4563 Oak Chase Cir Permit No. Permit Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inspectlon Date Inap. Commenta
FOOTINGS
FOUND
FRAMING
ROOFING
?O t
LVQ-
ROUGH
PIUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAI
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
INSPECTION RECQRD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS:
. . ,.,? cEtnSO r ru
PERMIT SUBTYPE:
APPLICANT:
TYPE OF W4RK:
f?li I i IrI pri
af s t ti 4? ±,
nn / 1 7 I«s,
? - ?
? ?
Pertnit No. Permit Holder Date Telephone M
ELECTRIC
PLUMBING
HVAC
Inapectlon Date insp. Comments
FOOTINGS
FOUND
FRAMIPVG
ROOFING
ROUGH
PLUMBING
PLBG
AlR TEST
ROUGH
HEAI'IN(3
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBCa
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
?:,,o?e?,'--•`'p,
CASH RECEIPT ?
r ?
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE' ' 19
Recr>iv¢o
FROM ' . . . . . ?
AMOUNT $
. f?.
E] CASH
Q CHECK
ROR' - ? ., ?? r J ?I ?s ' ? •¢?',? ) ? I t ?i_yG Ga1 ? : ?
?
, ??• ? • . . . :?. ?
FUND CODE ? AM0UNT
-- I
I
---
------
r
?;,
,
,
Thank You'? BY::? J
?
5 2 2 White-Payers CoF
Yeliow-Posting C
Pink-File Copy
& DOLLARS
ioo
?
CITY OF EAGAN Remarks
Addition- L:.:_\1C l:tiASr 41H AIIFITTIQN Lot.
Owrrer street 4563 Oa1=
h,-k S.
Chase Circle
Improvement Date Amount Annual Years Payment Receipt Date
STAEETSURF. 1$fi$.(7'] C006627 0-1$-79
STREET RESTOR. ' '
GRADING
SAN SEW TRUNK ? 1973 210. 22 10.51 20 1 A007786 5-22-79
SEWERLATERAL 1974 106.43 7 63.89 A007786 5-22-79
Sewer Lateral 1974 279.51 18.63 15 167.73 A007786 5-22-79
WATERMAIN
WATERLATERAL J'3 1972 573.69 38.25 15 267•77 A00778 5-22-79
AREA 1977 36.92 2,46 15 29.54 A007786 5-22-79
" wateromftri '?Y 3004.60 C006627 10-15-79
STORM SEW7Vj a 1972
!lSTORM SEW jf7 trmk 1980
CUFi6 & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER. • '
SAC 525.00
PARK
CITY OF EAGAN Remarks ?4aL ? r? ,? . ;,: , , , ?i ? ? _ ?? ??. ; , r.f'
Addition - OAK CHA.SE 4TH I ot 9? BIk 1 ParCel 10 53503 090 01
_
Owner Street 4563 Oak Chase Circle statP_ Eagan, MN 55123
Improvement Date Amount Annuai Years Payment Receipt Date
STREET SURF.
STREET RESTdR.
GRADING
SAN SEW TRUNK
SEWER LATERAL 1979 243.04 _29-79
Lateral 400el 1979 305.20 2
d -22-79
WATERMAIN
WATERLATERAL 4ff 1479 1199.29 119-93 10 1079.32 A007786 -22-79
WATER AREA 197 -22-79
STORM SEW TRK 1979
STORM SEW LAT
CURB & GUTTER
SIOEWALK
STREET LIGHT
WATER COIVN.
BUILDING PER.
SAC
PARK
. ; crnr oF EAG?N
3795 Pilat Knob Reod 6agas, MN 55124
.r'rFiONE: 454-8100
BUILDING PERMIT Receipt #
N2
5317
SFte Addness Erect ? Oocupanry
Lot Blxk Sec/Sub. Alter ? Zoniny
parcel # Repoir ? Fire Zone
Enlarge ? Type of Const.
? Name Move ? # SMries
3 p?re? Demollsh ? Front ft.
° Cifv Phenn Grode ? Depth ft.
°C Name
o
?? Addrcss
? ru„ nti,,.,e
Nome _
Addreu
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Council
Fees
Permit
Surcharpe -
Plan check _
SAC
Woter Conn.
Water Meter
I hereby acknowledge that I have reod this opplicotion und state that gldg. Off.
the information is rnrrect end agree to comply with all opplicoble APC Total
Stote of Minnesota Statutes and City of Eagon Ordirances.
Signature of Permittee
A Building Permit is issued to: on the express condition that
all work sholl be done in accordance with oll applicoble Stote of Minnesoto Statutes ond City of Eagon Ordinonces.
Building Officiol
PonnM # oaM hned P?nnktN
Plumbing -Zy..- 7
Mechanical q-- &-,-N l?P
R-L. o-,o-7 hx ^-?o?nQr
INSPECTIONS DATE INSP. Rp?? ?,C{- p^+ Final
Footings ? Date Isiso. Dote Inap.
Foundation Plumbin (, •
Frame/ins. - -717 //-/S- Mechanicol
Final
Remarks:
xs-
/D -u: ??te-?J - ?. .i.n'---?G??
?,?.p ?',?? I-
,?. - ?o,n b?s 2?OI'l A ? r.
tr ,fc•io.
" ?i?svl?, T Un in R? rn ? r rs tJ
INSPECTION RECORD
,,--?ITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675 .
SITE ADDRESS:
t ?? t - ??
?` f f•i ?4 ?: ?' r f Fr
PERMIT SUBTYPE:
I .; t" r,-,
kFMAFr4 ;- P 1'Aff fA-.V1't-JJf0 "H1' MIKf' !HAtt rh'
? ir APPLICANT:
i r4 1 r w
1 ( i. !. :' ) t3 ?x c? :' 1 E+ E.
TYPE OF 1NORK:
, . , .. ? ?, ..
r tMni
Fi! 'iw?F??1T 1 npq
(OE F'f Ac F 11Oft ()H
y
n ?
?,?- G ?
PertnR No. Permit Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inspectlon Date Insp. Comments
FOOTINGS Wy,r
rr?a?
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
1t3SUL I
GYP BOARD
FIREPLACE
FIREPLACE
AfR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDO FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FlNAL ?? ?/C S iti y? C?u ?
OF EAGAN
!5 Pilot Knob Road
Eagun, MN 55122
Zoning: - --
Owner:
Address
5ite Address:
Plumbei
Meter No.:
ke,_
1lReader No.:
!1 agree fo eomply witti !he City of Eagan
'Ordinances.
aF EAGAN
?oS Pilot Knob Rood
Eagon, MN 55122
Zoning: _
Owner: --
Address:
Site Address: -
Plumber. --
1 agree Fo comply with the City of Eagan
Ordinanees.
BY -
Dute of Insp.:
I nsD.:-
Connection C.narge:
Account Deposit:
Permit Fee:
Surcharge:
Misc. Charges:
Total:
n_._ 0.,:.1. .
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units: _--
Connection Chorge_ --
Account Deposit:
Permit Fee:
Surchorge:
Misc. Charges:
TotaL
Date Paid:
- CITY OF EAGAN
' 3795 Pilof Knob Road
. Eogan, Minnesota 55122
Phone: 454-8100
r":i ?..•?'; :'?t'i PERMIT
Dnte: 7-24-79
Site Address: 4563 Oak C"''?]asE'+ Circle
Lot Block " 5ub/Sec. Oe'` Chase -? th -
No. 1472
Receipt No.: 15213
Single I
Residential x
Multi Res., Comm./Ind. ?
Nume p:l Zffi7 Cr Barbara I
New/Alter./Repair
3 Address 49 !?C?cC?I'V I"?21E"
Cost of Instollation
O
City Phone: Permit Fee .?•
Name ^:,? . ?Y)
Surcharge
.
?
P Address
c
0
?7 .. .. r
City _ Phone: Total
This Permit is issued on the express condition that all work sholl be done in accordunce with all applicable State of
Minnesota Statutes and City of Eogan Ordinances.
Building Official
?
• CITY OF EAGAN
3795 Pilot Knob Road
• Eagan. Minnesoeo 55122
Phone: 454-8100
PERMIT
OQ?IQ+1 AIIt Rv)Q[TIW
No. 1502
15213
Dote: Receipt No.:
4563 Ck,.?y . 0-t=.5e f_:i:'.:1?.' Single
Site Address: Residentiat
1
'd?C ?7c3?.G 4' ?]
?
I
Lot Block
Su
b/Sec. _. Multi Res., Comm./Ind.
;'?-.e?3.?.am
Nome New/Alter
/Re
air
- .
p
.
,649 r? I
?'?
; Address Cost of Instollation
°
-"..=-2-5429
City Phone: Permit Fee
?
Name $urcharge
?
f
? Address
e
o
V ,
City _ Phone: Tatal
This Permir is issued on the express condition that oll work shall be done in occordance with ol l applicable State of
Minnesota StoYutes and City of Eagan Ordinances.
Building Officiol
?.-
?...
(51G?
&r-') '
5s iaa
Sm%odind Habw I
cinr oF EAcaN
3795 Pilof Knob Rood Eegan, MN 55122
PNONE: 4548100
BUILDING PERMIT APPLICATION
re ee .?a 'r.. SF Dwlg & Garage F
Site A6dress Y?v? ? ?lcL?e
Lot 9 Block 1 Sec/Sub
Porcel .#
z 1 Name
3 I Addre?
0
58,000.
o Name CaPP HOmE
uG? ?dfe? 4040 Ced3r Ave.
? „,. Eagan eL___ 452-5800
Name _
Address
I hereby ocknowledge thot I have reud this applicotion ond state ihat
the fnformation is corred and agree to compiy with oll applicable
State of Minnesota Stotu/te?s ,-`and City of E`a?gan ,O,rdirmnces.
SlgnMUre ot Permittee'?-?"e?rQ{`" A Building Permit is issued to: Al1'lR 3R B
oll work sholl be done in acw r)ce with aH ada'Ii ble SYnte.of eMii
N4 5317
Receipt # ?S°zC?21--
7-19 ,0 79
?
Erect 7ln Occupanty.
Alter ? Zoning EStat2 ZOI17Slg
Repoir ? Fire Zone
Enlarge ? Type of Const. V
Move ? # Stories
72
Demolish ? Front ft.
Grade ? Depth
Aovrorala Fees
Assessment Permit 1SY.!U
Woter & Sew. Surcharge 29.00
Police Plan check76.25
Fire SAC 525.00
Eng. Water Conn. 27.0 - 00
Planner WaterMeter 60.00
Co,,,,cii Rcx1d Unit 75.00
Bldg
Off.
.
APC Total 11$7.75
Ly on the express condition that
Statutes and City of Eagun Ordinances.
Building Official
Minnesota State Board of Electricity
1954*University Ave., St. Paul, Minn. 55104-Phone 645-7703
REQUEST FOR ELECTRICAL INSPECTION
CHEQC BELOW WORK COVERED BY THIS REOUEST
`Ga/y
?& 5?17
Type of Building New Add. Rep. Check Appliances W'ved Foi ? Check Equipment Wtted For
Home
Duplex
Apt. Bldg. 91 ?
? ?
? ? ?
?
? Range ?
Water He
Dryei ?? ?--
? 'temporaiy Wiring ?
Lighting Futu[es ?
lectric Heating ?
Commetcial Bidg. ?? ? Futnace
Oj ilo UNoadei
Industrial Bldg.
Farm ??
? ?
? Air Conditionet
List G7:L G7?. Bulk Milk Tank ?
iL
'?st
Othei
? ?
? p
Heheis ?
?
}ieiers
COMPUTE INSPECTION FEE BELOW
Service Entnnce Size: # Fee . Feeders&Subfeeders: # Fee C¢cuits: u Fce
0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eres (v ?.
101 to 200 Amps. i/ 31 ta 100 Amperes 31 to 100 Am res
Above 200_Amps. Above 100 Amps. Above 100 Am s.
Transformeis RemoteContiolCirc. Partialorotherfee ?
S' ns Special lns ctio Minimum fee SS.00 t?-d
Remazks
.?
TOTAL FEE
1, the Electrical Inspector, hereby certify
been made_ L 0 ? ° '
(Final)
Tlils request void 18 months from
This reqes vo?d 18 mon4hs from
? u, ?-4 ; 6 G ;:? o
5317
Datb of this Request
I, as O Licensed Electrical ConUactor 0 Owner, do hereby request inspection of the above electri-
cal wiring installed at: L1?1 /31
Street Address or Route No.
Section Township ?Y !/
Range CountyvC.??o?
Which is occupied by
-
J ame of Oc<upant)
Is a roughin inspection required on this job? No ? Yes 13, Ready Now ? Will Call IN
Power Supplier "kadress ???-n°-?-?•-1I? `'?
Electrical Contra?-? Contractor's License No. _
(Company Name)
MailingAddress/G
(Elec[rical Co r ctor o Owner Making This I tle )1?.? ?
Authorized Signature 141?-rui-v?.? Phone
(Eiectrical Contractor or Owner aking Th Installatlon)
? i? ?L?, R o? ?(?(i??D ?v ??}??fJ
S1J This inspection requett will nat 6e accepted 6y ffie
State Board unless proper inspection fee is endosed.
I 6 3 5?1
Request Dele
?ya 1 I
?0 `? • T Fire o. Rough-in Inspection
Repuiree?
=! Ves ?JJO
Reatly Now ? Will Notity Inspector
When ReatlV?
I,%-elicensetl contrector p owner hereby request inspection of above electrical work at:
Job Aaaress (SVeeL Bo+ or P.oule Ni
4563 0ay't CJ,.?-se, Crr Ciry
Sa.
Section No. Townshlp Name or No. Range No. County
OccuPanlIPRINTi
Pal Cv rrti n, Phone???
Power Supplier AtlOress
Elecirical Conhaclor ICOmpany Namel
W+-etao., c Conlractor5 License No. .
/E
CAoi?,:?
Mailing AtlUrass iCOntracto, or Ownar Meking Installation,
adas z,z 41- ,Q v-e So w`p i5 ss4-/ 7
Autnonietl Sig/nawre ICOntr•a?tt?odO?wner Ma'mng InstallaGOnl Phone NumDer /
?L? ? ??f7
MINNESOTA STATE BOARO OF ELECLRICITY - THIS INSPECTION REQUEST WIIL NOT
Grigge-Mitlway 6bg. - Boom S473 BE ACCEPTED BV THE STATE BOARD
1821 Oniversity Ave.. SL Paul. MN 55106 C . UNLESS PFOPER iNSPECTION FEE IS
Phone (612) 642-0800 ENGLOSED.
? REDUEST FOR ELECTRICAL INSPECTION '? ee?o+oam-oe
0- See insVUCtions lor compiating Ihis lo:rn on beck ol yellow wpy.
?/(f / !{ '-?'•-3?;' p? 8 T 8?"
Q.rj I S '11 ?"X" ee?low Work Covered by This Request
e A?1 Re{. _ TypaofBUilding AppliancesWired EquipmentWired
Home Range Temporery Service
Duplex Water Heater Electric Heating
Apt Bullding Dryer Other (Specity)
Comm./Indusirial Furnace
Farm Air Conditioner
Olherlsy2Ctlyi ConVaclor's Remarks.
14?C
Compute Inspection Fee Below:
# Other Fee # ServiceEntrance5ize Fee tf CircuitslFeeders Fee
Swimming Pool 0[0 200 AmpS 0 to 100 Amps
Transformers Above 200 _ Amps Abov 00 _ Amps
Siqns inspeciors use onry:
) TOTAL
Irrigation Booms (16-l Zil, 0
Special Inspection
l Alarm/Communication THIS INSTAILATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETEO WITHIN 18 MONTHS.
1. the Electrical Inspector, hereby RO°qn-m oate
certify ihat the above inspection has
been made. F,,,ai . o
lj(Q
OFFICE USE ONLY ' oof
This request vaitl 18 manihs imm
RESIDENTIAL
` BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Constructian Raauiremanri
• 3 registered sde surveys siawing sq. ft, of lot sq. ft. of house; antl all moted areas
(20% mazimiun lat coverage allowed)
• 2 copies ol plan showing 6eam E wiMow saes; poured found design, etc.)
. 1 set oiEnergy Calculations .
• 3 copies of Tree Preservation Plan'rf lot pla8ed aRer 711193 '
• Rim Joist OetaO Oplions selection sheet (Wdgs wiN 3 or less units) DATE IQ`3-oa-
??C) D
?
RamodeUReoair ReauinmeMs
• 2 wPies af plan ' O 'a-
• 1 set of Energy Cakulahons tar heffied addi6ons
. 1 sde suney Por exterior addidons $ decks
. Indicate if home servad hy septic system for addNOns
VALUATION ?? o"'l-
SITEADDRESS `T-?Q QaK Ckc..e- Cirde. MULTI-FAMILYBLDG Y X N
TYPE OF WORK Ga^a9- c-di)ZL:_ FIREPLACE(S) _ 0 I 1_ 2
APPLICANT ?
STREETADDRESS '-1S_63 0Oh ?? C?CITY STATEMN ZIP SS1Z3
TELEPHONE #eS)- 905- 8-723 CELL PHONE # 36'(- 13 63 FAX #-
PROPERTYOWNER
TELEPHONE# SOj-
COMPLETE FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category MINNFSOTA RULES 7670 CA'I"F.GORY 1 MIN}p???
(J submission type) .? . Residential VenUlabon Category 1 Worksheet Submitted • Nei+i?
• Energy Envelope Calculations Submitted
Plumbing Conhactor: _/u -v?- _
Plumbing system includes: _
Mechanical Contractor. /u°'r"g-
Mechanical system includes: _
Sewer/Water Contractor. /V °ti^.0- -
Water Softener _
Water Heater _
No. of Baths
Air Conditioning
Heat Reeovery System
Phone #
OCT Q 3 2002
Fee: $70.00
I hereby acknowledge that I have read this application, state that the information is cortect, and agree to comply
with all applicable State of MinnesoTa Statutes and City of Eagan Ordinances.
Signature of Applicant 61'-L
OFFICE USE ONLY
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone #
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4l02
OFFICE USE ONLY
. ,
• . .,
O 01 Foundation ? 07 OSplex ? 13 18-plex O 20 Pool O 30 Accessory Bldg
? 02 SF Dwelling O 08 06-plex O 16 Fireplace O 21 Porch (3-sea.) O 31 Ext. Alt- Multl '
? 03 01 of _ plex ? 09 07-plex x 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Poroh (screened) ? 38 Multi ,
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ,
? 06 04-plex ? 12 12-plex P16g_Y or_ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
'0 32 Additlon ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bidg)' ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'Damalition (Entire 81dg only) - Give PCA handout to applicant
Valuation 30(v Occupancy ?2`'? MC/ES System
Census Code ? Zoning E_ City Water r '
SAC Units Stories ? Booster Pump ?
Nbr. of Units l Sq. Ft. /'v PRV ?
Nbr. of Bldgs Length ? Fire Sprinklered ?
T
e of Const ? J? LI
yp W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) FinallC.O.
Footings (deck) Final/No C.O.
? Footings (addition) Plumbing
? Foundarion HVAC
Drain Tile Other
ftoof k Ice & Water _?L Final Pool Ftgs Air/Gas Tests Final
? Framing _ Siding Smcco Stone
_ Fireplace _ R.I. _ Air Test _ Final Windows (new/replacement)
_ Insularion _
_ Retaining Wall
Approved By L.-/ . /
, , Building Inspector
------------- L ' ,
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
.a5
6EA BLOMOUISi
MFYOP
THOMASEGAN
MARKPARRANTO
JAMES A. SMITH
THEOD00.E WACHTER
COUNpL MEMBEPS
July 23, 1981
Allan Hoagberg
4563 Oak Chase Cirele
Eagan, MN 55123
.,
CITY_ OF EAGAN
A ?
PIIAT, KNOB ROAO-?
_ EAGAN:"MINNES6TA i 35t22
Y
...,s''"? ..
PNONE 451-0100
?% ? EY. 4 ;'at? "wv
aar =
,
kH,.. ?.. _...
Re: 4563 Oak Chase Circle, Lot 9, Block 1, Oak Chase 4th Addition
Final Inspection Required By Law
State of Mtnnesota, 2 h{CAR Section 1.0101 - 2 MCAR Section 1.18901
City of Fagan, Ordinance 36
Dear Mr, Hoagberg:
To complete our files a final inspection is needed on:
Plumbing X Heating X Structural X
THOMASHEOGES
CITY ADMINISTRAiOP
EVGENEVAN OVERBEKE
CITY CLEPN
Final inspections are necessary to orovide the greatest possible protection
for the present or fu e oceupants pertaining to li£e safety and envimn-
mental health. • Please contact us imm t ately for the inspections ehecked above.
City of Esgan Building Inspectors
d? a.eo ?Z4?
?
7,0
?,?
? f
?
?? ?
?-
THE LONE?OAK E ... TH S MBO NGTH AN IN OUR COMMUNITV.
Pnx;ii;tYF*UN* iX).3 0.4; 5K1kY;;;1't,CW:{(hlk::41WXR:Yh0,*
ctPr nF e:a:;raN
C4:;iiH:[L::F;c J3 TL12Ni):P•'N... NE7t 730
S?NIE,^ (]4!17'/98 "f7:ML:: l` s1.:i;':1.8
TU:
?
N:4NEe r^i11_TETi ;=7.4iFS.T..lE. '.[Ni;
3210 9001 4062 OAFC C.:4i:+SE 50.00
%'it'S;i 9001 4563 GAK {]FIA.`:3E C).,:.SQ
?0`:,1. ftec::e'ip'.; Amourri; ; 50,50
t:;hOB97r39
1?SEfi .T.De :tA>,.,
,. . _
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT
PERMITTYPE: suzLoxNG
Permit Number: 031805
Date Issued: 0 4/ 17 / 9 8
4563 OAK CWASE CIR
LpT: 9 BLOCK: 1
OAK CHASE 4TH
P.I.N.: 10-53503-090-01
DESCRIPTION:
FIREPLACE
NEW
434 ALT. RESIpENTIAL
n? yY? ??g{
i+.?&m" y , ?, c '3s r .
..E
REMARKS:
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50_
Total Pee $50.50
CONTRACTOR: - Applicant - ST. LTC.OWNER:
HEAT-N-GLO FIREPLACES 18906758 0002960 CURREN PATRICK
3850 W HWY 13 4563 OAK CHASE CIR
BURNSVILLE MN 55337 EAGAN MN 55123
(612) 690-0758 (612)456-9010
APPLICANT/PERMITEE SIGNATURE
-?Mn Ro,;d.lu
ISSUE BY; IGN U
GITY OF EAGAN
• 3830 PILOT KNOB RD - 55122
1 1997 FIREPLACE PERNIIT APPLICATION
45to 681-4675
DATE: F 3* PERMIT FEE: $50.50
DESCRIPTION OF WORK: ? CONSTRUCT NEW FIREPLACE _ ALTERATIONS TO EXISTING
_ INSTALL GAS IINSERT ONLY
_ INSTALL GAS LINE ONLY
OTfER:
STREET ADDRESS: 0 I Y1
L' ?--
LOT ? BLOCK SUBD./P.I.D.
APPLICANT: (circle one only) OWNER CONTRACTOR
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with
all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances.
PROPERTY
OWNER
F[REPLACE
INSTALLER
Name: Phone #: q-5??`?
usr nvsr
Signature:
Street Address: 3 O G k o- 1L aS @--. 0 ( r,
City: p\- State: ?
-? n _ 1 A.. . ?
Company;
Signature:
Street Address: U) City: ? CQ,(',WSPI t I 11P State:
GAS LINE Company:
INSTALLER
, ;. s 4'k
Name:
Signature: _
Street Address:
City:
Zip:
4: M-02-
License #: ?
Zip:
Phone #:
State:
Zip:
OFFICE USE ONLY
BUILDIlVG PERNIIT TYPE
0 14 Fireplace
WORK TYPE
0 31 New ? 33 Alterations
? 32 Addition o 34 Repair
GENERAL INFORMATION
Census Code. 434
SAC Code 01
RE114ARI{S
Chimney/flue must be inspected before concealing.
f tl
?. I
?.I : ?2 . • , i!
;i '•? ,
::;%t?k:{?M'?%?kl(W?'Y.u`, ?sY(i :?t7k;XtMM:;t1?YX('d•k,.in'?YF?:M?y`K???'M'Y,im:X:Sfit
C:[ rv oF i-r:t„AN
4'flSl-IIFFi. ,7.°, Tr::liAf7:Nr`1!. td(:lil 'fiSj
DA.-fF:c 04,'02/90 Ti"i•:.? I.fi ?.06e54
Ii:r ;
NM*fr= a CONCF:F'1 S l:N I..IV:Ltur Tilr:
320 JIIU:L 4563 iJ'rl(: CI-Ip';E 50.00
2155 <?np:;. 4563 Gri; CF{ASF U.`,n
'i"oita7. !'iece:tprF, Amour:t;; SCt.°;?
CRO$ki5`)2
L!sEF; tpz .;nN
1'F:n)k)XY,:;;:'k?n'Y,t%X%kAthY%??},'?:i":F?:?7:;M?n'M?}?>Y ?t:'S]k?C;k:r?Y?,tMk'Y,<)K:X
PERMIT
GITY OF EAGAN
? 3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
(REPLACE & ADD ON)
ermit Type OECK
ork Type A1.7ERATION
e%, 434 ALT. RESIDENTIAL
SITE ADDRESS:
4563 OAK CHASE CIR
10T: 9 BLOCK: 1
OAK CWASE 4TN
P.I.N.: 10-53503-090-01
DESCRIPTION:
REMARKS:
PLAN REVIEWED BY MIKE BARCK
FEE SUMMARY:
8ase Fee
Surcharge
Total Fee
1
CONTRACTOR:
CONCEPTS IN LIVING
13108 6RAND AVE
BURNSVILLE MN
(512) 890-2106
f
ii
'S1
? :.
$50.00
$50.50
PERMITTYPE: auzLoING
Permit Number: 031702
Date Issued: @ 4 J 0 2/ 9$
3?a ?x e
9hb r? j
??S ? k? . ,q . ? ?
h
- Applicant - ST. LTC OWNER:
18902106 2001126 CURREN PATRICK
4569 OAK CHASE CIR
55337 EAGAN MN 55123
(612)456-8010
??-(.LsL f I.JCC-GC
ISSUED BY: SIGNATU(iE
3,1101997 BUILDING
PERMITAPPLICATION (RESIDENTIAL) IffD.50
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
681-4675
? 3 registered site surveys ? 2 eopies of plan
? 2 copiea of plans (indude beam & window saes; poured fid. tlesign; etc.) ? 2 slte suneys (exlerior additbns & dedca)
• 1 energy cafwlations ? 1 enargy celwlations for heated addkiona
• 3 copies of troe preservetion plan N lot platted after 7/7/93
required: _Yes _ No -
DATE: 27/T J7- CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT Q BLOCK
PROPERTY
OWNER
CONTRACTOR
ARCHITECTI
ENGINEER
Name: phone #: :Ur' 5'Q14
v+r rxier
StreetAddress: :V563 la? !'?i?„? CJ2
City: ??
__ Arl State: Nii zip:,LS /z3 ,
Company: Con A Phone #:
Street Address: 131D:?- ro-.,cl A-v,c-License #: Zo0//16S
City: State: !'6A1 - Zip:, S`5W7
Company:
Name:
Phone #:
Registration #:
Street Address:
City:
Sewer & water licensed plumber (new construction only):
and bt change are requested once pertnit is issued.
I hereby acknowledge that I have read this application and state tliat the infortnation
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
State:
Zip:
Penalty applies when address change
agree to
with all applicable
im
Tree Preservation Plan Received - Yes _ No _ Not
I_ SUBD./P.I.D.#: Od. P nla. 11'
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex
0 02 SF Dwelling o 07 4-plex
0 03 SF Addition o 08 8-plex
0 04 SF Porch o 09 12-plex
? 05 SF Misc. 0 10 = plex
WORK TYPE
vq- 31 New ? 33 APterations
0 32 Addition o 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
0 11 Apt./Lodging ?
? 12 Multi RepaidRem. o
r3 13 Garage/Accessory ?
0 14 Fireplace n
ik 15 Deck
0 36 Move
0 37 Demolition
.f .
'h? ? ?!: ? •
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq.ft.
Footprint sq. ft.
Building 449
MC/WS System !
City Water ?
Fire Sprinklered
PRV
Booster Pump
Census Code. H3
SAC Code r?l
Census Bldg I
Census Unit d
Engineering Variance
Permit Fee
Surcharge
Pian Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposk
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:?.'?!
%SAC? ?SAC Unifs
Valuation: $
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS:P'I'N.: 1e-535e3-090-01
LOT: 9 BLOCK:
4563 OAK CHASE CIR
OAK CHASE 4TH
PERMIT SUBTYPE:
SF (MISC.)
1 APPLICANT:
RI6HT WAY ROOFING
(612) 557-8678
TYPE OF WORK:
DESCRIPTION
BUZLDIN6
026267
08/21/95
REPAIR
(ROOFING)
? : ? .. ?
F
.. . .. . .. ?
L _ .. _ ?
ILM 1995
? 3 ieptsteied sile wrveys
? 2 copies of plans (indude 6eam & window s¢i
? 1 energy calwlatlons
? 3 copks af trce ptesetvatiai Plan i( lot platted
requircd:. Yes _ No
DATE:
DESCRIPTION OF WORK:
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
NG PERMIT APPLICATION (RESIDENTIAL)
681 aL675
? 2 oopies M Plan
?ured fnd. design; Mc.) ? 2 site surveys (ezterbr eddidana 8 dodcs)
? t energy calalatlons tor heatad additions
7/1793
?J p?oJ
CONSTRUCTION COST:
STREET ADDRESS:
LOT J_ BLOCK SUBD./P.I.D.
f
PROPERTY Name:
OWNER
Street
CONTRACTOR
ARCHITECT!
ENGINEER
Sewer 8 water licensed plumber: _
change are requested once permit is
I hereby acknowledge that I have read thi
applicable State of Minnesota Statutes and
OFFICE USE ONLY
Cer6ficates of Survey Received
Phone #: V5-6 ^ M0
ress• i2-A?
City: I
Company?:
Street Aalldress: (4
City
Company'I?:
Name:
-
Street Adlfdress•
City: _
? /'J License #• 3 fff
State: Zip. Ss" q-,
State:
Phone #•
Registration #•
Zip:
Penalty applies when address change and lot
applicatian and state that the in ation i corre and agree camply with all
:iry of Eagan Ordinances.
Signature of Applipnk
Yes _ No
State: Zip:
9"°? Phone #: S
Tree Preservation Plan Received Yes No
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
NE`.'V CONSTlZGTCTFON
? ADD-ON A/C
ADD-ON FURNACE
FIl2EPLACE INSERT
DATE T 9f y°`?
FEES
HVAC: 0-100 M BTU $ 24,00
ADDITIONAL 50 M BTIJ 6.00
GAS OUTLETS (MINIMLTM 1 @ $3.00 EACH)
ADD-ON/REMODEL (ExISTING CoNS'I'ctuCTioN) $ 20.00
STATE SURCHARGE .50
TOTAL ;7.e, a
.?'---
ST.TE ADDRE,SS: ?-1.S?6J G.iz.C,.?
OWNER NAME:f?/tO?i?.?d?/?!?7z• Cv?-c? TELEPHONE
INSTALLER: ls/F ?z.Y? i.4)7, d?1z.
ADDRESS• /Q?t',S_ cI4?A/ /2?
C1T'Y: ?9pr? STATE: l? ZIP CODE: 53-1- z-Z
TELEPHONE #: YfZ - ?-t??
NATU OF- RMITTEE
1994 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD
??a?.- Encax Nnv ssiaa
(612) 6814675
G CITY USB ONLY
L ` BL RECEIPT#: 759(e 4
SUBD. RECEIPT DATE:
1997 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681 r{675
Please complete for. . single family dwellings
. townhomes and condos when permfts are required foreach unit
• backtlow preventer for underground sprinkiersystem
FIXTURES EACH TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Liup/Spa 3.00 x =
ter Hea?'4 3.00 x
Floor rain 3.00 x =
Gas Piping Outlet ' minimum -1 • 3.00 x =
Rough Openings 1.50 x =
Water Softener ' for dwellinqs under construdion 5.00 x =
Water Softener * for euisting dwetling 20.00 x =
U.G. Sprinkler `for dwelling under consL 3:00 =
U.G. Sprinkler ' fnr existing dwelling 20:00 =
AREf860nS ' to existing residence 20,00 =
Water Tum Around 20.00 =
Private Disposai System " Dak Ctylic. 75.00 = .
(new antl refurbishad systems)
Private Disposal Systems `nbandonmem 20.00 =
STATE SURCHARGE ,50
0
TOTAL
I hereby adcnowledge that I have read this.application, stete that the inTortnation is corted, and-agree to comply-with all applicable City
W Eagan ordinanoes. It is the applicsrrt'sresponsaility ta notity the property owner that the Ciry.oF Eegen assumes no Iiability for an,y
damages?eaused by the Cityduring i[s normal oparatimial and mairrtenance atlivkies totFle tacilities consWdetl undar Nis,pertnd wiMin
City property/rigM-of-wayleasement. SITE ADDRESS:
OWNER NAME:
INSTALLER NAME'
STREET ADDRES;
ciTV: 19
CITY USE ONLY
L I BL ? ? RECEIPT #:
SUBD. ( y /L. ?? 7 DATE:
1996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
_ New construction ? Add-on furnace
_ Add-on air conditioning Add-on airexchanger, i.E. `Jai-iea systsm, etc.
Date:
FEES
? Minimum Fee: Add-on/Remodel (existing residence oniy $ 20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required Q$3.00 each)
? State Surcharge ?
TOTAL
SITE ADDRESS: i??i3
e.T.01?5_ PHONE
OWNER NAMA
INSTALLER NAME:
STREET ADDRESS:
CITY:
PHONE #: (
ZIP: ???°?
O w) (? / DATE
1 /
BUILDItiG PER`!I1' APPLICATIO\
Include 2 sets of plans, 1 site plan w/elevations and 1 set of
To be used for ?J1(1t1l1, ?'c? Valuation ?
9 J ?{ ,
Site address: y3G 3 OQlr de'4?
Lot Block Sec_/Sub. ?
y ? 04' (-hi,se.
Ovner b:i.? c=. ci b"'."
Address A-qC( ?kCko,2v L(lv,
t ?>>?..U (V1 rt
ContractorC'?"YkQ?
pddress
Arch/Eng.
Address _
Erec[
Y
Parcel Vumber ,
.. . , '?
1 5 2.`i :i
^? ?. V V
7 6.2 :;
JL6.u'J
2?G.vu
?f r , V 'J
^ _. 'i . T
,? .
Telephone 5_?q °?p.SO p/mp. j
j /O. SD $Iwer ?
so 14,6
?
Telephone
Telephone
OFFICE CSE ONLY
Alter _
Aepair _
Enlarge _
Move
Demolish
Grade
Date of A roval nd Initial
Assessment "I . jIg&172
Wa[er/Sewer
Police
?.. Fire
Engineer _
; Planner
Occupancy
Zoning (!'y6c_6 7.s.+? ?.?.?
Fire Zone 3
Type of Const.
9 of Stories _
Front 72
Dep th Yy
Fees
- ?
Permit /So2
SUrcharge a 9
Plan Check / (o
SAC rSa 6
?
Uater Connec[ion dZ 7 ?
Vafor MPr.er Council
Bldg. Off?. ?e'
?-
A.P.C. ?????l6lSr??S . ,TOTAL•-?
.?? _ •iv' ? .? ? ? ? ? /
J
ro
v
,.?..._. _ 4;..1.... il.,.. t .rDELMAR H. SCHWANZ
LANDSURVEVOR
Fe9.iterotl Untlel Laws of Tha 5[ate of M.nn.sota
2978- 146TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 56068 PHONE 812 423-1768
SURVEYOR'S CERTIFICA7E
A ?
, .? ? ??..? / .. , • !. . ' . .
i
? ' S?' 47, /' \ . , , • '
? \\po ?? - I • '
`i7 ?- . '?'?\ \ . , . • . . . .
Lo , . .
\ a<? , ?
IQ\ ?
0
¢
-- N
\ \ ??
0
O
N
L 0 T g \
?
?-- -- --- ?
0
N
123.24 EAST
.? C L I F F ROAD
. ..1.. '_ I
MINNESOTA REGISTPATION NO. 8625
'
!"
#$%&'()' *+*,
-./$%'"&0-1 -FN*,$F*4
-./$%'63/7-.1 89:;A9B
=*%-'!>>3-519?@?9@?B9A
-./$%'#*%-+(.&1- -./$%
C$%-'855.->>1'';AD:''J*M'#N*>-'#$.''
Y#$ %& ''!)**+ + , ''L/&'-N/3.'F N
456 !78"G"7G87!87Y7'
:3.
=->F.$0%$(,1
;<='>?@. D.3+*., +/$
A 0&'>?@. D.@$/%.
6.3%0+@ + , K<0,/%.'`')+0'- ,*+ + ,.0
b<.3 + ,3'0.I/0*+,I'.$.% 0+%/$'@.0M+ '0.J<+0.M., 3'3N <$*'=.'*+0.% .*' '; / .'Z$.% 0+%/$'5,3@.% 0Q'E/0&'),*.03 ,'/ 'SY"W\]'
#(//-,%>1
FF"8WXF7O
-/0= ,'M , R+*.'*. .% 03'/0.'0.J<+0.*'B+ N+,'!7'P.. ' P'/$$'3$..@+,I'0 M' @.,+,I3'+,'0.3+*., +/$'N M.3'SE+,,.3 /'; / .'
EZ'8'4.0M+ 'K..'SD.@$/%.M., 3\]U"YO77'7X7!OF7XX
G--'C3//*.&1
;<0%N/0I.8K+R.*U!O77'Y77!OW!Y"
"(%*41HDBIBB'
#(,%.*F%(.1JK,-.1
8'')@@$+%/, ''8
#$<.'LR'_./ +,I'`')+0' $%D+%N/0*'_'#0+.MN<03
"(W7'5, .0,/ + ,/$'4&B?F"9G'L/&'-N/3.'-+0
\\.B'_ @.'E\\''""FWXZ/I/,'E\\''""!WG
S9!W\]'WGX8Y(7YS9"!\]'G"F8(W(G
5'N.0.=?'/%&, B$.*I.' N/ '5'N/2.'0./*' N+3'/@@$+%/ + ,'/,*'3 / .' N/ ' N.'+,P 0M/ + ,'+3'% 00.% '/,*'/I0..' '% M@$?'B+ N'/$$'/@@$+%/=$.'; / .'
P'E+,,.3 /'; / < .3'/,*'-+ ?' P'Z/I/,'L0*+,/,%.3O
)@@$+%/, C4.0M+ .. ';+I,/ <0.533<.*'#? ';+I,/ <0.