4472 Lynx CtCITY OF EAGAN Remarks - -
A.ddition FAWN RIDGE ADDITION Lot 8 Blk 1 Parcel 10 25800 080 01
Owner
streec 4472 Lynx Court scate Eagan, MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. -'? 1981 37,07- 1 - 195 ZO
STREET RESTOR. 1984 267,68- 96-77 10
GRADING T'i 1981 117,77, 7-95 15
SAN SEW TRUNK 579 1981 - 20
SEWER LATERAL c-^ ? 1981 /
S 1981 194-76- 6 94 20
WATERMAIN
WATER LATERAL -9 1981 / O
WATEF AREA
-190 1981 81-94' 4
0
c_ r 4 1701 165-58- p
p
fJ.20
STORMSEW TRK A 1985 557.79-- 37.19 1$
STORM SEW LAT 7/
D
i 1984 151. 41 ! 15.14 10
ra
rtage
sdRa??-E-R Se . E 1982 5.61
SIDEWALK '
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
?? . ?. .
CITY OI
3830 Pilot Knob Road, P.O. I
' PHONE:
BUILDING PERMIT
SF
Eagan, MN 55121 12599
Receipt #
$51,000
Siteaddress 4472 LYNX CT
Lot 8 elock 1 Sec/sub. NRl^iYJ RiDGE
Parcel No.
=Address ORATE CONSTRUCTI013
WEDGWOOD DR
hone 454-0644
Z. o Name SAME
0 Q Address
? City _ Phone
F W Name
? z
a Address
i W City Phone
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 ?
Ordinances.
9
Signature of Perminee
A Building Permit is issued to: I
all work shall be done in accordance with ali
Building
19 3 b
Erect ? Occupancy R3
Remodel ? Zoning
Repair ? Type ot Const. Vn
Addition ? No. Stories
Move ? Length 57
Demolish
Int. Impr. ?
? Depth
Sq. Ft
Install ?
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Council
BIdg.Off. 9 9
Var. Date
Fees '
Permit 2615.00
Surcharge 25 SO
00
Plan Review __37r a 0
SAC Wa er Conn. 500.00
Water Meter ? 00
Road Unit?? 00
Tr. PI. '
Parks
Copies--,,OU
Total
- on the express condition that
of Eagan Ordinances.
I I PsrmN No. I PormH Holdar I Data I TNophons N I
YY'
kk
m9•
Plbp.
Final
Dfsp.
;
BUILDflVG PERMIT
+ ilR[ 1C 1
CITY OF EAGAN r ?
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 1 O
?2 '
PHONE: 454-8100
Receipt #
- _i .
?CM Esi, Value $10•000 Date !{AY 1S 19*1- ?
Site Address "72 LYlnt ,(Z
Lot 8 Biock I SeGSub. 1?AWN Q1nr.IP
Parcel No.
W Name tAN 1OrKxm?*
? Address ?472 LY![LL7
City _-EAGAp Phone 681-9561
o Name SANK
zr
g? Address
, City Phone
Name _
Address
n:...
Phone
Occupancy
Zoning
(Actuap Const
(Allowable)
M of stories
Length
oePm
S.F. Total
S.f. Footprints
On Site Sewage
On Sile Well
MWCC Syslem
ciry water
PRV Required
Booster Pump
I hereby acknowlege 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.
Signature ol Permitee
A euilding Permit is issued lo: -DAN ?NDf?RF
D
on Ihe express condition that all work shall be done in accordance with all
Building OBicial APPHOVALS
applicable State ot Minnesota Statutes and City ol Eagan Ordinances.
Planner
Council
Bldg. Olf.
Variance
OFFICE USE ONLY
R-g
FEES
- Bldg. Permil
L4db
Urt10
Surcharge
Plan Review
snc, cny
SAC,MCWCC
Water Conn
Water Meter
Acct. Deposil
S!W Permil
S/W Surcharge
Treatmen[ PI
Road Unit
Park Ded.
TOTAL
.50
122.50
PermR No. Permit Holder Date Telephone #
WATER
SEWER
PLUMBING
H.V.A.C.
eLEcraic 3 3 / ? a.
Inapaction Date Insp. Comments
Foolings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orstat Test
Final Plbg. Plbg. Inspector - Notity Plumber
Canst. Meter
EngrJPlan
Bldg. Final ?
Deck Ftg.
Deck Final ' P
Well
Pr. Disp.
(.
CONTRACT PRICE:
Site Address 4
Lot " Block
PERMIT #
. .w
MECHANICAL PERMIT RECEIPT # 7
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: 10-X-86
y Name lcleve Heixtlna & n:
?
c Address 13U7b Pioneer Tra
CityEd n Praisie Phone
5
Name Corporata Conatru(
c Address 4466WedGewood I)r:
0 City Eagan, 55123 phone
TYPE OF WORK
Forced Air M BTU
Boiler M BTU
Unit Heater ?
? M BTU
Air Cond. t?' M BTU
` Vent CFM
n ?
Gas Pipi
g Outlets #
Other
FEE:
$/C:
TOTAL:
BLDG. TYPE
:ond. Inc Res. ?
Mult
11-4211 Comm:
Other
55123
?
?
$ -
--
R --
?
C.
WORK DESCRIPTION
New ?
Add-on
Repair
FEES
RES. HVAC 0-100 M BTU -
,-$24?00
ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT F EE
MINIMUM - RESIDENTIAL FEE - 10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF
?
FOR: CITY OF EAGP,N
`..
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121
I •
Site Address ? Ly- '
Lot ? Block ?Sec/Sutr ..
? Name
m Addre
? aryL
; Add
p Ciiy
FEES
COMM/IND FEE - 194, OF CONTRACT FEE
MNVIMUM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
PERMIT
RECEIPT # 7
DATE: 1? i (?5 ' 2)6
BLDG. TYPE WORK DESCRIPTION
Res. ? New ?-
Mult Add-on
Comm. Repair
omer
NO. FIXTURES TOTAL
? Water Closet - $3.00
-?Bath Tubs - $3.00 $10
?
J Lavatory - $3.00
--L_Shower - $3.00 -2) -
I Kitchen Sink - $3.00 "
Urinal/Bidet - $3.00 3 ?
t Laundry Tray - $3.00 ? U
=Floor Drains - $1.50 ?
I Water Heater - $1.50
_Whirlpool - $3.00
Gas Piping Outlets - $1.50
_Softener - $5.00
_Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50 ?
?
FEE U
STATE S/C:
GRAND TOTAL• % 7 ? "?
CITY OF EAGAN SEWER SERVlCE PERMIT
3830 Pilot Knob Road
P. O. Box 21139 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoninp: No. of Units:
Owner: c>zy;t? i,Gr;?• _
Addrcss: -
Site Address: 47 `i . .a;r,:. . .,. _,
Plumber.
1 pm ro esnoy wMm fM Cily .f s.o.¦ Connection Charpe:
Ordinnnow. AccounM Deposit:
Pnmit Fee:
Surcharps:
By Mise. Charpea:
Dote of Irop.: Total:
Insp.: poM Paid:
CITY OF EAGAN
3830 Pilot Knob Road WATER SERVICE PERMR
P. O. Bax 21139 PERMIT NO.:
Eagan, MN 55121 DATE
2onirg: _ No. of Units:
Owner,
Addresx
SiM Addrcu: ,
Plumber. '
-
Meter No.: Connedion Chorge:
Size: Acoourrc Deposfr.
Reader No.: Pertnit Fee:
1 Nrw fs emyly wINk IM Ciy af loysn Surcharge:
OrpwnpL AAisc. Choroes:
Totcl: " . ?
BY Date Poid:
Date of Insp.: Insp.:
CITY OF EAGAN
3830 Pilot Knob Road
P. O. Box 21199
Eagan, MN 55121
Zonlrg; _
WATER SERVICE PERMIL
PERMIT NO.:
DATE:
No. of Units:
Ownsr. ?70._ t'ate i;ptl6t
Add?ess: -
, ?_ .. .,
Site /lddrcas:
Plumbee ?lumUit,<
Metar No.: Charge:
,i ??
Size: ? IQeG poSiY. 1_. (-1 r),:
Reoder No.:O( /Yl 6GYJ19/BPfOfP rliaeinn io ??'_ ?e1h10t?IRfiliti 1)Pd
?. `ona
o••i"p?'•Q.n REQUtRE? 8c? es• 15?.t?opa .:Bu-?P?"?""?7 "/?/`?'Lc?i/' r'? 5 -„
Date Paid:
Data of Insp.: Insp.: /24U-m4 /23 FS a2.
f a-/ 0- 8 fo 'V40't." / ii nu,'.i,
• CASH RLCEIPT •
t
CITY OF EAGAN
3830 PILOT I(dOB ROAD
EAGAN, MINNESOT/A ?55122
ATE ?19
wecMveu
vpoM
ri
AMOUN
& DOLLARB
eo
1
? CASH CHECK
POR . wu
FUND
Thank You
N! 67382
White-Payers Copy
. . . Yellow-Posting Copy Pink-File.Copy
CITY OF EAGAN Np . 19062
3830 Pilot Knob Road, P.O. 6ox 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT
' Receipt # ?
DECK &
To be used for 3-SEASON PORCH Est. Value $10, 000 Date MAY 15
Site Address 4472 LYNX CT
Lot $ Biock 1 Sec/Sub. FAWN RIDGE OFFICE USE ONLY
P8(C@I N0. Occupancy FEES
Zoning -
w Name DAN DOCKENDORF (AC1uap Const Permit
Bldg 117.00
AddfeSS 4472 LYNX CT (Allowable) _
- . 00
5
o Surcharge .
City EAGAN Phone 681-9561 # or s+ories -
14
16 Plan Review
Length X
o Name SAM oepm 15x10 SAC
a
,
ry
0¢ Address S.F. Total -
SAC, MCWCC
? Cily Phone S.F. Foolprinis _
t
C
W
On Site Sewage - a
er
onn
Uw W Name on site wen M
W
?w
??
AddfBSS
MWCC System -
ater
eter
a W CItY Phone CiH yyytyr _ Acct. Deposit
PRV Required _ S/W Permit
I hereby acknowlege ihat I have read this application and state tha[ the Booster Pump - SiW Surcharge
information is correct and agree to comply with all applicable State of
Minnesota Statutes and Cit f Eagan rdinan Trealment PI
Signature of Permitee .??'1/? ? ? APPHOVALS qoad Unil
A Building Permit is iSSUed to: DAN DOCKENDORF dv Planner - Park Ded.
on the express condition that all work shall be done in accordance with all Council - SO
applicable State of Minnesota Statutes and City ol Eagan Ordinances. gldg. pry. _ Copies .
BuildingOtticial -?Ain ,Cd,! V Variance - TOTAL 122.50
CITY OF EAIAN
N2 1Z599
* 3830 Pilot K nob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt#
Tobeusedtor SF DWG/GAR EstValue $51,000 Date SEPTEMBER 9 86
SiteAddress 4472 LYNX CT Erect ? Occupancy R3
Lot $ elock 1 Sec/Sub. FAWN RIDGE Remodel ? Zoning PD
Parcel No Repair ? Type ot Const. Vn
. Addition ? No. Stories
W Name CORPORATE CONSTRUCTIOIV
3 Address 4466 WEDGWOOD DR
° City EACNN Phone 454-0644
a Name SAME
=
0 ¢ I
Address
~ City Phone
F W Name
-z
Address
z
a W City Phone
I hereby acknDWledge that I have read this application and state that the
inTormation is correct and agree to comply with all applicable State ot
Minnesota Statutes and City o gan Ordinances.
Signature o( Permittee
Move ? Length 57
Demolish ? Depth52
Int. Impr. ? Sq. Ft.
Install ?
Anorovals Fees
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bidg. off. 9/9/86
APC
Var. Date
Permit -
-
Surchar
e ?.
50
g 143
00
Plan Review .
SAC 575.00
Water Conn. 500.00
Water Meter 63 . 50
Road Unit 290.00
Tr. pi. 156.00
Copies
r.,*fli $2, 039.00
A Building Permit is issued to: CORPORA CONSTRU " ION on the express condition that
all work shall be done in accordance with all appli te of Min esota tai teof Eagan Ordinances.
Building Ofticial u?J
q j REQUEST FOR ELECTRICAL WSPECTION es-ooooi-o=_
?G/o'.3 1 See instructions 1or completing thig torm on back of yellow copV•
?` !? ? orzo "X" Selow Work Covered by This Request ?' ? 7 •3'?
'Jew[PJddI ftep.I Type of Building I ' ADDliaacea Wired I ' Equipment Wired I
Water Heater
T
Commercial Bldg. umace Silo Unloacier
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Othe, vea v Ciihe, (51)3cify1
p Fee SerViCe EntfanceSl2a q Fee Feeders/Subfeeders # Fex • Circuit9
d 0 to 200 Am s 0 to 30 qm s Q' 0 to 30 Am s
Above 200 Am P5 31 to 100 Amps / pQ 31 to 100 Amps
Swimmin Pool Above 100_Am s . Above 100_Am •
Transformers rrigation Boorris Partial.'Other_Fee
Signs Speciallnspection $TOTA FEE ,t
Remarks /)V
NouBh-in r Da1e
?a, - I, the lectric
nspec ?eby
?
certif
that tha ab
v
Final
?
D{ale
? y
o
e
jnspection hes been
mede.
ThI8reQU89LVOIE18mOnSMtfOm ' '?-?" ?-"?`4???i(,?' j
This requ?5st void f0/3,3/?(,
1 C, '7 73 3
8 mo nth ?m
C'"50262 Y70o
Raq sttt,,,p??ppale
/' -
` Fire No. Rough-in I pection
Requir
Ready Now [}WTRTlotify, Inspec-
to
Wh
fl
? es ?No r
en
eady
oKicensed Electrical Contrector 1 hereby request inspection of ebove
? Owner electrical work installed at: -
Street Addres Box or Rout . City
14 2.
? ?
eCt on o. Township
am or R ge . . Cowny
R ?
Oc pant (PR
INT) Phone No.
^
Q •V /V'st- LA6 ?
Power S lier Address
rYm
Etectr r Contractor' License No.
, a ?FENNOCI? LANE ?
Mailin6 APPLE V&C1jM 155f
Authorized Signature (Contractor/Ownzr Making Installation) Phone Number
MINNESOTA STpTE BOAND OF ELECTpICITY TMIS INSPECTION REQUES7 WILL NOT
Grippa-Midway Bldg. - floom N-791 . BE ACCEPTED BY THE STATE BOAHD
7821 Universitv Ava., St. Paul, MN 56104 UNI..ESS PROPEN INSPECTION FEE IS
Phone(612) 642-0800 ENCLOSED. .
}QUEST FOR ELECTRICAL INSPECTION
? See instmcLons tor completing this form on back oi yellow copy.
"X° Below Work Covered by This Request
ea-ooom-osc
?av
ew 'Aciil Repc = Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other Ispecityi CoMractor's Remarks:
Compute Inspection Fee Below: 5
# Other Fee # ServiceEntrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
SignS Inspecror's Use Only: TOTAL _ _VO
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY 8E OR DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTH
I, the Electrical Inspector, hereby Rough-in a-i oa1r_,_F_ j?Z,
certify that the above inspection has
been made, F;nai i
OFFICE USE ONLY - ?
This request void 18 months Irom ? T
p 43433 /
Request Oate Fire No.
/ a? ?? Rough-in I ec'
Req ired7 /?[
? Ready Now /jC10(ill Notify Inspector
?
?
?
? s _ No V
hen Reatly
I= licensed contractor Awner hereby request inspection of above electrical work at:
Job Atltlress /1S?tre/e?t. Box or Route Na.j
;6N • P r ?I City
Section No. Township me or No. f7ange No. Counry
Occu nt (PRMT)
k
? Phone No.
o Ftn ?, o w
Power Supplier Address
Electricai Coniracror (Company Name) Coniractor's License No.
(Nom o wi
Mailing Aatlress iContracfor or Owner Making Installatlon) -
i DJc,
Authorize ignature IConiractovOwner Ma Insta Fon)
_D/I_ ,a! I? L
D/ Phone Number
t Di qA-2 I
MINJIESOTA STATE BOARD OF-ELECTqICI'
Grilg,s-Midway Bldg. - Room 5-173 ,
1821 University Ave., St.Paul. MN 55100 ..
Phone (612) 642-0800
. /Y
THIS INSPECTION REQUEST WILL NOT .
BE ACCEPTEO BV THE STATE BOARD --
UNLESS PROPER MSPECTION FEE IS
ENCLOSED.
RAYMOND E. HAEG PLUMBtNG, iNC.
:?2t26 GEDAR AVENUE 50.
/JIIRNPAPOLIS, MINNESOTA 55423
PNONE: 866-6092
44 -7
;
; _
I q
oco ??--
bj?
J?'-k OL",uuu?
?
c1x?
?
?
4 ?
Q.-? .
RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
Iol? 3830 PILOT KNOB RD, EACAN MN 55722
651-681-4675 9 n
"1
New Construction Reauirements RemodeVReoair Reauirements
• 3 registered site surveys showing sq, fl. of lot, sq. ft. of house; and all roofed areas ? • 2 copies of plan ?-? - 0
(20% maximum lot coverege allowed) . t set oi Energy Calculations for heated addilions
. 2 copies ot plan showing beam & window sizes; poured found design, etc.) . 1 sile survey for exterior addifions & decks
• 1 set of Energy Calculations • Indicate if home served by septic system for additions
• 3 copies ot Tree Preservation Plan if lot plaqed after 711193
• Rim Joist DeWil Options selection sheet (bldgs with 3 or less units)
DATE VALUATION
SITE ADDRESS `10. "AK CJE- C'Pe4 n4i MULTI-FAMILY BLDG _Y yN
TYPE OF WOR
APPLICANT
4t
FIREPLACE(S) _ 0 ?1 _ 2
STREET ADDRESS `'I?, I_.u iV C?6 CITY STATE 1h ZIP yS70a
TELEPHONE # LSI-41'%1I CELL PHONE # PAX #
PROPERTYOWNER OPMW b-G;&Qy?.? ?a-v-" TELEPHONE#
COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RUL,ES 7670 CATEGORY 1 MINNESOTA RULES 7672
(4 submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: _____
Piumbing system includes:
Mechanical Contractor:
Mcchanical system includes:
Sewer/Water Contractor:
Air Conditioning
_ Heat Recovery System
Phone #
Fee: $90.00
Fee: $70.00
Phone
------------- ------------------------------------------------°------------------------- tr-----...-- - - - - -
I hereby acknowledge that I have read this application, state that the information s correct, an b-- e to omply
with all applicable State of Minnesota Statutes and City of Eagan Or inances. BY .-?---?--
?_k Y
Water Softener
Water Heater
No. of Baths
Phone # .
Lawn Spruikler
No. of R.I. Baths
Signature OFFICE of USE Applicant ONLY --- ( ? m
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFiCE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Firepiace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 StormDamage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
Q 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
7ype of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinallC.O.
_ Footings (deck) , FinallNo C.O.
_ Footings (addirion) ? Plumbing
Foundation
? HVAC
Drain Tile Other
Roof , Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Finai
_ Framing ` 5iding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water 5upply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
license Search
Copies
Other
Total
Building Inspector
?
/
NOTS: AI.I.
. ?
1
- CITf OF EAGAN
MQST BE LICENSSD iIITH THE CITY OF EAGAN
SINGLS FAlIILY DiiEI.LINGS
INCLUDE 2 SETS OF PLANS, 3 CEATIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MULTIPLE DfiiEELLINGS - BESIDSNTIAL RENT9L IINITS FOE SALE DNITS
INCLUDE 2 SETS OF PLANS, CEHTIFICATE OF SQRVEY - CHECg flITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
C0MlERCTAT•
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
80
To Be Used For: pex,./ Valuation: Date: 1-9J$4
Site Address 941L L?r+e• ?+
Lot 9 Block I
Pareel/Sub ra40?
Owner COtponocF t.,pns?. 141
Address 4y6(? (,Jai?t,wod %,
City/Zip Code (nL40L•..M.0? SSn3
Phone (01-064if
Contraetor Seti:i
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
Erect ? Occupaney ?
Remodel Zoning
Repair _ Type of Const
Addition # of Stories
Move Length 5-7
_
Demolish _ Depth ?
Int.Impr. Sq Ft
Install
APraovALs FEEs
Assessments Permit
Water/Sewer Sureharge
Police Plan Revier,
Fire SAC
Engr Water Conn
Planner ' Water Meter ,
Council Road Unit
Bldg Off Treatment P1
APC Parks
Variance Copies
To'rAL a 0 °
NOTE: ADDRESSES FOR CORNER LOTS - CONTAACTOR/HOMEOWNER HIIST DESIGNATE WHICH ADDRSSS
IS DESIRED. NO CHANGES iTILL BB ALLOWBD ONCE BIIILDING PERPIIT IS ISSIIED.
?
5?n65z, 00
h.. ...,?,. •. , .
~??•. ,? ??, "?'
Sr? /
;?+?r.,y.•: ?wlo
. ... ,>;r d Lk
? P
F 1d
janer . Phone_
;tts Addrtss "
:ontraCtor ?P_ C_ O c'-?-n?henA. .
luilding Classlfl+Catlon: Type A1 (Single Fa:nily b Duplex) ?? Type A2 (Residentlal
t,.
(3 storles or esi:,
'(Other) (Over 3 stories)
` 'sENEiAL _[MFORMATION
8uildin9 Pertmeter ? ?(e ft.
?;;. ?. wall height (ground to eave) ?,o o? ; ? ft.
1. x 2. -(above) gross wall Z
area ? ?,d F-1 ft.
? ??.9 A.5 2 .
3. Buildinq dlmenslons (l) 4 0 x :
(W) 3CD 1?g4.5 ft. roof 5 flaor aret :::
S. Sauart fcot area ot rim ,joist - Floor joist size (2 x lo ? )
'?,?_ x Perimeter = Rim o st area ft2
a•' Doors - Area 3 . .i .-
TMe ntas n. actor
ty{!e ot Lonitruct on ?PeriaNter At,.32?-t-?Z.`ta
Manufacturerr?a S e ?
1. Totel do0r's perimeter 3 Z,.2- $ ft
8. windows: MlanutACturer State approved
U factor . 5 p
TYPE SIZE ARFA (F..Z) WUMBER OP TOTAL FEE7 2
?
k q
?r
_ til 3 C-.
._? 3 0 3 O
EACH
\-z.15 9
5.59
UNITS
4
4
L
A 1>
9. totel ft.Z Gtass_
10ip Fireplac• area: Width x heiahL • -? x ?- ? ?- Ft.2
11. Exposed foundttlon: Melght x Perimeter x Ft.Z
:)MPLETION Of THIS FORM IS REQUIRED FOR All. NEU COtISTAUCTION, MAJOR REPIODfII.NG ANO BUILONGS SEIN
13YE0 IIHERE ENER&Y. OTHER THAA THE MINIMAL CODE AILONANCE. IS USED.
?4' . . ..
r 3 ?'.^? ?? ? ?? ?.?? ???-???.? ' 'n''!"1l??tljyn(1 ... r ? MSRSY`?i:
: t i Iv l' , t
. . . . . . . .;'FI 1 ? i ? Y ? .
...\ . ' : . ' .' " ' J .. i1N11
v
w{ndow area A 2-, ".4te-0, ft.2 U windows • . 5 (n 'J x A•
Rto Joist area A \73p , o ft.2 U rim jotst ¦ •04 U x A• ?. 2.?
. ?
poor area A -1 n ft.? :1 door area ¦ U x A • ? .(aJ
Fireplace area A _E3- ft.Z U rireplace a 4?- U xA • ?;
Exposed foundation A ?$ f*..' J foundation ¦ V` U x A3,Q
Framing area A ft.4 U franing area ¦. c?Q U x A• ly
Nef wa11 area A ?'r? 6,O.b\ `t. 9 wa11 = eOq3 U x:. ¦
;',(., -,^. ,-A.L . . . . . . . . . . U x A O 4 ?e
? :. _ .
4. Gross wali area x 0.11 (A-1 single famil_y S dL;,:-x ? ailowable U a A/Code
?.. ` (13. above) .
x 0.23 (a-2 other residentia'.`
?` ?
x.23 ('J ther bu i l d i ng.,
?a.•
K•- .c .28 (Over 3 s tor•; e. )
UH Must be larger thaq
Rti A Z Z O`?j x l' Ccde 138 aboye ------------
Ceiling framing area (Af) aquals 104: nf ceilina area? - or the same as)
x;SA. Gross ceiling area ¦ (L) -4 O x (;) ft.2
Joist aree (Af) ? 100 . ceiling area ft.2
k
iSC. ye'_ ceiling area (AC) (lSa - 158) - \\U, 4?, o? ft.2
U tei 1 i ng x A c? _ cD z, x ??.-,O
U f rami n9 x A f= . o2t_ Co ? x_ \?`?, d 5= Z
?:sQ. ;QTAL U x A ........................................
Leiling area (15A) x 0.026 (A-1 singie ramily S Cuplez - code ailo«abla U x A
--?- .:
x O:C33 (A-2 other resida.^.;ial ) ?`•
y x O.C6 (othtr)
? • BoUH Must be larger than 150 (abave) y,
A(15a1 ? ?.5 x?(cQde)= ? F (or the same as)
t+ NOTE: Use U and a values obtained f-oro ops 1. 3 and 4.
y 4.
).?
p? 1
l '..
1
r.i. i... '\w
. i, .
SlQftQM{
.--
;' .
r^*'^^^--?--. .. • .. . .,
`'Co tnt?et? ra:! ? ? ? ir : ?ai .. r i :
.
?{Wtl
) ?' ?
'.,su;Ativa
--a- 1'0. .? .
.
• ?:
??T????t?eathin?
s??t??
N'.l,, . ca1, ?= . 04 ,
r
: . u t s idP a t r f! 1 m .1 7'?
R TOTAL 20? O
. , .,
? Inside atr f ilM
---
?`
?
--
I nt.: t or aii 1 • 4? ;
.?
Fi= '
(Fr+lmtng) U • ? . '%i''?.
&a ch i n g ?
S id 1 n j
?
?T
Outstde a!r illn
.17 ' •..
?i???
_ 0
'. ? ,. -oTet \ o . `?, L?. ?-•--•^?
2ND uALL
StC'f I'N:
R 1!1
JaiST
Inside alr E
:lm
R• .68
-
,
,
?
Inttrior va1 1
5?'A
insulstton Nall
,Shsath ing Z. oa 2. .'%.?.
ExLtr i or w.41 1 cover i ni ?(-'1
? ; t'•
,.
.
EKCerlut a1r fllm n' •.I% l{. _ • b ?t' ?:
R TOTAL
3 0
?
?
""•'??.
,.
r
In[rriur air (iiT ?• .68
\ :r.sJ 1'.1 c.ton
:s.,..• ??•?? '.
1, ? ?':
, ..
1?; ir,ch suf!
•,rcwd
R=1 .88
?R1A1 4
a ..y
Shea[h ?ng ?. o!P Joistl.
;?
ut
`E:iteraior Mal
l cuvRCina
Exterlot rir flim Ra .17 ( I
Z=
• 0 4
2 TOTAL
1ncMrtor ai: E:ln
... Insuls:tor.
d Co
..??Found•riue Z--•?o (Fdn:) U • •
A.
b%?aa xtsr tor • ir f! lm Ru, .17
1 I C?.?? a roTAL?=.q
'fxposed 3Luck ?
' ???"?•'??._. r.reCe
3.
? i:•,?!
r
. ? ?.' "..? `. ?.?r ? - ' ?Lr •
_ . . . . ... . .. . . . . _
?..1r ?i "
- ....?..
. . : .++?-+?` .
.??..'+w ?R .1 . ?' i:(?i?'rk
r' ? . LLL
J ..?r
, ?. ? ,??•? ? ?' t c??, • .
, - ' '. ? : }- . .?:i?:?
:1• ? ., .
?
! .. `??'
?g
/?
e .
; P
• •
Insulatlon 44,o
» .
4 3 %
JOiSL .
,
,.
Ceiliny
' s
'
?
.
;
?
0.E1
Air Film
0.61
.
.
?..
.
FW, , cl :1
3-1 Totai R 1ZL . 4.1c)
.
, . 1 ,
?02?4 u=A
-
??
?
.
? . ?; _ ",r.•
F! Ai ROOf OR CATHEM C,14I13C
R?PeTue
FR:,M I NG
0.61 Inside sir fil
Ceiiing
Jo1st (stud _
Insulation a
Air spate
Roa1 W.kinq -
Insulatlon ?
Bu11t-yp roof
0. 7 ? Outsldo,air fi
I Total R
? R # u
I I
iinqpw infiltreticn .5 cfMllneal foot of crack
;;.tqxlQsatial door inflltration 0.5 cfm/square foot ur dcor and mininur, code requiremtnt
' dpe+-residential door intiltration 11.0 cf.Vlineal `oct of crack
: !e 12" concr•ete block no insu'lation =.41 R 2.1
? .12" concrete block insuleted cores = .26 R 3.8 ,'cr
12" 1i;ht-4*19ht block •.32 R 3.1 12" 1lgntwiigfrt block Wsulatad cores =.12 Q 9.7 r?
. . , ;?.
1 siAyle glass • 1 .13: wit,h :L01'T1 .M1ndOW .54 • : ?.?#
jdouble glass ¦ .55
trlple qlass • .41 . s?
I11 sxterior wells and teilings must have a vapor 5arrier (C.10 perm r^.ax.).
:#por Oarrier aust be on the 4nside (hsated side) of wa11.
;Npor barrtrrs of the pq1?yetftti en4 thln f i l m have no Rva 1 ue .
.
;,•;:?
14OLI
1991 BUILDING PERMIT APPLICATION
CITY OF EAGAN ?
?
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL ?d
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 5ET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT I5 REQUESTED, BUT NOT PICKED UP $Y LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE I5 REQUESTED ONCE PERMIT IS iSSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. -NO CHANGES WILL BE ALLOWED ONCE BUILDINB PERMIT IS ZSSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT NAS SEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
UEe-e? A? YAY 1 0 REM
To Be Used For: 3-5
,:j& ?*PLValuation: 60?4??0 r Date: .r,/v
Site Address *].('r4
Lot LF' Block ?
OFFICE USE ONLY
Occupancy AP ''s
Parcel/Sub E?w ?A R l D &4!?-
Owner ALL 10acKendor-?
Address ???a 1-uyly Cr4
City/Zip Code Lckoo. K 6S %9-3
Phone ?'Cf - q3`6 /
ContracLor QAn DC CA eitdoe 1:?
Address qL/ 7,2 L???y
City/Zip Code Fd4a x
Phone
Arch./Engr.
Address
City/Zip Code
Zoning
Actual Const
Allowable
# of stories
Length N.401 I_ /? 6 ,
Depth pag 16,0g/D'
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System _
City water _
PRV _
Booster Pump _
APPROVALS
Planner
Council
Bldg. Off. Z)S 37i0-q/
Variance
FEES
Bldg. Permit
5urcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/w Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trail Ded.
Copies
SUBTOTAL
PenalLy
Lot Change
TOTAL
S I 9.vo
.5. 00
.sv
6
Phone #
agrees that all work shall he done in accordance with
(Signature of Contractor)
all applicable State of Minnesota 5tatutes and City of Eagan Ordinances.
'in OP : +? ?.. ?
?s Lq
,?7eAeo d rI lUv ?
!
!
r ,
,.
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*TOTE: PAYMFTTP OF FEE AT TIME pF
APPscAMoN noEs Norr arnssizTUTE
APPROVAL OF PERMffT.
INSPF]C.TION OF SSWIIt APID/OR WATIIt
INS'`AT.TATTONS WIIZ. NdP BE SQ-IID--
UI.ID UNTIZ PERMIT HAS BEM
APPROVID.
. , P ease Print)
'1) PROPERTY ADDRESS:
LEGAL DESCRIPTION: ••-
. Lot Block Subdivlsion or Tax Parcel ID )
IF EXISTING STRCClL'RE. DATE OF ORIGINAL BT-IILDING PERMIT ISSL'ANCE: " -
;
. PRFSENT 7ANING/pROPOSID L'SE: (Yjon th/Year)
Q COC'?ZJEffZCIAL/FtE,`TAIL/OFFICE
Q IPIDL'S2'RIAL
rl INSTI7.L.'TIONAL/GOVERIjMEAlT
? SINGLE FAMILY
Q R-2 DOPI,EX (14wo Units)
? R-3 TOWNiOLSE (Three + Units ){ Units )
0 R-4 APARTMaqT/CONDOMINIL'M ( Units )
2) 1?
rrArE:
ADDRESS: .
CITY. STATE. ZZP:
PHONE:
3) • u-?' ??. QqYMONQ E. HAEG QLBG. 1h1C. For City Use
- Plumbers License:
AvDPFss: 7226 Cedar Ave. So. Active
CZTY. STATE. ZIP: 1$ 55423- . ? ? Expired
? Not recorded
PHONE: ? MASTER I.IC.ENSE# 044I
Staff Iriitidl
4) •a« • • ; iaI•
NAIV]E:
TAA
_ ADDRFSS: .
CITY. S"rATE. ZIP: it A 1'.N
PHONE:
•$) ? v ? • ?• : ? • y? • ;
CON[C.'TION T0 CITY SEWII2 ONNFX..TION ? CITY WATII2 Oii'?IEZ2 '-
6) W, ? _S •I?'-.?. ,??
C. r• U. 011
0
HOLD APPROVED PERMIT F'OR PICK-UP BY ONE OF ABdVE
MAIL?APPROVID PERMIT TO 1. 3 . ABOVE
i j,? (Ci2 one)
FOR CITY USE ONLY
PERMIT # ISSL'ED
Pd w/Bldg. Permit FEES:
$ $ /O - S -o
$ s
$ ? :3 $
$ $
$ $
?.
SEWER PERMIT (INCLUDE SURCHARGE)
WATER PERMIT (INCLODE St'RCHARGE) ..
WATER METERjCOPPERHORNjOL'TSIDE READER
WATER TAP (INCLL'DE CORpORATION STOP)
SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ ACCOUNT DEPOSIT - WATER
$ ? ? • v 6 $ WAC
$ 7 S_r vJt9 $ SAC
$ $ TRLNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENyFIT/TRUNK WATER
$ '6-0 $ WATER TREATMENT PLANT SURCHARGE
$ $ 'OTHER
$ $ o? ?0--j TOTAL
RECEIPT RECEIPT?-
DOES UTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES I IF XES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q
I ROADWAY" MDST BE ISSUED BY TftE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CbNDITIONS:
APPROVED BY:
TITLE:
DATE : /12-3 /f (;
I ? I ,• ,
SURVEYOR'S CEATIFICATE ' CORPORATE CONSTRUC7ION y _.
C OURT ?
. ??
, ?
602,? g? 0 5 a`
?
,\ -
0 6?o j N
r-
?,,,_
80'' 1 p
- 5 W
3k.33 1:(01
oom
?
?.J (3)
_,1 m
,
N '
?
-_y N
?
?
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,.
V:
1
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\
t9n?
-
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_?n _. '
1
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Z?il? ?
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O ?
`pRAlNAGS B !!7'1Lfn' ?
EASE?tENT FER PiAl' SI
i ?
?
0
S
.Q7___N 89
1057b0"w 86.00
,
IS)
,
DENOTES PROPOSED SURFACE DRAINAGE
DENOTES IRON MONUMENT SET
O
SCALE: 1??INCN
? 30
FEET
.
9 DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR
PROPOSED LOWES7 FLOOR ¦ 90&,$
= 9oy.o FEET
FEET
X000.0 DENOTES EXISTING ELEVATION
(000.0) DENOTES PROPOS.ED EI,EVATION , PROPOSED TOP'OF BLOCK = 907-':- FEET
I HEREBY.CERTIFY TO CORPORATE CONSTRUCTION THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF 1'HE BOUNDARIES OF:
Lot 8, Block 1, FAWN RIDGE, aacording to the recorded plat th ereof,
Dakota County, Minnesota..
AND OF THE LOCATION OF A PROPOSED BUTLDING. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS
OR ENCROACHMENTSt IF ANY, THEREON. AS SURVEYED BY ME, OR UNDER MY DIREC7 SUPERVISIONs
7HIS Z40 DAY OF J u?y ? 198b. '
NOTE:- GRADES SHOWN ARE TAKEN FROM SIGNED: J R ILL. INC.
THE GRADING ANDDRAINAGE PLAN FOR,
.FAWN RIDGE , PREPARED BY
?
PROBE ENGINEERIPIG COMPANYs, INC.,
LAST DATEO MARCH 26, 1984, BY;
HAROLD C. PETERSON, LAND SURUEYOR
MINNESOTA LICENSE N0. 12294
? PHOJECT NO. BooK ? PAaE JAMES R. HILL, INC.
. 86793 . ' •
Planners / Engineers / Surveyors
FILE,NO. 8200 Humboldt Arenue SouW
FO L D ER . 8loominston, Ma 56431 812-884-3028
.,.
,,iVEYOR'S CERTIFICATE ' CORPORATE CONSTRUCTION y _
. C----- - -` .
C OURT ?
\
?
\
?
06602 5 a Ai
0
0
?'$?? \ N6? ? - Iv
N
1a 5
?W
,
n<
I
?
? .o
a
?m
00 ?
?
?
-? o
N
?
?
\.
V
?k-r'
\
. • (gtl'I.o
DENOTES
O DENOTES
• DENOTES
X000.0 DENOTES
(000.0) DENOTES
2?j1 lD
,
Ii
?n A
?
Cc°
,
' vRarnwcE s unurr
easm+exr PER Piar e
Q
5
1 ?
-N 89°
PROPOSED SURFACE DRAINAGE
IRON MONUMENT SET
IRON MONUMENT FOUND
EXISTING ELEVATION
PROPOS.ED ELEVATION
?
?Sa
'1. O)
W 86.00
?
SCALE: 1.?INCH ? 30 FEET
PROPOSED GAaAGE FLOOR m 906.`d FEET
PROPO$EQ LOWEST FLOOR ¦ RoY•o FEET
PROPOSEp TUP'OF BLOCK = 1?07.z FEET
I HEREBY CERTIFY TO CORPORATE CONSTRUCTION THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 8, Block 1, FAWN RIDGE, according to the recorded plat thereof,
Da,kota County, Minnesota..
AND OF THE LOCA7ION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS
OR ENCROACHMENTSo IF ANY. THEREON. AS SURVEYED 9Y MEs OR UNDER MY DIRECT SUPEBVISION.
THIS 7.+4o OAY OF Ju9 198fo. '
NOTE:• GRADES SHOWN ARE TAKEN FROM SIGNED: J R ILL. INC.
THE GRAOING ANDDRAINAGE PLAN FOR ,
.FAWN RIOGE , PREPAREQ 8Y
PROBE ENGINEERIPIG COMPANY,• INC., ?
LAST DATED MARCN 269 1984. BY:
NAROLD C. PETERSON. LAND SURVEYOR
MINNESOTA LICENSE N0. 12294
. PROJECT NO. BOOK / PADE JAMES R. HILL, INC.
. 86793 . ' .
' Planners / Engineers / Surveyors .
FILE,NO. 8200 Humboldt Arenue South?
FOL DER . 6loominston, Mn. 55431 e12-8e4-302e
PERMIT
City of Eagan Permit Type: Mechanical
3830 Pilot Knob Rd Permit Number: EA085458
Eagan, MN 55122 . Date Issued: 08/21/2008
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 4472 Lynx Ct
Lot: 8 Block: 1 Addition: Fawn Ridge
PID 10-25800-080-01
Use
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Furnace & Air Conditioner
Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector,
952-445-2840.
Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088
Surcharge-Fixed $0.50 9001.2195
Total: $50.50
Contractor: -Applicant - Owner:
Angell Aire Daniel T Dockendorf
12253 Nicollet Ave S 4472 Lynx Ct
Burnsville MN 55337 Eagan MN 55123
(952) 746-5200
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.
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink ,
- - - - - - - - - - - - - - - - -
I For Office Use
I
I
Permit Z~ 17
City of EaEdH I
I Permit Fee: I
3830 Pilot Knob Road I
Eagan MN 55122 I Date Received: I
Phone: (651) 675-5675
I Staff:
Fax: (651) 675-5694 L _________________I
INFLOW INFILTRATION PERMIT APPLICATION
Plumbing / Sewer & Water
Date: ~oZ Site Address:
Tenant: Suite
Name: DA" a twee'_ r1Q4~ Phone: 2AI
RESIDENT I OWNER y
Address / City / Zip: m11 5Yl-12
Name: O,;), D-LA e.,,,A-ar'-~ License
CONTRACTOR Address: City:
State: Zip: Phone``:
Contact: Email: &ADc ~Au~ l2 CznCL L not
PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope)
TYPE OF WORK Sump Pump Repair Repair
Other: Other:
Description of work:
DESCRIPTION
rGl ( G2~/C cG 6/C~T S~C~
FEES
$60.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.cityofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call
48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and
codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans.
x Idjee, o Olio x
Appl' ant's Printed Name Appli nt's Signa ure
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground -Rough-In -Final
• CityofEaaall
•
•
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
afE
Permit #
li3L/zO
Permit Fee: (e 'a(
Date Received:
Staff:
/� //
2008 RESIDENTIAL/BUILDING PERMIT APPLICATION
Date: 4/1///3 Site Address: 7` `' 72 2 !%X &ir't
y
Tenant: Y')')LZ J 2
RESIDENT / OWNER
Name: Do„echbe
Suite #:
J
Phone: 6.57'34— Q f%/ 9
Address / City / Zip: Y'V 72 � �C�"''t 6
Applicant is: Ar Owner �` �.,// Contractor
TYPE OF WORK
Description of work: f?e(04) I JUUU .e ! R'r1 5; 'di/29
Construction Cost: 92, 951/1•8.7 Multi -Family Building: (Yes / No )
CONTRACTOR
Name: &Mel' 5CrY'iC.LS
Address: 730 ea n 5t •
City: /42101- State: AN Zip: 513
Phone: 76'3— 1/697/—/742-3
License #: 6CS0/�
Contact Person: "(e lin $ Z X
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
• Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Submitted Submitted
• Energy Envelope Calculations Submitted
Energy Code
Category
(-4 submission type)
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents t�
the information may be classified as non -
ions of
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordina es and codes of the City of
Eagan; that 1 understand this is not a permit, but only an application for a permit, and work is not to start without a it; that the work will be in
accordance with the rovedplarl in the case of work which requires a review and approval of plans.
.
x c e 1ar7Zz)
App icant's Printed Name
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115839
Date Issued:09/30/2013
Permit Category:ePermit
Site Address: 4472 Lynx Ct
Lot:8 Block: 1 Addition: Fawn Ridge
PID:10-25800-01-080
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
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 -
Daniel T Dockendorf
4472 Lynx Ct
Eagan MN 55123
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:EA156429
Date Issued:06/28/2019
Permit Category:ePermit
Site Address: 4472 Lynx Ct
Lot:8 Block: 1 Addition: Fawn Ridge
PID:10-25800-01-080
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 -
Daniel T Dockendorf
4472 Lynx Ct
Eagan MN 55123
Angell Aire Inc
12253 Nicollet Ave S
Burnsville MN 55337
(952) 746-5200
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA174972
Date Issued:03/03/2022
Permit Category:ePermit
Site Address: 4472 Lynx Ct
Lot:8 Block: 1 Addition: Fawn Ridge
PID:10-25800-01-080
Use:
Description:
Sub Type:Furnace & Air Conditioner
Work Type:Replace
Description:
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
John H Kollofski
4472 Lynx Ct
Eagan MN 55123
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA178418
Date Issued:08/16/2022
Permit Category:ePermit
Site Address: 4472 Lynx Ct
Lot:8 Block: 1 Addition: Fawn Ridge
PID:10-25800-01-080
Use:
Description:
Sub Type:Fixtures
Work Type:Replace
Description:Bathroom(s)
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.
All tiled shower bases require a water test.
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
John H Kollofski
4472 Lynx Ct
Eagan MN 55123
(612) 370-6215
Perfection Plumbing Llc
20530 Keystone Ave
Lakeville MN 55044
(612) 867-1192
Applicant/Permitee: Signature Issued By: Signature