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4813 Four Seasons Dr Use BLUE or BLACK Ink owl . . 1 ; Permit* City of Eajan ; Permit Fee. 3830 Pilot Knob Road I I Eagan MN 55122 ; Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 i stafFI 2 011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: S 13 /0 Site Address: 141g fa e~ s a •s Unit Name: V e Phone: r/) 33 Y - 63 9i RESIDENT/ OWNER Address / City / Zip: Y$ 13 f©u Sete ® h i dr Applicant is: Owner contractor TYPE OF WORK Description of work: )~e -/'.0 0 T Construction Cost: o 610 Multi-Family Building: (Yes No i:~J- Company: .o.° s to a e '6z r . for 5 Contact: ,D / CONTRACTOR Address: 5-6 $ 7 W 119 f A .S t. / City: State: „_,44 Zip: 57S`-77 A Phone: 9s'-~~ S~~ o 13 S 3 License .2 &C 3 YC9 9( Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? ,Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public H you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOB U 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.Qooherstateonecall.ora 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 pl x !S" r~- x /V Applicant's Printed Name ' Applicant's Signature Page 1 of 3 • _? (?'e-rtificate nf cccuvanc? Cfitv nf Cfagan MeOwhucat af 13ui[bing 386occtioa This Certifecate issued pursuani to the require»tents of ihe Uniform Bui[diag Code cenifying that at the time of issuance this structure was in compliance wrth the various ordirrances of the City regulating building constnrction or use. For the fallowisg: Use ClassiCication: SF m Bklg. Pcrmit No. 1127 Occupancy Type Z.oning District ,T,y?e . 1510 ltl ? Owrer of Buildiog AddRSs / Building Address 4813"R 7C M WdW l.ocwity I• l, B t, WEERMC woms 51H Building Oicial POSTIN A CONSPICUOUS PLACE INSPECTION REC4RD Control No. 1071 CITY DF EAGAN PERMITTYPE: ???totwa 3830 Pilot Knob Road Permit Number: IIIII i?7 Eagan, Minnesota 55123 Date Issued: r??? 1??92 (612) 681-4675 SITE ADDRESS: APPLICANT: 481-1 rouR SEASnNS oR "AfiNER woNEs !.!H i SP f. k I M q liO0 US 5 ( 63 2)+1 31-IS$ 7` PERM?T P ,,YBTYPE: TYPE OF WORK: Nru INSPECTION Nr .. . r'V nMI Mr; .. 1 tM SIl l!l t I cy 1-1 F x 11 A 1, F?Nf'Pt 11r' F RFMARKSs REGEIPT 0 3,16W pi.BW - (iF.NI/RYaM , •. ° . . ?{ ? ??A]I rr-...*1_? ?.._. ,? ?.. _ .. . . • . , "? Permn No. Permlt Holder Data Teiepfione Y SJIN PtUMBING HVAG ELECTRtC : ~ 65 %'' I ELECTRIC ??°? U 0 InspscUon 08te Inrp. Commerrte Footings I C)s Faundatiori O Framing Rooflng Rough Plbg. ? Rou9h lit9• y D-4 Isul. Flreplace Final Htg. Orsat Test Finai Plbg. ? PI6g. I nspactcx- NatHy Plumber Gonst. Meter EngirlPfan Bldg. Final 44 Deck Ftg. Deck Final Well Pr. Diap. ? 3 0 ?! y 8/3 ? .5?.? • ? ?- r` ?? K 5244 16)g5zx6W- ii z )l3l 5 Fequest Oale Fve No Rouqh-in I ection R d ? Ready Naw ctor ? e9uas C No When PeWy? I`, licensed contractor ? owner hereby request inspection of above electrical work at: Job Atltlress (Sireet Bax or R e No I Qty 3 un SecLOn No Township Neme or No Faiye No I ? Occupa81 fPFINTI Phone No Power S lier Azle Atldress EI inc ont2ctor ?Gompany mel x ConVadork L se No z n_17-e:9D Madmg Atlorass onvac[or or Owner Makmg Inslallana" & Authorrze ignaNre ICoNreclorlOwner Makm Installau c Phone NumOer / ts ? V MINNESOTA STATE BOARO OF ELECTPICITV TNIS INSPECTIDN REOUEST WILL NOT Griggs-Mltlway 91tlg. - Room 5-173 8E ACGEPTED BV THE STATE BOARD 1821 UnWetsi[y Ave., SL Paul. MN 55100 UNLES$ PROPER INSPECTION PEE IS Ffwne(612f 6424800 ENCLOSED REQUEST FOR ELECTRICAL INSPECTION ? See in-tmcuons for compleeng INS 7orcn on back W yellow wpy 3_52 44 „X" Below Work Covered by This Request e Add Rep. TypeofBuiltlmg ApplianrssWVetl EquipmeniWired Home Ranqe Temporary Service Duplex Water Heater Electnc Heating Apt 8wlding Dryer Otheo (Specity) Comm llntlusirial Furnace Farm Av Condi4oner O[ner (syxdy) ConVactors RemaMs Compute Inspectian Fee Be/ow: # Other Fee # ServiceEniranceSize Fee # Qrouits/Feetlers Fee Swimming Pool 0 to 200 Amps 0 ro 100 Amps - 7ransformers Above 200 _ Amps Above 100 _ Amps Signs Inspectors Use Only ' TOTAL /v Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee ? COMPLETED WITHIN 18 M NTHS. I, the Electrical Inspector, hereby certify that the above inspechon has been made. R°ugh-in N oeief ? ` OFi1CE USE ONLY This reQUest wie 16 monIDS Imm ?K?O35? /0i;L1 S? ? Re4 esi ?ale ^ Fire No ' Hough-in ection Requne0 G Yes C No Cl Reatly Now ? Will NotAy Inspector When Reatly? I,241censed contrac[or ? owner hereby request inspection of above electrical work at: Job Atltlress ISlreet Box or Faute ) ? . /w Cify Seclion No Township Name or No flanga No Coun?y C+vl ? '-' ? pccupanl(PPI T)) Phone No Power Obe'd'? L? AOCrass ? Elecm nlraqor ICompan ame) / ConVactor5 kjbense No/?' Matlin A?tlres ICOn[ractor or Owner Making Inslallanon, / Huthonz Signawre fConVaclon ner Makmg Installa Ph ne NumbsId MINNESOTA STFTE BOAHD OF ELECiHIpTYr THIS INSPECTION REOUEST WILL NOT Gnggs-MlEway Bldg - Room S173 BE ACCEPTED 8V THE STATE BOARD 1821 Umversity Ave. 51 Paul. MN 55100 UNLESS PPOPER INSPECTION FEE IS Phona (612) 661-0800 ENCLOSED REQUEST FOR ELECTRICAL INSPECTION See insimchons lor completing this brm on back oi yellow copy 10- 7 6535^ J B "X" Be/ow Work Covered by This Request dM??EB-00001-08 'k?„,,.• ? ew AGtl Rep - Typeol6uAding AppliancesWired EquipmenlWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Indusirial Furnace Farm Air Conditioner Otnar(sVecdy) Convactors Femarks Comaute lnspection Fee Below. 8 Other Fee # ServiceEnirance S¢e Fee /f Circuits/Feeders Fee Swimmmg Pool 0 to 200 Amps ? 0 m 100 Amps Transformers Above 200 _ Amps _ Amps Slgns Inspecror5 Use only p TD L?h?l Irrigaaon Booms r Speciallnspection Alarm/COmmunicanon THIS INSTAILATION MAY BE ORDERED DISCONNECTED IF NOT • Other Fee COMPLETEO WITHIN 18 MONTHS. I, the Electncal Inspector, here6y Ri oaie certify thal the above inspecUOn has been made Final I oWe 7 ?O 'Y OFFICE USE :1NLV This request vortl 18 momhs from Address:4813 FYKJR SEASONS DRIVE Lot I Blk I Sec/SubWHIgpERJNG ?ppDS 51R IMME These items wera/were not complete at the time of the final inspection. Date: 12/1/92 Yes No . L ? Final grade (6" from siding) Permanent stepa - garage ? Permanent steps - main antry ? Permanent drivevay Permanent gas Sod/seeded grass Trail/curb damaga R Porch V'r Basement finish Dack ? Pleasa verify vith the builder the ramoval of roof test caps from the plumbing system and the shut-off of vatar supply to the outside lavn faucet before freeze potential exists. ? Wh1te - City copy Yellow - Reaident copy Pink - Contractor copy INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued (612) 681-4675 SITE ADDRESS: Ln 7: 1 B L 0 C K: 1 APPLICANT: 4813 FOUR SEASONS DR WAGNER HOMES WHISPERZNG WOODS 5 (612) 431-7557 PERMIT SUBTYPE: SF DWG TYPE OF WORK: Control No. 1071 BUILDSNG 001127 09/17/92 NEW INSPECTION FpOTING D. . FRAMING D, IN5ULA7ION FINAL FIREPLACE REMARKS: RECEIPT # ? S&W PLBR - GENZ/RYAN ? !? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued. BUILDING 001127 09/17/92 SITE ADDRESS: 4813 FOUR SEASONS DR LOT: 1 6LOCK: 1 WHISPERING WOODS 5 DESCRIPTION: 1'6uilding Permit Type SF DWG / Bu3lding-?Work Type NEW UBC OQaupan'cy R-s M-1 Constr'uctiom ?Type VN Zaning R-1 t Building Length 60 ' Buildirrg Width 50 ; •. _. ` 21`'i REMARKS: RECEIPT #GC??QCti?? S&W pLBR - GENZ/RYAN FEE SUMMARY: VALUATION Base Fee Plan Review Surcharge SHC SPoC ? SAC Units SWbtOtdl $658.00 $554.45 $80.50 $700.00 100 $2,187.95 $161,000 MISC FEES $1,610.50 Total Fee $3,798.45 CONTRACTOR: - Applicant - sT. lI OWNER: WAGNER HUME5 14317557 000210 WAGNER HOMES INC 7570 W 147TH S7 7570 W 147TH ST flPPLE VALLEY MN 55124 APPLf VALI.EY MN 55124 (612) 431-7557 (612)431-7557 I hereby acknowZedge that T have read this application and state that the infarmation is corraet and agres to comp.ly with a11 ap•pl3cable S'Gate QF Mn. Statutes and City of Eagan Ordinances. ? - WA 4---w r APPLICANT/PE ITE SIGNATURE ISSU D Y:SIG! RE Control No. ?p 1071 PERMZT N LITY OF EAGAN c4s L 20 f"lj RcACT,IYATE'' ( ? 1992 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY s of plans, 3 registered site surveys, 1 copy of energy ? ? ? al s COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. ? .. Penalty applies when typing of permit is requested, but not picked up by last working da;F- of month in which re uest is made lot chan e is re uested once ermit is issued. Date _ 07 / is / 92 Valuation of work $134,000 + ioc $48,700 Site Address:_4si3 Foi„- SPaGOnq Drive STREET gUI1E * Tenant Name: (cortmercial only) LAT 1 BIACK 1 SUBD. Whispering Woods p I D * Sth Addition Descri tion of work: r i iton The applicant is: ? Owner ID Contractor ? Other (Deseribe) Name Phone Property uST FIRST Owner Address S7REET STE A City. State Zip Company Wagner Homes, znc. Phone 431-7557 Contractor Address 7570 w. 147en sc. License # ooozio6 EXP. 3/31/93 Clty Apple Valle State MN Z;P 55124 Company Phone Architect/ Engineer Name Registration A Address • City State Zip Sewer 6 Mater licensed plumber Genz-R an . Processing time for sewer & water permits is two days once area has een approve . 1 hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City af Eagan Ordinances. Signature of Applicant: OFFICE USE ONL`l BUILDING PERMIT TYPE O 01 Foundation 0 06 Duplex ? 11 Apt./Lodging W02 SF Dwg. p 07 4-Plex ? 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 04 SF Porch ? 04 12-Plex ? 14 Fireplace ? 05 SF Misc. 0 10 Multi. Add'1. ? 15 Deck WORK TYPE d31 New ? 32 Addition O 33 Alterations O 35 Tenant Finish ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) \j_?,l Basement sq. ft. (Allowable) _ V- 0 lst Fl. sq. ft. UBC Occupancy 2-?, M-? 2nd F1. sq. ft. Zoning Q^I Sq. Ft. total 1 of Stories Footprint Sq. ft. Length On-site well Oepth ? On-site sewage APPROVALS Planning Building Engineering Variance REG1UfRED INSPECTIONS ? Site O Mallboard ? Footing O Final '? . 0 16 Basement Finish ? 17 Swim Pool 0 18 Comm./Ind. 0 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Uemolish MWCC System Y6 City Water Ys PRV Required Booster Pump Fire 5prinkler Census Code /o/ SAC Code o / Assessments O Framing . ? Insulation O Draintile ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Nater Conn. Yfater Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Tra11s Ded. Copies Other Total: SAC % 100 SAC Units _L vatmtim: s l? I ? Ooo Gaa?_ 3zK 2U z K?z= Cz? ?striT, t) NN u 16 ? l1,9oN I6%2Kg?s ?2'1 '- 13 7t/ 2 ; ??- v . C,,,?,.??? S ?z?•e.. 136 7 c/ c2 r BASED ON CIIAPTPsR 5 OF TIIE , . MODEL ENERGY COD - 1993 $DITION L/ ?P?•f? Adoption Effeative owner Phone Date Site Contrac ,711, Building Classificatlons Type A1 (9ingle Femily & Duplex) Type A2 (ResidenEiel, 3 stozies or lees) (OVer 3 etories) (Other) NO'TEs Comnlete oagg?3 Ahd e first. GENERl?L INFORMATION 1. Building Perimeter w t1 2. Wall heiqht (ground to eave) ft. . 7. 1. X 2. (ebove) qross wall erealtL?-J.? ?nq.ft. 4. Bulldinq dimeneions (L) R(W) mM`r eq.ft.rooE 6 floor aree 5. 3q. fooE erea of rim joist F r jo t ize (2 X R (Perimeter) m sq.Et. 6. Doore - Area \ " Y' 12 ? /?_ • Thickneae in U. feator<< ?• 'T? Type of congtruction Perimeter [t. Hanufacturer . 7. Totel doot'e perimeter ft. . . e. Windows: Ha?}? fp e?turer Lq?L. i 1? t 9tate approved tl fector_ 1`rP TYPE SIZE AREA (9q.Ft.) • NUMBER OF TOTAL t! ' 0 BACN UHIT9 $q FBBT ?4r4 ? 9. Totsl sq. f t. Glase f t /?' u(o P---? 30. Fireplace area: Width X Iieight ?. H ? eq.ft. 11. Expoaed foundations Iteight S Pet?fneEer?X1 1 v e?? ?q.Et. COFiPLETION oF TIIIS FORM IS REpUIRED FOR ALL HEN ICONBTRUCTION, H11JOR REHODELINa AND BUILDINa9 BBINO HOY60 HIIERB EHSRQYt OT!!LR TFIAN TNE HINIMIIL CODB ALLOWANCB, I9 U9ED. -1- ?. uroee wuit eren_ L TJ J 1I(?? ' Wiuidvw a'rea A eq.ft. U alndowu Uxl? - 1 %i GE:S Iilm jolsE aree 1??a? ?q,ft. u rim jolstm ' UxA •• `G Uoor area A ?? } aq.Et. , U door eree,m• UxA - 1 Otlier doore area A Ot?eq, ft, U otiiat doota- t Uxh ? ? Exposed fndn A l' I sq,Et. U Eoundatilotta?e UxA ? ?? ?'reming area A?1 ri Ggq, fti, U ftaminq etae? 1?? UxA •• 1 tlet wall area h?7?ey,fE. U Wall-_j,??UA d x (130) Tv7'AL . • • . • . . • t UXII 4. Croee wall area x 0.11 (A-1 eingle Eemlly i duplex) ? ellownble UxA/Code (17. ebove) x 0.23 (A-2 oEher renidentiel) x .23 (otlier bulldinge) • x .ze ?over 3 etorles) ,??7? /.L1'1 /. B'CUU muet,be lsKget tl?an oY eema I v COCjO \ a??Ef/ oF. ee 190 above 5. celllnq Eraml.ng area (AE) equalr 10t of aalllnq etaa 1 51?. Gtoee ceiling nteo - (L) ? x JN) .`_gq.fto 5u. Jolet area (AE) ? l01 celllnq etae •???_sy.ft. ' 4c. flet celling area (Ac) '(xgA _ igg) e ??44,.? gq.ct. U cal l lnq x A c m??\ x! U framing x 11 E- _L?("tpt x?? ?7 ; ' •• 15U. ToTAL U x 11 ..........................?.. t6, ceillnq nrea (15A) x o.026 (A-1 singl temily uplex) - allowable UxA/Code x o.033 (A-2 vEher teeidentlel) x 0.06 (otlier) . • BTUII musti be '1Arger klian or sema • A(15A)n VOx U code_10 ?oF. nn i$U e6ove ' Io'fEI Use U aeid A valuee obtalned itom pegeu 1# 7 end 4. ;E[U.?EI?dT14?i? I IieKeby perElEy thaE I heve Qelvuleted the ^U" faotota end "R" veluee lierein and tfint ttie buildlnq hate deaotibad meete or axoeede tite 3tete of Hlnneeota Energy Coneetvetlon Aoh. Uahe . 9 gnatuta . -2- ?? ? -?--? ?? rM K111 ki t1 ? x? 4<- C?? ` ?. ? ?. ° ca , 10&? .? C , '`a ?s;!57i? Q?O lll.l?v ^ I^LUr U YALUC ' NALL ' SEC7(ON Inside att film .fiB ' Incer?or w.ll ' .45 cwlu u . ? . tnsuletton ?9•° ' r? Sheething z,Olo S ld Lns Outslde alr'Ellm ,ll N TOiAL 2.3.03 StUD SCCTION Inilde.alt Ellm V ,68 Intatloc xall ,45 b" stud R' AV10 la.6 (Ftamina) U.? . Sheathlnd j?.D(v .096 S ld I ng Outslde•alr film ' ,11 R ?OTAL 10.153 2ND KALL SECTIQN. Inslde alr Illm R• .69 lnterlor vatl • [noulatloo (Na11 ) U . ? . Sheathloe , Z Lxterlor wall eovetlns 1 Extetlot aLr tllm' R ..11 R TDTAL . ? tnterlor aIr Illm R• .68 RIH ? lnsulstlon z?q?0 e-, JolsT Ineh sofc wood R•1,88 (Rlm JOISt) . Sheathing 2.0(0 ` EkClCIOt M?L1 coveclns tp] Exterlar alt film Fh ,17 • ? R TOTAL 7-+. +?p lnteclot nft film R• ,68 lnsuletlon 11, O Foundatlon I,2b Exterlor •le film R• X R TOtAL I 3• tib -Exposed 8luek U ¦ ? el . oq-I r ' I (Fdn.) U ¦ lf :07(o ? M. 3. .. n vnLuR n vALug tIWI111U ' C61L1110 Alrfllm Inrulatlon A •0 _ 4.I9 ?o1rE -?•g6 Calling O.?fi -Q.61 A1rE'llm tjL 4Z 1I (n Totnlll_ ?7 ???J • I D2'5 Nlndow 1nElitratlon o.8 o(ro/llnael [ooE o[ otaok ttesldanllel door !n[llkretlon o.lJ n[n/equera [oot or dvoC end nlnlmup ovde ra9ulremenE Non-raeldentlel door lnEilktstlon 11.0 oEm/1lneel Eook ot oteok lib 12" oonareEe block nv lnauleklon ' .+ • ' t?b 12" connrete block ineulaEed nvtas " '?r n?.1 ?. lib 12" 11glitWelqlsk block •2e tt ?•8 • Ub 12" llgliEwelglit bloak llieulntad ooteu .. ??? n??1 . .13 Il B.9 . U eingle gleen • 1.17# xith rtotm Nlndox .94 U doUbla gleen . .55 • • U trlple qlana - .41 All'axterlor walle end:o,alllnja muek heve e vepor berrlel- (o.lo pars mex.le vapor berrler muek be oti'khe 1„elde (heeEeo eide) o[ Mall.' vapor bnrrlaru oE tlie polpetlielene tltln [lln Iieva no It velue. ? • .. . , . . • , .? : .. . . .. . . ,. ?OA9ES 17O Nq C PLRMNEI"tf oadaLAND ffUAViYOI6/. DI rN6INEEAING . ?'9 yne ` N432*3000 COMPANYt INC. ' `s t?.? 1000 EAST l16m $TREET, BURNSVILLE. MINNESOTA !1lS3316. Legal Deacription: s oa?,e : r -A' (992.4) ef2, b? ? a h e p 6. . ? 4 ? ,!Kt &a. D riFicATE oF : (Y2=?=? ) <993•5 ? -.. - 99 3•83 9Bb,J 2 994, /t. i .-? --r - I haraby certiEy that thia is land as ehown and described Jul,v , 193L_• EY DENOTE$ SXI5TINC3 ELEVAT40N DENOTES PROPOSED ELEVATION INDICATES pIRECTION OF SURFACE DRAINAQE = FINISIiED C3ARA(3E FLOOR ELEVATION $ BASEMENT FLOOA ELEYATION = TOP OF FOUNDATlON ELEVATION .-, . 30FT. FRON7" 011ILV/N6 ,%FTBAG;f' L/NGs a true and correat representation of a treot of heraon. Ae prepared by me this 14" day oE ??.w.aQ1?4 ? ??/ ?Y,?*.!'l/ 1,?? Minn Reg.. No. 3? 600 LBL ? CITY OF EAGAN y? fbi PLUMBING PERMIT SUBD.???? (612) 681-4675 RESIDBNTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. CITY USE ONLY RECEIPT # DATE ALSO, FOR TOWNHOMES AND CONDOS WORK DESCRIPTION NEW CONST /_ ADD ON , REPAIR _ OWNER NAME: ' SITE ADDRESS: 7 Q43 NB-u%l? ?...Q.CtArB7!/J hl? INSTALLER: ADARESS CITY: ZIP:?S,? (`19 COMPLETE THE FOLIAWING: N0. FIXTURES F.A. TOTAL ? REPAIR/ADD ON 15.00 SHOWER 3.00 B WATER CIASET 3.00 D ? snza xUs 3.00 00 IAVATORY 3.00 ? KITCHEN SINK 3.00 O L LAUNDRY TRAY 3.00 ? d 0 HOT TUB/SPA 3.00 WATER HEATER 3.00 ? FIAOR DRAIN 3.00 GAS PIPING OUT. (MINIMUM - 1) 3.00 ? el ROUGH OPENINGS 1.50 _ OTHER WATER SOFTENER 5.00 _ PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 W. TURNAROUND 15.00 STATE SURCNARGE .50 TOTAL: $ -0 P50 COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR M[JLTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: OWNER NAME: CONTRACT PRICE: SITE ADDRESS: 1% OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR TENANT NAME: EACH $1,000 OF PERMIT FEE. SUITE #: $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE FOR: CITY OF EAGAN (SIGNATURE) CITY OF EAGAN SLJBD. B,??.C1?) ME(C 6H 12I681-467 IItMIT RECIIP'' #/ /WD 9;Z- ? RESIDENTIAL PLEASE COMPI.El'E UPPER PORTION ONLY FOR SINGLE FAMIIY DWEIJ.II+iGS. AISO, COMPLEl'E FOR TOWNHOMES/CONDOS R'HEN SEPARATE PERhII1'S ARE REQUIRED FOR EACH DWF.LLING UNTP. pWNEP, WAGNER HOMES INC. FEFS SiTE ADDRFSS: 4813 Four Seasons Dr. ADD ONJREMODEI. (FJaS1'IIVG CONS1'RUCfION ONLl) $ 15.00 INSTALLER: FREDRICKSON HEATING & A.C., INC. HVAC: 0-100 M BTU ? 24.00 PHONE #: 452-2775 pDDITIONAL 50 M BTU 6.00 ADDRFSS: 3650 Kennebec Dr.,#101 GAS OUTLEfS - AIINII?iUM 1@ $3 EA.'2- CI11': Eagan, PII9 ZIP: 55122 SURCHARGE $ .SU SIGNATURE: TOTAL: $ .50 v v- COMMERCIAL PI.EASE COMPLETE THIS PORTION FOR ALL COMMERCIAIlINDUSTRIAL BUILDINGS. ALSO COMPLEI'E FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUII.DINGS R'HEN SEPARATE PIItMTfS ARE NOT REQUIRED FOR EACH DK'ELLING UNTf. R'ORK DFSCRIP7TON: CONTRACI' PRICE I FEES 196 OF CONTRACI' FEE. ? STATE SURCAARGE IS $.50 FOR EACH S1,000 OF PERMIT FEE. S PROCFSSED PIPIlVG - $25.00 I $ MIIdIMUM FEE • S25.00 ;TION ?.Y =o' ? ?o ? G?'.xa?Gb i ay ..r.. ? .? i ?- + z LEFT ELEVATIDN 2 ? --- o• yy i 20 ., - or ` ?? - I?PY '&Tire) „. ? ; Z? t .. _ ?. . . _?. , . . •? ' -. .?t:. ' F ? , nlo 7 L?R-? 321?N ? . FpoT?Z --- ' - --- ???? -... --- , ,, - ? I V\\y ? I I I ?I I I ? i ? i ? !i ; I ? IiI 1I I - ._ . - .. : ., . . . . ? _.._ ' _ . .-...; ".:. ? .. . ,.. .. ..: . . ' ' " c .. . .. . _-_ .. " ' '.'. _ :-a?Y':?1.i/w.'.:f.??'?b.rhse??'`?,????, . . . - - > ..:..??.. . ? ' . . . . - ' ' ' •. - ? ? :y,?:"V:. ? . ' _. ' ' ' . _ _ . .. .. ..?.. . ' . .. - •y1. I FRONT ELEVATION?iN'S SCALE I I ?I 'I I ?I I ` I ? : ?.' .. ??' 'A. ? .. ?. . . -.- ------ - .,---- -- ---- -- ?? , ' ? •? pr? , . t3o4??rn r.-? ? SGoA-D _ TESi ?3 i s o zoos RESIDENTIAL PL.UMBING PERnnIT aPPLicATioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date-a??? Site Street Address Unit # Property Owner lr?l ? ? ???i'7? Telephone # tw) Contrector /? Telephone #?? ? 2 City State ?ll? Zip ? Address The Appticant is: _ Owner ? contractor _Other Septic System _ New _ Refurbished Su6mit 2 sets of plans and MPC license Includ $ ?00. Ofee Per as-built $ 10.00 $ 50.00 Alterations to existing dwelling Add plumhing fixtures. This fee includes installation of a water softener andlor water heater at the same time. !f you are instaliing onl a wafer softene??or_w? heater, do not compiete this section; move to the next sectio? ?? appliance(s) you are instaliing. ? n A?? 2 g 200? i _Septic System Abandonment- Water Turnaround (add $130.00 if a 5I8" meter is required) Other: State Surcharge $ .50 Total ? - I hereby apply for a Residential Piumbmg Permd and acknowledge that the information is complete and accurate that the work wiil 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 onty an appiication for a permit, work is not to start without a permit and work will he in acc r nce with the approved ptan in the event a plan is require t revi ed ppli nYs Printed Nam e? A IicanYs Sig ure Use BLUE or BLACK Ink F -Far- O-ffic-e-Ils-e - - - - - - - - - - ~ I j Permit City of EaEdn l Permit Fee. / 3830 Pilot Knob Road I I Eagan MN 55122 j Date Received: j Phone: (651) 675-5675 1 I Fax: (651) 675-5694 1 Staff: I I I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: J-,C-ja-! v- Site Address: Tenant: Suite RESIDENT/OWNER Name: ! l)M -bCA) ►i~ UCc. Phone: ~O~~ I Address / City / Zip: 0313 [~D Ll Applicant is: >1 Owner Contractor TYPE OF WORK Description of work: Loe 4" ► I r~ Cx 1\ /9 Construction Cost: (e A60,69 Multi-Family Building: (Yes ! No X)_ CONTRACTOR Name ) K: ' / E,9 ,J ~S 'lL [t (f-t/ D A) License #4 4 /L^< Address,-2 ~ ` ,5~ 1~i Z&R CGC Q T~r"? ~a0% c,L Staters 3 Zip: 0 _ Phone: Asa -!~q Contacttlz fir, EL5 Email: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. r S~An~>J is iC. E~ S x tapp~l ant's Printed Name Applica 's Signature Page 1 of 2 PERMIT City of Eagan Permit Type:Building Permit Number:EA169099 Date Issued:05/14/2021 Permit Category:ePermit Site Address: 4813 Four Seasons Dr Lot:001 Block: 001 Addition: Whispering Woods 5th PID:10-83954-01-010 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. We encourage you to retain an electronic copy of photos until the project passes a final inspection. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any 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 - Thomas L Donnohue 4813 Four Season Dr Saint Paul MN 55122--332 Clear Choice Restoration 2722 Hwy. 694, Suite 100 St. Paul MN 55112 (612) 259-7177 Applicant/Permitee: Signature Issued By: Signature