4869 Four Seasons DrCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
PERMIT
City of Eaan
Site Address: 4869 Four Seasons Dr
Lot: 005 Block: 001 Addition: Whispering Woods 8th
PID:10- 83957- 050 -01
Use:
Description:
Sub Type: e - Furnace
Work Type: Replacement
Description: Furnace
Comments:
Fee Summary:
Contractor:
Air Mechanical
16411 Aberdeen St
Ham Lake MN 55304
(763) 434 -7747
4/30/08 Notification letter sent regarding expired permit pf
Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Elec
952- 445 -2840
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
- Applicant -
Owner:
Elizabeth Huss - Larson
4869 Four Seasons Dr
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4088
$0.50 9001.2195
$50.50
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Mechanical
EA080354
10/10/2007
ePermit
cal Inspector,
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4869 Four Seasons Dr
Lot: 5 Block: 1 Addition: Whispering Woods 8th
PID:10- 83957- 050 -01
Use:
Description:
Sub Type: e - Air Conditioner
Work Type: New
Description: Air Conditioner
Comments: Questions regarding electrical perm
952- 445 -2840.
Fee Summary:
Contractor:
Air Mechanical
16411 Aberdeen St
Ham Lake MN 55304
(763) 434 -7747
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Permit Type:
Permit Number:
Date Issued:
Permit Category:
equirements should be directed to Mark Anderson, State Electrical Inspector,
Owner:
Elizabeth Huss - Larson
4869 Four Seasons Dr
Eagan MN 55122
$50.00 0801.4088
$0.50 9001.2195
$50.50
Mechanical
EA083863
06/26/2008
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SlTE ADDRESS•
INSPECTIUN RECOR.D
PERMIT TYPE:
Permit Number:
Date Issued:
? . I „i
I ii"K '.F A',f1hF
1•f ; r; i ra?? ij I I I I I I•. H r?1
PERMIT SUBTY.PE:
APPLICANT:
I 'p.i . 1 ! tJi
! 6! .' 1 ii'aO 1000
TYPE OF WORK:
t I i I
i.i . 11 4 (7 ?
Nf l1
INSPECTION
i?i? i 1 1•' ?. DATE INSPTR. INSPECTION TYPE
i?i?il; . 1,'?i+ DA
'
? i r,rt J rlr,
I IV .111 N
fiIt4,11 ! I'J f') (Sii f w1v.I! I tJ !f I
I 1'1r11 1! Iti? I I MNI
I , ' i-I;'t{(h S : E'k V
F
a.. 11 111 H}ll 141M rAa 1•1 191,
?
?
.?
I
Permlt No. Permlt Holder Dete Telephone li
S/W
PLUMBING •??,? ??f
HVAC Ql?y?, // /? 7 JrJ? ? /4P0
ELECTRIC
ELECTRIC %AA
Inspeetbn Date Msp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg. ? ,
Rough Fltg. 02
i5ui.
/-• ?- "?
r•r ?/ y '/i ?? . ?PX
Fireplace " 3-?'
Rnal Htg. - ??
Orsat Test
Fnel Plbg.
?cr Plbg. Inspector - Notity Plumber
Const. Meter
EngrJPlan
Bidg. Final
(r
Deck Ftg.
Deck Final
Well
Pr. Disp.
,t7js ?
- 4k b
,.
Kertificate of Ccc"auc?
IMM of Wagan
Tcpartmcxt of ftna*g andoection
This Certificate issued pursuant to tiie requirements of the Uniform Building Code
cerrifying ihat at the time of issuance this struclure was in compliance wrth the various
ordinances of the City segrelaling building construcrron or use. For the f'ollowing:
Use LlassifiatioM: SF M Bldg. Pemut No. 2"30
OocvarcY 7YPe R3/M I ZoninB astrict Ri TYfx Corm. VN
OvoerdBuildiaE FM OMM-MQ'1 Ad&ea5O0 W MY RD 42, B/vW
smiamg Aeanm 486q BOM SF.A.90PiS DRIVE Lmw;ryi,5, B I, WfIIS'PERING WUOD6 8I4i
,
Doe: •
sWIERM owbcw
POST IN A CONSPICUOUS PLACE
Address 4869 rYx1R SEnsotas rnuvE Zip 5512
I.ot • 5 ."" Blk 1 Sub WHISPERIrrG wooDS slH
THESE IT'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: 1?0417 Yes No Inspector:
Final grade (6" from siding)
Permanent steps (gazage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish
Deck
Please veri with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside awn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
etEQUEST FOR ELECTRICAL INSPECTION
u u U 9' 16 4? See instmctions for completing fhis torm on Dack of yellow topy.
, "X" Below Work Covered by This Request
%551
Ne Adtl Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./lndustrial Furnace Ofher (Specify)
Farm Air Conditioner
Olher (specify) Convactors Aemarks:
Compute Inspection Fee 6elow:
# Other Fee # Service Entrance Size Fee # Circuits/Reeders Fee
Swimming Pool 0 to 200 Am s to 100 Am s 100.0
Transformers Above 200_Am s ove 100 Am s
SignS inspemar's Use Oniy:
? OTAL
Irngation Booms ?
Y' $120.50
Special Inspection "
Alarm/Communication THIS INSTALLATION MAY BE OR ER DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN TH .
I, the Elecfncal Inspector, here6y
i
h
h Rougmn oaie
cert
ty t
at t
e above inspection has
been made. Finai oat . _ y
OFFICE USE ONIY
This request voltl 18 months imm
..v?lb4, ., _ ,.`n • /] n t? s?l?n?
Request Date Fire Na Fougn-Irtig _?eclion Requiretl Inspection Othar Then Rough-In
9-7-94 (You?y,st cail mspeclor when reetly) ? Reatly Naw ? W ill NotHy Inspector
e?fl Yes ? No oate Raatl
IMcensed contractor ?owner hereby request inspection of above electrical work at:
JoD Atltlress (Slreel Box or Route No.) City
4869 Four Season Drive Eagan
Section No. Township Name or No. 7 777 Counry
Occupant(PRINT) Pnone No.
FSB Construction, Inc.
PowerSupplier Atltlress
Dakota Electric
Eleclrical Convactor (COmpany Name) ConVaclofs License No.
Lazer Electric, Inc. CA 01110
Meiling qtltlress (COnlractor or Owner Making Inslallation)
8383 Sunset Road N.E., Minneapolis. MN 55432
Aulhorize0 SignaWre (COnlractoUOwner Making Inslallation) Phone Number
qk w 784-3729
MINNESOTA STATE BOAPD OF EIECTRICITV THIS INSPECTION REOUEST WILL NOT
Grlgga-MlEway Bltlg. - Noom 5428 BE ACCEPTED BV THE STATE BOARD
1821 Univeralty Hve., St. Paul, MN 55104 UNIESS PROPER INSPECTION FEE IS
Phone(612)fi4]-OB00 ENCLOSEO.
. L
RESIDENTIAL BUILDING
Permit Application
City Of Eagan q,
?
? /-?
3830 Pilot Knob Road, Eagan MN 55122 ?
-` v
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reouiremenis RemodeVReuair ReoulremenCS Office Use OnN
3 registered site surveys showing sq. ft. of lot, sq. R. of house; and all roofed areas 2 copies of plan Ge`t of Survey Recd _ Y _ N
(20% maximum lot coverage allowed) 1 set of Energy Calculafions for heated additions Tree Pres Plan ReW _ Y_ N
2 copies of plan showing beam & window sizes; poured found design, etc. 7 sde survey for additions & decks Trce Pres Reqd _ Y_ N
isetofEnergyCalculaUons Addition - indreeteif on-sifesepfksystem On-siteSepGcSystem _ Y _N
3 wpies of Tree Preservation Plan 'rf lot plalted after 711193
RimJoistDehailOptlonsselectionsheet (bidgswith3arlessunits
Date I CQ 1-Uec / Construction Cost ?' ?
SiteAddress IIB loq *00-c Unit/Ste #
Description of Work
-' U
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 J
_ 1 _ 2
Proper[y Owner LC Q:?G LasSD (? Telephone # mJ I ) ?0_+S • 7.5?3c)
RMA HOME SERVICES INC.
Contraetar Home Depot Installed Sales
Address 3200 Cobb Galleria Pkwy., Ste. #200
C??
Atlanta, GA 30339
State 763-542-8826 Telephone # ( )
BG20268257
COMPLETE TH15 AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv 1
• Residential Ventilafion Category 1 Worksheet
(Jsubmissiontype) Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Ea gra
fee appiies. ? ?
1111I ?(`? `='
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
A NEW BUILDING
Minnesota Rules 7672
. New Energy Code Worksheet
Su6mitted
plan? _ Y
N If so, 25% plan review
Telephone # (
Teiephone # (
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.
Applicant's Printed Name Applicant's Signature
? . . i
Installed
Siding and Windows
LIMITED POWER OF ATTORNEY
COCFNTY OF COBB
STATE OF GEORGIA
KNOW ALL PEOPLE BY THESE PRESENTS:
THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania
("Principal"), and a licensed contractor of FLMA Home Services, Inc., DBA Home
Depot Installed Sales loca±ed at 660 Mendelssohn Avenue North, Go'_de:, 4'al?ey, 1_vIN
55427, having a license number of BG 20268257, do hereby appoint, name and
constitute Elder-7ones Building Permit Service, Ina ("Agent") as my true and lawful
attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my
name, place and stead the power to execute, acknowledge, sign and deliver (in such
form as may be required 6y the municipality) a permit application, or any other
instrument(s) which may be necessary and appropriate, in order to obtain the proper
permit(s) from the City of Eagan, Minnesota for the installation, maintenance and
repair of windows and siding (the "Work").
The powers conveyed to the Agent by this Limited Power af Attorney are
liriited solely to the express powers delineated herein and appl_y solely to the Wark.
This Limi*ed Power of Attonley shall expire and automatically be revoked on the 21 st
day of 1v1ay, 2004, which date is one year from the executiori hereo£ Further, the
powers conveyed by this Limited Power of Attorney may be revoked by Principal at
any time by express revocation and shall also be revoked by the Principal's death,
disability, incapacity or incompetence.
IN WI"I'NESS WHEREOF this Lim'ste!3 Power of Attorney is e;>ecirtcd th:s
21st day of May, 2003
Dav atz
S WORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this
21 st day of May; 2003.
" Notary-P?lic in for the State of eorgia
b4y Commission Expirest January 21, 2006
396816.v3
Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor.
3200 Cobb Gaileria Parkway, Suite 200 • Atlanta;'GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPOT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT TYPE
Permit Number:
Date Issued:
? ? y?
BUX L???l
024430
08/2R/9A
SITE ADDRESS:
P.I.N.: 10-83957-050-01
DESCRIPTION:
Buildin=c?`,.p}ermiC Type SF DWG
B?uilciing Wa?rk Type NEW
,('116C ()CCUpancy?j,, R-3 M-1
r Construction Ty10e V-N
Z o-n r n g R-1
suiXding Length ; 63
Buuilding W`idth ? 33
??. 6uiiding e.taries 2
?
V l
I
t`y ? F
??.
REMARKS:
PERMIT
4869 FOUR SEASONS DR
LOT: 5 BLOCK: 1
WHISPERING WOODS 8TH
PRV 3& W PLBR -- TOM HESSIAN PL6G
FEE SUMMARY:
VALUATION
$175,@00
Base Fee
Plan Review
Surcharge
SHC
SAC %
SAC Units
Subtotal
$902.00
$586.30
$87.50
$800.60
100
$2,375.8@
MISCELLANEOUS $1,828.50
7ota1 Fee $4,204.30
CONTRACTOR: - Applicant - ST. Lzc. OWNER:
F S B CONST INC 18903000 0003885 F S 8 CONST
2500 W COUNTY RD 42 9 2509 W COUNTY ROAO 42
BURNSVILLE MN 55337 BUftNSVILIE MN 55337
(612) 890-3000 (612)890--3000
I hereby aeknowled e Chat I have read tttis a-pplication and state tkrat t:he
infarmation c reet an-d agree to comply with all appJ,icable Skate of Mn.
Statutes a d/?Ci of £agen Ord'inartnes. ?
L
.. APPLIC NT/PERMITEE SIGNATURE , ISSUED B: SI ATU k
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: euzLorNG
3830 Pilot Knob Road Permit Number: 024430
Eagan, Minnesota 55123 Date Issued: g g/2 q/g q
(612) 681-4675
SITEADDRESS: Lor: 5 aLocK: 1 APPLICANT:
4869 FOUR SEASONS DR F S B CONST INC
WHISPERING WOOqS 8TH (612) 890-3006
PERMIT SUBTYPE: TYPE OF WORK:
SF DWG NEW
INSPECTION
FODTINGS ., .
FOUNDATION ..
FRAMING RQQFING
INSULATION FIREPLACE
ROUGH IN PLBG ROUGH IN M7G
FINAL PLBG FINAL
REMARKS: PRV S& W PLBR - TOM HESSIAN PLBG
F
?
T
, . , ,.? .
,. ?
. „ .,
?
?
, ,
14430
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
14, z04.30
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered si surveys, 1
energy
j
calcs. ,??; ? 8
COMMERCIAL 2 sets of architectural & str ct al_pLdlt,s,_1
specifications, 1 copy of energy ca .
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) lat change is requested once permit
is issued.
Date 53`/:7I9 Yaluation of work _l`G9 c700
Site Address: `-44?-6:?1- ?v2 s,x`,?1 r.,,? s 0/1 „9-
4 1 `q STREET SUITE #
Tenant Name: (commercial only)
LOT ? BIACK SUBD. ?i?P?•r? ?b"?t P.I.D. ek
?' '= !7 •
Descri tion of work: Xtk./
The applicant is: ? Owner p'Contractor ? Other (Describe)
Name Phone
Property LAST FIRST
Owner
Address
STREET STE N
City State Zip
Company Phone 5s9o-.T ?
Contractor Address joLicense #0003si<5_ Exp. i B
City fio'la,.?rarac.etr State /ZAJ Zip 5533 ?
Company ?-?. ?•.?. Phone
Architect/
Engineer Name Registration #
Address '
City 5tate Zip
Sewer & water licensed plumber %?ir! Processing time for
sewer & water permits is two days once area has,been appro? ,-
?
?
I hereby acknowledge that I have read this pplication and-state that the information is
t
d
t
l
ith
' a
?M
correc
an
agree
o comp
y w
atl appl
innesota Statutes and City of
51e State,,of
E
O
di
agan
r
nances.
?
?
Signature of Applicant:
==??-
---_
i .
? ?
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
?`? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 6arage/Accessory
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 5F Misc. ? 10 Multi. Add'1. ? 15 Oeck
WORK TYPE
El 31 New ? 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) ?
(Allowable)
UBC Occupancy
Zoning ?-
# of Stories 2
Length
Depth 33
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
? .Site ? Footing ;E3 Framing
? Wallboard ,63 Final O Draintile
13 Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Oed.
Copies
Other
Total:
SAC %
SAC Units
vstuac;a,: S l ?S. Ooa
93,35
Z'/,
Assessments
-'2 ? S7L
?0
??--
3gx3CJ = /? .o
? -.
/6
6?.r?
"--
?2
J
____-----
1?OSk5<j?--' ? t?8?9o ?, ?oo3a
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Camm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System ,?-
City Water 7e7_
2s PRV Required ?
Booster Pump
Fire Sprinkler
Census Code 1?v l
SAC Code
Census Bldg i
-
Census Unit -7
06/23i94 10:42
002
?ERTIFICA.TE ?"!F SURVEV
Fur F. S. B.
485i Aou9 SEA!70A15pR1vF
pRCIPJER'1'V DESCRIPT[ON: Lot 51 BIvek 19 WHISPERIIVG WOC1U9
E1GW N ADDITION$ bakota Caunt , Mlnneeata.
We horeby certify that this is & true and correct survey of the sbove desWtbsd property and that it was
pertotmed by me rar undar my direct supArvision and that I am a duly Licensed Surveyor under !he
IaWS of the State af Mlnnesota. 'ihis suivey does nat purport to show ell improvements, aesemen4s
or encroachments, to the property excepl as shown thereon.
3igned this
gy:
1Votec-
.lames R. Hill, Inc.,
Cary R. iA ta LO. Nn. 10943
a T
E
9: 8uilding dimensions shown are fnr
hor"szonf?t & verfical tocation of strucfure only.
See archltectural plans fior buitding &
fountlatinn dimehslans.
2. No spacific ?,oils tnvestigatinn h8s bean
carfiplated an this lot by James R. Hill, Inc.
7he sulinbility of sails to support the specittc
house proposed is not trie responsibllity oi
James R. HIII, Inc. or the surveyor.
3. Proposed grades shown were taken frnm
the grading 81or devalapment plan prepared by
q enote ? ' ? ?Pneit[
A es aund iron manument
x 827.68 panotes asrieting elava8on
(930.00) benotea propossd elevaqon
benofes preposed dralnaqa
TOP G=/x8 oCC.airE
8ench Msrk: 9GG.I? - .v.??cdae,
Proposed upper tIINPg$e 17Iobv- ?9?:?5_..Z.
Prppos9d Lowor i?fSrgpa FIbbA'a ?5" 7. 5 ,
Proposad Housa 7op Block= l?? -t?
Proposed Garaga Top Btock= 1y/1t'. . /
Proposed Lawost Floor= 9St4a
llearings are on assumed datum
scaie: 1IfW 3 01
Pag?x 1 nf 2
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pa
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o?Io L L,r
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A
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ram
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James
Hi
R
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? ? ? 3z m PLAh1NERS / ERlGINEERS 1 SUFtVEYURS
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cn
?
2500 W. CTY. RD. 42 o tlURNSVILLE. MN. 55337 p 872-690-6044
R-96% 1 612 890 6244 08-23-94 10:44AM P002 St36
0823i94 10: 42
003
C1.aR#. IFICAl E !JF SU[LVL li
FUY F.S.B. rf$51 PD119 ScA.?ON? DRVV,6
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BLf.FSG'?'Cr/GGG" f?GW'd \
A/WL - 9,5G. 6
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ft" / ??' ?
James R. Hill, Ynce Page h of 2
R=96% 1 612 890 6244 08-23-94 10:44nM P003 St36
? i LOT BIIRVEY CHECRLIST FOR RESIDENTIAL
BIIILDIN ERMIT APPLICATION
m
pROPERTY LEGAL:
? Date of Survey:
g
.
6
DOCIIMENT BTANDARDB PI-2s,9
y
0 • Registered Land Surveyor signature and company
p' 0 0 • Building Permit Applicant
0?? 0 • Legal descriptian
p?"? 0 • Address
0!D 0 • North arrow and 4er saale
L}rCl 0 • House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
8?D 0 • Directional drainage arrows with slope/gradient 8.
?C1 0 • Proposed/existing sewer and water services
LL11??] 0 • Street name
D? 0 0 • Driveway
ELEVATiONS
Existina
0 • Sewer service
[3 ? • Lot corners
Q' ? ? • Top of curb at the driveway
0 • Elevations of any existing adjacent homes
Proposed
v 0 • Garage floor
0 • First floor
0 • Lowest exposed elevation (walkout/window)
V 0 • Property corners
ED 0 • Front and reaz of home at the foundation
ING AREAS (if aDnlicable
I?I] 0 • Easement line
[? 0?0 • NwL
Q'- ? 0 • HwL
D C? • Pond # designation
D iY 0 • Emergency Overflow Elevation
DIMEN8ION8
? 0 • Lot 13nes
p 13 • Riqht-of-way and street width (to back of curb)
0 • Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
? structures requiring permanent footings)
Q
D D • Show all easements of record and any C1ty utilities within
-1 those easements
0
0 0 • Setbacks of proposed strueture and setback of adjacent
D
'? existing homes
t
if
i
? • remen
s,
any
Retaining wall qu
Reviewed:
Name / ate
October 1992
1 1
/?1.??.?-??i..-?''
5,? ? ? , •? ? ??X' '?? ' ?
? f
?eG
?-
?r
?r - ? ? ?r5 ?- y ?? EMgt' ?' O ? •?Y ? ?
a T3 '?
t??°? = ,3 n y?? \,s ? ?,r hE 9 5_ t3
,NE ,o u
J,a p 1- o
It w W ? 1•' ----? --'+;3Q O. ° ?`'1 ,-??--` ? f?
?Ny
.a, ? r o Z ?(1 d0 oL ,.? ,? 0i a' i1 Ai-
rj ?A
oQ
q 14SYy ? ?\,A r
n a
;s Lu
'j6? -- --- --- ' _ a ^ > li ?' ?u? ? Fa. ¢ ti-
? Wa 4-
uq)l 3-
a 7Lt
c o d h
'r ?. N p N'` ? ? R OW ? ?
3 ip In ? •, ° , ? ?? ?? ?, ,? _ ? ?. ??,
* f0 m ?' op s oo
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FSB Construction. Inc.
Builder License i0003885
2500 M. County Road 42. Suite #9
Surnsville, HN 55337
EBTERIOR ENVELOPE AVERAGE 'U" COHPUTATION
-----------------------------------------
PLAN i,5406 --------
DATEs ------------
6/17194 -- ----------
ONNER# FSB CONSTRUCTION LOT 5 BLOCK 1
CONTRACTORe FSB CONSTRUCTION pHISPERIN6 NOODS 8TH ADD.
SITE ADDRESSi 4851 FOUR SEASONS DR.
------------------------------
- PHONEi 890-3000
--
-------- --------
Square ----- -------
"Uw ° ----------
Footage Factor
• 1) TOTAL SSPOSED WALL AREA ---------
3258 --
X -------
0.11
-
358.38
* 2) TOTAL E%POSED ROOF/CEILING AREA 1362 x 8.026 - 35.41
WALL AREA CALCULATIONSi
' TOTAL NINDON AREA 351 x 0.41 - 143.91
* TOTAL DOOR AREA 87 x 0.07 - 3.29
w TOTAL GLASS DOOR AREA 102 x 8.31 - 41.82
• TOTAL FIREPLACE WALL RREA 8 Y 0.36 - 0.00
TOTAL WALL FAAHING AREA 235 z 0.08 - 18.80
NET INSULATION WALL AREA 2115 z 0.043 - 90.96
' TOTAL RIH JOIST AREA 293 s 0.04 - 11.70
• TOTAL FOUNDATION AREA(E%PO5ED) 115 X 0.16 ? 18.40
• TOTAL FOUNDATION NINDON AREA 8 Z ? 0.00
------------__-------
3) TOTAL - 3•28.89
If item 3 is the same as, or less than item 1, you have net the
intent of 2 HCAR 1.16008 A and O.
ROOF/CEILING CALCULATIONS.
TOTAL SKYLIGHT AREA 0 z ? 8.00
TOTAL ROOF/CEILING FRAHING ARSA 136 s 0.026 - 3.54
NET INSULATZON ROO£ CEILIp6 AREA 1226 z 8.822 - 26.97
---
4) -------
SOTAL --
- ---------
30.51
If item 6 ie the saee as, or lese than iteo 2, you have ¦et the
intent of 2 NCAR 1.16008 A and O.
I fiereby certify tAat the buildinq here desXced /mts or exceeds the
8tate of Hinneeota Sneiqy Conseivation Act.
17/94
81 ature Date
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U 1994 PLiTMBING PERMIT (RESIDENT7AL)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAIY MN 55122 ,
(blt) 681-4675
PLEASE COMPLETB FOR SINGLE FAMII.Y DWELLINGS. ALSO, FOR TOWNHOIvIES ,AND
GONDOS WI-IEN PERMTI'S ARE REQUIRED FOR EACH UNTf.
NO. FIXTURES EACH
1
- SHOWER 3.00
? WATEA CLOSET 3:00
BATH TLB 3.00
LAVATORY 3.00
KITCHEN SINK 3:00
LAUNDRY'TAAI' 3.00
HOT TUB/SPA 3.00
? WATER HEATER 3.00
FLOOR DRAIN 3.0,0
1 GAS PIPING OUTLET • minimum - i 3
00
?- ROUGH OPENINGS .
1.50
WATER SOFTENER 5.00
PRIVATE DISP. • uek.ccy, uc. 20.00
U.G. SPRINKI.ER • hume uoaer moec, 3.00
ALTERATIONS ' to aisting 20.00
WATER TURN AROUND 20.00 '
STATESURCHARGE
TOTAL:
STI'E AIIDRESS:
OWNER NAME:_
TOTAL
?
CITY: ? STA.TE: ZIP CODE:
PHONE #: ( ) Q
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH iJIVIT.
? NEW CONSTRUCTION
_ ADD-ON A/C
ADD-ON FURNACE
DATE
FEES
HVAC: 0-100 M BTU
ADDITIONAL 50 M BTU
GA$ OUTLETS (MINIMUM 1 @ $3.00 EACH)
ADD-ON/REMODEL (ExisTiNG CoNSTRUGTtoN)
STATE SURCHARGE
TOTAL
SITE
ks
OWNER NAME: F'T R TELEPHONE #: gclCJ - 3GR(90
INST,
ADDRE3S: ,?JrCI9 cf141d ku/W fiLclf),
crrY: C`tx lj?jtA(DS STATE: MIV ZIPCODE: ,SSY33
TELEPHONE #: :75S-9160
2 "
SI NAT F PERMITTEE
$ 24.00
6.00
*A -
$ 15.00
.50
Z12 S a
1993 MECHANICAL PERMTT (RESIDENTIAI.)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
?-- go:ct)
P of Eate
3530 Pllot Knob Road
Esgan MN 55122
Phone: (657) 675-5675
Fax: (651) 675-56'94
C?3s?6 a
; ---- - ?
? Pemdt Fee: ?
?
i
? Date Fecelved: ? I
t ?
i Staft ?
i -r.???---------- J
2008 RESIDENTIAL BUILDING PERMIT APPi.lCA1'10N
omr. 10 0 02 srteaadress: q? FcuA ?sons
suftf:
Tenant:
I RESIDENT101MNER Narna: ev-wG LERsan
adaress i cay1 zp:
,qppkantis; _Ouuner -,?ConiraCtor
'i'YPE OF WORK I D=ription of xork:
Consbudion Cost: L L 2 nU bt>
CflNTRACTOR
Mulf-Famity wIdinB; (Yes--./ No -Kj
? Lice?e i: '?'?•'?? ?'I
PFwna:G..'7"'i2t1-q= ContactPerson:
CdMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BlJILDING
Minrawffi Rules 7fi70 Cateaorv 7 Minnesota Rulg_7
Fnergy Code • Rwdarod vamlation.caWgory 1watt5heet '• Nar 6Em Code wodshe.t
Caftgory 5uwow Sudnftd
{J submission type) • snaw E^osP° Cwaftoria SubmlKed
In the Idst 12 meMhs, bas the CitY of Eegdn iswied a pMe11t for a Simllar plan Deaed on aORWW Plan?
_Yes _No If Ym date ard address of masUer plan:
Licensad Plumber: Ph"'
Aloohenieal
Sewer 5 water Conuactor.
t hereOY AdwwleCIge ft ft ftnnudlon
Eagan: Mat 1 wdastand Ws ie rot a pei
accoraance wim ft approved plan in ft e
=ttKa Vro work tlfe
xvB ba in cwdmnanCe wiN adrmncasarW codes W 4ie ary ai an appfi?dpn 4or a pe'm4 aM xarlc is rot t0atBR wNta?A a permdt tlm? tlre wark rd8 6e in
rtrich rap+iros a?new ana aqxowl at Pkm .
x ? ? QA-V P1 Ll[ A
Appliearit's prWed Name
x UYl ???
°,ppliba&$ 54"°e,rc ftp 1 a 3
JUL-24-2014 12:08 FROM:TREBILFOUNDATION SYS 3205938720 T0:16516755694 P.2�6
Use BLUE or 6LACK Ink
� For Otfiu Ues �
��� � �
�
Cit of �ao�� ; P°�''�: � '
, i �� ,
b � Pertnit Fee:-----..._.. _!._��.�_....., ...,, �
3830 Pllot Knob Roed ���,���/ED � De1e Recelved: �
Eegan MN 5512Z � �
Phone:(851)675-5875 I i
Fax: (651)875.seaa JUL 2 4 1p�� � Ste1►: �
1�rr�wn..�..rr.M.r.rMrw���J ��
\
2013 RESIDENTIAL BUILDING PERMIT APPLICATION \��X \i,�
�ac�: 7 ay �� glte Addroas; �l Sl�9 �-O�,r Sc�s�ns Dr�v� u��c�; ���
Name:��LQ�S� Phone: (.�Ia—yI 9�COa�a
R�sid�nV '1y r ry� �(� �/ 35/�a
(hyne� Address J City/2ip: K o�9 �LC/�`)�QSO7')S /J l� Q� �
.T
Applicant is= Ownor �Contractor
Type of Wo�k Desc�lptfon ofwonc: �7I � In�u-iordrain�il�
Construction Cost MwICi-Femily 8uilding:(Yes /No��
Company�t�s'e Trebi/ Fcuad�ior��lV.s'�C/!"l.SContsct:�l�l�/!G J/1'1/7�1
Contractor �aress•_cCiD.3�J.� (�S �(J�l�2 city: LI I U1Tl�.�G
St�te•�Zlp: .SJ�".355 Phone: ����.3-s7a 9
' Lica�a�#. rJ l. '�1 '1�`l D� �oad Cortlflcate#:_/V��(1V'Ok0�9"—/
If the project Is exempt f�om lead certlflcatfon, please explein why: (see Paqe 3 for addlUonal information)
"1 �
COMP��TE THIS AREA ONLY IF CONSTRUCTIN6 A NEW BUILDING
In tha lest 12 morrtha,hsa the Clty o1 Ea�on Isaued a pertnit for a slmllar plan baaetl on s master p�an7
�Yes _No If yas,dato and address of inester plan;
llcen9ed Plumber: Phone•
Mochanlcal Contractar; Phon�:
Sewer&Water Conlractor: Phone:
NOTE:P/ans and supporting documonta that you submlt are con�/dered to be publlc!�/ormst/on. Portlona of
the Iniormet/on may ba tlasslf/ed as non-pubJ/c II you prov/do specl/)c reesona thef wauld permlt ths C/ty to
tonclude that tho are trade sacrets.
C��1LL B�FORE YOU bIG, Cell Gopher Stata Ona Cell et(851)I54-0002 for proteetion against underground utllily domoge. Coll 49 hours
before you intend to dlg to roCOlva�oCatae of undarground utlllqaS. www.pouh9t5t�tAGn9CAlI.OfS1
I heroby acknowledge that this Infprmatlon la comptete and accurate:thac the warlc w111 be In conlormence wieh the ordinences and codes ot the Clty o1
Eapan; Ihat 1 underelend lhi9 is not a pertnit, bul only qn applicaGon for a permlt, snd work f6 not to 619rt wilhoul 8 pormlt; that the worlc will bv in
9cCOrdence witn ma approvgtl p�en In the cese of work whlCh rgqulre9 9 rovlew end approval oi plang.
�xtsrlor work autho►ts�d by a bulldlnp parmlt Ipsusd In O�coMance wlrh th/lulnnesota Stats BuIldlnp Cod�must bo complot.d wlthin 180
daya of permlt Issuence.
x �l�ris���� Sm��f� x " ,�,.�a�
Appl(cant's PMnted Neme AppllcanY6 Slgnature
Peye 1 of�
JUL-24-2014 12:08 FROM:TP.EBILFOUNDATION SYS 3205938720 T0:16516755694 P.3�6
h C u '° I �UJt �.s44S�✓�S�i� /
DO NOT WRITE BELOW THIS LIN� l ���r�
SU B_'I'YPES
� Roundatlon _ Fireplaca _ Porch(3Saason) ,_ Stonn Damage
_ 8ingls Famlly _ Gereae � Porch(4-Seaaon) ,_,_,� Extsrlor Alteratlon(Singts Fam11y)
_ Multl � Deck ^ po�ch(Screen/GazebolPergols) Exterlor Alteratlon(Multl)
_ Q1 of_Plex � Lower level � Pool �Mlccellaneous
. _ Accoesory Buildlnp
woRrc rr s
New _ Intarior Improvsment _ Sldinp _ Oemollsh Bulldlnp'
� Addlt(on � Movo Building _ Reroof � Damollsh Interior
_ Altorativn � Flre Rrpalr _ Wlndowa T Dsmollah Foundatlon
_ Replace � Repalr � Egre�s Wtndow ____ Weter Damage
_ aetalning W811 •�emollGon of sntlre bullding-give PCA hAndout to appllcant
DESCRIPTION 1�� � `�
Valuatlon ' Occupancy � MCES 3ystem
Plan Revlew Code EdiNon ""��? I�1�S��i SAC Units
(25%�100�0�) Zoning _� Clty Water
Censua Code Storles Baoster Pump
�l of Units Square Feat PI2V
dl of Buildings Length Flre Sprinklers
Type pf Constructton �-� Wldth
REf�U1REU INSPECTIONS
Footings(New Bullding) Metar Siza:
__ Footing6(Deck� Flnal J C.O. Required
Footings(Addltion) � Flnal/No C.O.Requlred
Foundation HVAC Gas Service Test Gas Line Air Test
� Draln Tlls Other`—
Roof:,_Ice 8 Water ____Final Pool:_„Footings ,,,,,,,_Air/Gas Tests ,,,_,_Final
Framin8 Slding:_Stucco Lath ,_,_Stone I.ath �Brick
Flreplace:�Rough In Air Test �Final Wi�dows
Insulatlon Retaining Wall:_Footings_BACkfili�Final
Sheathing Radon Cont�ol
Sheetrock Eroslon Control
Revlewed By; , Buliding Inspector
RE31DEN71AL.FEES
Bese Fee
Surcharge
Plan Review
MCES SAC
City 3AC
Utlllty Connection Charge
S8W Permlt 8�Surcharge
?reatment Plant
Copies -.�,r��
7'07A1.
Pa9e2otS