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4820 Four Seasons Dri_ . DATE: ? . APx 12, 1991 RE: 4820 FOUR'SEASONS DB (F S B CONSTRUCTION) x Your Sewer & Water Permit for the above property has been completed. It will be held at the Public W,pfks 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 & 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 PRQJECTS ONLY: Please 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 1,,? CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ! DATE 19 •? ? neceWEo ,?_ ? : ?• 1 ,?. r ' M? I' - ? j FaoM AMOUNT $ f 8 DOLLARS ,m 0 CASH G? CHECK f_- j • , ? ?? ? r ? SEIM€R 8 WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE APB 9. 1991 ,- - I METER # CHIP # OFFICE USE ONLY METER SIZE ISSUE DATE PERMIT DATE 041 ? .. '= i PERMIT # 1. 19 14 B.P. RECEIPT # B.P. RECEIPT DATE • ?` ? ?%r 9l _ PRV _ BOOSTER SITE ADDRESS - - , "P ?•- ' ? ?14`- JR LOT i BLOCK SEC/SUB tiE'-iPERjNG innODti 5TH APPLICANT: ?I ADQRESS:_ CITY, STATE ZIP li PHONE: PLUMBER:'? . ? S C'iu i't] 'S ai j ADDRESS: 15 2'c :i Lti ? CITY, STATE cl;w ZIP 55434 PHONE: 0I ? OWNER: F S B COIVSTHUCTIUr: ADDRESS: 12006 TWELFTti AVE CITY, STATE I-1iRNSVILLE Mlv Zip 55337 PHONE: ?<y,'-, .:13 PERMIT REQUESTEQ ° SEWER ?WATER _ TAPS COMM/IND X RESIDENTIAL X NEW _ EXISTING Lawn Sprinkler Meters are to be Installed I Ahead of Domestic Meters on Water Line. Cretlit WILL NOT be given for Deduct Meters. ?•?'h--.? _., _ ? 1 AGREE TO COMPLY WRH CITY OF EAGAN ORDINANCES SIGNATURE WHEN METER 15SUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER 3 WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE AFR 9. 1991 OFFICE USE ONLY METER # qy 92 9 yd PERMIT DATE '?,4 i 12 / 91 CHIP # (71 53 -3 70 !V PERMIT # ? 1914 METER SIZE Sf u S'PR)Su S B.P. RECEIPT #`? ISSUE DATE "C - / !4 -7fl B.P. RECEIPT DATE 04 1d ? _ PRV - BOOSTER PUMP SITEADDRESS 4820 FQU,, 5EasoN. flR LOT I BLOCK L SEC/SU6 wFlISPERINC; WoODS STH APPLICANT: ADDRESS: _ CITY, STATE ZIp PHONE: PLUMBE?1: SG-i?ULTIES PLBG ADDRESS: i 521 4- iH L.N CITY STATE BLAzNE Mh 55434 PERMIT REQUESTED X SEWER X WATER _ TAPS - COMMIIND h RESIDENTIAL X NEW EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL rT be c,y'ven for Deduct Meters. I ZIP . PHONE: 786-4307 I AGREE T COMPLY WITH CtTY OF OWNER: F S$ CONSTRUCTIC)'? EAGA DINA C ADDRESS: ? 2006 TtiELFTH A`: : 77J?K CITY, STATE BiIRNSViLLE MN Zip 3 37 " PHONE: SIGNATt#?HEP?M 'ET 1iRf ?SSUED PLEASE ALLOW TWO ViIORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. ?i?/ f HOUSE HEATI G T ST RECORD ADDRESS iI _ IPT. FLOeO CIT1' SUBURB OCCUPANT OWNER HEA7 LOSS DATE HTG. INST. SOLD BY INSTALLED BY /} ? ?f 't 4`3.?•.f ?x ?R . = ? Eleetrical Work By Gas Line By ( a TYPE OF HEAT GA FA _&,m!!TiW ? STEAM SPACE HTR. UNIT HTR. OTHER GA5 DESIGN CONYERSION MAKE MAKE OF BURNER Modal ' ?' '• % Model Ssrial "p? ''-• ? ? Mox. BTU Rating INPUT MAKE OF FURNACE Model er1 d_ ?A??°? s u u t THERMOSTAT?j?Lr%, J/II?t plu Vent Size Valvtr ye? ? Jb 7, .? KIND OF LINER-t. Limit ,' ??.?` ?,• ?`??? ??•? Draft Hood 01. l.? Limif Sstting Filfers 5izer Fun Setfing ? Chimnay Loeation Pilot Typs Chimney Construceion Pilor Make Pilot Model 'a ?o Smoks Bom6 Pilot Timing ? Draft L.W. CuT 4ff Daor Pressure Prossuro Percent C02 Dofe Tested Inpu4 CFH ?- Peresnt 02 C6mpany Testing ? Staek Tsmp. Percent CO ? Name of Tester Form 235 Outside Wiring Test Ta9 ? Li9hfina Inst. AL 1 : _ f -.-- , • ?.? ' , t 'r ? • • ? 'y f.. 'T.er#iftraft uf (Orrupanry f Citp of Cagari Wpatuntf a# %Adwg inwntinn This Culifume issuedpursuant lo the requiremenls oj.Serlion 306 of the unijorm Building Code cerlijying thatat the lime oJiuumrae thisstrucuire was in conrpliance with the various orWnartaes of the City iegula&% bur7din8 corrsvscdioit or use For the jollowing: uKa„,;snm, sF D.? R Bw&pcnokt4m 18865 0-9-S TYvM R'A - zniog omia R- 1 rra c.... Vn ow.w of smaa;.iF S n^11NST Add._12pp6 12TH AVE., BURNSVILLE Bi",KAddea 4a9n vnliu SFeSnA1S ntb ii1Hi SPRl2i N[3 W00DS 5TR n.,C_-TUNE 26. 1991 S rosT aN A coNsMuous Puce ? • 1 4 CITY OF EAGAN .:'? 18865 3830 LPlljot Knob Road, P.O. Box 21-199, Eagan, MN 55121 xPHONE: 454-8100 BUILDING PERMIT Receipt 41, To be used for sF DW(;f CAR Est. value ;131?000 Oate APR 9 1991 Site Adc?ess "20 FOUIt SFASOlfB _Dit Lot Blocic Sec/Sub. SPERING OFFICE USE ONLY Parcel No. occupanoy R-i N'4 FEES ? W Name r SB C???TI? ?a?c?a Zoning q co?gc ? 818.? Bldg. Permit iZOQb ''i1tLF'!H AVE TS.SO ? AddfeSS (Alowabie) - $urcharge ° City 8UMSYILf.B Phone 890-2813 ,v ot swrl'es .? 332.00 ?ty''. Plan Review } F Name s? oea?y,? ?' snc, ccy 100.00 o¢ Address F.7olal - SAC, MCWCC 6??? ? City Phane S.F. Footprints - 660? Water Conn ? On Site Sewage ? W Name On SAe Well Water Meter 95.00 j? Address MWCCSystem ? Acct.Deposit ?'? aW City Phone cirywater - 30.00 PRV Required _ S1W Permil I hereby acknowlege that I have read this applicapOn and state that the Booster PumP - SMJ Surcharge '? intormation is correct and agree to comply with ? all applicable .$4ate of Z 76?? Minnesota Statutes d City o( Eagpn Ordinan Treatment PI ?"-" Si gnature ol Permitee APPROVALS Road Unit 3TO*OO A Building Permit is issued to: IF $ a??TRUCrION Planner - park Ded. on the express condition that all work shall be done in accordance with all Council - applicable State ol Minnesota Statutes and City of Eagan Ordinances. Btdg. Ofl. - ???? 3,637.00 Building Oiticial ? Variance - TOTAL 1% permK Np. permit F{pkler Date TelephoM At WA7ER SEWER PLuMSIHC r7 9 7?G -?v H.v.n.c. S.5 -7/Gv ELEcrRic 50? trap.cci«, oate lnsp. comments Footings I Foundation Framing Z2 Roofing Raugh Pibg. Ra+9h Ht9. "O? ? ?U • isul. ? Freplace r,,;/? ? Final Hig. Fnal Plbg. G- Const. Meter Plbg. Inspector - Notify Plumber EngrlPlan Bldg. Final Cq 6 Deck Ftg. Deck Final Weli Pr. Disp. 7- INSPECTION CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 , (612) 681-4675 ? SITE ADDRESS: . lJI; •d 11'Uhi't:• !,7Fi PERMIT SUBTYPE: , , , I' , rPf!'.iJ iCoRn PERMIT TYPE: Permit Number: Date Issued: k:lllftftllVl @:?Fiyi 1 iw/c?? r??i 1111 OCK i APPLICANT: r., iwi)', 1:UNti1 iMl 9r.i_9I$40 TYPE OF WORK: , F.i INSPECTION . ? ; rA • D• ?i?l?.i! lTf I•ti;?? ' ihJ?:! 1 I-f MAkKSt ?-17 VaFrA7E: Vr.PNiT', fiE0111Rfli F 00 ANY I-1 f I Ik?f[:AI_ OR 1'I.IIMNIN(i IJ01i 0 ---------------------- Permit No. Permft Holder Uete Telephone Ik ELECTRIC PLUMBING ' /? V73- D 30 HVAC Inspection Date insp. Commenta FOOTINGS FOUND FRAMING lo?i ?v??3 ROOFING ROUGH PLUMBING PLBG AIF TEST • ROUGH HEATING ? GAS SVC TEST INSUL (o GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FiNAL BSMT R.I. BSMT FINAL 7 (D DECK FTG DECK FlNAL ? Address: 4820 FOUR SEASONS DI},?t 2 Blk 2 Sec/Sub WHISPERING WOODS STH These items were/were not complete at the tlme of the final inspection. Date: • Yes No Inapector; Final grade (6" from siding) Ll_?' Permanent steps - garage ? Permanent steps - main entry t__4 Permanent driveway y? Permanent gas If Sod/seeded grass ? Trail/curb damage Porch Basement finish ? Deck ? Please verify with tha builder the remwal of roof test caps from the plumbing system and the shut-off of vater supply to the outside lawn faucet before freeza potential exists. ? ncximxrt? White - City copy Yellow - Residant copy Pink - Contractor copy CITY OF EAGAN (1?0 18865 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 /? a BUILDING PERMIT Receipt # r ?•? ? To6eusedfor SF DWG/GAY< Est.Value $151,000 Date APR 9 , 1921--- Site Address 4820 FOUR SEASONS DR Lot 2 Block 2 Sec/SubWHISPERING WOODS . OFFICE USE ONLV Parcel No. Octupancy R-3 M-1 PEeS R 1 2omng = w Name F S S CONSTRIICTION (ACwaqCOnst ?N eldg Permit $18.00 o AddreSS 12006 TWELFTH AVE (Allowable) V=N 75 50 . Surcharge City BURNSVILLE Phone 890- S13 aoisrones 7?L, Plenfleview 532.00 Lenqth o Name SAP1E Depth 40, City 100. 00 SAC , ?a AddfeSS S.F.Total - , 650 00 ? Cily Ph011B S.F. Foolprinls - . SAC.MCWCC Water Conn 660.00 On Ste Sewage _ r? W w Name On Site well - Water Mater 99,00 iz i l AddreSS MWCCSystem X 30 00 o? z x . Accl Deposit A City Phone ary waier S/VJ Permrt 30_ 00 PRV Required _ I hereby acknowlege ihac i have read ihis applica n and state that the Booster Pump - SMl Surcharge - 50 inlormauon is correcc and agree 1 mply wd II applicable 5 Minnesota Slatutes and Cily of Ea Ordinanc . Treatment PI 776 -(10 SignaWre of Permitee APPROvALs Road Unil 370 - f1f1 A Building Permit is i5sued lo: S B C S R C 0 Planner - Park Ded, on the express condition that all work shall be done in accordance wrth all Councn neso[a Statutes and City of Eagan Ordinances. apphcable State ol Mm Bldg. Ofl. _ Copies ?./ BuildmgOthcial ! ?OfA(??oil,?i I4 L11 Variance - TOTAL 3,637.00 REQUEST FOR ELECTRICAL INSPECTION 3 eaooooi -ae l ? See insimctions (or compiating this form on back oi yellow copy } 0. ? ? 03 ? a 9 X" Selow Work Covered by This Request • (Jll . . ?-- Add _ Rep I Typeof0wlding ApphancesWued EqwpmentWued X Home Range Temporary Service Duplex I Water Heater Electric Heahng ? Apt Butlding Dryer Other (Specdy) Comm /Indus[nal Furnace Farm Air Conditioner Otner (syi GoniracWr5 Ramarks Compute Inspecnon Fee Belaw # Other Fee # ServiceEmrance5rze Fee # Cucuits/Feeders Fee Swimmmg Pool 0 to 200 Amps 0 ta 100 Amps Transformers Above 200 _ Amps 100 _ Amps Slgns inspecmrs use Oniy TOTAL Irrigation Booms $86. r'J0 Special Inspec[ion Alarm/Communication THIS INSTALLATION MAY BE DERE D C4NNECTED IF NOT Other Fee COMPLETED WITHIN 18 S. I, the Electncal Inspector, hereby Roogh-'° • ( c^ ?/ ?+?6 cer4fy that the above mspection has been made Rnai OFFICE lISE ONLV ThiS bBqcE61 JD'O 18 mOntM151hOm i? I 5 00 150 9,1o) ? q Request Date FrB N. ougM1in Ins O on R@Gwretl+ p Ready Now I? Will Na[iry Inspector 5-15-91 When Reaay4 Ayes C No II licensed contractor ] owner hereby request inspection ot above electrical work at Jab Atldress i5treet Bw ar Raute No ) Cdy 4820 Four Season Drive Eagan Secnon No Townsnip Neme or No Range No County Occupam (PRINT) Pinone N. ESB Power SuppLer Atltlress Dakota EleGtric Bectrrcal Conrcaclor (GOm9any Name, GuntactoYS Licerea No Lazer Electric, Inc. 041935-8 Mailing Aodress iCOmractor or Ownar Making Installation) 8383 Sunset Road N.E., Minneapolis, MN 55432 Authorrzetl Signatu re tCo V?ron0?^ er Mahing Insallavon) PM1One Number ? _ ? /A, F?t 784-3729 MINNESOTA STATE BOARO OF ELECTRICITY THIS WSPECTION ftEQl1EST W ILL NOT Grigg4-Mitlway Bltlg - Raom 5-173 BE ACGEPTED BV THE STATE 80A90 1821 Unrverstty AvE. 51. Vaul MN 55100 UNLESS PROPER INSPEGTION FEE IS PhoneS12) 602-0800 ENCLOSED 2 9 3- O4L 19 /Os// (?/ z reqmsf oid 18 monMz Imm validvtlon dote pnnhd sn this 6ay c.r? a PLEASE PRINT OR TYPE apc Re,vesl Dak 1 0/08/9 6 Ro.gh-in inzpecnon required2 ? M. (You musr call ihe mspedorwh reody) InspecM1On Other Than Rou9h-ln ? Reody Now Will Call Date Ready I, licensed conhador ? owner hereby requesf inspeciion of the above elecirical work at: Jo6 Addmss (Areet, Box, or Roale No.) Gry Zip Code 4820 - 4 Seasons Drive Eagan Sechon N. Towmhip Name ar N. Range N. Fin No. Coonry Dakota p?Npa?? Phona No Johnson Michael & Debra 707-0256 Addass Eleanml Connanor (Compony Namel Convaaor 6cense No Mozier Lic Na. (Plom Bea Only) Advanced Electric Co. Inc. CA 00135 MmLng Mdress (Conlmnor or Owner Pedorming Instollononj 407 ?Loretta. L-a,n?e,,;Mtka, MN. 55345 AuMonzad ?Fje (Carma r or wneN? ? In Il?ionl f,',+..'^ PFwna No. 3 5-13 2 9 EB-00001M101 6/95 STATEBOMOCOPY•SEEINSTRUCilON50N8ACKOFYELLOWCOPY II II I I III II !S I( I I I I? IIII eE7QUE ersttY Ave Rm. 5?-1 BASt.'PauP MN 5.5104 ?? * 0 2 9 3 0 4 2 8 * phone (812) 642-0800/Q?S Home Duplex Apt. Bldg. Ot`ec " New Addn Commercial Indusfrial Farm Remod Re air Air Cond. Htg. Equip. Water Htr Load Mgmt. Other: D er Ron e Elec. Heat Tem . Service "X" above the work wvered by this request. Enter remarks m ihis space ond on ihe back of the whife copy onfy. wire basement ? Calculate Inspection Fee - This Inspection Reqvest wdl nol be accepted wrthouf fhe corred fee: ONier Fee # Service Enirance $ize Fee A Cirails/Feeders Fee Mobile Home Park Sfall 0 fo 200 Amps 0 to 100 Amps Streef Lfg./TraHic $ig. Above 200 Amps Above 100 Amps Transformer/Generator INSPE 'SUSEONLY TOTAL??" Q Sign/OutlineLtg.Ximr. ? I` Alarm/Remote Con}rol A-17? ? Swimming Pool I hareb ce01 that I ins ened ihe elecmcal imfallaiion d?rnbed hemin on i e doroe ebiad Irrigafion Boom Ro„gh-i„ ooro eciallns edion S p p Investigotive Fee Fi° ome/` /? THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WRHIN 18 MONTHS. PERMIT CITY OF EAGAN • 3830 Pilot Knob Road PERMIT TYPE: s uILo x NG Eagan, Minnesota 55122-1897 Permit Number: 028971 (612) 681-4675 Date Issued: 10 / 0 7 J 9 6 SITE ADDRESS: p.I.N.: 10-83954-020-02 DESCRIPTION: 4820 FOUR SEASONS DR LOT: 2 BLOCK: 2 WHISPERING W0005 57H q#?t"64,,'Permit Type &u;i`;3 .d'a•n g, ?p r k T y p e ?8 n s U s' , C CFZ?.O;;"tim- i.je? 869°' i WEV3{&_y K ' R tfr ' Ny . 2 c..?.. V 14. BA5EMENT FINISH ALTERATION 434 AIT. RESIDENTIAL e:#:?t IRt?A -.Gr€'a? ki3'?F<$^tE ^ui% ? gy ?" ?., ??.._ 3?'? .a;_._ rS ? v? e? 4 gtr REMARKS: SEPARATE PERMI75 REQUIRED FOR ANY ELECTRICAL OR GLUMBIN6 WORK FEE SUMMARY: Base Fee 5urcharge Total Fee . $50.00 $.50 $50.5@ GONTRACTOR: - Applicant - sr. I.zC OWNER: LUNDGREN BROS CONST ING 14739640 0001413 .70HNSON MICHAEL 825 E WAYZATA BLVD 4820 FOUR SEASONS DR WAYZflTA MN 55391 EAGAN MN (612) 473-9640 (612)707-6256 ? T herehy aok_nawLecl9 e thaC. I?ave r??d. eChz'.??a'Pp`??ca't?,on a?d 5t,?t,e "tat sthe infnrma?io?i- co r?„eat"a:?i,d ?e to ?p?I?cah2e - S?at?=a'? Mn r"-; 1 ? 3 Sta,t?tttes ?nd_ C??g E?c?a.n pqrd.?t3drr??e6 ' -- .. . , ? ? , _ r. ,. . ..; : r„ , ,. ..,. ;. .r ... _ . , _. . ., . . . e : _. .? . . . , _ ... <. .._ _ w_ ..? APPLICANTlPERMITEE SIGNATURE ISSU D 51 NATU E CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ?> l 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 Naw Construction Reavirements RemodeVRepair Reauirements State: ? 3 regisfered sde surveys ? 2 copies of plan ? 2 copies ol plana (include beam 8 window sizes; poured fid. design; etc.) ? 2 site surveys (exlerior addkions 8 decks) ? 7 energy ealculationa ? 7 energy calculationa tor healed additions ? 3 copies of tree preservation plan H lol platled afler 7/1193 required: _ Yes _ No DATE: C-A - 3 L ? C? l`' CONSTRUCTION COST: DESCRIPTION OF WORK: STREET ADDRESS: S LOT ? BLOCK SUBD.lP.I.D. #: ? ??-I?`?`.,,? PROPERTY Name:`?? OA^-C" Phone #: 7?? OWNER Street Address: ?-`-'?- City: State: ZiP: S S 1?2 CoN7RAC7oR Company: K-rPhone #: Street Address: ? a S ? • ??`-?? ?License #: City: WState: \"-?ti.,? Zip: 5 ARCHITECTf Company: Phone #• ENGINEER Name: Registration #: Street Address, City: Sewer & water licensed plumber: change are requested once permit is issued. %, so e so ? i / DIZ- Zip: Penalty applies when address change and lot I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with ail applicable SWte of Minnesota Statutes and City of Eagan Ordinances,,.. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes No Tree Preservation Plan Received Yes No ?RECEIVED SEP 3 0 1996 OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging 0" 16 Basement Finish 0 02 5F Dwelling o 07 4-plex o 12 Multi RepaiNRem. ? 17 Swim Pool 0 03 SF Addition ? 08 8-plex ? 13 Garage/Acce ssory ? 20 Public Facility n 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. 0 10 _ plex ? 15 Deck WORK TYPE n 31 New V33 Alterations o 36 Move ? 32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System ? P- (Allowable) Main level sq. ft. City Water I- UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. v34 Depth Footprint sq. ft. SAC Code ni Census Bldg i Census Unit o APPROVALS Planning Building "f' Engineering Variance Permit Fee Valuation: $ 5urcharge Plan Review License MCNVS 5AC City SAC Water Conn. Water Meter Acct. Deposit 5/W Permit S/VN Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN p3830 PILOT KNOB RD - 55122 Q 65'I-681-4675 a? / r New Construcflon Reaulremen}s ? 3 registered sBe surveys showing sq. tt. of lot, sq. ft. of house and all roofed areas (20% maximum lot coveraae allowed) > 2 copfes of plans (show beam 8 window sfzes; poured fnd. design; etc.) : 1 sei of energy calculaflons > 3 copies ot free preservafion plan B IW platted affer 7/1/93 DATE: J,/2QI l'i q DESCRIPTION OF WORK: STREETADDRESS: ?i74V T-('TW? LOT: ? BLOCK: a SUBD./P.I.D. #: U6 Phone #: Z7- 0 25`o PROPERTY ' Lad F?rst OWNER Street Address: 54'"t? City State: Zip: 65(ZZ SELA ROOFING & REMODELING, INC. ^ Company: einn FXC i SiOR Bi VD Phone #: ST. LOUIS PARK, MN 55416 (area code) CONTRACTOR ID #0001050 Street Address: License # /Q60Exp. City Remodel/Reoalr Reaulrements 2 coples of plan 1 set of energy calculations for heated addiHons 1 ske survey tor exierior addNions 3 decks CONSTRUCTION COST: -I ?6,0 -? State: ARCHITECT/ ENGINEER Company: Name: Telephone #: area code ( ) Street City Sewer 8 water licensed plumber (reauired for new constructlon onlv): State: Penalty applies when address change and lot change is requested once permit is issued. 1999 Zip: Zip: read this applicaNon, state thaf the informat i cortect, nd agre lo comply wNh all applicable y of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY of 9,udvbv Received Yes _ No Registratlon #: Tree Preservation Plan Received _ Yes _ No - Not Required CITY USE ONLY ???/? L BL ? RECEiPT #: .S?C_y SUBD. ??, DATE: 0 Z- Z? ? 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACtj NSL TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 :c = Laundry Tray 3.00 ;c = Hot Tub/Spa 3.00 :c = Water Heater 3.00 :< _ Floor Drain 3.00 :c = Gas Piping Outlet " mfnimum - t 3.00 ;c = Rough Openings 1.50 ;c = Water Softener 5.00 x = Private Disposal ' Dakota Cty. license 65.00 = (new and refurbished systems) U.G. Sprinkler ' home under const. ' 3.00 = Alterations to existing 20.00 Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL o20 , 5i7 SITEADDRESS: q ga0 rouR 1;6':4'S0n1S DR'?E OWNER NAME:- M, kE * C) EbRFi 0-0 hN50f\) INSTALLER NAME: ?l?i0c f--, d'A 4? -Z/"c STREET ADDRESS: Ig 7O l.? Wv t/zA-{-? ?(VD CITY: LoTVa Ge ??' STATE: ZIP: ?3 PHONE #: (G?a ) 4/7,3-a4Kb / CITY OF EAGAN 3830 PIIAT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 0?";,L'"wq?. ,?s FOR CITY IISE ONLY PERHIT # O J'`? RECEIPT # O / S DATE: -5/070 9 1???AkNTZl?S:t` PLEASE COMPLETE UPPER PORTION DNLY FOR SINGLE FAMILY DWELLINGS & - : .. . :. . . ;. :. :. .:..... . : . . . . .. TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNZT. WORK DESCRIPTION NEW CONST V ADD ON _ REPAIR _ OWNERNAME: I'Jt) ?a??(,,?/',TlON SITE ADDRESS:??S 0 12.010 N LOT: o?- BLOCK oZ_ SUBD. Gt/f'uq?n.6??? INSTALLER: ?G,FFR.??rV /?? ? ` ADDRESS: I?O?I 0`) 9N ul QS?L? CITY: L 1L(i,jA PRYLQ,t' ZIP: PHONE # : . / I b U FEES ADD-ON MINIMUM $15 00 HVAC 0-100 M BTU 24.S-" ADDITIONAL 50 M BTU 6. GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT SIIBTOTAL: $?_ STATE SURCHARGE: .50 TOTAL: $"29L ' S NATURE F P TTEE ?4MM?RCIAT.fTiIT?IIST.RTA"I?:? PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. -------------------------- ----- CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: StACK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: CITY OF EAGAN FEES 18 OF CONTRACT FEE. STATE SURCHARGE e $.50 FOR EACH $1,000 OF PERMIT FEE. LR3.Cu3JG.7 liFlir'v "- y'_S.vv $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE TOTAL: (SIGNATURE) CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 vp"GMM FOR CITY USE ONLY PERMIT # RECEIPT # /4 DATE: ? 912 PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQIIZRED FOR EACH UNIT. ------------------------ --------------------------------------------------------- WORK DESCRIPTION NEW CONST ? ADD ON _ REPAIR _ OWNER NAME: SITE ADDRESS: S??6?0 ??.O?iAx?J??_ :.0'": ?? °.;.OCK ? SUSD. INSTALLER: j ADDRESS: 16?v f CITY: ZIP: COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL ADD-ON MINIMUM 15.00 ? SHOWER 3.00 3pa ? WATER CLASET 3.00 19.00 BATH TUB 3.00 ? LAVATORY 3.00 l1'!? / KITCHEN SINK 3.00 % IAUNDRY TRAY 3.00 360 HOT TUB/SPA 3.00 ? WATER HEATER 3.00 22K60 ? :;.C:,2 D:F,IIN :.OC z?=, GAS PIPING OUT. ? (MINIMUM - 1) 3.00 3O.FY ? ROUGH OPENINGS 1.50 _ OTHER _ WATER SOFTENER 5.00 _ PRIVATE DISP. 15,00 U.G. SPRINKLER 3.00 SUBTOTAL s y6?o ST. SURCHARGE .50 TOTAL: $ _Vr. o0 Ct1,f?HitGilsZ?(illl7iTST$?1+.'I.:; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL SUILDINGS AND M[JLTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: CITY OF EAGAN FEES 18 OF CONTRACT FEE. STATE SURCHARGE - $.SO FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL: (SIGNATURE) CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-6100 3±SwxB?0G . . . ... . ..c.: .;..?»...,.. WORK DESCRIPTION N0. NEW CONST ? ADD ON - REPAIR OWNER NAME: SITE ADDRESS: LOT : 09 _ BIACK PZ SUBD. INSTALLER: / l« 5 1- '1 ADDRESS:C2j ? ZIP: SIGNATURE OF ? PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMZLY TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ------------------------------------- ---- FOR CITY USE ONLY PERMIT # RECEIPT DATE: DWELLINGS 6 -------------------------- COMPLETE THE FOLLOWING: FIXTURES EA. TOTAL ADD-ON MINIMUM 15.00 SHOWER 3.00 WATER CLOSET 3.00 BATH TUB 3.00 LAVATORY 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 OUT. (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 OTHER WATER SOFTENER 5.00 PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 SUBTOTAL $ ? ST. SURCHARGE .50 TOTAL: pqi?AfERCIAII?;It1DUST&IAT::: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND ?,. ..... ? _.,: .: ...,. MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ------------------------ _-____----- CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: _ PHONE #: FOR: CITY OF EAGAN 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: $ ( S IGNATIJRE ) T • ' ? ?? ?? 19X BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERE? 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 WHEN: 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 ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: S/AvG44 `iliyisy Valuation: ? Date: ?/h/ 9 Site Address X/,FLO ?rwz Sc'asa.+SD" Lot Z Block 2 Parcel/Sub wooos 5°'-' Owner A-j s• Address City/Zip Code Phone Gontractor ?s?.c?. C?orsT2v4noa Address /Z oob City/Zip Code ???c???????-E ? 55337 Phone 890 -a8 j I Arch./Engr. X 1/,/z. Address 34$- ,f 1y6o406e- fjsIV0 City/Zip Code r7. ?t.SSJo/ Phone # o?g/-OZOB 1 S/, voo' Occupancy Zoning Actual Const Allowable # of stories I Length !Depth S.F. Total IFootprint S.F USE ONLY -z3 M-1 R- ? V-N v-N ? yo' On site sewage_ On site well MWCC System ? City water ? PRV _ Booster Pump _ APPROVALS Planner _ Council Bldg. Off. DSYS 9/ Variance COMMERCIAL FEES Bldg. 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 SUBTOTAL Penalty TOTAL ? -`-1 ? •F At* ?! vA LuA - ? (?ARAGE 3Zx 2z= 70t4 z -- ?41_ (000x Is= 10z00 ?Srn T 42 k.3? = /S/2 loKi2? (I'?? 6 (` `` ° CZ 4I l 12(oL( x I4= I"71?9? 157 ????. J.2 'ft?6714°(° - 12,6 ?-I 1273 y 53 ?w p R-o ora.. I 2x J c? ; Z! l. !o'? 1??? = qb 12X ?f?- u?b /o q Y X S3 ?- 5 S 33 Z. ?2 /S/,c)Ov . , SGSA,,,e- rz ?vr?6?•vG /5ai ??6 -yao7 /3'o g Con.? 1??t/ivs ?6 v? G voN /???/OS/ MN ?5S ?ida ? C ? 1 G? c oopv ?Car ? Q,•?" . . ? 30 1 1J? A? ? Z ? Yi ?n U LL . 3 ? O ? E-X 77V1? ' I F4 491Y,o s r I m 00 i m s? ? a?.5 4.0 ? . X? ., 1J 85'3758"W lYy,9;? ? }- -k _? _ V- _s ? IZ.n E 971,3 4'?O N F. 4 YTbO ,f o.e ,? I pR?PogEO ? ? ,o ? QF 1 NoVSE ?? r W - ? GAK.D& N 41 VtA C? r?,3S ? G+ 91S,i 3 iriY9?s,9 C W JQ ? d'r' I ?Y,o qv 97?,0 - ? ? r L ? M . Err?S?3 F u9T0•° _ J 131.92 / N 87°Y5'03 "W 1 ? F,.a9r?83 W M O:Y ?°h' e h ; 2. ? f?'-- ? ? I_ Ur?? `ta ? . \ •.t?? ' ;? ?; .,ep..? c A =a ,r ?xRINQ DEY2 DEyGRJPT 10N LOT 2, BLoCK 2, WHlSPER/NG WOODS FIFTH ADDlTION, DAKOTA CDUNTY. MlNNESaTA NORTN . . SCALE 1 "= 30' AlL BEARINGS A659MED 0 pEN0 TE51RO1V MOhiUM EIY7' I hereby certify that this survey was prepared by me or Minnesotatered rrveyor c supervision he S Laws a o£ the t State of duly Land Su Date : 9,,:? q, . LeRoy H Bohlen Registered Land Surveyor No. 10795 ! ,_' -._ . FSB Construction, Inc. 12006 12th Avenue South Office: 890-2813 Burnsville, Minnesota 55337 EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION ------------------------------------------------------------------------- PLAN; 4884 DATE: 4/1/91 OWNER: SPEC. CONTRRCTOR; FSB CONSTRUCTION SITE ADDRESS; 4820 FOUR SEASONS DRIVE PHONE: 890-2813 ------------------------------------------------------------------------- Square "U" Footage Factor --------- --------- 1) TOTAL EXPOSED WALL AREA 2808 x 0.11 = 308.88 2) TOTAL EXPOSED ROOF/CEILING AREA 1232 x 0.026 = 32.03 WALL AREA CALCULATIONS: TOTAL WINDOW 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(EXPOSE?) TOTAL FO[INDATION WINDOW AREA 237 x 0.41 = 97.17 163 x 0.07 = 11.41 100 x 0.41 = 41.00 0 x 0.36 = 0.00 216 x 0.08 = 17.31 1948 x 0.043 = 83.75 66 x 0.04 = 2.64 78 x 0.16 = 12.48 0 x = 0.00 ---------------- 3) TOTAL = 265 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 CALCULATIONS: TOTAL SKYLIGHT AREA TOTAL ROOF/CEILING FRAMING AREA NET INSULATION ROOF CEILING AREA 0 x = 0.00 123 x 0.026 = 3.20 1109 x 0.022 = 24.39 ---------------------- 4) TOTAL = 27.60 If item 4 is the same as, or less than item 2, you have met the intent of 2 MCAR 1.16008 A and 0. I hereby certify that the building here described meets or exceeds the State of Minnesota Energy Conservation Act. Signa ure D t PERMIT # "I(l 30 I RECEIPT DATE' J-Q '1 "v I MIDENTIAL PLUM$INH PERMiT APPLICATION crrY oF F.asAx 3$30 PII.OT KNOS tiD i:ABAN, MN 55122 851-6$1-4675 Please complete for: SITE ADDRESS: OWNER NAME: INSTALLER NAME: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system ??o ?70 a e- LE6_sZYvs 6e 7 &6?p4) f e14,4A-,c, G', .1+?/4A)S610 TELEPHG'NE;70Z'?'?Z /4 eK ?/A) ? (AREACODE) YRl?/Go TELEPHONE #:1-5e7 ?/ (AREA CODE) STREET ADDRESS: 7J? 8 j ? `f{l ? ? CITY: ? / ?? T?sO Jn?? L1 STATE: Plar.a a eher.k mark ner} Tn ihe nermiY wnrk }vee ZIP: 700 ?o New residential dwelling unit under construction and not ownerloccupied $ 90.00 ? Add-on, modification or alteration to existina dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • water turnaround Nature of work.??1 SeFtic System, new/refurbiahed - , $ 225.00 • includes County & Consulting Inspector fees • requires MPC license State Surcharge $ .50 Total $ Reminder: Be sure to schedule inspections of alteretions, i.e. water heaters, water sotteners, etc. I hereby acknowledge that I have read Ihis application, state lhat the in(ormahon is covecl, and agree to comply with all applicable City of Eagan ordinances. It is the applicanCs responsibility to notify the property owner ihat the City of Eagan assumes no liabtlity for any damages caused by the City durin9 its normal operatwnal and maintenance activdies to the facilihes conslructed under thisyeanitwilhin City proper/right-pf-w?y/ease7(ent. E T T/? p ed 7/01 Z71M ?"'C-?9'? 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWdion Reauiremenb RemodeliReoair ReauirernenGS OfFce Use Onlv 3 registered site surveys showing sq. ft. of lot, sq. k. of house; and all mofed areas 2 copies of plan Ced of Survey Recd Y _N (20%manimumlotcoverageallowed) lselofEneigyCalculatbnsforheatedadditions TreePresPlanRecd _Y _N. 2 copies of plan shovring beam & window sizes; poured found design, etc. 1 sile survey (or add'rfions & decks Tree Pres Required _ Y_ N 1 set of Eneyy Calculations Addifion -indicete if on-sife sepBc system Oo-site Septlc System _ Y_ N 3 copies of Tree P2servation Plan'rf bt platted atter 711193 Rim Joist DetaO Options selectan sheel (buildings wtlh 3 or less units) Date// / ? /10 ?s Site Address Canstruction Cost '*kQ ? Unit/Ste # Description of Work A^'S%A-L <5 &?? lJ54LTrJ_ 1-115I&I& fi1/Wd ??f Multi-Family Bldg _ Y _NIN Fireplace(s) _ 0 x 1 _ 2 ? 'b Property Owner Telephooe # ( G'?? ) ? ? - 02 ? Fireside Hearth&Home Contractor _ 14399 Huntington Avenue Address _ S2V2g0, MN 55378 State 952.736.7761 - License #2051206C5 City _ Telephone # ( COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Aules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculations 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 master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone #( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and wotk is not to start without a permit; that the work will be in accordance with the approved plan in th case of w which requires a review and approval of p\ ? P - ` , 's Signature Applicant's Printed Name Applic ;, ? City of EapIl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 6755675 Fax:(651)675-5684 ol L 0 C 11 ,V' E ??? APR 1 4 2009 ----------------? ? ? Fw Office Use I I Permitil: ? Permit Fee: i I ? ? Date Received: ? ? I ? Staff: I ------------ 2009 RESIDENTIAL PtUMBING AERAAtT APPUCATION Date: :?-/3 '<]? Site Address: 'r82ea /'6 cl {2, 5 FI?aS a? j /?>K I v? Tenent: sune u: RESIDENT I OWNER Name: V)E1ZA\ ?-7 8`I w?"? Phone: ?S .SI ' 7 5 7-? )--7Z Address / City / Zip: J? Z v i? ?2 l v`=-- CONTRAGTOR Name: License u: Address: City: State: 1,,4 L'i Zip: rf-JJ7 Phone: Contact Person: 'I a ?J TYPE OF WORK _ New _ Replacement _ Repair _ Re6uild 4Modify Space _ Work in R.O.W. Z,oC,?" ST'v', aiJ z.L li`+ u?-'?!? ? Descri tion of work: FYa T PERMIT TYPE fIESIDEM7AL Wffier Heater Water Softener _ Lawn Irrigation _Add Plumbing Fixtures ? qPZ! _ PVB) (_ Main _ Lower Level) Septic System _ Water Turnaround IVew Abandonment RESIDENTIAL FEES: $50.50 Minlmum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn lrrigation (includes $.50 State Surchazge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $50 State Surcharge) 'Water Turnaround (add $165.00 if a 5/8" meter is required) $100.50 Septic System N2w ($10.00 per as built) (includes Courny fee and $.50 State Surcharge) $90.50 Fire Repair (replace bumed out appliances, ductwork, etc.) (includes $,50 State Surcharge) TOTAL FEES $ I hereby acknovAedge that this inforrnation is complete antl accurale; Ihat the work will be in contortnance with the ordmances and cades of Ihe Cdy of Eagan; tliat I undersland ihis is not a pemiit, but onty an applicafion fa a permit, arW work is not lo start without a permit; ifia[ tlie wak witl be in accoMance with the appraved plan in Ihe case of work which requires a review and approval ot p X i?'' /k, Th'c?-., jv r..r.-? _ x,??? -" 4-? Applicant's Printed Name ApplicanYs Signature FOR OFFICE USE Revfewed By: Date: Required Inspections: _Under Ground _Rough-In _Air Test _Gas Test _Final I 1 1 fof Office Use Ar) R j z~. 2009 1 Permit#: City of Eatu 3830 Pilot Knob Road Permit Fee: Eagan MN 55122 1 Date Received: 1 Phone: (651) 675-5675 1 1 I Fax: (651) 675-5694 Staff: 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: T_ r Site Address: L fQ- Tenant: Suite RESIDENT 1 OWNER Name: A-,) Phone: <i 2 - 3 ~-7~ Address/ City/ Zip: CONTRACTOR Name: j'~A1 ! ?6- License ~ Address: f 257 4• 'V Y k:= City: 1'f'~ a. ~ G~!< •b- State: -I'-' C4 Zip: ,T 7 Phone: l~%~ Contact Person: TYPE OF WORK -New _Replacement _Repair _Rebuild -/f-Modify Space _ Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures C_ RPZ / _ PVB) Main - Lower Level) Septic System Water Turnaround -New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater an Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge) "Water Turnaround (add $165.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ 1 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 p, s. Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground _Rough-In -Air Test -Gas Test -Final For Office Use n l 0 -11 Permit 30 City of i I Permit Fee. 3830 Pilot Knob Road I Eagan MN 55122 I Date Received: Phone: (651) 675-5675 I Fax: (651) 675-5694 Staff: j --~~-J 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 7- )I _G 7 Site Address: v Tenant: _ t " Suite RESIDENT / OWNER Name: ~ Fs /L ~7 tv^, L L-- c we ~Gk i Phone: 1/ 1 ft Address/ City/Zip: !18 Z<> S z s fa nA?111V-C1 CONTRACTOR Name: S C,l-~t ht ZS License 6z `f j Address: S Z- S' C~5 14v l Liza City: /-atti-tom/~t z. State: L'~w Zip: SS'~~ 7 Phone: Contact Person: Ike k 1-~/ "e, -J TYPE OF WORK - New - Replacement _Repair _Rebuild V Modify Space -Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures RPZ / _ PVB) C_ Main _ Lower Level} Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) *Water Turnaround (add $165.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. X Af~r /k- ~7~G1^e1--t e- x e- z Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed Date: Required Inspections: Under Ground Rough-In _Air Test Gas Test Final v. p �O�QV For Office Use � ; FEB2 Permit#: /i'o(/ E AGA N Permit Fee: Date Received: 2 I S 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: Or-1 buildinginspections(a citvofeagan.com 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: —•/ Z Z Site Address: C//20 0k,,c 504.04d 1/e Unit#: Name: Tal.,/ /Jr& Phone: b/Z " ©D 7' "7 j Resident/ /�- OWner Address/City/Zip: 4'8Z C'01//e' S&J'J Applicant is: Owner contractor Type of Work Description of work: /5/4 "kik, /J9�64 Zfrlc/ Construction Cost: /8/ app Multi-Family Building: (Yes /No)("T) Company: CC/4It CAVA- /eV//i 3f /Contact: 401/ /VC/6104/4 t,c Contractor Address: e-j 4e4iic� Ort City: . Q!////67 State,YH/✓Zip: 5:9704% Phone: y9'53 `97_ Email: ''1° 4111e„VCIO 1,414. License#: � � 9:7 Lead Certificate#: /Sp// < / D�`t• If the project is exempt from lead certification, please explain why: 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: Fire Suppression Contractor: Phone: NOTE Plans and supporting documents that you submit ere considered to be public infor ation Portions of the Information m ba classified as non public if you provide specific reasons that would permit the City fo conclude that they trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 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; t at the work will be in accordance with the approved plan in the case of work which requires a review and approval of pla . x ,4d47 //,%�CA/10,//A x Applicant's Printed Name Appli ant's Signature DO NOT WRITE BELOW THI L z-ie 30 �� 9on 1)le- . ! �'0q • S INE SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex ; Lower Level Pool _ Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior Alteration Fire Repair Windows _ Demolish Foundation Replace _ Repair Egress Window Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation AC/A Occupancy 7QG / MCES System Plan ReviewCode Edition ;via SAC Units -- (25%_100% 1/) Zoning A-1 City Water -- Census Code til 3 y Stories Booster Pump -. #of Units / Square Feet — PRV #of Buildings ' Length Fire Suppression Required --- Type of Construction Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) i Final/No C.O. Required Foundation Foundation Before Backfill ie, HVAC_Gas Service Test Gas Line Air Test Roof: Ice ater _Final Pool: Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: , Building Inspector RESIDENTIAL FEES 1/ a3 ' �,j fr's 7 4` ?0 i 9 Base Fee 73 -- Surcharge Plan Review L/ )--- MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 1 nom"", For Office Use//� / w t 1-e �� 2 1°1 Permit#: /7 b O % ' ' :° E AGA N ": Permit Fee: Date Received: Staff: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 TDD:(651)454-8535 I FAX:(651)675-5694 buildinginspections(cilcitvofeagan.com 2018 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Feb 22 Site Address: 4820 Four Seasons Drive Tenant: Suite#: Resident/Owner Name: John Warneke Phone. 612-667-4079 Address/city/zip: 4820 Four Seasons Drive Name: BoeVaag Plumbing License#: Contractor Address: Prior Lake PO Box 1257 City. State: MN Zip: 55337 Phone: 612-270-687 contact: Joe Email: BoeVaag@intetra.net ✓ New Replacement —Repair f Work —RebuildneModify Space Work in R.O.W. Type o — — Description of work: Rough-in and finals for w bathroom in lower level RESIDENTIAL Water Heater Lawn Irrigation(—RPZ/—PVB) Water Softener Permit Type 3 Septic System Add Plumbing Fixtures( Main/_Lower Level) New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge) *Water Turnaround(add$280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$ 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.orq You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. 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 permi the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. xJoe Boe x .00 FOR OFFICE USE c bate'Applicant's Printed Name Applica ' Signature I. ReviewedB Required Inspections finder Ground o nAir es Meter elated Items: Meter e. 3 Redia Read Mlanome er. Staff � h PERMIT City of Eagan Permit Type:Building Permit Number:EA148586 Date Issued:04/10/2018 Permit Category:ePermit Site Address: 4820 Four Seasons Dr Lot:002 Block: 002 Addition: Whispering Woods 5th PID:10-83954-02-020 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - John M Warneke 4820 Four Seasons Dr Eagan MN 55122 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (651) 633-2561 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA152582 Date Issued:10/22/2018 Permit Category:ePermit Site Address: 4820 Four Seasons Dr Lot:002 Block: 002 Addition: Whispering Woods 5th PID:10-83954-02-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - John M Warneke 4820 Four Seasons Dr Eagan MN 55122 Angell Aire Inc 12253 Nicollet Ave S Burnsville MN 55337 (952) 746-5200 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA153555 Date Issued:01/02/2019 Permit Category:ePermit Site Address: 4820 Four Seasons Dr Lot:002 Block: 002 Addition: Whispering Woods 5th PID:10-83954-02-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - John M Warneke 4820 Four Seasons Dr Eagan MN 55122 (952) 393-8520 Bruckmueller Plumbing Inc 3992 Pennsylvania Ave Eagan MN 55123 (651) 686-6696 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA162442 Date Issued:07/15/2020 Permit Category:ePermit Site Address: 4820 Four Seasons Dr Lot:002 Block: 002 Addition: Whispering Woods 5th PID:10-83954-02-020 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - John M Warneke 4820 Four Seasons Dr Eagan MN 55122 (952) 393-8520 Capital Construction Llc 416 Gateway Blvd Burnsville MN 55337 (952) 222-4004 Applicant/Permitee: Signature Issued By: Signature