4074 Johnny Cake Ridge RdAddress 4074 Tnhnny ratiP u;,igp uaad
Lot 10 Blk 5 Sub Oakhrooke
Zip 5512_Z
THESE TI'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THEfINAL INSPECTION.
? .
Date: 3(E 0 0 Yes No Inspector:
.
Final grade (6" from siding) ±
Perntanent steps (garage)
Permanent steps (main entry)
Petmanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porc6
Basement finish
Deck
Please verify with Ne builder the removal of roof test caps from the plumbing system and the shuhoff of water supply to
the outside lawn faucet before freeze potendal exisfs.
Contad engineering division at 6814645 before working in rig6tof-way or installing underground sprinkler system. ?
Whice - City Copy Yellow - Resident Copy Pink - Contractor Copy
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City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
C,L,,et-
?'?Z 7 03
New Construction Reouirements RemodeVReoair ReQUirements Oifice Use Onlv
3 registered sRe surveys shaving sq. ft. of bt, sq. R of house; and all roofed areas 2 copies o( plan Cert of Survey Real
(20% maximum bt coverage allowed) 1 set of Energy Calculadons for heated additions Tree Pres Plan ReM
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Not Reqd
1 sel of Eneigy CalculaUons , Addition - indicate ifon-sRe sepfic system _ On-site Septic System
3 copies of Tree Presenation Plan if lot pWtted after 711193
Rim Joist Detail Options selection shcet (bldgs wifh 3 or less unifs
Date 0 ?S Censtruction Cost
Site Address 40"'A Unit/Ste #
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Description of Work
1,cr (? }?1KKCx-
Multi-Family Bldg _ Y? N Fireplace(s) ? 0_ 1 _ 2
PropertyOwner Telep6one # (10\2 ) 31b • ?°t 'irS?
Contractor
Address ? ??`a ? V?. ???n• R'?' CiTy
State MN i Zip ?S t \ 0 Telephone # (WI R 'I ?
Z-
,? D _
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv 1
- • Residentlal Ventiladon Category 1 Worksheet
(J submission type) Submitted
. Energy Envelope Calculations SubmittqO,
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheet
Su6mitted
Telephone # (
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 the approved plan in the case of work which requires a review and
a r valofplans.
Po .?
ApplicanYs Printed Name ApplicanYs Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 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 x 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex 0 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New
? 32 Addition
? 33 Alteradon
? 34 Replacement
Valuation
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
?
Y3?
? 35 Int Improvement ? 38 Demolish (Interior) ? 44
? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45
? 37 Demolish (Bldg)* ? 43 Reroof ? 46
•Demolition (Entire Bldg) - Give PCA handout to applicant
Occupancy MC/ES System _
Zoning City Water _
Stories - Booster Pump _
Sq. Ft. PRV _
Length - Fire Sprinklered _
Width -
?
,
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
Siding '
Fire Repair
Windows/Doors
Foorings(new bldg)
? Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insularion
REQUIRED INSPECTIONS
FinaUC.O.
,? FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Smcco Stone
_ Windows (new/replacement)
_ Retaining Wall ?
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
. 15t
Building Inspector
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Surv e y o r's
Certificate
cIRVEY FOR :PULTE
ESCRIBED AS : Lot 10, Block 5, OAKBROOKL?ity of Eagan, Ookota County, Minnsoto and
reserving eosements oi record.
? . .
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RAGAN ENGMEI{ING DUT.
LOT SQ. FDOTAGE 10,481
HSE. SQ. FOOTAGE = 1,622
LOT COVERAGE = 151'o
' Pian p 18251
PROPOSED ELEVATION S
BENCHMARK,
Top of Foundotion = q3so
' Garoge Floor =q3q,6 _ Elev= 952•5
8asemenC'='Floor` =926.0
A r Sewer Service - 923.5±
p ox, -
Proposed Elev. MIN. SETBACK REQUIREMENTS
Existing Elev. = front`-25 House Side -25
Drainoge Directions =
Denotes.Offset Stoke =. scALe: I incn ? 30leet Rear .=t5 Garoge Side-
J08 N0:
?HEDL?l/VD ' XEREBY CERTIFV TXAT THI$ IS A TRUE AND CORRECT REPRESENTATION 99R-433
OF TNE BOUNOARIES OF 7HE ABOVE OESCRIBED PROPERiY AS SURVEYED
BY ME OR UNDER AIY DIRECT, SUPERViSiON AND DOES NOT PURPORT i0 ' BOOK: PACE:
PGNN/NC BNC/NB6R/NG SURV6Y/NC SHOW IMPROVEMENT$ OR ENCROACHMENTS, E%CEPT AS SMOWN. , - - ' 2005 Pin Ook Orive:'. //?//p?p0 . • . ... ? -
Eogan. MN 55122 -.OA7 11C E 1J 7 Z ' CAO FILE:
' Phone: (657) 405-6600 ' J FFI E D. LIN REN, LA6e SURVEYOR -'
Fox: (651) 405-6606- `. MINN SOTA UCENSE NUMBER 14376. OAKBROOKE,
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1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
L/ 851-681-4675 ?
Co-"??_?-°?°7
New Conshuctlon ReauhemeMs Remodel/Reoair Reauiremenh
? 3 regisiered aHe wrveys showing sq. R. of lot, sq. ff, of house 2 copies of plan
and pJl rooled areas (20% maximum bi coveraae allowed) 1set of anergy calculalions fw heated addXfons
D 2 coples of plans (ahow beam a window shes; poured tnd. design; ete.) 1 sile suney for exlerior addHions 3 decks ? 1 set of energy caicvlaNons
? 3 coples of hee presenaHon plan M lot plalted alfer 7/1/93
DATE: tlIl (I /q ? CONSTRUCTION COST: N/ 20S
DESCRIPTION OF WORK: /l e b dtn-?lclj
STREET ADDRESS: ' V 7L? ?D,
LbT: l_0 BLOCK: s-
cA
PROPERTY
OWNER
Name: ?UI fG?h7 ?S OT w C0()2 Phone #:
lort First
Street Address:.
a
Cffy mP'?Uot 176?3?5 State: '??',? Zip: USIjo
Company: A/Yl ?--A? Abv?c
CONTRACIL`R
Street Adt
Ctry _
ARCHITECT/
ENGINEER Company:
Telephone #: area code (
Phone #:
(area code)
License # Exp.
State: Zip:
Name:
Sheei Address: RegisfraFion #:
City
State:
Zip:
Sewer 3 water Ifcensed plumber (reauired for new conskucNon onNV
PenaXy applies when address change and lof change Is requested once permit is issued.
I hereby acknowledge that I have read fhls applteation, state thaf the InformaTion Is correct, and agree fo comply wRh ail applicabl
Sfate of Minnesota Statufes and CHy of Eagan Ordinances.
Signature of Appiicant: ,,M?f'?y G Ja-3 6?/-? ?a ?
Ltificates of Survey Received 7u Yes
:servation Plan Received _ Yes
aDa
SUBD./P.I.D.#: 014 ICIffox ?
OFFICE USE ONLY
_ No
_ No IP
Not Required
G
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1?,Eaa6?l6w
L/- f??0 lenl?
BUILDING PERMIT TYPE
OFFICE USE ONLY
r
? Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Stortn Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging O 20 Pool ? 25 Miscellaneous
WORK TYPE
1 N
M/
ew
3 ? 35 Tenant Impr ? 39 Gas Line Oniy ? 43 Siding/Soffits/Fascia
O 32 Addition ? 36 Move Bidg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bidg.• ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
' Give PCA handout to applicant for demol ition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code O/
(Ailowable) Main level sq. ft. ? SAC Code
,61
UBC Occupancy ?-U-l sq. ft. a,,,j _
No. of Units /
Zoning sq. ft. 64e.4&?, ? No. of Bidgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. / fs'? Booster Pump
PRV
Fire Sprinklered _
APPROVALS
Planning Building ? Engineering Variance
Permit Fee Vatuation: $ IS-21
Surcharge
Plan Review - /7r010 UNFi?!/s//LD QgSE
License
MC/ES SAC
Cfty SAC
Water Conn.
Water Meter z0 -I-)(
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded. -
Other
Copies
Total: ' l . "?')
SAC Units
% SAC
? JC ;1NI7IAT1+ON ORt' ::R
' Pulte Homes of
Minnesota Corporation CotvraacrowsuPauER: ?. A
1355 Mendota Haiqhts Road, Suite 300
Mendota Heights. MN 55120-1172
Phone: (651)452-5200 Faz: (651)452-5727
JOBNO. 03c) ` O, O 5 tEGALDESCRIPTiON: LOT -1? BL
CChNUNIN: s^OITION:
BUILDING P.DORESS:
MOOELNPME: e put /-)C MOOELNUMB???.?
1_ UNR
cin:
eLevanor+:
9ARAGE: LEFf RIG
DATE OF OROER?: (?
_ STATE?N ZIP: S S ?Z-5
PHONE:
eurEas ruMe: 3A f?A-T4 TiJoj,?ANl t4 K (113-TH/1 N?N l
CURREN7 AODR(ESS: !?UI l' -P rl 1z-tR. ? eI KL.12 /#/O 9 CIn: L.Jtxx
HOMEPFIONE: ?C'SI• 5-7 '(j 3Z? BUSINESSPHONE: (C5I• 7?- 86(,5
SALE$ REPRESENTATIVE :::4?1 -r.4 g
Q7Y.': OPTION#:.,
0000 tSDESCRIPTlQnl;;;a??kp??!?nnr?r?k>:r.q±t?y`Nrt?*nM
BASE PRIGE
---- LOTPREMIUM
U 031 ELEVATION # 5 3to
? 5 75L)
i
_ . .;,,.
TOTAL c?'37,1 J5
,
l 9 , ?
? APPqOVED BY BUYER (S): . ?r.?1.? ?Ql'?'?•? - ?
APPROVED BY SALES: ' C =
RELEAScD TO START CONST.: eaunL riousi:ic
?7PPqRtU'IITY
Builder's License a0001371 This constitutes a contract between ttie Se11er and the Purchaser(s) for the above items.
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15
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• LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERTYLEGAI: /..dT IU l/.Q:'/.? 6 (-)4lCBRo.3KL-
DATE OF SURVEY: Io_ IC
LATEST REVISION: _ob- -
DOCUMENT STANDARDS
0 ? - Registered Land Surveyor signature and company
/ ? • Building Permit Applicant
R' ? ? • Legaldescription
? o
? ? • Address
g
? ? • North arrow and scale
?? ? • House rype (rembler, walkout, spN[ w/o, sqit enVy, tookout, etc.)
q? ? ? • Directional drainage arrows with slopeJgradient %
m/? ? • Propaaedlexisting sewer and water services 8 imert elevation
qv? ?
? ? • Street name
m
? ? . priveway
e?? ?
• Lot Square Footage
e? ? ? • Lot Coverage
ELEVATIONS
Existina
/
? ? . Sewer service (or Proposed)
d
? ?
• Property corners
r?
? p • Top of curb at the drNeway
0" ? O • Elevations of any existing adjecent homes
? m,"o Adequate tooting depth of struchires due to adjacent ublity trenches
Prooosed
?
/a ? -
Garage floor
m? p ? •
First floor
o •
Lawest exposed elevation (walkouVvrindow)
? ? ?
? • Property corners
t th
f
d
ti
f h
m
? ? ome a
e
oun
a
on
• Front and rear o
PONDING AREA (A aooGcade)
? co • Easement line
a m??
? • NWL
? e
a . FIWL
? m/ p • Pond # designaUon
? m? ? • Emergency Overflow ElevaUOn
DIMENSIONS
b/? ? • Lot Iinesl8earings 8 dimensions
m-// ?? • Rightof-way and sVeet width (to back of curb)
y?? • Proposed home dimensions induding any proposed decks, overhangs greater than 7, porches, etc.
? / (i.e. all structures requiring pertnanent footings)
d?,o o • Show all easements of record and any City utilNes within those easements
? ?o ?a • Setbacks of proposed structure and sid setback of adjacent epsting structures
a?? • Retaining wall requirements, A any? l) /
Reviewed:
?
?
March 1989
CMICJBLOGPRMf.FM
. , . • Surveyor's Certificate
SURVEY FOR :PULTE
DESCRIBED AS ; Lot 10, Block 5, OAKBROOK SCity of Eaqon, Dakota County, Minnsota ond
reserving eosements of record'
1-4 ? 0
X ?1 \
?
93?f?c? cL
93L 1? rl,?r
0.00. K6e
Tog =q33,5
31.0
. 0
?1b
y? i 9 I. 1
5 00 ?QO oy? m"? ?? i
?,?. ,• o mq?,3 1
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?pS_• ? / ?
200? y
• ? 0 ??
a 25.0 ? 42 .6 925.3 2? gp`Sro sed 8.
925.7 ?S ?? Ck wi a
`'?? 425,3?'S
?
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,;: ? ?'.?AGAN N:IVCFI:'V?LRING 7?EPT
.;;
LOT SQ. FODTAGE
HSE. SQ. FOOTAGE
LOT COVERAGE _
Plan # 18251
PROPOSED ELEVATIONS
Top of Foundotion = 935.0
Garage Floor =q3v.s
Bosement Floor =926.0
Aprox, Sewer Service =`123.5±
Proposed Elev. _ ?
Existing Elev. _
Droinage Directions =
Denotes Offset Stake = •
Elev= 952.5
MIN. SETBACK REQUIREMENTS
SCAIE: 1 inch = 30 leet
BENCHMARK,
Cont.o ( P;, nt
Front-25 House Side -25
Reor -t5 Garaqe Side-
JOB NO:
HEDL(JHD f HEREBY CERTIFY THAT THI$ IS A TRUE AND CORRECT REPRESENTATION 99R-433
OF THE 80UNDARIES OF THE nBOVE DESCRIBED PROPERTY a5 SURVEYED
BY ME OR UNDER MV DIRECT SUPERVISION AND DOES NOT PURPORT TO BOOK: PACE:
PLANNlNC 6NC/NE6R/NC SURY6Y/NC SHOW IMPROVEMENTS OR ENCROACHMENTS. E%CEPT AS SHOWN.
2005 Pin Ook Drive 11??19_?4`1 bIF, E 41
ogan, MN 55122 DATE ' tj PhOne: (651) 405-6600 F E D. LIN REN, L SURVEYOR
Fox; (651) 405-6606 MNN SOTA LICENSE NUMBER 14376 ROOKE
n r i9 a ,,,n„
_ 10, 481
= 1, 622
157o
? GT
1rJJJ
CITY OF CAGAN
CASNIEFf: JS TCfiMINAL N0: 768
DA'TE: 12/29/99 7IhfE: 12.08:07
IU:
NAMFa f'ULTE MASTER IiUILUEk
321.0 9001 4074 lOFlNNY CF: 3 i 7.?5
3422 9001 4074 JONi`!NY CN. 245.21
2155 3001 4074 JOHNNY C4. 12.00
To+,al F.eceip+, Amoilnt: 634.4E
Ck 9.2:L 8:30
t1SEk' IDs tAN
*x:?k %c?K *?kXc%K ?k?:X??k X??*X??X*# ?kx?*k??k?k??at%??# ?k #?X?k# ?c ??k
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 ?? 3 C{ V,6
651-681-4675
C-0- ? 'r ?
New ConsWdbn Reauirements RemodeVReoair Reouire
D 3 regtatered ske surveys showing sq. il o( lot, sq. R of house 2 eopiec ot plan
and all rookd ereas (20% mazimum lot eoveraae allowed) 7 sat of energy ealculatWne for heahd edditfona
D 2 copbe af pWna (ahow 6eam & window sizes; Poured ma. aaiao; ea.) 7 s(ie survey for erterbradditlons 3 deeks
? 1 set of enew ulculationc
D 3copiesof6ee reservaUonplanHlMplaUedafter7MN3
DATE: ,a a I I CI e1 CONSTRUCTION COST:
DESCRIPTION OF WORK: )RU I"J'Cr-d- rmish on &vse 4116FLJY 6finl7cd
srREer aoDREss: i I
LOT: !?' BLOCK:
? SUBD.IP.I.D.#: OFiiqp(1pKE
PROPERTY Last
OWNER
Phone p:
Street Address:
City
State:
Company:f G?oMe S
Zip:
Phone#: 6 1,4 30-I11)
(area code)
CONTRACTOR Street Address: / 3S3 1?? t " Clol ? NO5 R('? sVifC )?) zi License # J??p. ? J 1 l) (J ?
Cily 15 AII t:^ju1 G I)?t5 State: AA ZIP:
ARCHITECT/
NGI EER Company: Name:
Telephone #: (
Street
Cilyr
State:
Zip: :
Sewer 8 water lieensed plumber (new canatruelion onWF. ?fL-U 8,- r Telephone
Ptnalty appllea vfien address ehange and lot change Is requested onco permk is issued.
I here6y aeknowledga that 1 have read tlds appllcffiion, efate Mat the 6ifomadon Is corteet, and agree to comply wHh atl applfcable State of Minnesofa Statutes and CIt
oflEnBan Ordinances. 1 r?
. Signature of Applicant Lrf ? ? ?? ? ? _ r / - I
Certificates of Survey Received _
Tree Preservation Plan Received _
OFFICE USE ONLY
Yes _ No
Yes _ No _ Not Required
RagisVatfon #:
9?
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
P( 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck O 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
O 05 3-plex ? 10 8-plex ? 15 Lodging O 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bidg. ? 40 Gas insert ? 44 Windows/Doors
IIf, 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair
O 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
" Give PCA handout to applicant for demolition
ermit
GENERAL INFORMATION p
Const. (Actual) ]/ N Basement sq. ft. q 3 t? Census Code ?
(Allowabte) v PJ Main level sq. ft. SAC Code ?n /
UBC Occupancy t sq. ft. No. of Units ?
Zoning ? sq. ft. No. of Bldgs !
# of Stories sq. ft. MC/ES System
Length - sq. ft. City Water
Width ?- Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building TAN41 Engineering Variance
Permit Fee . D-S Valuation: $ e2 3IL?490
Surcharge
Plan Review
2'-t S? 9 '
3
License 1
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total: L`2-?q 14 ?-
SAC Units
% SAC
/7
?;
L tt) BL CITY USE ONLY
SUB13.
RECE{PT #:
RECEIPT DATE:
PERMIT # 'S 9 0 93
1999 PLUMBIN6 P£ftMiT (Rf.StDENTIAL)
crrY oF EAeax
S$SO i'ILOT KNOB itD
F-,xe,eclv, Mv 55 r 22
(651)6$1-4675
Please complete for: ? single family dweliings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
/
FIXTURES ? E
?
)?A1TO'FAL
Bath tub 3.00 Z = $ (O
Floor drain 3.00 x $
Gas i in Outlet ' minimum -1 00 x $
Hot tub/s a ' 3.96 x = $
Kitchen sink 00 x = $ 3
Laund tra 3.00 x = $
Lavator 3.00 x = $
Minimum fee alterations to existin dwellin 30.00 x = $
Private Dis osal S stem new/refurbished ` re uires MPC '. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rou h o enin 1.50 x ,3 = $, -SD
Shower 3.00 x $
Under round s rinkler if dwellin is under co truction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x J = $
Watef SOftBn2r If dwellin under onstruction 5.00 X = $
Water softener if existin d ellin 30.00 x = $
Water turnaround 30.00 x -•-- _ $
State Surchar e .50 --> ----> ----' $ SO
Total --> --? ----> ----> $
Reminder. Call for inspections of aiterations, i.e. water heaters, water softeners, etc.
.
--- ---- ?-------------- ------ -i-------- - --.._ --- ----b---------- --._.._
I hereby acknowledge M-at I have--read ths application, state that the information is correct, and agree to comply with all applicale City- of - Eagan ordinances.
It is the applicant's responsi6ility to notify the property owner that the City of Eagan assumes no liabitity for any damages caused by the City during its
normal operational and maintenance activities to the jacilities constructed under this permit within City property/right-Of-way/easement.
SITE ADDRESS:
OWNER NAME: :
INSTALLER NAME:
TELEPHONE#:
(AREA CODE)
TELEPHONE #:
(AREA CODE)
STREET ADDRESS: /-T/,7U ( y/(T/yJD/l ce?,«
STATE: //' i1 ' ZIP:
SIGNATURE OF PERMITTEE
CITY USE ONLY 1
L ? BL ? RECEIPT#:
SUBD. v Lvl. ?1 -f RECEIPT DATE: I aI I-? ?
PERMIT # 5 / ocs ;t,
1999 PLUMBINH PER14IIT (RESIDENTIAL)
CITY OF BR&RN
S$SO PILOT KNO$ RD
BA6AP, MN 55122
(ssy ) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAL
Bathtub $ 3.00 x -2- _ $ (..U
Floor drain 3.00 x I _ $ .0
Gas piping outlet * minimum - 1 3.00 x I _ $ O ?
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x l = $ 3.6'D
Laundry tray 3.00 x ! _ $
Lavatory 3.00 x = $ ? . OD
Minimum fee alterations to existing dwelling 30.00 x = $
Private Disposal System new/refurbished ' requires MPC iic. 75.00 x = $
Private Disposal System abandonment 30.00 x = $
RPZ new installation/repair/rebuild 30.00 x = $
Rough opening 1.50 x = $
Shower 3.00 x = $ p
Underground sprinkler if dwelling is under construction 3.00 x = $
Underground sprinkler if existing dwelling 30.00 x = $
Water closet 3.00 x = $ q. 0'D
Water heater 3.00 x I = $ c?
Water softener if dwelling under construction 5.00 x = $
Water softener if existing dwelling 30.00 x = $
Water turnaround 30.00 x $
State Surcharge .50 --> ---> --> $ 50
Total __> _, ---> ----> $ y
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
------------------------------ ------------ -------------------------------- ---
I hereby adcnowletlge that I have read this application, state that the inkrmation is cortect, and agree to comply wRh all applica6le City of Eagan ordinances.
It is the applicanPS responsibility to notify the property owner that the City ot Eagan assumes no liability for any damages caused by the City during its
normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-wayleasement.
SITE ADDRESS: ?10 ( `7 . ) OGl n.00% ? 'f-e I '
OWNER NAME: : TELEPHONE #:
(AREA CODE)
INSTALLER NAME: TELEPHONE #:
(AREA
STREET ADDRESS: O(? CODE)
1-1 ?
CITY: J O STATE: u? ZIP: S S?Jr nZ
? -
SIGNATURE OF PERMITTEE
LOT C) BL '-T_ RECEIPT #: I?- 1 C) O?
SUBD. ?CA_ b Y?Ti'4-IC a RECEIPT DAT'E: ?-?- 'C? ?( I
MECHANICAL PERMTT #
1999 MECHANICAL PERMIT (RE.SIDEN'fi'IAt)
crrYoF Easart
ssso Pmor xxos gn
gaGa?rr aix ssi 2s
/
Date: Aa ` (ssi) 681-4675
Complete this section on! if you aze installing HVAC in a single family dwelling, townhome or condo under
construction and not owner /occunied.
?
• HVAC: 0-100 M B T U S 30.00
ADDI'ITONAL 50 M BTU 6.00
3
• Gas outlets (minimum of one required @$3.00 ea.)
State Surchazge .SG
Totai ? 3 9 sZ'
Complete this section orrlv if you aze remodeling, adding to, or repairing an existing single family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
New
_ Furnace
_ Air exchanger
Alteration Repair _ Other
Reminder: Ca11681-4675 for inspections.
_ Air condirioning
Other
State Surcharge
Minimum Total
SITE ADDRESS:
OWNER NAME: T A-10-4
INSTALLER NAME: &aA-4
STREETADDRESS:
CITY:
.
PHONE #: _
(A+
? PHONE #:
$ 30.00
.50
$ 30.50
- SL.?? S c7?G
= S?OGYJ (-
_STATE: 1,2;2,;-? ZIP: S S ? 7G
?4
SIGNANRE OF PE iRMIt'1.TEE y,
33'?
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4074 Johnny Cake Ridge Rd
Lot: 10 Block: 5 Addition: Oakbrooke
PID:10- 53760- 100 -05
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
New Life Contracting Inc.
2478 Hillwood Dr E
Maplewood MN 55119
(651) 274 -6943
1/8/09 Per Dave at Ne
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
Construction Type:
Occupancy:
Life the homeowner backed out of the contract. Ne
If there is no ice protection inspection prior to final, you must meet inspecto
acceptable in lieu of inspections.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
- Applicant -
$88.50
$1.50
$90.00
Owner:
Sareen K Devireddy
4074 Johnny Cake Ridge Rd
Eagan MN 55122- -420
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Life will not be doing this roof.
ith ladder and flat bar. Pictures are not
0801
9001
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply
of Minnesota Statutes and City of Eagan Ordinances.
h all applicable State
Issued By: Signature
Building
EA087627
12/02/2008
ePermit
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115453
Date Issued:09/26/2013
Permit Category:ePermit
Site Address: 4074 Johnny Cake Ridge Rd
Lot:10 Block: 5 Addition: Oakbrooke
PID:10-53760-05-100
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
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 .
Vladislav Fogel
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 -
Maksim O Zhaivoronok
4074 Johnny Cake Ridge Rd
Eagan MN 55122
Estate Claim Services Llc
934 Cromwell Avenue, Suite 2
St Paul MN 55114
(651) 309-1114
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA120106
Date Issued:01/16/2014
Permit Category:ePermit
Site Address: 4074 Johnny Cake Ridge Rd
Lot:10 Block: 5 Addition: Oakbrooke
PID:10-53760-05-100
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 -
Maksim O Zhaivoronok
4074 Johnny Cake Ridge Rd
Eagan MN 55122
Estate Claim Services Llc
934 Cromwell Avenue, Suite 2
St Paul MN 55114
(651) 309-1114
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA155057
Date Issued:04/25/2019
Permit Category:ePermit
Site Address: 4074 Johnny Cake Ridge Rd
Lot:10 Block: 5 Addition: Oakbrooke
PID:10-53760-05-100
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
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 -
Maksim Zhaivoronok
273 Big Spring Ter
Sanford FL 32771
Air Express Inc
1010 - 118th Ave NE
Blaine MN 55434
(763) 291-8519
Applicant/Permitee: Signature Issued By: Signature