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4372 Medary AveGITY OF EAGAN Remarks Addition River Hills 9hh Loc i 5 eik 4 Parcel 10 64460 150 04 5- '/?/'? ??r? Owner ?'J Street 4372 MPAary Avt?. State Eagan,MN 55122 ?..C3!J/.t?j?? ? Improvement Date Amount Annual Years Payment Receipt Date STR E ET SUR F. STREET RESTOR. GRADING SAN SEW TRUNK ` frt 1973 148.7 9.91 15 Pai'd ,JEWERLATERAL" 1/7, 1976 2101.6 700.55 3 Paid WATERMAIN rFWATER LATERAL 1976 3 WATER AREA STORM SEW TRK ' ,tSTORM SEW LAT 1976 3 CURB & GUTTER . SIDEWALK STREET LIGHT ? 31 I jQ$Q 67.80 13.56 5 ? RT 205.0 519 6-75 WATER CONN. BUILDING PER. saC 425.0 539 PARK i CITY of EAGAN BUILDING PERMIT oWA.= ... ...... 0,e-.?f?....C?a..r.o?F ............. Addreas (presant) 9.d. ?Z?.......4!?...Z.?.._......Ix...._._..?c?41'lR..SJ?'43? Buildes ....................... a.7-??...hc?_.f... Addrass .... .............. DESCRIFTION ris N° 3625 3795 Pilot Knab Road Eagaa, MinnesoYa 55122 454-8100 Dats . €?.-...:?.7.-.f...:j_...-... Blorias To Be Used Fot Fron! Deplh Heigh! Esl. Cos! Per i! Fe Remarks I ?Da(e ) 7r5 =.20 I ? f?q 75, 5lreel, Road or oiher DescripSion of Localion I Lo! 'Slock Addilion or Tract 43 7 z /?" ? k??r This permit does not au3horise the Xse of sireets, :oads, alleys or sidewallrs nor doea if give the owaer or his agea! the right io creale any siiuation whicy is a nuisanee or which presents a ha:ard !o the health, safelp, eoavenience and general melfara fo aapona in the communily. THIS PERMIT MUST B,E? KEPT ON T PREMIS?E WHILE THE WORK IS IN PROGRE S. // This is !o certify, shat.Fffl_?F.0fR.r... JIC.Qr.`.... permissioa to eree3 a...... i?d.?,[.11J2 . ........................ .. .._upon e f ' the Ci f EagBn. the above described pr ise subjecY to the provisions of all applicable Ora-0. -•--?--------•• .??:.j..?'4......... _•--•--••_°-------. Pe ......... . - .... . ............................................................. Mayor BuildlnQ Iaspec2oz CI'ZY OF E;r:AN 3795 Pilot Knob Road Eagan, NLinnesota 55122 PERNLiT NO.: 7n7 The City of Eagan hereby grants to gay N_ Wa7Y_ar Fir3at?ng ? A/C l70_ Of dFi47 'Ir-aao-Avannn Sn-'Mnlc_ SS407 a Permit for: (Owner) wt.,.?4?T Tovoln?mont 437 dary Ave. and at 4,34 bwtA3'Ig Rvo , pursuant to application dated 71?12j7s . Fee Paid: 94000 dated this _2jL_day of 79 • 1.00 s/c Building Inspector Mechanical Permits: Bid Total: J fA, ?i??-2i /?i//S ??j CITY OF E;`,GAr1 3795 Pilo-G Knob Road Eagan? Minnesota 55122 PENNIIT NC.: 537 The City of Eagan hereby grants to Thompson PlwnbinQ Co. of Minnetonka a PLtRMBING Permit for: (Owner)Windsor Dev. Corp. -32$3=4a1azk -n-f 0 7 i s8d at-d"---?c) -tcalf , pursuant to application dated J'aly Fee Paid: _g80_00 dated this Ci_ day of r„g_ y, 19 7S • 2.00 s/c Building Inspector Mechanical Permits: Bid Total: YILLARE Of EA(iAN 379i'PiIW Jjnob Road Eogon, MN 54122 2oning: Owner: Address: /J-- Site Address: Plumber: _Thompgp Meter No.: Size: WATER SERVICE PERMIT PERMIT NO.: _1787 DATE: 8?75 No. of Units: 7 an Charge2IIri 00 pd Deposit: Reader No.: Permit Fee: ._14.00 pd 1 ogree to eomply wifh the Viilage oF Eogan Surcharge: _ .50 pd Ordinonces. Misc. Chazges: 60.00 pd Total: BY Date Paid: Date of Insp.: Insp.: YIlLA6E OF EACAN WATER SERVICE PERMIT 3795-01 Yi't'w.+ub Road PERM[T NO.: 1-011 Eagan, MN 55122 DATE: -_ Sf 26/75 Zoning: _R],---_-_-? No. of Units: Qwner: Address Site Add Plumber: Me? No.^_c"'!/e5"G•: S ae:.?"_??' JE?<? Gk- Reader No.: ?L ??1=LL__._ I 9gr/eeto complr with the Villoge o{ Eagon Ord4ofi7ces. 8y Uate of Insp.: Connection Charge:2n_nfl nd Account Deposit: ____ _ Permit Fee: 10.00 billed Surchazge: •50_billed Misa Charges: _6D_. QQ_.j2d Totai: _ Date Paid: _ [nsp.: I MASTER CARD LOCATION OWNER 40,ftdf,r y??• STRUCTIJRE AND ? LAND USED AS m ? ?? '1 J) Permit No. Issued Issued To Contractor Owner BUILDING PLUMBING CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING -P ? GAS INSTALLING ? SANITARY SEWER OTHER I OTHER I Items Approved (Initial) Date Remarks Distance From Well FOOTING ??/ , /J/ ?x SEPTIC FOUNDATION ? 4 CESSPOOL FRAMING ?-3 ,' - TILE FIELD FT. FINAL ELECTRICAL HEATING DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING % ,? ? r.- WELL SRNITARY SEWER Violations Noted on 8ack COMMENTS: COMPLIANCE INSPECTION 1tEPOKTS TO 8E USED ONLY IN EVENT OF OBSERVED VIOLATIONS PERMIT NO. DATE OF INSPECTION j CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE OBSERVED. ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. n NON-COMPLIANCE. BUILDER WILL COMPLY IJ WITHOUT DELAY. ITEMIZED AND DESCRIBED AS FOLLOWS: NON-COMPLIANCE. BUILDER DOES NOT INTEND TO COMPLY. ? COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. ? REIhlSPECTION REQUIRED REINSPECTION REVEALED DATE OF REINSPECTION CERTI FICATION - I certify that 1 have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require- ments for off•sit= improvements relating to the propeny inspected.. . . F-I ALL IMPROVEMENTS ACCEPiABLY COMPLETED COMMENTS: BUILDING INSPECTOR DATE ?. J 23 YILLAGE OF EAOAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: 2570 Eagon, MN 55122 DATE: - 8/26/75 Zoning: RIL No. of Unita: 1 Ownei: WlIId30Y D2V. COY'P. Address: Site Address372 Medary Plumber:Thompson Plumbing Co. 1 agrsa to comply wiM tha Villoge oi Eogan Connection Chazge: 425.00 pd Ordinaneas. Account DeposiL• Permit Fee: 19:00r n#3feci - Surcharge: .50 billca - Ry: Misa Charges: Date of Insp.: Totat: Insp.: Date Paid: YIWOE_n? EAOAN 3795 Pilot Knob Road Eagan, MN 55122 Zaning: Owner: Addreas: Site Address: _ Plumber: T+elmns SEWER SERVICE PERMIT PEAMIT NO.: 2548 DATE: SI5/75 No. of Units: 1 I agroe to eomply with the Village of Eagon Ordinoneas. By: Date of Insp.: Insp.: Conn cun Chazge:425.00 Pd Accou t Deposit: Permit Fee: 10.00 pd Surchazge: • 50 pd Misc. Chazges: Total: - Date Paid: 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 ? 30 •?' v 651-675-5675 Please complete for modifications to existing residential dwellings. Date 1 L91147CA,"T'if Site Street Address ???1k.W Unit # Property Owner Telephone # W) . Contractor Address 7 Telephone # ? The Applicant is: Xowner _ Contractor _Other Alterations to existing dwelling $ 50.00 _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _Water Turnaround (add $121.00 if a 5/8" meter is required) Other. Water Softener Water Heater $ 15_00 _ replacement _ additional X Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 State Surcharge $ .50 Total $ 30, ? I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be i a with the approved plan in the event a plan is required to be reviewed and approv . ?' rz /S 0r2?. Applicant's Printed NtMe Applica Signature TRTT" 7MR APR 2 7 2004 PERMIT City of Eagan Permit Type:Building Permit Number:EA118402 Date Issued:10/31/2013 Permit Category:ePermit Site Address: 4372 Medary Ave Lot:15 Block: 4 Addition: River Hills 9th PID:10-64400-04-150 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 . Doug Amundson 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 - Andy Stephens 4372 Medary Ave Eagan MN 55122 (319) 366-0575 Precise Exteriors Llc 14023 Fountain Ave N Hugo MN 55038 (651) 206-9168 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA121613 Date Issued:04/09/2014 Permit Category:ePermit Site Address: 4372 Medary Ave Lot:15 Block: 4 Addition: River Hills 9th PID:10-64400-04-150 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. 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 - Andy Stephens 4372 Medary Ave Eagan MN 55122 (319) 366-0575 Precise Exteriors LLC 14023 Fountain Ave N Hugo MN 55038 (651) 206-9168 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA128131 Date Issued:10/27/2014 Permit Category:ePermit Site Address: 4372 Medary Ave Lot:15 Block: 4 Addition: River Hills 9th PID:10-64400-04-150 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater & Water Softener 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. Eric Bruckmueller 3992 Pennsylvania Avenue Eagan, MN 55123 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - Andy Stephens 4372 Medary Ave Eagan MN 55122 Bruckmueller Plumbing Inc 3992 Pennsylvania Ave Eagan MN 55123 (651) 686-6696 Applicant/Permitee: Signature Issued By: Signature Date: C!ty of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use Permit #. I Q 5 r,-.'411 412 / . 69 Permit Fee: C'c- ��rr Date Received: 7-/ l Staff: P 1 1 2016 RESIDENTIAL BUILDING PERMIT APPLICATION /1 Site Address: Z/3'7�UZ- Unit #: SI ent/ e Name: fN` R6,71N --7/I A/S Phone: /9- 566 - 6,--7-5---- 7 Address / City / Zip: /i Applicant is: Owner x Contractor /7P__ / Type of MA�t k Description of work: Construction Cost: �/� eQr--- RAW/ /2t#g01>6 i - G, S770 Multi -Family Building: (Yes / No .:.<') n r�Gt©t Company: IZf P -g- 0171,10P/- s Contact: 6-fi92t-e5 //rhZaL Address: '9/7 E__wr6 ,,,-, s� City: <T t- State: /r/iv Zip: 4/O7 Phone: 6fZ'L//y SYYY Email: License #: gC. L�Z9 %5 7 Lead Certificate #: If the project is exempt 1-k from lead certificati A gE pts,_ n, please explain why: d 11; A_K ' 411 S c-6. -/1/1 . In the last 12 months, Yes No COMPLETE THIS has the City of Eagan If yes, date and address AREA ONLY IF CONSTRUCTING A NEW BUILDING issued a permit for a similar plan based on a master plan? of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: Phone: Phone: and su .poor documents#hat � A 9ou sub rt are con ter c'► to Abe pubs%c the information m d e classified as noneprovidespecific reasons thhat would a r»rt the y cone/ g „are; tradecrets. to CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq 1 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 1 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 •% -V ere Applicant's Printed Name Applicant's Signature Page 1 of 3 111\ cifil `I DO NOT WRITE BELOW THIS LINE /3%c5 \ SUB TYPES Foundation r Single Family Multi 01 of Plex Fireplace Garage Deck Lower Level Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) WORK TYPES New _ Interior Improvement Addition _ Move Building yG Alteration Fire Repair Replace Repair Retaining Wall DESCRIPTION Valuation `i 2, Doo, Plan Review (25% 100%?" ) Census Code # of Units # of Buildings Type of Construction V fj REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Foundation Before Backfill Roof: _Ice & Water Final Framing 30 Minutes 1 Hour Fireplace: _Rough In Air Test _Final Insulation Pool Siding Reroof Windows Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant Occupancy /2C —1 Code Edition 014 Zoning Stories Square Feet Length Width Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: %® r✓1 in; )C/y/4- 2 -( fao MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Pool: Footings _Air/Gas Tests Final Drain Tile Siding: _Stucco Lath Stone Lath Brick Windows Retaining Wall: Footings _ Backfill Final Radon Control Fire Suppression: _Rough In Final Erosion Control Other: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2of3