4315 Kaufmanis WayCITY OF EAGAN Remarks
Addition WILDERNESS PARK 2ND ADDITION Lot 1.1 Blk 2 Parcel Ill 84251 11f) 02
Owner] i•:i ^,, W X11." 1 lJd?!"?, • ., street 4315 Kaufmanis Way State Eagan, hIlV 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
1071
lu-/ . 95
A006879
- -
10147
8
SEWER LATERAL
WATERMAIN
WATER LATERAL
* WATER AREA 1979 859.80 85.98 10 859.80 006879 10-14-78
STORM SEW TRK 1979
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
oa Unit Charge 75.00 12251 10-27-78
WATER CONN. 250.00 12251 10-27_78
BUILDING PER. #5045
SAC 1-27-78
PARK
I I
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CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD 1
EAGAN, MINNESOTA 55122
DATE 19
RQC 6I V 6D
FROM
AMOUNT
& DOLLARS
100
Ej CASH ? CHECK
Thank You
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
I
•:;?'-'.`. 1c-r . , r .. .tea :: ?e?: '. r
.. CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for BA521111111M Est. Value $19 300 Date AUG 2
1989
Site Address 4315 l AMMS WAY
Lot 11 Block Y Sec/Sub. WILDERMS ?A M
Parcel No.
W Name THBODORE W GORRS. 1A
o Address 4313 KAUFRUIS NAY
City EAICAK Phone 452-6844
o Name SMI
o? Address
v City Phone
WW Name
Uu Address
im City Phone
I have read this application and state that the
agree to comply with all applicable State of
Occupancy
Zoning
(Actual) Const
(Allowable)
# of Stories
Length
Depth
S.F. Total
S.F. Footprints
On Site Sewage
On Site Well
MWCC System
City Water
PRV Required
Booster Pump
Signature of Permitee . . , ?- ?. ri'A 1" APPROVALS
A Building Permit is issued to: Tumm N =M. it,,' Planner
on the express condition that all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off.
Building Official Variance
OFFICE USE ONLY
FEES
Bldg. Permit
?- Surcharge
Plan Review
SAC. City
SAC, MCWCC
Water Conn
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI
Road Unit
Park Ded.
Copies
TOTAL
16887
36.00
1.00
•7V
37.50
Permit No. Permit Holder Date Telephone #
WATER
SEWER
PLUMBING
H.VAC.
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing Z- s bS
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final P1bg.
Const. Meter Plbg. Inspector - Notify Plumber
E ./Plan
Ak
Final
??j
7 yG L
?
Deck Ftg. / p
,95
Deck Final
Well
Pr. Disp.
/'CstrdlG?.s?.?ss? ?[ Gs?GyA??cGS.Y- ???
BUILDING PERMIT
Site Address ` 1
Lot ? I Block
Parcel #
CITY OF EAGAN
5795 Pilaf Knob Rood Eegen, MN 55122 N2 5945
PHONES 494-8100
65,000.
Sec/Sub. '
cc Name
Z Address
d, Nome •.iic%J vans. i.in_.
0
o` Address_ Rth fit.
3-2122
Name _
Address
I hereby acknowledge that I
the information is correct
State of Minnesota Statute
Signature of Permittee -
A Building Permit is issued t
all work shall be done in ac
Building Official
read this application and state that
,ree to comply with all applicable
City of Eagan Ordinances.
Receipt #
r1M.a I;', ` .. 7P,
^ ( ta
Erect ? Occupancy
Alter ? Zoning
Repair ? Fire Zone 3
Enlarge ? Type of Const.
Move ? # Stories
Demolish ? Front ff.
Grade n Death ft.
Assessment _
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off. _
APC
Permit _
Surcharge
Pion check
SAC
Water Conn.
Water Meter
Total 1 '
r = ?' ?' • on the express condition that
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
- 3344? /o -i7-7$
Permit # Daft lewd ?erwiftee
Plumbing ? C- _ L
Mechanical
a- I0-31-
INSPECTIONS DATE INSP. RoupMln Find
Footings Dote Insp. Date Insp.
Foundation _ Plumbing
Frame/ins. Mechanical
Final 22. 1 1
- I
Remarks:
CITY OF EAGAN
3795 Pilot Knob Road (",Ip 1c'i?C?I ATp T:F " ?
Eagan, Minnesota 55122
Phone: 454-8100
I'i'i: 17,, PERMIT
Date: 1?-2? 78 Receipt No.:
Single
Site Address: 4315 Xm1frimlis WWV Residential
; 1?.? Pick 2n -
Lot '- Block - Sub/Sec. _ Multi
Name !Abfried C7olnstructim Inc.
c° Address 701 - 8th Stxeet
City Phone: 463-2322
Name 1? RMUM ()MVMW
2016 - 200th `-.'t . "
Address
e
0 M-1-711 i
City Phone:
This Permit is issued on the express condition that all work shall be
Minnesota Statutes and City of Eagan Ordinances.
No.
1.374
New/Alter./Repair
Cost of Installation
20.00
Permit Fee
. r0
Surcharge
Total
done in accordance with all applicable State of
Building Official
PLUMBING PERMIT For ON U Only
CITY OF EAGAN PERMIT #??5
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT # 0
PRICE PHONE 454-8100 DATE:
Site Address / BLDG. T P2 WORK DESCRIPTION
Lot Block Sec/S b Res. New
- i L-l, aY?
Mult. Add-on
GO)
•S
Name IFS
i'519-DaRE W. 6,
u
Addres
Comm. Repair
Other
c
- City Phone S 2 - !? RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
F S Water Closet - $3.00 $
./
6 E D
Name
` / /
9 3
Q kli
3
Addr 00
- $
Lavatory
3
O J
City Phon?r - g
-L Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3
00
.
FEES Laundry Tray - $3.00
COMMAND. FEE - 1% OF CONTRACT FEE Floor Drains - $1.50
APT. BLDGS. - COMM. RATE APPLIES Water Heater - $1.50
TOWNHOUSE & CONDO - RES. RATE APLLIES Whirlpool - $3.00
MINIMUM - RESIDENTIAL FEE $12.00 Gas Piping Outlets - $1.50
MINIMUM - COMM.IND./FEE $20.00 (MINIMUM -1 PER PERMIT)
STATE SURCHARGE PER PERMIT .50 Softener - $5.00
(ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE) Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
??r (?(/ •
O U. G. Sprinkler System - $12.00
SIGNATURE OF
PERMITTEE -?---????
PERMIT FEE:
STATES SIC: S
FOR: CITY OF EAGAN GRAND TOTAL- ) U
CITY OF EAGAN
3795 Pilot Knob Rood
Eagan, Minnesota 55122
Phase: 454-8100
LlTMI, L'-v{ PERMIT
Date:
L1-31-78
Site Address: t"315 Ka:if man i s x1
Lot - Block Sub/Sec.
WP 2nd
No. 1264
Receipt No.:
Single
Residential
Nome !A14'ried Coast. Inc.. New/Alter./Repair
c Address 1 ?t? r t
C Cost of Installation
rmingto : !.?, -21?_2
City Phone: Permit Fee
ame ?'ns -Ryan . `'!
Surcharge
Address So. Robert
0
V City Phone: Total
This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Building Official
CIT EAGAN WATER SERVICE PERMIT
31 Pilot Knob Road PERMIT NO_:
E An, MN 55122 DATE:
Zoning: No. of Units:
Owner: - -
Address:
Site Address: -
Plumber: _-_-
Meter No.: Connection Charge:
Size: -_ Account Deposit:
Reader No.: Permit Fee:
1 agree to comply with the City of Eagan Surcharge: -
Ordinances. Misc. Charges: rr°'
Total:
By Date Paid:
Date of Insp.: Insp.:
CITY F EAGAN SEWER SERVICE PERMIT
37' Pilot Knob Road PERMIT NO.-
E gan, MN 55122 DATE:
Zoning: No. of Units:
Owner: _
Address:
Site Address: _
Plumber:
I
l
h
agree to comp
y wit
the City of Eagan Connection Charge:
Ordinances. Account Deposit:
Permit Fee-
Surcharge:
By Misc. Charges:
Date of Insp.: Total:
Insp.: Date Paid:
0
CITY OF EAGAN
9795 Pilot Knob Road Eagan, MN 55122
PHONE: 454.8100
N? 5045
BUILDING PERMIT APPLICATION Receipt # `
To be used for SF Dwlg. & Garagftt.yalue 65,000. Date 10-27 192L_
site Address 4315 Kaufmanis Way Erect IS Occupancy I
Lot 11 Block 2 Sec/Sub. WP 2nd Alter ? Zoning RI
Parcel # Repair ? Fire Zone 3
Enlarge ? Type of Const. y
o: Name Ted & Nancy Goers _ Move ? # Stories
z Address Demolish ? Front 73 ft.
9 C'N P Phone Grade ? Depth 40 ft.
Name Libfried Const. Inc. Approvals Fees
zg 701-8th St.
o Add Assessment
_
Permit 162.00
ress
u?
Farmington
463-2122
Water & Sew. 32.50
Surcharge
Phone
C' Police Plan check
uW Name Same Fire SAC 500.00
11 250.00
nn
t
C
W
r, Address
m
z
Eng.
.
er
o
a
60.00
Ci Phone
< Planner Water Meter
Road Ut. 75.00
Council
1 hereby acknowledge that I have read this application and state that Bldg. Off. -
the information is correct and agree to comply with all applicable APC Total 1,079.50
State of Minnesota Stat a and City of Eoga , Ord' ones.
'
L
Signature of Per I" ?l
A Building Permit is issue :Lib ri on the express condition that
all work sholl be done In acco 99ce with all p cable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official a__e c_ - ' Ftz '
.i
A ?
BUILDING PERMIT
To be used for BASEME
CITY OF EAGAN NO 16887
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 G `?
Receipt #
NT Est. Value $1,500 Date AUG 2 [g A9
Site Address 4315 KAUFMANIS WAY
Lot 11 Block 2 Sec/Sub. WILDERNESS PARK
Parcel No. 2ND
ir I Name THEODORE W GOERS, JR
o Address 4315 KAUFMANTS WAY
City EAGAN Phone 452-6844
}o Name 011,11!m
gs Address
City Phone
G W Name
Address
aw City Phone
I hereby acknowlege 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 Cityof Eagan,Qrdinances. , i _
Occupancy
Zoning
(Actual) Const
(Allowable)
# of Stories
Length
Depth
S F. Total
S.F. Footpnnls
On Site Sewage
On Site Well
MWCC System
City Water
PRV Required
Booster Pump
Signalureof Permitee/Az4teCe!n? W- t APPROVALS
A Building Permit is issued to THEODORE W GOERS, JI Planner
on the express condition that all work shall be done in accordance with all Council
applicable Stale of Minnesota Statutes and City .otf Eagan Ordinances. Bldg. Off
Building Official I .p f 1 I I l?/1 Variance
OFFICE USE ONLY
FEES
Bldg Permit
Surcharge
Plan Review
SAC, City
SAC, MCWCC
Water Conn
Water Meter
Accl. Deposit
SM/ Permit
SiW Surcharge
Treatment PI
Road Unit
Park Ded.
Copies
TOTAL
36.00
1.00
.50
37.50
T Minnesota State Board of Electricity
1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703
%Iftls. REQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERED BY THIS REQUEST
R 9.r,44n
Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For
Home ? ? Range ? Temporary Wumg ?
Duplex ? ? Water Heater ? Lighting Fixtures ?
Apt. Bldg. ? ? ? Dryer ? Electric Hearing ?
Commercial Bldg. ? ? ? Furnace ? Silo Unloader ?
Industrial Bldg. ? ? ? Air Conditioner Bulk Milk Tank ?
Farm 11 ? ? List ,. List
Other El ? ? Her HerersI
COMPUTE INSPECTION FEE BELO •V, U V
Service Entrance Size: # Fee Feed Su ders: # Fee Circuits: # Fee
to 100 Am s. 1 1 0 to 0 Amperes
101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am res
Above 200_Amps. 1 1 Above ]00_Amps. Above 100 Amps.
Transformers Remote Control C rc. Partial or other fee >;P
Signs 1 1 Special Ins ection Minimum fee $5.00 . Ao
Remarks
<.tr
TOTAL FEE
1, the Electrical Inspector, hereby certify that the above inspection has been made.
(Rough-in) f Date
(Final) /O-a 7
This request void 18 months from
months from
Date of this Request /o - ;t Y - 7r
1, as Licensed Electrical Contractor ? O ner, do hereby I
cal ring installed
Street Address or Route No. ???s•?P?// Z
Section Township
Which is occupied by- 2
Is a roughin inspection required on this job? No;K Yes El Ready Now I? Will Call ?
Power Supplier 444 ?/?ted Address ?A.fr1++Pr+
Electrical Contractor Contractor's License No ?&.l
Mailing Address
Authorized Signature
Z az.
R 25440
of the a ove electrl•
e.w PD-COV 9.a+
Range County
Is Installation)
Phone No. g '
(cuacirlcal contractor or owner Maki his Installation)
( {`?(r,1 /i? COP V /? VE p ®/& R ® COPV T is inspection request will not he accepted by the
rrJJ LI State Board unless proper inspection fee is enclosed.
! Minnesota State Board of Electricity
19„8 University Ave., St. Paul, Minn. 55104-Phone 645.7703
REQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERED BY THIS REQUEST
842890
Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For
Home ? ? Range Temporary Wiring ?
Duplex ? ? ? Water Heater Lighting Fixtures
Apt. Bldg. 11 ? El Dryer P9 Electric Heating ?
Commercial Bldg. ? ? ? Furnace Silo Unloader ?
Industrial Bldg. ? ? ? Air Conditioner Bulk Milk Tank ?
Farm ? ? ? List List
Other
_ ? ? ? Hthers
ere OehH
COMPUTE INSPECTION FEE BELOWVJ-) I
Service Entrance Size: # Fee Feeders bf ers: # Fee Circuits: # Fee
0 to 100 Amps. 0 to 30 m eres 0 to 30 Amperes
101 to 200 Amps. 31 to 100 Amperes 31 to 100 Amperes
/
Above 200 Amps. Above 100 Amps. Above IOQ_Amps.
Transformers Remote Control Cite. Partial or other fee .TO
Signs Special Inspection Minimum fee 410,00
Remarks 99? _ ` TOTA EGYIO.O CS pA
I, the Electrical Inspector, hereby certify/the sfkction has been m
(Rough-in) C/ l??Date / - 3 - j 9
(Final) r Date
This request void 18 months from
This iegVst void 18 months from
-Ml
'P42890
Date bf this Request 1;2- - AIVI )Y1 I, as ?El Licensed Electrical Contractor ? Owner, d hereby request inspection of the above electri-
cal wiring installed at:S fIlpid WdLil- eLc?4i
r?nnLL II p?
StreOt Address or Route No. Beba- a air./ City
Section Township Range County
_Al
Which is occupied by
Is a roughin inspection required 'on this job? No ? Yes/'1 Ready Now ? Will Cal; M
Power Supplier Aa-04-7 2w --y??--r'Address ? 1iY U
Electrical Contractor ? e???'t Contractor's License No.?3s7??
" (company Name)
Mailing Address a2 O 9 V6 lriL
(E rical tract pr or owner Making This Installation)
Authorized Signature Phone No.93?
(Electrical Contractor or Owner M r9 This Installation)
SUM 900115 05PU This inspection request will not accepted cl the
?l, ? State Board Board unless proper inspection fee is enclosed.
REQUEST FOR ELECTRICAL INSPECTION
? Sae nV truytions for completing this form on back of yellow copy
F 6 6 3 9 9 X" Below Work Covered by This Request
ES-00001-07
e Add Rep. Type of Building Appliances Wired Equipment Wired
Home ange Temporary Service
Duplex ater Heater Electric Heating
Apt Building ryer
t Other (Specify)
Comm./Industrial j urnace
Farm Conditioner
Arr
Other (Weedy) Contractors Remarks.
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Cimuits/Feeders Fee
Swimming Pool 0 to 200 Amps O to 100 Amps
Transformers Above 200 _ Amps Above 1 0 _ Amps
Signs Inspectors Use Only. TOTAL _
Irrigation Booms ,?jQ ,,3 O r SO
Special Inspection
Alarm/Communir tion
Other Fee
I, the Electrical Inspector, hereby Rough.in
t
D,
certify thatthe above inspection has
been made. Fal
e? J
te
!!
L/
OFFICE USE ONLY
11this request void 18 months from
? 66399 rY A';?' 1a> ' .t(.:4CV
Request Date Fire No. Rough-in lnspeotbo
ned7
Vas ? No
)?Reatly Now ? Will Nobly Inspector
When Ready?
1 ? licensed contractor owner hereby request inspection of above electrical work at:
Job Address (Street, Box or Route No.) City
Section No. Township Name or No. Range No. County
Occupy INT)
o Ov lJ,
E s Phone No
a -6S`4?
Power Supplier
GFc- ?? Address
Electrical Conin or (Company Name) Contracbr9 Ucense No.
Madarg Address (Contractor or Owner Making Installation)
ANhod2 afore ( aclor/Owner Makng InsIalWSOn)
Phone Number _
11152
MIANESOTA STATE BOARD OF ELECTRICITY V THIS INSPECTION REQUEST WILL NOT
Grigga-Midway Bldg. - Room 5473 BE ACCEPTED BY THE STATE BOARD
1621 University Ave., SL Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0600 ENCLOSED
0 919a-- REQUEST FOR ELECTRICAL INSPECTION
JS 515 4 0, Seem ructions for completmg this loan on back of yellow copy.
A. Below Work Covered by This Request
10.5 213
New Lmd Rep. ^ Type of Building Appliances Wired Equipment Wired
A Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (speedy) Contractor's Remarks
Compute Inspection Fee Below DFA - AC Control
# Other Fee # Service Entrance Size Fee # CirculislFeeders Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps
Transformers Above 200 _ Amps Above 100 Amps
Signs Inspectors Use Only .s=charge TOTAL .50
Irrigation Booms J
J 15.5Q
Special Inspection tlf
/ J '
Alarm/Communication D DISCONNECTED IF NOT
THIS INSTALLATION MAY BE
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Rough-,,
Final
_
Dare
Dar acs
OFnCE USE ONLY
This request void 18 months from
5 515 4
Reguesl Date Fire No Rough-m Inspection
p f
4-28-
2 Regulred? XI Ready Now ?
Will
ty Inspector
e
9 G Yes -r No W
Ready'
h
n
I IN licensed contractor O owner hereby request inspection of above electrical work at:
Job Address (Street. Box or Route No.) City
4315 Kaufnanis way Eagan
Section No Township Name or No Range No CountyDakoti
K
Occuaar8(PRINT) Phone No
Theodore Goers
Pcwer SUppner Atltlress
Dakota Electric Farmington
Electrical Contractor (Company Name) Contractor's License No
Naber Electric A-40591
Mailing Aadocs (Contractor or Owner Making Installaoonl
12326 Trail Northfield
Authunzetl Siyn lure Conlractor;O er mg In IlaLOn) Phone Number
507-&5-9760
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg - Room S-173 BE ACCEPTED BY THE STATE BOARD
1821 Umverslty Ave, St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(612)642-0800 ENCLOSED
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
r City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are required for each unit
Date 4
Site Address 1? IS K[ l ?t Cr_N_ACLr'1 "Z? C L4 Unit #
O
P
t Telephone # kC,5? ) ?J42
wner
roper
y
Contractor
Burnsville Heating & A/C, LLC
Street Address 12481 Rhode Island Ave. So. City
Wage, MN 55378-1122
Zi
Telephone#
p
State
,?fiee
Bond #:_L_1 11y??Z a ) -C), Expires: C' `
7t 1 oaf
The Applicant is Owner Contractor Other
Add-on or alteration to existing dwelling unit $ 30.00
furnace -Additional Replacement
_ air exchanger
ent
air conditioner New Replacem
l
?
other ('k )J\ cQ,( xj-_ k>? 1 ?
tb-?
State Surcharge $ .50
Total
I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; 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.
?.e"?IL?C9- Yt I`Ct el l r
Applicant's Printed Name Applicant's Signature III L r 0_1 I
2005 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commercial/industrial buildings
multifamily buildings when separate permits are not required for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone #
( )
Bond #: Expires:
The Applicant is Owner Contractor Other
Work Type
- New Construction - Underground Tank _ Install -Remove " see below
- Interior Improvement _ Install Piping - Processed -Gas
Nature of Work:
`*When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector
Permit Fees: $70.50 Underground tank installation/removal
550.50 Minimum (includes State Surcharge)
or
Contract Value $ x 1 % _ $ Permit Fee
• If ermit fee is $1,000 or less, add $.50 $ State Surcharge
If grmit fee is over $1,000, add $.50 for
every $1,000 ep rmit fee $ Total Fee
t hereby apply for a commercial Mechanical 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 with the Mechanical Codes; 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.
Applicant's Printed Name
Applicant's Signature
Approved By: , Inspector Date:
1959 BUILDING PERMIT APPLICATION
CITY OF EAGAN
0# / 6
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCS.
:NLTIPLE DWELLINGS RENTAL UNITS
MULTIPLE DWELLINGS
2 SETS OF PLANS
REGISTERED SITE SURVEYS -
(CHECK WITH BLDG DIV.)
1 SET OF ENERGY CALCS.
2 SETS OF ARCHITECTURAL
A STRUCTURAL PLANS
1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCS.
FOR SALE UNITS # OF UNITS
NOTES ADDRESSES FOR CORNER LOTS - CONTRACTOR/BOMEOWNER !KIST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT 13 ISSUED..
SEWER & WATER PERMIT FEES AND ACCOUNT DEPOSIT FEES WILL BE INCLUDED WITH THE BUILDING
PERMIT FEE. PROCESSING TIME FOR SEWER AND WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS
BEEN COMPLETED INDICATING A LICENSED PLUMBER.
PENALTY APPLIES WHENs PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
To Be Used For: L??/Y EgSr`l?l,Atyaluation:
Site Addressv3/$`??Y
Lot 11 Block
Parcel/Sub (? a Vrlcti,?rAL t.f.1 IfAr
Owner /)U --rtf?,
Address /S /r'?llFh%RN/S l•/4y
City/Zip Code (9"i 5510-.3
Phone
Contractor
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
1S v0,p'" Date: 2'- 2
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage
On site well
MWCC System _
City water _
PRV required
Booster Pump _
FEES
Bldg. Permit 3t?.0
Surcharge 1,00
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Copies 5-0
SUBTOTAL
Penalty
TOTAL 3950
APPROVALS
Planner
Council
Bldg. Off.
Variance
gg?
COMMERCIAL
Phone #
W4:?" #000,
BUILDING PERMIT APPLICATION
DATE - 2 / - ? Z
Include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calcuations.
To be used for Valuation coo
Site Address: "13/5` /< co tFAicr /AS Wat/
Lot Block Sec./Sub.
Z lKA I oCOUFS 3
sf/ PAR t.? ?-
Owner
/'
Address
Address _
Arch/Eng.
Address
Parcel Number
Telephone
Telephone
Telephone
OFFICE USE ONLY
Erect
Alter
Repair
Enlarge _
Move
Demolish
Grade
Date of A royal„and Initial
Assessment
Water/Sewer
Police
Fire
Engineer
Planner
Council
Bldg. Off.
A.P.C.
Occupancy
Zoning
Fire Zone
Type of Const.
# of Stories
Front 7 3
Depth 'y0
Fees
Permit 16y7
Surcharge ?a
Plan Check
SAC SDD eo
Water Connection LSD
Water Meter Zee
TOTAL 1 (
3?
? ? ?a o
NR AND U VALUrL A N,aLysl? JF W`<\LL S?GT,!>a/5
"R` - VA LLL E
_1 -I nITF_RIO? ftii2 FILM
3%z_iusLa nTIoN C? ?? )
?01 too
3 4 s H E A r, 4 ¢T!?m raX --
1? !Q?-SIG?i::j
E?T6K iO R AIR- F!c
zo7, rOT A L ? Q, VAI - L F
TO°A6 F?rA?i>:
r OUNI D AT 10" I1?AL-L- AFZEh CABovc CgRAOfi-?D
_IAII-EP-102, AIR frt--r1
-_ I? SP?CQr. oe cn ?u ?r: we C?
_-27
-ExTF-K.?OR. Aoz FIL.1n
DO -rorAL J,,4 VALUE-
TOTAL rmrAc. f_
i
FdAm E-1 ID/7i?}L( J>TL _ 514OLD
VALl.1c. ANALySI,S OF Wgt-L SEG710NS
i
-- @_ItiTeRio? AIR,
_!45--??--?Va'Srl,M WnLLed?i?o
?`E? SS_ ??//(z SOF 7 `NopO T
VA?Q L5 ARR,x.Q.-
•???tez?oR, nr? Fr?.r-t
,-)T-AL rmzAC,c
N S l,t_ L- AT E 1 AR EA B Erv/Em N 5T LA OS
_ 61 yV TEF1J4 AIR rlLm
"
-'? ?Cl l'' PSLL rrt /ALL. p`i^ti ?2. L?
MM
pus Li
Lwr ro i arc-?/)
/
AjR PILM
L_ r o T A L. P.4w z V A L LA L-
/7 EArE.a.icrv
R^y.i?= it/949 = tm:l
707A L POOrAGP_
Fb?nLLi OOMJ7C,F?, VAr6: ! IIgOLo
T? AND U VALUE A-1.IaLY55 OF THE 1ZC?OF/C9{L NG -5 EC.rIOgS
JoisT/ ?RA+'l,ric, floe
i . z R - VA 4-9 c
G. /itC5_ULE97_1d1U g, 5
bi INTEERIOR AIR FILM
5 6FT WOO!]
o ? /r'J C7Y PSl ^'; '?'?A LL $0.9&{?
4WILvA P R f, ?17- P,
I NTER IQR, AIR FILM
GJ SOTA L Rw? ?ALU E
-pTCTAL Faoraa4
_LNSL LATe? ?IZ! A ?EtWEEhr 7N? tJOIS j S
"P," - VAt-LI.E
-- ?l 137 tO1 AIR FIL 'I
_EV
I,ti5-LL.A7 ON CR z?)
--_?d 2f-1 C,,YPSUM WAL-LHa-140
VAPOR- OARRIF- e-
II I I, '.) I i I -- e of iN Ir,z7oP. Alp, Fil Al
r6 e T07A L b,,," VALU-L
X" 1
'MrA L FOOTA G L
a:o" L• -I ,oinnc? OZ& PA9rr SIy,d69
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
Owner To 'iej,141LC?l
Site Address T3z?7 /
Contractor,E/&f?E? ?Oiir Date 10-2
=7?Phone to.?_- /zZ
Determine Working Square Footage Of Each
17
1 T
t
l
d
ll
34
0S_3
l
??
o
a a
expose
wa
area
sq. It X
1 .
-
2. Tota l roof/telling area /6 w D sq. ft. X .05
Total exposed wall area above floor =
-
A11161
a T
tal wall
d
o
.vln
ow area .. ....... .... . .... .... ...... .... ..
b
Total door area ... ......
.. ....... ..... ?L a
c
Total sliding glass door area ... .... ........
....... ......... sf ?
..
d Total fireplace wall area ..1,?)W -/.-,Vd. r..S? .. 1N57.19ZZ F.,0
b=
e foal wall framing area (average 10%) ..... .. IZ4?0_
f Total net wall area above floor ... ..... ..... . 1147.
g
Total rim,oist area ,
re Z. enrR
Total exposed foundation area
h TotalfoUndatlon window area ... .... ....... ..-
i Total net foundation area above grade .... ..... ................. .. /Z g
Determine "U" value of each wall segment
b. °Sr(z X ..U.. .55-
_ _ - ? A0 -
e ?z ?® X 'U" i ®? _ A). Z
1147, SO X'u, .05 -5-7
, 54-L3
g X "U..
h /A X .,U.. SS = _ ?r 6 .,
3 .. Total = z 7 -
It item No 3 is the same as, or less than i tem No. 1, you have met the i ntent of SBC 6006 (c)2.
Total exposed roof/ceiling area = 16 , D -
I Totalskyhghtarea .. ..... ........... .. ..
k Total roof/ceiling framing area (average 100/6) ...... .............. ?/?o
I Total net Insulated roof/ceding area. ............ .. . ... .. /
Determine "U" value for each roof/ceiling segment.
U"
k CP : u.. . ? Cps 4P I
4. .. .. .. . .... Total
It total of No 4)s the same as, or less than No. 2, you have met the intentof SBC 6006 (c) 1.
ALTERNATE BUILDING ENVELOPE DESIGN
To utilize tine total envelope system method. the values established by the sum of items No. 3 and No. 4
shall no! be greater than the sum of items No 1 and No 2
? 5Z . ll,?/7 -
?
-? 2. = 415 0 7
3 /
4 CPC/
,' , ? - /
= 3 e, (? 7
{j
rq ~a
I
,1
,~,rr~' k/_ ~t' ,
,`^6*,~tw rr ~ ~ ty ~F s P .za~F ,t
w
rP
i I
>y~~ - i Y
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a e 1'.
' ~
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i x
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~ I~ ~ i ,
i (
, ~
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I ~ ~ ~ 7 ~ ~ ~ ~ t ~ , ~
+ ~ ~ ,.,14 . ~.e~~ ~,r. ~ ~ S~
F °
i
jr~
' { 1
.I
C
4 ~1 A~ t '
i
I
i I ~ .,.1i _ f
~~.,~.,„m,~~,em. [r
SCAB. 1 _ = .C?C3
Q
TOLERANCE5 I F~EVI$IONS = + ~ r`~
~excerr ps rvoTeol ND. DATE EY4' • , f?~N
7 - - ~ f~
~I~~t R (~e.~~ ~ - z
- FRACTIONAL DP.AWN ®Y i 36ALE SCALE MATERIAL
i~ y a .a~, ~.,_L t 3 3"x'.3`. i
CHK'D' t3ATE ANGULAR 4 PATE DRAWING NO.
rRACED A~F•o ; Roo
~ ~n:~,,...~~~ ` u,~,.. ~ ~ ~ w~_-:.~ -..~-..~-sue.,
C° rdo.taseaeuaa
!"
#$%&'()' *+*,
-./$%'"&0-1K3$2>$,+
-./$%'53/4-.1 6788998
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# '4'#-89'Q99'T"33T53L33'3V3!L53V"
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HI"!J'5"640I50HI"!J'5"04IV55
1'K9.9<>'-%&+ P$9)G9' K- '1'K-W9'.9-)' K*8'-??$*%- * +'-+)'8 - 9' K- ' K9'*+D .F- * +'*8'% ..9% '-+)'-G.99' '% F?$>'P* K'-$$'-??$*%-<$9': - 9'
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(??$*%-+ S/9.F* 99 ':*G+- ;.9188;9)'#> ':*G+- ;.9
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA135802
Date Issued:04/05/2016
Permit Category:ePermit
Site Address: 4315 Kaufmanis Way
Lot:011 Block: 002 Addition: Wilderness Park 2nd
PID:10-84251-02-110
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Theodore Goers Jr
4315 Kaufmanis Way
Eagan MN 55123
(651) 452-6844
Action Roofing & Siding Llc
1315 Southview Boulevard
S St Paul MN 55075
(651) 457-2642
Applicant/Permitee: Signature Issued By: Signature
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810"
(651) 675-5675 1 TDD: (651) 454-8535 1 FAX: (651) 675-56� '"'""'
EIVE
buildinginspectionsC7cityofeagan.com NOVA
,20.18 RESIDENTIAL B4 DING PER T
Date: 3 I Site Address: �—
Name-,
Resident/
Owner Address / City / Zip:
------------------
For Office Use I
I ,
I Permit #:
I
I Permit Fee: - I
� Date Received:
I I
I Staff:
L----------------�
APPLICATION
Unit #:
Phone: (�(z;) yZ;3 7 p
Applicant is: Owner YContractor P -D �� %�` t' 61___...
Type of Work Description of work:
Construction Cost: S L Multi -Family Building: (Yes / No
Company: _ �r Contact: ti'7r
'1 1
Contractor `Address: � T� ! � City:
State- I°' Y" Zip: Phone:
License #: � E� Lead Certificate #-
If the project is exempt from lead certification, please explain why. -
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:
Fire Suppression 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.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeacian.com/subscribe.
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.
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.-qopherstateonecall.org
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
acco ance with tthhe'° approved plan in the case of work which requires a review and ap f plans.
P x
Applicant's Printed Name I Applicant's Signature
SUB TYPES
Foundation
Single Family
Multi
01 of_ Plex
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wail
DO NOT WRITE BELOW THIS LINE
;�
Fireplace Porch (3 -Season) — Ext rior Alteration (Single Family)
Garage _ Porch (4 -Season) _ Exterior Alteration (Multi)
Deck Porch (Screen/Gazebo/Pergola) _ Miscellaneous
Lower Level Pool Accessory Building
Interior Improvement _ Siding Demolish Building'*
Move Building Reroof _ Demolish Interior
Fire Repair Windows Demolish Foundation
Repair _ Egress Window Water Damage
*Demolition of entire building — give PCA handout to applicant
DESCRIPTION
Valuation s^ f �'``'�•
Plan Review
(25% 100% "
Census Code
# of Units
# of Buildings
Type of Construction vl�'
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: ice & Water Final
Framing
— Fireplace: Rough in Air Test
_ Insulation
_ Sheathing
_ Sheetrock
_ Fire Walls
_ Braced Walls
Occupancy J- )2c- -, MCES System
Code Edition j� n zo S� SAC Units
Zoning City Water
Stories Booster Pump
Square Feet PRV
Length / Z- Fire Suppression Required
Width
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Pool: Footings Air/Gas Tests Final
Drain Tile
Final Siding: Stucco Lath Stone Lath Brick
Windows
Retaining Wall: Footings Backfill Final
Radon Control
Fire Suppression: Rough In Final
Erosion Control
Other:
.-viewed By: % a ,Building Inspector
;SIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
)Z IXIE- ' Ppe.14 Z/!v S1 -lei
Page 2 of 3
L/3/S �iac,�/nar� � lnl a y
SCA-jf
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164247
Date Issued:09/23/2020
Permit Category:ePermit
Site Address: 4315 Kaufmanis Way
Lot:011 Block: 002 Addition: Wilderness Park 2nd
PID:10-84251-02-110
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Nilo P Guanzon
4315 Kaufmanis Way
Eagan MN 55123
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
(651) 633-2561
Applicant/Permitee: Signature Issued By: Signature