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4505 Oak Chase Rd Use BLUE or BLACK Ink 1 Fort7itice.tls CitY of Eajan I Permit I I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 I Date Received: j Phone: (651) 675-5675 I Fax: (651) 675-5694 Staff: 1 ------------r- 2011 RESIDENTIAL BUILDING PERMIT APPLICATION C Date: Site Address: Unit Name: _HA-779E141 kA-L, FEN /VII/I,/LS'J!C,( Phone: &5_1 - 4S~ ~BOS RESIDENT / OWNER Address/ City/ Zip: 43'067/ CQAK C11/4-94 RQA~ , Er-ar4/V S-:6,12-3 Applicant is: Owner __X Contractor / Description of work: E TF910 NT i)e7le li r 4ino TYPE OF WORK 0) 1^~p(p~~~~W ~rc>~~~({cac E-i~c,:~ G obi Construction Cost: ( Multi-Family Building: (Yes / No Company: ~J-/1/M ' k1ZLbE1f3 ~ u/Y701& contact: JIM IWAi E1 CONTRACTOR Address: 42.55. 4REE-L& STRFF~ GLG city: 377L1- State: Zip: S' 082 Phone: -Z7 --3 Z es -2 - 6801 C, Z4 License r ro Lead Certificate If the project is exempt from I adcertifi~t~n pl ase explain why: (see Page 3 for additional information) 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: NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall_org, I hereby acknowledge that this information is complete and accurate; that the 3ror{c ftl be in conformance wi h the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application f~or permit, and work is not to start out a permit; that the work will be in accordance with the approved plan in the case of work which requires a and approval of 0lans: ~ (Y) x Applicant's Printed Name Appl' nt's Signature P of 3 OAK ~AP-C,6 DO NOT WRITE BELOW THIS LINE L SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) _ 01 of Plex _ Lower Level _ Pool _ Miscellaneous 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 Occupancy MCES System Plan Review Code Edition 2.00 7 SAC Units (25%_ 100% r/) Zoning F" City Water Census Code 1131Y Stories Booster Pump # of Units - Square Feet PRV # of Buildings Length Fire Sprinklers _ Type of Construction - Width / REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) _j2e Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: Ice & Water Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: - Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector g RESIDENTIAL FEES f O ~cA.yV M4 ~Jr y G ao Base Fee / G °Z a` (,vr~✓po 3 oao Surcharge Plan Review / b ~J l '7 G 8~ MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2of3 EAGAN ~ EVI BY-.- UND DESIGN+CONSTRUCTION SATE: f_aG'/ ' S °I~ I DI j' hird Street, Suite 509 n lis, Minnesota 55401 612.321.0153 • 612.904.0153 Fax i 01 1 1 { 1;'0 1 r Poa~ Nousf ~ I MIKJLSKI RESIDENCE r a, 4505 OAK CHASE ROAD EAGAN, MINNESOTA 51TE FLP4 lr a c W S'2~-ll Use BLUE or BLACK Ink f=or office Use / Permit J -7 City of Ea aIl a Permit Fee: 3830 Pilot Knob Road I Eagan MN 55122 ; Date Received: Phone: (651) 675-5675 i Staff: I Fax: (651) 675-5694 1 I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Tenant: Suite RESIDENT /OWNER Name: /I/f/ UG ~r Phone: Address / City / Zip: /a <N~~ ,-C s~~ Applicant is: Owner Contractor TYPE OF WORK Description of work: 6 Construction Cost: Multi-Family Building: (Yes / No 'X-) CONTRACTOR Name: License Address: ity: ` • State: Zip: 7- l'- Phone:L+rf~, Contact: Email: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.ciopherstateonecall.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 worts will be in accord nc with the prove plan in the case of work which requires a review and approval of plans. x 6,d n Ke- x Applicant's rinted Nany( Applicant's Signature Page 1 of 2 PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN ~ 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: Site Address _ Lot c Name , Address c city T L Name _ c Address O City TYPE OF WORK -- T_. -. Forced Air M BTU Boiler M BTU Unit Heater M BTU Air Cond. M BTU Vent CFM Gas Piping OuUets # Other BLOG.TYPE Res. ? Mult Comm. Othes WORK DESCRIPTION ,r New Add-on Repair ` FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.40 ADD-ON AIR CONQ• 0-24 BTU - 12.00 ADDITIONAL 6 M 8TU - 6.00 GAS OUTLETS - 7.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 fADD S.50 S/C IF PERMIT PRICE GOES 1i N c k l' FEE S/C: TOTAL: OF EAGAN CITY OF EAGAN Remarks ¢. • Streipt _ y -,-r_ •_ .. ?'..1 . _ Lot 2 Rik 6 Parcel 10 53500 020 Vv i Oak Chase Rd. State Eagan,M 55123 Improvement Dat Amount ' Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 17 .OO . 75 20 SEWER LATERAL 1 00.00 6 66 1 WATERMAIN * WATER LATERAL 1972 1 WATER AREA 1 1073.50 71.56 1 # STORM SEW TRK 1972 SIM 1 156.33 1 P11d * STORM SEW LAT 1972 1S CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 320.00 7971 5-11-73 PER. 00 sa,c 375.00 7971 5-11-73 EAGAN TOWNSHtP f3111101:011:?SI-•7Z 1b? Ownex ......... --....-'----...-'---"_ ?c...?- ?.f.o Address (PresenS) _.?...?5?.......................................... ..... .. Builder ...... >""'•'?..?.. ?...:........... Address ............ ...°----°---..... ..----.......----°..._---.................................. ? N° 3005 Eagan Townsh3p Town Hail / / 7.? ,- - Data ....... .......................... Sfories To Be Used For Froni Dep1h Heighl Es7. Cos! Permi! Fee Aemaske ? ° a? a ? 3o ' /9•-S'? " LOCATION /,31,Sa Sireei, xoaQ or otner 17eserlpiion oi Locarion I Lo! Slock Addltion os Trac! JJ s- O / This permit does not auihorise the use of sf:eefe, roads, alieys or sfdewalks nor doee it glve the ownar ox 6is agen! !he righ! !o creaYe anp niluafion which is a nuisaece or whieh presenls a hazard !o the dealth, seEelp, conveafenee and general welfare !o anpone in the communifp. THIS PERMIT MUST HE KEPT N T{iE PREMI$E WHILE THE WORK IS IN PAOGRESB. Thts is !o cerSip, ihaY..??.....----_.._.-----....--_--•?-°:?°:?has permissfoa !o ereet a ..... .: ......... ?. °'? a?......?..?u oa ?` • - p the ebove desezibed premise subject !o the proviaiom of the Building Ordinance tor Eagaii Towna ip adopled Aprl1 11, 1955. l .. ............'. .. ......... .......... .... ........"""' .......... Per ? ? . ....."'........._................"'.....'•"'.. .......9 ." Imp'•"'........ Chairmaa of Tnwn Board ? Suildfn ecior ? Z--?, 0 6 c./ VILLAGE 0:+' F.AGAIV 3795 Pilot Knob Hoad Eagan, Minnesota 55122 PEftMIIT N0, ,., The Village of Eagan hereby grants to mTeMy.TUT.n Di.i1MATM M_ of 66S waat 77h St ,°i^fifael.7, ntn7 55423 a Permit for: (Owner) Mel Fj ??,,,,,,• _.c at 459_4 Hak ekaee = ,, . pursuant to application dated 8122/73 ---- Fee Paid: $28.90_ dated this 2ct, day of A„g3,04-.50 s/c. Building Inspector Niechanical Permits: Bid Total: Z (P 6c• L VILLAGE QF' r,AGAN 3795 Pilot Knob Noad Eagan, Minnesota 55122 PER1CT iVO. ana The Village of Eagan hereby grants to Lahediile ayppl., i.,e_ oi ROUt- 1 AQY "ln_ TAI[YV lljA ssoaa a Permit for: (Owner) M„1 Frick-n ? 3iBi1?FF4i6 - at . pursuant to application dated 8/29/73 Fee Paid: SZO 00 dated this 2qjh day of Auaust ,19 73 • . .SO 8/C Building Inspector Niechanical Permits: Bid Total; YILUIOE OF E40AN 3795 Pilot Knob Road Eagan, MN 55122 Zoning: Owner: Wm• B. . Address: SEWER SERVICE PERMIT PERMIT NO.: 2113 DATE: 11/15/73 No. of Units: 1 . R-1 Site Address: Plumber: ltichfield d>lumbinq Co ( agrea fo comply wi}h tha Villoga of Eagan Ordinontes. By: Uate af Insp.: . 375.00 5/11/7: Connection Chazge: Account Deposit: Permit Fee: ].(LQO pd - Surcharge: 50 Dd Misc Chazges: To[al:. Date Paid: - RESIDENTIAL BUILDING Permit Application City Of Eagan ?'-I p ? 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 New ConsWClion Reouiremenis RemodellReoairReauirements Office Use 0nlv 3 registered site surveys showing sq. ft. of lot sq. ft. of house; and all roofed areas 2 copies ot pi2n _ Cert of Survey Recd (20% maximum lot coverage allowed) 1 set of Energy Calculatlons for heated adtlNOns Tree Pres Plan Recd 2 copies of plan showim,7 beam & window sizex; poured found design, etc. 1 si[e survey for additions & decks Tree Pres Not Reqd 1 set of Energy Calculafions Additbn - indicate if on-site septic sysfem _ On-site SepUC System 3 copies oi Tree Preservafion Plan if lot platted after 711193 Rim Joist Defail OQtions seleafim sheet (bldgs wit) 3 rn less units Date _L / ? / o Construction Cost 'a-5'OQ co Site Address y OJ`- QG-k, CX,,s,L ! 2*' UniU5[e # Description of Work ny d Gy!Ss Muiti-Family Bldg _ Y! N U Firepiace(s) _ 0 _ 1 _ 2 PropertyOwner A ?`y?.c?Lri, Telephone#( ) Contractor AAietlFiresitle Address osoen nQOIY ?ewFy11WYW IMY City State aoeewi1e. wi ssns ft51/0.'1L95p1 Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF Energy Code Category Minnesob Rules 7670 Cateeorv 1 • Residentlal Ventilation Category 1 Worksheet (Jsubmissiontype) Submitted • Energy Envelope Calculations Submittad Licensed Plumber Mechanical Contractor Sewer/Water Contractor A NEW BUILDING Minnesota Rules 7672 • New Energy Code Worksheet 5ubmitted Telephone #( Telephone # ( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and ap roval of plans. L?I ? pplicant's Printed Name pplicant's Signature ?U (_Pa I k 7 RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagau MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 I`Z o °c-' (1a,,4sf/L1-5olz3 New Constmction Reauiremenfs RemotleVFteoair Reauiremenfs OKce Use Onlv 3 registered site surveys shox9rg sq. ft ot lot sq. R W house; and all roofed areas 2 copies of plan Cert of Survey Reoi _ Y_ N (20% maximum lotcoverege allowed) 1 setof Energy Calculations for heated addiUOns Tree Pres Plan Recd Y_ N 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for addiGOns 8 decks Tree Pres Reqd _ Y_ N 1 set of Energy Cakulations Adtl'dion - irMicate ifonsrfe sep6c sys[em On-site Septic System _Y _ N 3 copies W Tree Preservalion Plan if lot platted afler 711193 Rim Joist Defeil Options selection sheet (hldgs with 3 or less units Date -/z ! -5R? / ('? 5 Consfraction Cost a' en5n '-' Site Address 7 f'J'-(n 5- n6fl` G&' ? &' a UniUSte # Description of Work L"Y`al ol =, L'4? Z1'L1 X? ? MWti-Family Bldg _ Y)N/ N r Fireplace(s) _ 0 _ 1 _ 2 Property Owner C, L,6?w /j?UL, 5411 Telephone #(?s?)'7j?6 - I g0 J? &a ? Contractor OrL1? O ry0 Address J City State // d-?tiy/ , ZiP T677 TelePhone # ? pp COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Cateeorv 1 • Residential Ventilation Category 1 Worksheet (J submission rype) Submitted • Energy Envelope Calculations Submitted Have you previously constructed p building in Eagan with a similar plan? fee applies. Licensed Plumber Mechanical Contractor Sewerl Water Contractor Telephone # ( Telephone #?ID 7elephone # N If so, 25% plon review I hereby apply for a Residential $uilding Permit and acknowledge that the inform -is-eempp -an-tfkcurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes, I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and appr val of plans. 'lal ApplicanYs Printed Name ApphcanYs ignature A NEW BUILDING Minnesota Rules 7672 • New Energy Cade Worksheet Submitted OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ),( 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous Work Types ? 31 New ? ? 32 Addition ? ? 33 Nteration ? ? 34 Replacement Valuation C) U !? Census Code ? SAC Units Nbr. of Units Nbr. of Bldgs Type of Const _ Footings (new bldg) _ Footings (deck) _ Footings (addition) _ Foundation _ Drain Tile Roof Ice & Water Final ? Framing Fireplace R.I. _ Air Test Final ? Insulation Occupancy MC/ES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width - - REQiTIRED INSPECTIONS FinaUCO. ? FinaUNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) _ Retaining Wall Approved By f1, , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Totai , ? 30 Accessory Bldg ? 31 Eut. Alt - Multi ? 33 Eut. Alt - SF ? 36 Multi Misc. 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair 37 Demolish (Bldg)• ? 43 Reroot k 46 Windows/Doors `Demolition (Entire, Bldg) - Give PCA handout to applicant ?j,?f?79?LL ??, ? ?v Perrnit Number MECcheck Compliance Report 2000 IECC MECcheck Softwaze Version 32 Release 1 b Checked By/Daie TITLE: MikulsM CITY: St. Paui STATE: Minnesota HDD: 7391 CONSTRUCTION TYPE: Single Family DATE: 12/29103 DATE OF PLANS: 12/29/03 PROJECT INFORMATION: 4505 Oak Chase Rd. Lagan, Mn. COMPANY INFORMATION KB2 Consreuction NOTES: This is a existing home with window # 15 & 16 are the 2 new windows COMPLIANCE: Passes Mazimum UA = 448 Your Home = 383 14.5% Better Than Code Gross Glazing Area or Cavity Cont. or poor Perimeter R-Va1ue R-Value U-Factor UA Ceiling 1: Flat Ceiling or Scissor Tmss 1344 0.0 40,0 32 Wall 1: Wood Frame, 16" o.a 2432 1 I,0 0.0 191 Door 1: Glass 72 0320 23 Window 1: Wood Frame, Double Pane 22 0.260 6 Window 2: Wood Frame, Double Pane 32 0.260 8 Window 3: Wood Fmme, Double Pane 16 0260 4 Window 4: Wood Frame, Double Panc with Low-E 22 0.320 7 Window 5: Wood Frame, Double Pane 12 0260 3 Window 6: Wood Frame, Double Pane 12 0.260 3 Window 7: Wood Frame, Double Pane 12 0.260 3 Window 8: Wood Frame, Double Pane 9 0260 2 Window 9: Wood Frame, Double Pane 9 0260 2 Window 10: Wood Frame, Double Pane 9 0.260 2 Window 11: Wood Frame, Double Pane 5 0.260 I Window 12: Wood Frame, Double Paue 9 0.260 2 Window 13: Wood Frame, Dou61e Pane 6 0260 2 Window 14: Wood Frame, Double Pane 9 0.260 2 Window 15: Wood Frame, Double Pane with Low-E 4 0.320 1 Window 16: Wood Frame, Doubie Pane with Low-E 4 0320 1 TM' .? . r COMPL[ANCE STA`I`EMENT: The proposed building design described hete is consistent with the buitding plans, specificarions, and other calculations submitted with the permit application. The proposed building has been ciesigned to meet the F IEC, requirements in MECcheck Veision 3.2 Release lb. $uilder/Designer ? Date /,? - c?9 C:, :? ,V °?' • ? ?,?, a.?. ' ? '.?,-?'?'J`- ?r ? ttv, ? ?? RESIDENTIAL BUII,DING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 o 0 New ConsWCfion Reauirements ftemodeUReoairReauirements Offce Use Onlv 3 registered site surveys showing sq. ft of lot, sq. fl. of house; and all roofed areas 2 copies of plan Cert of Survey Recd (20% maximum lotcove2ge allowed) 1 setof Energy Calalations for heated addifions Tree Pres Plan Recd 2 wpies of plan showing beam 8 window sizes; poured fountl design, etc. 1 site survey for additions & decks Tree Pres Not Reqd iselofEnergyCalculations Adddion-indicakifonsftesepUcsystem _OnsiteSepticSystem 3 copies of Tree Preservation Plan rf lot platted aNer 711193 Rim Joist Detail Optlons selecGon sheet (bldgs with 3 or less unifs Date Constructio n Cost Site Address ?W19 rR1?i UniUSte # "" - Description of Work w Multi-Family Bldg _ Y?- N Fireplace(s) _Z_ 0 _ 1 _ 2 Property Owner 14r7_.4k&L^,6/1/ A6 ?//G,°'9/ Telephone # (6051) Contractor B/ c-9 Address C/('F s City ? c? , ? State _ O&W Zip ;?7FJO77 Telephone # ( Z?FlvX COMPLETE THIS AREA ONLY IF Energy Code Category Minnesota Rules 7670 Cateeorv 1 • Residential Ventilation Category 1 Worksheet (J submission type) Submitted • Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor li ? L L I hereby apply for a Residential guilding Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City,of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, antw9rk:is not to start without a permit; that the wark will be in accordance with the approved pl in the case of work which requires a review and approval of plans. LL y rIZE-ec6, E ,2 V"/- Applicant"S Printed Name Applic 's Si a e A NEW BUILDING Minnesota Rules 7672 • New Energy Code Worksheet Submitted Telephone #( Telephone #( Telephone #( J -i EAGAbI 1+OWNSHIP 3795 Pilot Rnob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERP4IT FOR WAT&R SERVICE CONNECTION Date• 11/15/73 Billing Name: Wm• R. Naryka Owner: Nymber; 1345 07-(o Q-C•.? Site Addreas: 4505 Oak Chase Rd., Eagan 55123 Billing Address Plumber: richfield Plumbing Co. 1/73 Permit Fee 10.00 od .50 pd s/c Meter Reading . IMeter Dep. 426434 Meter No.333s?? 625 Meter Sealed: Yes_ lAdd'1 Chg. NO ITotal Chg. Building is a: xx Residence 14ultiple Ho. Commercial Industrial Other Inspected by Date Remarka: $25.00 ?EXT'")PEcr!oN rLE FaR n !',/ li i ''.I??i?ALLED f.? ,?F?-;r ??i?l'itt?r'-??q.? LZJ. Hy: Chief InspecCor In conaideration of the iaeue and deliverq to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Sagan Towaship, Dakota County, Minnesota. $y• L. ? ? Please notify the above office whea ready for inspection aud connection. Date : 7/ BUILDI't?G PERi=IIi P.PPLICPTIO?d J,OT Z BTACK (0 1fDD2TI0A OA & SF•,CTIOiJ :9UMIIER IF Ui3PLATTED --I_-dCCUPAAICY ? USE A'?'Ea TELEPHONE i?TO. 454 -JZJ A!-7 -?-- --? 4S65- Q A K e_1?. ed A'd - - TELEPHONE 110. 4ST ""Sq4?P r:M':cESS v "Ntotec. Include site Q2an, building plans, and energy calculations with 1h9.^ application Signedzo?_,_, ? OFFICE USE ,?- .. IALUATIOI? . a _. ??;..'.. C..:Si,PC`:TOT7 'i iYr41)rr.7G PF.:2YIIi FEE ? ?7ftCH?.P.GE FLE - C'_.?f:T CrTCR FE,^; PAFiiC DEDIC ;TIO?d k'DE GT;:BR - :s^P'xC"I1?L,S: : =>,SSMMIT CLERIC BUILDING DEPT.?POLICE DEF3'._ ,_. -'.^T'R E SEWPR DEPT. FIRr DEPT. PFiRK DEPT. 0 0 L? Z ? 0 0 MASTER CARD LOCATION ?/? /-7j&f . Vs0 s- .1 _tp - STRUCTURE AND v I ?O?? y ?0 LAND USED AS PermiT No. Issued Issue i d To Coniractor Owner BUILDING PLUMBING ? r1? ? J ? ? ? ?• 7 ? ? c?-73 7 ?,(a CESSPOOL - SEPTIC TANK NJELI ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER O7HER Ifems Approved (Ini}ial) Date Remarks Distance From Well ? OOTING ! - SEPTIC FOUNDATION - :2 -7 CESSPOOL FRAMWG y".x9?73 Jr-?L -/`j TILE FIELD FT. FINAL ELECTRICAL HE4TING GAS INSTALLATION DEPTH OF WELL ' SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING ? ?79,?? i ?• 1 ?^ 75 WELL SANITARY SEWER d&l Violations Nofed on Back ....1MENT5: PERMIT NO. CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE OBSERVED. ? ACCEPTABLE SU&STITUTIONS OR DEVIATIONS. DATE OF INSPECTION ? NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. ITEMIZFD AND DESCRIBED AS FOLlOWS: ? NON{OMPLIANCE. BUILDER DOES NOT INTEND TO COMPLY. ? COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAVED BY CONDITIONS BEYOND CONTROL. ? REINSPECTION REQUIRED REVEALED DATE OF REINSPECTION CE RTI FICATION - I certify that I have carefully inspectad the a6ove in which I hsve no interest preunt or prospective, and that I have reported herein all significanx conditions oLserved to he at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require- ments for off-site improvemenis relating to the property inspected. ? ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILOING DATE COMPLIANCE INSPECTION REPORTS TO BE USEO ONLY IN EVENT OF OBSERVED VIOtATIONS ?j ?2006 RESIDENTIAL MECHANICAL rExMiT nrrLicnTioN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. single family dwellings &[ownhomes/condos when permits are required for each unit Date A l c) FJ, l 0 (% Site Address Sc? Unit# Propertq Owner Telephone # ( G 3 1 Contractor ? StreetAddress o! City d l i State M ov- Zip ? 5 3 7,?_Telephone # Bond #: Expires: bl The Applicant is _ Owner ?ontractor _ Other r al[eration to existing dwelling unit AT New nt l d l ,?R $ 30.00 furnace _Ad iti _ aceme ep ona , air exchanger air conditioner heat pump other State Surcharge $ .50 $ 3d_? 5-0 Total 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 City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit th e work will be in accordance with the approved a in the case of work which requires a review and approval of plans. ,? ApplicanYs Printed Name Applicant's Sign, 2006 COMMERCIAL MECHANICAL PEUMiT arrr,icaTiorr City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please comple[e for. commercial/industrial 6uildings multi-family buildings when sepatale permits are not required for each dwelling unit Date Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond #: Expires: The Applicant is _ Owner _ Contractor _ Other Work Type New Construction _ Underground Tank _ Install _Remove **see below Interior Improvement _ Install Piping _ Processed _Gas Nature of Work: *"When insta!ling/removing underground tank, ca!l for inspecfion by Fire Marshal and Plum6ing Inspector P0[miY FeeS: $70.50 Underground fank installation/removal $50.50 Minimwn (includes Sffite Surcharge) or Contract Value $ x 1% _ $ Permit Fee $ State Surcharge If ev rmit fee is less than $1,000, add $.50 If ue rmit fee is more than $1,000, surcharge is $.50 for every $1,000 owed. $ Total Fee I hereby apply for a Commercial 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 City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to staR without a permit; that the work wil] be in accordance with the approved plan in the case of work which requires a review and approval of plans. ApplicanYs Printed Name App(icanYs SignaTure Approved By: , Inspector Date: Required Inspections: - U.G. _ R.I. - Air Test _ Gas Service Test _ Infloor Heat _ Final 2006 RESIDENTIAL PLUMBING PeRnnir aPPUCaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date ? ! 14 !^ b ? /? Site Street Address _?fJ 0? d Q« ? Q J'? ?'? `" ` Unit # Property Owner (C L4 Telephone # ( ) / Contractor ll ?!T cG v? ? y-'? elephone # (07) ??r? G Address7'C/ City Statekta-, Zip5_V The Applicant is: _ Owner _??ontractor _Other Septic System _ New Refurbished Submit 2 sets of plans and MPC license Includes County fee _ $ 100.00 Per as-built $ 10.00 Alt ons to existing dwelling $ 50.0 Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. If you are installing onlv a water softener and/or water heater, do not complete this section; move to the next section and check the appliance(s) you are insYalling. _Septic System Abandonment _Water Tumaround (add $130.00 if a 518" meter is required) Other: Water Softener Water Heater $ 15.00 _ new _ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 Total .?- $,5-40 I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance w?the approved plan in the event a plan is required be reviewed and approved. vc ? e ApplicanYs Printed Name Applican Signaty / %?-??z 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construclion Reauirements 3 registered si[e surveys showiig sq. ft. oF lot sq. ft. of house; and all roofed areas (20% mazimum lol coverage allwved) 1 Soils Report H proposed building is to be placed on disNrbed sal 2 copies of plan showing beam 8 wmdow sizes; poured found desi9n, etc. 1 set M Enertgy Cakulafions 3 copies of Tree Preserva6on Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (buildings wiN 3 or less unfls) Minnegasco mechaniql venM1la6on fortn RemadHlReoair Reauiremenis 2 copies o1 plan showing foolings, beams, jasis 1 set of Energy Calculations for heated addifions 1 site suney Mr additiore 8 decks AddNOn- irdcafe if on-sRe septic system qo_eo Otfice Use?bnly Certof5urveyRacd _Y _N Soilsftepai ' ' Y _`N Tree Pres Plan Rec d- Y_ N. Tree Pres RequiiEd "2 Y _N pn-srteSephcSys.lem.. Y,_N Date :? I07 onstruc[ion Cost G700(f ) ^ C SiteAddress ? C4j5 T -&.'fl Unit/Ste # k f W ( aik'- or Description o , Multi-Family Bldg _ Y j? N rr° Fireplace(s) _ 0 2 O / / 0 14??01'rl Telephone # (Wf) -7`/(O'' ??ds wner Property & ? V? ? Contrac[or dd ? / ? ?? ? ??y ??C? U/CGt??/ / ?GV? CitY L- -?' ress . ? A ` L' ? / Zip ? Telephone k ( (pry " ?O8 3 ??? State !/d vi y? 4;4 - ??%? 0 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheel (J submission type) Submittetl Submitted - • Energy Envelope Calculalions Submitted In ihe last 12 months, has ihe City of Eagan issueda permit for a similar plan based on a master plan2 Y _ N IF yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved lan in e ca o w which requires a review and appro I of plans. Applicant's Name Appli ant's Signat ? 2007 RESIDENTIAL PLUMBING PeRMir aPPUCaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Do not combine inside and outside. plumbinq on the same application; separate appiications and permits are required. Date t 1 / Z 1 0-7 Site Street Address a' "t, Cka.S C- Ra Unit # Property Owner C T C cl, Telephone # ( ) Contractorb74/1 ?G/'?y SC+'"?CCG-- Telephone#(/pJl)Y?)" 6a47 ,Cr?? Address1a d p 1"dw 0-?- (JL- City A'?2oG6r/ ?t 9/S StateA-4^ Zip S'S7?40 The Applicant is: _ Owner & Occupant x Licensed Plumbing Contractor Septic System _ New _ Refurbished Submit 2 sets of pians and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Fire Repair (replace burned out fixtures, etc.) $ 90.00 . This fee a lies when eutensive lumbin re airs are made to a buildin . Alterations to existing dwelling $ 50.00 ? Add plumbing fixtures to main level lower level. This fee includes installation of a water softener and/or water heater at the same time. !f you are installing onlv a water soffener and/or water heater, do not complete this section; move to the next section and place a checkmark next to the appliance(s) you are installing. ReP(qGf_ _Septic System Abandonment _ Water Turnaround (add $136.00 if a 5/8" meter is required) Other: Y Water Softener _ Water Heater $ 75.00 _ new _ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 SWte Surcharge $ 50 Total $ I here6y apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan uied to be reviewed and approved. . ?/??/I ? ?J A? ? e G CGC Applican s rinted lame ? ApplicanYs Signature 2007 RESIDENTIAL BITILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan NIN 55122 Telephone 9 651-675-5675 FAX # 651-675-5694 New Cans4uction Reouiremenfs 3 regislered sile surveys showing sq. ff. W lol, sq. R of house; and ag roofed areas (20%maximum lof coverege allowed) 1 Sats RepoA if propased 6uilding is to be placed on disWrhed sal 2 copies of plan shovring beam 8 vnndow sizes; poured tound design, efc. i set of Energy Calculatians 3 wpies of Tree Preservafion Plan if lo[ platted aRer 711193 Rim Jaist Detail Options selection sheet (6uildngs wilh 3 or less uni5) Minnegasco mechanicalventilalion fonn RemadeURroa'vReouiremenk - 2 copies of plan showing faafings, heams, jaisfs 1 set of EnergyCalculations far heated additions 1 site survey for additions 8 decks Addtion-irMicafe il on-sife sepb'c system C5?o. e5l?) Ofice Use OnM CertofSurvey_Recd _Y _N SoilsRepadr- _Y.1 _N Tree Pres Plan Reid _ Y- _ N. 7ree Pres Required. _ Y - _ N On-sEe Septic System-'-'- _ Y N n?....,. _G ..o,a,...,a ....tii;.- ;.,f?.r..,atinn ?,.,ia?Q unii ctate thev are trade secret and the reason. rI411J IG bV11a1Mr.Ir.Y 44u? ? l ? 7 Date///? Const uction Cost ,?,/?. Site Address Unit/Ste # [ion of Work Descri p Multi-Family Bldg _ YSN Fireplace(s) _ 0 2 hone # (?i??) Tele Property Owner p actor Jea.? t C on r Address ql 410' City _1GhZ . -?- t St A f') - ( ? Zip ;EO 7 Telephone #((p?// -40*93 -117 e a l ? ?/02 _ 8G S-73r? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv i _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Cate9ory 7 Worksheet • New Energy Code Workshee[ (q submission rype) Submitted Submitted . Energy Envelope Calculations Submitted In the last 12 months, has ihe City of Eagan issued a permit for a similar plan 6ased on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Coniractor Telephone # ( Telephone # ( Telephone #( apply for a Residential Building Permit and acknowledge that the information is complete and e; that the work will be in conformance with the ordinances and coaes ot tne ciry oi nagan au? ???? OM« v. '•?N Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and appro al of plans. ? Applican4's Printed Name A plic t's Sign re iQ I 710 { „ _ - - r _J! - - - - V r 4k a -v 3 7 i City Of Ea an Mike Maguire November 3, 2010 Mayor Paul Bakken Cyndee Fields Ms. Bea Blomquist Gary Hansen 4504 Oak Chase Road Meg Tilley I Eagan MN 55123 I Council Members Re: Drainage Concerns at 4504 Oak Chase Road I i I Thomas Hedges ' Dear Ms. Blomquist: City Administrator I am writing as a follow-up to the conversations we've had during the month of September, 2010, regarding your drainage concerns in the backyard of your residence, as well as your letter to Tom Colbert dated October 1, 2010, regarding the same topic. I have reviewed the analysis you provided from Thatcher Engineering, Inc. (TEI), as well as the previous analysis completed by the City of Eagan as part of. the response to the July 2000 Storm. The impending request is a result of m examination of these previous Municipal Center i investigations. 3830 Pilot Knob Road ~ As you know, your backyard at 4504 Oak Chase Road is downstream of portions of the Eagan, MN 55122-1810 contiguous properties and does not have an overland drainage or piped outlet: Due to 651.675.5000 phone this fact, your backyard collects and ponds overland drainage as a result of significant 651.675.5012 tax storm or snow melt events. The basement level of your home includes a walk-out entry 651.454.8535 TDD providing access to the backyard. The July 7-8, 2000 Storm event caused flooding to a level approximately one foot above your basement floor elevation. While your home has not flooded since the July 2000 event, following events, such as the August 13, 2010, storm, have continued to be cause for concern for you. Maintenance Facility 3501 Coachman Point I understand your concern regarding your backyard drainage. The extra effort on your Eagan, MN 55122 part to have the engineering investigation completed only emphasizes the seriousness of your distress. It is with this same level of ' sincerity that I am responding. 651.675.5300 phone 651.675.5360 fax The TEI recommendations include two valid alternatives that would appear to help P 651.454.8535 TDD address the backyard drainage concerns, not unlike the recommendations of the July 2000 Storm Preliminary Design Report. However, unlike the July 2000 Storm Preliminary Design Report, the suggested alternatives focus on redirecting the collected www.cityofeagan.com backyard drainage to other locations, including one of the neighboring properties, whereas the preliminary design report focused on the. prevention of public right-of-way drainage on to your private property. Council support for improvements to address the July 2000 Storm flooding of your property were unanimously denied as it was determined that your property met City Standards for drainage from public right-of-way during a design (1%) event (see enclosed). This previous analysis and the resulting The Lone Oak Tree Council action shall guide any further consideration of such improvements. The symbol of j strength and growth in our community. I would concur with the statement by your engineer, "The infiltration capacity of the soil in your back yard has been reduced over time" With this perspective, I would like to actually analyze the infiltration capacity of your backyard. I will suggest that this may best be accomplished by a soil testing firm with a licensed geotechnical engineer. I would like to schedule such soil boring work after the ground has frozen, ideally, yet in November. I would anticipate at least two soil borings in the lowest part of your backyard as part of this investigation. The borings could be delayed until December if the weather is uncooperative. The City of Eagan will be responsible for the cost and coordination of this soil analysis. All disturbed areas will be covered with topsoil, dormant seeded with standard turf grass, and protected with proper erosion control measures. It appears that this restoration will be very comparable to the existing condition of your property. I would like to get a response promptly so that I may schedule said soil borings within the next 30 days. Please contact me with any questions or comments. I appreciate your anticipated cooperation. You may reach me at 651-675-5646 or nnatth s a,ci , ofeagancom. Sincerely, Russ Matthys, P.E. City Engineer c: Tom Hedges, City Administrator Tom Colbert, Public Works Director John Gorder, Assistant City Engineer Enclosure: Special Council Minutes, 4-30-01 GANVIO/Letters/Backyard Drianage Issue, Blomquist, 11-3-10 I would concur with the statement by your engineer, "The infiltration capacity of the soil in your back yard has been reduced over time." With this perspective, I would like to actually analyze the infiltration capacity of your backyard. I will suggest that this may best be accomplished by a soil testing firm with a licensed geotechnical engineer. I would like to schedule such soil boring work after the ground has frozen, ideally, yet in November. I would anticipate at least two soil borings in the lowest part of your backyard as part of this investigation. The borings could be delayed until December if the weather is uncooperative. The City of Eagan will be responsible for the cost and coordination of this soil analysis. All disturbed areas will be covered with topsoil, dormant seeded with standard turf ass and protected with proper erosion control measures. It appears that this restoration will be very comparable to the existing condition of your property. I would like to get a response promptly so that I may schedule said soil borings within the next 30 days. Please contact me with any questions or comments. I appreciate your anticipated cooperation. You may reach me at 651-675_5646 or rrnatthvs@ciiyofeagan.com. Sincerely, Russ Matthys, P.E. City Engineer c: Tom Hedges, City Administrator Tom Colbert, Public Works Director John Gorder, Assistant City Engineer Enclosure: Special Council Minutes, 4-30-01 GAM/10/Letters/Backyard Drianage Issue, Blomquist 11-3-10 Use BLUE or BLACK Ink r For Office Use Permit City of Ea I Z.c~ Permit Fee: 3830 Pilot Knob Road Eagan MN 55122` Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 I Staff: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: / "1 YVZS KI Phone: RESIDENT / OWNER 'Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: CAP, mu-9 t2/ Construction Cost: `P r( 2, Do Multi-Family Building: (Yes / No i i1D U ~s~ fi Company: f Contact: ~f/L CONTRACTOR Address:/) P, /A S'J r 1_/ 5EL City: State: Zip: SS~e Phone: / Z l 9 lID C~v License ~>16 Lead Certificate R-, -8& -//-00783& 4 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 FInthe 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: i Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they 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.oopherstateonecall.ora 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 E6/L (P r 1111 x 2~~ 4 Applicant's Printed Name Applicant's S n ur Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation i Fireplace _ Porch (3-Season) _ Storm Damage _ Single Family _ Garage - Porch (4-Season) _ Exterior Alteration (Single Family) _ Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) _ 01 of - Plex _ Lower Level _ Pool _ Miscellaneous _ 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 l/ Occupancy -~)qk MCES System Plan Review Code Edition i.A&QIUJ~ SAC Units (25%,_ 100%) Zoning City Water Census Code 11 Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction j( IL Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final I C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: _ Roof: -Ice & Water Final Pool; Footings Air/Gas Tests -Final Framing Siding: _Stucco Lath -Stone Lath -Brick Fireplace: Rough In Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector VA V\e RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge' 0 Treatment Plant j Copies TOTAL Page 2 of 3 L "I EAGAN E V I E BY: UND DESIGN+CONSTRUCTION DATE: RUILD 4G 1 ( Di ~ ird Street, Suite 509 n lis, Minnesota 55401 612.321.0153 • 612.904.0153 Fax ~ s I ~ r i ~ 3o v ~t SbK►~C r Poacr~ \J3 rkoa~ri~~l Nil nr+ 460~ )%J 57'b0P NFN Co NC, NouSE t cr) 1 ~ Ex~snn~G I a a-Mlo, 3DOP 1 r MlKULSKI RESIDENCE-, r 4505 OAK CHASE ROAD EAGAN, MINNESOTA 8-1-11 i PERMIT City of Eagan Permit Type:Building Permit Number:EA117223 Date Issued:10/16/2013 Permit Category:ePermit Site Address: 4505 Oak Chase Rd Lot:2 Block: 6 Addition: Oak Chase 1st PID:10-53500-06-020 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Paul Cunningham 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 - Matthew T Mikulski 4505 Oak Chase Rd Eagan MN 55123 Cva Group 7263 Washington Ave S Minneapolis MN 55439 (612) 216-5513 Applicant/Permitee: Signature Issued By: Signature C!tyofEaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use j / Permit #: ,'q ; 7 Permit Fee: 0%ii • ZS o• Date Received: / ri`) Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: Resident/ Owner Type of Work Contractor Name: PinTHEW? 10'5e/if Al/kilt-M / Address /City / Zip: 457 e2,41? 641.1-1J . Applicant is: Owner Y -Contractor Description of work: c Phone: 651-43-6 - %gas- 'REP 0/Lae` Construction Cost: ft1 Tt 5—° 0 Multi -Family Building: (Yes / No ) Pi& iP UNC v4, f...: Company: bAisrRti '%-lv/J, Address: / 3R1 371?5, T, 24/rECog City: ?hi/a ft/4ra- Csi/h Contact: /y MWEA f oL /2 State: A Zip: £3-1O/ Phone: G /2 8/j' / 99LAmail: License #: �Gd,��.�/i� Lead Certificate #: 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: NOTE: Piens and supportMg documonts that you submit are considered to be public information. Porti ns of the information may be classified as non-public if yo. u provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 far protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.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 7 /k P%L / 1J/ Applicant's Printed Name Applicant's g . urea Page 1 of 3 ysOs 0�� Cht9 SUB TYPES Foundation Single Family Multi 01 of Plex C/, DO NOT WRITE BELOW THIS LINE Fireplace Garage Deck Lower Level WORK TYPES New Interior Improvement Addition Move Building X. Alteration _ Fire Repair Replace Repair Retaining Wali DESCRIPTION Valuation Plan Review (25%_ 100% ) Census Code- # of Units # of Buildings Type of Construction Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Foundation Before Backfill Roof: _Ice & Water Final Framing 30 Minutes 1 Hour Fireplace: Rough In _Air Test Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: Final Siding Reroof Windows 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 r ,. J MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final l-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 _ EFIS 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 (fllYc9O (Lift v-/cti)-4°'4) Page 2 of 3 f , I- For Office Use Cl.._C %‘..4%. . .• EAGAN • 1 :0. :::: / g0 gr� : ^1 "�D E GEI VE I ate Received: /!� -/ 3830 PLOT KNOB ROAD1 EAGAN,MN 55122-1810 I (651)675-56751 TDD:(651)454-85351 FAX:(651)675-5694 JUL 18 2019 ' Staff: 1 Duildinainsoectionsscitvofeagan.corn 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 7/ig/iq Site Address: y 5 OS 6 0 It Chase R, ) Unit#: Name: 1fli-J YPhone: lic/-A03-5222 Resident/ �11 Owner Address J City/Zip: Lf SD 0 a IL (he R Applicant is: Owner 1,Contractor10 Type of Work Description of work: 132 ' le G7l. . "h• 1c Construction Cost: R J gD Multi-Family Belding:(Yes_.. I No_ ) company:,Company:S-fondard j4)OJ91' ((TYJJfl)/ contact: )<'eIy Ji4icti'i Contractor Address:5 331 Lgiyi 1 r47 d i4t/P f City: City i'j f State:W.J 1 Zip: .542 Phone:-/kg"537- /f 41 Email:rI, "do aiis 1011 License#: B(tors-2 Z. Lead Certificate#: )14 Z/93k- Z 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: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public if you provide specific reasons that would penult the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.cltvofeaaan.comisubscribe. 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. CALL BEFORE YOU DIG. Cao Gopher State One Call at(661)464-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gooherstateawcalt.org I hereby acknowledge that this Information is complete and acetate: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 accords •/a. in the case of work which requires a review and approval plans. X accords ��G slL�'IApp nrs ,, d Name Appi(e ant's gnature /. gO V DO NOT WRITE BELOW THIS LINE6-0 ClIgi ehrt<�C qc:f . SUB TYPES _ Foundation Fireplace _ Porch(3-Season) — Exterior Alteration(Single Family) 4 Single Family _ Garage —. Porch(4-Season) — Exterior Alteration(Multi) _ Multi — Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of—Plex Lower Level Pool Accessory Building — WOBK TYPES „_ New Interior Improvement __ Siding Demolish Building* _ Addition ____ Move Building — Remo? _ Demolish interior -4 Alteration Fire Repair Windows _ Demolish Foundation _ Replace _ Repair _ Egress Window _ Wate Damage Retaining Wail 'Demolition of entire building—give PCA handout to applicant DESCRIPTION ' 2 Dal Valuation ♦ Occupancy ;re(( I MCES System Plan Review Code Edition /yin 201 SAC Units (25% 100°/ ) Zoning r. City Water Census Code Stories Booster Pump #of Units _ Square Feet PRV #of Buildings Length Fire SuppresSion Required Type of Construction 113 Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: - Footings(Deck) - Final/C.O.Required Footings(Addition) ..g.. Final!No C.O.Required Foundation Foundation:Before Backfill HVAC Service TestGas Line Air Test Hood Roof: Ice&Water Final Pool: Footings Air/Gas Tests Final Framing 30 Minutes 1 Hour �0 Drain Tile Fireplace: Rough in Air Test Final Siding: Stucco Lath Stone Lath Brick EFIS - insulation Windows - Sheathing Retaining Wall: Footings Backfill Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In+Final Braced Walls Erosion Control - Shower Pan Other: Reviewed By: %D ""1C "/," ,Building Inspector RESIDENTIAL FEES Base Fee J` 1 et 1 Fe Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2of3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA165989 Date Issued:12/04/2020 Permit Category:ePermit Site Address: 4505 Oak Chase Rd Lot:2 Block: 6 Addition: Oak Chase 1st PID:10-53500-06-020 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, Mark Anderson at (952) 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 - Matthew T Mikulski 4505 Oak Chase Rd Eagan MN 55123 (651) 503-5228 Controlled Air 21210 Eaton Ave Farmington MN 55024 (651) 460-6022 X253 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA175097 Date Issued:03/11/2022 Permit Category:ePermit Site Address: 4505 Oak Chase Rd Lot:2 Block: 6 Addition: Oak Chase 1st PID:10-53500-06-020 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 - Matthew T Mikulski 4505 Oak Chase Rd Eagan MN 55123 (651) 503-5228 Controlled Air 21210 Eaton Ave Farmington MN 55024 (651) 460-6022 X253 Applicant/Permitee: Signature Issued By: Signature