4021 Johnny Cake Ridge RdRESIDENTIAL BUILDING
Permit Application
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements RemodebReuair Reauirements Off¢e Use Onlv
3 registered site surveys showing sq. fl. of lot, sq. R of house; and all roofed areas 2 coDles of plan Cert of Survey Recd _ Y_ N
(20% manimum lot coverage allaxed) 1 set ot Energy Calalations for heated addifions Tree Pres PWn Reoi _ Y_ N
2 cooies of plan showing beam & wirMow sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Not Reqd Y _N
1 sel o( Eneigy Cakailations Adddion - indicate i(on-sNe sepfic sysfem On-sRe Seplic System _ Y_ N
3 copies of Tree Preservalion Plan H lot platted aiter 7/1193
Rim Joist Detail Opdons selection sheet (bldgs wBh 3 or less uniLe Date Consy?uction Cost Z??7, GU
Site Address ?DZ/ dr,?llt cs Y'jE!,. UnitlSte #
2
Description af Work
1
,
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2
Praperty Owner Telephone # ( )
Contractor ---kil)
Address City
State Zip a3124- Telep6one # (6/4) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , ResidenUal Vendlation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Su6mitted • Submitted
. • Energy Envelope Caiculations Submitled
Have you previously constructed a building in Eagan with a similar plan2
fee applies.
Licensed Plumber
Telepnone #( II Q AUG 0 4 2003
Mechanical Contractor
Sewer/water Contractor
Telephone # (
Telephone # (
/
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance _with-t approve p case of work which requires a review and
approval ofplans.
.1`??? f ? ?G.ZL?e f}
Appli ant's Printed Name
Siteaddress: nAV L?'PKdQR- Lot? Block flZ Subd.
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
? This structure: will be consVucted to meet more restrictive requiremenis of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTINGTYPE
Water Heater Q1O5a If5 _,5
Furnace ?,1a 3?ai F& Symo
Dryer
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
YES No
Kitchen kitchen
Bathrooml ju?j FV-DS VQ g? ?
eathroom 2 14 u , ? ? -CG- (,Q k/
Bathroom 3 6-TI _ 0 8d ?
Bathroom4 s v.? 1-D SO
Other
FIREPLACE S
LOCATION
GAS
WOOD
MANl1PACTURER
MODEL
BTU'S VENTING
DIRECi a7M05
? looo
1 hereby acknowledge Ihat fhe above information is correct and agree to wmply with the Minnesota Energy Code and City of Eagan
requirements.
Signat e
CompanyName ,
/o a3lg Z
Date
" This form is the responsibility of the General Contractor.
RESIDENTIAL C?,, S S?
y? 5oZ ? I Ip 6? 3 BUILDING PERMIT APPLICATION r-?
S? CITY OF EAGAN
}?Y} ??o '? 3830 PILOT
65'I-68146 5 55122
? N ConsWdion Reauirements RemodelfRewirReauiremeMs S • u.s
• 3 registered site surveys showing sq. R. of bt, sq. fl o( house; an?ll rooted areas • 2 copies of plan
(20%mazimum bt coverage albwed) . 7 setof Energy Calculations for heated additions
• 2 copies of plan showing 6eam & window sizes; poured found design, etc.) ,y - • i sde survey iw exferior add'Aions & decks
• 7setofEnergyCalculaGons dipteifhomeservedbysepticsystemforaddNOns
• 3 copies of Tree Preservation Plan if lot plaHed after 711193 f 'J O
• Rim Joist Defail Optians selection sheet (bidgs wBh 3 or less uniLS)
DATE
JOB SITE
IP MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER P- 14< _
TYPE OF
APPLICANT
PHONE#
ADDRESS S'f 6? '?"1,,,.esfi ?? k..? ?-y ? /?FV ZIPCODE.SSYzI
PAGER # CELL PHONE # /2 .f8 Y/ FAX #
NEW RESIDENTIAL BUILDING ONLY- FILL OUT C
Energy Code Category MINNESOTA RULES 7670 CATEG
(check one) - Residential Ventilation Category 1 Works
- Energy Envelope Calculations Submitted
' MINNESOTA RiJLES 7672
,r -
- New Energy Code Worksheet Submitted
? 47`
Plumbing Contractor: Ua 11<v ????+ ?•?; Phone #: t S2 112 L I Zl
Plumbing System Include?Water Soflener _ Lawn Sprinkler Fee: $90.00
_ Water Heater _ No. of R.I. Baths
No. of Ba[hs
Mechanical Contractor: v?A,;wIlc th,75rs
Mechanical Sys[em Includes: Air Conditioning
Heat Recovery System
Sewer/Water Contractor: IMQ."
FIREPLACE(S) _ 0 ! 1 _ 2
Phone # j;-L- F5 9e 6e45j
Fee: $70.00
Phone # 76 3yt;2r
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that
with all applicable State of Minnesota Statutes and City of Eagan,
Slgnature of Applicant
Certificates of Survey Received -S& Tree Preservation Plan
VALUA[ION //n ° "'
is correct, and agree to comply
Updated 2002
,
OFFICE USE ONLY
.
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool
)K02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened)
? 05 03-plex O 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
111? 31 New ? 35
? 32 Additlon ? 36
? 33 Alteration ? 37
? 34 Replacement
Valuation
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs.
Type of Const
44 or,,o
!7)
/
? 30 Accessory Bldg
? 31 EM. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multl
Int Improvement ? 38 Demolish (Interior) ? 44
Move Bidg. ? 42 Demolish (FOUndation) ? 45
Demolish (Bldg)* ? 43 Reroof ? 46
*Demolition (Entire Bldg only) - Give PCA handout to applicant
Occupancy k,3-w MC/ES System
Zoning P , Ciry 1Nater
Stories Booster Pump
Sq. Ft. 1 ' :t7 PRV
length Fire Sprinklered
Width ?
Siding
Fire Repair
W indows/DOOrs
?
?
REQUIRED INSPECTIONS
? Footings (new bldg) ? Final/C.O.
_ Foorings(deck) FinaUNo C.O.
Footings (addition) _ Plumbing
Foundarion _ HVAC
Drain Tile Other
Roof Ice & Water Final Pool Ftgs AidGas Tests Final
? Framing _ Siding _ Stucco _ Stone
F'ueplace _k R.I. _?'Air Test Final
Windows (new/replacement)
?
Insulation -
T? Retaining Wall
----------------- Approved By Building Inspector
-------
---------------------
Surcharge ----------------------------------
---------------------------
-------------------------------
Plan Rediew
MC/ESSAC - ?/
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit 0 / J/,
? ?
7
Mechanical Permit 1
Y,
License Search
Copies q? ? (G
YV ?2j
Other
Totel l I 3l??o
/
MNcheck COMPLIANCE REPORT
Minnesota Energy Code
MNcheck Software Version 3.0
COUNTY: Uakota
STATE: Minnesota
zorrE : z
CONSTRUCTION TYPE: Single Family
DATE: 6-7-2000
DATF OF PL}1NS: 3/28/00
TITLE: CRYSTAL YdALKJUT ELEVATION
COMPLIANCE: PASSES
Permit #
Checked by/Aatie
Required UA = 447
Your Home = 351
21.53 Bet.ter Than Code
Area or Cavity Conk. Glazing/Door
Perimeter R-Value R-Value U-Value
-------------------------------------
CEILIAIGS ^ Y 1705 44.0 0.0
1
WALLS: Woo3 Frame, 16" O.C. 2206 19.0 2.0
NiALLS : VJood Frame , 1611 O. C. 196 10.0 2.0
SSMT: .^.onc. 9.0' ht/8.3' bg/9.0' inaul 141 11.0 0.0
BSMT: Conc. 3.5' ht,13.1' bg/3.5' inaul 20 10.0 0.0 0.350 1
GLA2SNG: Windours or poois, Above Grade 438 0.350
DOORS
HVAC EQUIPMENT: Furnace, 92.0 AFUE -----
STATEMENT: proposed desig andcother calculations
bu' dn plans, sp
conaistent with the e
submitted with t e p r t lication. The proposed building has been
designed to mee the qui ements of the Minnesota Energy Code.
Date ?Z-
Builczer/Designer
401?cft oF ac?gcin
Na:ne:-2,jTt
5ite Address: 0-7
Z.: J yz 4.??d`
Date:
Te(ephone #:
Rim Joist Detail Options
As outlined in the new Energy Code, buildings coastructed w9th t6ree unlta or less require
that rim joists be put up accordtng to detail options shown below. Please circle/highllght
the optfon yan will be using.
as
?E 8 Qther :,
a7
?
• ? ,? ?: ,
?•' '?? ?
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL: L°7' /:j lS/cc K 1 U<, ?5k--
DATE OF SURVEY:
m
LATEST REVISION:
rn
c
m
t
c?
DOCUMENTSTANDARDS
`1 < °a
O Z ¢
?il?/ Cl ? . Registered Land Surveyor signature and company
17V,EI ? • Building PertndApplicant
a//0 n . Legaldescnption
ru'/ ? ? • Address
c1/ ? ? . North artow and scaie
fH'? C7 ? • House type (rambler, walkout, split w/o, splA entry, lookout, etc.)
? ? • Oirectional drainage artows with sbpelgradient %
? ? • Proposed/existing sewer and water services & invert elevation
d/ ? ? • Street name
d ?
? ? • Driveway
? ? • Lot Square Footage
?/? ? • Lot Coverage
w 0 0 ? • Benchmark
ELEVATIONS
/ Existina
4Y L1? • Sewer service (or Proposed)
? ta' ? • PropeRy corners
q?? /? • Top of curb at the driveway and propeRy line extensions
? ?7'/ ? • Elevations of any existing adjacent homes
? CW/ ? . Adequate footing depth of structures due to adjacent utllity trenches
? ?" ? • Watervvays (pond, stream, etcJ
Proposed
?? ? • GarageBoor
?? ? • First floor
R/ ?/ u • Lowest exryosed elevation (walkouVwindow)
? ?f ? . Property comers
V? ? • Front and rear of home at the foundation
j PONDING AREA ('rfapolicable)
? U/ ? • Easement line
? ? • NWL
? WI ? • HWL
? i? ? • Pond # desgnation
n Fr' ? • Emergency OverBow Elevation
/ DIMENSIONS ? • Lot lines/Bearings 8 dimensions
I?y ,I_l 1] • Rght-of-way and street width (to back of curb)
? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
? (i.e. all structures requinng pertnanent footings)
[; • Show alt easements of record and any City utilities wRhin those easements
fi.t?? ? r I • Setbacks of proposed shucture and sideyard setback of adjacent existing structures
lu? ri r i • Retaining wail requirements, if any
Reviewed: Q,.??
Name T- f Date
Surveyor's Certificate
SURVEY FOR :PULTE HOMES
DESCRIBED AS :Lot 13, Block 2, OaKBR00KE STH ADDfIION, City o( Eogan, Minnesoto end reserving
easements ol record.
JUN 2 6 REC'g
77lA .111yAL 6 j'?}}'?S
-
S/LT Fei4lCg,
k E
44.00
QS'G ?
?
o
?0.00
? p
Rpr?ryp0l?e?
90CM er
M .
Por0 S M/Q
P
N?ge
33 55,.
? 82.
8t
?7.o7vo?
?0 ro9e ? b2 en
O -al
h ? P
L17
?
f
?or,oVon L'2"??Qui
?iJ? L?D
L 0 T SQ. F00 TA GE
HSE SQ. F00 TA GE
L 0 7' CO VERA GE _
a 17944
PROPOSED EIEVAT10NS
Top of Foundotion =qsso
GorOge 61oor =933•9
Bosement Floor =qz(oo
Aprox. 5ewer Service =423:ot
Proposed Elev. =c:_-::)
Existing Elev.
Droinoqe Directions = -
Denotes Offset Stoke = •
.A
= 3,608
= 2,04 7
5 77
scALe: i inu, - ao r„l
,. .. 4021,. ._
JOHNNY CAKE
RID"GE ROAD
W Mw*num obW
or Retslnhg MVsA Mo
Be Required
BENCHMARK,
e.o, 0 qoiz
Elao. Q31J9
MIN. SETBACK REOUIREMENTS
Front - House Side -
Reor - Garoge 5ide-
Joe Na
HEDL UND ' NEREBY CERTIFV THAT TNIS IS 4 TRUE aND CORRECT REPRESENTATION 02R-052
OF iNE BOUuDARIES OF TXE ABOVE DESCRIBED PROPERTY AS $URVEYED
BY ME OR UHDER M7 DIREC7 SUPERV151pN nND OOES r+OT PURPORT TO BOOK: PnCE:
PUNN/NC ENClN66R/NC SURV6Y/NG SnOw IuPROVENENT$ OR ENCft ACHMENTS. E%CEPT AS $HOwn.
2005 Pin Ook Drive
Eogan, MN 55722 DA7E ? F LNDGREN, UNO 70R ?F'?
Phonc. (657) 40.5-6600
Fac (651) 405-6606 NE A !LICENSE NUMBER 14376 Oak6rooke 5
r
f
r - - - - - - - - - - - - - - - - -
I For Office Use
City OT Ea Permit
11 a
R ll I
I Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 I Date Recei b `7 I
r
Phone: (651) 675-5675
Fax: (651) 675-5694 1 Staff: I
®e, tlC~,_ C I
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 4 k( ~ J C ) o,
Tenant: Suite
RESIDENT/OWNER Name: / Ot d! G + ~i '~q li✓S ~f Phone: ~2J
Address/ City /Zip: Applicant is: Owner Contractor
TYPE OF WORK Description of work: a'{~T~~
Construction Cost: Multi-Family Building: (Yes / No~
CONTRACTOR N ame: M M1-d T ense /._3
~ Q h
Address: 5 Lia ~S G~i /a , t(
/
City: r~ L L) c State Zip: F-f
Phone: Contact Person: /n
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
submission type) • Energy Envelope Calculations Submitted
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 that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
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 z m,` x
App ice's Printed Name Applicant's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE jf-7
r
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
Single Family _ Garage Porch (4-Season) _ Exterior Alteration (Single Family)
Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
01 of _ Plex Lower Level _ Pool _ Miscellaneous
Accessory Building
WORK TYPES
- New _ Interior Improvement _ Siding _ Demolish Building*
- Addition _ Move Building _ Reroof _ Demolish Interior
Alteration Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation ) cU 0 Occupancy MCES System
Plan Review Code Edition o4.4.2c> SAC Units
(25%_ 100%-) Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation y- HVAC
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough in -Air Test -Final Windows
Insulation Retaining Wall
Meter Size: Radon Control
r Erosion Control
Reviewed By: rI , 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 2 of 3
^ _____________1
rot o`ficc ll y~
I
City of Emu I Permit
I
Permit Fee: I
3830 Pilot Knob Road
Eagan MN 55122 j Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 I Staff:
- - - - - - - - - - - - - - - - -
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address: I 62 t G h t
Tenant: Suite
RESIDENT / OWNER Name: )I/T Phone:
Address / City / Zip: Ste.
CONTRACTOR Name: License
Address: ,2l- ! 0=~1 j)-
City: A a'l, State: NN Zip:
Phone: ~~~L^(r~(®~ Contact Person:
,1 i'tL
TYPE OF WORK New -Replacement -Repair _Rebuild _ Modify Space - Work in R.O.W.
Description of work: r•, e
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
L_ RPZ / _ PVB) Main _ Lower Level)
Septic System Water Turnaround
_ New
Abandonment
RESIDENTIAL FEES;
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $.50 State Surcharge)
'Water Turnaround (add $165.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
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(C Z7f70C` cc"*t x Gs'2~ rsl~ l=
Applicant's Printed Name App icant's Sig ature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
PERMIT
City of Eagan Permit Type: Building
Eaaan. Permit Number: EA099364
Date Issued: 06/01/2011
OR Permit Category: ePermit
41 it~ of E3
E
Site Address: 4021 Johnny Cake Ridge Rd
Lot: 13 Block: 2 Addition: Oakbrooke 5th
PID: 10-53764-02-130
Use:
Description:
Sub Type: e-Reroof Construction Type:
Work Type: Replace
Description: House & Garage
Census Code: 434- Occupancy :
Zonin,:
Square Feet: 0
Comments: If there is no ice protection inspection prior to final, the contractor must meet the inspector Nva 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 S3K $88.50 0801.4085
Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195
Total: $90.00
Contractor: - Applicant - Owner:
hrech Exteriors Inc Sharon G Lazarus
5866 Blackshire Path 4021 Johnny Cake Ridge Rd
Inver Grove Heights NIN 55076 Eagan NIN 55122
(61)688-6368
I hereby aeknowledae 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 Cite of Eaaan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA127285
Date Issued:09/25/2014
Permit Category:ePermit
Site Address: 4021 Johnny Cake Ridge Rd
Lot:13 Block: 2 Addition: Oakbrooke 5th
PID:10-53764-02-130
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 -
Sharon G Lazarus
4021 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:EA128101
Date Issued:10/27/2014
Permit Category:ePermit
Site Address: 4021 Johnny Cake Ridge Rd
Lot:13 Block: 2 Addition: Oakbrooke 5th
PID:10-53764-02-130
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 -
Sharon G Lazarus
4021 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:Mechanical
Permit Number:EA153942
Date Issued:02/05/2019
Permit Category:ePermit
Site Address: 4021 Johnny Cake Ridge Rd
Lot:13 Block: 2 Addition: Oakbrooke 5th
PID:10-53764-02-130
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Sharon G Lazarus
4021 Johnny Cake Ridge Rd
Eagan MN 55122
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:Building
Permit Number:EA163057
Date Issued:08/12/2020
Permit Category:ePermit
Site Address: 4021 Johnny Cake Ridge Rd
Lot:13 Block: 2 Addition: Oakbrooke 5th
PID:10-53764-02-130
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 -
Sharon Tste G Lazarus
4021 Johnny Cake Ridge Rd
Eagan MN 55122
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:Plumbing
Permit Number:EA171210
Date Issued:08/05/2021
Permit Category:ePermit
Site Address: 4021 Johnny Cake Ridge Rd
Lot:13 Block: 2 Addition: Oakbrooke 5th
PID:10-53764-02-130
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$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 -
Sharon G Tste Lazarus
4021 Johnny Cake Ridge Rd
Eagan MN 55122
(651) 470-7936
Milbert Company (culligan)
1801 50th St E
Inver Grove Heights MN 55077
(651) 451-2241
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA171436
Date Issued:08/16/2021
Permit Category:ePermit
Site Address: 4021 Johnny Cake Ridge Rd
Lot:13 Block: 2 Addition: Oakbrooke 5th
PID:10-53764-02-130
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$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 -
Sharon G Tste Lazarus
4021 Johnny Cake Ridge Rd
Eagan MN 55122
(651) 470-7936
Norblom Plumbing
1465 Selby Ave
St Paul MN 55104
(612) 827-4033
Applicant/Permitee: Signature Issued By: Signature