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4833 Four Seasons Dr?? ?---- e--'CITY OF EAGAN MON-RIEff PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 SITE ADDRESS: ? ? ? lo .,I ! i+ I t. 10 rli r ; ,?tlk ?EfISr1N': !?R k;al'I f? [Pi?? UJf1(t(??, ?;.?N i APPLICANT: I t? L .' ) k ? ! ..; • - l N ?I ._' ? PERMIT SUBTYPE: TYPE OF WORK: INSPECTION ., . ? . .A I IW F I I Uf Mt)N 1 fiE f H'i1'!' C 1 t 11 t1F F(1f2E I (1MCI A1. 1 NO I I L r ? J ---------------------------- --- - Permft Holdar Date Telephone M SEWER/ WATER PLUMBING HVAC Inspection Date Insp. Comrtients FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE ? AL- FIREPLACE AIR TEST .?/ FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL • DOMESTIC METER IRRIGATION METER FLUSH MAINS coNDucriwrv TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FfG DECK FINAL I ?IN E I N R ?_?eITY OF EAGAN PERMIT TYPE: ? 3830 Pilot Knob Road Permit Number: ? Eagan, Minnesota 55122-1897 Date Issued: ? (651) 681-4675 SITE ADDRESS: ? nSOW•-: c?R ,(i'f ? APPLICANT: t ?? ? •' 1 ''?4'1 `a+l'+" PERMIT SUBTYPE: TYPE OF WORK: INSPECTION .? .• . .. ?RI'MAf?rK?:• . f?t AN laFVi.FLJFI) HY CHA/.0 NtJVprI', i `-v f f)F liA Tf Pi Kof 1 RG()U'[jtF[1 1 ? ? Permft Holder Dete Tilephone It SEWER! WATER PLUMBING HVAC Inapectlon Date Insp. Comments FOOTINGS FOUND FRAMING ! ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS coNOUCTivirr TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG . DECK FINAL ? ""! 0 r t""? DATE: JUN 11, 1991 RE: 4833 FOUR SEASONS DR (ROBERT L CI.ARK CONSTRUCTION INC) X Your Sewer & Water Per it for the above property has been completed. It will be held at the Public Works Garage (01 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. .fl - 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 PROJECTS 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. - REOUIRED BY LAW. CONTACT COMMUNITY DEVELaPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. ? CASH RECEIPT '.? . CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 OATE - ?? - 19 ? aECerveo r 1 ? , cnou ? - AMOUNT 8 DOIURS ,oo ? CASH p CHECK Thank You ev C 13875 MN1°-payem ? Ye4ovr-4os6rp Copy ? Pink--FNe Gopy r t ?_ SEWkR & WATER PERMIT CITY OF EAGAN METER # - 3830 Pilot Knob Rd. Eagan, MN 55122-1897 CHIP # - , METER SIZE DATE 19 ? 1 ? ISSUE DATE r SITEADDRESS ``•; `?L?S E=? LOT BLOCK ' SEClSUB APPLICANT: ADDRESS: _ CITY, STATE PHONE: - ZIP USE aNL PERMITDATE 7G/11/91 PERMIT # ? ???•? B.P. RECEIPT # -• 1 ? ?' '' B.P. RECEIPT DATE _ PRV _ BODSTER PUMP PERMIT REQUESTED ? SEWER ?WATER - TAPS - COMM/IND "- RESIDENTIAL X NEW EXISTING PLUMBER: n C tIEG'}iANICAL ADDRESS: 13E45 DAQi PATCi: i.f CITY, STATE SAYA( 7; ?:N Zlp :5.37h PHONE: 447° .. '1' OWNER: POAYiIT L CLAn Ct)NS'i':?.;.1CT)'JN Ii+iC ADDRESS: l6046 JAtMICA ?A':t: CITY, STATE Y• ??r'-VT I,L? SN ZIp 55044 PHONE: ' Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. I AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES SIGNATURE WHEN METER ISSUED TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STaRM , CONTACT ENGINEERING DEPT. SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE JlllI 10, 1991 . I OFFICE USE ONLY METER #?? PERMIT DATE U6/ 11 J 91 CHIP #?? C) !0 6 9 PERMIT # 11053 METER SIZE T SL`b T1_1 B.P. RECEIPT # C 13875 ISSUE DATE B.P. RECEIPT DATE 0 lh 91 - PRV _ BOOSTER PUMP SITE ADDRESS 4833 e^:'!'P ;''.A:;11i35 DR LOT h BLOCK 1 SEC/SUB '41tiT SPERiFG 4i00LS STEi APPLICANT: . ADDRESS: _ CITY, STATE PHONE: - PLUMBER: U C r'ZCFiA;•iICAs ZIP ADDRESS: 13845 DAN PATCH LN CITY, STATE -_?'AVAG.'. MN Zip 55378 !4,'+?-2323 PHONE: PERMIT REQUESTED ? SEWER x WATER - TAPS - COMM/IND v RESIDENTIAL Y NEW EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit W#-L NOT be given for Deduci Meters. ?e.i I REE TO COk4PLY W OF OWNER: ROBERT L GL.ARiC CONSTRUCTI'.)H INC EAGAN ORDINANCES ADDRESS: 18046 JAMAICA YP.TH CITY, STATE LAKEVI LLE I4N ZIP 55044 PHONE: 435-F.4 i; SIGNATURE WNEN METER IS _WE1D PLEASE ALLOW 1'WO WORKING DAYS FOR PqOCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGIMEERIMG DEPT. (gtr#tfira#e uf (Igrrupaury Citp of (Eagart lkparimrttt of Wudldittg ittoprrtiatc This Catifiatte issued pursuaw io the requinmm& oJSadio+i 306 oflhe UniJonn Bullding Code cutifping tlrct at tlu rrme of lssuanae rhfsslsuctune ww in compliarrae with the i+Qrious ordirranors ojllre CitY reguladn8 buMn8 owrs&uction or use- For Aoe joUowing. p,e a2o7ouon S_ F Il ur-4r_ AI2 mk Rrm's rlo. 1911 ._ ?i'how 8-3 M-i zoe:,snv? B-3 -TMc^M Si-N-- owmat&aaics unRFAT T. rT.euY rnNCT.,u.._.1.8046-.TAMWLCA 8ATH &ad Ady= 4833 FDIfR SHASnNS I11t=,r4y 1,6- Rl , 4NTgP1mTAr: iYYY1s 4147 ?" p,r. SEPTEHSER 23- 1911 ? POST IN A CONSPoCUOUS PLACE ? . •. BUILDING PERMIT ? CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHQNE: 454-8100 Receipt # ;'?? ? 3? t 1 19_Sti Site Address 4833 M Lot 6 Slock 1 Parcel No. ICE USE ONLY W Name _??8T L CLA11[ COIiST ING ; Address 180ri6 .IwMwICA PA?H 0 Cit ??/YL? y Phone 435-6417 Name gAME Address Phone Name _ Address City _ Phone I hereby acknowlege that I have read Ihis application and state that the information is correct and agree to compl with all a?fplicable State ol Minnesota Statutes and Cit?qqEa n qitlances. . J Signature of Permitee ?Al? A Building Permil is issued to: MOSIRT 1• C1•UK COOT IMC an ihe express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. 8uilding Official •? ? ?:1 _..... ?. :i . . Occupancy FEES Zoning (Actual) Const Bldg. Permit 906•00 (Allowable) V-8 Surcharge $8• 00 # ot scories 700 Plan Review 589.00 Length Depth -400 SAC, City 100,? S.F. Total _ SAC, MCWCC 65o-? S.F. Footprints - On Site Sewage _ Water Corm 660•00 On Site Weli Water Meter Qs•? MWCCSystsm City Water x Acct. DePosit ?,? PRV Required _ SM/ Permil 30oOO Booster Pump - S/yy Surcharge • 50 Treatment PI 276.00 APPROVALS Road Unit 370•00 Planner - Park Ded. CounCil _ BIdg.OH. _ Copies Varianoe - TOTAL 3,794.50 - PermR No. PennB Nolder Oate Telephone k WATER p2Q?,rj 61?/ 9I SEWL-R -r1L ozc? 1% $ ? PLuMeiNG g ?3? 9a H.V.A.C. ? 9? O7T 71??/ ELECTRIC ?? ? / ? / ? ? Inspserion Date Insp. Comments Footin9s i G / 9! ? Foundation Framing Roofing ?r` C% S r Rough Plbg. Rough Htg. ? ? 9 Ql?l =p Isul. -17AX Fireplace ??? Final Htg. Orstat Test Final Plbg. ?J- 0'Q I i? Plbg. Inspector - Notify Pium6er p'p Const. Meter Engr.lPlan Bkfg. Fnal 71.L 2$/ Dedc Ftg. Dedc Final Well Pr. Disp. f6? ? v CITY OF EAGAN NO .19211 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt # C, '??I '-) To be used for SF DWG Value $176,000 Site Address 4833 FOUR SEASONS DR Lot 6 Block 1 Sec/Sub.WHiSPERING WOODS Parcel No. I? I O Cd?ress L18046 AKEVILLAEI H S phone 435N64ll I o Name 5AME Address ¢ City Phone Name _ Address Clty _ Phone I hereby acknowlege ihai I have reatl this apphcation and state that the inlormallon is correct and aqree to comply wdh all applicabe Stale oi Minnasota Statutes and Ci 'Ea en ( rf s. // Signalure of Permitee A Building Permit is issued b: ROBERT L CLARK CONST IN( on ihe express condition that all work shall be done in accordance with all applicable State of Minnesola Statutes anyd?yC?it?y of Eagan Ordinances. 8uildmgOflicial T,??T ?.?l?.i ??L/J ti OFFICE USE ONLY Occupancy R-3 M-1 FEES Zoning R-1 (Aduap Const V-N Bldg. Permit 906.00 (Allawable) V-N Surcharge 88 • 00 M af Srones 701 Plan Review 589.00 Lenglh Daplh 41 SAC, Ci1y 100.00 S.F.TOIaI - SAC,MCWCC 650_00 S.F. Footpnnls - On Site Sewage _ Water Conn 660.0 0 On Sile Well Water Meter O 95.0 MwCC systam X Ac:1. Deposit 30.00 City Water ? PRV Requiretl _ SM! Permit 30.00 Booster Pump - ShV Surcharge • 50 7reatment PI 276.00 APPROVALS RoadUnil 370.00 Planner - park Ded. CauncA BIdg.Otf _ CoPies Variance _ Tp7qL 3,794.50 Address: 4833 N'OUR SEASONS DRIVE Lot 6 Blk I Sec/SubyHjgp?jM ?WDS STH These items were/were not complete at the time of the final inspection. 9 23 91 Yes No ? Final grade (6" fYOm siding) ? Permanent steps - garage Permanent steps - main entry Permanent driveway L/ Permanent gas L/ Sod/seeded grass i/ Trail/curb damage Porch Sasement finish Deck Please verify with the builder the removal of xoof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. ? PFCKIfOXlfR White - City copy Ye21ow - Resident copy Pink - Contractor copy ???/ S/ e?oa 5 ? p 17761 -? • ' ? ? - J? ° ,? Requesi 0 a1 Fue No Roogh-m ecuon Peqm retl Reatly Now r Nolity inspector ? y J L N. Wnen Ready'+ IIll"Iicensed contractor D owner hereby request inspection of above elecirical work at: Job Atl ess VeeL Box or Ro e No ? Gry 33 SeLnian No w sM1ip ame No Range No ? Gount Occup PRINT Ph n N i Power Su er A?tlress Elech¢ vactor(C panaNamel • Gontractor§ L a nse No Q V Mei m A ress C nlr r or Own a mg sta etion) ? RmASS ? ?COnlracl er Ma/q ng Insualla[i I M1one _jr 0) MINNESOTA STME BDARO OF ELECTRICITV ? THIS INSPECTION FEOVEST WILL NOT Griggs-Mitlway Bltlg. - Roam S-173 BE ACCEPTED BV THE STATE BOARD 1821 University Ave., Sf. Paul. MN 55104 _ LINLESS PROPEF INSPECTIDN FEE IS PM1One(61Y)6C2-0800 ENCLOSED REOUEST FOR ELECTRICAL INSPECTION ? es-ooom-oa ? Bw Sae insimctions for comolaLng this lorm on back ol yelbw oopy " ? 4: 3t' /O OO 1 5 R 1 7 7R1 w "X" Below Work Covered by This Request . .... ?,w Rep . TypeofBmlding AppliancesWired EqwpmentWired -1 " Home Range Temporary Service Duplex Water Heater Eiectnc Heallng Apt Building Dr r Other (Specify) Comm /Industrial u ace Farm Av Conditioner Oiher specilyi Con« actor5 Remerks- Co mpute Inspection Fee Below # Other Fee # ServiceEntrance Size jile d Circuns/Feeders Swimming Pool 0 to 200 Amps to 100 Amps Transformers Above 200 _ Amps ( Above 100 Pmps Signs inspecmr's Use Only Irngation Booms Speciallnspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electncal Inspector, hereby Rouyn-in oate certifythattheaboveinspecuonhas been made. F,nai f oa?e 7 ?"f 1-? OFFICE USE ONLY Ths requesl voitl 1B mon[hs Irom g/o/5/ 6"/D/3/9/ /03?5; p 1772?4c? i ' r,s - 5? cr a° Fequesl D Frtqyb Rougn-in in lion ? ? Rgqmred9 ? Reatly Now 'L?9Vill Noli(y Inspsctor - s _ No When VOP ? IP?ric-ensetl contractor ? owner ereby req uest in ection of above electncal o-o Job ACOre ? ^ar nr Pn a.i 104 ? Cit ? ? ? I - Saotio. N o nship Nam or No Range No r C Occuoant PFINT) ? on ND 5 6 V Pn3 Power SupOLer AOtlress ? Elecin I nVatlarl npany Na . I ? ConlrdCtorS wBnSB O MaiLng C r ss iGOmreo or or Ow Ma4mg Install/aL?O?n) • Authonzeo aWr 1 onlrac o•AMaki Inslr/?g on, ? ?/ /V ? ? /?( I/ Phone ber _ . ? V?/ ?T MINNESOTA STATE BIAPD OF EIECTRICITY I THIS MSPECTION REpUEST WILL NOT Grlggs-Mitlway Bltlg - Room 5473 BE AGCEPTED 6V THE STATE90AR0 1821 UnrversHy Ave . St Faul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(61216G2-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ? 0. See mstmchons !or compleling Ihis foan on back oi yellow copy ? 177 2 5 `(P`FJ "X' eelow Work Covered by This Request 16 -3 2 ew Add Rep TypeoBuAtlmg F ApphancesWired EqwpmentWired Home Ranqe 7emporary Serwce Duplex ter Heeter Elecinc Heating Apt Bwldmg er Other (Specify) Comm/Industrial ; nace ? Farm Condih oner Air Other(syeafy) Gonhamor5 Ramarks Compute Inspecnon Fee Below # Other Fee # ServiceEntrenceSpze Fee # Circmis/Feetlers Fee Swimmmg Pool 0 to 200 Amps a to 100 Amps Transformers Above 200 _ Amps ? Above 100 _ Amps ? ? Signs Inspactors Use Oniy TOTAL ? Irrigation Booms Speaal Inspechon 3[? ? Alarm/Commumcation THIS INSTALLATION MAY BE ORDERED DISCONNE TED I NOT [Other Fee COMPLETED WITHIN 18 HS. i i I, ihe Elechical Inspector, hereby RO°9"-'" . ?'/' 1e ^ ? cernty that the above inspection has been matle F,,,ai f oai? _? OFFICE USE DNLV ? - - This request voia 18 months irom 5-, [ n J y ? City of Eapn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 - - - - - - - - - - - ----, i - ? Fo_roniceu"se I I Permlt #: (l ?? -? / I ? PermitFee: ?v-"?V I I ? I ? ? Date Received: ? I ? ? Staff: I 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: ? L4 U , Site Address: Dr. Tenant: / /?r/G, ?,, Suite #: RESIDENT / OWNER Name: Phone: Address / City / Zip: CONTRACTOR Name: License n: Address: COMME'RS CONDITIONED WATER ?VY'35NtSERGTCE?RIQE-' City: KMNE UN 55448 Sta[e: Zip: Phone: ContactPerson: TYPE OF WORK YNew _ Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. Descri tion of work: PERMITTYPE RESIDEN7IAL Water Heater ? Water Softener Lawn Irrigation Add Plumbing Fix[ures C-- RPZ /_ PVB) (_ Main _ Lower Level) Septic System _ Water Turnaround New Abandonment RESIDENTfAL 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 $136.00 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 ihat ihis informaUOn is complete and accurate; that the work will be in conPormance with the ordinances and codes of the City ol Eagan; ihat I understand this is not a permit, but only an applicatlon for a permit, and work is not to start without a permit; that the work will 6e in accordance with the approved plan in the case ot work which requires a review and approva? f plans. x (\ ir/ (?.S-lr(?IL+? ?u??, ApplicanYs Printe Nam Applic nt's Signature FOR OFFICE USE Reviewed"By: `, Date: I Required Inspectlons: _Under, Ground .; _Rough-In _Air Test _Gas Test _Final ?tTY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (651) 681-4675 PERMIT PERMITTYPE: 81 u1 1.1,1 uG Permit Numher: 0 :f a 6;' 9 Date Issued: m2 ! 17 /:? 9 SITE ADDRESS: 4:333 FVUk Sr-ASIr.7Pls FMI LOI'e 6 8 l 0 Cha 1 bJ1i1:5f;? i{1PJG W0f70S C,1?1 p .f ,N.; IGh-F3954--0 f?0 -y1 DESCRIPTION: 6 ?.y' i I d i ia ti-,,.,,.P e r m i. t 7 v u 4 ;fuild3Ma "!' TVne Cenflus Cade ' ( 1 i ., ?- }y F1RcPLACF= rJ E lJ 4 34 h,l i"e f2G^IClEP!TIA L REMARKS: CI-;fi9WE•f!FL LIf? P4UalFf IW?, tF Ci`:01 i, EF ?)F?C CQn'C fIWG. FEE SUMMARY: ?iIJ SIJ!'Cf'ILiPnG' ? h Ql " J rn?.cal ree F,.50 CONTRACTOR: - ^Gpl-rcani= -- S"t. LIf; FrTRr51D F. COhP!EI't tlVr, t533 10fl2 2r40 94991 770 0 11 f-A l'P.VIEW AE/E pos;_V r1- i_E m ni 55113 !61=i E33--1042 OWNER: OESCIi (iftEGORY 4C-11 9'J (=GUFl SEA3CiN5 lit? LRt,t1Pd MN 55123 (o"bl.i Y hare?bY acknawletlqe Chat I have r-aad thi.s aop}.icatzon arid stat;e tl,at Y.he Sn i=ormatiorl is ^orrect and aoree to cnmqlu with c+11 Grpcl.icah lf! ¢Laca ,aP Mn. Statut,as ancf Citv o'P Fa,avn Gt-clknarires-, ? APPLICANT/PERMITEE SIGNATURE -1 1e:ti?- -- fo --16SUED BY: SIGNATURE `?? (4 S a? I (,U.t:?-C) 1999 FIREPLACE PERMIT APPLICATION a I? ? I C1TY OE EAGAN 3830 PILOT KNOB RD - 55122 (651) 681-4675 Date:A /99 Descnptron of Work: ? Constnict iiew fireplace _ Alteralions to existing _ Install eas insert onlv Other Install gas line onlv Job address 7r?3j .7Z`o Lot: Block: Subdivision/P.I.D. #: Applicant (circle one only): Owner Co tractb Permit Fee: $60.50 PROPERTY OWNER FIREPLACE INSTALLER J Name: 'D C,A G Phone #: Last ' F rsi Stree[ City . Comp; Street City Zip: Company: Phone #: GAS LINE INSTALLER Street Address: City State: Zip: 1 hereby acknowledge ihat I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota 5tatutes and City of Eagan Ordinances. CEIVE D /?io?- "sig an,re B 16 ?999 ?.-- 7BYF State: ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (651) 681-4675 SITE ADDRESS: N.r.,N.: 10-8s954-060-01 DESCRIPTION: PERMIT PERMITTYPE: autLorNs Permit Number: 034535 Date Issued: 0 2 1 1 9 I S G r 14833 FuuR srAsoN13 uH LOTt 6 I"tLGCK: 1 wwtsNeairaG wooos srri B u.eldi nq iFP r m i t 7ypa 66iJdino WZYK}: "R,pe .E?an,us Code A ? , .? i ;• -.. PASFi4GPJ7 FINISH Al 1 "t=iiA"fI0\' 434 ALT. ftESIDErJT'CAL ??. _ , = • ? REMARKS:, PL14nt r<CV1El•JS'.D BY CRl;1G NqVl1CZYK. SFPEkFriE f'EHh1T7 FtEOlJ1ftEL) I't]R HP•!'{ PLUM87.NG WUf11C, CAIL (612) 445-2840 RCGARUIN6 F_LEf_TRICAL PEHIIIT AhID SNSPEC'1rON3. ,` y =1 =1&191 11ilul,lXF ease I=e? Surchar:I c '1'otal Fee :?60.00 :65?i.5?0 COPJTRACTOR: ApPL'.Oanr ` °'T. LtC. OWNER: LGL'Y COiVSTRUCTiON INC, 19449499 1763 DESCIi GRF(; 7(d3?W/ 11IKIN(i Uf't iTC 105 433?3 FOUn JEASUh15 (7R EUEN PRRIR'CE MN 55344 FAGAN MN 55122 (67.2) 944-9499 f65]1a05-585.1 ? hereby ackiowlec;ua chai I hWVe rv.-d rh?.s apo)ication and -,t„Ca tha- '_he inT'armaLton ls cor°rr,cL anci aoree tO comp,tv with a11 ?pniicnttlc Stitc ol iMn rpir Ordinanc,,?. L ?` J APPLICANT! EE SIGNATURE ISSUED BV: SIGNATURE 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PII,OT KNOB RD - 55122 -?) L-' s (651) 681-4675 New Construction Reauireme its RemodeVReoair Reauirements ? ? 3 2gistered site surveys ? 2 wpies of plan ? 2 copies of plans (inGude beam 8 window sizes; poured fnd. design; etc.) ? 1 ske surveys (eMerior additions 8 decks) • 1 energy calculations ? 1 energy calculatians for heated additions ? 3 copies of tree preservatlon plan if lot platted after 7/1/93 required: _ Yes _ No DATE: C't3 /lo l9$9 CONSTRUCTION COST: 0`2,`?lobl7 DESCRIPTION OF WORK: ?i95ynr Fi.rJiSN STREET ADDRESS: LOT: (c BLOCK: SUBD./P.I.D. #: L? Lr- ? ^? Name: ?N«+f/ /;?f[,fQ- -I aA)•ET Phone#: PROPERTY Lazl Fi'n OWNER sveec Aadress: City c /4/J State: Zip:, L /.Z Company: Phone #: ??? 9 7// CONTRACTOR Street ? fD 1 Address: y V 1? 2i Jc- License #Exp. City 'n rJ T11i9 1,P/E- State: Zip: TS37`7 ARCHITECT/ /J ENGINEER Company: C'L• S% .. ?i Street Address: ?t Ciry Sewer & water licensed plumber (new construction only): _ change and lot change is requested once permit is issued. State: Penalty applies when address I hereby acknowledge that I have read this appiication, state that the in ormation is correct, and agree to comply with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. Signature of Applicant: ? D pcm OFFICE USE UNLY FEB 16 1999 Certificates of Survey Received _ Yes _ No BY: Tree Preservation Plan Received _ Yes _ No _ Not Required Phone tt: Registration #: _ Zip: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging X 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. 0 17 Swim Pool 0 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 _ plex O 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) 5 Basement sq. ft. Census Code ? (Allowable) 5N Main level sq. ft. SAC Code UBC Occupancy z-3 sq. ft. Census Units Zoning ?-I sq. ft. Census Bldg o # of Stories - sq. ft. MC/ES System Length - sq. ft. City Water Width - Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building ? Engineering . Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/ES SAC Ciry SAC Water Conn. Water Meter Acct. Deposit S/W Permit - S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: % 5AC SAC Units ` 1991 BUI ? N?PER ? LICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS 2 SETS OF PLANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCULATIONS MfJLTIPLE DWELLINGS COHIiERC IAL 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL REGISTERED SITE SURVEYS - & STRUCTURAL PLANS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCUTATIONS 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. 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 ALLAWED 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: f/fpy????r- Q' Valuation: -X?. Date Site Address 0 5-3 lIf71h, JO(1LrtnA L&-- Lot 11? Block ? Parcel/Sub /??J?ev' WCGdS i ?t? Owner (y P e? ? V C<- ?,@ )' !/¢ f'C % Address City/Zip Code Phone y j / "' &?' '? '7 Y Contractor ghP/t Cc,,, Srz-C Address zfow t?(sr?aicG 1? ?h City/Zip Code Lct ??z J) lIz S S U9 I Phone L? 7 ?-- G Arch. /Engr. f? /4 h C U Address ? City/Zip Code Phone # 0 79 ? ? h . e RECD Z 9 OFFICE USE ONLY I7G?OOo' FEES Occupancy 9-3 M'1 Bldg. Permit c/?'00 Zoning !Z-I Surcharge FSAO Actual Const V-r/ Plan Review 40 ,OD Allowable V^N SAC, City / 0'00 # of stories SAC, MWCC Ej 0.00 Length 70 Water Conn. (?60iU0 Depth HD ' Water Meter 5.0 0 S.F. Total Acct. Deposit 0, o Footprint S.F. S/w Permit 30,Gb S/W Surcharge , $b On site sewage_ Treatment P1. ArM,oo On site well Road Unit 3120'a MWCC System ? Park Ded. City water 4-? Trail Ded. PRV _ Copies Booster Pump _ APPROVAIS Planner _ Council Bldg. Off. Variance SUBTOTAL Penalty Lot Change TOTAL agrees that all work shall be done in accordance with r (Signature of Contracto all applicable State of Minnesota Statutes and City of Eagan Ordinances. s !? , vA L ? ? CparzA,vc .•'? >( ? y = °;6q ;?)4 iti? ?g) .2x /ip = ? z) 2 K (,v ?- `lCi I x 15'_ ??ges 3?+x 3?= rbzo Z x !?/2 = I 3 Ib??8= Z= 13`?? X J?? Iss?? 1s i FLOar` k3s MT_ 1 '3 14? r-, ./,'; - I V r: - ???2Xlo? ?S 14 x16= z? .?--- 3y)eai'/2- I0-71 2x?4- zg a'?? ? gct8?( ? I 13 X53 = 5??? 0 n ?r7(,,,, 0o9 , --------------------------- ?5` 91--------------------------------- ------- JUN-GF-1'991 11 :47'7 FP.CiPI E. G. FIJD 1 SOtJS TO 4=8373 P..J3 ( CERYIFICATE OF SURVEY I ? 4 l? ? ?Ss 4/ ar? ?.`?' / -" q? s x w`??aPr Cy? '?• y.? ? FIWn/ For: Robert L. Clark Const. 13046 Jamaica Path Lakeville. MN_ 55044 \'" 'r c? ? I ?7 ?1 9P ys"? j 11 ?'' 'yn ? ie e ? ? l " afl ' 1 io ! a ?9,???`" r ? ?---"/--?E :!-7? .....,_..??.s. 01i'S'-bznotes proposed elevation as -%9-3 Denotes existing elevation 4' -- Denotes direction of drainage o Denotes?wood hub at 11 foot of.fset Garage floor = 9".r Top of BloCk = 464•2. z k. Contour interval Lowest floor Qenotes proposed contours lat 6, Block 1, WHISPERIhG WQODS 5th ADDiTION, Dakota County, Minnesota SCALE: 11nch=-I?L_Feet o Denot2s Iron Becrinqs shown are assvmed. ' Job No, 111411 44.5. Bk.19.._Pq.._33_ Wo A6raby csrtity }hRt tAif ia a frue qnd corieti repraaentatian ot a survoy o} tha E.G. RUD Sl SONS ING bwndoAss ai fns qCOVS CaeilOed iqrtC and of tha lacofion of all bufldinpf, it ony, , tMroort, and ali visibla tncrooehm"ts, ri any, trom or on said land. LAND SLIFVEYORS E. G. RUD & SaNS, INC. 3I90lexington Avartue N. wtva rn+s 4A d,y ,f une y 9/ , n/I Ctrcle aines, Minnasaca 55tna _ bY 67•? ?.?'-'-?? ; Telephone: 7863656 ' TOTRL P.i,i? 4 Site Address 1- o-r (o & ocK I _ W HitoER/N4 &/DO,5L5 t 'Or"/ Contractor 7 te Building Classification: Type A1 (Single Family & Duplex) Type A2 (Residential, 3 stories or less) (Over 3 stories) (Other) NOTE• Complete pages 3 and 4 first. GENERAL INFOR?.rA'S'ION 1. Building Perimeter Syt I,f)nQL ???ft. 2. Wall height (ground to eave) I? ft. 3. 1. X 2. (above) gross wall area 22r sq.ft. 4. Building dimensions (L) X(W) _b4dsq.ft.roof & floor area 5. Sq. foot area of rim joist - Ftgor joist ize (2 X?Z ) X 'i?- (Perimeter) _ ?sq ? • 6. Doors - Area 12 Thickness in U. factor ' Type of Construction Perimeter Manufacturer ft. 7. Total door's perimeter 8. Windows: Manufa turer state approved U factor ? ?? TYPE SIZE AREA (Sq.Ft.) NUMBER OF TOTAL EACH UNITS SQ FEET 9. Total sq.ft. Glass -+()o 10. Fireplace area: Width X Height = X = sq.ft. / ;?? 11. Exposed foundation: Height X Perimeter .(_?f? X 1? '_ / '.-sq.ft. COMPLETION OF THIS FORM ZS REQUIRED FOR ALL NEW CONSTRUCTION, MAJOR REMODELING AND BUILDINGS BEING MOVED WHERE ENERGY, OTHER THAN THE MINIMAL CODE ALLOWANCE, IS USED. MINNESOTA STATE ENERGY CODE CALCULATIONS BASED ON CHAPTER 5 OF TAE MODEL ENERGY CODE - 1983 EDITION Adoption Effective -1- 12. F=aming aren = 10% of groas wall area. 4k`??• ? n 13. Gross wall nrea sq.ft. Window area A sq.ft. U windows UxA = ? 7- ^d Rim joist area Asq.ft. U rim joist= ,o ? UxA = Door area A P', sq.ft. U door area= rf UxA = Other doors area A-iLsq.ft. U other doors=14-7 UxA = yJ J Exposed fndii A___?Zsq. sq.ft. U foundation= 1 I UxA = ?? Framing aren A ?JZ /§qlft, U framing area= iO_! 5 UxA =??- 07 Net wall arQa A- ?sq.sq.ft. U wa11= 0 .04 7 UxA =%' _ -- ? ( 1]B) TOTAL . . . . . . . . . UxAr= 14. Gross wall area x 0.11 (A-1 single family & duplex) = allowable UxA/Code (13. above) x 0.23 (A-2 other residential) x .23 (Other buildings) x .28 (OVer 3 etories) BTUH must be larger than or same A?x U Code , Il ? 9, . 9 _' ? °F. as 13B above 15. Ceiling framing area (Af) equals 108 of ceiling area 15A. Gross ceiling area =(L) x(W) _ 040 sq.ft. 158. Joist area (Af) = lo$ ceilinq area sq.ft. 15C. Net ceiling area (AC) (15A - 158) = K 7?D sq.ft. U ceiling x A? _ ?LZ xHiv '= Z? ?o U framing x A f X 10 . /15D. TOTAL U x A ......................... ?6, ?Co 16. Ceiling aren (15A) x 0.026 (A-1 single family & duplex) = allowable UxA/Code x 0.033 (A-2 other residential) x 0.06 (other) 1 ,? BTUH must be larger than or same A(15A)_L?'=C?xU Code 2I(O`'OF. as 15D above NOTE: Use U and A values obtained from pages 1, 3 and 4. -'x•rrFi ATrON: I hereby certify that I have calculated the "U'l factors and "R" values hereLn and that the buildinq here described meets or exceeds the State of Minnesuta Energy Conservation Act. Date Signature -2- lNA- L(, .? x 3 3 ,7Z ?l7? ( 4?' ?( Z 17s ? ?p'J2 Z I ( %Z vAv?,-, • -? 80 3? 9 ?oa? 111s-r 13-? LSS ? 5-z # 9/ Ts? WJ1 i.(? ; ? (0 ??'t7 w ? Moo ws. ?a x ?E?-G ?Tr? ?{ w- 2?+x(?o ll 2 ? 50 ? /na Z iti - ZA X 1vV ? ? Z X ? Z J b 1( g 60 I?- 410 - ?w-2oX!;(o / ? X IZ ? IZ ?o x?? 1 ?? ? k ?= z? ZI.V• l DX(Ob ?. ? x zo Z ? Ipj ? x IU t ?b Z?-?K3? ?1 2 }C /5 " ?O Z w- Z??B ? I z ?c La --- ?-_n ta ?oo p00('S VPD ? o pp 3?, wJ2 s?? ?Z ? D2 ZII U YALUE CALCULATIOHS UALL SECTION STUD SECTION 2NU NpLL SECTLON. ......_ _.__. B Lnterlor alr film R= ,68 RlM JOIST sulatlon 1!'00 inch soEe wood R=1.88 (Rim JO15t) eathing terior wall covering ,(p7 1 :terlor air film R= ,17 R TO'CAL z4• Ip itertoc alr film R= ,68 1 U=R= isulatlon 5,00 . 1 oundation 1. Z3 (Fdn.) U= R= :c;ecior air film R= .17 ? F TOTAL -1 • I 3 xposed Bluck I ?, \\.:•``,rade R VALUE U VALUE Ineide atr film .68 In[erior wall .4? (Nall) U . L n R [nsulaCion (q, 00 Sheathing ZldP C;.-43 .? Stding , !p7 Outalde a!r fllm .11 R TOTAL Z3? OJ Inside atr film ? .68 46- Interiac ++alt • .df?s[ud Q R= dfl,(,?' (D,!?5(FramLng) U- R ' O(5 Sheething ?Z?oLo ? Sldtng , (p] Outside air film .17 R TOTAL ? D . ? ? Inslde air film- ~R= .68 Ineerlor vall ? ? Inaulat io ??' ? (uell ) U ? R ? . ? Eiing 7 ? , ExterLcr v?t?c ring Exterloc a[r fil m R . 3. :FrrrNr. wrTH VENTED ATTZC SPACE ABOVS R VALUE FRAMING R VALUE CEILING 0.61 AirFilm 0.61 ? (a•O Insulation +y' 0 4.38 Jo 0.56 Ceiling 0.56 0.61 AirFilm 0.61 4Z??v Tota1R 4(,o'7V ,DZZj U=1/g . OZ1 Window infiltration 0.5 cfm/lineal foot of crack Residential door infiltration 0.5 cfm/square foot or door and minimum code requirement Non-residential door infiltration 11.0 cfm/lineal foot of crack Ub 12" concrete block no insulation = .47 R 2.1 Ub 12" concrete block insulated cores = .26 R 3.8 Ub 12" lightweight block = .32 R 3.1 Ub 12" liqhtweight block insulated cores = .12 R 8.3 U single glass = 1.13; with storm window .54 U double glass = .55 U triple glass = .41 All exterior walls and ceilinqs must have a vapor barrier (0.10 perm max.). Vapor barrier mUSt be on the inside (heated side) of wall. Vapor barriers of the polyethelene thin film have no R value. ? f • ' 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) --? I 3830 PILOT KNB RCN 55122 9 /? v ? 651-681-4675 New ConshucHon ReauiremeMs `ORemodel/Reoair Reauirements \ ? D 3 registered aHe aurveys showing sq. k. of lot, sq. ff. of house and Q roofed areas (20% maximum lof coveraae allowed) D 2 copfes of plans (show beam 6 window fhes; poured tnd. design; etc.) D 1 sei of energy calculations D 3 coples ol hee presenaflon plan H lot plalted aHer 7/1/93 DATE: DESCRIPTION OP WORK: `d d ? STREET ADDRESS ? 2 copies of plan 1 sef of energy calculafions tor heWed addkions 1 sRe survey f extedor addHlons a decks P"'7 ?? CONSTRUCTION COST: ? J?- J2a 3 °1 LOT: ? BLOCK: ' SUBD./P.I.D. #: Z?72t -e Sc_ k (?' (-e Name: , ?hone #• PROPERTY last 4?y-3-Z Flrst OWNER .,11;1 „ n Sfreet ?? ) 4e City State• ?a r Zip: Company: Phone#: 61Z C-/ ClG- 3 G O s (area code) CONTRACTOR L cU Street Address: /vo d? fI 3 ? License #2d ? ? 7,? / I Exp3'-a ° City Scl ?O? 5-? State: OV'/? • Zip: ARCHITECT/ ENGINEER Telephone #: area code ( Name: Streel Address: Registratlon #: CI1y Sewer A. water Iicensed plumber (reauired /or new conskucHon onHl: State: PenaNy applie: when address change ond lot change Is requested once permR is issued. Zip: ? 3 78 I hereby acknowledge that I have read this application, staFe ihat the IntormaHon is corte t, and agree to comply wifh all applicabl Stafe of Minnesota Statutes and Ciiy of Eagan Ord(nances. Sfgnature ot Appiicant: • OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received - Yes - No - Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dweiling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. ? 03 1 of _ plex ? 08 6-piex O 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New 13 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.• ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof ` Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoring #t af Stories Length Width APPROVALS Planning Permit Fee Surcharge Pian Review License MC/ES SAC ? City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SNV Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building 7? I !I 5 Census Code SAC Code No. of Units No. of Bldgs MC/ES System City Water Booster Pump PRV Fire Sprinklered _ Engineering Variance Valuation: $ . 5AC Units % SAC CZTY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT R?"',3,?1,` DATE: $ oz l . . PLEASE COMPLETE ?: UPPER PO&TION ONLY FOR SINGLE FAMILY DWELLINGS & , ,..>.........m.m. TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. --------- ---------- --------°--°---------- ------ WORK DESCRIPTION --------------------- --------- --- FEES NEW CONST ? ADD-ON MINIMUM $15.00 ADD ON HVAC 0-100 M BTU 24.00 REPAIR ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMOM 3.00 F? ?? r c,?l cn OWNER NAME T L Ax OF 1 PER PERMIT : ? SUBTOTAL 3n S ? /,?/2 ?j SITE ADDRESS: "7 0 J? : STATE SURCHARGE: ?, .50 LOT:BLOCK ? SUBD.???w?lJ. TOTAL: $3 O,S? INSTALLER: A/IaE1250AJ /'}t2 L +K? ADDRESS: ?bJ ljtl! 14 G d f eC SIGNATUR OF PERMITTEE CITY: ZIP: 5?M-2 PHONE #: q/7' 7?3? gR)AII4EA?,JI,?fPMTRIAx+; 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: FEES 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 $25.00 MINIMUM FEE. SITE ADDRESS: IAT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: CONTRACT PRICE x 1% STATE SURCHARGE TOTAL: $ (SIGNATURE) CITY OF EAGAN CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD ? • EACAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # DATE: R1?STpE?'XAT,,?' PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 6 TOWNHOMES/CONDOS WHEN PERMZTS ARE REQUZRED FOR EACH UNIT. ----- ----°- ------------------------ WORK DESCRIPTION ---- --------------°--°°- --- --------------- COMPLETE THE FOLLOWING : N0. FIXTURES EA. TOTAL NEW CONST ADD-ON MINIMUM 15.00 ?• ADD ON SHOWER 3.00 .i.V0 REPAIR ? WATER CLOSET 3.00 9 43?) ? BATH TUB 3.00 Lw ? LAVATORY 3.00 9 _W OWNER NAME: , L?m,/ C`"t" ? KITCHEN SINK 3.00 ?1p ? Y N 'q SITE ADDRESS: Fh?f? ???5?` TUB/SPA HOT 3.00 - r ? J WATER HEATER 3.00 341- LOT : 6O BLOCK _L SUBD . '!!? ?J FLOOR DRAIN 3.00 (? GAS PIPING OUT. INSTALLER: (>L-8F L4, C kw/ f7 ? (MINIMUM - 1) 3.00 11i? ?` ROUGH OPENINGS 1.50 ?D ? 7? ADDRESS: OTHER WATER SOFTENER 5.00 f' CITY:fivpLE V4ZIP: PRIVATE DISP. 15.00 '-l U.G. SPRINKLER 3.00 -' PHONE #; b-7 9 SUBTOTAL $ ST. SURCHARGE .50 SIGNATURE OF PERMITTEE 1' -J 0b TOTAL: S • H POMMERGIAL?It1DII5TLFTALs; PLEASE COMPLETE THIS PORTION FOR ALL COMMERC IAL/INDUS TRIAL BUILDINGS AND ...... 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. $25.00 MINIMUM FEE. CONTRACT PRICE x 18 STATE SURCHARGE TOTAL: (SIGNATURE) 8395q L BL SUBD. 02 yfy? CITY USE ONLY RECEIPT #: 10.aJO S 1;?- RECEIPT DATE: // 9 9 / 1999 PLUM$IN? PEftMIT (ftESIDENTIAL) CTT'Y OF EAcfiAN SSSO flILOT KNO$ RD £kfiAN, MN 55122 (651) 691-4675 Please complete for: ? singfe family dwellings ? townhomes and condos when perm its are required for each unit ? backflow preventer for underground sprinkler sys tem ------------------------------------------------------------------' Alterations to existina residence ------------- 30.00 ------°-------------------- = -----------------' OD Water Turn Around 30.00 = Private Disposal System " MPC uc. 75.00 = (new and refurbished systems) Private Disposal Systems ` nbandonment 30.00 = RPZ (new installationlrepair) 30.00 = FIXTURES EACH # TOTAL Shawer 3.00 x Water Closet 3.00 x f Bath Tub 3.00 x = Lavatory 3.00 x Kitchen Sink 3.00 x = Laundry Tray 3.00 x Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain * 3.00 x = minimum - 1 Gas Piping Outlet 3.00 x Rough Openings 1.50' x = WaterSoftener ` for dwellings under construction 5.00 x = U.G. Sprinklef ' tor dwelling under const. 3.00 = STATE SURCHARGE 50 Reminder: Call 681-4675 for inspections of water heaters, water softeners, alterations, etc. 6 -6 TOTAL f; 3 ---------------------------------------------------------------------------------------------------------- --------'-----"------- I hereby acknowledge Mat I have read this application, state that the information is conect, and agree to comply with all applicable City of Eagan ordinances. It is the applicanfs responsibility to notify the property owner that the City of Eagan assumes no liability (or any damages caused by the City during its normal operational and maintenance achvities to the facilities constructed under this permit within Ciry property/right-of-way/easement. SITE ADDRESS: ?O?3 ( cqr S ek5o n 5 Qr I ve, OWNER NAME. INSTALLER NAME: I?iAV?.?LI'-?Y TELEPHONE #: 10?? FA `7 -T- STREET ADDRESS: ( oCV pynf'lG/ ?'lAC Pi CITY: lCh `° 4, (4 ? STATE: ???Q u cc SIGNA CDlPERMIT FORMS/RPLBG PERMIT (RES) - 1999 'Vee-4 -J?? &,0,VV- ?? ZIP: ?? ? CLAIPS VOUCHER - REFUIID RLQUEST CITY OF EAGAN CL.AIPSANT nT RRRC r'ONSTRi1CTTON ADDRESS 6410 131ST STREET !'OTiRT APPLE VALLEY. MN 55124 Loca[ion 4833 FOUR SEASONS DRIVE L6, B1, WHISPERING WOODS STH ? ReceiFt No./Da[e 103004-9/16/91 Reason fcr Refund WORK COVERED UNDER PLUMSING PE?tMIT PULLED FOR INITIAL CONSTRUCTION T}•pe of Refund 1-l1W7?/f j _ . bl Electrical Permit Plumbing Fermit Ptechanical Permit Surcharge Wa[er Connection Permi[ Sewer Connection Permit Account Deposit Iltility Account Over-?ayment Other: 01-3211 S 01-3212 $ 15.00 01-3213 $ 01-2155 $ 20-3713 5 20-3743 , $ 20-2252 $ 20-2250 $ S $ TOiAL $ 15.00 I declare under the penalties of law that this account, claim or demand is just and that no part of it been oaid. ature Date UNDERGROUND SPRINKLER SYSTEM PLUMBING PERMIT Date: Permit # Date S'A19/ Receipt # 14300111 _ Commercial: $25.50 + water tap if required. (City installs all taps up to 1"). If adding new service, a water permit will be required, as well. X Existing residential: $15.50 (Plumbing permit not required if backtlow preventor was previously installed). Residen:ia: de velppmer.ts: Fee to b deter m:ned by bui3ding inspections department. May require payment of w er e plumbing pernrft, WAC, and water treatment plant fees. ,Gl?/ B/, Gc?os?y (Addp's<to be #: _ 1 'Y -\'E-ti 3 C?t ? L"o , a i s? -'3 'y\ CY` City, St ip: &'f vA L LE jr"h) Owner Name: C L-A 4?, Street Address: Phone #: Irrigation Contractor: ? Phone #: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabie City of Eagan Ordinances cc: Engineering Department CLAI?1 VOUCHER - REfUND RLQUEST CI7Y OF EAGAN CLAIMANT (:REG DESCH ADDRESS 4833 FOUB SEASONS DRIVE EAGAN, MN 55122 Location 4833 FOUB SEASONS DRIVE L6_ B1. WHISPERING S+LOODS STH ? Receip[ No./Date C15370-9/13/91 Reason fer Refund WORK COMPLETED BY LICENSED PLUMBER T}•pe of Refund Electrical Permit 01-3211 $ Plumbing Permit 01-3212 $ 15.00 Alechanical Permit 01-3213 $ Surcharqe 01-2155 $ Water Connec[ion Permit 20-3713 $ ? ?I ZD r'i i A fi Sewer Connection Permit 20-3743 , $ Account Deposit 20-2252 , $ Utillty Aceount Over-9ayment 20-2250 $ Other: $ S TO2AL S 15.00 I declare under the penalties of law that this account, claim or demand is just and that no part of it has been oaid. el?R-67'?- 9 / 20 / 91 nature Date UNDERGROUND SPRINKLER SYSTEM PLUMBING PERMIT Date: ??//3/0/ Date c/ - /a- q ? Receipt # C- 16-37 U _ Commercial: $25.50 + water tap if required. (City installs all taps up to 1"). If adding new service, a water permit will required, as well. ? Existing residential: $15.50 (Pj?mbing pe 't not required if backtlow preventor was previously installed). _ Residential develoQments: Fee May require payment of water nt es. Z (o, ,Q;? ? Fave ddress to City, State, Zip: Owner Name: Street Address: Phone #: Irrigadon Contractor: Phone #: , Pemvt # Itermined by building inspections depanment. plumbing pemrit, WAC, and water treatment yb''`S3 P;F? SF6S4,,s' EA9f1?? -m.? v S/ Z L C'L7tille-' I hereby aclmowledge that I have read this application and state that the informadon is conect a d agree to-c,,omply with all applicable City of Eagan Ordinances ? cc: Engineering Department i . , . ~ . . . ~ . . . . ~ i . ~ . ~ ~ : . . : . . . . . . . . . . ' . . ~ . ~ rr`~ . ~ ~ . . . . . . . . ~ . ~ ' ~ ~ . . . ~ . . ~ . ' ~ ~ , , . . . . ~ ~ . ~ ' , ~ . . ~ . . ' ~ . . , : ~ . . ' Er ,a..,.~.i.~.~~.~ , , ~ ,r ' ,...~.....,w,..,.W_ ~i , , ~ ~ . t . ' . . ~ . . . :+raxe bi~ x~ ~;wr~tc4~tirmst~~nr~r~s~cr€.~roi., w:~u~nwr~mx: ~ ~ex .q , ~ ~ . ~ - . . , 4~,,.,} ~ i . . . ~ > ~ : eh r~ . . . . . . 'i . ~ . . . ' ; „ ~ . : . . . - - t f u: ~ ~ - ` . . ~ . : ,i~ ~ . ~ ~ w . ~ . o' . . ~ F . ~ ~ ~ ~ ~ .n:~.:~.k • • .:rJ ( . 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Vmr:~4sRp 9~diti.a9f#lSitW:~T'IdtllVY~.MGi}~bdAYLklf~ItA~~i`' • ~ ..+.+1.,.+.+.~.....~..~..o,...,r....~..........~.+~.........w~,..r.....~.~.+~.....a...+V...Y + , ..........~.....~.~....,...nv,.~.........,.w..,...,w~.+w~•+.~....o.~...~e...~.•....~.a,....u.....~..~...~~...~.. ' ~ . . , . fi~~ . . . ^ . . . ~ . . . . . ~ ~ . . . . . . . ~ i . . . r..-w.. ......w. . . ~ . . \~"w'^...n. r,.... ~ ~ . . ~ ~ - ~ r ~ ~a~~ ~ s c ~ ~ I ~ ~ ~ ~ ~ fT v~ , i ~ ~ S a ~ ~ Q ~ ~ l~ ; . :a , ~ ~ ~ , ~ga~ ~-o~'~ S~~~a~l~' ~ ^ _ „ _ _ . , „ ~SCALE: AFPROVED BY ~DRAWN 6r ~ wL~ DATE: DAAVVING UUMBER 'N'TELED/iFE POST 78A8-20 ~ 24 x 38 , ~ PERMIT City of Eagan Permit Type: Building Permit Number: EA104950 ~it~ Date Issued: 06/18/2012 of Elin Permit Category: ePermit Site Address: 4833 Four Seasons Dr Lot: 006 Block: 001 Addition: Whispering Woods 5th PID: 10-83954-01-060 Use: Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee $4K $103.25 0801.4085 Valuation: 7,543.00 Surcharge - Based on Valuation $4K $2.00 9001.2195 Total: $105.25 Contractor: - Applicant - Owner: Renewal Andersen Gregory R Desch 1920 County Road C West 4833 Four Seasons Dr Roseville MN 55113 Eagan MN 55122 (651) 264-4777 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 of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA108708 Date Issued:01/04/2013 Permit Category:ePermit Site Address: 4833 Four Seasons Dr Lot:006 Block: 001 Addition: Whispering Woods 5th PID:10-83954-01-060 Use: Description: Sub Type:e-Windows/Doors Work Type:Windows/Doors Description:House Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . 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 - Gregory R Desch 4833 Four Seasons Dr Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA132878 Date Issued:09/09/2015 Permit Category:ePermit Site Address: 4833 Four Seasons Dr Lot:006 Block: 001 Addition: Whispering Woods 5th PID:10-83954-01-060 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Gregory R Desch 4833 Four Seasons Dr Eagan MN 55122 Dean's Professional Plumbing 7400 Kirkwood Court N Maple Grove MN 55369 (763) 428-1321 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA132879 Date Issued:09/09/2015 Permit Category:ePermit Site Address: 4833 Four Seasons Dr Lot:006 Block: 001 Addition: Whispering Woods 5th PID:10-83954-01-060 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Gregory R Desch 4833 Four Seasons Dr Eagan MN 55122 Dean's Professional Plumbing 7400 Kirkwood Court N Maple Grove MN 55369 (763) 428-1321 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA162368 Date Issued:07/13/2020 Permit Category:ePermit Site Address: 4833 Four Seasons Dr Lot:006 Block: 001 Addition: Whispering Woods 5th PID:10-83954-01-060 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 - Tieng Vang 4833 Four Seasons Dr Eagan MN 55122 (612) 598-4832 Bayport Roofing And Siding Llc 2240 Edgewood Ave S, Suite 201 St. Louis Park MN 55426 (612) 235-7663 Applicant/Permitee: Signature Issued By: Signature