ilyl 1111111111111111111111111 M821QUD es ity FOR Ava., Rmo 3 28ASt.'PauPl, MNTS5O1p4 ? s? * 0 2 7 3 3 Q 0 4* * hon? (612) e42-osoo 9?iO p Homa Duplex Apt. Bldg Other: New Addn Commercial Indushial 11 Fnrm mod R? air Av Cond. Hfg. Equip Water Hfr. Load Mgmt. Ofher. D er Ran e Elec. Heat Tem . Service 'R' above the work covered by this request Enter remarks in this spoce and on the back of the whAe capy only. Calwlote Inspection Fee - This Inspedion Request will not be accepted without fhe cortecf fee- Olher Fee # Service Enirance Srse fee ?` Circuih/Feeders Fee Mo6ile Home Park Stoll 0 fo 200 Amps 0 ro 100 Amps Sfree} Lfg./?ra4fic $ig. Above 200 Amps 100 Amps TransformedGenemtor INSPEC?ON'SUSEONLY TOT s? $ign/Ou}line Lig. Xfmr. / 6 Alarm/Remofe Confrol ? Swimming Pool I hereb cen? ?h o a? dmo? n a? da sa Irrigotion Boom Rough-In ?k ? ecial Ins S eciion p p Investigative Fee ? Fina1 ?k r THIS INS7ALLATION MAY BE OR)E I DI CONNECTED IF . MPLETED WITHIN 78 M THS. 2 f/? ?/? O O ? ( J J OFFICE IISE ONLY This reqvest void iB monAs kom .alidafion dak pdnted in this_6o?? PLEASE PRINT OR TYPE f , Re st Date / f '^ ?( 2ough.in inspecM1an reqwred2 0 N. ' ll A h d Inspedron Other Than Raugh.in C] Ready Now all D t R d Q (l e inspetlor w ou must m an rm Y) a e eo y. I, El-ric-ensed conhacfor ? owner hereby request inspechon of the above electrical work at: lob Addrus (Streef, Bor, or Ra?k N ? ?ry Zip Code P ?a Sacbon No. Township Name or No Ronge No Fire N. Co.nry Ouvpom Phone N. ? C? h !7 PowerSuppLer Pddress EI Conhacror (C N ` Comraaor Lfcense No 3SG ' Mosler Lic Na (Plont EIM. Only) ' ? Aoo C oiLn Pddrei (Co cror or Owner Pedorming (nsmllonan) 3S/ A onzed 5ignaNre ha or o? Owner PeAowin9 Imbllono lA?Kt/ YI'L Phana No. ` / ?,fT EB-OOOOlA70?6/95 STATEBOANDCOPV-TEE IN5fRUCT10NSONBACKOFYELLOWCOPY ,$ ? q5 qs 2007 RESIDENTIAL BUILDING PERMIT APPLICATION (C?'Ud SS City Of Eagan a/bly 7 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New onstrudionReauirements RemodeVReoairReamremmts 3 registered site suneys showing sq ft of lot, sq ft of house; and all roofed areas 2 copies M plan showing fooGngs, 6eams, joists (20%mapmum lot coverage allowed) 1 set W Energy Calculations for heated adddions i Sotls Repwt if proposed building is [o be piaced on disWrbed soil 1 site survey for addi6ons & decks 2 wpies of plan shovnng beam & window sizes; poured found design, elc. Addifion - indcafe Aon-sile sepGc system 1 set of Energy Calculahons 3copieso(TreePreservatlonPlan9 lotplatledafter711193 PomJoistDetailOp6onsselectlonsheet(6uildingsvnfh3orlessunits) rFY iu&nnegasco mechaniwl ventilatlon form orrceus i Ced,oTSilrveyReod.:a., _Y _N Srils.Repc1it': : ... -?Y; =N RBCd`. . T[ee Rres Plar`1 _"Y?._ N _ uirBd; ,'`'= Ttee?P,res Re , , g Oo-sits SBptic $pslem'_• ?. .'_7,?.°N Date ? C)! Construction Cost V L>'Do SifeAddress 4JJ? ?Oi?f- ? UniUSte # Description of Work t'Yr\( )Ic I, ???t?`?'r ??' ?? Multi-Family Bldg _ Y x N Fireplace(s) K 0 2 PropertyOwner ??04bY' k Telephone#(TSj ) b'e '-R'7'b2? Contractor G - •1 5 t ' e- 0 1 Address 500 State m\J ( c5 Zip City Telephone #(? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Kules 7672 Energy Code Category . Residenlial Ventilation Category 1 Worksheet • New Energy Code Worksheet (d submission type) Submiited Submittetl • Energy Envelope Calculations Su6mdted In the lasi 12 months, has ihe City of Eagan issued a permit for a similar plan based on a master plan? Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to star[ without a permit; that the work will be in accordance with the approved plan in the case of rk which requires a review and ? approval of plans. ./`iil-7` ApplicanYs Printed Name Applicant s Si nature DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg 71- 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01of_plex ? 09 07-plex ? 77 Garage ? 22 Porch/Addn.(4-sea.) ? 33 Ext.Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 P,orch (screenlgazebo/pergola ) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ' ? 25 Miscellaneous WorkTvoes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair PK-33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant DBSCriUtiofl: Water Damage _ Yes Valuation 4 5 c "" Oaupancy MCES System Plan Review _ 100% or _ 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new 61dg) _ Sheetrock Footings(deck) Final/C.O. - Footings (addition) ? Final/No C.O. Foundation HVAC Drain Tile Other ? Roof Ice & W'ater Final Pool Ftgs AidGas Tests Finai ? Framing _ Siding _ Stucco Lath _ Stone Lath _Brick Fireplace _ R.I. _ Air Test _ Final _ Windows -I.G Insulation _ Retaining Wall Approved By: I??" , Building Inspector Base Fee Surcharge Plan Review MGES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plan[ License Search Copies Other Total INSPECTION RECORD Control No. 1383 CITY OF EAGAN PERMIT TYPE: Bu TL ri :i N r 3830 Pilot Knob Road Permit Number: Fi P; v? c, Eagan, Minnesota 55123 Date Issued: 1] 1 J 92 (612) 681-4675 SITEADDRESS: Lor. eezz BLucK? moe?PPLICANT: 4850 FouR sEAspws rl' FSB coNs-r zNr WHrsPzRrNG wouos STrI (61.2) 890-3e00 PERMIT SUBTYPE: 5r- nwe TYPE OF WORK: New INSPECTION F au'l ir!6 „ . F Rr3ia rN e .. I nsui.rA'iroN r- zN riL FIREPLACE REMARKS: RECcSP7 # S& W CUPiTRRCTUR - SCFIULTIES pL6G r- -7 1 PEn ??Trr Control No. 1383 k 1\l?'ll 1 CI1=Y OF EAGAN 1-6630 Pilot Knob Road PERMIT TYPE: Bu 1 Lo i Ne Eagan, Minnesota 55123 Permit Number: 001926 (612) 681-4675 Date Issued: 12 / 11 J 9 2 SITE ADDRESS: ?850 FUUR SL"ASONS CT I OT? 0012 BLOCKe 0001 WHISPEW.:tN(d WllOflS 5TH DESCRIPTION: `Buzld3:tlg Perm.it Type SF IIWG Building',Work Type idE6J U8C Occupancy ConsCruction "Iype V _N . Zon3ng . R-9 Building Lei7gth 76 Bu9.J.dinq LJldth .. 55 (' (. _, / :-] ?? ;JLI ?'1?.J?'i REMARKS: REI:tIf'T S& 6J C(7PITRHCI'OR -- SCHULI"IES l7LBt9 FEE SUMMARY: - VHLUHTION $167,e001 Base Fee ?874.00 MISCELLANEOUS $1,610.50 Plan fteview 55R.10 Total Pee $3,536.18 Siai°cha rge $83056 sAc $700.00 sac -% 100 SflC Uriits 1 Su17t:ot.i1 ? 60 CONTRACTOR: - Appiic,-?nr- 5T. LItOWNER: FSb^ COfd-;7 .CNC 78903008 0003885 F S 6 COPJS'T :500 W COUN7`l RD n2 4 258O W COUiVTY ROAD 42 BUP,rISV:fLLF MN 5533: BURNSV1:LlE MP! 55337 (61?) 6'?'0-3000 (612) 890-30 0 0 T here5y acknowledge T.hat T havs read this app.ticati.an and state that Chs 9.nfiorniatiian is cnrrect and agr•ee to comply with al.L applicable Stata of Mn. Statutes and City ofi Eagen Ordinancss. L - APPLICANT/PERMITEE SIGNATURE OIIA 41d I ?I,I?C ?-I - ? ISSUED Y: MNAI UnL j 1992 BUILDING PERMIT APPLICATION $ ?,?G • ?? 4 CnY oF??N ?REC p 9 RECD REQUIREMENTS: maA I 1-ii SINGLE FAMILY 2 SETS OF PLANS, 3 RECaISTEHED SITE SURVEYS, 1 SET ENERGY CALCS. MULTIPLE DWEWNGS 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET OF ENERGY CALCS. # OF UNITS RENTAL FOR SALE COMMERCIAL 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFlCATIONS, 1 SET OF ENERGY CALCS. PENALTYAPPLIES WHEN TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE DB LOT CHANGE IS REQUESTED ONCE PERMIT IS iSSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. To Be Used For: S?(' ramil Valuation: 1 qa.1 [)()t) ,% Date: I:?Z 10 9 I i'L?- Site Address z{350- Fcr..tl2 `Jer45c(65 c-C nGAA) Lot j? Block I Parcel/Sub ',? f11 ?PE(? ? n?L WmuS r r Occupancy Zoning Bldg Permk Surcharge ACtual Const P4an Review Owner F.?: DyQtciiR9C7"10AA Allowable LicenseFee Address ?`?io1?, # of stories Length SAC, City SAC, MWCC S City/Zip UrrL?S yI(JLL A; a` F?Total Water Meter p Phone I,qL 3G00 Footprint S.F. Acct. Deposit S/W Permit On-site sewage S/W Surcharge Contractor - S c i i ? On-site well Treatment PI. ? MWCC System Road Unit Address c. w r14? J /4oe Ciry water Park Ded. ' PRV Trail Ded. City/ZiP 1 f N "SyitLi?? !'55331 Booster Pump Copies SUBTOTAL Phone S?qn ?C,Gf? License j? 5- APPROVALS Penalty Pianner Lot Change ? Counal TOTAL Arch./Engr. pger+ BIdg.Off. n? Address C?G Urt 14 variance Cdy/7rp Cod@ ?/ Phone # QD - '-?S13 PEES ?J16'Y1.hiA?6 Processingtime Sewer/waterucensedContr. e?+5 t' for sewer/water permits is two ys once area as en approv . agrees that all work shall he done in accordance with ignature o ermittee all applicable State of Minnesota Statutes and City of Eagan Ordinances. PERMIT # REACTIYNTE CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit 1s requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date / / Yaluation of work Site Address: SiREET SUITE / Tenant Name: (commercial only) IAT (a I I BIACK 1 SUBDLJHISpGRiNC-LJiJODs P.I.D. M KI FT+f A'a:DVI IGN Descri tion of work: The applicant is: 0 Owner ? Contractor ? Other (oescrico) Name Phoiie Property usT F1R57 OW11@f pddress ' STREEi STE 1 City 5tate Zip Company Phone Contractor Address License q Exp. City State Zip Company Phone Architect/ Engineer Name Registration ? Address City 5tate Zip Sewer b water l.icensed plumber Pracessing time for sewer 8 r?ater permits is two days once area as een approved. 1 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 Applicant: OFFICE USE ONLY BUILDING PERMIT TYP E ° ? 01 Foundation ? 06 Duplex O 11 Apt./Lodging ? 16 Basement Finish Jg 02 ,5F Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool ? 03 SF Addition ? OS 8-Plex ? 13 Garage/Accessory O 18 Comm./Ind. ? 04 5F Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE JW31 New ? 33 Atterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) v-N Basement sq. ft. MWCC 5ystem YE5 Allowable) Y- N lst F1. sq. ft. City Water ?- UBC ccupancy R 3 M_I 2nd Fl. sq. ft. PRY Required Zoning . R-I Sq. Ft. total Booster Pump t of Stories Footprint 3q. ft. Fire Sprinkler Length T On-site well Census Code 1°r Depth --ST On-site sewage - SAC Code ol APPROVALS Planning •,.. Building Assessments Engineering Yariance , REGIUIRED IN SPECTIONS ? Site ? Footing ? Framing ? Insulation ? Wallboard ? Fi nal ? Draintile ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Mater Conn. Water Meter Acct. Deposit S/N Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % lpo SAC Units I V.tuat;m: ? I 69, oao , GARAGE; 32 x3o? 960 ? X /2 ? (']2? BSMT; ay = 69?v 8 8 x!? _ ? ?XS- uS Sx?2= 5G 3 o?c21 = 6? Zi? 2?y yt= (220 Isr F?oo2; 123$ X? 5= 6srnt? 123? ?xio_ ?LL las? x 53 % tST ?tcc12 = 12 ly, 208 IS,S'7u G66'? Li ?-?- 5 :s3= ???6G,3°?1 DEC-10-192 TFIU 16:06 1D:JPIES R HILL INC TEL 1,10:612 890-6244 . ? SIURVEYOR'S CERTIFICATE• FS8 ? 9829 ? BENCH ? t ,i 969:4 • - , • 9T29 q(° 971.5 t 1 r \w ? ?? ELEV.=973.8 0oo0' N890M'E b0 ?? ?oseav5??1?? ` ?20'e? t ?9703 . srra ? LOT _?ass 12 s V @/ 6.0 ? - ? b r g? 9 QP?? , 7? x..... / "ol ?g \ \ (4a1.4) / NoTe: No arecnc s01Ls mmvtsrunnoN Nas aEEN ta+rLETw ON llll! LOT BY 1ME ltMIVtYOR. T1t SINTAOIIRY OF SMs to sunarc nic sPW?ie aaae rnoPam is NCrr ? + DENOPOSED SUqFAC E D AINAGE O DENOTES IRON MONUMENT SET • DENOTE9 IRON MONUMENT FOUNO XODD.O DENOTES DCISTINO ELEVATION (000.0) DENOTLS PiiOPOSED ELEVATION r.v fw &'v.J1AQAX . pl80 P01 P rrq?4,i) ? ? ?- I ?? ? ? 1.i XOTE: B UILDIFKt q / tONf iHONNA& FOR ? A? e ?OI?OAI'tON . SCALE:IINCH - 30 FEET PROPOSED (3ARAOE FLOOR - 9 ]fb FEET PROPO3M LOWE3T ROOR - 9(, 7• / FEEf PROPOSED 70P OF BLOCK - 9 7$: y FEET WE HEREBY CB971FY TO F38 THAT THIS IS A TRUE AND CORRECT REPREgENTATION OF A SURYEY OF 7HE BOUNDAHIES OF: Lot12, Block I, WHISPERtNG WOODS FlFTH ADDRION, accordinp to the reoorded piat fhsraot, DakoM Ommfy, NRnnesota. IT DOES ldOT PllRPOpT TO SHOYJ IM?ROVENIENTS OH ENCROACHMENTS. EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDEq MY DIRECT SUP?VISION THIS 8TH DAY OF D?. ,1992. exIsnno a.EArioN savm waae raK0 Faoir PLant wwvroeo er oteats. R. HILL, INC. /en., , r JOHN C.LARSON,LAND SURVENDR MINNESOTA L1CEN5E NUMBER 19828 ? o? ?? ?o ? D James R Hill inc ? o NO , y . , . T m o z o ? PLANNERS / ENGIIdEERS / SURVEY?ORS N 2600 W. CTY. ND. 42 a BUfiNSVILLE, MN. 55337 a 812-890-8W4 R-95% . JAMES R HILL INC 12-10-92 03:09PM POOI #24 • Builder License #0003885 FSB Construction, Inc. 2500 W. County Road 42, Suite 49 Burnsville, MN 55337 EXTERZOR ENVELOPE AVERAGE "U° COMPUTATION PLAN #: 2639 Dq7E: *12/7/92 OWNER: FSB CONSTRUCTION CONTRACTOR: FSB CONSTRUCTION SITE ADDRESS: 4850 FOUR SEASONS COURT PHONE: *890-3000 ------------------------------------------------------------- Square "U" Footage Factor * 1) TOTAL EXPOSED WALL AREA * 2) TOTAL EXPOSED ROOF/CEILING AREA WALL AREA CfILCULATIONS: * TOTAL WINDOW AREA * TOTAL DOOR AREA TOTAL GLASS DOOR AREA TOTAL FIREPLACE WALL AREA TOTAL WALL FRAMING AREA NET IN SULATION WALL AREA " TOTAL RIM ,70IST AREA ` TOTAL FOUNDATION AREA(EXPOSEO) * TOTAL FOl1NDATION WINDOW AREA 2639 x 0.11 = 290.29 1348 x 0.026 = 35.05 277 x 0.41 = 113.57 48 x 0.07 = 3.36 108 x 0.41 = 44.28 38 x 0.36 = 13.68 179 x 0.08 = 14.34 1614 x 0.043 = 69.39 238 x 0.04 = 9.52 137 x 0.16 = 21.92 0 x = 0.00 3) TOTAL = .06 If item 3 is the same as, or less than item 1, you have met the intent ofi 2 MCAR 1.16008 A and 0. RDOFJCEILING CALCULATIONS: TOTAL SKYLIGHT AREA 0 x = 0.00 TOTAL ROOF/CEIIING FRAMING ARER 135 x 0.026 = 3.50 NET INSULATION ROOF CEILING AREA 1213 x 0.022 = 26.69 -- 4) ---------- TOTAL = ------ If item 4 is the same as, or less than item 2, you have met the intent of 2 MCAR 1.16008 A and 0. I here6y certify that the building here described meets or exceeds the State ot Minnesota Energy Conservation Act. IZ ? RZ Picjn,tu#'e D t PLEASE COMPLETE FOR SINGLE FAMII,Y DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIFtED FOR EACH UNIT. NO. FIXTURES EACH TOTAL ? SHOWER 3.00 ' nn 3 WATER CLOSET 3.00 ,. c ? BATH TUB 3.00 LAVATORY 3.00 f KTTCHEN SINK 3.00 ? 00 ? LAUNDRY TRAY 3.00 -:03 HOT TUB/SPA 3.00 WATER HEATER , 3.00 h.00 _L FLOOR DRAIN 3.00 ? GAS PIPING OUTLET • miNm? - i 3.00 ROUGH OPENINGS 1.50 ? 50 WATER SOFTENER 5.00 PRIVATE DISP. • DakCty. tia 15.00 U.G. SPRINKI,ER • 6ome unda oonst 3.00 ALTERATIONS - to eASting 15.00 WATER TURN AROUND 15.00 STATE SURCHARGE .50 TOTAL: SrrE AnDRESS: ;?-- OWNER CTTY: STATE: -<. ZIP CODE: PHONE #: ( ??io ) j ?./-, SIGNATLff OF PERMITTEE PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 CTI'I' OF EAGAN Lf? B ' / MECHANICAL PERMIT RECEIPT # C R OOO ?78 SUBD. Gt/? .. '? (612) 681-4675 DATE i/9/9 RESIDENTIAI. PLRASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMII Y DR'ELLINGS. ALSO, COMPLETE FOR TOWNHOMES/CONDOS WHEN SEPARATE PERhIITS ARE REQUIRED FOR EACH DR'ELLING UNIT. owxEt: G -4 - /d FEEs SITE ADDRFSS: sa N.S r ADD ON/REMODII, (E7IISTING coxsrRVCriox oivi,Y) $ 15.00 INSTALLER: HVAC: 0-100 M BTU .00 PAONE #: js- 9 / (p O ADDITIONAL SO M BTU 6.00 ADDRESS: SO q coal-i LA21 01 IJ?NUr GAS OUTLEIS _ MINIIbfUM 1@$3 EA. l CITL'° 1 a ___ zIp:SS? 33 , ? SURCHARGF» $ SO SIGNATURE: TOTAL: $ " a -510- COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCWJINDUSI'RIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MUL17-FAMII Y BUII,DINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTf. WORK DESCRIPTION: CONTRACT PRICE: 1% OF CONTRACT FEE. FEFS STATE SURCHARGE IS $.50 FOR EACH $1,000 OF PERMTf FEE. $ PROCESSED PIPING - $25.00 AII1VI113YJAi FEE • $25.00 $ OR'NER. TOTAL: $ SITE ADDRFSS: TENAIVT: , SU1TE #: INSTALLER: , ADDRESS: CITi': ZIP: PHONE #: CITY SIGNATURE: SIGNAT[TRE: 9999 BUILDINC PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 T- ? 651-681-4675 ? New Conshuction ReaulremeMs 9 3 registered sNe surveys showing sq. ft. o( loT, sq. k, of house and all roofed areas (207. maximum lot coveraae allowed) > 2 copies of pians (show beam & window sizes; poured ind. design; etc.) > 1 set of energy calcula}ions > 3 copies of tree preservation plan tf lot plaHed afler 7/1/93 DATE: 4?; DESCRIPTION Of STREET ADDRESS: LI ?/ 1? a ?'ov-'T Remodel/Reoalr Reauiremenfs 2 copies of plan ' 1 set oi energy calculations far heated addRlons 1 sRe survey tor exterior addMions 6 decks CONSTRUCTION COST: 1119C S LOT: J d- BLOCK: ? SUBD./P.I.D. ?.? ?Sl1?lv?? ? Name: PrNtJ Phone#: 65(`992-'C1iQ09 PROPERTY Lart FUst OWNER r Street Address: y g5o ?MV-f" SGASo t\1 S C'?"• City State: 'M+N Zip: SS ? Z? Company: p?_"? Phone#: ?-(Z ?dZ' lo"( SG (area code) CONTRACTOR Sheet Address: 1Iv (COF.1" AV@... S. License . {OrC l_ y. Xp.3/?O _ . City state: M.n1 zip: 55 3 3 -1 ARCHITECT/ FNGINEER Name: Telephone #: area code ( ) Street Address: Registration #: City State: Zip: Sewer 8 water Iicensed plumber (reautred for new consfruction onlv): Penalty appl(es when address cRange and fof change is requested once permR is Issved. I hereby acknowledge that I have read this appllcation, state that the aiian iomply State of Minnesota Statufes qnd Cify of Eagan Ordinances. Signature of Appl an . OPFICE USE ONLY I,I1? Certificates of Survey Received _ Yes _ No ?iI ?? 1? ,"`" • 20) 7ree Preservation Plan Received _ Yes _ No _ Not Requiretlit`'``" ? with all applicable PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, M innesota 55122-1897 Permit Number: 0 2 8 4 5 5 (612) 681-4675 Date Issued: 08 J13 /96 SITE ADDRESS: 4850 FOUR SEASQN5 CT LOT: 12 BLOCK: 1 WHISPERING WOODS 5TH P.I.N.: 10-83954-120-01 . DESCRIPTION: (INCL DECK) Buildin`c}.,,Permit Type ?Build,irng, V7prk Type ? UBC Oooupanc ? Construction 7yRe l? _Zoning ' f'Census Code,-i s' 434 Jt °'4 . r" SF ADDITION NEW R-3 U-1 V-N R-1 ALT. RESIOEN7IAL , k i.. . ???i . . ? REMARKS: FEE SUMMARY: Base Fee Plan Review Surcharge Lic. Search Fee Total Fee VALUATION $199.75 $99.88 $6.50 t5.00 $311.13 $13,000 CONTRACTOR: H & M BUILDERS INC ROUTE 4 NEW PRAGUE (612) 758-3051 - Applicant - 17583@51 P 0 BOX 242 MN 56@71 sT. Lic.OWNER: 0004710 KULHMANN 4850 EAGAN MARLAN FOUR SEASONS CT MN ? I hereby ackn°bWledgeithat I;'°'?hawe rc?ad Chi* information is correct and agree tfl oomply Statutes and City of Eagan Ordinances. ?? _. .. APPLICANT/P RMITEE SIGNATURE eppli;oatiotr,a:nd eta_te thaC,.the with'all applicab14 5tate of Mn. ? C _.---? ISSUED V: SIG A RE CITY GF EAGAN a it 3830 PILOT KNOB RD - 55122 4m, 996 BUILDING PERMIT APPUCATION (RESIDENTIAL) ??Q??? 681-4675 (Q ?,V(,f(i? t' 02 RemodeVRepair Reauirements ? 3 registered sRe aurveys ? 2 eopies of pfan ? 2 copies of plans (InGude beam b window slzes; poured fnd. design; etc.) ? 2 ske surveys (exteAOr addMions 8 decks) ? 1 energy talculations ? i energy calculations for heated addilions ? 3 copiea of hee preservatan plan?lAdrplatled after 7Jt/93 mquimd: _ Yes ?No DATE CONSTRUCTION COST: ???n J I DESCRIPTION OF WORK: STREETADDRESS: ?S ?29 LOT BLOCK ? SUBD./P.I.D. #: WA 4Dhviq tuf wam PROPERTY Name: Phone #: OWNER Street Address, s el?o .vl- Ciry: State: Zip-l CONTRACTOR, Company: 4'+lel?`5 Phone#: 7-9"3°2 Stteet Address: License #• Clry: State: Zip• S?oa i ARCHITECT/ Company: YClG6 S Phone #, y`?S ? 3l g9 ENGINEER n l K?t?s ti # i t R , Name: kc ra on eg s Street Address• City: State: Zip: Sewer & waier licensed plumber: change are requested once permit is issued. Penalty applies when address change and lot I hereby acknowledge that I have read this appiication and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan OMinances. / Signature of Applicant: OFFICE USE ONLY Certificates oi Survey ReceNed ?es Tree Preservation Plan Received - Yes No RECENIED ? ? ? ? 2-ci ??93 No BUILDING PERMIT TYPE OFFICE USE ONLY 0 01 Foundation ? 06 Duplex ? 19 Apt./Lodging o V 2 SF Owelling o 07 4-piex ? 12 Multi Repair/Rem. ? 3 SF Addition ? 08 8-plex o 13 Garage/Accessory ? 0 04 SF Poroh ? 09 12-plex o 14 Fireplace ? n 05 SF Misc. ? 10 = plex a 15 Deck WORK TYPE btd--- oM New o 33 Alterations ? 36 Move e32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Consl (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth hi Basement sq. ft. u Main level sq. ft. 2-3, u- ? sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq.ft. APPROVALS Planning Building 110/3 4*4 ? ? ' ? '•? ' ?,?°? + 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS System '< City Water " Fire 5prinklered PRV Booster Pump Census Code. w3 SAC Code Census Bldg i Census Unit o Engineering Variance Permit Fee Surcharge Plan Review L'+cense MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SNV Permit SNV Surcharge TreatmeM PI. Road Unit Park Ded. Trails Ded. Other Copies Total: °,6 SAC SAC Units ValuaUon: $ 1'3, von. - ?1v tQ = 21 L Sy s 1 2vo . ? ? o0 , ? b,5.14VEYa.,,rT T1 'S " LEF'P C IF I CASE' r 5F3 Y8 St7 1a.. sea 5t,y S C0014- 9C 2 g ??o?w?'-? l?-c????•? ??.''?%? /_-- - \?\ 'sss.z ?L?. ?. a ? ?. / N0?°i.?7?!.?i?E ?\ %.aC) ??? `? ?? ?,r`,stl° --? ??? ? ? •? c, ::,?•,.?;. ... ' TOP UF PIPE ?..(?'i ? 35??? 4EL3 ?' ?? ELE?'97?i62.--_.?./?_.?. 2.. ?? .n? /? ? ??' V _ ??Cr/i ?- D M 703 ?. ? x9642 ? l . ? • l? ? Ql A \ \? ? C? f^-y- , { ! ! 1(?l6 ?- •`?/ a7Z7433 971I ? L....V 7 l Z ? 7 ? ?C ? 12 ? n?' J7^v4c,:C?? ?i C ?; A -u"j -zz_-? x 57z ? i I 9713 C ? 971AI 97 s .? ? 716 • ? i`? \ V? ) , ,'6 ?` ?'7 I? 0 010 / 9 I C`/ ? aF,v?r ns,u:t? , `-'77z T0r' nF 7'iPE ELffV=9??.-I ? / ? \ ?•?a??) ? ? ? Nn?E:. PIO S°ECFiC s"?1L.5 }NVEi"i)G,.:11OP1 I;AS E3FFN COh;F'LET.ED NOTE' E]UILOING DIh{EN SICtJa SHOWN ARF ' 04 ??'} ,i$ LO7 FY THi SURVEYOR. TM= 131_1I7-'+811_ITY OF FC(; NORiZOVfAf . _ ft`/ERTK'AL LO- „ " SOiLS TG SUF"':;RT THE SPECIFIC ;iCn1SF Pni)FCSLD IS A"1:ON OF 5"1-91,X:7Uf7G ONl_1' SEE NCT 'FrIE AfSFONSIBIIiTY OF T11[ CU'-?:'EfOR. r,r?rHI7I:Cl'UAl PLL7:5 FLY? BUI'?pi4C -?*- - l;[NC); i S PIZOPf)Slr.li SUi ir/?C.C IJRAINP,Gc ii r-;)UidUnrlON DIFn( i.SiOtdti 'Q- DEivi; IFS IRON MCh;Ulv+"L-NI"i 5Ef SCAL`' fNClI = ?0 FEE_, ? D?N0?6S IRON MGHtJVEN C'OUPdD PROFUSFD GARAGF FLO:)f? - Ic,--- r '/.000.0 OENOTFS cXISTIn!^, F_LEVAT!OPJ PROPOSED LOb'dFS7 FLC}OR _?( I j FEEi (000.0) DENQTES r'RQPOSFD ELEVAtION PRCPJSED TOP OF SLO:;w: - =<f -75- Z_ FEET WE HERE61' CiR?IFY TO FS B THAT TFIIS IS A TRUF AND CONRECT REPRESENTATION OF A SURVEY OF TFiE BpUNDARIf S OF. Lct 12; 3lock I, WH+SPERING WOODS FlFTH ADDI710N, according to the recorded piaP Thereof, Dakcta County, Minneso?a. IT DOFS NOT PURPOR'T TO SHOW ItviPROVEMFNTS OR ENCROACHMEN?S, [XCEPT A.S SHUNJN. AS SURVEYI=D EY MF OR UNDER MY C!RFCT SUPERVISiON TF415 STH DAY OF DFC. , 1992_ EXISi"ING ELFV4TION SNGWN WERE iIC:iNH1?? lA 4 R HIL" INC ? TAKEPv FRGM PLANS P;70VIDED HY OTHERS. ' \ i^ y?----- OI-iN C LARSnN, I_AND $URV6YOfi MIPJIJESOiA LlCENS[ NUDAEt[, 1982£1 •r , m ? TI 5i, ? `;I?' U ?- 0 tJ '17, 5?C : ?? T L] ? ?J - I ? C7i m ? i o ; m.._ I I I ? ?0 ? T ?arne5 R. Flill ; nc? PLANNERS ; ENGINEERS i SURVEYORS 25•:1O W CT`f f2D. 42 1 [3URNJVILLc, MN. 55337 • 612-890-6044 1 LOT SIIRDEY CHECISI,IST !OR BEBIDENTIAL ? SIIILDIN PBRMIT 71PPLIC3ITION PROPERTY LE(tA?.= ? ? Date o! survep: DocmmNT BTAND Ana 0 ? • 0 • Registered I,and Surve or si?ature and company c -/ Building Permit Appli ant H 0 0 • Legal description 0 • Address ? 13 • North arrow and bar scaie 0 ? • House type (rambler, walkout, split w/o, aplit entry, ? lookout, etc.) ? ? • Directional drainaqe arrows wfth slope/gradient t. proposed/existinq sesrer and water aervices -/ Q ? 0 Street name • Driveway ELEVATIONB Existina D ?? • Sewer service ? ? ? • Lot corners ? 0 0 • Top of curb at the driveway 0? 0 ? • Elevations of any existing adjacent homes Prooosed ? ?0 • Garage floor «-/ ? • First floor _LY/ Q 0 ?" ? ? • Lowest exposed elevation (wa2kout/window) / • Property corners FY D 0 • Front and rear of home at the foundation P9NDING ARE 8 (if aoDlic¦b7e) D C7 0 • Easement line 0 ? . NWL ? O • tiwL R/ p , PonB f desiqnation 0 Emezqency Overflow Elevation axaExsioxs • F??0- 0 • Lot lines ?a" ? 0 0`0 • Riqht-of-way and street width (to back of curb) 0 • Proposed home dimensions includin an g y proposed decks, overhangs qreater than 21, porches, etc. (i.e. all 0?0 structures requirinq permaaent footinqs) ? • Show all easements of record and any City utilities within D,?-0 ? • those easements Setbacks of proposed structure and setback of adjacent ? existing home ? 0 0" ? • Retaining requir ents, if any Reviewed • ? / o ( C/ Z? October 1992 Nam Da e / City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 Applicant's Printed Name 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 1 • -0 - 0 e t Site Address: 14--.5 5 0 - FO Ur Sea 50 a 5 C - Eq 0.1.E Tenant: M ad am k,U tt (0, a u, 14 NONE NOW # Use BLUE or BLACK Ink Permit #: 90W 3 Permit Fee: ∎ Date Received: / y / Staff: • 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.gopherstateonecaf.orq 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 ap•r•val of plans. x `l�' k Larson RESIDENT / OWNER Name: M ex-r• (a. i4 1<.0 (01 M Q L I I4 tA Phone: Co ( 2- Co 85 13 3 5 Address /City /Zip: 4550 For Sea Saks at . Ect j0.c+ 05/72 CONTRACTOR Name: IID a t t4 -- Pro P(0 vv., b t License #: 0 ( D'' C 3 PM CJ Address: b 15 ZO th-1 3-C W . Cit Lake ville State: M LI Zip: 550 41 - Phone: I 4 c t Co c tg e i Contact Person: Deio or f r 1 5 - 6 TYPE OF WORK _ New X Replacement Repair Rebuild Modify Space Work in R.O.W. _ _ _ _ Description of work: PERMIT TYPE RESIDENTIAL X Water Heater Water Softener D EcE_wn 5 _ NOV 2 3 2009 rj Lawn Irrigation Add Plumbing Fixtures ( RPZ / PVB) ( Main Lower Level) Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) State Surcharge) FEES $ 5 0.5 O $30.50 Lawn Irrigation $50.50 Add Plumbing *Water Turnaround $100.50 Septic System $90.50 Fire Repair (replace (includes $.50 State Surcharge) Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 (add $165.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee and $.50 State Surcharge) burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 Applicant's Printed Name 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 1 • -0 - 0 e t Site Address: 14--.5 5 0 - FO Ur Sea 50 a 5 C - Eq 0.1.E Tenant: M ad am k,U tt (0, a u, 14 NONE NOW # Use BLUE or BLACK Ink Permit #: 90W 3 Permit Fee: ∎ Date Received: / y / Staff: • 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.gopherstateonecaf.orq 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 ap•r•val of plans. x `l�' k Larson øü ðõ ýüû þýýüûúÿðúÿÿ ùüüýýûñð÷ùýý ëô þõ üôþ ì ë ÿþ þý úùø÷öõôòþß þþ ù÷öõ ô ÷öõçõ þ õ þùþ éùõö Ùü úïù è ÷ðú ý ý âþùü ðú ëýþ ú ûúåØë ðüûîó ë þèæ æ åå ÷ù úù üþÚùæ æå ìåëì Úù å öûôð óò õõ ó î úÝù ð ë èù úþþ öðù îó ýüîó ëë íê øöòü þõõþ ã ðþ ü ðõöò õõøú ãîþúùþöãýüé þå õõß ðúüù þþùöúüù PERMIT City of Eagan Permit Type:Building Permit Number:EA136922 Date Issued:06/07/2016 Permit Category:ePermit Site Address: 4850 Four Seasons Ct Lot:012 Block: 001 Addition: Whispering Woods 5th PID:10-83954-01-120 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 - Marlan S Kulhmann 4850 Four Seasons Ct Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA142037 Date Issued:04/12/2017 Permit Category:ePermit Site Address: 4850 Four Seasons Ct Lot:012 Block: 001 Addition: Whispering Woods 5th PID:10-83954-01-120 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 - Marlan S Kulhmann 4850 Four Seasons Ct Eagan MN 55122 (612) 750-9855 Home Depot At Home Services 2455 Paces Ferry Rd Atlanta GA 30339 (952) 345-6057 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA142484 Date Issued:05/04/2017 Permit Category:ePermit Site Address: 4850 Four Seasons Ct Lot:012 Block: 001 Addition: Whispering Woods 5th PID:10-83954-01-120 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) 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 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 - Marlan S Kulhmann 4850 Four Seasons Ct Eagan MN 55122 Polar Builders Inc 1103 West Burnsville Parkway Suite 110 Burnsville MN 55337 (612) 432-1597 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA142706 Date Issued:05/15/2017 Permit Category:ePermit Site Address: 4850 Four Seasons Ct Lot:012 Block: 001 Addition: Whispering Woods 5th PID:10-83954-01-120 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 - Marlan S Kulhmann 4850 Four Seasons Ct Eagan MN 55122 (612) 607-5701 Home Depot At Home Services 2455 Paces Ferry Rd Atlanta GA 30339 (952) 345-6057 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA142771 Date Issued:05/17/2017 Permit Category:ePermit Site Address: 4850 Four Seasons Ct Lot:012 Block: 001 Addition: Whispering Woods 5th PID:10-83954-01-120 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 - Marlan S Kulhmann 4850 Four Seasons Ct Eagan MN 55122 (612) 750-9855 Home Depot At Home Services 2455 Paces Ferry Rd Atlanta GA 30339 (952) 345-6057 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA143043 Date Issued:05/31/2017 Permit Category:ePermit Site Address: 4850 Four Seasons Ct Lot:012 Block: 001 Addition: Whispering Woods 5th PID:10-83954-01-120 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & 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 - Marlan S Kulhmann 4850 Four Seasons Ct Eagan MN 55122 (612) 750-9855 Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA155280 Date Issued:05/07/2019 Permit Category:ePermit Site Address: 4850 Four Seasons Ct Lot:012 Block: 001 Addition: Whispering Woods 5th PID:10-83954-01-120 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. 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 - Marlan S Kulhmann 4850 Four Seasons Ct Eagan MN 55122 (952) 454-4945 Bell Remodeling & Roofing 7675 W Highway 13 Savage MN 55378 (612) 760-0949 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA155488 Date Issued:05/17/2019 Permit Category:ePermit Site Address: 4850 Four Seasons Ct Lot:012 Block: 001 Addition: Whispering Woods 5th PID:10-83954-01-120 Use: Description: Sub Type:Residential Work Type:Alteration Description:Repair main gas line 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 - Marlan S Kulhmann 4850 Four Seasons Ct Eagan MN 55122 (952) 913-5938 Metro Air 16980 Welcome Ave SE Prior Lake MN 55372 (952) 447-8124 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA165160 Date Issued:10/20/2020 Permit Category:ePermit Site Address: 4850 Four Seasons Ct Lot:012 Block: 001 Addition: Whispering Woods 5th PID:10-83954-01-120 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Marlan S & Sharon Kulhmann 4850 Four Seasons Ct Saint Paul MN 55122--301 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (651) 633-2561 Applicant/Permitee: Signature Issued By: Signature