4805 Four Seasons DrL_.?PL , ea 1.
ADDRESS iC
OCCUPANT
HEAT LOSS DATE HTG. INST.
TY SUBURB
SOLD BY ItiSTALLED BY ?.??'a Ai-
Elsctrieol Wark B Vi
Y LGvs Line By H
TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN
MAKE %, MAKE CrF
Model 0 Model ,
Serial MeX. BTrU
INPUT MAKE OF
hAedel ?
CONTROLS i
THERMOSTAT,LShY.:] 1 1tE Heot Plu Vent Si
Volve KIND C
Limit M S Droft H
Limit Setting _ - Filt*rs
CONVERSION
Rsyutator
i
Fan Setting !7? )T c
ON at ChimM Location Inside
? Ou side
T
Pilot TYpe ?Q PQ T 1GN I TION
•S Chime?? Construction ,
f i..?? nf?iS
?
Pilot Make M '
i
Pilot Model bi 5moke Blomb Wiring ?
Pilot Timing 0 Oraft -;ak Test Ta0 ?
?
L.W. Cut Off Paor Prtssure Liyhting Inat.
il^ ? ?
Prossure Psrcent COZ DaN T?isftd
,
Input CFH Pereent 0 p Testing
Com
an
S
T
??? 2
1
- ?
p
tack
emp. ? L
I
Percent CO ,
Na,ne of, Test.r
Form 235 i
1
NUUSE HEATING TEST RE
i CITY OF EAGAN PERMIT TYPE: "I Ill 3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
PERIIAIT SUBTYPE: TYPE OF WORK:
INSPECTION .. . D
,.,
? ?
----------------------------------
Permit Holder Oate Telephone #
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND IA4& ?? t,? •
.!
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING •
GAS SVC
TEST
INSUI
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
corvDucnvirv
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAI
DECK FTG
OECK FINAL
? s .- .
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
StJT? ADDRESS: i o t ? r 11! n?: K
PERMIT SUBTYPE:
. , ??,.
I I I ';,, rIINO,
! I I N'.1I1 A i t IIN
INSPECTION
:CORD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
.. ;??•? ?? ? ? ,r . „ ,?
( r, I.• ) tti, r .I iH.
TYPE OF WORK:
FF+APi1N(,
i l N r1 l
G+I liAf+t . :. - `& (`ARA I F F I t1. l I< t 1: AI N'L 14M f 1' Ftl fil11 Ht: l)
7
?
Permft No. Permk Holder Date Telephone M
S/1N
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing .? 2 V r , ??v
Roofing
Rough Plbg.
Rough Htg.
Isul.
Flreplaoe
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
EngrlPlan
Bldg. Final
Deck Ftg.
Dedc Final
Well
Pr. Disp.
? CASH RECEIPT
CITY OF EAGAN ?
3830 PILOT KNOB ROAD •
EAGAN, MINNESOTA 55122
OATE `-3) 19 _.1=
AECEo° i L? LIl L
AMOUNT
f1????? l/?I r??L??As
- , ,?
O CASH CHECK
??-
? I'>1C, ? ? -
L? ? ??L,(1? SP?? i 5hv ?-
BY
\ . 1M1rtMe--Payais Copy ,??+?,
\./ Velb?v--Postinp Copy
Pink-File Capy
Thank You ?? fi*-I?
SEWER &WATER PERMiT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE JAN 31. 1992
OFFICE USE ONLY
METER # PERMlT DATE 01131192
CHIP ? D 2 PERMIT # 12525
METER SIZ ?s B.P. RECEIPT # C o17096
ISSUE DATE . f'//- B.P. RECEIPT DATE 01 31 92
_ PRV _ BOOSTER PUMP
SITE ADDRESS 4805 FOUR SEASONS DR
LOT 2 BLOCK 2 SEC/SUB WHISPERING idOODS 4TH
APPLICANT:
ADDRESS:_
CITY. STATE
PERMIT REQUESTED
_XL SEWER XL WATER - TAPS '
_ COMM/IND X RESIDENTIAL
ZIP x NEW - EXISTING
PHONE: '
Lawn Sprinkler Meters are to be Installed
PLUMBER: SCHULTIES PLUMBING INC Ahead of Domestic Meters on Water Line.
ADDRESS: 1521 94Tfi LN Credit WILL NOT be given for Deduct Meters.
CITY, STATE ? ZlP 35434
B
1
PHONE: 400
6
I AGREE TO COMPLY WIT ITY OF
OWNER: F S B CONST INC EAGAN OR
ADDRESS: 12010 TWELFTH AYE S
BURNSVILLE MN ZIp 55337
CITY, STATE
890-2813 IGNATURE WHEN METER ISSUED
PHONE:
PLR IIJG DFOR PROCESING. CALL 454-5220 FOR
SEWER P'ERMITS, CONTACENGINEERING DEP7.
INSPECTIONS. FOR STORM
SEWEPA&MATER'PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
? DATE JAN 31, 1992
OFFICE USE ONLY
METER # PERMIT DATE 01/31 f 92
CHIP # PERMIT # 12525
METER SIZE B.P. RECEIPT # C 017096
ISSUE DATE B.P. RECEIPT DATE 01 / 31 /92
_ PRV - BOOSTER PUMP
51TE ADDRESS 4805 FOUR SEASONS DR
LOT 2 BLOCK 2 SEC/SUB WHISPERING WOODS 4TH
APPLICANT:.
ADDRESS: _
CITY, STATE
PHONE: _
ZIP
PLUMBER: SCHULTIES PLUHBING INC
ADDRESS: 1521 94TH LN
CITY, STATE gLAINE MN ZIP 55434
PHONE: 786-4007
OWNER: F S B CQNST INC
ADDRESS: 12010 TWELFTH AVE S
CITY, STATE $URNSVII,LE MN Zlp 55331
PHONE: 890--2813
PERMIT REGIUESTED
XL SEWER ?}L WATER - TAPS ?
! COMMlIND X RESIOENTIAL ?
X NEW
EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
1\
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
PLEASE ALLaW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
'
• CITY OF EAG AN
3830 Pilot Knob Road, P.O. Box 21-199, Eaban, MN
55121
,?
17
k?;2 0 0 E Ly
PHONE: 661-4675 ?
BUILDING-PERMIT Receipt #
To be used for 5F '/CAR Est. Value ;1 33+000 Date JAH 31 , 1 g 97
Site Address 4805 F017R 3EASOPiS Dx
2 2 ?JkiISPERINC k00D
Lot Bfock Sec/Sub. OFFICE USE ONLY
FEes
Parcel No. OccuPancy R-3 !-1
EZS
OO '
i
Z R-1 BkJg. Pemdt •
.
on
ng
Neme F S E CO)iST INC (Actual) Const V-N Sumhanga 76.50
Addrew 12010 ?NELFTii AVE S (AJlowab1e) V=N Plan Fi,,;e„ 536.00
? CRY Bt1RNSVILl.E MN ZjP 53337 ?enghtories ? ?? ;.?
Phone 890-2813 ?tn ? sac, ci?v 1170.00
?
Name SAM
S.F. TWaI
-
SAC, MCWCC
700 •00 '
S.F. Footprints b75
00
Address e
On Site Sewa water Conn .
Cjhl ZP g
On Site Weli _ Water Mater 95.00
?
Phone MWCC System
X
Acct. Deposit 30.00 '
Cil
Water
V?n? # y
PRV Required
-
S/W Permit ? • ?
I hereby acknowlege that I have read Ihis application and state that the Booster Pump - S+W Surcharge '50
infortnation is correct and agree to comply with all applicable State of 300.00
Minnesota Statutes and Ciry of Eagan Ordinances. Trea?ment Pi
Signature of Permitee ApPROyaLS Road Unit 380.00
A Building Permit i5 issued to: F S B CONST INC Plenner - Park Ded.
on the express condition that all work shall 6e done in accordance with all Cou^cil --
applicable State of Minnesota Statutes and City o( Eagan Ordinances. g?, pry. _ Copres
3,753.00
?
BuiWing ONicial Varianoe - TOTAL
Permit No. permk Hoider Date Tekphone #
lii"
PWMBING
HVAC ? SS -1//00
aFCTRic 395108 ?v
ELECTRic
Inspectlon Date Insp. Comments
Footings I 2
Foundation
Framing
Rooling
Rough Plbg.
Rough Htg.
Isul.
?replace
Final Htg.
orsat Test r i9- ,7 ,15? b'?3
Final Pibq. Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPian
Bldg. Final
Dedc Ftg.
Dedc Fnel
weii
Pr. Disp.
c t?'?•?
(gtr#ifira#t af (Orrupanry
tftp of (tagan
??eu# of lluning 3tceprdimt
Thts CerdfiGate rssued pursaa* m dre requirvnents of Ser,Yion 306 ojthe untjonri BuMng
Code ce??}'fyln8 thal at lhe kine of issrrancr this straclure mw in compliance with Me ?aarious
??dw City re8ukdn8 building cvnslnuxion or usG For the followi+eg:
SF DWG/GAR 20073
un Cksdficwm R-3 M-1 DW60 R-1 Sk PasW c?? Vn
?? ? B::ONS' Nf` 010 ?e TH AVE ., BURNSVILLE
o?r acs?a'.K Aaama
d_..__..? 4805 FOUR SEASONS DR-r L2. B2, WHISPERING WOODS 4TH
DOUG RE1D
POST NI A CONSPICUOUS PU1CE
BUILDING PERMIT
be used lor SF IJWG/
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 'N120073
PHONE: 661•4675 n 61-7 ??l _
, Receipt # ?r ? V??
? Est. value $153, 000 Date JAN 31 ,1992
Site Address 4805 FOUR SEASONS DR
Lot 2 Block Z SeGSub. WHISPERING WOOD'Parcel No. x
Name F 5 B CONST INC
Z Address 12010 TWELFTH AVE S
? Cj(y BURNSVILLE MN 7'jp
¢
?
?p
U
Name _
Addre$$
(Dhy -
Phone _
?
Zp
I hereby acknowlege that I have read this application and state that the
mlorma6on is correct and a9ree lo comply wnh all applicable S1ate of
Minnesota StaWtes and City Eagan Ordin?anc@Iso. f?'ry\)
Signature of Permitee ) 1? '
A Building Permit is issued ro: F S B CONST INC
on ihe express condition that all work shall be done in accortlance wilh all
applicable Stale ol Minnasota Statutes and City ot Eagan Ordioances.
Buildmg Official
OFFICE USE ONIY
FEES
occupancy R-31L1 g25
00
Zaning R=1 Bldg. PertnR .
(ncmaqConst V=N Surohart,7e 76.$0
(nilowabie) V=N plan Review 536.00
# at Stories
Lengih 74' Llceflse
0
5-0
Depth 301 SAq City
0
100.0
S.F.Total - SAC,MCWCC 700•00
S.F. Foolpnnis -
0
675
Q
On Site Sewage - Water Conn .
On Site Wetl - Water Mete( 95.00
MWCC System X
Acd. Deposil 30.00
Ciry Watar $ 30
00
PRV Reqmred - S/W Permrt .
Booster Pump - S/W Surcharge .50
Treatment PI 300.00
APPROVALS Road Unit 380.00
Plenner - park Ded.
CouncA --
Bldg Oif. _ Capies
Variance - TO7AL 3, 753.00
- -'- . - DATE: 1AN 31, 1992
RE: _4805 FOUR SEASONS DR (F S S CONST INC)
_}L_ Your Sewer & Water Permit (or the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer 8 Water Permit for the above property cannot be completed for the following
reasons:
_ Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
_ COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must 6e
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) betore 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.
Address: 4805 FOUR SEASONS DLt 2 Blk 2 Sec/Sub WHISPERING WOODS 4TH
These items wete/were not complete at the time of the final inspection.
Date: Yes No G? Tngpector,
Final grade (6" from siding)
Parmanent steps - garage ?
Permanent steps - main entry ?
Permanent driveway ?
Permanent gas
Sod/seeded giass V?'
Trail/curb damage
Porch ?
9asement finish (s
Deck
PLease verlfy with tha huilder the removal of roof test caps from the plumbing
system and the shut-off of vater supply to the outside laum faucet before
freeze potential exists. ?
w¢aeowu
White - City copy Yellow - Resident copy Pink - Contractor copy
a
Req est Dat / Fre No. R gp-in Inspec
Reqmretl?
?Tleady Now C) Wtll Nobfy Inspector
? Yw ? No When Reatly7
I,r; licensed coniractor O owner here6y request inspection of above electrical work at:
Job Atldress (Slreet Box or Foute No ) Ciry
L1O 0-4'? A?V /,- SC°N pN
L? A -
F? ? '^Pr?
Sedion No Townshi0 Name or No Range No, Counry
,J
OttuOant (PFINT) Phone No
- 6"c b t LA e k
Power Supplier AOOress
Elecmcai Comranor (Gompan
y
Name) License No
nVa
nor's
Co
/
0
W h? e` ? / 't?C r
?
?,.
v'?; ? !J
Ma?ling AO?ress IGom ctor or Owner Making InStella?io l
3 7 - ?
Aulhontetl SiqnaWre t Rlwner Ma g Inslallali n Phone Number
MINNESOTS STATE BOAflD OF F,LECTRICITY y? TMIS INSPEGTION REOUEST WILL NOT
Grlgge-MlEway Bltlg. - Poom g1T3 BE ACCEPTED 8V THE STATE 6DARD
1821 Unrversity Ave.. 51. Peul, MN 5510C UNLESS PfiOPER INSPECTION FEE IS
Phone(612?fi4A0800 ENCLOSED
g/?/q,;?_ REQUEST FOR ELECTRICAL INSPECTION
Q1229 See inslmttions lor wmple0ng fiis larm on back of yellow copy.
IS - -"X° Below Work Covered by 7his Request
d-??q EB-0?,-0a
ew Add Rep. "' TypeofBuilding AppliancesWired EquipmeniWired
yc Home Range Temporary Service
Duplex Water Heater Electnc Heaung
Apt. Budding Dryer O[her-(Spemty)
Comm./Industrial Furnace
Farm Av Contlitioner
Otner (syecryi Conlradors Remarks,
Compute /nspechon Fee Below.
# Other Fee # ServfceEn[renceSze Pee # CircuitslFeeders Fee
Swimming Pool 0 to 200 Amps to 100 Amps
Transformers Above 200 _ Amps Above 100 _ A.P.
SignS lnspector5 Use Only / TAL
-?
Irrigauon Booms L
Speaal Inspedion
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS. -
I, the Electncal Inspector, hereby Rou9h in --' ' Date
certify that the above inspection has
been made. F,nai q?e
OFFICE USE ONLY w-'
Ths request vatl 18 months irom .
sasiso
,f 3?568 ,Q,2 -
equest Date Fire No Roug?-m I ectlon
318-92
- R?mred ? Reaay Now N Will NoLiy Inspedw
When Read
P
Yes y
C No
I CXlicensed contractor Ll owner hereby request inspection of above electrical work at:
.bb Atltlress (Sireet Box or Route No ) Qry
4805 Four Season Drive Eagan
Secoon No Township Name or N. Range No Couny
Occupanl (PPINT) Phqie N.
FSB Construction, Inc.
Power 5upplier pderess
Dakota Electric
Elecfncal Goniractor (Company Name) Contractor5 License N.
Lazer Electric, Inc. CA 01110
Mailmg Atltlress ICOnVador or Daner Making Inslallatmnh
8
Autnonzetl Signawre IContracmr/Owner Making Installaltonj Phona Numbar
06 j,Ju d4n 784-3729
MINNESOTA STATE BOARU OF ELECTRICITY THIS INSPECTION FEQUEST WILL NOt
Griggs-Mitlway Bldg. - Poom 5-173 BE ACGEPTED BY THE STAiE BMFO
1821 Umvemity Ave St. PeW, MN 55100 UNLESS PflOPER INSPECTION FEE IS
Phone(612)66E-W00 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION °""`-??{'aEB-0C0001-08
? See insVUnions lor complebng this lorm on batk of yellow mpy
J" 3956 ? X" Below Work Covered by This Request
ew Add Rep TypeolBmldmg AppliancesWired EquipmenlWired
X Home Range 7emporary Service
Duplex Water Heater Electric Heatin9
Apt Bmlding Dryer 01her (Specify)
Comm /Industnal Fumace
Farm Air Conditioner
Olher (syea(y) CoMracmr's Remarks
Compute Inspection Fee Below:
# Other Fea # Service Entrance5ize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers AbOVe 200 _ Amps ve _ Amps
Signs inspecm.9 use Oniy TOTAL
Irri9ation Booms $86.50
Special Inspection
Alarm/Commumcation TMIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETEU WITHIN 16 HS.
I, the Electncal Inspector, hereby
certdy that the above inspection has
been made. Rough-in
Final '
P
Data
OFi1CE USE ONLY
This requesl voitl 18 moniM1S fmm ?" ?Q?
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
,)l l i 3830 Pilot Knob Ropd, Eagan Mn 55122 ?-?
? Telephone # 651-675-5675 FAX # 651-675-5694 ?'
New Construdbn Reauirements RemodeUReoair Reauirements Office Use Onlv
3 registe2d sile surveys showing sq. %. of lot sq. R of house; and all roofed areas 2 copias of plan _ Cert of Survey Recd
(20°h maximum lot coverage allowed) 1 set of Eneigy Cakulations for heated additions Tree Pres Plan Reo]
2 copies o( plan shaxing beem 8 window sizes; poured fouM design, etc. 1 site survey for additions 8 decks Tree Pres Not Reqd
7 set of EneMy Calculations Add'Rian - indkate d onstte sep6c sysfam _ Onsite Septic System
3 oopies oi Tree PreservaEon Plan K lot platted after 711/93
Rim Joist Detail Options seleclion sheet (hldgs with 3 or less units Date ZL1,0705 ?/ /?? Construction Cost ?? J• 3?
Site Address -f'pU oy ?Q ?4SrN 5 ?K, UniUSte # 7 7
Description of Work ?l r-e- m }? F}- I(L
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 2
Property Owner YLIO-IiL) - d La `?V I37?' Q `Yt
? Telephone # (1P20 !p 70 `Z
Contractor ? I -J
1
Address ? ? n ? f ?2-/v /
State _? ,p
Tit
Zip
Ci .ty y' /w o7J
Telephone # (-Ie3) Q
COMPLETE TNIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 767 , n 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilaqon Cat?gory J? orksheet • New Energy Code Worksheet
(4 submission type)
Submitted AW /?? ?, Submitted
• Energy Envel e Calculations Subm?e?d
?? ?D
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
#(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand tlus 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.
` Applicant's Printed Name
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
0 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ NX 25 Miscellaneous ,z/u
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) A/ 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement "Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy R'?? MC/ESSystem -
Census Code ) Zoning R -i City Water
SAC Units Stories Booster Pump ?
Nbr. of Units Sq. Ft. ? PRV ?
Nbr. of Bldgs ? Length - Fire Sprinklered
Type of Const Width -- -
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) ? FinaVNo C.O.
_ Footings (addirion) Plumbing
_ Foundation ? HVAC `
_ Drain Tile Other
Roof Ice & Plater ? Final
Pool Ftgs Air/Gas Tests
Final
,j?, Framing ?I Siding Stucco Stone
Fireplace R.I. Au Test Final ? Windows (new/replacement)
? Insulation _ Retaining Wall
------- -----
- Approved By , Building Inspector
-----------------------
Base Fee ----- -------------------- ---------- --
------- ------ ------
----- -----------
-----------------------------
surcharge i L 9 .0 ?
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
I
_C)
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN --?-?-
-' 3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New ConsWCtion Reauirements
• 3 registe2d sile surveys showing sq. ft. of lol, sq, fl. of house; aiM ?II roofed areas
(20°h mazimum lot coverage allowed)
• 2 copies of plan showinp beam & window srzes; poured found design, elc.)
• 1 set of Energy Calculations
• 3 copies of Tree Preservatbn Plan'rf lot platted after 711193
• Rim Joist Detal Options selection sheet (bldgs with 3 or less un8s)
DATE L 7 / d a,
SITE ADDRESS / lSD !? t'pu r
TYPE OF WORK ? 01-? 1^
3 ?7J
MULTI-FAMILY BLDG _Y YN
_ FIREPLACE(S) _ 0 _ 1 _ 2
APPUCANT /TUS 1C-o n57-6'v cNo-I .,L-v-1 /'
STREEf ADDRESS ?rS0 1--l, L? ?( G S,'k_e ITY/_.;4/? 6^<J..STATE MOZIP 3 Sl
TELEPHONE # 6fl, `/ge) -0v7c, C LL PHONE # /4101 ^3 gs• l??J__ FAX # 6 -f-I ' tfk- /Y,;? (o
PROPERTYOWNER Zte d.-n TELEPHONE#_
___"""""""_"__'-_'.'.' --------------""_'---__"-------'-".--'_""'
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I MINNFSOTA RULES 7672
(q submission type) • Residentlal Ventilation Category t Worksheet Submitted • New Energy Code Worksheet Submitted
. Energy Envelope Calculations Submitted
Plumbing Conhactor: ____
Plumbing systcin includes:
Mechanical Confractor:
Mechanical syslem includcs:
Sewer/Water Contractor:
Air Conditioning
_ Hcat Recovery System
Phone #
Fee: $90.00
Fee: $70.00
Phone #
-----------°---------°------------°-----------------------------------°--------°------------°
I hereby acknowledge that I have read this application, state that the information is correct,
with all applicable State of Minnesota Statutes and City of Eagan Ordina ?ces. 1;?_
Signature of Applicant
OFFICE USE ONLY
0 ns
RemodeVRenair ReoufremeMs
• 2 copies af plan
. 1 set af Energy Calculations for heated additions
. 1 site survey for ezterior additions & decks
. Indicate H trome served by seplic system (or additions
VALUATION
Pt-
Watcr Softcner
Watcr Heater
No. of Baths
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4/02
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eag&n, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE: BuzLozNe
Permit Number: 032371
Date Issued: 0 6/ 2 6/ 9 8
SITE ADDRESS:
P.I.N.: 10-83953-020-02
4805 FOUR SEASONS DR
1.0T: 2 BLOCK: 2
WHZSPERING WOODS 4TH
DESCRIPTION:
BOWED WALL
Buf7dan?j? Permit Type
B`uilding?Wark Type
ene us. Code
r.
l
I
:
t;', -
?i
:'
'?.`ti
.
- GARAGE
SP (MISC.)
REPAIR
434 AL7. RESIDENTIAL
r?i''/ ?•?•?e i???":I...it; '11."?; :g,",xT;,''i? ???:':?,sbv..,_C??t?-?"ti',!'.'rF5„???
e=': . ;) >
REM?RN:REVZewEO BY JOE VOELS
FEESUMMARY: vaLuaTaoN $5.000
Base Fee $99.75
Surcharge $2.50
Total Fee $102.25
CONTRACTOR: - APPlicant - S7. LIC. OWNER:
COf}RECTIVE BLOG SERVICES 18859808 20021056 BYOM S7ACE
8892 WENTWORTH 4805 FOUR SEASONS DR
BLOOMINGTON MN 55420 EAGAN mN 55122
(6112) 885-9808 (612)890-2323
IL
I hereby aokrrowledge that Z have read this
information is eorrect end agree to comply
3tatutes"and City of Eagan"Qrdinances. '
Y:A CANT/PER ITEE GNATURE
application and state that the
with all applica6le Stane of Mn.
?
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) ? I D2 Z?
D CITY OF EAGAN
V-k 3830 PII.OT KNOB RD - 65122
681-4675
New Construdion Reauirements RemodeVReoair Reauirements
? 3 registered site surveys ? 2 copies ot plan
? 2 mpies of plans (inGude beam 8 window sizes; pourad fid. design; etc.) ? 2 ske auneys (exterior addkbns 8 decks)
? 1 energy celalations ? 1 energy celaletions for heated addkions
? 3 wpies of tree preaervation plan 8lot pfattetl after 7/1193
required: _ Yes _ No
DATE: 2 A - CONSTRUCTIONCOST; '?`'?SOf7
DESCR{PTION OF WORK: K 2,Pc,..uP Q s vs ?cf '?A L L- T N G.4+f214 GF
STREET ADDRESS: ?I gC?S '
LQT: fZ BLOCK:
SUBD.lP.I.D. #:
?v
Name: 9 \'? o m T.i} CE Phane #: O^ 2- 3 7, -S
PROPERTY Lau Fim
OWNER
StreetAddress: 4?,'r65` Gl SQuS otiS ?R,
City If ,.4 5.?-N State: YLt IQ Zip:
Company:CodL12QCl ? v-i v Nk? C4 i v.c S.K' ??1VCPhone #: 9 fZ S?- Y?t?R
CONTRACTOR ?
Street Address: ??.w? tv a^RlL+ 4vLicense # o-. DO 2/ O S h
Ciry State: !/L( /V Zip:
ARCHITECT/
ENGINEER Company: Phone #:
Name: Registration #:
Street
City
5ewer & water licensed plumber (new construCtion only):
and iot change is requested once permit is issued.
Zip:
Penalry applies when address chang
I hereby acknowledge that I have read this application and state that the info tion is correct and agree to Comply with all applicabl
State of Minnesota Statutes and City of Eagan Orclinances.
Signature of P.pplicant:
OFFICE USE ONLY
Certificates of Survey Received _, Yes _ No
State:
Tree Preservation Plan Received - Yes - No - Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
4!J'01 Foundation ? 06 Duplex
0 02 SF Dwe!ling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 = plex
WORK TYPE
? 31 New Alterations
? 32 Addition 4 Repair
GENERAL INFORMATION
Const. (Actual) _
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
? 11 Apt./Lodging ?
? 12 Multi RepaiNRem. ?
? Garage/Accessory ?
? 14 Firepiace . ?
? 15 Deck
? 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
APPROVALS
Planning
Building
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
?
Engineering Variance
?L
-?--
a
Permit Fee
Surcharge
- Pisn Review
License
MC/WS SAC
City SAC
Water Conn.
Water kAeter
Acct. Deposit
S/W Permit
SNN 5urcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
% SAC
SAC Unfts
PERMIT
CITY (PF EAGAN 8-73
3830 Pilot Knob Road PERMIT TYPE: s u t Lo z N e
Eagan, Minnesota 55123 Permit Number: 0 210 4 5
(612) 681-4675 Date Issued: 0 6/ 2 8/ 9 3
SITE ADDRESS:
4805 FOUR SEASONS OR
LOT: 2 BLOCK: 2
WHISPERIN6 WOODS 4TH
P.I.N.: 10-83953-020-02
DESCRIPTION:
?lJ?? ti/?l UVi?'?)?JIVUU U
L!
REMARKS:
SEPARATE ELECTRICAL PERMIT REQUIRED
Buildingjermit Type
puilding Wt?rk Type
Bu3lding Leng-th
Buildinq Width?y,
?N
Q?
??--
\
SF AODITION
NEW
20
18
FEE SUMMARY
VALUA7ION
$12.000
Base Fee
Plan Review
Surcharge
Total Fee
$135.00
$87.75
$6.00
$228.75
CONTRACTOR: - Applicant - ST. LIC. OWNER:
,70HNSON C0, B A 18677302 0003238 BLACKH MICHAEL
9617 15TH AVE S 4805 FOUR SEASONS OR
BLOOMINGTON MN 55425 EAGAN MN
(612) 867-7302 (612)882-1641
I hereby acknowledge that I have read this appl}cation and state that the
informetion is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinanoes.
?- - - - - - - -
?
. ?1nua ft,??? l Th.tf
A T/PE td EE SIGNATURE SUED B: S NA7U E
KtAI.IlYRIt _ ?E 1?yLC U V LSV vll T Vr CF1Vluv
PERMIT ? 1993 BUILDING PERMIT APPLICATION
• . MAY 2 0 1993 681-4675 -2 ?
iZ I AL./ -------------- ?P,?l ;,;? sZ ?/ `4 aaj- -_
?
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, l copy of energy
calcs.
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 ya 41 / a0 Valuation of work
Site Address`J `???5 Fo?tl- SeciSoir/s ?JH,
STREEi SUITE *
Tenant Name: (commercial only)
IAT ?
1
BLOCK
SUBD.
V I
P.I.D. N
Descri tion of work:
The applicant is: ? Owner Contractor ? Other (Describe)
Name 8,1a Ck Phone SS"c;Z
-i
Property iIRST
LAST
Owner Address Y90s" Sea_'56 "t/_5 q""
STREET STE f
City ?Q/l State ZiP
Company 'A?q ?o?1ir/So.tJ? C_°o Phone g62-.?3d?-
Contractor Address S' License # 3a38 Exp.
City State Zip CS-5
Campany Phone
Architect/
Eng(neer 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 with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
??
Signature of Applicant:
? ? ?
OFFICE USE ONLY
BUILDING PERMIT TYPE 13 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
? 02 Sf Dwg. ? 07 4-Plex ? 12 Multi. Misc.
?03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
0 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. 0 10 Multi. Add'1. ? 15 Deck
WORK TYPE
&\31 New ? 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft.
(A1Towable) lst F1. sq. ft.
UBC Occupancy r? -2? 2nd Fl. sq. ft.
Zoning Sq. Ft. total
N of Stories Footprin t Sq. ft.
Length .? . On-site well
Depth 0- On-site sewage
APPROVALS
Planning Building
Engineering Variance
REGIUIRED INSPECTIONS
O Site lp Footing U Framing
O Wallboard PI Final ? Draintile
_?0_14
Insulation
fireplace
Permit Fee
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
Other
Total:
13s , c,,D V.tuat;o,: $ 2 0? :?
/ , o0
X/q
- -- ?
Gr x?s,-i•vc- Fov/
?XSx2
?o x c?/
•v??\ P q ?
1L t
? 16 Basemeev? FH nia?sh `
? 17 5wim Pool0 18 Comm./Ind.
O 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Mater
PRY Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
SAC %
SAC Units
.
4el
ToP
6P/?Cc M?'c •? T
h:.
E L, `7 %'7 . 3
C-L. 7'79. Z
?
1
• 99°?'y
? ? 99k.Y
N 89°50`03"E
1145.97
= - - - - -
-?z4•j3?
r Gx 999.3
o ?
p
b.
I O I SSo.? N? '
dp
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7 i- 4? _ ?1
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. Ct
8 ,
ex 78e.9 I /O
ys?•-r ?
0
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1
37 ?
3'. I
1 c-, 99?.136.80 ?
?F? 993,? N 89°50103 E bUl
? ? '?q• u?
. ?
- ?.
DESCRlPT1onL
LOT 2, 8L OGK Z,
;{/{l/1 p;KING WOODS
fOURTH ADDITloN,
PAKOTA COtlNTY,
NIINNE60TA
,O
m
Ell
I a?
`? rom?n
?Q P?.3
O?P
30'rnI V"4
JQ
4•?
• ??
A
k 9Y.?SV '1?l
i?
?
I iA
;n
I?
?
7
N
NORTH
SCALE I "s 3a `
A[t QEAR/N94,II?gI?M,?!',
?1?nN:t' N'M'E
FCi'1A;'i F'i .,..?LS.?.. .....
I hereby certify that this survey was prepared by me or
under my direct supervision and that I am a duly Registere
Land Surveyor under the laws of the State of Minnesota.
Date zX i?rc
LeAoy H ohlen
Registered Land Surveyor No. 10795
- • ' CITY OF EAGAN
? EXTERIOR ENVELOPE AVERACE 'U' CO!lPUTATION
ONNER: 16,zCt. Ci-
SITE ADDRESS: OS ?JJ-,
CONTRACTOR: , Q,A, ?']'ol7.C/ SO?,ClI. DATE: S-oZY ?PHONE: si?J' ,j??,
Determine norking square footage of each:
1. Total exposed wall area .. Y sq. ft, x.11 Jo 9A V
2. Total roof/ceiling area ... ?AO sq. ft. x.026 = O? 3?
pius ?'F- Fwaa .
?s-Xf NAH, .?
Yotal exposed vall area above floor
a. Total wall windou area ............................ L/7
b. Total door area ................................... / ?7
c. Total sliding glass area .......................... O
d. Total fireplace wall area ......................... O
. Total wall framing area (average 10?) .............
g ???
f. Total net wall area above floor ......
.............
. Total rim joist area ..............................
eTotal exposed foundation area =
O
h. Total foundation window area ....................... O
i. Total net foundation area above grade .............. Q
Determine 'U' value of each ?rall segment:
a. x
b x
c. G x
d, O x
e, x
f . ?? - x
8. Ib x
h. ? x
i. ? x
?u?
' U' ?'i
' U' ,p
o rr?
?u' ?
I u,
'U' 6
' U' 'e'
O
= ?.so
r
3 . ................................................... Total e 1713r"
If item #3 is the same as or less than item A1, you have met the intent of SSC
6006(c) 2.
Total exposed roof/ceiling area = ?3-!a d
J. Total skylight area ............................... a
k. Total roof/ceiling framing area (average 10S) ..... ==y?
1, Total net insulated roof/ceiling area ..............
OVER
Determine 'U' value for each roof/ceiling sepent:
;. C) X TuI u _ 0
k. 24;?' X tu t
1. -4 guQ xIUV i G:?.5' - ?s oZ
4 . ...................................................... Total - 'q, [J
If total of 94 is the same as or less than 02, you have met the intent of SBC
6006(c) 1,
Alternate Building Envelope Design
To utilize the total envelope system method, the values,established by the sum
of Items S3 and ti4 shall not be greater than the sum of Items 61 and S2.
1 . + 2. 91i 3 ?k - ? ?i 1 ???v OTMENNOW 3. +a.
,?'?fcr?df
?2ou SC
o iv ee I s fi41
q r1a'i /a 6 le
_S4,Srl
.?----- ?-?- ?
?
?
?
tA
Li
2
FSB Conetruction, Inc.
12006 12th Avenue South Office: 890-2813
Burnsville, Minnesota 55337
E%TERIOR ENVELOPE AVERAGE "U" COMPUTATION
--------------------------------------- ----------- --- -------°------------
PLAN i: 224WW DATEi 1\2 7\92
OWNERi FSB CONSTRUCTION
CONTRACTOR: FSB CONSTRUCTION
SITE ADDRESS: 4805 FOUR SEASONS DRIVE
--------------------------
--- PHONE: 890 -3000
-
-
--------- -----------
Square --- ---
-----
"U" --- --------
£ootage
---------
- Factor
--------
1) TOTAL EBPOSED WALL AREA 3458 x 0.11 - 380.38?
2) TOTAL E%POSED ROOF/CEILING AREA 1221 x 0.026 m 31.75
WALL AREA CALCULATIONS:
TOTAL WINDOW AREA 340 x 0.41 - 139.40
TOTAL DOOR AREA 162 x 0.07 - 11.34
TOTAL GLASS DOOR AREA 40 x 0.41 - 16.40
TOTAL FIREPLACE WALL AREA 60 x 0.36 - 21.60
TOTAL WALL FRAMING AREA 264 x 0.08 - 21.10
NET INSULATION WALL AREA 2374 x 0.043 = 102.09
TOTAL RIM JOIST AREA 130 x 0.04 - 5.20
TOTAL FOUNDATION AREA(E%POSED) 88 x 0.16 - 14.08
TOTAL FOUNDATION WINDOW AREA 0 x ? 0.00
---------------
3) TOTAL ? 331. ?
If item 3 is the same as, or less than item 1, you have met the
intent of 2 NCAR 1.16008 A and 0.
ROOF/CEILING CALCULATIONSs ?Sus?
TOTAL SKYLIGHT AREA 0 x ? 0.00
TOTAL ROOF/CEILING FRAHING AREA 122 x 0.026 - 3.17
NET INSULATION ROOF CEILING AREA 1099 x 0.022 - 24.18
----------- --
4) TOTAL = 27.35
If item 4 is the same as, or less than item 2, you have met the
intent of 2 MCAR 1.16008 A and 0.
NE( S?S`7
cp7ewt
I hereby certify that the bullding here descritied 'et6 or excee4c?s?the
State of Minnesota Energy Conservation Act.
7-
1\27\92
Date
- z_..; •? s-:? ?<.• ?:
} ?ly? a?
199?UILDI P I ICATION
1
CITY OF EAGAN
SINGLE FAMILY DWELLINGS 2S[JLTIPLE DWELLINGS COMltERCIAL
2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PIANS
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 STHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS?-SSt1ED_ ?
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A 'S'BEEN-C1
PERMIT MUST SHOW A LICENSED PLUMBER. h? JAN 2 91992
To Be Used For: eJqI2• FQYYId4 Valuat ion: ? Dat,
Site Address "ZM loUIU ?f? Q)'l) 4 04)00.
153 OFFICE US:
Lot ? Block ? ?
R'3 M'1
Occupancy
?
?
?? Zoning 12-1
V-
Parcel/Sub
/S{0.c)1.fMGy W Actual Const -
Allowable
Owner # of stories
-
Length ?
Address Depth
S.F. Total
City/Zip Code Footprint S.F.
Phone On site sewage_
On site well
Contractor ?V ?.orvyVU1.P?.(.(SYI??? MWCC System 60"
n City water ??
Address l0k io 12,'?=' Q.tke- 5• PRV _
City/Zip Code Lr??+rnN n3'?7 Booster Pump _
APPROVAIS
Phone Planner _
Q ??"? Council
Arch./Engr. F?JV ?.c.o?v Bldg. Off. ?-30 97.
(?S
? M^ ^ ? Variance
Address uW f f ???
City/Zip Code
Phone #
;ed Contr.
ONLY
I`7`!z
? - --
FEES
Bldg. Permit 8?25,00
Surcharge
Plan Review (o. 00
SAC, City JOO,Uo
SAC, MWCC 00.00
Water Conn. (? , 00
Water Meter 95 00
Acct. Deposit 30.00
S/w Permit D,a+
S/W Surcharge ,50
Treatment Pl. 300•90
Road Unit 9U,0 •
Park Ded.
Trail Ded.
Copies
Llcesse Uer-plaia" 5,00
SIISTOTAL
Penalty
I,ot Change
TOTAL 3.h%no
agrees that all wotk shall be done in accordance with
(S atur of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
r? Y? e
VA?kr??ah1
GA2Ae.c
a = 6-7 zx toosc)
BSMr
36xZy c 8G4
21 X 13,6 7: 2g7
6Xlyc
1-) ) 2qo
I ST FW pM
Rsn+T : t Z?5
z?c?: 12
?.-??
I Zy? X 53= G6091
1
Z a D F?.v aYt
..?--
?`?
?yXl2= 16B
G X 14 =1_
lilb x53= SctJqV
? 5` Z? G d GI
. ?
,. ,..?
ovt IS3?oom?
.c?%
4q
ToC' E L., 98-7.3
6P+6c Me 6+-r EL. 919, 2
?
1
_l
;?999 y N 845.973.,F
F = - - - - - Gx yg9.3
F"+ jB?r.T °-
?? _
o I o ?
n o
?ci V
< T ?
0 7 h ? <4
? ?x 9 9z.
5L
?.
,
, 4 ?a?2•e
2$
0
ia•?3- K 98io.9 1 /O
c.
?. .. r,w 38?..T I
, ,.
N <11
1
a
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s
,Q Q ? o?? I ro
Q yl o-
J
1 c" 493. i 136. 80
N 89°50'03"E
?
'0 ui
?
.- ,N
?
- ,.
D?SCR?PrronL
L OT 2, SL OGK 2,
W1115piRlNG WdODS
FQURTH ADPITION,
DAKntA CDtINTY,
NIINNESOTA
y$? ` 1
F,.
1?
3
Z
? 9S?S? FI?I
I?
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i7
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7 ?
yCAL6
AX L B9Ak/Ni
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NORTH
"e 38 `
A6S11 M?;
B?y
ato ---?- ,
ZAG,AN E1VGIYdEF.RIpIG DEi
I hereby certify that this survey was prepared by me or
under c supervision
the s laws a of the t State of duly Minnesotaterec
Land Su
Datesy/4
LeRoy H ohlen
Registered Land Surveyor No. 10795
FSB Construction, Inc.
12006 12th Avenue South Office: 890-2813
Burnsville, Minnesota 55337
E%TERIOR ENVELOPE AVERAGE "V" COMPUTATION
------------------------------------------------------------ ------------
PLAN $a 224WW DATEt 1\27\92
OWNER: FSB CONSTRUCTION
CONTRACTORa FSB CONSTRUCTION
SITE ADDRESS: 9805 FOUR SEASONS DRIVE PHONE: 890-3000
-------------------------------------------------------------------------
Square U.
Footage Factor
--------- ---------
1) TOTAL E%P03ED WALL AREA 3458 x 0.11 = 380.38
2) TOTAL E%PDSED ROOF/CEILING AREA 1221 x 0.026 = 31.75
WALL AREA CALCULATIONS:
TOTAL WINDdW AREA
TOTAL DOOR AREA •
TOTAL GLASS DOOR AREA
TOTAL FIREPLACE WALL AREA
TOTAL WALL FRAMING AREA
NET INSULATION WALL AREA
TOTAL RIM JOIST AREA
TOTAL FOUNDATION AREA(E%POSED)
TOTAL FOUNDATION WINDOW AREA
340 x 0.41 a 139.40
162 X 0.07 = 11.34
40 x 0.41 m 16.40
60 x 0.36 = 21.60
264 x 0.08 = 21.10
2374 x 0.043 = 102.09
130 x 0.04 a 5.20
88 x 0.16 = 14.08
0 x m 0.00
--------------- '
3) TOTAL 331.
If item 3 is the same as, or less than item 1, you have met the
intent of 2 MCAR 1.16008 A and 0.
ROOF/CEILING CALCULATI ONSe
TOTAL SRYLIGHT AREA 0 x = 0.00
TOTAL ROOF/CEILING FRAMING AREA 122 x 0.026 = 3.17
NET INSULATION ROOF CEILING AREA 1099 X 0.022 = 24.18
--
4) ----------
TOTAL = ----
27.35
If item 4 is the same as, or less than item 2, you have met the
intent of 2 MCAR 1.16008 A and 0.
f
I hereby certify that the building here descr?ed ?ets or exceeds the
State of Minnesota Energy Conservation Act. ? ?
1\27\92
Date
CITY USE ONLY
L ? BL ?
SUBD.
crrY oF Ensax
S$SO PILOT KPOB iiD
EAfiAN, bfP 55122
(ssi ) ss1-4s7s
EACH #
Please wmplete for:
? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTlJRES
TOTAL
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
GeS i in outlet ` minimum -1 3.00 x = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
Lavato 3.00 x = $
Minimum fee alteretions to existin dwellin 30.00 x = $ U
Private Dis osal S stem new/refurbished ` re uires MPC lic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
WBtef Softenef if dwelling under construction 5.00 X = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x ---- _ $
State Surchar e .50 --> ----> ---> $ .50
Total --> -' ----' $ S
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
-------- - - -----------------------------------------------------------------------------------------------•• ------------
-ot Eagan-ordinan-
- ces.
I hereby acknowledge that I have- read -this appliption,-state that- the -informa6on is cortect, and agree to comply with all appli•w- -bie-City-
It is the applicanYs responsibility to notity the properly owner that the City of Eagan assumes no lia6ility for any damages caused by the City during ils
normal operaUonal and maintenance activities to the facdities constructetl under this pertnit within City properly/right-of-way/easement.
SITE ADDRESS: 1-1 -60 _L_? Y 00 C
OWNER NAME: :
INSTALLER NAME:
STREET ADDRESS C C' (3
RECEIPT #: I 550
RECEIPT DATE: ? I
PERMIT !1 __?) 7-
TELEPHONE #:
(AREACODE)? gCJ.ZrL
TELEPHONE #:
(AREA CODE)
CITY: STATE: lYl ZIP: !EGG7? r v ; Of
SIGNATURE OF PERMI E
SS 3-1 a-
1999 nUM$INH PEfiMIT WSID£PTIlkI.)
?? 9 3 ? 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Conshucfion ReaNrements
? 3 registered aBe surveys showing aq. k. of lot, sq. ff. of house
and all roofed areaz (20% maximum lof coveraae allowed)
? 2 coples of plans (show beam a window stzes; poured Fnd. deslgn; etc.)
? 1 sef of energy talculWions
? 3 copies W ee preservation plan B lot phtted alter 7/7/93
DATE: C77 ZIa /q 9
DESCRIPTION OF WORK:
STREET ADDRESS: 450
?
LOT: BLOCK:
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
002 S
? SUBD./P.I.D. #:
_ W"4
Name: 1;11401(`Yl ?iAc'L- Phone #: SR6z? 3?S
n Ftrn
StreetAddress: 490`S J:?002. ??--?^^S ?r'_
City State: V V I3 Zip: ss /Z Z
Company: <-;4v-Ac? A'S?> AgOPhone #:
(area code)
Street Address: License # Exp.
Ctty
State:
Company: Name:
Telephone #: area code (
Streel Address: Regishation #:
City
Sewer 8 water Iicensed plumber (reauired for new conslructton onlv):
State:
PenaNy applles when address change and lof change is requezfed once permN Is issued.
Zip:
Zip:
I hereby acknowledge ihat I have read this appllcaHon, stafe thaf the information is cortect, and agree to comply with all applleabl
Stat§ of Minnesota Statutes and City of Eagan Ordinances.
Signature ot Applicant: --?
--- -- ,' ,
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required ?
-i?)r
COST: c?1? n-b
Remodel/Reoalr ReauIremeMs
s V-b , C3 ?
AJ Tt ?:-
2 coples of plan
i sei of energy calculaffons for heafed additlons
7 ske suney lor exierior addMions 3 decb
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn, (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ????/18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments f8" 1 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool lp 25 Miscellaneous
WORK TYPE
1 New ? 35 Tenant Impr ? 39 Gas Line On ly O 43 5iding/Soffits/Fascia
?
? 3
2 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
' Give PCA hando ut to applicant for demol ition permit
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq. ft.
sq.ft.
sq.ft.
Footprint sq. ft.
Building ?
Census Code Z-/17 v
SAC Code O/
No. of Units 0
No. of Bldgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MC/E5 SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies G n ?G
Total:
Valuation: $ r,??o15)Cj
SAC Units
% SAC
L? B? - CTI'Y OF EAGAN
MECHANICAL PERMIT
SUBD. /,r.r+_r?1?y,?dCr GcJ? h` (612) 681-4675
RESIDENTIAL
RECEIPT # /D531
DATE 3v
PLEASE COMPLEI'E UPPER PORTION ONLY FOR SINGLE FAhiII.Y DWELIdNGS. ALSO, COMPLEfE FOR
TORNHOMES/CONDOS R'HEN SEPARATE PERMITS qRE REQUIREp FOR EACIi DR'ELLING UNIT.
owxER: SQ _ FFFC
SI1'E ADDRESS:
` ADD ON/REMODEL (E)aSTING
CONSTRUC!'ION ONL1) $ 15.00
INSTALLER: HVAC: 0.100 M BTU 24.
PHONE #: S- ADDITIONAL SO M BTU 6.00
ADDRFSS: Lb, GAS OUTLEIS •MMMUM 1@ S3 EA.
CITY: ZIP. S' - SURCHARGE $ .50
SIGNATURE: TOTAL: $ 5-21
COMMERCIAL
PLEASE COMPI,ETE THIS PORTION FOR ALL COMIMERCIAIJINDUSfRIAL BUII.DINGS. ALSO COMPLEI'E FOR
APARTMENT BUILDINGS OR OTAER MULTI-FAMILY BUR.DINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR
EACH DWELLING UNTf.
WORK DESCRIPfION: CONTRACT PRICE
196 OF CONTRACT FEE FEFS
STATE SURCAARGE IS $.50 FOR EACH
$1,000 OF PERMIT FEE.
$
? PROCES3ED PIPING - $25.00
MINIMUM FEE - S25.00 a
OWNER: TOTAL: $
S1TE ADDRFSS:
TENAN'P:
SUITE #: •;
INSTALLER: , _.. .
ADDRESS: , ,.
.
CI1'Y: ZIP:
PHONE #: C11Y SIGNATURE
SIGNATURE:
CITY OF EAGAN FOR CITY USE ONLY
3830 PIIAT KNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT # /0S
DATE: 9Y
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH IINIT.
WORK DESCRIPTION
NEW CONST X
ADD ON _
REPAIR _
OWNER NAME:
SITE ADDRESS: 7"L(-CJ ?
LV1. l h ULOVK ? SUyU.
INSTALLER:
ADDRESS:
PHONE
DWELLINGS &
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
? SHOWER 3.00 r-r-)
? WATER CLOSET 3.00
BATH TUB 3.00 2 )
? LAVATORY 3.00 AfiZ-'O
? KITCHEN SINK 3.00 Z .00
/ LAUNDRY TRAY 3.00 .3 0 C?
? HOT TUB/SPA 3.00
LA? WA
TE
HEATER 3.00 ?'00
? ? v
P
DFAI- 3.00 0
GAS PIPING OUT.
3
00
(MINIMUM - 1) 3.00
.
ROUGH OPENINGS 1.50
OTHER
WATER SOFTENER 5.00
_ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
SUBTOTAL 1P, ?
ST. SURCHARGE .50
TOTAL: yx 00
$ c-
_
LOH1SfERGIAL'iIIDITSTRIAL:, PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
.?.....,.,,,_,....
M[JLTI-FAMZLY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
______------ _________----------- ----------
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BIACK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE
FOR:
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:
(SIGNATORE)
$
$
CITY OF EAGAN
CITY: xy_ei_twti. `s ZIP: _r76vs)4-
bNUO PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Famity Dwellings
Townhomes and Condos when permits are required for each unit
g 'v ?
Date7/ 15'-103 C
Site Address 7 p ?? ?O K Unit #
Property Owner Telephone # ( ) __
Contractor A"IAIYJYYI Ae61,01 lL'? ---
Address ? 7- 7 ,q 9 ?e . ed City
State I? N Zip 55337 Telephone #( j,S?,? fl rl0 ^ 7? G d _
The Applicant is _ Owner Contractor _ Other
Septic System New Reftlrbished Submd 2 sets of plans and MPC license $ 100.00
Includes Counry fee. Additional consultant fees may apply
Alterations To Exis[ing Dwelling Unit, Inciuding
L/ Adding fixtures to lower levels or room additions, excluding water softener and water heater $ 50.00
_ Abandonment of septic system
ed -$121.00)
d
Water turnaround (+ 5/8" meter if nee
}
?
Other. lCr iG, /?erQ ???' S•
_
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation system
_ Water softener _ Water heater $ 15.00
_ replacement _ additional
. $ 50
State Surcharge
Total
I hereby apply for a Residential Plumbing Permit and acknowledae that the mtormanon is compieTe ana acwraLe; InaL wc wUI h %V I I I
be in conformance with the ordinances and codes of [he City of Eagan and with the Plumbing Codes; that I understand this is nut 'i
pennit, but only an application for a permit, and work is not to start without a permit that the work will be in accordance wuh ihc
approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name
?w s2'?ys2?? l? ? - -
Ap?la ant' ??s Signa
v-
[o ° 06? RESIDENTIAL MECHANICAL
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephoue # 651-675-5675
Please complete for: Single Family Dwellings & Townhomes and Condos when pemuts are required for each unit
Date?/2)-// v?
Site Address -11e05- }'-i2 vf SPaS 0,0 Unit #
Property Owner Telephone # ( )
Cantractor TliWif S :Itle-e 1\a-u Pcce
Street Address f S LI ?( O ?, ?
City 44,?oc' +i
Vc o-a ?oU !.L-,'
State Zip c tDLl- Telephone #( 767j )?I 2r
Bond#: q3,1t( 6,154100 Eapires: 2f17zLg`[
The Applicant is _ Owner ? Contractor _ Other
Add-on, moditication or alteration to eaisting dwelling unit $ 30.00
? furnace replacement
air exchanger
air conditioner ` New _ Replacement
other
State Surcharge $ .50
Total NOb' '2 , 4 2003 $ 3U .S?
B
I hereby apply for a Residential Mechanical Pernvt and aclmowledge that the InformaIVII"YS?Om¢ieteaad'ace?ate; that the work will
be m conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an applicarion foT a permit, and work is not to start wrthout 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.
3 r uC e- k", I /YU P c?
Applicant's PrintedName Applicant's Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA127582
Date Issued:10/07/2014
Permit Category:ePermit
Site Address: 4805 Four Seasons Dr
Lot:002 Block: 002 Addition: Whispering Woods 4th
PID:10-83953-02-020
Use:
Description:
Sub Type:Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of house wrap and leave on site for final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Stace Byom
4805 Four Seasons Dr
Eagan MN 55122
(651) 451-6835
Beissel Window & Siding Co
1635 Oakdale Ave
W St Paul MN 55118
(651) 451-6835
Applicant/Permitee: Signature Issued By: Signature