4491 Oak Chase Lane?
JKpplication
Plumbing
1,?' Ifeating/Air Cond.
_ Other '
Impzovement Value:
PERMIT APPLICAT20N
CITY OF EAGAN
3795-Pilot ICnob.ROad
Eagan, t4V 55122.
Structure
!? 1 or 2 Family
_ Other
New
emodel
Date: 20
Type of
Heatinq
NatuTal Gas
Electric ?
r- Other kt_
Site Addre,ss: ?? ?otlS dol6r+.f,-yot:j_Block7--?Suki/Par: evy ib ,
Owner:. !) . S c(-AnGr _ c?
Address: e Telephone No.: Licensed Contractor: ' p?y q
Address: Telephone No.:
(Heat loss calculations required for HvAC--Cert. 6ng. Plans required for Coam/ind/
Mu1t. Family.) ?
Applicants Signatur/Z.?
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
19
R?'iCE1VE0 FROM "
AMOUNT $ I
Ee DOLLARS
?oo
? CASH ? GHEGK
FOR
8Y
White-Payerc Copy
Yetlow-Posting CopY
Pink-File Copy
ThankYou
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS:
I al
PERMIT SUBTYPE:
APPUCANT:
,.
TYPE OF WORK:
ttll ? 1 1s 1 FJ14
H.'?.E94i??
INSPECTION D. . ..
RF MAI4. IJ11trl1 IIUi; N 1 Nl, "tlt A I 1 Ni- •, r: 1 1 h" Il?titi?,t ll? r W AN i?U f I11?1?14 ';i4F (? {. I ? 1 '. ( irUt i U1e(= 1
1 I Aii Aft 1'1 i. lql I `, l1F;F kF flillkr( f.+ 1 (11r Ftf t FtitiNii rll ANU i I EI Iil If.li! llit11i ?•
F
J
L
Permk No. Permlt Holder Dab Telephone N
S!W
PLUMBING
HVAC
ELECTRIC
EIECTRIC
inepectlan Date Insp. Commerfts
Footingsl
Fourrdation
Framing
Roofing
Rough Plbg.
Rough Hig.
Isul.
Freplace
Final Htg.
Orsat Teat
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
81dg. Final
Oeck Ftg.
?.
Dedc Final I 5
LcJ !
weu
77'W Si2. &. 1AF--42.
Pr. Disp.
CITY OF EAGAN RemarksR" ?41?'? j`'r ?E< CK ? OOlo17 7- 7(0
Addition Oak Chase Addition ??2 Lot 4 sik 2 Parcel 10 53501 040 OZ
OwnerH;ItG?J LbIS treet 4491 nak ('haGe T.ane StateEagari, MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUR F.
STREET RESTOR.
GRADING
s'SAN SEW TRUNK 1973 $364.80 $18. 24 255.36 A005974 S 11 78
*SEWER LATERAL 1975 2247.50 $Zr+9.83 15 PATD
WATERMAIN
*WATER LATERAL 1475 15
*WATER AREA 1975 15
STORM SEW TRK ?9$ 446.96 . 2g. $0 ? 57.56 ?'i0l.050$ -1$-8
STORM 5EW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. $320.00 9748 12-28-73
13UILDING PER. #3190
sAC ,pp 9748 12-28-73
PARK
? . , . "_ ? CITY OF EAGAN
3795 Pilot Knob Road Eagan, MN 55122 N! 6158
PHONE: 454-8100
BUILDING PERMIT Receipt # __--
To be ured' far Est, Value Dcte , 19
Site Address Erect 0 Occupancy
LoY Block Sec/Sub. Alter ? Zoning _
parcel # Repalr ? Fire Zone
Enlarge ? Type of Const.
W Name Move ? .# Stories
; Address Demolish 0 Front k.
b
Ci Phone
Grade ?
Depth h.
? Approvals Faes
o Name
Zr
oV ? Address
U
Name
Addreu
rl(?.•
f hereby ccknowledge that I hove read this opplicotion ond state thot
the informotion is correct and agree to comply with all applicable
State of Minnesoto Stotutes and City of Eagan Ordinances.
Assessment _
Woter & Sew.
Police
Fire
Eng.
Planner
CAUncil
BId9. Off. _
APC
Permit
Surchorge
Plan check
SAC
Water Conn.
Water Meter
Rood Unit
Total
Signature of Permittee I
A Building Permit is iuued to: on the express condition that
oll work shall be done in accordance with oll opplicable Stote of Minnesota Stotutes und City of Eagan Ordinances.
Building Official
Ponnit # peN IwNi P*nniMw •
Plumbing
Mechanical •
INSPECT10N5 DATE INSP.
Rough-In
Flnol
Footings Date Insp. Date Insp.
Foundation Plumbing
Frame/ins. Mechonical
Final
Remarks: /? "IF ?
lu10,
COvl?.r T 9 v ?/h'
/
ev -?d? -
• CITY OF EAGAN
3795 Pilof Knob Read
No.
Ti? 1,?6-
Eason, Minnesota 55122 INSPECTOR NOTIFICATION
Phone: 454-3100 R E QU I R E D B Y LAW
PERMIT FOR ALL INSPECTIONS
Dete: I Receipt No.:
Single
Site Address: Residentiul
Lot Block Sub/Sec. Multi Res., Comm./Ind. I
Name New/Alter./Repair. .
? Address Cost of Instnllution
City Phone: Permit Fee
Name Surcharge
.
?
? Address
e
s
City Phone: Totol
This Permit is issued on the express condition thaf all work sholl be done in accordance with all appliwble State of
Minnesota Stotutes ond City of Eagan Ordinances.
Buildirp Official
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Prini legibly
Tot.
1. Date 2. Installation Cost
3. Job Address
4. Owner
5. Contractor
6. Address
7. City
8. Building Type: Residential C)
9. Work Description: New ?
10. Describe
11
No. Fixtures '
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Se
tic T
nk
Lavatory p
a
ft
e
S
Shower n
r
o
Wel I
Kitchen Sink
Urinal/Bidet Othe
Laundry Tray r
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : -
fvr
4 Rougfi Final
? Inspections: Date,!?kl_ Insp. T"`' Date Insp.
this is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
_ Lot Blk. Tract
Phone
State Zip _
Commercial ? Institutional ?
Add ? Alter ? Repair ?
d 33363 ?'
ReQUast Oaie
, Fire No, Rough-in Inspedron
Raquired?
G?"BS G No
? ReeOy Now
No6ty InspecMOr
V?hen Reatly7
I] ensed contractor ? owner hereby request inspeclion of above electrical work at:
Job tltl ess S et. w or Ro No.) City
Section No. Township Name or No. Range No, Coun +
Occ a ? P1ppsNy
u 4,?`
G V
Power SvOPlie qtltlress .
EIKtrical?t?o.rlCo?mpa??CK ELECTRIC
N Con ctor LicensaNo
Mailin9 p? pg I?SVO?VrorPEMROCK AV Eo
A W ont t ne M Mng slalle
s a p
!R Pho e O?
_
Gr g8e•MlEwey Bltlq. OARwm?S 1?C?I?? ? v? BEIACCEPTED BY THE STA E B'OARDT
1821 UnlverSHy Ava.; $1. Peul, MN 55109 . UNLESS PROPER INSPECTION FEE IS
Phone (614) 642-0800 ENCLOSEO.
REQUEST FOH ELECTRICAL INSPECTION
? See insVUClions tor completing this form On back oi yellow copy
d 3 3 3 6 3 "X" Below Work Covered by This Request
6 ??a EB-Ww?..,.
?N Add. Rep. TypeolBUilding AppliancesWiretl EquipmeMWired
Home Range Temporary Service
Ouplex Water Heafer Electric Heating
Apt Building Dryer Otheo-(Specify)
Comm.llndustrial Furnace
Farm Air Conditioner
Other (sye[ity) ConVadoYS Remetks:
1 r 1\J? vl??
Compute Inspection Fee Below:
# I Oiher Fee # ServiceEntranceSize Fee # CircuitslFeeders Fee
Swimming Pool 0 to 200 Amps 0 to ?00 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs Inspecmr§ Use Only: TOTAL
Irrigation Booms / p 5
Special InspeCtion i ?,J ?
Alarm/Communication THIS INSTAILATION MAY BE ORDERE SCONNECTEDIF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspecior, hereby Rouyn-in Data
certify that the above inspeCtion ha5
been made. F,nai
Lfxin , o
r--
OFFICE USE ONLY
This request voio 18 montns irom
Mmnesota StBte tloara ot wectnqiy
Griggs Midway Bldg. - Room N191 /?? EB-00001-02
7821 University Ava., St. Paul, Minn. 55104 - Plwne 297•2111 ? t
CHECK E?LOW WORKCO EREDTBY'TH S REQU ST'?N ? J T 15136
Type uf Building New Add. Rep. Check Applisnces Wixed Foi Check Equipment Wired Fm
Home ? 25 ? Range El Temporary Wiring ?
Duplex El Cl ? Watec Heater ? Lighting Fuctures Is
Apt. Bldg. ? ? ? Dryet ? Electiic Heating ?
Commeccial Bldg. ? ? ? Fumace cl Silo UNoader ?
Industrial Bldg. ? ? ? A'v Conditioner ? Bulk Milk Tank
Farm ? ? ? List Lis[
) ['T /NP
Other ? ? ? p
Nerers? p
}
HeierSl ??? J
COMPUTEINSPECTION FEE BELOW
ServiceEnt`anceSizr. # Fce 1 1 Feeders@Subieedeis: e Fee C¢wits: # Fae
0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eres 40 0
l Ol to 200 Amps. 31 to 100 Amperes 31 to 100 Am res 00
Above 200_Amps. Above 100 Amps. Above 100 Amps.
Transformers RemoteControlCirc. Partialotothetfee
Siyns Speciel Ins ection Minimum fee
Remazks
TOTALF E?a,?
/?•UD
I, the Electrical Inspector, hereby certify that the above inspection has been rn?. 'So
(Rough-in) r Date
(Final) . Date Y"14- }L7
This request void
18 months from
This request void 4 f,??. Z' S?a
18 months from ? 4Date of this Request Flre No. :T, 15136
I, as ? Licensed Electrical Contractor Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Sueet Address or Route No. City
Section? Townsiup
Range County D,4KOT
Which is occupied by ?/?E4?1J'?.t/Z
(Name of OccuDant)
Is a roughin inspection required on this job? No ? Yes Ready Now ? Will Call ?.
Power Supplier P-fKD //1' 45;(45C, Address
Electrical Contractor
(Company Name)
Contractor's License No. _
Mailing Address
Authorized Signature
??AM
or
xo. 5 -5
CRY This inspection request will not be accepted by ffie
State Board unless proper inspection fee is enclosed.
y ? o.c-?
CITY OF EAGAN
3795 pilot Knob Roaa
Eagan, Minnesota 55122
PERNIIT NO.: 438
The City of Eagan hereby grannts to Milton Sharm„n
of 2067 C-A*ret a*+e
a DT7iMRiNC Permit for: (Owner) 5?
at ad91 rmti rt,aa.. r?.+n , Pursuant to application dated 4/ln/74
Fee Paid: $yn_nn dated this Int!h_ day of A-Vril v 19-2-4-
.50 s/c
Building Inspector
Mechanical Permits:
Bid Total:
t f"Z 6 •C • ?i
CITY OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
PERMIT NO.: 483
The City of Eagan hereby grants to Mi7}on l, .m+n
of 70 a7 rs?er TanA -
a Permit for: (Owner
at 44e3 .a,,. .n.see re , pursuant to application dated 4/1 7d
Fee Paid: $20 „r, dated this _10f.7,_ day of ant?_, 19 7a •
.50 s/c
Suilding Inspector
Mechanieal Permits:
Bid Total:
EAGAN TOWNSHIP
BUILDING PERMIT
owne:
........-- 9 --.-- . ..................
...................'--------....
Address (Presen!) ..L-O-U .....,?".c`?... ?---------.--•°
Builder ..... .......... ........ 1."?'?':'?`.`.' .................
Aaa:am ......... ...................':'..... ..--.......:>? ...............................
DESCRIPTION
J
° 3190
Eagan Township
Town Hall
Dale __.............
6tories To Ba Uced Fos Fron! Depih Heighf Esi. Cos! Permif Fee Remazka
? qitl'__?.
?t4 y y
L.??
?7• v+
/e.• ?+' .?-lw-r'.e..-?Ca
" 1- - LOCATION % / 7.J`r Sfreet. Soad or ofher DeseripSOn ox i.ocarion I Loi sioeY ACQII1011 Oi 1TSef
4401 ,,09,1 ??i4 7... I ? ? E-•.?. Ll?.- ?- =??..t?-:?
This permi2 does not avlhorize the use of sfseets, roads, alleps or sfdewalks aor doea it give the ownes or his agen!
the righ! 2o creale anp silualian which is a nuisanee or w6ich psesenis a hasard !o the heallh, safeip, convenience and
general weliaxe to anpone ia ffie communiip.
THIS PEAMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGAESS.
TMs is !o eerlifp, lhai...-2?1 ...----12.:.....A4 . . ...........hes Permissioa !o erect a.-- -`.-?.--.? ....?..?........?-/- g.... ..... ... upoa
the above described premise subjee! 20 the provisions ot the Building Ordinanee for Eag?n Towaship adopled April 11,
1955.
.......................
......?------V......... ...._(..---Per ......------....!?.'.`;Q'e.------v...----.
Chairman of nwn Boerd ? Buildin Ins ealor
Q
Solar Porch
Zb Be Used For Addition
Site Pddress
Lot 4 Block
CITY OF EAGAN
BUILDING PER1?11T APPLICATION
Include 2 sets of plans,
1 site plan w/elevations &
1 set of energy calcu].ations.
Valuation dr 6-6 On Date 5 Sept. 1980
4491 Oak.Chase Lane
2
Sec./Sub.Oak Chase
Parcel #: 70-53501-040-02-9
p,aner; Milt & Lois Sherman
Address: Same as above
City/Zip Code: Eagan, MN 55123
OFFICE USE ONi.Y
2nchrect D< occuPancY 93
Alter Zonin9 6&M-Aro Z n,J imo
- Repair Fire Zone 3
Enlan7e _ Type of Const. V
- Nbve # Stories
- Demlish Front 7,0 ft.
Grade Depth /9- ft.
phprre #: 454-5395
APPROVALS ?S
Contractor: Developers Consf., Inc. ASSessnients Pexmit
Plater/Sewer Surchan7e
Address: 12443 River Ridge Blvd. pollce Plan Check
City/Zip Code: Burnsville, MN 55337 Fire SAC
,
gng
water Conn.
Phorie #: 890-6194, 890-7490 plynrier Water Meter
Council Road Unit
rch./Ehg.:
p, Martin R. Lunde & Assoc. gldg
Off -
.
Address: 1002 MJeslev Temple Buildi n+PC
Code: M
Cit
/Zi
ls MN 55403
y
p
p d
Phone #: 870-7011 ` T(YTAL
?24 ?
CITY OF EAGAN
3795 Pilot Knob Rood Eagan, MN 55122
PHON E: 454-8 f 00
BUILDING PERMIT APPLICATION
Re[eipt #
N4 6158
0
To 6e use& hr SOI.AR POR.ADDN. Est. Value 5,000 Date 9-15 19$0
Site Address 4491 Oak ChaSe LR n Erect M Occuponcy-R3
Lor '4 siock 2 sec/sub. Oak Chase 2nd Aicer ? zontny Estate Zoning
Parcel # 10-5"3501-OL.0-02-9 Repoir ? Fire Zone 3 _
Enlorga ? Type of Const. V
m Neme ?lt &. LO1S Sh2TIIl8T1 Move ? .#' Staries
; Address 4491 Oak Chase LTI. Demolish ? Front 20 ft.
p iName nPiQ? a?T on5trll iori IRC .
?? Address 12443 River Ridge Blvd.
r r:... Rnnmri l l o T?n e?___ Rcafl_hl QL _7LAC1
Name Martin R. Lunde & Assoc.
Address 1002 Wesley Temple Blvd.
Grode ? Depth 14 ft.
ADUrovala Fces
Assessment _
Woter & $eW.
Police -
Fire
Eng.
Planner -
Council -
Permit -
SurcFwrge _
Plan check _
SAC -
Water Conn,
Water Meter
Road Unit -
I hereby acknowledge thot I have read rhis opplication and state that Bidg. Off.
the informotion is jofMrect ond agree to wm with all opplicable APC Total 20.5?
State of Minnesota $tatatL?a?B City of ?a Ordinances.
Signature of Permitt
A Building Permit is issued ro: T)Pval "ars Cnnstrvoti on on the express condition that
oll work sholl be done in accorday¢e with all opqlicable Stare of Minnewta Statutes ond City of Eogan Ordirwnces.
Building Officinl
Mfnnesota Stay 6o9rA of EfeCtricity
_ Griggs Midwa Bld .- Hoom N791 EB-00001-02
1821 University Ava., St. Paul, Minn. 55104 - Phone 297-2111
r• ECK BEE OW WORK CO ERED BYELECTRICAL
TH S EQUEST'ON 11573
Typs of 8udding ?,New Add. Rep. Check Appliances Wi[ed For Check Fquipment Wired Fm
Homc ?
' ? ? Range ? Temporary Wiring ?
Duplex ' ? ? ? Water Hea[et ? Lighting Fixtures ?
Apt. Bldg. ? ? ? Dryec ? ElecUic Heating ?
Commercial Bidg. ? ? ? Fumace ? Silo Unloader ?
Industrial Bldg. 0 ? ? Au Conditioner ? Bulk Milk Tank ?
Farm ? ? ? List
J L
ist )
Othex
?
?
? p
F
Eleie?s) p
y
HeheTS1
COMPUTEINSPECTION FEE BELOW
Service Enttance Sae: # Fce Feeders& Subfceders: # Fee C'vwits: # ee
0 ta ]00 Am s. 0 to 30 Am res 0 to 30 Am eres y
101 to 200 Amps. 31 [0 100 Am eres 31 to 100 Am eres
Above 200 Amps. Above 100 Amps. Above 100 Amps.
Transformers RemoteControlCuc. Pactialorotherfee
S' ns Special Inspection Minimum Cee $5.00
Remarks
TOTAL F 6j'Frj
I, the Electrical Inspector, hereby certi ,(hs th a s ec£ has been .''
(Rough-in) Date
(Finai) ? Date .f
This request void
18 months from ?
This request void '7? ox-k 4?X? ? ? 6 I y
] 8 months hom ?
Date of this Request Fire No. i 11573
I, as ? Licensed Electrical Contractor OOwner, do hereby request inspection of the above electri-
cal wiring installed'at:
Street Address or Route No.
Section 7ownship Range Count.ko4old ?i /,
Which is occupied by m
Is a roughin inspection requited on this job? No ? Yes ? Ready Now ? Will Call ?
Power Supplier Address
Electrical Contractor MAJ / GI'? CyU+l 7I ? Contractor's Licensa No Y?
(GOmDany Name)
MailingAddress 12??7 6ao???' ,o? '.?9p?/?04'? .i????f"S,ji
? / fEleUric"SDM1trattor or Owner Mak ng This InStaila oN
Authorized Signature Phone
7his intpection request will not6e accepted 6y Me
Stete Board.unless propecinspection fee is endosed.
s ? (? i&;1 9s
Requesl Data Fire N_ ough-in Inspecfion
R uiretl?
p ?? ?Yes G No 0 Reatly Now Oi11 Notify Inspector
?''When Reatly?
I?klicensed contractor ? owner hereby request inspection of above electrical work at:
Job Aatlren (SVeet. Box or Route No.)
CIN
/'LS
Section No ? L. ? /?f . - t?l i.l
. Township Name or No. qange M. Coun
. -„---- 0/4-'.(`a 7`4
Soppfer
9 *1?d c,
al nVactor (Ciompany Name)
ACtlress ICOMractor or Owngr Making Installation)
A-7 ':?
,5-4j- y/ v
,?
f Con ?or5 Lkense Np.
d ?? ? ?o L.(
V^
hum(,nze naNre ICOnVaqor/Owner 11aking Installation) ?
Phone Number
• 6 t`?fT-G
MINNESOT ATE BOAflD OF ELECTqICRY ?
Grlgge-Mltlwey 81dg. - Roam 5473 THIS INSPECTION qE0UE5T WILL NOT
1821 University qve., St. Paul. MN 55100 BE ACCEPiED BV THE STATE BONRD
Phone (6121602-0800 UNLESS PROPEF INSPECTION FEE IS
ENCLOSED.
1'1 CLClill'11VML IIY01-Cli11V1Y ? y3? t&0000108
? e ctions tor comoletino Ihls torm on oeck oi vellow roov. 4'?^Y11111'
?'.
J 15 3
X" Below Work Covered by This Request
12
ew Add Rep. Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
ApL Building Dryer Other (Specity)
Comm.llndustrial Fumace
Farm Air Conditioner
Olher(speciy) Connedor?'s /pemaBS:
/%-e/j ^T c5
Compu[e Inspection Fee Be/ow: .
d Other Fee # ServiceEniranceSize Fee S Circuits/Feedere Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above i00 _ Amps
SignS Inspector§ U. Onry: TOTAL j?
Irrigation Booms ?f, U l (S
Special Inspection
Aiarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTE4 IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
certify that tne above inspection nas
been made. Rougn;m
Fin81 ? oe?e
oa1e y? 3
OFFICE USE ONW
Tnis requas? voia 18 months Irom
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: BuxLnzns
3830 Pilot Knob Road Permit Number: 025000
Eagan, Minnesota 55123 Date Issued: 01 / 0 3/ 9 5
(612) 681-4675
SITE ADDRESS: LoT : 4 B L0 C K: z APPLICANT: '
4491 OAK CHASE IANE BUDDE FREpERIC
OAK CHASE 2N0 (612) 854-0450
PERMIT SUBTYPE:
SF (MISC.)
TYPE OF WORK:
NEW
INSPECTION
FRAMIN6 .. .
ROUGH IN PLBG .A
OUGH IN HTG FINAL
REMARKS: (WOOD-BURNING "HEATING SYSTEM" HOUSED IN AN QUTDOOR SHED-LIKE STRUCTURE)
3EPARATE PERMITS ARE REQUIRED FOR MECHANICAL AND ELECTRICAL WORK
?
?
?
I
_qW
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT TYPE: B U I L D I N G
Permit Number: 025000
Date Issued: 01 / 0 3/ 9 5
SITE ADDRESS:
P.I.N.: 10-53501-040-02
PERMIT c-L-0I1
4491 pAK CHASE LANE
LOT: 4 BLOCK: 2
OAK CHASE 2ND
DESCRIPTION:
Bu-I ldEnglPermit Type SF (MIISC.)
Building Wark. Type NEW
S ?..
? ?.
?
?
?
\
;'.
? i
i?
U I.1i i.i
`
REMARKS:
(WOOD-BURNIN6 "HEATING SYSTEM" HOUSED IN AN OUTDOOR SHED-LIKE STRUCTURE)
SEPARATE PERMITS ARE REOUIRED FOR MFCNANICAL AND ELECTRICAL WORK
FEE SUMMARY:
VALUATION $5,000
Base Fee $72.00
3urcharge $2.50
Total Fee $74.50
CONTRACTOR:
OWNER: -
BUDDE
4491 OA
EAGAN
(612)854-0450
Hppllcant -
FREDERIC
K CHASE LN
MN 55123
I hereby acknowledge that I have read this
informaLion is correct and aqree tn comply
Statutes end Gity of Eagan prdinances.
L
APPLICANT/PER ITEE S NATURE (
application and state that the
with all epplicable State of Mn.
?
_ON ?I rn ,?
ISSUED BY: IGN RE
? CITf OF EAGAN
UYLDING PERMIT APPLICATION
? 681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered sit surveys, 1 copy f energy
calcs. ' g f9c?4
COMMERCIAL 2 sets of architectural & struct al_plans,_1_4et o
specifications, 1 copy of energy .
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date 12. /) 9_ Valuation af work --$ SDOo
Site Address:_ L1491 L?c.k t ?o,y t
STREET SUITE !1
Tenant Name: (commercial only)
LOT ? SLOC& SVBD.
? P.I.D. a
Descri ,tion of work: ?? ??-,?!a? F>?coa 1??+2.v.a?,r? ?7odG A-- l?c ?evc,.?I•v
CnC/?7C? ILN F?SH[D G.C? ° ST/1M?'llI/LL OrT,.
The applicant is: Owner ? Contractor ? Other (DeseNbe) y r4n? XrrN4 446e"
Name R tiejclP ril eel P t, c?! E. Phone t/SyA/o q
Property _
LAST FIRST ?sy/vvs?t??J
Owner qddress _ 4LI 9 1 ?ci Kc A rrse- Lem,-e
STREET STE p
City ?t,rn'09rv State 41rJ Zip S..S'/23
Company ( er-w ? Phone
Co ntractor Address License # Exp.
City State Zip
Company (S -e. Phone
Architect/
Engineer Name Registratian #
Address "
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
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.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation
? 02 SF Dwg.
0 03 SF Addition
? 04 SF Porch
? 075 SF Misc.
l ETAC/fSd (C,crc?o +-,
Woon SV--r-
WORK TYPE
13 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
O 11 Apt./Lodging
0 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
? 15 Deck
fi?31 New
0 32 Addition
? 33 Alterations
? 34 Repair
GENERAL INFORMATION
? 35 Tenant Finish
? 36 Move
?? :
.. .. '.µ.???V
? 16 Basement Finish
? 17 5wim Pool ?
?
? 18 Comm./Ind.
? 19 Coimn./Ind. Misc.
? 20 Public Facility
O 21 Miscellaneous
El 37 Demolish
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. tatal Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code ?
Depth On-site sewage SAC Code
C
Uni
APPROVALS ensus
t
42
Planning Building Assessments
Engineering Variance
REGIUIRED INSPECTIONS ? WrGN. 9 LGLC. £/zH+ /TS
? .Site OFinal ooting ? Framing ? Insulation
? Wallboard ? Draintile ? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
?
vetuoerm: $ S-, aoo
SAC %
SAC Units
12-19-94 02:53PM FROM ELF ATO BLOOMINGTON
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R=96% FROM ELF ATO BLOOMINGTON 612 854 0669 12-19-94 02:45PM P002
DISTRIBUTOR BULLETIN
SUBJECT:
FAFCO IV SOLAR COLLECTORS
IN BRIEF:
FAFCO IV CALIFORNIA CERTIFICATION
NO.: 191
DATE: 10-20-80
FILE: MARKETING
FROM: GORDON CERRUDO
IN DETAII:
EFFECTIVE OCTOBER 1, 1980 THE FAFCO IV COLLECTOR
PASSED ALL "TIPSE" REQUIRENENTS AND GAIt]ED "TIPSE"'
CERTIFICATION.
STATE OF CALIFORNIA
CALIFORNIA ENERGY COMMISSION
1111 HOb1E AVENUE
SACRAMENTO, CALIFORNIA 95825
AD
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C/tL!luR N !: r.1:CP G"i \'j?J:i??i?t ?
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'(916) 970-Gl.ci
October 6, 1980
TO: Fafco, Inc.
235 Constitution Drive
Menlo Park, CA 94025
SLrilJTC:: CALl"DriIA CEri1FICATIC*:
tin?er the authc.--ty o.`. the "Guideline for Certification of Solar Lr,ergy
Lquipme,--", J•ne 15, 1978, the Califorr:ia Energy Cora;ission (CrC) hereby
certifies thac -2 sample of tnis solar collecter, Model leo.:
IV
pas=ed the renu_S--te se:ies cf tests conducte? by sn iiidenendent 12ooratoiy
accr"•ditec by rne Calif.crnie Lnergy Cor:nisstiti, and rn^L the sinir..um require-
uerts fcr certi=ication.
The ra,cfacture, r.hall notify the CEC of clianges in collector cater=.als or
cor-strcction ic° avaluation of continued certification based on r.-2st data
frcm previeus ro:els. Periodic on-site ir_specUions by CEC i_:-rescntatives
ma,' be candiictei to veri:y compl;ance c.+ith certificstion condi.tiens.
?"..'
E_^;4utive Di.rector
The FAFCO IV collector' is constructed
from materials selected and tested for
superiorcorrosion resistance, light-
weight strength, and cost-effectiveness.
Exterior surfaces have ultraviolet resis-
tant coatings to prevent weather
degradation and require less mainten-
ance than common metal constructions.
The collector and its accessories
integrate into a total solar collection sys-
tem using a simple sturdy approach that
minimizes laborcosts. The FAFCO IV
collector is factory assembled by simply
clamping together layers, permitting
thermal expansion and moisture ventila-
tion. The installation systems includes
elastomer couplings, clamps, and fit-
tings for rapid field connection. Tie-
down accessories are available for fast
roof and rack mounting.
•
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J
Dimensions:
Nominal Area:
Net Aperture Area:
Dry Weight:
FAFCO IV 8'
51 1h" x 98'h" x 3" Max.
32 sq. ft. (3.0 MZ)
26.6 sq. ft. (2.5 Mz)
55 Ibs or 1.7 IG/ft2
(24.9 kg) or (8.3 kg/MZ)
82 Ibs or 2.6 Ib/ft'
(372 kg) or (12.5 kg/MZ)
FAFCO IV 10'
Water-filled 4Veight!
51bY' x 7221/2" * 3" Max.
40 sq. ft. (3.7 M2)
34.1 sq. ft. (3.2 M2)
66 Ibs or 17 Ib/ft'
(29.9 kg) or (8.0 kg/Mz)
100Ibs or 2.5 Ib(ftz
(45.4 kg) or (12.2 kg/ Mz )
MATERIALS:
Absorber Plate-FAFCO ultrastablized black polypropylene copolymer.
Glazing-Special protiie fiberglass reinforced polyester resin with ultraviolet and weather
resistant surface.
Back Plates-Fiberglass reinforced polyester resin.
Header Covers-High temperature ABS with ultraviolet and weather resistant acryfic surface.
PRESSURE: Collector hydrostaticaily pressure tested @ 30 psi.
Operating pressure of 10 psi at outlet coupler is recommended maximum.
Vented atmospheric draindown systems, or closed systems with adequate
expansion tank voiume and pressure relief are recommended.
TElNPERATURE: Recommended Fluid Operating Temperature = 600 F to 130° F(16° C to55°C).
Maximum Intermittent Fluid Operating Temperature = 2120 F(100°C).
Absorber-Melt Temperature 338° F(170° C)
Stagnation-Detail Recommendations, see Fafco IV Product Description Report.
FLUID FLOW: Recommended: 125 gpm/panel
Design Range: 1-gpm per panel (minimum)
6-gpm per panel (maximum)
FAFCOreservestherignttochangespeciFications. *PatPending
PRESSURE DROP:
CORROSiON RESISTANCE:
FAEE2ING:
WEATHERA8ILITY:
ABSORBER ABSORPTIVITY:
ABSORBER EMISSIVITY:
GLAZING TRANSNIlSSIVITY:
INCIDENTANGLE MODIFIER:
CONNECTION OPTIDNS
DIAGONALFEED(REVERSERE?URN)
END FEED
C 80
2
W
V
¢
w
a 80
U
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W
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LL AO
m
0
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COLLECTOR THERMAL EFFIdENCY'
0.1 oz oa 0.4
FLUIOPARPMETER Tin_Ta?aF?Bwin..tt.ry
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Standard Bank Panel
Single panel - 0.20 ft. head @ 1.25 gpm
&panels end feed -0.23 ft. head @ 10 gpm `
12-panels end feed (maximum)-0.25 ft. head @ 15 gpm I R
17-panels reverse return (maximum)-0.50 ft. head @ 21 gpm. I
Commercial Bank Pane! (special order, tor large arrays) ??•
SingVe panel-3.2 ft. head @ 1.25 gpm
30-panels end feed (maximum)-4.9 ft. head @ 38 gpm I?
43-panels reverse retum (maximum)-8.0 ft. head @ 54 gpm I
Compatible with common collector fluids, including antifreeze and swimming
pool water. Immune to electro chemical corrosion '-superior to metals. Contact
factory for organic solvent acceptability.
The sysiem should be drained before freezing or utilize an antifreeze solution
asthecollectorfluid.(Note:15° tilt is necesary for complete drainage).
?
Weatherometer, accelerated outdoor exposure and other extensive laboratory
testing demonstrates long-term weatherability oPFAFCO Collectors. I
(See Warranty).
0.92 Typical (0.3 to 1.8 Microns, Spectrophotometer)
0.92 (Reflectometer). 6
0.85.
0.98
NEAD LO55 VS FLOW RATE
8
7
6
J
4
3
2
1
0
2 3 4 5 8 7 8
FLOW RATE (gpm)
¢
w 1.20
J
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?
? .80
U
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1.60
1.40
ao
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`Tharmai Performance (FAFCO lV-70 F
1.) ASHRAE 93-77 test i
2.) NBS certified lab-lockheed Palo Alto, California
(these values exceeded in certified performance test)
COLLECTOA EFFICIENCY
8ft.FAFCOIV 1, 10ft.FAFCOIV
Gross Area: 34.2 sq. ft. (3.2 MZ) 42.8 sq. ft. (4.0 MZ)
Net Aperture Area: 26.6 sq. ft. (2.5 Mz) „ 34.1 sq. ft. (3.2 MZ)
FAFCO ilJC., 235 CONSTITUTION DRIVE, MENLO PARK, CA 94025, PHONE 415/321-3650
GWq2-SO-10 . .
l G 3 4 ,
, COLLEC70P FLOW RATE (gpm) I,%
MASTER CARD
LOCATION
OWNER
STRUCTURE AND
LAND USED AS
Permit
No.
Issued Issued To
Coniractor Owner
BUILDWG ?3/9a • :' ? ? -/?? '
PLUMBWG
q 3 g
4- /o.2q
P- ?y
CESSPOOL - $EP71C TANK ?
WELL
ELECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER
OTHER 145(
OTHER I
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING
POUNDATION _ /0, 7 .
. F
A_ (D _ 7e SEPTIC
CESSPOOL
FRAMING _ 74 npAa?? TILE FIELD FT.
FINAL
ELECTRICAL
HE.OTING
?,'? • 3 - '] a ? D TH
F WELL
GAS INSTALIATION I
SEPTIC TANK I
CESSPOOL
DRAINFIELD I ?
PLUMBING
WEIL I ?
SANITARY SEWER
Violations Noted
on Back
COMMENTS:
x
COMPLIANCE INSPECTION REPORTS
70 BE USED ONLY IN EVENT OF OBSERVED VIOlAT10N5
PERMIT NO.
CONDITIQNS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON{OMPLIANCE
OBSERVED.
DATE OF INSPECTION
? ACCEPTABIE SU85TITUTIONS OR
DEVIATIONS.
9 NON-COMPIIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZED AND DESCRIBED AS
? NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENT$
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
I i
4
? REINSPECTION REQUIRED DATE OF REINSPECTION
REINSPECTION REVEALED
CERTI FICATION -I certify thac I have carefully inspected the abwe in which I have no interes[ present or prospective, and that I have reported herein
all significant conditions observad to he at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific requira
ments for off-site imprwaments relating to the property inspected.
7 ALL IMPROVEMENTS ACCEPTABLY COMPLETED
INSPECTOR
COMMENTS:
DATE
? :s
December 28, 1984
Mayor B. Blomauist
c/o Thomas Hed,es,
Bagan City Hall
and Eagan City Council N,embers
Eagan City Administrator
3030 Filot Knob Road
Eagan, N.innesota 55122
Re: Construct an outlet to pond LP55 to maintain a level that will
eliminate the continual flooding of lots 4, 5 and 6, Block two,
Uak Chase Secend Addition.
Dear Alayor Blomquist and Council Members:
We are requestinr- the construction of an outlet from pond LF55 as pro-
posed on "r:agan's Master Storm Sewer Plan. Since the construction and
development of Ches Mar iLth and 5th Hdditions in 1978 we have had con-
tinual f looding of our Froperty.
Pond LF55 is approximately 200 feet west of the pond adjacent to our
property. This pond was not recognized on iagan's Master Ponding Flan
when Ches Mar was developed. We discussed with Nr. Rosene (at the June
1977 Planning Commission meetin5 on Ches Piar Develonment and several
times later) the rotential ;;roblems that could occur when storm run off
water is .iped into a shallow rond with no outlet. i•]e were assured
there rD uld be no problems. Compounding the small holdinK capacit5• of
the ponds was the lack of erosion control in the Ches Mar development -
as the hillside washed down, more fill was dt:mped in the washouts only
to washout again.
Mr.-Colbert's October 1980 letter to Tollefson Bui2ders and vabbert De-
veiopment Co. recognizes the flooding, the siltation and the altered pe^-
colation of the pond. Our letter to t'r:e Mayor and City Cour.cil dated
July 6, 1981 chronologizes our effort to get some relief from these
problems.
At our proddin ,the city has been monitoring the levels o£ both ponds
since April 1994. The ponds, as surveyed by the city, maintain approxi-
mately the same eleva:;ion. The oricrinal topographical map of the area
before develoc:m,?nt shorred the elevation of LP55 at ,18.3 and the pond
adjacent to Oak Chase at 914.6 feet. Since the Ches N;ar storm sewer run
off was piped into pond LF$5, both ponds have risen, floodinc wooded
areas. The pond floodint; our lots has bcen pumped twice and bcth times
the ;.ond continued to rise Aiter pumping stopped, even during a lonK dry
spell. Pond LP55 decreased durin;- this time, hence, the conclusion water
from pond LPSj is seeping into the pond on/adjacent to our prone^ty. The
city engineers agree the seepaPe between the two ponds is preventing our
pond from receding.
? -
The natural treeline on our propertg follows the elevation contour 918.
It is imperative that pond LP.S be iraintained at 916 or lower to protect
the trees on our property. The r;aster Storm 3ewer Flan sets the planned
outflow elevation of LP55 at 920, but didn't plan on the seepage between
ponds. r,ven at elevation -i16 t'r.ere will be times during heavy run off
that elevation 916 will be exceeded.
Since the floodin?- into the trees began, 66 trees from approximately 10
to 58 inches in circtunference have either tipped over or died or both on
lot 5 alone. Also, one tree that tipped over narrowly missed a park_ed
car in front of the garage and another dead tree fell an the deck behind
the house. There are many more dead ones that will have to be taken down
to av?id falling on the houses on lots 5 and 6. This is a serious 7roblem
and must be corrected.
This past summer the water was up to the fill behind both houses on lots
5 and 6. On lots 5 and 6, 90 feet of the 160 fcot deep lots were flooded.
Since the tem,r.orary pumn was renoved in September 1984 the pond has
flooded to within 20 feet of the fill again. This ]e aves us no backyard
and based on the last seven years, continual risinF waters and more dead
trees. The pond will have to be [:tmped again this sprinF.
The storm sewer outfall on gond LPS$ was as much as 20 inches vnder water
this summer bef::re pumping. If that conditon remains into vrinter the
storm sewer would freeze shut causing some real ;roblems in the streets
it drains during a o-iinter rain or thaw and durin- ihe sr.ring thaw.
The problems mentioneci above should never have accured with proper, city
engineerinFr and supervision of the developers. The initial storm sewer
engineerinfi was inadequate in not recognizina the velumn of run off, the
seeoage between ponds, and the holdin?; capacities of the ponds. We have
been very -patient the last seven years and feel it is time this :;roblem
is co^recied. If ttie LPKS outlet is constructed at elevation 918 or
lower tiiis would help stabilize the ponds, allow us to use our backyards
again (a garden, playhouse, etc.) and save the remaining trees. It is
very important to us to stabilize the pond as soon as possible. We will
be waitin,_ to hear of your plan tc accomplish this.
Sincerely,
???
Richard L. N /ey
LI1197 "vak ?hase`Lane
nagan, Minnesota 55123
??`
?? ? ?
ilton D. She an
4491 Oak Chase Lane
Eagan, Minnesota [5123
J,aries Nartin
4503 Oak Chase Lane
Eagan, Ninnesota 55123
ec: Mr. Rich fiefti, Eagan Public Works Department
??3i9?
77?(fSl
2007 RESIDENTIAL BUILDING rExnuT nrrLicnTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWdion Reauirements
3 registered site surveys showirg sq. ft of lot, sq. ft of house; and all roofed areas
(20% maximum lot coverage allaved)
1 Soils Repotl if proposed building is to be placed on disturbed soil
2 wpies oi plan showing beam & window sizes; poured found design, elc.
1 set of Energy Calculafions
3 copies of Tree Preservation Plan if lot piatted after 711193
Rim Joist Detail Options selecGon shest (buildings wiN 3 or less units)
Minnegascn mechanical ventilation fortn
/6A/
RemodeVReoair Reouiremenis Office Use Oniv
2 copies of plan showing footings, beams, joisLs Cert of Survey Recd _ Y_ N
1 set of Energy Calculations for heated addNOns Soils Report _Y _ N
1 site suNey foraddilions & decks Tree Pres Plan Recd _Y _ N,
Additlon - indicefe if on-site septic system Tree Pres Required _Y _ N
On-site Seplic System _Y _ N
Plans are considered public information unless ou state the are trade secret and the reason.
/
Date
Site Address ?Li
?'j -11?
Construction Cost
Lkc?w [?'? Unit/Ste #
Descripdon of Work ?e-mact<,? S?'S? 1 ci1 O'? h0?-? '
Multi-Family Bldg _ Y k N Fireplace(s) _ 0_ 1 _ 2
PropertyOwner Telep6one#(611 ) ?iz7-4- 'it d)
Contractor si.,p ?
?r-? cr- ?Q, ??.' / ?l .? ? / ?
-7
M ocl ? i.?R T11 e-'
Address I '1 `f7
State 'r V*1 55 `3"2 6?' City Nc? ?t I'Q
Zip 'SZU`>) Telephone # (9 5??) -D.5?k-
?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission rype) Submitted Submilted
. Energy Envelope Calculations Submitted . .
?
In the last 12 months, has ihe City of Eagan issued a permit for a similar plan based on a mast?er plarl? .? ,
_ Y _ N If yes, date and address of master plan:
Licen3ed Plumber Telephone #(
Mechanical Contractor Telephone #(
. i
IIJUI
Sewer/Water Confractor Telephone # (
I hereby apply far a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of 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 wark which requires a review and
approval of plans.
u01.-,5 l?1rOM`?
Applic 's Printed N e
Apph t Si a e
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
-r 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt • SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvqes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
e9' 33 Alteration ? 37 Demolish Building* ? 43 Reroof ?. 46 Windows/Doors
? 34 Replacement •Demolition (Entfre Bldp) • Give PCA handout to applicant
DesCfiqt1011: Water Damage _ Yes
Valuation Dw0 •- Occupancy P- 3 MCES System
Plan Review _ 100% or _ 25% Code Edition C 2c-o °
Census Code ? Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Sheetrock
_ Footings (deck) FinaVC.O.
_ FooCings (addition) ? FinaUNo C.O.
_ Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final
? Framing _ Siding _ Stucco I.ath _ Stone Lath _Brick
Fireplace
R.I. Air Test Final Windows
_
t)o Insulation Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
ToWI
L) p pop. afTH RM-db.?.. &R-e1$
2007 RESIDENTIAL PLUMBING PeRnniT aPPUCaTioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings. Do not combine inside and outside
plumbing on the saine application; separate applications and permits are required.
Date (a_ / r2!j_ / 0-1 p
Site Street Address ?H 11
tAY. C?aSe oLa.nc. Unit#
-
Property Owner RIIAO . Telephone # ( )
Contractor't 4 S-\?t Numiw",: °i- gQ_Jrd,.a Telephone# (9S) I 991f.)looo
Address Iayleq Z..?Ta.. Auti City State n Zip S537?
The Applicant is: _ Owner & Occupant x Licensed Plumbing Contractor
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Fire Repair (replace burned out fixtures, etc.) $ 90.00
This fee a lies when extensive lumbin re airs are made to a buildin .
Alterations to existing dwelling ? x $ 50.00
? Add plumbing. fixtures to !L_ main level lower level. , This fee includes ' -
installation of a water softener and/or weter heater at the same time. .!f you are
installing onfv a water softener and/or water heater, do not complete this section; -
move to the next section and place a checkmark next to the appliance(s) you are
installing.
_Septic System Abandonment
_Water Turnaround (add $136.00 if a 5!8" meter is required)
?Othec \ ' ficl'wylir
Water Softener Water Heater $ 15.00
_ new _ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
Total $ Sn. Sa
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is wmplete and accurete; that the work will be
in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but
only an application for a permit, work is not to start without a permit and work will be in accordance with the:approved plan in the event
a plan is required to be reviewed and approved. ° ??IEMED ??P? ?, D
ApplicanYs Printed Name Applican Signature • JUL 0 3 2007
04 2007 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Koob Road, Eagan MN 55122
Telephone # 651-675-5675
Please wmplete for: single family dwellings & townhanes/condos when permits are required for each unit
4j-o - _'?7
Date -7 / 27 1 0 /
Site Address D aK efj71 '; e [.GLn 'L. Uuit M
Property Owner ? Telephone # ( &S) ) :!VJ 1`7/L97
' /
-
Contractor 7 I77f'
U5TC /a _ 4,
T/Om
.
C(,fT1/Y? /tly
Street Address ?? ? ?-? ?• City
?e ?L? ?a1+7P
State M/ j Zip Za0 1 ? Telep6one # (O/z
Bond #:-'? Expires: 7 Z a
The Applicant is _ Owner Contrac[or _ Other
Fire repair (replace burned oat appliances, ductwork, etc.) $ 90.00
This fee applies when extensive mechanical repairs are made to a building.
Add-on or alteration to existing dwelliug unit $ 50.00
furnace
i
h
ix? Additional Replacement New
a
r exc
anger
air conditioner
heat pump
?z other QC[-C ?i ?-
State Surcharge $ .50
T
t
l $ ?
o
a
f hereby apply fw a Residential Mechanical Permit and acFmowtedge that the information is complete and accurate; that the wmk witl
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
ce with the
rdamn
permit, bu[ only an application for a permit, and work is not to start without a permit; that the work will be in c
approved plan in the case of work which requires a review and approval of plans.
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Applicant's Printed Name Applic. ' ignature
1,??1-1 2007RESIDENTIAL BUILDING rExnuT arrLicaTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Constructlon Reauiremants
3 ieg'stered sde surveys shaxing sq. ft of lot, sq. fL of house; and all roofed areas
(20% maximum bt coverage allowed)
1 Soils Report if proposed building is to be placed on disWrbed soil
2 copies of plan showing beam & window sizes; poured found design, etc. 1 set of Eneigy Calculations
3 mpies of Tree Preservation Plan if IW platted aher 711193
Rim Jolst Detail OpUOns selection shee! (buildings wifh 3 or less uniLs)
Minnegasco mechanipl ventilafion form
RemodelfReoair Reouirements
2 mpies of plan showing footings, beams, joists
1 set of Eneyy Calcula6ons for heated additions
1 site survey for additbns & decks
Addifion - inMicete 'rf arsde septic system
?0-oD
OHice Lse On
Cert oCSurveyRecd Y N
SoilsRepoR ; _Y _N
Tree P2s PIan?Recd _ Y_ N_
Tree Pres Required _Y _N
On sile.Septic Sysfem Y _ N
PIAt1S }3IP COfISIdP_FP_d t]lII]IIC Iilfol'IYlHt1011 1111IESS VOII StBt@ tIl@V 8t'@ tCad@ SBCC@t 817CI tfl@ C0i15017.
Date C) V / 08 /o?
v ?
Construction Cost ? SD O D_
SiteAddress na
? . UniUSte 9
Description of Work f
/"• ?L? ??a c? /
..? K St° v S X?
Multi-Family Bldg _ Y _ N Fireplace(s) _ 0 _ 1 'k 2
Property Owner ri e J 6q . ( 2
Q(? ?
Telephone # ( )
Contractor l`,. (4 cC - h - /" E- SH < .
Address 5 q u City L41k
State IP '? Zip Telephone # ( 1-9-)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minneso[a Rules 7672
Energy Code Category . Residential Ventilation Category 1 Wwlcsheet • New Energy Code Woricsheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of 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 tYie'work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans. .
ApplicanYs Printed Name Applicant's Signa
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - - -
For Office Use 1
' I I
Permit j
City of Eap I
I Permit Fee: 'v - 00 1
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
1
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 1 C? G Site Address: C_1__-)4 S-c_ ~_c 11V
Tenant: Suite M
RESIDENT/OWNER Name: 2c~ L%f~Ck_1 ~~.cSc Phone: ~S) - 4yl- 9 (0,
Address / City / Zip: HLf C) I L,-,- ca f)
Applicant is: Owner )0 Contractor
TYPE OF WORK Description of work: ok-
Construction Cost: Multi-Family Building: (Yes / No
CONTRACTOR Name- S-(~ ^►c r rv'1 cc_P_l roc, License
Address: X13
City: ~4e_L, State: \ i \ f~ Zip:
Phone:' e~ci Contact Person:
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 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.goi)herstateonecall.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
cordance with the approved plan in the case of work which requires a review and approval of plans.
x X
Appli `s,.. ri_ e e Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA169491
Date Issued:05/27/2021
Permit Category:ePermit
Site Address: 4491 Oak Chase Lane
Lot:4 Block: 2 Addition: Oak Chase 2nd
PID:10-53501-02-040
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Sarosh Anwar
4491 Oak Chase Ln
Eagan MN 55123
Applicant/Permitee: Signature Issued By: Signature