4829 Four Seasons Dr,o ti..
?_
RE:
DATE: AUG 20, 1991
4829 FOUR SEASONS DR (RIYERVIEtiI CONSTxUCTION)
X
- Your Sewer & Water PArmit for 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 PUBUC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
F
_ Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
Your Sewer & Water Permit for the above property has 6een completed, but the meter cannot
be iasued or occupancy allowed until further notice.
COMMERCIAL PRWECTS ONLY: Please pay for meter at Ciry Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-6100) before issuance.
WARNINGl: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CQNTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
? CASH RECEIPT ? CITY OF EAGAN .
3830 PILOT KNOB ROAO
EAGAN, MINNESOTA 55122
DATE 19
??saoM° ??? \1? l V ? ?; ,?".; ( [, '. i ???- •
AMOUNT
?
8 DOLLARS
,oo
O CASH ? CHECK
- C ?
FM
C ? 5000 WhNe-P.yom
?
vexaw--?oaurg copy 4
PirJc-FYe copy
Thank You ?((
sv -??' ?1
SEWER & WATER PERMIT 'CIT`Y OF 1EbGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897 "
MEfER #
CHIP #
OFFICE USE ONLY
? METER SIZE
DATE ISSUE DATE
?
SITE ADDRESS 432, F,:l, K6EASONST Dx
LOT ?> BLOCKI_SEC/SUB :.i{ISPERING il00DS 5?H
APPLICANT:
ADDRESS:_
CITY. STATE
PHONE:
ZIP
- PRV -
PERMIT DATE L6120/91
PERMIT # 1 ? 2^2
B.P. RECEIPT # _1 1 C?'`•00
B.P. RECEIPT DATE t): ; 1 1 y/ 91
OSTER PUMP
PERMIT REQUESTED
-2L SEWER X WATER - TAPS
- COMM/IND RESIDENTIAL
_?. NEW - EXISTING
Lawn Sprinkler Meters are to be Installed
PLUMBER: THDEN Pi.i.lMBiNC. Ahead of Domestic Meters on Water Line.
ADDRESS: b820 idASlilNGTON tiVL Credit WILL NOT be given for Deduct Meters.
CITY, STATE LDEN PBAIRIE Mh ZIP 55341+
PHONE: 944-5399
1 AGREE TO COMPLY WITH CITY OF i
OWNER: i:IVEkVJEW l:Ut:S2'Rl'CT10P: EAGAN ORDINANCES ?
ADDRESS: 9506 RIYERVI EI: ,
CITY, STATE BLOOHIHG'('ON J11 Zlp ;54A:5
PHONE: ?sF-i -1 ri5 SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
i
SEWER & WATER PERMiT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE
OFFICE USE ONLY
METER # +??! I ! PERMIT DATE (-8 /20 /91
CHIP # /1 ? PERMIT # 19?92
METER SIZES B.P. RECEIPT # r t Snnn
ISSUE DATE B.P. RECEIPT DATE' 8 1
_ PRV - BOOSTER PUMP
SITE ADQRESS
I LOT ' LOCK 1 SEG/SUB
APPLICANT:
ADDRESS: _
CITY, STATE
ZIP
PHONE:
PERMIT REQUESTED
_X SEWER X WATER _ TAPS
COMM/IND -x- RESIDENTIAL I
-.x- NEW
EXISTING
Lawn Sprinkler Meters are to be Installed
PLUMBER: TKnFra pt.uM11371%it- Ahead of Domestic Meters on Water Line.
ADDRESS: 6820 41ASHINGTO:? AV?- Credit WILL NOT be given for Deduct Meters.
CITY, STATE EBEN PFAIRIL? Zip
PHONE: 944-5359
I AGREE TO COMPLY WITH CITY OF j
OWNER: F NERVIEW CUD'S'?lir;^•; ;;,,; EAGAN ORDINANGES
ADDRESS: 9506 RIV£RVIES,i ?
CITY, STATE BLOUAZINGTON H1' Zip `riL'4':`
PHONE SIGNATURE WHEN ER ISSUED
, ? .; ; ; ? . , ? ,.; _ ,• _ ,?,/
PLEASE ALLOW t1N0 WbRKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FDR STORM
SEWER PERMfTS, CONTACT ENGINEERING DEPT.
BUILDING PERMIT
Site Address 4e29 1b1
Lot 5_ Block I
Parcel No.
, .
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100 ?
1 Receipl # ! r` /
AR ' Est. Value $163.000 Date w('?3Q
.
W Name
0 Address 9506 RiYl-YIBid
City Aim?rit?r?mw Phone 6?,L 1365
,o Name ??
pU
?c Address
? City Phone
W Name
W
? ; Address
<W Ciry Phone
V hereby acknowlege that I have read this application and state that the
information is correct and agree to comply wilh all applicable Slate of
Minnesota Statutes and City oi Eagan Ordinances.
Signature, of Permitee
A Buildirig Permit is issued to: RIVSflVIEUI CONS'TRIJC?ION
on the express condition that all work shall be done in accordance with all
aMlicable State of Minnesota Statutes and Ciry of Eagan Ordinances.
• OFFICE USE ONLY
Occupancy I,-3 -11?1 FEES
2oning itni
(Actual) Const Bldg. Permit 86(6W
(Allowable) -y=-? gurcharge at• ?
# ot stories _
Lenglh -61, Ptan Review S414_?1L1
Depth SAC, City 100_?O
S.F. Tatal - SAC, MCWCC 630.00
S.F. FootpriMs -
on Site Sewage _ Water Conn 660-00
On Site Well Water Meter 9s.Ad
MwCC System X
3
City Water ? 0,?
Acct. Deposit
PRVRequired _ 5NV Permit 30•oo
Baoster Pump - $rW Surcharge - ?
Treatment PI 276,
?
APPROVAIS Rpad Unit 370•?
Pfanner - Park Ded.
Council _
Bldg. Ott _ Copies • ?
Varianpe - TOTAL 3,712.
?
Permit No. Permit Holder Date Telephone #
WATER AMaa O /
SENfER
PLLIMBING ?ir 9r s
H.VAC.
eLEc,pIc 2 9 ?I- o-
InspecNon $ste Inap. Commsnts
Footings I
Foundation lj' • ? , ?? 5 ? t;q ? ?j' ' ? S ? / ?,?
Framing lI?
Hoofin9
Rough Plbg. . 9
Rough Htg. D•.T/-l/
ls,l. 11.27 r ?
Fireplace
Final Htg.
orstat Test r
.y'(
Final Plbg. Plbg. Inspector - Noti(y Plumber
Const. Meter
EngrJPlan
8ldg. Final
Dedc Ftg.
Dedc Final
Well
Pr. Disp.
,. c :
# x`.; V4 `?
(EtrttfT???? ?f (Orrupaury
Citp of Cagan
lopparmmd Df ll1imt J 3?nvPtlwti
M Certifuate irswad purserant to the requiremenls of Sectfon 306 ojthe Unlfonn Bullding
Code certilYinB that at the time of itsuance this structure ww tn compliance wi(/i the ?nrious
ordinanaes of the City regulating building conoucdon or use For rlee following.
crse a.or,omo SF 17WG/GAR eMS. hmk r,a 19565
0-pa-7 TM R3/°r l zoaine nivia R? Tne com VN
4829
4/29/92
POST IN A GONSPICUdUS PIACE
CITY OF EAGAN N2 19565
3830 Pilot Knob Road, P.O. Bax 21-199, Eagan, MN 55121
n ? ? ?-?
BUILDING PERMIT ' PHONE: 454-8100 Aeceipt # ? L?'?J lJ
To be used ror SF DWG/GAR Est. Value $163 , 000
Site Address 4829 FOUR SEASONS DR
Lot 5 Block 1 SeclSub. WHISPERING WOOD;
Parcel No. STI
w Name RTV RV EW ONS'rR rCTTnta
a Address 9506 RIVERVIEW
City BLOOMiNGTON phane 88_ A-1365
o Name 5?
?? Address
? City Phone
?w Name
x; Address
521 Ciry Phone
I here6y acknowlege that I have read ihis applicalion and state at the
information is correct and agreR to comply wnh all applicabl State ot
Minnesota SlatNes and-City oLEagan Ordinance . ? F/
Signature ot Permit? ? ? --L? a?.
A 6mlding Permit is issued to: RIVERVIEW CONSTRUCTION
on tha express condition that all work shall be done in accordance with all
applicable State of.M?m?nes?ota.p S?ta?t?utes? YaNnd? /City of Eagan Ordmances.
BuildingOfficial I YTLLI I 1f1L1
1991
OFFICE USE ONLY
Occupanq R-3 M-1 FEES
Zoning R-1
(Adual) Const V?N Bldg. Permil $60. 00
(Allowa6le) V-N
Surcharga
$1.5?
N oi scones
671
Plan Rewew
559.00
Lenglh
Deplh 44' SAC,City 100-0
b
S.F. Total - SAC, MCWCC 650.00
S F Footpnnts -
On Sne Sewage _ Watar Conn 660.0
0
OnSiteWeN WaterMater 95_DO
MWCCSystem X 30
00
Cily Water X Accl_ DeposR .
PqVReqmred _ S/VJPermil 30•00
Booster Pump - SM! Surcharge .50
7reatment PI 276.0
0
APPROVALS RoadUnit 370.00
Planner - Park Ded.
Council - 50
BIdg.Oit _ Copies .
VarianCe - TOTAL 3,712.5
n
/0/7/ 9/ 1013301,L--
p 416 5 8 iL 4?8 °z>
Requesl Daie Fre No Rough- spection
Re ? d'+
J Ready Now ill Notdy Inspector
W?en ReaCY?
Ves C No
I licensed contractor ? owner hereby request inspecLOn of above electncal work aT
Joe ddres?s ? `p'eet Box or Rome No ) ? /?
' F Qty
T b
. Jc?4so.v a!J :ve /FztJ
Seooon No Township Name or No Pange No Coon
A/\o/
Occupant(Pp? T) Phone No
iv son,
Power o?ier Aatlress ?
?-
Elemr?col G ? zc?or (Company Name)
?n?E/ Cont ec?or' Ucense No
?o ?S
Matlmg Aaeress lCONreclor o O ner Ma¢ing Inslal/l?J{?Qn
? )
? ? e 1 /0
Aumonzea Si a< e ? wne kmg M ieli vont Phone umbe? a??y
9
MINNESOTA STATE O/ HD OF ELECTqICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Mitlway Bltlg. - Room 5-113 8E ACGEPTEO BV THE STATE BOARD
1841 Unrversity Ave. St Paul MN 55106 UNLESS PROPER INSPEGTION FEE IS
Phone (612) 642-O800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION es-ooom-oe
?
? See mstmclions tor c,,mVlapng this lorrn on Oack of yellow copy 21?
,y a .E, /O 330.07-
A A 4 r c n -.,,..,o..l,. .Lr,,..I, oa ef
U C) c,"rn, .. - 1 ,.y ,,,., -y.. ...
ew Add -ap, TypeofBUiltling App6ancesWued EquipmentWved
Home Range Temporary Service
Duplez Water Heater Electnc Heating
Apt Bwlding Oryer Other (Specify)
Comm./Industrial umace
Farm Av Condrtioner
Omer Ispecdyi conttaclor's Remarks
Compu[e Inspechon Fee Below
? Other Fee # ServiceEniranceSrze Fee # Qrcuits/Feeders Fee
Swimmmg Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Ab 0_ Amps
SIgnS InspecmrsUSeOnly TOTAL
-a
Irnganon Booms ?
7° ?
{ •
Special Inspection
Alarm/Communication THIS INSTALLATION MA ORD E DIPCONNECTED IF NOT
Other Fee COMPLETED WITHIN TH .
I the Electncal Inspector, hereby Rou9n-in • ?a?e/G ?Q'
cerhfy that Ihe above mspection has
been made. p,,;ai ? Da e/
( lGX
OFFICE USE DNLY
Tnts request voitl 18 monins Irom
/O/7`9i REQUEST EOR ELECTRICAL INSPECTION
go SeeinsvuMions lor comple4ng mis lorm on back ol yellow copy
--$. A "X" Below Work Covered by This Request
•'=???? ee-oaooi-ae
?•`Y?a?4', ?
F
Y?.im,+J
e Add Rep TypeofBmlding AppliancesWuetl EqwpmeniWrted
Home Range
ry ervice
joevum
Duplex Water H 1er' Electnc Heating
ApL Building Dryer Other (Specity)
IComm/Intlustrial Fumace -
Farm Air Conditi0ner
Otnerlsyecily) GonVactois Rem s
Compute Inspechon Fee Below
# Other Fee k ServiceENrance Sze Fee # Qrcmis/Feeders Fee
Swimmmg Pool 0 to 200 Amps 0 to 700 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs Inspeclors Use Only TOTA I?O
IrngaLOn Booms /? ? ? L/
Speqal Inspection ?
AlarmlCommunicahon THIS INSTALLATION MAY BE ORDER SCONNECTED IF NOT
Other Fee ? COMPLETED WITHIN 18 MONTHS.
I, the Elecincal Inspector, hereby R°°qn-'n oate
certrfy ihat the above inspection has
been made oeie
OFFICE USE ONLY VC-4
Tms request voitl 18 momhs Irom
/0/7/9/
.
,
ar .
? 41657
ReQU s Date Fire No. Fough-in ection
Re wre
? Reatly Now ill Nooty Inspeaor
Wh
F
tl
?
Yes ' No en
ea
y
I-ki icensed contractor ? owner hereby request inspechon of above electncal work aT
Job Atlaress (SVeet B?ojx or Raule No ?
? ? 7 J/ Se.fse•t.s i dt Qty
.^i
Sei No TownShip N0m¢ or No Range No County
O[cupdc:IP ? /
CAw ?? 5 J?0 ? PM1O yy?Q?
U U
Pawersup er
?n c X., qadress /
Electrical o Vacror Conpany Namel
? Co?/???f1or5 cen y s/e?
No
//
D
I ?
?.?-LLL/ Y(ti? V
/
Y
//
MaJiny Atldr¢55 iConVaCtOr or Owner Making InStdllelio
D S' L ?r_??,.d
Aucnunzetl re nhaclo" wng Insiallanonl PhOnp Number
&,2,. a.2 Ye
MINNESOTA STATE B q0 OF EIECTRICITV iHI51NSPECTION REQUEST WILL NOT
Gngge-Midwoy Bltlg - Room S-1)3 9E P.CGEPTEO BY THE STATE 80ARD
1821 Unrverstly Ave., 51 Paul MN 55109 UNLESS PROPEF INSPECTION FEE IS
Phone(61S)6nY-O800 ENCLOSED
k 5, 8 /1 (4)A?4r . Wo-s-rX.o 5 Vt
HOUSE HEATING TEST RECORD
ADDRESS 6ut-11)14- APT.-FLOOR CI4*SUBURB
OCCUPANT n;l ( ? ' ??'f+? OWNER
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY
Elechicol Werk By Gos Lina By
7YPE OF MEAT GA _ FA - ^
AS DESIGN
MAKE _ _
Model ?
Serial
INPUT
THERMOSTAT
Valva
Limit
Limit Setting _
Fan Settin9 _
Pilot Type _
Pilot Make _
_STEAM -SPACE HTR. -UNIT HTR. -OTHER
CONVERSION
__ MAKE OF BIRNER Pt
Model
Abx. BTU Ratiny
MAKE OF FURNACE
Model
Ven1 Size _?-
KIND OF LINER
D.ofr Hood
Filiar•
SIZE NONE
Reguloror
Size Numbsr
Chimrwy Loeetion Inaids Outside
Chimney Censtrucfion
Pilof Modal Smoke Bomb Wirin9 ?
Pilof 7iming DroFt Test Tap
L.W. CN O44 Door Prossura
Prossure ? r? Psrcenf CO2 Dote Tsstad
Input CFH ?? Psrcent 02 Company Teating y?
$wek Temp. *1?-? Parcent CO AO Name o( Testsr
Fam 235
.Addreqs: 4829 EYXJR SEASONS DRIVE Lot 5 Slk I Sec/Sub WffigpEpjw, wopDs,.5h]
These items weze/were not complete at the time of the final inspection.
Date: 4 29 92 Yes No S
Final grade (6" from siding)
Permanent steps - garage
Permanent steps - main entry
Permanent driveway C?
Pexmanent gas
Sod/seeded grass ?
Trail/curb damage ?
Porch
Basement finish
Deck
Pleasa verify with the builder tha removal of roof test caps from the plumbing
system and the shut-off of water supply to the outside lavn faucet before?
freeze potential exists.
.E??oaff.
White - City copy Yellow - ftesident copy Pink - Contractor copy
PERMIT# Lt1 ? ? ? RECEIPTDATE:
8008 M1DENT!!kL PLUM$Iftfi PEdiM1T APPLICATION
crrY og KAsAx
saso Pn.or xxos ftn D -
Ejks,Rx, eix 55122 APR O 1 2002
651-e81-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for eac sa
backflow preventer for irrigation system
SITEADDRESS: HN--I 'Four SeaSO ns hrzi . vL
OWNERNAME::tym SC??IX.1'Yl?/? _ TELEPHONE#: ??)I-
(AREA CODE)
INSTALLERNAME: PIIIJM?fflo TELEPHONE#: q"52" `70 ' LOC1CI"I
+, 1,, Aat (AREA CODE)
STREET ADDRESS: ?1 ? 1 'r
CITY: IaY?U ? I?.Y STATE: 1` 11? ZIP: SGJD4`1
SEPTIC SYSTEM, new/refurhished (requires iwo sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water tumaround - existing dwelling unit (+ 5/8" meter if needed -$118)
Other:
_ RPZ: new installation/repaidrebuild $ 30.00
_ lav.n ircigation syst2m
ReplacemenUadditional: _ water softener 7X water heater $ 15.00
State Surcharge $ .50
g 15 ?D
Total
I hereby acknowledge fhat I have read this application, state thatthe infortnation is correct, and agree to complywith all applicable Ciryof Eagan ordinances. I[
is Ihe applicanYS responsibilily to noliTy the property owner Ihat the City of Eagan assumes no Ilability for any damages caused by the Cily during iGs normal
operational and maintenance adivitles to the facilities constructed under this permit within City pro ertylright-orlf-`wa_ ? ase?Jme2nt.
1!0' 2
SIGNATU E OF PERMITTW
CITY OF EAGAN
3830 PIIAT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
,.,... .. .
FOR CITY USE ONLY
PERMIT #
RECEIPT #
DATE: ? e 4l
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST _
ADD ON _
REPAIR _
OWNER NAME: FD''°"J
SITE ADDRESS: 4--)c-
IAT: ? BLACK ? SUBD
INSTALLER: ?ZQ-z? 411:3S—
ADDRESS,: C``F?D v?? ??i. • ??U /?? ^
CITY:1 ?ncu?,OH9...-< ZIP: 5534(?:
-?
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
k SHOWER 3.00 ?
3 WATER CIASET 3.00 00
"N- BATH TUB 3.00 L.(in
3 IAVATORY 3.00 'I
I KITCHEN SINK 3.00 3.00
? LAUNDRY TRAY 3.00 y.uu
HOT TUB/SPA 3.00
? WATER HEATER 3.00 ??
? FLOOR DRAIN 3.00 GAS PIPING OUT.
i (MINIMUM - 1) 3.00
3 ROUGN OPENINGS 1.50 ?
_ OTHER
WATER SOFTENER 5.00
_ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
?I.•'?O
SUBTOTAL $
ST. SURCHARGE .50
TOTAL: $ ?Vo
COMMEILG?A?f?ItF)?1??'BIA?ir PLEASE COMPLETE THIS PORTION FOR ALL COMI4ERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY 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:
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:
(SIGNATURE)
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
mm?, `?x
FOR CITY USE ONLY
PERMIT #
RECEIPT # D v25
DATE :
MiUlN','TA;Zit`' PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DE? PTION
NEW CONST _
ADD ON _
REPAIR _
OWNER NAME:
SITE ADDRESS:
LOT:S_ BIACK I SUBD.
INSTALLER: S e5
FEES
ADD-ON MINIMUM -"-5-
HVAC 0-100 M BTU 24.00
ADDITIONAL 50 M BTU •-6--99'
? GAS OUTLETS - MINIMUM 3.00
lU?????IEu/ ??S ? OF 1 PER PERMIT
/ SUBTOTAL: $ L r.o
'
sB'ScyN doo ZT' STATE SURCHARGE: .50
ADDRES S : 76 2-e L ?ir?D?G C: Xl?C
CITY:?C.oOm /Nti ?51/'#1 ZIP: ? S C12-,
PHONE #: 26 E? / ?/ 6
?? TOT $
S GNATURE OF PERMITT
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS HAEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING = $25.00
$25.00 MINZMUM FEE.
CONTRACT PRICE x 1&
STATE SURCHARGE
TOTAL:
(SIGNATURE)
CITY OF EAGAN
?1 ? 01
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
uctlOn ReaUlremenf
Name: S??'W'=?fV llFJ? 1l M Phone#: o,5- U 3S1
Lcst First
D 3 regisiered sHe surveys showing aq. fl. ol bt, sq. ri. of house
and all roofed areas (207a max(mum lot coveraae allowed)
? 2 copies of plans (show beam a window sizes; poured fnd. design; etc.)
? 1 xt o( energy calculaNons
? 3 coples of hee preservailon plan X IW platted aRer 7/1 /93
DATE: ?- 3 C?- [ ?
DESCRIPTION OF WORK:
STREETADDRESS: - 4 45 1-" i 11ovv -?e?
LOT: ? BLOCK: ? SUBD./P.I.D. #:
2 coples of plan
1 set of energy calculallons for heafed addMions
7 aMe suney fa exterfor addMions 3 decks
CONSTRUCTION COST: /' ?0?.00D ^
til
PROPERTY
OWNER
Street
?r 3 °J 3?-
Z
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 '01
' ? 651-681-4675 ?Remodel/Reoah ReauiremeMs
r.
City A A'nl State: M? Zip: SS I Z Z
Company:Ame?r?Loa? IwAkox "rS Phone#: 617- '10-7 -16q59
(area code)
CONTRACTOR ?t /? " ? 20 t ba3 83 3_?00
?-ti 71 ? CA tk?k r+ ' License # ExP.
Sheet Address:- N
ciy & .r'NS uzt 1t s,p,e: -1M, (-A zip: S5 3 3 7
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code (
Street
Cffy
Sewer 8 water Ilcensed plumber (reaulred for new construcNon onlv):
State:
Penaliy appiies when address change and lof change is requested once permB is issued.
Zip:
I hereby acknowledge that I have read thia applicaNon, afate that the informallon Is cortect, and agree to comply wMh all applicabl
S!ate of Minnesota Statutes and Cify of Eagan Ordinances. '/
Signature of Applfeanf: f '
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No •? ?' ?
Tree Preservation Plan Received _ Yes _ No _ Not Required ?
Registratton #:
1991 BUIJW?LICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
??us 12
COMfERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PIANS
1 SET OF ENERGY CALCUTATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUiATI0N5 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
# OF FOR SALE UNITS
/
y
PENALTY APPLIES STHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP SY 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 ALIAWED ONCE BUILDING PERMIT IS ISSUED
PROCESSING TIME FOR SEWER 6 WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For:
Site Address
" 4A rc
Lot 3? Block ?
.
Parcel/Sub - -
X OwnerV?'?rs?
Address
M[TLTIPLE DWELLINGS
Valuation: 1(43 , 000
.sr?
Date: s I iz-lq I
OFFICE USE
Occupancy 12 3 /+ry?
Zoning F-1-
Actual Const KXT
Allowable
# of stories
Length ?
Depth < < . 3
S.F. Total
Footprint S.F.
City/Zip Code
Phone
Address °/S v ? • ?-1?.? u- -
City/2ip Code
Phone
Arch./Engr.
Address
City/Zip Code
Phone #
J}
On site sewage_
On site mell
MWCC System
City water ?
PRV _
Booster Pump _
APPROVALS
Planner _
Council
Bldg. Off.
Variance
. ?' ?
? Sewer/.4later Lieettsed Contr.
? ? • ? -r.,?-.. -?e o-j'
; ? agrees that all vork
(Signature o Contractor)
FEES ?C O
Bldg. Permit
Surcharge ::=s-o
Plan Review SS'9
SAC, City /00
SAC, MWCC r0
Water Conn. a, D
Water Meter SS
Acct. Deposit ,3/3
S/w Permit 30
S/W Surcharge , S O
Treatment P1. ?96,
Road Unit 37v
Park Ded.
Trail Ded.
Copiea . Sh
SUBTOTAL
Penalty
Lot Change
TOTAL ?s
done in accordance with
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
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WHISPERING WODDS
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DAKOTA COUNTY,
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DEPT
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ALL 6FARINGS A55UMED
°AEIdOTFs 1R01J r10NLINlENT
I hcreby cerL-ify i:hat this survey was prepared by me or
under my direct supervision and that I am a duly Registered
Land Surveyor under the Laws of the State of Minnesota.
Date:,&,.,_s7' 4 d Z
QEv o-z-9t LeRoy .Bohlen
Registered Land Surveyor No. 10795
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?i
LNDEI2GROUND SPRiNKI,ER SY5TEM
PI,U;14tBIhG PERNYIT
, C7ate 7 g 9?2-
Receipt # 0 !e ? 7
r?quired, (City uictalls all taps up ta 1"). If
r!; he requ_red, as we11.
:,1iWIq11 perr„tnctrequiredifbackf7owpreventorwas
.?.??,r,:?t?:fr?:in?•?':)ybuildinginspectiansdepartment.
.-+ermit, WAC, and water treatment
??'af q ?vi/?P ??G'tafOiti,f pw'
---
I herebe ucknowledgc that I have re2d ihis appt4catian and state that the infarrnation is
correct and agree to comply with atl app]icable Ciry of Eagan Ordinances
:;c: Engineering bepartment ?-/?-9oz ,?lf ????????pX?v?
??? T?,6C0 #7- XS`AIA
2004 RESIDENTIAI, BUII.DING PERNLIT APPLICATION
Lp City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
,*?? aC'?
NewConsWCtionReauirements RemodeVReoairReouirements
., A., _? ,,?.
3 re9 ste2d site surve1's shavin9 sQ. ft of bt, sQ. ft of house; and all roofed areas 2 coPies of Dlan G it"t? ,?.g
. _a ??
.
(20% masimum lot coverage allowed) 1 set of Energy Calcula6ans (or heated additions ???, ,?"?'? ?°
2 copies af plan showmg beam & window sizes; poured found design, etc. 1&ite survey fir additions & dacks }.Tli e?l?+??
s>•?
1setWEnergyCalculations Adddion-rndicafeffonsResep6csystem
3 copies of Tree Preservation Plan if IW plaked aher 711/93
Rim Joist Oetail Opfions seleclion sheet (bldgs with 3 or less unRs
Date 5 / I? Construction Cost ? ????• ??
/O-A
'1
Site Address c Unit/Ste #
Description oF Work
Multi-Family Bldg _ Y x N Fireplace(s) _ 0 '? 1 _ 2
ProperTy Owner Telephone # (VI ) ?P qS -
Contractor Allietl Fkwa.
Address tlba Frtesitle Heerth d Homa
?ce?se«zooaosii LIt
y
State 2700N FalrviewAye,
Roseville, MN 55119 Zip
0
Telephone #( )
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Catecorv 1 -
• Residential Venfilation Category 1 Worksheet
(J submission type) Submitted
. Energy Envelope Calculations Submitted
Have you previoLisly constructed a building in Eagan with a similar plan? _ Y
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
?
Telephone # (
N If so, 25% plan review
I hereby apply for a Residential Building Pe?n'nt?id 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 work is not to start without a
pernut; that the work will be in accordance with the approvAd plan in the case of work which requires a review and
approval of plans. L
?1?IS?"?F ?1)Pr?lal?t
ApplicanYs Printed Nathe ApplicanYs
? Telephone #(
Telephone #(
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA135645
Date Issued:03/28/2016
Permit Category:ePermit
Site Address: 4829 Four Seasons Dr
Lot:005 Block: 001 Addition: Whispering Woods 5th
PID:10-83954-01-050
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Judith A Todd
4829 Four Seasons Dr
Eagan MN 55122
Angell Aire
12253 Nicollet Ave S
Burnsville MN 55337
(952) 746-5200
Applicant/Permitee: Signature Issued By: Signature
411,iI
C!tyofEaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
icyPermit #: C`
Permit Fee: C - Co
Date Received:
Staff:
2015 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address:
Tenant: Suite #:
Name: V Irl. C\ t 0 C Phone:
Address / City / Zip: Li ? a ? (G co, Se- c. S o r s D F t y�
O.V\e-e- (a(� (—
T
Name: � q License #: S �{
Address: 1 7- C/ p v M. "T'.. us_ c. C( C e City: V tkT"- . CC"' \'-I $5.-
COntl
State: 1M.. Zip: ,5-1—C L O Phone: G �� '(TC
Contact: Email:
New Replacement Repair Rebuild Modify Space Work in R.O.W.
_ — —
Description of work:
RESIDENTIAL /,,{{\`/
Water Heater "W
Water Softener
Lawn Irrigation (— RPZ / PVB)
Add Plumbing Fixtures (— Main / Lower Level)
—
Peirtlit
Septic System
—
Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener
(includes State Surcharge)
Turnaround* (includes State Surcharge)
/
TOTAL FEES $ (r, a ` o v
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water
*Water Turnaround (add $280.00 if a 3/4" meter is required)
$115.00 Septic System New (includes County fee and State Surcharge)
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.qopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x Pito SAA ecv1-
Applicant's Printed Name
Applicant's Signatur
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA138971
Date Issued:09/29/2016
Permit Category:ePermit
Site Address: 4829 Four Seasons Dr
Lot:005 Block: 001 Addition: Whispering Woods 5th
PID:10-83954-01-050
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Michael Nordeen
4829 Four Seasons Dr
Eagan MN 55122
(612) 306-6180
Estate Claim Services LLC
934 Cromwell Avenue, Suite 2
St Paul MN 55114
(651) 309-1114
Applicant/Permitee: Signature Issued By: Signature