4568 Oak Chase RdCASH RECEIPT
.16
CITY OF EAGAN
P. 0. BOX 21-199
EAGAN, MINNESOTA 55121
DATE
wceawec - ? , , ? ?. -r • . .i . .
FROM '
AMOUNT $ ? ...r I ,, i
? CASH ? CHEGK
0
, ' ? , . - . .t .... _ ?.
IOR -
FUND CooE AMOUNT
Thank You
BY "
;.?U 'L /
J
i
7
?
VYhite-Payers CopY
Yellow-Pocting CopY
Pink-File Copy
'CITY OF EAGAN Remarks . I I I `• `' ,o.ddition_. • OAK CHASE STH ADDN Lot 3 Blk 1 Parcel W-53504-03M
Owner Street 4568 OAK CHASE ROAD State EAGAi?t MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK ZZ
SEWER LATERAL 7"--
L
L W
SMER
ATFRA
WATERMAIN
WATER LATERAL
WATER AREA 1984 155. 00 155.00 C008422 4-26-83
STORM SEW TRK 1984 272.50 272.50 C008422 4-26-83
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 2$
WATER CONN. 500.00 " It
9UILDING PER. 1
5AC 525.00
PARK .
pW'w-4e. /P- da7oo - O?r -7,-
'CITY OF EAGAN Remarks
qd'dition-.OAK CHASE 5TH ADDN Lot 3 Rlk 1 Parcel 10-53504-030-01
owner street 4568 OAK CHASE ROAD Stace EAGAN hIN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF, ?_ ?
STREET RESTOR.
GRADING
SAN SEW TRUNK uj 1984 41.78 8.36 5
SEWER LATERAL ?Z 2-3-56 5,
$L
WATERMAIN
*WATER LATERAL LZ
WATER AREA $Z
*STORM SEW TRK 1984
itSTORM SEW LAT 1984 5
272.50 272.50 008 22 4-26-83
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. son-on „ „
BUILDING PER. 10932
s,ac 525.00
PARK
Receipt 6l 4,) r
0-1 MECHANICAL PERMIT Psrmit No.
CITY OF EAGAN Fee
Fill in numbered spaces S/C • 5??
Type or Prinr legibly Tot. 00 , ?-?
1. Date 8 "r 2. Installation Cost
3 Job Address Gkk
4M!cLot=) Bik
? Tract
. -
. ?
4. Owner .? /?? I f/?
Uk ?J SOf`1 K? " 1 G N Cl L.ANS1 rf v G,. ? (3 P?j
5. Contractor Nil U A, 12 Phone 1-11/7 81.) y
6. Address 19 y 0( ND rIM A0A? ? Q.- I`-J
7. City (It kd (car State i Zip 15jS'.?7 Z
8. Building Type: Residential ,,? Commercial O Institutional 11
9. Work Description: Nevyq Add O Alter ? Repair ?
10. Describe f'-?+--? Sy S444 Fuel Type
11.
No. F,quinment BTU - M. Ea.
Forced Air 11c1 ,ocy' 7" avt No. Enuiament CFM
Ai
H
dli
Mfg. (
-o t t , e tf- r
an
ng:
-
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg, Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply i all ina # a codes governing this type of work.
Signed : ? U^ for
Rough F inal
Inspections: Date Insp. Dete Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100 •
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Esgan, MN 55121
PHONE: 4548100
IPERMIT Re«+rx #r _
Site Address ' E= ??: t' ,_•'?.:-`s'r
Lot Biock S4C/5ub. - - - ?• ' , . ? ? ?
Parcel No.
W Name :_.; Address , - y .•
?
b City Phone
Z
u?
l
?
Nama 1f` '
10 rv 3) 2
Erect W. dccupancy ? - _
Remodel ? Zoning
_ I
Repair ? ?
Type of Contt. b
Addition ? No. Stories
Move ? Langth
Demolish ? Depth
Int Impr. ? Sq. Ft.
Assessment _
Water a Sew.
Goliu
Fin
EW
Plonner
Council
Permit ? .S _ IJ U
Suroharge :; _ Cl0
Plan Review
sac . f ti n n
Water Conn. fj j7
Water Meter ? ? f1f1
Road Unit
Tc PL
1 hereby ocknowledye that 1 hove mod rhis opplitotion ond stote thot gldg_ p{f. F/ 16
the information is corred ond ogree to comply with oll opplicoble ?
State of Minnesota Stotutes ond Gity of EoQon Ordinanus. APC
Var. Date
Siqnofuro of Pernwttee ?
--r---
Total
A Bulldi Pennit is issued'tit
ng t?- on the expram conditlon 1101
dl work shall be dorw in oaurdonot with all oppliooble Stata of Mlnnesoto Stotutes and City oi Eapan Ordinances.
Buildinp Offfcial ti
P?rmit No. Pwmit HoIdK Dst? Tolephone s
Plumbinp ? 6
H.VA.C.
electric l6-1 ?0
Sottowr
Intpsdion Data Insp. Other
Footinysl ?
Footinps II
Foundatlon
Framing ?
Roofiny (?B
Rouph Plbg.
Rough Htg. ?? r S jJ
Inaul.
Fireplsce ?
Final Htg.
Flnal Plby.
Final 3
Cwt/Occ.
Watsr Desc!ibs Locatfon: ? ,1-
c??-cfL ce-??a-?..?
?-
1? -b'E? i-c?• ?
Wetl ?
_
Sows?
Pr. Dlap.
CONTRACT
PRICE
Site Addr s
Lot
? Name _
? Address
c CI[y -
Name_
? Address.
? City k
CITY OF EAGAN PERMIT # _
3830 PILOT KNOB RQAD, EAGAN, MN 55122 RECEIPT #
PHONE
Phone
FEES
COMM.IIND. FEE -1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APLUES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20.00
STATE SURCHARGE PE PERMIT .50
(ADO $,SE) SJC PER EACI?$t,000,OF/PERMIT FEE)
QATE: _
Res. New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - CAMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
1 Water Closet - $3.00 $
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
YYhiripool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM -1 PER PERMIn
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
U. G. Sprinkler System - $12.00
?
PERMIT FEE:
STATES S/C: _•T
GRANDTOTAL:
?'
:--.,..z,..:. _ _ . ... . , _ .. . _..:..
' CITY OF EAGAN ?O 17307
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used fdr B"EMZ" Est. Value $1+500 Date ww 1 s ,? 9 89
Site Adciress 4568 OAK CHAS8 RD
Lot 3 Block 1 Sec/Sub. OAK CHASE STH OFFICE USE ONLY
Parcel No. occuPancy - FEEs
W
Name ?H Ci?? Zoning -
(ACtual) Const -
Bldg. Permit 36
•00
o AddreSS 4%8 Q? Cl?E ? (Allawable) - 1•?
City EA? Phone 452-1306 # ot sto?es - Surcharge
Ptan Review
Length _
o Name sAM oePtn snc
Ca
= - ,
y
? O
? Add ress S. F. Total
-
v SAC, MCWCC
? City Phone S.F. Footprinis -
Water Conn
On Site Sewage _
?
? W
Name
On Site Well -
yyater Mete
? ;
Address
Mwcc system _ r
¢ Z
`W
City Phone
City Water - Acct. Deposit
P
/
PRV Required _ N
ermit
S
I hereby acknowlege that I have read this application d gtate that the Booster Pump - SNV Surcharge
infarmation is correct and agree to compty wfth ali alicable State of
Minnesota Statutes and City o( Eagan Ordinances. /
Treatment PI
Signature of Permitee i:' J APPROVALS Road Unit
A Building Permit is issued to: ALM GI;MRT Pianner - Park Ded.
on the express candition that all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. gldj, pff. _ Copies
Building Official
Yariance -
TOTAL
3 7' 00'
Permit No. Permit Hoider Date Telephone #
WATER
SEWER
PLUMBING P/25
H.V.A.C.
ELECTRIC 1/15/?? e
Inspection Date Insp. Commenls
Footings I
Foundation
Framin9 n' I f/ ?
Aooling
Rough Pibg. :IR
Rough Htg.
Isul.
Freplace
Fnal Hlg.
Final Plbg.
Consl. Meter Plbg, Inspector - Notdy Plumber
EngrJPlan
Bidg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
?.? l?
CITY OF EAGAN
3839 Piiot Knob Road
P. O. Box 21198
Esgan, MN 55121
Zontnp: ' -
Owri.r: ? ?+i7t1?I
- -r?-^ddmw:
Site /lddren: ?
WATER SERVICE PBtN11T
PERMIT NO.:
DATE: - -
No. af Units:
1 Oak, C'1dS@
Plumber: - _ 1s1: -
hAatlr No.r
Cor+nection dwrps:
Siza• ?'
r ActourM Deposlt:
?
.. ?
Permit Fee: .
?gNM tO OOwI* Mbb Nq (ity of sawp SUKI10rgl:
? )
lSC. CF10f?S:
Totol:
? Date Pnid:
--------
-
Dote Irup.: ---
-
I
nap.:
S EVVER SERVlCE PERM
CITY OF EAGAN
3830 Pilot Knob Road pERµIT NO.:
P. O. Box 21199
DA?:
Eagan, MN 55121
Zonlrq: No. of Units:
O1MMf:
Addrcss: -
SitQ AddflS3:
PlUI?IbQC :.? -7i• .'. . .e . ? 'l . . t? ,} ? P
wo Iw my of y/Ya COflMCtlOR Chm"%
OfoMwCM• ACCOYIIt DePmf:
Pe1f11ft FN:
SUfdIOrQQ:
By Misc. Choro"
Dote of 1 nsp.: Totol:
Insp.: Dale Pald:
CiTl( OF EAGAN WATER SERY= PER'Aff
3830 Pilc;c Knob Road PERMIT NO.:
P. O. Box 21199 DATE:
Ea9an, MN 55121, . No. of Units:
Zoninp:
Ownwr
Addrow-
$IN /1ddrom
plumbsr.
MtW Nb..
Size:
Readw No.:
1eMM t° sompl wft 0, CMy of NMe
OrAwONGM
By
oor. o? I n3a.:
.?i? .
:x;
Connsctio^ Gt'°V'
? AcoouM peposit: -
_ permk Fae:
Surd+oroe-
NUsc. Chorpn:
Totat:
?Does Paid'
_ ???
CITY OF EAGAN
3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 4548100
BUILDING PERMIT Rece+or At _
116,000
SiteAddreo 4568 OAK CHASE ROAD
Lat 3 Block 1 Sec/Sub. OAK CHASE STH
Parcel No. % -
W Narne JOHNSON-REILAND CONST.
? Address 8200 NORMANDALE BLVD
City BL.OOMTNGTObbhone 831-3201
a
0
gu
Name SAME
Addresf
Phone
Neme ROGER SUNDIN
pdd,ns SAME
ci<v
Phone
N_ 10532
Erect ?G Occupancy tt-
Remodel LJ Zoning
Fepair ? Type'af Const. V
Addition ? No. Stories
Move ? Langtn 66
Oemolish ? Depth 44
Int Impc ? Sq, R.
inetan o
Ayvro.ob Fees
Assessment _
Water 8 $ew.
Police -
Ffro
Ew.
Plonner _
Council _
PBfI11R Y/ JwV V
Surcharge 5$.00
Plan Review 7l6_ S p
SAC 52S_00
water conn. Snn _ nn
water Matar FI - n n
Road Unit 2Rn (1 O
I hereby acknowledga tFaf 1 have read this aDPlicatian und state thaf gldg. Off.( 1$ $ 5 I Tc PI. 7 Z 7 flll
fhe inlormofion Is correct and ogree to wmply with oll opplicoble APC
StaM of Minnewro $tot s and Ciry ot Eaqon Ordironces. Parks
Ver. Date Copies
Sipnafurc of Permittaa ??
A Buildinq Pertnie Is issued to: .TOHNS(lN -RF.TLAND CONST. m ry? at?? ?
dl work shall be done in qyQrdonSe witfyqil applicabla Stota of Minnnota Statutet ond City o1 EoOon Ordinancas.
Bulldirq OFffeial
CITY OF EAGAN NO 17307
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721
PHONE: 454-8100
BUILDING PERMIT Receipt # (o ?
Tobeused_br BASEMENT Est.Value $1,500 Date NOV 15 , 198Q_
Site Addrebs 4568 OAK CHASE RD
Lot 3 Block 1 Sec/Su6. OAK CHASE STH OFFICE USE ONLv
PdfCBl NO. Cccupancy _ FEES
Zoning _
W Name ALAN GILBERT (qctual) COnst - BIdg.Permit 36.00
o Address 4568 OAK CHASE RD (Allowahle) - 1
00
Surcharge .
City EAGAN Phone 452-1306 s of Stories -
Plan Review
Length _
o Name SAME oapm - Sac
Cay
f ,
0,¢ Address S.F.Total -
SAC,MCWCC
? Clty PhOnB S.F. FoolprinLS -
t
?N
C
On Sile Sewage _ er
onn
a
F¢
ww
Name
On Site Weli
W
M
t
i-y
AddfBSS -
MWCCSystem _ ater
er
e
,
,
aw Cd Phone
Y City Water _ Acct. Oeposit
PRVRequired - S/WPermil
I hereby acknowlege tha! I have read this app ation nd tate that the Boosier Pump - S/W Sureharge
infoAnalion ia Correct and a ree to comply h all pl' able S1ate
Minnesota Statutes and Ci Eagan Ordina es. TreatmentPl
Signature of Permilee APPROVAIS qoad Unit
A 8uilding Permit is issued to: ALIK GILBERT Planner - park Oed.
on Ihe express condition that all work shall be donB in accortlance with all Council
applicable State ot Minn
e
sota Statutes and Ciry of E
agan Ordinances. gld9, pff, Copies
/
?
?f
Buildin9 Official 11,j?(AQ ,Q1j.1`?J Variance _ TOTAL 37•oo
, REQUEST FOR ELECTRICAL INSPECTION EB-00°°?'O4
' Sae insiructions for comDkitiag Yhis imm on baek of Yellowcopy. /
4 6 6 2 6 ?-( 6 `d 2', "%" Below Work Covered by This Request
Rdtl ReD. Type oi Builtling AODliancea WiraA Epuipment Wired
t - Home Range Te rary Service
Duplex Wa[er Heater / ightiny Fixmres
Apt. Building Dr er Electnc Heatin
Cummercial 61dg. umace Silo Unloader
Industrial Bldg. Afr Conditioner ' Bulk Milk Tank
Farm ome. sva??fy eme, (sua?ifvf
t r Suecity Oiher Olher
Compute lnspecUOn Fee Below
! Fee ServiceEntrertca5ize fl Fee Feeders?Subfeedars d Fee Grcwts
0 to 200 Am s 0 to 30 Am (ZA W`.)'L)
8
0 to 30 Am
A6ove 200 Amps 31 to. 100 Amps / p 31 to 700 q
Swimming Paol A6ove 100_Am s Above 100?Am S
Transtormers Irrigation Booms Partial%Offier Fee
. /-? Signs Special Inspection
?
S?
TOTA
??
Nmar4s ? • Z. S
J L ?.
C. 7 GG
IbupMin / . Rate
),)
1, [he Elec[rical
'
? Inspector, hereby
Final // DaJy+^?`
w f7 `a 'fY thai tM ahova
nsOection has been
? ' ?de.
1I1illRpuea[ ra018 mon 1hn iroin
rti, ?`,X`° 5v ?? a-
? NOG L- 3,6
-) -a9 - ?s
00-,k /-N o ci
eq x uaae ' Fire No. Rnuph-in InsPer.tfon
d] ? ?j ; Reqwrs ?Reatly Naw ?(rNOtily Inspec-
? ii? _ /? ? No tur Wh¢n Ready
LtKicensed Electncal Contractor I hareby reQUest inspecbon of above
?Orner eleclricel work instellatl at:
Str Ad s, BO?or?Ro .? ?
/ ) 1 City ?
n ?
?on o. Tawnship Name or No. ange P1o. County
?
?
I
O?cvpan (PRINTI ? _ El Av
? ?? Phone No. ^,
t i ? 7
1I
?
Pow? r uoPii
b
z AAAress /
?7-
A?
EIm??(',?xK?y-?Qgn9?!'?
1V JJnll+11 ?? o racmr's License No.
/?Mti -7 P'?r?.
Mailin0 Ad r ioN
Y MN 55124
Authori 'SiOm• ture (Con[rac[odOwner Making Iretallation) Phone Number
YIMNESOTA yTp7E BOANO OF ELECTRIGITY -•?°' . THIS INSPECTIOfi REQUEST Nill NOT
Grigps-MiAvay Bidg. - fbom N-197 BE ACCEPTEO BV THE STATE BppqD
7821 University Avs.. St. Peul, MN 55104 UNLESS PNOPER INSPECTION FEE.6S
phore (87212972111 ENCLOSEO.
??5-/?c? REQUEST FOR ELECTRICAL INSPECTION ? EB-00001-09
? See inslruction6 lor completing this form on back o/ yellow cnpy.
W'
P 66401 X" Below Work Covered by This Request
e ' dd Rep. TypeofBUilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./lndustrial Fumace
Farm Air Conditioner
OHier (spedfy) Contrador5 Re
mss7Sn1 •
Compute Inspection Fee Be/ow:
# Other Fee # ServiceEntrenceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transbrmers Above 200 _ Amps Above 100 _ Amps
Signs Inspector5 Use Ony: TOTAL 5?
Irrigation Booms O. ?
Special Inspection
Alarm/Communication
Other Fee
I, the Electrical Inspector, hereby Aouyn;m
certif thattheaboveins ectionhas
Y P
beenmade.
Fnal
-:.•':.?_.xI..;:.,
OFFICE USE ONLV
This request vdtl 18 momhs irom
I? 66401
RequestOete
/0
C7C? "
J /
re No.
Fi
Rough-in lnapec[bn
p ired?
Ves ? No
? Ready Now WII Notay Inspecta
/ ?4hen Reatly?
I p licensed contractorAwner hereby request inspection of above electrical work at:
.bb AdtlrBSS (Street, Bm w RoNe No.)
56 rBl-/L Ltf?tsE Cily
?-G-?{-rJ
Secuon No. Township Name or No. Range No. Counry
Occupanl (PRINT) ? ? ?y A_rl ?
L?Tf rz.o
? Phon? .S ?
Power Supp4er A dre%
ElecVical Condactor (Compeny Name)
5 ? ConVecloYS Lkense No.
Malirg Address (COritrada p Osmer Makirg IreWlatbn)
Autlarized ' ure (Contractor/O Making Ins II on) Phorie Number
NINNESOTp STATE BOAPD ELiCTRICI-dY THIS INSPECf10N REOUEST WILL NOT
GrigB%MWwey Bltlg. - Room S173 BE ACCEPTED BY THE STATE BOARD
1821 Univendy Are., St. Peu4 MN 55100 UNLE55 PROPER INSPEGTON FEE IS
Plmne (612) e42-0800 ENCLOSED.
LOT: 3 BLOCK: ? SUBD./P.I.D#: OQ._L C?/?G?./?.?
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EACAN
y??' ?? 3830 PILOT KNOB RD - 55122 y
651-681-4675 1
New ConstrucHon Reauirements
? 3 reglstered sMe surveys showing sq. R. o} lot, sq. ft. of house
and all roofed areas (20% maximum lot coveraae allowed)
? 2 copies of plans (show beam 3 window sizes; poured fnd. design; etc.)
? 7 set of energy calculations
? 3 copies of hee preservaNon plan H lot platted after 7/1 /93
D Rim Jotst Detail Optfons selection sheet (buildinas with 3 or less unfls)
Name: I J'?h,??' I 0.Y1 Phone O 61
lost F4sf ,
DATE: I / Q ?O ' bb
CONSTRUCTION COST: ?r
DESCRIPTION Of WORK: S?( 7.,??"l?- If muBi-famliy bldg., how many unNs?
STREET ADDRESS:
PROPERTY
OWNER
Street
11-I'3-CI?,
Remodel/Reoair Requirements
2 copies of plan
1 set of energy calculations for heated additions
1 sile survey for exterior addlHons 8 decks
R
City P2 ?) State: ?? Ztp:
a
Company. &m S-??.m?l? rnone #: P163 53.3- ) a 3?-?
? (area code) '
CONTRACTOR
Street
ARCHRECT/
ENGiNEER
City _ Q.E?y ?Sj'H,I state:
TelephOne #: ( )
SMeet
Clly
License #
Zip:
- Name:
_ Regishafion
Stafe: Zlp:
Sewedwaterlicensedplumber(ifinstallinasewer?lvater): Phone#: U
I hereby acknowledge that I have read this application, state that the information is correct, and agree to
comply with all applfcable State of Minnesota Statutes and City of Eagan Ordinonces.
Signature of Applicant:
? J?l ?
OFFICE USE ONLY
-°I
Certificates of Survey Received _ Yes _ No A
I
? ni 2000
Tree Preservation Plan Received _ Yes _ No _ Not Required I
---?
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 Ot of _ plex
? 04 02-plex
O 05 03-plex
? 06 04-plex
? 31 New
? 32 Addition
O 33 Alteration
? 34 Repiacement
VALUATION
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
? 20 Pool
? 21 Porch (3-sea.)
0 22 Porch/Addn. (4-sea.)
? 23 Porch(screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 EM. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 35 Int Improvement ? 42 Demolish (Foundation) ?
? 36 Move Bldg. ? 43 Reroof ?
? 37 Demolish (Bldg)• ? 44 Siding
? 38 Demolish (Interior)
' Demolition (Entire Bldg only) permit • Give PCA handaut to applicant
Occupancy
Zoning
Stories
Sq. Ft.
Length
Width
MCIES System
City Water
Booster Pump
PRV
Fire Sprinklered
45 Fire Repair
46 Windows/Doors
INSPECTIONS REQUIRED
? 07 05-plex O 13 16-plex
? OS 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or_ N
_ Footings: New Bldg
_ Footings: Deck
_ Footings: Addition
_ Foundation
_ Framing
APPROVALS
Planning
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Park Dedication
Trails Dedication
License Search
Copies
Other
Total:
_ Insulation _ Windows - new/replacement
_ FinaUC.O. _ Siding
FinaUNo C.O. Srucco/Stone
Fireplace: _ r.i. _ air test final Roof: _ ice & water _ fiual
Pool: _ ftgs _ air/gas tests _ fmal
Building Engineering Variance
?-? -
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
S ? .e;--O
Date 9 I A-, I o -?<
Site Street Address g` Unit #
Property Owner ?j?J2/?z GDe5p l°A/ Telephone #
Contrector V Telephone # (y.3?s?
Address )LZ
/?C??r? ? ?Q -City lI/LZe State LO ZipzZLY,?
The Applicant is: _ Owner A Contractor _Other
Alterations to existing dwelling
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_Water Turnaround (add $121.00 if a 5/8" meter is required)
Other: $ 50.00
>L Water Softener _ Water Heater
? replacement _ additional $ 15.00
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge $ 50
Total $
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
Applicant's Pfinted Nam4 ApplicanYs nature L/ .--
L--,` ? rl - f 1
` .- _ = li LI IS j ?j
I ?I
Ii1 L
????
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
? CITY OF EACAN
3830 PILOT KNOB RD - 55122 y_9 q
651•681-4675 ?
New Construction Reaulremenls
? 3 registered sMe surveys showing sq. ft. ol loi, sq. fl. of house
and all rooted areas (20% maximum lof coveraae allowed)
? 2 copies of plans (show beam a window saes; poured fnd. design; etc.)
7 1 set ot energy calculatlons
> 3 copies of hee presena0on plan N lot plotted aRer 7/1/93
DATE: S" I ` 99
DESCRIPTION OF WORK: 1)e/Yla1/e.
7? 2
° q
CONSTRUCTION COST: / I c
G-TO ? 20,-Y?
STREET ADDRE55:
LOT: ? BLOCK:
PROPERTY
owNeR
Name: (2i ?e-I" /'7 I Phone #:
Lasf First
StreetAddresr. `i5&g oo- K ej?jcv?
City ? 2--:,a ? Sfate: m "/ Zip: ?3-
Su'e e - L? C.k
Remodel/Reoair Reaulremenfs
2 coples of plan
1 set W energy calcuiations for heated addNions
1 sfle suney for euterior addMions 6 decks
Phone #: &12 (79 7. ZZ7 (p
(area code)
CONTRACTOR ? \
StreetAddress: ??155 3? w License#W/??SExp.d?Z I ZC-00
City 942?C71G VG?XJL?-? State: /"1?l/ Zip: S'??Ly
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code ( )
Street
City
Sewer 8 water Iicensed plumber (required for new construction onlv):
State:
PenalFy applies when address change and lot change fs requesled once permM is issued.
Zip:
I hereby acknowledge tha} I have read this applieation, sFate fhat the Informaffon is correct, and agree to comply wRh all applicable
State of Mlnnesota Statufes and City of Eagan Ordinances
Signafure of
OFFICE USE ONLY
Certificates of Survey Received _ Yes
_ No
Tree Preservation Plan Received _ Yes _ No
Registration #:
1I' f
.
?
Not Required
, ,.? I
. -vL I -
.
` ? •.
r^? ?
(? Q I?YJ 1985 BUILDING PERNIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET ?OF ENERGY CALCULATIONS
To Be Used For: Valuation: r , . Date:
Site Address: j?gpy Od/, t-1yAJ'e 16dj OFFICE USE ONLY
Lot: ? B1ock ? Sect/Sub ,s n`-4?L. Erect ? Occupaney ?•'>
Parcel !I
Owner J&k5Ow- RPJau? I0,40, 3 i61
Address scm'U,r•,,d_?,p
City/Zip Code ny31
Phone
Contractor
Address q?-w 1avL&,+?d,,(e ??tUj
City/Zip Code
?,p^
Phone 0CH-?3G0
Arch. Engr. D
1\2rQV' ?u ?.?? ?.
(,:`_
Address SN ,?, -e
City/Zip Code
Phone 11 91?-9300
Remodel
Repair
Enlarge
Move
Demolish
Grade
APPROVALS
Zoning
Type of Const
ll of Stories
Length
Depth
Sq Ft
Assessments Permit
Water/Sewer Surcharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off ,. q- Parks
APC Treatment P1
Variance
TOTAL
2_i
ET
Ca C0
44
c?
4-3.
58. °=
5Z5, °`
500.
?P3. oa
2 •"
?4-x 2.? = og ? X 5rq- = q.??36
lZx Zq -? 28? K c ? - 3 i c??
_ 66pC-)
? 4co4 K 4( = 1?oZ¢
1 c? n Z ?
? S?o x 4l - ZZ140
l ? x 3? _ ----
.
11 s3oc?
?J ,) ' ! L J - iJ-)
CERTIf/CATE OF Si'/3PVE'r
?
?
\
\
?
.`L
Pv
i
Z
?
\
Scale: 1" = 30'
0
0
/ N£R£BY CER77FY rHAT TH/5 S(A4p'£Y, fLAN OR REPGWT
WAS PR£PARED BY ME OA UNU£'R MY OJRECT SC!°EflVISIOW
Ah'D THAT J AA! A DULY h'E-GIST£RFO LAND SURYEYLIR
UA'OER THf L A.WS OF TH£ 57AtE A`" N. /NM: SO rA.
OAr£ RE6. ho. 8140
brandt enginaering P. ruruaVing
4fx ??3? ? f ,ry??.
` 2745 wAodl tfatl
?..
mtnraeiota 35337
(012)433 ,.? . ..
- - . ?. .. .. .. ,_ . :. ?. ..,._.?, :.?. .?.?.:?? . ?__ .-. t ? .. . .: - ?-..- -_.... . . _ .
;r - - ?- - _ ;,-
???
J 1 ,-
!? b2
DFSCR]PTION
Lnt 3, Block ],
OAY. CHASE FIFTH ADDITION
Dakota County, t•linnesota
Plat bearings shown
o Denotes iron monument
' • MIr:mvz swvi,r,orr m.imncr; "o° CUIdPi)1'A'PION
cr ua;rt
siTz nr»urss
' rnnTtAcmn nnTr r. sioNS:
D^tezmi.ne orozl:ing sqvare foott:ge oi cacli.
1. Total exiosed uall ar.oa ...... ;2-738 sq. ft. X al? - 34/ ?8 ?
2. 't'otal roof./ceilzn9 azea ....... sq. it. X,6,:Jf,2 -? jG. 87 7
A. 'tci:al wall r:indow ar.ex .......................... 22?--
D. Tc;lal door area ........... :.....................+ 78
C. Total slidinry glass dow- ar.ea...................
-
1). Tol,-?l fitcpl_ace wal]. :.irca .......................
1:. )'Ottil w1].1 fTIIID:L71g :irCB. (:3'VC):ICJC lI)%) ...........
F. Total 7:i.m joi.st ar.ea......_......................? .?60
G. '1'oCal
?Slel
P?et tvall :arca above flooi.................
• 'Iota.l cx1x+sed foumdation 22'eB. - _.?110 Y IT: Total foi.nditi.nn idndow 3rea ...........:........ ! . ..
I: Total net iaunc4atinn area above grade.... .......,
Decera;ine "U" value oi cacli trall segr.ent.
a. Z2?- _ x°'o" . 352,; = V?8.1
' b. 78 - x :v. ,yo
C. - ?. ..U,. - -? _ --?
-----
a. - _' Y ,.U..
e. a? 7 x''o". ,'091. ?= 1 9, o
f. a`t 6 0? x"U-.
X. h. 9 ,; „o..
?. !o/ x .1u^ .066 Y ?,6 7
3..................................... t,t
3f .itcin 113 is, Lhc saw. ;irt, rn: la!:c: f.h:m .i.tc•?n I.•7, you havr! "cC Chc Snt.rnt oC
SbC 61106 (c)2.
.
xOtlill F`.:((1oSCd 1'npf:/f;qA11117 iU"l'il ?_...._..... ? I 16
j. 7bl'al s;}:)•li.yi?t orr:i ...............................
K. 'ibtal rcol`/c.ii].inq,L?-.uniurj arca (avcr.?qe 101,)..... ???I? ?
1. 1b1a1 neL iu:;u.L;aCeC] teof/ce.'tli.n(I arca .............
Dete.t'mine "U" val.ue for cach z'cx)f/cciJ.i.ng seqmenl•.
- X "U"
---=--------
? :, -
x ?.U., _ , 02 L.. -
:t ., u,l
.t .....................................I roea,. . :..
.
,;-9 .07
31•Y '0'
If: lota1 aE ;,h is the ,ame as, or leus than ff2, yova have inet the inL•enC o£
sxc cooF(?:)i. _ •
Alt.crnate Bui131n9 Envel.ope DeSign '
';o util.ize ttio i:otal en.%elooe .^.y:?tcm me>.t.l7od, the values esi:abli.shed by the
swn of: items 1i3 and 1<<1 t.hall r.ot bo. yr.eaCer than tlic ,um of itenL- 1k1 and N2.
2
3?? 87 - 338.0
._?
+ 4
3. .
- rIJi1:1, 51:?7'7C.IJ ? .
75'A vf op„aqlr: wall aroa l:or
tZwrtO CraI:IqUCtlUfl
ons I c
wna.,r.
C:011,71:1'UCflnp Fr?Amt h"VAlUC
L ?tLt:Sri?r :L_r S ..lm 0_GO
z ,LZ„ SL-?ntocK .ys
3. ?z ?rWncs sott
4. ZS 'i b" 5 N'fb.
5. _S i f ., 6 . 67
6. I>xleri.ar air. film ? 0. 17
Pir, II1 TOPVIL•'tJ OF
1'IU11IL•' F711LT, ?•
? 3.
??? __-• ?..._.___ ?? • 4 .
?.
PIG. ;f7. ?. ?
_...-
iiLC
:ltilcil?.
,
-;:
1- ..,<<
.??
ti.
:i,?L?TZCi1
.• ?:
??r-?---?---
?
r ? .. .
•? n ?
? ?? ? .. ??. ' ? .._...._.
?r
?.
f,.
1l
1t .
\
. 4 ;
l..
3.
4.
5.
6.
.l.
2.
3.
4.
5,
6.
s?,no oy cxnor:
7bC?i1 !0 ,9 f
'
NiFT
]:ntcrior air l:ilm 0.Gt3
1i_S Ik?'nwcX • y ?
?
?"?G• INS?UYilOw1 ?q.no
Z 32"?131?. Z.oc.
?
I':r.Cer..ioi: air film 0.17
-- ? ' - 7'otal 23.0 3
, o?f3
7nt:er.'ior air Li7.m 0.60
lC-i3 iNs V L, , r3.nD
I?IL_ Stll?' W010
Z.06
Lxt:cri.or ai-Y f`.ilm 0.1'7
,rot3l
,os
Int-cr.ior ait- film O.GEt
/NS?L. i.aa
?z„ Cor?G QSI,K._r /.Z-S
Extcr..ior air film 0.17
'Potal
. oGd
M11`F
.. ?i"rL(??( r' ??? ?? , ' ?. ? a ? . `?,C ? ? • .
"' ,?I'::i-- • • .??_.f
?(? V ? ? n•' ? ' ???"' .,
„' l • ? ? ' ?(// I
t'IG. 1}?1 !(i , ?M1 1 , p ?
I-F
'
I;UCI;:
1.0ar.cr.uuiL• o( tu;ula:. cm.
. • ? ?
I' I C . 11.1 ._.. ...._ "?"? .._..___...
_?.
.
1:0Ol/CfiILfN(I
• .... -•.`?.~- j- 1
? ',"???•IIII???:'1.?, ??1?'?Y??IiI
' VGiIT
..
1) 142)
Vcuccd
A
? lleat LloU
up
1'TG. 45
,n.?r. _ ,?,-...,. ,•?i.:1:C.
/? 1 I
?:, i?!,?_1?????????11.
? Lo, LO
) llraC f7.cw up
D,
, ve+rted
. .FIG. 06'
.
.
? '
?
:??.?"'
i
?
-%
-
{
•?
`.nVn°.???-
.? .. :..:..•'•%•.:??;?.'-:
.
.
_
t.?? - . . _
.
?...•,•?•,:_?......,.?•.:.:?• :.:.-•-"
/
;
•
•
? /
;
."; _.,. •
? ?.s :, - .. ?
.? ?'?''•;;:?: --. ; ?
,
.G
.? ??...._---.?/? 1"i
? NUc1--1]miTi:ll ?
L':luu up
11.1r7, A 7 , . • '
C_onr.l ruci.ipn (U^c Lor. ]:t:em I,).. li_Valur.
1. 1.,,t.r,.;.oT. niT. f,.l,n ().Gt
2.
3. ;-
A. ];r,Ccl:iCU.' air_1'i.lri (::l.t.l.l)' ?
Total
.022
CI.G. F2nMltdG(Unc Lor. Ttem K)
:l. Int:cribr ilir f.i].m. y__? O,f.,l.
2. OI'b7JL? S6
3. Inches sof:i?. tacnd 4, 36
9. znnct-, .irtsu:L aL•ove framiuq 36-Do
S. Aii: Fil.in
• 02?; -
.l. Ini.erior a.ir fil.m ^ 0.61
3. .??------
4. Extcrior a3.r. I:ilm
--•--------- (r,i.i.1.1.)
-.
- O.oi.
?-------
?fot.al
1. _n,si.ac_?i:vLilm - •--• ri_G7.
--
+
_----
Tol.al
I:o1.?.:: U::r•. ,lil.1.i:'ir,?in7. :;hccl.:t i.Y mot.(! ----° ??crctla?t foi? d?•tn.i1.^. nn:l ?:?Icu];iCi?,n?;.
.
SINGLE FAMILY DWELLIBGS
2 3El5 OF PLANS
3 HEGISTERED STTE SORVEYS
1 SET OF ENERGY C6LCS.
7989 SUILDING PEAMIT APPLICATION
CITY OF EAGAN
liiofi
MOLTIPLE DWELLSNGS
2 SS"fS OF PLANS
REGISTfiAED 3ITE 3DROEYS -
(CHECg iiITH BLDG DI9.)
1 3ET OF F.NEAGY CALCS.
MULTIPLE DWELLINGS RENT6L DNTTS FOR SALE DNITS
COMMERCIAL
2 SETS OF ARCHTfECTURAL
6 ST&UCTQRAL PLANS
1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCS.
# OF IINITS
80TEt ADDRES3ES FO$ CORNER LOTS - CONTRACTOR/HOMEOWNER MOST DFSIGN9TE i1HICH EDDRFSS
IS DESIAED. NO CHANGES WII.L BE ALLOiTED ONCE BIIILDING PERMIT'IS I3SUED..
SEWER 8 WATER PERMIT FEES AND ACCOIINT DEP0.SIT FEES WIi.L BE INCLIIDED idITB THE BUILDING
PERMTT FEE. PROCESSING TIME FOR SEWER AND WATEA PEflMITS IS TWO DAYS ONCE A PERMTT H9S
BEEN CAMPLETED INDICiTING A LICENSED PLUMBER.
PBNALTY APPLIFS WBEN: PERMIT IS NOT PAID FOR IN 39ME MONTH IT IS REQIIESTED.
LOT CHANGE IS HEpDESTfiD ONCE PERMIT IS ISS[TED.
-FI?al51-f106-
To Be IIsed For: a6 }?Valuation: S??% ? Date:
Site Address
Lot ? Block r_
Parcel/Sub 0,f,Al Jr'ou
Owmer ALW CrI
Address U-S A
City/Zip Code
Phone 4`? ;?- -I ?o (,
Contraetor S ?-L ?F
Address
City/Zip Code
Phoae
Arch./Engr.
Address
City/Zip Code
Oecupaney
Zoning
Actual Const
Allowable
A of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage
On aite well _
MWCC System _
City water _
PRV required _
Booster Pump _
6PPAOV6LS
Planner _
Council
Bldg. Of£.
Variance
FEES
Bldg. Permit ?i . r ?
Sureharge r'eo
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Aect. Deposit
S/W Permit
S/W Sureharge
Treatment P1.
Road Unit
Park Ded.
Copies
SQBTOTAL
Penalty
TOTAL
Phone #
.
?
CITY OF EAGAN 2/84
-
APPLICATION POR PERMIT
• SEWER AND/OR WATER CONNECTIODI '
(PLEASE RIN1)
1) PROPEfYPY ADDRESS:
=,I, DESGRIP'PICV: ?tG
?k-P?
..
• (L?t/Block/Subclivision or Ta:; Pascel I.D. NuTuer)
'. I'r' ST^.?CCT!j2E
. .... , DATF' OL' ORIGi IAI, i:iiIL9IT'.G T_SSi;??;C.:
c . --, ?'--J
PpESL'!' --:^?IrCF:/P??OPOSEJ L'S=• 1,? R-1 SL?iGLE FFMSLY .
(? R-z euPT= (Ts,=o UNzTS)
? R-3 TC'.v"LII?CUSE ('?'I= + L^lITS) ( WITS)
? R--! Fc3iCi`t?`1T/COi?Ct?SS]IU;I ( Wi I'?'J)
? CC
1
%ry
S
E
?
C
I.'?L/RF.TAII,/OFFICE
T?T
?
T
?
+?}
r
?T
0 11'Wl.'J1ti1.4L .
[j INSTI:'t.'T20.1'%L/GGVMNm=7T
2) APFLIC-.JIT (PLEASE PRI.Nf)
NPVhIE:
ADDRESS c '
CITY, STAT:.', ZIP:
PHOiVE:
,
3) pajmBER
NA[? : PLEASE PRINi) ? FDR CITY USE O4LY
ADDRESS:
13'?V1 PLUXBERS CENSE
aceive :
CITY, STATE, ZIP: ? Ezpired
PHONE:
, PLUMBEH' LICENSE o ;Recard
n i'tT?
k) UCX:UPADPP/0".11`iER ?? .
NAME:
ADDF"tLSS :
' CITY, STA'I'r, ZIP:
Pl IONE :
!: ,.? : , . , •
5) INDICIITE WE1ICH' PERNLLT IS•'SEINC; RADUESTID: • •
Cb\,1Ni'.CrICN 'IC) CITY SLyeTER
?CON!JEr?]"lIOJI 'M CITY SdATLTt ,
? diflER (PLC715L DESCftIHE)
ei ir.ulc:;:L o:+E:
7)
? PLE?;E f?OLD APPRW[D PIIZ'VLiT FOR PIC1;-UP BY ONE OF 71BOVE
? PLFASE h*AIL APPR(TJM PERKIT 'P'J l, 3, 4 AF?WE ?
(Circ e one)
1?LAl-? C 7 a. sQ J1` DATE:
A w A:al.+jtls?e! r q??:sauw a.? ?a /x ?.a s?a y s s?s?a:a a a? fa fJraR?-sJ? f.l ??? aasega
F O R C I T Y U S E O N L Y
p'?".ZT u ISSUED
?
r=-s: $
$ PER\1TT (INruL:iL
$ $
S
$ S U GL
$ $
$
$
$
$
$ /3,? • & u'
$
$
WATER PER_"LT_^i' (i1:CiuDL SIIRC::aRGL)
WATER MET°R/COPPERHORN/OUTS=_ REi,u:H
WATER TAP_(INCL?DE CORPORATIC?] 5^:OP)
S?:•icR :A?
°-Z: Ci;:?_ ,._: ?•S?_
ACiAu\T DFPOSIT - WATER
wAIC
S3C
TRli^IK I•7AT°3 ASSESS::E:IT
T4L.']?{ SLT:ER ?SSESJ:1z':
L:,.E3nL BEi•;EFZT/T3U`dK SE:d: =
LATER.yL Bc.VEr IT/TP,U.:K WATER
WATER TREATMENT PLANT SURCHARGE
OTHER:
T0; .IL
A,`?Cli.`.T PrII'J;'3ECEi?T R ??-
D0:5 UTILITY CON:]ECTION REQUIP.E EXCnVAT20N IN PUBLIC RIGHT OF WAY?
? YES?- IF YES, THE:I H"PER:IIT FOR WOR:: WIT??Iy
PUBLIC ROADWAY" MUST SE ISSliED BY THE
C] NO ENGI.IEERIt]G.DIVISION. LIST AS A CONDZ-
TION.
SIiP.JECT TO TFIE FOLLOWI.IG COLIDITIONS;
APPROVED BY:
TI.LE:
DATr:
-?7,
oQ (< ? a SL
CARRIER LOAO5; « s?
INFOIaMATION QENTER
METRO AIR
119401 Normandale Road
Prior, Lake, Minnesota 55372 OPTION 1 OPTION 2 OPTIOM 3
(612) 447-8124
t Summerdesigndegrees........__.. . Q 5 p ?a ?
(90, 95, 700, 705, 110 0r 115)
2 (If 90, 705, 110 or 115, Item 2 N.A.)
Dail
ran
e(0°-35°) '
. y
g
................. .
1 Wintertlesigndegrees ................ .
(Precede a minus number with M)
4. er
f
wi
...
....
?
5
p
. ? #
?
?
l
(
3
1U 2 o
5 N.A.J
2 0
ltem
3.
5. Storm wintlows? (Y or N) .... . . . .. . . . .. .
6. Windowsweatherstripped?(YOrN).... .
7. Four window areas starting with N or
NEOrientation .. ..
.
(Ez: NN25W30N20#25##; Max per side:
999 sQ. fl)
71 r NE N ?
72 r SE ? 5a ? a
73 S r SW O # #
74 r N W NN ?/ NN
8. S haded wi ndow area . . ..
(D or sq. ft. Entei 0 if not applicable
Max: 999 sq. ft.)
9. ... .. .. . ..
0 0? q fe. Max: 999 sq. N. H 0.
10. Items 10 & 11 N.A.)
Doorweatherstripped?(YOrN) ....... ..
71. Stormtloors?(VOrN) ............... .. .. .. ? k# . .. ## M#
12. Firstsroryperimeter ...................
13. Secondstory perimeter ................
13 N
?
?
14. ThiCknessofwallinsulation ............ - f 9 #
(0, 2, 4 or 6" fiberglas. Enter MA for
masonry; R values, enter R, then value.
Ex: R19)
15. Basementperimeter ..... ...........
(0 or linear ft. If 0, Items 16, 17 &Y8 N.A.)
16. Basement heatetl? (YOr N) ......... . .! 4z s. p1
(If N, Item 17 N.A.) .
77. Percentabovegratle(Ez:S%=5) .......
78. Area of roof with exposed beams or
stutlioceiling .........................
Cj k#
?
q#
##
(0 or sq. fL Ii zero, I[ems 19, 20 8 21 N.A.)
19 o
r
forwood.
W F(orfiber.IfW,Item20N?A.,
? F, Item 27 N.A.)
20. Thicknessoffiber ....... .. ..... . .
"
(1.5. 2 or 3
or R values)
21. Insuletion ...........
. ...
..
.
...
.....
(V. N or R values, V
assume
f
s
5"
)
OP*ION 1 OPTION Z OPTION 3
22. Area of ceiling under vented roof or
unconditionetlspace .................
(D or sq. fL If 0 Item 23 N.A.)
23. Thicknessoflnsulation....... ..... ?
(0. 3, 6, 12 or 18" of fiberglas or R values
Ez: R30) ?
24. Areaotfloorsoverunconditioned5pace O N ? I sl
(0 or sq, ft. If 0 Item 25 N.A.) ?-J
25. Thicknessofinsulation ................
(0, 3 or 6" fiberglas, or R values)
26. Area of floors over open or vented space,
orgarage ............................ Q #q ## #N
(0 or sq. fL It D Item 27 N.A.)
27. Thickness ofinsulation ................
(0, 3 or 6" of fiberglas or R values)
28. Basementarea .............. ......... #
(0 or sq. ft. If Item 151a 0 sklp this entry.)
29. rotal heated area ..................... 5
3 p ? ?a
30. (sq. fL)
Perimeterofconcreteslab ............. ,
31. (0 or linear ft) (If 0. Item 31 N.A.)
Thickness ofslahinsuletion ............
2 p
?
?
?
(0, 1 or 2")
32. Desiretl summer indoor tempereture
`
swing ................................ j ## Nk #M
(Value between 1 and 6 inclusive.)
31 Desired winter inside temperature ....
34. D
tl
T
attic?BA = basemenL SL = slab,
CR = crawl space, CO = conditioned
space) (If BA, SL, or CO, Item 35 N.A.)
35. Thickness ofinsulation ...............
.
?
(0, 1 or 2". U8e 2 for 1" rigid.)
`REPEATDATA.............. ............. QS riN N# NN
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OPPORTUNIN HOME
MGTRO Y1IR
19401 Normandai-a 4?•??
Prlo& Lake, Minnescta b;;!; '
(6121 447-8124
3-78
Printetl in 11.5.A.
838-039
Carrier
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4568 Oak Chase Rd
Lot: 3 Block: 1 Addition: Oak Chase 5th
PID:10- 53504- 030 -01
Use:
Description:
Sub Type: e- Fireplace
Work Type: Gas Insert
Description:
Census Code: 434 - Occupancy:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460 -6022 X253
Chimney /flue must be inspected prior to concealing. Smoke detectors are requ ired in all sleeping rooms prior to final
inspection. When wall studs or ce iling joists are exposed, hard -wired detectors are required. Battery operate d types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.Cindy Lilienthal 21210
Eaton Ave Farm ington, mn 55024 651- 344 -4253 clilienthal@controlledair.net
Surcharge - Based on Valuation $3K
BL - Base Fee $3K
Total:
PERMIT
City of Eaan
- Applicant -
Construction Type:
$1.50
$88.50
$90.00
Owner:
Carol A Hooten
4568 Oak Chase Rd
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
9001
0801
Building
EA076727
02/16/2007
ePermit
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature
Issued By: Signature
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4568 Oak Chase Rd
Lot: 3 Block: 1 Addition: Oak Chase 5th
PID:10- 53504- 030 -01
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: Replacement
Description: Fumace & Air Conditioner
Comments: Questions regarding electrical permit requirements should be directed to Mar k Anderson, State Electrical Inspector,
952- 445 -2840. Cindy Lilienthal 2 1210 Eaton Ave Farmington, mn 55024 651- 344 -4253 cilienthal@controlledai r.net
Fee Summary:
Contractor:
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460 -6022 X253
Surcharge -Fixed
ME - Permit Fee (Replacements)
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
$0.50
$50.00
$50.50
Owner:
Carol A Hooten
4568 Oak Chase Rd
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
9001
0801
Issued By: Signature
Mechanical
EA076728
02/16/2007
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
MAR/11/2013/MON 04:17 AM
FAX No, 952 854 4909
002
Use LUE or BLACK Ink
For Office U
77 City O1
3830 Pilot Knob
Eapll
Road
Permit q#:
Permit Fee: •,c' _____– -
-- ,-1 3
Date Receive
Eagan MN 55122
Phone: (651) 675-5675staff
i
Fax: (651) 675-5694
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address:
nit #:
I r' ,r 1 A 0l / V a ! Phone:!a s�'�(7Name: A
t
RESIDENT / 4/ q 6 8 0 G 1 CA a$ c. leo Q c t
OWNER Address / City / Zip:
f
Applicant is: Owner contractor
1
Description of work: l // Y l n Cr r0 U !il W /n c(0 a ft? /a.
in .fin ia..i
/1
TYPE OF WORK1
-i
1 Construction Cost: P3 6 1 Multi -Family Building: (Yesfir_
i
/ No ' )
Company: THD At- Home Service, Inc,
_ _contact:
( 2690 Giaxzberland Pkwy, Ste 300
I Address: City
;
I CONTRACTOR I —Atlanta, GA 30339-3913
State: Lic #34268257 Ph. 763/542-8826
i
License #: C R 2 % 2 6 7 Lead Certificate #: /V47 _/ 7 p
7 L'
If the project is exempt from lead certification, please explain why: (see Page 3 for additional infor
-tion)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDIN r
j
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes If yes, date and address of master plan:
^No
1 Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public inform
the information may be classified as non-public If you providespecific reasons that would
conclude that the are trade secrets.
tion. Portions of
ermit the City to
CALL BEFORE YOU DIG. Cali Gopher State One Call at (851) 454-0002 for protection against underground utility damage.
Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateor rall.orq
I
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinanc
Eagan; that I understand this is not a permit. but only an application for a permit, and work Is not to start without a pe
accordance with the approved plan in the case of work which requires a review and approval of plans,
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code ust be 4iompleted
days of permit Issuance.
st/Sen1c .��
and codes of the City of
t; that the work will be in
within 180
x 1?M
'Applicant's
Applicant's Printed Name Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA121105
Date Issued:03/13/2014
Permit Category:ePermit
Site Address: 4568 Oak Chase Rd
Lot:3 Block: 1 Addition: Oak Chase 5th
PID:10-53504-01-030
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Elizabeth Hess
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 -
Arvind K Naik
4568 Oak Chase Rd
Eagan MN 55122
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature