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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 YOrN ••COPHECTION54" ....................... If there are no corrections required enter prt. If there are corrections to the data, enter question number, #, the new data, and rt0. IEf no 9ur?e?r corrections, enterqN pnly. ## # #a g? # ?* N# # p# COOLING B.T.U.M. EOUALS 31534'&A AT ?S °F B.T.U.H. AT °F B.T.U.H. AT °F HEATING B.T.U.H. CJ? ? a 10/,79/ &-u iP^V,^ EQUALS 4(33 AT °F '80 B.T.l1.H. AT °F B.T.U.M. AT °F "REPEATTHEANSWERS"(VOrN) ......... ## qp ## "SAYEYOURDATA4" ................._. #a #p #q Y or N; or VRN# will save your data antl goes to 6eginning for new Analysis; or NRN# will not save data but goes back to beginning for new Analysis. JOBNUMBER ............................ If you want to save your tlata CLIC assigns Job Num6er "STRUCTURE CHANGES?............. ... ? there are no changes required enter Nk. I1 there are changes to the data: enter question number, p. the new d2[a, antl xa. p #N k uH p pp Ex:25NR30N# If no further changes, enter ## only. N# aa gp CiN i?' ??II?? 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