4575 Oak Chase RdINSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: ???' ?? R+ t N??
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55122-1897 Date Issued: !•? }? ,` ;. , ??, ?{
(612) 681-4675
SITE ADDRESS: APPLICANT:
'+F'rh
i Ll ? t?f, I ) ? •,;; ± t , .
-1
PERIIAIT SUBTYPE: TYPE OF WORK:
,{F Fnsa
; •.i r i? ? 1lo1•t irFR00F/`.:?TC1RM fJAMAEiF
Permit Holder Date Telephone #
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUNO
FRAMING
ROOFING
ROUGH
PLUMBiNG
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TES7
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
19
RtcRIvEo
rROM
aMOUNT $ I
? CASH ? CHECFC
DOLLARS
I oo
FOR FUND CODE AMOUNT
Tha ou
1/j&"
BY
White-Peyers Copy
Yellow-Posting Copy
Pink-File Copy
CITY OF EAGAN
Addition `JAK CHASE 4TH
Owner
Parcel 10 53503 120 01
Street 4575 Oak Chase Road State_- Eagan, MW 55123
l s Ai . • . . .? j' ? -i?" '
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUFiF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 44.51 A013488 I-25-84
SEWER LATERAL 97.23 A013490 it
S -w r [.a eral ,& 122.14
WATERMAIN
WATERLATERAL 479.72 A013488 1-25-84
WATER AREA 3.53 t?
STORM SEW TRK
STORM SEW LAT i
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CITY OF EAGAN
Ad^"tion l7AK C
/0V
1 Parcel Wr+%S a:
State Eagan, N1lV 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
w
SEWERLATERAL 1974 106.43 7.10 15 to ?t
Sewer Lateral J4b 1974 279.51 18.63 15
74-58
WATERMAIN
WATERLATERAL 1972 573.69 38.25 15
WATER AREA 1741 1977 36.92 2.46 IS 17 74 IV if
• ALXAXC
STORM 3EW 1972
STORM SEW
CURB & GUTTER
SIDEWALK
STREET LIGHT
50. 49265
WATER CONN. ..
60
460, 41
BUILOING PER.
?577
SAC
-
??•
fl ? Yt
PAR K '
•
Lu?.e CITY OF EAGAN
3795 PIIoR Knob Rood Eogen, AAN SSl?.Z • '; E"
PHONE: 454-8100
BUILDING PERAkIT Receipt
T. ?.. .....i se. `??i ?'?`- /GA?; Ca .._?,._ $.58.OOQ ?,_ October 13 .'s3 '
Site /lddrou -•.•• I ._ - .- ."" ,-
Lot Block Z Sec/5ub. Oak Chase 4th
Porcel # ? I - - ' ?- AV --`?1
`::'.,()o iome8, nC.
oe Nome "
? ??.3'?1 ',?. 150th St. #107
Address ?
9 Cj :'.,>nle Valley ph? 431-6844 Erett ?
Alter ?
Repoir ?
Enlarpe ?
Move ?
Demolish ?
Grade p
K-_S
Occuponcy
Zoniny
Firo Zone
v
Type of Const.
# $tories
54
Length `
Depth 3'' Sq. Ft.
dz Name 4F7rieY' Approrals Fees
??
oU Address
ul
Assessment
Permit ' -
C1 Phone Water & Sew. $urchorpe
?
Police Plon check
?W Name Fire 5/1C
Address Enp. Water Conn. 59.00
W ?-?
?
Ci phone Planner Woter Meter
Councfl Rood Unit
I hereby acknowledge thot I hove read this applicotion ond state thot BId4, pif,
the inlormation is correct and ogree to tomply with oll upplicoble 7,3
Stote of Minnesoto Statutes and City of Eogon Ordinonces. APC Total
Sipnature.. of Permittee
n T
Lnc .
A Building Permit is issued to: on ths express condition tha+
all work sholl be done in occordarxe with all opplioobla5tois-oi-Mirme soto Stotufies ond City of Eopon Ordinances.
Buildinp Offidal
Permit No. Permit Holder Misc. Permit No. Holder
Plumbing &AZ`? l'\
H.V.A.C. ?Q6 -z- 2C, hhni ?Q ld ?0 1
wau
Watsr
Disp.
Server
?
Eleet?ic
Inspection Date Insp. Other
Footinqt 1-(r$3 a p
Foundation
Freminp
-494 ?
? •
. ? ,,..r.
Rough Plbq. 4A/41
i '
? -
Rouqh HVA
Inwlation ? ? .
Final Mbp. 3d- ttJ
Finel HVAC z _ e, M,
? . ?
Final
? O ' -- . -
Water Dbcribe Lotation•
VYell
Sewer
Pr. Disp.
Receipt +' ?} PLUMBING PERMIT ? ?errt'fit N?????
? CITY OF EAGAN Fee
, Frll in numberQd spaces S/C
Type or Prini legibly
Tot. 1. Date 2. Installation Cost
3. Job Address / I / iLotBlk. Tract< 444s-e7
4. Own-er,
5.
6,
7. CityP State /L I A i Zip - ? r
8. Building Type: Residential ?ti Commercial ? Institutional ?
9. Work Description: New C;--` Add ? Alter 0 ? Repair O
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
? Bath tubs Septic Tank
` Lavatory Softner
/ Shower Well
_L Kitchen Sink
Urinal/Bidet Other
? Laundry Tray
Floor Drains
Drinking Ftn. T
? Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : 5 ' ,??? ?= •= for ? ?r - /,/-'.,, /j j:?
Rough Final '
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt MECHANICAL PERMIT Permit No. •
CITY OF EAGAN Fee
Fill in numbered spaces S/C
Type or Print /egib/y % c?, .
?
1 (";
T
•
.
ot. :-
1. Date /C 'x2. Installation Cost _
3. Job Address , n? ?Hi? `? ?` •'% Lot Blk. r Tract
4. Owner ?1?.,_ , •- ?,. ?? ,. Y /-r' ?. ii-?c. _...
5. Contractor ? f.: v' •,'. ? i? c_ c,` Phone
?
.
6. Address / L 1" ; c?-? i> %??•
' .
'c '?
? - ?
.
:
-
7. City
State Zjp
8. Building Type: Residential 19 Commercial O Institutional ?
9. Work Descriptian: New 6 Add ? Alter ? Repair ?
10. Describe Fuel Type ''-
11.
No,
1 Epuipment 8TU - M. Ea.
Forced Air ?-? No. EQUipment CFM
Mfg, Air Hendling:
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 with all ordinances and codes governing this type of work.
Signed:
Rough Finel
Inspections: Date Insp. Date 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, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt aqt
Site Address ` % 5 ''P `? ? ' ? ?•,??.1? iU Erect L`1
LOt Y' Block s 1 SPC15ub. ?=Pr'_F'. Remodel ?
Parcel No. Repair ?
Addition ?
Move ?
? ..F. ;.
• ?.;+. 'rf';
Name
= Demolish ?
? Address Int Impr. ?
.? ?
Occupancy _
Zoning
Type of Const.
No. 5tories
Length
Oepth
Sq. Ft.
?
,o
Name Approval s Fsas
AU Address Assessment Permit l
City
Wafer 8 Sew
Phone
.
Surcharge
?
? Police Plan Review
? Name Fire SAC
Z
? Address Eny Water Conn
?
? . .
i
tu City Phone Plonner Weter Meter
Council Road Unit
I hereby ocknowledge that I hove read this opplicotion ond stote that gldg. Off.
l
l
l
h Tr. PI.
e in
t
ormotion is wrrect ond
Stote of Minnesoto $totutes a agree to comply wifh ali opp
icab
e APC
nd Gty of Engon Ordinonces.
Var. Date
Parke
5ipnaturc of Permittea Copfes
Total '
A Buildiny Pertnif Is Issued to: on ths exprcss conditia? 1hat
nll work sholl be done in accordonce wlth all opplicable State of Minroesota Statutes ond City of Ea9on Ordinonces.
Buildiny Offlciol '
Pormh No. Permit Holder Date Telephona #
Plumbinp
H.V.A.C.
ei.Lair _'1? ?? ? w nu.,- C)v
S01teMr
Inapection Date Insp. Other
Footfngs 1 /
Footings 11
Foundatfon
Framing
Rootinp
Rough PIb9.
Rough Htg.
Insul.
Flreplace
Ffnal Htg.
Final Plby.
Flnal
Cert/Occ.
Water Dascribe Location:
We11
Sower
Pr. Disp.
CITY OF EAGAN
3830 Pi'.ot Knob Ruad SEWER SERVICE PERMIT
P. O. Box 21199 p??µlT NO.:
Eagan, MN 5512 1 DATE: f
1
l
Zoning:
No. of Units: i
ner. ?uni, o0dl L.r.Cr z
O ; .a^tC5
w
Address:
4575 c?a?; l:hasc , 41 ,
'?°oas3 ?,12 ?)?,. . • t h
i..i::?sc
^ Site Address:
?,enz
•.vaF?
4 Plumber. ,
i`i0. Q0 ?d
I a4ree to oon+oy wpU 1M GM oF EO9an
Connection Choroe: ?-,S rtr? • 1
; Ordinanees. Acwunt Deposit: 10. 00 nd
PeRnit Fee: .5(1 nd
Surchorge:
? BY Misc. CF+orges:
Date of Insp.: Total:
:
Ins Dote Poid:
p
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road r 183
P. O. Box 29199 PERMIT NO.:
MN 55121
Eagan DATE:
,
.` f of Units:
No 1
Zonirg: .
Owner
:
Address:
Site Address:
Plumber:
?
tion Char
e:
Metar No.: g
Connec
Size: Accaunt Deposit:
Reader No.: Permit Fee: • y.• T':.
1 agree to eomPly Mi& 1l! City Of E09oM SIIfGhGf9B:
??mam. Misc. Charges:
Total:
Paid:
D
t
BY a
e
Dote of insp.: I^SP•:
REQUEST FOR ELECTRICAL INSPECTION j1M ea-oooovoa
See instructions tor completine ihis form on back ot yallow copy.
A-? 1?j qR "X" Below Wwk Cnvered by This Request n5 Y R
dtl Ra'i)• TYPe of Building P.aoliances Wired Equiument Wired
Home Range Temporary Service
DuplFZ Water Heater Lightiny Fizwres
Apt. 8uilding Dryer Electric Heatin
Commercial BIAy. Fumace Si!u Unloader
industrial Bldg. Air Conditioner Buik Milk Tank
Farm otner Sncufv Oth?,r f5oocifv)
t
5r r Sufci y
Olhor
Oiher
Comoute lnsaection Fee Below
p Fae ServiceEntranceSiza if Fee Feaders/Suhfeeders a Fen Circuits
U to 200 Am s 0 to 30 Am s m 30 Am
Above 200 Amps' 37 to 100 Amps ? 31 to 100 A s
Swimming Pool Above 100-Amps Abave 100_Amps
Transiormers Irrigation Booms IC I k Partial%Other Fee
Signs Speciai lnspection g?J TO
F6
Hemarks
f ?
E„?v%
e j V
Rough-in Da?c .
r ?y 1.,h e?
? Insoector, ne.eby
e-? certify thxt tha above
Final DJite? insoection has been
?? mede.
Thbrequesd voidl8monihetmm • ,
This request void l? Z? Lf p? L g I ? 6ak C? a5?, 3"s
Tq
7.fl moaths.trom
A 121 qR ??-? Y?' S-C?.
?ruae>i nre rvo. nou9??-??? ? usuecuon
n` Repuired? []Aeady No-?`?A?ill Notify, Insuec-
/.? L-1/?? ?es nNO ?'?or When Ready
^}Licensed Elec[rical Contnc[or I hereby request inspeclion ot abova
? Owne? elactrical work installed at
SVeet A dress, Box or Route No.
57 CitY
ecUOn o. Townshio Name or No. Ran e No. Cnunty •
OccuO.n[IPRINT
?
E Phone No.
s
??/-?
w0o ?r O
Y7
Power Supplier
/?
ii(d'a El? Adldress
iii5a ?
~ sLez,
Elec i al Cmtrac[or ICo Dany Name) .
E ? Cnnvacfor's License No.
MailinA AAJress (Contracmr or Owner Making In/stailation)
/2,#& J .
Au[horized iBnatur (COntmctodOwner Making Installation) Phone Numbor
S'? 4 -355- 5
MINNESOTq STATE AAND OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
GriB9s-Mitlwav Bldg. - Hoom N•t97 BE ACCEPTED 9V THE STATE eOARD
1821 UniversitvAve., St. Paul, MN 55704 UNLESS PR07EN INSPECTION FEE IS
Phone (6121297-2111 ENCLOSED.
/, ?????,.?:...5 ?'?''r,?-?. ?d ? ? ?6 -
? CITY OF EAGAN sets of plan`s,
' 1 site plan w/el.evations &
s? p W /G? BUIIDING P?P APPLICATION 1 set of energy calcuiations .
( -
4Used For ? Valuation Date
site AddreSS: 4 5 -7 s oaK tVCL5E P-Oa d OFFICE USE OIa,Y
rot jg_ slock __ Sec./Sub.O,qXC/yqSeyErect occupancy ?.3
Parcel #: 10 - S 35b Alter Zoning
Repai r Fire Zone
Oaner: Enlarge _ Type of Const. ?
SUNWOOtL L^.v?er4 OAw?
Nbve # Stories
Pddress: 1,s0e4$7-.A4-/V;? Demlish _ Front ? ft.
City/Zip Code• ?jy, ?e_ 1l9//ev ssJa y Grade Depth ? ft.
I'Y "
Phone # :
Contractor;
Address:
City/Zip Code:
Phone #:
Arch./Eng.:
Prldress:
City/Zip Code:
Phone #k -
.i.
Assessments
Water/Sewer
Police
Fire
Eng •
Planner
Council
Bldg. O£f.
Pezmit 3p 7 ?
Surcharge _q ?
Plan Check ? ? 3 ?
SAC .?02 ir
Water Conn. S/SQ °-'
Water.Meter66 ??-..
Road Unit 'gZS// "" -
OYl 1?.4.W B ? ?• C0.?`?1
Luke
BUILDING PERMIT
CITY OF EAGAN
9793 Pllof Knob Raad fagan, MN 55122
PHON[: 154.8100
Te 6s u"d fer SF DWG/GAR Est. Volue $58,
Sire Address 4575 Oak Chase Road
l.or 12 Block 1 5ec/Sub. Oak Chase 4th
Parcel # 10-53503-100-01
m I Name owiw?Vu cucLgy nuwca, iuc.
; Address 6801 W. 150th St. #107
p IN.m. OWI12.T
f
Addran
Nema _
Address
I hereby acknowledga thot I have read rhis opplicution ond state that
the inlormotion is correct und agree to comply with oll opplicnble
State of Minnewto $tatutes aird,.?City of Eagon.,Ordirwnces.
$ipnofure af Pertnittee ']n
A Building Permif Is issued to: _
nll work sholl be done in atcordonte
N° 8577
ReceiDt # ??1+ r
m_._ October 13 83
Erect g][ Occuponcy R-3
Alrer ? Zoning Estate
Repair ? Flre Zone NA
Enlarge ? TYpe of Const. V
Move ? # Stories
Demolish p Length 54
Grade ? Depth 3$ Sq. Ft.-
Avv[oralf Fees
Assessment -
Water 8 Sew.
Pollce
-
Fire
Erq.
Plonner -
Council _
Bidg. Of4. _
APC
, Inc.
Permit 3U/.VV
Surcharge 29.00
Plon check 153.50
SAC 525.00
Water Conn. 4 sn _ nn
Water Meter 60.00
Road Unit 250.00
rorol $1774.50
_ on the express condition thai
ond Ciry of Eoqan Ordirwnces.
8uilding Officiul
CITY OF EAGAN N°_ 1 10 8 9
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55127
PH,ONE: 454-8100 ?? ? a f _
BUILDING PERMIT ? eeceivr # 40
Te M wed }w DECK & BASEMEN96, Value $3, 000 pOfe OCTOBER 8 1 q 85
SiteAddress 4575 OAK CHASE RD Erect ? Occupancy
12 1
Lot Block OAK CHASE 4
Sec/Suh. Remodel ? zoning
Percel No Repeir ? Type of Const.
. Addition ? No. Stories
FREDE RICK J
WIGHT Move ? Lenyth
at .
Name S?E Demolish ? Depth
Address Int Impr. ? $q, Ft.
City Phone 454-0432 Install ?
g SARE aop.o.a6 Fees
?u
?
f-
Name
Address
City _
Name _
Address
I hereby ackrowledge thot I
the inlormotion is correct/I
$fate of Minnesota Statu?e:
Phone
Phone
7reod this applicntion
dgree ro complykwith
Sipnoture of PermiMee '_ _ _
!
A Building Permif Is issued FREDE]
to:
cll work sholl be done in accordance with oll
J
State of
Assessmenf _
Woter 8 Sew.
Police _
Fire
Enp.
Planner
Council
eidy.on. 10 8 85
APC
P'ar. Date .
Permit __3
Surcharge _
Plan Revlew
SAC -
Water Conn
Water Meter
Roed Unit _
7r. PL
Parks _
Copies _
' rotai $40.00
_ on the express corditlon Ihot
ond City of Eoqon Ordinonces.
Bulldirq Officiol
CITY OF EAGAN NO 849''
- "' 3795 PIIeY Knob Rroad Eogan, MN 55121 '
PHONF: 454-8100 ??677, j?
r
BUILDING PERMIT ' Receipt #
Te M wed h. SF DWG/CAR Esr. Volue $58,000 pate Sep tember 21 , 1 q 83
Site Address 4575 Oak Chase Road Erect Xg Occupancy R-3
Lot12 BlxkI_ Sec/Sub. O ak Chase 4th Alter ? Zoning Estate
Porcel # 10-53503-120-01 Repair ? Fire Zone NA
nlorge ? Type of Const. V
m Name Sunwood Energy Homes, In . ?e ? # Srories
; Addreu 6801 W. 150th St, ll pemoll Length 54
° C
A le Vall
31-68 e p Depth 38 Sq. Ft.-
i
ona I
p Nome O?^'ner
Approvala
Fees
ou Address Assessment Permit 307•00
"g Woter & Sew. Surcharge 29.00
C.? h? Police Plan check 153.$0
Fw Nume /or Fire SAC $25.0
Z
o Address Erq. Woter Conn.
I
I
i W Ci Phone Plonner Water Me1er
Council Road Unit
I here6y acknowledge that I have read this aOPlication and stote that Bidg. Off.
ihe intormotion is corrett and agree to comply with oll opplico6le 50
Stote o4 Minnewta Statutes and City of Eogon Ordirances. APC .
Taol
$ipnafure of Pertnittee
unwoo nergy omes, Ing.
A Building Permit is issued to: ? on tha expresf conditlon thoo
oll work sholl be done in accordonce with oll applicobie,btple of.Min p Stot i of Eapon Ordinonces.
Buildinp Official
REQUEST FOR ELECTRICAL INSPECTION Ee-oooot.o
(?(? n' Sea instructiens /or comp7cLin9 ews form on back o1 Vellow copV• ?),?I ?
/?
I`? n 7?5 ?1 ?1 9 "'X" Below Work Cov'ered by This Request T
AtlA ReD Tyoa ol BuilEing Appliencea WireO Equipmen[ Wirad
Home Range Temporary Service
Duplex Water Heater Lightin, fixtures
Apt. 8uilding Dryer Electric Heatin
Commercial Bldg. Fumace Silo Unloader
Industrial BIAg. Air Conditioner 8ulk Milk Tenk
Fafm Othe.r peu v Other Isuediyl
t r Veu y ther Other
Cmmnute IRSOP.CIlOtl FPB BP/AW '
k Fee ServicaEntrenceSize p Fee Fnatlers/SUbfeetlars % Fne Circuits
0 to200Ams 0 to30Ams 0 tn30Ams
Above 200 qm sl 31 to 100 Amps 37 to 100 Amos
Swimming Pool Above 100_Am s Above 100_.Qm '
Transrormers Irrigation Booms Partial: Other Pee
Signs Speciallnspection TOTAL ? ?
EE
-
fiemarks l ?4', "Or))
RouBh-in
?Q
0??? the Elactrycal
Ins ecbr. hereby
rtify thet xha above
Final ?
/y,
(J
D:tte I7
I-
inspection I?es Eeen
me
de.
Thiarequ4tvaltll8monlhalrom
?
This requesl wid /,? ( b ^?) I
1a mpnths (rom 5 ?p , v Y?' \? 5
A Q.7968 4 Li a- r ort z5k),Oo
BCpu¢st Date
d G 1 ,2)
1 1 ? Fim No. 10ough-in Inspeclion
Nepuired7
?Ready Now . Will NofifY inSPec-
or Wh
fl
d
?Y¢s ?NO en
ea
y
[] Licensed EleclriUl Contractor I hq,aby requast inspection ol above
AUrner elecViml werk inatalled at
Street AQdress, Bo: a floute No.
45-15 DAIc c-t?AsF,
vZD , Citv
F-AbAti)
cbon Township Name w No. Baage No. County
Occupant IA11NT)
W lG f
fT Phone No.
4 SLI - o q
Po r SuDP??a Adtlress
Electriral Conuactd ICOniDarry Name) ConVnCmr'S License No.
Nail775 IComwctw p O%wuer Wkinp I?tailationl
Au w' igmWre Contrdct nar im rtmll e ) Phone Number
YINN OTA yTpTE BOARD Oi IEC CfiYTNIS INSPECTION flEQUEST WIIL NOT
6riqps-Midwey BId9- - Rban N- BE ACCEPTED BV THE STATE BOAflD
1827 UniversityAVS., SL Peul, YN 55704 l1NLESS PROVER INSPECTION FEE IS '
ph. 16121.Zy72111 ENCLOSED. '
REQUEST FOR EI.ECTRICAL 111SPECTION Ee-oooot-oa
?`C I I ' Sea inshuetims f$r rnr¢.+li.g th:s fpm on beck of veliow copy. ? ?
f?( ?
A?-?q?j R?, '"X" Be/ow Work Covered by This Request ; ?? d
bamiAAdl Rep.I TYpe oF BuiWinB I Aaoliancss W:rad I Equioment Wlred ?
Bulk Milk
R Fee SarvipEntraaireSiza k Fee Peaders/Subtaede.s # Fee Circuits
0 tu 200 qm - 0 to 30 qm s 0 to 30 Am s
Above 2_q 31 to 100 Amps 37 to 100 Amps
Swimming Pool Ahove 100_Am s Above 100_Amps
Transformers Irrig2tion Booms C Partial'Other Fe
' I iSpecial Inspection Ig ^ TOiAI. F&E?
R?rks 01U .5d ? .?n,
y tha Elacl[jpeL-?
Inspector, hereby
certitv thet the above
lIISpeefion has been
wm1BQ14H1 YOId
wff? MECHANICAL (IiESIDENTIAL)
Permit ApplicaHon
City OfEagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Pleace complete for: Single Pamily Dwellings
Townhomes and Condos when pcrmits arc required for each unit
14365-D
Dnte 01 / 23 / 04
SiteAddress 4575 Oak Pond Rd Unit#
EaAan MN 55123
PrapertyOwner Mark Pappas Telephone#( 651 ? 452-6878
Contractor Rumpca Services, Inc. _
StreetAddress 1048 HastinQs Ave. City 5t Paul Park
State MN Zip 55071 Telephone# (651 ) 459-7896
The Applicant is _ Owner X Contractor _ O[her
Add-on, modification or alteration to existiog dwelling unit $ 30A0
x furnace replacement
air exchanger
air conditioner
other
SYatc Surcharge
' $ 50
Total
--
r?` -
; -?
n? ? 5 30 . 50
I hereby apply for a Residential Mechanical Permit and acknowledge that the ? formation is complete and ccurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and wi?Fi;the-Mechamcal= - [ I understAnd this is noi a
permit, but only an application for a permit, and work is not to star[.without a permiY, that the work will be in aceordance wilh ihc
approved plan in the case of work which requires a review and approval of pl s.
-:j-4SO1v A.,eulnpcIa G • -
ApplicanYs Printed Name A licanYs Signature
LOT: 12- BLOCK: I SUBD./P.I.D#: 0014 CI10S??1?)
2000 BUILDING PERMIT APPLICATION (RESIDENTIAI)
CITY OF EAGAN
????? 3830 PILOT KNOB RD - 55122
w 851-681-4675
New Construction Reauirements
? 3 registered sNe surveys showing sq. ff. of lot, sq. H. ol house
and all roofed areas (207, maximum lot coveraae allowed)
D 2 copies of plans (show beam & window s(zes; poured fnd. design; efc.)
? 1 set of energy calculatlons
? S copies of hee preservafion plan if lot platted aRer 7/1/93
? Rim Joist Detait Options selection sheeT (buildinas with 3 or less unlfs)
DATE:
3- 6 v
Remodei/ReoairReauirements
2 copies oi plan
1 set of energy calculations for heafed addifions
1 sffe survey for exterior odditions & decks
CONSTRUCTION GOST: /v0 U
DESCRIPTION OF WORK: wf lOu f?/ P a J'l? If muHi•family bldg., how many unffs?
STREETADDRESS: LIs- 2S zcf
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name: /?)o ??Wf // Cf ? Phone #:
Lnst First
StreetAddress: L/G a ? r '4'? Sf
City 4_?o 9 Otnp State: Z?VI./(/ Zip:
Company: Phone #: -?6' y-/G 00
(area eode)
Street Addres;
City (1"
Company:_
Telephone #: (
SheeT Address:_
CBy
xil
cense # /), 3'l70 EXp, 3
State: Zip:
- Name:
_ Regisirafion S:
SMfe: Zip:
Sewerhvater licensed plumber (if installina sewer/water): Phone #:
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 W Applicant:
?
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screaned)
? 05 03-plex ? 77 70-plex ? 19 Lower Levei ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
VALUATION
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
Type of Const
? 30 Accessory Bldg
? 31 EM. Alt - Multi
? 33 6ct. Alt - SF
? 36 Multi
? 35 Int fmprovement ? 42 Demolish (Foundation) ? 45 Fire Repair
? 36 Move Bldg. ? 43 Reroof ? 46 Windows/Doors
? 37 Demolish (Bldg)' ? 44 Siding
? 38 Demolish (Interior)
' Demolition (Entire Bldg only) permit - Give PCA handout to applicant
Occupancy
Zoning
Stories
Sq. Ft.
Length
Width
INSPECTIONS REQUIRED
_ Foorings:New Bldg
_ Footings: Deck
_ Footings: Addition
_ Foundation
_ Framing
_ Insulation
_ FinallC.O.
_ FinaUNo C.O.
Fireplace: _ r.i.
Pool: _ ftgs
Building _
au test fmal
air/gas tests _ fmal
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
_ Windows - new/replacement
_ Siding
Stucco/Stone
Roof: ? ice & water ? final
APPROVALS
Planning
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Park Dedication
Trails Dedication
License Search
Copies
Other
Total:
Engineering
Variance
PERMIT
CITY OF EAGAN
'3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
033023
08/27J9$
SITE ADDRESS:
4575 OAK CHA5E RD
LOTa 12 BLOCK: 1
OAK CHASE 4TH
p.Z.N.: 10-53503-120-01
DESCRIPTION:
REROCIF/STORM DAMAGE
By„z'?.c?3n'?;agPermit Type STQRM DRMRGE
B,WiJ.d'an6 "€.Pb?rk Type REPAIR
X-`e Y}sUs C4de`434 AL7. RESIDENTIAL
,?.
?
?
S§ 3
dL* ^.?&?t4i ? dtY
ilE Z 9C ib
"fiGtPR
mtai&
EY? 9+ ?ap#
?tt 34 11F ???i?^?H6 ?
aL'? s?k }? 9J t'f!$a W
rx c'"uauv d ;?
?P
REMARKS:
SUMMARY:
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD - 55122
?- a
33o a 3 681-"75
New Construction Reauirements RemodeVReoair Reauirements
? 3 registered aite surveys
? 2 copies of plans (inUude beam 8 windav sizes; poureE fid. design; etc.)
? 1 eneigy wialetions
? 3 wpies of tree preservation plan H lot platted after 711193
roquired: _ Yes _ No
DATE: C.; G 'ci Q
DESCRIPTI OF WORK: 2l.°C'O4 QLl.L
STRLT ADDRESS: 4-m'S ( kk lr1'1ti?
LOT: ??- BLOCK: SUBD./P.I.D. #:
• 2 wpies ot plan
? 2 site surveys (exterior additions 8 deGcs)
• 1 energy ralwlations for heated add'Rions
CONSTRUCTION COST; d4 ? 4LW
OA-
Phone #:
. ?+
Name: ?Ql? t ??1f?C. Phone#: 6?j bS-5170
PROPERTY Lact Fust
owrrER
Sueet
City
State: Zip: 19AS /a,3
Company:
CONTRACTOR
Street Address:
City _
ARCHITECT/
ENGINEER Company:,
Name:
Street Add
City _
Sewer & water licensed plumber (new construction ony):
and lot change is requested once permit is issued.
State:
I hereby acknowledge that I have read this appiication and state that the
State of Minnesota Statutes and Ciry of Eagan Ordinances.
Signature of Applicant:
License #
Zip:
Phone #:
Registration
Zip:
4-f-1
Penalty applies when address chang
is correct and agree to camply with all applicabl
?
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes - No
State:
All+ L ,.
- Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Dupiex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch O 09 12-plex
0 05 SF Misc. ? 10 _ plex
WORK TYPE
? 31 New 0 33 Alterations
? 32 Addition O 34 Repair
GENERAL INFORMATION
Const. (Actuat)
(Allowabie)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
? 11 Apt./Lodging ?
O 12 Multi RepaiNRem. ?
? 13 Garage/Accessory ?
O 14 Fireplace ?
? 15 Deck
? 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq.ft.
sq. ft.
sq.ft.
Footprint sq. ft.
Building
Engineering
Valuation: $
Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Misceilaneous
MC/WS System
City Water
Fire Sprinkiered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
% SAC
SAC Units
7985 BUILDING PERHIT APPLICATION - CITY OF EAGAN
NOTE: ALL COqTRACTORS N[JST BE LICENSED FIITH THE CITY OF EAGAN
COT4IEBCIAL
INCLUDE 2 SETS OF ARCHITECTURAL
& STRUCTURAL PLANS, 1 SET OF
SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS-
$2,000 LANDSCAPE BOND
cler?c P
To Be Used For•
SINGLE FAFIILY DNELLI6G5
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
?3 000, 00 ?
Valuation: I Date: ? c1' ?I 12?y
Site Address `FSZS OAl< <-t?N?F- 2D.
Lot glook ?
Parcel/Sub
Owner E2gAAeR1UC J. W iV6v j
Address 4SZS c3A1c. c.i4,Asr? Q$-)
City/Zip Code ZA?i ?-lk) s SI
Phone 4 Sq - O4 -?) y
Contractor 5 F-L ?
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Phone 1k
Erect X Occupancy
Remodel Zoning
Repair ? Type of Const
Addition 0 of Stories
Move T Length
Demolish ? Depth
Int.impr. Sq Ft
Install
APPROVALS FEES
Assessments Permit
Water/Sewer "
' Surcharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council
.-Boad Unit
-----
Bldg Off 4ej;-LVTreatment P1
APC Parks
Variance Copies
TOTAL
a I
IncU-UQ dec-k (eve?
?r
I
' ?7
?"C?
b i?i' 6? r
J?r ?-?` ??UC w ?
? ?'JV 5?
i
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t
1
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I ? - ?V n
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u-
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I
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W
?
?
N
4 7
= 0
M
W
N
IZ
; NOeTiI
; , ?f-E 1" ?f,p•
".L 8AWW4 MtuM?ec
opE1JdTM IRIW MDMMENT
?
?
IN
i ....,..... ? ? i
s- G? ? i 4l.RAG! n`
m?p? ? ? h ?Aa , N I
?g GvrY N 9?5,1
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L _ ?? ? - - ?pAtVF '
Cru ' ?4t I,?
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L? 1Zo.oo 6= I?s ?
-.e..,o-a ¢s4'4'`?
4
VG6<jLMrIoN
LOT 12j 6 Loex- 1,
dA1G.. c_tl4S.E
Fot.lQTlr! AD0mDtij,
awrA?r-a% couUT-r,
M1WKEWs47R'A.
M
?
n
?
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a
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?
-- - ----
I hereby certify that this survey was prepared by me or
under my direct supervision and that I am a duly Registered
Land 5urveyor under the laws'of the State of Minnesota.
Date: Juo? Z5i 19e3
LeRoy . Bohlen
Registered Land Surveyor No. 10795
r 2F,-Op / \
??--? B a
6n-- ?i 7?
l0 - ?/ ?,Q??S Q?a
--- - ----- ' ?
C. r ' t. ' E9rR101i l°IViy1K11!N. I1V["pJ?(tR_xU•' C'OMI't"IY191I014 ' ,
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?.
DoCaaalnc workLrNj aquAro foukaq)u of oaa1i
'
1. lb0a1 cxpopd rroli nroe...... A_ sy. LL•. x._+.__l7
#,. Soel roa!/omiling broe ... . . . 1 p4Amq. !t. x _,.;,OS -
7bta1 oxFoaed wall oroa abavo flaar • L7D0__, ,
?. Total woll atAdow arca ........... ....... ?....?.........
!+• 'COta7. Aoor aroa .......................................
q. Total e1tdJ.nd glaes cloox nrua .........................
d. 1`pl:x2 lLreplace wali araa ...............I .............
a. Total wall ltaainy proa tavornqe 10a3 ..................
C. Total rlm jaiet•mrna .' .. . ............................
g. _..? whaa. AXCA alrwc, f tai:• . .. . . . .. . . .... . . .. . . . . .. . .
h. aA]1 aiea aLxrvu [loor.......................
l. wnll axen a4-,vu 1'luur ..........................
?' ..,`._. wall arca alxrva fIt,ur .....................:....
` 'Pc?c«1 C'K(?IIQ?? IOUlil?aclon AYtlA ? ._ ?!9._.. _._
K. '.bCel fQ'11idntion window ar.ca........................... ...__?..?_._.?
1. '1bCal noC foundetion nrea '%lova qrade .................
Dai:ecmino "l;" valuu of ouoh wull c,04manc
(o.q, wf.ndca, donr, onah saparaLa wall f;eu•.lnn1
d• `..-Ao
a- x Mu~
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,
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?•
y... tlqrltqbt area ............................ ---
7btal soo[/aoiling traming arcA (avaxaqo lot)...
ir7blA1 no! inaulacod xoot/cuilimj urna...........
?.?. - .
' Detormino "U" valua for aecli roof/r.eiling aerymeut
x »u"
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x «u» . oZ3 o Z I , __.._.
............r...• 7V`A1 r Z ?
total ot /A io the or,m as, or lnea tMn !2, You 1+aw mot ttKS in¢tic?e o!
' 600b (c) 1. •
Altexnato,Buildinu Erovolope Deoi9n
utiltae the total envalopa'syrtma methode the valuaa eeteblinlxid by the e•.a oE
ra 03 snd A4 chsll nmt be qroater than tho euai oF itawn pl nnd 12.
+ 2.
• 2.? n! zcQ.E3.4-
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;
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Fv L. L.' Z;° - k 8=
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21 M:; . 140 I 4C?
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TotAL a 1909 .
eKpoSeD, G.a1 LtuC Zro,c3? tic?t.g
+
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`3CF! `Ei?J?.THI Il ?j . . 30 ? 38
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2. I Geclorralr Cl?m J, . . 0.61 .
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? 4l ?? ? _ ???'.
June 15, 1983
City of Eagan
3795 Pilot Knob Road
[agan, Mirnesota 55122
ATTENTION: Tom Colbert
SUBJECT: Destruction of Lots7 11, 12,,1 3 Oak_Chase 4th Addition.
Concurrent with the development of Oak Chase 4th addition Timberland Development
Corp. granted a drainage and utility easement to the City of. Eagan on Lot 13 of the 4th
addition. In the spring of 1981 the county, at someones direction but not mine, cut a
trench out of the easement across Lot 13, across Lot 12 and to the edge of a low spot on
Lot I I. (5ee attached drawing). I had conversation and meetings on site and otherwise
with representatives from the covnty and the city at the time this occurred and again in
the sping of 1982. I was advised by'the counTy in the sping of 1981 that the properties
would be restored to their original condition. This did not occur. Subsequent
conversations with the city ended with it being my responsibility to direct a letter stating
my desires. I am formally doing so with ihis letter. I do find it rather strange that I have
to take this action since I did not precepitate this situation and am the injured party. My
patience thaf either the city or the county would take action to correct their errors
without this letter has however, worn thin. It has also cost me the sale of these lots on
several occasions.
My basic desire, as stated when this occvrred and in subsequent coversations with both ihe
city and the counTy, is that the described properties be restored to their original
condition. Specifically filling of the trench, replacement of block soil, sod.ding and the
cleanup of the areas adjacent to the trench where its contents were thrown.
Since I have had to go to this requested length to ostensibly get action, I expect this to be
done within 30 days of the date of this letter.
I have a furiher concern which is related but which is a situation that needs addressing
and can be resolved separately. This situation goes bacl< some years so please bear with
me and I'If attempt to give you the history. Before Cliff Road was upgraded to its present
condition and grade, water runoff from the road and surrounding areas ran down swales on
the north and south sides of the road.
.
City of Eagan
-2-
June 15, 1983
At the time Cliff Road was upgraded to its present condition (1968 or 1969) the previous
owner of what is now Oak Chase generously gave the county a lot of material from his
property for the construction of Cliff Road. The county took advanTage of that
generosity and also shunted swale water from the south side of Cliff Road into his
property on the north side. The owner did not agree to that nor were any papers signed or
easements granted. It also did not conform with any previous water meander or road
construction which could have been precidence for taking such action. The owner was
told that this was a temporary measure and that it was to prevent heavy erosion of the
bared ground on the south side of Cliff. If this were not done, the water would have to
travel from the crest of Cliff (at the Golf Course) all the way to the lake to the east. The
__.,__, ._covnties_prediction on erosion was correct and it has just recently been eliminated with
the ground cover reaching growth to prevent erosion. The shvnting was facilitated by a
sloping culvert under Cliff Road from its south side to ihe north side in the area which we
in 1978 dedicated to the city as a ponding easement. The easement is on Lot 13 Oak
Chase 4th addition. The culvert is now partially or possibly completely plugged with silt
from the south side of Cliff Road. It has plugged numerous times over the years. The
plugging begins at its outlet because of the amount of silt washing there and stopping.
The outlet is now all but complefiely covered as is the ponding easement we dedicated
with 4 to 6 feet of siit. The erosion on the south of Cliff has been heavy dve to services
installations and housing developmerlt which has increased the water runoff in that area
but it is now under control and very little silt erodes. With the previous in mind, I contend
the following:
1. The county diverted ground water runoff in a manner which was not consistant with
topography or previous construction to achieve their desires with no concern for the
aftermath and possible damage to property. They also attained no legal right to run
ground water onto thot property.
2. The counties need to shunt this water to the north as they said "temporarily" has been
satisfied and erosion no longer takes place south of Cliff Road in this area.
3. That it is only proper That The ponding easement we dedicated remain since it is the
logical piace to accumulate ground water runoff from the north side of Cliff Road
and portions of Ook Chase 4th addition. We recognized this and in fact planned for it
when we built Oak Chase and constructed Oak Chase Road. We did not however,
dedicate it to collect runoff water from the south side of Cliff Road.
4. That the ponding easement dedicaTed to the city on Lot 13 will handle the runoff
from the north side of Cliff Road but it will not handle water shunted there frorn the
south. The easement is nearly filled with silt and water will soon begin to run out of
the easement onto the rest of the lat and possibly cross ihe lot and onto other lots.
There will also be no way to get the silt out of the easement without crossing private
property. This might be possible now with my permission but it would not be feasible
once a home is constructed on Lot 13.
.
City of Eagan
-3-
June 15, 1983
5. That if the sloping culvert under Cliff Road is not completely plugged that it be
plugged to prevent any more water from being diverTed from the south side of Cliff
to the north side. It is also importanT that this be done soon. Lot I I is about to have
a home constructed on it, Lot 12 has been sold and Lot 13 is being negotiated on now.
I don't believe any of us want the jeopardy of a potential problem when the solution is
so relatively simple.
i am sorry to have to write.this lefifier but it appears that this is the only avenue I have to
initiate some action. I believe I have stated all this before to both city and county
personnel. I hope that no further action on my part, excepting advise and consent, is
necessary to resolve these issues.
$incerely,
Jame M. Frisbee
Presid t
Timberl nd Development Corp.
42 ?)- 2Ra l
72t, - 7to?4
CC R. P. Sandeen
R. Rosene
B. Blomquist
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i"?lJi•qL)
2005 RESIDENTIAL BUILDING PERMIT APPLICATION ??? CC)
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reouiremenis RemodeVReoair Reouirements 6ffrce'UseOnTu
3 regfstered site surveys showing sq. N. of lot, sq. ft. of house; and all roofed areas 2 ccpies of plan CElIoTSun+ey:f2ectl Y N
(20% maximum lot covera9e allowed) i set of Energy Cakulations for heated addilions T,reePresPian`Rectl Y_ N'
2 copies of plan showing beam & window sizes; pnured found design, etc. 1 sile survey for addilions & decks Tree Pres Required ?Y _ N
1selotEnergyCalculations Addifion - i+dicafeAoo-sitesepticsysfem S3trstl23epli¢,S/slem _Y _,N-
3 copies of Tree Preservation Plan if bt platled aiter 711193
Rim Joist Detail Options selection sheet (buildings with 3 or las unils)
Date I ) / ol
/ Constmction Cost
Site Address _
45-'S l. j? lne-sf, U UniUSte #
b/?AApI k) z3K1 2-3
Description of Work Lvn 5L, 1 . ` ?c
Multi-Family Bldg _ Y? N Fireplace(s) _ 0? 1 _ 2
Property Owner IL u' ?, n Wa l-?v Telephone #? /2-) 74( 0-7-4 S
CoMractor } r /Tc
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 CateQOrv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilffiion Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
. Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of moster plan:
Licensed Piumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
bc, /V
ApplicanYs Printed Name Applicant's Si nature
OFFICE USE ONLY
Sub Types
? 01 Foundation 13 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt- SF
? 04 02-plex ? 10 OB-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or_N O 25 Miscelianeous
Work Types
? 31 New ? 35 Int Improvement ? 36 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement `Demolition (Entire Bldg) -Give PCA handout to applican[
Valuation Occupancy MCES System
Plan Review 100% or 25°k
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIItED INSPECTIONS
_ Footings(new bldg) _ FinallC.O.
_ Foolings (deck) _ FinallNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tes[s Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
5&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
Use BLUE or BLACK Ink
For Office Use
I I
I Permit C~h
M0f Eajan
I
~ Permit Fee:
3830 Pilot Knob Road
I
Eagan MN 55122
I Date Received: I
Phone: (651) 675-5675 I
Fax: (651) 675-5694 I Staff:
Iz-
2010 MECHANICAL PERMIT APPLICATION
Date: fob ~q-~l~ Site Address:
Tenant: Suite
RESIDENT / OWNER Name: uv ePhone: dlg
e- 3'~✓
Address/ City/Zip:
CONTRACTOR Name: License O / 3
Address , zzo~.. GL? r% City: ~ QcAae 7
State: _92d Zip: Phone: SO 7 ,-5'
Contact: lS~`a .OhVe,05-2 Email: n `
TYPE OF WORK New replacement Additional Alteration Demolition
Description of work/:
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
PERMIT TYPE RESIDENTIAL COMMERCIAL
Furnace New Construction _ Interior Improvement
Air Conditioner Install Piping _ Processed
Air Exchanger Gas _ Exterior HVAC Unit
_ Heat Pump Under / Above ground Tank Install / _ Remove)
When installing/removing tank(s), call for inspection by Fire
Other Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) _
$95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ ::;t`J • TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal OR Contract Value $ x1%
$55.00 Minimum (includes State Surcharge)
Permit Fee
- If the Permit Fee is less than $10,010, surcharge is $ 5.00
- If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee Surcharge
(i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge)
TOTAL FEE
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.goaherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
x 09 ;'014, /4< v et rt xxo~~~
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground - Rough In _Air Test -Gas Service Test -In-floor Heat -Final
Exterior HVAC Screening Inspection
Use BLUE or BLACK Ink
d i For Office Use
j Permit I
City of EaE,1
I Permit Fee: I
3830 Pilot Knob Road I I
Eagan MN 55122 j Date Received: G I
I I
Phone: (651) 675-5675
Fax: (651) 675-5694 1 Staff: i p
J
A
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ~7 t~ ? Site Address: Unit
Name: 5 L-a tl-e /I 1 ,r2ic Phone: 76 -Z-"- I
' Resident/ 'P~
Owner Address / City / Zip: z' `c ! s/~
r Applicant is: !,'Owner Contractor
Type of Work Description of work:
Construction Cost:
~Z. , c~9DD0 Multi-Family Building: (Yes / No
x,. w
Company: X/r Contact:
Contractor Address: City:
State: Zip: Phone:
3
License Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
E 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 they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
/ ( / n
X_ L vloeo Z_ x
Applicant's Printed Name A!P ''ant's Sign
Page 1 of 3
r h 5-75 oc~ C,4X 14 1
DO NOT WRITE BELOW THIS LINE 1
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
_ 01 of Plex _ Lower Level _ Pool Miscellaneous
Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
Alteration Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation Y.st 0 Occupancy t'`4 MCES System
Plan Review Code Edition ,_9J7 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) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition)( Final / No C.O. Required
Foundation HVAC _ Gas Service Test Gas Line Air Test
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In -Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backfill _ Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee /
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copses
TOTAL
Page 2 of 3
* 1C
I 17
I
I
r ,cN tip . ! . , I o peo w a woo momumsgT
t e_V_1 PT IOW
LOT M., b Loc. -
1 I
N s o ,h a 30 1
m QQ p~ J~' J-2 t'P'?
J f
r I T ~y
4V Z` t
L 12p•
jZ % p•4?•
Q~ AP
I hereby certify that this survey was prepared by me or
under my direct supervision and that I am a duly Registered
Land Surveyor under the laws of the State of Minnesota. f
Date:
LeRoy Bohlen
Registered Land Surveyor No. 10795
. Use BLUE or BLACK Ink
, ---------
� For Office Use �
' 1���� I
. . z . � Clt of Ea a� . .�� ; Permit#: � i
� � � �
� Permit Fee: �
3830 Pilot Kn'ob Road � i
Eagan MN 5512Z i Date Received: i
Phone: (651)675=5675
� Staff: �
Fax: (651).675-5694 � i
. � . �����������������J
2p14 RESIDENTIAL PLUMBING PERMIT APP�ICATION
Date: Site Addresa:
Tenant: 3uite#:
! �;� �f � '''.� . / /
������'�� �, Name: LGtUrP,�( L�P��G �/S �d�a -.S-cG' I G'
�, Res�denUOw �:� Phone:
�,.
� � � G� _ ����.� " Address��CitylZip:� �� � �Ct� C��.-SG ��
� �;��� � :" ' Ym` Milbert .ompany inc dba Cuifign Watece�Se#: WC643176
� r`
� �� � �� Aad�eSS: 180150t. $treet East c;�,: Inver Grove Hgts.
� C�4 tr�acto .
� $tate.. :IVI�N z�p: 55077 Pho�e: 651-451-2241
��. �� �� �
`� -� ���t conta�c: William R_�Milbert Ema;,:
� � ��
`� �{ New Replacement _Repair _Rebuild _Modify Space Wo�ic in R.O.W.
L pe of� o — —
,�
°`� z� � ` Description o work:
� ����'� '��� f��� RESIDENTIAL �
��, ��`:� Water Heater
�r ��"r'� � Lawn Irrigation(_RPZ/_PVB) �Water Softener
��� � m�}�,T' p .
� � ,���: � 4 Septic System Add Plumbmg Fixtures�Main/_Lower Level)
�n �„ .: �"� ��vi . . � . . �
. �� �� _NeW Water Tumaround
, �.
� . �'��� Abandonment
�:RESIDENTIAL-F�ES;
$60:00 Vl/ate� Heater;:V1(8fer Saftener,or Water Heater and Softener(includes$5.00 State Surcharge)
� $60:00 Cawn Irrigation,(includes$5.00 minimum State Surcharge)
$60.00 Add'Plumbing'Fixtures, Septic Svstem Abandonment,Water Turnaround*(includes$5.00 State Surcharge)
� *Water Turnaround(add$200.00 if a 5/8"meter is required)
$1t5.00 Seqtic SV§tem New($10.`00 peras built)(includes County fee and$5:00 State Surcharge) �
' TOTAL FEES a �
'CALL BEF.ORE.YOU DIG. Call Gopher State One Call at(B51j 454-0002 for protection against underground utility damage.
Ca1.1:48 lioursbefore-you intend to dig to receive`locates of underground utilitie5. www.qopherstateonecall.ora
I�;Ii�reby acKnbwledge xliat this informa:ion is complete and accurate;that the work wfll be in confortnance with the ordinances and codes of the City of
- Eagan;:fha,t l`understand:this is not a permit but only an application for a.permit, and work is not to start 'hout a permit;that the work will be in
accordance i�iitkt the approyed plan_in the case of work.which requires a review and approval of plans.
, ]
, ,
: X c,�'� �i�'�n�, ���-e-k.,�F-." x
,
� Applicant s,P.r�nted Name Applicant's Signature
.
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