4386 Nybro Cir. ?.? 4?'P'w? ?T? T . . . ... . . . .. :... ....._ _. ? .., .. . 4..r h ...,
PERMIT # ?Z:52
PLUMBING PERMIT RECEIPT # ??
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTHACT PRICE: PHONE: 454-8100
Site Address r
Lot ?2- Block Sec/Sub
? Name
`
(E Address -
c i
C
ry , Phone
? Name
3 Address 1- C' C I -
O Ciry Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPUES
MINIMUM - RESIDENTIAL FEE -'- $12.00
M4NIMllM - COMM!{ND FEE = $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $_50 S/C IF PERMIT PRICE GOES
BEYONO $1,000.00)
S G ATURE bF PERMITTEE
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult. Add-on
Comm. Repair
RES. PLBG. ONLY
NO.
THE FOLLOUVING:
TOTAL
4
- $3.00
- $3.00
Sink - $3.00
idet - $3.00
Tray - $3.00
3ins -,?1.50
>ater - $1.50
)i - a3.00
iping Outlets - $1.50
YIMUM - 7 PER PEF
er - $5.00
$10.00
3 Disp. - $10.00
i Openings - $1.50
FEE:
STATE S/C:
•-, Z?
FOR: CITY OF EAGAN ? GRAND TOTAL?
. , . . - ?...Y ... .- . ... .,.. . .ti _ .?_? ..,. , :?wlar:i?;',4 .,2-?". _• ' .
CITY OF EAGAN Remarks
addition Wilderness Run 4th Addition Lot 13 Bik 3 Parcel 10 84353 130 03
Owner ' ' Street 4386 Nybro Cr. State Eagan, MI3 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1973 $163.26 $8.16 20 PAIA
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK ,
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATERCONN. $320.00 9191 10-11-73
gUILDING PER.
sae $375.00 9191 - -
PARK
? :: •
VILLAGE OF EAGAq WAYEft SCE1boCE PERAAIT
3795 Pilor Knob Road PF.RAtIT NO.: __.138Q.__.__
Eagan, MN 55122 ? DATE: ---,w31 /73 - ---- --
Zoning: -- -- R-1.------- - No:?af Uni[s: -- ---- -
Ped8i80n Con8
Owner: trdgtii
- -------
Address:
?
Site Addres,: !_ G386 Nvj?zoI Circle
Plumber'. _..._Al1SY.dLQ-Plumh na __
Metcr
N
o Connectlon Chazge: 3___ _?81d
?
./
?4
?
`
'
o G
..._.-_.._.
Size:
?!?
_.. __. Account DePomt ...._. _
Reader Prrmit Fee: 10.00_ xl ______
I o9.ee ro complr wiM rho viliage oi Eogmn Sumhar6e: -•50.-Pd--_--,---
Ordinancm. , Ml6c. Chazges: _-
Totat:
Date Paid: ------'---
I)ate of Insy.: 1nSP.: .-__-_--
C;?i?.+'?
?,r ?•?v.r,?te,-..
a'
?,..
a?
_?.
P@RRAIT .
57F/PR SERVZCl3
tlILLAGL Off EaRAO 5
PERMIT NO.:.
3???1?7?--
379s auflfa„?sa?e DATE: ? _-_-.?-----
@agon. MW S5112 No. of Units: _L-------
ZoninB - p
? ?_?rigtSyCLi4n---
Ownei:
Addresc
_-
?-•.-?tt F?---
Site Addmss:
G -
mhina C4-_?------ -
P?
±
_
Piumber: al1 o
-
T_
375 . 00 _Ra id _
e; -
r
Ch
'
? ? ?m? ?? g
a
? y?0o ?{ ffugan Conneccion
osir. ------'-
De
aa p
pcconnt
.-_--
10.00 ?a
"pOnc00' -
Permi[ Fee: _
50
Pa
.
. --- J
-
Surcbar8e:
-"
BYf?--- . MiFa CharBes: __-------..._.--`---_
? Total•. -------- ---
Date of IneP.: Pate Yaid:
Insp.:
?'i
.
" EAGAN TOWNSHIP
BUILDING PERMIT
.
Owne: '--'.........
Address (preseni)
Builder 4:114 r..'....----------- -!_--..._..----
Address ...a.'2..-.,F..°../...............!f??..---..................
DESCRIPTION
?
V_?'
N° 3155
Eagan Tawnship
Town HaA
Dale ..... e?...................................
/ To Be Used Fas Fron! I Depih Heighi Esl. Coc! ?Fee Aemazks
/ `
.s"rc. ?,.. 1?•. °t7 LOCATION !?b'S "
5iree2, R? ad or olher Deseription of Localion I Lo! Block Addition or Tract
c?+.r--! •°--s?I:s/ L{l "'UU? , -, T.,,- ..u, . ?v?.. ?
Thu pexmii doe7'4ohsuihoriae e use of slreels, roads. alleps or sidewalks nor does it give the owaes or his agen!
the righf to eseale anp aifuatio hieh Is a nuisance or which psesenfs a hazard !o !he- healld, safelp, convenience and
genaral welfare !o anyone in the commuaify.
THIS PERMIT MUST 8`g,y KEPT ON THE, ?P?RErM?ISE WHILE THE WOAR IS IN PROGRESS.
This is fo eeslify. !hal.Ll.? _^.sA?.hes permission !o ereet a ... .......: ... ... . ppw?
"" -''-'•• '-
!he ahove descrihed premise subjeet fa the provisions of the Build3ng Ordinanoe for Eag Townshopted Apsil 11.
1955.
r?.. ........... ... Per ..._-............ ..""'.. .. .?"^.a............--'.
------- ----.-.--.......i?:...?..l..?d:?:.-?......-.---....?-^-?-s
Chairmaa of Tnwn Soard ,p Suitding Inapecfpr
?J ?
/3 -,3
CITY OF EAIrAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
we y
PERNffT NO.: 950
The City of Eagan hereby grants to Vallev Aire Ina.
o£ in E. nn{..nesoCA St Savaae I+ai 55398
a usrnmTnrr_ Permit for: (Owner) petezson Bros OonetracEioa
at Am mFb,.,, „4,.,,1e , pursuant to application dated i,/16/74
Fee Paid: $10 no. dated this 22ng day of san,. ? 19 74.
.5D s/o
Building Inspector
Mechanical Permits:
Bid Total:
? /,3 :3 (,? • ?z. ?i
/
VILLAGE OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
PEtZMIIT 1J0:: 419
The Village of Eagan hereby grants to pll State PlVMbina pg
of Richfiel8
a pLpp,BrNG Permit for: (Owner) Pedesaon Construation
at 4386 Nybro Circle , pursuant to application dated 12/31/73 .
Fee Paid; $20.00 dated this 31st day of Dea. , 19 73 .
.50 s/c
Buildir.g Inspector ?
tviechanical Permits:
Sid Totsl:
:}:?,?? p ! J;-">i:$d ? AV Y'..:':. Z }4' ? :f.2• . . ? . i ..
CIrY (,.7!" ._Af:AAN
EA I FI:(, !__ '
.. j..;F i'I. I..L M1ll):
;.;_..
.-.. (i::.,° W( ' i% t MIEg 090 100
1.H
. _...?? ..UM): ? .I.t. i.
. ...?.
i'_` F M' `:;
..,? .
. ., . .
I?p[,
1210 !' I..'r.l 4ys f:J`.. i o (
?
3422 ifii?.?. 4 .? ,? ,,1 t'i.lt
2155 (7ol
9210 9DOq. ,? M1::??.r? ...f ..!.r•'. (
1
`
::I:;
.;:I:i?; .,.
.
.
Total -.k=r I pa
W02f i 5i .. .. ... .. ... .:.
W 4 U. N1.!C"d
1999 BUILDING PERMIT APPLICATION (RES{DENTfAL)
s CITY OF EAGAN
3830 PILOT KNOB RD f 55122
651-681-46751
New Conshuctfon ReauiremeMs
? 3 regisiered site surveys showing sq. ff, of lof, sq. fl. of hovse
and all roofed areas (207, maxfmum lot coveraae allowed)
> 2 copies of plans (Show beam 8 wfndow skes: poured ind. design; Hc.)
> 1 set of energy calculaTions
> 3 copies W tree preservoflon plan M lof plaMed atter 7/7/93
DATE: q ' I GI ' 19
Remodel/Reoofr ReaulremeMs
2 coples W plan
1 set oT energy caiculailons forheaTed addNions
1 ske survey for exterior addkions 8 decks
CON$TRUCTION COST:
r2 G °'--
DESCRIPTION OF WORK: 4sc?Yl '
STREET ADDRESS: 43e)c,
LOT: 1 ?3 BLOCK: 5 SUBD./P.I.D. #:
L+-k? 11
Name: v G?" r M t C'N ??- Phone #: 11 PROPERTY last Ftrst
OWNER `?/ ?y
Street Address: 4?E?0 ??[?,V-'> l?? ? •
ciN state: K-A 1`l zip: SS(ZZ-
Company: T-U&4g?KE, Phone#:
(area code)
CONTRACTOR ?f
Sheet Address: License #S4-?:)q Exp. 3( 2?''
City v?S State: ? fJ Zip: 553??j
?
ARCHITECT/ ?n .
ENGINEER Company: Name:
Telephone #: area code (
Street Address: Registrafion #:
City State:
,
"" Sewer 8 water licensed plumher (reauired tor new consitudion onlvj:
Penalty applies when address change and lof change is requested once permlt is fssued.
11
I hereby acknawledge that I hove read fhis appllcation, state that the Information is corte<
Stafe of Minnesata Statutes and Cffy of Eagan Ordinences. 1-1/
Slgnafiure of Applicanl:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Zip:
to comply wffh all applicable
Tree Preservation Plan Received - Yes ? No ,' Not Required
OFFICE U5E ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level
? OS 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool
i.
i
Ii ?
21
Porch (3-sea.)
° ? 22 Porcfi/Addn. (4-sea.)
? ? 23 Porch (screened)
! ? 24 Storm Damage
r ? 25 Miscellaneous
WORK TYPE
. i
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 !jSiding/Soffits/Fascia
? 32 Addition ? 36 Move Bidg. ? 40 Gas Insert ? 44 iWindows/Doors
? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 ;iFire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
" Give PCA handou t to applicant for demolition permit ;
GENERAL INFOR MATION
ii
Const. (Actual) 5 Basement sq. ft. Census'Code
(Allowable) Main level sq. ft. SAC Code ;? al
UBC Occupancy sq. ft. No. of Units
Zaning v- - sq. ft. No. of 81dgs !! G
# of Stories sq. ft. MC/ES Syste'm
Length sq. ft. City Water
,
Width Footprint sq. ft. Booster Pump
'
PRV ?I
Fire Sprinklered
APPROVALS , i
Planning Bu ilding ? Engineering Variance
r
Permit Fee Valuation:
Surcharge
Plan Review ;
License P
MC/ES SAC '
City SAC
Water Conn. !
Water Meter ?
Acct. Deposit
S/W Permit
S/W Surcharge ,
Treatment PI.
Park Ded.
Trails Ded. ,.
Other
Copies
Total:
SAC Units ?
% SAC i
:
a
M
6129338598
pPR-20-99 12:46 PM PLUMBLINE BLDRS
q4%20,39 13:2P. EA'3Ati ENG+r"Oht DE'.! + E.12933A53a
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6129338598 P.04
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f.:6`?.c;l-!i.,ii.l?i„ .. . P.ItII.. ht'(1^ ?l?r'
...., ? ,
I.fQl:i. Ytl ?il?,c. ._: ,...,
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3-t:.. i'-i:1
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iJ:1qr,??? ,.;
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,'?i.':`•. i ? ?:.i+,. :; ;< r ? i ._ . ?':?;' t) J?:,f3
? ?, .. .... ? . .. . ,,_ .
i:i 1y;9.{. tiit:C?.t7Yl:._.
C'i:l.•`ii3??:'7 i
31.,F'f5Xk
,. ? 1999 BUILDINC PERMIT APPLICATION (RE51DENTIAL)
CITY OF EAGAN ?j L'I
3830 PILOT KNOB RD • 55122
U 651-681-4675
o
New Construciion Reauiremenls Remodel/Reoair Reauiremenfs
? 3 registered sHe surveys showing sq. tt. o( lot, sq. X, of house
and QII roofed areas (20% maximum lot coveraae ailowed)
i 2 copfes of plans (show 6eam 8 window sixes; poured fnd. design; etc.)
1 sef W energy calculations > 3 coptes ot tree preservation plan H IoT plalfed aRer 7/1 /93
DATE:
DESCRIPTION OF WORK:
2 copies of plon
1 sef W energy calculations fw heated addilions
1 sHe survey tor exferlor addHions & decks
CONSTRUCTION C.0SI:? 3gj-?
SiREETADDRESS: +Z2U ??brO G1RV
LOT: BLOCK: ? SUBD./P.I.D.#: rri4s-i+\Sb? Ckav+_
Name: V DIK !' Phone #:
PROPERTY last Firsf
OWNER ?" I
StreetAddress: J(?_ N\I r? ?IY
I
City ? State: M ? Zip:
Company:?I1A1Vl?bI1? Phone#:
, (area code)
CONTRACTOR /??
Street Address:T{?,( License # zq?? Exp.
City ??' 1Y15 • State: Mf?I ziP:
ARCHITECT/
ENGINEER Company:mYldil'l.Z V15 Name:
Telephone #: area code ( )
Street Address: Registration #:
City State: Zip:
Sewer 8 water Ilcensed plumber (reauired for new conslruction onlv): _
PenaHy applies when address change and lot change Is requested once permit is issued.
I hereby acknowledge lhai I hwe read ihis appfication, state thal the information ls conect, and agree to comply wHh all applicable
$tote o( Minnesoto Stafutes and Cffy of Eagan Ordinances. ,
Signature of Applieant: - - -
OFFICE USE ONL7
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace
X 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck
? 04 2-plex D 09 7-plex D 14 ApaRments ? 19 Lower Level
? OS 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool
WORK TYPE
? 31 New ? 35
X 32 Addition ? 36
? 33 Alteration ? 37
? 34 Repair ? 38
GENERAL INFORMATION
Const. (Actual) 5-+.1
(Allowable) 5 , nl
UBC Occupancy 2 .3
Zoning e-[_
# of Staries
Length
Width
APPROVALS
Planning
Tenant Impr Q 39 Gas Line Only' ? 43
Move Bldg. ? 40 Gas Insert ? 44
Demolish Bldg.' ? 41 Wood Stove ? 45
Dem I h(Int ' ? 42 R f
i
?i
i
I ? 21
n
nL
? L
? 23
? ? 24
i; ? 25
f . 4
Porch (3-sea.)
Porch/Addn. (4sea.)
Porch (screened)
Storm Damage
Miscellaneous
i
Si di ng/Soffits/Fascia
Windows/Doors
?'Fire Repair
ois erior) eroo ,
" Give PCA handout to applicant for demolition permit I,
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq, ft.
Building ?
Engineering
,
Census Code'
SAC Code ?
No. of tJnits
No. of Bldgs i
MGES Syste?m
City Water i
Booster Pump
PRV
Fire Sprinklered
I
43,4
-?-
I
6
Permit Fee
5urcharge I U •O C?.
Plan Review ? o <E< -81
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total; E?-E 0 . 0 G-,
SAC Units
Valuation:
324 x 5¢ !
'32'CfX- Sr =
$ 2p? 00 ?
l7,?q(o °?-
19 t:n-
T&7kC. I q" b°=
% SAC
6129338598
qPR-27-99 02:13 PM PLUMBLINE BLDRS
I )
MNCheck COMPLIANCE REPONT
Nlnnesota enerqy Gode
IANtheck Softwar'e Version 3.0
CWHTY: Dakota
STATr: Ninn¢SOTd
ZONE: 2
CON57auc7ioN TYaE: sinqle Family
DA7E: 4-27-1999
DATE OF VLANS: 6-26-99
TITLE: VOLK R£SIOENCE
PROJECr INFORMATION:
PORCH ADDITION FOR MIKE IWO ]OANNA WLK
6386 NYBRO CI0.CLE
Eh6/W, NN 55122
COMPANV INFORMqTZON:
P4UMBLIN£ BUILDE0.5, INC
7-NIHTH AVE N.
NovKINS, iBJ 55343
6129338598
I I
? Per'inli
? I
I t
I Checked by/oate I
I
NOTES:
18'-0 X 19'-0 PbRCH npOITSON AT REAR OF Mq15E WITH CRMNL SPACE
COMPLSANCE: DASSES
ReqW red UA = 512
rour Ndl1e = 470
8.3% Better Than Code
Area or Cavity cont. Glazinp/ooor
ierlmater
------ `------^--°-- a-value a-value u-value u,e
-------'
---`----------°-----°
CEIiINGS 324 '---'-°
38.0 -°------
2.0 --------
9
[EI4ING5 1110 38.0 2.0 31
wau5: Nood crame, 16" O.C. 486 1910 2.0 27
KtL45: WOOd Frame, 16" O.C. 2448 13.0 2.0 181
sSMT: conc. 8.0' ht/6.0' bq/8.0' 7nsu1 1072 0.0 10.0 71
c,u1ZLNG: Yindows or Doors. Ahave Grade 216 01350 76
cuZiHC; Wtndows or Ooors, A6ove Grade 159 0.350 56
GLAZInc: windows, Foundatton, <= 5.6 ft2 24 0.350
fnnWL; Concrete 66" ht/ 42" bq/ 66" insul. 242 18.0
HVAC EWiPMeNi: Furnace, 80.0 sFUE
NVAC EQUIPMENT: A1r Condttioner, 13.5 SEER
______________"________
_
____'__'"
___'____""'_______
COMPLIANCE 57ATEM£NT; Th¢ Draposed buildinp __________________
deslgn aescribed __
___
here is
consistent with the bulldSnq plans, speclficatlons, and other calculatlons
submitted wtth the permic aoPltcaclon, rhe proposed bullEinq has bean
cleslqned to meet the requlrements of the Min nesota Enerqy Code.
a
11
P.02
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RPR-20-99 12:46 PM PLVM$LINE HLDRS
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CITY USE ONLY
LOT /j BL ?
SllBD. W??? a-t? ^f"
RECEIPT #: 10S M
RECEIPT DATE: SO 7/9/
MECHANICAL PERMIT # '?)"l ?3 ?s
1999 MECHAIVICAL PEftMIT (RE.SII?ENTIAIa .
CITY Of £PcfiAN
S$SO fILOT KNOB ftD
EkfiAN b!N 55122
css» se,-4s7s;
Date:
Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not ownerloccuvied.
• HVAC: 0-100 M B T U $ 30.00
ADDITiONAL SO M BTU 6.00
• Gas outlets (minimum of one required @$3.00 ea.)
State Surcharge .50
Total $
Complete this section onlv if you are remodeling, adding tq or repairing an existing single family dwelling,
townhome, or condo. P:Ne indicate if it is a new item, alteration, or repair.
Alteration Repair _ Other
Reminder: Ca11 681-46 75 for inspections.
V Fumace _4.?Air conditioning
_ Air exchanger _ Other
$ 301.eo
State Surcharge .50
Minimuxn Total Due $ 30.50
SITE ADDRESS: 1/0//-0 e5;-'
OWNER NAME: PHONE #: 6S/
(n? A C E)
INSTALLERNAME: ?/Z ?T.? ? PHONEN: b_- ?n L1?L717/I
STREET ADDRESS:
CITY: oS F, /-c_6 ?i STATE: '41tl ZIP:
SIGNATURE 6F FERINIITTEE
L
SUBD.
APPROVED
BL
CITY USE ONLY
INSPECTOR
RECEIPT #: _
RECEIPT DATE:
MECHANICAL P
\com i3AN[Ci4L i'ERMIT (COIYIM£ftC1R L) CI1'Y O£ £A6AN 5830 ?PILOT KNOS RD
?kHAN, MN 55] E8
(651)681-4675 Please complete fl/industrial buildings ildings when separaYe permits ar not required for each dwelling unit
?aT?: corl?cr ?r? ?: ;S'?o ?s'o -.
?
WORKTYPE: _ NEWC STRUCTION INTERIORIMPROVEMENT
i
DESCRIPTION OF WORK: ? ? ??, n fy.4 ?
FEES: 1% of contract price OR $30.00 mioimu fee, whiche er is greater. "
Pmcessed piping - $30.00
CONTRACT PRICE x 1%
PROCESSED PIPING i
4
PERMIT FEE !
l
STATE SURCHARGE $.50 per $1,000 ofvernik fee due on all permits.)
TOTAL ---------°------------------------------°------- ---------------- ---------------- ----°----------- ?
aiTE aDUitESS: //W G; ., iv .S?/z 3
OWNERNAME: *U-j 1/11;?&- PHONE57- 6 89- S-X9 T
( CODE) :
TENANT NAME (IMPROVE TS ONLY):
INSTALLER: o ,? / 'Ie- il Zsa ?
:wDxESS:
CI7'Y: S ?.
f?
rxoNE #:
(AREA CODE)
STATE: ItLiV Z
SiGNATURE OF PERMITTEE
-11- 3 /s S
? .
C79.03
ol
D
if.
,
?
s
a?
?
?
v
?P
?
-S. Z'`?\
v?
U`
?
&/K -3
? iL--L 4-Z:
MAST O? P g C O R? ?
?
A ?& LOCATION A-ft4e?x
OWNER /,pA/?? +S'p I?1 ?I•D f'
STRUCTURE AND
LAND USED AS ;re
Permit
No.
Issued Issued To
Contractor Owner
BUILDING
PWMBING L/A
'?
?
CESSPOOL - SEPTIC TANK -
?-
WELL
ELECTRICAL
HEATING .¢5V
GAS INSTALLING
SANITARY SEWER
OTHER 2
/ OZ?L
OTHER
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING SEPTIC
FOUNDATION CESSPOOL
FRAMING TILE FIELD FT.
FINAL
ELECTRICAL
HEATING DEPTH
OF WELL
GAS INSTALLATION ?
SEPTIC TANK
CESSPOOL
DRAWPIELD ?
I
~
PLUMBING
WELL
SANITARY SEWER
,
Violafions Noted
on Back
COMMENTS:
?
v
PERMIT NO.
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
? ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
DATE OF INSPECTION
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZED AND DESCRIBED AS FOLLOWS:
? REINSPECTION REQUIRED
NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
DATE OF REINSPECTION
REINSPEGTION REVEALED
4
-'CE RTI FI CATION -1 certify that I have carefully inspected the a6rne in which I have no interest present or prospective, and that I have reported herein
all significant conditions observed to be at veriance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require-
mants for off-site improvements relating to the property inspected.
? ALL IMPROVEMENTS ACCEPTABLY COMPLETED
BUILOING INSPECTOR
COMMENTS:
pATE
COMPLIANCE INSPECTION REPORTS
TO BE USED ONLY IN EVENT OF OBSERVED VIOLAilONS
? ??
Use BLUE or BLACK Ink
I For Office Use I
Permit
City of Ea ~~aS
J Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: Phone:
Resident/
d +
Owner Address/ City/Zip:
Applicant is: Owner Contractor
Type of Work Description of work: ra e 0 ✓►Q®
Construction Cost: . o-6 Multi-Family Building: (Yes /N
{ Company: Contact: ~ J
- _yl~ 1- Contractor Address: ZI Grco A uto/ City:
State: Zip: 5-5(05 Phone: 6,51
3 3~
I License Lead Certificate
[If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
r
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
l conclude that they 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.gopherstateonecall.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 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
Exterior work authorized by a builcl~ng permit issued in accordance with the Minnesot tate g Co a must c pleted thin 180
days of permit issuance.
X n-A v C. x
Applicant's rin d Name Applicant's Si Ur
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA150834
Date Issued:07/25/2018
Permit Category:ePermit
Site Address: 4386 Nybro Cir
Lot:013 Block: 003 Addition: Wilderness Run 4th
PID:10-84353-03-130
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
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: 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 -
Joanna S Volk
4386 Nybro Cir
Eagan MN 55123
(651) 329-8533
Window World Twin Cities
2106 11th Ave E
N St. Paul MN 55109
(651) 770-5570
Applicant/Permitee: Signature Issued By: Signature