4864 Four Seasons DrINSPECTIDN RECORD
CITY OF EAGAN PERMIT TYPE: B07 Lu t wG
3830 Pilot Knob Road Permit Number: "?' ' 2 Jy ?
Eagan, Minnesota 55122-1897 Date Issued: o 1 •' 04/96
I (612) 681-4675
SITE ADDRESS: " "N 1.10111'" '' ' ? ?' i' 84 - t ;• I ; APPLICANT•
9 Rt,4it`K - '
•??;.,d t'!Ifft :?F:A:s?jN:. t?N THt; 4 VU(A ('011PANv
, 4t1IL.6f`F.k ! N, WS)Ufi3 7TM . do ! t'1.- 31 92 •
PERMIT SUBTYPE:
, Y''y'
TYPE OF WORK:
rac?rrKC=, I I I h'rKAl.
Nh:W
2
?
?
?
Permlt No. Permit Molder Date Telephone #
ELECTRIC
PLUMBING
HVAC
InapecHon Date inap. 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
BSMT R.I. i
BSMT FINAL
DECK FTC3
DECK FINAL
?
INSPECTION RECORD
CITY OF EAGAN PERMIT T1/PE:
3830 Pilot Knob Road Permit Number: '
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
PERMIT SUBTYPE:
TYPE OF WORK:
FIl W
+:; a I i I ,ij ( 4 3f•.A`3f1M)
I INSPECTION .• . .•
?
I
?
I Ft-MIA{+M.'. : A'.t (`nirA 1; r't k P11 I i•, t; I- cJll 1 Ist u 1 111; f?N'; I 1 t i t fr I i AI Wiikk
? ?
Permit No. • Permft Holder Date Telephone M
SNV
PLUMBING
HVAC
ELECTRIC s 9 ? ?
ELECTRIC
Inspection Date Inap. Comments
Footings I A
Foundation
Framing `
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Fltg.
Orsat Test
Final P1bg. Pibg. Inspector - Notify Plumber
ConBt. Meter
Engr./Plan
Bldg. Final
Dedc Ftg.
Deck Final
Well
Pr. Disp.
. ..
GITY OF EAGAN
3830 Pi1ot Knob Road
Eagan, Minnesota 55123
ON RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
SITE ADDRESS:
! ; ?.ii; .f r, ?i??•i , {ii.
i t14 1;I ?}i.l ?1ti l.Illt)11', r I?i
, APPLICANT:
f E: I.' l 4h4 i3 4) I
TYPE OF WORK:
INSPTR. .
. .? .A
i
?
?
t
Permtt No. PeRnit Holder Dete Telephone #
S/W
PLUMBING
67
Hvnc
ELECTRIC 00
ELECTRI 337?Co ?2?. ?9 3 `? ?
Inspectlon Date Insp. Comments
Footings 1 s
Foundation
Framing
Hoofing
Rough Plbg. 3
Rough Htg.
lSUl. ? G• ?
FreplaCe
I
Final Htg.
Orsat Test
Fnal Plbg. Plbg. Inspector - Notily Plumber
Const. Meter
EngrJPlan
Bldg. Final
Deck Ftg.
Dedc Rnal
Well
Pr. Disp.
%ei*ficate bf cccuvanc?
Wit4 of Cfagan
?e?raxtmeat of isni[bing aaoection
This Certificate issued pursuant to the requirements of the Uniform Buildirtg Code
certefying that at the time of issuance this srructure was in compliance with the various
orWnances of the City regulateng 6uilding construction or use. For the fo!lowing:
UseQassificaion: $F DWC`I('AR Bldg. Permit No. 207_31
pc-p-y T,ype R-3 M-1 7oning pLaict R-1 Type Const. Vtl
owner ocsuiieing ROBERT UBELHOER am,ew 9037 14TH AVE S, SLOOMINGTON
B??i,,g Add,
,. 4864 FOUR SEASONS DRL=d;ty L4 B1 WHISPBRING ii00D5 TTH
Uau:
fficial
POST IN A CONSPICUOUS PLACE
5?/ y/% g-,
/P 17/-- -7-
L 33 12b ' svo? 7-m- (s
Repuesl 4pte. Fire N
A` ? i^ ?J? I
7 Roug n spection
IR ui .
? Reatly Now?ill Nonty Inspactor
R
?
W?
?V
? l 7 I
3
Yes ? No
en
eatly
X licensed contractor p owner hereby request inspection of above electrical work at:
Jo0 AOtlrass ISlreel Box or Route Na.)
4Fb+ F
"
? piry
?
o+,cr A i l
;
l qn
Se<tion No. Townsnip Name or No. Panqe No. Counry?/-? .
a. /l tPy--
OccuR
R?Lr-y- U be.LLc.oea'- Phone No.
Power Suppiie,
N. S: }? Atltlrass
o00 61ilaXv / e?V. /l/?ro r
Elecrcmai Gonvacmr company Nam, Comrecb?5 C¢ense No.
5'o n i692-
MaJing Atlaress (Convacfor r Ow er Making Installalion?
2060
?tf-,Clw s7, .
Fmhoriz ?gna re IC I?actorv ner Mayx/irLy)Installga}ion? PM1Oµne?.N?u/mbe
i Jf-- / v JO
MINNESOTA STATE BO/ PO OF ELECTRICIiV
GrlgBe-Mitlway BIGg. - Room S173
1821 Unlverslly Ave., SL FaUI. MN 55100
Phone(612) 642-0800
THIS iNSPEGTION REOUEST WILI NOT
BE ACCEPTED BV THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED
.
REQUEST FOR ELECTRICAL INSPECTION ;r`ir'" a?R EB-00001-0?8
./
'i ? See insimctions for complating mis form on back ol yellow wpy.
a 30188 '- "X" BeTow Work Covered by This Request
ew Atltl Rep. TypeofBUiltling AppliancesWired EquipmentWired
Ffome Range - Temporary Service
Duplez Water Heater - Electric Heating
Apt Building Dryer Other (Specity)
Comm.llndustrial Fumace
Farm Air Conditi0ner
Olher (syecily) Contrecmr5 Remarks'. ?
? /ui1[/l underqmuae/ .SPr e-
Compute (nspection Fee Below: F/t ftQAC2 CfJI/'G
# Other Fea M ServiceEntranceSize Fee # Circuits ee ers Fee
Swimming Pool 0 to 200 Amps / 0 to 100 Amps
Transtormers Above 200 _ Amps Above 100 _ Amps
Signs insoector§ Use oniy: TOTAL
- Irrigation Booms 6
Special Inspection
AlarmiCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, here6y
tif
th
h Rouymm oare
cer
y
at t
e above inspection has
been made. Fi,,ei ? oete
_ 014
OFFICE USE ONLY ? .
This request voitl t8 mar.fis imm
?dU 1 t5 t5/
Request Date Fire No. Roug??in tion
Requi T Aeetly Now O Will Notily Inspectot
? -ye$ p WhenReatly?
1)(licensetl contracfor ? owner hereby request inspection of above electrical work at:
Job Atltlr¢ss ISVeeI, Bax or qoute No.l City
?? )
? LL'W/V !Z/
C
Section No, Township Name or No. Fange No. Co
fl-
Occupant(PRINT) Phone No.
1?1t; R>
Suppiier
}a G lecfnti assn Atlaress
3i?U D? 1'?' Ll? ?arm 'Eo
Elecincal Conlrector (COmDany Namel
-
-
Z Conlractor5li ense No.
3?
2?
,)- o
z
L
ik via
(
Mailing Aotlress conlractor ner Making 1, lion)
MN "?3S131
Aulhmae0 nlracloq0 er Makmg Ins!allalicn, Phone Number
MINNESOTA STATE BOARD OF ELECTHICITY I
Griggs.MlEway BIEg. - Hoom 5.113 1
1821 University Ave., SL Paul. MN 55104 1
Phone(61Y) 642-OB00
THIS INSPEGTION REQUEST WILL NOT
BE ACCEPTED BY THE STATE BOAPD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
? 3 7 2.6
REQUEST FOR ELECTRICAL INSPECTION
? See insVUqions lor rompleting tnis form on back oi yellow copy.
"X" Below Work Covered by 7his Request
y?•?ez EB-00001-OB
?.?,.
ew Rtid f!ep. Typeof8uiltling AppliancesWiretl EquipmeniWired
Home Range Temporary Service
Duplex Water Healer Electric Heating
Apt. Building Dryer - O[her (Specify)
Comm./tndustrial Furnace
Farm Air Condi[ioner
Otnerauecityi conttactorS Remerks'.
Campute Inspection Fee Below:
A Other Fee # SviceEnlranceSize Fee # Circuits/Feeders Fee
Swimming Pool 00 Amps ? 0 to 100 Amps
Transformers 200 _ Amp s Above 100 _ Amps
Sigf15 InspeaarS Use Onry: TOTAL
' Irrigation Booms
Speciallnspection
Aiarm/Communication THIS INSTALLATION MAY BE ORDERED OI CONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 M S. ?
I, the Electrical Inspector, hereby
f Roig°""
certi
y that the above inspection has
been made. F;nai f oan
g ?-/ ? y
OFFICE USE ONIY
This request voi0 18 monlhs irom
REQUEST FOR ELECTRICAL INSPECTION V'"?=F?-0Lj?A Ee-ooom oe
5? ?$ee instmIXio+w completing this lorm on back of yellow copY P op
'J/e J
C? 02 _4..5 - °" '
"X" Befow Work Covered by 7his Request
ew Add Rep. TypeofBuiltling AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Waler Heater Electric Heating
Apt Building Dryer Load Management
Comm.llndustrial Furnace Other (Specily)
Farm Air Condi[ioner
Olner(spaclly) Contmc[oYS Ramarks, ,
/
Compute Inspection Fee Below:
i Other Fee # 3 erviceEnirance5ize Fee # Circuils/Feeders Fee
Swimming Pool 0 to 200 Amps 0 ta 100 Amps
Translormers Above 200 _ Amps Above 700 _ Amps
Signs. Inspectar'sUSeOnly: TOT1L
Irrl9etian Booms ,L?•d(/
Special Inspection ?
Alarm/Communication THIS INSTALLATION MAV BE ORDER6D DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 1 ONT t
I, the Electrical Inspector, hereby Rouqn;n ? oaier,! ?
certify that ihe above inspection has
been made. F;,,ai ( oate •ri?
f
OFi1CE USE ONLY I
This reQUest voitl 18 months Irom
?
?
? ?
G?0 2 54 5
" 7+?
?U
RepueSiDale FimNO. Rougndn ect bnReOuired
(YOU mu ail inspeclorw?en reaEy) InspecGOnOMerThan ougn-In
? qeatly Naw WIII Nolly InsOeclor
7 Yes ? No Oate ReaCy
I E licensed contractor/Kwner hereby request inspection of above electrical work aC
Jo5[re , 9ox or No.) Ciry
WZ(AY GSoh S .
Section No. Township Name or No. Range No. Counry
ccu t(PRINT
6
- Phone No.
0
, e oei
Pawer Su001ier rltltlress
Elxvical ConV cim ICOmpany Name) ConVactor's License No.
D/kP W
Mailing A ress ICOmraclor or Owrier Making Installation)
v
AutnorizeE t? C or ner Maxin tion) umber
Pho
ne N
?
/
MIlMESOTq STATE BOAPD OF EIECTRICITY THIS INSPECTION REOUEST WILL NOT
Grlggs-Mitlway Bltlg. - Room S173 6E ACCEPTED BY THE STATE BOnRD
1821 Universily Ave. 51. Paul. MN 55100 ? UNLESS PFOPER WSPECTION FEE IS
Ghone(81Y) 642-0800 ?? ENCLOSEO.
y-( HOUSE HEATING TEST RECORD
G
ADDRESS Ly APT.-FLOOR CITY?tN
SUBURB
OCCUPANT
HEAT LO55
DATE HTG. INST.
Vent Size
SOLD BY INSTALLED BY
Elechical Work By Goa Line By -
TYPE OF HEAT GA _ FA e-?HW -STEAM SPACE HTR. -UNIT HTR. -OTHER
GAS DESIGN
CONVERSION
MAKE MAKE OF BURNER
Modal 74tP1e0C94( fiAI Model -
Sxial Max. 8TU Rating
INPUT 4?;%22& MAKE OF FURNAU-'J .
Model
CONTROLS
THERMOSTAT A2?1?xle Heat Plug
Valve - d`" •
Limit ?
Limit Sattin9
Fan Setting
Pilot Type ?
Pilor Make
Pilot Model _
Pilot Timing
L.W. Cor Off
Prsasure Iz
Percent CO
?
Input CFH? Z
Psresnt 0 2 Lf f4
Siack Tamp. Parcenf CO Ar
Form 235
OWNER
41 v
KIND OF LINER M`In SIZE NONE
Drah Hood -4' 1° -Regularor
Filters Size ? Number ?
Chimnay Location Inside Outside
Chimnay Constmction '?.
Smoke Bom6 --Wiring
Draft AQ4 Ua? Test Tug Ye$
Door Pressure ? Lightiny Inst. y?-S
Dete Tsstad
Company Testing Val)r e/
Nome of Tesror Mmiek x
'?t:-?1Z?L IdJi?C
?? 'I
Add7CS5. 4864 FOllR SEASONS DR
Zip"5512_
IAt 4 Blk 1 Sub . WHISPERING WOODS 7TH
THESE TI'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Petmanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists. ConqM engineering division at 6814645 before working in righhof-way or installing underground sprinkler system.
Whice - City Copy Yellow - Resident Copy Pink - Contractor Copy 0
! CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-83956-040-01
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
4864 FOUR SEASONS DR
LOT: 4 BLOCK: 1
WHISPERING WOODS 7TH
80S y r i8'
BUILDING
027239
04/04/96
DESCRIPTION:
iilflinga,Permit Type
ikding Wo;k Type
insus Gode
?
? ' . ?.
DECK
NEW
434 ALT. RESIDENTIAL
S(
'='
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
Subtotal
$45.00 COPIES $1.00
$.50 Total Fee $46.50
$45.50
CONTRACTOR: - Applicant - ST. Lzc.OWNER:
THE DECK & DOOR COMPANY 14513192 0005457 UBELHOER ROBERT
11632 AKRON AVE E 4864 FOUR SEASONS DR
INVER GROVE HTS MN 55075 EAGAN MN 55122
(612) 451-3192 (612)890-5857
I hereby.acknowled,ge zhat I have read.ttais application and state that the .
infoimation is cor`rect and agree to comply Hith all applicable State of Mn.
Statutes and Citybf Eagan Ordinances;
(?/?h??? ?
APPLICANT/PERMIT GNATURE Cl/. ISSUEO TURE
CITY OF EAGAN
142391996 3830 PILOT KNOB RD - 55722 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675 ? Y
New ConsWciion Reauirements RemodeVReoair Reauirements
%
? 3 regiatered ake aurveys ? 2 copies ot plan?
? 2 copiea of plans (Indude beam 6 window sizes; poured fnd. design; ete.) ? 2 site surveys (exterior addHions & decks)--?
? 1 energy caleulatbns ? t energy caleulaUons for heated additions
? 3 copiea of tree preservatfon plan M IM platted after 7l1/93 .
raquhed: _ Yea _ No
DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK: 1.2 v 1?21i6 ?
STREET ADDRESS:
-?3
LOT -.te BLOCK ? SUBD./P.I.D. 22
PROPERTY Name: 6/13' F-U/??? L 12o ,4tik% Phone #:
OWNER • ""
Street Address, 94- """
City: I z&=,4 M State: i^4 /? Zip: -rr
CONTRAC70R Company:%???7/ZG/,???vv? Phone#: '7L
Street Address: ri License #-
City;JjV ?;z/r G,euv,a / ,?i&l?-?t1s State: iy7A1 Zip•?.ro 7sJ
ARCHI7ECTl Company: Phone #-
ENGINEER
Name: Registration #:
Street Address•
City; State: Zip:
Sewer 8 water licensed plumber:
change are requested once permit is issued.
Penalty applies when address change and lot
1 hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply with all
applicable State of MinnesoNa Statutes and City of Eagan Ordinances.
1,2
Signature of Applicant:
/??I}v /?/zn,lJV?Fci3?C.Y
OFFICE USE ONLY ? ? ? ENED
Certificates of Survey Received _ Yes _ No APR 0 S i996
Tree Preservation Plan Received _ Yes _ No _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
S 8B'/O'00 B
9/.G3
3a `??4
^ ^1
=z-.a?
.M.6.3 '
---
rr
prZD.??LP4cs.
A" D
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z? ? ?rs• ?
A N
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? ?' eeq8
1+.3?.e..-"'?w?,
er s19'?
9 i ,
a
' rw 'P?3/ 7 Aw
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.? ?.. ?y ? ? y?.'+.•
I ??vvR 5?.7 N?? Oy?"a.zA 9u.
?-
D E SCR J PT/ON . .
Lor y, scocx 1,
i 1?Jl/SPSJiIA/G WoODS
, SEYFNTII ADDIT/ON
DA K O TA C 04NT Y,
M !1V NE S OTq
Gt 9'74.f
/O
-•---, ?... ho.?
ii:?1i1M
t
?.
.. ?vA?iGr Gca..a-Sa^
N
C.=.rT
NORTH
S cAce r"= 30'
ALL BSARtN65 .4SSt/MEp
e DFe NOTfit !R ON M oNLM6NT
ToP'6t-os-K.- e". 9'ro4:7
Sp?S?MG?•.aT EL. 9CF17 .8
2 heraby?certity that this 9urvey wae prepared by me or !
under my direct supervision and that I am a duly Regietered
Land Surveyor under the Laws oi the State ot Minnesota.
Date s r<I....x
yeR''oy ti< ohlerti
Registered Larid Surveyor No.-10795
_a? v = ?z ! !ni r,.. '7 tA
CITY bF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-83956-040-01
DESCRIPTION:
,z??`/
BUILDING???
023359
04/20/94
(?d??lti
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
4864 FOUR SEASONS DR
LOT: q BLtlCK: 1
WHISPERIN6 WtlODS 7TH
(4-SEHSON)
Bu'ilding`-Permit Type SF PORCH
Building WB,rk Type NEW
?
?
? Z
REMARKS:
A SEPARATE PERMT7 IS REQUIRED FOR ANY ELECTRICAL WORK
FEE SUMMARY:
VALUATION $10,000
Base Fee $117.00
Surcharge $5.00
Total Fee $122.00
CONTRACTOR:
QWNER: - Applicant -
6ELHOER ROBERT
864 FOUR SEA5QNS DR
AGAN MN 55122
612)454-3301
I hereby acknowledge that I heve read this application and state that the
information is correct and agree to comply with ell applicable SCate af Mn.
Statutes and City ofi Eagan Ordinances.
(/ APPLICANT/PERMITEE SIGNATURE
fia{ o k?l.ft I
'ISSUED 6 ': SI NATUR
-i
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: B U I L D I N G
3830 Pilot Knob Road Permit Number: 0 2 3 3 5 9
Eagan, Minnesota 55123 Date Issued: 0 4/ 2 0/ 9 4
(612) 681-4675
SITEADDRESS: APPLICANT:
LoT: a BLOCK: 1
4864 FOUR SEASONS OR UBELHOER ROBERT
WHI3PERING WOODS 7TH (612) 454-3301
PERMIT SUBTYPE: TYPE OF WORK:
SF PORCH NEW
DE5CRIPTION (4-SEASON)
INSPECTION .. . ..
FOOTINGS FRAMTNG
FINAL
REMARKS: A SEPARATE PERMST IS REQUIRED FtlR ANY ELECTRICAL WORK
F
L
?
?
.. ?
,
49 1994 BUILDING PERMIT APPLICATION
3
?
CITY OF EAGAN
681-4675
; 3 "1
a?f zz.• ?D ----- --?-?--- --. .
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date :q? / 13 / 2 Valuation of work %000
5ite Address: 14 K 6,y Se-So?..? C)y'
STREET SUITE If
Tenant Name: (commercial only)
LOT BLOCK ? SUBD. (N?S? Q/ ?u?'?
' F.I.D. #
7''i-
Descri tion of mork: wr ,?50,- mw-c?
The applicant is: 123-15wner ? Contractor ? Dther (Describe)
Name _(A6b.Aa.C_ 1cm Phone
Property LAST FIRST a?
-
o
-
c
owner ,
y
?o.i - W
6
Or
Add
ress
STREET STE #
City State mv Zip S? rz?
Company Phone
Contractor Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address "
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply licab e St e of Minnesota Statutes and City of
Eagan Ordinances.
Signatur
e of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
O 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
,0 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck
WORK TYPE
JO 31 New O 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair O 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
REOUIRED INSPECTIONS
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
5q. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
5AC Code ?
Census Bldg ?
Census Unit a
Assessments
? .5ite a Footing 1D Framing [R Insulation
? Wallboard j?.7 Final ? Draintile ? Fireplace
Permit Fee v,imc;a,,, g f4000
Surcharge
Plan Review /S,5k l? = z?Ig k`/o? z0
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
5/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAG %
SAC Units
9? 9
?a y+•g?
N••+
?
1
i
"
23m" /q+
?.?.3
"'
ma
? ?
2
s
<_
S 88?/O'OD 6
9/.G3
Sr
}? V"C??.?TC EPI?SM'ENT
C''?'? 1w a
!S
?e ?a 9'w.f
/
ilfs ? ..
°O?q?
? irsy6 p
r '
1 ?s1s
? o,? e ,• ,? ?,? I,
? "? P ?.OJq6' ? - ? z•AO S? ^p ?
W? S i 4 qe„r, 1. ?' O
1344."_'.w^Sf. / 7(0 4
se ~ ? ? l i:n 9bs'.4
9i a 7 o ? - Js
?
Rz S 3/)? /po.?? ?O 6rx 9?y,91
,I,?A0iY -2-?O^
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DESCRIPT/ON
•
L O T L/ ? B L D CK FNC .NY. . NG D' "i
j Y?lI1SPER/NG WOOa9 /VORTH
, SFVENTH ADD1T/ON gcpLig 1"_ 30'
DA KOTA COUNTY, ,QLL BSARlN65 ASSL/MED
M/1VNO SOTR e D&NOTfit lRON MONLJMBA/T
ToP' B4a_? e?.. 9?4.7
$peS?SMCNT EL. 9r^J?[ • 8
I hereby certit'y that this survey wae prapared by me or !
I am a duly Reg£stered
-under vyy direct supervision and that
Land Surveyor under the Laws o£ the State oi Minnesota.
LeRoy ohlen
Registered Land
Surveyor No.10795
, ? .. .,.. I
-. . _ . . ... - - '?
? C14 OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS
P.Z.N.: 10-83956-040-01
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
4864 FOUR 5EA50NS DR
LOTe 4 BLOCK: 1
WNISPERING WOODS 77M
C??2 C, S / L' 7
Y/,?jj??
B UTLDTN6'
020731
04/26/33
DESCRIPTION:
Build3ng,Permit Type SF I7WG
Building Work Type NEW
' 176C Ocau.pancy',, R--3 M-1
Construction Type V-N
2oning - R-1
Build3ng Length 68
Buildin9 Width 41
REMARKS:
S & W PLBR -
FEE SUMMARY:
Base Fee
Plan Reva.ew
5urcharge
SAC
SAC ?
SAC Units
Subtntal
VALUATIDN
$846.00
$549.90
$79.50
$750.00
100
$2,225.40
$i5s,@00
MI5CELLANEOUS $1.744.50
7ota1 Fee $3,969.90
CONTRACTOR: OWNER: - Applicant -
UBELHOER ROBERT
9037 14TN AVE 5
BLOOMINGTQN MN 55425
(612)454-3301
I I hereby acknowledge that I have read this application and state that the
infarmation is oorreat and agree to anmply with all appli,cable 5tate of Mn.
5tatutes nd City of Eagan Ordinances.
?
,?.,o?.isa? I 7h?
A LICANT/PERMITEE SIGNATURE - I SUED BY: IG TURE ?
-1
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
020731
04/26/93
S17E ADDRESS:
407: 4 BLOGK:
4564 FQUR SEASONS DR
WNISPERING WOODS 7TH
PERMIT SUBTYPEc
SF OW6
1 APPLICANT:
UBELHOER ROBERT
(612) 454-3301
TYPE OF WORK:
NEW
INSPECTION
FQOTING D. .
FRAMTNG .,
INSULATION FINAL
FIREPLACE
REMARKS: S & W PLBR -
-1
L
?a :? .
CITY OF EAGAN
REACTIVI!TE _ ?E((?[?'??/ (?D
PERMIT f #IJAIR 1993 BUILDING PERMIT APPLICATION $3?,q. q0
19 1993 681-4675
?-------------
SIN6LE 6 MULTI-FAMILY 2 sets of plans., 3 registered site,surveys, 1 copy of energy
calcs. '
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month-
in which request is made, 2) address is changed ar 3) lot change is requested once permat
is issued.
Date Yaluation of work
Site Address: ?-"5o^5
STREEi SUITE / .
Tenant Name: (commercial only)
IAT SIACK ? SIISD.
?:c{ P.I.D. M
Descri tion of work: S114GLE ;r,+W1L%
?t.uc ?.fMG- G?192 r
The applicant is: Owner ? Contractor ? Other coeg«;ee>
Name l,lE?-l Horz?. v Z Phone `6S`1
Property LAST FIRST (\
u, 5Li _
Owner ?
37
Address
STREET STE N
City State ?N Zip
Company Phone
Contra ctor Address License # Exp.
City State ZSp
Company Phone
Architect/
?
13 '
Englneer L. Registration ?
Na'"e
L1
Address \ Lv
City v. State mOJ Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
11ate of Minnesota Statutes and City of
correct and agree to comply with applicable
.
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY --- ?
BUILDING PERMIT TYPE R. ,?'?"?
?
''-
? ?
y
i'T?
?it Fi$i
h
l?ae
D 01 Foundation ? 06 Duplex ? 11 Apt./Lodging m
s
02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? OS S-Plex ? 13 6arage/Accessory ? 18 Comn./Ind.
13 04 SF Porch ? 09 12-Plex ? 14 Fireplace O 19 Comm./Ind. Misc.
? 05 Sf Misc. ? 10 Multi. Add'1. 0 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
)2K 31 New O 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INF ORMATION
Lonst. (Actual) v_ t4 Basement sq. ft. MWCC System `/_
(Allowable) v-N lst F1. sq. ft. City Mater ES
UBC Occupancy 9"3 M-l 2nd F1. sq. ft. PRY Required
Zoning R-I Sq. Ft. total Booster PumP
!? of Stories FootprinL Sq. ft. Fire Sprinkler
Length On-site well Census Code /° i
Depth ? I On-site sewage de??? ai
SAC Co
.3
APPROVALS
?
Planning Building Assessments
Engineering Yariance
REQUIRED IN SPECTIONS '
? 5ite ? Footing ? Framing ? Insulation
[3 Wallboard O Final O Draintil e ? Fireplace
Permit Fee vaiu.ttd,: S IS91 000 ?
Surcharvieew
Plan Re
3 y u
?At2A?E,
z3 =
n Z x ? 27 ?2 Li ?
MWCC
SAC
City SAC ? X Y
Water Conn.
Water Meter gsMT;
?i'?'y
r73y? r?=
Acct. Deposit 3y x 28= ?52 ,
S/W Permit
S/W Surcharge
Treatment Pl.
q K 10= 10 zNa FL ,,om :
-
Road Unit `d%z?18Yt= 157 Z8x3u=95Z
Park Ded.
Trails Ded. ?21SX 22 g,izXi?Y2= 1517
Copi es
Other 15T
?------`
J J 29 x 61y:
Total: ,fjSl?tT= 1215
1?
`
?6075
SAC % lo?
SAC Units I Zns
,
yx6, a?i
?? - ??
r?? ?S$,165?'
6
? 24ct x 5y'
oao aao nao x•ai o?.oo
? R tF?CA °iv
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S BB' /O'DO'E
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WH/SP6R/No WOOOS
SEVENTf,+ ADD/TION
DA KOTA COUNTY,
nn rMNE sorq
a
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ir ^ ?? SI r? N.
? 4 Ae.y? ? • O
96 `•?`e . e ? r?r
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o:SrV?`` ?
DESCR( ,,0
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'q,GAN EN" INv pa'G Z:EPi
NOlZ7H
SCALE f=30'
ALL BSARtNGS ASSUMEp
? D,ENOT?S lRdN MONlJM6NT
ToP" BI..CSn-Y? ??. 9? 4.7
8Pc!?EMCrdT EL. 9-?"'i-1.8
I hereby certiPy that this survey wae prepared by me or
, under my direct supervision and that I am a duly Rsgistered
- Land Surveyor under the Laws o£ the State of Minnesota.
Date: ?l..../? ssv
LeRoy kL< Borilen
Registered Land Surveyor No.10795
: o ;` ti .. 1 < - Jn! (i. Z :1
.. :•
?
?
? D
D fY0
8' D G
IrD D
D Yb
?c n
Wr soxv:Y cazru,zBr soA
• Reqistered Lna iurveyor siqxatuto and oo?pany
• Duildir,q parmit ]lpplieant
• L qa1 deseription '
• Addresa
' North &rrow and Dar scaie
• !louse type (rambiisr, tralkouL, split r/o, split
Iookout, etc.) '
• Directional dralnaqe assovs vitA slope/psadisnt =.
• Pzoposed/exiatinq sewer and water sarviess
• street nam:
• Dzivevay
f 1 /?ll? ? ? w??w
• Sever service
L? 0 D
? • Top cf eurb at !h• drivevay
D
D D • Elevations of any existinq adjaeent Aomes
-
? D D • ?SODO!!a
Gazage ?loor
D? D
? D D •
0 First iloor
• Loveat exposeC elevation (wslkoa!/winQov)
Er 0
8? D 0 • Prcperty eorners
D • Front and sseT oi Aome at the lounGation
sntry,
.
f01?'DIHG f?Rif?B fii IDDISGtbl??
D L? D
D D' 0
D D' 0
D D' D
D ?D •
•
•
•
• Eesement line
r?s: L '
xsrL '
pond i Qesiqaation
laerpeney Ovsztlov Siwation
Dr D 0
-8' D D
? D D
D?D D
D? D D
a
?
- D i?!'Ll76 S OXS '
• Lot lines
• Riqht-of-vay and street vidth (to baek et Cni?b)
• ProposeC bome dimansions irclaninq any psoposeQ decks,
ovezhnngs preater than 21, pereAts, eto. (i.e. all
strueturu zequirinq permansnt lootinqs)
• Sriou all easemanis of secord and afly City utilitits vithin
those snsements
• Setbacks oi proposed structure and setLaak ef aQjacsnt
sxiasting home11 s
• Retiaing remenis, if any
Revieve3: -ra
a
m' n° • Lot corners
aato e: susr.y e_„ 3T/27G4a ?
$NERGY CODE DESIGN BY ACCEPTAi3LE pRAC7C'ICB
Zb Detezmine ompliance with the Minnesota Energy (bde
(Seckion 602 of the State Amendea 1983 Niodel Energy Code)
zriis form is only appl.icable bo detached ane ana twc-family dwe713ngs. The zequirements herefr
are based rn Table No: 6-11 in lieu of the criteria speciE3ee in Sectfam 602.2.I, .2.an3 .3:
Suilding Address
ContraCbDr or O?mBi ?2..o lt?g-a?"
8aildinq Element ' "R" Valaes AL'eA (9A £t) Of EXt. Wd11S
Ceiiirgs Design.??Feq'4_2L APo3000 it ?
o%
41a11s (?l7erior) Design Z. FtQq'd 2 iS ?a? Pi.i4fJ
F2oors (over unheated ? -?--
snaces) Dasign 2S Req'd ZO
h??p
*Wfndows (in bld9s ta/o Degi9n?l?d L2
alidinq glass aoor) assl ? _, ?,
+?w•lntlaws (in b].dga with a A?PP72oX 2S0 n?si9n Aa '? "10
sliding glass door) (9tess)
Fbundation Walls Desf9n1Z Req'a 5 twhetY 3nsulahirg full depth of
fourdatim wall)
besiqn Req'd 10 (when insulatinq cn].y tp frost
depth and footuigs extend belaa)
Slalral-grade f],vors Design Rec;'d(See Figure rto. 3)
**Doozs (1-3/4" netal faced) Design !.SReq'd 3
* AI1 windaws sha7.1 be c3ouble glazed or have storm windows
** [oiventianai doors other than metal require a storm daor
C=F=zav
Z hereby certify that i have omplebed !he above 3n£ormation arxl that it oonplies with the
M{nresota State Energy C7or7e.
Daie,? ? `l'L
HCSD 3-89
m/cM iccoi
Tnroi 0 M+
L// gL ? CITY USE ONLY RECEIPT #: 7 8 ??
SUBD.??+ RECEIPT DATE:
1998 PLiMffiING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT IRNOH RD
EAGAN, hAT 55122
(612) 681-4675
Please complete for: ? single family dwellings
? tawnhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
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 =
Ga5 Piping Outlet ' minimum -1 3.00 x =
Rough Openings 1.50 x =
Water Softener ' for dwellings under construction 5.00 x =
Water Softener " for existing dwelling 20.00 x =
U.G. Spflnklef ' for dwelling under const.
' 3.00
U.G. Sprinklef
torexistlngdwelling 20.00
Alterations 'to existing residence 20.00 =
Water Turn Around 20.00 =
Private Disposal System ' MPC iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems' Atandonment 20.00 =
STATE SURCHARGE .50
TOTAL
----------------•------• •---------------------------------------------------------------------------------------------------------------
I hereby adcnowledge that I have read this applicatlon, state thet the infortnation is artec[, and agree to comply with all applicable City of Eagan ordinanoes.
It is the appliwnt's responsibility to notiTy the property owner that the City of Eegan assumes no liability for eny damages caused by the City during iGs
normal operational and malntenance adivlties to the hacilitles constru ed under this permit wdhin City property/right-ot•way/easement.
SITE ADDRESS: 49/!)`)" 1!7j(?1 ?(9'?'!il"1 4.(/E? `- ? °-"?1.?'?
OWNER NAME:
INSTALLER NAME:
i
STREET ADDRESS:
cirv:
Z3' /y-C.
JSIFORMS BLDG/PLBG PERMIT (RESIDENTIAL) 1998
ggo- s8s-7
TELEPHONE #!
ziP: :?0'33v
SIGNATURE OF PERMITTEE
`cuO'8? 2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New CorStruclion Reauirements RemodeUReoair Reauirements 04frceiU4e:bnlv
3 registered site suNeys showing sq. fl. of lot, sq. tt. of house; and alj roofed areas 2 copies of plan Cer?of Stu?tey Recd ? Y ' N
(20% maximum loi coverage allowed) 1 set of Energy Caiculations for heafed additions 'Ftee?Ces P,lep Ft96dY_N.
2 copies of plan showing beam & vrindow sizes; poured found design, etc. 1 site surve9 for addilions & decks treePr¢5 Required ? Y..,;,N
lsetofEnergyCalculations Addifion - indicateifon-sitesepficsysfem 6
45i?ES?p4cSysiem 3 copies of Tree Preservalion Plan if lot platted aNer 7/1/93
Rim Joist Detail Options selection sheel (buildings wilh 3 or less units)
Date
Site Address ! F?t7? ?? Construction Cost ?l?
?/(d' ?z UniUSte #
Description of Work ??l'-vlJ? ! 1vU? ????µ ?-c??
Multi-Family Bldg _ YX N Fireptace(s) _ 0 2
Property Owner 4l41(Lk' /IrDh/G/r? Telephone # Q;2 )
?
Contractor Ur4dr,
Address l 2i-9l0 y0q//1/ /T`c&
State ti'Yl ?!1 67-- City ZTUZ/X5?dla?
Zip Telephoue #(6f 2) 9-3q /' 75733
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Miimesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has the Ciiy of Eagan issued a permit for a similar plan based on a master plan2
_ 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 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.
?W 0-6tf-W/
Applicant's Printed Name
Applicant's SW ure
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117071
Date Issued:10/15/2013
Permit Category:ePermit
Site Address: 4864 Four Seasons Dr
Lot:004 Block: 001 Addition: Whispering Woods 7th
PID:10-83956-01-040
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 by law in ALL single family homes .
Don Schutte
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 -
Patrick S Haider
4864 Four Seasons Dr
Eagan MN 55122
(651) 774-2290
Minnesota Roofing Remodeling Inc
10425 93rd Ave N
Maple Grove MN 55369
(763) 208-7819
Applicant/Permitee: Signature Issued By: Signature
��` �} Use BLUE or BLACK Ink
--------�
. �`\ � I For Office Use
• �' � � �1311t °� �
Clty of �a��� � „� � � Permit#. �
f��(���Y�� � i Permit Fee: �"1� . �J .;'�^ I
3830 Pilot Knob Road
Eagan MN 55122 ,��� Z 6 2Q�"�J � Date Received: �J �� �
Phone: (651)675-5675 I I
Fax:(651)675-5694 I Staff:_ �1 �
I I
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: '���� �� Site Address: ���y ��v� �� �SG'J �� , Unit#:
� r�`��1.1 C k � A(bC r� Phone:
�, � ��� �', Name:_ _
������1� ��fG�* r�
(��� , Address/City/Zip: �T�!b� TZ-�V� �����S ��� .
� �'�, �
� � ��; „� Applicant is: Owner �Contractor
�}k �� � � �,W o�C�, N� a � �� �x�S��N� �ok����A
��� ' �� Description of work: � ��L�N� `� �) KS
� �������"� �, ,
� ���4r�
Construction Cost: ��� �G� Multi-Family Building: (Yes /No�
� ��
� ` � "� Ov'1 pGot� S�Ac� �'A`�rh� QV� N �c�
� � Company: S Contact:
' { �
� � � �� Address: ���� �� ��� >�. �� City: �l�K W11 �(_ `l'C1�
������
� ` � State: �� Zip: ����� Phone: ��Z-`f 12P�241 Emai►:
� "' License#: �C `�D�� U� Lead Certificate#:
If the project is exempt from lead certification, please explain why:
t>t��1 lhl G- '��2��'I� ��
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 S Water Contractor: Phone:
Fire Suppressian Contractor: Phone:
� 1V�'37`����;����T��c�r������`����'���� : ��e ���'�������'c�'
; �r���'�,��r�a,�"�c��s�a1�����'�������'�����'����►�������y�o
.,.. : .. ..„._: . u ,... .: ���ie i��. ����. �..;
Y
, �.
. ,.'..
�,._�_ �:,_:: ..�
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utilfty damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.ora
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
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.
x M ► k � �� ��, X �� � �
ApplicanYs Printed Name Applicant's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
,
SUB TYPES '
_ Foundafion Fireplace f� Porch(3-Season) _ Exterior Alteration(Single Family)
_ Single Farnily _ Garage 7_ Porch(4-Season) _ Exterior Alteration(Multi)
Multi " Deck Porch(Screen/Gazebo/Pergola) Miscellaneous
- T- � �
_ 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
�C Replace _ Repair _ Egress Window _ Water Damage
_ Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation c� 211 S�«� Occupancy ,�2,C—I MCES System
Pian Review Code Edition ►'t►� Zdi SAC Units
0 0
(25/o_100/o_) Zoning �� City Water
Census Code � Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction �_ Width
REQUIRED INSPECTIO'NS
Footings (New Building) Meter Size:
� Footings (Deck) Final/C.O. Required
Footings (Addition) �p Final/No C.O. Required
Foundation HVAC Gas Service Test Gas Line Air Test
Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final
� Framing Drain Tile
Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Other:
Reviewed By: ` eYV�. ��k..l-� (� , Building Inspector
RESIDENTIAL FEES
Base Fee �Z 3 ' 6 X b ` x�� � �Dec�Ctn�� 6��R�aRi���
Surcharge S�/�;R�A� d' �Ze�1Ace 1 �a!��j
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA132898
Date Issued:09/10/2015
Permit Category:ePermit
Site Address: 4864 Four Seasons Dr
Lot:004 Block: 001 Addition: Whispering Woods 7th
PID:10-83956-01-040
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 -
Patrick S Haider
4864 Four Seasons Dr
Eagan MN 55122
Burnsville Heating & Air Conditioning
3451 West Burnsville Parkway, Ste. 120
Burnsville MN 55337
(952) 894-0005
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA139531
Date Issued:10/26/2016
Permit Category:ePermit
Site Address: 4864 Four Seasons Dr
Lot:004 Block: 001 Addition: Whispering Woods 7th
PID:10-83956-01-040
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 -
Patrick S Haider
4864 Four Seasons Dr
Eagan MN 55122
(651) 774-2290
Warner Stellian Co Inc
550 Atwater Circle
St Paul MN 55103
(651) 222-0011
Applicant/Permitee: Signature Issued By: Signature