4268 Nybro Lane NCITY OF EAGAN Remarks
Addition WILDERNESS RUN 6TH ADDITION Lot lY Rik 2
Owner Street 4968 NorthNvhrn T.anP
?? F:,b/l7r J ci ?
Improvement Date Amount Annual Years Payment Feceipt Date
STREET SURF,
STREET RESTOR.
GRADING
SAN SEW TRUNK 1973 161.21 8.04 ZO
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA 3?j1 1977 162.1 ?.'
STORM SEW TRK 1978 43-13-05 2 900 406.05 C005151 7-3-78
STORM SEW LAT -
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 250.00 9371 3-16-78
BUILDING PER. #4705
sAC 500.00 9371 3-16-78
PARK ,'?.{0 7
INSPECTI4N RECORD
CITY OF EAGAN PERMIT TYPE: kill ' Ito I Nr
3830 Pilot Knob Road ia l,?
Eagan, Minnesota 55122-1897 Permit Number:
Date Issued:
(612) 681-4675
I 1----t? 1 ry +• q??--? 4-!??"
SITE ADDRESS: ;lli i t 1, ? 0ii APPLICANT:
fkSIlI l I l1t4 1 r4 I ill MN I Nfi
t.?t1 ?i? t?i+, . . I N t';731 ?.,;. , . ?-662f3
PERNIITt ?,UBTYPE: TYPE OF WORK:
? ,. nnt?ll'TcIM
t 1.,ra I 1!'FN f?k CK
?
? . ??is a.1 yt? LL& W?.Je?r ??F.'?. .?.? ?t id??• ? ?... .-? ;
7
J
I?fMitiFtl'-:. '-1F1'AFrnlr I"FRpIl?. ttf011101' 0 1-"Ufa i1NY F1fI 1RICAI 4R IlI4)Mf11tNft WORF
Pertnit No. Perm Holder Date Telephone #
ELECTRIC ?qql,749
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
!
FOUND
FRAMING - / /
f7 ??
ROOFING
f10UGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIFEPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
-------
DECK Frr, ? %/Q? ? ?Q
l
nFCK F,,,., g`
N
i -
;
- -
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
19
RecervEo
FROM
AMOUNT ? I
& DOLLARS
1 oo
? CASH [] CHECK
NUMERICAL FILE COPY
. BY
jr?)
CITY OF EAGAN
3795 PitoF Kno6 Road Eogan, MN 53122 N° 4705
PHONE: 454-8100
,BUILDING PERMIT ; ?, i , .i:! ?'r y Receipt # ) ? 'I I
, ' F
To be used for Gar
Est. Value .
Oote 1_4 '
Site Address X bro i.r., Erect E] Occupancy S
Lot Block ' Sec/Sub. t''` ' Alter ? Zoning
Parcel # Repair ? Fire Zone
Enlor e of C
T
n
t
ge ? yp
.
o
s
Name al` r s? I 1_ `. 7 5 l) r ?snd Move ? # Stories
W
3 pddress 'kve. Demolish ? Front ft.
? Ci Ph Grade E] Depth ft.
one
Annreve Is Fees
a Name E il`- ''s, 1nC•
7'n c, l t itt?" Ave>
?a Address
s
ati.,.,e
Name _
Address
I hereby acknowfedge that I have reod this applicotion and state that
the information is correct qnd agree to eomply with all opplicnble
5tote of Minnesoto Statutes and City of Eagan. Ordinances.
Assessment -
Water & Sew.
Pol ice
Fire
Ertg.
Planner
Council
Bldg. Off. _
APC
Permit ' -, , ()0
5urchorge
Plan check
SAC tlC;
Woter Conn. _ 2 50 _ f.`t
Water Meter `_
Toto I
Signature of Permittee I
.,ri;.(,
A Building Permit is issued to; on the express condition that
all work shall be done in accordance with all applicoble Stote of Minnesota Statutes and City of Eogan Ordinances.
8uilding Official . J? -
Permk # I Oefe Issued I - PennilfN
Dote
Pinol
Re marks:
CITY OF EAGAN
• 8795 Wlof Knob Reod
- Eogen, Mieeesota 55122
• Phone: 454-8100
PERMIT No.
Date: Receipt No.: ` -
. '- ? brc
? y Single I ..
•
Site Address: Residential
Lot Biock Sub/Sec. _ Multi Res., Comm./Ind.
?
Name New/Altar
/Re
oir
.
p
.
? 7
3 Address Cost of Instollction
O
'ul? '
City Phone: Permit Fee
• f=inc3er & Son. _ r
Name 5urchorge
`
? Address =it' .
?
V .
City ' Phone: Totol
This Permit is issued on the express condition that all work sholl be done in aaordonce with all applicoble Stote of
Minnesota Statutes ond City of Eogan Ordinances.
v
Buildiny Official
CITY OF EAGAN
• 3795 Pilor Knob Roed
Eayon, MinnaoM 55122
• Phone: 454-8100
OERMIT Na
Date: i'? /F; Receipt No.: n.
Single I
. ? , i?0. ' i+?.~?"C?
Site Address: Residentiul
-
Lot Biock Sub/Sec. Multl Res., Comm./Ind. I
?.
Nume New/Alter./Repair. .
? Addreu Cost of Installation
'? '• fl
City Phone: Permit Fee Nome ?.1^
` Surchorpe
? Address
e
u
City ? _ Phone: Totol This Pe it is issued on the express condition fhat oil worlc shall be done in accordnnte with all opplicable Stcte of
Minne to Statutes and City of Eagon Ordinonces.
Building Official
crrr oF eacaH
3795 Pilof Knob Road
Engon, MN 55122
Zoning:
Owner:
Address:
Site Address: .
Plumber:
I agrea to eompiy witi+ Nhe City of Eagan
Ordinanees.
BY -
Date of Insp,:
I nsp.:
C1T7 OF EAtiAN
3795 Pilot Knob Road
Eaaan. MN 55122
SEWER SERVICE PERMIT
PERMIT NO.:
dATE:
No. of Units:
Connection Charge:
Account Deposit: _
Permit Fee:
Surcfiorge:
Misc. Charges: -
Total:
Dcrte Paid:
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
, No, of Units:
No.:
M ComPlp wifh fhe Cily of Eogan
Connection Charge:
qccount Deposit: _
Permit Fee:
Surcharge:
Misc. Chflrges: -
Total: -
Dote Paid:
cirr oF eacaN
, 3795 Piior Knob Rood Eagan, MN 55712 4705
N2
t
PHONE: 4548700 .
BUILDING PERMIT APPLICATION $45,000. Receipt .# 9371
Sf. Dwlg. d Gar({
-
MBr
Lfi
78
Ta ba used for
Est. Value pate .
, ?q
_
Site Address 4968 N Nyhrn Ln Erect gj Occupancy I
Lot 11 Block Z Sec/Sub. WR fith Alter ? Zoning Rl
Parcel # Repair ? Fire Zone 3
Enlorge ? Type of Const. V -
w Name ilnrral l W TePhrand Move ? # Stories
; Address 1727 CoChiBne AVe. Demolish ? Front 77 fr.
? Cit E8g8II Phone 452-1842 Grode ? Depth 29 ft.
?
0 Name Tilsen H mes, Inc. Acvywala Fee.
?Q Addrcss 627 58. Snelling Ave. Assessmenr Pem,ir 12a.nn _
? St. P8u1
454-4784 Water&Sew. Surchorge 99-5(1
r ?.?
phone
k
Police Plan chec
F
U„w Nama Fire SAC Snn nn
~Z
Addreu
Eng. fl
Wmer Conn. 750 - 0
aw Ci phony Plunner WaterMeter ?_?0__._nn
Council
I hereby acknowledge that I hove read this applicotion ond state that Bldg
Off
the informotion is correct ond agree to comply with all applica6le .
.
State of Minnesota $totutes ond City of Eagan Ordinances. APC Total
Signature of Pertnittee
Tilsen Homes, In c.
A Building Pertnit is issued to/• on t he express condition that
all work shall be done in apEOrdance wit}a 'oplicable State of innesota Statutes and City of Eagon Ordinances.
Building Offiiciul
?f I U-( I ? REQUEST FON ELECTIIICAL INSPECTION --
' See i?tructions?/m comp,ptinp fhia torm m bvck of yellow eopY.
0684 "X" Below Work Coveied by This Request f d
Add Rap. Type of Bvildirq, • AwVliances AirW Equioment Wired
Home Range Temparary Service
Duplex Water Heater Lighting Fiztures
Apt. Buildfng Dryer X Electric Hea[in COfI PO
Cortniercial Bldg. Furnace Silo Unloader
Indistrial Bldg. Air Conditioner Bulk Milk Tank
Farm oNe.. cen erher Isaedfy!
t IbP.CifT- y Other Olher
ompute /nspection Fee Below
M Fee ServiceEnhence5ize p Fea ieeders?Subicedere Y iea Gircuits
0 to 200 Am 5 0 to 30 0 to 30 Am
A6ove 20 _Amps 31 to 100 Aups 31 to 100 Amps
Swirmnin Pool Ahove 100_ Lk? Above 100_AnIPS
Transiormers Irtigation Bom-s Partial-'Offier Pee
? i TSig?LS ' I ISpecfal Inspec!fon 15 15.r-?QITOTA ?
Rerrerks A
1J'
ibuph-fn D1te 1. L?a bchi
b?speo .eev
rtiiy tlret tlp abov!
Final ' Daie ian his beon
11wrapumtvo1078mantlmtram V ?
This repuest vol.d
16 ?m9yh?frym? ??--
e IYll1
13 u J U
Pequest Da[e Fire No. qouph-in Impection
NOV • 20, 198?i ?aurted? ?IOeatly Now ? W?11 NoGfy. Inspeo-
?Yes vq •?Plo [or When qeaAY
{31-icensad Electrical Contrector I hwqby toyoast inspection of above
? Owner elec4ira1 ?wark imqlled ar.
Street Address, Boz or Poute No. CitV
4268 N. Nybro Lane Eagan
cuon Townshi0 Name or No. Pav9e No. Cwnty
Oakota
Occupant IPNINTI ??N?$(}Z OT
9f
?arrell Isabrand 3
fbwer Supplier
E
A A ss
armington
D..
.
.
Electriwl Contractm (COrtwanY Name) CqMiiFWr4?Li,Gense No.
Corrigan Electric co. u.?y? o
MailinB Address IConvacTOr or Owner Makine Imlsilation)
P.O. 8ox 475 Rosemount, minn. 55068
Auth zed SiB?[ure (C9nhar?tpr Owner,Makin9 InsUlla[ionl Phoce NumEer
423-1131
MINNESOTq STATE OF ELECTAIC THIS INSPECTION NEQUEST MILL NOT
Gripps-YidweY Bldp. - Itoom N-191 BE ACCEP7ED BY 7HE STA7E BOAND
1827 VniversitY A.e., S1. Paul. MN 55104 UNlESS PROPEP INSPECTION FEE IS
Phoro (61212972111 ENCLOSED.
11 Tkis? eques? ?oi818 months from
u1R- ?O
?o93?z 5'
Date of this Request P 69 7 95
I, as Micensed Electrical ontractor ? Owner, do hereby request inspection of the above electri•
cal wiring installed at:
? -
Street Address or Route No. 4Y68 North Ifybri City?±gan
Section Township
Range County Dakota
Which is occupied by Tilson Homea
(Name of Otcupant)
Is a roughin inspection required on this joh? No ? Yes a Ready Now ? Will Call PC
Power Supplier Dakota Cty. Address Farmington
Electrical Contractor O.B. `Phomnson ElectricGo. Contractor's License NoA33735
(GOmpany Name)
Mailing Address 12201 Ntka Blvd. t Litka 55343
Authorized
MW?? o(DARD 0077
xo. 933•252 Y
This inspection request will not be accepted by the
State Board unless proper inspection fee is endased.
M7nnesota State 6oard ot tlectncity
1954,University Ave., St. Paul, Minn. 55104-Phone 645-7703
FiEQU,STFOR ELECTRICALINSPECTION
C1?ECIC 9EtiOW?ORK COVERED BY THIS REQUEST
?1 O ?7 --i.' -? ..?`
P 69795
Type of Building New Add. Rep. Check Applisnces Wired Fm Check Equipment W'ved For
Home ? ? ? Range Rk Tempoia:y Wiring El
Duplex ? ? ? Water Heater ? Lighdng P'vctures ?
ApL Bldg. ? ? ? Dryer ?
- Electric Heating ?
Commeicial Bldg. ? ? ? Fuma s-
? Silo Unloadec ?
Industrial Bidg. ? ? ? Av Co tion Bulk Milk'fank ?
Farm ? ? ? List List
Othex
?
?
? p
HehersI p
Heiers?
COMPUTE INSPECTION FEE BELOW
ServiceEntrance Size: # Fee Feeders$$ubfeeders: # Fee # Fce
0 to 100 Am s. 0 to 30 Am eres res
]Ol to 200 Amps 31 to 100 Amperes eces
Above 200 Amps. A6ove 100 Amps. mps.
IN
Transformers RemoteConVOICirc. fee
Signs S ecial Ins ection
Remarks ?12 O, p 40.50
I,the ElectricalInspector,hereby/??' y thy?J?}1 ove m ection has been a
(Rough•in) V "`? Date ?? 3?- 7 ?
(Final) j Date ? -- !£'- 7
This request void 18 months &o
I?I II II II? REOUEST FOR ELECTRICAL INSPECTION ag 8
Minnesota State Board of Electriciry
1821 Universiry Ave., Rm. 5,1?6 St. Paul, MN 55104 042,6
*- 0 2 9 17 4 9 0 * phone (612) 642-0800 ?(?
Home Duplez Apt. Bldg. Other: iJew Addn
Commercial Indushial Farm Remod Re air
Air Cond. H}g. Equip. Water Htr. Load Mgmt. Other:
D er Ran e Elec. Heof Temp. Service
"k' above the work covared by this request. Enter remarks in this spoce ond on the back of Ihe whife capy only.
r
P0#71207 - Wiring for Three Season Porch
Calculate Inspection Fee - 7his Inspecfion Request will not be accepted without fhe <oired iee:
Offier Fee # $ervice EMrance $rse Fee # GrcuilslFeeders Fee
Mobile Home Pork Stoll 0 fa 200 Amps 0 to 100 Amps 5.00
Street Ltg./Traffic Sig. Above 200 Amps Above-}QQ Amps
Transformer/Generator INSPECTOP'SUSEONLY TOTAL
Sign/Outline Ltg. Xfmr. ?
D• UU 40.50
Alarm/Remote Confrol
$wimming Pool
I here certl ihaf I ins d' la' dmcnbed herein on Iha daks s led
Irrigation Boom Rough-In Da?e
$peciollns
ection
p
Invesfigative Fee
Final ?
THIS INSTALLATION MAY BE ORDERED DIS NE D IF NO COMPLETED WITHIN 18 MONTHS.
2 91- 7 4 9 ? OFiIC USE ONLY This requezt void 18 manMs irom.alidafion date pnnted i?i??? ?
7?/9 ¢ os
. n ??!A aa
PLEASE PRINT OR TYPE 11 ?p?
Request Da* Rou9h.in Inzpedion reqoired2 Yes ? No Inspedian O er Tlwn Rough-In: 0 Ready Naw ??II Coll
6-28-96 no. ,wa,J Dme Raody:
I, X$ licensed conhador [I owner hereby requesf inspection of 1he above elecfrical work at:
lob Addresz (Sheel, Baa, ar Rouro No.) Cih Zip Cade
4268 North N bro Lane Ea an 55123
Sedion No. Townahip Name or No.
Ronga No.
Fire No.
Counry
I I DAkota
Ottupanl Phone No.
Darrell & Elizabeth Isebrand 452-1842
PowerSupplier ndd,?.,
ElMnml Confmclar (Campany Nama) Gonvatlm llanse No. Maskr Lic No. (Plant El?n. Only)
Cit View Electric CA00384
Mailing Addross (CorvNador or Owner PeAorming Insmllafion)
/wihanzad Signahm Co hocro. r O rforming Insla lation
Phone No.
1 659-9496
EB-OOOOlA-10 6/95 STATE BOAflD COW - SEE INSTilUCT10N50N BACKOF YELLOW COPY
-.? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMITTYPE: ffi?RJNs
Permit Number: 0 6/ 2 4/ 9 6
Date Issued:
SITE ADDRESS:
P.I.N.: 10-84355-110-02
4268 NVBRO LANE N
LOT: 11 BLOCK: 2
WILDERNESS RUN 6TH
DESCRIPTION: wirH DECK
?u3?'?1'?rag Permit 7ype
r?Bui1'din-Work Type
Census Gotle-?,,
.?` , n5...
,f<lti '
r
SF PORCH
ADDITION
434 ALT. RESIDENTIAL
REMAIWpRAre PERMITS REQUIRED FOR ANY ELECTRICAL OR PLUMBTNG WORK
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
Total Fee
VALUfiTION
$287.25
$143.63
$10.00
$440.88
$20,000
CONTRACTOR: - Applicant - sT. LrC.OW Ep
pANELCRAFT OF MN INC 17216628 0002179 YS?$R-bND DARRELL
3118 SNELLING AVE S 4268 NYBRO LANE N
MINNEAPOLIS . MN 55406 EAGAN MN
(612) 721-6628 (612)452-1842
IJhereby acknowledge that I have read this aPplication and statie that the
information is correct and agree to comply with all applicable State o# Mn_
8tatutes and eity" pf Eagan Ord?nance-s.
. ? A LI AN,T/PERMITEE SIGNATURE '? ISSLtp Y: SIGNATURE
CITY OF EAGAN
?3830 PILOT KNOB RD - 55722 0?S
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) VZ 2
681-4675
rudion Reauirements Remodel/Reoair Reauiremen
? 3 registered sRe surveys ? 2 copies ot pian
? 2 copies of plana (inciude beam 8 wiMow sizes; poured Tnd. design; etc.) ? 2 site surveys (exterior additions & decks)
? 1 energy wlculations ? 7 energy ealculations for heated addilions
? 3 copks oi lree preservation plan if lot plaried after 711/93
required: _ Yes _ Na
DATE: CONSTRUCTION COST: :2(9 /00
DESCRIPTION OF WORK: WfMW R2,L,-u3 bc-cy
STREET ADDRESS: Aftm+ /Y-14-a /-Ame- ?v
LOT BLOCK SUBD./P.I.D. #:
PROPERTY Name: aseeFc/- -?s?a&nva Phone #: A%79-45:2- r64,7-
OWNER `"" """
Street Address* 42-60 Noea{ ,t&L0LnwE
City: State: AM Zip: 195/?1
coNTiucroR Company: AX-1,1 C'rn-1e1- ,tilN Phone #: 72161P20
5treet Address: A114 Smewm&- a.?F- 5'• License #: 5j75
City: MDLS _ State: Mnl_ Zip: '554b6
ARCHITECTI Company: Phone #:
ENGINEER
Name: Registration #:
Street Address:
City: State: Zip:
Sewer & water Iicensed plumber:
change are requested once permit is issued.
Penalty applies when address change and lot
1 hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: ?
OFPICE USE ONLY
Certificates of Survey Received
Tree Preservation Plan Received
_ Yes _ No
_ Yes _ No
? ?'La: ???
2 9995
p?e _
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex ? 11 Apt./Lodging ?
? 02 5F Dwelling ? 07 4-plex o 12 Multi RepairlRem. ?
0 03 SF Addition o OS 8-plex ? 13 Garage/Accessory ?
,in?'-04 SF Porch o 09 12-plex ? 14 Fireplace ?
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
0 31 New ? 33 Alterations ? 36 Move
r,,/"32 Addition o 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Permit Fee
Surcharge
Pian Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
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.
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MCNVS System
City Water
Fire Sprinkiered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Building /t?9??! Engineering Variance
Valuation: $ O°O
o/
% 5AC
5AC Units
K
----------------{?
? -?-----------------------
W o E
O +
I ? T 1 S
I r"_ _'_
I ? '-----
I
I
1 `
i _? ? EXiST?tiNG ? ?
I
r -
-?--
-'-_
Z i 0 O =XISTI\!! i
? ? ?? ro i DWELL!NG iI2'-p" I g ?
zf , ,
i ?
o I `
i ?
i ?
g0594 : JOB NUI`15R
i i L---- D,-^,RRELL a ELIZAB=T'.-: 15_5RAND : GL'STOME;,R NAME
I I 28'-E?? -- j _T \
4268 NORTN NY,RO L,^•NE : ?T?=c
? E^.GAN, MN, 551?3_:?-_i TY _ ?
222.15 -
I I `-------- ? ------------------__.------'----------' d7?-IE4? : :G-1E °NONE
? ?2:-?000 =XT. 242E . UO<K PNONE l'=15)
N/A : LJCRiG PHONE (N=R9)
14'iCi2' 3'/2 ,SEASON FORC4 Ell/ 4' W<AP ^-ROUND D'-CK : GOU5T2UGTION TYPE
5ITE ?LAN
SGALE: I" = 20'
GONTRIUCTED 8Y PANELCRAFT OF MINNESOTA, INC.
C: N SOUDcR : :.-^! ESMAN
RON ,.:NDCRSON : FROJEGT i IAN `L.C-.cR
CsARY 5. NARRIS : D=51G-NED BY
:-5-Q6 . DATE
_Al-
GSq
?
. • Date: -?`1 / ?
BUILDIPTG PERMIi P.PPLICATIO'd
LOT a BLOCK a ADDI:zo.r
PARCEL & SECTIOPI t1UiL3ER ZF ULIPLFtTTED
ADilRNSS OF PARCEL
'LOiJI':?G
ESMiAiID COS^
OP'iIEaahA??.DV. TELEPHO117E iVO. YSC?' IS`t ?
U- 'I
?
TELEPHOA7E :?O. y?1f -4
ADDa2ESS `"1
Note•: Include sita plan, building plans, and eneray calculations with this
applicatioil
Sianed
OFFTCE USE
VAI.URTIOiI Y?' C' ?Q ??sac
MYlER coMscTzo,T
WRTEk METER .
BUILDIDIG PEPMIT FEE
SURCEiAFtGE FLF
PL't1i: CrrCIC rt..:.
PARK DEUICATIMa EEE
OTMR
TOTF>L*
Sao ='
?
a°ZSC? ?
Ij;2C? ?
a?;*?
APPROVAI,S ;
ASSESSr1E.*,7T CLERK BUILDNG DEPT. POLICE DEPT
9AifiR & S+Ti'F1ER DEPT. FIRM_D+PM. PA12IC DEPT.
SE
RJfTP?IOR ENVEI,OPE SPkCE "R1" CO?lPD1`ATIpR
, (To be aubsicted vith building permit •pplication)?
40'
Ow or evo family doelling_.)C_ Umer MQ . E MRai, nA a*- 4-1A c?1
A!1 other • ? ° -
Site Addrese
Coatraceor 'TILSEti 11,?4ES 1qc nere (o. 3-3 Phone
LERAL FT. OF .
QPOSED 1iALL ?S2+?fcL+ 1-'1as+_L_+2A1xI Zo ft. abwe grade- IFLi-7!a fG. r-T..,
7'OTAI. EXPOSED WAI,L AREA SQ, P?.
0lAQUE MALL CONSTRUCTION: "U" qalue X area
..C., x sq. f[. .
P-A`uiC r-QaM i,lni eq. fc. 1 1; x,'l.Ci •
Ntail raference x sq, ft, •
from -0,.x bq. ft. .
Ittaehsd sheece cc,N o ta Rt or "u" '47 x aq, ft,?.
"U" x sq, ft, .
"lt " x sq. ft,
YINDOWS: "U" VAI,UH X SRea W 1 rJ C>UwC) ? Pt\T I U_ : LOE ATf-a EF?-' C..+01 F-LD
?-?x ?? _- - f,.a -44+,
? 61 c, -_?, 1 - 2g.0% eq.ft.
2 @ C -zi - ?xt x4r) ' "z(o.le sq.fc,
? c- 24 -? 4?3b.' j R.n sq. f L.
`2 @ c )-1 _ .1av 3 '14.0 sq.ft.
2 @ n, L-4 . - 2k. x I5, r, aq.ft.
i @ N, N -?-, x T pi. P% _ sq. f t.
2 @ - 37,r I(a' I4.?2 aq.ft,
2A x l(a = _
Yka 6
n t c
7Pe
11 n
E
I U„,53:La
l
4 rrK. 'U .C;!S x sq.
"L" ft. 4
f
.
-
. ,?
L•
rnai.- t
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rorLL (V) (e) vni,ves - . l 3
DIRbZD DT 'lYTTAL WALL ARPA ? a'Ja AVC. "
AT6lAGE "hT" ,17 or leee for 1 6 2 fasily dvelllage
.22 or laee for all other buildiage
AOOF/CEILING:
TOTAL ARPA: _ 1 1 -7 ? sq. ft.
Detail reference •qr??_??? x sq.
frpo • x sq.
atuched shee[s sq.
MscrlbO openin6a iq7t, x oy?
1a roof sq.
ft. - o. o m M
f[. /7, 7
ft,
ft. 40.0 ' '21.0 (9)
TOTALS IR771- tq, ft,_2k ".(9)4
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.10 for ell ocher eonscruction
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2.
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am
If narage "U" value• a• ealeulated abmre do not "et the Snesgy Cod• raqnirssats,,
t6e "Alurnato Envelope Dedgn" as outlined in SBC 6006 (g) wp be used. AdditloMl
shest• my ba usad to show ealeulatlaos.
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:q 2K2--?
2006 RFSIDENTIAI. BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 0 651-675-5675 FAX # 651-675-5694
??•?
New ConsW ction Reauirements RemodellReoair Reauirements
3 registered site surveys shovnng sq. R. of lot, sq. ft of house; and all roofed areas 2 copies of plan showing footings, beams, joistr
(20°k maximum lotcwerage allowetl) 1 setof Energy CalculaAOns for heated additions
2 copies of plan showing bearn & window sizes; pouretl Fountl design, etc. 1 site survey for additions & decks
1 set of Energy Calculafions Addifion -indicafe if on-s%fe sep6c system
3 copies M Tree Preservafion Plan if lot platted after 711193
RimJoistDetailOptionsselecfionsheet (buildingswAh3orlessunits)
Minnegasco mechanical ventilation foim
Date 1`0 /" / 6 ConstructionCosf ?is `aJ3
Site Address L4 2 lpPj N?, Ny,? b 40.?- UniUSte #
Description of Work ? l 0`? i??tv,?J C?7i ? 4_IX ? ST'(? CSn OXl( (?[?
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner --?) Q'C (-QA Z Slt?L,x W\C\ Telephone #&51)?1S O? - I S 7 O?+
RENEWAL BY ANDERSEN " -
Contractor 1920 COIJNTY RD. "C" WEST
aaarem ROSEVILLE, MN 5511$ c'ty
state 651-264-4777 Telephone # ( ) 17rn
LICENSE 420130983 _ ' "'
COMPLETE TNIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Catesorv 1
• Residential Ventilation Category 1 Worksheet
(J submission type) Su6mitted
• Energy Envelope Calculations Submitted
A NEW BUILDING
Minnesota Rules 7672 .
. New Energy Code Worksheet
Subm'rtted -
In The last 12 months, has the City of Eagan issued a permit for a similar plan based on a masier plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephane #(
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 ardinances 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. I
//??[3..CO? %_1ex?SOt? ) 1C1a (?-
y ApplicanPs Printed Name -ApplicanYs Signature
Sub Tvaes
DO NOT WRITE BELOW THIS LINE
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 6ct. Alt - Multi
? 03 01of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 6ct.Ali-SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05. 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38Demollsh Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement `Demolition (Entire 81tlg) - Give PCA handout to applicant
DesCflptlOtl: WaterDamage_Yes
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUII2ED INSPECTIONS
_ Footings (new bldg) Sheetrock
_ Footings(deck) FinaUC.O.
_ Footings (addition) FinaUNo C.O.
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ioe & Water _ Final _ Pool Ftgs Air/Gas Tests Final
_ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick
_ Fireplace _ R.I. _ Air Test _ Fina1 Windows
_ 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
Building Inspector
??.?e.m.,•.e, i?.cv zc.o? rny tOd 0It -g408 1(?+IYF?IThU`43L°'@lYUti[(`?j?t .
?? ?? .??• - . . .
runn 7, af Eapn 3836 PiIof Kaoti Road - '
Fage.n, MN 55122 . To W6om It May Cottcern:
EIder7ones is an@ia&,ea topttU b
:luiIdi?t
dcr Iones to b Pennits forRenetixa3 by
Plide ft scivicc for us in FAgan, MR Aadezsan Ptease alIaw date bcyond 61610Z: ?atizetirm is vaiid for eny
. until
-
to the Ctty a?'enewal bY Aud,esan manapar ?Y revokes ft ia witt?ng
I request this antfioxizatian be a?ed-e?cpedifl ousl , , ..
our baild'utg Pcmuts anY fuzther. EFcasc cari m? if thc? ?ttot delay in the proCr,ssistg pf
t conh? at 763-SUZ-47Q6 .. °AY 4ueWona,_ I can Ua
Y6riC ltrinIPMgte attmLi012 tA f$fS IIlfltIC1' ?R @ a • -
BtCf?.
Sinociely, ..
Ymond"R &-
adon Managcr
Renowa] byAncl=en CurPoratice
t'.c.: KRrn-Flder Snnea .
QF
s M" ?
__ . _. ...-- ------ --. _ --- ? - --
<,?, ? -•:
f¢tuu
Received 1IM'
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4268 Nybro Lane N
Lot: 11 Block: 2
PID:10- 84355- 110 -02
Use:
Description:
Sub Type: e - Furnace
Work Type: Replacement
Description: Furnace
Comments:
Fee Summary:
Contractor:
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460 -6022 X253
Addition: Wildemess Run 6th
4/30/08 Notification letter sent regarding expired permit pf
Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Elec
952- 445 -2840
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
$50.50
Owner:
Darrell W Isebrand
4268 Nybro Lane N
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4088
$0.50 9001.2195
Issued By: Signature
Mechanical
EA080323
10/09/2007
ePermit
cal Inspector,
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
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Use BLUE or BLACK Ink
r
For Office Use
Permit City of Enan
uPermit Fee: lL
3830 Pilot Knob Road I I
Eagan MN 55122 ; Date Received: ;
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 i Staff:
2413 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address:
/ j Unit
~,grre / ~131~~ Phone:
Name:
Resident/
)XV
2_9
Owner Address /City /Zip:
Applicant is: Owner Contractor
i
Type of Work Description of work:
Construction Cost: O 4 Multi-Family Building: (Yes / No
Company: l S uS S e ll Ri /c/ Cam-- Contact: / ~ y 5_S
Address: ~7 n i-~~/A PIxz- r-- W City: 15;`~1 /41
Contractor o,
t State: AWIV Zip: 5 l ~C~ Phone: t Yol- -7
i
I
s I License a 2 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 permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that 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.-qopherstateonecall.ora
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.
XU~S x
Applicant's Printed Name Applicant's Signature
Page 1 of 3