4510 Oak Chase LaneCITY OF EAGAN Remarks?F-1X *- ???bC00 m08 F. *?( WntEr Ottoi CK.R oola,- - v - ) `i - 1 Ce
Addition Oak Chase Addition #2 Lot 3 Rik 1 Parcel 10 53501 030 Ol
Owner&'vCf_ `F erZ('bCf G ?E1n6 Street 451 0 Oak C ase La ne State EaQan, Minnesota 55123
Improvement Date Amount Annual Years Payment Receipt Date
STFiEET SURF.
STREET RESTOR.
GRAOING
SAN SEW TRUNK 00 1973 364.80 18. 24 20 AID
SEWERLATERAL 1975 2247.50 149.83 15 ? 3c6'/
WATERMAIN
* WATER LATERAL 1975 15
* WATER AREA 1975 15
STORM SEW TRK 1983 446.96 29.80
STORM SEW LAT ~ .
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATERCONN. $320.00 9510 11-21-73
BUILDING PER. #3129
sac 375.00 9003 9-14-73
PARK
.
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21 •1999 Essan, MN 55121
PHONE• 454•8100
t3uI1-DIMG PERMIT To bft used for Est. Value
Site Address cm CUM Lm
Lot Block Sec/Sub.
Parcel No.
cc Name
; Address ? CHMf LA
° City Phone
¢ Name
0
? ` Address
P Ciry Phone
a
W Name
W
= Addre
a
W City-
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 Permittee
A Building Permit is issued to:
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Qfficial
ReCeipt 4k
Date
,19
?- ; •-- ?u, V
On Ske Sewafle _
MWCC System c•.p-Icy
Zoning
On Site Well (Actual) Const
City Water (Allowable)
PRV Required # of Storiea
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit
Planner Surcharge
Council Plan Review
Bldg. Off. SAC, City
Variance SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
P
k
ar
s
TOTAL
PermR No. Parmit Holdsr Oste Telephone ik
Plumbing
H.V.AC. '
Electric 0 //
?
Softener
Inspsction Date Insp. Coll'1111ent8
Footings I
Footings II
44'
Foundation
F raming
Roofing
Rough Plbg.
Rough Htg.
Isui.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
CerL Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
/? CITY OF EAGAN
? 0? 1? 3830 Pilot Knob Road, P.O. Box 21-199, Eegan, MN 55121
PHON E: 454-8100 BUILDING PERMIT Receipt #
? CAj;AriE
To be uaed for Est. Value ?' +• Date ?• ,19
° 4510 flkeC IN
Site Address
Lot I Block 1 Sec/Sub. Oat ?? 2NO
OFFICE USE ONLY
On Site Sewage
t
MWCC S Occupancy
Z
nin
em
ys
On Site Well g
o
(Actual) Const
City Water (Allowable)
PRV Required * of Stories
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
z Address
° City EpU"' Phone 451-8575
. o Name ST,r.• rWFAUS ,^.;1NSTBtiCT1GN
Ov Address 11720 ri.sC ,wVi: N
Um
City ?`r•Y'?UTY Phone 55Q-6429
W.
W
z
3
z
w
Name _
Address
City _
t hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State ot
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued ta STT [NKRA _ US CG[rSt1tUCTTOIi
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and Cily of Eagan Ordinances.
BuildingOfficiaL________________-_--____
APPROVALS
Engr./Assess. _
Planner _
Council _
BIdg.Off. _
Variance _
FEES
Permit
_ Surcharge
Plan Review
_ SAC. City
_ SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
!t- i
R,
.,,
24'
23'
90.00
??
94.oo
Permit No. Psrmit Holder Dste Telephone ?
Plumbing
H.V.A.C.
Electric 747- py
Softener
Inspection oste Insp. Comments
Footings I Y.
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Finai Pibg.
Bldg. Final
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
CITY OF EAGAN 524s,
3830 Pilot Knob Rcad, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDIWa PERMIT Receipt #
To be Aised'for Est. Value Date ,19
Site
WlK CMASR LM
Lot 7
Block • y,- .; t'
' Sec/Sub.
On Ske Sewaqe
MWCC 3
t
Parcel No. em
ys
On SRe We11
ic Name City Water
W
z
Address PRV Requlred
Booster Pump
° City Phone
°C Name ,o
? ` Address '" ` 4;
P City Phone ? - ? - ? Uw
W W Name
i z. Address
UZ
? W City Phone
that the
State of
Signature of Permittee
A Building Permit
OlC Wb MUEI.
APPROVALS
Engr./Assess.
Planner
Cou ncil
Bldg. Off.
Variance
OccupanCy
Zon ing
(Actual) Const
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Road Unk
Treatment P1
24. Oi}
• .JV
?.,N.o?'.,..??.,?'?..?' ??' a,a?'....,,.???a?' .,? Parks
applicable State of Minnesota Statutes and City oi Eagan Ordinances. - i?--?
TOTAL
Building Official
Permft No. Parmit Holder Date Talephona ik
Plumbing
H.V.A.C.
,
Electric
Softener
Inspection Date Insp. Comments
Footings 1
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg_ Final
cert occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
cirY oF EAG?N
3795 '11ef Kwob Road Eagon, MN 55122
PHONEs 134-8100
BUILDING PERMIT ReceiPr #
Site /Wdress
l.ot Blotk Sec/Sub.
Parcel #
ac Nome
W
; Addross
b -•- --
Erect ?
Alter Q
Repalr Q
Enla?ye ?
Move ?
Demolish Q
Grode n
Occupancy
Zoniny
Fire Zone
Type of Const.
# Stories
Length
Depth Sq. Ft.
Ftas
F' ? Nome
2
?? Address -
~ Cit Phone
?W Name
P?,-? Addreu
Cf z
<l" C{tv Phone
1 hereby acknowledge that I hove reod this opplication and state thot
the informotion is correct ond ogree to comply with oll upplicable
Stote of Minnesota Statutes and City of Ea9on Ordinonces.
Assessment _
Wote? & Sew.
Police
Firs
Enp.
Plonner
Council
Bldp. Off. _
APC
Permit
Surthorye
Plan check
SAC
Water Conn.
Woter Meter
Rood Unir
Totol
Slynoturo of Permittee I
A Building Pertnif Is Issued to: on the express conditlon thai
oll work sholl be done in accordonce wtth olt oppliooble Stote of Minnesoto Stotutes ond City of Eo9on Ordinances.
8ulldinfl Officfol
.
$
0
d
2
0
r
E
a
do
? Y
o
3 L J
?
E ?
? E
e
d
z Q •
E
d o-
?
?
3
?
W
?
LL
LL
U. C6
? _
? 9
? d
U. =
IL
IL ..
'Z
? ?
?7 .?
6
9
4!E;?
,t}.A `
To Be Used For
? czTr oF EAGAv
sir.e Aaaress: --? w-?luLlay-
Lot' ?. Block Sec./Sub. ,(?ju/LCItiQ`:4
Parcel #: /D S 35O? U 3f) G?
O„mer:
Address: A r-
City/2ip Coc1e:
Phone #:
Contractc
Address:
City/Zip Code:
Phone #:
Arch. /Et1g.
Priclress:
City/Zip Code:
Phone #:
z
Include 2 sets of plans,
1 site plan w/elevations &
CAN?- 1 set of enerciv calculations.
? Date ?\l? ?Z
OFFICE USE OALY
v
YEr2CE
OCCUpol1C]' -,3
Alter Zoning /
Repair Fire Zone N
Enlarge-= Type of Const.
Nbve # Stories
Deirolish Fmnt ft.
Grade Depth z? ft. y;
APPROVAI,S E'EE.S
?
Assessments Permit
Water/Sewzr Surcharge .=
Police Plan Check
Fire SAC
Eng. Water Conn.
Planner Water Meter
Council Road Unit
Bldg. Of?
APC
TOTAL IC(A`a5
v
EAGAN TOWNSHIP
BUILDING PERMIT
Ownex ..... O/.Z:!tiL.'L-...94147 --
Addsess (Presenf) """__ ...... ......."'.___.......'_'_._._._............_____...........
Builder ...- - ------ L.v-o.+..----I..N------------ -------_'------."-
Address ..r??.+?. ."'--'.y#.'??
DESCRIPTION
N° 3129
Eagan Township
Town Hall
Dale ?..t. ----- %
Bfories To Ba Used For Fronf Depih HeigH! Esl. Cos! Pesmif Fee Remasks
/ ..i ' t (?}.16n.,? 60 ? 4 9 ? 3168s' ` k ?s 'D
r
l LOCATION /j'
Streei. Road or ofher eseripfion of Looalion I Lo! Block Addifion or Traet
4--5-/ P ALfo /'1atiP .rZia- ? ri z 3 3 U14?1
This permit doea aot aufhorize ffie use of eireeffi, roads, alleys or sidewalks nor does if give the owner os h[s aqent
the =igh! !o ereafe anp si2ualion which is a nuisanee or which presents a hazard !o the healfh, safety, conveaieaee aad
genezal welfara !o anyone ia the commveity.
THIS PERMIT MUST B?E /K?,E/PT OAN THE PREMISE WHILE THE WORK IS IN P ESS. ,
This is !o cerlifp. Yhat.f..lT...2,r.... L:..4.41.fr.-•!ZvO .................has permisaion !o erecY a... ................ .............................. _upoa
the above deseribed premise subject fo the provisions of the Building Ordinance for Eagan To nahip adopied April 11.
1955. n ?
_..
.""__""?°'?"...'--...T..'----'..........'-Per ? ................................. "'_" ..... ..................
,Rhairman of nwn Soard BuSlding Inapxios
.?? o,C.z
VII,LAGE OF' LAGAIV
3795 Pilot Knob ttoad
Eagan, IvLinnesota 55122
PIIMT N0. 405
The Village of Eagan hereby grants to Wenael Plumbinq & 8eatincr Iac.
af 3600 Rennebec Drive, Baqan 55122
a_ pr:vMB=taG Permit for: (Owner) RgIAT CONSt. for 9ruce 8ebe1
at4M0 pak Chase gp8g , pursuant to application dated 10/29/73
Fee Paid: $20.00 dated this 31st day o£ October , 19 73
.50 s/C
Building Inspector
Niechanical Permitse
Bid Total:
CITY OF EAGAN N_ 1513 2.
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDIMG PERMIT PH ON E: 454-8100
Receipt #1:8 O ?
-f
To be used tor POOL Est. Value $12,000 Date JUNE 7 1988
Site Address 4510 OAK CHASE LN
Lot 3 Block 1 SeGSub.OAK CHASE 2ND
Parcel No. _
a Name BRUCE & BARB HEBEL I
= Address 4510 OAK CHASE LN
? City EAGAN Phone 454-8575
OFFICE USE ONLY
On Sfle Sewage _ Occupancy
MWCC System _ Zoning
On Site Well _ (AC[ual)Const
Ciry Water (Allowable)
PRV Required _ # of S[ories
Booster Pump _ Length
Depth
S.F. Total
Footprint S.F.
o Name EAGAN POOL & SPA I
?Q Address 2020 SILVERBELL RD #20
: City EAGAN Phone 688-0860
w
i
?
z
w
Name _
Address
City _
I hereby acknowledge that I have read this aDPlication and state that the
inlormation is correct antl agree to comply with all applicable State of
Minnesota Statutes and Cit gan ances.
Signature of Permittee . "
A Building Permit is issued to: EA AN POOL & SPA
on Ihe express condition ihat all woik shal I be done in accordance with all
applicable State of Minneso{t}a S?ta?Ntes antl City of Eagan Ordinances.
.? Il.9A/1WV'
Building Official ^'- I
APPROVALS FEES
EngrJASSess Permi[ 122.00
Planner _ Surcharge 6.00
Council Plan Review 61.00
Bldg. OtF. SAC, City
Variance SAC,MWCC -
Water Conn.
Water Meter
Road Unit
Treatment P7
Parks
189
00
TOTAL .
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-189, Eagan, MN 55127 N0 15703
BUILDING PERMIT PHON E: 454•8100 Receipi# 9 S/i?/ r
To be used for GARAGE Est. Value $8, 000 Date OCTOBER 12 ,1988
Site Ad'dress 4510 OAK CHASE LN
Lot 3 Biock 1 Sec/Sub. Oak Chase 2nd
Parcel No
olName BRUCE HEBEL I
Address 4510 OAK CHASE LN
City_ EAGAN Phone 454-8575
OFFICE USE ONLY
On Site Sewage _ Occupency M-1
MWCCSystem _ Zoning E
On Site Well _ (ACtuap Const V-N
Ciry Water _ (Allowabie) V-N
PRV Required _ # of Stories _
Booster Pump ___ Length 24 '
Depth 23'
S.F. Total
Footprint S.F.
a0 Name STF.TNKRAIIS CONSTRIICTTON I
?a Address 11720 52ND AVE N
: City PLYMOUTH Phone 559-8429
U?y
ww
x?
ui
aW
Name _
Address
C ity __
I hereby acknowletlge ihal I have read this application and state that the
information is wvect antl agree to compty with all ap licable State of
Minnesota Statutes antl City agan Ordinanc s.
Signature of Permittee
A Builtling Permit is issuetl t.__ Nj($AUS-CON $UrTT(1N
ontheexpressconditionthatall orkshallbetloneinaccordancewithall
applicable State ofN(]?m_nes-ota StaWles a??'nd---yyyCyyy???ity of Eagan Ordinances.
Building
1
APPROVALS FEES
En9r./Assess. Permit 90•00
Planner Surcharge 4•00
Council Plan Review
Bldg. Off. SAC, City
Variance _ SAC, MWCC
Water Conn.
Water Meter _
ROad Unit _
7reatment Pt
Parks
TOTAL 94.00
CITY OF EAGAN ,.N2 15 2 4 5
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121
PHO N E: 454•8100
BUILDING PERMIT Receiptu
Tobe;jsed'tor DECK Est.Value $1,000 Date JUNE 23 ,7g 88
Site Address 4510 OAK CHASE LN
Lot 3 elock 1 Sec/Sub. DAK CHASE 2ND
Parcel No,
a Name SRUCE & BARB HEBEL
; Address 4510 OAK CHASE LN
° Ciry EAGAN phone
Name DECKWORKS
O
? a Address 2947 46TH AVE S
' City MPLS Phone 721-2018
FQ
w W Name
i? Addre
aw City-
I hereby acknowletlge t t I heve read t's application a tl state that ihe
inioimation is correct a agre t com y with all lica6le State of
Minnesote StaNtes an ity of a ' ances.
Signature of Permittee
A Building Permit is iss etl to:_ $RUC OR RS HEBEL
ontheexpressconditionthatallworkshellbedo inaccordancewithall
applicable State of Minnesota StaNtes and City of Eagan Ordinances.
Building OHicial_?'D AAa'I-Tv? _ -
OFFICE USE ONLY
On Site 3ewage _ Occupancy
MWCCSystem _ Zoning
On Site Well _ (AC[ual) Const
Clry Water _ (qllowable)
PRV Required _ # of Stwies
Booster Pump _ Length
Depih
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permi[ 24.00
Planner Surcharge 050
Council Plan Review
Bldg. Off. _ SAC, City
Variance SAC,MWCC
Water Conn.
Water Meter
Roatl Unit
Treatmen[ Pt _
Parks
TOTAL _ 24.50
cIrY oF EnGaN No 7122
9795 Ptlsf Kno6 Rmd Eagan, MN 54122 -
PHONFs 454-8100
BUILDING PERMIT Receipt # ?247190
T. b, onee (e. ADDTTION & DECK $17,000 0,,,, I"iarch 12 1982
SiM Address 4?1v Laic Lgase Lane
Lot 3 Blxk 1 Sec/Sub. ()ak CbaSe 2nd
Parcel # 10 53501 030 Ol
W Nome "`'`?'c asvci
; Address 4510 ?IC. Cg1EiSE 13212
b
Name lE?TYy N7e15HIDPSQ2T
ffi
g? Address 615 Russell Ave. No.,
r ,-:...Mol s _ 55411 ?___ 588-8292
Name _
Address
erar ? acurancy R-3
Alter ? Zoning R-1
Repofr ? Fim Zone NA
Enlnrge }($ Type of Cansf. V
Mova ? # Stories
Demolish ? Length 34
Grode p Depth-N-- Sq. Ft.-
Approrala Fees
Assessmenf _
Water & Sew.
Police -
Fira
Erp.
Glanner _
Council _
Permit ? yy - V I
Surcharge R _ 5(1
Plan check 61 75
SAC
Woter Conn.
Warer Meter
Rood Unit
I hereby acknowledge thot I have reod this applicotion and state thaf Bldg. Off.
the inlormotion is corre[t nd ogree to o mply with I opplicable 192.25
Stote of Minnesoto $tatute and Ciry g n Ordirw ces. APC Totol
$iqnofure of Permittee - ?vM
A Bullding Permlf is issued To: TL'ny ?b15 ger on the express condiHon thm
all work shall be done in accordance with all opplicable Sfote of innesoto Statutea and City of Eapan Ordirancea.
Buildlnp Official ?8?1- ? ?_
'T/l//is' ; SQUESTuFOR EL?EC?TR?I CALg INSPECT?IONct ot veuow coov. " ?000o7-O6
a« 't?
D " _'? ?A F; "X" 8elow Work Covered by 7his Request
aad Reo rvpe ot euiiatns noolioncra wi.ea Equipmant Wired
Home Ranye 7emporary Service
Duple.x Water Heater Lighting Fixtures
Apt. Building Dryer Electric HeaUn
Commercial Bld,y. Fumace Silo Unloader
Industrial BIAg. Atr Conditioner Bulk Milk Tank
Farm ocnrr oeci v .tnfr (speniv)
t qr Sucu y Other Other
ompute /nspection Fee Belaw
p Fee Service EntmnceSize 4 Pea Feeders/5ublenCers N Fex Circoits
0 to 200 qm 5 1 3 1 3- 0 to 30 Am 5 0 tn 30 Fam s
Above 200 qmps E .- 31 to 100 qmps 31 to 100 Am
J? Swimming Pool Above 100-Amps Above 700_amps
Transiormers 1rrigation Booms ,S'b Partial.`Other F
Signs Speciallnspection
S
`{L
T
Hemirks y5/ OTAL FE
PouBh-in
?
Final r D.7?/?
.le ,
I, the Elec wl
Inspactor, hero y
earurV :nat ma aoove
insoection hes been
?aa.
Tltlerepuestvo1tl18manlMlrom / /;?; (i(//?Y"µ•
This request void ?j/r 11EE ?i?(/O'(?
18 rronths Irom O ? v / J /
D 7 3 4 6.t ?e ?v °,'
Rxquest Date??
? Pire No. Rouph-in Insoection
Req retl?
?Reatly Nuw?Wil( Noiify, Insoea?-
?? LILY ZZ '?es N. tor When Ready
KLicensed Elecbical ConVactor 1 hereby repuast insDection oi above
? Owner elecirical work inslellad at
Stree[ Address, Box or Paate No.
Z
" City
'7
Ys
io Odk ?
ecuon o. Township Name or No. Range No. County
OccuUam (WiINT) Phone No.
b'fli ,?-
Vower $uDplier Address
Elechical CnmracioomDany Name) Conhactar's Liconse No.
AkB,TRy -?av.ru-r•e,r?.o .?•re Yo z YP-/
Mailine E+dJress ICoMmcmr or Ow e Makine tnstailatiunl „
'?7 J? ?'?}?lGC ,Q??' fz .TG?? arU67J-
Auffiorj?ed SienTmre (C hact r Owner akinp bistailatinn)
Phone. Number
y
?`lS:? ??70
??
MINNESOTA STA7E BOARD OF ELECTNICITY THIS INSPECTION HEQUEST WILL NOT
Griggs-MiAwev Bltlg. - floom N491 BE ACCEPTED BY THE STATE BOAHD
7821 Universitv Ave.. St. Paul, MN 55104 UNLESS PXOPER INSPECTION FEE IS
Phone(612) fi420800 ENCLOSED.
w/ $`9
N 556'41
fiequest Date Fire M. Pough-in Irwpection
D Requiretl9 o4-<eady Now ?Will NoFty Inspecbr
-e-c-?1 ? El Yes >Igo When Raady?
I;Kiicensetl contractor ? owner hereby request inspection of above elecirical work at:
.bb Atltlress (Sheet, Box or Route No.) CiN
ysto 80
Seclion No. TownsOip Nama or No- Range No. Caunry
Occupem (PRINT) PMne No.
?
y
7?S
Power Supplier qddr¢gg
Eleclrical Contracror (COmpgny Nema) Convaclor9license No.
' YozyQ-/
Mailing dORs ntredor ar Owner Mekim7 Inatallatbn)
I
f
a.r 7,.5
Aut
or ( Makin9 InsWlatb Phone Numbar
?= YJ J =..7y
MINNESOTA STA BOAflD OF ELECTflICfiV
Grlgga-MlCwey Bltlg. - Aoam S173
1821 Univazsity Ave.. Sl Paul, MN 55100
PhonO (612) 662OB00
THIS INSPECTON REOUEST WILL NOT
BE ACCEPTED BV THE STATE BOARD
UNLESS PPOPER INSPEGTION FEE IS
ENClOSEO.
REQUEST POR ELECTRICAL INSPECTION V: eaooooi o7
,r ? See inslmdions for completing Mis iorm on back of yellmv copy.
a7?--
M?? 5'6 4 1" ` X" Below Work Covered by This Request
e Atld Rep. -•TypeofBUilding AppliancesWired EquipmentWired
Home ? p??p?. - ?' Aange Temporary Service
Duplex Water Heaier Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Indushial Furnace
Farm Air Conditioner
OtAer (speciy) . Conlreclor5 Remerks:
, OL? J4,1-0?
Compute /nspection Fee Be/ow:
N Other Fee # ServiceEntranceSize Fee # Circuits/Feedere Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
TransFOrmers Above 200 _ Amps Above 700 _ Amps
Signs tnspecror8 usa only: TpTAL
.
Irrigation Booms S
u
?
Special InspeCiiOn
Alarm/Communication w/
Other Fee
I, the Electncal Inspector, hereby
certitythattheaboveinspectionhas
been made. Ro?n-m oma
Final os?e
.
OFFICE USE ONIY
This request voitl 18 months (mm
/40,2
6122 /
Repuest Date Fire No. Rough-in Inspedion
R
?? y("?
Notify
U ReatlY No'A' /A•?
ector
Y-?-?/ p
O YB ?en
Ready?
I;micensed contractor O owner hereby request inspection of above electrical work at:
Job Aaaress (Sireet. 8ox or Route i Ciry
s!o G e Cit.rs,? L,?,vE ll 6ll
Section Na. Towns?ip Name or No. Range No. County
b !}KarA
Occupam (PRINT) Phone No.
l a hL 7J'
Power SupPlper Atltlress
Dk,l Ko'CTXLG
Eleclrl`cal Conhactor ?COmpany amal
/? Contrector's License No.
i.rcTXi Ya Z 4?P- /
Mailing AOtlress IConVactor or Owner Making Installaiion)
zyf- cA-ill A-Us- ? rl law s,? 74 -300?
numorizea Sg wre ICanlracror/ ner Makinq Instailation) Phone Number
ff- 7
MINNESOTq STA BOAND OF ELECTRICITY THIS INSPECTION qE0UE5T WILL NOT
Grlgga-MlEwey BIOg. - Room S173 BE ACCEPTED 8V THE STATE BOARp
1821 Univerelly Ave., St. Peul, MN 55100 VNLESS PROPER INSPECTION FEE IS
PMne (812) 644-0800 ENCLOSED
,
REQUEST FOR ELECTRICAL INSPECTION
? See Insimctions for completing ihls lorm on back of yellow mpy, '?
y0r
C? 36122 . ?X" Below Work Covered by This Request ??`.??
ew . TyOeoiBuiltling AppliancesWiretl EquipmeniWiretl
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Building Dryer Olher (Specify)
Com./Intlustriai
m Furnace
Farm Air Conditioner
OUer(speciry) ConvactorSRema,ks'. QF.0 -PEA'K /4 9 7,6?
Compufe Inspection Fee Below:
# Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee
Swimming Paol 0 to 200 Amps L 0 to 100 Amps -
Transformers Above 200 _ Amps Above 100 _ Amps
Signs Inspector's Use Only: TOTAL
Irtigation Booms
Special Inspection
AlarmICOmmunication THIS INSTALLATION MAY HE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in
e
?e
D
certify that the above inspection has
been made. I
F;,,ei ( •?
cr-
OFFICE USE ONLY
This request wiC 1B months irom
?p !? REQUEST FOR ELECTRICAL INSPECTION
4_ _?? ?{? ?.?' See instructions for compleiing this fo,m on bock of Yellow copy.
Y'X'" BelowJWork Cnvered by Tiris Request•
EB-00007-03
,Zqgs s
v.
New d Rep. Type o1 Building Appliances Wired Equipmen[ Wired
Home Ranye Temporary Service
Duplez Water Hcater Liyhting Fixtures
Apt. Building Dryer Electric Heatin
Commercial 81dy. Furnace Silo Unloader
Industrial BIAy.
I Air Conditioner Bulk Milk Tank
Fg???? OthFr Ue.cify Other ISner,ilyl
thnr $necify OUhe, 00her
Compu[e Inspection Fee Belnw
tl Fee ServiceEntranceSize q Fee FenAers/Subteetlers p Fen Circuits
0 to100 Am s 0 to 30 Am 5 iz - 0 tn 30 Am s
101 to 200 Ampa 31 to 100 Amps 31 to 100 qm s
Ahove ZDO qrnps Ahove 100_Amps Above 700_?R?Ps
Transrormers Remote Control Circ. . Partial'Other
Signs Special Inspection
$
Rerrin rks
n ." /1C \S. ? M?.n Q _
Aro T TAL FEE/
Rouph-in Vi1e , the Electrical
Insuector, harahy
Flnal
??e/
i certif thutthe abova
ection has been
,
T'Mlc r ? a?t .inid
18 months hom
This reques[ void ?//?
718n7t3 69D
L3 I, 8 I, oq k clasE ?>- 4--!? a1? Lt 5 5
.;)o ,oo
Request Date
^?
'
'r
0 "' Fire No. R? Nh-i Insuection
He ireA?
Ready Now ? Will NMity Ingpec-
t
Wh
J
Q U
1 Ves ? No m
en Re.idV
Licensed ElecVicul ConVactnr , 1 hereby?sVac[ion ot above
Owne, elecVical work installed at
Strc t AdAress, eax or Route Na.
A k
/
A CitV
/
?-n
?"?s
a ?
? ?
c„ .
-
ecuon o. TownshIp Name ar No.
flanBe No.
Gnunty
?
1 n we
/., ? !v?
Occupnm (PRI ,
LC tA.c c1,,L6'c. ?? A P. sa rt A Ppnne No.
5 y-,:YS7s
Power $upPl-.r
k? Uc-c?? AAdress
EA V- N " A-m
Elactncel ConVapctorv fGompuny Namel ConGantor"s License No.
? ? 1.... \r?
Mailinq.qtlJresS (CmVac[or or Owner MakinA los[allatioN
S C•?
Author' .adgn. [ure IConvacror/Ownee Making In Ila[ionl Phone Number .
MINNESOTp STqTE BOANO OF ELECTqICITY THIS INSPECTION flEQUEST WILI. NOT
' . gE ACCEPTED BV THE STATE BOARO
Griggs-Midwey Bltlg. - floom N-191 UNLESS PPOPEH.INSPECTION FEE IS
1821 University Ave., SL Peul, MN 55100
Phone 16121297-21i1 - ENCLOSED. .
45-4 -?'466 ?
&/?3/9 7
REQUEST FOR ELECTRICAL INSPECTION 71,1?
Minnesota Stale Board W Electnciry
1821 Universiry Ave., Rm. 5-128, St. Paul, MN 55704
Phone (612) 642-0800 ?
me Duplex Apt. Bldg. Other: New Addn
mmerciol Industriol Farm Remod Re ir
l tgEquip. Wa1er Hh. Load Mgmt. Other:
eer Ronge Elec. Heol Temp. Service
°X" above Ihe work covered by this requesf. fnfer remarks in Ihis space and on rlre bock of the white copy on/y.
OFF PEAK POOL PUMP
Calculate Inspecnon Fee - This Inspection Request wi(1 not be accepfed withouf fhe correcf fee:
Other Pee # Service Entrance Size Fee # Circuits/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps
Sheet Ltg./Traffic $ig. Above 200_Am s ove 10 Amps
Tmnaformer/Genemror INSPECTOR'S USE ONLY TOTAL
Sign/Oudine Ltg. Xfmr.
Alarm/Remote Control
Swimming Pool
I here cern Ihm I msps?d te e ' ol instdlolion ribed hnein an iha doles smled
Inigotion Boom po„aM„ pone
S
eciallns
ecfion
p
p
Investigafive fee Final Dme
THIS INSTALLATION MAY 9E ORDERED NNECTED NOT PLETED WITHIN 18 N S.
n OFFICE USE ONLY This reqvest void 18 monthx hom wlidafion dale printed in Ihis 6ox.
? .9 '17 // I /- /-
I
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII?IIIII? l '?v
II C
O
*
0 4 5 4 4 6 6 4 *
I
PLEASE PRINT OR TYPE ?Q
Beqoest Dme
5/19/97 RwgMin inspectim requirad? ? Ves $] N. Inspecfion Olhar Than RougMn: ?02eody Now O Will Call
7
?youmust mllfisinspeciwwhenr? o?,a.a,: 5/20/9
I, Olicensed mntmdor ? owner hareby request inspection of Ihe above elecfrical work at
1ob Addrese (Sheep Box, or Rome No.) City Zip Code
4510 Oak Chase Lane Eagan
Seclion No. Township Nama or No. Roige No. Frc No. Coany
Dakota
Ouapanl Plwne No.
Bruce Hebel 454-8575
Power Supplin Addrez?
Dakota Electric
Eleclriml Conlmcior (Campany Name) Cmtmctw tKenu No. hbsrer lic. No. (Pianr Elxt Onlyl
Joos Electric Co. CA 00961
Moilirg Address (Conlmcror w Ownx Perfamiog lumllafion)
3980 Beau ?' Rue Drive Ea an MN 122
/wifwrized SignaNre (CaphpCbr o! OATB! Per(pming IOStaIlplqn) Phone No.
YILLAGE OF EAGAN
3795 Pilo; Kn'ob Rood
Eayan, MN 55122
Zoning: ?
WATER SERVICE PERMIT
PERMIT NO.:.-1352
DATE:
Na, of Units: 1
Owner: -8ruw_llgi`°oo.Y-.-
Address:
site Address: 4510-Oak Ghaee ) C??'IQ
Plumber: Wonznl Dl in9L-p HedtlpC]
Meter No.: Comiection Charge: 320a00gd._1U.21
Size: Account Deposit: 15...49_g.d_11/_2
Reader No.: _ Permit Fee: 10,.09--pd_10L3
1 ogree fo eomply with tha Village of Eogon Surcharge: .50 Pd 10/3
Ordinances. Misa Charges:
By
Total:
Date of Insp.:
Date Paid:
Insp.: -
viuaoe oF EaaaM SEWER SERVICE PERMIT
3795 44lott4li.bRoad PERMIT NO.: 2117
Eogon, MN 55122 DATE: AA I,/-7,3
Zoning: R-1 No. of Units: 1
Ownet:_THAT__Cp=yg*. fnr Rnira [jP}1PI _
Address:
Site Addmss: -4r210 Odk Chase
Plumber: wa zPl Plumbina & Heating In.c
1 a9roo ro comply with the Village of Eogan Connection Chazge375.00 pd 9/19
O.dinances. Account Deposit: 15.00 pd ml/?
Permit Fee: _. 10.00 Pd 10/3
Surchazge: .50 Pd 10/3
By:
Dace of Insp.:
Insp.: -
Misa Charges:
Total:
Dare Paid:
. ,
1988 HUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
1.6 rio 3
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WfiICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL ONITS FOR SALE UNITS 0 OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COhMERCIAL
ZNCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 ScT OF ENERGY CALCULATIONS
6ARAG E
To Be Used For: .`"->AGt" e_ Valuation: 4?@--- Date:
?
Site Address CkcLS&
Lot S Block ?
Parcel/Sub
Owner
Address L{,:f ( ( )
City/Zip Code
Phone
Contractor
Address
??fC ?yJ P YU U ?y m+ o c.-k ?, (V?K .
City/Zip Code
Phone
Aren./Engr. ??Y-e,t: i'?, ?.,?•, ?qo,?-.
Address Z5 LA. ?
City/Zip Code ?S? caL S5 ) U I
?
On site sewage_
MWCC system
On site well _
City water _
PRV required _
Hooster Pump _
Occupancy M_ 1
Zoning E
Actual Const V_N
Allowable y-?.(
Il of stories
Length ?
Depth
S.F. Total
Footprint S.F .
APPROVALS
Engr/Assess
Planner
Couneil
Hldg. Off.
Variance
FEES
Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL
90. ce
At. C>
--1z7.0C5
Phone ll
GARAcrC
VALuA"n nN
? •4''? ?,
ZqXL3 = SS2X,y? 7'72?? i ?
? s_?`. ? . '. ! 1 ?f;? k t ?m < ???'. ^?' 8C'?•, ?.?A
4 T ? ?, ?Y
x F 'Ct?
I w. • } am ?? t,y 3 ?
i
??
? -- DELMAR::"H. `SC°HWANZ
LANDSUfiVEVOR
? (3eqisteretl Untlar Laws of The Sute ot Minnesota
100'h MAIN STREET P.O. BOX M ? ROSEMOUNT, MINNESOTA 55068 . •'- •PHONE, 872 423-1769
SURVEYOR'S CERTIFICATE
o .
I 19$ I
?
?-? - - - - - - I ? ? i
r---- -? - ?
30 '° ?
lJ71LITy.ENSEMENSS ? lo
1
I OI ?
r i
o
y ,
?--10
Yc ^'
r r ?
I I ` ?e ry ?3 ?
?.?
1" I
? . a °• ? i
900
O ?
t-
,
??'45e
LANC'r?-i -
'0
M
.
.
SCA L E !"= So'
I hereby certiPy that the ebove ahown hwse•and garaf;e are lonat+pd,._An Lot 3,
Block 1, OAK CHASE SECdI?ID ADDITIOWg aa on file in the office of f;he.R6g3atran
of °Titles, Dakota CourrtTp Minneeota and Lhat there are no visible encroachmenta °
ta or from said lot.
As loceted bp me this.26th day of Septeaber, 1973•
. d
a
.. . . MINNESOTA REGISTRATION NO.B .
' i. , . .. . . , .
? . .. - ? . . ? . _
?f
i
,, 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS 106 145 t
Date: .?1tx."'L 6? 1Q88
INCLODE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEYt t SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOA COANER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDAESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE HDILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL IJNITS FOR SALE UNITS
# OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECS WITH BLDG. DEPT.j
1 SET OF ENERGY CALCULATIONS
COMA1ERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For:?\1a w 1CO1,.. Valuation:
i
Site Address Q'S( d??q?}?p?Q V?,cJE
Lot 3 Block I
Parcel/Sub VRIL C.4iAiS(e L.N'!:? HMN,
Owner
Address cl 0 ?
City/Z
Phone
Contra
Addres
City/Zip Code K-?? /yJ ( ssr?Z`Z
Phone _ (C>eP> -0p6b
Arch./Engr.
Address
City/Zip Code
Phone #
On site sewage__ Occupancy
MWCC system _ Zoning
On site well _ Actual Const
City water _ Allowable
PAV required _ # of stories
Booster Pump _ Length
Depth
S.F. Total
Footprint S.F.
APPROVALS
Engr/Assess
Planner
Council
Bldg. Off.
Variance
FEES
Permit
Surcharge
Plan Review
?6/bSAC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL
17.2.00
OD
1ii ' o o
I ? .
F /G
?
-- Or9?' Cii??JSF lf:2114LI ------
- - - - - r
I - - - - -
?
?B?OG?C' !o I
n
`
? I
?- zoo
- - -
4q1
I ,
oa?
,BLO?.t'
GN/E IOD $ ?ry 71
_
?
a e
? ?
? t
? ? - 139=7
- -?-+•
- ? ?
. a+
_ o
v ,
? i -
?P?a3 w?f
, . 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
m
SINGLE FAMILY DWELLINGS 5
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEYt 1 SET OF ENERGY CALCULATIONS
NOTEs ADDRESSES FOR CORNER LOTS - CONTR9CTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE HOILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL ONITS FOR SALE UNITS
0 OF UNITS
ZNCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECg WITA HLDG. DEPT.,
1 SET OF ENEHGY CALCULATIONS
COhA1ERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: 1?? Valuation: ? Date: b-/-7' 85
Site Address A?S/ o o? u?S,E LN ,
Lot Block
Parcel/Sub
Owner $Ymz-E ? N"'b 1?$F?
Address -450'v?lE
City/Zip Code
Phone
Contractor r?L-?Wt7944-6
Address y141 °M?"' .A^/ - S o , ?
City/Zip Code M Pt?S
Phone -1't?t - "I-o 1
Aneh: tEPig'r . WIAIW-
Address `1'pw?E
City/Zip Code
Phone 1!
Wr-:
On site sewage
MCC system _
On site well _
City water _
PRV required _
Booster Pump _
APPROVAI.S
Engr/Assess
Planner
Council
Hldg. Off.
Variance
Oceupancy
Zoning
Actual Const
Allowable
A of stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Permit ON, °°
Surcharge . ,Sa
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL o??-
- o ?
? ' •a? ?
?.
N I ;.;
I
? i
N ` I
? N? D
I ,.b:zs
I
i. r?w aec?. F x, o?cfc_
_$8. - - -?
a '
? I
I
?
4C
?
?
-
. ? ...?.. . . . . ? .
I i
? I
,
?
I
,? 3129 . ' ?
.,
?.
?
?\ .
L ^
V
V
?
?
;
i Md y
" Esgan Township
Dakota Couniy, Mianesofa
Applicatioqi for Building Permit
.ppe of buildinq or work coalemplaied. Cirele aorrect descripiions.
<Residenlial Commereial Induslrial Olher.......................................
Euild Enlarge AIler Aepair Insiall Move Wreck
Dimeasions.Cosi??-5r'_Z?C?C) ?.:?
FERMIT NO. ._??:Z.l....
Date
Delails or semarks.._.A.._...... Z)'?G.:....."C°...._C --------:5'r9 Li.??----' ----
----........'-"'----'...._'-_'---°'--'---...--'---......... -
------
Localion
Number Sireef Belween what esoss sireeis Siza Esl. Valualion
C2.q.,el 0 1q1A'6i6-P ?Ai?? )/I L 9r
Lot Bloclc Addiiion Rearrangement or Traci
_:F / rrAY l'ri?ACe- a,?? .Q i?i? i i?a?
Owaer Address
..................... .._ .........-"--- "-'-.' ---......-'----......'--"---""'--
Conir 2°r --I.....1..!_.!Q.._..??.?S? --.-"--°°- Address ..?/..... . z- ......._?!!•PY.?i4?U?-'?--°--???i?S_
................
? The undersigned hexeby makes applieation for a permi! !o
do work as herein specif?ed, agreeing !o do all work in siricf
a-t eolleeted. " aceordsnce wikh !he 6uilding ordinanae adopted April 11, 1955
Tof$
?
by ., a n Township Boerd of Supervasors.
PermiY feea are no!
refundablg. 7 l ?
J'?'?' ° °3 .y7...........° ................ Signe .._? .._ °- .°.°°---
.0
?
---- - ?-
i ---- --,
? (
?
? I
\ NI
I '? 2oa- -. '7
f3LOC.C GWE i ? ??? ?g'
V bp
r---?--
-??ff?1?n???? - ? ?
i
?,POPoSEG? ,PESiDE.tiCE OF
bi1' LOT _=? ,BGOC.C D?f/E
OF cf)4411 G4?•ISE Z?o A1?oi?iC,.d
?c.q?iv,v ? Llq,t-pT,y ?puNTY? MiN?1/
;r- s ; z-- y
?
In
o'
?
?
?
?
w
-
?
SGAL E : / I/
/00 ?
MASTER CARD
. .
OWNER
STRUCTURE AND
LAND USED AS
Permit
No.
Issued Issued To
Conirattor Owner
BUILDING _3 /2 TX /7 • ? ? yo- .3Ij- (4L eY??
PLUMBING i ?
a S ?'
l.I Pi?, +? .?
CESSPOOI - SEPTIC TANK y
VVELL
ELECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER 9„117 1
OTHER
OTHER
---f-°"i=
^ a
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING SEPTIC
FOU N DATION CESSPOOI
FRAMING 1-}'- 73 11.24-73 . TILE FIELD FT.
FINAL
ELECTRICAL
HEATING DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK ? .. y=7
CESSPOOL
DRAINFIELD
PLUM8ING ?
WELL
SANITARY SEWER
17
?
?
+ -
-30'
Violations Noted
on Back
COMMENTS:
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knab Road, Eagan MN 55122
Telephone # 651-675-5675
Please wmple[e for: single family dwdlings & townhomes/wndos when permits are required for each unit
??:r?u
Dete
Site Address 4516 04?V_ C.? ?1 ?? ??h ? Unit #
Property Owner (;YWe 1f'? ibtd Telephone 95 76
Contractor ?j L1,YY1 s v n Pf I e
Street Address J Vr)S lfl City B wrn sv i- I Ie,
State yi Zip 55 ? Telephone # 994' OD05
Bond #: U7 7 S I a I Expires: 4R+6?
The Applicant is _ Owner ° Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
Y ?
l
t
furnace _Addit ional _Rep
acemen
air exchanger
/
11 airconditioner _New Replacement
other
State Surcharge $ 50
T
t
l
a
o
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an application for a permit, and work is not to start without a permit; tha the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans.
&o-Yi l\l i 6,k-6rs0h s ?n
Applieant's Printed Name Applicant's Signature
ï
ÿþ
ÿþþ ýüý
ûþþ ïíðø÷þõ
íñ
ÿþù
ýüûúùø
î
ñ
ü úùø
÷
î
ø
à
ß
ø
ñ
üñ
íüøù
ð ÿ
ýïü
óø
ì
ó
ó
óù
ïü
ó
û
óëñó
ùöêü
óü û
ø
ø
þ
ÿë
ñ
û ó é
ïü
ûù ÿ
êóù ó
ë
î
ç æçååëåëå
ôû
ýü
çëäëä
èü þë
óòñ
ù ðö
øø
ò
ü
÷ò
û
ú
Þõëî
íñ
ô
ì
ãõ ÿãõ
àáßá å ä
ûù
ÿ
ì
øø
ê
ó
ÿ
óøù øøû
ý
êã
ý ü
ñ ù ê ÿí
ë
øø ö
ó
ýÿ ü
ü
ù ýÿ ü
t� �!
Use BLUE or BLACK Ink
_. . � r----------------
I For Office Use �
� � Permit#: ����� �
Clt� of �a��� RECEIVED � C� S� ;
Permit Fee: J�
3830 Pilot Knob Road
I ---*-�=�-�-�- I
Eagan MN 55122 JUL 12 2a�4 � Date Received:
Phone: (651)675-5675 � �
Fax: (651)675-5694 � Staff: �
I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION , �
��3
Date: Site Address: Unit#:
`, Name: �JC v��. /7C/��� Phone:l,r/� ^�.7��^�JE�
Resident/ ;
` Owner Address�city i z�p: �-.�/t� Z?�k ����' -�7�' �Ii/,�Z
' Applicant is: Owner y Contractor I
Type of Work ; Description of work: ,r/C� /.�,�'� ��"' �j'1/T/2 ���. lil
Construction Cost: �p' Multi-Family Building: (Yes /No
�L I/-� . 1.UN �I��l�- �/L�,r' L,(J'Nr�
Company: C'�� �,���Z�, i,��� Contact:
�
C'ontractor add�ess:�2L l✓- 31�� �i �i S!U/T� �� c�ty: JV�I/�l�l��aC1..�
' State:�Zip: S Phone:�v�Z g�,�-/S/C�mail: '�i�GG L� /,��/L�� ��.
License#:��Q3���(� Lead Certificate#:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
_ �- T�-� � � � � �13 �.
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 consideretl to be public information. Portions of
the information may be cfassified as non-public if you provide specific reasons that would permit the City to
conclude fhat#he are frade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.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 `��/L�i ,�� L�U�� X '
ApplicanYs Printed Name Applicant's n ure
Page 1 of 3
�Si r� ���. c�-� � / ��
DO NOT WRITE BELOW THIS LINE � J � ���� "
SUB TYPES
_ Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration (Single Family)
Single Family Garage Porch (4-Season) Exterior Alteration (Multi)
_ Multi _ Deck _ Porch (ScreenlGazebo/Pergola) _ Miscellaneous
01 of_Plex Lower Levet Pool 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 f Sr a �� Occupancy �� MCES System
Plan Review Code Edition �'( (�'l5t�i SAC Units
(25%_ 100°/o�) Zoning �S-}ct�, 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
Roof: _Ice &Water _Final Pool: _Footings _Air/Gas Tests _Final
�j Framing Drain Tile
Fireplace: _Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick
Insulation � Windows''F.i.�, — �+�� L�� �, ��`3�-D�v'`�
� Sheathing Retaining Wall: _Footings_ Backfill_Final
Sheetrock Radon Control
Fire Walls Erosion Control
Braced Walls Other:
Reviewed By: � , Building Inspector `-� � � �c�hner—
�
,
RESIDENTIAL FEES
Base Fee
Surcharge � J����„�,�,�.� ��+ (1f��
Plan Review v
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
, �; . � , �.�,,� �.
.'iK , 3
�" s � ` i� w .. ,:�� �
� 4r_}+�^ �r;M� � � u{ ���) h .y�ir ?�� ,tt�� �yj�+ M . F�"rn' ..,�y$��:,'!,� �:� ., } .
1� ' , . . . �. �n � •4 r r~4 t �� � . f�i����; �����, rl���r '�YQ . �t'n' �-, c'S,'� ��.?."j
'.v. � 1 r� �. p .Z �-� �'y U . . i
� w. a • 'r. ."� • ,t -t . � . '.e f " . �rws ,..R f 'nna, .! . � _
' � . . , �� �� .i 49 1 � �' -.,Ih -S. � •, . �
. . ' t . 3 T , ' � 4-�, . ,K
J ( {fi�, y�{!�' r�',
' • . :.t . . ,r� _I�,1. � 'lsi Tf �����'�;'� x�Y.t.+�'�.��` � � i.
. 3
. . - . - DELM�A�R�-rH: '.S�C-HWA�w�Z . _�'�` , ;y.'r9�`+'+ *. ����3"'��`��,.-:�;
,
.. . . . �,� ,� . .
LAfYD SURVEYOR � `,3. ��' .r�' t ,.:•�
• Reqisteretl Under Laws P�TheSt+te of MinnBSOta ' " ; '. �_ • �`� � ���
100'h MAIN STREE7 P.O.80X M � �R05EM�tlNT, MINNES07A 65068 .� • '���PHQNE�B12 4231769 = •_-�° . - � .
SUfiVEYQR'S C�RTlFICATE • ` ,�t .
_ , o . - i
..1!' � ��� • �
:. � _ _ _ _ � _ �. _ _ .� _ - - -,�.. ► 4
30 '° ` � � .
� . tJ7rtir`i•EHyeMEN.7� ,� ,o
.r
I � f
f E {
�
OI � � , • -
;., _ - �
. f • 1 k 6� I
. � � , a� '�"q' �
I
� ' ; , 7 • y + o°.
. ' � �� a E �. ,
. I ��a . ��e �N ?��„�c N � ; I
� /
T � 4 ' I
� � � Ana 4�.��,s� ?, 1 �
:r , • � . ;.
i A �, ', n�s a�� s�do,� ;
i�. �� ��t�f�r� wi�� �r r�
. �
. rw � �' '� �.L�a,/�' ! �
r � '`��5�g�� r � �
. . � \9� - _ � _ _ _ _ �.. _ _ _ ' �
� _.
._...-1 rJC� � � (��: :70�
��4,�„ ' `�',.•,,,_�. 116 �
�
t/�QS� o
. LpM�,I� � m -
, , . �--1 ..._. , --- . ` - • . . .
. +� _ ' .
• I hereby certify that the nbov�c� ehawn hause•and garaf;a are� laast�d,,_a�ri Lot� �, .
B2.ock 1, OAK CHASE S'�CI�IrID ADUITIOOi�II, as on f#.le in Lha office at �he :Sr€g�isLran
of fiitles, I�kota Cau�ttT, �iinnenota and �that there are na visi.bYe encroaohmenta. - °
ta ar from said lat, �
As lo+c+�ted by �ue th1x�.�2f�th day ot' Septembe='i �.973• � �;�
. $ '<, , jJ
� . '
� m
' , �, �� � � .
, ,
. � �' . .
� -- . � • MINNESOTA REGIS7RA71pN I�i0.,8 �
; i; . • . . . , •.
' . . • • � ' � r1 • .
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA125585
Date Issued:07/28/2014
Permit Category:ePermit
Site Address: 4510 Oak Chase Lane
Lot:3 Block: 1 Addition: Oak Chase 2nd
PID:10-53501-01-030
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Chris Anderson
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Bruce W Hebel Tste
4510 Oak Chase Lane
Eagan MN 55123
Les Jones Roofing Inc
941 W 80th St
Bloomington MN 55420
(952) 881-2241
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA136141
Date Issued:04/26/2016
Permit Category:ePermit
Site Address: 4510 Oak Chase Lane
Lot:3 Block: 1 Addition: Oak Chase 2nd
PID:10-53501-01-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 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 -
Bruce W Hebel Tste
4510 Oak Chase Lane
Eagan MN 55123
(651) 303-4455
Tri County Water Conditioning Inc
325 Third Ave NW
P O Box 65
Huchinson MN 55350
(320) 587-2950
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA167062
Date Issued:02/22/2021
Permit Category:ePermit
Site Address: 4510 Oak Chase Lane
Lot:3 Block: 1 Addition: Oak Chase 2nd
PID:10-53501-01-030
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Bruce W Tstee Hebel
4510 Oak Chase Ln
Saint Paul MN 55123--184
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature