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4719 Narvik Dr? CITY OF E/4GAN ? 3795 Pilot Knob Raod Eogan, MN 65142 ? , PHONEs 464-8100 $ BUILDING PERMIT Receipt # r_ L_ ..._.M i_. 97- D'V;rIGAP, ?? ..---- $60,000 ,?,_ August 4 Site Addrestl`- -" y' "`•• • `•. "` y• ` Lot " 81ock 5 5ec/Sub. park. Ridge Parce1 # oc Nome Cary Garceau ? ?lddress 1920 L. 86th, ;?235 R7nnminornn 9SG-[.()74 a Name "`•°•.•,.. uvi.?co 1000 Z? E. -? t t., Address ? cit Burnsville Phom 43 ua Ww Nome ? ?z Address •:r . $?5Y 83 Erect )a Occuponcy R-3 Alter ? Zoning TI-1 Repolr ? Fire Zone NA Enlarpe ? Type of Const, v Move ? # Stories Demolish ? Length 1.3 Grode ? Depth 46 Sq. Ft. Appro vals Feas Assessment Permit Woter 8 Sew. Surchorge Police Plan check ?J Fire SAC - Erg. Pl Wuter Conn. 4 0 1) t W M t cnner er e er a - Countil Rood Unit Bldg. Off. APC Totol '' ??"`'' I hereby acknowledge thot I hove read this epplicotion ond state tfwt th@ intormotion is correct und ogree to tomply with all applicable Stote of Minnesote Statutes ond City of Eo9on Ordinances. SipnoturE of PermiKee :tUML;ULi ., A Building Pertnit is issued to: - nff work shafl 6e done in occordance with a1f applicabte State of Minrr Bulldinfl Officiol on the express condition thot Statutes and C+ty of Eogon Ordinonces. Permit No. Permit Hoider Misc. Permit No. Holde? Plumbing 3`7 yG Ot A2 -Q? r? Q' •7,? r3 r H.V.A.C. 31(?& p 3 w.u Water Disp. Sawer EleMric 1,VOQqZZ t A 4' L gtLa` !?'?'-$ 3 Inapection Date Insp. Other Footinps Foundation Framiny r ' Rough Pibp. uJ Rough HVAC Insulation Final Plbq. Final HVAC a . - Final Water Deseribe Location: Well - Ssvrer P?.Oisp. ' Receipt MECHANICAL PERMIT Permit No. -- ' - CITY OF EAGAN i-- Fes ? - Fill in numbered spaces . S/C - Type or Print legiblY - , Tot. 1. Date 2. Installation Cost . ' ,?4 7/ C4 l 3. Job Ad'dressl.i/=?=v+1c piLot ? Blk. _ Tract 4. Owner e -- b. Contractor Phone ; . 6. Address 7. City State, - Zip --i 8. Building Type: Residential Z1 Commercial ? Institutional ? 9. Work Description: New Ll Add ? Alter O Hepair ? 10. Describe Fuel Type, .• ? f / ' : ?J,• ??? 11 No. Equipment BTU - M. Ea. Forced Air No. Equipment CFM Air Handli : Mfg. ng Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to compty with all.ordinances arld codes governing this type of work. Signed : for Rough,' F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 -? •:-! ?1! , --'• ? I ; Receipt ?- '• PLUM8ING PERMIT Permit No. -' ' CITY OF EAGAN Fee -' ' FiN in numbered spaces S/C '=J Type or Print legib/y - Tot. 1. Date '/`?- •("i 5' 2. Installation Cost ? 3. Job Addrerss? ??ot?_Blk. Tract 4. Owner • 5. Contractar ?/ i,? ?t? Phone f-f r yL?_ -T''-T 6. Address _. 7. CitY J State n/ ZiP ` S. Building Type: Residential 0` Commercial ? Institutional ? 9. Work Description: New W' Add O Alter ? Repair O 10. Describe 11. .. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs $eptic Tank _ Lavatory Softner Shower Well ' Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink ? Gas Piping Outlets 12. I here6y certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN Remarks Addition pARK RIDGE 1ST ADDN Lot 10 Blk 5 Parcel 10-56750-100-05 owner street 4719 NARVIK DRIVE State EAGAN h4V 55122 Improvement Date Amount Annual Years Payment Receipt Date sTREeTSURF. :f 82 149.13 104.40 A013383 12-30-83 STREET RESTOR. ANFINW 1985 491.99 d rt 32.80 1 ' 02.91 C009873 10-23-84 c,R*ettas / 1985 389.08 7 •P SAN SEW TRUNK 1982 147.21 9.81 15 117.78 A013383 12-30-83 • SEWERLATERAL lggg 62-6.16 41.74 10-23 WATERMAIN * WATER LATERAL 1985 ' WATER AREA 1982 - 9.81 15 117.78 A813383 12-34-83 STORM SEW TRK ? 1985 370.93 24 73 15 C00987 10-2 -g • STORM SEW LAT 1985 ' CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 450.00 tt of BUILDING PER. 9357 SAC 1? ?1 PARK CIYY OF EAGAN C 3830 Pilot Knob Road WATER SERVICE PERMIT P. "). Box 21199 PERMIT NO.: f Eagan, MN 551? i DATE: - r? 3 J- 17 Zoning: No. of units: 1 pwner; Rus con ! Ipneg Addresm site Addrcss: 4719 Narvik drive L10 B5 Park Rid c Plunber. _ StAi P1b . & EXc Meter No.: Connection Chorge: 450. 00 pd Size: Account Depos7t: Reader No.: Permit Fee: - 10.00 pd 1 ogeso t° omply wkb ty ? ? g"sn Surchorge: _ . 50 nd oedinowa... Misc. Chorpes: _ 60.00 nd *set Total: BY Oote Puid: Dcte of Insp.: Insp.: CITY OF EAGAN 3830 Piln* Knob Road P. 0. Box 21799 Eagan, MN 55121 Zoninp: pw,ner: : U S Ci Ae4lnee• SEWER SERVICE PERMIT PERMIT NO.: DATE: 3 -17 - 3:, No. of Units: I rarmrc ree: Sundwrge; Dcce of Insp.: Misc. CFwrpea: ^ Tatol; Insp.: Dota Paid: n? ?y ?J CITY OF EAGAN Include 2 sets of plans, 870 Sp-Lev. J5 " 1 site plan w/elevations & BLTILDING PERMPP APPLICATION 1 set of energy calculations. w4-G0.^ (00,000 2_$?. Zb Be Used Fbr ;nqle Fami7v Valuation % NWr Date ?-Sit2 AddYE55 4719 Narvik Drive Iot 10 Block 5. Sec./Sub. park Ridae Erect ? Parcel #: aJI1E2" C:ary C,arc-aaU Addsess= 1920 E. 86th #235 City/Z1p CodB: glonminaton. MN 55470 Phone #: 854-4074 Contractor: Ruscon Homes Acidress: 1000 E. 146th St_ City/Zip Code: gurnsville. MN 55?37 Phone #c ez')_I aA z Arch•/En9• : Probe Eng,ineering . Addres5: 1000 F._ 146th S+_ City/Zip Code: Burnsville. MN 55337 Phone #: 432-3000 Alter Repair Ehlarge _ Nbve Demlish Grade OFFICE USE ONLY Occupancy zoni.ng Fire Zone, Type of Const. ;_? # StAY1E5 ^ Fmnt ft. DePth Y(? ft. APPFbOVALS FEES Pssess[nents Permit ?dater/SE*aer Surcharge O? Police Plan Check /Jr Fire SAC sei; a ? Eng. water Conn. SO Planner ater Meter (o O Council 4VRoad Unit Bldg. O£f. . - AYC t 2CYPAL ? sd CITY OF EAGAN 9795 Pllof Nnob Raed Eegan, MN 55122 PHON[: 454-8100 BUILDING PERMIT T. 6e uaed i. SF DWG/GAR $60,000 Site Address 4719 Narvik Drive Lot lU 8l«k 5 Sec/Sub. Park Ridge Parcel # W Name Garv Garceau =q Address 1920 E. 86th (I235 b _ ni,_,._s_._.__ _. oci. o IN,m, Ruscon Homes ?? Add?ess 1000 E. 146th St., ? ,-:.,, Burnsville --- 432-1433 Name _ Address 1 hereby acknowledge fhat I hova read this apDlication ond state that the information is correct and ogree fo comply with oll applicoble State of Minnewta $tatutes and City of Eagen Ordirances. Sipnnture of Permittee uscon Homes A Building Pemif is issued to: oll work thall be done in acwrdance withr.o eDDliwbl 5t of Mir Bullding Officiol N° 8357 Receipt 3 7 '7/ ? oere August 4 19 83 E.ect ? OccupancY R-3 Alter ? Zoning R-1 Repoir ? Ftre Zone NA Enlarge ? Type of Const. V Move ? # Stories Demolish ? Leng[h 38 6rode ? Depth-4hi- 5q. Ft.- Acororals Fee. Assessment Pertnit ?vv" Woter 8 Sew. Surcharge 30.00 Police Plon check 156.50 Fire SAC 525.00 Eng. Water Conn. 450 . 00 Pianner Water Meter 60.00 Council Rood Unit 250.00 Bldg Off . . APC Total $1784.50 on t he expreu corditlon ihai .sotg_5tatutes and City of Eagon Ordinances. REQUEST FOR ELECTRICAL INSPECTION ' Sae inehuctions for completing ihis torm on back of yellow copy. "X " BeloQ ?III Vok?overed by 7his Request ' . EB-00001-04 w: 34 zs ) AAtl Rep. TyOe ef Buiitling Appliunces Wired EquipmEN WireA Home Ranyc Temporary Service Duplex Water Heater Lightiny Fiztures Apt. Building Dryer Electric Heatin Commercial Bldg. Fumar.e Silo Unloader industrial Bldg. Air Conditioner Bulk Milk Tunk Farm the, pecify ther (SUecify) [ er Specify pther Other Compute lnspectron Fee Below N Fee ServicaEntranceSize II Fee Fexders/Subfeetlers 4 F Circaits 0 to 200 qm s 0 to 30 Am s 0 to 30 An! s Above 200 Amps 31 to 100 Ainps t 31 to 100 A s Swimming Pool Alwve 100-Amps Above 100_Amps Transformers Irrigation Booms Partial%Other fee Signs Speciallnspection $ TO Femarks ' x•v-a Rough-in ( ?`??e 7, the cel Inspactor, ha,eby cer?ify tha? the above Final ? t D'nje/? L I l-?d {nspec[ian has been mede. This repuesl void 18 months from Thisre0ues[void1 <Ipl ?5j Va('7?. Pl,d ? 3`Z.S I 18 months trom ?J <? ? 3 a\ sv W099224 Fequest Dale _ A ?/ /y 3 Fire No. I Rouuh-in Inspection Reqmred? ?gy ?N?? Ready Fuw II Notify Inspec- urWhenReadY_ _ ?Licensed Elec[rical Coniractor I harebv request inspection ot ebove Ownnr electrical work installed et 5[reei Atldress. Boa or ute No. ?? City_ Gt ecvon o. Township Name or No. RanOe No. Com?l!Z//?Z' ""- Occupan PPINTI Phon No. Power $upplier /l L Address ? Electrir.a nntreclor ICom N ol ,? L. C actor's License No. C? fD ? Mailinp AdJress (COnV ctor or Owner Making Inslai a[ion) /.? ? ? ftv Authorizetl 'Pna r(CO ract r/Dwner 'ng Install' n? Phumb MINNESOTA STATE ND OF ELECTqICITY THIS INSPECTION NEQUEST WILL NOT Griggs-Midwey BI .- floom N•197 BE ACCEPTED BY THE STATE BOARD 7821 University Ave., St. Paul, MN 56104 UNLESS PflOPER INSPECTION FEE IS ok....e iat11 ?e7-71 11 ENGLOSED. "c? 11 N? 2?h- ??HOU E?H ATING TEST RECORD LIO ? f3 j? PQ4\k _( ADDRESS T ' APT.-FLOOR ` CITY SUBUR9CC?C? C?OCCUPANT OWNER ? . HEAT LO55 DATE HTG. INST. ' SOLD BY INSTALLED BY '. ElxMicel Wwk By Gas Line By TYPE OF HEAT CA FA HW _STEAM SPACE HTR. -UNIT HTR. _07NER GAS DESIGN CONVERSION MAKE ' MAKE OF BURNER • Model Modsl Ssrfel Maz. BTU Rating INPUT MAKE OF FURNACE Model CONTROLS THERMO?T/?Zot_Ply?? Vsnt Slas ' Valva U? d C o KIND'OF LINER $IZE NONE limff Dtoh Hood Rsyularor Limit swing o Filrors Siie Num6ar Fon &„b.g Chimmy Location Insida Oufsida Ptler Typ. Chimney Cons}ruefion. Pilet Molu Pilw Medsl Smoke Bomb Wiring Pilol Timing Oraft 7eat Tay L.W. Cuf Off Door Prasaure Lighting I • ? ct? ,PnssureParesnfCOZDa» Tastad ? Inpuf CFH Percent O? / Company Teating ' Stock Temp. y3Q a ParceM CO ? Nome oi Testar // ?.+"'- Form 235 r ? s , RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWction ReauiremenGS RemodeVReuair Reauirements Office Use Onlv 3 registered site surveys showing sq. ft. of lot, sq. R of house; and all roofed areas 2 copies of plan Cerl of Survey Recd (20% maximum lotcoversge allowed) 1 set ot Eneyy Calculations for heated addNOns Tree Pres Plan Recd 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for addiGons & decks Tree Pres Not Reqd 1 sef of Energy Calwlations Addih'on - indicate if onsite sephb system _ On-site Septic System 3 copies W Tree Praservalion Plan 'rf lot platted after 711193 Rim Joist Defsil Options selection sheet (bidgs with 3 or less unifs Date19 /pr\aq T/ Site Address Description of Work Multi-Family Bldg _ Y _ N ConstruMionCost 3 a(D? UniUSte # Fireplace(s) _ 0 _ 1 _ 2 Property Owner -bQmm ??`cCAC ?7, v Telephone # ((051 ) t0%0 'b Oq0 Contractor Address State PELLA WINDOWS & DOORS 15300-25TH AVE. N. STE. ff100 PLYMOUTH, MN 55447 763-745-1400 I.ICENSE #20165884 Tdl?phoe?e?#(?' 4 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Mianesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Su6mitted - • Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone #( J I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ardinances and codes of the City of Eagan and the State of MN Statutes; 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 Apphc st Signature Wd9E:l •g •unr awil pan100ay PeJia Windows & Doon - Twin Cities, Inc. 15300 25TH AVE. N. STE. #100 PLYMOUTH, MN 55447 ? 763l745-1400 June 8, 2001 Ciry of Eagan 3836 Pilot Knob Road Eagan, MN 55122 Deaz Jan: Elder Jones Corporation is authorized to pull building permits for Pella Windows & Doors - Twin Ciries, Inc. Please ail ow their representative to provide that service for us in Eagan. This authorization shall be valid until such time as the division manager expressly revokes it, in writing to the City. I request that this authorization be accepted expeditiously, so as to not delay the processing of our building permits any further. Please call me if there are any questions, I can-be conYacted at 763-745-1432. I'our iirunediate attention to this matter is appreciated. cerely, _'- `? JENEM W. S Bryan . May ? no" Replacement Sales Manager cc: Kara - Eldcr 7ones Denna Krafty - Replacement Sales Process Coordinator Windows> Doors, & Skylights WATS 1-800-462-5359 FAX763I745-1401 7nn5 rvTrTq Mrur Tui aiar esi 7ro vea /T:CT rua T!1/p/1/O!1 , RESIDENTIAL BUILDING PERMIT APPLICATION fv CITY OF EACAN 3830 PILOT KNOB RD - 55122 651-681-4675 New Construction Reauirements . 3 regisfered site surveys showing sq. ft. of lot sq. fl. of house; afM all raofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window sizes; poured found desgn, etc.) • 7 sel of Energy Calculations • 3 copies o( Tree Preservation Plan if lot platted afler 711193 • Rim Joist Defail Options selection sheet (bidgs with 3 orless units) DATE -O ? RemodeVReoairRaouiremeMs • 2 copies of plan • 1 sel of Enargy Calculations for heated additiom • 15itesurveyforextenoradditions&decks • Indicate i( home served by septic system for additions VALUATION JOB SITE ADDRESS 4a Yd"K DV" ?U-9ri-v? IF MULTI-FAMILY BUILDING, HOW MANY UNITS? '-' PROPERTY OWNER %c?m,' .Jr.sasrn / Dm?nc? !S; tdravi TYPE OF WORK_ SC/'Ctn d,??i.. APPLICANT I G.,M % Je44sev, FIREPLACE(S)?Z 0 _ 1 _ 2 PHONE# LSI- GY6 -08' yo ADDRESS S?-? " ZIP CODE S' .S/,22 PAGER # CELL PHONE #4 /,2'- 965 •,V8'O FAX # d,51- '/aS• 539S 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: Mechazucal System Includes: Sewer/Water Contractor: _ Water SoCtener _ Water Heater No. of Baths _ Air Conditioning Heat Recovery System All above information must be submitted prior to processing of application. Phone #: Lawn Sprinkler Tee: $90.00 No. of R.I. Baths Phone # Fee: $70.00 _ Phone # ? n ? p) APR 1 7 1002 I hereby acknowledge that I have read this application, state that the information is with all applicable State of Minnesota Statutes and City of Eagan O?*ances. Signature of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ to Updated 2002 OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 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 6ct. Alt - SF ? 04 02-plex ? 10 OS-plex )!f, 18 Deck X 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 Im rovement P ? 38 Demolish Interior ?' 44 ( ) ? Sidin 9 ,V' 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ?45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ?: 46 WindowslDoors ? 34 Replacement 'Demolition (Entire Bldg anly) - Give PCA handout to applicant Valuation 60? Occupancy ?-3 MC/ES System Census Code Zoning ?- D City Water " SAC Units Stories Booster Pump Nbr. of.Units Sq. Ft. ? PRV r. Nbr. of Bldgs ? Length A; Fire Sprinklered Type of Const ? W idth ? REQUIRED WSPECTIONS Footings(new bldg) FinaUC.O. ? Footings (deck) ? FinaUNo C.O. ' _ Footings (addition) _ Plumbing Foundation HVAC _ Drain Tile Other Roof ,W- Ice & Water k Final _ Pool _ Ftgs Air/Gas Tests _ Final Framing _ Siding SNcco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By . Building Inspector 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 AOBE CpHSUlTiHO (H0INItI11• ENGINEEAING PLRNNEAS and LAHO ?u?v?YO?s COMPRNY, INC: f000 WT 1491h S7RCLT, ElMH3VILLC, I(IMHL30TA 5533T 1'M 132-3000 ?Q!3I I?r s r r+ ???c.t ?_? LoT io coc.C 5, aaae IZi D fsE 1 r-'4CAT4 400NTy , MtNNEio'TA NoRT+? scALE: I"- 30' a QENOTES ?'1oNVfqENTSET o? , • DEAlo7&5 MeNVMEAr7' i?N? ? / / -?- v. ? /'? ? ? y ? v, o `3e ;^o 0 t-?3. ? ? 13?5 24,? -(31a ? L 0T ta ?y00 ` i ? •!?/ ? ? ? q''4..SJ ? . vTl4TY'EAs6MENT /' ,'. . . . ? ? • i? 3?' Ff+o.ir BUjq),NL SE"r6AtX- U WE . pHJOTcS oIKECTton/ OF? W2FRCE AQ4INAb? D6MMr5 EXrSTINb QEV, CIFN07-?s aevpos50 EcEy. ?930.0? Fi-i{5i-AED 6ARA6E r4aoR ELEV. = 931.83 I hereby certify that this is a true and correct repre,,entation oF a tract of land as shown and jescribed hereon. As prepared by me on this 2g4- day of 3uLY , 19 83 ? /_? Minnr?nhn Rrnir:hrai-inn Nn. PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWIVHOMES AND COND05 Wf-IEN PERMITS ARE REQUIRED FOR EACH LJNIT. NO. FIXT[TRES EACH TOTAL SHOWER 3.00 WATER CLOSET 3.00 BATH TUB 3.00 LAVATORY 3.00 KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 >C WATER HEATER 3.00 FLOOR DRAIN - 3.IX1 GAS PIPING OLTTLET • minimom - t 3.00 ROUGH OPENINGS 1.50 , WATER SOFI'ENER _ 5.00 . ? PRIVATE DISP. - n&ay. uQ 20.00 U.G. SPRINKLER • nome uneeroooet. 3.00 ALTERATIONS • to edsung 20.00 WATER TURN AROUND 20.00 STATE SURCHARGE _bQ: TOTAL: ??0 •"? a. STfE ADDRESS: JENSEN TFhI I ? OWNER NAME: 4719 NRRl11 K GR I t1E ERGRN , 55121 INSTALLER: H 894-537 5 N 086-084U L` ? A D ADDRESS: 2903CAQF1ELD pVENUE SOUTN ' MNNESOTA ?N A CTTY: ?? 5 TE: ZII' CODE: PHONE #: ( ) ? 2'Z7- 9' S SIGNATURE OF PERMIITEE 1994 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PII,OT KNOB RD EAGAN MN 55122 (612) 681-4675 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN ?? 7S 3830 PILOT KNOB RD • 55122 651-681-4875 New ConahucHan ReaulremeMs (? )isI DO RemodeVReoalr ReaulremeMa ? 3 regispred sIfe wrveys showiny sq, H. pf bl, eq. N. of house ? l 2 copies ol plan and Aroolatl areaa (20% mmdmum lot eovemaa otloweA) 1 se1 of energy calculatbns 1or heoted addlHons ? 2 coples of plans (ahow beam 8 wlndow slzer, poured fid. tleslgn; etc.) 1 sife wrvey fa extedor addiflons ? deCkE n 1 36t of bmrgy calculaflOns n J coplea ol hee preaervallon plan If lot plaHed ofler 7/1 /9J DATE: 4-13- Gl/ CONSTRUCiION COST: /?a ? • ? DESCRIPTION OP WORK: %C?% 0.o alo/ Ta v a?' / STREETADDRESS: ?/7/ei ?/?ar?'A' ??- ? cw_?z,? LOT: 10 BLOCK: S SUBb./P.I.D. ffi: PROPERTY OWNER COMRACTOR ARCHITECT/ ENGINEER o-? Name: .J ?+s e r l? m)' Phone Laat Fini Sheet Address: y71 9 ,LjC ?J , ',e ar Cly ? _ Stafe: I/ll el• Zip: Company: SP ( ? __ Phone M: (area code) SMeet Address: license # ExP. Cify State: Comparry: Sl r(--, Name: Telephone #: ( Lp: Sheet Address: RegfsfraHon M: _ Cly State: Zip: SeweNwater licensed plumber 1if installina sewer/waterl: Phone #: I hereby aeknowledge Mwt I have read this applicatbn, aFata thaf Ihe Uiformation is c:orrect, and agree to com y wNh atl applicable Staf of MlnnesoM Stalutes and Cify of Eagan Ordinances. Signalure of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No - Not Required AOBE CpkSULTIHO IMOIH[Cflf ENGINEEAiNG pLRNHll1i und IAHD IUlIVIYOAS COMPANY, 1NC: ? L .I000 CAST 146IA STRC[T, EURNSVILLC, IIIHHC30TA 55])7 rM 432-3000 CG?''? 0Sc._ LoT 10 I QLOGC 5,ftRY R1 DbiE ? °40r4 eouNTy, MtNNESo-rp NoR?'?I ,. sGACE: I = 30 o GENOTES 1'1oNVf4&NT SET a? • Df,VoTES MONUMrwT Fb%NO p? ?J ! i ? i ? /`7 7? 0 S ? ' 21 \ ?. ' \ \ ? LOT 10 \ F ? DekINqr,6 f / `mLiTy EAsEMENr s 41 o ? ti,o lz? a' ? 20 _ ?? \b 3?' Fac?r BVI6p1,+v V? / SE1'gqc,k. L? N C pEMoTES olMTran/ OF ;/ Sv2qICE DQ/FINAbR` f ?•.^, DENOTES E%rST)Nb aEY, r93a:o: ?,?,! ' DFA107ES PPf7F?9SE{? ELEy (930.0? i ? ,?. . . . __.. _ . ? . ? •?i Fi•.115t1 E.) 6ARA6E FcaOk ECEJ. = 9? I, 83 I hereby certify that this is a true and correct representation of a tract of land as shown and described hereon. As prepared by me on this 28*L day of SJLV , 19 83 ? /„}? Minnr,sota Rcgistration No. l ts085 ???A C? 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. f5. s° ,( dco- C"'('T.e Date ??/ v5/? l? ??' ' , ' I?? , Site Street Address 4/-'7/ '?-? Unit # Property Owner zi) A) dlq- Telephone # avr/j- -? J Contractor (' A /?/)'l 0 /L?/v l? t'i?2 Telephone # ?,?- vt? ? - Address ? City State-'& Zip The Applicant is: _ Owner ? Contracfor _Other Alterations to existing dweiling ? ?_j ? $ 50.00 _Add fixtures to rooms, excluding water softener an d water heater 100 _Septic System Abandonment 4 ? _Water Turnaround (add $121.00 if a 5/8" meter is required) Other: Water Softener _ Water Heater $ 15.00 replacement _ additional Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 State Surcharge $ 50 Total $ I hereby apply for a Residential Plumbing 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 the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. 2 t° App icanYs Printed 14ame A plicanYs n ur ? 7 ? PERMIT Permit Type: Building City of Eagan Permit Number: EA105896 Date Issued: 08/02/2012 Permit Category: ePermit Site Address: 4719 Narvik Dr Lot: 10 Block: 5 Addition: Park Ridge PID: 10-56750-05-100 Use: Description: Sub Type: e-Reroof Construction Type: Work Type: Replace Description: House & Garage Census Code: 434 - Occupancy: Zoning: Square Feet: 0 If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are Comments: not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes. BL - Base Fee $4K $103.25 0801.4085 Fee Summary: Surcharge - Based on Valuation $4K $2.00 9001.2195 Valuation: 7,747.00 Total: $105.25 Contractor: Owner: - Applicant - Joseph J Johnson 4719 Narvik Dr Eagan MN 55122 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA136100 Date Issued:04/25/2016 Permit Category:ePermit Site Address: 4719 Narvik Dr Lot:10 Block: 5 Addition: Park Ridge PID:10-56750-05-100 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 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 - Joseph J Johnson 4719 Narvik Dr Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA144539 Date Issued:07/31/2017 Permit Category:ePermit Site Address: 4719 Narvik Dr Lot:10 Block: 5 Addition: Park Ridge PID:10-56750-05-100 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Exchanger Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 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 - Joseph J Johnson 4719 Narvik Dr Eagan MN 55122 Haley Comfort Systems 4320 Hwy 52 N West Frontage Rd Rochester MN 55901 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature Jeffrey Wheeler From: Tracy Scheiber <tscheiber@haleycomfort.com> Sent: Wednesday,August 09, 2017 4:10 PM To: Jeffrey Wheeler Subject: e-permit Jeff—the e-permit I submitted for 4719 Narvik Dr was for an Air Conditioner, not an Air Exchanger. Can you please correct? Thank You! Tracy Scheiber Haley Comfort Systems, Inc 507-424-1625 1 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA149779 Date Issued:06/11/2018 Permit Category:ePermit Site Address: 4719 Narvik Dr Lot:10 Block: 5 Addition: Park Ridge PID:10-56750-05-100 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 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 - Joseph J Johnson 4719 Narvik Dr Eagan MN 55122 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA152954 Date Issued:11/13/2018 Permit Category:ePermit Site Address: 4719 Narvik Dr Lot:10 Block: 5 Addition: Park Ridge PID:10-56750-05-100 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 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 - Joseph J Johnson 4719 Narvik Dr Eagan MN 55122 Haley Comfort Systems 4320 Hwy 52 N West Frontage Rd Rochester MN 55901 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature