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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: