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4017 Johnny Cake Ridge RdAddress 4Q\-1 ? ntin??l L--a `htz QS; ractio- Y'?c? Zip 5512 e? Lot Blk Sub 0c0k ?.c v THESE TI'EMS WERE / WERE NOT COMPLETE AT TI-IE TIME OF THE FINAL INSPEGTION. Date: Yes No Inspector: Final grade (6" from siding) Pennanent steps (gazage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded gass TraiUcurb daznage Porch Basement finish Deck Please verif}' with the builder the removal of roof test caps from the plumbing system and the shuboff of water supply to the outside lawn faucet before freeze potenfial exists. Contact engineering division et 681-4645 before working in right-of-wey or installing underground sprinkler system. ? White - City Copy Yellow - Resident Copy Pink - Contraccor Copy 2004 RESIDENTIAL BUII.DING PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 e_a" ,C) o `1•2j NewConsWctlonReouiremenfs RemodeVReuairReauirements ???'??? ???? 3 registered site surveys shaving sq. R W bt sq. R oT Fwuse; aM aV ioofed areas 2 copies of plan '.: :?-y?' ??'?? -.. -? . (20% maximum bt coverage albwed) 1 set ot Energy Calalations fw h?ted addNOns - 2 copies of plan showing beam & window sizes; poured found design, eh. 1 slle survey Por addiGons & dedn 7 sel of Eneagy Calwlations AddUbn - indicafe if on-ste septic sysfem _ .. 3 coples of Tree Praservation Plan if lot pWtled after 711193 Rim Jaisl Deiail Options selection sheet (bldgs wtlh 3 or less unifs Date ? O `f' j Site Address ? y Co/?stru/ction Cost l?C fX J N 5 L vl?v Unit/Ste # Description of Work Lc w-e-1- IoV e! ? liI S? Mutti-Family Bldg _ Y? N Fireplace(s) _ 0? 1 _ 2 Property Owuer n V 1' 46 C ?l P Y1 i 3 Telephone # ( Contractor Address State Zip City Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Iviinnesota Rules 7670 Categ-ory I Minnesota Rules 7672 Energy Code Category . Residen8alVentilafion Category 1 Wwksheet • New Energy Code Wwksheet (Jsubmissiontype) Submitled Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone #( I hereby apply for a Residential Building Permit and aclrnowledge 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 pemut, but only an application for a permit, and work is not to start without a pemrit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval ofplans. Applicant s Printed Name Applican' Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OS-plex ? 13 16-plez ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi O 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-piex O 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ??? y? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? Pibg_Y or_ N 0 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish FoundaGon ? 45 Fire Repair ?6, 33 Alteration ? 37 Demolish Buiiding• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolitlon (Entlre Bid g) - Give PCA handout to applicant 9 ' Valuation ?C C." o Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bidgs Length Fire Sprinklered Type of Const 141& Width _ Footings (new bldg) _ Footings(deck) _ Footings (addition) _ Foundation Drain Tile Roof Ice& Water Final ?C Framing ? Fireplace _ R.I. _ Air Test _ Final ? Insulation REQUIRED INSPECTIONS FinaVC.O. )r FinaVNo C.O. Plumbing HVAC Other _ Pool Ftgs _ AidGas Tests Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Approved By: rln , Building Inspector Base Fee Surcharge Plan Review MClES SAC City SAC Utility Connection Charge S&W Permit 8 Surcharge Treatment Plant License Search Copies Other Total 'ds ? 7o ? 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date --A / ? 0ii ! C) `f Site Street Address qU 1'-1 7S O?v? V? JL 1-0 Unit # Property Owner Telephone # ( ) Contractor_ A-a *k S,j ? Q v? g-e VI i Telephone # (?? ) 3b5- 5 1?55 Address City State Zip The Applicant is: _ Owner _ Contractor _Other Alterations to existing dwelling _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: VY?R v?" ? V\ i ? $ 50.00 Water Softener _ Water Heater _ replacement _ additional_ $ 15.00 Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 State Surcharge $ .50 Total $ s-o 'S 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 in accordance with the approved plan in the event a plan is required to be reviewed and approv d. !/?rµLw MAL? I?; ? ' ?? ??1? Applicants Printed Name Applic Ys Signature Siteaddress: 0 51An Ee?Lot?rBlock? Subd. ?ar.`aCeaJC? On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the following information be submitted prior to issuance of a Certificate of Occupancy. _ This structure: is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670 / OR C/ This structure: will be constructed to meet more resVic6ve requirements of Chapters 7672 or 7674 APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTINGTYPE Water Heater Z105a45- J?? Fumace ? (?v??? ??3-?IFC- ,$?{Qd lJ;re f Dryer EXHAUST SYSTEM LOCATION TYPE MODEL CfM's VENTED YES No Kitchen kitchen Bathroom 1 41711,x & a Q .on`G FV- €?9 Bathroom 2 I(" 1 t f-J _CG (/D ? Bathroom 3 Mag?t? J3raa.? --gp C) Batnroom a h l l S If "'S? `?Z' Other FIREPLACE S LOCATION GAS WDOD MANUFACTURER MODEL BTU'S VENTING oIRECT A7enOS ? ? ?C?+o ?? ? 7a°o ? MAKE•UP AIR MODEL TYPE CfM's ' I hereby acknowledge lhat the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan requirements. /e/ /7`O Z Sign ture Date CompanyName ' This form is the responsibility of the General Contractor. m ? ? - s 3as3 ?L ?ESID?TIA?L? BUILDING PERMIT APPLICATION CITY OF EACAN 3830 PILOT KNOB RD - 55122 651-681-4675 N¢w Construction Reauirements • 3 registered sde surveys showing sq, ft of IW, sq. ft. of house; an?ll roofed areas (20% maximum lot coverage albwad) • 2 copies of plan shawing beam & window sizes; poured found design, etc.) • 7 set W Energy Calculalbns • 3 copies of Tree Preservation Plan if lot platted after 7/1l93 ?????? • Rim Jolst DeUil Options selec?GOn sheet (bldgs wifh 3 or less units) DATE -7TI? - JOB SITE ADDRESS Oi 7c- ,SZ) 70- Sa Stg/, 3?- Q"Zf RemodeVReoairReouirements . 2 copies of plan 1 set of Energy Calculations for heated addiUons • 1 site survey for exRerior addltions & decks / • Indipteifhomeservedbysepticsystemforadditions 7 VALUAfION I I D IF MULTI-FAMILY BUILDING, HOW MANY UNITS? ? PROPERTY OWNER ?? 144 ^ TYPE OF WORK FIREPLACE(S) _ U Z-l _ 2 APPLICANT PHONE# (o ? ? Yn S? "? ADDRESS F/S ZIPCODE PAGER # CELL PHONE #+ ? I Z 'Y?e L?_S Y/ FAX # NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category MINNE50TA RULInS 7670 CATEGORY ]p ?'j ? Q??? (check one) - Residential Ventilation Category 1 Worksheet S IY i ed - Energy Envelope Calculations Submitted JUL 1 1 2002 ? _ MINNESOTA RiJLES 7672 - New Energy Code Worksheet Submitted By Plumbing Contractor: (? `'A L, ? ? \ Phone #.4?2 ) Z- 'y ? z- Z / z ? Plumbing System Includes: Watcr Softcncr Lawn Sprinkler ?Fee: $90.00 Water Heater No. of R.I. Baths No. of Baths l // ? Mechanical Contractor: ?.tt ( NC Phone # y S ??y 5 y Mechanical System Includes: Air Con 'tioning ' r I+ee: $70.00 Heat Recovery SysYcm Sewer/Water Contractor: ?? Phone #'7 All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state th the lnfor, ation is correct, and agree to comply with all applicabie State of Minnesota Statutes and City of Eag rdnan? s. ?? /?.? ? ? ? Signature of Applicanf Certificates of Survey Received ? Tree Preservation Plan Received Not Reqwred Updated 2002 -44 ?- OFFICE USE ONLY ? Ot Foundation ;K 02 SFDwelling ? 03 01 of _ plex ? 04 02-plex O 05 03-plex ? 06 04-plex ? 07 OSplex ? 13 16-plex ? OS 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage 0 10 08-plex ? 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg_Y or _ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn.(4-sea.) ? 23 Parch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Eut. Alt - Multi ? 33 Ext. Alt - SF O 36 Multi tK 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition 0 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Endre Bldg only) - Give PCA handout to applicant Valuation v°'L ? Occupancy ? MC/ES System Census Code / Zoning ? City Water SAC Units 0/_ Stories ? Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const ? W idth REQUIRED INSPECTIONS ? Footings (new bldg) FinaUC.O. _ Footings (deck) FinallNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC _ Drain Tile Other Roof Ice & Water Final Pool Ftgs Air/Gas Tesu Final ? Framivg Siding Stucco Stone _ _ *Y- Fueplace y R.I. ?AirTest \, Final Windows(new/replacement) Insularion Retaining Wall Approved By r) 1_ , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ?,? x,? ? / rnkrpl" l17? ? y y7? _- '?f A ? , JUL-27-2000 15!33 PULTE HOMES P'IIlcheck COMPLIANCE REPORT MinneBOta Energy Code hINcheck Software Veraion 3.0 COUNTY: Daicota STATg: Minneaota 20NE: 2 CON3TRUCTION 2^IPE: 9ingle Family DATE: 7-2'-2400 DATE OF PI,ANS: 7/27/00 TITLE: DIAMOND WALKOUT fiL&VATION #2 COMPLIANCE: PA89&S Rsquired VA y 473 Your Home = 371 21.64 Better Than Code P. r72,'H2 Fermit Ch9Cke3 by Date lirea or Cavity Cont. Glaaing/Door Perimeter R-Value R-Value U-Jalue --------------------------------------------------------------------------' CEZLINCi6 1887 44.0 0.0 t7ALLS: WOOd Frame, 16" O.C. 2297 19.0 2.0 1 WALLB: Wood Frame, 16° O.C. 297 10.0 2.0 S$MT: Cone. 9.6' ht/8.3' bg/9.0' ineul 152 11.0 0.9 83MT: Conc. 3.51 ht/3.1' bg/3.5' ineul 20 10.7 0.0 i GLAZING: t6lndowe or poore, Above Grade 406 0_360 DOOR$ 38 0.360 HVAC EQUIPMEiVT: Furnace, 92.0 AFUE - - COMPLIANCE BTATSMENT: Thepropoaed building design deecribed here ie corsiatent with the building plana, epecifications, and other oalculatione submitted with the permit application. The pronoeed building hae been deeigned to meet?quSreme??-*nneecta Energy Code. Date 7 Z 7 TG7AL F.CI. LOT SURVEY CHECKLIST FOR RESIDENTIAL • BUILDING PERMIT APPLICATION PROPERTYLEGAL: DATE OF SURVEY: ?- d LATEST REVISION: rn c m U DOCUMEN7STANDARDS Y ¢ O z °o Q ?il? ? ? • Registered Land Surveyor signature and company IJ/ ? / ? • Building PertnR Applicant / n I ? • Legal descnption r?' ' ? ? • Address C1?// ? fz? ? ? • North arrow and scale H ? . ouse type (rambler, walkout, split wlo, spiit entry, lookout, etc.) ?? ? • Disectional drainage anows with sbpe/gradient % C3?? / ? • Proposed/existing sewer and water services 8 invert elevadon ? ? ? • Street name V / ? ? ? • Drneway rB ? ? o • Lot Square Footage 0/11 ? • Lot Coverage ? ? • Benchmark ELEVATIONS Existinq r? ? ? • Sewer service (or Proposed) u3' ? u • Propertycamers ?? ? • Top of curb at the driveway and property line extensions ??? • Elevations of any exisling adjacent homes n q? u • Adequate footing depth of structures due to adjacent utllity trenches ? ? • Waterxays (pond, stream, etc.) Prooosed r/' ? ? • Garage floor G?/ ? ? • First flaar LY ? ? • Lowestexposed elevation (walkouUwindow) ? F? ? . Property comers r9? ?? . Front and rear of home at the foundation PONDING AREA ('rfaDolicable) ? cI ? • Easement line ? V ? • NWL ? L( ? . HWL ? E ? ? • Pond # desgnation ? ? i . Emergency Overilow Elevation DIMENSIONS ?i? ?? • Lot Iines/Bearings 8 dimensions G? ?? . Rght-of-way and street width (to back of curb) la? ?? . Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring pertnanent footings) ?? ? • Show all easements of record and any City utilRies wRhin those easements f!??7 ? . Sefbacks of proposed structure and sideyaM setback of adjacent existing structures t4? ?? . Retaining wall requirements, if any Reviewed: ' Surveyor's Certif2cate SURVEY FOR :PULTE HoMEs \ DESCRIBED AS :Lot 15, Block 2, OAKBROOKE 5TH ADDITION, City of Ebgan, Minnesota and reserving eosements of record. b?\ \ ? / p\Q / \??\9ms/ / / Ge° / / x q2o.o / ? . / L I O W W U1 ? ? N r 0 0?iz-4 Cs pAoini?? Wd0 as ftquired 9? L O T SQ. FOO TAGE = 3,608 HSE SQ. FOOTAGE = 2,367 LOT C01/ERAGE = 669' ' "r A4.0 proposed Rambler 9'p"W W/° S?y?O F Gnrage ".y \ ? \ J ?V ` ? >5.7 9z L9 ? N N ? ` ? O . O W C? U! . ? m ? 1 00 Lo ? q31?5;. 934 .? ? 7,?'?g, `. 4017 JOHNNY CAKE ? RIDGE ROAD ' 4- 1J ., .# PROPOSED ELEVATIONS ? ? Top of Foundation =a3a.5 Garage Floor =433.q Basement Floor =qzs.5 Aprox. Sewer Service =4az.st Proposed Elev. _ C::D Existing Elev. _ Drainage Directions = Denotes Offset Stake = • scnLe: I inc h = 30 I HEREBY CERTIFY TFiAT THIS HEDLUND OF 7HE BOUNDARIES OF THE BY ME OR UNDER MY DIREC7 PLAIVNING BNGINBBRINC SURV6Y7NG SHOW IMPROVEMENTS OR ENS 2005 Pin Oak Drive DA7E Eogan, MN 55122 Phone: (651) 405-6600 Fax: (651) 405-6606 SURVEYED PORT TO N0: 02R-054 14376 I Oakbrooke 5 L? 92?.9 I il 4° I 5 Ua « ED BENCHMARK, rP $L 901,3 Erru = 423 ?e9 MIN. SETBACK REQUIREMENTS Front - House Side - Rear - Garage Side- PERMIT City of Eagan Permit Type: Building Permit Number: EA104819 Date Issued: 06/12/2012 of OD. Permit Category: ePermit E Site Address: 4017 Johnny Cake Ridge Rd Lot: 15 Block: 2 Addition: Oakbrooke 5th PID: 10-53764-02-150 Use: Description: Sub Type: e-Reroof Construction Type: Work Type: Replace Description: House & Garage 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 $4K $103.25 0801.4085 Valuation: 4,000.00 Surcharge - Based on Valuation $4K $2.00 9001.2195 Total: $105.25 Contractor: - Applicant - Owner: Krech Exteriors Inc Vitaly L Malikin 5866 Blackshire Path 4017 Johnny Cake Ridge Rd Inver Grove Heights MN 55076 Eagan MN 55122 (651) 688-6368 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 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA108368 Date Issued:12/04/2012 Permit Category:ePermit Site Address: 4017 Johnny Cake Ridge Rd Lot:15 Block: 2 Addition: Oakbrooke 5th PID:10-53764-02-150 Use: Description: Sub Type:e - Fixtures Work Type:Replace Description:Main Floor Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Mike Schiltz P.O. Box 22172 Eagan, MN 55122 651-681-8252 Fee Summary:PL - Permit Fee (miscellaneous)$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 - Vitaly L Malikin 4017 Johnny Cake Ridge Rd Eagan MN 55122 Hessian Plumbing Services Box 22172 Eagan MN 55122 (651) 681-8252 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA127057 Date Issued:09/19/2014 Permit Category:ePermit Site Address: 4017 Johnny Cake Ridge Rd Lot:15 Block: 2 Addition: Oakbrooke 5th PID:10-53764-02-150 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 - Vitaly L Malikin 4017 Johnny Cake Ridge Rd Eagan MN 55122 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA128103 Date Issued:10/27/2014 Permit Category:ePermit Site Address: 4017 Johnny Cake Ridge Rd Lot:15 Block: 2 Addition: Oakbrooke 5th PID:10-53764-02-150 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 . Lisa Nyberg 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 - Vitaly L Malikin 4017 Johnny Cake Ridge Rd Eagan MN 55122 Property Claim Solutions Llc 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature JA � �� Use BLUE or BLACK Ink For Office Use City of 1 ,3.11 Permit#: i !/J 44g 3830 Pilot Knob Road Permit Fee: /e0 • • vv Eagan MN 55122 Date Received: ("/ ._r8 Phone: (651) 675-5675 Fax: (651 • - .94 L Staff: 447 J 2017 : ' SIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: 0 0 11 n 4 `. /Q Tenant: C_as 11,C;11741% rit art w7, r Suite#: �. ,p11©1 n Name: ems •gi II Phone:65 l S gi v %�{' '?9 ,t), i Address/City/Zip: • To #e_'' Name• l l�J� • J 1q CUU( N� License#: , I` / i. ,k lit r:l n 1. Rti 'ira - {i tt V T Jit•�� 1 u ff . ,, ;?..iol o,0 '• , .j' Address: CifY'c_CY \Y� I C!/i $, � }fi ,f , t State: Y t 0 �/ Zip: „ 3--)nJ 'i1 Y. 1-��"l. ( f14( Phone: S'` .!.'411444e. 41 (�lYt'%l� �s...A,tr,12 ), i Contact: "VI' 1. q• ,/), ,•\ ,a_e_,,c,---.--,lEmail: la.a. i • �L CdL L i iO4;1447, rfv vera'' 'tai _ �%:. GI ,CA/r\__2 + � ,iti l• '';o-rvt• New Replacement Repair _ , itr 1` Rebuild Modify Space Work In R,O.W. .'il'NO)i!t F% f!+"''9'+ .,I Description of work: W ';, ' li, t ,4'RESIDENTIAL { I j 1 r1X g;tl w. b. t fi t. tj %,4 t i' , .k Water Heater • kF a —_ 1111t J' ;= + 4r,.liiill Lawn irrigation ( RPZ/ PVB) —Water Softener t '}'` � Septiiti c Add Plumbing t,t 44; •t1 r ; _ p 'c System Fixtures Main 1Lower Level) Til )r .t?„�,� try, ,} .E 11 j” 2 ikf11°'(xr�i New Water Turnaround ."`irk l�i.,'',:�; ''*. tttMiil t4• ,a,„: Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60,00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (Includes State Surcharge) 'Water Turnaround (add $280.00 If a 3/4" meter Is required) $115.00 Septic System New(Includes County fee and State Surcharge) TOTAL FEES $ 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:orq 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 cordance Ith the ved Ian in t e cas f workwhich requires a review and approval of plans. x ` x � �� Applicant's Printed Name Applicant's Signature r�rtsl}fj,t aattI'� ,�7,t11s,,til�h°� `sy�'�.'1'iit�iiF'+1r�rtt .�h 1¢riQ:.urcj, dss> ;+ r 1 , I. %bi i qgi 4 +`#Z Jt ln,?it 4js,�t i' `1114 ri'i P rJ fi)1 1�37+;'rl f e i h .e01:‘ Y lJ2: 1; 9 (Y t I � t -57!,• f+� F c L�`r><�4.t'�l�.}� t 1t��.!Z � ��:t�}!�It� a2� '1�.�b� r;/ 'j��1�'����'' 1'�`t�� �- +,'.U}' i F r Q t t ,tt,'' S'�. x a� �t t �i ,:L ,s;t, ,�, i u,r;; � j,!�Y � J s.L ;�,,l,,I-'i,t{zf�:�t�{ �`,£ t � ���'' �,. jl��'>{r tt rlra,A '7)�y art K! 4� (���. j.*.ped p1 i ipri tt� i f'FthlvS� .4.60% .sti ,r tslr ,t., a'+errs{ t f :s r'p J���� �� ') � 14 t s' �%c}'"1�41t+7'7 `��1 1"�t�{krX,�l�t'��'f'�})Sir �i`�Zil ivJ� i, V't�l�, � "'� '�i �i' .?,lf .)., �r. f./3 2,4 k .91�� '1 ,�. +f (t}!,�Igrtatt!li.l��,`siJ�;'t:u y J t '�sltrYlt�t6{�;;;r�lia'`Y31i.•-ra r �=, p '.,n rs,;•d- �.r s . t + pajkr +lir . !?r + xS,t1+r r,n� z ku.s9y lary :f lli,*t+`ilt + , I r i 6 i �i 4 u si;;.f. 9. I. I ,,t ( ernGr U �y y r} Y :�1: l�� i IXS•:� '� ID fx�L.y 4Tr'""'— I'i 2f�; 5 t -1.ft-t 4 }, ( ) + 1> r -i•Ll t tr7�)+ ' z`t�- tisE�IF,.f,I;i }l)'§ .t�?S" i,.r.�d� stii� Y .t € iy,�b�Cir. ;r. tll'rJ' !`Srt'riF�lh�`� -.�RadlrO ,�e�s© ijlf�, M. fit 'sl t s�_ ,.ts �'l� 4t-#�- 1 t 1' �,..S 9 4, d e .t,n + :'.',i4 a_o: r ,pit i '� r . > —:i;x.,. t.,rr1,, Vt Y���:ffi�;s�.., r��`t' ,,`�,, Vick01;. ;� a PERMIT City of Eagan Permit Type:Building Permit Number:EA160081 Date Issued:02/12/2020 Permit Category:ePermit Site Address: 4017 Johnny Cake Ridge Rd Lot:15 Block: 2 Addition: Oakbrooke 5th PID:10-53764-02-150 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Yeugeniya Malikin Po Box 22345 Eagan MN 55122 Minnesota Rusco 5010 Hwy 169 N Brooklyn Park MN 55428 (952) 935-9669 Applicant/Permitee: Signature Issued By: Signature