1439 Lone Oak RdCLAIM VOUCHER - REFUND REQUEST
CITY OF EAGAN
MAKE CHECK PAYABLE TO: Thorson Homes
ADDRESS: 4466 Wedgewood Dr
Eagan, VIN 55123
PERMIT # 70076, 70077, 70078 Valuation: $153,000
RECEIPT #/DATE: 92797 - 08/09/2005 Site Address: 1439 Lone Oak Rd
REASON FOR REFIJND: Contractor could not build on lot due to poor soil conditions.
TYPE OF REFUND:
BuIldin Pemut Base Fee 0801.4085 $ 1,290.55
Construction Meter De Refund 92202254 $
Curb Box D osit Refund 92202253 $
Fire Su ression Permit 0801.4096 $
Mechanica] Permit 0801.4088 $ 70.00
Plan Review Fee 0720.4222 $ 419.43
Plumbin • Permit 0801.4087 $ 90.00
SAC (MCES) 9220.2275 $ 1,435.50
SAC (City) 9379.4681 $ 100.00
SAC (Admin 0801.4246 $ 14.50
Sewer Pemut 6201.4532 $ 50.00
Surchar e 9001.2195 $ 78.00
Treatment Plant 6101.4685 $ 612.00
Water Permit 6101.4507 $ 50.00
Water Meters & Radio Read 6101.4509 $ 125.00
Water Su 1& Stora e 6101.4680 $ 1,009.00
Other $
Total $ 5,343.98
I declare under the penalties of law that this account, claim, or demand is just and that no part of it has 6een paid.
07/28/2006
? NATURE DATE
, 7/?$'/ ??• e.a-rt??--?- ,u.?,??,e,,,.,??,`
2005 RESIDENTIAL BUILDING PERMIT APPLV ICATION
t ? City Of Eagan
1???- 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
A
'3registered si[e surveys Showing sq. ft. af lot_sq. ft. of trouse; and aN roofed areas
(20% maximum lot coverageallawed) -\(D W--71
2?copies of plan shawing beam & windo saes; poured found design, etc.
Vl setofEnergyCakula[ions
i3c? pies of Tree P2servation Plan'rf lot pla aker 7!1 f93 °TC hre%
? I1?
..R(m Joist Detail Oplions seledlon sheet (build s wilh 3 or less unils)
7C IF COIgTR
ateeorv 1 \
Date 7_ ?.n n s Construction Co
SiteAddress 1439 Lon Oak Road UniUSte #
ot 5 Bloc 3 Kennerick II
Description of Work New COnstru ion
Multi-Family Bldg _ Y X N Fireplace(s) 0 X 1 _ 2
PropertyOwner Thorson Homes Inc. Telephone#(651 ) 454-0644
Contractor Thorson Homes, Inc.
Address 4466 Wed ewood
State Drive
Zip City Ea4an
Telephone#( 651) 454-0644
d
1 ?'
THIS AREA
. Residential
Submitted
• Energy Enu
Have`you previously constructed a
fee applies.
Licensed Plumber Thompson P
Mechanical Contractor Kleve,
Sewer/Water Contractor Allied
I hereby apply for a Residential B
that the work will be in conforma
Statutes; I understand this is not a
permit; that the work will be in acq
approval of plans. ?
Printed Name
fion Category 1 WorkshE?t
;alculations Submitted \
Eagan with a similar
/ LAwsl' *` "U??
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheet
Submitled
_ Y _ N If so, 25% plan review
#(95? 933-7717
#(95g 941-4211
ing, Inc.
#052) 894-8340
ng Permit and acknowledge that the kiformation is complete and accurate;
with the ordinances and codes of the City of Eagan and the State of MN
nit, but only an application for a perm t, and `work is not to start without a
mce with the approved plan in the case f wori which requires a review and
RemodeVReoeir Reauirements
2 copies ot plan
1 set of Energy Calculations for heated addNOns
1 site survey for additans 8 decks
Addihon - irMicete HarsRe septk system
F3P•. ?c?c-'? - 5?a . a ?
Pp '• ? ?l0 .(50
Tree Pres Plan Recd4.:
Tree Pres Required
Onsite Septic System n
jj,Y?
?iy _ N
_Y _ N
g
16? \\j
Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
02 SF Dwelling ? OS OB-plex ? 76 Fireplace ? 21 Porch (3-seaJ
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.)
? 04 • 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch(screenJgazebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? OB 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
Work Types
0- 31 New ?
O 32 Addition ?
0 33 Alteration ?
Ct 34 Replacement
Valuation ?' aC77
Census Code
SAC Units r? r1
# of Units ?
# of Bldgs ?
Type of Const
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. AR - SF
? 38 Multi Misc.
35 Int Improvement ? 38 Demolish Interior ? 44 Siding
36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
37 Demolish Building' O 43 Reroof ? 46 Windows/Doors
•Demolition (Entire Bldg) - Give PCA handout W applicant
Occupancy ? MCES System
Zoning City Water
Stories Booster Pump
Sq. Ft. C . PRV
Length Fire Sprinklered
Width ,? x r
? Footings (new bldg)
_ Footings (deck)
Footings (addition)
? Foundation
Drain Tile
Roof Ice & Water Final
? Framing
? Fireplace 4 R.I. V Air Test Y Final
Insulation
REQUIR?D INSPECTIONS
?(? Final/C.O.
_ FinaUNo C.O.
_ Plumbing
_ HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
Windows
? Retaining Wall
Approved By: ?2, , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
ciry snc
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
kln;?
Mi1 t?j
1,2470
t?-?9
? ? vo y- ?? -5,
610-nf (P y
? f E, "? . l ? ? (??+D
'Vs--y? 491 D
x ? I/ 4o?
? s?, 71 v
VILLAGE OF EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber:
Meter No.: Connection Charge:
Size: Account Deposit:
Reader No.• Permit Fee:
I agree to comply with the Village of Eagan Surcharge:
Ordinances. Misc. Charges:
Total:
By Date Paid:
Date of Insp.: Insp.:
VILLAGE OF EAGAN SEWER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber:
I agree to comply with the Village of Eagan Connection Charge:
Ordinances. Account Deposit:
Permit Fee:
Surcharge:
By: Misc. Charges:
Date of Insp.: Total:
Insp.: Date Paid: