4735 Narvik DrCITY OF EAGAN
, 3795 PI{ef Knob Roud Eeyon, MN SSi"
PHONE: 454-8100 ?
L -
BUItDING PERMIT ReceiAt ;qt
Lot - 14 Blxk 5
Parcel #
cc
W Name Alan Godf i
; Address 4 ??$ I31a?
b
Ci '
o Nome Ruscen H,
v?
:
Address 1?J00 L.
1- c;t fiurusville
?
W'W
?-
Nome
_? llddress
I hereby acknowledge thut I hove rec
the informotion is correct and agre
State ot Minnesota Statutes arx! Ci'
Slqnature of Permittee
A Building Rermit fs issued to:
all work sholl be done in accordonce
Buildinp Offlciol
Erest )Q Occuponcy -3
Alter Q Zoning it-1
Repoir ? Fire Zone ••L
Enlorge [] Type of Const. V
Move ? # 5tories
Demolish Q Length_38_
Grade (`1 Depth _44.-.Sq. Ft.
Assessment
Water & Sew.
Police
Fire
Enp.
Planner
Cauncil
Bldg. aff.
APC
Permit
Plan check twy . w
sAC 525.00
Water Conn. 450.00
Woter 1Vieter 60,00
Rood Unit 250 •00
Totol $1759.50
_ on the express tondition thai
City of Eogan Ordirwnces.
Permit No. Permit Holdsr Misc. Permit No. Holder
Plumbing ?s "7 ? Z? ?
H.V.A.C. 3?O Wt/L?tl -?D"[Jl..?
Weil
w??. -
Disp.
Sawar
Eleetric wo&3sqp t.- L EIEt 7"a`"XS
Inapection Date lnsplnsp. Other
Foatings - A t
Foundation
Framinq
Rouqh Plbg. _ .?
RougM HVA
Inwlation 7
Final Pibg. .Z .?. ?
Final HVAC
Final
Water Describe Location:
Well .. . .
5ewer .
Pr. DisP.
Recaipt f I' MECHANICAL PERMIT Permit No.
CITY OF EAGAN
; Fee -
Fill fn numbered spaces 'S/C -
7` lC% Type or Prrni legib/y Tot.
1. Date /zJ 2. Installation Cost
3. Job Address U/' 'r.l 0= LotBlk. Tract t - !?
4. Owner
?
5. Contractor Phone -? `-
6. Address i ?
7. City State iV Zip
8. Building Type: Residential Cz3- Commercial ? Institutional ?
9. Work Description: New 14- Add ? Alter ? Repair ?
10. Describe Fuel Type
No. Equioment STU - M. Ea.
Forced Air ` No. Equipment CFM
Air Handlin
:
Mfg. g
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
comply with all ordinanoes and 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
. _ _ , ._.,..... . .. . .. . , . ,
PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN ;
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ?- ? rnuTOwnT
S11@
, Name R',i"n".?ca r/?cr?,?.: .?? ?-•?,
? Address 71i W , ? ?". .. /
c Ciry Phone
-: Namg-
:.c Address
3
O CitY Phone
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
M BTU
M BTU
M BTU
? M BTU
CFM
BLDG.TYPE
Res. X-
Mult.
Comm.
Qther
WORK DESCRIPTION
New
Add-on x
Repair
- - FEE8 _
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTIQN)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
APT BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
?
FEE: fJ• ? -
^ , '/•- - - i',,.
S/C: ' G? !ti SIGN E OF PERMF ? E
TOTAL: ,?
FOR: CITY OF EAGAN
? ? ??
Illflz
Receipt = ! ' - PLUMBING PERMIT Permit No.
CITY°bF EAGAN
F9a
Fil1 in numbered spaces • S/C '
Type or Print /egibly ?-
Tot
1. Date ? 2. Installation Cost
? 3. Job Address Lot Blk. Tract ?
4. Owner
5. Contractor v r 7 ?/ Phone
6. Address u .`? .: .{ r_,(1
7. City State /l 7 . . Zip ?
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New(b Add O Alter O Repair ?
10. Describe
11.
No.
_ Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
' Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby 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 yaur permit when num6ered and approved.
Appraved CITY OF EAGAN 454-8100
t
CITY OF EAGAN Remarks
Addition PARK RIDGE 1ST ADDN l.ot 14 Bik S Parcel 10-56750-140-05
owner '' street 4735 NARVIK DRIVE 5tace EAGAN MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 104.40 A013205 11-23 83
STREET RESTOR, 491-99 d rt I02.(?l C009$77 10-23-84
G?G ? I , 1985 389.08 25.94
SAN SEW TRUNK 1982 9.81 15 117.78 A013205 11-23-83
*SEWER LATERAL 1995 . 16 74 10-22-811
.
WATERMAIN
*WATER LATERAL 1985
WATER AREA 1982 JOW 981 is 117.78 A013205 11-23-83
STORM SEW TRK 1985 370,93 24.73 15 370.93 10-23-84
Fc STORM SEW LAT 1985 ,
CURB & GUTTER
SIDEWALK
STREET LIGHT
250,00 6452
-
6-15 83
WATER CONN. 450.00 "
BUILDING PER.
SAC 1? ??
PARK
CITY OF EAGAN
3830 Pilo: Knob Road WATER SERVICE PERMR
P. O. Box 21199 PERMIT NO.: - A ; •,) ?
Eagan, MN 55121 DATE: IL3
Zoning: R" No, of Units: - 1
Owner,
Mdress:
Stte Address: 2+735 t't8Y'vik D2' L24 Bj Park Ridge
Plumber: StSr Pltmbi'n-,.
Meter No.: Connection Charge• 50.00 ?c
Slze: Account Deposit:
Reader No.: Permit Fee: 10 , 00 p
1 egm to eomply wile Hhe Gry of Eagee Surcharge: .50 gd
Ordinancos. Misc. CFarges: v0.00 pd mBteT
Total:
B1' Dnte Paid:
Date of Insp.: (nso,; _
C
ITY OF EpGAN
3830 Pilot Knob Road NWER SERVICE PERMIT
P. O: Box 21799 PERMIT NO.:
Eagan, MN 559, 1 DATE:
Zoning: No. of tlnlts: '
Owner, -'-.;SCOi2 uOmCs
Address:
Site Address: _4737 q&rvik ar ?l y 3.3 Patr;. 31dg,?
Plumber: : t a r P1 nmh{ n .?•-^_
361.. 100
0c Y
1ayree M emply wkh !he CiFp of Eagew
Connactlon Charpe: - .
.
4= ?,•'-3,? _
Crdlnanees. Account peppsit:
Pertnit Fee: ?
•
Surchorge:
CITY OF EAGAN Include 2 sets of plans,
1 site plan w/elevations &
BLTSLDING PERMLT APPLICATION 1 set of er.erSy calcu7-ations;
To Pe sed For Single Fam? Valuation $fa=age?0 Date
Site Address: 4735 Naivik Drive OFFICE USE ONLY
Int 14 Block 5 Sec./Sub. Park Ridge
Parcel #:
Paner: Alan Godfrey
Pcldress: 4224 Bloomington Ave. 5.
City/Zip Code: Mpls. MN
Phone #: 827-709$
Contractor: Ruscon Homes
Address: 1000 E. 146th
City/Zip Code: Bursville, MN 55337
Pnone #: 432-1433
p _--ch./Eng.: Pliillips_ Plan /Probe Engineering
TiJ12Cs: iOOO E. 1464{1 Sy•
City/zip Code: Burnsville, MN 55337
Phone n: 432-2044 / 432-3000
-
V ?
(
\
Erect Occupancy
Alter Zoning /
Repair Fire Zone
Enlarge 'Iype of Const. ?
_
Nbve # Stories
D2mlish Front 3 ft.
Grade Depth 4,1 <1 ft.
APPROVFILS FEES
Assessnents
pU-"mit a?
Water/Se,aer Surcharge ? >
Police
Plan Check
?
.
Fire SAC ?
S2 6
Eng. Water Conn. y50
-
?
Planner Water Meter aO
Council Roac1 Unit g?670
Bldg. Off.
Ac C
TOTAL ? ? s-l ? sO
BUILDiNG PERMIT
N° 8147
Receipt *
Te bs wed hr SF DWG/GAR Est. Value $55>000 pore June 15 19 83
Sita Address 4735 Narvik Drive
Erect
][$
Occuponq R_3
Lot -14 BI«k 5 Sec/Sub. Park Ridge Aker p Zoning R-1
parcel # Repolr ? Fire Zone NA
E T V
nlarge ? ype of Const.
a
w Name Alan Godfey Move ? # Stories
Z
1 Addreu 4224 Bloomineton Ave. So. Demolish ? Length 3$
9 Ci MD ls. pham 827-7098 Grade ? Depth 44 Sq. Ft.-
p Nome RuSCOR HOIR@S Apprerela Foes
zu
°u?
?
Addrass 1000 E. 146th St.
Nome _
Addreu
I hereby ucknowledge thot I have read this opDlicotion and state thot
the informotion is correcf cnd agree to comply with oll epplicable
Stote of Minnesoto Sratutes ond City of Eagan Ordinonces.
Signoture o4 Permitteo
A Building Permir Is issued ro: Ruscon Homes
oll work shail be done in accordonce with -all duli
4
3
CITY OF EAGAN
9793 Plloe Knob Road Eegan, MN 53122
PHONEs 454-6100
Assessment Permit ". •
Wafer & Sew. SurcFwrge 27.50
Police Plon theck 149.00
Fire SAC 525.00
Enp. Water Conn. 450.00
Plonner Water Meter 60.00
Council Rood Unit 250.00
Bidg
Off
.
.
APC
Totol $1759.50
on t he expresf condition thnt
ypto-Stotutes ond City o4 Eogon Ordinonces.
Bufldin9 Official
This request voitl 9 '
18 mon[hs /rom
E 33681
9/L, S?
X-/5 `-0
Nequest Date ? Fire No. Ro eh-i? InsUer.tion
flequiredt
? eR aAy Now Q Will Nolify Inspec-
/ oyQS ? ior When Neady
'CT-Licensetl Eleclrical ConVaclor I hereby request insoection ol above
? Owner eleclrical work installed aC
Street Address, Boz or RJute No. Cifv
G(.? ?? `Vl/ ?V" l?
ecuon o. Township Name or No. Ranae No. CountV
Occuoant PflINT1 ? Ph
mue
No.
[
?J
(y
(D t? b
Power Suppli r Address
Elecvical Co ctor IC
mpany N
amel
O o Conlrar,tor's Licmnse No.
/
q
/
/
? l G- v?/tLE?? <
'
-r(.?'?/'
r Ow
Mailinp AdJress ICon
traclor
o Makine l
nstai gtionl
?
/
J
?
UJTV W°?••?v
Authorized Sienature ICo eact r ng Ins Ilationl Phone umber
T r -7/Z z
MINNESOTp STATE BOAPO OF ELECTRICITY THIS INSPECTION NE?UEST WILL NOT
Griggs-Midway Bltlg. - Noom N-181 gE ACCEPTED 6Y TH STqTE BOAHD
7821 Univeraitv Ave.. St. Peui. MN 65104 UNLESS PNOPER INSPECTION FEE IS
ENCLOSED.
rr..,?a (arn aaaoeoo
REQUEST FOR ELECTRICAL INSPECTION pee-ooooci-ops
I See insGUCtions tor comDleting this form on Eack ol vallow cop, /?? •J O
E `3 3t81 "X" Below Work Covered by lhis Request
Nw4 Addl Rep. -- Type o1 BuilAinq Apoliancea Wired EnuiVnient Wired
ome Range Temporary Service
Duplex Water Heater Ligh[iny Fixtmes
Apt. Building Dryer Electric HeaLn
Cominercial BIAg. Fumace Silo Unluadei
Industrial Bldg. AIr Conditioner 8utk Milk Tenk
Farm otnr, vecirv oinc,tsnc,.iW)
t ar Suecitv ther Olh.r
Compute lnspecfion Fee Below - -
p Fee ServicaEnirancaSixa tt Fee Feaders/Sublexdels k Foe Circuits
0 to200qm s Oto30Am s 0 tn30Am
Above 200 qmps 31 to 700 Ainps 31 to 100 qm s
Swinuning Pool Above 100_-L?mps Above 100_P,m s
Transiormers Irrigatlon Booms PartiaL=Qther Fee
Signs SUeciallnsUection S -?
OTAL FEE
Rem3.ks - ?
?
•
flaueh-in
( Date
, ?e Elacu'
Insoe or, hgreby
cerUfv that the nbov
e
I iinal I insoection hes been
mriee.
TOis request vol0 18 month6lrom
This request voitl 7' p
18 rtwnths from
IN 063590
LA, gS, PaN< R?dcke- 3690
-27 - ?5 v
Fenuest Date
?? Fire No. qouuh-in Inspection
Reqmred?
C]Ready Now ?XWill NotitY Insueo-
r?
?' ?? ?es ?No ur When Rgady
icensed lectrical ConVa [ur heraby request inspection of above
?
"
?
Owner
0.t, u c electricel work installed at
7 S
Street Address, Box or Route No. Citv
I K" t
ecuon o. Township Name or No. Ranee No. Counry
' rA
L/Ir?/??1
Occup? tIPpINTI
CIPAI Phone No.
Power Supplier
O Adtlress
L?
Electr i I Contractor IComOany Namel Conhactor's License No.
L c-
Mailinp Ad ress ICOnvactor or Owner Making Instailationl
Authorizod i at e(C Vac[o /Owner aing Instay1ation) Phune Number
?r/ ?
MINNESOTq STATE BO OF ELECTHICITY THIS INSPECTION NEUUEST WILL NOT
Griggs-Midwey Bldg. oom N•791 gE ACCEVTEO BY THE STATE BOAHO
1821 University Ave., St. Paul. MN 65704 UNLESS PflOPEN INSPECTION FEE IS
?n-r 1«1 ENCLOSED.
' REQUEST FOR ELECTRICAL INSPECTION
, Sae insiructions for compleling this torm on bnck of yel low copy.
"X" BeNi5CbJBred by This Request
Ee•ouooi_oa
31040q
AAd ReD. Type ol Builtling Applinnces Wired Equipment VGired
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Building Dryer Electric Heatin
Commerciai Bidy. Fumace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tenk
Farm Omrr oeci v (7ner lsuaclfy)
t ar iSUeci(y Other Otner
Compute lnspection Fee Below
W Fee Sarvice Enbenca5ixa p Fan Feaders/SUbteeders „ Fne Circvits
0 to 200 qm 5 0 to 30 Am s 71 to 30 Am s
Above 200 Amps? 31 to 100 Ainps 31 ta 100 A s
Swimming Pool Above 100_Am Above 100_AmPs
Transtormers Irrigation Boorc?s drtial,'Other Fee
$igns Specialinspection U?
! T
flertnrks 0 L FEE
_v
Rough-in Dy{? ,
?
• I
? Inspectoq hereby
Final
le certily that the above
t
J i/$paction has been
maAe
.
Thle repueat voltl 18 monthe irom
tAt ?35 P0.?;? ?Ca?o
` ?
"H
? HOUSE
EATING TEST RECORD
?
.
ADDRESS APT.-FLOOR CITY SUBURB
. OCCUPANT OWNER f
;;4,
`
us
: HEAT LOSS DATE HTG. INST, t
?
fi h?
SOID BY INSTALLED BY
Elactrical Wmk By Gas Line BY
; TYPE Of HEAT GA - FA )?_-_HW _STEAM _SPACE HTR. -UNIT HTR. -OTHER
GAS DESIGN CONVERSION '?.`•
MAKE ? -- MAKE OF BURNER
Model L_IA O5a?_p ??"A I Model
Serial ??? 1 ?''t ?'? Maz. BTU Ratinq -
INPUT _9:'M DOO MAKE OF FURNACE
Model
CONTROLS
THERMOSTA Heat Pluq Vem Siza
yalw,?•'? KIND Of LINER SIZE NONE
Limit Droft Hood Rapularor
Limit Sattiny Q Filtsra $iza Number
Fon Sstting Chimney Location Inside Outsida
Pilaf Type Chimney Construdion .
PilotMakeni?TPn! P(a-fL .1C
"'--
V ..
Pilot Model Smoke Bomb Wiring
Pilot Timing Draft f Test Tap I,___
L.W. Cut Off Door Preaswe Liyhting lnst. ?
Pressure
3/y Parcent C0
' 6_'" Dote Tssted
2
Input CFM ? Pereant O , Company Testing
Z
SMCk Temp. Pmcent CO {L1
Name of Tesror ?.J .Yt.lI.1_Sa
/'
F«m 735
i.
Y? ? 'I4%, 5
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
New Conatruction ReauiremeMa
• 3 mgistered site surveys showing sq. fi. of Io1, sq. ft. of hause; and II roofed areas
(20% maximum lot coverage allowed)
. 2 copies of plan showing heam 8 window s¢es; poured found design, etc.)
• 7 set of Energy Calculations
• 3 copies ot Tree Presarvation Plan if lot platted after 717/93
• Rim Joist Detail Opfions seleGion sheet (hldgs with 3 or less units)
DATE H-l-'()-2-'?
SITE ADC
TYPE OF
IULTI-FAMILY BLDG _Y I-N
FIREPLACE(S) _ 0 _ 1 _ 2
APPUCANT 4 8 C1, IT/YIC -
STREETADDRESS CITY-Iii'6?- ??W'*`'5TATE /Y/nl ZIP S 33
TELEPHONE # CR ?a? -4-0*'60' CELL PHONE # FAX # C q 52) 8 6 $' ?3 '-4 ?
PROPERTY OWNER
TELEPHON E #
-------------------------------------°-------------------------------------°-----------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNI:SOTA RULES 7670 CATEGORY 1 vIINNESOTA RULES 7672
(q submission type) • Residential Ventllafion Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envalope Calculatlons Su6mitted
Plumbing Coniractor: ___
PlumUing system includes:
Mechanical Contractor:
Mechviical system includes:
Sewer/Water Contractor.
Water SoEtencr _
Water Heater ?
No. of Bat}is
.Air Conditioning
Heal Recovery System
Fee: $90.00
Fee:
---°------------------------------------------------------------°----------------°-------------------°----- -- - - ---
I hereby acknowledge that I have read this application, state that the informati?iis,corr?ct,-aad e comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Slgnature ofApplicanf
OFFICE USE ONLY
l] I.-? S
RemodeVRemir Reauirements
. 2 copies of plan
• 1 set of Eneryy Calculationu Por heated addNOns
• i sik survey for exterior additiom & decks
. Indicafe'rf home served by septic system for adddions
VALUATION ? v ?a°C •?
_ Phone # .
Lawn Sprinkler
No. of R.I. Baths
Phone #
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
llpdaled 4l02
ENGBNEEAING C PNRHNEAS andGlAND s?URVtYO?
COMPANY, ING. \
??1000 EAiT 1461h STREET, lURNSVILLE, MINNES0IA 53337 ?H 432-3000
A ..
Za?? rCr4 n- Lor i 4) 6wc.k 5, P,aav- RiOUE, DkKara Coa.jr/, Hi,W.
AI ORr?-?
• p6.brES poUr.+j]
v.?
?
/ ? 6S 30
op
r k/
? /,hv? 'O v
f ?! o ti
ti
;?/ ` ? ?
?V ?•
lo' Bv1L?Di-16 Sa'$IkLK- LI•1L'
?
Lor t 4
\
y ?
Foo?.. \ 1-??
' 'f
? •, ? /'
P.Gr
/
bRa.i..r.wE e?+c7
Jn u N FASeME,-tr
(935.o.) DE.loTE,S E%VSTi46 ELS/lkT1UJ
) LG40rts PROPoSW Ea.?Janon?
(11.5.0
IIJDicA7E6 DIRECiId-? OF
S-? (yFAtE D Rne nl pty EFi,JrsNeD Geue.aGE iewe- Ec? = 93(a5
2hetyby certify that this is a true and carrect npreiontation ot a tract of
1anG a@ thown' and deseribed hereon,. As prep+ired by me on this `_ dar et
3'00e -.0 19 a3 . '
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
q1
3830 PIL T KNOB RDN 55122 r
651-681-4675 ? ( •? J
3
New ConatiucHOn ReaulremeMs ?r ?
/',iQi / ?jq D ol
? S registered sife wrveys ahowing aq. H. of lot, aq. H. ol house ?. (Q . D D
and ¢11 roofed areas (% maximum lot coveraae allowedl
? 2 copies of plans (show beam & windpw alzea; poured Ind. design; etc.)
? 1 sef ot energy calculaHOns
? 9 coples ot tree preservalion plan If Id platletl aHer 7/1/93
oA,E: ? 4/o l o
DESCRIPTIONOPWORK: NcILJ Sk'yOPS 61,N7E'dFh'i
STREETADDRESS: T ?--i'-s NariA kln"V
LOT: ?vl BLOCK: ? SUBD./P.I.D. q: _
CONSiRUCTION COST:
_ If mulB-tamly bldg., how many unNs9
an, MAJ 55-/ZZ
PROPERTY
OWNER
Name: r'`^VI I 51 Leki ?0 ?11a'?
f FftS
Sheet Address: f V?rV 1 f< IJr.
Remodel/Renafr Raaulremenfs
2 copies o1 plan
1 cet o/ enerpy calculalions ta heatetl addlXOru
1 site survey tor extedor addlHons 8 decks
Phone #: 651- T C&' q2/ /
City LMCt?1 State: ilp: 95 / ZZ
Company: Phone ri:
CONTRACTOR ? (area code)
Street Address: License # Exp.
Cly State:
ARCHITECT/
ENGINEER
ielephone #: ( )
Name:
Sheet Address: Regisha8on M:
Ciy
Sfate:
SewerAvater licensed plumber (if fnstallina sewer/waterl: Phone #:
Zip:
Zip:
I hereby acknawledge Mat I have read this application, state thut the informafion is orrect, and agree to comply wNh all applicable State
of Minnesota Statutes and City of Eagan Ordinances. \
Sfgnature of Applicanh ? 40?ln
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No JUL I O
Tree Preservation Plan Received - Yes - No _ Not Required
i? cirr use oNLv
L ? "` BL ? RECEIPT #: 1142
SUBD. j7e/?/? 6'i) ? RECEIPT DATE: ?
3i? I
1999 PLU113BINH PERMIT (RESIDENTIAL)
CffY OF SAfiMN
3830 P1LOT KNOB RD
Easnx, atx 55122
(851) 881-4675
Please complete for: ? single family dwallings
? townhomes and condos when permits are required for each unit
? backflow praventer for undergro und sprinkler sysfem
? _. ...__---------------- -----------------------------
FIXTURES ---- ^-----------
EACH ----- -'-°-----------------°-------------
#_ TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x
Floor Drain 3.00 x =
Gas Piping Outlet ' minimum • 1 3.00 x =
Rough Openings 1.50 x =
Water Softener * for dwellings under construcAon 5.00 x =
Water Softener ' for ezlsting dwelling 30.00 X =
U.G. Spl'inkler ` for dwelllnp under const. 3.00 =
U.G. Sprinkler ' for existing dwelling 30.00 =
Alterations " to existing resldence 30.00 =
Water Turn Around 30.00 =
Private Disposal System " MPC rc. 75.00 =
(new andrefurbished syslems)
Privale DispoSal Systems ' Abandonment 30.00 =
RPZ (new installation/repair) 30.00 =
-
Reminder: Call 661-4675 for Inspectlons of water heaters, STATE SURCHARGE .50
water softeners, alterations, etc. ?O
. TOTAL
-------------••-••••--•---- .....................
sfate .--•-- that l--he •-•••------- is o ...Orrect, ..---.._.......•••••--°-----•--•-----..........---.n..or-----'--.dinances...
I hereby acknowledpe Nat I have read this application, Infortnation and aqree to comply with all appllab?e Cfty of Eaga
It is Ne applicanYS responsibllity, lo.notiry_theproDerty owner that Ihe CIN of EaAan assumes no Iiability for any damages pused by tha Clry during its nortnal
operaUonal and maintenance { HATFIELD, GARY within City propertyhight-o}•way/eesement.
,
SITE ADDRESS: 4735 NaaviK
EAGAN, MN 55122 ,
OWNER NAME: (est) 406-9217
INSTALLER NAME: TELEPHONE #:
STREETADDRESS:
CIN' --L/?L5 STATE: ? ZIP: S be
CD/PERMIT FORMSlRPLBG PERMIT (RES) • 1999
SIGNATt1RLEdF PERMITTEE
? See instructions lor comoletiiW this farm on becp of vellow copy.
/ J?-?--?
E J J 81 "X" Below Work Covered by lhis Hequest
AAd Rep. Tyoe of euildine .4avlioncee Wirad Equiyment Wired
ome Fiange Temporery Service
Duplex Water Heater Lightin Finiwes
Apt Building Dryer Electric HeaUn
Commercia7 Bldg. Furnace Silo Unlorider
Industrial BIAg. Air Conditioner Bulk Milk Tank
FArm t«r pPr.i v -1 ?er lSncr.ilvl
1,, Uoa y t Or Other
l ?/IfblllilP II1COPf110n hPP HPl/IW
M Fee ServlceEnlranceSixe M Fee Fexdera/5ubleedsra k Fax Circuiln
U to 200 ?s 0 to 30 qm s 0 10 30 Am U
A6ove 200 qmpy 31 to 100 Amps ' 31 to 700 Am •
Swimming Pool Above 100-Am s Above 100 Am )s
Transformers rngation Booms PyrtiaLOthpr Fee
Signs Special Inspection S ?
TOTAL FEE
emnrkg ^ - 4 -
VL/ lV
RauBh-in the Elaclrtcnl
1n8pactoq heaoby
Final Vate {nspetlion hes bee.
mede.
tnie reauest vold 18 montM Irom
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Tl,;s,d4„est ?e,d 3ai/e 9 9ie" s
18 monlhs Irom
E 3 3 6 81 ?? ? ?,g
fienuesl Da1e Fire No. Ro Phi nsVer,tion
Aeqwretll
'
[] oA a`tly Now ? Will Nolily InsDec-
3/? 7/? .._,??
??as ?'JNO tor When Pendy
I:f Licensed Elechical Cmtiracror I hereby requeat innOeUion ol above
? Owner electricel work inatalled ef:
Sveet AdAress, eox or flovle No. Ci1y
eclion a. Township Ni o or Nn. anpo o. Cnunly
•
Occopant PRINTI ? Phone
Nn.
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Power Suppli f Add?e55
Electrical Co ct/o?r ICO/mpany
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ame)
? Contru'r,?tor's License No.
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Mailinq AdJress ICOntrac
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r Ow Making Instai tionl
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Autborized $ipmlure ICo raR r w r in0 Pis Ilnlionl Phanx umhor
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MINNESOTA STATE BOARO OF ELECTflICITV
GriOae-Midway 81dq. - Room N491
1871 Univers(fv Ave.. Sf. Peul, MN 66104
Phone161216420800
TMIS INSPECiION flEQUEST WILI NpT
BE pCGEPTEO BY THE STAtE 80AN0
UNLESS PPOVER INSPECTION FEE IS
ENCLOSED.
2004 RESIDENTIAL BUII.DING PERMIT APPISCATION
City Of Eagan
3830 Pilot I{nob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
?a
?d -
New Construction Reouirements RemodeVReoair Reauiremenis Office Use Onlv
3 registered site surveys showing sq, ft. of lot, sq. k. of house; and all roofed areas 2 copies of plan Cert of Survey Reoi _ Y _ N
(20%maximum lot coverage allowed) 1 set of Energy Cabulatlons (or heated additions Tree Pres PWn ReW _Y _N,
2 copies of plan shovring 6eam & windowsizes; poured found design, etc. 1 site survey for addilions & decks Trae Pres Required _Y _N
isetofEnergyCalculations Addi6on-inMicateNarsttesep6csystem OnaiteSepticSystem _Y _N
3 copies of Tree Presenation Plan if lot plaHed after 717/93
Rim Joist DeYail Options selection sheet (bldgs wifh 3 or less units
Date /j Coustruction Cost 00 Jo
SiteAddress NqTV I K 6\)e UniUSte #
Description of Work U30 6fs ? l WI'+? ? 0 t?)
Multi-Family Bldg _ YI N Fireplace(s) _ 0 4 1 _ 2
PropertyOwner C'1Af% Yl0."? SiQ,\? TelePhone#?5sa,,
Contractor ?,lv,,p r; csr 1'Jk1 fl iAq l ov ??rc.c FGfS'
1?1 C-
? ,
y
Address ?al W UA)
2T RJQ.S• p
City
State MN Zip Telephone#(?Sa) 7U7-(q°?S?I
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(q submission type) Su6mitted Submittetl
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #(
Telephone #(
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 ordinances 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 wark 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 ApplicanYs Signature
Use BLUE or BLACK Ink
r
For Office Use
I G I
City of Eajan Permit
I,
I Permit Fee: V
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I
Fax: (651) 675-5694 I Staff: I
I
- - - - - - - - - - - -
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: / //yk 9 Site Address: '"7 -7_3-S7 ✓ 4rv I` e ' " S ?e~
Tenant: Suite
RESIDENT / OWNER Name: S Phone: ly~~ ?07
~/V ~ y✓ O~ ' ~i Z
Address / City / Zip:/-[ TS
Applicant is: Owner Contractor
TYPE OF WORK Description of work: 4G~ C21 J
Construction Cost: Multi-Family Building: (Yes / No
CONTRACTOR Name: d; /`/l License 3&63
Address:, I
City: 5 State: 14W Zip:
Phone: ~7 Contact Person: !J(~~ `l`~ S
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:
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 the are trade secrets.
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.aopherstateonecall.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 fora permit, and work is 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 a
Applicant's Printed Name Ap ant's nature
Page 1 of 3
PERMIT
City of Eagan Permit Type: Mechanical
Eaaan. Permit Number: EA102172
Date Issued: 11/21/2011
OR Permit Category: ePermit
40~ it~ of E3
E
Site Address: 4735 Narvik Dr
Lot: 14 Block: 5 Addition: Park Ridae
PID: 10-56750-05-140
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Furnace & Air Conditioner
Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson. State Electrical Inspector. (952)
445-2840
Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
Total: $».00
Contractor: - Applicant - Owner:
Pronto Heating & Air Conditioning Joseph W Tolathews
788 Washington Avenue South 4735 Narvik Dr
Eden Prairie NIN 55344 Eagan NIN 55122
(952) 835-7777
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 Citv of Eaaan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
PERMIT
City of Eagan Permit Type: Plumbing
Eaaan. Permit Number: EA102826
Date Issued: 01/25/2012
OR Permit Category: ePermit
41~ it~ of E3
E
Site Address: 4735 Narvik Dr
Lot: 14 Block: 5 Addition: Park Ridae
PID: 10-56750-05-140
Use:
Description:
Sub Type: e - Water Heater
Work Type: New
Description: Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments: Crystal Cochran
7501 Washinaton Ave S
Edina. MN 55439
952-835-7777
Fee Summary: PL - Permit Fee (WS &or WH) $55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
Total: $60.00
Contractor: - Applicant - Owner:
Pronto Heating & Air Conditioning Joseph W Mathews
788 Washington Avenue South 4735 Narvik Dr
Eden Prairie NJN 55344 Eagan NJN 55122
(952) 835-7777
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 Citv of Eaaan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA130655
Date Issued:05/06/2015
Permit Category:ePermit
Site Address: 4735 Narvik Dr
Lot:14 Block: 5 Addition: Park Ridge
PID:10-56750-05-140
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
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 -
Joseph W Mathews
4735 Narvik Dr
Eagan MN 55122
Applicant/Permitee: Signature Issued By: Signature