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4555 Oak Chase CirEAGAN 7? 4555 Oak Chase Circle state Eagan, MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREETRESTOR. 1$()$.67 C006625 0-15-79 GRADING SANSEW TRUNK 210.22 10.51 ZQ SEWERLATERAL 1974 106.43 7.10 15 63.89 A007245 12-21-78 Lateral dSFd 1974 279.51 18.63 15 167.73 A007245 12-21-78 WATERMAIN WATERLATERAL 1972 573.69 38.25 15 267.77 A007245 12-21-79 WATER AREA 1977 36.92 2.46 15 29.54 A007245 12-21-78 +? "" 3306.51 C006625 10-15-79 STORM 5EW T 1972 *STORM SEW CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 75.00 15174 7-18-79 WATER CONN. BUILDING PER. SAC -IS- 9 PARK ., CITY OF EAGAN Remarks ? y? -`-^-++' - ? ' ? :}' • - ??` - =? *. - Addition nAx r.HaSF 4TN Lot 5Blk ? Parcel lO 53503 050 O1 owner Street 4555 Oak Chase Circle State E2.g3ri, rN 55123 -- Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, STREET RESTOR. GRADING SAN SEW TRUNK . 12-27-78 SEWER LATERAL 4146 1979 743-04 24 - 30 . - - 274.74 A007246 - - WATERMAIN WATER LATERAL WATER AREA 7$3 A007246 STORM SEW TRK t 1979 STORM SEW LAT CURB & GUTTER SIDEWALK 57REET LIGHT WATER CONN. BUILDING PER. SAC PARK ? CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 / ? _.. ? RCGEIVED/'r , r _ . . . . ? ./ . FROM . ? AMOUNT $ a ooLLwes loo Q.CASH Q CHECK . ` -- . ?'_. ? 1 • ._- _ ? `•? - r . .- ? ?,= ?_ -?%? • ' a.k<_._ - FUND CODE AMOUNT . `/ ,_ i• ??% _ • / .'?-?,:f ' ' / .. .. ./ .?: ? ./ . ? ?+ y ?• Thank You BY 15174 ? J ? White-Payers CopY Yellow-Posting Copy Pink-File Copy ' BUILDING PERMIT r- &- ....a s.,. Site Address CITY OF EAGAN 3795 Pllat Knob Rood Eagae, MN 33122 PHONE: 434-8100 Reteipt # Lot Block Sec/Sub. Paroel # a: Nome W ' 3 Address o z? V? ? Address 5w r:.., m ,...,. N2 5312 UW Nome - ?? Address Erect ? Occupancy Alter ? Zoning Repoir ? Fire Zone Enlorge ? Type of Const. Move ? .# Stories Demolish ? Front ft. Grade ? Depth ft. Approvol: Fees Assessment - Wuter & Sew. Pol ice Fi re Eng. Planner Council Permit Surcharge Plon check SAC Water Conn. Woter Meter I hereby ocknowledge thot I have reod this upplication and stote that gldg. Off. ihe information is correct and agree to comply with all applicoble State of Minnesota Statutes and Ciry of Eagan Ordirwnces. APC Totol b? Signature of Permittee A Building Permit is issued to: on the sxpress condition thct oll work shall be done in accordonte with oll opplicable Stote of Minnesota Statutes and City of Eagan O?dinonces. Building Officiol PwwiR ? Dah Ioued Pa"M1w Plumbin9 'R--),K--79 hbl?1F?SGN PI8(, to- Mechanical ' b ?- Z --7 C `Sq a- t Z ? Z 3--79 ?-t- I 5L?6a, S ? 13- 4 ? INSPECTIONS DATE INSP. Rouph-In Fino1 Footings Dute Insp. Date IMp: Foundotion Plumbing $ 7$' tj-? Frame/ins. Mechoniml Final Remorks: ?- EAGAN SEWER SERVICE PERMIT . rtlot Knob Road PERMlT NQ.: eagan, MN 55122 DATE: Zoning: No. af Units: Owner: Address: Site Address: Plumber: 1 agree to eamply wit6 the City of Eagan Connection Chorge: - Ordinances. Account Deposit: Permit Fee: Surcharge: - BY Misc. Charges: Date of Insp.; Totol: Insp.: - Date Paid: Jot Knob Roud PERMIT Na.: .agan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: 5ite Address: Plumber: _ Meter No.: Connection Charge: Size: _ A a t D it cc un epos : Reader No.; Permit Fee: I agree to comply wilh the City of Eogon Surchorge: Ordinonees, Misc. Charges: Totai: BY Dute Paid: Date of Insp.: insD.: CITY OF EAGAN 3795 Pilot Knob Road Eogan, Minnesota $5122 Phone: 454-8100 H=IIc Date: sepcembor zs, 1979 PERMIT Site Address: 4555 Oac Ch88e CirC1C Lot 5 Block I Sub/Sec. nC 4Ch _ Nome L' . Ta?E?d e Address ? City Phone: Name "•itcheZl Heatin?? iQ 4 ? Address 1279 Pa911e Ave :tFe 0 ? - Paul 55 I`? 1 City • '• _ Phone: This Permit is issued on the express condition ihat all work sholl be Minnesota Statutes and City of Eogon Ordinonces. COH=?ICIN AIF BIs'QLTIRED No. 1568 16085 Receipt No.: Single I Residential ? x Multi Res., Comm./Ind. I New/Alter./Repoir new Cost of Installation Permit Fee 20' () 0 Surcharge Totul `i • 5 done in accordance with all applicable Stete of Building Officiol . . P'I?I2?'s Date: _ Site Address: 4555 Oaik Cha.qe Circl,e , Lot Block 1 _ Sub/Sec. Oak: CYiage 4th ,F d3^ Receipt No.: Single I _ Residentiol Multi Res., Comm./Ind. I Name 'W-rrarm J. . i 17F cchlptt'i S+-cept 3 Address )I.'." =t"3 ?'-as ° Paul Sr City Phone: 'rs;?')9C3T: FI?, ?•-.U. T' _. Name . P Address c o V ' . 'P ;. City _ Phone: This Permit is issued on the express condition that all work sholl be Minnesota Statutes and City of Eogon Ordinances. CITY OF EAGAN 3795 Pilot Knob Road Eagon, Minnesota 55122 Phone: 454-8100 PERMIT No. :1.A?23 New/Alter./Repoir. Cost of Instailation Permit Fee 7n Surcharge ?...r. Totul done in uccordnnCe with all applicable State of Officiol ?,% To be used for House Site Address 4555 Oak Chase Circle Lot 5 Block 1 Sec./Sub. 4th addition Parcel lF Oak Chase -/d ??SCc3 G?SO Cl! Owner: Terrance J. Toomey Address: 1276 Schletti Street _ St, Paul, TMI 55117 _ Phone 0: Pes' 488-9700 Buso 473-1546 Contractor: Self Address: Phone 11: Arch/Eng.: Gene Lange Designs Address: 1101 Sibley Mem Hwy Mendota Hei2hts MN Phone li: 45471819 CITY OF EAGANe4/s'?^ • , BUILDING PERMIT APPLICATION Valuation -1w=B9f}:00 Date _ -f , Include 2 sets of plans, 1 site plan w/elevat 5 1 set of ener culati OFFICE Erect X" Occupancy i Alter Zoning ? Repair Fire Zone Enlarge Type of Const. ' Move 0 Stories Demolish Front ft. Grade Depth ft. Approvals Fees Assessment Permit Water/Sewer Surcharge ?r - Police Plan Check ? - Fire SAC ''- Eng. Water Conn. 1 . Planner Water Meter i ?. = Council Road Unit i'. ? Bldg. Off. TOTAL_Fr-1 ? • 6puCt--) Plwnber--O.B. ThOmpSOn Electric--Star E:ccavation--William Kranz Masonary--Heinlein Inc. CITY OF EAGAN 3795 Pilot Kne6 Road Eagon, MN 55122 PHONE: 4548700 BUILDING PERMIT APPLICATION For SF Dwlg & GarageEn. Value 96, 000. N? 5312 Receipt # ?S / -7 4 _ Site Address 4555 Oak Chase Circle E,ect Mo Occuvancr R3 Lot 5 Block 1 Sec/Sub.Oak Chase 4th Addn. Alter ? Zonirg EState Zoning Parcel # 10 53503 050 01 Repoir ? Fire Zone 3 Enlarge ? Type of Const. v - rc Nume Terrance J. Toormv Move ? #$tories Z Addre 1Z7( SCY1l0tYl St.Tee't Demolish ? Front 7318" ff. ? ss Cit St. Paul 55117phone 473-1546 Gmde ? Depth 36 ft. ? S. Aporovals Feea p Name 06 Address Name Gene Lan4e Desians Address 1101 Sibley Men. Eiwv I hereby acknowledge that I have reod this appli< the Informntion is mrre<t and agree to wmply State of Minnesota Stotutes,and City of Eagon Signature of Permittee? K A Building Permit is issued to: - all work sholl be done in accordance and state that all applicable Assessment - Water & Sew. Police - Fire Eng. Plonner _ Counc(I _ Bldg. Off. _ APC Permit "' • "Y Surchorge 48.00 Plan check 104.75 SAC 525.00 Woter Conn. 270•00 . Water Meter 60.00 Road Unit 75.00 roral 1,29 ?25 J. TOM-ey- on the express condition that nble Stote of Minnesota Stotutes ond City of Eognn Ordirances. Building Officiui Minnesota State Board of Electricity 1954 llniversity Ave., St. Paul, Minn.,65104-Phone 645•7703 - REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REOUEST / Sa a 7 R 85921 Type of 8uilding New Add. Rep. Check Appliances W'ved For Check Fquipment Wirod Eoi Home ? ? ? Range ? Temporary Wiring ? Duplex ? ? 0 Water Heatec ? Lighting ri?ctures ? Apt. Bldg. ? ? ? Dryer ? Electric Heating ? Commercial Bldg. ? ? ? Fumace ? Silo Unloader ? Industrial Bldg. ? ? 0 Au Conditionei ? Bulk Milk Tank ? Farm ? ? 0 List ) Lis[ Other ? ? ? p y Hetets) p Hereers? COMPUTE INSPECTION FEE BELOW ?/YJ p,2/???,U OC ? Se"ice Enhance Size: # Fee Feeders&Subfceders: # Fee Cucuits: # Fee 0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eres ]Ol to 200 Am s. Above 200_Amps. 31 Ab A es p 31 to 100 Am tes Above 100 Amps. Transformers Re ' teC ' 7 Partialoiothe?fee ?S Signs Sp In ctio ' Minimum (ee Remazks TOTALF E 1, the Electncal Inspector, hereby certify that the above inspection has been ma-je. (Rough-in) , Date (Final) ? ?5`'e ?J . -??. This request void 18 months trom This requesl void 18 months from r / ..5" a ° 7 'R A5991 DatILicensed this Request ?- ?(p -?J 7 I, aElectrical Contractor ? Owner, do hereby request inspection of the above electri- cal g installed at: L C? 81 ??? bTuv- /,?-tj-,LA -it Street Address or Route No. .SJ"J e/5y?? et-?S ct, City &!?!?Xx/ Section Township Range County 1k-,90 Which is occupied by Is a roughin inspection required on this job? No ? Yes/)f Ready Now ? Wil] CalllK Power Supplier Aod,(I0773 dn/ Address Electrical Contractor S1-191C el?iEGw/ Contractor's License No Kv# Mailing Address Authorized G U[J'lY Pi LS 00ARD .?"? ?xo. 3?0 kl s 1 5 ail tlon??"? ? This inspectian raquest will not be accepted by thb'S SWte Board unless proper inspection fee is enelosed. Minnesota State Board of Electricity ,1854 University Ave., St, Paul, Minw. 55104-Phone 645•7703 REQUEST FOR ELECTRICALINSPECTION CHECK BELOW WOAK COVERED BY THIS REOUEST R 85948 'fype of BuAding New Add. Rep. Check Appliances W'ved For Checlc Fquipment Wued For Home ? ? Range Temporary Wiring ? Duplex ? ? ? Watet Heatet ? Lighting Pix[u[es Apt. Bldg. ? ? ? Dryec ? EtecVic Heating ? Commercial Bidg. ? ? ? Fumace Silo Unloader ? Industrial Bidg. ? ? ? Air Condi ' nec V Bulk Milk Tank ? Fazm ? ? ? List List Othez ? ? ? p Heie's? ?ehets? COMPUTEINSPECTION FEE BELOW j Service Enhance Size: x Fce Fceders&Subfeeders: # Fee Circuits: # Fee 0 to ] 00 Am s. 0 Am es 0 to 30 Am eres . U 101 to 200 Am s. 31 res r, 31 to 100 Am etes , rro Above 200 Amps. A " 0 Above 100 Amps. Transformers R ote uol' Partialorotherfee Si ns Special lns c[ion Min'vnum fee E5.00 Remarks TOTAL FEE A 29 I, the Electrical Inspector, hereby cer,tf?iat a pre Inspe tion has been made ?.Od (Rough-in) (/s.1. .. < Date - Q- (Final) Date?? This request void 18 months from This re.guest void 18 months from Date o this Request I, as Licensed Electrical ( cal ring installed at: Street Address or Route No Section Township_ Which is oceupied by S-ro-?9 'R 85948 :ontractor ? Ownei, do hereby request inspection oC the above electri- L,5 f31 ?s.SS /??K l'f//??sF, G [ . c?cy •?a? Range CountyJ#k-07?? Is a roughin inspection required on this job? No ? Power Supplier Electrical Ready Now ? Will CallX Contractor's License Mailing Addre L ? & ' (E 'dcal Con actor spo ng Thls yl 'tall lon Authonzed Signature 11,4 77 e No. v????? ???? This inspectianrequest will not he accepted hy the State Baerd unless proper inspeetion fee is enclosad. 1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL) lJJ CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-881-4675 New Conshuc}lon Reauiremenh Remodel/Reoah Reauirements ? 3 regfsfered sHe sunays showing sq. X. of bt, sq. M. of house 2 coples ot plan and go roofed areaa (20% maxlmum lot eoveraae allowed) 1 set of energy cakulatione for heafe ? 2 coples of plans (show beam R window sizeo; poured Ind. design; efc.) 1 sfle survey lor exterbr addMions 3 ? 7 set of energy caleulatlons ? 3 copies ol hee preservaHon plan iF lot platted after 7/1 /93 DATE: CONSTRUCTION COST: ? 9S DESCRIPTION OP WORK: PIC) v'? _9? d addiNons decks STREET ADDRESS: °t .»-3 o N- "- LOT: ? BLOCK: ` SUBD./P.I.D. .1u ? 665 ') - ?( Name: d?lJ Phone 451 7I7 PROPERTY °'t T Firrt OWNER Street Address: Q SS S G?`? ?AA? '_)'L City E"C-6rj State: {M? Zlp: Company: V"rS?R? ?- ?PPLy Phone#: ?I L s41-o3U?( (area eode) CONTRACTOR Sheet Address: ? 0's License # o ExP. 00 Ciiy -PL`jUu-c?jT4 State: VAtJ ARCHITECT/ ENGINEER Company: Name: Telephone #: area code ( Zip: SS-4 `(l Sheet Address: Regishation #: City Sewer & water Ilcensed plumber (reaulred for new conshucflon onN): State: Penaiy applies when address change and lof change Is requested once permff Is Issued. Zip: I hereby acknowledge thal I have read fhis appllcaNon, sfate that the iniormallon Is conect, and agree to comply wiFh a0 appUcabl Stafe of Mlnnesata Stafutes and Clfy of Eagan Ordlnances. Signature of Applicant: 1?, c OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received - Yes - No - Not Required r CITY USE ONLY LOT li5 BL I RECEIPT #: SUBD. O G-L CjkCI.1?L_C ?4 `? RECEIPT DATE: MECI-IANICAL PERMTT # 4?0 1999 MECHMicAL PEtasrr (REstnExrrAL) crrY oF EteAv S$SO PD.OT 1{1908 RD $i4HRN E1N 55129 ??_ ? Date:? - , ? (B51) 6$1?4675 Complete this section onlv if you aze installing HVAC in a single, family dwelling, townhome or condo under construction and not owner /occ2!o±ed. , • HVP.C: G-lOU TvI B 1 U ADDTITONAL 50 M BTU • Gas outlets (minimum of one required @$3.00 ea.) State Surchazge Total Complete this secrion onfv if you are remodeling, adding to, or repairing townhome, or condo. Please indicate if it ' new item, alterarion, or repair. New Alteration Repair Remrnder: Ca11681-4675forinspecrions. V Furnace _ Air exchanger ? 30.00 6.00 .50 $ an existing single family dwelling, _ Other Air conditioning Other $ 30.00 State Surcharge .50 Minunum Total Due $ 30.50 SITE ADDRESS: OWNERNAME: GljI /V?4`C' PxorrE#: /?-111 -,-9 7y7 INSTALLER NAME: ' -x ' ?z'? ^ _? a ? C .!?,t Z?`D'f}//Y-'r1J C?li? (AREA CO? DF?) ?' PHONE #: /A (AREA CODE) STREET ADDRESS: qTyv l)'e - CITY: _ STATE: iC.1 r ZIP: &?_z S SIGgATUkt O ERMITTEE BEA9LOMOUIST THOMASHEDGES MAYOR - " fCIIY >OMiNiSiRAIOR TMOMAS EGAH AGAN EUGENE VAN OVERBEKE CITY CIEPN CITY OF MARK PARRANTO {i. JAMES A. SMITH " THEODOREwqCMTER .,? 348SPILOT KNOB ROAD$ fAUNtiLMEMBEnS ?? EAGAN.MWNESOTA ? . ? t !. 3712Y -Yr? . INONE 6344100 ` `? Septerrber 11. 1981 •,?,? , fr ? \l? 4. Y ( - ? ? ? ? l f ? . ?a..,.? MR 'P£RRANCE TOU4EY ? _ ? . 4555 OAK QWE CIRCLE EAGAN PMI 55123 ,_ Re: Drainage Pmblen = Lot _ ---- - - ti 5, Block 1, Oak Chase 4th Additian _ , _ Lot 6, Block 1, Oak Chase 4th Addition Dear D4r. Zbarey: Recp-ntly, you cuntacted the City reoarding your mncern of surfaoe water nmoff as it affects your oronerty (Lot 5) resulting frcri the recent oonstruction of Lot 6 adjacent to and south of your nroperty. During past discussions and meetings with you, Ian familiar as to the preventive rtasure take-i by you to insure ademiate drainage during the corystruction of your dwelling imit on Lot 5. Last week, I in- spected the drainage problem that you referxed to eazlier. Our field investigation revealed that during,the construction of Ipt 6 that the natural drainaae pattern has been artificiallyaltered during the oonstnction of the dwellinq wv.t of Lot 6 ad- jacent ta your property. This has resulted in exoessive nmoff beinq directed cmto Your ProPertY which presently creates a problen. Conseo,uently, your drainage pro- blens are a direct result di the oonstruction activity of your next door neighbor. As such. Your best recourse to oorrect this pmhlan would be to deal directly wi.th your neighbor to have this issue resolved. If you are Lmable to satisfactorily resolve this prnblan afber disect Wntact with your neichbor, an aiternative would be to petition the.City for a foxiral stoxn sesrer imrovenent along your curnmn lot line within the presently dedicated 10' drainage and utility easenent. 2his netiticn request could result in Lhe installa- tion of a stosl sciaer systat along your amen lot line to resolve the problan. All msts associatecl with this c,ork would te assessed ernmlly to Lot 5 and Iot 6. After reviewing the site, several larre my-ture trees would have-to be ranoved along this lot line for this stonn sewer systan to be installed. In additicn, additional ta*r porary mnstruction easerients would have to be dedicated bv both property cxwmers to allaa this to occur. Because of the tine frare and wsts involved and adverse ir,r pact to thE wooded lots for this City action, it should cnly be used as an absolute last resort to resolve the pmbleri. Therefore, we strongly urge you tA work closelv with your neiahbor to resolve this probler.i. I am sure t2iat ance you explain the ad- verse irpaact his actions have createci, that a satisfactoxy resolution tn your pro- blem can be abtained. ?7 S' e ? ?r._«_.,,e,? ? ? :':. ?as A. CoLSert, P. • Director of Public Fbrks TAC/jac -- - - - - --- ec-- Dale Peterson., Chief SuilBing Official: THE LONE OAK TREE ... TME SYMBOL OF STRENGTM AND GROWTH IN.OUR COMMUNI7Y. J - MEMO T0: FROM: DATE: SUB,TECT: HONORABLE MAYOR BLOMQUIST CITY ADMINISTRATOR HEDGES OCTOBER 20, 1981 ITEMS RELATING TO 10-20-81 CITY COUNCIL MEETING & MISCELLANEOUS City-Council Items for 10-20-81 Meeting Pine Bend Development Gompany Mr. Astleford is connected with the Pine Bend Refinery/Land Fi11 located in the City of Inver Grove Heights. Lone 0ak Heights Addition There are no variances to be considered for the Lone Oak Heights Addition due to the revisions. Apparently, it was zoned in 1974/ 1975. This is being researched by this office. A letter was re- ceived today from Fran Winkle, President of Timberline Civic Asso- ciation concerning the proposed Lone Oak Heights plat. i Mechanical Amusement Devices/Silver 13e11 Center Reauest I have spoken with the Attorney's office and they have addressed in a memo to this office an attempt to clarify Ordinance 73 regarding the intent of the Ordinance to allow minors to use mechanical amusement devices if not accompanied by a parent or guardian. The City Attorney wi11 be prepared to address this issue if questioned by the attorney representing the applicant. Miscellaneous rTerry Toomey at 4555 0ak Chase Gircle; o c, I did speak with Tom Colbert regarding the storm water problem Mr. Toomey is experiencing on the south side of his property. T. C. stated that he worked very closely with Mr. Toomey in designing the underground pipe, retaining wall and other corrective- measures he performed to allow proper surface water drainage on' his property. Since these corrective measures, the house directly to the south developed by Countryside Builders has built a retaining wall with a walkway on the west side of their property which is causing surface water to drain on to Mr. Toomey's property causing surface water problems to his property. This matter has been turned over to the Chief Building Inspector who wi11 attempt to resolve the problem with the adjacent property owner. Mr. Peterson will be in touch with Mr. Toomey once corrective action has been taken by the adjacent property owner. )3, P. / • Mayor Memo October 20, 1981 Page Two Gerald Jorgenson at 4479 Oak Chase Lane T. C. is researching this issue with DNR to determine what action has been taken to correct the removal of fi11 in the regulated pond adjacent to the Roger Martin residence. As soon as T. C. receives an answer from DNR, I will relate this information to you. Tony Lancetti I spoke with Ken Vraa and he has been meeting with Mr. Lancetti regarding the scheduling of rinks and apparently Mr. Lancetti was to propose an alternative for scheduling that would be most benefi- cial to the hockey association for Ken's review. This information has not been received to date; however, Ken wi11 contact Mr. Lan- cetti. Bur Oak Pond . T. C. indicated that the ponds are being drained approximatelyi two feet lower than the control level so the lift station can be{ constructed for that storm sewer outlet project. Once the lift station is constructed, the pond will be raised back to the control- Led level as determined by DNR. T. C. is researching the status of a petition to change the 1eve1 and will report baclc to me and this information will be provided to you. Ken Vraa stated that the maintenance crew carried approximately one half a truck load of trash from Bur Oak Park last week, removed dead trees on 10- 19-81 and apparently could not remove barrels from the pond area due to present ground saturation. In a few days when the groundi is dry enough, the crews will remove the barrels and other debris around the pond and in the confines of the park area. i Signs at Oak Chase Park Ken stated he would personally remove the signs if they are still present at Oak Chase Park. F1aQ at Cedar Pond The flag and light were installed at Cedar Pond and should be in operation tonight. cv\?Q ?,1 0-., R ity A ministrator .. . ? ! _ ??-- _ - ? , ;/? I , ?? -?-???? - ' J? ? \\, ?? `` ? SCi11c-tU1 StY'c;3t • ?5:. °zU] , P•;n. 51?11 7 DELMAR H. SCHWANZ WNDSURVEVOR Rpiriara0 UnOa Lawf OI TNS $lsls OI MlnMfota 7878 - 146TH STNEET W. - BOX M ROSEMOUNT. MINNESOTA 65088 SURVEVOR'S CERTtFICATE - ?- ? 6 56 E ? I Urainabe 5c utility eaac3xient W I N a I LOT 0 O N rn ti I ? _ I I ? ? 2 \ 5 ? ? N ? , \ ? ?? 1\ ? .` ? , - R= 60.00 n?50? 19 GNPg? OP,V? Jj' PHONE !tY 12!61789 ?CAyL: ]. _.ttc;: '.' .I.Y. c Dpnot^a ir,n ccrtify >i:_c I hCrahY \ and corect r?prc-ent?iicr, ot' a <^ ., : r of the ou ndr_riaa of.: ? 2,ot 5, 51ock 7. , qia ?. L"r.11 [ i'.. .., : AADITYtii:, 3CCoT?iL:tL; t? i,t:c r?: ?•?r>;:'_i? plat therouf, Dl'v)ta C )?irit,??. \ 4:inneaot:.. \ Ac c?urvc;/ec+. l:y t.c: thi; c 1 day of Jiil,y, \ N aC, 0 \ a..1 ? \ Nc F \ \ K \flJb? . / l41lNNE50TA REGISTRATION N0.8625 e Timberland Development Corporation Architectural CommitCee The Woocls, Route #1 Rosemount, Minnesota 55068 Telephone:423-2991 ertaNcc o? a ?.twNL) ?mo?cv Ref. Single Family Dwelling Plans & Specificati.ons for Construction at: 4?TI` R.7'?i ?-o ? 5i f?l1c 1 The Architectural Commi.ttee as assigned by Timberland Development Corporation, and with authority to act by r,urrently filed restrictions and covenents, has re- viewed the dwelling plans for the referenced development addition, block and lot. The plans as submitted portray the dwelling to in mMC accordance with said restrictions and covenants. This document as signed hereby acknowiedges reeeipt and review of plans and ascertains that construction in accordance with those plans may commence. M. Frisbee - Chairman ?ctura 1 Committee 1Giq Date T111?3 FORM SAA:.L BE F..:r= b1i't'u". £'"r.t";MIi 'APDISCA2I'.11 04l=P: SZi'E Ar COHfiRACfOR D?.TE J7- 51-2 91 PEONE ?Determine vorking sr,uare footage nf each item belov as chown on r"7. evations. 1. Total exposed xall asea....... 6?7q. £t. x •1 . (From grade ±o ceiling litte) ?. .Oy 2. ".'otal ceiiing area............Q sq. ft. s (IIse only if Fian sliows ven*ed reo. See fig. #5 3. Total roof area .............. e eq. ft. z .IO (IIse only if plnn shows ncr-vented roo. .) g8e Fig, #5 e` For comna.rsion of tatale tran<i'er en&vers f'rnm above to gage 2 at botter; aad insert in sFaces e.arket Item # 1 0: Item* 2or 3 Go to wark sneet # 1 for next step.:,........ # 4 a: Total wall xindow nrer,...... ......_ rs?z??_?Q sa. f±. a-1 val7. window arPn ..................... sa. t't. a-2 wall window area ....................... sa. ft. b. Total door area.........c .................... zso =sq. ft. ,. b-1 door area .............................. eq. ft. c. Total Elidir.g or natio 8oor area ............. ea. f_. d. Total fireplace arer, (vall)............... ... S!] Eq- =?• ?.?. ?t. , e. Tota1 vall framing area (average 10"?).......... e-1 wall franing area ...................... sq. ft. f. Tota1 net wall area above floor .............. .? eq. ft. f-1 net wa12 area aoove floor .............. sc. ft. f-2 net wall nr.ea abeve floor .............. ca. ft. f-3 net wa11 area abeve £:i.eer ............... sa. ft.- f-4 net wail area above floor .............. C-4• ==. f-5 net wall area aeove flcor .............. sq. ft. g. Total rim joist area .......................... ,?7a QQ sq. ft. g-1 rid joist area ......................... , sa. ft. Above items a thrl g should edd up in s;, footage to toic+l wall area sh rn.•n in r2 acove. ? 5 motul er,osed foundatien area= 1 ,/ sa, ft. (':`t:is will included areas around uin o.?B , etc. + h. Total fo:ndation v:indoai area................. 30 eq. Fc. i. Total foundation doo° nres .................. ? sa."St: j. Total net foundat:ou a-rea .................... so, ft. ( h, i. &J, a6ove should equa] ,'j5 Teta_lr,.) T2anefer Lota1 sq. footaRe iron: N4 nnd to matching 14-nea on page 2 and comcut? Average "?i" as shown. EXTEFtIOR 'e24VF.LO°s AVER4CiE "°D" CO1".FQ`:ATiOPI5 pagn t. ? F:om the varioue vall sectious r,hovn on attacn>d suee?e compute the R valuea of each epvcific and varied type of cone:*ructiou as ehown uL qoi:r nlans, i`hen computa "II" value e.nd irans.°er that neuc9er to the spsces below and cor,rpute the averagee. T1EM+MINE THE AVERAGE 'R;'s FOR e.NCA SEPERATE DIFFFR.4N; WALL SECTION (A) ?' 7?lOD x trt'aT _ Y///S. X. )( mur. {b} X rr?r. (b-s) x ?v=, _ (b-2 ) X ITU'? !C> x ni, x _ «rT _ tc-27 x "U" _ -? (d) S"7. S"O X is ?,,; i ?? - --?-??-? (e) a?y .a x „[I r, -"-- X ,ful, _ ( e-7 ) -K „T,,, le-3) X +*0'= _ {f -?.} / p \ 1 -[ ? X fr-3) x I,,1rI _ 4 r-5 ( 6) 7to:..?`3 _ iC ) x vQlf ( g_2 ) x „j„ -- - (h) X nu,l iii-1 I rruef --- Cb-2)-_-_ - - X itII,t'--.. - {iJ --- x (i-? ) - ? ) t ? n « „--? # 11 ••••••.,•••••••• ................. .....Total rill ansvers above.o.. If Item {r' 11 abova is the axme as, or 7 ece t11an Ttem //1 you have met the intent of SBC fiC06 {c) ;), Proceed tn next comvutation - ? Compute :oof or ceiliag area on vork shaet {J 3 then compute 'R1" from figuree #+, 5, & or E Fage # 4 of. }andnnt and tran-nfer tn tabl.es below, to determine averages as shown. ? X 3o-S(? X x flT;r, _ ?t iz ..... . . ............o..... .. , ...... _ ?Z? . If total. of # 12 above is the rz,me as, or lecE thsn #2 on page 1, pou have met the intent vf SBC 6006 (c)1. 3'o utilize the total enveione system mr_thod, the values eEtablEshed by the sum of items ?11 &# 12 ITF:M # 1 shal11 aot be greater t,hcit the sum of it 7Y4? .0 M_ Ii'k}t yy : ??. 3.4`= em, z1„??,.Fl?' oF.,fl3. _.Che,ck._helnw._;:?,? W7.61 $??? S5 ITEh1 # _.. i . 7 S3 - _? ?....+_: -:,,..?. _ _ . . r 4 ..r ?..--.s._r.?? -r-•r. ' -w.:.. ,. . . ...:o-.. _ ; Y= sMW # 3 SEaI.t sE REfoRNED vlTfi flGMED YAI.L SECTlONS:..... brterior air film .17 ?idi?" '1 r Sheathing 2 . ? ?,? ia Insulation ? Interior Finieh ? ? Q??5^ Interior 'Finieh ? 2 7nteriar Air f+7m -? - -- Total R A?-CP ? nQn - ? ? ??? ; ..,?., r . , I 6 .. . .. ?n Shea`LLLng •1/ •68 Total R erQn Ekterior air Film .17 Sidin¢ ? Sheath3na ° Tnaulatien ? Tn*arinr Finiqh 7 Iaterior Ai: film .68 Total R "Jn UiMll( SHEET # 3 SAaid, sE RE'rQlttM vITft nPPLiCASSON YRAlO VAI.L SECnONS:..... , . FScterior air film Sidi --?---., Sheathinq ? Ineulation ? Interior Finieh ? Zaterior Finieh ? sIItEriorAir film Total R • "Un _ Ezterior air film .17 Sheathing 771- Total R ? EScterior air Film Sidina ? shea -hing ? Snsulwtim ? .68 .19 Interior Air film ,6$ Total R / nQn ` W'M S?T # 4 MOST HE REIRRNID WITH APPISCATION - 1. Interior air film, 0.61 (k) - 2. Interior eeiling. ? ?R6c`/? • 3. Insulation ? 77?. •4. Exterior air film 0.61 total II _ 1/R frQu Heat ilov ap ? i p PeAI em Total ceiling framing area, 7_ Snkerior air film IIae this framiag schednle for which- ever ceiling or roof 5detail you use. J L ??V r;d:??? ? I 1 ? Heat ilow up L FiB. # 5 Fig. # 6 r{ ? ! nr?rr!rlrrnr![ _...- I1 LI (k) 2, Interior ceiling ? 3. Insulation ? 4 . ??g ? ?? r??t: a ? ?d 5. . E:terior air film 0.61 Total II _ ? . 1 /R ? 1. Interior air film4 0.61-27-T 2, Interior ceilina ? 3, Insulation ? 4. F3cterior air film. 0.61 Total Q _ 1/R nun _ ? 1. Interior air film. 0.61 F (m) z. Tntarinr finiah 1 3. Roof insuiation ? • k• ' _ 5. Outside air film. 0.17 Total II _ ,/R Transfcr gour II values to page 2.. Comuute eauare footage and comnute totals in bin.n::s carkod k, 1t & er m. P, Aeat flow up ' ~ ~ , F ~ ~ ~ ~ ~ \ ~ ,::a ~ \ ~ \ W 1 A_ S w .G ~ C} ^ l ~ ~ ~ ~ _ . , ~ ~ ~ ~ ~ ~ ~ ~ ~ ` 1 „a~- _ ~~:!i"-..,.:, . +%e::'~ ~ ~~m"~~ ~ ~ ~ ~ ~ ~9 . . ~ ~'"^d~ryM . . @ ~ ' ~ : 7~ d ~ ~ .~~"~°r ~ ~ ~ ~ A € T gi t ~ ~ . . . . . . . . . ~..~°~...o.,..»~...« ..,-+,...~...,eu.a.+. ~+aaseu~ _-~~,.:f: -a-..:s..~.~~ . . . n.~. ~ .:~h'~ ~ . ~ e i ~ .n.vtia.i~.a~~w~.~..,M, .~.w~ . .mam~mc. . . 6 Q. ~ ° ~ g ~ . ~ , ~ , ~ ~ 1 lk~ 4 2 00 •+ 259•60 * 32•(lj + ?•66 + . ' c 2w•oo + , 3600 ? 4•33 + 3000 + 37,00 + I 6*00 94099 R 1 U•17 + c , 0•15 + _ _ :- Q•78 + 3? QO ' + 13000 + 23•00 + : 0? * 4 5 ? + ? 5 5 • 00 0.68 + 32•00 + I80*04 + (. 15•23 ?? 2,6b + ?'?? ? ? + 74 •00 + 10000 15-23 : ?+•33 ` ? 35•32 ? 0 •0 s L* 32•00 ; 10.00 * :. 6 x 94 '99 * 242•32 3•I4 94•93 ? 3.5 ? 18-84 L * , 2 j 6•66 ? . 0.?,,? ?. ?i184•7'7 ? ? £* 2 3•3.I ? . .. 0,45 .. + : . . .: . . 41V ?4• / 7 . m + . .? . ? ? . . 2* 66 '? . 38•00 + Z184•T7 R 6.66 as , .. a•si + 3'00 + 17•71 ? 39•67 6?00 * 23•3I + 1 ?' 1?'»7I + ? 39,67 ?" . . . . 94•99 . x . ? *y 1 . .. 1 + ? j * ? 0. # 02 E'?" . . ryry . 23 . "' y ? # ? y p . .. i J -J Sd . + 7 X 2184*77 * 78•7I ? . . 3?* i?t? . w .. . . . 1L *0V 'f ? .? . .? 60$6 x zx,?e Z* 12•00 + 6 ? 0•78 + 21900 + ??*96 +? 0*94 + fi???Q + 5•5 x S•72 5 - t 0'61 + 66 k 0•45 + g 594-00 ? 21•98 + 17•83 + 1+7? + 36•00 + 0•?i1 + 1?8#00 'r .. ,.: ?.. . G 5i31 .. ? ??. . ? . 7,00 .ir , ? ? . . . . . - .. ? ? C 1y 2;J # 3f ? . ? ? ? ? . f ? 8*V 3 . . .. . . . 0003 . . E'* . . ? U ?? 9 ?... 7*6 ' X ' 10 738-30 4 ., 7 ? 30#40 L* 29 5•00 + 203•00 ? m G Z184«7 7 +' .? 503•00 + 594,00 + 508*00 * 786*30 + ,50*00 + 203000 ,?, ' . . ? lw??VY ?`. ?. .. ? , 8.0-00 . + ? . . 18`00 i` 1850f07 18•40 + 36 ? * . 10•00 + 14 = . . 18•60 + 504•00 ++ : 34•40 + 32 ?.. ? - _ ? 9 • ? t? --- -- ?-a- 'i' _ - 32 .. , . ;? ?? . x •. , ? 1,`02 4 • U CI ? ' ? - 36 ' x ? ?`? .. . . ?. I?80?4?00 . -: ?. ? ? p i} ?7 6 V . . . . ? z • . . . . , ? a r zr.so . C 7•5fJ ? 30•t10 + 57•50 * 49•66 + 49•66 + 36•A0 + 36•i1Q + 4 • O tI + 32•00 + 32•Ot3 + 32•OU + .32i0Q + 24-00 + 34•OU + 362+32 ? 49•G6 + 49•66 + 3&?33 + - 36•33 + k•00 + , 175•98 ? 1 75 • 98 x 0•6,& ? 11?•24 «? 361*3 2 x ? • ?' S ? 2TQ•99 ? 259*6U + 78+7I + 39•96 + 5J'#5tJ + 27Q•99 + ?U&•76 ? 3,85tl•Q7 - 7Q6*76 ? 36143#33 ? ?143•31 x , 0090 Z828•97 i 259•SQ * 78*71 + 3 9 • 9 6 + , 57«50 + 314030 + 27(7•39 + ?,aSU•U3 * 259=b0 x 0•45 ?s 3I6=8i ? 78•71 x Q*228 I0•01 ?? 39•9& x 0*521 ? 2o•81 ?? 57•50 x U•46 ? 26•45 ? 314*3 x 0•167 ? 52•48 2,828•97 x 0•06 ? 26 9• 73 ? 270•99 x 16*53 146+j4 x Q+46 67»22 116•82 + .1Q*07 + "0s 81 + 2S•45 + 52•48 + 1fi5•73 ? .i6-53 + 67•22 + 4bQ*11 +. 4528 x 0.02 - ?c 30#56 +? , a42•38 i? t? • U 3 ? 7+2T +r 30•56 + 7•`27 t 37*83 a 48D•II + 37*83 + . 517*94 +? '465Q*!77 x 0•I85 ? 712*26 ? t528 x Et*0q ? 61•82 ? 24Z•38 x t7 + 1 0 ?s 24*23 62»92 t =24•23 + 85035 712•2S + 85•,3? ? «? , 797*61 _ r. ? r PERMIT City of Eagan Permit Type: Mechanical Permit Number: EA107110 Date Issued: 09/25/2012 of 3 a R Permit Category: ePermit Site Address: 4555 Oak Chase Cir Lot: 5 Block: 1 Addition: Oak Chase 4th PID: 10-53503-01-050 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Furnace & Air Conditioner Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952) 445-2840 Fee Summary: ME - Permit Fee (Replacements) $55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 Total: $60.00 Contractor: - Applicant - Owner: Genz Ryan Plumbing & Heating Janet L Taler 2200 West Highway 13 4555 Oak Chase Cir Burnsville MN 55337 Eagan NIN 55123 (952) 767-1000 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. Applicant/Permitee: Signature Issued By: Signature Y a F Use BLUE or BLACK Ink r----------------- I For Office Use ~j I I f V J I , City of EaKan , Permit I Permit Fee: I 3830 Pilot Knob Road / I Eagan MN 55122 I Date Received: ! I Phone: (651) 675-5675 Ij I Fax: (651) 675-5694 I Staff: I I - - - - - - - - - - - - - - 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 1 Unit Name. -04-- ~J ,5 Phone: RESIDENT I LT-- OWNER Address / City / Zip: Applicant is: Z Owner Contractor Description of work;-) TYPE OF WORK Construction Cost:) Y bo Multi-Family Building: (Yes / No Company: Contact: CONTRACTOR Address: City: State: Zip: Phone: License 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.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. X_ ftr„~ rJ •g~~ S L . X Applicant's Printed Name Ap\0\! rit's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE ID-7 32' SUB TYPES - Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage - Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) - Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01 of- Plex _ Lower Level _ Pool _ Miscellaneous Accessory Building WORK TYPES - New _ Interior Improvement _ Siding _ Demolish Building* - Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy R-3 MCES System Plan Review 12 v Code Edition 12o67 SSG. 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) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final X Windows Insulation X Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By:efG~ , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 411,P11° City of ban 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 #: D( 1 l Permit Fee: C:• Date Received: -- I3 Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: Unit #: Resident/ Owner Name: avL. laJ`,5 Phone: hs -P. 4S(e -y g$iC n Address / City / Zip: 9 5-1-3"c 3LC c Cve�1 e Applicant is: *Owner Contractor Type of Work Description of work: �1.-- 1 A %.5 k' e Jre5 -i'E In T Construction Cost: 101000 Multi -Family Building: (Yes / No h Contractor - Company: Contact: Address: City: State: Zip: Phone: License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, Yes )( No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe 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.gooherstateonecaltorg 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. s Applicant's Printed Name nt's Signature Page 1 of 3 04 s c - DO NOT WRITE BELOW THIS LINE D?" --/C SUB TYPES Foundation T Single Family Multi 01 of Plex — Accessory Building WORK TYPES New Addition Alteration Replace _ Retaining Wall DESCRIPTION Valuation Plan Review Fireplace Garage Deck Lower Level _ Interior Improvement _ Move Building Fire Repair _ Repair (25%_ 100%1, ) Census Code # of Units # of Buildings Type of Construction V! Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final Framing Fireplace: Rough In Air Test _Final Insulation f'* Sheathing Sheetrock Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL _ Siding Reroof Windows Egress Window Storm Damage _ Exterior Alteration (Single Family) _ Exterior Alteration (Multi) Miscellaneous _ Demolish Building* _ Demolish Interior _ Demolish Foundation _ Water Damage *Demolition of entire building — give PCA handout to applicant MCES System POW> i SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required I ' Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: _Footings Air/Gas Tests Final Siding: Stucco Lath _Stone Lath _Brick Windows Retaining Wall: T Footings Backfill Final Radon Control Erosion Control , Building Inspector (ps.4-51if (—(7 (if) ?(e. Page 2 of 3 City of Eaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: D F -) r Permit Fee: C , Date Received: Staff: l (1 2013 RESIDENTIAL PLUMBINGPERMIT APPLICATION Q Date: 4/ I / 5 Site Address: 4/6 -65 -4/6 -65 -CSL c`. ` rzc- Suite #: J ResidentlOWner Name: r cz a' - /6'4-) ` i 5 Phone: C -SI -Com$ ` ' q STC Address / City J Zip: G""" C-AleaSa e.4' <'"' c_ te.- n 55\2-3 Contractor Name: License #: Address: City: State: Zip: Phone: Contact: Email: Type of Wort New Replacement Repair Rebuild Modify Space — Work in R.O.W. — — — — Description of work: Permit Type RESIDENTIAL Water Heater Water Softener Lawn Irrigation ( RPZ / PVB) >( Add Plumbing Fixtures ( Main (Lower Level) >( — Septic System Turnaround New _Water Abandonment RESIDENTIAL FEES: $60.00 Water Heater, $60.00 Lawn Irrigation $60.00 Add Plumbing *Water Turnaround $105.00 Septic System Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) Turnaround* (includes $5.00 State Surcharge) and $5.00 State Surcharge) TOTAL FEES $ (includes $5.00 minimum State Surcharge) Fixtures, Septic System Abandonment, Water (add $200.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee 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.aooherstateonecall.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. 1t5 Applicant's Printed Name x AP ant's Signature FOR OFFICE USE Reviewed By: Date: Required inspections: Under Ground Rough -In Air Test Gas Test Final F City of Eapil 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: v Da -to Date Received: 0 '? (3 Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: Resident! Owner Type of Work Contractor Name: ?1, -o -- /OA) Address / City / Zip: L/ S tY4-L- 60-5L Applicant is: Owner Contractor Description of work: Construction Cost: loco-' Phone: 4;5) 1 ' Lj 3L C _ L.%)„. ,r9 IN) isiL3 Multi -Family Building: (Yes / No Company: Contact: Address: City: State: Zip: Phone: License #: Lead Certificate #: 1 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: Phone: Sewer & Water Contractor: I 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 the 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. L- 44,N\ t x Applicant's Printed Name Applicnt's Signature Page 1 of 3 4/555 Oak Cie CW" DO NOT WRITE BELOW THIS LINE //3027 4 SUB TYPES Foundation Fireplace Single Family Multi 01 of _ Plex WORK TYPES New Addition Alteration Replace Retaining Wall Garage y Deck Lower Level DESCRIPTION Valuation Plan Review Interior Improvement Move Building Fire Repair Repair O Oa (25% 100% X) Census Code # of Units # of Buildings Type of Construction REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water _Final Framing Fireplace: _Rough In _Air Test Insulation Sheathing Sheetrock Reviewed By: Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Final Siding Reroof Windows Egress Window 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 MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: _Footings _Air/Gas Tests _ Siding: Stucco Lath _Stone Lath Windows Retaining Wall: _ Footings _ Backfill Radon Control Erosion Control , Building Inspector Final Brick Final RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL ooe ;fr( nv, Page 2 of 3 rra' Tc,:,ne y Strc;et 2t. 72. i, rn. 5 117 pELMAR H. SCHWANZ LAND SURVEYOR Registered Under Laws of The State of Minnesota 2878- 145Th STREET W. - BOX M ROSEMOUNT, MINNESOTA 55068 SURVEYOR'S CERTIFICATE PHONE 612 42t1-1769 ;CALF: 1 inch 5 f . i.'r o Denote3 iron *r-Jrc^c-^'. I - herahy certify ,h _ c and correct reprcceat:.tit;r, LD1' of the ooundr_rloc or: /Lot 5, Block 1, CVO. (37.1 ADDITION, 7ccordin,; t-) t t.c plat thereof, Dakota C.)u:it�. r:innesot... Ac survoyed by Li: t,hi 2 day of July, 171). MINNESOTA REGISTRATION NO, 8625 a. Co 2 2 40 City of Eagan PERMIT IP1' City of Eaan Permit Type: Building Permit Number: EA132966 Date Issued: 09/14/2015 Permit Category: ePermit Site Address: 4555 Oak Chase Cir Lot: 5 Block: 1 Addition: Oak Chase 4th PID: 10-53503-01-050 Use: Description: Sub Type: Reroof Work Type: Replace Description: Census Code: 434 - Zoning: Square Feet: 0 Construction Type: Occupancy: Comments: Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary: Valuation: 4,000.00 BL - Base Fee $4K $103.25 Surcharge - Based on Valuation $4K $2.00 0801.4085 9001.2195 Total: $105.25 Contractor: American Restoration 4551 Oak Chase Cir Eagan MN 55123 (612) 889-7766 - Applicant - Owner: Janet Tste L Taler 4555 Oak Chase Cir Eagan MN 55123 (651) 686-4886 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. Applicant/Permitee: Signature Issued By: Signature