4296 Jasper Dr
Use BLUE or BLACK Ink
•
For Office Us4
I
City of E ap 0~ I Permit
~ I
Permit Fee: gv v y
3830 Pilot Knob Road I
Eagan MN 55122 j Date Received: _
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
2010 MECHANICAL PERMIT APPLICATION
Date: Site Address: q(4
Tenant: Suite 5-r
=4a4 L
RESIDENT / OWNER Nam : Cry P W .
Address /City /Zip: ` 9kq J:_-q'sf~
Dan Wohlers Southside Htg. & A/C j4 -7 qg -1
CONTRACTOR Name: _ 6950 W. 146' St., #106 ~icens~
Address: _ Apple Valley; MN 551 4 City:
State: _ (952) 431-7099
Contact: a -d 1 C_ Email: L, oh terJ 5outhS1 de @.A-c HE:'-m
TYPE OF WORK New VReplacement Additional Alteration Demolition n-
Description of work: yQC~ C0'U
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical inspector for information on permitted screening methods.
PERMIT TYPE ✓ RESIDENTIAL COMMERCIAL
_ Furnace _ New Construction _ Interior Improvement
/Air Conditioner Install Piping _ Processed
_ Air Exchanger Gas _ Exterior HVAC Unit
_ Heat Pump _ Under / Above ground Tank Install / _ Remove)
Other " When installing/removing tank(s), call for inspection by Fire
Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $State Surcharge) '.t6 ,EV)
$90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x1%
$50.50 Minimum (includes State Surcharge)
$ Permit Fee
- If Permi Fee is less than $1,000, surcharge is $.50.
- If Permit Fee is > $1,000, surcharge increases by $.50 for each Surcharge
$1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge).
TOTAL FEE
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.gonherstateonecall.org
I hereby acknowledge that this information is complete and accu(ate; 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 staff wi out a permit; that the work will be in accordance
with the approved plan in the case of work which requires a review and approval o" a
C._6ic~ c~)i
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground - Rough In _Air Test _Gas Service Test _In-floor Heat Final
Exterior HVAC Screening Inspection
G1TY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
INSPECTION REC4RD I Control No. 7 7
?
`- PERMIT TYPE: et+ r i. ? r?A ;
Permit Number:
Date Issued: 10/13/92
SITE ADDRESS: taT; 16
4296 JASPt:R A1t
cEaaR aROve 2*0
PERMIT SUBTYPE?:
',f Ac?nIt Iu
ta L jjr APPLICANT:
AlltiN CpMS7' C0. itAMoY
(622) 4$1-3396
TYPE OF WORK:
qrN
OrSCIPIIdTTOM 1--31°ASON
INSPECTION
F??aT ? a1R . .
f UAN r Nci ..
114SULAI"[4N F'Y'11qL
I
?
0
_L
Permit No. PArmk Holder Date Taiephone #
S/W
PLUMBI?JG
HVAC
ELECTFiIC
E
ELECTRIC /,R Isc
Irropectlon Qete
ktsp. J
' Ganmants
Foatings I
Fourtdatlon
Framing
t /7
Roofing
Rough Plbg.
Rough Htg.
Isul.
FireplaCe
Final Htg.
Oreat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final
Deck Ftg-
Deck Final
Well
Pr. Disp.
FCITY OF EAGAN
Remarks CBda.T' Grove AC4US1t,10i1 _
Parcel 10 16701 160 02
State Eagan,MN 5122
Improvement Da Amount Annual Years Payment Receipt Date
STREET SURF. 8& 1
STREET RESTOR.
GRADING
SAN SEW TRUNK
# SEWER LATERAL 97 1304.00 . P2.id
WATERMAIN
# WATER LATERAL 1972
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN,
BUILDING PER.
SAC
PARK
EAGAN TOWNSHIP
?/? BUILDI?Ny?G PERMIT
Owne: '6<`,.!--... .. , -.. .. ?'_:`?
7 ( ?.
Address (P=eseni ?..-??'L;..??...i. ... l,C6rtZ?ec•? '?"" `"--!
Buildes ...>_..----------------.?G.?.4:t...E!-.?c?------............___.-----
Address
DESCRIPTTON
N° 624
Eagan. Township
Town Hall
Date .:?:__.. .... Z
...........
Sfoxies Ta Se Used For Froni Depih I Heigh! Esf. Coef Rermii Fee Remarks
This permil does not aufhorize the use of sYreeis, roads, alleys or sidewalks nor does if give the owner ox his agenS
ihe righlio crea3e any siiuation whiah is a nuisance or which presenis a hazard Yo the healih, safety, convenience and
genesal welfare !o anyone in the Communify.
THIS PERMIT MUST??PE?$Ri3ILE THE WORK IS IN PAOGRESS,// v
This is to aerfif ., !ha .. .. .?s t .d?'....... as permission fo erecf 4= : .... .. ...... _ ... upon
the above descxibed premise subjec! 3o the provisions of iheBuilding ' c ?Tewp adopfed April 11,
1955.
---- ------ . .... .. Chairman ....._.__.... Per
_'
._ of .. Board..........
Town ? -------- ' Xt $uilding Inspector
00
18816 io&?E(e,
/oao 9 / ! 4 1 a? °°
Request Date
q Frte No. Rough-inspecLOn
Reqwred?ln
? Reatly Now *?II NoM1fy Inspector
When Ready?
? Ves Na
1 21 licensed contractor ] owner hereby request mspection of above electrical work at.
.b0 Atltlress (SVeet Box ar Rome No )
4 Z 9 J rIll
Dp, Ctly
4E?-A6-A-A)
Secoon No Townsrup Name or No. Fenge No COQPN
OccupantlPRINT)
P,o, VN. M tTL Phone No.
q s4 -
75sS
Power Suppber
N S. F,. Atltlress
30 ao wl e*x u
ElecIDCal Gonlractor ICOmOany Nama) Co <lors L¢ense No
. )? -.? 49-ZFi-7W1 c_ .4 6l 23 72
Matling Address ICOncracmr or owner Making Installationl
a8/ S- a1 Q,> l?9G-?-? wi nr. ? S' Z
Authori e namre fCon ac, rOw r kmg Installanon) Pnone Num?er
3f P?
MINNE TA pTE BOARD OF ELECTFICITY THIS MSPECTION FEQUEST WILL NOT
Gngga-Mttlway Bidg - qoom 5-173 BE AGCEPTEO BV THE STATE BOARD
1821 Unrversity Ave, St Paul. MN 55104 UNLE55 PFOPER INSPECTION FEE IS
Phone(612)6<Y-0800 D ENCLOSED
161, Cj? REQUEST FOR ELECTRICAL INSPECTION
?:3?.=lN5q:? ea-oooo yy-o
?
18
816 ? See mslmcLOns lor comptetmg Ihis folm on back ot yellow cropy
`X"4e1ow Work Covered by This Request O
ew Add ReF F- TypeoiBmlding AppliancesWired EquipmentWued
Home Range Temporary Service
Duplex Water Heater Eleclnc Heating
Apt Budtling Dryer Otheo-(Specdy)
Comm.llndustrial FurnaCe
Parm Air Conditioner
Other(sVemty) Conlraclorsiiemarks' ?WAIlO ,Pwire LI 7/
Compute Inspecbon Fee Below
# Other Fee # SermceEntranceSrze Fee # CircuitslFeeders Pee
Swimming Pool 0 to 200 Amps 0 to 100 Amps / Z ?
Transformers Above 200 _ Amps Above 100 _ Amps '
SJfIS inspemor5 Use Onry.
TAL
^
Irrigation Booms ??
? ?S
D
Special Inspeaion
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 Mfflis.
I, the Electrical Inspector, hereby R°°9n-'"
? oare q
ceAity that the above mspecnon has
beenmade. F,,,ai atte
OFFICE USE ONLV ?
TM1is reGuest voitl 18 months irom
J ?o8?lyzr
Fequast Date ire No Rl InspecUOn
Reqmred'+
? Ready Now ?Will Notify Inspector
f_??
10 ? ? Ves C No Wnen Reatly'
IILlicensed contractor p owner hereby request inspection ot above electncal work at.
Job Aatlress (SVeet Box ar Route No )
' Ciry ?
ab ,r r -
Seaon No Townsnip rvame or No Range No Coull
b/Q
OccupanllPRINTI
1 Yd ?IA?'l?l Phonel 'No
'lJ "1? lJ.5.5
Power Suppher Htltlress
Elecmcal Conhactor ComOany Name) ConVac[or5 License No
r Ol
Madmq Aearess ICOnir or Owner Ma lallation?
0??'15?
s
N ? la-I
n
c
AoiM1Onze racto wcer Making InslallaAOn, Phone NMumber n
?vV ^-3Yq ?
MINNESOTA STqTE BOAFO OF ELECTRICIT THIS MSPEQION PEOUEST WILL NOT
Gngge-MiEway Bltlg. - Room S113 9E AGGEPTEO BV THE STATE BOARD
1821 Universtly Ave, 51 Paul. MN 55104 UNLE55 PROPEF INSPECTION FEE IS
Ghone(61P) 662-0600 ENCLOSED
y?---
K ? $22
REQUEST FOR V ECTRICAL INSPECTION
? See insvuCionrloi mmpti^9 this Idlm on back oi yellow copy.
"X" Below Work Covered by This Request
x6?em"C?EB-00001-08
,loaa9
ew Atld Rep. TypeoiBuddmg ApphancesWired EqmpmeniWired
Home Range Temporary Service
Duplez Wa7er Heater Eleclnc Heatlng
Apt Bwlding Dryer Other-(Speafy)
Comm/Industnal Wmace
Farm Air Condnioner
ptner (syeciy) Conlrecror's Ramarks 2,''18
? UC 71ld(.? 1
Gompute Inspection Fee Below:
# Olher Fee # ServiceEnVanceS2e Fee # Qrcutls/Feeders Fee
Swimminq Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Ahove 100 _ Amps
SIgnS Inspecmr§USeOnly
' TOTAL
Irriqanon Booms /
s?J` / 3(9SU
Special Inspection
4
Alarm/Communication
THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Ot
her Fee COMPLETED WITHIN 18000 THS., ? f
I, the Electrical Inspector, hereby Rougmin ace U y??Y
t?
certify that the above mspection has
been made. F,nei f ,
oaie
?
OFFICE USE ONLV F
Thrs request void IB montM1S Irom
S?
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
651•681-4675
New ConsWction Reouiremenb
• 3 registered site surveys showing sq, ft. of lot, sq. fl of house; arM all roofed areas
(20% mazimum lot coverage allowetl)
• 2 copies o( plan showirig beam & window s¢es; poured found design, etc.)
• 1 set of Energy CalcWatlans
• 3 copies of Tree Preservation Plan if lol platted afler 711193
. Rim Joist Defail Options setectbn sheet (bidgs with 3 or less uniGS)
DATE _9`9 "L)r}-
SITE ADDRESS
TYPE OF WORK TleC--C?A,?
re
APPIICANT
i
_MULTI-FAMILYBLDG _Y tN
-S FIREPLACE(S) _ 0 _ 1 _ 2
STREET ADDRESS I Jnited Construction Inc. _CITY STATE_ZIP
TELEPHONE # 1775 T sda1EOve eqt FAX # cl a4cs- 13 4'f
^L_--,---- ?? MN 55317 6a-3(?Ic-?9 4 g
PROPERTY
TELEPHONE # &SI -459 ' 1 s^SS
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESO'TA RULFS 7670 CATEGORY 1 MINNESOTA RULL:S 7672
(J submission type) • Residential Ven6latlon Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhactor:
Plumbing system includes:
Mechanical Confractor:
Meclianical system includes:
Sewer/Water Conhactor:
_ Air Condiboning
_ Hea[ Recovery System
Phone #
Phone #
Fee: 570.00
----°--------------------°----------°°---°°----------°---------------------°-----------°-------------------------
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan OrdinanSps. I j_
Signafure of Applicant /? 4A.--
OFFICE USE ONLY
_ Water SoEtener
_ Water Heater
_ No. of Baths
iL4a. -
RemodailRaoair Reauirements
• 2 copies of plan
. 1 set af Energy Calculations for heated additions
• 1sHewrveyforexterioradditions&decks
• Indiwte "rf trome served by septic system for additions
p0
VALUATION b, SUO •
Phone #
Lawn Sprinkler
_ No. of R.I. Baths
Fee: $90.00
Certificates of Survey Received - Tree Preservation Plan Received - Not
_k CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
BUZLDING
001625
10/13/92
SITE ADDRESS:
4296 .7ASPF.R UR
LO'T": 16 BL[1CK: 2
(:EOAR GROVr 'LND
DESCRIPTION:
-Build3ng
Building
UBC Oacu
Suilding
Building
?
4-5EAS0N
Permit Type
Work Type
pency
Length
Width
4 °•
i.
SF ADpITION
NEW
R-3
20
ze
? ? ; ? ;, ? ?.7 •?? '??-, lF: ;.? ? ; ' ,.'?? ? . ,:t I ( ? ? /, -'? I-r??
L:'?
REMARKS: C C)31'}?j?
FEE SUMMARY:
VALUflTION
Base Fee
Plan Review
Surcharge
Lir.. Saarch
7ota1 Fee
$22 000
$225. 00
$146.25
$11.00
F e e 0 0
$387.25
CONTRACTOR: - Applicanr - sT. LT pWNER:
RHEIN CfJNS"f C0, RANDY 14613336 000331 HIJTZFL RSCHWND
8600 237TH ST E 4296 JASPER DR
LAKEV:[I.LE MN 55044 EAGAN MN 55122
(612) 461-3336 (612)454-7555
?
I hereby acknowledge that T have read this application and staCe thaC the
information is correcC and agree to comply with all applicable State ofi Mn.
Statutes and City oF Eagan Ordinances.
i(2j4o? c A APP ITE SIGNATURE IS pII? Er. ?.PNA UIE k
Controi No. 1177
PERMIT A
REACTIYATE _
I 4 AS
CITY OF EAGAN
1992 BUILDING PERMIT
681-4675
APPLICATION $34 is
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
speclfications, 1 capy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in Nhich re uest is made or lot chan e is re uested once ermit is issued.
Date Of"vb2?" Q'Z- Yaluation of work 61ljZ-9
Site Address: ?-29(o a..sjoE2 D2
STREET SUfTE !
Tenant Name: (cammercial only)
LOT BIACR Z SUBD.C_,P-dOor GrcP4e- P.I.D. 0
Z Avc,-r,c?
Descri tion of work: - Seo?s? -
The applicant is: O Owner O-Contractor ? OtI121' (Deacrfbe)
Name +-zaL ,c Phorie `?' -7555
Property ??sT FIRST .
Owner
Address _ 4294, JA-sv£rc D2'
STREET STE N
City State ?K Zip SS t 2-z
Company ? ?e?vL ?'o? ?ru ?« Phone ,:!?(od-333 (o
Contractor Address 194aOU 23?'r'?' 5+- E_ License # g?Zll Exp.3 /
City kto?.{?eQt I e b+v? State M 14.. Zip SSO4-4
Company Phone
ArchitecU -
Engineer Name Registration #
Address
City State Zip
Sewer 3 water licensed plumber . Processing time for
sewer 5 water permits is two days once area as been approve .
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply ' all applicable Sta f Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant. ?
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 11 Apt./Lodging
O 12 Multi. Misc.
? 13 Garage/Accessory
? 14 fireplace
? 15 Deck
? y?
O 01 Foundation
? 02 SF Dwg.
`rl?, 03 3F Addition
A0 04 SF Porch
? 05 SF Misc.
? 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
WORK TYPE
? 16 Basement Finish
? 17 Swim Pool
O 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
F(32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Air Basement sq. ft. MWCC System
SAllowable) lst fl. sq. ft. City Water
UBC ccupancy p-3 2nd Fl.?sq. ft. PRV Requlred
Zoning Sq. Ft. total Booster Pump
?' of Stories Footprint Sq..ft. Fire Sprinkler
Length ? On-site well Census Code y3
Depth On-site sewage SAC Code
APPROVALS C<2,AsKs bo? ?
CXna-A.c U..,..:y d.
Plannirrg Building Assessments
Engineering Variance
REGIUIRED INSPECTIONS °
? Site ? Footing P.'Framing *47f Insulation
? Nallboard ? Final O Draintile ? Fireplace
Permit Fee ZZS`o.* valustion: g 2?, D a v"
Surcharge 11,00
Plan Review
License ? ??? = ?{O? XS3
MWCC SAC
City SAC ?
Mater Conn.
Water Meter ,
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
CoP ies
Other
Total:
,
SAC 96
SAC Units
,6S ?zzl
.. I/? i Q? i? S?O?L`? ? 2 r
- ,n
i
?
?
?
?
?
.y
- ??
? 1 ed,• 1
lo0 0 0
••
..:??;??"?;__- ??";??f?3`-?")•=3? ? D?7?.3a •1
------ ?
S7ATE OF MN DEPT. OF q
:33 East Seventh St
St. ?aul, MN 55101
(612) 296-6319
LUILDING CONTRACTOR
>MMERCE
f _._..h
?'
? , 3?..
ID#00033ii
RESIDENIIAL CONTRACTOR
I.IaID PROPRIETOR
Icsued. 01/30i92-03I31i93
RpPJL1ALL J RHEIN
Rt-iEIN RANBALL J
8600 237TH ST E )00
LAKEV I LLE i•iN 55044-0000 10 0 4
)00
G? . ?a
C?
,: •?
: ",_) JJ1_t J _? _> > fe•
? .>404
O( _)o•
C•..?
--
----??
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA089154
Eagan, MN 55122 . Date Issued: 05/13/2009
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 4296 Jasper Dr
Lot: 16 Block: 2 Addition: Cedar Grove 2nd
PID 10-16701-160-02
Use
Description:
Sub Type: e-Reroof Construction Type:
Work Type: Replace
Description: House
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
Valuation: 3,000.00
Total: $90.00
Contractor: -Applicant - Owner:
Ludzack Construction Inc Richard J Huizel
13485 Skyline Circle 4296 Jasper Dr
Shakopee MN 55379 Eagan MN 55122
(952) 445-9067
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