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4797 Four Seasons DrCity of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4797 Four Seasons Dr Lot: 1 Block: 1 Addition: Oak Cliff 5th PID:10- 53554- 010 -01 Use: Description: Sub Type: e - Furnace Work Type: Replacement Description: Furnace Comments: Fee Summary: Contractor: Sedgwick Heating & Air 8910 Wentworth Ave S Minneapolis MN 55420 (952) 881 -7739 Quesetions regarding elec 952- 445 -2840 Crystal Gemuenden 8910 Wentworth Ave S ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan cal permit requirements should be directed to Mark Anderson, State Elec - Applicant - Owner: Brooks C Smith 4797 Four Seasons Dr Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: $50.00 0801.4088 $0.50 9001.2195 $50.50 Mechanical EA080049 09/26/2007 ePermit cal Inspector, I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature )L , r L/ ` . ) 831 BUILDING PERMIT To 6e used for Sp [I6iG/GAR Site Address -' 7"' Lot 1 Biock Sec/Sub. Parcei No. CITY OF EAGAN ; ;10 17813 t Knob Road, P.O. Box 21-199, Eagan, MN 55121 -, PHONE:454-8100 ^-----. „ -- ? ,•- t-- ..., #153.000 c Narne - - .......? ,... a.... ? Addre City ' Phone Name Address City Pho Name Address City Phone I hereby acknowlege that I have read this application and state that the information is correct and agree to comply with all appliCable State ot Minnesota Statutes and Citv qt-EaQan Ordinaaces. S , Signature ot 19 OFFICE R-3, USE ONLY M-! Occupancy FEES Zori^g l E A C ? $ Bid Permit 632.1 ) ( ctua ons ? g. 77 (Allowable) Surcharge . # of Stories ?1.1 Lengih 42T-- Plan Review 100.1 ?vtn . , c??y sAC S.F. Total -' - = ,i S.F. Footprints - gAC, MCWCC 625*1 On Site Sewage _ Water Conn ?'? On 5ite Well ?- Waler Meter ? •? MWCC System ? t. Oeposit ? Gry Water 30, . PRV Required _ S/W Permit Baoster Pump - S/W Surcharge ? Treatment PI - APVROVAIS Road Unit ?? • A Building Permit is issued lo: K' A•STARK 00 ZNC Ple""w - Park Ded. on the express condilion that all work shall be done in accordance with all Council ? applicable State of Minn 5ota 5talutes and City of Eagan Ordinances. gldg, pry. _ CoPres ??-t -?-F t `i (.. •: ? Variance - TOTAL Building Official ,. ? '?' ? .. w PsrmB No. Parmit Hoider Date Tebphone N WATER ? 9U SEINER PLUM&NG S ? fN' H.YA.C. 0 /Tl0i EIECTRIC • Inspsetion Date Insp. Comments Footings t S 4D ?? Foundalion g(, Framirg O-P Rooting Rou9h Ptg. Rough H(s. 9/ir e ? ??? U G ? B- ?? -2 - s - 1? Fnal Htg. p-ZQ ??e? P?,. Const. Meter Plbg. Inspector - Notify Plumber Ergr./Plan Bldg. Final -20- p Deck Ftg. Deck Final Well Pr. Disp. SEWER & WATER PERMIT C17Y OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE :aAr 4, 1990 OFFICE USE OtdLY METER # ? r 7PERMfT DATE CHIP #d161AK-9? 6 PERMIT # 11412 METER SIZE ~? B.P. RECEIPT # 0 7628 ISSUE DATE ' - B.P. RECEIPT DATE(QS/Q7I9U ` PRV - BOOS7ER PUMP SITEADDRESS 47``'7 SEASdNS DRIVE LOT I BLOCK 1 SEC/SUB OAK' 'LIFF 5TH APPLICA ADDRES CITY, ST PHONE: PLUMBE ADDREL CITY, STATE PHONE: OWNER: ADDRESS: z-- CITI', STATE PHONE ? PLEASE Al`L61N`TW0'V SEWER PERMITS, CONT (1- ZIP PERMIT REQUES7ED X SEWER ? WATER - TAPS - COMM/IND `'- RESIDENTIAL X NEW EXISTING Lawn Sprinkler Meters are to be Installed Ah?ad of Darriestic IVleters op-Water Line. Crqdit WILL,NOT be4iven for,beduct Meters. I AGR'EE TO'COMPLY WITH CITY OF EAGAN ORDINANCES SIGNATURE W EI METER ISSUED :ING DAYS FbR PROCESSING. CALL 4545220 FOFI INSPECTIONS. FOR STORM ENGINEERING DEPT. , - \ .' ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 , (612) 681-4675 SITE ADDRESS: ? Ur?r.. ? 1 11 { E i PERMIT SUBTYPE: INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: I 111:„ : ? APPLICANT: ? ?,? , . ? , . , ,•??? ? , . , ? ?? c ? . _.. ?.i.... .?E:.: A" ,. .. . ::,? TYPE OF WORK: A 1 I i I' r'1 ( 1 1 I lJ ? _ -?ryn.v_:• - , r . . . ... . _ . . . ' INSPECTION TYPE D• / D 'llll! :? I F' !'? l;11 t lii`?1 I IRKO,: ';f !'ARA 11. 1?Fi2M 1"1 5. R17t` HFfltl i{QtC? t tiFt itiN`! F''t IIMhi T HI, iW' V: i izc I R!1 Ai 4J4110 :- _- '1= ? ? Permit No. Permit Holder Date Telephone # S/W PLUMBING HVAC ELECTRI 00 ELECTRIC Inspection Date Insp. Comments Footings i Foundation Framing D? Roottng Rough Plbg. , 7 j Rough Htg. Isul. cs?? o Fireplace Final Htg. j /??J1ys- n ? i? Orsat Test Final Plbg. Pibg. Inspector - Notify Plumber Const. Meter Engr./Plan . Final ? `Li / Deck Ftg. Deck Final wBu Pr. Disp. INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: "' 1 11 1 "r; 3830 Pilot Knob Road Permit Number: ? Eagan, Minnesota 55122-1897 Date Issued: ' (612) 681-4675 . , . , , SITE ADDRESS: APPLIGANT: I iin( rti PERMIT SUBTYPE: TYPE OF WORK: ? M+,? <<t?r?tti c?nr?t r?i;? 1: F"t 1"T t () rt i1ii) 1 T N it' l 't N .) I I -++1f:k:`w: '; Ff'/#ftA'lE P f RMY`? f?l all11p Lfi 0'I lr ANY t1.F:1' fMYfA I b,lflF ! ??? _ Permit No. Permit Holdar Date Telephone N ELECfRtC PLUMBING HVAC Inspectlon Date Inap. Comments FOOTINGS f FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING - GAS SVC TEST ? INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ? ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECIC FTQ DECK FINAL U` . , . ClTY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 TIUN RECORD PERMIT TYPE: Permit Number: • ° ? ?t r; $1 1.0 Date issued: 0<? SITE ADDRESS: ` ' ? " • `' - ? ? " • s, ?n t ? : 01Ia ?;k tlf;nH , . . ., PERMIT SUBTYPE: 6 4 --@ 10 APPLICANT: , ? .? . . TYPE OF WORK: INSPECTION DA . DA ? RFMAitMgs MtFiSfF* REDROGMIRATH ? Permit No. Pertnit Holder Date Telephone # ELECTRIC PLUMBING gaQ HVAC Inspection Date Insp. Gomments FOOTINGS ?y /`i G?J FOUND FRAMING ROOFING ROUGt-! PLUMBING PLBG AIR TEST ROUGH HEATiNG L 3Q?' ? GAS TESTSVC: a^? v-7 a ? INSUL g- GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG ?LRi y FINAL HTG pC0 ?.O oasnr TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG 0£CK FINAL i ./m i . ? RE: 4797 FOUR DATE: MAY 24, 1990 (K A STARK C0, INC) x _ Your Sewer & Water Permit for the ab E Public Works Garage (3501 Coachman CALL PUBLIE WORKS (454-5220) FOR Your Sewer & Water Permit for the above reasons: rty has been completed. It will be held at the until the meter is picked up. BE SURE TO PERMANENT WATER TURN ON. cannot be completed for the following Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. 0 COMMERCIAL PROJECTS ONLY: Piease pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. ? -- ? CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD le.. EAGAN, MINNESOTA 55122 onre IJ? ? is? C? '?? ? r AMOUNT $ ` - ? ? ? . J - - ? CASH t CHECK DOLLARS +oo w? S ?--) 1 -7 Thank You __ I sv C 7fi?8 ?"? vine-Fxa copy SEWER & yyATER PERMIT CITY OF'EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE MAY 4. 1990 OFFICE USE ONLY METER # CHIP # METER SiZE ISSUE DATE _ PRV _ PERMIT DATE 35/24;':0 PERMIT # 114 12 B.P. RECEIPT # C 7 1;2:: B.P. RECEIPT DATE () S;IQ? 1?n PUMP SITE ADDRESS 471?7 ?0UR SF.ASOlf.S Dfl1VE LOT I BLOCK 1 SEC/SUB 0AK CLll1? SZH ADDRESS: (-?E( 'T CITY, STATE PHONE: t? -M a, CITY, STATE EJ u?ZIP •'???. , PHONE: OWNER: \t?v 14. ,T ADDRESS: . ? - , . CITY, STATE ZIP PERMIT REGIUESTED X SEWER X WATER - TAPS - COMMlIND ?+ RESIDENi'fAC X NEW _ EXISTING" Lawn Sprinkler Meters are to be Installed Ahkad of Domestic Meters on,. Water Line. Crqbit WILL NOT be,given for F3educt Meters. . . ?•?- . ' -_?-,_ ... ? ----?!'-r` . ? • . --?. I AC3RIEE TO COMPLY WITH CITY OF EAGAN ORDINANCES PHONE: SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGIMEERING DEPT. , a ?• a t ?trttftraf? ?f (O.Cxlipaut'n Citp of Cagari Eppxrhttrttt n# Brilding jm4tedion T his CeridifiQate Lrsiced pwsuant to the requirements ojSection 306 of the Unrjorm Buildiag Code certilYinB that a1 fhe tune of i.ssuance lhis strucurm Kas in canrplimwe witli the Narious ondixartoes ojtlre City regulating building consduction or use For the following.? the cbmiscstims SF UaG/GAR ??Nm 17813 R3 I RI VN cow- Owwv ?? K.A. STA/14 I? rJO. ?? ?? 629 107H ST?. NGJ, NEW BRIGRM --,- -_ 4797 Fo1.1lt SFAM I?LlVE _.. L 1, B 1, 4AK ?.IFT' Sgi SkPMER 20, 1990 POST IN A CONSPtCUOUS PLACE f , - PLUME3ING PEfiMIT For City Use Only ' CITY OF EAGAN PERMIT # CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT # PRICE PHONE 454-8100 DATE: ,i 4. e / FEES COMMJIND. FEE - 196 OF CONTRACT FEE APT. BLOGS. - COMM. RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE $12.00 MINIMUM - COMM.IND./FEE $20.00 STATE SURCHARGE PER PERMIT .50 (ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE) OF --- ---- -- ----- - - , Res--. New Const. 'C Mult. Add-0n Comm. Repair Ottier RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL ? Watef Closet - $3.00 $ .,4,.L Bath Tubs - $3.00 { o Lavatory - $3.00 I_ Shower - $3.00 I_ Kitchen Sink - $3.00 ? ` UrinaVBidet - $3.00 _L Laundry Tray - $3.00 -?? JRoor Drains -$1.50 ?, 5 U Water Heater - $1.50 ! . ? [) Whirlpool - $3.00 12• 00 Gas Piping Outiets - $1.50 (MINIMUM -1 PER PERMIT-NEW CONST.) Softener - $5.00 Weil - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 U. G. Sprinkler System - $12.00 PERMIT FEE: STATES S/C: 6 S,? ? GRAND TOTAL: ? ? m Name ? Addra c City _ ? Name c Addree p CitY - TYPE OF WORK Forced Alr Boiler Unit Heater Air Cond. Vent Cias Piping Outlets # Other MECHANICAL PERMIT cmr oF E?aAN 3630 PILOT KNOB ROAD, EAGAN, MN 55122 BLOG.TYPE Res. ' Mult Comm. Other PERMIT # RECEIPT # ' DATE: ' WOt1K DESCRIPTION New 'Add-on Repeir FEES '5 RES. HVAC 0-100 M BTU - $24.00 ? I `; i /V , t ADDITIONAL 50 M BTU - 6.40 Phone ? (RES. HYAC INCLUDES WC OM NEW TI CONSTRUC ON) GAS OUTLETS (MINIMUIVA -1 PER PERMIT) - 1.50 EA. COMMlIND FEE -196 OF CONTRACT FEE M BTU APT. BLDGS. - COMM. RATE APPLIES M BTU TOWNHOUSE & CONDOS - RES. RATE APPLIES M BTU 1AINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS - 12.00 M BTU MINIMUM COMMERCIAI. FEE - 20.00 CFM STATE SURCHARGE PEH PERMIT - .50 J (ADD $.50 S/C PER EACH $1000.00 OF PERMIT FEE) PERIAIT FEE .._.1._ . 4. ; : SIGNATURE OF PERMITTE ' S/C: . ? , ,. TOTAL: ' ? FOR: CITY OF EAGAN REQUEST FOR ELECTRICAL INSPECTION M / p ? See mstmtlmns tor completing this form on back ol yellow copy 0 O "X" Below-,WOrk-Covered by This Request Tymeey?? E8-00001-08 , - ?asa.?-. ??,? ? ew Add Rep TypeoFBUiltling AppliencesWired EquipmantWirad Home Range Temporary Service Duplez Water Heater Electric Healing Apt. Butlding Dryer Load Manegemerri Comm/Industnal Furnace Other(Specify) Farm Air Conditioner r, Otherfsuenlyl GonVa r?-, , , L„< BX Compute fnspechon Fee Below. # Other Fee # ServiceEntrance9ze Fee # QrcudslFeetlers Pee Swimming Pool 0 to 200 Amps o to 100 Amps Transformers Above 200 _ Amps Above 10D _ Amps SigOS Irispecror's Use Only, TOTAL ? Irngation Booms o Special Inspection Aiarm/Communication THIS INSTALLATION MAV BE ORDER D DISCONNECTED IF NOT Other Fee COMPLETED WITHIN ONT ? I, the Electncal Inspector, hereby Rouyn-in oate V? certify fhat the above inspection has been made Fine1 oete OFFICE USE ONLY This reduest voitl 16 monlhs imm ?o ?/ y' ?3?35aa 0 7 4 8 Requesl Date Q ?j ? / y frte No. ou mpsecimn RapWratl (VO must call inepectorwhen ree0y) InspecUOn OIM1er Tnan RougM1-In Reatly Now ? WAI Notiy Inspector / Q / Yes ? No le qeatl Alicensed contractor D owner hereby request inspection of above electrical work at. Job AEtlrass iStreet. Box or Rome No ) ? 7 roo? Qry SecLOn No Township Name or N. Range No County Occupant INT) ?s S // ? P?one N ?srti? . ?? d ; . Power Suppher Address Eieco-ical Comractor IConpany Name1 LCc i (:::., Comractor's License No 0 41 7d25- 2 Mailing AOOress IConVaclor or Owner Maemg Install n, iiciLqo t ? f?'e • p-E, Aulborizetl SiSnamre ConV clorOwner Makmg In 1 Ilat?onI ? Phone Numbei s??f t9 7 qq ? MINNESOTA STATE BOARD OF ELECTRIQTY THIS INSPECTION REOUEST WILL NOT Gnggs-Midway Blpg. - Room 5173 BE ACGEPTED BV THE STATE BOARD 1821 Unlverzlly Ave.. SL Paul. MN 55104 UNLESS PROPER WSPECTION FEE I$ Phone161Y) 602-0800 ENGLOSED . (0 577 5 1 Request Dat ? Rre N. Rou Req ? specLOn 1_ ? ReaOy Now?^/nl Notity Inapector F tl + , ? Wh 4 es G No en ea y I licensed contractor O owner hereby request inspection of above electrical work at: Jo0 AtltlreSS ($treet, Box or Roule No ) 9797 ovi Se? so? ?'` , Ply z 9 y ?. Section No Township Name or No Ranqe No Coun / ? Oc<opant (PRINTI ' ?? G Phone No P Sup ber 4L[e4 r Atlaress EleclnqPonhac1or`GOmpa N e) Contrec?or'sLCen No. OC ? L _ 2 MeJmpqd?s?o? ctor or ner ? ?king Inslalle S` M ??4/ v Nf/? tno ieE Si Wr ? on?ctou ing Ins IlaOon) Ph? e Number /? -?-'-Y " MINNESOTA STATE BOARD OF {LECTflIGTY THIS INSPECTION qEDUEST WILL NOT Grlggs-MiEway Bltlg. - Poom $ t]3 BE ACCEPTED BV THE STATE BOARO 1831 UnWersity qve., 51 Paul. MN 55106 UNLESS PROPER INSPECTION FEE IS Phone(612)6CY-0800 ENGLOSEO REQUEST FOR ELECTRICAL INSPECTION J? See msfmcimps for comyTeting Nis lorm on back oi yellow copy (C?j 'rj 77 F) 5 'X" Be/ow Work Covered by This Request fMP+4.\ EB-00001?0 ?'? ew _nj ?ep TypeofBmlding AppliancesWrted EquipmentWiretl Home Range Temporary Service Duplex Water Heater Electric Heating Apl Building Dryer Other (Speaty) Comm.lindustnal Fumace 4 d Farm An Conditioner Omer(sDeciry) Contraaor5 Remarks (? Compute Inspection Fee Below: ? "`? ?^ # Other Fee # ServiceEniranceSae Fee # Crtcwts/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps ove 100 _ Amps SignS Inspecror5 Use Only T Irrigahon 8ooms ? Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED UISCONN TED IF NOT Other Fee COMPLETED WITHIN 18 THS. r I, the Electncal Inspector, hereby if h h Ao.qn-,h / cert y t at i e above inspection has been made. F,nai oai OFFICE ll$E ONLY ? Tnis request wi0 18 mamns trom CITY OF EAGAN NO 1 78 13 3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121 PHONE:454-8100 -7 Lo Z s BUILDING PERMIT Receipt # C ? Tobeusedfor SF DWG/GAR EscValue $155,000 Date MAY 4 1990 Site Address 4797 FOUR SEASONS DRIVE OFFICE uSE ONLY Lot 1 Block 1 Sec/Su6. OAK CLIFF STH P8fCB1 NO Occupancy R_ • 3 M-1 FEES . _ ? a Name K.A. STARK CO INC Zoning (Adual)COnst V? BIdq.Permit $ $32.00 o Address 629 lOTH ST NW (Allowable) Vn- Surctiarge 77-50 Cit NEW BRIGHTON, phone 633-1426 Y aolstones 5?+1 00 th 68 Plan qeview . Leng m o Name SAME Depth 42' SAC, Ciry 100.00 , 0 0 AddfBSS S.F.7olal - SAC MCWCC 600.00 , 4 ? City Phone S.F.Faotprints - , 6Z5 00 i S H'ater Conn . ewage On S le _ Ww Name OnSiteWell - WaterMeter 90-00 t:? Address MWCC System XX 30.00 Acct Deposil gw City Phone arywater XX 30.00 d S/WPermit PRVRequire _ I hereby acknowlege lhat I hava read this applica[ion antl state ihat the Booster Pump - S/ry Surchaige • 50 informanon is correcl and agree to comply with all apphcable State of 252.00 Minnesota StaWtes and City n Ordinances. TreaimentPl Signature of Permilee APPHOVALS Road Unit 355.00 A Bwlding Permit is issued to: K_ A_ STARK ^O TN^ Pianner - paB Oed. on the express condition ihat all work shall 6e tlone m accordance with all Counal -- agan Ordinances. apphcable State oi Min ota Statutes an Crty Bldg. Off. _ Copies ? $3,533.00 Buildmg Ofliaal Vanance - TOTAL ? SEDGWICK HEATING & AIR CONDITIONING CO. HEaTiNG JOBNO 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 681-9000 TEST RECORD ADDRESS L?? ll Qk -yokJWS 0IC.. CITY LA?? OCCUPANT Nb'' `Q? OWNEF ,v"'L,lv-'S s- M rll? SOLD BY AA? !'"' ? INSTALLED 8Y MAKE Ley\n V,d,,, SERIAL NO ,? ? 75 llc'i3?-l THERMOSTAT ? q Mp VALVE LIMIT ' J LIMIT SETTING ? 7 V FAN SETTING I 1 i•1A C'? PILOTTYPE-? IGNITIONMODEL NLI?T?/,L1,,? PILOT7IMMG 3 <- ?? ?v PRESSURE PERCENTCOz ? INPUT CFH PERCENT Oz 6?? ?7 STACKTEMP. ??? PERCENTCO t? FORM2%(REV 11/89) MODEL &bDutA-\) Z`? 6090 INPUT (-L 1i L/? ? VENT SIZE ? TYPE OF LINER v LINER SIZE ? FILTERS: SIZE NUMBER WIRING ? ??? TEST TAG LIGHTING INST. DATETESTED D-7 COMPANYTESTING - - ? NAME OF TESTER C FORMDISTRIBIITION WHITECOPY-J0ErFIL VELLOWCOPY-CITV 2004 RESIDENTIAL BUII.DING PtRNIIT APPLICATION City Of Eagan ?????---- 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 4& 1, SOg,"? ? New Construdbn ReoulremenLS RemodeVReoair Reauirements ° 3 regislered sile surveys showlrg sq. ft af bt, sq. ft of house; and ag ioofed a2as 2 copes of plan -?, ?d •,°_ ? (20% ma)dmum lot coverage allwred) 1 set of Energy Calalations tor heated additions 2 copies of plan showmg beam & window saes; poufed found design, etc. 1 site survey for additions 8 decks 1 set of Eneigy Calwlations Addltion - indicafe Hon-site sepdc system 3 copies of Tree Preservation Plan If lot platted afler 7/1A3 Rim Jo'st Dehil Options seledion sheet (bldgs wilh 3 or less unb Date g / & / 04- ConstructionCos[ 4 o5100p SiteAddress 4?qZ V7OVK $Ffk50J(5 PaIVE UuitlSte # SV"i, M.nt. sscz-A- DescriptlonotWork XMODEL. ILlTG2t£rL, &FAtll.Aj (ZQOM , P<}tLT OE (,OwetL (.G'VC2. ' Multi-FamilyBldg _ Y ?. N Fireplace(s) _ 0 X 1 _ 2 &*s qP @ FJ1'M!L'y PropertyOwner ?[LppKS ? ??? LFEp_ SM I1t} Telephone # ( liiSji) 8R q- 5,1Qfo Contractor r~ T• :T• M q1/ ia*_ Eo7LST. T}Ge.. Address 1311iS (YI.C'4H'AUE,cL A'VE City-Apt ACY?" State /4ll.F . zjp S5L2V- Telephone # ( CtSjj hql - 2Z 1 (e aA,, COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 1 Waksheet • New Energy Code Wwksheet (J submtssion type) Suymitted SubmiCed . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% pian review fee applies. Licensed Plumber IW[S I; l? H 10 I? Iflll Telephone #( 5 MechanicaiContractor ^ Aua 06 -L'U04 ieiephone#( Sewer/Water Contractor Telephone # ( I hereby apply for a Residential Building Permit and aclaiowledge 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 pemut, but only an application for a permit, and work is not to start without a pemut; that the work will be in accordance with the approved plan in the case of work wluch requires a review and approval of plans. 1'wptX' '7 MjWrW:*c- ApplicanYs Printed Name App 1 nYs Signahu OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg /,I? 02 SF Dwelling ? 08 OB-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex O 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ezt. Alt - SF 0 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenJgazebo) ? 36 Multi Misc. ? OS 03-plex 0 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-pleX Plbg_Y or _ N ? 25 MiSCellaneou5 work rypes FA'6Y? 2 kEvjQ1 ? 31 New ? 35 Int Improvement O 38 Demolish Interior ? 44 Siding ? 32 Addition ? 38 Move Building ? 42 Demoiish Foundation ? 45 Fire Repair ? 33 Alteration 0 37 Demolish Buitding' ? 43 Reroof O 46 WindowslDoors ? 34 Replacement •Demolitlon (Entlre Bldg) - Gi ve PCA handout to applicant Valuation Occupancy ? MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length ' Fire Sprinklered • • Type of Const, Width - I _ Footings (new bldg) _ Footings (deck) _ Footings (addition) _ Foundation Drain Tile ? Roof _ Ice & Water _ Final Framing Fireplace Y R.I. _.)rAirTest YFinal ? Insulation REQUIRED INSPECTIONS _ Final/C.O. ? FinaUNo C.O. Plumbing Zc HVAC Other _ Pool Ftgs Air/Gas Tests Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall i Approved By: ? , Building Inspector Base Fee ? •`^7 ? ?'S 8 Surcharge ? - Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other ? ?yyYLO Ll0 rvL X-5- f /-ovt,<-A Total Permit # 591 ; i ? "]-- Receipt Date: CITY OF EAGAN SEWER/WATER REPAIR OR DISCONNECT PERMIT 2003 Date Address/azea to be repaired Description Sewer Water4- Fee: $50.50 Owner: 1"1 Telephone: C1 E-( '- 511% Street Address: Zip Code: Installer: lm??US' Telephone: D--j -,I _ n ] a- ?F (area code) Address: City • ??/?? r Zip Cod r ra ?'' ('? i?- - C?Z M? cA, j C.? a??l -`- _ Applicant's Printed Name A plicant's Signa e gg q ?a MECHANICAL (RESIDENTIAL) Permit Application City Of Eagan _ • 3830 Pilot Knob Aoad, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes aad Condos when permits are requued for each unit D °7 / 4 ate Site Address Unit # Property Owner -i- h1 Telephnne # ( ?O I Z ) Contractor L/J n=2 StreetAddress w2 a_T{L(? CiTy & ,Wn(J(1/1 7 State p u?yV Zip SSD(p?_ Telephone #(?Q?? ) `y'LJ"- The Applicant is _ Owner /\ Confractor _ Other Add-on, modification or alteraHon to existing dwelling unit $ 30.00 furnace replacement air exchanger air conditioner X other _Qjd--j C'-)-n c, 1 a n1 "?:D St S h $ 50 ate urc arge F P 3 Q 2003 APRi r, II ? ? Total By------- - I hereby apply for a Resident:al Mechanical Pernnt 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 wi[h the Mechanical Codes; that I undersbnd this is not a permit, but only an applicarion for a pernut, and work is not to start without a pexmit; at the work will Ue in accoidance with the approved plan in the case of work which requues a review and approval of plans. h ? ,I n ApplicanYs7'rinte Name`Applicant's?Signature r INSPECTION RECORD CITYOFEAGAN PERMITTYPE: BurLoxNe 3830 Pilot Knob Road Permit Number: 024596 Eagan, Minnesota 55123 Date Issued: 9 9/ 2 6/ 9 4 (612) 681 •4675 SITE ADDRESS: Lo r: 1 B L 0 C K: 1 APPLICANT: 4797 FOUR SEASONS DR CHRIS'S CUSTOM CARPENTRY OAK CLIFF 5TH (612) 423-6669 PERMIT SUBTYPE: BASEMENT FINISH TYPE OF WORK: flL7ERpTION INSPECTION FRAMING ., . INSULATION .. ROUGH IN PLBG FZNAL REMARKS: SEPARATE PERMITS ARE REQUTRED FOR ANY PLUM6ING OR ELECTRICAL WORK r- 7 L I ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMITTYPE; BuILoING Permit Number: 0 2 4 5 9 6 Date Issued: 6 g /2 6/g q SITE ADDRESS: P.T.N.: 10-53554-010-01 PERMIT CR.3143 4797 FOUR 5EASONS DR LOT: 1 BLOCK: 1 OAK CLIFF 5TH DESCRIPTION: B,u'ilding'-Plermit Type Building Wo?rk"Type Ct OC,.Fj'?'' e fi BASEMENT FINISH ALTERATION REMARKS: SEPARATE PERMITS ARE REQUIRED FQR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY: Base Fee $35.00 COPY $.50 Surcharge $.50 Total Fee $41.00 Lic. Search Fee $5.00 5ubtotal $40,50 CONTRACTOR: - Applicant - S7. LIC. OWNER: CHRIS'S CUSTOM CARPENTRY 14236569 0008532 SMITH BROOKS 15643 CORNELL TR 4797 FOUR SEASONS OR ROSEMOUMT MN 55068 EAGAN MN 55122 (612) 423-6569 (612)894-5196 I hereby acknowledge that I have read this information is correct and agree to comply Statutes and City of Eagan Ordinances. ? d4e /Z APPLICANT/PERMITEE SIGNATURE application and state that the with all applioeble 3tate of Mn. « o?f ? ? ' ISSUEJD BY: SfGNATURE -i -fi CITY OF EAGAN 14 1994 BUILDING PERMIT APPLICATION $41, 00 681-4675 r P01 ? ?a ?? Q- ? ? SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy CdlCS. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. 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 once permit is issued. Date 5?'_ / 19 Val uati on of work 9 a od .66 Site 9117 ?o??5ep,5,?v,? ?r• ?qGOo -:fflao? STREE7 SUfTE tl Tenant Name: (commercial only) LOT BLOCK I SIIBD. 6'Ia?, t fi, P.I.D. # Descri tion of work: ySeM ,v> rA?iS.s< The applicant is: ? Owner ? Contractor ? Other (Describe) Name ?m?7?1 B)s ' `6 JeN?uj?tr Phone RN -5I9?u Property LAST FIRST Owner ,s s.t q'M ? Ls' Vs 05- a . Address 0 CV STREET STE # City State M Zip Company CVS'f Wm G?JQVT4 Phone w" s6q Contractor Address 15? Y3 &QVaL- ?IL License # 5 3oZ Exp. 3" ?S City R65, h'1-a,w"1 State mly Zip J?5 ob0 Company Phone Architect/ Engineer Name Registration # Address ' City State Zip 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 wit)j all?pp ble State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ' OFFICE USE ONLY BUILDING PERMIT TYPE .. ?_ ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging & 16 Basement Finish ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Paol ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessary ? 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. O 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE ? 31 New 033 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move ; GENERAL INFORMATION Canst. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Basement sq. ft. lst F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-s9te well On-site sewage Pl.anning Building Engineering Uariance REQUIRED INSPECTIONS ? Site ? Footing ? Wallboard R Final MWCC System City Water PRY Required Booster Pump Fire Sprinkler Census Code SAC Code Census Bldg Census•Unit Assessments ? 424 d A Framing ' ETInsulation ? Draintile , ? Fireplace Permit Fee veimc;d,: g Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter , Acct. Deposit , S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies ,50 Other Total: SAC % SAC Units PERMIT ? CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: a u zLo z rv G Eagan, Minnesota 55122-1897 Permit Number: 0 3 0 5 8 9 (612) 681-4675 Date Issued: 0 8/ 2 0/ 9 7 SITE ADDRESS: 4797 FOUR SEASONS DR LtlT: 1 BLOCK: 1 OAK CLIFF 5TH P.I.N.: 10-53554-010--01 DESCRIPTION: °"`?--- (INCL DECK) Build3ng-2ermit Type SF AODITION ;$uilding_Wo?,K Type NEW '! Census Code 434 ALT. RESIDEN7IAL .d?, . ?rcw}e'.. Y' , . r. °+.:7 t.Y? ? •.?[.?.1:;:?.i.V' i. w. ?..._.?' REMARKS: MASTER BEDROOMjBATH FEE SUMMARY: VALUATION A Base Fee Plan Review Surcharge Lic. Search Fee Total Fee $840.19 $41,000 CONTRACTOR: _ Applicant - sT. LzC OWNER: ENERJAC CONST INC 14368517 0002473 SMITH BROOKS 1688 STRAWBERRY HILL RD 4797 FOUR SEASONS DR AF70N MN 55001 EAfiAN MN 55122 (612) 436-8517 I hereby acknowledge that I,-have.re?)d I &APPWLIG',;?ITEE SIGNATURE "'$493.75 in€"prm3'Eion Ys carr8ct arid a'gree'to `ct ? Statutes and City qf an O.rdinances. $320.94 $20.50 $5.00 tlnis appli?at5.?n ?t7ti sE?ate thaGvthe; mply '.with 'all? 6pplicabl`e Sf?ate of iM'rir. ° ? k orr? ( YYL1?- ' I5S'ilED BfN?11- .TUFIE ? 997 BUILDING PERMIT APPLICATION (RESIDENTIAL) 0? CITY OF EAGAN 3 bl 8830 PILOT KNOB RD - $5122 681-4675 New Construction Reauiremants RemodeVReoair Reauirements ? 3 regiatered site surveys ? 2 eopies of plan ? 2 copies ot plans (fndude beam 8 winWow sizes; poured fid. design; etc.) • Y site aurveys (exterior a00itionc & tledcs) ? 1 energy celalations ? 1 energy calaletions tor heate0 eddkions ? 3 aapies of Vee preservation plan if lot platted after 7/1 f93 requfred: _Yes No ' DATE: ?? 7,F 7 CONSTRUCTION COST: DESCRIPTION OF WORK: STREET ADDRESS: LOT / BLOCK ? SUBD./P.I.D. #: ,- '-e/`) 'STi z Z PROPERTY Name: Phone #: OWNER Street Address:__Z2f 7 Ciry:L2g,"A'./ State/?iJ Zip: 5?p'/7z- CONTRACTOR Company: Phone #: Street Address: -'? 51aL,4?k /'Lz- License?#: a41 73 City: 4fr.? State: 412^/ Zip: ARCHITECT/ Company: r - Phone #: ENGINEER Name: Registration Street Address: City: State: Zip: Sewer 8 water licer5ed plumber (new construction onty): . Penalty applies when address change and lot change arc, equested once permit is issued. I hereby acknowledge that I have read this appliptlon and state that the iniortnation is correct and agree to mp y with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY RECEIVED CeRftates af Survey Received _ Yes _ No AUG 0 5 1997 Tree Preservation Pian Received - Yes _ No _ Not Required HY: 410 ? OFFICE USE ONLY BUILDING PERMIT TYPE , 0 01 Foundation ? 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish 0 02 SF Dwelling o 07 4-plex o 12 Multi RepaidRem. 0 17 Swim Pool /X 03 SF Addition o 08 8-plex ? 13 Garage/Accessory o 20 Public Facitity 0 04 SF Porch o 09 12-plex o 14 Fireplace n 21 Miscelianeous 0 05 SF Misc. ? 10 _ plex o 15 Deck WORK TYPE ? 31 New o 33 Alterations o 36 Move 0 32 Addition o 34 Repair a 37 Demolition GENERALINFORMATION NQTF? INf.tUCES Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered 2oning sq. ft. PRV # of Stories Length sq. sq. ft. ft. Booster Pump ? Census Code. Depth Footprint sq. ft. SAC Code 01 Census Bldg I Census Unit 0 APPROVALS Planning Building f'M Eng ineering Variance , Permit Fee Valuation: $ I 0 Surcharge Plan Review G(2/tV?/l 5{-'? ? License - - MCNVS SAC Zn?x ?O City SAC Water Conn. Water Meter Acct. Deposit IST T?,L-w(Z •, S/W Permit S/W Surcharge G ?3 ?I g0? ? -7 00 X Treatment PI. Road Unit Park Ded. Trails Ded. Other I IDO _Go Copies Total: 2?, Gb °k SAC SAC Units ---, ?v \ ? ? ? ? e ir4r oa• w iaui z a$ AA a [1 Q E3 C CNGI1VGGt11No .? C0llll'A1mf 'f1L. IOQU EA9T 1161h Sif1E[T, /f A 5'mw C'o. ltiic r "?9r>?'.0/ cO NSqlNNcti FNalrrefns LnNNeiis ti„ii i.nriu Ni4EYU(13 ?jopx 14z p4G,E 43 IlUf1N5VI1.LE:, fAINNE501A 6635I FN 432'3UUU GerlificccUle or Surv_ey L ,,eg a 1 ll e s c r i l? l i u i 1.:!_07 /, 13LOG/? /, O/J,C' CL /Ff_ 5711 4O017-10A/, 1?9KUTA CDU?V 7Y, M//?/NESOT,q C`???? • ?? ) DENUTCS [XISTING CL[VATION ) ll[IVUT[5 PRUPOS[U [LC-VAIl014 --?-- INUIC/CI CS IJIIIGG'i"ION UI' S,Pfll'l1CE Dtl/11IVAUC 1=1NISFIE1) UAilf\UL; f°LUl)Il GLLVA'I'IUfJ 97a• ? 3= pASEMENT FLOOR ELEVATION ???-?3 = TOP OF DLOCI( ELEVATION ?;UIlLC ?975•?' ? 0 ? /// - 3') / URWN/lLyE f'1N0 f1TIl_17Y _FdJS_FM_FiVT I? J,, - 30 ' FiC'ON 7 P?//L O/n/G 5f- L_ /N6 (983. q) 1 ' (jl?i? ( a IR zs.m i J ? ? ? Ll 2.00 1 (992 P) ? ? ? I ' } 3 --?zna 'I ---- ---? - - ?? -- - ` ? a?/G.Ob ? d i1 ?U ? ?9RL z) iu q W K 233 ?Ll ? r ?u i; ( \ ? Po.ci m Vl nI t? I a?l \ ? ? _ • ?5'fY.2? rV 2L?on N ?O V 1.t) --- /51, 15 , . I1i'° 9R° oq,, bV - ,? i' J ? v U11 ?I l ? ?11?WI 41 1m? ?°?/ EAG11N F.NU?INErRING DEPT 1 I1010liy cellily llu1l tllis is n Inio ond cunecl repiesenl:`Ilun ol ai Irilct o( 11111i! ns showii nnd tICOC11IlOlI Ilereon? Ae piepmed by mn on tlifn Z4r1?dny al _,d Pl?'1L -----? 1y 20. + 1"J / CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE Permit Number: Date Issued: BUSLpING 030332 07i02/e7 SITE ADDRESS: P.S.N.: 10-53554-010-01 4797 FOUR SEASONS Dft LOT: 1 BLOCK: 1 OAK CLIFF 5TH DESCRIPTION: INGROUND PpOL rmit Type SWIM POOL rk 7ype NEW .-14?? - 329 NOMBLDG 57RUCT. , ?p??°?m??? i????r?} ta?e_ ta :,??i"a as r"= REMARKS: SEPARATE PERMT7 RE4UIRED FQR ANY ELECTRTCAL WORK FEE SUMMARY: VALUATION Base Fee Surcharge Subtotal $187.25 $6.00 $193.25 $12,000 COPIES (7) $1.75 Tota1 Fee $195.00 CONTRACTOR: - Applicant - OWNER: VALLEY POOLS INC 15941480 SMSTW BROOKS 65"1 CLIFF RD 4797 FQUR SEA50N5 DR BURNSVILLE MN 55337 EAGAN MN (6'12) 894-1480 (612)894-5196 , irrf ormatians oet?i?gct Statuta. dtyi?t - . tE...` . 4..e ,.".,'?.. 01A I ?71A APPLICANTlPEflMITEE S NATUR ISSUED TUR 1997 BUILDING PERMITAPPLICATION (RESIDENTIAL)4? CITY OF EAGAN 3 033 c) 3830 PILOT KNOB RD - 55122 u-, -o 681-4675 New Construetion Reculrements $gmodeUReoair ReauiremeMS ? jl?ib ? 9 registered ske surveys ? 2 copies M plan ? 2 copfes of Dlans (indude baem 8 window sizes; poured fid. desgn; ete.) ? 2 aite surveys (exterior edtlitions 6 decks) ? t energy calwlatlons ? 7 energy eakulations kr heatod addkians ? 3 copies M tree presenation plan if bt piatted after 711l93 required: _Yes _ No • DATE: 4/vl/815p-? CONSTRUCTION COST: /z, °-e ? DESCRiPTIDN OF WORK STREETADDRESS: ? LOT ? BLOCK ? SUBD./P.I.D. #: PROPERTY Name: Szz;w?1,6 Phone#: f91,z-a296 OWNER Street Address: <097 y - ??ms City: 42? n> State: /2Ir, Zip: ??/ a-;:? CONTRACTOR Company: Phone #: Street Address: 1v?7 License #: Ciry:,Z State: ? Zip: ARCHITECT/ Company: Phone #: ENGINEER Name: Registration #: Street Address: City: State: Zip: Sewer & water licensed plumber (new consVuction onty): and lot change are requested once permit is issued. Penally appiies when address change I hereby acknowiedge that I have read this application and state that the informadon is correct and agree to comply with all applicable 5tate of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY RE C ED Certificates ot Survey Received _ Yes _ No ),0?91A 5 1997 Tree Preservation Pian Received - Yes _ No _ Not Required $Y ._ OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex o 12 Multi RepaidRem. x 17 Swim Poo? 0 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory o 20 Public Facility a 04 5F Porch ? 09 12-plex ? 14 Fireplace n 21 Misceilaneous 0 05 SF Misc. ? 10 _-plex o 15 Deck WORK TYPE Y 31 New n 33 Alterations o 36 Move a 32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) Basemerrt sq. ft. MClWS System (Allowable) Main fevel sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq, ft. Booster Pump Length sq. ft. Census Code. -?Z Depth Footprint sq. ft. SAC Code ? Census Bidg ? Census Unit ? APPROVALS Planning Building L7 Engineering Variance Permit Fee Surcharge Plan Review License MCNVS 5AC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W 5urcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies ? Total: Valuation: $ 00 96 SAC SAC Units K A. 97HRK Co. /NC, ,,10?acisc - ?NG???eflttr? ? CornpAtvy/ iNc. ? IUOU EAST 146114 BTREET, CONSUlTINO EnOLnEFns ? 2902. o/ PIflNNERS and AnD ?URYEYOflS Bno/c 14Z PAGE ¢3 BURNbYIL1,E:, MINNESOTA 6633T PH 43Z'3000 Certificate o'f Survey Leyal Desci•iiltioii : LOT /, gGOGK l, OyK CG/?F 51-1-1 ADD/T/ON, L14KO74 6061N7Y, MIA11VES07'A (985.0 ) DENOTES EXISTING ELEVATIQN 5C4LE (973,0) ?973, a, SI ? m Q N , Q N ? (9&02 ) UENOTES PftapOSEU fLEVATION -, INUICATES UIFiE(:l'ION Of SURFACE DRAINAGE 986•50 = FIN151-IEU t;ARAUE FLUUR ELEVATION ? 978•83= BASEMENT FLOOR ELEVATION 8_? 6,83 = TOP OF BLOCK ELEVATION Lj1'1????` , CGQC?II" V/ `?a r' .?? ??w ? Et1V E D BY DATE r/'rJ/??aiS;/?'ig'I ----- BUILDING INSPEC IONS DEPT UR41Ns16E A?/D U7/[.17Y EASEME'iVT /30' FRON7 BU/CD/n/G ' G iti/E 4/V 7So --- --- --- .• _, ??-n??\? ?^ . ? ?-• ? ? ? ?j ? ? L t4& y ? %2.93 1 ??- ? 3 g r 11.53 z) ? w o ?n - J ?j9/.3i n a N ? ? ,a OC Z.33 ? / T kn ?. RSR?um ? (983.4) (983_?` 41 _ ' ? ? ` , K l vl rq1 ? /O \ ?? ? O ? o Q 30. W APPROVEp PLAPIS MUST REMAIN OiJ JOB SITE PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. -ALSO, P'OR TOWN`HO'MES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. " ?. NO. FIXTi1RE5 EACH TOTAL ? SHOWER 3.00 WATER CLOSET 3.00 BAT'H TUB 3.00 ? LA,VATORY 3.00 KITCHEN SINK 3.00 LAUNDRY TRAY 3,00 HOT TUB/SPA 3.00 WATER HEATER 3.00 FLOOR DRAIN 3.00 GAS PIPING OLTTLET ? minim,m - 1 3.00 ROUGH OPENINGS 1.50 WATER SOFTENER 5:00 PRIVATE DISP. • newcty. ik. 20.00 U.G. 5PRINKLER ' home under const. 3.00 ALTERATIONS • to edating 20:00 WATER TURN AROUND 20.00 STATE SURCHARGE - 30 . TOTAL: a SITE ADDRESS: OWNIEP NAME: INSTALLER: TOM M ESSIAN FLUMBING INC. 121 QD DRIVE , ADDRESS: ? APPLE VAL! EY, MN 55124 J ' CITY: STATE: ZIP CODE: _ PHONE #: ( r? SIG'NATURE OF PE M3v/J,llTTEE 1994 PLUMBING PERMIT (RESIDEIVTIAL) CITY OF .EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 L ? BL ? SUBD. _(S/ak Czr 6052 CITY USE ONLY ?j r/ RECEIPT#: ?/ O a & d / RECEIPT DATE: 1997 f'LUM$INfi P£RMIT (itUIDENTIAL) Cti'Y OF EAfiRN S$SO PILOT KPO$ RD £A6AN, lI1V 55122 (812) 6$1-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? 6ackflow preventer for underground sprinkler system FIXTURES EACH # Shower 3.00 x Water Closet 3.00 x _L = 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 = Gas Piping Outlet ' minimum - 1 3.00 x Rough Openings 1.50 x = Water Softener ' for dwellings under construqion 5.00 X = Water Softener ` for existing dwelling 20.00 x = U.G. Spdnkler ' for dwelling under const. 3.00 = U.G. Sprinkler ' for existing dweliing 20.00 = Alterati0n5 ` to exishng residence 20.00 = Water Turn Around 20.00 = Private Disposal System ' oak Cty uc. 75.00 = (new and refurbished systems) Private Disposal Systems ' Abandonment 20.00 = STATE SURCHARGE TOTAL TOTAL .50 -----------•---------------------•-------------- ----------------- -------•------... _----- •-----•--------• •-•------- •------ ------ ------------- 1 hereby acknowledge that I have read this appliption, stete that the iniormation Is corted, and agree to compy with all appficeble City of Eagan ordinances. It is the applicanYs responsibility to notiry the property owner that the Ciry of Eegan assumes no liability for any damages wused by the City during 8s normal operational and maintenance achvities to the facilities consUucted under this pertnit within Ciry property/right-0t4ay/easement. SITE ADDRESS: 'Z 7 l 7 l O u v S eQ SO;1S /-)r-• OWNER NAME: INSTALLER NAME: STREET ADDRESS: cin: L ,Vt-k a.c, Il--) L- TELEPHONE #: 7 ar/ a 7Z STATE: ZIP: ? SIGNATURE CDlFORMSIPLBG PERMIT (RESIDENTIAL) 1997 ? ?-,`I A:_ ?o. 50 2000 FIREPLACE PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD - 55122 651 681-4675 Date: ? ?C-&o Description of Work: ? Construct new fireplace XGas _Masonry _ Alterations to existing _ Install gas :nserl onlv n _ Install ras line onlv Other /?ea ClocL' Job address: ?/ 7Z ?nr 5-ee.-5?v-n s A' L?x_ ? -? Lot: ? Block: Subdivision/P.I.D.#: Applicant (circle one only): Owner ontractor Permit Fee: $60.50 Name: ? r r?' ??' ?//-J7'?,r? f f??+ Phone #: PROPERTY Last First OWNER / Street Address: L7 7?l 7 47at? 5'P1`S avr S r" ?•e, City C a a N State: /l?Ih Zip: Company: C,C,frr?-?`?5Phone #: _ (area code) FIREPLACE INSTALLER Street City GASLINE Cn,?,?Ke INSTALLER Street Address: ro ?.S /Z// S?- State: z0A Zip: ? Phone 77Sy 7??V (area code) City /)I %/I n-eu 4 0 /- `>, Mi , State: -91? Zip: 5.f30 I hereby acknowledge that I have read this application and state that the information is co d agree to comply with all applicable State of Minnesota Statutes and?Ci_ty of Eagan Ordinances. ? %?su<. s f _ ?fG FEB I ?? F/ r 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WKEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRE55 IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATEK PERMITS IS TWO DAYS DNCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. &PR Z 6 RfCD To Be Used For: fj??Valuation: d&2- Date: Site Address Lot Slock L_ Parcel/Sub Owner ? Address City/Zip Code Phone Contractor A',ft". ?,>>,W-?k /?l,,,,?/?,?iyr/„/? Address City/Zip Code Phone _ Arch./Engr. z,.s(=- 0"fHq.,,,?.?/r•r/?. ? Address q'?pt%? ?,vAt/A???" ??t!?,?. 7 City/Zip Code /S J' 000 AFFICE USE ONLY Occupancy k-3 M -I Zoning K -t Actual Const \/? ? Allowable V-?I # of stories Length ? Depth yy S.F. Total Footprint S.F On site sewage_ On site well MWCC System ?/ City water PRV _ Booster Pump _ APPROVALS Planner Council Sldg. Off. Variance FEES Sldg. Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Copies SOBTOTAL Penalty o°3Z, 00 `)q. 5'O 5 I//,Oo 1 D0, 0,0 C00, 00 Z5,00 90,00 O,Gb 3O.aD .$0 Z5 uo 355,Gb TOTAL -j rL°?$ . ' Phone # ??2 ?'- 2 jgdp 1 . . - VE!- l.t..l./?.T t c"? f.? ? '•` f"k ? 22xt2,=z?y ? ZkX2o= 4`d?? sILr ytx?y= 3?2 32 xls= s?? I Z = Z?L( I? x !z % Z_f 1382 4 114 ? Iq34a IST ?LOp? ---- i3smT = I 3'? 2 !y?'? X 51='?2p?3 ZNp ??oot2. 38 ? I? ? ??w ?1 X I = ?1 2.X24= y8 1 klq= M 1y, it ? qq 12y1z? Ik4 z'J2 x ? ? I 2 ? SI ? XSI I 5'? 33? CqrySU?.TIHU (fVl31ryEEAS +NG`I? C C fl ' ry ? PIRNNERs ond LpIVD iUflVCOMPANY, I(VC. IUGU EA9T 146m BTREET, BUHNSVIll4:, MINNE501A 663lCerti ficate o'f SLn4vey M-m3UUU Lega1 Descrildioq: L07/, gLaGK l, oyK C[.iFF 5711 ADDiTian/, T.440TA CovIv7Y, MiNNE,Sor,q (985. o ) DENOTGS EXISTING ELEVATION C986,7- ? DENUTES PfiOPOSEU ELEVATION ? INUICATES UIfiECIION OF SUPiFACE URqINAG'E 986•So = PINI51-IEU UAfiAtGE fLUUR ELEVATION 978.83 = BASEMENT FLOOR ELEVATION 98G•8? = TOP OF BLOCK ELEVATION SCALE : /" = 30' DR.41N4,!9,E AND UT/L/TY EASEMENT ?973• ?' , N ?so S I --- 879:8? ? n ?? 61OP p $ zs.ao ?R ?? ? ? ? 3 N ?C O o. 2.a, I J _ 11.33 a , wu °v - ? ??B/,3i ? oQC Z3a 0 s ? Ll N (9&.Z 2Zoo (99Z,a) ------ -$ ?99Z-?` ? 5 159° 48° 04,, w ? EAaAPd - 30' FRONT Bv/Cp/NG SETiW'? ' L /A/E ?983.4? I l 79.0; ? ? ? n d h ? 36? L 'J 3o.ci? I ID oI I JS.d• ? ??1 DEPT I hereby cerlify iliat lhis is a tiue nnJ correct repiesetiWivn of a lract of land us slivwn 7H end desctibed haraon, Aa ptepated by rne an this ?4 Jay ol .Q PK1C. /'?iL.` .. ., ' ENERGY t:ONSERVA'TION SUl'FLEMENT TO BUI"i.DZNG YBRMIT APPLICATION s • BUILAING DEPARYMZNT CITY OF Egan Du1TE 4125/90_ Thin supplement is provided to assiet the applicant in camputing the EXTERIOR ' ENYELOPS AVERAGE "U" FACTOR INFORMA%IOT. This information is required so the HUII.DING OFFICIAL can determine that thm submltted p2ans comply wlth Lhe ENERGY CONSMATION DESIC.N CRITERIA of the STATE EOILAING CODE (Section 6001). Tt is Che APPLi.ChNT'u responsibility to accurately aud completely compute the datey reflact the proper DES2.GN CRiTERTA iu the plana; eubmie product epecification, ae needed [o suppart the "R" ar.d "U" factors used; mnd to assure that eonatructlon is accc,mplished per Lhe approved plana. 30S 3.OCATI023 4797 Four Seasons Drive OWNF;ft(S) Rrnnks & Jennifer Smith , PHONI __- CONTKACTOR K.A. Stark Comoartv Inc. _ PHOtdE 633-1426 A. Iletermine the Total Fsposed Wall Area a:e followe: 1. Total wall vindow arex 2, Total door atea 3. Total alidiiag glaes door area 4. 5. 6. '/. H. 9. Total fireplace xall area Total xall framing area (average lAZ) 179•67 56•67 __84.44. N/A 1871SLL Total nec wall area aLove flooz 1688?$$,. Total rim joiet area 't7K? Subtutal; Total exposed vall area above floor TotaL foundation windocz area _NZA Total nec fouadation area above grade _-Us2L 5ubtotal? Total ezposed fuuudativn area: 33•97 GRAND TOTAL EXPOSED WALL AREA 2 42• B. Mu].Liplp the GIiAND TOTAL EXPOSED WAa.L P,REA X.Yl ? Item Z? C. De[ermine the Total Eapooed Roof/Ceiling Area as foll.ors: 1.0. Total skyllght area NZA ].).. Total roof/ceiling framing area 130.?3- 12. Total net insulated roof/ceiling area 1172.70 GBE,ND TOTAL BXPOSED ROOF/CEILING ARk.A 1303=O_O D. Mu2tlply ehe GRANG TOTAL EXPOSED RLJF/GEILING ARLA X.Wl ° Cteu+ I:.' ?g$ , oZ4o 4 B,. Det:ermine the "U" value uf eact. EiegmenY (1-9) and multiply by the azea as follova: . i• _17967 , x "U" . . 19 Oll 75.28 _ 2. 56.67 x "u" .55 - 31.17 3. 80.00 x "U" h0 ? 32.00 . 4 NfA X IOU,, ? S. _ 187•67 j( ?fUl. .09 ° . i6.89 6. 1688.99 x "U" .04 - 67.56 _ 7. 175.76 x "u" .01, ? 7.03 8. N/A x °u° - 9. 33•97? x "U" •07 2.38 ADD 1-9 'FOR TO'fAT. WALL SEGMENTS @ Itr:ta II"t „`= F. Determine the "U" valsse af euch eegment (10-12) and multiply by tho- area as follows: 10. N/A X °'u" il. }30=30 - x olUll 12. 1172.70 x 'lull ? •02 ° 2.61 .02 - 23.45 f,DII 10-12 FOR TOT'AL R06FjCEILING SEI;Ml:1VTS a IL'ua IV ;-26,00 G. l.f Item No. III ia the same iis, ?r :less than Ytem Ho. I, you have cnet the iotent af Sta[e BuiZdiag, Cbde 6006(c)2. H. If Item No. IV i8 the same ae, or Ieas than Item :Io. II, you huve eaet the intenC of State Building Code 6006(c)2. 1. Add Ieem No. x + ltem iio. YI J. Add Item No. III i + ICela tio. IV K. If the sum of itema ITI and IV are :tess than Items T and II, yqu itave meY the intent of the code for Cnta1 eu-valope sqstem. Ia additlun to the above lr.ema you cuay have to add for such 1er;me as floors over u.nheated upaces, such as cantileyerNd areas, e2c. TO arrive 8C "CJ" va3.ua divide Yiif tOC2S1 uf the "k" V8lLL2E fo's jach BEglaerif (S8 above) ineo 1.00C. Ariewer you h3ve iei the "U" value fae t:hnr :seguienC. F.xample: A tatal "R" of 35.08 dlvicled into 1.000 a.U28"U" The unde:rr.lgned, au applicant foi, :i Sulyding Permit, herehy uffirme che above infosmati,)a i+an beep prepaced ead OYbIi1CCeS 2.y himemlf oz undez his d;.rectioa; hereby ocknuorledZes the iufozmaeion to Ue cort:ecc and aceurate; aua hereby preseats tne inFormatiou vi-t:h reyuired plana in 5vppori. of tlie i;u ng Yc i?t 71i:: n . Siguature Date GTTY USE ONLY LOT ? BL RECEIPT #: (X7-'[ q f SUBD. ( ya, 0 44, S&- RECEIPT DATE: 1997 MECHANICAL PERMTT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN NIN 55122 (612)681-4675 Date• Complete this section only if you are installing HVAC in single familv, townhome, or condos t6at are under conatruction and are not owner /occnpied. • HVAC: 0-100 M B T U ADDITIONAL 50 M BTU • Gas oudets (minimum ofone required @$3.00 ea.) • State Surcharge: • TOTAL: Complete tlvs sec6on on if o dwellings, townhomes, or condos. ? Add-on furnace _ Add-on air exchanger, i.e. Vanee system, etc. Y V Minnnum fee applies to all remodel or add-ons of eacisting residences 20.00 State Surchazge Total: $ 0.50 _ SITE ADDRESS: ?1-143 Khw- seASL-\ M V`Q OWNER NAME: 5rv-i ,4'h PHONE #: INSTALLER NAME: &rt(,V PHONE #: LISL'I -9L/J&6 STREET ADDRESS: ?LoI CIT'Y: :L 11e? ?am a`II/e STAT'E: ZIP: SZ)7 ? SIGNATURE OF PERMITTEE 24.00 6.00 .50 Add on air conditioning Other t•.cJrt,s e rk 14745 South Rohert Trail Rosemount, Minnesota 55068 Area 651 423-1144 April 15, 2003 CITY OF EAGAN BLDG INSPECTION DEPARTMENT 3830 PILOT KNOB RD EAGAN, MN 55122 RE: Permit refund To Whom It May Concern: ? m nn We are no longer doing the gas line for 4797 Four Seasons Dr, permit # 58952. We would like a refund in the amount of 30.50. If you have any questions please feel free to call me at (651)423- 1144. - Sincerely, GENZ- ?YAN PLUMBING & HEATING CO INC /003 1l.-? Mary Olson Permits & Insp PERMIT City of ?+`agan 3830 PILOT KNOB RD EAGAN, MN 55122 (651) 675-5675 Permit Type: Mechanical Pemut Number: EA058952 Date Issued: 05/02/2003 Site Address: Lot. 01 Block: PID: 10-53554-010-01 Use: Description: 4797 Four Seasons Dr O1 Addition: Oak Cliff Sth Sub Type: Residential Work Type: Gas C,ine Description: Sfove Remarks' Call for Air Test inspection. Fee Summary: ME - PermrtFcc(Replacements) 3000 90014088 Surcharge - Pixed 0.50 90012195 Total Fees: S30.50 COI1tCaCtOP: - Applicant - UWner: Genz-Ryan $ROOKS C SMITH 14745 South Robert Tr St Lic :] 849PM Rosemount, MN 55068 4797 FOUR SEASONS DR (651) 423-1144 EAGAN, MN 55122 612-382-7196 I hereby acknowledge that I have read this application and state that the information is corxect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ApplicandPermrtee: Signature Issued By: Signature ? r F-?A c c.BATT RE' 70 WORK TI CKET >> WO# 0 0Q 18 8 6 BATT pNLY • EFL Job! H phgt: y , ORIGINAL, ` Kptk OIGi: 0001866 Cuatoac aluU140t; 676S.TM11 Orig Wppr m-.7. MAU1tER COUBr.i ?:. z.oc Numczr: 4797 12165 CLSNt}AygW AV6. Slxk Nwqqcz; 9p{M g?ry ?n APPLE VALLEY , Ma 55126-060 6aq. ?R11116Bx; PLd6e: JA SnYenmau Name: DAyg ?=GIS nate ordere8: 04/21/04 Fioject Numbare 4797 FOU@ SE&BONS 7'i DgCE Prpm,iBkd: rlaa mwter: sxcna, M nete eaee/Otn Jop Addx¢ee: 4797 FpUfl $&p$p}IS r Cpepxated: .lOb PLOnE- DO Numbei: Supnrneor: cailiag Heighc : 9 0 S"utallar Instructio¢e: FIX 87(T WALLB 1' pAp{ILY HOON 6 9CITCfISH ARSA T0061 Vp RIb15 ' :10 & &&-POLY vat.t.c LiBOR S6B f'_.? J OQ QO a. ?.Q C Q Y - TRIICA# : 1 lr DA2s 7 BINISHEB/UNFINISHED: U / REALIY Tt7 SILL: ?} I.f V WAREHOLISE: Z 2 '3 4 r,asoR casr: pnx rxsrnLLEn rrar4E srnxT xxs .7q LAe BTOCt axocX oxcaa oaasx AIOILL ACt811 ITB16 ENIBER ?YODVCf ;[ii DSBCRIYiI01i tlOGN QO11qTSTY VoEM Q9AMTLTi 1S/eACl[ T118SlILLED O'iAGi 8/0 - 1 IIP OC1915930 OC191593 R19X15X93 QF 99.5 8S 8 SpC 4_64 SP 354.00 77.50 2 SNPpLY0409 INDOLYO4 3 -PH ROGL 0.39 SF 352.00 900-00 7/1)61 1 v ?i a t?'i?e VwI, L 8, x/Ca ADDIT O AL PLERIAL BRAND FT CK TY SE3STAL E FOOTA E F ( i t JOSSZTS tNBpBCTION iS Do Lne worxexc : aircy vr uneaenr r guardrdllS,i;;p8boar$3 need to be inatalled? ico Yes - +.v No ? -- ------ COMa4',NTS ON TAE 9AC& gvsBTxoNs: Are you Cndany :red by other suh'e acCiona 7 Yes No ? J ^ OF THI3 BHEET AND TAKE ' DO y01} II6EQ CL cape OY bdFYiC8d6 ° YC6 NO ECTIVfi APPRQPRZPiI'E CORR INSTALLER' S Ao you need aC .iiCaonal/diPferent equip[c[ent ? Yes _ No ACTSON BEF012E STARTiNG SIGNATUAB: DATE: TIME ANY WORIC- Z0/Z0 39tid QOOM3D1tll Sl 69£09fLZ96 90:9T 900Z/LZ/L0 2004 RESIDEN'I'IAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit ?ate Of D__ Site Address ? I C1 ? ?X A? Unit # Td Property Owner I AwAY?f Telephone #( ) Contractor ( C1- L ' ? Cit S[reet Address c y State Zip (`?5q,'9 (/;7 Telephone# (615) Bond #: Expires: The Applicant is _ Owner ? Contracror _ Other Add-on ar alteration to existing dwelting unit $ 30.00 furnace _Additional _Replacement air exchanger air conditioner New Replacement _ other?f VV State Surcharge r $ .50 ? T l $ ota 1,Il JAN p 7 2005 J I hereby apply for a Residential Mechanical Permit and aclmowledge that the infor6y,exi-???cmhte; that the work will be in confonnance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a pernut, but only an applicafion for a pemut, 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. L . Lc?r8, /Ya lo?s - " _ Applicant's Printed Name Applicant s Signature ?'?a , 0 2006 RESIDENTIAL BUILDING PERNIIT APPLICATION ?0 CM City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCtion Reauirements 3 registered site surveys sbowirg sq, ft of lot sq. R. of bouse; and a0 mo(ed areas (20% maximum bt coverage allowed) 2 copies of plan showing beam & window sizes; pouretl found design, etc 1 set of Energy Calwlations 3 wpies of Tree Preservalion Plan R lot platted afler 717/93 Rim Joist Detail Options seleclion sheet (buiMings wAh 3 or less uniGs) Minnegasw medianical ven4lahon form RemodeVReoair Reauirements OKce Use Onlv 2 copies of plan showing foo4ngs, beams, joisGS CeR ot Survey Recd Y_ N 1 set oi Energy Calculahons for heated additions Tree Pres Plan RetrJ _ Y_ N , 1 site survey for addihons & decks Tree P2s Required Y N Addftron - indicafe ilon-site sep(ic system On-sitz Septic Syslem _ Y_ N Date q / Site Address S/ tg (o TZ -`'] FDw- 5ak$O/tt s Construction Cost 4 5ee•60 Pp-lVe UniVSte # Description of Work ?cEL+4'M W?A Ww 4°t' Aat-•1EtL- M}?{"F?dOA-l ,. Multi-FamilyBld g _ YN Fireplace(s) _ 0 _ 1 _ 2 Property Owner Wtg L' SC-A.t( tFt;p- 5M r7l4' Telephone #(III gq ?? 514 4o Contractor 'r.7. M/k Vmp, &fl 5'T• T4tG, L l CC9t( 5f- *' 202 qti t 3;i. Address State &Cww?vCitc 4V Fi /N!? • City &O L.6 VR U!61_ Zip 5SCTelephone#(QS2) 8q l- 2`7 l/i COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted . Energy Envelope Calculatlons Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of masfer plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone #( Teiephone # ( 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 o£ the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an appiication far 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. t Atp-rtET„ ? . M LrV TLf2z- . Appiicant's rinted Name App ' ant's Signa e DO NOT WRITE BELOW THIS LINE 5ub Tvpes ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi O 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Ait - SF O 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level O 24 Storm Damage ? 06 04-plex O 12 12-plex J* 25 Miscellaneous Work Tvpes ? 31 New ? 35 Int Improvement ? 36 Demolish Interior O 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair x 33 AlteraGOn ? 37 Demolish Building' ""' 0 43 Reroof 46 ' indows/ oors ? 34 ReplaCement `Demolition (Entire Bl dg) • Give PCA handout to applicant - D65Gfipt1011: Water Damage _ Yes @7 ?D " D I `3 S S t ? Valuation Occupancy l ys em MCE Plan Review/?`d?:100% or • 25% • ?. ` Census Code IY39 Zoning City Water SAC Units - Stories Booster Pump ? # of Units ? Sq. Ft.' ? PRV #ofBldgs - '- Length ^ '''Fire`Sprinkler?d ` ?- Type of Consri Width _ Footings (new bldg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final ? Framing ? Fireplace _ R.I. _ Au Test _ Final # Insulation i Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies - Other Total REQUIRED INSYECTIONS _ Sheetrock FinaUC.O. ? FinallNo C Q. HVAC Other _ Pool Ftgs Air/Gas Tests Final _ Siding _ Stucco Lath _ Stone Lath _Brick _ Windows _ Retainiug Wall Building Inspector "13aUG 2006 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please compfete for modifications to existing residential dwellings. it 5D?o ' Date _'-? 1 'zoo(O / Site Street Address ? - 1' a11Jt ?) Q?an,Q? o<U?w-e? Unit # Property Owner ?? JIenpuTe!/ SYVi.wh Telephone #( ) Contractor Telephone #(?OI o-'-% Address J\ City StateAlI- Zip ??Z3 41 The Applicant is: _ Owner yjContractor _Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 Y, Add plumbing fixtures. This fee includes installation of a water sokener and/or water heater at the same time. If you are installing onlv a water softener and/or wafer heater, do not complete this section; move to the next section and check the appliance(s) you are instalhng. _Septic System Abandonment _Water Tumaround (add $130.00 if a 5/8" meter is required) Other. _ Water Softener _ Water Heater $ 15.00 _ new _ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 Total I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in ac ordance with the approved plan in the event a plan is requi d to be reviewed and approved. ? lJ ? Applica 's Printed Name Applic Ys Signature ñû þîì ÿ þ ý ýüüûúùòù øûûüüìîì÷øüüý å ôææ ì ýü üûúùø÷ ê æôûùø÷ óùø÷ ê ÷ ÷âû õÚ þ ô ûô ììåû÷ ø Ûþ üðû ö æ ÷ ÷ ÷æ ý ñûñ ÷ á æ ú è ü û ÷ ú ûæ÷ è ô úñç ðû úø þ æ ñøñ è ö éìãéèëèìë ÷ø üû þ Ý û éìãéèîèî Ý û ìýè öúõ ú ôó ÷÷ þ øê ôôüñ ßôøêëý ìàîàöûü ÷ Ú ÿ þ ïàßíìàßß úø þ ÷÷ æñ þ ñ÷ø ÷÷ ú ü æ ü û ôøæÿ þ å è ÷÷ á ñ üþ û û øüþ û Use BLUE or BLACK Ink I For Office Use i c n ~ AON t+~ul I Permit 1 City of Eap I Permit Fee: - W I 3830 Pilot Knob Road I Eagan MN 55122 I Date Received: 1 J I Phone: (651) 675-5675 I Fax: (651) 675-5694 i Staff: 2013 RESIDENTIAL PLUMBING PERMIT APPL11CATION Date: --'o Site Address: Tenant: Suite Resident JOwner Name: Phone. Address/ City/ Zip: Name: .MILBERT COMPANY INC dba CULLIGAN WATER License 063031-WC f r, Address: 1801 50"' STREET EAST INVER GROVE HGTS Contractor t City: w State: MN Zip: 55077 Phone: 651-451-2241, ~r r BILL MILBERT z, Contact: Email' New replacement _ Repair _ Rebuild _ Modify Space -Work in R.O.W. Type of Work - Description of work: RESIDENTIAL Water Heater s rnc} Lawn Irrigation RPZ PVB) Water Softener Permit Typef Add Plumbing Fixtures Main Lower Level) Septic System _ Water Turnaround ti ~s 4 New Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ 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 app al~f f plans. xc~~d~h x Applicant's.Printed Name Applicant's Signature ' FOR OFFICE USES ~K#•3 K` Reviewed By ti'- ,^?oc'Frib+ n u. 'cri4 { .a i v~ 6 t p ~Required Inspections '-Under Gr9und='; Rough=lh t~ `A(rsTest M~ '`'Ga 5 ,_l=illasYK From:Genz-Ryan 952+767+1900 04/15/2014 10:03 #163 P.002/019 City otEapo 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED APR 1 5 2014 Use BLUE or BLACK Ink For Office % Use / Permit*` /3 Permit Fee: 9 `/, .'d Date Received: Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: "I 1 f SeASo Dn\(`-e-d Unit #: Resident/ Owner Name: DOCS t +h Phone: Address / City / Zip: (AA r vC, WOO& Applicant is: Owner Contractor Type of Work Contractor Description of work rvle in Construction Cost: (")1 L&u nd rte m ,room Y rvu r or lc lls wi/[ Iirkove. Multi -Family Building: (Yes / No Company: 1 ✓) Se. CII' 14,Q I'1 r) Contact: ) 7G Address: 22,0o V i 11-1.4) 13 0 City: ! ilX ilS V I ( e.. State: M /\/ Zip: SS F 3 / Phone: Ci6, " / lD ! ` Cit -7 License #: 6413q3-3 Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 196'10 It— 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: Phone: Phone: Mechanical Contractor: Sewer & Water Contractor: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall,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 approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota . to Buildi g o e must be completed within 180 days of permit issuance. r5 r-1 x Applicant's Printed Name ant's Signature Page 1 of 3 e-17” X6,47 a4-9 K DO NOT WRITE BELOW THIS LINE 1)3/3 SUB TYPES Foundation _ Fireplace Single Family_ Garage Multi _ Deck 01 of _ Plex Lower Level WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 100%_) Census Code # of Units # of Buildings Type of Construction Interior Improvement Move Building Fire Repair Repair Porch (3 -Season) Porch (4 -Season) _ Porch (Screen/Gazebo/Pergola) _ Pool Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water _Final Framing Fireplace: _Rough In Air Test _Final Insulation Sheathing Sheetrock Reviewed By: Siding Reroof Windows Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building _ Demolish Building* _ Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Other: Pool: _Footings _Air/Gas Tests _Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Erosion Control Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 0 0 Page 2 of 3 From:Genz-Ryan Date: City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 952+767+1900 04/15/2014 10:02 #163 P.001/019 Use BLUE or BLACK Ink For Office Use Permit ft: 19Ia(y!./ g 6o.oz Permit Fee: Date Received: `if f ( 51/ y Staff: 2014 RESIDENTIAL PLUMBING �PERMIT APPLICATION � Site Address: k� � � -Pox �S bn (5 i r j - Tenant: nn -Ar Suite #: Resident/Owner Contractor Name: `ba.xy cx.S ck.1bo ve, Phone: Address / City / Zip: Name: 1 � � rQ 0r License #: 1 434 33 Address: 2--2-DD / ? City: —emir hsvi‘ ( k_ State:I 4 Zip: 5 5331 Phone: 15 D-1 b, - b Q1 Contact: on i Email: Lori\ p461 .com Type of Work New Replacement _ Repair _ Rebuild kModify Space Work in R.O.W. Description of work: as 4100rv\ (3)L LOIA.A.r"t.6rt' F i'1nt t.lYbo rt.,re-rn r0t `-A. Permit Type RESIDENTIAL Water Heater Lawn Irrigation (RPZ / _ PVB) Septic System New Abandonment Water Softener Add Plumbing Fixtures ( Main 1 Lower Level) Water Tumaround RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8" meter is required) $115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. CaII 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.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 proved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name FOR OFFICE USE Required Inspections: Under Ground Rough -In Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Staff: Reviewed By: Date: PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA137634 Date Issued:07/13/2016 Permit Category:ePermit Site Address: 4797 Four Seasons Dr Lot:1 Block: 1 Addition: Oak Cliff 5th PID:10-53554-01-010 Use: Description: Sub Type:Residential Work Type:Replace Description: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 - Brooks C Smith 4797 Four Seasons Dr Eagan MN 55122 Sedgwick Heating & Air Conditioning 1408 Northland Drive, Suite 310 Mendota Heights MN 55120 (952) 881-9000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA155353 Date Issued:05/13/2019 Permit Category:ePermit Site Address: 4797 Four Seasons Dr Lot:1 Block: 1 Addition: Oak Cliff 5th PID:10-53554-01-010 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 - Brooks C Smith 4797 Four Seasons Dr Eagan MN 55122 Home Depot USA dba The Home Depot 2455 Paces Ferry Rd Atlanta GA 30339 (763) 852-1044 Applicant/Permitee: Signature Issued By: Signature 4, ,4%,, Asikilk 400000 11107 h *i, tIM►) 9/6/2019 Bridget Smith \ 4797 Four Seasons Drive Eagan, MN 55122 RE: Permit Fina Ization Permit Number: EA155353 Contract Number: 10894869 Dear Bridget Smith, Congratulations on your completed home improvement project with The Home Depot. We have not heard back from you regarding the completion of the hard-wired smoke detector. Once you have completed this last step please set up the inspection to finalize the permit. The finalization process typically takes less than 15 minutes and the inspection is necessary to close out the permit with the city. If you could call your building department at 651-675-5675 and set up a time that is convenient for yourself, we would greatly appreciate it. If you have any questions or need further assistance in finalizing your permit, please call Home Depot at (877) 467- 2581. Thank you again for choosing Home Depot as we truly value your business. Best Regards, The Home Depot USA, Inc The Home Depot 6224 Lakeland Ave North, Suite 102, Brooklyn Park MN 55428 (877)467-2581 PERMIT City of Eagan Permit Type:Building Permit Number:EA178111 Date Issued:08/01/2022 Permit Category:ePermit Site Address: 4797 Four Seasons Dr Lot:1 Block: 1 Addition: Oak Cliff 5th PID:10-53554-01-010 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. 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 - Maxwell D Smith 4797 Four Seasons Dr Eagan MN 55122 Highmark Restorations/platinum Restorations 8720 Eagle Creek Pkwy Savage MN 55378 (952) 641-3519 Applicant/Permitee: Signature Issued By: Signature