4455 Oak Chase RdCASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
19
AMOUNT ? I
? CASH [:] CHEGK
LLARS
NUMERICAL FILE COPY
P-e? . B Y
I
CITY OF EAGAN Remarks
Addition O? Ch?e ??• Lot 2 Rlk 7 Parcel
Owner "-?? streec "55 Oak Chase Rd, scate Eag,an,MN 55123
?
-; . -
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUR F.
STREET RESTOR.
GRADING
SAN SEW TRUNK 75
SEWERLATERAL
WATERMAIN
* WATER LATERAL 1972
WATER AREA 6
5-16-77
r
STORM SEW TRK ?S-j 1272 2299.00 1 1
* STORM SEW LAT 1979
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 7, 9 _ 7
BUILDING PER.
SAC - 7
PARK
Receipt MECHANICAL PERMIT
CITY OF EAGAN
FiII in numbered spaca
Type or Print /egib/y
Permit No.
Fse
S/C
Tot.
1. Date 2. Installation Cost
3. Joh Address Lot Blk. Tract
4. Owner
5. Contractor Phone
6. Address
7. City State Zip
8. Building Type: Residential 0 Commercial ? Institutional ?
9. Work Description: New ?
10. Descri be
11.
Add O Alter 11 Repair ?
Fuel Type
No. Equinment 8TU - M. Ea.
Forced Air No. Equipment CFM
Ai
H
li
Mfg. r
ng:
and
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg,
Gas, Piping Outlets
I 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 Finel
Inspections: Date Insp. Date Insp. A&_
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
.
. ;? CITY OF EAGAN
3795 Pilot Knob Road Ea9on, MN 55124 N0- 4434
PHONE: 454-8100
BUILDING PERMIT Receipt
To be usad f or Dute , 19
Site Address Erxt [3 Occuponcy
Lot Block Sec/Sub. ` • Alter E] Zoning
POfCel # Repair ? Fire Zone _
Enlarge ? Type of Const.
0: Nome
W Move ? # Stories
Z Address _ Demolish ? Front ft.
0
Ci
Phone
Grode ?
Depth ft.
°C
0 Neme pp?
va
ub Address _ Assessment _ Permit _
Water & Sew. Surcharge
~ Ci Phone
F Police Plan check
FW Nome Fire SAC
?? Address ? - Eng. Water Conn.
Q W Ci Phone Plonner Water Meter
Council
I hereby acknowledge that I have read this application and state that Bldg. Off.
the informotioh is correct and agree to comply with afl applicable
State of Minnesoto Stotutes, and City of Eogan Ordinances.
? i
APC - o
ls Fees
A
Totol
Signature of Permittee
A Building Permit is issued to:
all work shall be done in occordonce wit
Buildir?g Official -
'+' , on the express condition that
applicable State of Minrwsota Stotutes and City of Eacan Ordinonces.
Pannk # paM Iwoad Puwiftr
Plumbing -- ?7 -- ? ? / a - 7 7 ,
Mechanical 77
INSPECTIONS I DATE IIVSP• Rouph-In Find
Footings Date Insp. Date Irup.
Foundotion Plumbing Q?yp -ll
Frome/ins. Methanicol
Finnl
Remarks:
i
? s?ctc.? r
t/Sr?
.2 4
???? `
BUIL?INC PERMIT
To be used.for GARAGE
CITY OF EAGAN 16963
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Receipt # Est. Value =9 ? 000 Date AUG 22 89
Site Address "35 OAK CHA86 RD
Lot 2 Block 7 Sec/Sub. ? CHASE 1ST
Parcel No.
W Name C?iABLL?S C?AbtTBR
o Address "55 OA K CHASS RD
City "GN Phone 456-9425
? Name D Q ERI CKSON
Z
?Q Address 20972 J ACQUARD AVE
? City 1AKUIL LE Phone 469-5242
Signature of
Building Official
Phone
have read this app i tion and state that the
agree to comply ith all appiicable State )f
of_Eagan Ordin ces.
o: E jt $RICICSON
it all work shall be done in accordance with all
Occupancy
Zoning
(Actuaq Const
(Aliowable)
# ot Stories
Length
Depth
S.F. Total
S.F. Footprints
On Site Sewage
On Site Well
MWCC System
City Water
PRV Required
eooster Pump
APPROVALS
Planner
Council
81dg. Ofl.
Variance
OFFICE USE ONLY
K"1 FEFS I
Q ?
V N Bidg. Permit 108,00 1
v " a
so
Surcharge .
221 Plan Review
24" SAG Ciiy
SAC, MCWCC
Water Conn ?
-
Water Meter i
I
Acct. Deposit ,
S1W Permit '
- S/W Surcharge I
Treatment PI I
Road Unit
- Park Ded.
-- Copies 1.00
- TOTAL 113.50
Permit No. Permit Holder Date Telephone 7t
WATER
SEWER `
PLUMBING
H.V.A.C.
ELECTRIC
Inspection Date Insp. Comments
FootingS l
Foundation
Framing
Ropling
Rough Plbg.
Rough Htg.
Isul.
Freplace
Final Hig.
Fnal Pibg.
Const. Meter Plbg. Inspector- Notify Plumber
Engr.lPlan
Bidg. Final
Declc Ftg.
Deck Rnal
Well
Pr. Disp.
BUILDING PERMI
CITY OF EAGAN 0
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?? ?????
' PHONE:454-8100 T Receipt # ?e
?l.e'?CE Est Value $1,100 Date t`IAHCH 2 19 87
SiteAddress 4455 Or1K CHASE RD Erect ?
Lot 2 Block 7 Sec/Sub. OAK CHASE 1S'P Remodel ?
Reoair ?
JOHN PRANGE Move 0
¢
W Nam,
Demolish
I
3
0 Address SAMN Int.lmpr. ?
City P hone 452-8340
Install ?
_ ? ?vainc_
? e Address
w W Name _
? z
Address
z
< W City _
890-8367
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 5tatutes and Ciry o( Eagan Ordinances.
Occupancy
Type oi Const
No. Stories
Length
Depth
Sq. Ft
Assessment Permit $ 22.20
Water & Sew. Surcharge 1.00
Police Ptan Review
Fire SAC
Eng. Water Gonn.
Planner Water Meter
Council Road Unit
Bldg. Off. Tr. PI.
Var. Date I Copies
Signature °, o_._...__ •.', ? ? `? _ ?: Y
A Building Permit is issued to: '"""' `'
all work shall be done in accordance with all
Building Official
Total $ 23.20
EPLklCES on the express condition that
of Minnesota Statutes and City of Eagan Ordinances,
Permk No. ParmN Hoidw DNe TiNphone M
Plumbiny
H.V.A.C.
Eloctric
S011MN
io.aectio, om inap. comm«+t.
Footlngal
Footinys II
Foundadon
Framinq
Rooliny
Rouyh Plby.
Rouyh Hty.
Insul.
Ffreplace j "L
Ffnsl Htq.
Flnal Plbq. D -
Bidy. FInN ?j- ? - - ?
Cert. Oee.
Detk Ft9.
Dock Frmy.
Weil
Pr. Dbp.
CITY OF EAGAN
3795 Pila Knob Road SEWER SERVI
PERMIT NO.: - CE PERMIT
Eogon, MN 55122 DATE:
? Zoning: No. of Units:
?
Owner:
Address: _
Site Address: : ???• s^??:?
Plumber.
I agree to wmply with the Citp of Eagan Connection Chorge:
Ordinanees. Account Deposit: --
Permit Fee:
Surcharge:
-
By Misc. Chorges:
Dute of Insp
: Total:
.
Insp
: Date Poid:
.
_
CITY OF EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Rood PERMIT NO.:
Eogan, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address:
Slte Address:
PI umber:
Meter No.: Connection Charge: _
Size: Acoount Deposit: _
Reader No.: Permit Fee:
1 egree to oomply wifh fhe Cky of Eagan Surcharge:
Ordinantes, Misc. Charges:
Totol:
BY Dote Poid:
Date of Insp.: Insp.:
. CITY OF EAGAN
3795 Pilot Knob Rood
Eagan, Minne:ofa 55122
Phone: 454-8100
Iii;A'iTN(7 _ PERMIT
Date:
September 15, 1977
Site Addreu: `155 CkZk Chase Rd.
Lot ' Block 7
Sub/Sec. ("?k Ch1se 2
No.
Receipt No.: 7
$ingle
Residentia l
`-3'?1?7,
Name " New/Alter./Repoir
.
3 Address Cost of Instollotion
O
:'.0.
City Phone: Permit Fee 00
? Fredriclcson FIEatinc & 11/C Co. Surchar9e • 50
P Address ^' ?^ 53 d' Rue Mive
e
o •
V •,t,,? ?`•'. ??
City Phone: Total
This Permit is issued on the express condition thot all work sholl be done in occordance with all applicable State of
Minnesota Statutes and City of Eagan Ordinantes.
Building Officiul
. CITY OF EAGAN
3795 Piloe Knob Road
Eogan, Minnesota 55122
Phone: 454-8100
?' '.' PERMIT
Date:
Septeaiber 12, 19'
Site Address:
4455 Oak Chase Poa
Lot Block j? Sub/Sec.
Name " r
.
? Address _
City _ Phone:
Ncme -1 Citv Plum!An<:
?
? Address ? u ']icc;11 eL ?o .
e
0
V
City Phone:
This Permit is issued on the express condition thot all work shall be
Minnesota Statutes and City of Eogan Ordinonces.
No.
Receipt No.: 3
Single
Residentiol
Multi Res., Comm./Ind.
New/Alter./Repair Cost of Installation
.n
Permit Fee
SurcFa?ge
I Totol
done in accordonce with all opplicable State of
8uilding dfficial
CITY OF EAGAN
3795 Pllo! Knob Road Eogan, MN 55122 N2 4434
PHONE: 454-8700
BUILDING PERMIT A PPLICATION $47j000. Receipt # 6901
To ba uaed fer Sing. FamDwlg. & Catg. Dote July 29. 1 977
Site Ad'dress 445$ 08k Clia3e Rd. _ Erect QC Occuponcy I
Lot 2 Black 7 Sec/Sub. 08k Ch85E I Alter ? Zoning R],
Porcel # Repair ? Fire Zone _
Enlarge ? Type of Const. V
c Name LBrLY Kit2m8A Move ? # Srories `
i Address 129 W
3 15th St. Apt 2 Demolish ? Pront 56
? Cit Phone 874-8637 Grade ? Depth SZ ft.
p Name SeMe
Approvals
Fees
?? Address Assessment - Permit?3.QQ-_
Water & Sew. Surchorge ??.?_S(1
~ Cit Phone
Police Plon eheSk-_-
79 00
?w Nome Fire SAC 4
u? Addreu Eng. Water Conn.-_.1„3QrQQ
Ci Phone Planner Water Meter 60 0
Q
Cquncil
I hereby ocknowledge that I have read this application ond state that gldg. Off.
the informotion is correct and agree to comply with all applicable
d
APC
Total 093 5()
Stote ot Minnesotn Statut? nd City o Eogan Or
inances.
$ignature of Permittee? - ?? -
A Building Permit is issued to: L 1CiCzman on the express condition that
all work shall be done in occo once with' -II a p? le State of Minnesota Statutes and City of Eagon Ordinances.
Building Official
\
BUILDING RERMIT
70 6e useiiJor GARAGE
Site Address 4455 OAK CHASE RD
LOt 2 BIOCk 7 S2C/SUb. OAK CHASE 1ST OFFICE USE ONLV
ParCBI N0. Ocwpancy M-1 FEFS
E
Zoning
w Nan7e CIiARLES CARTER (AcWal) Const Y-N emg
Permit 108. 00
3 Address 4455 OAK CHASE RD (Allowable) V=N . 4
50
0 Surcharge .
City EAGAN Phone 456-9425 #otStories
92, Plan Feview
Lenglh
o Name B R ERICKSON oeum 2!+' snGCi
°
Address 20972 .IACOUARD AVE
S.F.TOtal ry
City T.AKF.VTi.T.F. phOf12 469-5242 S.F. Footprinis _ SAC, MCWCC
W
C
On Site Sewage - ater
onn
Name on site weu
W
IN
Addfess
MWCC System -
_ ater Meter
CitY PhOne City Water _ AccL Deposit
PRV Required - SiW Permil
I hereby acknowleqe that I have read ihis ap ' ion and state Ihat [he Booster Pump - SrW Sumharge
inforrnation is correct and agree to compty it all applica6le State 1
Minnesota Statules and City ol nQrdin n s.
r
'! Treatmem PI
? .?
SignaNre of Permitee APPR04ALS Road Unit
A Buiiding Permit is issued to: B R ERICKSON Planner - park Ded.
on Ihe express condition that all work shall be done in accordance with all Council
applicable State of Minnesota Statules and City ol Eagan Ordinances. eldg. Dif. _ Copies 1.00
Building0%icial Variance - TOTAL 113.50
CITY OF EAGAN N2 16963
3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121
PHONE:454-81 , 00 /? ?'f,0
Receipt # ??•? ?
Est. Value $9,000 Date AUG 22 ,1g 89
CITYOFEAGAN Np 13275
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receiptu
To be used for FIREPLACE Est Value $1,100 Date MARCH Z ? ,19 87
SiteAddress 4455 OAK CHASE RD Erect IN Occupancy
Lot Z Block 7 Sec/Sub. OAK CHASE 1ST Ramodel ? Zoning
Parcel No.
a I
Name JOHN PRANGE
W
p Atldress SAME
CiN Phone 452-8340
o Name HEAT-N-GLO FIREPLACES
$ i Address 3850 W HWY 13
? piry B'VILLFphone 890-8367
a
? W Name
Address
z
a w
City Phone
Repair ? Type of Const.
Addition ? No. Stories
Move ? Length
Demolish ? Depth
Int. Impr. ? Sq. Ft
Instail ?
Approvele Fees
Assessment.
Water 8 Sew.
Police -
Fire
Eng.
Planner
Council
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe Bldg.Off.
information is correct and agree to comply with all ap licable State of
Minnesota Statutes and C f Eagan Ordinances.
Signature of Perminee ? »?
A Building Permit is issued to: HEAT-N-GLO FIREPL ES
all work shall be done in accordance with all aoolicatrle Staie of Minnesota .
Var.
Permit %? L L . LV
Surcharge 1.00
Plan Review
SAC
Water Conn.
Water Meter
Road Unit
Tr. PI.
Parks
I Copies
' rota? $ 23.20
on the exprass condition that
and Ciy of Eagan Ordinances.
Building
uest,void IS inonths from `
O 57008
Date of this Request'
I, as D Licensed Electrical Contractoi 0`Ownar, do hereby request inspection of the above electri-
cal wiring installed at: '
7• 'S?sS"?' '
StTeetl?ft or R ute No. G?A +C? ChA S e 1FOCity 4,0V
Section Township Range. County Qd Kd 7.4
Which is occupied by X 4 ACY
is a roughin inspection xequiced on this }ob? No ? Yes f8o? Ready Now L+? Will Call ?
PowerSupplieiUWKd74 Ce .e'<ec_ Address ?'sfRMlN4TcF+?
Electrical Contractor rr/ P-sT .45l&C ? e, Contractor's License No.=O
. (Company Name)
Mailing Addcess
Authorized
or
%.S? Sr /%N
Phone No ??/- 0
1 ._
This,request void 18 months from
.4-
` 0 57004
Date ?of t? Request
I, as Lt'Licensed Electrical Contractor OOwner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Addr s r Route'No. "'¢e Ch'AS`e AO City??
." 'Q?J :?;, o ? r .,-,
Section Township Range County?
Which is occupied by 4,Q K RY
. y(N_ame of Occ
Is a roughin inspection required on this job? No L? Yes ?
Ready Now LT Will Call ?
Power Supglier Ae&1'-f L d L".C eG. Address '44 ???•i/.
Electrical Contractor ?/id'?-P-S't- Contractor's License Na?M?7--9
' ( - npany Name) c^? '
Mailing Address ??V NP.Sv 14( Je Sr t411 t IYA/
. (Electriwl Co ctor or OwnerMakina Thls Installatlonl
Authorized Signature
No.'flS/- 7S'C C1
.....rsofa 8tate Board of Electricity
i university Ave., St. Paul, Minn. 55104-Phone 645-7703
-- REQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERED BY THIS REOUEST
O 57008
Type of BuOding Naw Add. Rep. Check Appliancee Wued For Check Equipment Wrted For
Home ? ? Range Temporary Wiring ?
Duplex ? ? ? Watei Heater ? Lighling Fixtures
Apt. Bldg. ? ? ? Dryer ? Electric Heating ?
Commercial Bldg. ? ? ? Fumace
o ader
Sil
0
Industrial Bldg. ? ? ? A'u Conditionec ' ? . ank ?
Fazm ? ? ? List
Other
?
?
? p
Herers? . ..
: r
?
COMPUTE INSPECTION FEE BELOW \-i? Ir--V1 4
Sexvice Entrance Size: # Fee Feedexs&SubfeeHers: - Fee Cucuita: # Fee
0 to 100 Am a 0 to 30 Am eres 0 to 30 Am eres '
101 to 200 Am s. Q.O D 31 to 100 Amperes 31 ro 100 Am exes
Above 200_Amps. Above 100 Amps. Above 100 Amps.
Tcansformeis RemoteContxolCire. Pazfialorotherfee
Signs S eciallnspection Minimum fee $5.00
Remarks
TOTALFEE
I, the Electrical Inspector, h ocertjSy t?lat?e above inspection
(Rough-in) ???4 ??C?? Date -'? 3' ? 7
(Final) c%. CCXCil%'?-z)i Date_ -11-7
This request void 18 months from
Minnesota State Board of Electricity
4954 UniversityAve., St. Paul, Minn45104-Phone 645-7703
?REQUEST FOR ELECIRICAL INSPECTION
CHECK BELOW WORK COVEREU BY THIS REQUEST
-pi-`a 7i ? 7
O 57004
Type of Building New Add. ep. Cheek Appliances Wued For Check Equipment Wired Foi
Home ? ? ? Range ? Temporary Wicing
Duplex ? ? ? Water Heatei ? Lighting Fixtures ?
ApL Bldg. ? ? ? Dryer El Electcic Heating ?
Commeccial Bldg. ? ? ? Furnace ? Silo Unloader ?
Industcial Bldg. ? ? ? Aii CondiBoner ? Bulk Milk Tank ?
Fazm ? ? ? List ) Lis[ 1
Othe:
?
?
? }
Heielsl p
}
Heiers)
COMPUTE INSPECTION FEE BELAW _
ServiceEntrance5ize: # Fce Feeders&Subfeedus: se Circuits: # Fee
0 to 100 Am s. 06 0[0 30 Aniperei -.. 1. 0 to 30 Am eies 147- irQ
101 to 200 Am s. 31 to 1 0'A pe ?. 31 to 100 Amperes
Above 200 Amps. Above 1 D'A__ Above ] 00 Am s
Transformers . Remote ? trol irc. Pactialoiotherfee
Signs Special Inspection Minimum fee $5.00
Remarks ? Q?71e?- op ?Fy, La rg
"' TOTAL FEE Q
do
I, the Electrical In"spec4o31°, he'reby ceAry t`kia{the ab`ve uispection-has been made. ? z .:I'd
(Rough-in) Date
(Final) , _ Date ? 3 '
This request void 18 months fro ?- ?
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OP EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
651•681-4675
NawConstrudion ReauiremeMs
. 3 registered sBe surveys showing sq. fl. of lot, sq. ft. of house; and all roafed areas
(20% maximum lot coverage allowed)
. 2 copies of plan showing beam & window s¢es; poured fourM design, etc.)
• 1 set o( Energy Calculafions
• 3 coples of Tree Preurvatbn Plan ii bl platted aker 7/1193
• Rim Jast Detail Options selection sheet (ddgs with 3 or less unAs)
DATE y-2 5- O z
C
SITE ADDRESS S S 0a14,
TYPEOFWORK ?I-Seaso,., Pa-,
MULTI-FAMILYBLDG _Y ?N
_ FIREPLACE(S) _ 0 _ 1 ? 2
APPLICANT ?etiih 54+^,\r4r5
STREETADDRESS ''t4 SS oal< Gl.a c vo'd. CITY E? G.. STATE m ZIPSS)23
TELEPHONE # b0- 456 -Gl jn6 CELL PHONE # FAX #
W)6s!-gys-s9o[
PROPERTY OWNER _ ?eV? r'?, (-y nLI-; ? ?0"ef's TELEPHONE# GSI -Ys6 -9/ o.b
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RiJLES 7670 CATEGORY 1 MINNI:SOTA RULT,S 7672
(J submission type) . Residential Ventilation Category 7 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Piumbing Contractor:
Plumbing system includcs:
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Contractor:
_ Air Condilioning
HeaC Rccovery System
p?T (`f?)? q [ti7T
? PSPPeZ 5 7iI1f?
S
Phone #---
I hereby acknowledge that I have read this application, state ihat the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Slgnature of Applicant ?
OFFICE USE ONLY
Water Softener
_ Water Heater
No. of Baths
_ Phone #E
Lawn Spiinkler
No. of R.I. Baths
?Sqo.oG
?-- So • ? {?"°?
G
SFo. ?L
RemodeVReoair Raouiremems
• 2 copies of plan
• 1 set of Energy Calculalions for heated addilions
. 1 stte survey for exterior additbns & decks
• IMicate if home served 6y septic syslem for addNOns '?-7 \
?/ ?AIY
to'I &yY
VALUATION
$70.00
Fee: $90.00
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Founda5on
? 02' SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 05-plex ? 13 16-plex
? OS 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 OS-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or_ N
? 20 Pool
? 21 Porch (3-sea.)
A 22 Porch/Addn.(4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt- Multi
? 33 Ext. Alt - SF
? 36 Multi
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
;,< 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bidg)" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation D Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const ?^J Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
Footings (deck) ? FinaUNo C.O.
Footings (addition) _ Plumbing
Foundarion HVAC
Drain Tile Other
Roof _ Ice & Water _ Final Pool _ Ftgs _ Air/Gas Tests _ Final
ZC Framing _
_ Siding Stucco Stone
Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
Insulation _ Retaining Wall
Approved By77,
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Water Supply & Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
r?Dm)Tb, ?"
? r?'JVr?"-
b? tWl?i ?
OAC,tL
Building Inspector
2s? x?y = i 3r?? y
prvL
;9,?? ?'
, • r:
• acter s"
'e- O:k Chase Road
,an, MN 55123
J
DELMAR H. SCHWAN2
wro sultvcwna INc.
Mvrt«w uAe.. iw. a ?aw a rw.w.
11750 SOUTM ROBERT TRAIL ROSfMOUNT, MINNESOTA 660!! 614/1?i1ilY
i SURVEYOR'S CERTIFICATE
2
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SCALE: linch - 10 feet
o Denot?s sFt iron
?
2?n
foo. oo /f'" 89 - y: - 3 ? E
1 36 I
Lot 2, Block 7, OA'f. CHASE FIRST ADDITION, according to the recorded plat thereof,
Dakota County, Minnesota.
A1so showing the location of a proposed hous= as located thereon.
1 nanby aenly tnn this sunsy, plan. or report wn
propusA Ey me or unesr my diraet aapsnislon m0 DELMAR H.
thn Iam a duly Rpistsrod Une Survoyor uneer SCHWANZ
tha Iaws of the StHo of Mlnnnon. - 8625 -?F
??°• s ??? ?
July 12, 1969 :9'•., -o?ti DM?rM.Bolw?nt
Datsd %,tiO"• Gy?C? MMeeeefa 1Mplpratbn No. lM26
612 496 5511
;. T-0G,2062 1425 IRDOFTR ss$L SHHK?iPEE MGRSiCREDl12 ?it I?tianap 612 496 5511 P-91/02 __ _
? imss lype iOt PIY i
;u^ng Ca (MN), Alpertville, MN, 55301 4201 Sft7 5 NOV 16 2000 MiTek IMustries, Ina Wetl Oct 09 73:3628 2002 P2ge 1•
-2 ?0-0 4-5•14 8•9-0 75-0•0 19-2-12 24-0-2 , 29•0A 31•0-0
.
2.0-0 4•5-14 4•3-8 6•2-12 4-2•12 4-9-6 4•17-74 2-0-0
Scale = 1:54.6
I
i
4.00r12 4x6?-- i
7
4z5 - 5xb ?, ?
'- 3x4
3x4 --- 8 .
T2- ?-"
g ,i.' ?
5 %-k ?? W4 , , 1.Sx;o ?
7x4 9
WS //
wis
v, q \\W3
3 --T 11
Wt. 12
z HW1a
. . . _? . .. . . - . - .- -. _.. . . _ ?_ '.
-- ----
?
, - -- - . .... . . :
4x6 -- -. . " ? 5x54x12 ?I .
3X4:;: 17 16 15 14
? 3x5 - 3x4 = 3z5 - -
4x6
(
110
.
8-9-4
. .-- -- t ? 15-0•0 19• ._ .
- - __.___ _29•0•0 ...._- ,
..
...
8-9 4 6-2-12 ? . .1 9-9-4
?°:•.?a ` ?z!s(x?20-070'2'J.f12:0-2-5.Ed9ej_ .
_.... _ __ __. . __-_....
?
SPACING 2-D-0 CSI ? DEFL in (lac) BtleN PLATES GRIP .
?.. :0 C i Piates Increas¢ 1,15 TC 7.00 1 Vert(LL) 0.38 72-14 >310 MII24 1691123
Lumber Increase 1.15
? BC 0.58 I Vert(TL) -0.41 12-14 >283
E;?.-
• ? Rep Stress InCr VES W8 0.83 ' Horz(TL) -0.03 14 n/a ?
'? -.. Code UBC971ANS195 (Matrix) tst LC LL Min Ifdefl = 240 WeighC 1071b ?
BRACING ?
zG 2 X a HF 7650F 1.5E'ExcepY TOP CHORD Shealhed or 6-0-0 oc putlins. ?
73 2 X 4 HF No.2, T7 2 X 4 HF No2 BOT CIiORD Rigid ceiling direCtly eDWied or 3-7•74 oc bracing. i
7 i.,.aE) 2 x a HF No2 WEBS 1 Rowat midpt 7-16, 8-1a, 10-ta
2 x 3 SPF-S S:utl 'ExcepC i
W 3 2 X 3 SPF-S No2, WS 2 X 3 SPF-S No.2
.. . ;_eft 2 X 4 SPF Slud 2-2-7, Righ1 2% S SYP 1950F 13E 2-0-10
RFA?'TION$p;sizei 17=175510-5-8, 74=2125/0-5-8
P.Sax Ho2 t 7=42(1oad case 3)
tiiax Uplik77=-542(load case 3), 14=-678(ioad cese 4)
Pdax Grav 17=2218(load case 6), 14=2421(load case 7)
... -:' S,It;; - Pr. s't Load Case Only
Ru -2=30, 23=1225, 3•4=1255, 45=1909, 5-6=2037, 6J=1187. 7-8=1166. 8-9=2078, 9-10=193'J. 10-11=1178,
11-12=7071,12-13=-3
E...-!.;'RD 2-17=-1130, 76-17=-1859.15-16=-1972. 14-15=-1912. ;214=-986
4-17=-786,6-17=-1274.6-16=932. 7-16=-1227. 8-16=1200,8•74=.1499.10-14=-1020
NO'ICS
in,. . .•;s nas been checked for unbalanCetl IoaOing con0itions
. • _•.,ss nas been tlesigned Por the winC loads genera[ed by 80 mph wintls at 25 R above ground level, using 7.0 psf top chortl
,.. ..ad a,^d 5.0 psf bottom chord dead load, 100 mi from hurricane oceanfine, on an occupancy cate8ory I, condition I
_... ::_ tl G,:dcing, of dimensions 45 f; by 24 h vn[h exposure C ASCE 7-93 per UBC97/AN5195 If end verECals a cantilevers
--,ey zre exposec lo wind. If porches exist, they are no[ ezposed ro wind. The lumber DOL increase is 1.33, and the plate
.: ,..0-se.s1.33
. .. ..; •.as heen designetl for a 10.0 psf bottom chord live loatl nonconwrrent with any other live loeds per Table No. 16-6,
ronneceion (by otners) of truss n bearing pla[e capable of withgtanding 542 Ib uplift atjoint 17 arM 678 lu
i r 1S
•;y nys been designed with ANSI/TFI 1-1995 criteria.
LJAL CASE(S) Standar6
Post-It° FaX Not9 7671 Date ?b pa??
io From . 6
Co.;DepL
*? L
Co. ?v?
Phone k
p b( Phone MG -
-? O
diet
Fan 4
(' ? j_? CQ
Fax 4
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; I SCALE 1/8" = 1'-0"
I`980 :3rd SL,^a.. NE
?i s I Pr.o.u : u^'r-J3='+
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"CATEGORY 1" ALTER-NATE FOR
O-NE &: TWO FAMILY DWELLI\GS
o c,ty oF en?
?
I??STRCCT:JN:: Thi> >icarnaave may be -isad Cor une- and rHe-tlmil, dwellimgs huilc (n maet the Cata,?,arv l requir:mt1cs a;-
>(inneso(a 2uIes. CSapear ?o'U. Comp'=:e ?.:s A. S. ar.d C. Cieri:: r..x:<,i?r.s :r.su:ar.cn ?-;sf•_as: xir,do•.v zr.d slc:!;3-t I:_
,?Icrs: s:?a i:" iocaa: cunr.ols: L.d !cu:ier. 0C'SCCf 1.^.tS VIO(7 de.a:!ed
iafcrr.:ac;cn :zr. '.e focnc in ?t:t llirtnt3oCC Cr.eryi Cece;.:r,.r,ta, i>naes ;:C(St [hz Nf::xe50'1 DL:fl.'rC:c::i )[ CO(1[.^,C[Cz.
Part A. BUILDING ENVELOPE
C:-==k :rccs:d or.ve!cce;eint se2ling opdea i ? or:xr.opvc (caul'cag. 3=ike:s. :?c.) . .'- - ]-oar.cm.a;.c° ::a' -r. 76?0 .04'0 iC' .?
Cp. ;.C
C::r_:c'.•.e.:.sl _r.e:3Ty a:c:ia:co opae¢ ased -)
'.xichacic" (ee .r.eie:e ucr.c;: r_::cio•u) ? IL.C::r.'s (a;.aci -;er.)
?er.'er.oanco(ar:acSC-vai::e_aicalaoofu) ? Svs:ems.d:aivsisac:ficdla::?*.
"Cookbook" tiVorksheet
}LLlTN[LlI REQC7RE}IE.-,TS
(for'CookSoak" aodon onlv) '" .
C_ii.;^.g :nsula:ion: NL.i.: -u R•.3 *Hic4'7:" r..e:gy .yce!: or
Mi :mLm 2-1» xi!.h ;o,.v r:?s :sei; cr
m 2-:3 •+izS R-? sl.n;Li:s'X:ec r.o ir.::.
7 ^? Dcom }r,Y, r_•:s: ? a%0.:?) ar f':" sclid wccd,z? i s:cr
Zir..7ais:'ssc:? W 3- . ?q .
_..?^. ..,...
scaces: `.Gn:.:.= R-?1
? aoi::,dar.an wc.tcws: bS' L-sa!a:r' ??ass. wccd arrinv( _?a.:.e
LN S;'A:C:ON S
1
r.urrrnnnrrrn%mTrc?r.vnrt-?rarvTnw.%-nnnnn .nc. .
C::r.'s ^a-k ;) -rac _'ar,gn ,r.tc's on.4fir.imar..Zrqu've.mer.:t lis;
., . .? :.. ;.,:.- .. . .
. ..s.,. N(-?: x?: ii! i:e:v :o se "C:es=ceK' ccecn.
ir.d.. _ ia:_ =rcccs:d xvi r.^e on ac!:'xicw.
i:.d scc:..
_. - cul +?-d^_, r.ci?_Cir.g ?es a'1; ??^.u:icn •xir.ccus?
and 'ccr -,-a :>'q=i :r'ass :.'v:n 311cwacie pe^e^?agv.
???=_-...:io ::abizrotal w:tt,:cw?anaoror.k.-z?
, >>,-_._.2? i_=s.esea .. . ri.il,
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':, 1l', r'.-? t i S= Cd"? VIICIIDL"7 A'/C =o° WI::CC`N C;-VtiL'. L!'CC[:l3':CR w?ndCK'SI: ? -
?_Xl. R. 1J:..i'_!3::CL. Z-' i`_1L7:P. ? G.]J 1 0.1;
"
I 0.1:
? 0._6
0.33 I
0.:0 I '7
D._. ?"
0._? ?'
0.?
:2 '_x-. 3-;i i-a-?!a:icr.. 2-5 sc__:hine I 0.:7 j 0.=: ! 0.19 I 0.3: ? 0.31 I 033 I 036 01; I 032
_' 3i0.3-19.r.suia:iur..<R-i;cead+.in I 0.13 O.:t I 03o I J.:'_ 0?9 I 0.35 ! 031 0.23 I 61i
2x5. 3-f9 inscla:icn. R?? s::eachin I OS6 0.13 ? 0.1? .-3'- ... -0.3-t ? 0.31 0?9 0.26 ? 0_s
:1 ?s5. 3•3I irsuladen, <R-. ;: ra:ain I O.SI 0.?13 033 I O..?t 11 0.30 I 0.23 I 0?5 023 I O.Z?
?'x6. R•? I irsaiation. R-i ;hacSic ? 0.53 0.50 0.44 0.39 0.35 1 0.3? ? 0.?9 027 025
W'311 T (.Idvar.c:d Froauc¢ : hfatimum Avem e W':ndow U-vatue exc:p[ ?oundarioo oinCows):
O 2x6. R-l9 iasulation. < R-5 shea[hin 03
2 0.45 0.39 0.35 0.31 0.23 0.?6
24
0 022 ?
? 2z6. R•19 insularioa R-5 shp[hin 0.38 0.50 O.Si 0.39 035 0.32 0.29 017 025 =
Cl 20. R-? I insulanoa < R-5 sheathin 0.55 0.47 0.31 0.36 033 0.70 017 015 0.23 ..
,Z] ?rb, R-? I insulado4 R•5 sheathin 0.60 0.32 0.46 0.41 0.36 0.33 030 018 026 '
W'indow U-value: .? Sai:r.e. ? VFRC O AS(OLA-c 1997 Handbook _100 X ! I?o < • o/? :
wir.dow & door uea gtoss uposed walt ar_a DES[GN AL.LOW.kBL'c (4em :able above)
MINNESOTA ENERGY CODE - WxicH RutES MaY 1 UsE ?
TYPE OF RESiDEN'I'IAL BOILDiYG APPLICABLE RCLES
Det3ched R•3 occupancy I- and ?-(amily dwelllnqa Clupw7612; er
E.car,:c;as: sir.g!e .°a.^ulv. ;.vin Somes. duoles:s, Chaceez 7670 "Ca:: orv I" •.i:h itom;ori Cccresscr=tr'en L.C verttiiaucn :xui:c:..enLt
.>rtacheQ R-3 oceupancv dwellinEs ? C;upeer 7674; or
Ex=olcr ^cl:z rownhcuses and row huuses C;uots'670 wi;h ^:c"a "Gcexcrv I" or 'Ca:ezcrv ?" vror"sicr.s
R•l xcupan<y buildingt of J etorita or Itv Cluptc[ 7671; or
.
Examoies: cor.Ceminiums or ioa+'mun? Chacmr 7670 wi;h :ich.ec "Catc en i" cr "Ca:czerr, ?" ro,isiuns
R-Iuccupancy6uilding3 averJatariahlQh Chaptc;'tii6 ?
=c,ur.?lee: hieh r's<aor.Ccs or ?oy'r..eno ,\oof!CAII' 1 OrI:L! n.l(Lr!
Si9nA!ur^.
(>:?tc ?<!r.ohoae Vumber
NEW CONSTRUCTION ONLY
Part B. DEPRESSliRIZATION'PROTECTIO`
ocr.on cse1. :1 : ae! 'ocmin3 eq.:ic^a?c (wmcie% s:ae?ui:s'ce!ow; ]
( ?, s':tr, s
l„r,.e!e!t th: C-;T?y:r,,.;mra: :eiaw.
.e1;4 i Y I'Cts) :r.ay Se se!eueS un.der ?,`e..Cattsun I"I
s:c? '_. Wr..cit!a .{ir St.?rtsir on the ti;nt it .ji:ec: ar :o•.?=r
v_nmd or ta(id 4.:ei acr.;usphar.c v:n[ space heann; cquipr..:ne is
TX:'.:kCST.`>La:'v?•CP.>IR SCHEDGLE•
crri
I
CONIBIiSTIO`i EQCIPMEJiT SCHEDC'LE
([5cck 311 n^es :recosed;
5par_ heat:ng -nansoi:d :i:e! Z) Seafzd =embi:sr.on E Y Hzs=h - r.ersai:d I:1 Sza'-3 Y
? Direct or. :cwer vent,d I
i Y. ?:1 Di.^c: ar cowa: vented ( Y
! (
Atmosohedatlv vented ` I .as:oshcacaL'v veaced ?N
Wuernzacing - nansolid:ue: 0 Sea.edzambuseon ? Y Spac:htating-;olid'ueI iZl Ancscnzr.caiiyvenGd ?
Y.
O Dir.ct or cowa vented Y Wata heaan2 - soGd ^,:e[ I? Ax:orcer.cal!v venud ? Y
A?oSOhencaIl vtnted `- Hzarcl7 - solid iue! I? A-:csoaar'callv •rcat.d ? Y
Ii aciosphencally vmeed solid fuet or dircct or power vrnted noasol:d t"uei scace hzar:r.; is ias:ai'sed, cheo ma'.ce•up air co macc6
,''.ow is ;: uired cor aach indMduall r.ehaust dev:ce wluch tzc:eds 300 cubic ir_t cer rsinu:e.
Part Ci. tiEtiTILATIOti
YE\'I'ILATIO:`i Qti.4YTTTF
(Ntechanical venriladon must be providrd per the lar3er qi:aar'ri c31a:Iatnd'ez!ow)
-? cubic feet i 0.00583 /minu[e = C cfm I (? I x IS cfaubzdroom)+ 15 cfm =F I cfm
voivme of 6abitable rooens I num6er of oedreoms
Cnzck method(s) proeosed -) VEhTII.ATION F:kY SCHEDULE
ZI Exhaus: ur.iv ? Ba!3.xed (hest i: txc;;an?::, t.cJ i
Fan desc:: tion or locatian 4 1 TOTAIS
VENTIL.iTION Inrake cfm ccn ? ctm c?n cfm
AS DESIGir'ED 11 Ex.tiausc chn cfn I cfrn c.`m c6z
Statement of Comptlanee: 7he proposed building design represented in these documencs is consistent wi[h the building plans,
specificaaons, and other calculatoru submitted with the pecmit applicarioa The proposed building has been designed W meet the
requirements of the Minnesota Energy Code.
Appficant (p[int name)
$ignanue
Date Tefephone number
Part Cz. VENTILATION (Submit Part Ca upoo compleriun oCsystem verifcafionI)
x ---------------------------------------------------------------------
Joo Si[e Address: Perr.iie Yum'oer
ran descri tion or focation TOTAI.S
IV(E?,SC,RED Intaka cim c;n ctr,: ? t[n ? c5c
?G2FOR.NLkYCEt Exhaust cfm cfm c:m c`n't «
t Vaneilation nce must be mau
sealin of joints in the buildin ured ar.d ver.ned when the periorr.iance opdon is e:sed in Iiea of the
cor.ditioned enveloee (from P3rt A). proscriptiv: option for tho
Compifance Statement: fnsnlled ventilaeion iyztcm is in compfiar.c: with SD! Encr3y Code md is sized .o providt :he design air
I10`N.
Siyr.,curc
Dat_ Tc!cpnar.a number
Ar?!ica.lc (pr:n[ nar..t)
PERMIT# S6V 7v
RECEIPT DATE:
8008 ffKSIDEPTL4cL PLUM$IRfi PEiMTf APPLICATIOR
CITY OF £l46AN
S$SO PII.OT KAOB $D
EAfiAA, MF 551 EE
851-6$1-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
SITE ADDRESS: Y `Y SS
Iti
OWNERNAME:: '?aVIV, SUol ppjS TELEPHONE#: S1
(AREA CODE)
` sA ^^ +
S
INSTALLER NAME: Kc?
• ?C ?? TELEPHONE #:
STREET ADDRESS: q`/ 5 S 0 aL/, Lln.s ? ? f? (/+REA CoDE)
CITY: (: aq a
STATE: M*J ZIP: 5517-3
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license)
includes $40.00 County fee $ 100.00
Note: Additional consultant fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
? Adding fiMures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit (+ 5/8" meter if needed -$118)
Other:
_ RPZ: new installation/repaiNrebuild $ 30.00
_ lawn irrigation system
ReplacemenUadditional: _ water softener _ water heater $ 15.00
State Surcharge $ 50
TOtal $
I hereby acknowledge that I have read this application, state thatthe information is cortect, and agree to complywith all applicable Cityof Eagan ordinances. It
is the applicanYs responsibility to notify the property owner that the Ciry of Eagan assumes no liabiliry for any damages caused by [he City during its normal
operational and maintenance activities to the facilities constructed under fhis pertnit within Ci propertyfrighF way/easement.
SIGNATURE OF PERMITTEE 1/02
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITEADDRESS: LoT: z eLocK: 7 APPLICANT:
4455 OAK CHASE RD ERICKSON, B R
OAK CHASE 1ST (612) 469-5242
PERMIT SUBTYPE:
DECK
TYPE OF WORK:
NEW
BUILDING
020899
05/04/93
F-
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT ?
PERMIT TYPE:
Permit Number:
Date Issued:
r od
BUzDINsJJ
020849
05/04/93
SITE ADDRESS:
4455 OAK CHASE RD
LOT: 2 BLOCK: 7
OAK CHASE 1ST
P.I.N.: 10-53500-020-07
DESCRIPTION:
Building..Permit Type DECK
Building Work Type NEW
UBG Occupancy, R-3
Building Length 15
Building Width 20
? .,,.
l?
REMARKS:
FEE SUMMARY:
9ase Fee
Surcharge
Lic. Search Fee
Subtotal
$25.00
$.50
$5.00
$30.50
COPY $.50
Total Fee $31.00
CONTRACTOR: - Applicant - ST. LIC. OWNER:
ERICK30N, B R 14695242 0006265 CARTER CHARLES
20972 JACQUARD 4455 OAK CHASE RD
LAKEVIILE MN 55094 EAGAN MN
(612) 469-5242 (612)456-9425
?
I hereby acknowledge that I have read th3s application end state that the
information is c rect and agree to comply with all applicable State of Mn.
Statutes and Cof Eagan Ordinances.
X
? l?
Avin `Rwl.l
SS ED Y: S GNATU E _,
I
REACTIVATE _ U?I?C??CNf(??D CI1Y OF EAGAN
PERMYT s MAY 03 1993 1993 BUILDING PERMIT
- ? 681-4675
'9?? -----------
APPLICATION $31,pD
0--a"ILM'0,64
SINGLE 8 MULTI-fAMILY 2 sets of plans, 3 registered site surveys, 1 capy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, i copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date 5` /73 / S 3 Valuatian of work ° p
Site Address: gil f{ 9 4 k
. STREET SU1TE /
Tenant Name: (cammercial only)
IAT ?.? BLOCK ? SUBD. D„ t N1lu- I,-}-
U.t?. U I-Jt. P.I.D. N
Descri tion of work:
The applicant is: ? Owner Contractor O Other (Describe)
Name Ly 42TJ?14i chAtilss Phone 9'!r-6 - f y35r
Property «5T FIRST
Owner S??Sf o'4 /
qddress
STREET STE #
City l''q `? State h'/ I"/' Zip
AH*
Company /9 /Z ?/Z •??S u•? Phone
Contractor Address JO'V??- aaL License # l0J&5 Ex .?;
City h? State /%'/ Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber . Processing time for
sewer 8 water permits is two days once area has been approved.
I hereby acknowledge that I have read this a ication and state that the information is
correct and agree to comply with alplica e State of Minnesota Statutes and City of
Eagan Ordinances. '
? /?
?
?
Signature of Applicant: ?
?
? ? ,'"
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
? 02 SF Dwg.
? 03 5F Addition
? 04 SF Porch
0 05 SF Misc.
O 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1
WORK TYPE
31 New
?O 32 Addition
? 33 Alterations
? 34 Repair
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
? 14 fireplace
)? 15 Deck
? 35 Tenant Finish
? 36 Move
t .
? 16 Basement"Finfish
?-17 •Swim Pool -
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
O 37 Demolish
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy ? 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code
Depth On-site sewage SAC CodW1
?
APPROVALS 1
?1L?
5'?-? u4
?
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site f? Footing ? Framing ? Insulation
? Wallboard Final ? Draintile ? Fireplace
Permit Fee ,00 voiLoc;a,:
Surcharge 4-2
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W 5urcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
? r: ` Z
arter
? O?k Chase Road
?an, MN 55123
DELMAR H. SCHWANZ
' w+o ewrerwa INc.
Mo?.e uWw uw a nM wr a w.wa.
14750 SOUTH ROBERT TRAIL RQBEMOUNT, MINNESOTA 660E! !12/425/769
i SUHVEYOR'3 CERTIFICATE
zo? Z ?
- "; ??-
I
3 sl
Dcaiuaue & util.ity
Tf\
: Ti
I
Q
C6L easemenT.
I IP
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E
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L%NE
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,? Zoo 00 ; A?89-?t- 37E I r TA
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Sr,ALE: linch = 50 Peet.
o Denot?s set i.ron
I 30 ?
Lot 2, Block 7, OAK CHASE FIkST ADDITION, according to the recorded plat thereof,
Dakota County, Minnesota.
A1so showing the location of a proposed house as located thereon.
t hersby cartlly thN Ihls turvsy, plan, or roport wn ;'{?;' '••'?% ? ,
Dropersd Dy me or undsr my dlrect supervision anE DELMAR H. that I am a tluly qepisteraA Land Survsyor uedN = SCHWANZ
Ms laws of tM Sute of Minnssota. >•- 8625 -
'• i a /
% i
July 12, 1989 ir
?'9`•., :OQ,? ?MnarN.Belnrant ?/r
o.tee
%,'L?•... y? Mi??or. n.oia.nien wo. sxrs
.Clio?1?G...P?p (/
4
SINGLE FAMILY DiIELLINGS
2 3ETS OF PLANS
3 REGISTERED SITE 3URYEYS
1 SET OF ERERGS CALCS.
1969 SIIILDI9G YfiRMI'I EPPLICI'lION
crrx oF EeckN
lIDLTIPLE DWELLINGS
2 3STS OF PLANS
HEGISTBAED 32TE 30RYEI3 -
(CHECH flITH BLDG DIV.)
1 SET OF E6EAG2 CALC3.
MULTIPLfi DNELLINGS BENlAL UNITS FOR SELE ONIT3 / CF UBITS
iOTEt IDDRFS3E4 FOfl CORNEH L6TS - CONTRACTOA/HOMEOi1NER MOST DFSIGAISE i1HICH 1DDRESS
IS DESIRED. 80 CHANGES AII.L BE ILLOWED OtiCE HUILDIRG PEAFIIT I3 ISSOED..
SzH£R 8 iiITER fETMTf F£ES A,YD SCCOIINT DEPOSIT n'f.,° bTIl.L 3fi I14CLIIDED 6FITH TH£ BDfLDIN3
PERMIT FEE. PAOCFSSING TIYYfE FOA SEREA APD WATEA PERMIIIS IS Ti10 DAYS 09CE A PERMIT SAS
BEEN COMPLEfED INDICATIAG A LICENSED PLOMER.
PENALTY APPLIES WHENs PERHIT ZS NOT PAID FOR IN SAME MONTH IT IS REpUESTEA.
LOT C9ANGE IS AEqUESTED ONCE PERMIT IS ISSUED. '
,. AU6 181989
Z?ETAC.1-IEA 6ARA,6E 'To Be Used For: +LE+;b?Valuation: Daten ,?G' f'_ I?-_f4
?
site Address yy.s_?- on k 0 4 14 sE Ed.
tot d siock 7
Pareel/Sub 4aF•c6a5£ r-/At-?
Onmer (,/l,ahLll5 Ch2t£a?
Adaress 4-4?t op?ch?+s£ 2.?
City/Zip Code 159n n) /Y1 N
Phone qy j-5-
Contractor B IZ C fZ: c- k SQ vJ
Address a0?1 73- 7-,Q??Ua2-d fiGti
City/Zip Code ?- ? k£v? ?? ? ? 4-1
Fhone 4L0-1?
llrch. /Engr.
Address
Citq/Zip Code
Yhone •
Oceupancy M ` I
Zoning E
letual Const v- n?
Alloxable v-rJ
i of stories
Length Z 2'
Depth 241
S.F. Total
Footprint S.F.
On aite aexage
On aite well _
M1iCC Syatem _
City vater _
PRV required _
Hooster Pump _
lPYROVALS
Planner _
Council
Bldg. Off.
Varianee
CO!!'IERCIAL
2 SETS OF IACHIiECfURAL
8 ST@OL'fQftlL PLANS
/ SET OF SPECIPICATIONS
1 SET DF ENESGI C?LC3.
WE]
Bldg. Permit 108.00
3ureharge N,Su
Plan Review
SAC, City
SAC, MWCC
Rater Conn
iiater Meter
Acet. DeposiL
3/1i Permit
S/iI Surcharge
Treatment P1.
Aoad Uait
Park Ded.
Copies l•00
StIBTOTAL
Penaltq
lOSdL
z---------
ZZ?CZy s S2? X/-6= ?yy?s an
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Vl""lLUAToJv
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31 ?5q
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.. . S.ittiey for: ?. i7? G6 24
' Chuck Qarter .
'4455 Oak Chase Road '
' Eagan, MN 55123
DELMAR H. SCHWANZ
uwo auaverons. mc. PONIwM IMdW LM M TM M?N d MMnir?ob
11750 SOUTH HOBERT TRAIL ROSEMOUNT. MINNESOTA b606t !1?/123-17M
, SURVEYOR'S CERTIFICATE
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easement p ?
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Zoc. oo N89- 357' 3-7 E I i N I
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IN s / ??? + \ ? SCALE: linch = 50 Peet
? o e EkISTIqG
^' HOUSE o Denotes set iron
40 •
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4.3-. . ? 7
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oa /Y S9 - 37 - 3 7 E
30
I,ot 2, Block 7, OAK CHASE FIRST ADDITION, according to the recorded plat thereof,
Dakota County, Minnesota.
A1so showing the location of a proposed house as located thereon.
' I hereby ceAlry tAtl 1Ais survey, plan, or report was
? %*-
properod by me m undsr my direet aupenislon snd ° ' : DELMAR H. i!-a
thst 1 am a duly RpieteraA Lend Surveyor undar SCHWANZ
ths law ol the Slsla ot Minnssota. - 8f)25 -
• July 12, 1989 :?`• ?,?T? ONmw M.8elwnn: ?
onse Minm.ou npaanron No. een ?
?•',,,?0''SUR??????
?mnnmm?mum?a?•
192 ?
1987 BOILDING PERMIT 9PPLICATIOH - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLIIDE 2 SETS OF PLANS, 3
OF SORVEY, 1 SET OF ENERGY C9LCQLARIOHS
NOTE: ADDRESSES FOR CORNER LOTS - CONYRACTOR/HOHEONNER MOST DESIG9AYS iiHICH ADDRESS
IS DFSIRED. NO CHANGES AILL BE ALLOWED ONCB BIIILDING PERMIT IS ISSIISD.
MOLTIPLE DiiELLINGS - RFSIDENTIAL RENTAI, IINtTS
On Site Sewage
MWCC System
On Site Well
City Water
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SORVEY - CFIECB iRTH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COM!ffiRCTAT"
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND .
!-?
To Be Used For. ' Valuation:9?.? Date:
Site Address ???G„E'
Lot Block ?
Parcel/Sub 6°'4 , 11a't
Owner ,70,4 K) P.yq NlrS
Address ?L/SS "nqF' /,4)
City/Zip Code ??/TA-lv , U// O.?/Zf
Phone `7.5 ?
Contractor Lirf -A- 61-k J'1 /2EPLfk'f_<
Address ?gSO ? ??cY??n ?3
City/Zip Code Dfi/LIUSUlLLe, J!/???
_3
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Phone e5??2 -eE13p 7
Arch./Engr.
Address
City/Zip Code
APPROVALS
FOR S9LE OHITS
Occupancy
_ Zoning
Type of Const
(Aetual)
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
FESS
Assessments Permit
Water/Sewer Sureharge
Police Plan Review
Fire SAC, City
Engr SAC, MWCC
Planner Water Conn
Council Water Meter
Bldg Off Road Unit
APC Treatment P1
Variance Parks
Copies
TOTAI.
22 Zo
1 --
Phone ll
Date:?,c?
BU2LDI10G PERMIi APPLICA.TIOSI
LOT 21 BLOCK ? AilDITI0J * fj o;-,e Cz?='& , 4_
Pe1RCEL & SECTI037 NUi1DER IF Ui7PLt1TTEll
ADilUS
29iJI:1G
ESTZ+iA___ __
OT•?+_]ER LRNZy KI-TZF'IIgN TELEPHOAIE iQ0
aDnREss 12q W Is7 APT 2 MIPL.S _
coTrrR;cTox 1cz? i T'Zh1 A 1J TELEPxotvE tao. ?lCsAk
aunREss 1 Z`-1 l?J 1 STK S..? A Vi Z
clote- Include szte plan; building plans, and enercry calculations with this
application .
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sac
UJIVl'E'_t COcfi`7EC_'IOIT ?}.?i[)
11A2ER kBETER 10
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BUILDIPIG PER[iIT FEE; 133
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SURCH}1FtGE FEF; 2 3
PL'F1Ti CrSCiL FE;.
PARK DEUICATIOU FEE
OT::ER
TOTF,L*
P.PPP,OVALS: ? ?
ASSESSt+lE?:PP CLERK ',? /?. BUILDIi3G DEPT. POZICE DEPT.
?•JA^ER & SIiF7ER DEPT. FZRE DEPT. PA2K DEPT_
. R1 ?- - 8G 3q kOW.Q
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Add 10' Lot sizc:
1!}0 t X 200'
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Seo1e-?1 in._f?'?i?7!?e•
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MISCELLANEOUS
Describe items, if any, not mentioned in specifications or shown on plans.
--- ----- -- - ----- -- - ---- - - --- ---- -- - ------------ -------?--
--- Ri.teway-- wo o dburn?I'...s t o_v e---- (aup.plementsl.-spsce .._tvP_st)-------------------------°----
_. He 3t al ator ---f1r. e.v. 1.a c e---- Uuture_.b3 sement--finish).-----------------.------------------ -------
?
.._bathr_oom_ h_ardwax'e--.allott3laas._._(mirror_s,...t-awelraok,---etc.---.?----------------------
_._dr3PerY..allowance----°----- - -- --- ----- - - - -- - -----------------------------------------------------° --
_..1,Q -'.... u].ve_rt --uns3ex_.dr-ixa.way..:. ------- -- --- ------- -- -- ----- ------------------ ------ ----------------
a,?,,.a... '_""""'_""""""'.._.._
------------------------ --------------------------- -------------------------------- --------- ------------- ---------------- ----------
----------- --------- ------ ------------ ---------- ---------------- ---------------------------
------------------------- -----------------
.'_._.___.._'_____.'_.._..._.___'_...__.."'..__..___' ............._..._._.____.."____""'_.....'.__._....__"_'_'___"_'____'__""'_"'_"" .
...'_'_'_"__"_...___"' _ _' _____""'_"_"'__' __"___'__"'_""_'_'___'_'____'"'___"""__""--------------
----------- ------------------- ------------ .--------------------- _"""'_'_'"'_'_""_'__---------------- ------------------
--- _"'_ 70
RESIDENTIAL
BUILDINC PERMIT APPLICATION S'-l U• 0 0
3830 PIL'OT KN B RDN 55122
651-681-4675 i ig , 02
New Conatruction Raauiramega RemodetlReoair Reaufremenh
. 3 regfstered sita aurveys showing sq, ft ol lot, sq. ft. of hause; aM all mo(ed areas • 2 copies of qan ??
(20% maximum lot coverage allowed) . 1 set of Energy Calala0ors for heated addiUons
• 2 copies of plan slmwing bean & wiMow s¢es; pawed found desigq etc.) . 1 sile wrvey forexlerior additiore & decks
. 1 sel of Energy Caleulations . Indkate'rf home served hy septic system for addNOns
• 3 copies of Tree Pmsenation Plen H bt plaUed after 711193
• Rim Joist Deteil Op6ore seledion sheet (ddgs Mth 3 w less unib)
DATE / C/ of-
JOB SITE ADDRESS YS4'9'09l8 ?
IF MULTI-FAMILY BUILDING, HOW MANY
PROPERTY OWNER 1VW YG 0 ,
VALUATION
d
TYPE OF WORK F.esue ?v( FIREPLACE(S) _ 0_ 1_ 2
APPLICANT PHONE#49u 1-9J"7-0P/
ADDRESS ZIP CODE
PAGER #
CELL PHONE # l S'J- 9 9 3 - ,PO a / FAX #
rrEw RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ NIINNESOTA RiTLE5 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet SubmiKed
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Conhactor. Phone #:
Plumbing System Includes: _ Water SoBener _ Lawn Sprinkler
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
Mechanical Contractor: _
Mechanical System Includes:
Sewer/Water Contractor.
_ Air Conditioning
_ Heat Recovery System
Phone #
Phone #
Fee:
$90.00
$70.00
All above informaGan must be submitted prior to processing of application.
I hereby acknowledge that I have read ihis application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and Ciiy of Eagan Ordinances.
Signafure ot Applican} "zv?7c
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 2002
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 73 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling O OS 06-plex ? 16 Fireplace ? 21 Porch (&sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garege ? 22 PorchlAddn. (4-sea.) O 33 Ext. Alt - SF
? 04 02-plex O 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Mufti
? 05 03-plex ? 11 10-plex x 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 72 12-plex PIbcjKY or_ N 0 25 Miscellaneous
? 31 New x 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
O 32 Addition ? 36 Move Bldg. O 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration O 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement "Demolidon (Entire Bldg only) - Give PCA handout to applicant
Vaiuation OGU Occupancy 3 b-I MC/ES System
Census Code y3 y Zoning City Water
SAC Units ? Stories Booster Pump
Nbr. of Units ? Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const VAI Width
P
X
Other
_ Pool _ Ftgs _ AidGas Tests _ Final
_ Siding Stucco Stane
_ Windows (new/replacement)
Approved By
REQUIRED INSPECTIONS
Footings (new bldg)
Footings (deck) FinaVNo C.O.
Footings (addition) Plumbing
Foundation HVAC
Drain Tile
Roof Ice & Water Final
Framing
F'veplace _ R.I. _ Ait Test _ Final
Insulation
Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Pertnit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
FinaVC.O.
?
?
LUW? ???z: c-
l/4z L,a-Tte--)
2 aia
GG G
Total
Use BLUE or BLACK Ink
a r————————————————
� For Office Use
� �/' �,�(�
�� � Permit#: ���-7�� �
��� 0� ��b�� I Permit Fee: ��� 'O � �"
3830 Pilot Knob Road
Eagan MN 55122 � Date Received: � ��� �
Phone:(651)675-5675 I I
Fax: (651)675-5694 I Staff: �
AUG 1 0 1015 !----------------'
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: �s�d'�S SiteAdaress: �I'�I SS OaK C-G�tS� 'R�� Unit#:
� � ` C
���; � �� : Name: 1���/+ ti1 J�lr1�o-ev Phone: 9SZ��36-�337
��.'5���1'�� ���� � C- As Q �b a
���` ��� ' Address/City/Zip: a)� � Q
�
' Applicant is: �Owner Contractor �
��; >
.�. F� ���� Description ofwork: ���nS`+�w��" nev� D��.�
�� �{ �a
" Construction Cost: �A Z� o�o Multi-Family Building: (Yes /No
� g `� � Company: Contact:
� �
� �
���,���, � Address: City:
� `���������
State: Zip: Phone: Email:
�
' License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
U �'' � s� � 6 4�T
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�'?�'�' ,����r�rl.,��crr�i����;r����,yr��t��i�ar+��� t��`�� � ���� l��t���'
��b�i'r����Y be���a����ro� ��t'�ta��rr��� �r'�"�r��+�����►�'�.�3�'��
�
. � � ,.z.. � :�........ �!` ����'e� � �
� � ��_ �.�F�� � � � � s
, . ; �. � �:,
.:�. � ,�. �. �:
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<P�,�h �A ►��@�� X ��
Applicant's Printed Name � Applicant's Signature
Page 1 of 3
�'=�' �� ��
�W�� ���j h�}� DO NOT WRITE BELOW THIS LINE � �
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 � Occupancy S�'� MCES System ------
Plan Review Code Edition �y� SAC Units _
(25%_100%� Zoning �_ City Water _,_,,,
Census Code K � Stories �----- Booster Pump �
#of Units / Square Feet +�y(,$" PRV
#of Buildings � Length l`l Fire Suppression Required ...�
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
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: , Building Inspector
RESIDENTIAL FEES 3�g�' ���� � /� `�' ��� �'
Base Fee /.�z �...
Surcharge
Plan Review �(��--
MCES SAC
City SAC
Utility Connection Charge
S&W Permit 8�Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
. .�,•�L��ey for: �./3� �6. �¢
• • �ChuCk rarter
•' � '4455 Oak Chase Road �, j �� �i/' f�(,��S� �"� � '
Eagan, MN 55123 �-� l` l.�f'�
DELMAR H. SCHWANZ / � � �/� 3
���.�.
��.�..�..�»�„».�.�«��..a.
1175p$OUTH AOBERT TRAIL ROSEIYt�UNT.M��Esor��e �v�-�rer
SURVEYO�i'S CERTlFICATE
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tr Drainaqe & uti.lity ...�-,_. I
�� �`� � easement ~t �
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I � ���s �� l �� � � � � SCAL�: 1 •inch = 50 feet '
h �I 'v NxotlsENG �`
�.,� N a � o Denotes set iran
a a o ,� .
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" �.S " �Af�� � � a( F��������I��
� rs r �______ ____.- ti -- - - - --- -) �
1 � �� NI � �
1` I jM M! N 2N.�} '• 1 '
`�5.�� _ �..__ �r.'g-�_zu s'y � ` ��'a : _
` ,.. � _T � � .������'rta �� t� ���?��q�t�aR�``9
'" ?oo. oc� /Y 89- 3> - , 7 � _ �b � ,ti.:��:�
30 �
Lot 2, B].ock 7, OAK CHASE FIRST ADDITION, accor.ding to the recardad p3.at thereof,
Dakota County, Minnesota.
Adso showing the J.ocation of a proposed house as located thereon.
�����a�t�t���iuulr�ry� .
� ,�����.�`�yg�E����y�
,, �,.
. I hsreby o�tify that fitis sunrey.P�an,w report was ��'tr: ��t��
proparod by mt ot d�my dirsct supen►ision�nd � i ���-MAR N. � � . `
° thet i�m a duly Rpisterod�end 8urvsyor under = � SCHWANZ � '
Me laws of ths Stslf oi Min�seot`. ` ---862�--- � � � �� ����--�
�`.� �� ONn�H.ScMrans
Ju�y 12, 1.989 i9
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Receipt:#629695 811766
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SIMPLIFILE
5072 NORTH 300 W Recorded on:10/9/2019 8:59 AM
By:CZP,Deputy
PROVO UT 84604 Cert# 120460
Office of the Registrar of Titles
Dakota County,Minnesota
Amy A.Koethe,Registrar of Titles
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TEMPORARY INGRESS AND EGRESS EASEMENT
This easement made this Z54 day of SeP)er,t-e..,c , 2019, between KEVIN SAMPERS
and CYNTHIA SAMPERS, husband and wife, (hereinafter referred to as "Landowner"), and the
City of Eagan, a Minnesota municipal corporation, organized under the laws of the State of
Minnesota(hereinafter referred to as the"City"),
WITNESSETH:
That the Landowner, in consideration of the sum of One Dollar($1.00)and other good and
valuable consideration, the receipt and sufficiency of which is hereby acknowledged, does hereby
grant and convey unto the City,its successors and assigns,a temporary ingress and egress easement
for surface water management purposes over and across the following described premises, situated
within Dakota County,Minnesota,to-wit:
Lot 2, flock 7, OAK CHASE 1ST ADDITION, according to the recorded plat
thereof on file in Dakota County,Minnesota.
The grant of the foregoing temporary ingress and egress easement for surface water
management purposes includes the right of the City, its contractors, agents and servants to enter
upon the premises at all reasonable times to access and manage the adjacent surface water body and
the further right to trim or relocate trees, brush, undergrowth and other obstructions. After
completion of such surface water management,the City shall restore the premises to the condition
in which it was found prior to the commencement of such actions, save only for the necessary
trimming of trees, brush, undergrowth and other obstructions, subject only to permanent easement
alterations.
The Landowner, their heirs and assigns, does covenant with the City, its successors and
assigns, that it is the owner of the premises aforesaid and has good right to grant and convey the
easement herein to the City.
IN TESTIMONY WHEREOF, the Landowner has caused this easement to be executed as
of the day and year first above written.
KEVIN SAMPERS
C �►� /
I i
STATE OF MINNESOTA) KELSEY LpW
COUNTY OF c )—
Pal
The foregoing instrument was acknowledged before me this � day of
, 2019,by KEVIN SAMPERS and CYNTHIA SAMPERS.
Notubl
APPROVED AS TO FORM:
1,4—►
City Attorney's Office
Dated: rf440161 ldl Y(13
APPROVED AS TO CONTENT:
Public orks ep ent
Dated: 9/2411 1
THIS INSTRUMENT WAS DRAFTED BY:
CITY OF EAGAN
Public Works Department
3830 Pilot Knob Road
Eagan,MN 55122
651-675-5646
2
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168819
Date Issued:05/05/2021
Permit Category:ePermit
Site Address: 4455 Oak Chase Rd
Lot:2 Block: 7 Addition: Oak Chase 1st
PID:10-53500-07-020
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kevin & Cynthia Sampers
4455 Oak Chase Rd
Saint Paul MN 55123--181
Geeksuite Exteriors
10448 Yukon St NW
Coon Rapids MN 55433
(612) 812-9893
Applicant/Permitee: Signature Issued By: Signature