4519 Oak Chase LaneNUMERICAL FILE
CITY OF EAGAN
3795 PILOT KvOB ROAD
EAGAN, MINNESOTA 55122
CASH RECEIPT
DATE 19
kEceivED
FROM
AMOUNT $
? CASH ? CHECK
4??
FOR •
- - ?? -.. -.
CITY OF EAGAN
3795 PiloF Knob Rood
Eagan, Minnesota 55112
Phon.: 454-8100
HEATZNG
Date: march 9, 1977
Site Address:
PERMIT
Oak Chase Lane
Lot f Block .z;t_ Sub/Sec. 11L 1*'??S -le aM,/
No.
859
Receipt No.: 05419
5ingle I
Residential
Multi Res, Comm./Ind. I
Name Don81d J. Ryan New/Alter./Repair
; Address 3370 - 195th St. F?. Cost of Instullation
O
City Rosemount Phorte: Permit Fee 2().00
` Nome SurcFarge • 50
?
P Address
e
0
v City Phone: Total 2
This Permit is issued on the express condition thot all work sholl be done in accordance with aIl applicabie Stote of
Minnesota Stotutes ond City of Eagan Ordinances.
f
,.:_?"-Building Officiol
CITY OF EAGAN Remarks
Addition h e Addition 2 8 2 `
Lot Blk Parcel
?
Owner o- i Street /-?,'Os'k C,'j2Sa I 3?,e State ?sg*+ 55323
i
-:L
Improvement Oate Amount Annual Years Payment Receipt Date
STREET SUR F.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1973 $364. 80 $18. 24 20 PAID
56tASEWERLATERAL 1975 $2247.50 $149.83 15 PAID
WATERMAIN
*WATER LATERAL I975 IS
*WATER AREA 1975 IS
STORM SEW TRK ? 1983 446.96 29.80 417.17 A011793 1-10-83
STORM 5EW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONlU. Da /• G
BUILdING PER. ? voe
SAC ca
PARK
CITY of EAGAN
BUILDING PERMIT
Ownes ... .... DONALD J. RYAN
.......................................................................................
3370 - 1 4 5 t h St. W. , Rosemount, MN
........."' ..... .............................................................
Address (prasen!)
same
Huilder ....................
Addrets .................,
..............
DESCRIPTIOIQ
?
..
N4 4149
3795 Pilo3 Knob Aoad
Eagan, Minaesola 55122
454-8100
Dale ........ 1.......1/...2........4/76
.....................?
6foxiea To Be Ueed Fos Front DeP!h Hei9h! Esi. Cos! Permi! Fee Rom Its
S/F Dwlg & Gar
66'
47'
62,000 157.50
31.00 s/ ?(?
- LOCATION /U K ''
or
451$ Oak Chase Lane
This permit does aot sulhorise the use of slxeels, roads, alleys or sidewalks aor does it give the owner os Lis sgen!
the tigh! !o creale anp sifuaiion which is a nuisanee or whieh presenls a hasard !o the heallh, aafelq, eonveaieaee aad
general welfa:e to anyoae in the communilp.
THIS PEAMIT MUST SE K£PT ON THE PREMISE WHILE THE WORK IS IN PAOGRESS.
• Donald J. Ran .................... h? Dasmissioa !o ereet a._...--•---..S/F ... _.. Dwlg & Gar ....... _upoa
................................?'...... .._...--•-•-.--..............
This u !o eerlify. 3hai ...
Yhe above deseribed premise subjeci So the pravisions of all applicable Ordinances for the Citp of Eagen.
8 I 2 I Oak Chase 2nd
.....??..?.?-./. .......... ..._ ................................... Per ............................
? Mayor Sulldinq Impeclora'li
?7?
?U S.?so D asla
oa ?c chQ 5 e ?
C; i l QF E6tuAN
17^5 Pi.lot Knob Road
Eagan, Mir,nesota 55122
PERNIIT NO.: 690
The City of Eagan hereby grants to Loren J. Spande
o£ 3912 Turguoise Point _
a Plu;mbing Permit for: (Owner) Iroren J. Spande _
at 457J5 Qak Chase Rd. , pursuant to application dated 6/15/76
Fee Paid: $20.00 dated this 15 day of _ June 19 76 .
.50 s/c
Building Inspector
Nechanical Permits:
Bid Total:
M 44808
Request Date
'
? F' e No . Roug?uire-in Inspection
Reqtl? NOTICE: You Mvst Call Elearical Inspector
II A Rough-ln Inspeclion
L
(/ ?Yes o IsRepuiretl.
I f?l licensed contractor ? ownar hereby request inspection of above electrical work at:
JabWdress (Street, Box ar Roula No.
S 9 ?C '7as= C?
Section No. Township Name or No. Range No. County
Occupant(P IN? Phone No.
Power Supplier Atldress
Eleclrical Conlmctor (COmpflny Name), Contrec?or's License No.
Mailing Atldre (COnA?or Onnpe? /M?aking Inslallaiion) ?(
?//.i???/?/ c?7
A horizeC ' (C wn ' Aaking Installation) Phone umber Q/
° ??l I
MINNESOIA,ifATE BDAHD OF ELECTHICRY ?, THIS INSPEGTION REQUEST WILL NOT
Grigge-Midway Bltlg. - Raam S17d N'?hQ' BE ACCEPTEO BVTHE STATE BOARD
1821 Universify Ave., St. Paul, MN 55704 UNLESS PFOPER INSPECTION FEE IS
Phone(811) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
? See inatmclionsfor mmpleting ihisform on back ofyellow capy.
M 4 4 8 0 8 "X" Below Work Cavered by This Fiequest
EB-00001-08
aw A Rep. Typeofeuilding ' ApDliancesWired EquipmeniWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Managemem
Comm./Industrial Furnace Other (Specify)
Fartn Air Conditioner
Other (specify) Con[recmr5 Remarks:
Compute Inspecfion Fee Below:
# Other Fee # Service Entrance Size Fee # CircuitsiFeeders Fae
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs Inspector§ Use Only: TOTAL
Irrigation Booms 5?
Special Inspeaion
Alarm/Communication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Aough-in
certify that the above inspection has
been made. Final
OFFICE USE ONLY '
This request void 18 moMhs iro.
/0/ REOUEST FOR ELECTRICAL INSPECTION
O O 5 4 6 8? See instmclions for completing thia lorm on back of yellow copy.
? "X",Below 'sVork Covered by This Request
qMFe
??a s??9
69
:i?
Ne : d Rep. -'Type ot Building Appliances Wired Equipment Wired
Home Range ' Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm.llndustrial Fumace Other (Speci )
Farm Air Conditioner
Dther (specity) ConVac[or's Remarks:
Compute Inspectian Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimmin Pool 0 to 200 Am s 0 to 100 Am s
Transformers Above 200_Amps Above 100 _Amps
SI I15 Inspecmr's Use only: i s(? TOTAL
Irrigation Booms 0 ? _
S ecial Inspection
Alartn/Communication THIS INSTALLATIO ILIIAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
cerlify that ihe above inspedion has
beenmade. Rough?in
Final ? oale
Date
OFFICE USE ONLY
This request void 18 monMS imm
"
0
'
0,
25
468
Requast D B
. Fire . Rou'gh-ln Inspection Requir¢d
(VOU must call inspeclor an reatly) Inspec?ion Other Than RouBh-In
?Reatly Now Wi No0 Inspec?or
C
? ? Vea N. Date Peatl
I? licensed contractor ? owner hereby request inspection of above electrical work at:
JoE Adtlress (Streat. Box or Roule No)
?
'
"
L Ciry
e.
Z C
W /
I /)
Seclion No. Township Name or No. Range No. County
Occupanl(PRINT)
' Phone No.
n -D 3
Power Supptier Atldress
Elec[tlcal ContraMOr (Company Name)
? Controctors License No.
'
ti-? iz
C
Mailing A rea6 (CoMradot or Owner MaYJng Installallon) ?
S?ID?L-
0.ut orizetl i t re(Co r mg Installation) Phone Nu/?9ber (?
/ ?U/
MINNESOT ATE BOAPD OF ELECTRICT' THIS INSPECTION REpUEST WILL NOT
Grlgga-Mldwey Bltlg. - Baom 5128 - BE ACCEPTED BY TNE STATE BOARD
1821 Universiry pve., St. Paul, NN 55109 ?mQLf, UNLESS PROPER INSPECTION FEE IS
Phone(81R)fi42-0800 ENCLOSEO.
YILLAGE OF EAGAN WATER SERVICE PERMIT
3795 Vilot Knob Road PERMIT NO.: 2104 Eagon, MN 55 122 DATE: 1/3/77
Zoning: RI No. of Uni[s: 1
Owner: ppnalA T+ynn
Addmss:
Site Address: 4£i oak_ C?Ag_e y_a?e LB B2 OCII
-
PI ber: same
Mere 57 Connection Charge:220. 00 pd
i
i ? Accoun[ Deposit:
?
Reader o.: Permit Fee: 10.00_pd
_?.cyfnpl ifh tha Villoge oi Eagon Surchar $0 ?
-cYm o?p ? ?? Mrges: Pa mBteL
? Total: Z N-M !-
-crl -
BY Date Paid:
Date of lnsp.: _ Insp.: -
PERMIT
SEWER SERVIC
YILLAOE OF EAUAN 85
37T5 Pilbt Xnob Rond PERMIT NO.: 1/3/77
Eogon, MN 55122 DATE:
Zoning: gI No. of Units: 1
Owner.
Addmsa:
4S15 llalr rh
Add aao T e LR R9 nr iT
Tess:
Si[e
Plumber: same
11/24/76 #4689 100.00 pd
I oyraa to eomOlY wifh tha Village of Eagon Connection Chazge: 350. 00 D13_
Ordinancas. Account Depi01?00 pd
Permit Fee:
.50 pd
Surcharge:
By. Misa Charges:
f I
D Total:
nsp.:
ate o
Date Paid:
1%?/??
CITY OF EAGAN
3830 PILOT RNOS ROAD
EAGAN, MN 55122
PHONE: (612) 454-6100
0
FOR CITY USE ONLY
PERMIT #
RECEIPT #
DATE:
PLEASE COMPLETE IIPPER YORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH DNIT.
WORK DESCRIPTION
NEW CONST ?
ADD ON
REPAIR
OWNER NAME: ? If7 (1 1,P71C
SITE ADDRESS: ??JI GI nL}L' CfIRSE
LGT: O nIACK ? SunD. /n l?`,,??[ `'
INSTALLER: DAKOTA
HE?s+rG ANO coouNo
ADDRESS: 2020 SlLVEA BEl.L ROAID
EA(iAN, fiAN 55122
CITY: 454-4600 ZIP:
PHONE #
FEES
ADD-ON MINIMUM $15.00
HVAC 0-100 M BTU 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
c1110
SUBTOTAL: $ /6 `
STATE SURCHARGE: .50
viiiL:
s
SIGNATURE OF PERMITTEE
C6Mk4?RC?ATIj?IS?'USTK?PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
,.: . ,. ,. ...
APARTMENT BUILDINGS, AND MULTI-FAMILY SUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE:
OWNEIt NAME:
SITE ADDRESS:
LOT: BIACK _ SUBD.
INSTALLER:
A?DRESS:
CITY: ZIP:
PHONE #:
FOR:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.SO FOR
EACH $1,000 OF PERMIT FEE.
trtUl'.EJJEIi rIPING = $23.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
$
$
(SIGNATURE)
CITY OF EAGAN
.?3s c? / - 6 ?p - oa-
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UN1T.
NEW CONSTRUCTION
ADL-Orr A/e
ADD-ON FURNACE
FIREPLACE INSERT
DATE
HVAC: 0-100 M BTU
ADDTTIONAL 50 M BTU
GAS OUTLETS (MINIMUM i @ $3.00 EACH)
ADD-ON/REMODEL (EXIS'1'ING CoNSTRUCI'ION)
STATE SLRCHARGE
TOTAL
FEE5
$ 24.00
6.00
$ 20.00
.50
D S??
S1TE ADDRESS: C'at_ Ci&a,ra?
OWNER NAME: C'e')C TELEPHONE #:
INST
ADDRFSS: ?-X1 ._ish1o,ti LL]Q,&/
CTTY: STATE: ZIP CODE: 6SI a?
TELEPHONE #: 5? - ?pC2':
SIGNATURE OF PERMITTEE
1994 MECHANICAL PERMIT (RESIDENTTAL)
C1TY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
MASTER CARD
451X Oak Chase Lane L8 B2 OC 2nd
Donald J. Ryan
$TRUCTURE AND
iaNO uSED ns Single Family Dwelling and Garage
Permit
No.
Issued Issued To
Conirador Owner
eUILDING 4149 11/24/76 Donald J. Ryan same
PLUMBING ?'7? _
__?_?L6LC-- /-3-?_?
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATWG
GAS INSTALLING
SANITARY SEWER
OTHER I
OTHER I
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING SEPTIC
FOUNDATION L vC? CESSPOOL
FRAMING
I ? TILE FIELD FT.
FINAL
ELECTRICAL
HEATING DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING ,3-d?, j ?
y ?-
WELL -
SANITARV SEWER
Violations Noted
on Back
COMMENTS:
/
- v,/ ?y
n :t-:--// - / J? /(,-
?.c :
13U_'"TMIG PiPS:Ii eP?T.1C:u2O_4
pr.oc .r. ??_ n?nix?e.T (j/?K C?/?i?-S ? Z .?? ?? .
PT.I:CS:,L & 3E^^.iO=J P:ST't??iP. 1F
Aon;:n.;s e. ;>a17cr:;; a J l f O A K (' 114 Sc?- .C
Yc!i> US:: _.-
X/? ?
?-?r??.li.,::u ec>:
J:i ii':-t 1?L?'sP,iCi?r iCO..?-/?=3 ? Lf??.__'_" _
cOMIrTI?;c.•()R mELEPxoDrZ zaa.
ttotc? Ti;clnii•: :-;.te plzn, hui]:d.ing plans, and energy calculations w'ttl: thAs
aFplica?_ion
S igned
O:FICE U^aE
?'?sI,U11'3 ZO?'??? C?
SAC
i'.^tL3 C42aii;?Ci20''1
6'7AT3s:F: !::'a'Ei2
^z.iliDxNG Fe:FJ? -%?' k'r-L
S?:iti^ti1FGi. +' :E£
ALl127 C's::Cit E:'.u.
P?,F'T DnD.'.CATIO?4 FEE
/1?_ "
-9?
167
'.LOWiL*
AanP2WAI .Cl:
ASSES3A8:ST CLBR?.C HU2i,DIIdG DEFT. POLICS llL'-rT. ,.__-..
T.3'1'Y'rR & £L''tiR DEPT. FI?2E DEPT. PZj;2IC DE?'T.
?as?g ?nac, ?30. so
•2695 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Roaci, Eagan MN 55122
11
Telephone # 651-675-5675
Please complete for. single family dwellings & tnwnhomes/condos when permits are required for each unit ?(? ?E(? ??w'S n
???{ ?? ??
nate -_ / olD MAR 0 3 2006 LU)
SiteAddress L/rjig ?`,??_(? l?l
-- 9 L
?--- Unit#
PropertyOwner. MQ,r\ Co Telephone # ((ji
Contractor sf?\,'
Street Address \L?O?D C6'(\ C.Li YZ} A City
State Zip TelephonefE
Band ir
E o?
xp
es;
The Applicant is _ Owner ^k"Contractor Other
-
Add-on or alteration to euisting dwelling unit i
$ 30.00
A/- furnace _Additional _Replacement
air exchanger
?
i
diti
N
l
R
m
t
a
rcon
oner _
ew _ en
ep
ace
other r
State Surcharge $ .50
Total i $ 3c?
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 wock is not to start witho a permi , at the work 11 e ill; accordance with the
•
proved plan in the case of work which requires a review and approval of ans._ .
???. \
cn?lQ-+ J
ApplicanYs rinted Name Applicant's Si ature
, ~
,~~~~,,.;m.~~.~,~~. ~
i . ~
i
, ~
.y ~ > - ~C' ,
\ , ~ ~
~ ~ ,
; ` E~
! / _w ~
; ~ ~ , ~ ~ , , ~
- ~ ~ ~ ~ 1
" ~at' y ~ ~ .
4\ ` ~
. ~ 'S ~ ~S: l
f' ~ ~ ~ , , ~ ~ ~ ~ ~ , , h, , ; ~
f ~ h y .
i ~ ~ti ~`ti ~ ~ ~ ~ 1 , ~ i . ~
~ ~ , ~ ~ ~ _ ~ ~ ~ ; t i
( ~ ~ ~ ~ ~ / . ~ ~ t t ~ ~ ' 6d ~ 't ` V . 1 . ~ . ~ . . . ~ . 1 , ~ ~~N ~ ~ , i t 1
~ . { . . °a; ~ ~~'7 ~ , ~ . ~ ~ w. 4 i ,4`., ~ ti; . ~ / 4 i
j ~ , ~ ~
~ ~ ~ ~ i t v~~S ~ , ~j ~ ' ~ ' ( ( ;
, 1 S , ~ ~ . ~ ~ i ~s f~ ~ ~ ~ r . ~~`"w. . :7 ~ i ~ r'' ~ s ~:;'',~y :Z~f ~5 l ~
~ ' ~ ~ ~ ; ~ ~ ti~, C'~ ~t . . . ~ ~ l. . . i\ '^:S'' . ~ .,.6
. . . . , . . " ~ . , . . . . . ~ ~ . . s. ` . . . ' . . . . ~ ~ 1 ~ ~ ~ 1 / t , ~ E ~ s~ ~ ' ~ ~ ~ ~ ~
< ~ i ~ , ; ~ . ,F ti, ~ ~ ~ p,( I ~ f ~ ~ . . {g ~ " { _ .~f .
} . . . . . . . . . ~ ~ ; i ~ Y Y ~ n'k`~ ~ ~ . . . ~ . ~
. , . . . . ~ t ~ ~ ~ ~ . ,~~~:e ~ ~j . . . ? ~ - ; - , f , , ~ f ~ ~ ~ ~ ' ~ ~ ~ ~ ~J,°„, ~ ~ l t i ~ ~ i F$; V
t r ` s f' + ,rv ~r ~ ~ , ; , , . ~~r" ' ~ ~ / ; j`
. ' J ~ ~ ~ ' . ~ kt . . .1 ± 4 f~ ( ~ ~1 f f f y e~
. ~,l , . / . ~ . . 17~~ , ~ f W~~ . . . . , ' ~ / fi , , ti t . : , ; . F` S:, JI F ,~+.~^~a. ~;::d d . ~ Y.w . .
~ d ~ ~ ~ t ~`f ~ ~ ~ ~ t ~
~ ~~i ~ ~ ~ ~1, . . ~ ~ ~l ~ ~ r . ~ ~ ~~~:'1 . . . ~ ~ ~ 4~ , ~ ~
, ~ ~ ~ , ~ ~ ~ ~ „~.,._,.a...,. : . , ¢sr r ~ i' , , , y ~ ~ z ~ , . ,
~ ~ ~ c ~ ~ ..,t'~~ ' , . ti ~ ~ ..r.». l ~ - . ~ ~ ~ ~ ~ r~ ~ .
, ~a ~ ~ r ~ ~ ~ ~ ~a~ ~ , ~ ~ _ ~ ~ ~ ~ ~ ~ ~ ~ ~
~ f. f f1 ~ ~ }
i ~d f r ) ~ . ~ ' ~ ^Y'r*~ ~~"y~~ 1 {j~ ~1( q ~ ' jja i . .3~~': fi...,, P . \ . F ~ i . t
ir _ r / ! ~ ty~~ 4_j ' ~g x r, / ~ ~ _ . . / ' Y ~ . ~ ~ ~ j f_ ~ .,.f ~^,4 7 ! ` / i d . ~ F _ f
. . t' ~ m ~ 'a I . . . ~ ~ . ' . ~ . . F ~ ~ ~ ~ . . ...,4Ra ' ` _ _ _ - _ ' . . _ , at~.~ P' ,r`~ ~ ~ . . _ r a~, - _ - - - . ~ ' ~ .t~ . , ~ : ~ . v ` --T,.- -z . ~ , _ , ~ , -
~ - ~ ; ~ . ~ t-~ , ~.e.,~ t
~ ~y r. ° r,~` ~ ~ ` J'
. . ~ ~ : ~ ~ ~ ~ ~ , . ~ . ~ ~ 4 , ~ ~ ~ . ~ ,
. , , ~ ~ ~ F'~''~ 'r ~ r , . ~ ~ , ~ ~ ~ ~ / t. ` ~ ~ ~ ' ,~"."r . ~ ~ ~ $ ? q
~ ~ ~;~a ~ , ~ . r ,e , {F ~s ~ ~ s,.: ` , h a I'/ . / . ~ ` '""'**~~.ras~.,:.,.-.,.~ ,.~^'o- .~k~,i~„'a . ff 'r.,,~ ; . ~.,"i~l .::B, ~~~..b'~i . r' , n ;
r ~ ~ y ~ ' .~w`.,~ . . r t t'_ iY . . . s . ~ q ~ ~ ~j ~ Y ~~~.5. `a~. l ;b, ..r Pw 1:~ 9 > $ }
.1 ~ 4aF'~ ..pp ~r ~~~^*y, . r7 . ~ r . y ~k^~ ~ . . . s ~ y ' ~ p A / , R i / ~ a`,'~ ! .r: . . ~'^v ~~.l. . ~ ~r . . ~
' ~ ' f'~ ~ ~ ~ ~~w , , ~ ~ ~ l~ ~ > r ~
~ ~ t f ~ ~ ~ ~l ``~.'-\.,_~r ' ~ ~ . . e , ~ . / .0~. ( ~ ~ . .
~ a ~ j ti°`'~*:.` f( r ' , , ~ S i ~ ~ ~ ~ ~ q ` r~ ~ ' ~.'~f:.. f
~ p \ ry. E ~ 1 A, ~ ~ :."k' ~ j , ~ . . ~ ~ ~ u,~i<`~ i I~
~ ~ - s It~ ~ 5 . , . t . . ~ . . . r'~ ~ ~ , n , ! ~ ~
, ~ ~ : ~ ~ , , , , ,
~ ~ ; j ~ : , ~ . , - ,l , ~ , ~ , . , ~ , t , ~ , . . - ~n~ F~ ~ , r„ ~!~(~t? , f ~ ~l „~„I , P~~..~ ~ , „l_ _
\ f . ~ ~ ~ ~d~ h1~~~«r ~ „~~.G ~~s°~ ~ . , ~a ti, , / , .u . ~p~r.~ ~'y (
'c .~l : < r r~ ~ Y L+r ~ F, ~s' P '^ww` Ys, R . ' „l~ . . .,2ai Eo y. . . „ ~ ~ ; ~ € ~ ~ ~ ~ ~ t ~ r ~~m~ ; . .4 s . o . t . . r ~ e p,) ~~,s A - t'+
~ . , ~ ' % ~ ~ t f . . r?!~~ fr' C.t? _.?SS~ p , : ~ . ~ . , . ..r , , . . ~ ~ , , r , i ~ ~ ,
~ . ~ ^eB ~ v^:
. ~ ~ . ~~l . . \ . . ~ ~ . ' ~ ~ ~ , . r ~ , ~ . , 1 r" ~ , a " i ~ ~ ; ~ " ~f ( 7 s, . _ ~ ~ ~ ~ ~ ~ - . , . . . . .
. ~ , • , r ~ , e . ~ fi ~ 4~ ~ . ~ . ~n, ~ i ~ ~,r . , },ry . . . ~ i rj . ~W ~f'"„ + , ~ ~ 1 1 ~ j . . . . . . r t 5~ ~ ~ , . . ~ ~ . . . . , d" ' .F . ~ ( ,x'
~ N . - ~ . ~ t~ !r ~ xy. . , 5.~ \ { .R . ~ ' ` . ~ 4 ~ 1 .......,Y ...d* .:al ~ "t~ . . . .
~ z.~ . ~ , • : , , ,
~ ~ ~ ~ ~ ~ • 1 ~ € ~ " ` ~ u ~ , , . ~r~~ . , , ~ , . ` - . , ~
w , ~ ~k~) . w. ~ . ~ . . ~ . t.. : _ i r 1';~ . ~ Ry . ~ fj ~ . ~ . k`~', \ ^ : \
r ¢
. ~r , f , ~ ~ ~ ~ , 1 . ~ ` ~ ; ~~,w r°' , 2 ~ . 's . . .
p ~ ti ~ R, ; ~ i / ~ ~ t ~..j 'a„= v ~ ~K8 , ~ ~
~ ~ ~ / ~ ~ l , ~ ~ ` d
, ~ ~ ~ i .fi," ~ , ~ ` ~ . ,v' 1 ~ "
. ` - ~ ~ ~'1 j d~ t'" ~,r p ,~T~ r ~ ~ ; z ~ a ° i ~ , . 4 r~m~.a , F ~ • ~ a
~ J ~ ` z ~ ~ ~4 , s i t ~ r~ , ; 1 , r ~»r ~ . l~J <<~~:~ bswt~ ~ J w:~~ ~ . . 'k . 4 . . . . . . . ~ ~ . . . . . ' ~ , . ; j s i ~ ~ ~ i ~ , . - . F
. ( .d ~ . ~ . . ~ ~ ~ i~ ~ ~ ~ ~w~.~ , ~ , ~v,,- ~ ,a~ ~ y . ~ ; ~Y ~ t lfr . , f. ~ ~ a r 2
. . , . . t :t'~ ~ i" ~ , . , ~r: , ~ F,:,~,` , ~ A . r;~ , . \ ~ .a , e^„M"' f ~ .eni ~-er A yt ' j y i ' ) e ~ . j 1.. { N ~ 1'.. ~ , . , , . ~ _ r . : q ,.~y~.~ ~ .~K„~_ ~ f ,aY 3 d t I 9l" ' f . ~ . ~ ~ . . ~ . t 6 ,
, ~ v . ~ , , f , , ~ ~ ! , , ~ , . , y ~ , . , ~
, ~ . t . . ~ / „w 1 d . ~ . . ~ ~ . . ~ "z ~ . ~ "t'' .~~.:a,e A'~~~'~" . . . , . , ~ , y _t a+~ \ ;4~' ~ . . ~M,.. s 7 ~ ii ~ , ~ : , , ~ , # . ~
. _ . ~ :,...,M,,.., a...-,..._._....... .a.,~.. . ~ . ~ . j . . - ~ ~ ~ ~ i ' e , , F . , ~ ~ ~ , . . , f , w. ~ . . ~ ~P. ~ , . ~
' t'~y 1 i~ ' . . i " r , ~~~4t~ ~f ~ . . ~.~~.r . . . ~ ; . ~ , . ~ . .
. . i ,r e , J ; a ~ . ~ ~7 ~ r ~
a ~ ~ ~ - r , , .e .~t ~ ~ w,~ , , , ~ , . ~ `*~y. ~ ~ ~o ,
~ ~ ~ _ VOGT
MIT~n°CT ,
; } SUITE 141, 9100 WEST Bi00MI:NGTOt~ EREEtNAY ~ , !tt EREEtNAY •
° ~r.R ~ i sY BLOOMiNGTO'N; MINNESOTA 56431 t6~21888~4459 6'12i 888-4459 '
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA091103
Eagan, MN 55122 . Date Issued: 09/11/2009
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 4519 Oak Chase Lane
Lot: 8 Block: 2 Addition: Oak Chase 2nd
PID 10-53501-080-02
Use
Description:
Sub Type: e-Windows/Doors Construction Type:
Work Type: Windows/Doors-New/Replacement
Description: House
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: huprovements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
Valuation: 3,000.00
Total: $90.00
Contractor: -Applicant - Owner:
Pella Windows & Doors Turnkey Sales Alan D Cox
15300 25th Ave N #100 4519 Oak Chase Lane
Plymouth MN 55447 Eagan MN 55123
(763) 745-1400
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA096416
Date Issued: 10/12/2010
OR Permit Category: ePermit
41 it~ of E3
E
Site Address: 4519 Oak Chase Lane
Lot: 8 Block: 2 Addition: Oak Chase 2nd
PID:10-53501-080-02
Use:
Description:
Sub Type: e-Fireplace Construction Type:
Work Type: Gas Fireplace (new)
Description:
Census Code: 434- Occupancy :
Zonin,:
Square Feet: 0
Comments: Improvements to the home may require smoke detectors in all bedrooms. Chimney flue must be inspected prior to
concealin,.
Carbon monoxide detectors are required bn law in ALL single family homes.
Fee Summary: BL - Base Fee S3K $88.50 0801.4085
Valuation: 4.200.00 Surcharge - Based on Valuation S3K $1.50 9001.2195
Total: $90.00
Contractor: - Applicant - Owner:
Heath and Home Technologies Alan D Col
2700 N. Fairview Ave 419 Oak Chase Lane
Roseville MN 55113 Eagan MN 55123
(61)633-261
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 Cite of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
Use BLUE or BLACK Ink
0&r Office 2-qo
11 I Permit I
n t Ciof Ea pnn
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 i VD j Date Received: j
Phone: (651) 675-5675
Fax: (651) 675-5694 staff-
%1 L---------------- I
2010 MECHANICAL PERMIT APP (CATION
Date: Site Address:-~''`•
Tenant: Suite
Phone: ~Jt7~a'~`~
RESIDENT / OWNER Name: y.
Address / City / Zip: F=P&Q^ I ► M (!D-'!)
CONTRACTOR Name: TN BU LUNG COMPANY TINC:r-- License
Address. 1400 CONCORDIA City:
S 1. PAUL IVIN 55104 ,
State: Zi~jOdR_7'~Ai Phone:
Contact: Email
TYPE OF WORK New Replacement Additional Alteration Demolition
Description of work: - clQa m Me-
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
RESIDENTIAL COMMERCIAL
PERMIT TYPE F mace New Construction _ Interior Improvement
Air Conditioner _ Install Piping Processed
_ Air Exchanger _ Gas Exterior HVAC Unit
Heat Pump _ Under / Above ground Tank Install / Remove)
" When installing/removing tank(s), call for inspection by Fire
-Other Marshal and Plumbing Inspector
RESIDENTIAL FEES
$55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State-surcharge)
$95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal OR Contract value $ x 1%
$55.00 Minimum (includes State Surcharge)
Permit Fee
- If the Permit Fee is less than $10,010, surcharge is $ 5.00
- If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee Surcharge
(.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge)
TOTALFEE
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
1 hereby acknowledge that this information is complete and accurate; that the work will be infrrrance with the ordinances and odes 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 sta bout 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 pla
X
Applicant's rinted Name Q Want's Signatff
FOR OFFICE USE Reviewed By. Date:
Required Inspections: -Under Ground - Rough In _Air Test -Gas Service Test -in-floor Heat -Final
Exterior HVAC Screening Inspection
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA109824
Date Issued:04/08/2013
Permit Category:ePermit
Site Address: 4519 Oak Chase Lane
Lot:8 Block: 2 Addition: Oak Chase 2nd
PID:10-53501-02-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
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.
Charles Avoles
2325 Buford Ave
St Paul, MN 55108
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Alan D Cox
4519 Oak Chase Lane
Eagan MN 55123
(651) 485-4085
St Paul Pipeworks Llc
2325 Buford Avenue
St. Paul MN 55108
(651) 644-9400
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115739
Date Issued:09/30/2013
Permit Category:ePermit
Site Address: 4519 Oak Chase Lane
Lot:8 Block: 2 Addition: Oak Chase 2nd
PID:10-53501-02-080
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Kelly Meyer
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 -
Alan D Cox
4519 Oak Chase Lane
Eagan MN 55123
Hause Construction, Jg
P O Box 206
Bayport MN 55003
(651) 439-0189
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA132739
Date Issued:09/01/2015
Permit Category:ePermit
Site Address: 4519 Oak Chase Lane
Lot:8 Block: 2 Addition: Oak Chase 2nd
PID:10-53501-02-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Alan D Cox
4519 Oak Chase Lane
Eagan MN 55123
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
�* Use BLUE or BLACK Ink
' �----------------�
RECEIVED � For Office Use ���f�
' OCT 112 � Permit#:�=5� � �(d ' ,�-rs�
��t� of �a�an o� ; �. /���/ �
Permit Fee. (�✓ /
3830 Pilot Knob Road � /� /' �
Eagan MN 55122 � Date Received: ( V����� � j
Phone: (651)675-5675 I I
Fax: (651)675-5694 i Staff: � i
`__���������_____J
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: V �"'� �� Site Address: ��� i L�:r�l,--C.��y�,� ��' Unit#:
�
_ � a : Name: 1 ��/"� �' N�L U1iC �U 1� Phone: ��' �vr°a ��`E'���
Re��en t���c� ��— (,:l-��t�� i,�N — C�c��'N)J t`'�N �S I 2�
Q e�' • Address/City/Zip: E �
� �� ��:�
� , �
�,� -� _ �.�, _,: Applicant is: Owner Contractor
�. ,.. �.•,�� �:.
�"_ '�,� � Description of work: V.�� �}'�/1,�1��F1..--
�T�P� , K
' ,_ � j,�� F Construction Cost: � �Zi ��,� Multi-Family Building: (Yes /No
� _� 3�� �� ; Company:_�NS�PIIZATI,a}� ��1(�1-� C�N ��ontact: �'�I�� ����L'��
' : ���� g
��� � Address:_ ��'�s{�� w ri��( I�3 City: ���2'1J��1 L��
�P1 �C
� , � � :
�� ,;�:���� �" � . State:�Zip:��'.�3� ! Phone: �Z-'7�P7-�I�I�Email: I�%�IG���(V1S�n�'4�'i�J���1C1?�t ,C�,+�j
� � ' `
� �� �,...,� � � '' License#: �L�3Q(�� Lead Certificate#: ��� '' i t�"'�7i�� " �
If the project is exempt from lead certification, please explain why: , �
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:
Fire Suppression Contractor: Phone:
. n , �;. ;�� � z
� NC?T��Plans r�at suppor�i'�` um nts� af �
, � ,w ����.� � �,° � � �t�� y � , u ��are co�rsE e� d - �" " �a �„"°n ,Eo co�,s� ,
_�' f e info ma �o ma� e��a s � ai as na � b�c=f� ��
� � ,� u�rQ s �fr� �l'�p t �
�� ,.,�,� '� .�� : ���� � �,.� �• ,� �.�����:onc�rrate�t �t�t, e Ear`e¢ 4►e s�re �¢.�� ,�,:����ft�� `��:�
� . e
, _
,. ... ' ...e „n. .� 3 ......., _' ...
.., . . .. ..«. , ..,. . . .. .... ,.
, 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.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
X ��I 1�:�(� X ����`.'l �� -_
Applicant's Prin ed Name Applicant's Signature
Page 1 of 3
� /� �„���+�5�� ���0 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 (Screen/Gazebo/Pergola) _ Miscellaneous
_ 01 of_Plex _ Lower Level _ 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 `� � D�j, e�.:, Occupancy ,i� � � MCES System
Plan Review Code Edition v✓I•� `z��S SAC Units
(25%_ 100%�) Zoning � City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction '� Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) �D Final/No C.O. Required
Foundation � HVAC_Gas Service Test Gas Line Air Test
Roof:_Ice &Water _Final Pool: _Footings _Air/Gas Tests _Final
� Framing Drain Tile
Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick
� Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In_Final
Braced Walls Erosion Control
Other:
Reviewed By: i n �'"t W?� I`1 �✓t , Building Inspector
RESIDENTIAL FEES � ��
Base Fee D� �X�/ � z J.Q� S9 - /�`r
Surcharge ',
Plan Review � /77.�!�,' L�'►� r�t �,��'���� v� � , -- �'�
MCES SAC
I City SAC
Utility Connection Charge
S&W Permit 8� Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
Use BLUE or BLACK Ink
�-----------------, ,
� For Office Use �y��
• ' / :.���7 r7 �"7 y��'�!s"
��} O� �� �� I Permit#:
/.�,�j I
d � � Permit Fee: f!J'�' � I
3830 Pilot Knob Road � �
Eagan MN 55122 I Date Received: �
Phone: (651)675-5675 j �
Staff:
Fax: (651) 675-5694 �________________!
2015 RESIDENTIAL PLUMBING PERMIT APPLICATION
�ate: �;u (`�l C� Site Address: "l��� (/��'��� ��
Tenant: Suite#:
�
�� � � � � /� � 1
E�eSI e11k1��11 er� Name: �i �I" rv, �'���ls'� GI�X Phone: �0�1 ��C��'J �3Y7�
�`� � � Address/Cit /Zi �riv
�., � � Y P� (''I�� � ��r �.����
� � p �_` t
, -
�' � .;V�,�� � Name: ��Z �l'��� License#: �Ci l��3���
�
, �� � ���
GQtYt1'�Ctal' Address: LL�Z'(�� W l'IL�.�-� C � c�ty: ���S�i l�i��
� ���� , ��'�` � � � � I
�: 3
��' _ � ' �� � ; � State: �'� Zip: ���� Phone: ���-� �� ��
� �;,
� ��� ���":.�� . .,,i� Contact:_ ���r��� ��If��� Email: �� �0 �^Lv�2.6�'Vj,GiA'`'1 .C f�✓""�
�
; , �;��
3� �3 ��� �� �� � ly t"
� New �Replacement _Repair _Rebuild �Modify Space Work in R.O.W.
� �T�fpe�O,��T�1lQ�rk ' a — —
��, �;.���
�* �� '� ` Description of work:_��'�� �C!'�Y�17�--
r,.. �,. ......�3�;��,,' E..
; " ��_�� RESIDENTIAL
����j��� : � ���
� 3 �
���������
,���': Water Heater
� F � `� ,�' Water Softener
' � �� _ �� Lawn Irrigation �RPZ/_PVB)
���' � er`mit���r� ���� ;
� ' ���< � �• Se tic S stem Add Plumbing Fixtures�Main/_Lower Level)
� � �?�, [, p Y
€ �� K � New Water Turnaround
?,�z� � � ��
: s����� , � � 'j .
� �� � .�.�� �` � Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge)
"Water Turnaround (add$210.00 if a 5/8"meter is required)
$115.00 SeptiC System New(includes County fee and State Surcharge) I
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x ��� f���� x��.�� ���`
Applicant's Printed Name Applicant's Signature
����� a �� �� �, ... �� ` ��'�� [ .���� � � ���� z. .� a, ,j::'.� �� ������ f��`: �.. � ����4� �.�,u�. � �'��
<FC11� FICE USE �.,�� �' , � � � : �, ie ed��By �� � ,D � `
� ��� ,� � �;. � � ;� � �. �-�� �� �,
�.. r sl�+������,"' aae '�" ......, � ,�� ,� � � .�.... ......
�
Requ�red Ins{��ectio s �` ��` �Un,er Gr4u �� ���`k�ougY,�I � , ir Test; _���_� s T� ,``�� ` � � ;Frn '� '� �
.c �s �'"�.t+ � �� � .: � ��; ��..: Z .�x e,, � ,..;j�� .;,, �7H �t�., ����� y� � ��. ��� �� � t ';�'�'� � [[�?s'�,;
Meter:Related Iter�s �*�N�ete=�Size �� ac� '�Rea� � `� ' a���'�'" d � 'Staff [ ��, � � _ � �
�
��.. ..��.- �, � :�:. � �����. •���.�3_ E�., ,.�... �.: � �. �.... .�
�,
City of Eagau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVE)
MAY 2 7 2016
r
Use BLUE or BLACK Ink
For Office Use
13
Permit #:
Permit Fee:
Date Received:
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:.kr1 ),016 Site Address: 1151 C( DO.I- Ckc.s Me- Unit#:
Phone: 4 S/ `185 —)870
Name: t C o le-Nee—
Address / City / Zip: 4 S 11 oat. lc- C k« Se_ (qwe--
Applicant is: Owner ^ Contractor
Description of work:
Construction Cost 7 %-100 . (ye
'L*c4.,1 _.. c e,�v w1. 6w s t,,,Lem_
jest Wier L/dka. t"'i. ewS We_ 1ecq
Company:
rr
iiA,,e_ IJ IdUtrS
Multi -Family Building: (Yes / NoX )
Contact: "3-0��
Address: '766
State: ilk) Zip:
Cr e e 1c ,��e City: IM dot_ U -+y s
GS' Igo /// 363
Phone: b�a`s «-" Email:
License #: 13C- 3n 3015 Lead Certificate #: 1 v A-7 — 11 u l 46—
If the project is exempt from lead certification, please explain why:
1
COMPLETE THIS AREA ONLY IF CONSTRUCTING ANEW 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:
Fire Suppression Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public informationPortions; of
the information may be classified as nonpublic 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 CaII at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x 1NA fJ re' +e\ ►'►.2_.
Applicant's Printed Name
icant's Signature
Page 1 of 3
SUB TYPES
Foundation
(' Single Family
Multi
01 of Plex
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100% ' )
Census Code
#of Units
# of Buildings
Type of Construction
DO NOT WRITE BELOW THIS LINE
Fireplace
Garage
Deck
Lower Level
`Sl`) CL & LRS
Porch (3 -Season)
_ Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Interior Improvement
Move Building
Fire Repair
Repair
t000 QV
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: _Ice & Water _Final
j0 Framing 30 Minutes 1 Hour
Fireplace: _Rough In Air Test
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By: Tz UV
6ii 014 --
Siding
Reroof
Windows
O Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
Occupancy J.- )2L —1
Code Editionrt 20 I c -
Zoning
Stories
Square Feet
Length
Width
Final
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Pool: _Footings _Air/Gas Tests _Final
Drain Tile
Siding: _Stucco Lath Stone Lath _Brick
Windows
Retaining Wall: Footings _ Backfill _ Final
Radon Control
Fire Suppression: Rough In Final
Erosion Control
Other:
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA136920
Date Issued:06/07/2016
Permit Category:ePermit
Site Address: 4519 Oak Chase Lane
Lot:8 Block: 2 Addition: Oak Chase 2nd
PID:10-53501-02-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Alan D Cox
4519 Oak Chase Lane
Eagan MN 55123
(651) 485-3870
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA170524
Date Issued:07/07/2021
Permit Category:ePermit
Site Address: 4519 Oak Chase Lane
Lot:8 Block: 2 Addition: Oak Chase 2nd
PID:10-53501-02-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Alan D Cox
4519 Oak Chase Ln
Saint Paul MN 55123--184
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA172174
Date Issued:09/17/2021
Permit Category:ePermit
Site Address: 4519 Oak Chase Lane
Lot:8 Block: 2 Addition: Oak Chase 2nd
PID:10-53501-02-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Alan D Cox
4519 Oak Chase Ln
Saint Paul MN 55123--184
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA178282
Date Issued:08/09/2022
Permit Category:ePermit
Site Address: 4519 Oak Chase Lane
Lot:8 Block: 2 Addition: Oak Chase 2nd
PID:10-53501-02-080
Use:
Description:
Sub Type:Air Conditioner
Work Type:Replace
Description:SEE COMMENTS!
Comments:8/9/22 MR- this permit has been refunded
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Alan D Cox
4519 Oak Chase Ln
Saint Paul MN 55123--184
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA178283
Date Issued:08/09/2022
Permit Category:ePermit
Site Address: 4519 Oak Chase Lane
Lot:8 Block: 2 Addition: Oak Chase 2nd
PID:10-53501-02-080
Use:
Description:
Sub Type:Air Conditioner
Work Type:Replace
Description:
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Alan D Cox
4519 Oak Chase Ln
Saint Paul MN 55123--184
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA178929
Date Issued:09/12/2022
Permit Category:ePermit
Site Address: 4519 Oak Chase Lane
Lot:8 Block: 2 Addition: Oak Chase 2nd
PID:10-53501-02-080
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
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: 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:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Alan D Cox
4519 Oak Chase Ln
Saint Paul MN 55123--184
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 745-1400
Applicant/Permitee: Signature Issued By: Signature