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4540 Oak Chase Lane
CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 wecsrvao FRpA AMOUNT ? I & DOLLARS ioo C)CASH [] CHECK FOR ti White-Payers CopY Yellow-Posting Copy Pink-File Copy You i BY ,CITY (•r EAGAN OAK CI-iA.SE 5TH ADDN Owner Y? . I Street 4540 dAK CFiASE WAY State EAGWFffV 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, STREET RESTOR. GRADING SAN SEW TRUNK ZZ 19.00 SEWER LATERAL c SEWE LATERAL "Z WATERMAIN WATER LATERAL WATER AREA 1984 155.00 155.00 C008422 4-26-33 STORM SEW TRK 1984 2272.50 272.50 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT 250.00 WATER CONN. 450 . 00 BUILOING PER. 746 sAC 525.00 rr n PARK F adaZ4oW4A,l??,l Pn&, 4f /D - Da,7oo - oii - 7 7 CITY OF EAGAN Addition • OAK CHASE STH Owner 4540 OAK CHASE WAY 10-53504-070-01 EAGAN MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, -f- STREET RESTOR. GRADING SAN SEW TRUNK cduj SEWER LATERAL gr L1 8 WATERMAIN *WATER LATERAL WATER AREA $ ,irSTORM SEW TRK 1984 5 *S70RM SEW LAT 1984 $ STORM SEW TRK 1984 272.50 272.50 C008422 4-26-83 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN 3795 PilW Kwob Rood Eogan, MN 55122 PHOMEs 454-8100 BUILDING PERMIT ` Te be wad fer SF Est. Value • 1 1 Receipt # Date SiM Address f, • II .. ? Ercct Q Occuponq i Lot 1 l )A:: CHAS' Block Sec/Sub. Alter p Zoniny Porcel Repolr 0 Fim Zone •'' ?- Enlanpe ? Type of Const. W Nome '?? CHASE ?3L7RS . I?iC . 31 60 [dAS?; I:l?;TO?1 DR ' "l04 i ?Ve ? # Stories _ Z ,?? 4 . r Demolish p 7: Length ? Citv 'LAG"" Phone 454-7965 Grode p Depth g2 Sq. Ft. 'y Name =o ?? Addrr ? r?... Ncme Addross I hereby acknowledge that I have reod this opplication and stote that the informotion Is correct ond agree to comply with oll applicable Stote of Minnesoto Statutes ond City of Eagan Ordinances. Permit . , ? Surchorge >. .t ? k 0 Plun chec ?7TO SAC Woter Conn. Water Meter ' Rood Unit Total ' 71r'1.OQ Slqnature of Permittee ? /1 Buflding Perrnit Is issued to: on tF+e ezpress condition thni oll work shall be done in atcoldonte with oll opplicabla 5tate of Minnesoto Stotutes orid City oF Eeqan Ordinances. Buildinp OffiNol " Asseument - Water & Sew. Police Firo Enp. Planner Counci I Bldg. Off. _ APC Psrmit No. Permit Holder Misc. Permit No. Holder Plumbing H.V.A.C. ZI l ? s 3 l Well Water Disp. S?wer Ebctric (TU Inspeetion Date Insp. Other Footiny, ,.-.-?'. Foundstion Frominp Rouph Plbq. - " . - U-.;z 4 _ i Rough HVA ?,?j?5/ • , _.r' % t Final HVAC .. • Final G C c? ? < < ? 2? ?k5 Wour Dewibe Location: VYeli Sewar Pr. Ditp. Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN - ?. - Fee FiII in numbered spaces S/C • Type or Print legibly Tot. -- - 1. Date 2. Installation Cost ?•'?? 3. Job,Address LotBlk. Tract 4. Owner ?'L7 5. Contractor /v Phone ? 6. Address /y 7. City ?'\ c ??, ; cv JL ?State l? 1 o Lr - 8. Building Type: Residential I? Commercial ? Ir 9. Work Description: New 0- Add 0 Alter O 10. Describe 11. Zip istitutional ? Repair ? ixtures ater Closet No. Fi xtures Cesspool/Drainfield ath tu6s $eptic Tank r avatory Softner hower Well itchen Sink rinal/Bidet U Laundry TraY Other f Floor Drains Drinking Ftn. Slop Sink ? Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and 1 agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464,6100 I Receipt . ? 1. Date 3. Job Address 4. Owner MECHANICAL PERMIT CITY OF EAGAN Fill in numbered spaces Type ar Print legib/y 2. Installation Cost Permit No. Fee 5/C Tot. Lot Blk. Tract 5. Contractor Phone 6. Address % 7. City State Zip 8. Building Type: Residential Q Commercial ? Institutional ? 9. Work Description: New L`7 Add ? Alter ? Repair ? 10. Describe Fuel Type 11. No. Equmpment 8TU - M. Ea. Forced Air No. Enuiament CFM Mfg. Air Handling: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Othe Air Cond. r Mfg. 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 : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 EAGAN WATER SERVICE PHtMIT ilot Knob Road ox 21199 PERMIT NO.: MN 55121 pATE; ?' No. of Units: 1 ``ak C:iase tt1dT= /lddress: No.. eader No.. a9ree to comply with IIM City of Eeysn of Insp.. Connection Charge: ? ?.` • " t, Actount Deposit: Pemtit Fee: ?!: • (?n P` Surcharge: .50 7,1 Misc. Charges: Total: Date Paid: .,F EAGAN SEWER SERVICE PERMIT 36.,0 Pilat Knob Ruad P. O. Box 21199 PERMIT NO•' ? Eagan, MN 55121 DATE: i - ? Zoning: ' 1 No. of Units: ? Oak l.hASy o Ownef' ldTs ? Address: Sita Add PI umber: I ayrea to eomply whh !M City sf Eagen Ordinanoes. By Dote of Irup.: Conneccion Chorge: 4 L 5. Uu pa Account Deposit: .i Permtt Fee: nd Surchorge: ' jP ' •" Misc. Charges: Total: Date Paid: fY,,`F EAGAN WATER SERVICE PERMIT 330 Pilot Knob Road . O. Box 21199 PERMIT NO.: ?Eagan, MN 55121 DATE: ;ng; - No. of Units: +D 4 wner. . i Address: b rn e - No. ? Connedian Charge: ize: Deposit: Reader o • wmit Fee: ? 09rw CGOOMp1? w eh of u?CF'°''g°: .. sc. Choroes: By ?z Dote Pald: Date of Insp.: ? Irisp.: RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4875 ? •.-? v 1 ? I New Construction ReouiremeMs RemodellReoair Renuirements . 3 registered site surveys showing sq. ft. of lot sq. ft of house; antl all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) . 1 set of Energy CalaiaGons lor heated additions . 2 wpies of pian showing heam 8 window sizes; poured found design, etc.) • t site survey for extenor additions & decks . 1 set of Energy Calculations . • 3 copies of Tree Preserva5on Plan if lot platletl after 711/93 . Rim Joisi Detail Options selection sheet (bldgs with 3 or less uniGS) _ '/ % DATE D 7 " 01 VALUATION (EXCLUDING LAND) JOB SITE ADDRESS y? V8 O,,I K G14/fI S,e? L- ? IF MULTI-FAMILY BUILDING, H01y MANY UNITS? PROPERTY OWN TYPE Of WORK APPLICANT PAGER # FIREPLACE(S) CELL PHONE # ( M-7,A)-?53S3 FAX # 6 /a 7.;L) -19c?" NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category (check one) Plumbing Contractor: - PlumUing System Includes: Mechanical Contractor: Nlechanical5ystem Includes: Sewer/Water Contractor: Air Conditioning HeaL Recavery System Phone # Phone # Fee: $90.00 Fce: $70.00 All above information must 6e su6mitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is cor t, and agree to compl with all applicable State of Minnesota Statutes and City of Eagan Ordinance Signature of Applicant .? Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ _ MINNESOTA RULES 7670 CATEGORY 1 - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Phone #: Water Softener _ I.awn Sprinkler Water Heater _ No. oFR.I. Badis No. of Balhs Updated 1101 4-P ?W? ; CITY OF EA('?1N BUILDING PERNffT APPLICATION Include 2 sets of plans, 1 site plan w/elevations & 1 set of energy calculations. Zb Be Used For SF DWG / GAR Valuation 6?'119'00D Date January 3, 1984 site Address: y SyO otdL. r)?" Ltj oFFICE uSE oNLY Ivt 7 Blocc 1 sec./Sub. Oak Chase 5Erect X Occupancy Parcel #: _ I U-S-3,SD q- 676 - Q/`n'lter Repair Zoning Fire Zone ? OaDess Oak-C hase Builders Inc. Enlarge - Type °f Const. , Move # Stories Address: 3460 Washington Dr. #204 pemolish Front ft. E 5 1 Grade Depth ?- ft. City/Zip Code: agan, MN 5 22 Phone #c 454 -7565 APPROUALS FEE4 Contractor: Oak-Chase Builders, Inc. Address: same City/Zip Code: _ Phone #: Arch. /IIZg. Address: City/Zin Code: Phone #: Assessments Water/Sewer Police Fire Eri4 • Planner Council Bldg. Off. AEC Pernut Iza- Surcharge " S9 Check? Plan SAC Water Conn. ?/3 0 water Meter ? Road Unit '9S" TOTAL 67?0 61 ' 9--? CITY OF EAGAN N? H?46 3795 Pllot Knob Read Eagon, MN 55122 PHONF: • 454-8100 BUILDING PERMIT 2eceipt # d7?d To bs utad Fe. SF DWG/GAR Est. Volue $118,000 pale JANUARY 5, 1984 _ R3 Sife Address 4540 OAK CHASE LANE Ercd ? Occuponcy Loe 7 BI«k 1 Sec/Sub. OAK CHASE STH qlrer ? zontnp Rl Parcel # 10-53504-070-01 Repoir ? Fire Zone NIA Enlarpe ? Type of Const. V W Nome OAK CHASE BLDRS. INC. Move ? # Srories ; Addreu 3460 WASHINGTON DR. #204 Demolish ? Length 72 0 Ci EAGAN phom 454-7965 Grade ? Depth_32--Sq. Ft.- p Nome SAME ADProvals Feea r Su Address ? r?... Nnme _ Address I hereby acknowledge thot I have read this opplicotion ond state that fhe intormofion is correct and agree to comply with all opplicable State of Minnewta Stotutes and City of Eagan Ordirances. Asseument _ Water & Sew. Police - Fire Eng. Planner _ Council _ Bidg. Off. _ APC Permit Y Y/O*VV Surchorge 59.00 Plan check 239.00 SAC 525.00 Water Conn. 450.00 Water Meter 60.00 Road Unit 250.00 Totol S2-061.00 Sipnoture of Permittee I A Bulldin9 Permif Is issued to: 0 CHASF $jPgg on tha express tonditlon thm all work sholl be done in acco arxe with?p ' ble State of Minnewto Statures and Ory o4 Eoqan Ordirwnces. Building Officiol ?,a qyp1R REQUEST FOR ELECTRICAL INSPECTION A"th I Es-oaooi-oa ' Sae ir?struetions tor comOlBlin9 thi6 form on back Of yal low Copy. {? l 11A l"X" BeloD7rX'tbve8 red by This Request • . Add flep. TyOe ot Buildiny Appllancns Wired Equipmem Wired Home Range Temporary Service Duplex Water Heater Lightinq Fixtures Apt. Building - Dryer Electric Heatin Commercial Bid,y. Purnace Silo UnloaAar Industrial Bldg. Air Conditioner Bulk Milk Tank Fafm 01htir Oeu y Other (Spcr,ify) TF' uonty Ot er Other Compute Inspection Fee Belaw p Fee ServiceEntrance5ize k Fne Feaders/Subfeednrs N Fne Circuits 'Z U to 200 qm s 0 to 30 Am s ~ 0 m 30 Am p Above 200 Amps 31 to 100 Amps 31 to 100 Am s Swimming Pool Above 100_Am s AAOVe 100_Am s Transformers Irrigation Boorr?s Pdrtial-'Other Fee Signs SUeciai Inspection 5 TO ? Rema.ks ?. L FEE ! +f A// Final [hnt ihe above I ion has een Thisreuuestvoitl This reVUest void 18 rranths fwm W 0792 qolq L-1 6 ( 6 1 Fire No. UWLtV 5 Li 1. ? EJFeuAy Now?Will Netty Inspeo N. ror When PeaAy C] Lii;ensetl"Elecvical Conlactor I hereby requesl inspection oi above ? Owner elacirical work instailetl at: Street AAdress, Boz or Rovte N0. ' L ity C ,?r acLOn o. Tuwnship Name%r NO. ange o. Coun?, 7A Occupant (P?T) C p/ 11 C Pho'n1e No, ? ? we Y +?? 1? l "' Power Supplier Address ' ?„ 1 V Y > Electrical on actor ny Name Conhactor's Lice o. ? 44 (D x 1 Mailing AdJress (Cyonvar.tor or pwner Maki`ngI?nstailationl Auffiori ' amre IContractod wne Mal'ng Installationl .- __..G `-L ?-. .__. _ Phone Numbe?r ( _-_ ?07_-? MINNESOTq STATE BOAND OF ELECTNICITY THIS INSPECTION HEQUEST WILI NOT Grig9s•MidweV eldB. - Aoom N•191 BE ACCEPTED eV THE STATE BOARD UNLE55 PNOPEN INSPECTION FEE IS 1821 University Ave., St Paul, MN 55104 ENClOSEO. RESIDENTIAL 54041 BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PILOT NNOB RD, EAGAN MN 55122 651-681-4675 NewConstructionReouirements RemodeUReuairReauirements . 3 registered site surveys strowirg sq. ft. of lat, sq. ft. of house: and all roofed areas • 2 copies o( plan (20%maximum lot caverage allowed) . t set of Energy Calculations for heated additions • 2 copies of pian showing 6eam 8 window s¢es; poured found desgn, etc.) • 1 site survey for extenar addifions ffi decks • 1 set o( Energy Calculations , . InOicate i1 home served tiy septic system for additions • 3 copies oF Tree Preservation Plan if lot platted aRer 717193 . Rim Joist Oetad Options selecfion sheet (hldgs vnlh 3 w less units) DATE SITE ADDRESS TYPE OP WORI =(0 -bZ IULTI-fAMILY BLDG _Y _N PIREPLACE(5) _ 0 _ 1 _ 2 SELA ROOFING & REMODELING APPLICANT 4100 EXCELSIOR BLVD. ST. LOUIS PARK, MN 5541F STREET ADDRES$ in unnninon CITY STATE ZIP TELEPHONE #(al2 `625-fGy(v CELL PHONE # FAX # PROPERTY TELEPHONE# Go`I$-K-2VO? ----------------------------------------------------------------------------------------°----- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category j _ MINVESOT.\ RLiLES 7670 C:ITEGORY 1 MINYESOT:\ RliLLS 7672 (J submission rype) . Residential Ventilation Category 1 Worksheet Submitted • New Energy C¢{ie Wo(ksWee4oytjmittedl • Energy Envelope Calculations Submitted UL? Contwctor: Phone # Plumbing sys[em includes: ? Wa[er Softener _ Lawi Sprinkler Fee: $90.00 VVa[er Heater No. of R.I. Baths No. oF Ba[hs Mechanical Conhactor: Mectilnical svstem includes: Sewer/Water Confractor. a5 //?-7? Q? VALUATION -'7 v V ? :\ir Condiuonina Heat Recovcr} Systcm Phone # Phone # Fee: S7(?.O0 -------°--------------°---°----°-........-----°--------...-----------°-°---.....-----°°---°----°-°---°---•--- I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. SignatureofApplicanf ? ? OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated Jl02 Survey aAd Certificate For: Oak-Gikase Builders 4525 Oak Chase Way Eagan, MN 55123 DELMAR H. StHWANZ uNOSUnvevoa s, 10(' RpistnbC UnOw Laws of TM St&b W Minn050ta 2978 - 746TH STHEET W. - BOX M ROSEMOUNT, MINN6mD7A 66068 Scale: 1° = 401 o = Property Corner set i"] = Wood Hub set yZa = F.xisting elevations Proposed Garage Floor elevation SURVEYOR'8 CERTIFICATE 70/78 PNONE 812 113-1789 911 ? ?= 34 qzo 4Av, 9 9 ? ? , ?.. A9z/•43 0, 0 I M 92o.3S ? I hereby certify that this is a true and <:orrect representation of a survey of the boundaries of the following 9? descr.Lbed tract of land: Lot 7, Block 1, OAK CHASE FIFTH AD 0 as on file and of record in the ice of the Registrar of Titles, Dakota County, MinneSOta. Zn? .. ; ToP/lk/? i ? I i4/7'19 roP Hud I Drainage & utillty I easements ? LaT 7 ?,IOC?f / Q 114, , Also showing the location o£ a proposed building as staked thereon this 21at day of November, 1983. i MINNESOTA REGISTRATION N0.8625 EXTERIOR E:JVELC^-E AVERAGE 'U ` COi;?7TATI0:1 Ot^.nIER SITE ADDRESS CONTRACTOR 4aG C?/? DATZ PHOPIE Determine vrorking square footage of each. 1. Total exposed wall area .... .. ?1951o/ aq. ft, x .19 =?,?6•B 2. Total roof/ceiling area sq. ft. x .04 - Total exposed wall area above floor a. Total wall vrinZc:•r area ................ b. Total door 2rea ........................ <,a.c c. Total sliding glass area . ...... d. Total fireplace viall area .. . . . . . e. Tot31 wall fra.eiing area (average f. Total net wall area above floor ........12 y/P.a g. Total rir, joist are2 ..................... VSa,y Total exposed fcu.^.dation area h. Total foun3ation r;indow area .......... iG-y' I. Total net foundation area above grade .;? 'o.f Determine "U' value of each wall segment. a. ir=:/,.,v x b. X :„U?; , Osi = 3, y c. X 'U:: D. r X "U„ G m O X LU,l f X ,:Uu g • }( nU•- h.? X ;'U' , i > i./?v. ? X I:U„ 3 ............................................Total s _3/ 3.G If 1tem #3 is tne same as, or less than item N1, you have met the intent of 5BC 6006(c)2. rri 0' 2 ? <G 3- 6) /?'e-, p/ C<' 3?'.UJ Gx- vz.c-: c,o? ?5 /6 c(' '?) o'_" <c J,;? Total exposed roof/ceiling area J. :otal akylight area .......... ... b k. Total roof/ceiling frar.iing 2rea (average 1. iotal net insUlated roof/ceilinG area ....... 3 Determine "U' value for each roof/ceiling segment. J• D x??U?= a = a k• ?HOS X ?:u" . GY = ?5 !o 1. .:Uh . D.aS ' J6i. ?n 4 .........................................Tota1 = --67..;? If total of k4 is the same as, or less than P2, you have met the intent of SBC 6006(c)l. n d-" '0 y (3 i. J ? ` ".-? Alternate Buiiding Envelope DesiFn To utilize the total envelope syster raethod, the values established by the sun of items !f3 and #4 shall aot be greater than the sum,of items A1 and #2. 1 . J ?G . G 'F 2. U ? . .s? ? ? /? . CJ ??"<4/? 3• 3G 3. L + b. 6? '4a ?/?G?csu: C-151< 2007 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 n? ? ? ? lJ_ ? Please complete fur. single f'amily dwellings & rownhomes/cond 1 nen pertnits arc reqwred f ch unit ?n? nnr_ n q gnm ? HU I] Date g l Zg l 07 By Site Address ?. ? U nit # Property Owner HYIStA' LW /v/ 0.SS Q.Y O Telephone #( ) Contractor S StreetAddress 1(p641 Z11i&,;Y5 ?/_ 4q City h1M zSlfy/ state zip 5?'Q[b Telephone# (IPS/ ?!-136 - 3985 Bond Expires: 12 b 07 ? The Applicant is _ Owrier Contractor _ Other Fire repair (replace burned out appliances, du ctwork, e[c.) $ 90.00 This fee applies when extensive mechani cal repairs are made to a building. Add-on or alteration to existing dwelling unit $ 50.00 ? furnace _Additional ? Replacement _ New air exchanger air conditioner ? heat pump other State Surcharge $ .50 Total S 50.56 I hereby apply for a Residential Mechanical Permit and acknowiedge that the information is complete and accura[e; that the work will be in confortnance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; tha[ I understand this is not a permit, 6ut only an application for a permi[, and work is not to start without a permi[; [hat the work will be in accordance with the approved plan in Ihe case of work which requires a review and approval of plans. .4a.ro7t 7/madoP Applicant's Printed Na e ApplicanYs Signature ----------------=- .. ? For Offee,u.'se - j Permit#: i Permit Fee: ___ I ? Date Received ? ? I ? I I Staff: I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: SiteAddress: q5 4 Olk L/# ?Sf &WF Tenant: /Ld ? IM 4S Se(b Suite if: RESIDENT/OWNER Name: Phone: Address / City / Zip: Applicant is: _ Owner _ Contrac[or TYPE OF WORK Description of work: Construction Cosl: Multi-Family Building: (Yes No CONTRACTOR Name: _ /?t Co„JSGrj uC'/ _0 ?(dQo otOXX License #: AG-ZP3311 Z / Address: 3-) A/IC (?C.i` LL ?jz.7D &i` City: lAqL f?.7c9v 0 State: /12- Zip: SS?/ Cj Phone: C? ?-_?_3i'S 905_7 Contact Person: V,?1 &?4x COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Cade . Residential Ventilation Category 7 Worksheet • New Energy Code Worksheet Category Submitted Submitted (V Submission type) • Energy Envelope Calculations Submitted In the iast 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan4 _Yes _No If yes, date and address of master plan: Licensed Plum6er: Phone: Mechanical Contrector: Phone: Sewer & Water Contrector: Phone: NOTE: Plans and,supporting documenis that you submit are considered to be public information. Portions o1 the in/ormation inay be classified as non-public if you provide specific reasons that would permit the City to m «- conclude that the are trade"secrets. `. I hereby acknowledge that this intormation is complete and accurate; that the work will be in Eagan; that I understand ihis is not a permi[, but only an application for a permit, and woi accordance with the approved plan in the case of work which requires a review and approva/l x`-' l? J?l?"dl Ille.'1,50'V x// /1 ApplicanYs Printed Name h ihe ordinances and codes of the City of without a pertnih that ihe work will be in Signature Page 1 of 3 PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA076637 Eagan, MN 55122 . Date Issued: 02/07/2007 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4540 Oak Chase Lane Lot: 7 Block: 1 Addition: Oak Chase 5th PID 10-53504-070-01 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: If altering the opening size, a framing inspection is required. Smoke detec tors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard-wired detectors are required Bat tery operated types are acceptable if the wall/ceiling finish (i.e. sheetroc k) has to be removed to install a smoke detector. Kara Benson 9533 - 67th Street North Branch, MN 55113 651-674-1766 wsandd@peoplepo.com 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: Renewal Andersen Andrew P Massaro 1920 County Road C West 4540 Oak Chase Lane Roseville MN 55113 Eagan MN 55123 (651) 264-4777 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 3830 Pilot Knob Rd Permit Number: EA086137 Eagan, MN 55122 . Date Issued: 09/16/2008 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4540 Oak Chase Lane Lot: 7 Block: 1 Addition: Oak Chase 5th PID 10-53504-070-01 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: A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard-wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. 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: Renewal Andersen Andrew P Massaro 1920 County Road C West 4540 Oak Chase Lane Roseville MN 55113 Eagan MN 55123 (651) 264-4777 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 Use BLUE or BLACK Ink For Office Use 1 I I I Permit ~ v -51 City ~ Ea t)~ I Permit Fee: ~ I 3830 Pilot Knob Road Eagan MN 55122 I Date Received: Phone: (651) 675-5675 1 Staff: Fax: (651) 675-5694 1 [ J~ I v 2012 RESIDENTIAL BUILDING PERMIT APPLICATION s Date: Site Address: 4/'157460 Oak Cjdm, Unit 7 2 Phone: ~ ;Name: RESIDENT l OWNER Address / City / Zip: Applicant is: Owner 1i Contractor s Description of work: si-d~j 0 A 1~' TYPE OF WORK a Construction Cost: © ullti-Family Building: (Yes /No ._-...-_.e... _ r~Contact: f Company 9 CONTRACTOR Address: City:: Y [ 7 j State: Zip: Phone: 716 (L ~T e I License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents thaf 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.aor)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 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 Minneso State Building de ust be completed within 180 days of rmit issuance. x x 19 Applicant's P inted Name Ap s Si at e Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA115332 Date Issued:09/25/2013 Permit Category:ePermit Site Address: 4540 Oak Chase Lane Lot:7 Block: 1 Addition: Oak Chase 5th PID:10-53504-01-070 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 . Kim Janssen 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 - Andrew P Massaro 4540 Oak Chase Lane Eagan MN 55123 (651) 260-3774 Rayco Construction 211 St. Anthony Pkwy Minneapolis MN 55418 (612) 547-3011 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA152290 Date Issued:10/08/2018 Permit Category:ePermit Site Address: 4540 Oak Chase Lane Lot:7 Block: 1 Addition: Oak Chase 5th PID:10-53504-01-070 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: 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 - Sara L Stutsman 4540 Oak Chase Lane Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA165493 Date Issued:11/04/2020 Permit Category:ePermit Site Address: 4540 Oak Chase Lane Lot:7 Block: 1 Addition: Oak Chase 5th PID:10-53504-01-070 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures 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 (miscellaneous)$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 - Sara Lynn Stutsman 4540 Oak Chase Ln Eagan MN 55123--280 Janecky Plumbing Service 720 Pontiac Place Mendota Heights MN 55120 (651) 454-9297 Applicant/Permitee: Signature Issued By: Signature