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4396 Nybro Cir` CITY OF EAGAN 3795 Pilot Knob Rood Eagan, MN 55122 PHONE: 454-8100 BUILDING PERMIT Receipt * & r Site Address Lot Block 5ec/Sub. Pcrcel # 19 Nome W Z O Address ? NG1?!e 0 ? ?? Address " 1- r.,., ati.,.,e Name _ Address I hereby acknowledge thot I have read this application and state thot the information is oorrect and agree to comply wlth all opplicable State of Minnesota Stotutes and City of Eagan Ordinnnces. Signoture of Permittee N° 6701 Erect ? Occupancy Aiter ? Zoning Repoir ? Fire Zone Enlarge ? Type of Const. Move ? # Stnries Demolish Q Front ft. Grade ? Depth k. ADDrovaE! Fl6s Assessment _ Water & Sew. Police Fire Eng. Planner Counci I Bldg. Off. - APC Permit Surcharge Plan check SAC Water Conn. Water Meter Rood Unit Total A Building Permlt is iuued to: on the express condition that oll work shall be done in accordonce with all upplicable Stote of Minnesota Statutes and City of Eogon Ordinances. Build{ng Officiol 4.,rI , Fenslt # Dah laaed PKSMtM Plumbing Mechanicol FtFc_-F-r?•Cc, l -r r sl 3 E s& cdc, n C,sw ?- cw i INSPKTIONS DAT E INSP. Raph-In Final Footings Date Insp. Dote Insp. Foundotion Plumbing Frame/ins. Mechonicol Final Remarks: 1NSYLU'1'lUN KLI:UKl) CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS:' ? APPLICANT: ciR 41#_1 Eit lrtd7 '. . lt1iN A IN i PERMIT SUBTYPE: Rt MARI PERMIT TYPE: Permit Number: H •' ? ' ' ` . . ? , . -, , .ti , i . TYPE OF WORK: {'LAr! iiF.Vll IIt 0 RY t1] (! At)AM-, r ai i 44f, ?r;nco trt t:nusitntr; V$ i F I 1 4110rs !148 FIR" L ? Permit Holder Oate Telephone N PLUMBING HVAC Inspection Date Inep. Comments FOOTINGS FOUND FRAMWG ?l?? -•r ? FGOOR 4/C 'rZ G ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL 6 7 GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TES7 BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL dECK FTG GE? DECK FINAL CITY OF EAGAN Remarks Addition ildernes Run 4th Addition Lot ! eik 3 Parcel 10 84353 120 03 Owne - ? $treet 4396 Nybro Circle State Eaqan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1977 486.50 48.65 10 486.50 C002374 10-4-76 STREET RESTOR. GRADING 9. SAN SEW TRUNK 1973 163 .26 8.16 20 PAID SEWER LATERAL WATERMAIN WATERLATERAL 972 584 91 38.99 15 PAID WATER AREA STORM SEW TRK :-'t,', ? 7 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. $280. 00 11998 10-28-74 SUILDING PER. #3444 sac 11998 10-25-74 PARK i:Lu:.x Of EAGAN WATER SERVICE PERMIT 3795 Pilot Kno6 Road PERMIT NO.: Eogan. MN 55121 DATEII / 1 1/1 S/74 Zoning: Rl No. of Units: 1 Owner: -?Ptz ro atrnrti on Address: Site Address: 12 3 WR 4 Plum6er: W n7 1 Pliimh ina & Hea?lilg-INr Connection Chazge?50.00 Ud Meter No.: -24g02-529 Size: c i?rQ Account Deposit Reader No.: ??1"07 Permit Fee: 10.00 pd I ngroe To comply with tha Village of Eagon Surcharge: . $0 Pd O.dinoncea. Misc. Charges: 60.00 pd ? TotaL• gy Date Paid: Date of lnsp.: Insp.: . WLLAtik OF EAORN SEWER SERVICE PERMIT 3795PiMtKnobRoad PERMITNO.: 2403 Eogon, MN 53722 DATE: 11/15/74 Zorung: Rl No. of Units: I Owner: Address: SiteAddress: d";Q_._._5 ??r_?f+_^-C"'C'" T" n7 wR d - Plumber. Wen2e1 o71Imt 'n s tr t__T-- I agrea ro complr wilA fM Villoqe af Eogon Connection Charge:400.00 Ad Ordinoneas. Account Depoeit: Permit Fee: 1000 na - Surcharge: 50 P', BY; Misc. Chazges: f I D Total: nsp.: ate o Ins : Dare Paid: p. CITY OF EAGAN -i. ' f' 3795 Pilot Kno6 Rmd Eagan, MN 55122 N2 6 701 PHONE: 454-8100 BUILDING PERMIT APPLICATION Receipt .# Te ba utad for SW. POOL & FENCEEst. Vulye 8? ooo Date .1AIlE 3 , 19_83_ Site Address 4396 tJom Cirele Erect [g Occu anc R3 p y-_ Lot 12 Block3_ Sec/Sub. W.R. 4 Alter ? Zoning Rl Paael #p 10 84353 120 03 Repair ? Fire Zone TdA Enlorge ? Type o4 Conrt. w Name Lee SheldOII Move ? # Stories 3 Address 43? NYbTO Cire2e Demolish ? Front ZR ft. ? r:.., Rsonn w..,..e Grede ? Depth 36 ft. o' I Name C118iAm Poo18 Address 701 E. E%C@18j.OT AVE. 55343 ? r,.., Hopkins ok 1e 933-2255 Name 1 hereby acknowledge thot I have read this applicotion the information is correct an¢)agree to co_5nply with Stota of Minnesota Statuces and Citypf/EpganMii Signature of Permittee ? A Building Permit is issued to: all work shall be done in acco Buildirg Official stote thot Approvala Feea Assessment Permit 27•00 Water & Sew. _ Surchorge 4• 00 Police Plon check 13.50 Fire SAC Eng. Woter Conn. Plonner Water Meter Council Road Unit BId9. Off. APC Total 44_50 on the express condition thot State of innesota Statutes and City of Eagon Ordinances. w , ` CITY of EAGAN BUILDING PERMIT Owees .... ............. ............................................... . ?.../. ?...... ............ ..... ........................................... ........ Addzess (presan!) ?- Builder ........... "&5-- ........................................................................ Addrase ......... ................................. .................................................... DESCRIPTION _;. N4 3444 3795 PiloS Knob Aoad Eagan, Minnesola 55122 454-8100 Dals ......................... .... ............... Sfoxiec To Se Ueed Fos Fron! Depth Heigh! Eel. Coa! Permi! Fsa Remaslu oZ (e I LOCATION /U 6 "So or 41,56 C-, ' /,;'- I s I-Zo - /Z?? 4 ?---_ This permit doea aot aulhor[ze the use oi sfreels, roads, alleps or sidewalks nos daen it g[ve the owaes or L!s agea! the zigh!!o ereafe anp silvalion which is s nuisence or which presenls a hasard !o the health, aafelp, toovoniancro aad ganeral welfare lo anyoae ixt the communilp. THIS PERMIT MUST SE £PT ON THE PREMISE WHILE THE WORK IS IN PROG SS. Thls is !o certifY, tha!_.?? .....?.'.??'.7'.?..- ...................... has permisaioa !o ereot a... .._._...? .?::. ........ .......... ._npen the above described premise subpecY to the psovisions ot all appliaable Ordinanaes fos ihe Ci of Eagea. ......................... .}..... ..................... ?..? aYv-W-? r? Par .............. ..H.`.":.`...`:....V..:............................._--••__..........._....--.- Suildinq Iaapaeios 9 r ? 7b He Used For Swi nn Site Pddress CITY OF F11GAN BU ING PEf34IT APPLICATION pt- IAW- 1, aluation glooU C. lot Biorat ? seo./su». w eA/ Erect Parcel Owmer: Address City/Zi Phone #: /I Contractor: (` uS -F? r?I ! ?D !5 Address: 70 City/zip Cbde: rivS, ?rI SS3?l3 Pnone #: ? 33 Arch./Ehg.. Address: City/Zip Code: Phone #: Alter Repair Enlazge Nbve Danolish Grade Coz0 l Include 2 sets of plans, 1 site plan w/elevations & 1 set of energy calculations. nate s/aq!&( OFFICE USE ONLY occupancy Zoning iC( Fire Zone 7.ype of Const. # Stories Fmnt $ ft. Depth ? ft. APPROVALS FEES Assessrents Permit t4ater/Sewer Surcharge y ? Police Plan Qheck?/ 3 ? Fire SPG Eri3 • Planner Council Bldg. Off. APC Water Conn. Water Meter Road Unit mrAL clcj , so /z--]R - t,i,p ,X . : CI'Ii' Or Ef,Ci;N 3795 riiot Ks.o'o P.oa.a Eaga;_., P•iinnesota 55122 PERMIT NO,: 608 The City of Eagan hereby g.rants to pav N. s4elter af 4i,37 Chicac:o Fve. 50. a Mr..Am7=aa Permit for: (Pwner) D. Getz - Auilder at "ivbro , pursuant to application dated 11/19/74 . Fee Paid: c2c;_00 dated this 20 day of 19 74 .50 s/c Building Inspector i`nechanical Permits: Bid Totalc ? /? ?{'?3 53 !? v3 ?ITY 09 EA _,:J 3795 Pilot Anob Road ELgan, illinnesota 55122 PrRi1IT fv0o: 1h2 Cl'ty Of Ec.E3Y1 h8I'BY7y pY'81'1tS 'O _ Wr>n?t±l P1.?nhinn c F*?i CJ Oi "`?":)O kvnnHY,ec Pr9va _ Pe%,•m'- fCi': ?i;WIl@I'? n[?nald Gat7 i,vhro Circl.: ? 4?24 r?.¢?„ <?ta -, pursuant Lo z.pplication-d4ted ! u Fee P-°_id: _ Sao. oa _ dated this 1S_ day of _Nom 1.00 s/c tss?idir? I:is,,<_ctor tir. i::t:iL• MinneSOta Sta[e tloartl ot ElectriCity Griggs Midway Bldg. - Room N197 ?821 University Ave.. St. Panl, Minn. 55104 - Phone 297-2111 REQUEST FOR ELECTRICAL INSPECTION CHECK BELOWiVOFtK'ICOVERED BY THIS REOUEST EB-00001-02 T 15143 Type of Budding New Add. Aep. Check Appliances Wized For Check Fquipment W¢ed Foc Hume ? 0 ? Range ? Tempora[y Wiring ? Duplex ? ? ? Wa[eiHeate[ ? Ligh[ingFixtu[es ? ApL Bldg. ? ? ? Dryer ? Electric Heating ? Commercial Bldg. ? ? ? Fumace ? Silo Unloade: El Industrial Bldg. 0 ? ? Air Conditioner ? Bulk Milk Tank ? Fartn ? ? ? List ?1 ? ? G"CK List O[her ? ? 0 Rthers? ere ) , ? ,. - . Others? Heie COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fee Feeders&Subieedeis: # Fee C¢cuits: # Fce 0 to 100 Am s. 0[0 30 Am eres 0 to 30 Am eres 101 m 200 Am s. 31 to 100 Amperes 31 to 100 Am eres Above 200_Amps. Above 100 Amps. Above I00 Amps. Transfoxmers RemoteComrolCixc. Partial or other fee ? Si ns Special Ins ection Minimum fee $ ? S Remarks ! TOTAL FE _24_ OV ?p I, the EleWt51 t"Yhereby /D,.....L :..VS (Final) This request void 18 months from has been ma ''.Y'z Date- o?/y,J/?a Z ate 7-17-S- -2-- ft> This reql:,-- void L /?L ? ? 1 W 18 months from ?4,ao Date of this Request Fire No. 1 151 ? 3 I, as ? Licensed Electrical Contractor BOwner, do hereby reques[ inspection of the above electri- cal wiring installed at: Street Address or Route No. 455IO /(lalJn% City e7rr Section Township Range Counry 'K feL Which is occupied by Is a roughin inspection required on this job? No ?', Yes ? Ready Now ? Will Call ? Power Supplier 'bD-W`kG_ F(J'C 1, AddrBss Electncal Contractor C) W !t F T- (COmoany Name) Mailing Address (E r wl a?t Authorized Signature !% (Elec r al Contractor or Ownei CJTME 002M OPU Contractor's License No. _ Owner akingThislnstallatlon) ?y ` PhoneNo. ,?LJ02 Meking This Instellatlon) . This inspectioa reqoest will not he accepted 6y the Stete Baard unless proper inspection fee is enclosed. /WZ- /? `-?-- RESIDENTIAL BUILDING Permit Application City Of Eagaa bQ3 O9 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construcl'an ReauiremenLS RemodeliReoair Reauiremenls 3 registered site surveys shaxing sq. ft of bt, sq. ft of house; and all roofed areas 2 copies of plan (20% maximum lot coverage allaxed) 1 set of Eneyy Calculations for heated addNOns 2 wpies of plan showirg beam 8 window sizes; poured found desi9n, etc. 7 site survey tor additions & decks t sel of Energy CalcuWtlons Addition - indicate i/ar-sife sepNc sysfem 3 copies of Tree Preservallon Plan if lot plattad aRer 711193 Rim Joist Defail Options selection shcet (bldgs wBh 3 or less unRs $jt?? ?G? CY OKce Use Onlv Cen of Survey Recd Tree Pres Plan Recd Tree Pres Na[ Reqd _ On-site Sep6c System Date -) // / l a&3 Site Address <1390 IVL/?rC? Construction Cost /69t 7_??5• 68 ?il/'Cl? UniUSte # Description of Work Mul[i-Family Bldg _ Y_ N Fireplace(s) _ 0 2 Property Owner Telephone # Contractor Address 7/XQ? ?9m /TY State ,?/ ? / I ' ?C?l/ ?/ YYGCJ Zip ? City Telephone # (7?/ 3) .? - COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv I _ Minnesota Rules 7672 Energy CAde CategOry . Residential Ventllation Category 1 Worksheet • New Energy Code Worksheet (J submission rype) Submitted Su6mitted • Energy Erivelope Calculations Submitted Licensed Piumber Mechanical Contractor Sewer/Water Coniractor Telephone#( ) Telephone #f ? Telephone #( I JY - -- 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 IvPV 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 Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 Ot of _ plex ? 09 07-plex O 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex PI6g_Y or _ N ? 25 Miscellaneous Work Types O 30 Accessory Bldg ? 31 EM. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair 0 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors ? 34 ReplaCement ' •Demolition (Entire Bldg) - Give PCA handout to applieant Valuation Occupancy MCIES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIREDINSPECTIONS _ Foorings(new bldg) _ FinallC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundarion HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Buiiding Inspector RESIDENTIAL BUILDING Lo Permit Application City Of Eagan 3830 Pilot Knob Road, Eagao Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 gS 'Fs 4 .-1 ? New ConsWC6on Reauiremenls RemodebReoair Reouirements OKce Use OnN 3 registered site surveys showing sq. fl. of lot, sq, tL of house; and all roofed areas 2 copies of plan Cert of Survey Recd (20% mazimum lot coverage albwed) 1 set oi Energy Cakulations for heated add'Nons Tree Pres PWn Recd 2 copies of plan showing beam & window sizes; poured found design, etc. 1 stte survey for addNOns 8 decks Tree Pres Not Reqd t sel of Eneyy Calculatians AddiUon -indicafe ilonsite septicsysfem _ On-site SepSc System 3 mpies of Tree Preservation Plan if lol plaried ailer 711193 Rim Joist Defail Options selection sheet (bldgs wiN 3 or less units Date _7 /;' 1 +2 pO3 Construction Cost va/), Oo SiteAddress ? lfIJ^C 2. Unit/Ste # Description of Work Multi-Family Bldg _ Y? N Fireplace(s) _ 0_ 1 ? 2 n Property Owner r ? /y/? 2:q? /CO /73 Telephone # ( ) Contractor mY !?e jj? Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Nf submission type) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor _ Telephone #( _ Telephone # ( r ? ?? "!iTelep one #( t,.?I'_I - I"JI I hereby apply for a Residential Building Permit and'acknowledge that the iriformation 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. '444 /Zq_/if o% Applicant's Printed Name 4¢1 / ApplicanYs Signature OFFICE USE OIVLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling 0 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 05 03-plex ? 11 10-plex 0 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous Work Types ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 EM. Alt - SF ? 36 Multi Misc. ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof O 46 WindowslDoors ? 34 ReplaCement •Demolition (Entire Bldg) - Give PCA handout to appliwnt Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings(new bldg) _ FinaVC.O. _ Footings (deck) _ FinaVNo C.O. _ Footings (addirion) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final . _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Au Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EACAN ? 3830 PILOT KNOB RD, EAGAN MN 55122 851-681-4675 New Constructlon Beaulrements pemotleNieoalr ReaulremeMa • 3 repistered site suneys showing sq. il of lot, sq. R of house; and all rooted areas • 2 copies of plen (20°/< meximum bl coverage albwed) . 1 set ot Energy Calculations for heated adddions • 2 copies ot plan showMg beam & window s¢as; poured tound tlesign, etc.) • t site survey lor exlerbr addiGOns & decks • 1 set of Energy Calculetions • Indlcate A homa serve0 by septic system for edtlAions • 3 coples o1 Tree Preservatbn Plan'rf bt pletted after 7/7/93 • Rim Joist Detail Optbns selectbn sheet (hldgs witli 3 or less uni DATE s- c29 - O 2 VALUATION .S'O o0 0 J SITE ADDRESS Y3? 6 /V Y?ra G! MULTI-FAMILY BLDC _ Y _ N TYPE OF WORK f2emouc . FIREPLACE(S) _ 0_ 1_ 2 APPUCANT Co h ?r+vtc +i a h ?.r v? c c1' STREET ADDRESS 49-'? O? N o't vt c/ f` f- CITY iRr STATE ;;'?P TELEPHONE # G(a-So?/• 3J?? CELL PHONE # GS/ ?2yS •3S/j' FAX # C/.-? - -S4 I PROPERTYOWNER A-1 *h go_V"I/! I ca I m TELEPHONE# GS1-yaS'- fr.??3 ------------------------- -------- ---------- ------------------ -------------------------°------ COMPLETE THIS SECTION fOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RiJL.ES 7670 CA1'EGORY I MINNFSOTA RUI.ES 7672 (J submission rype) . Residendal VenGlation Catepory 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelape Calculations Submitted Plumbing Conhactor: __ Plumbing system includes: Mechanical Conhactor: Mechanical system includes: SeweNWater Conhactor: Air Conditioning Heat Recovery System Phone # Phone # Fee: $90.00 Fee: $70.00 I hereby acknowledge that I have read ihis applicafion, state ihat the information is correct, and agree to comply with all appllcable State of Minnesota Statutes and City of Eagan Ordinances. Slgnature olApplicant &Q OFFICE USE ONLY Phone # _ Water Softener _ Water Heater _ No. of Baths ? I.awn Sprinkler No. of R.I. Baths Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? ? 01 Foundation ? 07 05-plex ? 13 16plex ? 20 Pool I ? ? 02 SF Dwelling ? 08 06-plex ? 76 Fireplace ? 21 Porch (3-sea.) , ? ? 03 01 of _ plex O 09 07-plex ? 17 Garage ? 22 Poreh/Addn. (4-sea.) ? ? 04 02-plex O 10 08-plex O 18 Deck ? 23 Poroh (screened) ? ? 05 03-plex 0 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous I' ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 ? 32 Addition 0 36 Move Bldg. ? 42 Demolish (Foundation) O 45 11 ? 33 Akeretion ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 ? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant Valuatlon Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster lump Nhr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width i 30 Accessory Bldg 31 Ext. Alt - Mufti 33 Ext. Alt - SF 36 Multi Siding Fire Repair WindowsfDoore REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. i _ Footings (deck) _ FinaUNo C.O. , _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MGES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector i.',TT`r' OF lii?1[;(lF? t.!fl ^ 3r}o ,- '.. • . ? - Tq",TI.?:: i.t:,l./07/98 17.N112.< 1T.1„ pJr:C9E: e ':t.^PJ. r, . h1F>I..,r-.Oi...M f;::!.!:I .:%('.•ii: 4<1'?r:, ?,?,?i? ._. 'i?;2`, =.S•1,CitR?L1i1 T.n. ? CITY OF EAGAN 3830 PiloL;<nob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: BUILDTNG 033579 10/6Ei/98 S1TE ADDRESS: P.I<N.: 10-54353-120-03 4396 NYBRO CIR LOT: 12 BLOCK: 3 WSLDERNE55 RUN 4TH DESCRIPTION: 5F POFiCM NEW 434 ALT. RESTDENTIAI r?": ? i« ?-? ?-2:»xixi ?; ? . .a o n REMARKS: PI.flN REVIEWED BY BILI ADFlM5, CALL 445-2840 REGAF2DTNG ELECTRICflL PFRMZ7 ANO INSPECT20N5. FEE SUMMARY: VpLUATION $6,090 I Base Fee $112.25 Surcharge 00 Total Fee $115.25 OWNER: - Flppla:cant - MAICOLM aLAra 4396 NYBRO CIR EflGAN MN 55123 (551)405-8273 I SUED BY: SIGNAT RE 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PII.OT KNOB RD - 55122 -3-3? -7 ? 681-4675 New Construction Reauirementa ? 3 registered site surveys ? 2 capies of phns (include beam & window sizes; paured fnG. design; etc.) ? 1 energy calculations ? 3 copies of Vee preservation plan if lot plaCed after 711193 required: _ Yes _ No DATE: !f)G7' ?2 , 15e5f DESCRIPTION OF WORK: STREET ADDRESS: `7` 5 `9 o . LOT: ? ?- BLOCK: ?t) /a:i, )1f4MA? C? i1! ?-[? SUBD.lP.I.D. #: 3 PROPERTY OWNER n// Name: f-1 1 ?'1 c???-?F^/C lc ?lC? lC !i 11'Y7 Phone #: ?G? S- c? .•?'? I J? S ECjt; -c7.°, G,? Last Fust Street City // State: /! / /v Zip: ?J ..5 1.2:7 Company: D Phane #: CONTRACTOR Street Adc City ARCHITECT/ ENGINEER Company: Name: Street Adc City _ Sewer & water licensed plumber (new conshuction onty): and lot change is requested once permit is issued. Zip: Penalty applies when address cham I hereby acknowiedge that I have read this application and state that the infortnation is correct and agree to comply with all applica: State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Z Yes _ No Tree Preservation Plan Received _ Yes - No RamodeVReoairReauirements ^ cr ? 2 copies of plan ? 1 Zsite surveys (exterior add@ians 8 decks) -+-y-energy calculations for heated additions CONSTRUCTION COST; ?? • License # State: Zip: Phone #1: Registration #: _ State: BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 S-plex k 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 = plex WORK TYPE 0( 31 New ? 32 Addition ? 33 AIlerations 0 34 Repair OFFICE USE ONLY ? 11 AptJLodging ? 16 Basement Finish ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 13 Garage/Accessory ? 20 Public Facility ? 14 Fireplace ? 21 Miscellaneous ? 15 Deck ? 36 Move ? 37 Demolition GENERAL INFORMATION Const. (Actual) (Aliowable) UBC Occupancy Zoning # of S4ories Length Depth APPROVALS Planning Permit Fee Surcharge Plan Review License MC/WS 5AC City SAC Water Conn. Water Meter Acct. Deposit S/W Pertnit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Basement sq. ft. Main level sq. ft. sq. ft. ' sq. ft. sq. ft. sq. ft. Footprint sq. ft. MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg. Census Unit Building ? Engineering Variance valuation: $ ? G % SAC SAC Units N -1 N711!7VS ? ? t ? 1 l ? 3 4p w. yp A: t I 4 f F? 1 .?? 'ft f N i f t; tP ? r? ?r- r. i t li Nt, ? \Y 1 ?- ? ? ? ?. , ? Q ? ?^. `U \ MASTER CARD ? OWNER STRUCTURE AND LAND USED AS Permif No. Issued Issued To Coniractor Owner BUILDING Q? J9??., o. FLUMBING ? -7 ?I -ri CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALLING ?Qa ?/..,t ??/tPr SANITARY SEWER I OTHER I OTHER Items Approved (Initial) Date Remarks Distance From Well FOOTING SEPTIC FOUNDATION ?i, 7 y c =? CESSPOOL FFtAMING f TILE FlELD FT. FINAL ELECTRICAL HEATING DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WEIL SANITARY SEWER Violetions Noted on Back COMMENTS: COMPLIANCE INSPECTION R,EPORTS TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS PERMIT NO. CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE OBSERVED. ? ACCEPTABLE $UBSTITUTIONS OR DEVIATIONS. DATE OF INSPECTION ? NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. NON-COMPLIANCE. BUILDER DOES NOT INTEND TO COMPLY. COMPLETION OF CERTAIN IMPROVEMENTS WILI BE DELAYED BY CONDITIONS BEYOND CONTROL. ITEMIZFD AND DESCRIBED AS FOLLOWS: ? REInSPECTION REQUIRED REINSPECTION ? .' DATE OF REINSPECTION CERTI FICATION - I certify that I have carefully inspected the a6ove in which I have no interest present or prospective, and that I have reported herein all significant conditions otserved to 6e at variance with ordinances of the Town of Eagan, apprwed plans and specifications, and any specific require- ments far off-site imprwements relating to the property inspected. ? ALL IMPROVEMENTS ACCEPTABIY COMPLETED BUILDING INSPEGTOR COMMENTS: ?y z3 r- pa.?A /? ? Cc?i i G AA'ISo.v ZRA4,C ? ? G r1 ?v ..5 S /.?3 PERMIT City of Eagan Permit Type:Building Permit Number:EA115091 Date Issued:09/23/2013 Permit Category:ePermit Site Address: 4396 Nybro Cir Lot:012 Block: 003 Addition: Wilderness Run 4th PID:10-84353-03-120 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Michael Bischel 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 - Alan P Malcolm 4396 Nybro Cir St Paul MN 55123 (651) 405-8213 Bischel Building Contractor Services Llc 100 8th Street Farmington MN 55024 (651) 463-8762 Applicant/Permitee: Signature Issued By: Signature For Office Use i' " i j� moo' Permit Fee: C U a ( bate Received: 3830 PILOT KNOB ROAD l EAGAN, MN 55122-1810 APR 0 5 2018 I I (651)675-5675 i TDM(651)454-8535 I-FAX:(65t)675-5694 Staff: buildinginspections(o�cityofeagan.com 2018 MECHANICAL PERMIT APPLICATION 0 Please submit two(2)sets of plans with all commercial applications. Date: 4/3/18 Site Address: 4396 Nybro Circle Tenant: Suite#: Resident/Owner Name: Alan Malcom Phone: 651-405-8213 I Address/City/Zip: 4396 Nybro Circle Eagan, MN 55123 Name: Metro Heating&Cooling Llcertse#:2009 0012249, Contractor Address: 1220 Cope Avenue East C=ity: Maplewood State: MN Zip: 55109 Phone: 651-294-7798 Contact: Carley Email: invoices@metroheating.com New [1 Replacement Additional Alteration Demolition Type of Work tlbstrtption of work: Replace existing furnace NOTE: Roof mounted and around mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL M.Furnace _New Construction _Interior Improvement Pell f'T� Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit — Heat Pump Under/Above ground Tank ( Install/_Remove) _Other RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge =$ 60.00 TOTAL FEE COMMERCIAL FEES SWIM Pettitt Fee Minimum Contract Value$ x.01 $75.00 Underground tank installation/removal,includes State Surcharge =$ Permit Fee =$ Surcharge Surcharge=Contract Value x$0.0005 If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's witilifte et www.citvofeagan.com/subscribe. k hereby acknowied a that this information is co gt1ete and accurate;that the work will be coke with the ordinances and codes of the City of Eagan;that f 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. x Carley Ferrie x Applicant's Printed Name AppliCuzs Signature FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening e , For Office Use a sae aa E AGAN �� ,,,,,,:, ,,,t .� `� �a �a Permit#: v.‘,.... o0 �. Permit Fee: ll/ C `'``- 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Date Received: (651)675-5675(TDD: (651)454-8535 J FAX: (651)675-5694 Email: build ngginspections(c citvofeacan.com Staff: Commercial Plan Submittal: eplansi cityofeagan.com L 2018 MECHANICAL PERMIT APPLICATION Please submit two(2)sets of paper plans with all commercial applications as well as an electronic set of the submittal,submitted via email, CD or flash drive 1 r J \--1.0- 0 . ©ate. 4 Site Address: y C� 1 $ 1 ,, Tenant: Suite#: FF ReResident/OwnerI Name: \cli'` C [\ Phone: t )lN' 7�j iY - Address 1 City/Zip: \ r°.J ( t) r('> ryCA 'cor) Name: `C` ' C ( s License#; k r \ ' { Contractor Address: ` � T It, City: : I L., State \;� ) Zip: \ 4-1 Phone: - '`� 1 } t Contact: \\:`11(.. ' Email: ' , INew Replacement Additional Alteration Demolition i Type •of Work Description of work: 4i > C��'� _.( � i(°1 NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City F Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL _Furnace New Construction Interior Improvement — Permit Type Air Conditioner Install Piping Processed Air Fxchanger Gas Exterior HVAC Unit _Heat Pump T Under/Above ground Tank (—Install!_Remove) X Other A.. ,, ')<' . i — ii RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge =$ TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 $60.00 Permit Fee Minimum i $75.00 Underground tank installation/removal, includes State Surcharge =$ Permit Fee =$ Surcharge Surcharge=Contract Value x$0.0005 g If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE i You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaoan.comtsubi,cribe. I hereby acknowledge that this information is complete and accurate;that the work will be in coormance 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 •s-rt without a pe it;that the work will be in accordance with the approved plan i he case of work which requires a review and approval of plans Applicant's Printed Name Appli nt's Si'nat FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening