4549 Oak Chase Rd
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - - -
For Office Us I
I
-30 1
I P
I ermit # I
City of Ea Ed ~ I
J Permit Fee: I
3830 Pilot Knob Road I
Eagan MN 55122 Date Received: I
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 L Staff:
2010 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: & 1 Y° fS Site Address:
Tenant: PGiW c (fr4r Suite
RESIDENT/ OWNER Name: Phone: 7?S-0
Address / City, 1/ Zip: /dlC pq~
CONTRACTOR Name: ya<<6~~ Fc`ALI~ rO<lolk2 License it-V7 PM
Address: CJ dc, (c ~i~cL`{' City: flu Sv/ `
State: Zip: 7 Phone: la 3~~ ~~J
Contact: Email:
TYPE OF WORK _ New _ Replacement _ Repair _ Rebuild Modify Space - Work in R.O.W.
Description of work: /'fPMd ~?'IGri 7f-/OG!` ~~r h~oO~r
PERMIT TYPE RESIDENTIAL
Water Softener
Water Heater
Lawn Irrigation RPZ PVB) Add Plumbing Fixtures Main Lower Level)
Septic System Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
50.50 Minimum Water Heater Water Softener, or Water Heater and Softener includes .50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
*Water Turnaround (add $166.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)v
TOTAL FEES $y
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.goi)herstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plane/ Y/Z~~ '
x bigC(C) f{{Ch 5-e( x
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
Use BLUE or BLACK Ink
For Office Use
I qq~ 7 j
City of Eajan I Permit
I Permit Fee: Z '2j to
1
3830 Pilot Knob Road I k
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
I I
I I
Fax: (651) 675-5694 Staff:
-----------------1
2010 RESIDENTIAL BUILDING PERMIT APPLICATION dl~g
Date: It/16 Site Address: `-T 5,9 1 a C rt~s~ i~ c~ ~9 N
Tenant: Suite
RESIDENT / OWNER Name: 17 PrV~ N f11`1 C y ~ 12 ~1 NZ Phone: 6 V - q 5 oq 9 g~
Address /City /Zip: 41519 Q h9 C ~4I E P-P a ✓ c' 614
Applicant is: Owner Contractor
TYPE OF WORK Description of work: A--,* P-00 M I~~tivIC~DEZ-
Construction Cost: .2410-00- Multi-Family Building: (Yes / No
CONTRACTOR Name: New Sp ACES License J 5 O76'
r
Address: Q o s W. )/~1/~ S-7 .p City: FL41ZN%ul uL l 011q.
State: / Y I! N Zip: S SQ(P Phone:
Contact: S&~A ~ QE Email: 2w S C`2S 0-0
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 rot a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x N Eke S P'-e- &-5 b y SAP-P, ~i~112 (7- x a .,r, L' w a-
Applicant's Printed Name Applicant's Signature
Page 1 of 2
~ Cu10
fY`~-~f ~3 Ca
cltlz-
DO NOT WRITE BELOW THIS LINE f 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 alr' oavt Siding Demolish Building*
New Interior Improvement
_ Addition _ Move Building _ Reroof - Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation Occupancy ( MCES System
Plan Review Code Edition SAC Units
(25%_ 100%Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final
4- Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In -Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backfill _ Final
Meter Size: Radon Control
.~1 ° Erosion Control
Reviewed By: - , Building Inspector
RESIDENTIAL FEES
Base Feed
Surcharge (o\ OIL, -
Plan Review V) Of
MCES SAC ry ~
City SAC (JJj j ,f j~
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 2
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
INSPECTION RECaRD
PERMIT TYPE:
Permit Number:
Date Issued:
ts?ltt 11 1 w{,
41 .'0 8 n 9
01, 104 lyi
SITE ADDRESS:
t , ...
t?t?F ?. NA`.E l'=. i
PERMIT SUBTYPE:
TYPE OF WORK:
;..?:.
INSPECTION .A •
:?. ••
101- APPLICANT:
i f, J.' )4a'+ f..' d.'
Permft No. PermR Holdef Uate 7elephone #
S!W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspectlon Date Insp. Comments '
Footings I
Foundatlon
Freming
Roofing
Rough Plbg.
Rough Htg.
rsul.
Firepface
Final Fttg.
Orsat Test
Fnal PI6g. Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final -
Deck Ftg. 3
Dedc Fnal
Well
Pr. Disp.
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS:
. ; . ,? F fin•.t ?????
?
:It i.F? tl I N(i
?.ri:r.H,?
1 APPLICANT:
IOAk?:;;: A •;{-}'A{1ATF. F't.NMil 1 '; kF(jll1kE11 FFlR AN'( 1.I.t4.1RIl;A! 1.IffRlr
PERMIT SUBTYPE: TYPE OF WORK: "
. 1'a r IA .
?INr.! Iit:[h 1: tiNflf
)
Permit No. Permit Holder Date Telephone !k
ELECTRIC 9-t-
O ?
91
PLUiNBiNG
HVAC
InBpectlon Date Inap. Comments
FOOTINGS
FOUND
FRAMING ??`Z!1
7
ROOFING
ROUGH
PLUMBfNG
PLBG
Alp TEST
ROUGH
HEATING
GAS 5VC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAI
BSMT R.I.
BSMT FifYAL
DECK FTG ? , ? • q? ??
DECK FINAL t- ? T ?
CITY OF EAGAN Remarks??d'?'
Addition5 4)AK CHASE 4TH ot 2 gjk 1
Owner street 4549 Oak Chase Circle stat
Improvement Date Amount Annual Years Payment Receipt
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK yo? 100.06 007780 5
SEWERLATERAL ZI . OO77HO
pj? 274.74 007780 -22-79
WATERMAIN
WATER LATERAL 1199-29 . - -
WATER AREA ? 7.83 OO 7SO S- -
f STORM SEW TRK 9
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN,
9UILDING PER.
SAC
PARK
CITY OF EAGAN Remarks
,4do ition,_ OAK CHASE 4TH ADDITION Lot 2 Rik 1 Parce
Owne, Fre1Pl Street 4549 @ak state Eagan, MN 55123
11'7e,> i'r,,;( 5'SfiI nnU rt,? n^?A
Improvement
Date ....
Amount .?...,?..
Annual
Years
Payment
Receipt
Date
STREET SURF,
STREET RESTOR. 934.37 A014048 6-13-84
GRADING
SAN SEW TRUNK ? 1973 Z 0.22
SEWER LATERAL 1974 106.43 7.10 1$
Sewer Lateral -!D 1974 279.51 18.63 15
WATERMAIN
WATER LATERAL /„j 1972 573.69 38.25 15
WATER AREA
?7 1
STORM SEW 1972
*STORM SEW
?
CURB & GUTTEF
SIDEWALK
STREET LIGHT
WATER CONN, 450.00 it
BUILDING PER. 8578
SAC 5-00 if 11
PAR K
t-•' ' CITY AF EAGAN 18001
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PF?L i Receipt #
r be edtor BASWWR!!Y wIsil3lt E c v i =90000 Date JUNE 12 ?a SIO
o us s. a ue
Site Address 4?9 ? C?t ??
O
1
OFFICE USE ONLY
Lot Block Sec/Sub.
P8fC81N0. Occupancy - FEES
Zoning
W Name (Actual) Const - Bldg. Permit _
o SAM
Address
(Albwable)
- Surchar
e
City Phone
# ot stories g
-
-
Plan Review -
'
' Length _
['SMAM
?
Name ? ilAt?s l1QW L Depth - snc
cay -
, o ,
U<
Address
S.F. Total
478
4 SaC. MCwCC -
? 33-3
City Phone S.F. Footprints _
Water Conn
On Site Sewage _
_
?
W W
Name
On Site Well
-
Water Meter
W ._
?
Address WCC S StBnl
WI y -
0
4 W
City Phone
Gti water Acct. Deposit _
_
S/W Permit
PRV Required -
_
I hereby acknowlege that 1 have read this application and state that the Booster Pump - 51W Surcharge -
information is correct and agree to comply with all appliCable State ot
Minnesota Statutes and, Cjty of Eagan Ordinances. ,
"i
J Treatmenl PI -
.
f
Signature of Permite? APPROVALS
Road Unit -
A Building Permit is issued to: Planner - Park Ded. -
on the express condition that all ork shall be done in accordance with all Council
applicable State of Minnesota tutes and City ol Eagan Ordi S.
? Bldg. Otf. _ Copies ?
BuildingOfficial ? Variance - TOTAL -
Permit No. Permk Holder Oate Telephone #
WATER
SEWER
PLUMBING 1,51 A6Y-1 Aaad-)*d- I// Iv
H.V.A.C.
ELECTRIC
Inspection Date Insp. Car?ments
Footings I
Foundation
Framing
Roofing
Rough Plbg. ZVI-*
Fiou9h k19. 04,
Isul. r ? „ i •
Fireplace
Final Htg.
Fnal Plbg.
Const. Meter Plbg. Inspector - Notily Plumber
EngrJPlan
Bldg. Final o.. GOif 1? at mi ? ?C r h
Deck ftg. ? Q i
Deck Final @ C a c O%. P
wen c? L) 4- a. Cl- i'
Pr. oisP. e o
r. ?Fr•?4
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDfNG PERMIT FIREPLACE &
To be used for BASEhiM FIMISB Est. Value
Site Address 4549 OAK CtlA3E RD
Lot _2- Block I Sec/Sub. ??AK CIiA&! 4Zu
Parcel No.
W Name DAVL 6 11Al1CY CRAlIE
3 Address 4549 OAK CMSE RD 0 Ciry EAGAN Phone
, o Name ? SPAiCE3 RM ?
?? Address 13023 3TEVEHS AVB 8
? City HllgNSWILI.E Phone 435-3478
Address
City _
I hereby acknawlege that I have read this appiication and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City'of Eagan Ordinances..
Signature of Permitee >. • `-?A Building Permit is issued to:N" gpACES HOIS CiRAFCSHAN
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
Receipt #
:F00 1 S 3? 1
OFFICE USE ONLY
1g 91
Occupancy _ FEES
Zoning _ •
(Actual) Const - Bldg. Permit 35•00
(Allowable) - Surcharge • 50
# of Stories _
length _ Plan Review
Depth - SAC, City
S.F. Total -
S.F. Footprints - SAC, MCWCC
On Site Sewage _ Water Conn
On Site Well - Water Meter
MWCC System -
City Water _ Acct. Deposit
PRV Required _ SNV Permit
Booster Pump - S/W Surcharge
Treatment Pt
APPROVA4S Road Unit
Planner - park Ded.
Council
BIdg.Of(. _ Copies
Variance - TOTAL 35.50
Permit No. Permit Holder Date Telephone #
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
Inspection Dale Insp. Comments
Footings I
Foundation •
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Freplace ?-,/s /y ?
Final Htg.
Orstat Test
Final Plbg. Plbg. Inspector- Notity Plumber
Const. Meter
EngrJPlan
Bldg. Flnal
Dedc Ftg.
Dedc Flnal
Weil
Pr. Disp.
Crar.e CITY OF EAGAN t"?''?y
3793 M{ef Kwob Raad Eayon, MN 55122
PHONEs 454-8100
BUILDING PERMIT Receipt # •
To be uwd fw 5F AWG/GAR Est. Volue >62,0 00 Dote Octol?er 19
SJte Addrcu 1' '0 Oak Chat3e T'.oa,,l Erect `Cj Occuponcy
Lot ` Block 1 SOC/5ub. Oak Chase 4tit AIter p Zoning Eet<i'_:
Parcel # 10-- ;3503--020-01 Repair p Flre Zone
?
nlorge ?
E
Type of Const. ?
m Name ?"1I'wood ?:nerfi?• ?ioi::es, Inc. MoVe 0 # Stories
Z Address '"";01 id. 150th St. ;;'1 )7 Demoliah ? Length 1-
Ci _ Ealley Phone 4 3 1--6 vi 44 Grode p Depth Sq. Ft.
? eT
Nome Approrols feea
?
Z~ . .. .
Assessment
Permit _
u?
?
Ncme _
Address
I hereby ocknowledge thot I hove reod this application and state that
the information is correct end ogree to comply wifh all applicoble
Stote of Minnesota Stafutes ond City of Eogon Ordinonces.
Sipnoture of PermittN 1 " ` ' ? ?
.?UInOOC l:nrry 10?^E'c ,
A Buildin9 Permit Is issued to:
all work sholl be done in xcordonce with oll applicable 5tote of Mini
ronce
Fire
Enp.
Planner
Councfl
Bidg. Off.
APC
Inc.
Surchorpe '1. vv
Plon check 159.50
SAC
Woter Conn. 4 ' ? • 00
Water Meter •-0 • 00
Rood Unit `-0' 01)
Total fii7?i4 . ') )
on the express condition thnt
ond City of Eoyan Ordinonces.
Building Officiol
^v _ ?_?.?y? •
'•'?F'R
Permit Na. Permit Holder Misc. Permit No. Holder
Plumbiny ? 0 s Ql?L ' 6 A ?
7
y
H.V.A.C.
We??
Water
Disp.
S?wer
Elsctric S 7'tle ?
/ 5 SUmMiT 1 17
Inapection Date Insp. Other
Footinps /U -
Foundation • ?
Framinq
Rauqh Piby.
i _ AARW GiJ
Rough HVA
1 nsu lation ?
Finsl Plby,
Final HVAC ?
Final ?,?.6-? L?k
L +?J. O .? ^ac.-? '
Water Dosuibe Location:
Well
Sewer
Pr. Dhp.
cIrv oF F,aGAN SEWER SERVICE PERMMT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning: No. of Units: ?
Owner: `-;Ofus
Address:
Site Address: -• ???; ,?:;, ;?:' .?' ' ?1? :55e 4ti1
Plumber:
1 aares w eonsph with tM Cih of 6agae` Connection Charpa:
Ordinasces. Acoount Oeposir:
c„
Date of I nsp.:
Permit Fea: 1 r, n?
Surchorpe:
Misc. Choroes:
Total:
Date Paid:
RESIDENTIAL
BUILDING PERMIT APPLICATION ?/7/CJ, D?
CITY OF EAGAN C/
-??}b l 0 b 3830 PILOT KNOB RD - 55122 Caf1? ,J
651-681-4675 ?
New Conetrucllon Reauirementa RemodeVRenair ReouiremeMS pr}'i
• 3 regislered sile surveys showing sq. ft. of lot sq. fl. oF house; and all roofed areas • 2 cropies of plan
(20% mazimum lot coverage allowed) • 1 set of Energy Calculatlons for heated additmnv
• 2 copies o( plan showing heam & window s¢es; poured found design, etcJ . 1 sile survey for exterior additions 8 decks
• t sel of Energy CakulaGons . Indicale if hane sened by septlc system for additbre
• 3 copies of Tree Preservallan Plan if lot platted after 711/93
• Rim Joist Detail Optans selection sheef (bldgs with 3 or less units)
DATE VALUATION 26 a-uv
JOB SITE ADDRESS
IF MULTI-FAMILY BUILDI?IG, HOW MANY UNITS?
PROPERTY OWNER ?.? u"G( C'/???
TYPE OF
FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT ??6? ?? c.? s'
ADDRESS.?/07
PAGER #" - 0,21- 8e//2 CELL PHONE # fn/?-?8 9 -
PHONE# ??- 8Sm2- 81J6
?TS?7
FAX#lq,5:2- 81) 8- g1 76
NEW RESIDENTIAL BUILDING ONLY - FiLL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULFS 7670 CATEG
(check one) - Residential Ventilation Category 1 WorkE
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbing Contractor.
Plumbing System Includes:
Mechanical Contractor:
Mechanical System Includes:
Sewer/Water Contractor:
_ Water Softener _
_ Water Heater
_ No. of Baths
Air Conditioning
_ Heat Recovcry System
Phone #
Phone #
0 U I
Fee: $90.00
Fee: $70.00
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
Phone
Lawn Sprinkler
No. of R.I. Baths
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1/01
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
O 06 04-plex
0 31 New
? 32 Addition
A 33 Alteretion
? 34 ReplacemeM
? 20 Pool
? 21 Porch (3-sea.)
? 22 Poroh/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
9 25 Miscellaneous
? 30 Accessory Bldg
? '31 Ext. Alt - Multi
O 33 Ext. Alt - SF
? 36 Multi
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)* ? 43 Reroof ? 48 Windows/Doors
"Demolition (Entire Bldg onty) - Give PCA handout to applicant
Valuation E26? G?
Census Code
SAC Units
Nbr. of Units _L
Nbr. of Bidgs ?
Type of Const ?
Occupancy
Zoning
Stories
Sq. Ft.
Length
W idth
REQUIRED INSPECTIONS
_ Foorings (new bldg)
_ Footings(deck)
_ Footings (addition)
Foundarion HVAC
Drain Tile
Roof Ice & Water Final
? Framing- -
Fireplace R.I. Air Test Final
? Insulation
Approved By ? , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 OS-plex ? 18 Dack
? 11 10-plex ? 19 LowerLevel
? 12 12-plex Plbg_Y ar _ N
Fi
naUC.O.
?j FinaUNo C.O.
_ Plumbing
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
ysa ?9e0 (041se,- 335--7
7. CITY OE' EAGAN Znclude 2 sets o s,
/ 1 site lan w/elevations &
w',? B II,DING PEfd?IIT APPLICATION 1 set of energy calculations.
? /
7b Be Used For l Valuation D-0-0 Date
site raaress 1-/,574l `I 4,4X c.h ?t-se F,,d. oFFzce usE orrz,Y
Int ? Block Sec./Sub. 0q.irE6se q4-4L Erect ? Occupancy -- -?3
Parcel #: 10- S 3 5 0 3-02-b~ G I Alter Zoning
T
C
? Repair
? Fire Zone Ala
e of const
T
awner: S Uvwoo i•c,
olt,S
A.`2"
d ?e ._ .
YP
Address: 6Q? 1 W /s'D?,S`j', 1620j M°"e
Denolish # stories
Front ft.
C.i.ty/Zip Code: ?k UA
Grade
Depth ft.
Phone #: L/
3 / 6 g'S?y
t
. FEES
Contracto
Address:
City/zip
Phone #:
Arc11. /Enc
Address:
Gi-*y/2ip Code:
te #:
6h .
APPROVALS
Assessnents Permit 3 / 9
?4ater/Seaer Surcharge 3/ -4eg
Police Plan Check / S9
?
Fire ? 19?
SAC Sd
Eng. Wates Conn. -4!;'
planner Water Meter
Council RQad Unit d5A
Bldg. Off. - - ?
APC
?, 1?i4 ? so
CQS?(? rsC €e?-/ Or
//lD 0 ?^Ci ? x- .?@ "(? 0 S'P
, ,C.rane
BUILDING PERMIT
N° 8575
Receipt # '/-
Te 6e wed fer SF DWG/GAR Est. Volue $62,000 Dote OctobeY 13 ?q 83_
Site Address 4549 Oak Chase Road Erect }[$ Occupancy R-3
I.ot Z BI«k 1 Sec/Sub. Oak Chase 4th Airer ? Zonin9 Estate
10-53503-020-01 Repoir ? Fire Zau NA
Parci?f #
Enlarge p Type of Const. V
ix Name Sunwood Energy Homes, Inc. Mo„e ? # Sfories
= Address 6801 W. 150th St. >#107 Demoiish ? Length 42
9 Ci Ap ple Valley phr,, 431-6844 Gmde ? Depth 48 Sq. Ft.-
w No e Own2Y ApOrorals Fees
G
0
uS?
r
m _
Address
Nome _
Address
1 hereby acknowledge that 1 hove reod this opDlication and stote that
fhe intormofion Is wrrect ar)d agree to comply with all applicable
State of Minnewta ttqtute nd Ciry of Ea,gan O'nonces.
Signature of Permittee
unwoo nergy Hom s
A Building Permit Is issued to:
oll xrork shall be done in accordonce with al wble taM '
Buildiny Officiol
CITY OF EACaAN
I795 PIlet Knob Rood Eagan, MN 33121
PHONE: 456-8I00
Asseument
Water & Sew.
Police
Fire
Erq.
Planner
Council 9-6-83
Bldg. OFf.
APC
Inc.
Permit ?i ° • ""
Surcharge 31.00
Plan check 159.50
5nC 525.00
Water Conn. 45_?_
Water Meter 60.00
Rood Unit 250.00
Totoi $1794.50
_ on the ezpreES Wnd(tlon thal
ond Ciry of Eagan Ordinances.
CITY OF EAGAN N2 1$001
3830 Pilot Knob Road, P.O. 8ox 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt # 33q
REMODEL &
Tobeusedfor BAS Est.Value $9,000
?FMF
Dale JUNE
12
Ig 90
Site Address 4549 OAK CHASE ROAD
Lot 2 Block 1 SeclSub. OAK CHASE 4TH OFFICE USE ONLY
Parcel No. occuPancy _ FeeS
a DAVE & NAN^Y CRANE
Name " 2oning -
(ACtuaq Const _
Bldg. Permil $ 108.00
o AddfeSS SA? (Allo?'ab1e) - h
S 4.50
arge
urc
Clty PhOfl@ N ol Siories _
Plan Review
Length _
o Name NEW SPACES HOME CRAFTSMAN Deplh - SAQ City
0a Address 15025 STEVENS AVE SO S.F.TOtal _
SAC, MCWCC
? City B' VILLE Phone 435-3478 S,F. FootpriMS _
'Nater Conn
On Sile Sewage _
N8m8 On Site Well - Water Meler
F AddrBSS MWCC System _
City Phone
ciry water - ACCI. DepoSit
il
5/W P
PRV Requiretl - erm
I hereby acknowlege that I have read this application and state that fhe Booster Pump - S/yy Surcharge
information is correcl an agree to compty with all applic,cble State ot
Minnesota Statutes a
/}
? y
rd? nc Trealment PI
?
v
??
?
Signature oi Permite ? ? ?C e? APPflOVALS qpad Unit
NEW SPACES HQME CRAFTS N pianner
A Building Permit is issued to: - Park Ded,
on 1he express condilion that all ork shall be done in accordance with all CWmit -
applicable State of Minnesota t tes and City of an Ordinances. gldy, pff, _ Copies
$
112. 50
Building Official Variance - TOTAI
-s?
` ~- CITY OF EAGAN N2 19871
3830 Pilot Knob.Road, P.O. 8ox 21•199, Eagan, MN 55721
BUILDING PERMIT PHONE:454- 8100 ReceiPt# 0 (, Li ?`Q,) Dp-
Tobeusedtor BASEMENT FINISH Est.Value Date NOV 8 ,1991
Site Address 4549 OAK CHASE RD
Lot _2 Block i Sec/Sub. OAK CHASE 4TH OFFICE USE ONLY
PdfC@I NO. Occupancy _ FEES
Zoning _
w Name DAVE & NANCY CRANE (ACtual) Const Bldg
Permit - nn
o Address 4549 OAK CHASE RD -
(Allowable) - .
50
Surcharge .
City EAGAN Phone x of Stones -
Plan Review
Langth _
F Name TTFW SPACES HO F AFTS AN Depth SAC
Gry
i
?Q Addf855 75025 ST. .N AV S _
S.F.TOtal - ,
SAC,MCWCC
? City RirRNSV7i.T.R Phone 435-3478 S.P.Foolprints -
W
C
On Site Sewage - ater
onn
r
° W
Name
on site weu
M
W
?w - ater
eter
=V AddfeSS MWCCSystem _
0
<w CitY PhOf10 Cily Water _ Amt. Deposil
PRV Required - S/W Permil
I hereby acknowlege ihal I have read Ihis application and stala Ihat the Booster Pump - SnN Surcharge
intormation is corract and a@ree to compty with II applicable State of
Minnesota Statutes antl Ci oPEa
gan Or nances
.
?
D Treatmant PI
n
/?--y??1
SiqnaWre of Permitee -?/-1 ??
' ?=' ?`-? pPPpOVALS qoatl Unit
A Building Permit is issuetl to:NEW SPACES HOME CRAFTSMAN Pienner _ Park Ded
on the exprass condition Ihal all work shall he done in accortlance with all Council
applicable State of Minnesota Statutes antl
C
ity oi Eagan Orainances. gldy, 011, _ Copies
I
.
BuildingOtficial ?l„r,i m.l1 Variance - TOTAL 35.50
I IUIIIII IIII I III eEtQUEveisity BBarR oe'ct8nc? pauP MNT55O104
s 0 20 1 1 3 6 9 * vnc A(e, 2) ?-oaoo ?. .?! 95
ome upex Apt. Bldg. Other: New Addn
Commerciol Indusfrial Fartn Remod Re ir
Air Cond. H}g. Equip. Wate? Hir. Load Mgmf. Other:
D er Ronge Elec. Heat Tem . Senice
"X" obove the work covered 6y this requesf. Enter remarks in ihis space and on the back of fhe white copy only.
w.i?or-)
Ca lo ectioh Fee - This Inspection Request will not be occepfed without the correct /ee:
Other Fee 3R Senire Enfrance $ae Fee 3F Grcuih/Feeders Fee
Mobile Home Park $tall 0 to 200 Amps 0 to 100 Amps
Streei Ltg./Tmffic Sig. Above 200 Amps Abova 100 Amps
Tronsformer/Generafor INSPECTOH'SUSEONLV TOTALT?
$ign/OuNine Lig. Xfma
Alarm/Remote Control
$wimming Pod i he.e cefi fiaf 1 ins eckd Ihe eletln n1,44 he In on the dotea smkd
Irtigahon Boom Rouqh-In l
& /
Special Inspection l
e
J
Invesativa
tig Fae ?
F,nd
171,0
THIS INSTALLATION MAY BE ORDERED DISCONNECT T N 18 MO W S.
2 O 1-13 69
PLEASE PRINT OR TYPE ??C U ONLY This mqoesl ?oid 18 moMhs Gom wlidcfian dok primed in this b
a?D
??11
.0
?
Requezl
? k
l ? Roogh-in impectian reqvired2 ev ONa Inspection OPoer Thon Rough-ln: 0 Reody N WII Call
(YOO mml wll Ihe inspeeoi ?.Aen y) Dok Reody:
I,'EZ1icensed contractor Q owner hereby request inspedion af ihe above eledrical work a}:
lob Addrese (Slreet, Box, ar Roure No.? Ciry Zip Code
SeclionNa. Tovd ahipN orNa. Rong<Na. FiraNo. Comp?
?l
vnl Phone No.
Power Suppliar PAdre
ss
EI ' I Convaclor (Company Name)
Z.?a Commctar license No.
2 ' Maskr Lic No. (Wam EIM. Only?
???ing Ad , n??.Owne, .do,??? ? ??leiori)
St
Pmhori SiqwNm (Conka r or O.mer Pedomn" Ins fion LuM^/'^'1' 1'? Pho e No.
2
EB- 1A10 5 STATEB OPY•SEEINSTNUCTIONSONBACKOFVELLOWCOPV
CITY OF EAGAN WATER SERVICE PERMIT
3890 PiiotlCnob Road
P. O. Box 21199 PEFMIT NO.: 5236
Eagan,MN 55121 DATE: 12/14/83
zonirg: Rl No. ot units: 1
Owner: nXfl ?I gKM U Sunwood Energy Fbmes
Addrea:
Site Address: 4549 Oak Chas6 ROSd L2 Bl Oak Qi8se 4th
lumber: Genz $8i= Ryan
Aheter No.: 2?? Connection Chorge: 45Q• 00 Pd
SIm: ?' / k ' 'hl l?)(...
J Reoder Na.: .) a A 'ZDZ 'Z.
1 agm ro eomyy wiM Me Cih of Eagaa
Ordi75z? A " i1
v--
Dafe of InsD•: .3- /?-2 ci
ACCOUM DEposit:
Permit Fee:
10.00 pd
Surchnrge: .50 pd ,
Misc. Cho.oBS: 60.00 pd mete7
Total:
Date Poid:
Insp.:
,?CITY OF EAGAN
? 3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number: Date Issued:
C,el)//994/
BUILDING
026602
11/15/95
SITE ADDRESS:
4549 OAK CHASE RD
LOT: 2 BLOCK: 1
OAK CHASE 9TH
P.I.N.: 10-53503-020-01
DESCRIPTION:
(INGL DECK & SHED)
ermit Type SF PORCM
'&,rk Type NEW
"t
" btpr Y.s u ?aa
+ *L"?3r
V%..v?.9 h p3
4€a?
REMARKS:
A SEPARATE PfRMIT I5 REQUIREO FOR ANY ELECTRICAL WORK
FEE SUMMARY:
VALUATION
Base Fae
Plan Review
Surcharge
Total, Fee
$287.25
$100.54
$10.00
$397.79
$20,000
CONTRACTOR: - Applicant - 5T. Lzc. OWNER:
NEW SPACES MOME CRAF75MAN 18828170 0001586 CRAUE DAVE
2107 W 6URNSVSLLE PKWY 4549 OAK CHASE RD
BURNSVILLE MN 55337 EAC,AN MN 55123
(612) 882-8170
I' hsreby aekn,owTedge that I have 'r.ead tYils, ajzpiieatjpri and' st4te that t?e E
, infohmation is`eorreat a'ndagreo"to coa?{iIp`-w;ttM a1k-;aRplic&ble -stste-at?i4?s
" staiute?8` `aetd?C3.ty bf ?,a's,?ari`Qi^.8inof7ceS. o," .
? APPLICANT/PERMITEE SIGNATURE ISSUED ? SIG RE
? CITY OF EAGAN
3830 PILOT KNOB RD - 55122
4 ? 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) "r ??l,"f
681-4675
New ConsNudion Reaulrementa RemodeVReoair Reouiremenffi
? 3 mgbterod sfte wrveys ? 2 copies of plan
? 2 wpies of plana (indude beam 8 wirMow saes; pouied fid. design: eu.) ? 2 aite surveys (exterior atldkions & decks)
? 7 energy calculaHons ? 1 energy calwladons for heated additiona
? 3 copies M hee preservation plan H lot platted efter 711193
required: _ Yes _ No
o,aTE: /o - g - 9 c
DESCRIPTION OF WORK:
CONSTRUCTION COST: Jy G O?
?iaq,e
,519aa sot? /?rd! , ,
STREET ADDRESS: °S?S?9 ?J/1.? L=?ClS C? ?L3CC?
LOT ? BLOCK I SUBD./P.I.D. #: ?BL ?.?n? • ? ??ti
?
PROPERTY Name: ara u? ?Q IlP q /?!'?y'Phone #:
OWNER '/"°'
Street Address-'?`5? ?/?IISP
City: Ea-4ZA ? State: Zip:
coNrRacroR Company:/l?L4q"S ?"JaP &(?19)4hone #: 8i 7c)
Street Address:--O)/Qr?GL), ic?nse #• 15-S41,
City: 2WU1KfiS State: /V/0 Zip:
ARCHITECTI Company: Phone #-
ENGINEER
Name: Registration #•
Street Address-
City: State: Zip:
Sewer 8 water licensed plumber.
change are requested once permit is issued.
Penalty applies when address change and lot
I hereby acknowiedge that I have read Mis appiicatlon and state that the informati is correct and agree to comply wit all
applicable State of Minnesota Statutes and City of Eagan Ordinances. /
Signature of Applipnt:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No 0 C T 0? 1?95
Tree Preserva6on Plan Received Yes No
BUILDING PERMIT TYPE
OFFICE USE ONLY
.?* • '? ?,
;
Ya ..
0 01 Foundation o 06 Duplex o 11 Apt./Lodging a 16 Basement Finish
13 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. 0 17 Swim Pool
0 03 SF Addition o 08 8-plex ? 13 Garage/Accessory o 20 Public Facility
A"04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
o OS SF Misc. 0 10 = plex o 15 Deck
WORK TYPE
0 31 New o 33 Afterations o 36 Move
,0'-32 Addition o 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinkiered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. ?
Depth Footprint sq. ft. SAC Code a/
Census Bldg i
Census Unit D
APPROVALS
Planning Buiiding
Perrnit Fee
Surcharge
Plan Review
License
MCNVS 5AC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Traiis Ded.
Other
Copies
Total:
_ Engineering Variance
Valuation: $ °
pa?
6, S !O c>
6 tc, rz ' /, zov
% SAC
SAC Units
, . . . ...... ,........ ,,,?•r? . . .y. cw ? ..>s--r _t
. p .
,
3p ?
nN
II ?O?
10 ?x
IU 1 . . ?
,
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7?
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r w ?
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'?
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? A1.?. ?H6f ?4?11lIEA
? oO?NOt?'. IIE?( ?Cl1?A1l?tT
II ? ? ?? ? ` 1 P ° - D?'•i??P'T"Idd
? ??? ?.` .,0.j ? , ?w f o,??.? ek1?,c
`• ?•Rge de y MP Z7 Pam-rN "D1TtC*41
?°N 'ron ..+?o ??IIUJ?IE?aOTA,
qyo,o . .
C 0
e
AOO%? so
, /ly
o 4 ?, lC t'.A rt se. Crre•/t
I hereby tify thart thie survey wae prepared by me or
ieion and that I am a duly Registered
r S ?Lyd Sur y t4e laws of the 5tate of Minnesota.
natet 3„?!gZ5, ???4 4?e?l-
LeRoy Bohlen
Registered Land Surveyor No. 10795
-" 041. cJOp y 2Gi° 4g' Z3"E e /
1991 BIII!I? PRRM? ? LICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCUTATIONS
MTLTIPLE DiTELLINGS
C0MfERCIAL
2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
REGISTERED SITE SURVEYS - 6 STRUCT[TRAL PIANS
(CHECK WITH BLD6. DEPT.) 1 SET OF SYECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLZES iTHEN: TYPING OF PERMIT IS REQUESTED, SUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CNANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER 6 WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For 1'?Valuation: Date: //- '7 `91
Site Address
Lot I Block I
Parcel/Sub
Owner v A-ld Y) , YGl r) e
Address 'Y5o onur V`Q.S? Po?
City/Zip Code
Phone
I n
Contractor/,77I/lC(-/Gt77S/n[t
Address 15??J cgCvews
City/Zip Code lavr"/1-SV"f iel AU 5333
Phone 3y79
Arch./Engr.
Address
City/Zip Code
Phone #
IISE ONLY
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well _
MWCC System _
City water _
PRV _
Booster Pump _
APPROVALS
Planner _
Council
Bldg. Off.
Variance
FEES
Bldg. Permit 3i$.00
Surcharge 05-a
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/w Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL
Sew r/?later License Contr.
/ ? agrees that all woCk shall be done in accordance with
Signature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
/?o 6 /
1490 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
?
COMMERCIAL ?
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CNECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUI.ATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
? PERMIT MUST SHOW A LICENSED PLUMSER.
a..l? b1S?
To Be Used Foraluation: ? Date:
Site Address ?6yq alC (/IdSg nd
Lot C;?- Block I
Parcel/Sub 6 4,L Ckaxf _ C? /k
Owner 6 UeY k?btvy 01-,ine
Address 7Jfy9 dEtk L/'(QSP OC?
City/Zip Code &VQ/1 u
,?t
Phone
Gontractor /VeCl)c)WkS 4/YI( l/?Gt{AMAYI
Address 1,5Uas ?7l PJle/7S 11?Q `XJ
City/Zip Code Z?4Y1SGi J'L? i)UAJ 5?37
Phone 4-:19 -3V 79
Arch./Engr.
Address
City/Zip Code
OFFICE USE ONLY
FEES
Occupancy
Zoning /D ?
Actual Const Bldg. Permit ?
Allowable Surcharge _?SO
# of stories Plan Review
Length SAC, City
Depth SAC, MWCC
S.F. Total Water Conn
Footprint S.F. Water Meter
Acct. Deposit
On site sewage_ S/W Permit
On site well S/W Surcharge
MWCC System Treatment P1.
City water _ Road Unit
PRV _ Park Ded.
Booster Pump _ Copies
SUBTOTAL
APPROVALS
er
Pl
n Penalty
TOTAL ?
.
a
n
I
Council
? Bldg. Off. ?fl
IVariance
Phone #
. ? .
?
30 ?
?a
? 10
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4ti?v C- 'R?'?-.,J !P QP? ?.?Ml7? ,h? ?' , • `° ?3??$p ds e? ,? ?j4` PrsNQ.'T{?1 AD?1TlCW ?
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T,?o 9 ° M?tE??srfA
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A00'rie
? d/?
?• f. 1??i?,C,? p•?- 04l< C.?irtSQ Gr?t
I.hereby tify thie aurvey was prepared by me or
?a mision and that I am a duly Regietered
Sur y t?e lawe of the State of Minneaota.
Datesz5o t9B? ?(,4
I,eRoy. . Bohlen
Registered Land Sexrveyor No. 10795.
?
?
d
?
2?i°4B' 2w"f e O
1 E`,TLR10R LNVi:Lnrr, r.vLriAcr. ^'Ucasrirn?
, , ------- - - -_ -.. _
, . OWNERs. nr%rL
' SIxs nDUnt:sss NoNr: --- ?-f-???
CONTPleC7OR:
Detennirc working squarc Eoot.a_p' ()f ccicYi
ca
r
ll
d
F t. --???,-Z----
------
1. 7'otnl ......
a
wa
cxpose
.
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oof/ceilin9 Al'C11 ......
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, X •
Tota] cr.t:osOd wa ll arca aL(Ive
----- ----
, ..
...
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-
' a. Total wall.w.indow arca ........ ................... .
-----
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?.. T:ta). arna .............. ................... .
.. _.
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' . s. io:al
c;;co.. Qoor arca
slidin4
. .. . ... . . . . .. . . . . . .
.. -.-
d. 'ibtal fireplar,e wall arca .... ................... ......
? o.
t Total
l
t
a
To wall 1r?,niny area (avei<.9c 102) ... . .... . . . .
rim joist.arna . . . . . . .
-'?
.
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,1?, Y:sll. area zbove flour .................... ...... ----?-ZS-
..
h. _ wall aseo aUove floor .::................. ....
wall area above f:Joor .................... ...... ..._.--.,.^_.
i _?...
?.- ?
wall arma above floor
-
.................. . .
. . .. . .
F ?
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`ToCal exposcu foundation area -r
I . ...
k. 9'otal arca .
fo,u:datien window ................... ....
'
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l, RUtal nat four.dation arett above grodc • • • • • • • • • • • • •
---
-
----
Dclcrmino "1:" valuc of cac'i wall ::cqrticnti .
(p,g. wi.ndew, door, each neparatc %,4,11 sec:.in')?
?
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ch roof/cciltng
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Alternato 13ui1d?Envclope Desi«n_
lizo the tatal enValup9'6yetaa mothcxt, thu valuoo ?5:•'t?'il!??"?i,'y the s?m. of
of iecm;
93 and 49 aha11 not be greater than cha sLuM
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HEAT_LO55 CALCU[ATIONS DEPARTMENT OF BUILD3NGS ? P' CITY OF
?
?
. Weathersiriq E1 W?
- Guide Conatruction No. ? lnsulation
Windows I
1`
rs--No Doors
Y
N Rcference Oul. Wall
------ Int. Wall
---- Ceiling
- Roof
Floor
Kind
Flow Ap?
es-
o 19_
_
oom I Length ,73 Width / C Height ?. P FI.? ??y?t /1 Room Length Width /3
Windowa and Doors- Crackage and Area
i
in?:,i-ia Windows and Doors-Crackage and Arca
.
.
<<.a.k n..a
1. ,,
.
Infiltralion
Glass
F.xp. wall a 3 ? ?
Net ezp. wall
-lnlv-welf' ,p i rY5 Cciliog )3 K f c
-FIe6f"'
t
7bta1 Blu.
Required sq, ft E.D.R. or aq, ina. W.A. Leader arm
.h.ln.n...? ?_
Btu
Windows and Doors-Crackage and Area
No. WIAth
of yane NeIR?I
of Dane Na, o[
IItAb Llnenl q,
of cnck Are.
p. [t.
Z
?e
Coef. Btu
Infiitration
GIAS3 0
y
??„
??
??? r
Ezp. wall
Net exp. wall
fnt. wall
Ceiling
Ffe6f"
Tola1 Btu.
t
Kequired sq. (1. E.D.R. or ,q. ;n,, W.A.
Windowe and
wimn
No. ofAtea
area
Infiltralion CoeE. Btu
Glase p `
je,
Eap. wsli / 5'y ld. k Q 111(0
Net exp well
{??-+.e11
?
7 7r 1
Ceiling f F Y
?
S'X / \
Fleor^ I ?
Tota1 Btu.
Required sq. !t. L.O.K. or eq. ine, W.A. Leader ares
f ieight
LL
No. R'II?M1
nl p>nn I?elphl
of 1'ane No. of
IlFhle I.Inml (1.
of rrCrk A.en
?q. Il.
sN
CoeL Btu
In611ration a ?? ? ?? ?^r?
Exp. wail
Net ezp. wall
.1ot.wall
Ceiling r?K!(^ V "??h
-Floor»
I olaf nm. '? ?If
Required sq. ft. E.D.R. or aq. ine. A. L.eader aree
s FI.I 1'A.1•,l Room I l.ength a7 o Width I E Height
Windows and Doora-Cracknve .nd A...
No. Width
ef Dane Iiel[ht
ot Da"e No, o!
Il,hb Unee111.
ot crack Are.
e, ft.
0 6 0 'I4,
o v a a.10
Coef. Btti
Inbltra[ion ?c ;tt? ??)(.
Gleaa sy ? !) 17c c
Exp.wall
Net exp. wall -)l S• /
4"r.,v°fl /2, ,,. W s?l . a ?I
+Culing_,
W000 300v
I olal tltu. 410
Required iq. fl. E.D.R. or sq. ins. W.A. Leader aree
/ S Fl•1 14.A4+d E Au4jLmm I Length /7 Width f I Height "(
Windowa and Doors-Crackae, ..d A...
Ne. Wldln
of pane Helght
of Dmne Na. at
ilfht{ Llneel fl
of en<k Arct
sy. tt.
G 4 a ?
o a c
Z L?
Caef. 8ti
In61[ration
09
a?i?
Glase (a ?p ? p0
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Net ezp, wsll
j
??l
?
_Ceiling
.Eloar.--_,
T _
.,,,.. .,.,.. c? 3k??-
Requind sq. ft E.D.R. or sq. ins. W.A. L.tader arca
HEAF.LOSS CALCULATIONS DEPARTT7EN7' OF BUILDINGS CITV OF BURNSVIII
"Weatherslrips A.S.H.V,E, Conslruclion 1`l0.
- Guide Insulation
1Vindows I Uoors I Rekrmce Out. Wall ]nt. Wall Ceiling Roof Roor Kind How Applied _
1cs-No 1'es-9019_ II -
HI ?iuwni., RoomI Lengih ? Width
Windows an??Don.e-r., 4,... ....,1 n---
tio. \t'I.1?1?
..f panc IIfIRhI
nl l`xn?? pI
pgbin VI.InfTl fl.
oI rfprk Af,R
n? (1.
'
1 o ba yy,cl ?, -
.
CoeF. Btu
66ltration l? ,?
Glass
Fap. wall J? I 1 r X
8• ? N
o ab L
/6
(N'et exp. wall ?
Yrte"tvall ,?' ,
iY"g,
Ffoor_-.-.
.oia1 um.
Ilequired sq. ft. E.D.R. or sq. ina. W.A. Leader area
Room lLength / $' Width
Doon-Crwr4?e. ?...1 A._..
Ne. Width
of Dene HN6M1t
of Dane No.of
IIgAt• ?LlneellL
of vaek Area
gQ. fl.
?O 3-a i ,3 0
•SL id U v / '
a v ? , ?o tt
? ' • w' t4 7 , Coef. Btu
Infiltration
Glast
Ezp. wall <<( r I ` x. oo
Net txp. wall ?
int:wall
Ceiling
F.loot
lotai
9e944.? n R... sq. ins. W.A. L.eader area r--
Windows
Raom
..a e._
No. R9Ath
of pan• Nel?ht
af yRne No. o!
IIgpU plneal f{.
of napk Ar<•
sy, ft.
' tJ t? ?/y?41 a, y
Coef. Btu
Infiltro?ion 4/EI,N
cies?
Exp. wall la 1 9+1 t.l k
3a,5-
e'?t{ „7??
a 0(e(s
b?
Net exp. wall
an,--mn
Lej+ng_
? lasr--
\01 ViV.
t(equired sq. ft. E.D.R. or aq, ine. W.A. l.eader area
FI.jBAsr,ov,v(- Room lLrnqth ;stj Width J 1( Eleig6t
Windows and Doors-Cracka¢e and Arca
r+o. N'Id1h
or o.?e IIetKM1I
of r,oe Na.af
nRm. I.Ine.llL
or <n?,¦ Ares
sa n.
CoeL 8tu
Infiltration --114 6s
Glafa ? .rp 7 /
Eap.wall 1114,3 r Qf-/5`ac a$?
Net exp. wali (?Ipy? f a p
qnl,wel!
Crilmg
Floor " i ga7 ?6 ? ?'!j ?•
lolal Blu. S^
Required sq. ft. E.D.R. or aq. ina. W.A. Leader aren
FI.I8P .4v. Room I l.ength a? Width /ti Height
Windowe and Doors-Craeka¢e end Area
No. WIAth
of O.ne 11.1'lit
of pan• No. of
Ilfbt. Llneel fl.
a[ crark Are•
ep. ft.
Coef. tu
lnfiltration
Gleas
E:p. wall 4 4L? o} i` t 00
Net e:p. wsll 0 UU
.-Zt..+wp-
.Geiling._
Floor ?J'
I otal tstu. L.( 7f
Required sq. Ft. E.D.R. or aq. ins. W.A. Leader ares
F1•1 Room I L.eneth Width Hei¢ht
Windows a nd Doors-Cracka ge and Area
No. Wldth
Ot Datna 11e1,pt
of Dane No. of
IIfTU Llned fL
o[ craek Area
p. tt.
Coef. Btr
In6ltretion
Glass
Fsp. wall
Net exp. wall
Int. wall
Ceiling
Floor
ioisi om
Required sq. ft. E.D.R. or sa, ins. W.A. Leader arca
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA108906
Date Issued:01/23/2013
Permit Category:ePermit
Site Address: 4549 Oak Chase Rd
Lot:2 Block: 1 Addition: Oak Chase 4th
PID:10-53503-01-020
Use:
Description:
Sub Type:e - Water Softener
Work Type:New
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Jolene Mehle
17484 Goodland Path
lakeville, MN 55044
952-953-4643
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
David J Crane
4549 Oak Chase Rd
Eagan MN 55122
Dakota Water Treatment
17484 Goodland Path
Lakeville MN 55044
(952) 953-4643
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114753
Date Issued:09/18/2013
Permit Category:ePermit
Site Address: 4549 Oak Chase Rd
Lot:2 Block: 1 Addition: Oak Chase 4th
PID:10-53503-01-020
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Jeff Pelant
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 -
David J Crane
4549 Oak Chase Rd
Eagan MN 55122
(651) 452-7980
Legacy Restoration Llc
14000 25th Ave N
Suite 110
Plymouth MN 55447
(763) 354-7660
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA120797
Date Issued:03/03/2014
Permit Category:ePermit
Site Address: 4549 Oak Chase Rd
Lot:2 Block: 1 Addition: Oak Chase 4th
PID:10-53503-01-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
David J Crane
4549 Oak Chase Rd
Eagan MN 55122
Legacy Restoration LLC
14000 25th Ave N
Suite 110
Plymouth MN 55447
(763) 354-7660
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA154419
Date Issued:03/20/2019
Permit Category:ePermit
Site Address: 4549 Oak Chase Rd
Lot:2 Block: 1 Addition: Oak Chase 4th
PID:10-53503-01-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
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 -
David J Crane
4549 Oak Chase Rd
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
EAGAN
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-5694
buildinoinspectionsna citvofeacian.com
RECEI'
SEP 11 2019
r
For Office Use
C�
Permit#: ✓V62 -g
Permit Fee: 5.141 (Dv
Date Received: 01._(' — i -
Staff:
Caulkok n9
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 9/10/19 Site Address: 4549 Oak Chase Road
Unit #:
Resident/
Owner
Name: Dave and Nancy Crane Phone:
4549 Oak Chase Rd., Eagan, MN 55123
Address / City / Zip:
Applicant is: Owner ✓ Contractor
Type of Work
Description of work: Deck Expansion and Room Conversion
Construction Cost: $40,000 Multi -Family Building: (Yes / No ✓ )
Contractor
Company: New Spaces Contact: Shawn Nelson
Address: 2105 W. 143rd St. city: Burnsville
State: MN Zip: 55306 Phone: 952-898-5300 Email: shawn@newspaces.com
License #: BC001586 Lead Certificate #: NAT -F150060-1
If the project is exempt from lead certification, please explain why:
In the last 12 months,
Yes No
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Fire Suppression Contractor:
Phone:
Phone:
Phone:
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.
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.cftvofeaaan.com/subscribe.
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. 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.aopherstateonecall.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.
X / J
Applicant's Printed Name
Applicant's Signature
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
)O Single Family
Multi
01 of Plex
WORK TYPES
New
Addition
eAlteration
Replace
Retaining Wall
Fireplace
Garage
Deck
Lower Level
Interior Improvement
Move Building
_ Fire Repair
Repair
Porch (3 -Season) _ Exterior Alteration (Single Family)
Porch (4 -Season) Exterior Alteration (Multi)
Porch (Screen/Gazebo/Pergola) _ Miscellaneous
Pool Accessory Building
DESCRIPTION
Valuation 4110i 9b5. Occupancy
Plan Review Code Edition
(25%_ 100% ? ) Zoning
Census Code Stories
# of Units Square Feet
# of Buildings Length
Type of Construction \/(3 Width
REQUIRED INSPECTIONS
_ Footings (New Building)
ZO Footings (Deck)
Footings (Addition)
Foundation Foundation Before Backfill
Roof: 4e -&mater X Final Ru 3 /302-
10 Framing 30 Minutes 1 Hour
Fireplace: _Rough In _Air Test _Final
p Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
r, -peofL
_ Siding ?,e le Demolish Building*
vill
)6 Reroof r• _ Demolish Interior
1p Windows_ Demolish Foundation
_ Egress Window_ Water Damage
*Demolition of entire building - give PCA handout to applicant
.Z72 C.- MCES System
/flnZaI$ SAC Units
G City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required v�
HVAC _ Service Test Gas Line Air Test Hood
X
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:
Reviewed By: 17v JY1 a?% K / y,q
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
SSW Permit & Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
\--(t), a.AtkejO ofik 0
nem Pcck 42 5/" _ /i' yF,�tr.
R e -lege in Ex:sr 7)e 1' $ 3 3 / (.f
,k 7cto5.— l'KJ /S. 1P-
- ty. IST
/,moi n pow /Do 0/4 S ovv, — f)4T ee.
n e zu gae 2 __ .
<ofy o e> O.
✓l ea) (r,9ILp lar; )$ d OZ, dAC y c��► a
%) F4.le3,/6Tee
Page 2 of 3
PLIS8aZB
41.
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Date:
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„ ..Sete& of -4- oq, c h ve cleat._
I hereby tify this survey was prepared by me or
labors and that I am a duly Registered
PS, •SSur y tie laws of the�/Staatte/�oof Minnesota.
Dates LAG/ ziii 196* t�f�• P�-,✓
/ LeRoy -i'�. Eohlen
Registered Land Surveyor No. 10795.
ate- ettb
Pe UQ.T% ik.abrrtc4.t,
of iwTAN coma -vs
MI E4o"rA.
For Office Use
E AG N
Permit#:
Permit Fee: too' f7 O
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Date Received: t O I(tO
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Grp
Email: buildinginsoections(a citvofeaoan.com Staff: C5PD
Commercial Plan Submittal:eolans(acitvofeaaan.com L
2019 RESIDENTIAL MECHANICAL PERMIT APPLICATION
Date: /v�(o y Site Address: ��le9 erre- C4 r 2G
I
Tenant: ento--c— Suite#:
Resident/Owner
Name:l � p- Phone:
Address/City/Zip: )."-4111-A
Name: (7-Ci I ec Pi License#: � 4t
Contractor Address: 7 /"G/i 1 L aC Pia <� City: c_/�Yel 7
State:/" "\._ Zip: M 9O Phone: % / l `LO r —7p cC
Contact: Email:
RESIDENTIAL
Furnace
Air Conditioner
Permit Type
Air Exchanger
_Heat Pump' ,
Other `" /re A 1-
New Replacement )4 Additional Alteration Demolition
Type of WorkG--a 5 L e� 7 t t4 /YAG
Description of work: '11.
/2-671, - Cle c
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge // —
$100.00 Residential New,includes State Surcharge =$ l�O TOTAL FEE
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.citvofeagan.com/subscribe.
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of
the City of Eagan;that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit;that
the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans.
X
Applicant's Printed Name Applicant's - ature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough In Air Test Gas Service Test In-floor Heat Final