4738 Narvik DrCITY OF EAGAN Remarks
,oddition R?elgeclif.f First Addn Lot I _Rik 9 Parcel91n63980 ql0 no
oWner street 4738 Narvik Drive state Eagan, M4d 55122
Improuement Date Amount Annual Years Peyment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 7 1982 298.08
SEWERLATERAL 1982 130$.42 5 1305.42
WATERMAIN
WATEFi LATERAL 19$2 1260.79 $ 1260.79 616 2-2 -$
WATER AREA 1982 298.08 5
STORM SEW TRK 1982 638.24 5 638.24 C007616 12-23-81
STORMSEWLAT 1982 955.45 S 955.45 C007616 12-23-81
Services 1982 637.75 5 637.75 C007616 12-23-81
CURB & GUTTER
SIDEWALK
STREET LIGHT
$290.00 60141 2 28 8b
WATER CONN. 500.00 11
SUILDfNG PER. lZrj35
SAC
PARK
, CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt? ?
To be used for Est. Value Date
Site
Lot I Block Sec/Sub. R1 ;)Gi.CL ik:= L
Parcel No.
W rvart
? ; Add
° City
°C Name
.o
0 ` Address
¢ City Phone
OW Name
?- ?g
WW
?-
_ ? Addre
U
? W City-
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 Permittee
A Building Permit is issued to: 'A ``0pr i`S?
on the express condition that al I work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building OffiCial
I5513
,19
OFF ICE USE ONLY
On SRe Sewage
MWCC S
stem Occupancy
Zo
ln
y
On Site Well g
n
(Actual) Const
City Water (Allowable)
PRV Required # of Stories
Booater Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit 24 • OC
Planner Surcharge • 50
Council Plan Review
Bldg. Off. SAC, City
Variance SAC, MWCC
Water Conn.
W
t
M
t
a
er
e
er
Road Unit
Treatment P1
Parks
TOTAL
Permit No. Parmit Moldar Date TeIephone it
Plumbing
H.V.AC.
Electric
Softener
Inspectlon Date Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Pibg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert. Occ.
Temp. LP
Deck Ftg. DiaCk Final
Wel1
Pr. Disp.
?1
3830 Pilot Knob R d! P.O. Bo 2G-A1 9, Eagan, MN 55121 11J55
BUILDING PERMIT PHONE:454-8100 Receipt # X ,
Tobeusedfor .?F T]WC;/(;:`v'. EstValue $63,000 Date 27, 194
Site Address 4738 NI?RV IK 7H Erect [IL Occupancy
RIDGECLiF
LotI
Block
9 sec/Sub FE 1809hade1 ? Zonina R
_
-
.
Parcel No Repair ? Type of Const ?
. Addition ? No. Stories
ORRi1V THUAIPSON HC?I?lES ?v?ove ? Length 40
= Name
1712 HOPKINS CROSSROA 'a3S Demolish ? Depth dF,
o Address I
I ? F
S
nt
mpr. q.
t
Ciry i•;ll,?i Phone 544-7333 Install ?
a
o ??
Name ,,? Approvala
=
? ¢ Address Assessment
City Phone Water & Sew.
? Q Police
F Z Name Fire
¢ ? Address Eng.
< W Ciy Phone Planner
Council
I hereby acknowledge t hat I have read this application and state thatthe Bldg. Off. 2/24/ f
information is correct a nd agree to comply with all applicable State of
Minnesota Statutes and City of an drdinances. APC
? ? -- Var. Date
Signature of Permittee -?,
Permit S 322.00
Surcharge 31.50
Plan Review 161.00
SAC 575.00
water Conn. 500.00
Water Meter 63.50
Road Unit 290.00
Tr. PI. 156.00
Parks
Copies
T,...,, $2,099.00
A Building Permit is issued to: vJMnA.. JL nv.-.x on the express condition that
all work shall be done in accordance with all applic?ble State o( Minnesota Statutes and City of Eagan Ordinances.
Building Official
?. ?
. Permk No. PermN Nolder DeM TNephoM M
PlumWny (o P 1 3 3?? d
1H.V.A 3 I?f O
ENctriC ? e D b ?
?? ?, y 3 8 °=
SOflMlf
Inapectbn Oate Insp. Commenb
FooUnps I
Footlnpsll
FoundaUon
Framiny
fiooffny
Rough Plbg. .TSfI?
Nouyh Htq. -ZSyl ?i?
losul. ., ?
,
Finplscs
Final Htp.
Flnal Plby.
Bldy. Final yy?
CsrL Occ. ,
Doek Fty.
Deck Frmq.
w.li
Pr. Dimp.
" _ ?„_ ^.?.,...?„- . . .. . , ?, . .. _.. . ... ... _ __ . . .. l . ..
, . ? $rJ
.
PERMIT# CITY OF EAGAN FEE ??•?
/ MECHANICAL PERMIT ?r
s/c '
RECEIPT # 454-8100 ?
MINIMUM RESIDENTIAL FEE - $10.00 +$.50 TOTAL
DATE MINIMlJM COMMERCIAL FEE - $20.00; a.50
1. Bldg. Type: Res ?/,Comrn Inst 2. New Add Alter pair
#AtV1,< ,PIq
3. Total Bid Price 4. Job Address
LotBI ? ? Sec p ?r ? S. Owner4', as
6. Contractor 3 ?i,q/e,116 d ?? ? S4?0
(Nam ?? ?7 (Street) (Ciry) (Zip)
7. Contractor Phone # ??
RES(DEIVTIAL HEATfNG - 01-100,000 8Tt1's -$24.00. Each additiortaf 50,000 8TlJ's or iraction -$6.OD
RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or fraction -$6.00
MODIFIC ONS/ALTERATI -$10.00 minimum fee
" IJJEATING VENTILATING HOT WATER STEAM AIR COND.
?94-IR PIPIIVG PROCESSED PIPING AIR HAND. EQUIP. RtFRIG.
•f RES. GAS PIPIfVG OUTtETS -$f.5Q 7ANKS: L.P. UNDERGAOUND OTHER
COMM.IIND. RATE - 1"/o O//F/TOTAL BID PFtOE PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE.
. ., 7
i
Signed: for
Approved Irtspectiorts: Date Aough Insp. Date Final Insp.
?
?=arF:3s?'?o??,l??i»zc^.-?ss.vs• .
PERMIT # CITY OF EIkGAN FEE
PLUMBiNG PERMIT
RECEIPT # 454-8100 S/C -'?-'
- MINIMUM RESIDENTIAL FEE - $10.00 + $.50 TOTAL ?-- ?-?
DATE MINIMUM COMMERCtAL FEE - $20.00 + $.50
1. Bldg. Type: Res ?
3. Total Bid Price ? r
Lot / Block ?
6. Contractor ?(Name)
7. Contractor Phone # _
NO. FIXTURES
Shower - $3
TKitchen Sink
-Urinal! Bidet
COMM./IND. RE
Signed: ?-Y
Approved
Comm Inst 2.
4. Job Address
Alter Repair
5. Owner
? ???-?, ??i ???1??c?? ? ?? ???????? ?--?? ?--?, ??.:?11? ? ?-???
(sveet) (cicy) (zip)
NO. FIxTURES NO. FIXTURES
? Laundry Tray - $3.00 . _Well - $10.00
Fioor Drains - $1.50 -Private Disp Syst - $10.00
?Water Heater - $1.50 ? Rough Openings w/o
-Whirlpool - $3.00 Fixtures - $1.50
00 ' Gas Piping Outlets - $1.50
DO -Softener - $5.00
196 OF TOTAL BID PRICE PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE.
,
I / • ? J
for
r
'? Inspections: Date Rough Insp. Date Final Insp.
GITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-189
(si 2) ssi -4675
SITE ADDRESS:
r?A?,v?.r, ryk
i li i i r s t i I'; t
? 11Vh YE (?'1'lUl?l KL(:Ultl)
?
PERMIT TYPE:
Permit Number:
7 Date Issued:
APPLICANT:
? , . . ;, .
1;14 1 t!o 1 ltFi
0 4 A I t, I
N{J /H4 /t?4i
PERMIT SUBTYPE: TYPE OF 1NOR1(:
i
ay? •,r k< ? ?' ? ???r? ? f? z, fr ?• i??rP ??, ???rrrf
Permit Holder Date Telephone #
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD I
FIREPLACE
FIREPLACE
AiF TEST
FINAL PLBG
FINAL HTG
OFSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSFi
MAINS
coNOUCTiviTv
TEST
HYDRdSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL ?
CITY OF EAGAN -2A Ld,j? WATER SERVICE PHtMIT
3830 Pilot Knob Road
P. Q. B4x 21199 PERMIT NO.:
Eagan, MN 55121 , nATF• '
Zonirg: ?' i. lVo. arf Units: L
QwrMr,
A?ddreas:
Site Addrosc: 473Narvik -ve
Plumber. Vhom,,•so- Plu.
Meter No.: S-)-
q6- .?
? • '
°'
a
,
?
si?: JC1jq, ot r e d?
• ost-A - - • ? <<,??
Gpp
o?
"
.r??,
?P 1 -- • . i'
Reader No.t Q ! ?OJfG &Rf f?I?1 "
^`"
I ...« ft ?.? ?,h.
O
di
m ? ; ?? . ._ . ?? •
we
ar.
r Misc. Charges:
h ToMI: 61 . S???ci r? e L er
?
BY DoM Pofd:
Date of InsV a Inap.:
L? _ Zq_ oo
CITY aF EAGAN SEINER SERVlCE PERMR
3830 Pilot Knob Road
P. O. Box 81199 PERMIT NO.:
Eagan, MN 55121 pATE;
Zonirp: No. of Unita:
Owner,
AddRss:
Site Address:
Plumber:
1 yra to emply wN6 !V CNY ef Easso
v.ainan«..
By
Dote of Insp.:
I nso.:-
connecrion ao.g.: -
Acco,nr Deposit:
Pn?nit Fas:
Sureharye:
Misc. Chor+pm
Totol:
Dot* Pold: _
CITY OF EAGAN N0 15 513
3830 Pilot Knob Roac? P.O. Fox 21-199, Eagan, MN 55121
PHONE: 454-8100 Cl'/_ Q ?""// -
BUILDING PERMIT Receipt# 0?l? o
To be used for DECK Est Value $1, 000 Date A[1GUST 23 ,7 g 88
SiteAddress 4738 NARVIK DR
Lot 1 Bbck 9 SeGSub.RIDGECLIFFE 1ST
Parcel No,
OlName CHRIS & DONNA KOPITSKE I
Address 4738 NARVIK DR
Gity EAGAN Phone 452-3816
a Name_
.o
?a Address
? CitY_
U y?
W W
ri
U5
¢
w z
a
Name_
Address
ciry-
1 here6y acknowledge that I have read this application and state that the
in(ormation is correct and agree to comply with all applicable State of
Minnesota Statutes and Ciry o a an Ordi ances.
Signature of Permittee ?
A euilding Permit is issued to _CHRIS KE
on the ezPress condition that all work shall be done in accordance with all
applicable State of Minnesota Statu}es and City of Eagan Ordinances.
BuildingOtficial-L-D9 9U j N.
OFFICE USE ONLY
On Site Sewage _ Occupancy
MWCC Sys[am _ Zoning
On Site Well _ (Antual)Const
Ciry Water _ (Allowable)
PRV Required _ # of Stories
Booster Pump _ Length
oeptn
S.F. Total
Foo}print S.F.
APPROVALS
Engr./Assess.-
Planner _
Council _
BIdg.Off. _
Variance _
FEES
Permit
Surcharge
Plan Review
SAC, City
SAC, M WCC
WaterConn.
Water Meter
Road Unit
Treatment Pi
Parks
TOTAL
24.00
•50
24.50
CITY OF EAGAN ?
115 5 5
N
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
-
PHONE: 454-6100 -
BUILDING PERMIT Receiptp O?E? /
A
Tobeueedfor SF DWG/GAR Est.Value $63,000 Date FEBRUARY 27, 1984_
SiteAddress 473$ NARVIK DR Erect Occupancy R3
Lot 1 Block 9 Sec/Sub. RIDGECLIFFE 19%model ? Zoning
Parce
l No
Repair ? V
Type of Const.
. Addition ? No. Stories
ORRIN TAOMP
SON HOMES Move ? 40
Length
W
i Name
Demolish ? Depth 4 6
o Address Int. Impr. ? Sq. Ft
ciry MTKA phone 544-7333 Install ?
a
o
Name SAME
Approvals
Fees
i
$a Address AssesSment Permit $ 322.00
` City Phone Water & Sew. Surcharge 31 . 50
161
00
Police .
Plan Review
Fi Name Fire SAC 575.00
ma
V nddress Eng. WaterConn. 500.00
a W City phone Planner Water Meter 63 . 50
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 ag? rdinances.
SiqnaWreotPermittee? ` '?/n'4' (?
A Building Permit is issued to: ORRIN THOMPSON HOMES
all work shall be done in accordance with all apolitable State of Piinnesota
Council
Bldg. Of
APC-
Road Unit 290.00
Tr. PI. 156.00
Var. Date Copies-
I T,,.,, 2, 9 9. 0 0
on the express condition [hat
and City of Eaqan Ordinances.
Building Official
This request voitl
I?Oh?rr1966
Request? Date
3
?
T Fire No. Fough?in Inspection
e ired?
'
?Reatly Nuw?Will Nn[ify, InsOec
lor Whr
n R
tl
-?'
Q[G
? Yes ?No ,
ea
y
XLicensed Elec[rical ConVactor
? Owner
I hereby requast inspection of above -le C? - O D
eleccrical work installad att .
Street Atldress, Boz or Route No. //y ?J
/ ,^ ?
t0 C O
•
f C??v
?
iy y??L
?
,?? ?
?.? s ? t?
' e Lon o. Townsliip Name oY No. Fange No. County .
Dccup
am
(PqINT) - h
one No.
P
? ?
/ .?
+
Power Supplier Address
? ?}, /? ? ?
.?4,(14?.{' J ?C IJ '
? ?/ //L?l . ti
EI iical ConVacto? ICompany e) Comracmr"s Licens o.
? ??
MailinQ?A'd?d'jr s(Contrac/ r or Owner ?M/a/king lnstai
lationl
?
,
? U F?
?j?.{.I?'GD"'?!/15C-3+C??/ 4- .+L.G/ '?6 6 J J!Q
Authori d SiB?ature IContt ctnr?Owner Making Installationl Phone N'u/mber
6TINNESOTA STATE BOAFD OFpCEGTqICITV
Grig9s-Midwey Bldg- - Aoom IJ 797
1827 Universitv p.ve., St Paul, MN 55104
Phone (612) 297.2711
THIS INSPECTION pEQUEST WILL NOT
BE ACCEPTED BY THE STqTE BOAqO
UNLESS PflOPEN INSPECTIDN FEE IS
ENCLOSEO.
3 - c, ,JY? REQUEST FOR ELECTRICAL INSPECTION -41131454 oq i na
See inshuctions tor comoleting this torm on back of Yellow copy. /?) ?
p Q9e Q 6? ?"X?? Below Work Covered by 7his Request Co,0a 3?-
Add R.P. Typo ot Building Applioncee wo-aa EquiOment Wired
Home Range Temporary Service
Duplex Water Heater Lightin,y Fixtures
Apt. Building Dryer Electnc Heatin
Commercial BIAg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tenk
Parm Other Peci y ther(5pnr,ify)
t,r ucci y ther Olhe,
Comnute lnsoeciion fee Below
# fee Se"iceEnSreneeSiie H Fee Feede.s/Suhfeeders M Fee Circuits
0 to 200 Am s ,,pa 0 to 30 qm s 0 to 30 Am s
Above 200 qmps / D 31 to 100 qmps - " ' 31 to 100 qm s
Swimmin Poal Above 100_Amps Above LD(T-
Transiormers rrigation Booms Parti %Other Fee 11
SignS SpeCiallnspeCtion
TO A
Rerriarks
Rough-in
• a1e
?? I, the ElecYrica
sPect y
cerlify thet tha above
Final
? f
, _
1/ D?lP
.a? insoection nas eaen
niwde. -
thlnrequestvaiEtBmonlhsirom 13 lj?53
RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
NawConsWCtion Raauirements
• 3 registered sfte surveys shawiig sq. A. of lot, sq. fl. of house; aM all roofad areas
(20% maximum lot caverage allowed)
• 2 copies of pan shawiig beam & windax saes; poured fourid design, Mc.)
• t sM of Ertergy Calculatiom
. 3 copies W Tree Preservation Plan i( lot platled after 711N3
. Rim Joist DeWJ Optim selection sheet (btdgs wilh 3 or less units)
DATE IS•(?C. .•Oa
?
RemodaVReoafr ReaulremeMs
. 2 copies of plan
• 1 set of Energy Cakulatiore for heated addilbns
• 7 site survey kr erzterior additians 8 decks
• Indicate il home served by septic system for additbre
VALUATION 5,
SITEADDRESS MULTI-FAMILYBLDG_Y .rN
TYPE OF WORK O`
QA-qCi5 `YZ
RMA HOME SERVIC6S INC.
APPLICANT Home Depot Installed Sales
STREET ADDRESS 3200 Cobh Galleria Pkwy., Ste. #200
A[lanta, GA 30339
TELEPHONE # 763-542-8826
BG20268257
AJ FIREPLACE(S)
?.OJ?(lt(? .
l.!
srare
FAX #
0 1 2
ZIP
PROPERTY OWNER C-_QJ?x NSD K) iELEPHf,?'W4 05 A .?
Plumbing system inciudes: Water Softener ocr 2 2 2002 ,1!1
^ _
Plumbing Mechanical Conh Contractor: actor.
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS LY
e-
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNFSOTA RULES?76`t?-
(4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Eneryy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Mechanical systeai includes:
Sewer/Water Contractor:
Phone #
Phone #
Fee: $70.00
I hereby acknowledge that I have read this application, state that the information is conect, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan O nances.
Signature of Appiicant ?
OFFICE USE ONLY
_ Water Heater _
_ No. of Baths
Phone #
Lawn Sprinkler Fee: $90.00
No. of R.I. Baths
_ Air Conditioning
_ Heat Recovery System
Certificates of Survey Received Tree Preservation Plan Received _ Not Required _
Updated 4102
. -
Instailed
Siding andhNiffRUPOWER OF ATTORNEY
OF COBB
STATE OF GEORGIA
KNOW ALL PEOPLE BY THESE PRESENTS:
THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania
("Principal"), and a licensed contractor of RMA Home Setvices, Inc., DBA Home
Depot Installed Sales located at 660 Mendelssohn Avenue North, Golden Vapey, MN
55427, having a license.number of BC- 2026$257, do hereby appoint, name and
constitute Elder-Jones Building Permit Service, Inc. ("Agent") as my true and lawful
attomey-in-fact and do authorize and grant said attorney-in-fact for me and in my
name, place and stead the power to execute, acknowledge, sign and deliver (in such
form as may be requireci by the municipality) a pecmit application, or any other
insuument(s) which may be necessary and appropriate, in order to obtain the proper
permit(s) &om the City ofEagan, Minpesota for the installation, maintenance and
repair ofwindows and siding (the "Work").
"I'he powers conveyed to-the Agent by this Limited Power of Attornay are
liinited solely to the express powers delineated herein and apply solely to the Work.
This Limited Power of Attorney shall expire and autamatically be revoked on the 30d'
day of May, 2003, which date is one year from the execution hereof. Further, the
powers conveyed by this Limited Power of Attorney may be revoked by Principal at
any time by express revocation and shall also be revoked by the Principal's death,
disability, incapacity or incompetence_
IN WITNESS WEEREOF this Limited Power of Attomey is executed this
3CrA day of t%/t`f , 2002.
David . z
SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this
30`h day of May,
Notary blic in for the Stat of eorgia
My Commission Expires: Januazy 21,.2006
396816.v3
Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor.
3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984•0709 • Toll iree (800) 79•DEP(
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.T.N.: 10-63980-010-09
DESCRIPTION:
B
mm v N
?
r€ r?e a
a
n
sae
nv j ?:?'is e?, ?b ;e ?? ? &" ?:`` °s;RU`°?{s a`?`' "? ?,?+?-8 §,?•???.
a,? n y fi uf,,?'° ?vi'."S3 ?'+,,??.
REMARKS:
FEE SUMMARY:
RgNTMqTOR: - applicant - sr. Lzc. OWNER:
cp 13311555 8008617 OLSON GARY
445 MfiLCOLM AVE SE 4738 NARVIK DR
MPLS hIN 55414 EAGAN MN 55122
(612) 331-1555 (651)686-8606
PERMITTYPE: BuILDyNG
Permit Number: 033151
Date Issued: 09/04/9g
4738 NARVSK DR
LOTs 1 BLOCK: 9
RIDGECLIFFE 15T
T.O. & REROOF(STORM
ermit Type STORM DAMAGE
6?r,k Type REPAIR
''az." 434 ALT. RESIDENTIAL
_.,_ ._ . . .. ..?? ??
I EO eV: SIGNATURE
New Construclion Reouirements
?
?
?
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1.986'B?UILDING PERMIT APPLICATION (RESIDENTIAL)
6814675 p, - ({
3 registered site surveys
2 copies of plans (include beam & window sizas; poured fnd. design; etc.)
1 enetgy calculetion9
3 copies ot tiee preservation pfan it lot piatted after 7/1193
requlred: _ Yes _ No
DATE:
?
DESCRIPTIO OF ORK: ?e41-
STREET ADDRESS:
LOT BLOCK /-
9 SUBD./P.. `
D.#: t s-f?
?2", c u IA11? ??' -
PROPERTY Name: r 0?5rI^ Phone
OWNER °' """
Street Address: y ' /-•
City: ??.?ll State: 14*1-1 Zip: .?
CONTRACTOR Company: czu, o401 ? Phone 331 /S,S?S'
Street Address: SC?License #: 7
City:t!412 A State: 1°,4.1 Zip:
ARCHI7ECT1 Company: Phone #:
ENGfNEER
Name: Registration #:
Street Address:
City: State: Zip:
Sewer & water licensed plumber:
change are requested once permit is issued.
Penalty applies when address change and lot
I hereby acknowledge that 1 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
Certificates of Survey Received _ Yes No
Tree Preservation Plan Received Yes No
RemodeVReoair Reauirements
? 2 copies of plan
? 2 site surveys (exterior additions & Uecks)
? 1 energy wlwlations for heated additions
CONSTRUCTION COST: ?yav0
1988 BIIILDING PEAMIT 6PPLICATION - CITY OF EAGAN
3INGLE FAMILY DWELLINGS r 5??.3
INCLUDE 2 SETS OF PLANS, 3 CERTIEICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NCTEs ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE BOILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENT9L ONITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SORVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COP4fERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
7 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
4(ck ad0 r)
To Be Used For• ?6.- °•,?-----? Valuation: ?- Date:
? Site Address y13? Dk_
GJ
a2r Lot I Elook
2
P? arcel/Sub -f
Owner C 2? DO N A a-0? Zr.?E
Address $73$ NAf{015C ASZ
On site sewage_
MWCC system _
On site well _
City water _
PAV required _
Booster Pump _
Oceupaney
2oning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
City/Zip Code E0iGRnI+,NN Sg12-2-I
Phone Lk? y sa - 39
i c. APPROVALS
Contractor N/,*
Address -
City/Zip Code
Phone ^
Meh./Engr. /?LA
Addresa "
City/Zip Code -
FEES
Engr/9ssess Permit
Planner Surcharge
Council ?
?"
17 Plan Review
Bldg. OfF.
-3
yt SAC, City
Variance SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL
?
Phone #
HOTE: ALL COIiTRACTORS HUSr BE LICENSED NITH THE CITY OF EAGAN
ZNCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
Plan: 1 SET OF ENERGY CALCULATIONS
To Be ?sed For: Residence Valuation: CO.3 OQU Date: z- Z!j -L%o
Site Address: --'4-73(/ N/????v- --D OFFICE USE ONLY
Lot: ' Block Sect/Sub 1%ID6C4-LIf)`? Erect X Occupancy ?•3
TV-57' Remodel _ Zoning 2, 1
Parcel $ Repair _ Type of Const '$Z
Enlarge 0 of Stories
Owner Move _ Length 40
Demolish _ Depth ¢(.
Address Grade _ Sq Ft
City/Zip Code
Contractor Orrin Thompson Homes APPROVALS
Address 1712 Hopkins Crossroads
Clty/Zip Code Minnetonka, Minnesota 55343
Phone 0 544-7333
Arch./Engr
Address _
Phone 4 _
?
i
??.
,
?
Assessments Permit
tdater/Sewer Surcharge
Police Plan RevieW ?(o(.
Fire SAC 5?5.
Engr Flater Conn SCp_
Planner ldater }3eter 63. ?
Council , Road Unit 2q p
Bldg Off ? Parks
APC Treatment P1 15 ?,
Variance ?o y9
roru.
LLH[<t?/GlVC?1IVLGK1Nl> l:VC1YHNY 6 Lt517
CERTIFICATE OE' SURVEY EiOR:
ORRIN THOMPSON HOMES
A Division of U.S. Home Corporatiort
BENCHMARK: Top nut of hydrant at
Flora Drive and Lenore Lane.
Elevation = 946.30 ft. (NGVD-1929)
GARAGE SLAB:
Existing E1. = 935.19 ft.
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• M1NNe:wwtIUL16, M • YHONe: 374-4740
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Scale: 1" _ :40'
• Iron monurtient found . ?
a Wood stake set
,soo.a Existing spot elevation
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Lot 1, Block 9
RIDGECLIFFE FIRST ADDITION,
Dakota County, Minnesota
I hereby certify that this is a true and correct representation of a survey of the
boundaries of [he land ahove described and of the location of all buildin9so if any,
thereon, and all visible encroachments, if any, £rom or on said land. I furthec
certify [hat [his survey was prepared by me or under my direct supervision and that i
am a duly Rgostecep Land Surveyoc under Ghe lavs of the State of Minnesota. IM7 Reg. No.l!aw Date 7i ? I -e!Ve
Proposed House.?_< As-Built H01]90- nravn hv P£N 'Drnicrt nn
Y
. ? ?•. . • ? .? . . ? ?• .
•?• . . ?.. •? . ? ? . .
•. .
CI11 Ol' ECW[1LY
APPLICATION F'OR PERMIT SEME2 ADID/OR WATER CONNECTION
1) PROPIItTY ADDRESS:
T.H]':AT. DFSCRIP7.'ION: . . .
Lot Block S division or Tax Parcel I.D. Number)
IF EXISTING STRLCTL?RE, DATE OF ORIGINAL BUILDING PERNIIT ISSUANCE:
(MOnth ear)
PRESENT ZONING/PROPOSID USE: TR-4 R-1 SINGI,E FAMILY
R-2 DLPLEX (Trro Onits)
R-3 TOWNEi00SE (Three + Units) Units)
APAR'I'MENI'/CONDOMINILM ( Lnits)
COMMEEtCIAL/RETAIL/OFFICE
IPIDLSTR.SAL
INSTI'IUTIONAL/GOVERNMENT
2)
NAME:
ADDRESS:
CITY, STATE, ZIP:
PAONE:
3) ?
NI.ME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
?
For City Ose
Plumbers License:
C= Active
C Expired
O Not Recorde
St f Initial
4) • • ?•
NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5) ? • ??
9?1 CANNECTION TC) CITY SEWER #(CONNECTION TO CITY WATER
p OTHER (Please Describe)
6)
Q PI,EASE HOLD APPROVID PEE2NIIT EY]R PSCK-t?P BY ONE OF ABOVE
? PLF,ASE MAIL APPROVID PII2MIT TO 1, 2, (C 4, ABOVE
, (Circle one)
7) ? ? ?•
FOR C ITY USE ON:,Y -- --
PER*1IT = ISSUED
E:::=
`
F..
ES: $ ??`S G SE:"lER nEBA1T
T (I`ICL:;DE SU°CH
R
_
?
Gc)
WATER PERP4ST (INCL'JDE SliRCHARGE)
$ Z?d' WATER METER/COPPERHORN/OUTSZD
E READER
$ WATER TAP (INCLUDE CORPORATIO
N STOP)
$ SE;OER TAP
$ ACCOUNT D..F,PnSIT - plATv-B
$ wAc
$ J-? 7-S~- ?U SPC
$ TRliNK L9ATER ASSESSi?E:IT
$ TRli:IK SE6dER ASSESSr1E:IT
$ LATERAL BENEFIT/TRUNK SE;
*ER
:
$ LATEKEIL BENEFIT/TRUNK WATER
$ ??7P 0_79
WATER TREATMENT PLANT SURCHARGE
$ OTHER:
$ TOTAL
$ `?? ? 5• ?'? AI?IpUNT PAID
/RECv
..I?T #
? p
3z? ?ro _
60 i s-a
DOES UTILITY CONNECTION REQUIRE r
EXCAVATION IN PUBLIC RIGiiT OF WAY?
YES IF YES, THEN A"PERMIT FOR W0RK WITHItV
PUBLIC ROADWAY" MUST BE ISSUED BY THE
? NO ENGZNEERING DIVIS20[V, LIST AS A CONDI-
TICN.
SUBJECT TO THE FOLLO[9ING CONDITIONS:
APPROVED BY:
TI:LE:
DAT°:
CITY 0? cAGAN /
3830 PIL0I.KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
04IliN'lCA7.. M,?FtMS'x
R?SIt3?N?1AL;;
-----WORK
FOR CITY USE ONLY
PERMIT ii
RECEIPT
DATE: #-.3 --21$ V'3
` PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNAOMES/CONDOS WNEN PERMITS ARE REQUIRED FOR EACH UNIT.
----------- -'----------------------------------------------------^-..---,-
Y
NEW CONST "ADD ON
REPAIR
OWNER NAME: .lZa,w", U' 'Lo-'
SZTE ADDRESS: rv'C'k --V)/wv-o
LOT:_L BIACK / SUBD. ? I ?
INSTALLER: ?g?rnmermluRt?tIDRWNINiGC0.
.,5? 1^lc57lJ1KC' STP.EEi
ADDRESS: MINNEAPOUS. Ny 6540029" 1
` PKQ -
CITYf
PHONE #
ZIP:
ADD-ON MINIMUM ?15.00
HVAC 0-100 M BTU 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
SUBTOTAL: $ /5,e?
STATE SURCHARGE: .50
TOTAL: s-ac-Lu
SIGNATURE OF PERMITTEE
?9MM?ACIAT./INDFSTRTAL,:: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL SUILDINGS,
APARTMENT SUZLDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARF
NOT REQUIRED FOR EACH DWELLING UNIT.
--------------------- _---------- _____----------- ______------______--------°__
CONTRACT PRICE:
OWNER NAME:
SLE G=P.ESS:
LOT: BIACK _ SUBD.
INSTALLER:
ADDRESS:_
CITY:
PHONE #:
ZIP:
FEES
1% OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
Enr,H $1;000 oF PERMIT FEE.
PROCESSED PIPING = $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
$
(SIGNATURE)
FOR : ??P ? -
CITY OF EAGAN
To: uOFUV.7? oLSON, vrzLZrr BzLLzcac ci.ciu: 1- 0( p- c ?
DALE PLTERSON, QIIE[' BUILDINI; OFFSCIAL
BILS, BRANQ3, SUPERIN'I73NDIl4T OF PUI3ISC WORKS
FRCM: THOf1AS A. COLBERT, DIRECPOR OF PUBLIC WORKS T41fi
DATE: NOVFIMER 17, 1981
RE: RIIXECLIFFE 1ST ADDITION - SES9ER ANp Wp,TER CONrIECi'IONS
- On September 10, 1981, amamo was distributed listing several lots in
the Ridgecliffe lst Addition which would not be issued sewer and water
r,ermits imtil sanitary sewer service had been made availahle. Because
it is not anticipated that gravity sanitary sewer will be available to
provide service to the affected lots until July/August of 1982, Orrin
Thorrpson Hocres has agreed to install a tengorarv li£t station fram Man-
hole No. 37 to the 4" service line for Lot 8, Block 9, Ridgecliffe lst
Addition. Attached to this rerrio is a copy of the letter we received
from Orrin Thompson Hanes whereby they indicate that they will perform
the installation, mainte?ance and liability of this te?orary lift sta-
tion/force main sanitary sewer until such titre gravity sanitary sewer
can be extended across the £uture I-35E during the spring of 1982. There-
fore, with this tetrporasy system being installed and maintainecl bv Orrin
Thor.g>son Hotres, the tearporarv hold on se:aer and water permits and occu-
pancy for the following lots has naa been lifted:
Lots 1-9, Block 7 . Lots 1-6, Block 8
Iots 1-7, Slock 9
Lots 18-23, Block 9
Ipts 10-16; Block 10
IAts 1-10, Block 5
Iots 1-4, Block 6
Lots 1-6, Block 12
Lots 1-17, Block 13
This tesrPorazy sanitarv force main ioill sti, 11 not nrovide service to
the following lots:
Iot 1, Block 8
Iots 1 5 2, Block 9
I.nts 18-23, Block 9
Lats 11-17, Block 10
There£ore, the restrictions as referenced in my previous imnn will.still
apply to these lots.
These lots are referenced on the attached map for your information. If
any problems arise pertaining to sanitary sewer availability, back-ups,
etc., please refer those calls directly to Orrin Thom-pson Hanes for the
proper resolution. If youu have any c?uestions to this release o£ the re-
striction on the building and seaer/water permits, please oontact m.
Please insure that all personnel in your departnnnt are aware of these
restrictions.
TAC/jach
cc - Bob Carlscn, Orrin Tharpson Homs
TO: LORNA OLSON, UPILITY BIIS IN? Q,EEtK
DALE PEPERSnN, CHIEE' BUILDING OFFICIAL
BILS, BRANCH, SUPPRIN"PENDIIVT OF Pi7BLIC S,URKS
F'MM: THaMAS A. COI.BERT, DIREC`I'OR OF PCTBLIC TnZ7RKS (??
V •
DATE: NOVENIDER 18, 1981
RE: RiDGECLIFFE 15T ADDITION - SEf4ER AND WATER CONNECTION RESTRICTIONS
On November 17, 1981, a rrezro was fonaarded listing several lots within the
Ridgecliffe lst Addition that had restrictions placed on the issuance of
any sewer, water or occuoancy pernits due to the timavailability of sanitary
sewer. There appeared to have been a dunlication of lots that were refer-
enced for future restrictions as coTrpared to those whose restrictions had
been listed. Please be aware that the follaaing lots only will have re-
strictions plaoed on the issuance of sewer, water or occupancy permi.ts:
Lot 1, Block 8
Lots 1& 2, Block 9
Lots 18-23, Block 9
Lots 11-17, Block 10
Please insure that these referenced lots are not granted any permits that
would allcw their occupancy or use of the sanitary sewer system.
Please insure that all personnel are made aware of this correction as statecl
in this neno.
TAC/jach
cc - Bob Carlson, Orrin Thc[Tpson Horres
(-1r 59 1 ?c (
7O: IIJFSIA OLSCN, CTPII.ITY BILI.II9G C7.ERK
BUIIDING INSPECPICN DEPPIT.'?NT
BIIS, BRANQi, SUPER .7?EVT Cff' PLBLIC N10RKS
FROM: 'IIiQvlAS A. CMSE1tT, DIRY.CIOR OF PCBISC WqRXS df-C-?
. DP.TE: SEPTIIMBER 10, 1981
FE: RILGEQ.IFr'E ].ST ADDITICN - ,
Because the folla+itg list of lats in Ridgecliffe lst Additicn does
not hav2 gravity sewer outlet at this tii*e, the follwri.ng proce-
deses will be initiated tmtil further notix:
VPILITY SILLL*IG
No water tum-ais will be allvaed prior to 8-1-82 or witil sewer
is available in these areas, '
BtJIIDLNG =PEX'PICrI
Buildin9 permits can be issued for these lots, but the builder
should be infozr,ed at t.uce of peanit issuance (perhaps staccpinq
the building peanit with "NO 0CCL?A^iCY PRIOR 2C) 8-1-82 OF. UNTIL
SES+IER IS AVAIIABLE") the restrictions rn sewe . r availability.
MALNTMIPbI(E DEPARM1ES7P
See both utility billing and building inspectioai above.
The lots with these restrictions are as follaas:
Lc7I5 1-9, BIOQC 7
LC7I5 1-6, BLAC!( 8
I.CliS 1-7 BIIJGC 9
Lc7I5 18=23 BIPQC 9
Irn"' 10-16 SIOcK 10
r,ors 1-10 s=< 5
L(YI" 1-4 SIOCK 6
LOI'S 1-6 SIl.Xx 12
LOTS 1-17 BIOCK 13
and are also indicated on the attached maps. :
jac ,
?S-a 7/ 2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 4 651-675-5675 FAX 9 651-675-5694
NewConsWClionReouirements RemodeVReoairReauiremenGS office. n
3 registered site surveys shaving sq. R otlot sq. R of house; and all roofed areas 2 oapies of plan N??, ?... ?, 7? ?
(20°k maximum kt coverage allaved) 1 set of Enerz?y Calculations for heated additions ?es ,aq?.4= ?
2 co ies of lan showin beam 8 window sizes; ured found desi n, etc. 7 sde surveY for additions & decks ?'?'?a
P P 9 Po 9 ?. - ?.
isetofEnergyCalculaCrons AddiGon-indicatei(on-sitempfksystem ? 0?1??4:???' ..=??`.
3 copies of Tree Preservation Plan'rf lol pWried aRer 711193 Rim Joist DeNail Optiore seledion sheet (bidgs wBh 3 or less unBS ? ? ?
Date ? / ?
Site Address y?3 8 / .
NaR v i k nrrr ve Construction Cost
Unit/Ste #
Description of Work ? ? ??0 DOOKS
Multi-Family Bldg _ Y x N Fireplace(s) _ 0 2
Property Owner m H((ZT4'I ? Y A f1u orei ff i n Telephone #(?S 6 W' AW
Contractor 976.e61 wJv+r
? LA KIrd ??
r
Address 0,? 11 d 09
State L?
C't3'
Telepho¢e # (qS? f ?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . ResfdenGal Venfilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted 5ubmifled
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber ? Telephone #(
Mechonical Contractor N?? Telephone #(
o s
Sewer/WaterContractor Telephone#(
I hereby apply for a Resident a Building Permit and aclmowledge 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 work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
--? uL.1E Rtn P11 S /l Gt
Applicant's Printed Nazne Applicans S ature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA127903
Date Issued:10/20/2014
Permit Category:ePermit
Site Address: 4738 Narvik Dr
Lot:1 Block: 9 Addition: Ridgecliffe 1st
PID:10-63980-09-010
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.
Tony Boerner
2090 County Road 42 W
Burnsville, MN 55337
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Xiao Li
4738 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:Building
Permit Number:EA163985
Date Issued:09/16/2020
Permit Category:ePermit
Site Address: 4738 Narvik Dr
Lot:1 Block: 9 Addition: Ridgecliffe 1st
PID:10-63980-09-010
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and house wrap and leave on site.
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: 10,000.00
Fee Summary:BL - Base Fee $10K $191.75 0801.4085
Surcharge - Based on Valuation $10K $5.00 9001.2195
$196.75 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 -
Benjamin Evertz
4738 Narvik Dr
Eagan MN 55122
(612) 209-0903
Legacy Restoration Llc
15350 25th Ave N, Suite 114
Plymouth MN 55447
(763) 354-7660
Applicant/Permitee: Signature Issued By: Signature