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4400 Nybro CirPERMIT City of Eagan Permit Type:Building Permit Number:EA111940 Date Issued:07/19/2013 Permit Category:ePermit Site Address: 4400 Nybro Cir Lot:011 Block: 003 Addition: Wilderness Run 4th PID:10-84353-03-110 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments: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. Carbon monoxide detectors are required by law in ALL single family homes . William Krech 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 - Dion B Madsen Tste 4400 Nybro Cir Eagan MN 55123 (651) 454-7826 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature CITY OF EAGAN Ik 3 Parcel 10 84353 110 03 state Eaqan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. b 1977 2059.65 205.97 10 2059.65 C002375 10-4-76 STREET R ESTOR. GRADING SAN SEW TRUNK 1973 $163.26 $8.16 20 114.30 12-28-77 SEWER LATERAL WATERMAIN WATERLATERAL 1972 $584.91 $38.99 15 WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILOING PER. ? SAC S. 7-141 - 7 PARK . ciTr oF EACaN . • 3795 Pilot Knob Road ' Eagon. Minnesota 55122 P6one: 454-8100 ::EATI?'!' PERMIT Date: August 30, 1977 ^ -'-90 *tyhro Cizcle Site Address: Lot Biock ` Sub/Sec. - WF 9 No. 97 Receipt No.: 07487 Single I Residentiol X Multi Res., Comm./Ind. I Nome '-Dri bL3dser. ' New/Alter /Repair . . . ; Address 3031 - 47th Ave. S-c:. Cost of Installation O City ?'rls 55406 Phone: Permit Fee 20'00 _ Name ';''-i1z Ryan P1tIInb].xlq F Fleati;_c Surcharge •1:0 ? Address `T'Yd-' - e ? City Phone: Total 5n This Permit is issued on the express condition thot a!I work sholl be done in accordance with all opplicoble Stote of Minnesoto Stotutes and City of Eogan Ordinances. Officiol ? CITY Of EAGAN . ' • ' " ' 3745 Pilo+ Knob Road • Eagan, Minnetota 55722 Phone: 454-8100 PERMIT .,. No. Date: - Receipt No.: Single I Site Address: '"`??' ??'?'ro CirCie Residential Lot Block ' Sub/Sec. - Multi Res., Comm./Ind. I Name New/After./Repoir ' 3 Address Cost of Instollation O City Phone: Permit Fee ? i-!. O+. ` Name _'t'n2-Pyan Plwnbinq ` Surcharge " 50 ? Address ' ' 745 So. 1??`?ert: "'rail e 43 1:C ;:,; "_ `. . .. . ?'l City - Phone: Total This Permit is issued on the express condition that all work shnll be done in occordunte with all opplicable State of Minnesota Stotutes ond Ciry of Eogon Ordinances. Building Officiol CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 AMOUNT ? I DOLLARS ? CASH []CHECK d// (/ ,J BY ?l NUMERICAL FILE COPY CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 PHONE: 4548100 BUILDING PERMIT Site Address : r r! !S„h Lot Block _3_ Porcel # W Nome 3 Addre O ' Nome 0 ? ?Q Addre ? Name _ Address 1 hereby acknowfedge thot I have read the informotion is correct and agree State of Minnesoto Statutes and City Signature of Permittee A Building Permit is issued to: _ all work shall be done in accordance H Building Official 45:000.00 Receipt .# _ttun 4th and state thot o!I opplicable N° 4400 Erect ? Occupancy Alter ? Zoning - Repoir ? Fire Zone _ Enlarge ? Type of Const. Move ? ## Stories Demolish ? Front ft. Grade ? Depth ft. Approvals Fees Assessment Permit Water & Sew. 5urcharge Police Plan check Fire SAC Eng. Water Conn:' y ! ? • I% Planner Woter Meter Council Bldg. Off . APC Toral on the express condition that ull applicoble State of Minnesoto Statutes and City of Easan Ordinoncss, ?orwk # Dah iwwd hewkfM Plumbing Mechonical ) INSPECTIONS DATE IIVSP. - Rouph-In Flrwt Footings Date Irop. DaFa IrnD. Foundotion ?-_ Plumbing -?j•-? ,J?- q- ? ? Frame/ins. g-Qy-J) Mechonital /O• •7 ??. q- Finci Ren&-/(-7704 444"4t-1 jt'?fG/`P ??- ?, w . .'-.¢.:c. . , , CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ? PHONE: 454-8100 f'?. C` ? ?i; MIT Receipt # PBOL FQt N/,igip $2.000 nar„ JULY 20 Site Addrgss Lot ? ? Block Parcel No. Address ? City UQ y? W Name ' ; Address -c W City I hereby acknowlege the information is correCt ai Minnesola Statutes and i Signature of Permitee - Building Official I have read this A Building Permit is issuo on the express condition applicable State of Minne i the of all 19 90 OFFICE USE ONLY Occupancy - FEES Zoning - 45.00 (Actual) Const - Bldg. Permit Ailo able 1.00 ( w ) - Surcharge # of Stories I 5T--DIA Plan Feview Length Depth - SAC, Ciry S.F. Total - SAC, MCWCC S.F. FoolpriMs - On Site Sewage _ Water Conn On Site Well - Water Meter MWCC System _ Ciry water Acet _ - DePosit PRV Required _ S/W Permit Booster Pump - g/yy $urcharge Treatment PI APPROVALS Road Unit Planner - park Ded. CpunCil ? 'Z.oo BIdg.OH. _ Copies - 49- -Oo Variance - TOTAL . i8176 Date Foundation Const. Meter Deck Final s,-W?7=7- ile""Il?;?+w?sia?^:? ,u.: ..•:y. . .... ?.r,,,?•;?:?,,.r-._a.Fn.-?: ,e? ?^.. - . . . ... , CtTY OF EAGAN ?p 17846 3830 Pilot Knob Raad, P.O. Box 21-199, Eagan, MN 55121 ? PHONE: 454-8100 ti? '? i?1 +`; ?ING PfRMIT Receipt # ;ed1o'r ADDIZ'ION Est. value ?'000 oate MAY 11 1990 Site Address ' Lot 3 ? Block Parcel No. W Name 0 Address - o Name - i? Address ? Clty _ ?- W W Name _ ?? Address <4+ Cilty - I herebv acknowl Signature of hat I have read this and agree to comp i City of Eagan Ordir bIOti ued to: " applicable State of Minnesota Statutes and BuikJing Official tion and state that the all applicable State of OFFICE USE ONLY R?-3 Occupancy FEES Zoning al) Const (A t ? Permit Bld ?72?? c u g. (Allowable) - Surcharge 14.00 s ot srories i? i 176.00 Length 22M Ptan Rev ew Depth SAG City S.F. Total - SAC, MCWCC S.F. Foolprints - On Sile Sewage _ Water Conn On Site Well - Water Meter Mwcc syStem - City Water _ Aect. DePosit PRV Required _ SAN Permit Booster Pump - 5NV Surcharge Treatment PI APPROVALS Road Und Planner cil C - park Ded. oun BIdg.O(f. _ Copies "Z.00 Variance - TOTAI Permit No. Permit Halder Date Tebphone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC 3319 Inapft-Hon Date lnsp. Commswts Footings I ? ?S Gt> Foundation framin9 O J? y? lv Roofug RaVh Plbg. Rough Htg. Isui. FreQlace Fnal Htg. Final P1bg. Const. Meter Plbg. Inspector - Notify Plumber Ergr.IPtan Bldg. Fnel / Deck Flg. Oedc Final We? / 3 Z - Pr. Disp. WATER SERVICE PERMIT cITir aF EAGaN 3795 Pilot Knob Road PERMIT NO.: DATE: Eugan, MN 55122 Zoning: No. of Units: pwner. Address: Site Address: - - '» ., •` - - Plumber: -- x " Connection Chorge: eter No.: Size: Account Deposit: Reader No.: Permit Fee: ngroe to eomply with the Cify of Eagae Surcharge: CFbrges:' Misc ?Grdinpnaes. . Total: „B Date Pnid: Y Date of I nsp.: I ^SP • : CITY OF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: 22 5 DATE: 1 Eogan, MN 5 Zoning: No, of Units: - Owner. - A d -- - ----- - ress: d Site Address: _ --- -~ Piumber. ' - -- - . I agree to comply with the City of Eagon Connection Charge: - Ordinances. Account Deposit: - c.. Date of Insp.: Permit Fee: Surcharge: Misc. Chorges: Totol: Dote Poid: YThis request void 18 months from I P 14806 Date of this Request September 22, 1977 I, as Pg Licensed Electrical Contractor OOwner, do hereby request inspection of the above electri- cal wiring installed at: Street Ad ress or R te No. N C' c rple Ea?si Seciion" n?s}?ilp Range County Dakota Which is occupied by Dion I4adsen (Name ol Occupant) Is a toughin inspection required on this job? No ? Yes CE Ready Now O Will Call Im PowerSupplier Dakota Electric Aesoc. Address821 3rd, Faxiaington 55024 Electrical Contractor Ken Sorenson F'li.ectric Contractor's License No.3L385 (COmpany Name) Mailing Address 8070 12th Ave. So Authorized ral No. 854-4L70 o, (t18Ctrlcal contractor or owner, 1 STAV? BOARD COPY Minnesota State Board of Electricity . 1954 University Avec, St..Paal, Minn. 55104-Phone 645-7703 - REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REQUEST P 14806 Type oi BuOding New Add. Rep. Check Appliances Wited For Check Equipment Wiced For Home ? ? 0 Range ? Temporary Wiring ? Duplex ? ? ? Water Heater Lighting Fixtu[es ? Apt. Bldg. ? ? ? Dryec ED Electric Heating ? Commeicial Btdg. ? ? ? Furnace IR Silo Unloadei ? Industrial Bldg. ? ? ? Au Conditioner ? ilk Tank Bulk M ? Farm ? 0 0 Dishwasher ) L h ) Lin Other ? ? ? } p t ers Here ) D'i?pnGal p e?sF Here _l COMPUTE INSPECTION FEE BELOW Seivice Entrance Size: # Fce Fced 5itbt Fee C'vcuits: # Fce U to 100 Am s. Go 3b'ulm i 0 to 30 Am etes 101 to 200 Amps. 31*4o 1QO`A res 31 to 100 Am res Above 200 Amps. A A ov "' 9B mps. Above 100 Am s. Transfocmers Re ote Contiol Circ. Paztial or othec fee S' ns \ S ial Ins ection Minimum fee 55.00 , j Remazks Complete xOUSB NJ1Tlrig_ TOTAL FEE dl, I, the Electrical Inspectoc, hereby cer ' t the a6ov inipection has bee made. (Rough•in) Date (Final) % e?? ?%;•,?? ,. , m Date i2.. G- ?) This request void 18 months from ?? This request void 18 months from r' , p148o2 Date of this Request August 12, 1977 I, as EM Licensed Electrical Contractor OOwner, do here6y.request inspection of the above electri- cal witing installed at: Street Addres r Route,Alo ? .s? ,?l Section Township, Range County Dakota Which is occupied by Dion Y,Iadsen (Name of Occupanry Is a roughin inspection required on this joh? No ? Yes ? Ready Now ? Will Call ? PowerSupplier Dakota Electric Associatitddress 821 3rd Farmington, D'Ilti Electrical ContractorKen 5oren on K1 -. r; c Contractor's License No,32944 (COmoany Name) Mailing Address $070 12th Ave, S., IIloonin ton hjl1 (Electric I ?ntlaf,tor a ,Owner Making Th Authorized Signature ? • (Eloctriwl Contracto?ownef Lilking h1E Instellat a ?TWE BOARI) COPY No g54-L?+70 Minnesota State Board of Electricity 1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703 ?- REQUEST FOR ELEGTRICAL INSPECTION Ci+IECK BELOW WORK COVERED BY THIS REQUEST -P#- a >/ ds,-3 14802 Type o[ Building New Add. Rep. Check Appiiances Wued Fot Check uipment Wired For Home ? ? Range ? Temporazy Wving 8 DuplCx ? ? ? Water Heater ? Lighting fixtutes ? Apt. , Bldg. ? ? ? Dryer ? Elecuic Heating ? Commexcial Bfdg. ? ? ? Fumace ? Silo Unloader ? Industrial Bldg. ? ? ? A'u Conditionet ? Bulk Milk Tank ? Fazm ? ? ? List l Lis[ Other _ ? ? ? p } Hereers) p Hehel$ COMPUTE INSPECTION FEE BELOW Sexvice Entrance Size: # Fce Feeders&Subfeedecs: # Fee CircuiU: u Fee 0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am ies 101 to 200 Am s. 31 to 100 Am eces ? 31 to 100 Am eres Above 200_Amps. A6ove 100_q ?Above 100 Amps. Transformers Remorc.- n col' , 470 Partial or other fee S' ns SpeciaPlnspEctibi`i?- M" Minimum fee $5.00 Remarks A TOTAL FEE Install Temnorarv Ser?vice I, the Electrical Inspector, hereby cedify that the above (Final) _ This request has 6een made. ? & -ofV Date 6)te "'P " /!Pl Cr/// Y b' G 33594LH )6 1!1- 49000 Request Date ?l ?? ? g0 Fire No. Rough-in Inspection R ?' ? LL ?fleatly Now ? W??? Nobly R 4Wor tl ' yes G N. l en ea y I p licensed contractor Nfowner hereby request inspection of above eladrical work at: Job Adtlress (SVeet, Bo+or Roule No.) 114vo 411-41id Gl RG L/j Ciry ?T'g6'4v Sectlon Na. Townshlp Name or No. Raige No. County A9ifo TA Occupant (PRINT) 7/ Phone No. 9Cj' 7D O • -rr v !oN f}I79E1V w 3r Pawer SuOPiier ptltlress RW1 i Z-U?'G3XlL ElMriwl Gonbacior (COmpany Name) Contrectors License No. G w M 6?72 Mailing Aadress ICOnVaclor or Owner Making Installation) 4*m Nf' !So Gi?Ct-? _?'AG-4v M/? s .5"!23 Authonzetl Sign re I V`cror/Owner Mak'mg Insta tion? PM1One Number ?S'7g2? ? , MINNESOTA SiATE BOAPO OF ELECTPICITV TMIS INSPECTION REQUEST WILL NOT Gtlggs-MlEwey BICg. - floom 5-113 BE ACCEPTED BY THE STATE BOARD 1821 Unlvenlty Ave., St. Paul, MN 551M UNI.ESS PROPEP INSPECTION FEE IS Vhone (612) 612-0800 ENCLOSEO. 1?/a(e /90 REQUEST FOR ELECTRICAL INSPECTION l ?$ee insirvctions lor completing Ihis lorm on back ot y¢Ilow copy Ca 33594. ' 'X" 8e/ow Work Covered by This Request ff9!?41 E0-00001-01 4 e??/ y ? ??k ew Add Rep. TypeofBuilding AppliancesWired EquipmemWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Speciy) Comm./Industrial Furnace Farm Air Conditioner pther(specity) Coniraclor5 ReBs:? 1 . ` I- Compute Inspection Fee Below: k Other Fee # Service EntranceSize Fee # CircuifslFeetlers Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps ove 10 _ Amps SignS mspectorS Use Onty: TOTAL s'U Irrigation Booms ?C7 Special Inspection AiarmlCommunication THIS INSTALLATION MAV BE OQDERED DI OPNECTED IF NOT Other Fee COMPLETED WITHIN 18 MQNTHS. I, ihe Electrical Inspector, hereby Rough-in certify that the above inspection has been made. Finai OFFICE USE ONLY This reqoest voitl 18 mon(hs firom cirr oF Ea"N .? 3795 Pilot Kaob Rood Fagon, MN 55742 N? 440? PHONE: 454-6100 BUILDING PERMIT APPLICATION 45 ,000. 00 Receipt #6646 - ro be ana Fo.Single family/t/u garage Dote 7/14/ , i9-71--_- Site Address 4 00 N31brO Circlg Erect [g Occupanry T Lot 11 Block3_ Sec/Sub. Wj.1d2Pri2S5 RUIl Alter ? Zoning a Parcel # 411]7 Repair ? Fire Zone Enlarge ? Type of Const. Ir ? Nome Dion & Wpndy Madsan Move ? # Stories Z Address 3031 46th Av. S. Demolish ? Front 52 ft. 0 Ci Phone 724-3288 Grade ? Depth 2$ ft. Approrab Fees R t_ Cn_ p Name a/an nne '" 7400 Metro Blvd ?? Address s 1- rj... F.Aina a6,...e RZr_7oon Name _ Address Assessment _ Water & $ew. Police - Fire Eng. Plonner - Council - I hereby ackrrowledge that I have read this application ond state that gldg. Off. _ the information is correct and agree to comply with all appli able Staie of Minnesota $totutes a/nof Eagon Or " anc?d APC $ignature of Permittee Permit 328 nn _ Surcharge 22 Go_ Plan check snc 47 5_on Water Conn2 3n _ nn Woter Meter Fo _ nn Total 915 oen- A Building Pertnit is issued to: Rvan !`nnatTCor_ on the express condition that oll work shall be done in accordancelyith ull applicoble ,Stqte of Minnesota Statutes and City of Eagan Ordinances. Building Official CITY OF EAGAN ?p 18176 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHON E: 454-8100 Receipt # 6-01W N'16 ._ Tobeusedfcr?POOL Est.Value $2,000 Date .jIR.Y 20 , 19 _Q0 Site Address 4400 NYBRO CIR Lot 11 Block 3 Sec/Sub. WILDERNESS RUN Parcel No. 4TH w Name DION MADSEN o Address 4400 NYBRO CIR City EAGAN Phone 496-3163 Name _ Address City _ Name _ Address City _ Phone I hereby acknowlege ihat I have reatl this application and state that Ihe information is correct and agree to comply with all applica6le State of Minnesota Statutes and f? nrdin es. SignaWre of Permicee ? A Buildinq Parmit is issued to: DION MADSEN on the express tondition ihai all wolk shatl be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official NIq ? Phone Occupancy Zoning (Adual) Const (Allowable) # orscories Lenglh Depth S.F. Total S.F. Fwtprints On Site Sawage On Site Well MWCC Syslem Ciry Water PRV Raquiretl Baosler Pump APPqOVALS Pianner Council Bldg. Oil. Variance OFFICE USE ONLY 15'IIA FEES Bldg. Permit Surcharge Plan Review SAQ City SAC,MCWCC Water Conn Water Meler Acct. Deposil Siw aennn SIW Surcharge Treatment PI Road Unil Park Dad. Copies TOTAL 45.00 1.00 2.00 48.00 CITY OF EAGAN N0. ° ? 7846 ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 !'? ?N?Mo BUILDING PERMIT Receipt # ?? d To be used for ADDITION Est. Value $18, 000 Dale MAY 11 , 7gQ? Site Ad'dress 4400 NYBRO CIR 11 Block 3 Sec/Sub.WILDERNESS RUN 4 Lot OFFICE USE ONLV Parcel No. oauPancy =g3 FEES Zoning = Name DION & WENDY MADSEN (?„aq?„? V=N Bltlg.Permit 272-00 o Address 4400 NYBRO CIR (Allowable) 3L-H S h 14 00 Cit EAGAN Phone 454-7826 y x ot srories urc arge . 176 00 IL?h- 41 193C16 Plan Review . Length o Name SAME pepih 22A14 snc, City , 0t < Address S.F.Total - o SAC.MCWCC 6 City PhOf10 S.F. Fooiprints - Water Conn On Site Sewage _ W w Name On Site Well - Water Meter ? xa AddteS5 MWCC S stem y - a W City Phone City Watar R i - Accl. Deposit S/W Permil PRV equ retl _ I hereby acknowlege lhat I have read lhis application and state that the Booster Pump - SAry Surcharge inlormation is correct and agr e to co ply with a11 applicahle Stale oi Minnesota Statules antl y of agan ? in ces. Tieatment PI Signature of Permitee APPROVALS Road Unit DIO? & WENDY MADSEN A Building Permit is issued lo: Planner - park Dad. on the express condition that all work shall be done in accordance with all Council applica6le Stale ol M i nnesota S talute ity of Eagan Ordinances. s and C Bldg. Off. _ CoPies , ( y Q I ( ? BuildingOflicial Variance - TOTAL . 462.00 9 2004 RESIDENTIAL MECHAIVICAL PERMIT APPLICATION ? City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits aze required for each unii Date ?/ v Ip / 6' N{V l, ?0-t t). Site Address Ac(C:0 N' ? C+ h Z, p Q Unit # V Property Owner [aL4 ? a2m2a-- . Telephone # ( (D5'7 7c4 -14v Contractor -T •--? StreetAddress 3tig S"? \? ? • SlGa-S City State ?\V Zip Telephone# (1- 51 ) aQ.2J1o3G Bond #: Expires: The Applicant is _ Owner ? Contractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 ? furnace _Additional -'?Replacement air exchanger ? air conditioner _New ? Replacement other State Surcharge $ 50 $ Total I hereby apply for a Residential Mechanical Pemut 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 with the Mechanical Codes; that I understand this is not a pemvt, but only an applicarion for a pemut, and work is not to start without a pemvt; that the work will be in accordance with the approved plan in ffie case of work which requires a review and approval of plans Sa? ??r ApplicanYs Printed Name ApW?anYs Signature l 2004 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan NIN 55122 Telephone # 651-675-5675 Please complete for: commerciaUindustrial buildings multi-family buildings when sepaza[e permits aze not required for each dwelling unit Date / / II Site Street Address i; Unit # Tenant Name (it applicable) Previous Tenant Name v ii Property Owner Telephone # ( j Contractor Street Address Cjty ? State Zip i Telephone # ( i) Bond #• Ezpires: II T6e Applicant is _ Owner _ Contractor _ i Other Work Type II _ New Construction _ Underground Tank _ Install _Remove '*see below _ Interior Improvement _ Install Piping _ Processed _Gas I Nature of Work: I *'When instaUing/removing underground tank, call for inspection by Fire Marshal and Plumbing /nspector Permit Fees: $70.50 Underground tank installafionhemoval II $50.50 Minunum (includes State $urchazge) or ContractValue $ x I% PemutFee • Lf nermit fee is $1,000 or less, add $.50 => $ State Surchazge If DeimiY fee is over $1,000, add $.50 for every $1,000 nemut fee $ Total Fee II I hereby apply for a Commercial Mechanical Permit and acknowledge that the informafion is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand dris is not a pemvt, but only an application for a peimit, 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. 11 Applicant's Printed Name ApplicanYs Signature , ?I Approved By: , Inspector RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-661-4675 New Constructlon Neaulramanb • 3 regMered site surveys stqwing sq. iL of bt, sq. h of house; antl fil roofed areas (20% mazimum bt coverage albweG) . 2 copies of plan showing Deam & winCOw sizes; pouretl round design, etc.) • 1 setotEnergyCakulatbns • 3 copies ol Tree Preservation Plan H bt pletled a8er 711/93 • Rin Joist Detall Optans seleclbn sheet (bldgs with 3 or less unils) DATE 614 I0 )- RemotleVNenalrBeaulrementa ? O` ?? • 2 copies ol plan • lselofEnergyCakuletronsforheatetlatldRions • 1 site survey for adeMr a0tltlions & decks • Indicete M home serve0 by septlc system tor eddHbns VALUATION S { 01i U/t6 6Q?2 SITEADDRESS `I 7t? I"UG1_D ?e %C/C_ MULTI-FAMILYBLDG _Y N NPE OF WORK C12i'nG -+C.e?r oa + (-PPje-t-gZ2?C&• FIREPLACE(S) _ 0LCI_ 2 APPLICANT STREET ADDRE/SS luiGO lIPi?" f? TELEPHONE ?I( gS? ? 70?-6 9S5 CELL PHONE # _CIN j5tlrnSU,1 Ie STATE r`^iZIP 'S533'7 - fAX # ?1SJ ? ? ?? ???1-?0 PROPERTYOWNER 1/ion Y"10JSe,& TELEPHONE# lo 5 / - 1`s?/-781b COMPLETE THIS SECTION FOR uNEW,, RESIDENTIAL BUILDINGS ONLY _ TA ?LES 76i?Z ;; Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 eo (J submiesion type) • RasideMial Ventilation Category 1 Worksheet Submltted ew ?,q@rBv?Ca?le`WQrl{sheet Si • EnergyEnvelopeCatculationsSubmitted + Plumbing Confractor: Plumbing system includes Mechanical Conhactor. _ Mechanical system inciudes: Sewer/Water Conhactor: _ Air Canditioning _ Heat Recovery System _ Lawn Sprinkler _ No. of R.I. Baths Phone # Phone # Fee: $90.00 Fee: $70.00 ---------------------------------------------------------------------- I hereby acknowledge ihat I have read this application, state Thot fhe informatlon is correcT, and agree to comply with all applicable Stqte of Minnesota Statutes and CiTy of Eagan Ordinances. Signature ofApplicant ?- OFFICE USE ONLY Phone # _ Water Softener _ Water Heater _ No. of Baths Certificates of Survey Received - Tree Preservatlon Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ?? . ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool 11 ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. AR - Multi ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) 1 ? 33 Ext. Alt- SF O 04 02-plex ? 10 08-plex ? 18 Deck 0 23 Porch (screened) C ? 36 Multi ? OS 03-plex ? 11 10-plex O 19 Lower Level O 24 Storm Damage i, ? 06 04-plex ? 12 12-plex Plbg_Y or _ N 0 25 Miscellaneous 0 ? 31 New ? 35 Int Improvemeni II ? 38 Demolish (interior) O 44 Siding ? 32 Addkion 0 36 Move Bldg. ? 42 Demolish (Foundation) O 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)` 0 43 Reroof O 46 Windows/Doors ? 34 Replacement 'Demolkion (EMlre Bidg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV I Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) FinaVC.O. _ Footings (deck) FinaVNo C.O. ?i _ Footings (addition) _ Plumbing _ Foundation HVAC I _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) ?I _ Insulation _ Retaining Wall li Approved By Building Inspector Base Fee Surcharge ?I Plan Review il MC/ES SAC II City SAC Water Suppty & Storage II S&W Permit & Surcharge Treatment Plant i' Plumbing Permit ji Mechanical Permit ?i License Search Copies ? Other Total p i B1°40v nur? 7- /? LGT& '- P.•LQCI' ADDZTI e.a vV I IOPS +'O 55 &g _ /?QG!N!Yl__o ?1I:C?L Fi SECTiOtl C:Ji!P:^sR 1'.i Z?i ?T:T_;1i1'ED ---`---- ,Dp A;8 P, OF 'r.'.T12Cr,L ? USS? EsTD.u.':';2D «a' 17 (6,?,c?c? e.wT. Y ra. qar. ,?:.:?,<,;,;_. CO?TA iL;C 1'OR ADLI.:t['iJJ / 1" L% iTO. [:ut.^_n Iucl+a;.z,? z;.te plan, hui7.d.zng plans, and energy calculationls v?itl: `hzs anp1:.cr?ion Signed ? OFrICE USE ?'AI,Ut1iI0e51 ?O,_4? SAC S?SSTLR C6::aid:;CiT0i3 S7k2;:R f:;::TER liII't:.,DZ[.G F'L:.t•?.T_ry.' F":c S7i:Ci?£.G: F3F PIbiT.1 C!:C7Z F'vE PZ-,£M P'az 00 44?? _- ?+D 12 TOm2aLx ------ APP°97: T,S a P.?SESS;:? ?;T CLFt k{7`T-?'BUILDIidG DE T. POLICE L'T. BU?'T_72tSG Pr,Rn:IT nPPLSCt7T2017 T.7.TDR &F'k;a- D'r.'T. FI?2L: MPT. PARK DC.?'T o,.r si rC-- p ? i5 DiaHVren yl N/6-H 53vo ?R??vN 1990 BUILDZNG PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS M[JLTIPLE DWELLINGS COMMERCIAL ?? . ? 2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTORAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS _# OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP SY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. ? G- - JUL 1 9 RECO To Be Used For: sW/MH/,(/ G PooL Valuat ion: 2-4ryoo - Date: 7-lb FO Site Address 44iop Nf'A3 Ro c4RU.L OFFICE USE ONLY Lot // Block 3 FEES Occupancy Zoning Parcel/Sub W?6DB!'NESS RcI U F'ovAPTH t!2>rA21/ Actual Const Bldg. Permit ys,Un Allowable Surcharge 'Uv Owner _pIo? lAiGtipy MH b%CiIJ # of stories Plan Review Length 15 SAC, City Address 4111oo A/y1glk7 G/7PG LV ' Depth SAC, MWCC S.F. Total Water Conn City/Zip Code t>96,qN S9423 Footprint S.F. Water Meter Acct, Deposit ? Phone y$y-?g2(? (woRK 1?916 -316 5) On site sewage_ S/W Permit 5'G o-xe On site well _ S/W Surcharge Contractor PRctFtG Pa01- ,u0 PR7?o MWCC System _ Treatment P1. City water _ Road Unit" Address J2,7 v. PRV _ Park Ded. Booster Pump _ Copies City/Zip Code ORuS - 3 7 SUBTOTAL Phone III DuRemu $ APPROVALS Planner _ Penalty TOTAL -lb „ ??S C) Council Arch./Engr. Bldg. Off. tArLi?L0 Variance Address City/Zip Code Phone # CertJ.ficate for: D4'on,14adeen ` ."3931" 46th Ave. So. Mplu., Mn. 55406 ... DELMAR H. SCHWANZ (,ANO SVNVF.YVA Il.pkler?p U-We. l?wf nl iM1e Sl?te n? M?n??ob 14515 SOUTII POBERT lRAll P.O. BOX M ROSEMOUNT, MINNESOTA SSOBB SURVEVOR'S CERTIFICA7E i_ OT ; t; . ?97P' 7 r nu? L.Vr L / r Z4i i SCALEs 1 inch ? ?--?? o Dr.nntes iron 2^, 211.68 N89059 T. hereUy certLPv ttiat thia is a true and cnrrect representatlon 4 a ourvey of the Uound<lries of: 1,ot 11, Alock 3, WiiI)!:TtNESS HIJN POUR'!I{AnbI'i'ION, according to teie rer_orded plat thereof, Dokota Countq, Miruiesota. Also r,howing the locatlon of a proposed houae staked tliereon. An surveyed b,y me thin 21nt day of June, 1971, , :l , . ?I ( ? ' i MINNESOtA I1Cf.15TAAT10N NO NYBRO CIRCLE/ ?=52.ea o A'60.00 D-60 '?o ? q•i Dk : 201107 PHONE 012 449•1189 Drninage k utllity 9fi9Cm@nti MorCiier?n StaLen Power Co. - Lani?:acnt LO7 II I .l? ? RW July 19, 1990 Notlhem Ststes PoWer COmPeny 414 Nitollet Mell Mlnnaapolis, Minnesola 55401-7927 Tslephone (612) 330-5500 kendy Madsen 4400 Nybro Circle Eagan, Minnesota 55123 Line 0836 Section 27, Township 27, Range 23 Dakota County ENCROACHMENT • above ground pool 4400 Nybro Circle Lot il,_Block 3. Wilderness Run 4th Additlon Dear Ms Madsen; Our Transmission Engfneers have reviewed plans submittEd for the proposed above ground swimming pool which would encroach into a portion of NSP's easement. The proposed use would be acceptable to NSP, sub,ject to the folloNing terms and conditions: Landscaplna within the easement Detailed plans for landscaping (including light standards) must be submitted to NSP for review and approval. Generally shorter varieties of trees and shrubs may Ae considered. If planting is permitted, the ltne's voltage anQ the tree's mature height and the distance from the line must be considered. For maintenance purposes there shall be no planting within 15 feet of structure sites. 2. F.gnces on easements Chafn link or other types of fenees using metal material and constructed on or near an NSP easement should be proper)y graunded. 3. Cleaning pool Cautton must be taken when cleanfng the pool with an extended rod. A 20 foot clearance must be maintalned from Lhe transmission centerline. ]t is th2 express condition of this consent that all other terms and conditions shall remafn in fult force and effect contained in the following easements: GRAN oR UATED f[LED M15CORECOROS PAGE QQC NO Perron, Evelyn 08-04-67 08-06-67 K 161 340454 Perron, Ernest, 05-27•54 06-23-54 62 434 230931 et al - . -: i_ i< bJ 1- L r-?' p_ p i Northern Stafee Power Compsny Wendy Madsen July 19, 1990 Page 2 of 2 To acknowledge receipt of and agreement Nith the terms of this consent, please sign the enclosed copy of this letter anA return to my attention. Thank you for your courtesy and cooperation. Sincerely, ?? UDYu.aSLAVIK AGC Real Estate Representative land 8 Right of Way gy 330-5619 JS:3 Enclosure cc: Brad Weidenfeller Cal Wood NH No. 37823-8 Str. No. 31-32 n7iooore i. ? 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS 2 SETS OF PLANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCULATIONS MULTIPLE DWELLINGS 2 SETS DF PL4NS REGISTERED SITE SURVEYS - (CHECK WITH BLDG. DEPT.) 1 SET OF ENERGY CALCULATIONS _# OF RENTAL UNITS _# OF FOR SALE UNITS 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. ADA17761-J5 TrJ To Be Used For: RESI DENCt Valuation: Date: S-7 =10 Site Address yy? NyeI@7 uRCLE Lot !( Block 3 Parcel/Sub W(LMRN,-.r,S RUnf Fou6H qbdT?oN Owmer 1.)tiyn/ + W3AvDK ?19OSB?/ Address 4l?po NYA51Po GIRL4-4F City/Zip Code C=,fGf}dJ MN SS /23 Phone yS?/-7ff26 ?uicR+f 99?e'3/63? Contractor u; Address City/Zip Code Phone Arch./Engr. S?-M E Address City/Zip Code Phone # OFFICE USE ONLY . FEES Occupancy I?-3 Zoning Actual Const Bldg. Permit Allowable V-ni Surcharge ly?oo # of stories Plan Review I`7 Length 19'X1t,' SAC, City Depth z2'Xl4 ` SAC, MGICC S.F. Total Water Conn Footprint S.F. Water Meter Acct. Deposit On site sewage_ S/W Permit On site well S/W Surcharge MWCC System _ Treatment P1. City water _ Road Unit PRV Park Ded. Booster Pump _ Copies SUBTOTAL APPROVALS Penalty Planner TOTAL i/ka•00 Council Bldg. Off. Variance '` COMMERCIAL , : ', `•` "?-, r ; f22? rh S3?-x5i= ??-?s?j i dp z n?"Ll CITY OF EACAN EXTERIOR ENVELOPE AVERAGE OU' COMPUTATION OMNER: Q10M 13. + wGNdY M. MFlDGenj SITE ADDRESS: _?1/00 NMI20 (rIIQGCE EAGAit/ ?MA/ 55/23 ^ CONTRACTOR: SAMer DATE: S- 7 I990PNONE: yS`4 -7926 W?aK 9/ -3?63 Determine working square footage of each: y Total exposed wall area ., 7 76 sq, ft, x,11 = 95.36 2. Total roof/ceiling area .. $3 c sq, ft, x.026 = / 3. 9y Total exposed xall area above floor = 7 7/o a. Total aall window area ............................ 5-0 b. Total door area ........... ....................... c. Total sliding glass area .......................... ?y d. Total fireplace wall area ......................... -- -- e. Total aall framing area (average 10%) ............. - - f. Total net wall area above floor ................... g. Total rim joist area .............................. T1.7- Total exposed foundation area = 53 (? h, Total foundation window area....................... i. Total net foundation area above grade .............. 5,36 Determine 'Ut value oP each wall segment: 8. So x b. x c. ? x d. x e. yf x g. Y / x h. x i . 53b x 'Ug -3l - !S•S` 'u' - 'u' -29 - 'U' - ' u' •/S - ' U' 04 = ." ' ? ' ? • _ o y ^' - 'U' - ' U' _ o?2 - /9. Sro- 9. 9 2/. 3- ? / . 72 3 . ................................................... Total - g 0 Y If item li3 is the same as or less than item gt, you have met the intent of SBC 6006(c)2. Total exposed rooF/ceiling area = .5 3Fi - i; - ? J. Total skylight area ............................... k. Total roof/ceilfng framing area (average 10%) . 3 1. Total net insulated roof/ceiling area .............. ? OVER .•??.-?,.,:,.? OUI value for each roof/ceiling segment: .] • x ' U' k. 53 X ,uI i. yS3 x lul .025- o> 23 4 . . ........ ............ ........................ ....Tot 1 - -??-?- If total of p4 6006(c)1, is the same as or less than 02, you have met the intent of SBC Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of Items U3 and #4 shall not be greater than the sum oF Items p1 and {12, + 2. ?3.94 - 99•3 3. gv-y .4. 12-?131?? - rti, z:5 92.53 .?------- z : . CITY OF EAGATI • -•?; i'? ffINIFfU;I "U" VALUE AND F-FACTOR AT ROOF, WALL, RIM !u`D CONCRETE BLOCI: ! . . ROOF I CEILIN(, (Y-} VAL IQ It?TE?ID?L A1(r- F?li?1 ,6I .61 OO INSULAj1oN ?•9.°`.'?=f3:a?' OO EX ?E[?lo(? AlR FILM •'?? ?,?/ ? tS?CILL? t?Utf -r6TAL. ( R)- 39 7P' ? WatL ' (R? VAL? Qv IN jEP-!o?'- AIR ?I?M _68 G) 112 ` UYP.' BD.' : _ • ys 9Q zs?3z!' g?1-7 YTc . iz 2:0(c ?o :G?DA? slD?r(a _ €S! u Ex;`, toC F+n FILP1 - .17 ToYRt- ( Iz)=23.17 ? _- (v) ?t R?T?iI-loR titr? F{u? :. C? ??sl 2 Fl r- fir--i ?gtsT 4.901 105 uf yz". Sv,?:?'.-?iTc .?• . 2. 06 ? ct A9 q ? exTLtztiDP- AIF- fiLM . r?... nUn - ?.?fL = _oY? • ToTP.F? ( 9)_24.4l . 5o;)NDATt00 . • Ct0 VFlLU? D (NTG R?OR (-??R C/LH . [ ? Q `?? R!FTIG? BoqR? ? q 3 ' C '?/Z" P?YwooD : 62 `I I`?.INSU6A'?bN ,38? Oq O ??Z6Vr?r ? iTt 2.0 ? ?, ?" ZR?R?-eD ?tYuJeoD . 62 17 ? Ek?EA10?2 AR?ILM , uU11- 1 /R = 0.02 ToTFx110 43_ol - --? Floors ova; unhea[ed spaces must have rt;ininum R-factor of R-20 (tuck-under garages). Floors acrr ou[door air (ovcrhangs) oust liave a nininum P.-Eactor of fi-33. Certificate for: i5i'on t4adsen 3031 46th Ave. 50, hipls., Mn. 55406 DELMAR H. SCHWANZ LANDSUAVEVUR Nnpisllretl VliUer Llws ol The Sble Of MihneSOla 14515 SOUTH ROBERT TRAIL P.O. BOX M ROSEMOUNT, MINNESOTA 55068 SURVEYOR'S CER7IFICATE \NY8R0 CIRCLE/ ?L`.6 4 ?T I0, \U ? \ ?1 11 O / Y? Plori;her:i Stat,es Powex Co. F.aeeraent LOT II 11.68 N 89°39'55 "W SCALE: 1 inch - 40 feet o Denntes iron monument I hereby cerCify thaY, thic is a true and correct repreaeentation of a aurvey of the boundnriea of: I,ot 11, Alock 3, W2LllEt?NF.SS RIJN POUR7}f ADDTTION, according to the recorded plat thereof, Dakota Countq, Minneaota. A2so showing i;he location of a proposed house staked tt-,ereon. Aa surveyed by me this ?.lat day of June, 1977. r- . .. y MINNESOTA REGISTRATION N0.8615 tZ Poc : 2 0/10 7 PMONE 812 423•1789 Drainage & utllity easement ? Y L.l.l ? iL 41,/'. City of Eaall Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: 1 I L �f 4 Permit Fee: Date Received: Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: Unit #: Name: ) d (\ //QCAP./\_ W A6/A/O Address / City / Zip: Applicant is: Owner X Contractor Description of work: Phone: 65/) //sit- 78'96 Construction Col/; £O0 •��" Company: _ ee—AQriXGt 9? L --C Contact: /7Yj �'j1C7rj Address: / 70? ( /4o/ (tet City: 69 C7/1_ State: A/7 7 Zip: 5/ Phone: (57/.) 446 a %o License #: Lead Certificate #: Multi -Family Building: (Yes / No If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE. Plans and supporting documents that yousubmit are considered to bei, public information. Portions=o the information may be classified as non-public if you provide, specif!c';reasons that would permit the„City= 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.orq 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 building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. Applicant's Printed Name Applicant's Signature Page 1 of 3 Use BLUE or BLACK Ink r---__---___-_.___-, I For Office Use I I I Permit City of Eap I 3830 Pilot Knob Road ~ Permit Fee: (QS.a I I Eagan MN 55122 Date Received: l Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I V"~ I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date:'- Z'U S' Address: Unit t~ D~/1 _ e Fyn,, Name: Phone: Resident/ Owner Address / City / Zip: U Q -Cry" S~ Applicant is: A Owner Contractor Type of Work Description of work: Q (w Construction Cost: f) Multi-Family Building: (Yes / NOX ) Company: I t/` ( 1 ~t_(,7~7"Contact: `d^' Contractor Address t ppL City: State: f/l/`A)Zip: Phone: 10 y ) CJ~ ~ License to Lead Certificate 0 C If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: I 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 they are trade secrets. i 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.qopherstateonecall.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 building permit issued in accordance with the Minnesota S to Building Code must be completed within 180 days of er it issuance. Applicant's Printed Name Applican ' Signature Page 1 of 3 • r� Use BLUE or BLACK Ink � ForOfficeUae--------° I � j Permit#: �a�� j �� Q� ��. � P � � 9 7, a� � ermd Fee. 3830 Pilot Knob Road ECEIVED � � Eagan MN 55i22 � Date Received: Cl� � Phone:(651)6�5-5675 JUN 2 5 �n�� Fauc:(651)675-5694 i Statf: i f I ��...`��..��.�.��J 2014 RESIDENTIAL BUILDING PERMIT APPLICATION - �I �� Date: S�te Address: 'T'�'"� � Unit#: . � Name: � � I� Phone:l�A.7r�'�� '78��P . �� '\ � � ��',�� Address i City/Zip:� N U QJ �,�� ; p � ; Appliqnt is: Owner �Contractar � , � Description of work� 2 '� �� h� ° Construction Go �V Multi-Family Building: (Yes /N� ,u Company:�-�'�`��AnI�1Cl��c*.�� Contad:�,� '9'r��1Sd3C��— � �+� � `` Address: ��,Cp��/�,1�'�, City�,�U �,('.�?l�r , � � l � f State:�Zip: �� Phone��Z��'-�94d EmaiL�n(�c-,��R_G..(c��,�-��o t�v � � = Licen�e#: �� Lead Certificate#; If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) �� COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a pennit 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 Gontractor: Phone: �'�� f� � �� ri , � � � � � � � :3 ,t"'$ '.E� .�.�� C�Yr f" ,� '� ,.�C� .E F-.`�. � 'f CALL BEFORE YOU DIG. Call Gopher$tate 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 u41i#ies. www.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in confortnanoe with the ordinances and c�es of the City of Eagan; that 1 understar�this is not a permit, bu#only an application for a permit, and work is not to start writhout a pertnit; that the work will be in accordance with the approved plan in the case of v�ork which requires a r�eview and approval of plans. Exterior work authorized by a building pertnit issued in accordance with the Mlnnes ilding Code must be complefied within 18d days of permit issuance. x X r Ap icant's Printed Name A iicanYs Signat re Page 1 of 3 ` � •� l 7�� /V�Y-�� t/ DO NOT WRITE BELOW THIS LINE ��7�� SUB TYPES _ Foundation ^ Fireplace _ Porch(3-Season) _ Exteriar Alteration(Single Family) _ Single Family _ Garage ^ Po�vch(4-Season) _ Exte�ior Alteration(Muiti) _ Multi � Deck � Porch(ScreerUGazebo/Pergola) _ Miscellar�eous _ 01 of_Plex � Lower Level � Pool � Accessory Building WORK TYPE3 " �� a4y3'`� � New T Interior Improvemerrt , Siding _ Demolish Building'" � Addition _ Move Building _ Reroof _ �malish I�rte�ior _ Alteration � Fire Repair � Wlndows � Demolish Foundation � Replace � Repair � Egress�ndow � Water Damage _ ReWining Wall *Demolition of entirse butlding—give PCA handout to applicant DESCRIPTION f Valuation � l�`� Occupancy �L MCES System Plan Review Code Edition ��I��r SAC Units (25%�100%� Zoning � City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Sprinklers Type of Construction �_ Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Finai/C.O. Required Footings(Addition) � Final/No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Roof:_Ice&Water �Final Pool:�Foatings AidGas Tests �Final Framing Drain Tile Firepiace:_Rough in Air Test _Final Siding:_Stucco Lath TStone Lath ",Brick Insulation Windows Sheathing Retaining Wall:_Footings_,Backfill�Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls Other: Reviewed By: ��,Building Inspector RESIDENTIAL FEES Base Fee Surcharge ��Q� Plan Review ��.� MCES SAC I City SAC Utility Connection Charge S8�W Permit�Surcharge Treatment Plant Copies TOTAL Page 3 of 3 Nor#hem ^tetas Power ComP�nnY 414 Nicoilet Mnil ��y �9� lggp Mtnneapolis, Minnesoka S5401-i92� TeiRphone(6t2y 330-5504 Wendy Madsen 4400 Nybro Circle Eagan, Mlnnesota 55123 ENC�OACNMENT - above ground pool L i ne 0836 �� s i Section 27� Township 21, R�nge 23 ��V '��;%� Dakota County 4A00 Nybro Circle Lot I1� Block 3, Wilderness Run 4th AddiL�on Dear Ms Madsen; Our Transmission Engineers have reviewed plans submitted for the �roposed above ground swimming pool which would encroach fnto a portioh af NSP's easement. The proposed use would be aceeptable to NSP, su6,ject to the following terms and conditions: l . Lands�aping within �he easement Detaiied plans far landscaping =includ9ng light standards) must be submitted to NSP for review and approval . Generally shorter varieties of trees and shrubs may be considered. If planting is permitted, the line's voltage and the tree's mature height and the distan�e from the l �ne must be considered. For maintenance purposes there shail be no plantinq within 15 fe�t of structure sites. 2. e ces on ea nts Chain link or other types of fences using metal material and constructed on or near an NSP easement should be properly ground�d. 3. �le�ning pooi C�ution must be taken when cleaning the pool with an extended rod. A 20 foot clearance must be maintained from the transmission centeriine. It is th2 express conditioh of this consent that all other terms and conditions shall remain in fu11 force and effect contained in the foilowing easements: 404K Q� GR�N OR DATED f I�„EQ M1SC R CORQS PAGE j1QC NO Perron, Evelyn 08-04-6I OS-08-61 K 161 340454 P2rron, Ernest, 45�27-54 Q6-23-54 62 43Q 230931 et al __ . . .. , ` ._. F' .. [i ? , , , � ti � Na�them 5tates Power Company Wendy Madsen July 19, 1990 Page 2 of 2 Ta acknowledge receipt of and agreement .with the terms Qf this cons�nt, please sign the enclos¢d copy of this letter and return to my attention. Thank you for your courtesy and cooperat�on. Sincerely, �� . UDY SLAVIK ACCEPTEO: Real Estate R�presentatiue t Land b R1ght af Way g�, � �L,�,,�� 30-5619 Wendy Ma e JSc,� Enclosure cc: Brad Weidenfe]ler Cai Waod � NN Na. 31823-8 Str. Na. 31-32 PERMIT City of Eagan Permit Type:Building Permit Number:EA143502 Date Issued:06/19/2017 Permit Category:ePermit Site Address: 4400 Nybro Cir Lot:011 Block: 003 Addition: Wilderness Run 4th PID:10-84353-03-110 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Dion B Madsen Tste 4400 Nybro Cir Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature Sewer & Water Contractor. EAGAN 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 I TDD: (651) 454-8535 ( FAX: (651) 675-5694 Y build inai nspectionsacitvofeacian.com B 2020 RESIDENTIAL BUILDIN—TTPERMIT APPLICATION Date: 17/‘ O Site Address: O7 67V ./ 10/6 C ,GYLo!'C r For Office Use Cr .ID ,4,?6o j 1 Permit #: Permit Fee: Date Received: /22.6 Cc -- Resident/ Owner Type of Work Name: JUL 1 6 2020 ECEIVEI) „Ac&ii Address / City / Zip: �� Applicant is: Owner Description of work: Construction Cost: Staff: Unit #: Phone: dia-f10- Contractor At, ,�2 Contractor Company: C Address: ds7.‘ 22 )(j&tifl-c"- Multi-Family Building: (Yes / o X) of .04 „die-iv-contact: 1/ City: Z 'e ,% StateL5 Phone�,01 e569 Email:%zze awrideoleeurfoi ea ve.a License #: If the project is -xempt fr•m le Lead Certificate #: ticon, plea", explain why: r 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: Phone: Fire Suppression 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 they are trade secrets. 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 webslte at www.cityofeastan.com/subscribe. Exterior work authorized by a building permit Issued In accordance with the Minnesota State Building Code must be completed within 180 days of permit Issuance. 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.raopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the • • ina • - 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 n_t to stagy it; that the work will be in accordance with the app,• plan in the case of work which requires a review and appro Applicant's Pnnted Name Applicant's Signature DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Fireplace Garage Deck Lower Level Single Famil ( Multi 01 of _ Plex z-{yoo Atibitb C WORK TYPES New _ Interior Improvement Addition _ Move Building 7 Alteration _ Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% ) Census Code # of Units # of Buildings Type of Construction _ Repair Porch (3-Season) Porch (4-Season) _ Porch (Screen/GazebolPergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings(Deck) Footings (Addition) Foundation Foundation Before Backfill Roof: _Ice & Water _ Framing 30 Minutes Fireplace: _Rough In __ Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: Final 1 Hour Air Test Final Siding Reroof Windows Egress Window /6604-/ Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* Demolish Interior _ Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant y` MCES System r/nA/7-02,0 SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Service Test Gas Line Air Test _ Hood Pool: _Footings Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath _Stone Lath _Brick _ EFIS Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Radio Meter Read Copies TOTAL 51/190-loirt 1.11/)46 Page 2 of 3 EAGAN 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-5694 buildinoinspectionsc citvofeaoan.com Date: Tenant: For Office Use Permit #: 06 7--73 Permit Fee: 60 - v Date Received: Staff: 2020 RESIDENTIAL PLUMBING PERMIT APPLICATION Site Address: qy0D brn G'r• Suite #: J Residentlowner Name: ; S Phone: a (Z= 360- 3 3 La Address / City / Zip: cam.. tv 4tN �J 5 tz 3 Contractor Name: Ripe cp A (upA6 £ License #: Address: 1 (ram City: 5��, 4 nu" 3 6� State: Zip: 5 Z Phone: i (z- or 57C a Contact: rt i} Email: IA Type of Work New replacement Repair Rebuild Modify Space Work in R.O.W. — — — — — Description of work: Description P Tankless Water Heater Lawn Irrigation L. RPZ / PVB) _ Standard Water Heater Add Plumbing Fixtures (— Main / Lower Level) — Water Softener / � , _,,,L Descri tion: ? aira m Septic System �{ -� p y gee C J'e3 (I` �5 V n tc ate9to We'II. ConKectio to City W New Abandonment RESIDENTIAL FEES $60.00 Water Heater, $60.00 Lawn Irrigation $60.00 New fixtures, $60.00 Septic System $100.00 New Residential $115.00 New Septic $60.00 Connecting to *Sewer & Water Water Softener, or Water Heater and Softener (includes State Surcharge) (includes State Surcharge) adding or removing piping (includes State Surcharge) Abandonment (fee collected with Building Permit) System (includes County fee and State Surcharge) City Water from Well* + $290 for Meter and $200 for Radio Read = $550 Permit also required for connection charges TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Cali 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.orq 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.cltvofeaaan.com/subscribe. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with th Eagan; that I understand this is not a permit, but only an application for a permit, and work is no tart accordance 'th the approved plan in the case of work which requires a review and approval of pl (—U17r59-3 Applint's Printed Name x Applicant's Signa re nances and codes of the City of a permit; that the work will be in Page 1 of 2 PERMIT City of Eagan Permit Type:Building Permit Number:EA179587 Date Issued:10/12/2022 Permit Category:ePermit Site Address: 4400 Nybro Cir Lot:011 Block: 003 Addition: Wilderness Run 4th PID:10-84353-03-110 Use: Description: Sub Type:Reroof Work Type:Replace Description:Includes Skylight Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. 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 - Dion B Tste Madsen 4400 Nybro Cir Eagan MN 55123 (612) 360-3326 Pcs Residential 2005 Pin Oak Dr Eagan MN 55122 (651) 994-2028 Applicant/Permitee: Signature Issued By: Signature