4855 Four Seasons Ct
PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA092831
Date Issued: 02/16/2010
OR Permit Category: ePermit
41~ it~ of E3
E
Site Address: 4855 Four Seasons Ct
Lot: 008 Block: 001 Addition: Whispering Woods 5th
PID:10-83954-080-01
Use:
Description:
Sub Type: e-Windows iDoors Construction Type:
Work Type: Windows Doors-New ; Replacement
Description: House
Census Code: 434- Occupancy :
Zonin,:
Square Feet: 0
Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL - Base Fee S3K $88.50 0801.4085
Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195
Total: $90.00
Contractor: - Applicant - Owner:
Home Depot At Home Services Kell P Bjordal
656 Nlendelssolm Ave. N 4855 Four Seasons Ct
Golden Valley NIN 55427 Eagan MN 55122
(763) 42-8826
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and Cite of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
IN5PECTION RECORD
I CITY OF EAGAN PERMIT TYPE: "t" I 10 1 "b '
3830 Pilot Knob Road Permit Number: 0 •'H .4t 0
Eagan, Minnesota 55122-1897 Date Issued: 0;4 (612) 681-4675
SITE ADDRESS: APPLICANT:
?'• f ullk ??t A'>uN " , !• t$ ?tAkA+tl 11011?tt
bT14 " 1-S2Ti ?
PERMIT SUBTYPE:
TYPE OF WORK:
N r
EiA'.
ikE ', I fd 1 P1 f 1)ty
Rt,t1614 (N I I I; i r?('?f
Permft No. Permit Holder Date Telephone #
ELECTRIC
PI.UMBING
HVAC
inspectton Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS 5VC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLQG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
il \I..Ji L</ 11\J1 \ i_LVtlJ& ML i/ ---?CITY OF EAGAN PERMIT TYPE: "' 1 t" H"'
? 3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 .
SITE ADDRESS: APPLICANT:
f i# • , i. i a?r c ?:i.????
PERMIT SU.BTYPE:
TYPE OF WORK:
-, I i r RA r r tM
INSPECTION .. . DA
.„
I P.N (dEVifWf'{1 KY CftAi(3 NQVA('Y'a'K.
1F•'fikH'tE NFRMf t Rf9UtccE0 r•i+fc ANY P11laNiNii ?JOI:r
'.1 ? :t ?r trli? t!?? ;f il l Yli, I" f'. 1) I ? ?',1 !'1 }'!?} f( r?l'J;!
?
IL
?
?
?
3 ? as?
P rtnit Holder Date Telephone #
PLUMBIN 41 L,?,y ,0 F3 M,,?7
HVAC
Inspection Date Insp. Camments
FOOTINGS
FOUND
FRAMING
r
ROOFWG
ROUGH
PLUMBWG
O -,(j ?
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BDARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PIBG
FINALHTG
ORSAT
TEST
.
BLOG FINAL
DOMESTIC
METER
IRRIGATION
MFTER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
95MT FINAL
DECK FTG
i DECK FINAL
fttr#if iratP of Orru?aury
Citp of eagan lor}s?rtmrtd of mdmm ,Jnaperfinn
This CertiJtcate rssued pursuant to rhe requirernents of Secrion 306 af the Uniform Building
Code certifying that at the Ae of issuance thts structure was in compliance wilh the various
ordinances oj the City regufadng building construc#on or use. For the follawing.•
use a.sifi,m SF DWG B1Jg. NMkftN,. 243
oocupsncy rype - R-3 !i-1 Zoning Dislrid R-1 Tyoe co.t. V-N
owwrote,,;ia;ng_ MCDONALD CONST INC Add,v, 1212 BLUEBILL BAY RD
B,,;un Addrm 4855 FOUR SEASONS CT L?,,hty IB, B1LMUSPERING NOOD6 9'IH
1 n,, , .,i, Date, AUGUST 3, 1992
euaa* o?.;,i
POST IN A CONSPICUOUS PLACE
INSrECTI?N RECURD
?.. ?..
- CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: LoI? A r+t n41: 1 t APPLICANT:
48!-•', FpUR SEASOMB G1 NCDOMAl.O COMST XNC
14Ht',F'VFtIMli 410QDS 6TN (612) 688•-1861
PERINIT, §,UBTYPE:
I R+'MARX %r's & u CON iRAr. tOR - S1 Att F°l. 8O-i
' #F1,• ? ?
TYPE OF WORK:
Control No. 0224
0A16`s'.4:1
i!4/t+l/92
MEW
L
PermR No. Pormtt Holdw Dete Telephonr •
SJ1N
PLUMBING
WVAC ()_?
ELECTRIC
ELECTRIC
Inapectia? Dde Imp. Commereb
Footings I
Foundadon
Fro"m'g
Roaflng
Ro,* Plbg. .9
aa,gh Ht9. C_z3 Oo7
k". So? ar ??e'v--?? ?r . G zf y t
Flrepiece
FkW Htg
Orsat Test
FNial Plbg.
J Plbg. Inepector - Notlfy Plumber
Conet. AAeler
EngrJPlan
ewe. FwW
oock Ftg.
Oeck Ftnal
Well
Pr. Disp.
C-13 9Z ,a? Zs?` ?,
f1TY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
, -III. ',r a (M , a i
;? ?.? c ?. ? rj?, i ????tt•, ,, t II
ON RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
PERMIT SUBTYPE:
TYPE OF WORK:
I) t 1I I Ii 1wAI
?
?
PermB No. Partnk HoFder DaLe Telephone #
S/W
PLUMBlNG
HVAC
ELECTRIC
ELECTRIC '
InspecUon Dete Insp. Comms?ts
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Finel Fitg.
Orsat Test
Final Plbg. Plbg. Inspecto? - NotiTy Plumber
Const. Meter
EngrJPlan
Bidg. Rnal
Deck Ftg.
?a? Q
/ ?CJ
Dedc Final
We11
Pr. Disp.
Address: 4855 FOUR SEASONS CT Lot $ Blk 1 Sec/Sub WHISPERING WOODS STH
These items were/were not complete at the time of the final inspection.
Date: AUG 3 1992 Yes No
Final grade (6" from siding)
Permanent steps - garage ??
Permanent steps - main entry
Permanent driveway
Permanent gas
Sod/seeded grass
Trail/curb damage
Porch
Basement finish
?eck
Please verify vlth the builder tha removal of roof test caps from the plvmbing
system and the shut-off o£ vatez supply to the outside Lawn faucet before
freeze potential exists. ?
cecmEOnre?
White - City copy Yellow - Resident copy Pink - Contractor copy
REQUEST FOR ELECTRICAL INSPECTION ?TM^? EB-00001-OB
45 4 0 5„?P,e,,,,y [,,,,,U,,,,Q.,U„c„Uw6UP,
'X" Be/ow Work Covered by This Request
dd. Rep TypeotBwidmg App6ancesffired EqmpmentWired
Home Range Temporary Service
Duplex Water Heater Elec[ric Heating
ApL Bwldmg yer O[her (Specify)
Comm./Industnal FumaCe
Farm Air Conditioner
Olhar (syecity) Conlrector5 flemaBS
Campute Inspechon Fee 8elaw. ??
# . Other Fee # ServiceEmranceSze Fee # Circmts/Feetlers Fee
Swimming Pool 0 to 200 Amps 0 fo 700 Amps
Transformers Above 200 _ Amps 0_ Amps
SignS Inspector§ Use Only, TOTA
Vrigation BoomS ?
i
Special Inspection
Alarm/Communication THIS INSTAlLAT10N MAY 8E ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 78'M61,11THS,::
I, the Elecirical Inspector, hereby
rtit
th
h
b R°°9n-,"
ce
y
at t
e a
ove inspectwn has
been made. Final
OFflCE USE DNLY
This repuest voiC 18 monfis irom
?v lle Ya- /oG ?/sl?
Reduest Date p
/ Fire N Roug Inspection ? Reatl
Now II N
M1f
In
clor
i
1 V , qeq 7
? as :? No y
y
o
spe
When Reetlyl
Ixi
d
t
t
i
ti
l
k
t
b
t
b
l
n
O
cense
con
rac
or
ove e
wor
:
owner here
y request
nspec
on o
a
ect
ca
a
Job A r ss fSt t or Pou[ No I Ciry
SecVOn No Township Name or No Rarge N. Coun
Occup t P N Pho e N 1 ?
1% 1
?35
Pawer5uoP6e ` E AtlOress
EI tr al GonVacmr Company Na e) Con qor 4cense No.
Ma m Gre _(QOnlr clor or ner Makinq Instal alion?
1 L
'? •
Au rzea Si/g,nal 21 n aqor?Owner M I slallation Ph n b/eL7
13?
MINNESOTA STAE BOAflO OF ELECTRICITY •~, TMIS INSPECTION REQUEST WILL NOT
GHggs-MiCway &Eg. - Hoom 5-173 BE ACCEPTED BYTHE STATE BOARD
18S1 Universlty Ave. SL Paul, MN 55106 UNLE55 PROPER INSPEGTION FEE IS
vhona(B14)6C3-0800 ENCLOSED
' OC{?-1 c1 /RIOA? (J
EQU ?
IIII I III II I II I I II II III I III I II ?? I I?II _ Mota State Boa d of E NSPEC ON
* 0 3 2 ?? 4 7 6 t 1821 University Ave., Rm. S428, St. Paul, MN 55104 _-
Phone (819 842-0800 ?
Home Duplez Apt Bldg. Other: - Naw Addn
Commercial Indushml Farm Remod Re air
Air Cond. Htg. Equip Water Hir. Load Mgmt. Other:
D er Ron e Elec. Heof Tem $ervice
"X" above the work covered by this request Enfer remarks in ihis space and on the back of fhe white copy only.
w k're.. '5' t?-e.pla? u ^..tf
Calculate Inspection Fee - 7hrs InspecBon Requesf will not be accepted wdhout the comect fee.
Olher Fee # Service EMrance Size Fee # Circuits/Feeders Fee
Mobile Home Park Sfall 0 to 200 Amps 0 to 100 Amps
Street Ltg./Tmffic Sig Above 200 Amps- -- Above 100 Amps
Tronsformer/Generator INSPECTOR'SUSEONLV TO
TA
L G
$ign/Outline Lfg. Xfmr '
^
?
??- J
Alarm/Remote Conirol '
Swimming Pool
I hercb mm 'hot s acred ?jh..6dnml insmllonon devcnbcd h<rein on Ihe daks xwred
Irrigafion Boom Rough-in Dak
Special Inspection
Investigative Fee Final Da
THIS INSTALLATION MAY BE ORDER NECTED IF NOT COMPLETED WITHIN 18 M NTHS.
320- 4 4 7 OFFlC SE ONLY This reqoest v IB monthslmm validahon dore primed in Mis 6ax
??i'« ( 54ltl-?
l ( Z .
,?
PLEASE PRINT OR TYPE ?p I SQS ?O
Request k Rovgh-in mspecnon reqoired2 Yes ?l ecnon OtherThan Roogh.ln ?ady Now ? Will Coll
t
q L5 ?Yau mus? <oll the inspeclor whm reody) Ready.
D,,
1,)g licensed conhacior ? owner hereby requesf inspecfion of }he above elechical work a}:
Job Pddress (5tree1, Brn, or RoWe No )
L1S55 T-ol9r Gry
SedionNo Townsh,pNam<orNo. RangeNa. Fir<No Covry
? L-
Occo ant ? S Phon=-Na. .
O^
PowerSupplier Mdress
ElMnml Conimcior (Company Name)
eyA
? CoMmclor hmnse No Master L< No (Planl Elen Only)
Mailin9 Addmss (Confratlor or pwner PeAorming InstollaM1On)
_QcUA 4. 9140
Amhonzed t n(
CoMracbr or Owner P arming Insmllalion) ' P,hg No -?/
EB-OOOUTA-IOX/95 ?J-STATEBOARD fOPY'?FEEINBTRUCTIONSONBACKOFYELLOWCOPY
A,?,REQUEST FOR ELECTRICAL INSPECTION EB-^oo/ooiy-ps/
/ J 10, See mslmctions tor complevng Ihis torm on back of yellow copy ?y ?`?? ? p( f0 p
"X" Below-Work Cfivered by This Request
Ne tld Rep. Type of Butlding Appliances Wired Eqwpment Wired
Home Range Temporary Service
Ou lex Water Heater Electric Heatin
ApL Budding Dryer Load Management
Comm./Industnal Furnace Other (Specit )
Farm Air Conditioner
Other (specily) CanirecroYS Famarks,
Compufe Mspectron Fee Below,
# Other Fee # Service Entrance Size Fee N Cvcwts/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200-Am s Above 700 _Amps
Si nS Inspector's use Oniy TOTAL
Irrigation Booms ? 19
S ecial Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MON7HS.
I, the Eleclrical Inspector, here6y Roi oete
certify that the above inspection has
been made.
F'"ai
oe?
OFFICE USE ONLY
This request void I8 months from
aY?? d
o 9
?o
?22 F31
r
.
1,2,121
Repu st Dale ? ?
? Fire No Rou h-In Inspecdon qmretl
(VOU must cell inspecto wh rea In e tionedtly Other Tnen Rougnln
Now ? Wili Nolity Inspector
? Yes No t fieatl
IXicensetl contractor ? owner hereby request inspection of above electrical work at:
Job Address (StreeL Bax or Foute NoJ ?
? S ? F-OLki- C-Fc15c?hs Ciry
Section N. Township Name or No Renge No Coun ? I
/ r D' "-
Occupant(PRINT) ?
OV ?J Phane No? q?;- 6q6
PowerSUppM1er Adtlress
Electncal Conirador(COmpany Nam
S ar? E.QC:fti^tC'._ Conlradors Lcense No.
?? 700
Mading Atltlress (Coniractor or Own r M kmg Instell tion)
?I/ 4L ?G45? . . /V? S
AutM1Onzed SignaNre (COntractaV wner Making Installation) bone /N?u?mb/er l
l
/LJ?/( IJ l
sa(/
MINNESOTA STATE BOABU OF ELECTHICITY
GNggs-Mltlwey Bltlg. - Room 5428 I I (I I I I THIS INSPECTION PEOt1EST WILL NOT
BE ACCEPTED BY THE STATE BOARD
1821 Unlverslly Ava., SL Peul. MN 55704
Phnnn IB191 FG9_O0.l?O UNLESS PROPEF INSPECTION FEE IS
FNCI (1SFO
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT I Control No. 0224
PERMITTYPE: euiLoiNo
Permit Number: 000243
Date Issued Q 4/14 /g 2
SITE ADDRESS:
4855 FOUR SEA50NS CT
LOT: 8 BLOCK: 1
WHISPERING WOODS 5TH .
DESCRIPTION:
Bui.lding_ Permit Type 3F OW6
Building Work Type NEW
UBC Occupanoy, R-3 M-1
Construction Type V-N
Zoning R-1
euilding Length ` 74
Building Width , 32
Building stories Z
. : ._
l n
' ??' -] '?•`? A'_ tLl A_:'?? ?-J L?.. J
REMARKS: (' O I ? D ql
S& W CONTRACTOR - STAR PLBG
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SAC 8
SAC Units
Subtotal
VALUATION
;ise,eee
=849.50
$552.18
;80.00
;700.00
100
1
$2,181.68
MISCELLANEOUS $1.610.50
Total Fee $3,792.16
CO'?1CIS6FALD-' - nPPiicanc - s i . IAOWNER'
CONST INC 16887061 0002 76 MCDOkALD CONST INC
1212 BIUEBILL BAY RD 1212 BLUEBILL BAY RO
BURNSVILLE pN 56337 BURNSVILLE MN 55337
(612) 688-7061 (612)688-7061
I
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State af Mn.
Stzs and City pf Eagan Ordinanees.
n .1t
' ?IIV1n 40]?'.1?
-?5?? ? 13Y. IGNA URE
AP ICANT/PERMITE LEL
PERMTT #
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
681-4675
i
`AP^ % ;? REd1
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set af
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
D /I CTIn /ct T_ Val uati on of work I 3,, Ooo (F_xduli,? (nA
Site Location: 'I-91' ??--o;4C. =-^cg.ri `T$ss ]?Ue- ? E$-50..1 g U-
STREET STE M
Tenant Name:
L0T ? BLOLK __j_ SUBD. SF'? P.I.D. # '
1 U_
Descri tion of work: S; tf. Sayn L
The applicant is: ? Owner Contractor ? Other (Describe)
Name Phone
Property LAST FIRST
Owner
pddress
SiREET STE Vi
City State Zip
Company ILtrboti rAa -Z Phone b$8- 7(Ym I
Contractor Address t2l'Za Exp.
ueb;1[ Botr r License #?X?23 ?7-
7
City .
State MIU Z,p 55337
Company Phone
Architect/
.
Engineer
Name
Registration #
Address
City State Zip
Sewer & water licensed plumber ?F»r-'NuwiL uva . Processing time for
sewer & water permits is two days once area has b n approved.
I hereby acknowledge that I have re is a cation a ate that the information is
correct and agree to comply with 1 app ic Stat Minne ota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
v // I
BUILDING PERMIT TYPE
? 01 Foundation
lp:02 SF Dwg.
? 03 Two family
? 04 Multi-fam. T.H.
? OS Apt. Bldg.
WORK TYPE
Y?-'31 New
O 32 Addition
El 33 Alterations
OFFICE USE ONLY
? 06 Garage/Accessory
? 07 Fireplace
? 08 Deck
? 09 Basement Finish
? 10 Swim Pool
11 34 Remodet
? 35 Repair
? 36 Tenant Finish
GENERAL INFORMATION
? 11 Res. Add./Porch
? 12 Comm./Ind. New
? 13 Comm./Ind. Add
O 14 Comm./Ind. Rem
? 15 Public Fac.
? 31 Move
? 38 Demolish
? 99 Undefined
Occupancy 3 M-?
? Basement sq. ft.
Zoning lst F1. sq. ft.
Const. (Actual) rO..N 2nd F1. sq. ft.
(AlYowable) y- N Sq. Ft. total
# of Stories a Footprint Sq. ft.
Length ? On-site well
Depth On-site sewage
APPROVALS
Planning Building S y /?py
Enqineering Variance , ?
REGIUIRED INSPECTIONS
? Site
? Wallboard
? Footing
? Final
? Framing
? Draintile
? Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC 3AC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
sac x ) ? D
SAC Units _L
Sy1, 50
ReD.00
552 ?!8
DO,a0
loo .00
6115, o0
95,00
--3 o.z>o
3o,vo
15-0
00 0 0
_St?a, )o
Yalutim: f 1 b?,00D ?
QAR46?.: B 2. X Z 2= 7 b(-1 -4)lo =
JgS'AT; Q-19 9 42= 1216 X ts=
Y.%6_ 12?I 5=
3K 13_ 3yx/ s=
56,n-r s I2W5
z16= 1Z
aKB= ?
/273X53=
2N0 ?u??
Z2xz2 ? y9y
2y-9= le
??'/2K?9? 623
3K?3_ 3?
I16?I ?53=
,.
,.,?' ' •?
. ?. .. ?
O 16 Agricultural
? 17 Building Move
0 18 Demolition
0 20 Miscellaneous
MWCC System Y6s
City Water ?Tt s
PRV Required
Booster Pump
fire Sprinkler
Census Code ?
SAC Code -0/
Assessments
I I I 2 6 1-1
1(bi 270
?Jk0-)
S'e5
6r7469
---
, ?
?
?
?
?
I
?
?
r- C,
u) in
ir p
?J tn
D -
z
i, x J
Lnr 9, StocKI
kIN15PERIiVG WOODS '
F1FTH ADbI'r'iOm,
DA KaTA CpUNrY,
rfrNNE sorA
e
i
J ? r
!?,?'tY?-ll
NORTH
5CAtE 1"= -70°
ALl REARIIVGS 40UMEa
05NM5 [ROM MONuMENT
By
RAGAN
D?PT
Ilieror,y ,,Frtify i;ha't thi,, survey was ;jr :}-;are.l hy me
. .?
? r.l'.aly ::r?i:stc?'•;:1
nndcY' rcy direct :;upervisivn z:nd. tii.t
L'-J.I7d Y:JI" Ll;"Lf,BT t,}7:' ].5WOf '1.11f_` Lul.l._` 07l1J'll?u'U
Date si119r:+?_
Lc:Rny 11.. 3oh.].en
i:egl:;tol'rd LL.rid Su's ; eyo< <io, i^;?9',
? s,>a
/-,P9,js.]?
9y S ?
? .?
W ?
?' 4 ?
r-'+
- - ?r
?
?
?S.
0
yj ?U
N
? oz Q
U- L- -' 1, _rJi_,
?P
!00
?3
.?
?
-;?n e,l.a?t? `w, 779.5
P?XVpEME n'Y
?
Ly,'
a?
rS?o / " a
-a ?
Q_j `
ot -- - -
M ,
t
M'
? ? .???.r-
.??c n
' ?" ?s.. 115,90
N
?,4 ?v $ V°2 y'1P"E A
r?
.
?I
' ..? -
I '
FI1NN&SOT"TAU ?H?'CILG?CO.JZf CALC?Iy? ^? ( A
B VN CIIAP'fEtt S OF TIfL ?
F1pbEL??:?t(3Y CObF??983 EUImION
Adoptfon Effeotive
Own
Site Address ?Dr a/ $+-oCk(
9ullding cleseifiaaEivnt Type A1 (9ingle Family & buplex
1'ype A2 (Realdential, 3 atories or less) (over 9 etorieo) (Othet)
NOTEt Comdlate baass ? end 4 FiraE,
GENEAAL 1NEpRIATtOy 4
.om
1. Buildinq Ferimeter'FIv0K-+??^i?EtL ?
2. Wall heiqllt (ground tv eave) ft.
]. 1. X 2. (above) qrose wall area'X06 f?M eq.ft. .
4. Buildinq dimeneivng (L) ^ X ?w) _qV! eq.Et.roo! & Iloor sr6e
5. 5q. toot area oE tiM joist jo e elae (2 X
X (Perimeter) ? ey.ft.
?1. 12 '
6. Doors - Area \ ? "'}
Thickness in U. factor ? (
Type of construction per meter !t.
Hanufacturer
7. Total door's perimetet ft.?
S. windows: FIturerk L? 4,nAAYi. •eZ*t 9tate apptnved
U fector_t,Z
TYYE 9IZB 11REA (Sq.Ft.) HUMBEI! OF TOTAL
El?CII UNITg 9Q CBST
1
9. Total sq.ft. Olase % \ ?
10. f'iteplace area: Nidth X Ileiqht nX - eq.fti.
11. Exposed Eoundatlont tleiqhti X Perimeteri(,78?'7?.d?li??q.Et. •
COHPLETIoN OF TIIIS E'OFtH 19 ltEqUIREp FOR ALL NEH GONBTRUCI'ION. NAJOR
RENODELINO RND BUILDINOB 882N0 HOVED HIIBhB ENIIROY o OTNEIt T11Al1 T!!a NININIIL
COOE ALLOWANCEt IS V3ED. •
-1- ?
•.. ?
lJ. cross wall area1
/??,
tigndow area A?? 1??(/ ?y, fE,
Rlm Joiet nrea ?I? gq, fr,
Uoor area A ?q,EE,
Otlter doore o ft.
Exposed ttidn Aivity4sq fE. ? 1
u wlndows
U rim )vleE=_r0? ?
U door atea=
U oElier doots=It
U fowndation=M214?p •
Ux11 d ?
UxA
UxA d
UxA m
tfxA e
F'raming area
Iler well area tt.
.[t, U
U framinq nrea=' `" >t1xA ..
uall= ? UxA -
• (19d) TOTAL . . . . . . . . ?
t
A. Grosn wall areo x o.il (A-1 uinqle Eemlly 6 duplex) n elloWa le U da
(13. nbove)
x 0.21 (A-2 otheY tesidentl.al)
x .23 (oEher builditige) x .ze (over 3 etoriee
1'otl muet be lar er than or eeme
U Code k?I Q °F, es 13B above
5. Celling ftaming area (AE) equale 10t o[ cellinq area
.5A. Grona cellinq area a(t,) x(t9) d
158. JoisE area (AE) - 101 ceillnq erea -` 1 Ll sq,ft,
15C. 11et oelling area (t?C) (15h - x5n1 °I?j?1?J ?q EE.
? celit„g xA
c
U ftaminq x Af d`?_X
IL5U. 'I'OTAL U x 11........ ?
.............•.... •.41
M
l6. cellinq nrea (15A) x 0.026 (1?-1 eingle duplex)
=.ellowable UxA/Code
x 0.033 (h-2 otlier renidentiel)
x o.06 (oEher)
d'tUll muet be• Lnrger then or aama
r(15A) !?? ??J j
x U codet a ? oF, ag 15U abova
t t)se U and 1? values obEeined trom pages 1, 3 nnd 4.
?EQ2],E1QdTloHI I heteby cettlfy thok I liave calculaEed tlle flU° Eeckotn end
'R" values Iietein and tl?at the buildlnq liere desoribed meete ot exaeede the
3tete of Hlnnesora Bnerqy conservekion AcN. '
slqnetute ' ? .
-z-
?r?? 7i(-E- ?-?
---
-
?l
?
?t
?
?
-
w
?
%L
?
?
?1,14?'?
1 ?<<?
9d??
?
?
l 1??
Ao
? ?-
WtiLL '
Sl,C71OM
lnelde alt film :61P '
intetloc xail ? •4 (NeLI) U . t a
lnevletloe (q?o '
Sheathing Z•?Co O??j
SLd1fig
Outslde alr film R TOiAL Z3.D?j •
SiUD
SEC] lON
Inelde.alt Ellm 1 68
Int?tlot uall
tlf stud
Shesthing
siatne
Outelde•alt fllm
R totAL
. `5
a° -A'z7B (p. -Jrp(Framing) U . ? .
?z.oco '
.m7 , 095
lo• 53 '
2Nb NALL
SECttON.
lnslde a!r Etlm R!i .68
Lnterlor walt.
lneulatlen
Shesthing
Extetlor wall aovering
Extetlor alr Ellm' A ...L7
R TotAL
a tri
JO1ST
P6J1JF
?---
Interlor aIs [ilm R- .69
lnauletton (q,v
'!? lnch enft wood R=1.88
(Nail ) U . ? .
z
.
(R?111 U r.? s
Jolst) ' '
Sheathing 2.0(0
Eztetfot aaJl eovering .?n7
Exterlot elt film It=
R TOtAL 44.4(v
, lntetlor n!r Etlm R' .68
(lneuletlont) FjMEg&jtky, -I 9.00
txter?ta?r? e1r [llm Rs 1 , 4
7
R tOtAL Z? ? B 1
ltxpoeed Bluek
\.?? '???rade 3.
? 041
-====r•
(fdn.) U ¦ R =
-?
n VALUE , n VALUE
FIZI1HINtl CLILIlUi
-0.61 Aitfilm 0.61
? ?0•0 Insulativn 45, b
_4.39 Joist
-0456 Ce?lin9-- d 6
?•?? AirFilm__ 0 6
?2.??(p 'Co?alit ?"?0•7?J
IDZ?J ?.,1/R
ihdow infiltratlvn 0.5 efm/lineal
esidentiel door in[ilttetlan 0.9
Muirement
on-rdential dovr infiltration
fooE of cCack
ofm/equare toot or door and minimum oode
11.0 cEm/lineal Eoot of etack
'b 12" conareEe blonk no ingulntion d,47 a 2.1
'6 12" concreEe blvek lnsulated avtes
'b 12" 2iqhEweiqht block .?8 h 3'?
'b iZ" liqhEwelghh block insulated coies e??Z ???1
.12 R 9.9
? single glass = l,131 wltlI etorm vindoa .54
? dvuble glass = ,gg
I triple qlass Q .41
A1 exterivr walls end eeilinga mueti have e vppor barrier (0.10 perm mex.).
'apor barrier musE be ori-the inside (heated elde) of well.
'apor barriate of_tiie poTyethelene thin fil.m have no R velue.
i
PERMIT 333 ??--
? CITY.OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: e u x Lo a NG
- Eagan, Minne50t8 55123 Permit Number: 0 2 4 6 9 3
(612) 681-4675 Date Issued: 10 / 2 6/ 9 4
SITE ADDRESS:
4855 FOUR SEASONS CT
LOT: 8 BLOCK: 1
WMTSPERSNG WOODS 5TH
P.I.N.: 10-83954-080-01
DESCRIPTION:
B,u32dbrrg_permit Type DECK
Bu.ilding Wb.rk Type NEW
t
1
....,7
<
?-
f ,
vvv
REMARKS:
FEE SUMMARY:
Base Fee $30.00
Surcharge $.50
Total Fee $30_50
CONTRACTOR: - Applicant - 5T. LIC. OWNER:
qECKS E7C 13337757 0007180 BJORDAL KELLY
11655 RIDGEMOUNT AVE W 4$55 FOUR SEASpN5 CT
MZNNE70NKA MN 55305 EAGAN MN
(612) 333-7757 (612)895-6907
I hereby aeknowlecCge that I'haua read this
inf4rmation is cQtrect attd agree Go comply
StatuCes and City f Eegarr Ordinamces.
?
APPLICANT/PE -
applicatian and staCe zhaC the
w3.th 471 apPlicable State oi' Mn•
?
r
IS UED LS URE
CITY OF EAGAN
14Lq3 1994 BUILDING PERMITlAPPLICATIUN _?J 0 Z 0
681-4675
SINGI.E & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, copy o energy
calcs. ?rT ? 6
194
v
,
?
COMMERCIAL 2 sets of architectural & structur 1 R1M§._1 sgS_9f
specifications, 1 copy of energy c .
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested ance permit
is issued.
Date /-7_ /9q Valuation of work c;W'
Site Address: ?S ?.r?sp q Ci'{.:
STREET
SUITE !l
?
Tenant Name: (commercial only)
LOT BLOCK I SIIBD.
?V W P.I.D. #
Descri tion of work: am
,
7he applicant is: ? Owner Contractor ? Other (Describe)
Name .S PhoneR/5 -
Property 1A57 FtRST
Owner S
Address
.Sdh
STREET STE 0
City State l+iM Zip
Company ? O'.AIfS ?'"tL- Phone 7X?7
Contractor Address ?S!? Rilowwj te__,VV- License #ZKJ_ Exp.
City ??-17/1. State ? Zip D
Company Ph
Architect/
Engineer Name egistration #
Address '
City State 2ip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all licable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: _
?-
sr,
?J
?:
/l/S>o
i-09SS?
9y S ?
i
n LA
w
-
0-C;
CJ 1n
(> I Q \
z I l-
?
J
I Q ?' . .
I 'Of q
?- ,,. g•?a.?, :.r..
.1
i
?u
1 L r
N
? n
c ;; ?u
.
a ,
'i a ta e,l. P? tcr ? l. ,'77 9.1
;
a
? .?
?, ?? ??,•?
a4-
?
.. oa '?•3?? ' o,
or ?- --`'?- - ?
V
l?P ? •roAW
lh , nl . `?,•???A?.'Y9 ? m
lu
s3.. -_ti:==_- s a
? ?,r y,y l1S.90 1
j7'N>>9,q N 89°2y'f0"E
n^ S`? /w
v
N
V 1L
DE9CP'1"10N
Lor 9, BtoGK 1
WHISPERING WODDS '
FIFTN ADdlrioN,
DA K4TA CpUNrY,
M! N NE507'A
J
Ey
p4 ?y?yn?
?'?? 9( r!
N
NOR7'H
5GAlf 1'r- 30'
ALl8EAR1NG5 A0UMED
odPM5lROnr MONuMENT
TAGAN)
T liuret,y ; ertify thaL- thi:; survey wa:, prap3.1'P3 t;,y me r,i'
iufflt;r r^.y direct. >>txI,e.i•vision Linci that I. (J.aly 1Zc?iistc.?::l
Land ,-?'.iY'VC?r'u[? u;irlei t}):; ].,.W:S of ?I_i,r t?"I.FsI.?: oT :?IiT'1.x:T?O'v;a .
DatPSA .,?. 9 .J:?
???_3S?,I.f?,L._. ... • _? /?_'_'.???,,.......• . ....._
LeRoy If., 3oh.l.en
,i _ . ,.i , ,,. ^I 'I ? ,ifj ?:nr•,.y"f?• Ili? 1 n?)r1r
?
I ~
ti
yI .
?
I '
FERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612f 681-4675
SITE ADDRESS:
P.I,N.: 10-83954-080-81
DESCRIPTION:
PERMIT TYPE:
Permit Number:
Date Issued:
4855 FOUR'SEASONS CT
LOTs 8 BLOCK: 1
WHISPERING WOODS 5TH
n- .
13?11 d'1r7g- Permit Type
Bkiilding bb.rk Type
-Zensus Code''
..
ro
a
iy
/
Y!; 4 \>>
BASEMENT FINISH
ALTERATION
434 ALT. RESIDENTTAL
euzLDxNG
033256
@9J22/98
? t
:J11i"_L?" ?.?"s
REM??i?,S:Revreweo BY CRAIG NOVACYZK.
SEPARRTE PERMIT REQUIRED FOR ANY PLUMBING WORK.
CAIL 445-2840 REGARDING EIECTRICAL PERMIT AND INSPECTIONS.
FEE SUMMARY:
Base Fee $50.00
Surcharge ? $.50
Total Fee $50.50
Poq?TR?flCFTrR's
0610' XYLON
BR06KLYN PARK
(612) 493-3699
- aPpiicant - sr. Lzc. OWNER:
14933699 7928 BJORDAHL KELLY
AVENUE NORTH 4855 FOUR SEflSONS CT S
MN 55445 EAGAN MN 55122
(651)895-6907 '
I hereby acknowiedge tha have read thzs application and state that the
3nformation zs correc and a ree to comply with all applicabie State o'F Mn.
StaCutas an?i City a?agan n dinanaes.
APPLIC lPERMITEE SIGNATURE qgSUED BY SIGNATURE
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
?? 3830 PII.OT KNOB RD - 55122
681-4675
New Construction Reqwrements RemodeVReoair Reauvements
? 3 registered site surveys ? 2 copies of plan
• 2 copies of plans (inGude beam 8 window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior addkions & decks)
• t energy calculations ? 1 energy calculations tor heated aOditions
• 3 wpies of trea preservahon plan if lot platted after 7/7/93
required: _ Yes _ No .
DATE: /IIYI SK CONSTRUCTION COST; ? 691 "a
DESCRIP N OF WORK:
STREET ADDRESS: ?
Street
?<<sl? ?.?s-? SS
S?sc-,1 s co,n-?
LOT: ? BLOCK: )i SUBD./P.I.D. #:
s
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
S
Phone #: W( 5- 6 yp 7
City (?-av, State: Zip: ,SS?ari?- 30?/r
Company:
Street
City
Phone #: L 3- 3a! Y _
License # 79 00?
State: Ai+sItJ Zip:
Company: Phone #:
Registration #:
Street
Ciry State:
Sewer & water licensed piumber (new construction ony):
and lot change is requested ance permit is issued.
Zip:
Penalty applies when address chan,
I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to cAmpl wk ail applica:
State of Minnesota Statutes and City of Eagan Ordinances.
?
Signature of Applicant:
OfFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Pfan Received _ Yes - No
R.ECEIVED
_ Not Required B?
OFFICE USE ONLY
,
BU)LDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
Ll 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 = plex
WORK TYPE
? 31 New 0 33 Alterations
? 32 Addition ? 34 Ftepair
GENERAL INFORMATION
Const. (Actual)
(Aliowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
? 11 Apt./Lodging Q`
? 12 Multi Repair/Rem. O?
? 13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
? 36 Move
? 37 Demolition
Basement sq. ft.
???•-Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq.ft.
Footprint sq. ft.tc,pz
Building
?
?
/7 rs
Engineering
Variance
L!
c,
rJ
c
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SMl Permit
SNV Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation:
(.
y Z ?'
F r
$ i/
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
% SAC
SAC Units
.,._.
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMITTYPE: BuzLoiNG
Permit Number: 0 2 8 6 8 0
Date Issued: 0 8/ 2 7/ 9 6
SITE ADDRESS:
P.I,N.: 10-83954-080-01
4855 FOUR SEASONS CT
LOT: S BLOCK: 1
WHISPERING WOODS STH
DESCRIPTION:
y GAS
Buildi`n'q Permit Type
?tBu?ild?Ctc?''W,ork Type
' Census 'Gnd'e``a??
?
?
1 a
? .T . ?..
FIREPLACE
NEW
434 ALT. RESIbENTIAL
7
"C i r? +.. , ?. •-? '^.... } ?j?<?? [t7 E r, t f i _' i ?E •
.?; a.t •,? ?f , ! 4?? ? .>,? ?? i..t ? ; r? $' ?` ?-? ? ?
REMARKS:
FEE SUMMARY:
Base Fee $25.00
Surcharge $.50
Total Fee $25.50
CONTRACTOR: - Appricant - s-r. Lzc.o ?/NFR
AUTOMATIC GARAGE DOOR 15712525 0001990 6J-6AD-AL KELLEY
220 77TH AVE NE 4855 FOUR SEASONS CT
FRIpLEY MN 55432 EAGAN MN
(612) 571-2525 (612)895-6907
I hereby acknowledge thet Ihave read this app:lication and state that the
information ie oorrect:',and?agree to comply wiCh all_ app,licable 5tate oF Mn.
5tatutes and City"?of E6gan'Ordinances.'
APPLICANT/PERMITEE SIGNATUFiE -? ISSUED BY: S} ATURE
/
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1996 FIREPLACE PERMIT APPLICATION
681-4675
DATE:
DESCRIPT'ION OF WORK:
ROOM TO BE INSTALLED IN:
STREET ADDRESS: .1_
?
LOT '1? BLOCK
?X CONSTRUCT NEW FIREPLACE: _ WOOD BUItNING
1NSTALL GAS INSERT ONLY IN EXISTING FIREPLACE
INSTALL GAS LINE ONLY IN EXISTING FIREPLACE
SS
d-l-
25-- 70
x GAS
? SUBD./P.I.D. #:
?WNER ?
APPLICANT: (circle one only)
t-1,
I hereby acknowledge that I have read this application and state that the information is coaect and agree to comply with
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
PROPERTY
OWNER
FruEpisCF
INSTALLER
Name: bN vizowl. lc.eXx?-1 Phone #: 9 15- ' ? TO 7 .
Signature:
Street Address: y SLOLIr Seck-SQQ-S e-z
City: L'-ft6A'rj State: AA IV Zip: 5 S/?3
Cor.,pa,y: ArCAA0VVULk-f r- Phone #: S- 7 /-a 5-d-5'
AA' 11-d? -^ -
Signature:
Street Address: .o??U' 777H ST-1lJF- License #:
City: ~lS State: /" N Zip: S?6-?V-3 :??-
GAS L1NE Company:
INSTALLER
Name:
Signature: _
Street Address:
City:
OTHER:
Phone #:
State:
Zip:
3(? g9 ?? '1999 BUILDING PERMIT APPLICATION (RESIDENTIAL?
, CITY OF EACAN
?? 3830 PILOT KNOB RD - 55122
? 651-681-4675 ,?-5--
New Conshucifon ReauiremeMs Remodel/Reoalr Reauiremenh
? 3 registered sRe surveys showing sq. fl. of lot, sq. R. ot house
and all roofed areas (20% maximum lot coveraae allowed
? 2 copies ot plans (show beam 8 window sizes; poured fnd. design; Mc.)
1 seT of energy calculatlons
> 3 copies of tree preservalion plan ff lai platted a(fer 717193
DATE:
?
Name:3?t oYJA ? ,?? ( t-) Phone #: (OS ( " 99 S"' t7q D_I
Last FirsT
Street Address: d{.,(h S 0 N f 1..?-
DESCRIPTION OP WORK:
STREETADDRESS: _ L4 9 SS ?O? ?C.Gs50? S C?-•
LOT: - BLOCK: I SUBD./P.I.D. #: w r \-? ti
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
City ?
2 copfes W plan
7 sef ot energy calculcflons for heated addittorts
1 sNe survey for exterior atldBions 3 decks
CONSTRUCTION COST: -,0'?S?C?
- ?
State:
Company: ?N?`G? ?Vwldi? ?NMGYOrS
?t'j
Zip: SS l Z'Z
Phone #: b t'Z- 'i o-7 - bG 59
(area code) _
Street Address: (-0 4l e?- (k-o2• g• ltcense #`Zp/6'?i 3Ss3 Exp. 3745W
Ciiy 3wr u S uA?e State: `M?, zip: 5 5'33 ']
Telephone #: area code ( )
Name:
Street Address: Registration #:
City State:
Sewer & water Ucensed plumber (reauired for new construcHon onN):
Penolty applles when address change and lot change Is requested once permM Is Issued.
Zip:
I hereby acknowledge that I have read fhis application, sTate lhaf the information Is correct, and agree to comply with oll applicable
Stcte,of Minnesota Statufes and City of Eagan Ordinances.
Signature of Applicant:
Certificates of Survey Received _ Yes
Tree Preservation Plan Received Yes
OFFICE USE ONLY
No
_ No _ Not Required
??: . 2 ?
Q? CITY
vz' L BL USE ONLY ?/
u I RECEIPT#: /
SUBD. RECEIPT DATE: /4 7 /`
1998 PLUMBIN6 PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT I4aOH RD
EAGAN, 2M7 55122
(612) 681-4675
Please complete for: ? single family dwellings .
D townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
PIXTURES `
EACH
#
TOTAL
Shower 3.00 x
Water Closet 3.00 x
Bath Tub 3.00 x =
Lavatory 3.00 x
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
G85 Piping Outlet ` minimum - 1 3.00 x =
Rough Openings 1.50 x =
Water Softener ' for dwellings under construction 5.00 x =
Water Softener ' for existing dwelling 20.00 x =
U.G. Spfinkler ' for dwelling urMer const. 3.00 =
U.G. S fi1lklEf ' for existing dwelling 20.00 =
Alt?fatiOnS to existing residance ?
? 20.00 =
?/Vater Turn Around `- 20.00 =
Private Disposal System * MPC iic. 75.00 =
(new and refur6ished systems)
Private Disposal Systems * nbandonment 20.00 =
RPZ (new installation only) 20.00 =
STATE SURCHARGE 50
?
i
C>(D
TOTAL
---- °---------------------------------------°--------------------------- -------------------------
I hereby acknowledge that I have read this application, state that the information is correct, and agree to compry with all applicable City of Eagan ordinances
It is the applicanYs responsibility to notity the property owner that tha City of Eagan assumes no liabifity for any damages caused by the City during its
normal operational and maintenance activkies to the facilities constructed under ^ permit within Ciry property/right-ofmay/easement.
SITE ADDRESS
OWNER NAME:
INSTALLER NAME:
STREET ADD S:
cirr: .?i?6/'<
TELEPHONE #:
OF PERMITTEE
5? /,;2
CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1998
Loc ? siock /
Subel. ??v?., . GcJau?d 5 ?
D8te
Receipt # c g / a
_ Commercial: $25.50 + water tap if required. (City installs all taps up to 1"). If
adding new service, a water permit will be required, as well.
Existing residential: $15.50 (Plumbing permit not required if backtlow preventor was
previously installed).
_ Reside.i!ial developments: Fee to be determined by building inspecdons department.
May require payment of water permit, plumbing permit, WAC, and water ueatment
plant fees.
> 1-?u?Z ?,tE?«r?5 c? r?lvaa?
(Address to be sprinklered) SS??t--"L
,
i'hone #:
Street Address:
City, State, Zip:
Owner Name:
Street Address:
Phone #:
UNDERGROUND SPRINHI.ER SYSTEM
PLUMBING PERNIIT
V\ FINSFN. t' ftic v._
?--
5(+Yn E-
Irrigation Contractoz: s
Phone #:
I hereby acknowledge that I have read this application and state that the information is
conect and agre o comply with aIl applicable City of Eagan Ordinances
/
.'
cc: Engineering Depanment
pCITY USE ONLY
L 0 BL ? RECEIPT#: ga' 8?l
SUBD. DATE: ?a g
1995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Piease complete for: ? single family dweliings
? townhomes and condos when permits are required for each unit
New construction Add-on fumace
V_'?Add-on air conditioning Fireplace conversion (to existing firenlace)
Date: 3 -;? °r -q ?
FEES
?
? Minimum Fee: Add-on/Remodel (existing residence only $ 20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each)
? 5tate Surcharge
TOTAL
SITE ADDRESS: g s-s-
OWNER NAME: r?,,?
INSTALLER NAME:-
STREET ADDRESS:_
CITY:
PHONE #: (
PHONE #: ?.?? o7
STATE: ZIP:
CZTY OF EAGAN
3830 PILOT KNOS ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
VABING'."w%
PS;zA"um
-°-----------
WORK DESCRIPTION
NEW CONST/-
ADD ON _
REPAIR _
OWNER NAME: kI 7Lr--.n(&d COOXY?T'
SITE ADDRESS:
LOT: ? BLOCK ? SUBD. ":90 J4K4?? d ?
INSTALLER: j:jlj?Cl nS,fl I I L? VYL?'li Vl??
?./
ADDRES5A:74 Mn+lr S'f. url
CITY:2]VrPIne, ZIP: nff?!k19
DWELLINGS &
--------------------------
COMPLETE THE FOLLOWING:
FIXTORES EA. TOTAL
ADD-ON MINIMUM 15.00
SHOWER 3.00
WATER CLOSET 3.00 Cl=
BATH TUB 3.00 :;?; -
LAVATORY 3.00 1:7-=
KITCHEN SINK 3.00 A=
LAUNDRY TRAY 3.00
HOT TUB/SPA 3.00
WATER HEATER 3.00 ?
FIAOR DRAIN 3.00
GAS PIPING OUT.
(MINIMUM - 1) 3.00
ROUGH OPENINGS 1.50
OTHER
WATER SOFTENER 5.00
PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
NO
?
?
L
?
?
?
?
?
?
?
SUBTOTAL S ??
ST. SURCHARGE .50
TOTAL: ? •M
C01?AI?It??tiliji27D[?$T&ZALs' PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
----------------------
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
IAT: BLOCK _ SUBD
INSTALLER:
ADDRESS:
CITY:
PHONE #:
FOR:
CITY OF EAGAN
FOR CITY USE ONLY
PERMIT #
RECEIPT # C (?Of ?'/
DATE: IZ- 3-92
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH IINZT.
------'-------------------------------
ZIP:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $_
STATE SURCHARGE $_
TOTAL: $
(SIGNATURE)
PHONE #: I!K4' 4--jA a
CLAIPI VOUCIIER - REFOND RLQUF.ST
CITY OF EAGAt7
CLAIPIANT HOKANSON PLUMBING INC
ADDRESS 9174 ISANTI ST. N.E.
BLAINE, MN 55434
Locatlon 4855 FOUR SEASONS COURT
L8, B5, WHISPERING WOODS STH
Tteceipt No./Date 106419/6-16-92
Reasen fer Refund
T}•pe oE Refund
g/(y ??2
DI1PT TPATF' PFRMTT
Electrical Fermit
Flumbing Fermit
Mechanical Pecmit
Surcharge
Water Connection Pe[mit
Cewer Cnnnection Fermit
Account Deposit
U[ility Account Over-?'ayment
Other:
01-3211 $
01-3212 $ 58;00
01-3213 S
01-2155 $ .50
20-3713 $
20-3743
20-2252 $
2o-2z5o S
$
S
TOTAL $. 68,50
1 declaro under the rennltles of law that this accnunt, ciaim or demand is just and
thac no part of it h s been naid.
F?jy? 8 / 14 /'12
ignature ?ate
CITY OF EAGAN FOR CITY OSE ONLY
• _ 3830 PIIAT RNOB RoAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT # U /
?]iC??I&Ib72r<;?"?RlS?T DATE: ?/lP
.. ,:,..._........ ,
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMESJCONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------------------ ---°-------------------------------------------°-------
WORK DESCRIPTION , COMPLETE TftE FOLLOWING:
ND. FIXTURES EA. TOTAL
NEW CONST ADD-ON MINIMUM 15.00 ?, -
A?D ON 1 SHOWER 3.00
REPAIR _ I WATER 3.00
BATH 3.00
? LAVATORY 3 . 00 C1 • -
OWNER NAME: (Y Lc)pa KITCHEN SINK 3.00 3• _
p? ' IAUNDRY TRAY 3.00 3. -
SITE ADDRESS: gC'7_ )CZ '????C???_ ! HOT TUB/SPA 3.00
/?? WATER HEATER 3.00
LOT: ? BLOCK I SUBD.v?/ F"LOOR BRAIN 3.0-V fn?-
GAS PIPING OUT.
INSTALLER: • (MINIMUM - 1) 3.00
ROUGH OPENINGS 1.50 ro`-
ADDRESS:n "II?I`-1 OTHER cS-
? WATER SOFTENER 5.00 VCITY:T,ZIP: PRIVATE DISP. 15.00
C?r U.G. SPRINKLER 3.00
PHONE #: -I ?J`?? -U?Q 7> !,,p r
l ?? ?,I SUSTOTAL S UIT?.
ST. SURCHARGE .50
SIGNATURE OF PERMITTEE?- TOTAL: $ ILC? ?,?j? 6?16
, , .
------------
CONTRACT PRICE
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
0L7;:ER vAME:
SITE ADDRESS:_
LOT: BLOCK .
INSTALLER:
ADDRESS:
CITY:
PHONE #:
FOR:
CITY OF EAGAN
ZIP:
SUBD.
FEES
iS OF CONTRACT FEE.
STATE SURCHARGE - $.SQ FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
$
TOTAL:
$
( S I GNATIIRE )
Use BLUE or BLACK Ink
f ' ~~/lo O!D
~'f 5 /S Gc~C3~ U ~r.~ I -
For Office Use
r 7
Permit#:
I
City of Ea I Permit Fee:
I
3830 Pilot Knob Road I I
1
Eagan MN 55122 I Date Receiv 1
Phone: (651) 675-5675
Fax: (651) 675-5694 staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: G t V Site Address: ` 6- r0 Q r 59 4 5 0 r` 5 C-b UP
Tenant: Suite
RESIDENT/ OWNER Name: KI 8V _ Phone: 6,91 1a 45 S. 610 7
Address / City / Zip: q8 S f-O U r ~;,e o S 01 5 r0 U r
Applicant is: Owner L-Contractor
TYPE OF WORK Description of work: 6 n1(Ohc) P X, 0 il)QS
Construction Cost: 6 t T Multi-Family Building: (Yes / No
'I'HI) At- Home Services, Inc.
CONTRACTOR Name: 2690 Cumberland Pkwy, Ste 300 _ License
Cumberland Office Park
Address: _ Atlanta, GA 30339-3913 city:
State: Lie# 20268257 Ph. 763/ 542-8826
Co act: q's l 3 S 7 Email: Q7 l T o l o
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
X- Z.2 e- SJA
Applicant's Printed Name Applicant's Signature
Page 1 of 2
Use BLUE or BLACK Ink
i, I-----------------
t, ~
P V,
City of Eap I Permit 1
I
3530 Pilot Knob Road I Permit Fee: D6- j
1 I
Eagan MN 55122 1 Date Recehrad: 2-1Z
Phone: (CM) 675-5675 l I
Fax: (651) 675=5694 i Statl' I
L----------------J
20!11 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: U~ - d- Site Address:
Utr ~h
Tenant: Suite .
RESIDENTIOWNER 'Name: Phone: /451-
Addroes /City / ZI
CONTRACTOR Narrle; MILEERT COMPANY mcdba CULLIGAN WATER
: INVER GROVE HdiS•
Address: 1801 SOT" ST EAST City:
StaW • Zip: 55.077' Phone: 65.1 :45t-2241
g Contact BILL.MILBE'I+'t I. Email:
TYPE OF WORK _Nevir Replacement -Repair -Rebuild _Modlfy Space _Worklq.RA.W.
Descrl tlon w'o
PERMIT TYPE Rd IDENT/AL
Water Heater -.0 water Softener
Lawn hrlga0gn L_ RPZ PVBj Add Plumbing Fixtures Main / _ Lower Level)
• _ Septic System Water Turnaround
' .'-Neva
-Abandonment
RESIDEN77AL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water HeaferLnnQ Softener (Includes $5.00 State Surcharge)
$35.00.Lawn Irrigatlon pnclJdes $5.00 State Surcharge)
$55.00 Add Plumbing FlxtuteS, Septic System ebandonrr n Water Tumaround' (Includes $5.00 State Surcharge)
'Water Turnaround (4d $166.00 Ka 518" meter Is requtred)
• i •
$105.00 Septic System V_M~ ($10.00 per as built) (Includes County fee >ind $5.00 State Surcharge)
$85.00 Fire Repair (replace bumep out appllances, ductwork, eta) (Includes $5.00 State Surcharge)
TOTAL. FEES; ✓
CALL BEFORE YOU Dtb Call Gopher State One Cali at (031) 454-0002 for protection against underground utlllty damage.
Call 46 Hours before you Intend to dig to recelvd locates of underground utllitlea:
I hereby ackrtordedge that thh lnf rma0on N complete and socursts; Qtat tt» work wfil be In oonfonnan« with tM ordinances and oodss cfVw City of
Eagan: that 1 understand this I s psrtnk, but only'an appllc:dori *for a pemtit, and work le not to start without a pwmtt; that the work will be In
accordance wl app and pia In the ass of work which requires a rwlew and approval of plans
Applicant's Printed Name App can a Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA126922
Date Issued:09/16/2014
Permit Category:ePermit
Site Address: 4855 Four Seasons Ct
Lot:008 Block: 001 Addition: Whispering Woods 5th
PID:10-83954-01-080
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.
Ashley Orman
130 Plymouth Ave N
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Kelly P Bjordal
4855 Four Seasons Ct
Eagan MN 55122
(651) 895-6907
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:Plumbing
Permit Number:EA127733
Date Issued:10/14/2014
Permit Category:ePermit
Site Address: 4855 Four Seasons Ct
Lot:008 Block: 001 Addition: Whispering Woods 5th
PID:10-83954-01-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Amy Volby
2905 Garfield Ave S
Minneapolis, MN 55408
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Kelly P Bjordal
4855 Four Seasons Ct
Eagan MN 55122
Norblom Plumbing
2905 Garfield Ave S
Minneapolis MN 55408
(612) 827-4033
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA138992
Date Issued:10/03/2016
Permit Category:ePermit
Site Address: 4855 Four Seasons Ct
Lot:008 Block: 001 Addition: Whispering Woods 5th
PID:10-83954-01-080
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 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 -
Kelly P Bjordal
4855 Four Seasons Ct
Eagan MN 55122
(651) 503-3913
Estate Claim Services LLC
934 Cromwell Avenue, Suite 2
St Paul MN 55114
(651) 309-1114
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA161209
Date Issued:05/12/2020
Permit Category:ePermit
Site Address: 4855 Four Seasons Ct
Lot:008 Block: 001 Addition: Whispering Woods 5th
PID:10-83954-01-080
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
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: 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 -
Timothy K Anderson
4855 Four Seasons Ct
Eagan MN 55122
(952) 228-7847
Builders & Remodelers Inc
3517 Hennepin Ave S
Minneapolis MN 55408-3830
(612) 827-5481
Applicant/Permitee: Signature Issued By: Signature