4543 Oak Chase RdCITY OF EAGAN Remarks Ij"
Audition OAK CHASE 4TH ADDITION _1 Blk 1 parcel
. ? • -
Owner ?? ?s-$tr€et_4543 pak Chase Rnad State Eag
rN ssizs
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
? -
GRADING
SAN SEW TRUNK o?d 1973 210 16 10.51 z 12-27-78
SEWERLATERAL 1974 106.44 7.10 5 63.90 A007249 12-27-78
Sewer Lateral 1974 279.48 18.63 15 167.70 A007249 12-27-78
WATERMAIN
WATERLATERAL ,j 1972 573.72 38.25 15 267.80 A007249 12-27-78
WATER AREA .3 ' 1977 36.96 2.46 15 29.58 A007249 12-27-78
STORM SEW 1972
STORM SEW W Trunk t ti
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
9UILDING PER. ' 1014179
sac 525.00 1014179
PARK
CITY OF EAGAN
AGdition 7AK CFiASE 4TH Lot 1 ' elk Parcel 10 5350-V 010 01
ownerStreec 4543 Oak Chase Road state Ea an, MV 55123
.i ? ib lp7l8l-. - 4? 1131, ?
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN 5EW TRUNK A007250 12-27-78
SEWER LATERAL V,00 9 43 A007250 12-27-78
Sewer a ral / 1979 305.20 274.68 A007250 12-27-78
WATERMAIN
WATERLATERAL 1979 1199.29 119.93 10 1079.37 A007249 12-27-78
WATER AREA .0- 1979 8.72 .87 10 ],$$ A007250 12-27-78
STORM 5EW TRK 1979
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
5AC
PARK
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
19
RECEIVEO
FROM
AMOUNT $ I
dt DOLLARS
?oo
? CASH E] CHECK
i
KOR _ - .? . FUND CODE AMOl1NT
i
1
I
/
Thank You ?
B Y
i
White-Payers Copy
i Yellow-Posting Copy
k? ?? e : Pink-File Copy
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ';? tip
Eagan, Minnesota 55122-1897 Date Issued: ?(651) 681-4675
SITE ADDRESS: APPLICANT:
;.. 1
? , ,r a?c? , ,..
?
?
PERMIT SUBTYPE: TYPE OF WORK:
. ?. , ntk
PermR Holder Date Telephone #
SEWER/
WATER
PLUMBING
HVAC
Inspectlon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING 11'.S'pS
!
ROUGH
PLUMBING
PLBQ
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FlNAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
corvDucriviTv
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
4
CITY OF EAGAN
x 21
n
3830 Pil
d
P
B
199
E
MN 55121
t K
b R
O 1,72?,,?/? ,?
? 1t? ?4
i
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o
no
,
.
-
,
aga
,
na
.
o ;?;
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PHONE: 681-4675
BUILDINCa PERMIT
II
SE
E Receipt #
If
NT
A
Tobeueedtor ' FINiSH Est.Value
Date
Site Address 4543 QAK CMASE ED
OAtt. CNASE 4TH
L
t I Blo
k Z S
/S
b OFFICE USE ONLY
o
c
ec
u
. FEES
Parcel No. ocu,pancy
Z
i BWg
' Permft
Napg J IM & JANFT /INDERSON -
on
ng
(Actual) Const ?
Suroharge •'?o
cc
w
AddfeSS ?+543 bAK CHASL RD
(Allowable)
-
plan Review
Cay LAGAN ![N ZP 55123 e? h`o`ies ? ucerBe
0
Phone _456-3506 (JIM) OA 452-3490 (H) Depth - SAC, cicy
? Nal11e SA?,qE S.F. ToEal - SAC, MCWCC
S.F. Footprints
? Address On Site Sewa
e Water Conn
`
g
Cjty zip On 5ite Well Water Meter
?
Pf10f1@ '
MWCC System
Accl.6eposit
S _
City Water
Vceme # PRV Aequired - S/W Permit
I hereby acknowlege that I have read Ihis application and state that the Booster Pump - gMr Surcharge
iniormatian is correct and agree to comply with all applicable 5tale ol
Minnesota StatuteS and City of Eagan prdinances. Treatment PI
Signature ot Permitee APPROVALS Road Unit
A Building Permit ia issued to: "iM OR JANET ANDERSOx Planner ? park Ded.
on the express condition that all work shali be done in accordance with all Council ? .50
applicable State ol Minnesota Statutes and City of Eagan Ordinances. Bldg. Ofl. _ Copies
36.00
Building Olficial Variance ? TpTAt
,Permit No_ Permit Holder Date Telephone #
S/VV
PLUMBING
HVAC
ELEc-rRi
ELECTRIC
Mspection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Pibg. S -?9 -
Rough Htg.
Isul.
Freplace
Final Htg.
Orsat Test
Finai Plbg. Plbg. Inspector - Not'rfy Plumber
Const. Meler.
EngrJPlan
Bldg. Final
Dedc Ftg.
Dedc Final
weu
Pr. Disp.
CITY OF EAGAN
3795 Piler Knob Roed Sagan, MN 55122
• ' PHONE: 454-8100
BUILDING PERMIT Receipt #
Te be wed for Est. Value Date
Site Address ' . ? . _
lot BI«k Sec/Sub. `
Porcel #
cc Name
W
, Address
..._ . . rl?.to:. ?,_ -- 884- s3b5
O? Name
d Address
Nome ? ngtan
Address a bov .:'
I hereby ncknowledge that I have read this appiication and state thot
the Informotion is correct and agree to tomply with ell applicoble
STote of Minnesota Statutes and City of Eagan Ordinances.
Assessment _
Water & Sew.
Pol ice
Fire
Eng.
Planner
Courtcil
Bldg. Off. _
APC
Permit
Surcharge
Plan check
SAC
Woter Conn.
Water Meter
Total
Signcture of Permittee I
A Building Permit Is issued to: on the express condition that
all work shall be done in accordance with all appiicubie State of Minnesota Stotutes and City of Eognn Ordincnces.
Building Offitiol
N9 5444
7'
Erect ? Occupancy
Alter ? Zoning
Repair p Fire Zone
Enlorge Q Type of Const.
Move ? # Stories
Demolish p Front ff.
Grade ? Depth ft.
Approvols Fees
PMnM # pete Iwwd FMwHtN
Plumbing
Mechant?al // 5-T7 -7
(? L) l6 -14,-
_QL - - ?r
INSPECTIONS DATE INSP• Raqh-In Ffnd
Footings Date Inap. Dote Inap.
Foundation Plumbing c ? Qrt'
Frnme/ ins. Mechanirn I
Final
Remarks: / Z7/s' 71 ? I?G?
ll e `
I`/Y_10 0-,7 *? irc•o"y
diAMi?,? ?DirTs ?T /?t,Tj?w/1t ?./
? ??t?? ?vx.M )h ?O`wt? dnd*r /or.rrf?,
y
ars ?/«r ra?,?atd
?t ?i ?s Ca?? r?? rn ?sPlaced jo 1^SPQC7l
--`_
aF IEAGaN
Pilof Knob Roud
MN 55122
to eomply with the Cily of Eogoe Connection Chorge:
iaes. Account Deposit:
Permit Fee:
Surcharge:
Misc. Charges:
? Insp.: Total:
Date Paid:
Pilot Knob Road
MN 55122
I:
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units: -
WATER SERVICE PERMIT
PERMIT NO.: -
DATE: - ? `
No. of Units: ?
Idress: R,Ofld Ll 21 UF` 4f_!1
r:
No.: Connection Chorge: •?n ?'??'
Account Deposit;
No.: _ Permit Fee: f, r, • ?'?' =le
to comply with the Ciryr oF Eagan Surchorge: --•{` ne
ices. Misc. Charges: 61? • 00 -"`' "'ete
Toral:
Dote Poid:
of Insp.:
CITY OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota 55122
` Phone: 454-8100
YIU$ HEATING
PERMIT
Dote:
Il/5/79
Site Address: 4543 Oak Chase ROd,d
''?--
Lot ! Block Sub/Sec.i.?d-~??
Neme Z'nibilt InC.
e Address 9001 E. n looming ton ^wy .
3
O
City B1Qomingt'on Phone:
I*lame Seasonal Control Inc.
.
P Address 7620 Lyr?dale Ave. So.
C
O
V
City _ Phone:
This Permit is issued an the express condition that all work sholl be
Minnesota Statutes ond City af Eogon Ordinances.
coMsvsTiox ARR REQviRsa
No.
1611
'_G ?6?
Receipt No.:
Single
i
?
Resident
ol
Multi Res., Comm./Ind. I
New/Alter./Repair.
360Q.O;:
Cost of Instollatian
2s?.0(}
Permit Fee
5urcharge
•. • • , v
TOYQI
done in accordance with oll applicable State of
Building Official
CITY OF EAGAN
3795 Pilot Knob Road
Eagan, MinnesoM 55122
Phane: 454-8100
r-SL
MIwl PERMIT
Date:
5ite Address:
Lot Biock Sub/Sec.
Multi Res., Comm./Ind. I
'' ?i•L' ,'.
Name New/Alter./Repair. ?
3 Address Cost of Installation
? :`.0. `'?' `
City Phone: Permit Fee
'?k?villje PL}?c7. • c?
Name Surcharge
.p
Address
e
(0 . . • , . ' t" r";1? ". .? "' '->: ? .'.
City Phone: - Totol
This Permit is issued on the express condition thot all work shall be done in accordance with oll applicoble State of
Minnesota Stotutes ond City of Eogan Ordinances.
No.
15?_8
Zr"M
Receipt No.:
Single
Residential
Building Official
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan,MN 55121 ????0093
PHONE: 681
BUILDING PERMIT -4675 Receipt p D r ? ? b?
?
SEMENT
To 6e used tor . FI
Est. Value Date FF.R 1 1 , 1992__
Site Address 4543 OAK CHASE RD
Lot 1 Block 1 SeGSub. OAK CHASE 4TH OFFICE USE ONLY
FEES
P8tC81 N0. Occupancy -
35
00
Z
i .
&dg. Feimit
on
ng _
N2ffle JIM & JANET ANDERSON (Anuaq Const - SurctuMe .50
w p,ddress 4543 OAK CNASE RD (Allowabte) _ Plan RevieN
? (;j(y EAGAN MN Zjp 55123 L n9 h?ories = ?m
Phone 456-3506 (.TIrt) OR 452-3490 (H) DBOIh - SAQ City
? Name SAME S.F. Total - SAC, MCWCC
S.F. Footprints
? Address On Site Sewa
e Water Conn
_
g
Qity 7jp On Site weil water Merer
?
Ph0f18 =
MWCC System
AccL Deposit
? Ciry water _
VcefISB # PRV Required - S/W Permit
I hereby acknowlege Ihat I have read this application and state that Ihe Boosler Pump - Srw Surcharge
information is wrrect and agree to comply with all applicable State ol
Minnesota StaWtes arfd'CN of Eagan Ordin
nces. Treatmenl PI
ee '?
Signalure of Permit APPROVALS Road Uni[
JIM OR JANET ANDERSON
A Buildinq Permil is issued to:
Planner -
park Ded.
on the express condition Ihat all work shall be done in accordance wilh all Council -- 50
-
applicable State of Minnesota Statutes and City of Eagan Ortlinances. Bmg. Of(. _ CoPles .
BuildingOflicialT• i ??,If? ? rn/I Vanance _ TO7AL 36.00
ciTr oF Ea"N
3795 Pilet Kneb Road Eagae, MN 55122 N2 5444
PHONF: 454-8100
BUILDING PERMIT APPLICATION Receipt #
$83,000.
To 6s ured ioe SF Dk*Lg. Est. Value pme OCt. 4. , 1979
SiM Address 45 41 OAk C.hace RA _ Erett ? Occupancy R3
Lot 1 Block 1 Sec/Sub.Oak Chase 4th Alter ? Zoning
Parcel # 10 53503 010 Ol Repuir ? Fire Zone 3
l
E t
V
T
f C
n
arge ? ons
.
ype o
rc Nome lln 4 hi 1 t Inc- Move ? # Stories
z qdd,ess 9001 E. BLoomin Aton FWY #118 pemolish ? Fmnr bo h.
C_ Bloomington Phone 884-3365 Grade p Depth 5n fr.
p N Approvals Fees
Zu0
F
ame _
Address
Same
Name John Svmington
Addrett Same as above
I hereby acknowledge thot I have read this application and state thot
the information is correct and agree to comply with all applicable
Stote of Minnesoto Statutes and City of Eagon Ordirwnces.
Signature of Permittee
A Building Permit is issued to: _
all work shull be done in accordance
Building OffiNol
AsseSSment _
Water 8 Sew.
Police -
Fire
Eng.
Planner -
Council _
Bldg. OFf. _
APC
Permit 190_00
Surcharge 41.50
Plan check 95.00
SAC 525.00
Water Conn. 270,00
Water Meter 60.00
Rd IUnit.p 75.00
,
Taal 1256.50
_ on the express rnndition that
ond Cfry of Eagan Ordirwnces.
Minnesota State Board of Electricity
79b4 University Ave., St. Paul, Minn. 55104-Phone 645-7703
^ REQUEST FOR ELECTRICAL INSPECTION
?CH?CK BELOW WORK COVERED BY THIS REQUEST
/ G 7-s` /
P 93758
Type of Building Ne Add. Rep. Check Appliances W'ved For Check Fquipment Wimd For
Nume ? ? Range ° ? `{? Tempoxary W'ving ?
Duplex ? ? ? Water Heater ? Lighting Fistures ?
Apt. Bldg. ? ? ? Dryer ? Electric Heating ?
Commercial Btdg. ? ? ? Fumace O Silo Unloader ?
Industrial Bldg. ? ? ? Air Conditionei ? Bulk Milk Tank ?
List L
ist
O hex ? ? ? p
Heie?s? p
Hehers?
COMPUTE INSPECTION FEE BELOW
Se?vice Enhance Size: # Fce Feeders&Subiceders: # Fee Circuits: # Fce
0 to 300 Am s. 0 ro 30 Am eres 0 to 30 Am eies
101 [0 200 Amps. ? J O"? 31 to 100 Amperes 31 to 100 Am eres
Above 200_Amps. Above 100 Amps Above 100 Amps.
T:ansSo[mers RemoteControlC'uc. Pa?tialoro[herCee 0
Signs Special lns ection Minimum Cee $5. "-v
Remarks ? TOTALFE ,?
42.5
I, the Electrical [nspector, hereby certify
(Final)
This request void 18 months from
beenm? i-5o
e ?/ 7?ZS," vfT ?"
? .'?. /?-
This request void 18 months from'??'S'? -?'f•?1 CJ'L-' ? /,? y??---?
/
P 93758
Da+e of this Request November 2, 1979
I, as M Licensed Electrical Contractor ? Owneri do her eby request inspection of the above electri-
cal wiring installed at:
Ea an
Street Address or Route No. 4543 Oa k ChdSe Rqdd PitY
Section Township Range County DdkOtd
Which is occupied by Un 1 bt 1 t, I n C.
(Name of Occupant)
Is a roughin inspection required on this job? No ? Yes EX. Ready Now ? Will Call ?
Power Supplier R0d ROCk Address
A 38545
ElectricalContractor Chdnhdssen Electric Inc Contractor'sLicenseNo._
(Company Name)
MailingAddress Boxr40 Ghanhaccan Mn qF417
Authorized
CJwavE MARD COPY
No. 474 5431
king ThIS Installatlon)
This inspection request will not he accepted hy ffie
State Board unless proper inspection fee is endosed.
This request void 18 months from ?!O
Date of this Request Octo ber 16, 1979 P, 93750
I, as fN Licensed Electrical Contractor 11 Owner, do he,reby re uest inspection of.the above electri-
cal wiring installed at: ,:-?,G? U? ?i/??? ?
?
Street Address or Route No. ?? 4543 Oa k Chase Road Eagan
City
Section Township Range County Dd k0 td
884-3J65
which;soccupiedby Unibilt, Inc. 0001 E. Blooming on Freeway
(Name o1 Occupant)
Is a roughin inspection required on this job? No ?' Yes C?l Ready Now ? Will CaR
9
PowerSupplier NSP Address Red Rd(YX Rock
Chanhassen Electric, Inc A 38545
Electrical Contractor Cont:actor's License No. _
(COmpany Name)
MailingAddress Box 40, Chanha5sen, Mi
Authorized
`tEIQMIC2L C"dntfactor or ow
SIM WQL3D ON
Phone
This inspectian request will not 6e accepted 6y the
State Board unlett proper inspection he is endosed.
Minnesota State tloartl of hlectncity l
1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703/?v 7? `
-REQUEST FOR ELECTFjICAL INSP2CTION
CHECK BELOW WORK COVERED BY THIS REQUEST P 9 3 7 5 0
Type of Building New Add. Rep. Check Appliances W'ved For Check Equipment Wired For
Home ? ? ? Range ? Temporary Wiring ?
Duplex ? ? ? Watex Heate[ ? Lighting Fix[uxes ?
Apt. Bldg. ? ? ? Dryet ? Elec[ric Heating ?
Commercial Bldg. ? ? ? Fumace ? Silo Unloader ?
Industrial Bidg. ? ? ? Air Conditioner ? Bulk Milk Tank ?
Farm ? ? ? List L
ist
Other ? ? ? Heiets? p
Heiels?
COMPUTE INSPECTION FEE BELOW -,
Semice Entrance Size: it Fee Feedeis Sutifeedeia: # Fee Cvcuits: n Fee
0 to 100 Am s. 08 oiet 0 to 30 Am exes
101 to 200 Amps. 31 ? mperes 31 to 100 Am res
Above 200_Amps. A Amps. Above 100 Amps.
Transformers R mote Convol Ctire. Partial oi other Cee
Signs ?Special lns ction Minimum fee $S
Remarks
Temp Service TOTAL FEE J
,j. 6. ??
I, the Electrical Inspector, hereby certify that the above inspection has been made:
(Rough-in) f Date
(Final) Date
This request void 18 months & ' ?
REQUEST FOR ELECTRICAL INSPECTION
? See insVmRions lor competing tris lorcn on peck of yellaw copy.
O 7 q. O 4 "X" Below Work Covered by This Request
t :T4?, EB-0OW1-08
e Ad6. . p_ .., TypeofBuilding Rppliance?4Vired EquipmentWiretl
R Home Range Temporary ServiCe
Duplex Water Heater Electric Heating
ApL Building Dryer O[her (Specify)
Comm./lndustrial Furnace
Farm Air Conditioner
Other(spacify) CmVactor5 Rematks:
Basement Finieh
Compute Inspec[ion Fee Below:
# .. Other Fee # ServiceEntrenceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps a to 700 Amps
Ransformers Above 200 _ Amps A 10 Amps
Signs lnwector5 Use Oniy TOTAL
trdgation Booms 32 ' 30. 50
Special Inspection
AtarmiCommunication THISJNSTALLATION MAY BE ORDE ISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO S
I, the Electrical Inspector, hereby
i Rough-in Date
l G
cer[
ty that the above inspection has
been made. Finai oeie
0of
OFFICE USE ONLY
This request voitl t8 monihs (rom
?? o°
4 i ?
J
Fequest Date
1-23-92 Firs No. Rough_in Inspection
ui?ea%"
.? Yes C] N. yy
? Reatly Now 0'RIRTlolily Inspeciw
When RaeUy4
,?licensed contractor ? owner hereby request inspection of above electrical work at:
Job Adtlress IStreel, Box or Raute Na.)
4543 Oak ehaee Rd. City
Eagan
Seclion No. Townsnip Name or No. Range No. County Dako ta
OccuOantIPF39mes Anderson (3tew Spacea PhoneNO.
452-3490
PawerSuOPlier Atldr¢ss
Eleancal Contmctor lGOmpan Name)
?urnsville Electric Contractor5 ?kgn?066
?f
Mailing Adtlress (Gonhaclor or Owner Making Inslallation)
117 Belmont Rd. Apple Valley, MN 55124
Autnou MCOnb honOwn r aking Instailation) Phone NumEer 688-6002
MINNESOTA STATE BOAHD OF ELECTflICITY THIS INSPEGTION REpUEST WILL NOT
Grlpge-Mitlway BIGg. - Room 5-173 BE ACCEPTED 6V THE STATE BOAPp
1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Vlwne(612) 61 ENCLOSED.
CI'PY OF EAGAN Ixclude 2 sets of plans,
1 site plan w/elevations &
BUILDING PERhIIT APPLICA 0N 1 set of energy calculations.
-
$.? a C]
D
t
G-11 r 7 1
7b Be Used For i Valuation a
e
x
Site Pddress: OFFICE USE ONLY
Lot I Biocx ? sec./sub. Kviall? Ficect occupancY ?Q3
Parcel #?D QcC? i?'f5 }J ? Alter
Repair Zoning
Fire Zone
Owne o?
51o Enlarge - TYIe of Const.
r: . . Nbve # Stories e2
.T+3dress: qG?l ?.(?J?OOrnifl tsF?u ??I? Detmlish Front /e) ft.
City/Zip Code: i n 0"M A) - e?-/ O Grade Depth 6t ft.
Phone #:
Contractor:
Pddress: a??
City/Zip Coc1e'
Phone #:
Arch./Ehg.:
Pddress:
City/Zip Code• • u
Phone #: u .
APPRUUALS FEES
i? 4F?
?
Assessments . .
7 Pexmit J?O
Water/Sewer Surcharge ff yi -
Police Plan Check?
Fire SAC •??'?
giq, water Conn. a)a
Planner Water.Meter ?
Council 1t?d Unit 7s
Bldg. Off. o •1?
APC
?
?. /
k?`
AL
5?76 ?
6 ° 31____ y?-°
7??60
S 0 ?
?,?z6 a
UNDE LANQ SURVEM
., cncT sLOOMINGTON FREEWAY
Surveyor's Certificate
%
Q
. =;'` .OO
LOT
\\
, F
?
Survey For: UNIBILT, INC.
? M EDWARD H. SUNDE
INC. REG?STERED LAND SURVEYOR
. 6LOOMINGTON, MINNESOTA.55420 • 81
Top of iron pipe = - 833.2
1[0
I
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V
.?
I a
? -
?
lm N 83 70
?
?
W
30
u
0
=d
N r
? O
w 0
C N ? LA
? W ?. ....._ n
?Y
f0 ^-?' /
Q? op of Iron Pipe =? 1
/?' ?38.11 843.6
isaz1
?
\ I
TI
N
P
O
PROPERTY DESCR
Lot 1, 61ock 1, OAK CHASE FOURTH ADDITION, according
Dakota County, Minnesota.
* Proposed garage floor elevation = 841.6
* Proposed front house entry elevation = 843.2
* Proposed top of block elevation = 842.0
* Proposed basement floor elevation = 834.4
* The proposed elevations and proposed house
location are subjeet to review and change
by the City Engineer, Buildin9 Dept.,
developer and owner. Proposed grades and
house location which are approved by the
City are final.
ry
G /'Y i V
AP AF? np/ r
BY____?_-?._ _
to ?N9??'ecn.r.?ed p at hereof,
a
m
LL
O
?
6 11
L
U
C
?
N.
rt
U
We hereby certify that this is a true and
correct representation of a survey of the
boundaries of the land above described
and of the lacation of all buildings, if
any, from or on said land.
Dated this 17th day of September 1979.
SUNDE LAND SURVEYING, INC.
ev : ?-? N .
Edward H. Sunde, R.L. . Reg. No. 861
. W.O. 287-79 52/35 Survey for: UNIBILT, IfIC.
SUNDE LAND SURVEYING, INC. EDWARD H. SUPIDE
REGIST6HED LAND SUHVEYOR
9001 EAST BLOOMINGTOM FREEWAY (35W) • BLOOMINGTON, MINNESOTA 55420 • 612-8$1-2455
Surveyor's Certicate
LOT I
\
Q \
/.
O \
\
Top of iron pipe =
? 833.2 =
?
8348 ?? ?
i
?
?-
? Z38.11
-t-
i
PRpPERTY DESCRIPTTON
Lot 1, Block 1, OAK CNASE FOURTH ADDITION, according
Dakota County, Minnesota.
* Proposed garage floor elevation = 841.6
* Proposed front house entry elevation = 843.2
* Proposed top of block elevation = 842.0
* Proposed basement floor elevation = 834.4
* The proposed elevations and proposed house
location are subjeet to review and change
by the City Engineer, Building Dept.,
developer and owner. Proposed grades and
house location which are approved by the
City are final.
v
?
?
7C °
?30 -? e-43.a eaa.s u
50
u
a ?
?io - ?
0
y? N
1 ?$ ro
01 g
; '.'•,' ::io : .'?'a i ?
z3-?- ,r
Top of Iron Pipe =? 1
543,6
r)
iEAV AN
%APPR v
B T? nrded p at hereof,
to ?19 ,
We herehy certify that this is a true and
correct representation of a survey of the
boundaries of the tand above described
and of the lpcation of all buildings, 9f
any, from or on said land.
Dated this 17th day of September 1979.
SUNDE LAND SUR4EYIN6,. INC.
BY : ? h1. .?-•-+----•
Edward H. unde, R.L. . Reg. No. 8612
>1
V
?
?
d E
01 N
?6 N
G 'B
•r W
R
? ?
W.O. 287-79 52/35
SUNDE LAND SURVEYING
9001 EAST BLOOMINGTON FREEWAY (3°.
Surveyor's Certicate
in
Survey ror: UN161L1, i;?C.
EDWARO H. SUNDE
OMINGTaN, MINNESOTA 55420 • 612-887-2455
i
Top of iron pipe = -`-=?I?e
c 833.2 . 3?O •
cp , 30
?y72 f?? ? '? ??
,
,
i ? /-
- 0892• tA i-
??, ? LOT I
i\
?
Q \
c
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=
u
N
?-
Y
oD G
E 83
a?
rn ai
c rt `?1
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,
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,
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io -
' =4
1 ?$
1 p V
?Lo :- .
--?? ?
Top of Iron Pipe =
f 843.6
I / r7
-- ,,?-'
1
\ PROPERTY DESCRIPTION
`
Lot 1, alock 1, OAK CHASE FOURTH ADDITION, according ta the recorded plat thereof,
Dakota County, Minnesota.
* Proposed garage floor elevation = 841.6
* Proposed front house entry elevation = 843.2
* Proposed top of block elevation = II42.0
* Proposed basement floor elevation = 834.4
* The proposed elevations and proposed house
location are subject to review and change
by the City Engineer, Buildin9 Dept.,
developer and owner. Proposed grades and
house location which are approved by the
City are final.
,4?H?
v
S LL ?
? °v
L a
U
?
U
N
We hereby certify that this is a true and
correct representation of a survey of the
boundaries of the land above described
and of the location of all buildings, if
any, from or on said land.
Dated this 17th day of September 1979.
SUNDE LAND SURVEYING, INC.
BY :
Edward fl. unde, R.L.S. Reg. No. 8111
EX'CERiOtc CNA'F.LOYP. ANI:EZIGB ^U° CO2ll'U'TATION
(To be submitted caich building permit application)
one or two family dcaelling--_ All other
Site Address
c? -
Contractor ? ?f1 i:7h I Date `-4 Phone
LINEAL FT. OF
tiXPOSED WALI, + + + + + + -F x ft. above grade =
- - - - -
? TOTAL EXPOSED WALL AREA SQ. FT.
OPAQUE WALL CONSTRUCTION: "0" value x area
Detail reference
from
attached sheets
sq. ft. ??'7 =??. r?l (U) (A)
sq. ft.?__= (U) (n)
sq, ft. JSIn = 75, 5b (U) (A)
sq. ft. /w!1 1 ,QJ (U) (A)
sq. ft. iN0 = A. L-6 (D) (A)
sq. ft. !:)06 _ 142.a75 (U) (A)
sy. ft. _ (0) (A)
WINDOWS: "U" value x area
Make & type 'Ja6A I)ji(IC) Ckjo;S ??U"_L?- _x sq. £t. (U) (A)
o n nu° x sq. It. - (U) (A)
° " °U" x sq. ft. (U) (A)
It 11 Plul. x sq. ft. _ (U) (A)
DOORS: "U" value x a ea .
Make & type sq. ft. (U) (A)
sq. ft. , 7 .(U) (i1)
? Plu I x sq. ft. _ (U) (A)
TOTAL S r,<.70 5q. ft. (U) (A)
LUES
TOTAL (0) (A) VA
AVG. lt?
U
DIVTDED BY TOTAL WALL AREA 'y
s`ds
AVERAGE "U" .17 or less for 1& 2 family dwellings
.22 or less for all other buildinga
ROOF/CEILING:
TOTAL AREA: sq. ft.
DeCail reference "U" •'-,. --x sq. ft. (U) (A)
from "U" x sq. ft. _ (U) (A)
attached sheets "U" x sq, ft. m (U) (A)
Describe openings "U" x sq. ft. ° (U) (A)
in roof "U" x sq. ft. - (U) (A)
TOTAL (U)(A) VALUES
DIVIDED BY TOTAL R0I
CEILING AREA
AVERAGE "II" .OS
.10
TOTALS Sq.
)F/ AVG. ??U"
? v
for ventilated roofs
for all other construction
ft(U) (A)
NOTE: If average "U" values as calculated above do not meet the Energy Code requirpmenta, Che
"Alternate Envelope Design" as outlined in SBC 6006(g) may be used. Additional sheets
may be used to show calculations.
WAS.?'J V I f
. FIG. ; 1 TO?VTE;.J. O_
Fii::ti:i I'i.aLL
-1L 1SG,;L
-3pSeral
.- •.r . t7a 1 l
._'
? ?,'?_ • ,
aG. #3
?? c• G ` ? ?
. ?s_ .
. ? " • ? l • ?
? • ? ?
Total -
', ?z3,4b = •o?
.1. Interior air film 0.68
?b ? +F(:L(r:t1('ie
S7r?-Gpcanj
6: Exterior air £ilm_ 0.17
.. . . •. , Total
.
. . . . . . . ? ? 6 - ! . ' `?.
? . ?
6)"7;3 Oii C:ill?.D _
ICunscru.:tion Value
1. Tiitcrior air film 0,6$
2. _??"; t.....-IC::.<..
3. inc:hcs soft trood
4.
?_
6. Exterior ?iir film" 0. 17
?OUSIC
A/Af? Total ,
• ,
-
.
?Nr t}IKF1ia r; 19 H? ,.
123$Q?41
e
v ' hc
r c
?
?
y
K?Yie?Rur air, film 0.68
? g
?tf'Y? • ? ;?.
3
!!
•
, <.
6.. Pxterior air film 0.17
x Total ti:
i° A$Lf(at((Y? C-?'i i . ,0
x?+i t C J"
!?. ?d : , 0 5
' ri?w •??
'
Gi
i
- •1. n erior air ? m 0.68
2.
3.
? 4.
?
S.
o.
< Crf?-?T'F-?r! 'x
. - ?, .
• 'r? ? ? a • . .
")'
??{ ? . • . • `•• ? ' `?(fff r
rzc. ;n M k • p
'E' /((
S70T1:: Indicate type, "R"'valuc, depth and
placenent of xmulation.
/ -^,? Z /i -•?
('-?
vTi??
. ,
/
? .
r
. Vented ?? ( Heae flo:;
u I,
FIC. tS
.. N1• Jn!4P?.?.??_??Tp?!r;`?f?...??-..:-f.nt<.i_rx???
1 Rea[ fSov) up . ven[ed
, _YIG. 1?6. ... .. . _
- 1:0\-",^I? .'
}Icnt .
? flov up - , •
F7 ,. C•? , ..
v
Cunstru::Cion ' R-Va]uc-
1 7uCcrior a+_r fi.ln 0.61
-- -- -- -- --
2 ,-
3
4. F til.l) 0-bT
Total
1. lnterior. ci.r ril.m 0.61
2. ?
3. ? -
4. Er.ter_.C'-:0-Pi.r fi].m. (?cii1 ?.ut
1. Inside air film 0.61
2. 's.
4.
5. Outsid3 air film D.17
Totai
Note: Usc additional sheets if nore spaCC i
. necde3 for details and calculations.
• .
PHONE434.Bf00 11
CITY OF EAGAIV
9796 PILAT KNOB ROAD
EAGAN. MINNESOTA
ss+sn
December 15, 1977
Ms. Norma Marsh, Depaaty County Auditor
Dakota County Court Houae
Hastings, Minnesata 55033
Re: Lots 1& 2, Block 3, Oak Chase 1st Addition °
Lots 1& 2, Block 4, Oak Chase 1st Addition -
Lot 1, Block 5, Oak Chase 1st Addition -
Dear Norma:
nvLJ
olo ? °ZO -"(
b C , y kt-.
The Eagan City Council at their meeting o£ Decemher 13th
has approved the cancellation of the delinquent assessments
including the year. 1977 on the above referenced lots in
Oak Chase 1st Addition.
Please send us a list of the delinquent payments so that
we can respread them.
Thank you for your cooperation.
0ery truly yours,
; (Mrs.) Alyce Bolke
Clerk - City o£ Eagan
AB/jkk
/- S
G'a/? ?/la 5? I SF?
/
e
:9 ?i
S-'l 0), v 0
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MPT 55122
Telephone # 651-675-5675 FAX # 651-675-5694
NewConsVUCtion ReaulremeMS RemodeVReoair Rwuiramenis
3 regislered site surreys showing sq. ft of lat sq. ft of house; and all roofed areas 2 copies of plan
(20%madmumlMaverageallawed) lsetofEneryyCalcuW6onaPorheateCadtlitions TreeP2s?-PlanReal _Y
2 copies o( pWn showing beam & wiMOw siaes; pouretl (ouM design, etc. 1 sM survey for additlons 8 decks 7ree PrasRaquved'? "--Y-k-' N
lselofEner9yCakvlatlons Addfion-indicateifon-sitesepticsystem OnsikSeptlC$ystem -;?:;_Y-*_I?
3 coples of Tree Preservetion Plan If kt platted afler 711193
Rim Joisl Defail Optans seleqion sheet (bldgs with 3 or less unib
on Cost 33 1?
Constructi
J'?
?
Date 1?_
?
c
Site Address ` 1
UnitlSte #
Description of Worktzr On,C D 1^7C?."R ? 1??0'r l JJ h 1'l ? k-," ?l 1 ifl Q?n?(l?
Multi-Family Bldg _ Y X N Fireplace(s) _ 0 _ 1 _ 2 ? ` U
PropertyOwner ?? (Y? And-ec so r? Telephone #(a5;b4Sa- /0
RENEWAI. BY ANDRSEN '
Contrector 1920 COUNTY ROAD "C" WEST
Address ROSEVILLE, MN 55113 City
State 65I-264-4777
LICENSE #20130983
Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residen6al Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission lype) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously consiructed a building in Eagan with a similar plan8 _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Telephone #(
Mechanical ContracTor
Sewer/Water Contracior
Telephone #(
Telephone #(
I hereby apply for a Residenrial Building Permit and acknowledge that the information is complete and acwrate;
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.
pplicant's Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
.? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace O 21 Porch (3-sea.) ? 31 Ext. Alt - Muiti
? 03 01 of _ plex ? 09 07-plex ? 17 Garege ? 22 PorcNAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex O 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement "Demolition (Entire 81dg) • Give PCA handout to applicant ,
Valuation Occupancy MCES Sys[em
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Foorings(deck) _ FinaUNo C.O.
_ Foorings(addirion) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof Ice & Water Final _ Pool _ Ftgs _ Air/Gas Tests Final
_ Framing _ _ Siding _ Stucco _ Stone _ Brick
R.I. _
Fireplace A'u Test _ Final _ Windows
_
_
Insulation _ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MCIES SAC
Ciry SAC
Utility Connection Charge
S&W Pertnit & Surcharge
Treatment Plant
License Search
Copies
Other
Totai
Building Inspector
??,..<,s..•,,. ?uv ia.vo rm 104 ait •4480 lit51YlSrtAL Sl°dttUlSt47ffi4
Ina .
,mo,aa,. .
hna'?, 200l
3836 Pitcrt Sttob Itoxa
Be8an, MN 55122
To Whom 7t 1VIay Concern:
Etder 7ones ie auttr,oriz,¢d tA pUU bttiIding permlts for Renewal by Aaden=L Picase a1low
F1der ]onos to provido this sor'vic;c for ns in Boal. Illut
date eud?arizetibn i5 valid for eny
beyond 616101: uutii a?nv? by
to theCity ??tt ?? ?Y ?vokas ft in wxitia¢
_
Ifcqu °t' °?bO accepted e?cpediflously. av to noE detay in the grocrssingo f
out bail ' Y. zthcr. Flcaac caII mc lf thcro arc nn
cantacted at 763-502-470b_ Y 4R?igna.. I can bc
_ 6:
Your immpdiate attcntion to Qiis matter is aLSd? •
Sintiete,ly,
Kadond R Rau
on Manager
Ranowal by pndmcn Corporatioa
C:c: Karn-F.Itie.r Tnne_a
Qff ON?, ?C?AMAL
MY M1ru?eqft
. ?CS`r°"?r.ha.n,?
.
wuu:
Received Ti-me Jun. 7. 1:01PM
PERMIT
-CIY'Y OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(651) 681-4675
PERMITTYPE: su7LozNG
Permit Number: 0 3 3 8 5 8
Date Issued: 10 / 2 9/ 9$
SITE ADDRESS:
P.I.N.c 10-53503-010-01
DESCRIPTION:
STORM DAMNGE
REPAIR
434 ALT. RESIDENTIAL
i •
v ?..-V?\ J . _ _ •_
Bu3'7.din?-Permit Type
B6i3.dir?g Wo'r?k Type
,Gensus Code
,
f
,. }
I
? i
...? i.. ?-
.,.-?1,'0i
,
4543 OHK CHASE RD
LOT? 1 BLOCK: 1
OAK CHflSE 4l'H
T.Q. & REROOF
REMARKS:
FEE SUMMARY:
CONTRACTOR: - Rpp7-icant - ST. ?IC. OWNER:
MT.LLS CONSTRUCTION 19255851 20036375 ANDEft50N JIM
4437 ANDOVER ROAD 4543 OAK CHASE RD
EDINA MN 55435 EAGAN MN 55122
(612) 925-5851 (651)452-3490
I hereby acknowledge that T have read this application and state that the
information is correct and agree to comply with a11 applicable 5tate ot Mn.
Statwtes and City nfi Eagan prdinances.
?
APPLICANT/PERMITEE SIGNATURE
?
? uEO er. siGNnru E '?
, 1998 BUILDING PERMIT APPLICATION (RESIDENTIAI.)
CITY OF EAGAN
3830 PII.OT KNOB RD - 55122
681-4675
New Construdion Reauirements
? 3 registere0 site surveys
? 2 copies of plans (inUude beam 8 window sizes; poured fntl. design; etc.)
? 1 energy plalations
• 3 eopies of tree preservation plan H lot platted aRer 7/1/93
required: _ Yes _ No
DATE: L C] ^ a> - °I -3?,
DESCRIPTION OF WORK: I-2 d`-
STREETADDRESS: y,S
LOT: ?
RemodeVReoair Reauirements
• 2 copies of plan
? 2 sfte suneys (exterior addkions 8 decks)
? 1 energy ralculations for heated aOdkions
CONSTRUCTION COST;
9
? yV`
bU
BLOCK: I SUBD./P.I.D. #: O0A-
..v? Phone#: y???'j??1?
PROPERTY
OWNER
Stree[
2
City ? o--,-? State: -?-n &J Zip:
Company: Phone #: R v`-, `J ? o 5?
CONTRACTOR r? z n 313 1 ?q
Street Address: `t ? / ? /c1o/ License 3 ? ?J? S
City State: `-,-n ?:N Zip: 5'!5Y-3S-
ARCHITECT/
ENGINEER Company: Phone #:
Registration #:
Street
City State:
Sewer & water licensed plumber (new construction only):
and lot change is requested once permit is issued.
Zip:
Penalty applies when address chang
I hereby.acknowledge that I have read this application and state that the infortnation is cortect and agree to comply with all applicabl
State of Minnesota Statutes and Ciry of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certficates of Survey Received _ Yes _ No
Tree Preservation Plan Received Yes No
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Ouplex
IF 02 SF Dwelling ? 07 4-plex
0 03 SF Addition O 08 8-plex
? 04 SF Porch ? 09 12-plex
0 05 SF Misc. ? 10 = plex
WORK TYPE
? 31 New E 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Pianning
OFFICE USE ONLY
? 11 Apt./Lodging ?
? 12 Multi RepaidRem. ?
? 13 Garage/Accessory ?
? 14 Firepiace O
? 15 Deck
? 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft,
sq.ft.
sq. ft.
Faotprint sq. ft.
Building
Engineering
Variance
Permit Fee
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SNV Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Misceilaneous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
% SAC
SAC Units
U:0*Y,ti:cw;f;*)V3:0 ;::?:'(ik>k'???:TXci:i,?:?t>$ M>:?•l,.nt?;:<5„>,tY,;Y?Y,;
C:CI`Y C:"r' FAGAN
CF9SH'EL:Fi:: 7fi 7FRi'fiNFll._ Ku^ '764
DfiIF;; 03/01J00 T:r;qrry 08;5052
Iri,
T!Ai°ic,° Nc.W SI='r=tCl::I:i Ri]ME. G'RRI= f;;Mr=tN
3210 :3001 4543 O{Y':I.HIiSE I": 15305
2155 9001 4543 iJ(-11iGHASIiC fi 4,0'J
{
_ ?,..., .?-
-,
rvi:.?: f;?.,?,..,1c?i: flrnaVn+.a .,?i .c.,.,
Cn::.R$c 01
OBEI;: ?:Lh: JFiN
; :'o;<?,.;:i:a:" .;:$;;t?;;mX;X;'M):r,:.,::x:;+i'X^k;;:M%??;t•kh;k,'C.X?::>;CN,;;.k.a:::t
• - 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EACAN
3830 PILOT IOVOB RD - 55122
651-881-4875
New CmMmctlon Reauiremenh RemotleVReoafr Reau rem-I ents ?
?---?'
D 3 repldered We wrveys tlwwlny aq. IL d lot. W. H. of house Y eoPiea of plan
Cntl gu rooletl areas t20X mmcimum lot coveraae alloweN 1 tet of enBrgy ecIadaMais fa heafetl atltlNbna
? 2 coplea of plau (ahow Deam & wlntlow sixes; Pared hid deslyn; eM.) 1 siM aurvey for exteAor addflons 3 tlecW
D 1 set o/ anerpy caleulcMom
> 3 copies d tree prese aMon plan N lot plctped eAter 7/1/93
DATE: 4 za ° 0 CONSTRUCTIONCOST: ???D ov
DESCRIPTION OF WORK:
SiREET ADDRESS:
LOT: --?_ BLOCK: j_ SUBD./P.I.D. M:
Name: Phone o:
last Firsl
PaoaExrv
OWNER
4?-?
Sheet Address: 64?? 20e
CHy Sfute: "-WV Zip; 33-,2?
?
CompanY /elzG-? Phone A: 1r'.??- 8??- S(7 0
(area code)
CONTRACTOR
Sheei Address: v21 o 2 Ucense q
Clly State:
ARCHRECT/
ENGINEER Company: Name:
Telephone #: (
Street Address: ReglshaHon t:
citY
State:
Sewedwater licensed piumber (H Iristallina sewer/water): Phone #:
10?96 Exp3/I c, o
Lp:
ZiP:
I heSSbY acknowledye that I have read Ihie applicaHon, atale ttwllhe infortrwtion is eortecf, and agree to comply wNh a0 apPEcable State
of Minnewta Statutes and CNy of Eaqan Ordinanees.
? Signalure of Applicant XJ11k
r
OFPICE USE ONLY
Certificates of Survey Received _ Yes _ No 9
_ FEB 2 7\ 16
7ree Preservation Plan Reoeived _ Yes No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
01 Foundation O 07 05-plex 0 13 16-plex ? 21 Porch (3-sea.)
? 02 SF Dwelling O 08 06-piex O 17 Garage O 22 Porch/Addn. (4-sea.)
p 03 01 of _ plex ? 09 07-plex O 18 Deck ? 23 Poroh (screened)
0 04 02-plex ? 10 08-piex O 19 Lower Level o 24 Stortn Damage
O 05 03-plex p 11 10-plex PI6g _YOr_N 0 25 Miscellaneous
? 06 04-plex p 12 12-plex O 20 Pool O 30 Accessory BWg.
WORK TYPE
? 31 New O 36 Move Bldg. 0 43 Reroof
O 32 Addition [3 37 Demolish (Bldg)• ? 44 Siding
33 Alteration O 38 Demoiish (Interior) ? 45 Fire Repair
O 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
` Give PCA handout to appiicant for demolition permit
GENERAL INFORMATION
SAC Code
No. of Units
No. of Buiidings
Const. (Actual)
(Allowable)
UBC Occupancy ?1..
Zoning
# of Stories
Length
W idth
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq.ft.
MISCELLANEOUS INSPECTIONS
[3 Stucco/Stone
APPROVALS
Planning Building
Permit Fee is3. a?
?
Surcharge y . G
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
TotaL• I S '? •
sq.ft.
sq.ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
??f/f/ Engineering Variance
Valuation:
O 31 Ext Alt - Mutti
O 33 Ext. Alt - SF
O 36 Mufti
?
SAC Units
% SAC
SAAOKE
ARE RE
AM IN
LOCATE
?
?
1rk"
;
?
. ?
Name Plan Type Original Date S e
y:.? .
-
Jim & Jan Anderson
contract
D2
? ysa- 3v9? malsforconst on
P
ddress Projed Type Revision Date ? Dra °
HMDr =PAMKO ,
4543 Oak Chase Road
Eagan, MN 55123 Master Bath 2/8/00 ? c j Copyright of New Spaces
t
a ?/I r
<---??_
14
1992 BUILDING PERMIT APPLICATION
CITY OF EAGAN
REQUIREMENTS: 20015
SINGLE FAMILY 2 SEfS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET ENERGY CALCS.
MULTIPLE DWELLINGS 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET OF ENERGY CALCS.
# OF UNITS RENTAL FOR SALE
COMMERCIAL 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF
SPECIFICATIONS, 1 SET OF ENERGY CALCS.
PENALTY APPLIES WHEN TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING
DAY OF MONTH IN WHICH REQUEST IS MADE QR LOT CHANGE IS REOUESTED ONCE PERMIT IS
ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH
ADDRESS IS DESIRED. NO CHANGES WILL BE ALLQWED ONCE BUILDING PERMIT IS ISSUED,
To Be Used For:RBmt Valuation: --8'- Date:
Site Address ,5<13 l/a kaa sr ??rj .
Lot ? Block 1_
Occupancy Bldg Permit
Parcel/Sub DA C r,A,, Zoning Surcharge
Actual Const Plan Review
Owner Allowable License Fee
# of stories SAC, City
Address q:y 3 CV& Length SAC, MWCC
. Depth Water Conn.
City/Zip - S.F. Total Water Meter
C ?i
l ?ootprint S.F. ? V. eem ? it
Phone
l-SZ? - 3'`}? S
Contractor Se /cP On-site sewage
OR-site well S/W Surcharge
Treatment PI.
MWGC 6ystem !?o?c! Jni#
Address City water Park Ded.
PRV Trail Ded.
City/Zip Booster Pump Copies
SUBTOTAL
Phone License APPROVALS Penalty
Planner Lot Change
Council TOTAL
Arch./Engr. Bldg. Off. 72a9z D5,
Variance
Address
City/Zip Code
Phone #
Sewer/WaterLicensed Contr. . Processingtime
for sewer/water permits is two sys once area as en approve .
? C . lc?. 1. nr?? agrees that all work shali be done in accordance with
ignYure of ermrttee
all appiicable State of Minnesota Statutes and City of Eagan Ordinances.
I arr use oNLv I ?
?
L ? 8L RECEIPT #: I ?qq`J
sueo. O IX I( ChQSP? 44,1 RECEIPT DATE: ??? 1 C) Q
PERMIT# 3?qi5
2000 PLUP4BING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PIIAT PRd08 RD
EAGAN, !1[I 55122
651-681-4675
Pleasa complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventerforunderground sprinklersystem
FIXTURES
EACH #
TOTAL
Afterations to existing dwQIling -?mmimum fee Q $ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas piping outlet ' minimum -1 3.00 x = $
Hot tublspa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavatory 3.00 x = $ ?-
S2 tIC Sy5tBr1'1 new/refurbished 'requlres MPC lic. 75.00 x = $
SeptiC SyStem abandonment 30.00 X = $
RPZ new installatioNrepairlrebuild 30.00 X = $
Rough opening 1.50 x = $
Shower 3.00 x f = $ ?°-
Undergroundsprinkler rfdwellingisunderconsWCtion 3.00 x = $
Under round sprinkler ffexisting dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener If dwelling under constructfon 5.00 x = $
Water softener If existlng dwelling 30.00 x = $
Waterturnaround 30.00 x $
State Surcharge .50 --> -> -> $ .50
Total -> -> -' -a $
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. 30?
---------------------------------------- ---------------------------------------------------------------- -------------°-- --------------- -
I hereby acknowledge that I have read- this appliration, state that the information is wnect, and ag2e to compty with all applicableCity of Eagan ordinances.
tt is the applicarrt's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused hy the City during its
normal operetlonal and maintenance acfivkies to the facilitles constructed under this permk within City propertylright-of-way/eaument.
SITE ADDRESS: '1 S
OWNER NAME: :
.V W\. * ,
INSTALLER NAME:
STREET ADDRESS:
TELEPHONE #:
(AREA CODE)
u,\ ? P I b?g . TELEPHONE #: 95? ? Y3 5--- 13 57-
(AREA CODE)
CITY: rV\SUiVP STATE: {`I? zIP: 5533
SIGNATURE OF PERMITTEE
Council Minutes 00257
September 6, 1983
STOP SIGN PETITIOH - BORNSZDE AVENOE & EACAN ABENIIE
A Petition requesting installation of stop signs on Bur•nside Ave. at the
intersection with Eagan Avenue was reviewed. City Engineer recommended a txo-
way stop rather than a four-way stop. Upon motion by Thomas, secondetf Egan,
it uas resolved to anprove two stoo signs for only one of the streets, until
such ti:ae as it sha11 be determined that a Four-way stop would be necessary.
All voted yea.
CONfRACT #82-13 - FI,YAL PAY REQIIEST
Staff has recommended approval of the f3na1 payment and acceptanae for
perpetual maintenanee after having made final inspections under Contract #82-
13 consisting of trunlc watermain in Hrittany 4th Addition. Egan moved, Thomas
seconded the motion to approve the final payment of $3,412.85 for Contract
1182-13 to Encon Utilities, Ine. and to accept the related improvements for
perpetual maintenance. All voted in favor.
TRUNR AREp SANZTARY SEWER ASSSSSMENT RgT& POLICY RF`?'SxUR°
The staff advised the City Council Ehat one developer had r°eGuested coa-
aideration and discussion pertaining to the funding requirements for acquisi-
tion of easements necessary for the extension of all trunk-related utilities
and/or streets for Project #361 and all future projects that may be impacted.
Council resolved to retain the procedure presently being utilized and gave
staff no direction for future change.
VSRHILLSON RIVER WATERSHED RFSQLDTION
Upon raotion by Wachter, seconded Egan, it saas resolved to approve the
resolution requesting the deletion of Eagaa from the Vermillion River Water-
shed Distriet and authorize the Mayor and City Clerk to execute the Resolution
presented. All voted yea.
R 83-56
LOS VARIIINCE -'DAYZD AHD NAHCY CRANE
- - -- 1-- --' '? -_,, __?
It was brought to the Council's attention that David and Nancy Crane uer4?L
requestiaq a variance for the construction of a home on a lat in Oak Chase:•
Zt was pointed out by Mayor Blomquist that Mr. and yrs. Crane are attemptin3'
to construct a house on a:ot in Oak Chase xhich has very serious topographi-
cal hardships at the corner of Oak Chase Cirele and Oak Chase Road. Upon
motion by Saith, seconded caan it was resolved to approve the variance prior
to pu5lic hearing only after approval of the va:iance by neighborin3 land
owners. r11I voted yes.
10
'i. the plans for semaphore signal lights at Johnny Cake Ridge Road and Cliff Poad
c n /?I
?also at Pilot Rnob Road and Cliff Road prepared by Dakota County. Upon mor,ion
(
by Smith. seconded £ydrych all membera voting yes it was RESOLVED that `he plans
and specificationa be accepted by the City.
?
OA1 At1D OFF SALE BEER LICE]•IS$S RENEWALS. ;he renewal applications will 6e
a
coneidered at the next regular meeting.
COPIDI'IOIIAL USE REKEWALS Pao action was taken arkd the applications will be
cone i ideted at the next regular Council meeting.
i OAK CHASE ADDI''IOTI. James Friabee appeared and reviewed his letcer of Decemuer
7, 1 1 977 addreeaed to City Atrorney Hauge requeating ehat the City Council forward
a letter to the Dakota County Auditor approving a deferment of payments on the
I?
pri?jcipal on the epecial asaesatqente covering the following lota for an aclditional
two lyear period;
6l1 1.Lot One, Hlock Five, ak Chase First Addition. -? p'C?
2. Lot One Block Four, Oak Chase Firsc Addition.
3. LotTkvo, $lock Four, Oak Chase First Addition.
Sach of the foregoing lota will be replatred into the Oak Chase Pourth rlddition.
In addition, he requeeted that Lor One, Block Chree F'irst Addition and Lo!: 'wo
Block '?hree. First Addition, acheduled for replat with he Fifth Addition be
deferred for a two-year period to avoid tax forfeiture of all of rhe five Lots.
Mr. Frie6ee indicated that he would grant the poculing easement to [he City
-2-
requeated by the City at che r, 12-13-77
Iorthwest corner of Oak Chase Road end Cliff £oad at
the time of platting the Fourth Addition and in addition would gtant necessary
slope,easetnent end Permanent right of way ea¢ement for Cliff Road at that eime.
Further, tqr, Friabee atated that he will eomplete the dedication of three additional
lota along Wildernese Run Road to ehe City for park purposea prior to the end of
1977. including the payment of all real eetate taxes on all three Iots and assess-
ments on the two lots according to the earlier agreement. Wachter moved -
- and Rahn
?? - - - ---- - -
i% i????rp,.est-fos?a-r?efermen±-ofirt;e
11
_- `--"'•t' y°???[_ro?a?n?additional_two _years fiom the
preeent date with the underatanding that no waiver af intereat will be granted;
further with the underetanding that the ponding easement a che Nor>hwesc corner
of Oak Chase Drive and Cliff Road be graa:.ed ro che City ac the time of filing che
fiual plat of the Four::h Addition, and in addition, i.he required slope and perman-
ent easemenc for future Cliff Road improvemente, and further condi'.ioned upon ::he
dedicaLion of the chree additional lots for par& purposes, includiitg payaoent of
all real eatate eaxes on all three Lota and aesessments o? two lots pzior to Lhe
end of 1977. All membere voted in favor except Rydrych, who vored no.
PRO?' CT #210q CpNTRACT, The City Attorney submitr.ed a contrac* with Mi?neso a
Valley Surfacing Company cancerni:.g project #210A regarding street improvemen-s
in aeverll areas. Wachter moved and `
R3'drych seconded a motion with all members
voting i favor to approve Lhe contract and order it to be signed.
--- TA7C FORFEII'ED PROPERTY, p liet of p
, • I - arcele allegedly forfeiied for rn..
`I o-t t 71
2005 RE5IDENTIAL MECFIANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please cpmplete for: single family dwellings & townhomes/condos when peRnits are required for each unit
??.?_10
Date
Site Address 4 Jq 9 Q4 (?,y u re I(. O Unit #
Property Owner Telephone # ( )
Cootractnr
Street Address City ?Q 64A/6,
State MlV Zip SJ 3 7'2 Telephone# (Cf?? ) KGl?- 7762-
Bond #: Expires:
The Applicant is _ Owner ? Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
furnace _Additional _Replacement
' air exchanger
air conditioner Ne
Rep
lacement
w
J
/
/
other 4-e-rA ?- Kc/l9
s ?l`r?rnG c T VCK
?
e
State Surcharge $ .50
Total $
I hereby apply for a Residential Mechanica] Permit and acknowledge that the information is complete and accurate; that the work will
6e in c6nformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes• at I understand this is not a
permit, but only an application for a permi[, and work is not m start without a permit; that the wor ill be in accordance with the
approved plan in the case of work ich equires a review and approval of plans.
Applicant's Printed Name ApplicaWSigfiafure
2005 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. commerciaUindustrial buildings
. multi-famity buildings when sepazate permiu aze not required for each dwelling unit
Date
Site Street Address Unit #
Tenanf Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( J
Contractor
Street Address City
State Zip Telephone # ( )
Bond #: Expires:
The Applicant is _ Owner _ Contractor _ Other
Work'Cype
New Construction _ Underground Tank ^ Install _Remove "°see below
fnterior Improvement _ Install Piping _ Processed _Gas
Nature of Work:
*`When insta!ling/removing underground tank, cafl for inspection by Fire Marshaf and Plumbing Inspector
Pe1'mil Fees: $70.50 Underground Cank installa[ion/removal
$50.50 Mirefmum (includes Slate Surcharge)
or
ContraCt Value $ x 1% Permit Fee
• If ep rmit fee is $1,000 or less, add S.50 =:> $ State Surchazge
If ea rmit fee is over $ 1,000, add $50 for
every $1,000 ep, rmi[ fee $ Total Fee
I hereby apply for a Commercial Mechanica] Permit and acknowledge that the information is complete and accurate; that the work
will be'in conFormance wiffi the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is
not a permit, hut only an application for a permit, and work is not to start without a permit; that the work wili be in acwrdance with
the approved plan in the case of work which requires a review and approval of plans.
ApplicanPs Printed Name Applicant's Signature
Approved By; ,Inspector
' 2005 RESIDENTIAL BUILDING PERMIT APPLICATION
qo d°
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122 3"
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements RemodeUReoair Reauirements Otfice Use Onlv
3 registe2d site surveys showing sq. it. of lat, sq. R of house; and all roofed areas 2 copies of plan Cert of Survey Recd _Y_ N
(20%mazimumlotcoveregeellaved) 1seCOtEneAgyCakulationsfmheatedaddillons TreePresPlanRecd _Y _N,
2 copies of plan showing 6eam &window sizes; poured found design, efe. 1 site survey for add'Aions & dacks Tree Pres Required Y_ N
7 set ot Energy Calculations Addfiion - indicate don-sde sepfic sysfem On-sde Sepfic System _ Y_ N
3 copies of Tree Preservation Plan It lot platted after 711193
Rim Jois[ Detag Op6ons selection sheet (buildings with 3 or less uni[s)
Date /?2,9/
Site Address aL5
0,6-t Construc6on Cost d o, a D
</ Unit/Ste #
Description of Work 4-1s7Fd? ,,,, w /.? ?. s c
Multi-Family Bldg _ Y2?-PV- Fireplace(s) _7? 0 _ 1 _ 2
Property Owner ?. ? '4N ?fiz cSa,? Telephone # ( )
Conhactor
Address
State 00ni
Zip City ?!f ccit,V?r'U?l?/c
Telephone # (9F2 _$',3 b ?
COMPLETE THIS AREA ONLY IF
Energy Code Category "- Minnesota Rules 7670 Cateeorv 1
. Residential Ventilation Category 1 Worksheet
(Jsubmissiontype) Submitted
• Energy Envelope Calculations Submitted
A NEW BUILDING
Minnesota Rules 7672
. New Energy Code Worksheet
Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan8
_ 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 plan in the case of work which requires a review and
approval of plans.
Applicant's Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage x 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Mufti Misc.
O 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex aibg_Y or_ N? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
)( 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolitlon (Entlre Bldg) - Give PCA handout to applicant
Valuation av? Occupancy -.3 MCES System f
Plan Review 44-10D% or _ 25%
Census Code 4/341 Zoning City Water '
SAC Units Stories / Booster Pump
# of Units - Sq. Ft. ? PRV -
# of Bidgs - Length ? Fire Sprinklered ?
Type of Const Width ?
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
Footings (deck) ? FinaUNo C.O.
? Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water Final _ Pool _ Ftgs _ Air/Gas Tests Final
jV Framing _ _ Siding _ Stucco _ Stone _ Brick
Fireplace _ R.I.
Air Test _ Final _ Windows
_
2f Insulation , _ Retaining Wall
Approved By: _
Base Fee v v
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
I a-!;
Permit Num6ex
REScheck Compliance Certificate
2000 IECC
REScheckSofrware Version 3.6 Release 1
Data filename: Untitled.rck
Checked By/Date
PR07ECT TITLE: Andersen residence
CIT'I':'Eagan
STATE: Minnesota
HDD: 7981
CONSTRUCTION TYPE: Single Family
WINDOW / WALL RATIO: 099
DATE: 09/06/05
DATE OF PLANS: 09/02/05
PROJECT DESCRIPTION:
4543 Oak Chase Rd
DESIGNER/CONTRACTOR:
New Spaces
COMPLIANCE: Passes
Maximum UA = 465
Your Home UA = 401
13.8% Better Than Code (UA)
Ceiling 1: Flat Ceiling or Scissor Tmss
Wall 1: Wood Fiame, 16" o.c.
Basement Wall 1: Masonry Block with Empty Cells
Wall height: 77
Depth below grade: 7.0'
Insulation depth:7.0'
Window 1: Wood Frame:Double Pane with Low-E
Door 1: Solid
Door 2: Solid
Door 3: Glass
Gross Glazing
Area or Cavity Cont. or poor
Petimete R-Value R-Value U-Fac oi UA
1172 44.0 0.4 32
3045 19.0 OA 183
1364 11.0 0.0 65
267 0350 93
20 0.370 7
18 0.370 7
40 0.340 14
COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans,
specifications, and otheL cakulations submitted with the permit application. The proposed building has been designed to
meet the 20001ECC requirements in RES checkVersion 3.6 Release 1(formerly MECchec? and to comply with the
mandafory zequirements listed in the RES checklnspection Checklist.
Use BLUE or BLACK Ink
I For Office Use I
IR Permit#: City of 1U l t ~Q
I o~~
Permit Fee:
3830 Pilot Knob Road c
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 10/2S_/Jj Site Address: 465~3 Mklcts Unit
Name: ~;T4l AJe S6kN Phone:`(. K2 -3
Resident!
Owner Address / City / Zip: !YD43 akS
Applicant is: Owner Contractor
Type of Work Description of work: 1 rbl -01r 3E zcg tie(
Construction Cost: Multi-Family Building: (Yes / No
i f
Company\Pn"t(eZ5 ~CrQt►1~~_sS &+,W)Oontact:ASIrf "
1 /71\ Contractor Address: 7l ~C T o dLJV City: CJUSez
State: Zip: S Phone: ( 6 1 Z~RQ
(
License C G Lead Certificate 5-9 10
t
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents 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 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 Sta uildin ukt be com ted within 180
days of permit issuance.
h x
x Y
ULV- L
Applicant's Printed N me Applicant's Signature
Page 1 of 3
66/24/2015 1$: 14 N0.426 #001
----------�-----�
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�ity of Ea�e� ; re�„��t#: ��J� �P�� � ,
I I
c830 Pi1Mo;_��;Road j ua�e Received:��jQ�� j
��.0�..�....�� .�� . 1�.�. ���������J
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r';`-';:;i�:::'��,:c''��;::,i:::�+��:'�:'.'��'?���•,;.� 0 Patio ❑Sport Courl � I
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CALL BEFORE YOU OIG. Call Gopher Stste One Cell at(651)454-0002 for protection against underg�ound u�lity damage. Call�
a8 hours before you intond fo dig to receive locates of underground utilities, www.aonherstaEeon_ caU.ara
G:1Buliding inspectionslPERMITAPPLiCATi0NS1209112011 Pe►mitApplicabons
06/24/2015 1$:15 (� —�j L.,�� O�� �cD ' 42.6 #002 ' 2, 1�?J. �
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ESTMMATE 8,,: �o�,� # � ��- ���s �'�� _.,_� _,.
Date: �1 !.. l �/3� I ❑ . �
Name: � J11 t4�✓'e���•.��� P ❑ � `;. � �
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City: ��+�•�' Zip:55 `'1.�� '. ' ' ' �
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❑ Phone Replece as is Cl Water shut o� d O �
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❑ `� 1� �re, �„R ��n��s�w� c�"._ ��.5'`�� ���(n•. Flares 0 . ❑ New Cover 1� O
StumpslRoots � 0 D�ainage Problem l] Id��
.�'P .rmit Yes 1 No � �� ��'��
� � , :� r O . Desigra on separate�copy •• :. . ."�..: �.. � . .� .
J�'Remove Asphalt(Extra charge if over 4"j � O Sprinkler heads? �
rd"'�Remove Concrote(Extra charge if over 4°)
C�Apron removal 1 car 2 car � 3 car . �
O Cap Blocks (Does not include foundation•wor h
�Remove Gravel,Dirt or Sod ' t"��i� •�+�-- �'�'�d'� ��
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,d'�-'��'�ase,after compaction ����. �"'�'y"�*`�'� ,.�, �. �y,
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,0"'Regrade for proper drainage �
f���'"��' Hot Mix Asphalt compacted to .���``�
:O Addition to drive �b ����M�
.�'oncrete,see concrete form
�`Approximate Square feet ����
a�'` �.v. ina.r..,.,a,
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u Fabric Installation SF $ �
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Estimated Cost: "�g�� �2 �� ProPe IPnes ��r��
oown � �D t'�O � 3 f C►o� .. , bY ntra rlowner.
ncs �2 ��� ;3 / ���
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Customcr Approv3l Date
I fiave read and agree yvith the terms and conditians on the reverse side. ' ����
SIGN AND RETURN wHITE COPY •, Properly Line?
• O Compd ❑ Subpd
7745 2nd Avenue S�Richfiald,MN 55423•Ph:612-866-8836• Fax:612-866-8078•www.richFieldblacktop.com
� Llcsnsed • Bonded • Insured '
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA132038
Date Issued:07/21/2015
Permit Category:ePermit
Site Address: 4543 Oak Chase Rd
Lot:1 Block: 1 Addition: Oak Chase 4th
PID:10-53503-01-010
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Fireplace (new)
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
James Tste L Anderson
4543 Oak Chase Rd
Eagan MN 55123
Hearth And Home Technologies
2700 N. Fairview Ave
Roseville MN 55113
(651) 638-3309
Applicant/Permitee: Signature Issued By: Signature