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4330 Leo CtCITY OF EAGAN Remarks Addition WILDERNESS PARK 2ND ADDITION 15 4 ?ot e?k Parcel 10 84251 150 04 Owner C\Gr t;• ( Street 4330 Leo Co!#t State Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. STREET RESTOR. GRADING SAN SEW TRUNK SEWER LATERAL WATERMqIN WATER LATERAL -1F WATEFi AREA jF STORM SEW TRK 1979 STORM SEW LAT CUFB & GUTTER u a : SIDEWALK STREETLIGHT WATEA CONN, BUILDING PER. SAC PARK , ., CITY OF EAGAN 8950 Pllot Knob Road, P.O. Box 21-199, Eapen, MN 55121 $120,000 PHONE: 454-8100 ; PERMIT _ Rscelpt M SF D Sits Addroee 4:J3G LFO CT Ersct CB Lot 151 Bixk 4 gec/gub. NiLDEi2NESS PARA6s*#lil ? Peroel No. Repelr ? Additlon ? ? Name ;;V;'.--;D t'ETEItSEN CONST Move ? Demolleh ? Addreea 11ff;'il S'i' Intlmpr. ? Ciry Phane 144 Inetsll ? ? Nams Address ?Ih. OL N I Name ? Addrese Q Clty Phone I hereby acknowledge that I heve reed thla applicatfi in}ormatlon Is correct end egree to comply wlth all Minneaota Stetutea and City ot Eagen Ordinencea. Sipnature of PermNtee - ? Var. Date Copiea Totei $2.369. UO ; A Bullding Permlt Is isaued to: coVF,ND P;.TERSFSP: 07Pl: T all work ahall be done In accordance with all appllcable Siate of Mlnnesota StetL 37 .,, ;36 Occupency h3 Zonlnp L3.1 rype ot Const No. Storlee Lenpth ? +- Dapth36- Sq. Ft Asaessment Permlt $ 583.00 Water&Sew. Police Surcharye 60.00 Plan Revlew 241.50 575 00 Fire . gp,C Eng. WaterConn. 500•00 Plenner Water Meter 63 . 50 Council Road Unit 29U. Ua atatethetthe gld Off. 3/12/8 Tr.PI. 156.UU pble State of APC Perks on the express conditlon thet City of Eapan Ordinances. Building Otticial 1 Ipona. Dim I w? "+aa.. I Daft I*+vM» « 1 ;lq MW Pft FbiW RIIL Frsa ?. • ' ?,,i . t. CONTRACT PRICE Site Address r Lot L Block ? Name ? Address ? ' ? ?+ - ? City? l - ^ r" Name -- -T-? ;?--?- ; AddLps `12.21 w , il,: p City FEES COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - $10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATURE OF FOR: CITY OF EAGAN PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 PERMIT # RECEIPT # DATE: BLDG. TYPE ? k Res. Mult ? Comm. Other WORK DESCRIPTION New ? Add-on Repair NO. FIXTURES TQTAL -Water Closet - $3.00 S ? -]Bath Tubs - $3.00 " • - `L Lavatory - $3.00 :. ?Shower - $3.00 _ Kitchen Sink - $3.00 Urinal/Bidet - $3.00 _i Laundry Tray - $3.00 _?Floor Drains - $1.50 ?• ' ?! Water Heater - $1.50 _Whirlpool - $3.00 ?Gas Piping Outlets - $1.50 /- _Softener - $5.00 -Well - $10.00 _Private Disp. - $10.00 ?._Rough Openings - $1.50 FEE ? / • STATE S/C: • GRAND TOTAL• ? ' ' ' - CONTRACT PRICE: ? • ? ' • 5ite Address " -- Lot Block -j ? I Name 4 ? m Address!`' c City'S Name 3 Address`% '7? / ? 0 Ci?. . : % MECHANICAL PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 PHONE: 454-8100 TYPE OF WORK Forced Air ? - - ? -' M BTU Boiler M BTU Unit Heater M BTU Air Cond. M BTU Vent CFM Gas Piping Outlets # ? Other FEE S/C: ? TOTAL: PERMIT # _7n«9Z RECEIPT # ? ?, / ?2 DATE 9 - / ? <:_? (e?) BLDG.TYPE Res. ? Mult Comm. Other WORK DESCRIPTION y .: New Add-on Repair FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. COMM/IND FEE - 146 OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMLT#'RICE GOES BEYOND $1,000.00J • t - SIGNATURE Of PERMITTEE FOR: CITY OF EAGAN CASH RECEIPT . CITY OF EAGAN ? 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE J/ 19 6 (P RECEI V EO FROM AMOUNT 4 DOLLARS _/ 'ao ? CASH at'HECK FOR • ,_,fi ?JU/?7' FUNG CODE pMOUNT ? r r' Thank You 62124 BY White-Payers Copy Yellow-PortinO CoPY Pink-File Copy i ClTY OF EAGAN SFWER SERViCE PERMIT f 3830 Pilot Knob Road P. ? P. O. Box 21199 PERMIT NO.: Eagan, AifN 55121 DATE: Zoninp: - No. of Units: ? Owner• + Address: . .;.., : - Site Address: 4334 I.PA f.UUit Idr, r_ ,•. ?.?:E? ,c°.s? ''k ;, Plumber: _ t-iuir PlumbinA-App1e 3-17-96 60584 100.00pd i.,m ro compl,, .,ur, o. cMr or u,e. Connection Charye: & 7 5,3opd Acooun Deposit: 15.00vd , Pertnk Fae: 1:).Ovnd ? Surcharya: . S 0,t?d ' Bv Mix. Chomes: j Dote of Inap.: Totai: ? InsP•: DoM Paid: CITY OF EAGAN 3830 Pilot Knob Road WATER SERVICE PERMIT P. O. Box 21199 PERMIT NO.: Ea9an, N!N 'S5121 DATE: Zoninp: No. of Unks: Ownar: - Address: Sita Address: Plumber. Metar No.: Connectian Charge: Size: AceouM Deposih . . Reoder Na: Permit Fee: 1 yM to eanolp wph 11N Ciqr of Hyew Surcharpe: OIJIMnQM. MIK. CM?plY. TotoL• BY Dota Paid: Dote of Irup.: Inso.: CITY OF EAGAN WqTER SERVICE PERMIT 3830 Pilot Knob Road P. U. Box 21199 PERMIT NO.: Eegan, MN 55121 DA7E: Zoninp: No. of Units: Owner: :r.== Address: $ita Address: Pp e r r- - Plumber: Meter No. .- Size: r/ Rec r No.: ? ? ? p? ? ? ( Permit Fee• aalo.?«. °R E?C?^f R E ??: . By LLlO? -/1!/ ??nATotal: 63.5t?,:.? ,-.?tr Dcte of Insp • Dots Pcid: n ? '(? `(/? ??.: CITY OF EAGAN N° 11637 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 ? US BUILDING•PERMIT ? Receipt a To be used for SF DWG/GAR Est. value $1 Z 0r0 0 0 Date MARCH 17 19 8 6 SiteAddress 4330 LEO CT Erect ?I Occupancy R3 Lot 15 elock 4 Sec/Sub. WILDERNESS PARIMem3Dlgl ? Zoning R1 Parcel No. Repair ? Type of Const V Addition ? No. Stories SVEND PETERSEN CONBT Move ? Length S?+ ¢ Name -?? = 4701 W 110TH ST oemolish ? oepth 36 o Address Int. Impr. ? Sq. Ft. Cpnone 884-5144 Install ? o Name SAME Approvals Fees ,°?¢ Address Assessment Permit ???00 ~ City Phone Water & Sew. Surcharg??00 ? W Name ? ? z Address a W City Phone I hereby acknowledge that I have iniormation is correct and agree Minnesota Statutes and City of5 Signature o( Police Plan ReviewZq-L . 50 Fire SAC 575.00 Eng. Water Conn. 500.00 Planner Water Meter 63 . 50 Council Road Unit 290.00 i ationandstateihatthe Bldg.Off. 3/12/86 Tr. PI. 156.00 ,o al p i ble e of Os. APC Park s Vac Date Copies Total $2.369.00 SVEND PETERSEN CONST A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applica6le St?o of Minneso a Sta s.and City of Eagan Ordinances. 8uilding Official REQUEST FOR ELECTRICAL INSPECTION « EB-00007-0A ?: ' See instructions for completing this form on back ofyellow copy. / A ? ? ? ? ? 4 X" Below Work Covered by This Request kew Add Rep. Typa of Buildine Apvliences Wired EquiVment Wired Home Range Temporary Service- Duplex Water Heater Lightin, Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Fdfm Other Speci y Other(5pecify) t er peci y ther Other Comoute lnsaection FPe RPlnw M Fee ServiCeEntrenceSize q Fee Feedars/Subfeeders N Fe Circuits U t 00 m s 0 to 30 Am s / Oto 30 A?n Above 200 qm py 31 to 100 qmps 1 to 100 A •,5 Swinunin Pool Aboye 100_Am s Above 100_Am ' Transiormers Irrigation Booms Partfai•'Ot ee Signs Special Inspection S T flema?i`s ?.? ? /w_ V ?`S OT FEE ..Y /_l'/ . i - Hough-in D te I. the ! Inspector, herebp certify that the above Final • Date inspection has been ? g mda. _ (hfareauestvoidl8monthsfrom - This request void 18mon1074224 L`is?, 9 ?/. .??/?a P?9 A Re.ques?ate ? Fire No. Rouph-in Insp ecUOn Req ired? ?Ready Nuw Will Nntify. Inspec- 9 ? ? '?° 3 ? -,?es No ,or When Ready ?Licensed Electrical Contrector ± fherebyrequest inspection of abova wner electrical work installed at: MINNESO7q STATE BOAND OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway gldg. - Room N-791 . gE ACCEPTED BY THE STAiE BOAHD 1821 University Ave., St. Paul, MN 55104 UNLE55 PROPER INSPECTION FEE IS Phone (612) 297-2111 ENGLOSED. ?. } 14'?T.4 i nA? ?rJ? 17 7,-v ? 1986 BIIILDING PERHIT APPLICATION - CITY OF EAGAN NOTE: lLL COATRACTORS MUST BE LICENSED iIITH THE CITY OF EAGAN ? 3 COl4ffitCIAL S 2GLE9NIILY DWffi.LINGS INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS $2,000 LANDSCAPE BOND To Be Used For: INCLUDE 2 SETS OF PLANS ? 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS ? -Zor Valuation: ? Site Addreas t??53 p O C? t Lot /? Bloek /?/ Parcel/Sub&//LDE?PtiFSS Pi4RK !L1 ADb• Owner &, rj?-? 25 (Fw Address !-70 i 2?,l / /n T2:f S-E= City/Zip Code iyPG 5 /?//Ni? 55?f 3"7 Phone y Contraetor Address City/Zip Code Phone Arch./Engr. _ Address City/2ip Code Phone # Date: OFFICE IISE ONLY Erect ? Oceupancy _ - ? • ?j Remodel _ Zoning R-I Repair _ Type of Const ? Addition # of Stories Move _ Length 5co Demolish ` Depth Int.Impr. Sq Ft Install APPROVALS FEES Assessments Permit 83 Water/Sewer Surcharge (on Police Plan Review Z 41.5D Fire SAC 5"1 S Engr Water Conn 500 Planner Water Meter Council Road Unit 29D _ Hldg Off 3?1Zt, Treatment Pl I Se,, APC Parks Variance Copies TOTAL ? ? NOTE: ADDRESSES FOR COEAER IAT3 - COATEACT08/HOIiEOfiAER MOST DESIGNATE iTHICH ADDRESS IS DESIRED. NO CHANGFS WILL BE ALLOWSD ONCE BIIILDING PERHIT IS ISSIIED. 21a x 20 " 5 7? ?c ?3 =`'.x? f?o - 22C? Z0 Zo 62)0 (033C0 \ r. ? 3 x Z?7 " o?( I? 44 ? 3? Zo C? ? ?• ? (? I Zov f Cer-tificate For: ' Svend Peterson Construction 4701 West 110th Street Bloomington, MN 55437 ? DELMAR H. SCHWANZ 94?45 ' LANO SURVEVOF$ INC RPOi51PrM UMdPr L~C nf ThP CITIP 01 MslinPSofA 14750 SOUTH ROBERT TRAIL ROSEMOUNT. MINNESOTA 55068 PNONE 812 4211789 SURVEYOR'S CERTIFICATE ' Elevations shown are existing. 1 00 Proposed garage floor elev. / ? I V 3p W, 9 v h `0. r i io ta lD? 972 I he reb y certif y that this is O Z a true and correct representation p.0 3(,, of the following described tract of land: t• 7" Lot 15, Block 4, WILDERNESS PARIC ???O cD • SECOIdD ADDITION, Dakota County, \ L Minnesota. CT'?S`9c. 9-? o Also showing the location of a proposed house x ? as staked thereon. • , ? As staked by me this 24th of February, 1986. MINNESOTA REOISTRATION NO. 8625 RESIDENTIAL 5 I? BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construcdon Reau(remeMs • 3 repislered site surveys showing sq. ft. oi lot, sq. tt. oi house; and 11 roofed areas (200k maximum bt coverage allowed) • 2 copies of plan showing beam & window saes; poured tound design, etc.) • 1 set of Energy Calculatlons • 3 coples oi Tree Preservation Plan if lot platted afler 7/1193 • Rim ,bist Detail Options seleclWn sheet (bklgs wilh 3 or less unfls) DATE 0 .2S- ir Reguimments . 2 copies of plan • 1 setotEnergyCalculatlonsforheatedaddilions • 1 site survey tor exterior addftbns & decks . Indicate I home served by septic system for addttbns VALUATION S? /CO SITE ADDRESS _(?n G, MULTI-FAMILY BLDG _ Y r TYPE OF WORK I(?? FIREPLACE(S) _ 0_ APPLICANT STREET ADDRESS 97CU L . _S TELEPHONE #7r 03-L?1:23CELL PHONE # ? 1 _ 2 zIP ssoll PROPERTY OWNER (Yu CC Tef ef-500 TELEPHONE #4'cL5/- ys`/- 9445 COMPLETE THIS SECTION FOR v&NEW• RESIDENTIAL BUILDINGS ONLY Energy Code Cate9or!+ - MINNESOTA RULES 7670 CATEGORY 1 (4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Conhactor: Plumbing system includes: Mechanical Contracfor: _ Mechanical system includes: Sewer/Water Conhactor. Phone # Phone # Fee: $70.00 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 Ordinances. Signalure of Applicant , OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 _ Water Softener _ Water Heater No. of Baths aTVSTATE FAX # _ Phone # Lawn Sprinkler No. of R.I. Baths _ Air Conditioning _ Heat Recovery System CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION NO'1'p': PAL)MF'NTS OF FEg AT TIME pF APPLIc.ATTON noEs rOr CONSTiTuricE APPROVAL OF PERMIIT. . ... -xwxxxxx?x?xwxwwwx??x ??x?wwww.www.ww P ease Print) ? 1) PROPERTY ADDRESS: ?330 ?,Ed /DneJ/P? •.. z) LEGAL DESCRIPTION: ? R-1 SINGLE FAMILY ? R-2 DLPLEX (Zt,.o Lnits) ? R-3 TOWNF30USE (Three + Units) ( Lnits) ? R-4 APARTMENT/CONDOMIIVIDM ( Units) s? , ?''? Z£ EXISTING STRC'CIL'RE, DATE OF ORIGINAL BCTILDING PERMIT ISSC`ANCE: - (Nbn Year) PRESEUr ZuNIIVG/PROPG5ID LSE: q coMERcIAL/=AIL/oPFzcE Q IPIDC'STRIAL, f-I INSTI2L'TIONAL/GOVERDIlMENT ? rrArE:.r. ADDRESS: Y CITY, STATE, ZIPtQL PEi+ 3) ' r ?• NAME: ADDRFSS: CITY. STATE, ZIP. ^ PHONE: ? '3 ision or `v W" . Active Expired ? /V A-'0' Not recorded MASTER LICENSE# /g Y9,00? St 4) •• • i?- NP,rE: ADDRESS: CITi', STATE, ZIP: PHONE: '5? '? a' • ?• : a • a• - ?? OeF CONNECPION TO• CITY SEWE2 C'aNNECTION TO CITY WATER Q 0'I'FIER '6) io • i• ? PI,EASE HOLD APPROVID PERMIT FOR PICK-UP BY ODIE OF P.BOVE ---- --- ?PL?FA.SE N]AiL APPROVID PERMIT TO 1, 2, n 4. AHOVE . ?? ?? w A w 1Cirej"P (1t1Pl SICIVA7L?RE-IN5PF7CTION OF SE.SM ADID/QR MTM rrST?r.r.ATrONS WIId. NOif BE SCEED-- UIED UN!'II, PFRMIT HAS BEEN APPROVFD. ' i? FOR CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit c $ s ?3. s?v $ $ $ $ $ $ 5"75?-E?d $ $ $ $ $ $ RECEIPT FEES: $ /?) • 5`c) $ 49 • S O ? r e $ er-p. T S s $ $ C $ $ $ s ?/• ?? RECEIPT SEWER PERMIT (INCLUDE SURCHARGE) WATER PERMIT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/0[.'TSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - SEWER ACCOIINT DEPOSIT - WATER WAC SAC TRLNK WATER ASSESSMENT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRUNIi SEWER LATERAL BENEFIT/TRONK WATER WATER TREATMENT PLANT SLRCHARGE OTHER: TOTAL DOES UTILITY CONNECTION REQUIk2E EXCAVATIaN IN PUBLIC RIGHT OF WAY? ? YES IF YES, THEN A"PERMIT FOR WORK WITHIN Pf-IBLIC Q ROADWAY" MLST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A COYVDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: C ? _ _ _ - _ _ _ - - _ ' - - - - ' - ? .?r OM Se ? ? Permit I ? ?• ?? ? Permit Fee: I I ? Date Re ived: L95' I I I Staff: I I 1 ------------------ 2008 RESIDENTIAL BUILDING PERMITAPPLICATIONChUae?-?7`a ? AG i? Date: (Ja a?G Site Address: Y33 c? < <-4 f- A/?i/?' 3 • Tenant: Suite #: RESIDENT / OWNER b.? Name: 9< UC e4 .?•? OG?nJ N ? e/lsat/ Phone: 66-1- Wy- 96 Address / City 1 Zip: y S.S O L ea Applicant is: i/Owner _ Contractor TYPE OF WORK Description of work: lidd; I Jo.v 0:? Construction C (Yes /No ? M lti F il B iidin t - am y g: _ os : u u CONTRACTOR Name: se r-? License #: Address: City: State: Zip: Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 CateqorV 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 submission type) • Energy Envelope Calculations Suhmitted 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:'Pla s a'nd supportirtg documenfs thatiyoa submi# are `considered to:b? pubiic information. Pnrtior?s of- iI??? i???ii?, ?, w? n the information a be classif th r Ci f to ? d bl ifi a t wo ld lf th if vi ? m y, ? e a ? y as?nort-pu de spec c,re sans {?e m e ic you pro u concludethatthe :are trade secrefs. j* aI? = ???> ??` il?s 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 staR 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 ?R?c?P ? . l`???eRsa,v X ? <<-c ? ;? - ApplicanYs Printed Name Applicant's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES ? Founda6on ? 05-plex ? 16-plex ? Accessory Building ? Pool ? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi ? 01 of Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF ? 02-Plex ? 08-plex ? Deck ? Porch (screen/gazebolpergola) ? Multi Misc. ? 03-Plex ? 10-plex ? Lower Level C7 Storm Damage ? 04-Plex ? 12-plex ? Miscellaneous WORK TYPES ? New ? Interior Improvement ? Siding ? Demolish Building* -Addition ? Move Building ? Reroof 0 Demolish Interior Alteration ? Fire Repair ? Windows ? Demolish Foundation ? Replacement ? Egress Window ? Water Damage * Demolition (entire building) - give PCA handout to applicant DESCRIPTION: Valuation ??v ? Occupancy MCES System Plan Review Code Edition SAC Units 25% 100% ( _ Zoning ? City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Const. if A. Width REQUIRED INSPECTIONS Footings (new bldg) Footings (deck) ? Footings (addition) ? Foundation Drain Tile Roof: Ice & Water Final ? Framing Fireplace:_R.I. _Air Test _Final Insulation Reviewed By: Sheetrock FinallC.O. ? Final/No C.O. HVAC Other: Pool: _Footings _Air/Gas Tests _Final Siding: _Stucco Lath _5tone Lath _Brick Windows Retaining Wall Building Inspector RESIDENTIAL FEES: Base Fee 5urcharge Plan Review MClES SAC City SAC Utility Connection Charge S&W Permit 8 Surcharge Treatment Plant Copies Total -?l Page 2 of 3 RESIDENTIAL BUILDING PERMIT APPLICATION REQUIREMENTS: New Construction Requirements ? 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas ? 1 Soils Report if proposed building is to be placed on disturbed soil ? 2 copies of plan showing beam & window sizes; poured found design, etc. ? 1 set of Energy Calculations ? 3 copies of Tree Preservation Plan if lot platted after 7/1 /93 ? 20% maximum lot coverage allowed ? Rim Joist Detail Options selection sheet (buildings with 3 or less units) ? Minnegasco mechanical ventilation form Remodel / Repair Requirements ? 2 copies of plan showing footings, beams, joists ? 1 set of Energy Calculations for heated additions ? 1 site survey for additions & decks ? Addition - indicate if on-site septic system ` Boirndary and Loca tion Survey For: BRUCE PE'7"ERSON -?? , ??Ory? `' oyeL? ? 0 ??J / CC? o?ai vj i , . , , , , i ? ? ?> ` <?\ '?8 SP+.?y?' a 9 ? o s ? A? s?o 06 ? \ ? \\ . F ? 15 / i ` i ? i ? ? ? ? I i ? I ? i o ? I o , \?1oJy6 > >- \f?r? ? -? Gotoqsvl i 12,36 A44?tL Vo Property Description: Lot 15, Block 4, WILDERNESS PARK SECOND ADDITION, according to the recorded plat thereof, Dakota County, Mfnnesota. (A O 411% ? ? s rn i Scale; 1 inch = 30 f@et ?. D?- ? ?l ?=o ? %W.y ? ? 1cp„ ?io ? G° LotAlva = 13,548sq. h: Hss & GarArw = >,T55sq: fl: /herobycedilytheffhisp/an, specAr460n, or mpod w8'Fpi8parridbyme orundermyd/rect supelyAion andfhat /am a du/yL/renssdLand Surveyorunderthe /aws ofthe SYete ot Minnesola, zl ? ,` P? ,.. .... . , ? ? •.; ? ?' •LICENSED ?'. LAND : SURVEYOR ? ass» ?1•???` ;;t 1.... _ _;F.r'., MenFA. Schwenz, LendSarveyor NNnnesola t/eeWNo. 458>7 L4 O T \ ?,..,pG O = Set iron pipe. monument w/ plastic cap marked PLS 45817" fB = Set Wood Hub on property line DE'L]VIAR H. SGNI/YANZ LAND SURVEYORS, INC. DRAWN DATE 14555 SO. ROBERT TRAIL MAS 4-24-08 RoSEMouN7, MN 55068 APPROVED DATE 651-423-1769 MAS 4-24-08 SCALE SHEET PROJEGT NO. 111 = 30' 1 B0801 4 PERMIT City of Eagan Permit Type: Mechanical Eagan. Permit Number: EA101201 Date Issued: 09/27/2011 OR Permit Category: ePermit 40~ it~ of E3 E Site Address: 4330 Leo Ct Lot: 015 Block: 004 Addition: Wilderness Park 2nd PID: 10-84251-04-150 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Furnace & Air Conditioner Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson. State Electrical Inspector. (952) 445-2840 Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Valuation: 8.012.00 Surcharge-Fixed $5.00 9001.2195 Total: $».00 Contractor: - Applicant - Owner: Genz Rvan Plumbing & Heating Brice A Peterson 2200 West Highway 13 4330 Leo Ct Burnsville NIN 55337 Eagan NIN 55123 (92)767-1000 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature Use BLUE or BLACK Ink ~ For Office Use Permit ~C21_54~ 7 j City of Eatfl I Permit F,:. l 3830 Pilot Knob Road I Eagan MN 55122 j Date Received: j Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: ~!~^Unit Name: G'C c bA/ Phone: ^ RESIDENT / L'" AGA/✓ N .S`'=.5•,/a~.~ OWNER Address / City / Zip: ~0 L ~ 14 Applicant is: Owner Contractor Description of work: RC: c/ 4- C 9- VZV Q k/4- TYPE OF WORK Afi4 Construction Cost: Multi-Family Building: (Yes / No i~ L ~ Company:'k// - _ Il t/V-Contact: "~./~•~y2 i Address: City: ` CONTRACTOR /y, A) 41 1 / L -Ll State: Zip: _W' Phone: 6 ` 71 v License U Lc Certificate If the project is exempt from lead certification, please explain wh~ (see Page 3 for additional information) l . /1 mil" _Z" COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 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 they are trade secrets. 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. o he tateonecall.or 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. 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. ,-y 'br Cze-V x 0. 1 "iA Applicant's i ed Name Appl nt's Sig ture Page 1 of 3 /03 S 434 ©.ter ha, I �+ av-ct ! 47:414: a " c.t► .A d b do k- 3''rTop r s, G�qi G e 0 oo ft H e4 q be Z- y,ui vts e t JDu6r3 G. ale t avrr 104.44,'aGa/( SPAp., tgusser v d/! �1 0 d�ric.Q ga�4y�-.bn� A 7e F •. g', /d.. 14.-