1490 McCarthy RdCITY OF EAGANi Remarks
Addition Oslund Timberline Loc 3 Blk 4 Parcel 10 553
Owner ' Street 1490 MrCarthy Rnad State Eagan, MN 55121
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREETRESTOR.pgvlri 1971 $901.9$ $90.20 10 340.
GRADING
SAN SEW TRUNK 140 1968 $100.00 $3.33 30
* SEWER LATERAL 1970 $2012.1( $100.60 20
WATERMAIN 1970 ZO
WATER LATERAL
WATER AREA
* STORM SEW TRK 1970 ZO
STORM SEW LAT
CURB & GUTTER-,
SIDEWALK
STREET LIGHT
WATER CONN. $320.00 1000 - -
BUILDING PER. 43699 1000 8-27-75
sac 25.00 1000 8-27-75
PARK
RESIDENTIAL
BUILDING PERMIT APPLICATION
?l CITY OF EAGAN ?
3830 PILOT KNOB RD - 55122
651-681-4675 ?
NewConstructionReauirements RemodellRepairReauirements 1
• 3 repistered site surveys showing sq. ft. of lol, sq. ft. of house; and all roofed areas . 2 copies of plan
(20% manimum lot coverage allowed) . 1 set of Energy Calculations for heated additions
• 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 site survey for exterior additions & decks
• 1 set oi Energy Calculations . Indicate if home served by seplic system for additions
• 3 cropies of Tree Preservation Plan if lot platted after 711193
. Rim Joist Delail Options selection sheet (bldgs with 3 or less units)
DATE
JOB SITE ADDRESS
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER Ja,01al SlZ2s76?
VALUATION ?
?
TYPE OF WORK ?- FIREPLACE(S) _ 0? 1_ 2
APPLICANT PHONE# CeSr jS:'7 -_Z ?
ADDRESS ZIP CODE SSd ?1_?S
PAGER # CELL PHONE # FAX # t1f!V 191/? 7???
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Contractor:
Mechanical System Includes:
Sewer/Water Contractor:
Water Softener
Water Heater
No. of Baths
Air Conditioning
HeaC Rec;overySystern
All above information must be submitted prior to processing of application.
Phone #
Phone
I?'ee: $90.00
Fee: $70.00
?? 2
„ 1 . i _ -
I hereby acknowledge that I have read this application, state that the information is orrect, and
with all applicable State of Minnesota Statutes and City of Eagan Ordin nces.
Sfgnature of Applicant
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
_ Phone #:
Iawn Sprinkler
No. of R.I. Baths
Updated 1101
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
Footings (new bldg)
Footings(deck)
Footings (addition) Plumbing
Foundation
Drain Tile
Roof Ice & Water Final Other
Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final
Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone
Insularion _ Windows (newheplacement)
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
FinaUC.O.
_ FinaUNo C.O.
HVAC
Building Inspector
vILIAGE OF EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Rood PERMIT NO.: 1876
Eagan,MN 55122 DATE: 10/28/75
Zoning: R1 No. of Units: I
Owner: -TOliefannnnild -y-
nddress: 1424_M<Carthy Road ?--
Sire Address: -3&t50ft6W"*r t?
nt ...,.tio.. Proiect Plumbinq Co -
Meter No.:°92
Size: -
Reader No.: _
/ O
1 ogree to comp y fwith the Village of Eogon
Ordinan !//7 ?
By e -A
Date of Insp.:
Connection Charga20.00 Pd
Account Deposit
Permit Fee: 10.00 pd
Surchazge: • 50 pd
Misc. Charges:60.00 pd
Total:
Date Paid:
Insp.:
YILLAGE Of EAa4M SEWER SERV ZCEqPERMIT
37v4 YilctC.nobRood PERM[TNO.: 10/28/75
Eoyan, MN 55122 DATE: -
Rl No. of Units: 1
Zoning:
Ow?er: Tollefson Builders
Address: 1400 nT C„-nn-,d T3nd Zjmherl;nF
TL 1IlE
Site Address:
Plumber:
I agros to comply with tha Villoya of Eayan Cannection Chazge: 425.00 pd
O?dinancas. Account Deposir.
Permit Fee: 10 00 nd
Surcharge: 50 I)d
gy. Misc. Charges:
Date of Insp.: Total:
Insp.: Date Paid:
?57 7 i ?
CITY ot EAGAN
BUILDING PERMIT
'
Ownes ................................. 7-
Add:ess (Pseseni) ... ?.Ct_. ...... C?::' "
tY c?.....---- ..
Suitder .......................... AZ--? ...... ..... .................................._.........
Addreas ...............
w', i? ?'
N° 3659
3795 Pilof Knob Raad
Eagan, Minnesota 55122
454-BI00
Dale ..... .........
Stories To Be Used For Froat Depth Heigh! Eei. Coei 'Permit Fse Romarks
'
? - 2 /sk /30-so /c" 'a?ct "Ea.z-?-
.?-?-t--
LOCATION
or
7 I , . 4
This permit does not auihorize the use of slreels, roads, alleys or sidewalks nor does it give the ownar or his agen!
the righ!!o create any situation which is a nuisaace or which prasen3s a hazard !o the health, safetp, eonvanieace and
general walfare !o aayone in the communiiy.
THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROG ESS.
This is !o ceriify. 3ha3---,..r..?- -. p ? pon
. .. . ... . . ... . .......has ermission !o ereet a.. -••••••• ? •••...... .. ... ~. ?.?....u
the above described premise subje Y?t provisions of al] applicable Ordinances for ihe Cii of Esg....
...................................................... ............. Per
-----------? ? ........................ 14.`.._.....:.` .. ...............•...... ........................
-
BuildinQ I eclos
Mayor -6
CITY OF EAGAN
3795 P11ot Knob Road
Eagan, Minnesota 55122
PEFi?'?'1TT NO < : 744
The City of Eagan hereby grants to Frec]ri kson g a t.,a & A/r
of 4030 Beau d'RLe Drive. Fppan SS727
a-HEATING Permit for: (Owner) To71,PfGon suilaP_ra?
at 140 MeCarthv xoad , pursuant to application dated in/ir,/75 .
Fee Paid: $20.00 dated this _2,L_day of oct. , 19 7S ?
.50 s/c
Building Inspector
Mechanical Permits:
Bid Totai:
CITY OF EAG?N
3795 Pilot Knob Road
Eagan, Minnesota 55122
PER?UT NO.: 625
The City of Eagan hereby grants to project Plumbing cb.
of 9743 Hwnboldt Ave. So., Bloomington, NM 55431
a PLUMBING Permit for: (Owner) Tbllefson
at 1490 McCarthy IZoad , pursuant to application datefl 10/17/75 Fee Paid: $20.00 dated this 28 day of October ?19 75 s
.50 s c
Building Inspector
Mechanical Permits:
Bid Total:
M4A??U CARMIJ"I -
LOCATION
OWNER
STRUCTURE AND "
LAND USED AS 1-.2 X?9:? V44/? ?OUI7 GMoG r
Issued To
Permit No. Issued Coniracior Owner
BUILDING
PLUMBING ? '
CESSPOOL - SEPTIC TANK
WELL
i
ELECiRICAL ?
HEATING
?
GAS WSTALLING
SANITARY SEWER
OTHER
O7HER
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING r/?( 7,, SEPTIC
FOUNDATION ?+ )
? a ?- ? ?{ ESSPOOI
FRAMING -
TILE fIELD FT.
FINAL
ELECTRICAL
HEATING DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
11
Violations Nofed
on Back
COMMENTS:
COMPLIANCE INSPECTION REPORTS
TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS
PERMIT NO. DATE OF I
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
08SERVED.
NON-COMPLIANCE. BUILDER DOES FJOT
INTEND TO COMPLY.
a ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
? NON-COMPLIANCE. Bl11LDER WILL COMPLY
WITHOUT DELAY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
17EMIZED AND DESCRIBED AS FOLLOWS:
? REIhSPECTION REQUIRED DATE OF REINSPECTION
REINSPECTION REVEALED
CERTIFIGATION - I certify that I have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein
a[ l significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require-
ments for off-site improvements relating to the property inspected.
F] ALL IMPROVEMENTS ACCEPTABLY COMPLETED
BUILDING INSPECTOR
COMMENTS:
..e,.-. .?R 23
Cities Di ig tal Qeuality Control
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INN
'?k.,CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
C60 G-6
PERMITTYPE: gux?ozN?
Permit Number: 0 2 6 3 3 7
Date Issued: 0 9/ 16 / 9 5
1490 MCCARTHY RD
LpT: 31 BLOCK: 4
OSLUNU TIMBERLINE
P.T.N.: 10-55300-031-04
DESCRIPTION:
803.1ding=r-Permit Type C1ECK
Buildin9-'l.J'&-rk Type NEW
.h 7\
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2f
REMARKS:
FEE SUMMARY:
Base Fee $30.00
Surcharge _? _A . 5 @
Total Fee $39.50
t Y ^'?I' f ?Y+" ft F mqy
CONTRACTOR:
oWNER: - Appiicant _
SWHNSON JERRY
1490 MCCARTHY RD
EAGRid MN 55121
(612)456-1535
? < • .
I tTereby„acknowledge?that I have read this applicatian andsta - te tha'C'the ' information is earrect and agree to` cnmply: with 'all applicable ; St.ate° csf' Mn:c `
Statu,tes-and City ?ofr?Eagan?Qrdinanc,as> a . APPLICANT/PERMITEE SIG ATURE
PERMIT
_nl? ?? 841?1. C
ISSUED B SIG T E
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: B U I L D I N G
3830 Pilot Knob Road Permit Number: 0 2 6 3 3 7
Eagan, Minnesota 55122-1897 Date Issued: 0 9/ 1 6 J 9 5
(612) 681-4675
SITEADDRESS: p'x.N.: 10-55300-031-04 APPLICANT:
LO7: 31 BLOCK: 4
1490 MCCARTHY RD SWANSON JERRY
05LUND TIMBERLINE (612) 456-1535
PERMIT SUBTYPE: TYPE OF WORK:
DECK NEW
INSPECTION D• . DA
F007ING5 FINAL
,-
?
e . ?,
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1W11,996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Construdion Reauirements RemodeVReoair ReQuiremeMs
? 3 registered site surveys ? 2 mpies ot plan
? 2 copiea of plans (indude beam 8 window stzes; powed fid. design; etc J ? 2 aite surveys (exterior additions & dedcs)
i 7 errorgy caiwlations i 1 energy calcufations for heated additions
? 3 Copies of tree preservation plan if bt plattad after 7/1193
required: _ Yes No
DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK: - ???/z- '149W A-J A/JA ? ;LJ N?? ?rdot-
STREET ADDRESS:
/?-,Vo /kl c &-4
LOT BLOCK ? SUBD.IP.I.D. #:
PROPERTY
OWNER
Name: &"&Ur3 J"
usr rwsr
Phone #: c n'D
, _ ? 46,(e - is3s (w)
Stfeet
(0 0
CONTRACTOR
Ciry: ?A (54IJ State: Zip:
Company: SiM"C f!-S D urAIE'-.?-- Phone #:
Street Address:
City: State:
ARCFi1TECT1 Company:
ENGINEER
Name:
License #:
Zip:?.
Phone #•
Registration #•
Street Address-
City:
State: Zip:
Sewer 8 water licensed plumber: . Penalty applies when address change and lot
change are requested once permit is issued.
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.
Signature of Applicant:
OFFICE USE ONLY ????CENED.
Certificates of Survey Received _ Yes _ No AtJG 3 1 1995
Tree Preservation Plan Received Yes No --------------- ?
- -
?
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
0 03 SF Addition o 08 8-plex
0 04 SF Porch o 09 12-plex
0 05 SF Misc. 0 10 = plex
WORK TYPE
? 31 New o 33 Alterations
? 32 Addition o 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowabie)
EIBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
? 11 Apt./Lodging ?
? 12 Multi RepairlRem. ?
0 13 Garage/Accessory o
? 14 Fireplace o
0 15 Deck
0 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. R.
sq. ft.
Footprint sq. ft.
Planning ? Building
r
a? s?»
..
16 6asement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
°e% SAC
SAC Units
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Use BLUE or BLACK Ink
For Office Use
: r Permit ( Z l1)
C
City of . Permit Fee:
3830 Pilot Knob Road ~r-1WE Eagan MN 55122 RF('r'-1, D I Date Received:
Phone: (651) 675-5675 MAY '112012 1 Staff: j
Fax: (651) 675-5694 I
2012 MECHANICAL PERMIT APPLICATION
Date: ' Site Address: mll~
Tenant: Suite
RESIDENT / OWNER Name: Phone: l-
Address / City / Zip: l C 1'~V& kAeW 69~, MAJ
Name: ~JILI t kl&4&- I / License
CONTRACTOR Address: N'31 601e'''2 cj City: Mal
State: Zip: Phone: Contact:
Email:
gad
New eplacement Additional I_ Alteration Demolition2
TYPE OF WORK Description of work:Klanta CAI, ~~J(~ - 7/k jwM-ky,&0 -w6lb
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
RESIDENTIAL COMMERCIAL
Furnace New Construction Interior Improvement
PERMIT TYPE ! Air Conditioner Install Piping Processed
s
Air Exchanger Gas Exterior HVAC Unit
Heat Pump Under/ Above ground Tank (_Install / _ Remove)
Other
RESIDENTIAL FEES:
$60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
x
$100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) _ $ TOTAL FEE
COMMERCIAL FEES.
$75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x1%
$60.00 Minimum (includes State Surcharge) Permit Fee
If the Permit Fee is less than $10,010, surcharge is $ 5.00 Surcharge
If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee
(i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) TOTAL FEE
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.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinan s 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 sta out a permit; t e work will be in accordance
with the approved plan in t e case of work which requires a review and approval of plans.
X WAV WEE, /'6f X ✓
Applica 's Printed Name App ' 's Signature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116653
Date Issued:10/09/2013
Permit Category:ePermit
Site Address: 1490 Mccarthy Rd
Lot:031 Block: 4 Addition: Oslund Timberline
PID:10-55300-04-031
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 by law in ALL single family homes .
Jeff Pelant
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 -
Jerrold A Swanson
1490 Mccarthy Rd
Eagan MN 55121
(612) 750-1288
Legacy Restoration Llc
14000 25th Ave N
Suite 110
Plymouth MN 55447
(763) 354-7660
Applicant/Permitee: Signature Issued By: Signature