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4590 Oak Chase Rdi:ITY OF EAGAN Remarks r-' D g?g AdditinA_ _ OAK CHASE 5TH ADDN Lot 1 elk 1 Parcel 6'0 Owner treet 4590 OAK CEiASE ROM State EAGAN NIId 55123 136 o9 D,cv»»a,:? PW,, CV • Wkv lLlN. 6NLZV1 Improvement Date Amou t Annual Years Payment Receipt Date STREET SURF, STREET RESTOR. GRADING SAN SEW TRUNK Z . Ga SEWER LATERAL L WATERMAIN WATER LATERAL ? WATERAREA 19$4 15?aOO ? 1$5.00 COQSAZL 4-26-83 STORM SEW TRK 1984 272. 50 v 272.50 C008422 4-26-83 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT ROAD UNIT 250.00 40665 _ 1-3-84 WATER CONN. 450.00 n n BUILDING PEFi. 9739 SAC tl tt PARK oir-» CITY OF EAGAN Remarks Addition ,- OAK CHASE 5TH ADDN l.ot 1 e1k 1 Parcel 10-53504-010-01 Owner streec 4590 OAK CHASE ROAD 5tate EAGAN MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SUR F. -fLe ' STREET RESTOR. GRADING SAN SEIN TRUNK ? 1984 41.78 8.36 S SEWER LATERAL Z , WATERMAIN _ *WATER LATERAL g Zz. -454.82 90.96 5 WATER AREA 1984 47.03 9.41 5 1984 1 5 155 00 C008422 4-26-83 *STORM SEW TRK 1984 $ *STORM SEW LAT 1984 S STORM SEiV TRK 1984 272.50 272.50 C008422 4-26-83 CURB & GUTTER SIDEWALK STREET LIGHT WATER CO(VN. BUILDING PER. SAC PARK IJ Lc _c_. • lZa???a?,? ?,r?Y ???n ..?? ? ?- a , /.3k?, O 4 ?(,f? ? aas - ? ?? 156 - lvr? ..?? CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNE50TA 55122 DATE REC EI V ED 19 AMOUNT ? DOLLARS loo ? CASH [-] CHECK FOR 0' Tha k You BY U White-Payers Copy Yellow-Posting Copy Pink-File Copy Receipt . MECHANICAL PERMIT Permit No. CITY OF EAGAN • Fee FiIJ in numbered spaces S/C Typs or Print legiWy Tot. • 1. Date 2. Installation Cost 3. Job Address Lot Blk. Tract 4. Owner 5. Contractor Phone 6. Address • " 7. City - - State Zip 8. Building Type: Residential Q Commercial O Institutional O 9. Work Description: New ED Add ? Alter O Repair ? i 10. Describe ' • ` ? • ' 1? : i^ Fuel Type V 11 No. Equioment BTU - M. Ea. Forced Air No. EQUiament CFM Ai H li Mfg. r and ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Othe Air Cond. r Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ardinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt - PLUMBING PERMIT Permit No. ( CITY OF EAGAN Fee •? ' ? Fill in numbered spaces S/C _. .? Type or Prrnt legibly Tot. % . . 1. Date 2. Installation Cost 3. Job Address/s X"" `? • ? Blk.Tract 4. Owner 5. Contractor Phone < - 6. Address 7. City State .J Zip - 8. Building Type: Residential ? Commercial O Institutional ? 8. Work Description: New I? Add ? Alter ? Repair ? 10. Describe 11. No. -3 Fixtures ^ I .- Water Closet( No. - Fixtures Cesspool/Drainfield / Bath tubs Septic Tank ? Lav2tory Softner ? h?wer Well Kitchen Sink Urinal/Bidet Other ? Laundry Tray / Floor Drains Drinking Ftn. Slop Sink ? Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to oomply with all ordinances and codes governing this type of work. Signed : ? ' {" ' I for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved __ GTY OF EAGAN 454-8100 -43) L C?c.?? aX J A 6 CITY OF EAGAN ? 3795 PNd Knob Road Eeyon, MN 55132 PHCNEs I114-8100 BUILDING PEItMIT Receipt # To be wed for Est. Volue Dote 19 - Site Address Erect Q Occuponcy Lot Block Se4/Sub •Altar [3 Zoning . ? .? e ,; . J Parcel # Repoir ? Fire Zone . . r E l f Const T ?' < pe p n a .?? ! . . Ype o a , . ,,.. Name .._ Move C) # Stories z Address ??'' ? ?' . • Demolish p Length 'G ._ , Ci Phone Grade ? Depth ?'6 Sq. Ft. a Approvals Feea o Nama u? Addre rs.., Name _ Address I hereby acknowledge that I hove reod this applicotion ond stote that the intormotion is torrect ond -agree to tomply with oll npplicable 5tote of Minnesoto Stotutes ond City of Eagan Ordinances. Sipnnturo of Permittee A Building Permit is Issued to: otl work shall be done in accordance wlth all upplicoble State of Min BWIdi?q OfFlcial Assessment Permit ' J Water 8 Sew. 5urcharqe 1_50 Police Plen check Firo SAC Enq. Woter Conn. Planner Water Meter TT ? ' Countil Road Unit Bldy. Off. 22 ? APC Total on tha express tonAltlon thai ewta Stotutes "and City of Eoqen Ordinonces. Permit No. Permit Holder Misc. Permit No. Holdar P J-akt S ? (S 8 ? H.V.A.C. 3 s b 'r a 3 P Electric Intpection Date In sp. Other Footings Foundstion Framiny ?r• 44 0 Rouqh Plbq. Rouqh HVA ? Insulation ? pr Final Pibg. Final HVAC ?r • Final 3 S Water Dbcrihe Location: ' Well , Ssvwr Pr. Disp. CITY QF EAGAN SEWER SERVICE PERMIT 3830 rilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 pATE; • - Zoninp: No. of Units: i OWflCr: Address: Stte Addrcss: 4?=? Qr1!; CHASi RJAll Ll nl Usk ChssO ---t}t Plumber. _ Lake Side Plbv 1-3-84 40665 a ., . ., ., C, Connectton Choripe: 42=; .ja j:,:t l4count Deposit: ?3.:`) nd Perr?,it Fee: - 10.0101 11'? Surcho?pe: • 5; Ad - I eyrea eo aomoly wi& t6e ptp ef Eagsn Ordinenoes. By Dcte of Insp.: Misc. Chorqes; Total: Dote Poid: AN WATER SERVICE PERMR b Road ? Z ••: - 9 PERMIT NO.: " 121 1 DATE: ?ilt1(1(?iiliX?III][?1iX[?liNo. of unirs r%00rv=: Site Address: ,: . R 3 a +,, ase 3L Plumber. 1,r±ke Sir{e ?'ILe Meter No.: Connedion Charge: W50.00 7:" Sixe: Acoount Depostt: 15.00 pd Reoder No.: Pennit Fee: 10. Od pd I .'he ro oowpy ..wi K. ctrr aE e.P. Surcho.ye: 15 J};' O.diw.naM. Mtsc. Ct,a.oss: I j'u uietal CITY GF EAGAN Inclule 2 sets of las, JF73/ - 1 site plan w/elevations & BUILDI[QG PERMCT APPLICATION 1 set o£ enezgy calculatio,s. . - 7b 3e Used For_ Site Address ?<f?_ IAt Bloclc /_ Sec./Sub. Parcel #: / D- s$S 0q -OI s Valuation pate 83 OFFICE USE ONLY /7la1a '?Zesc- Fxect OccuFancy /j?3 Alter Zoning F ? O.mer: Address. g?nn Gity/Zip Code: ?.5y37 Phone #: 5?3l- 3a o/ Contractor: ??-.l .,.,?o,? _ ?r.?v ?./? `7 e?a.?• Pddress: City/Zip Phone #: Cocle: ,?$.?' Arch./Ehg.: Address: Repair Fire Zone Enlaxge _ TYAe of Const. Nbve # Stories Delrolish Fmnt ? ft. Grade Depth ft. ?aater/Sewer Police Eire tnglanrier Council Bldg. Off. J •',!L ? % APC Surcharge _ Plan Check SAC . Water Conn. Water Meter Road Unit /_/! 0:0- City/Zip Code: Pnore #: ?rrar.?/l? 8 ?9S o CITY OF EAGAN N? 8'739 3795 PIIW Knob Raad Eegan, MN 55121 .. PHONEs 4S4A100 BUILDING PERMIT Receipt # le-e '? Te ba wed 4or SF DWG/GAR Esr. Value $83, 000 Dore . 7anuary 3. _, 19 84 Site Address 4590 OAK CHASE ROAD I Erect Octuponcy R3 Lor 1 BI«k 1 Sec/Sub. Qak Chase Sth Add.Airer ? Zoning Estate Parce1 # 10-53504-010-01 Repoir ? Flre Zone N/A Enlorge ? Type of Const. V W Name JOHNSON-REILAND CONST. INC. Move ? # Stories z Address $200 NORMANDALE BLVD. per,wNsh p Length_7Q_ BLOOMINGTON 831-3201/447-5 290 Grode ? Depth ?2 Ft Sq ?? Phom __ ._ . .- ? o Name SAME Acorovoh - Faes i? Address Assessment _ Water 8 Sew. Name _ Addreu Palice _ Fire Erp. <"' I City Phone Planner _ Council _ I hereby ocknowledge that 1 have reod thia applicotion ond state that Bidg. Off. I. the inlormofion is correct and ogree to comply with oll opplicoble AP? Stote of Minnesoto Statutes and City of Eagan Ordinonces. Sipnoture of Permittee A Building Permit is issued to: JvmvaViv ncJ_l=,euvli i.l 01 oll work shall be done in occordonce with oll appli5pble Stote of Building Of4iciol ? Permit C j?L•VU Surcharge 41.50 Plon check 191.00 5nC 525.00 Water Conn. 450..0? Water Merer 60.00 Roud unir 250.00 Total $1,899.50 _ on the expren condition thm City of Eogon Ordinances. REQUEST FOR EIECTRICAL INSPECTION A"kk ' Sae inshuccions for completing this torm on back of yellow copy. pt F",? q" ? '"1("' Below Wark Covered by Thrs Request Ee-oooot.oa 4l )gv K%4Xd d Rep. Type of Builtling Appliances Wired EquiumeN Wired Home Range Temporary Service Duplex Water Heater ightiny Fixtures Apt. Builciing Dryer Electric Heatin Commercial Bldg. fumace Silo Unloader Industrial Bidg. Air CondiTioner BWk Milk Tank Farm otner spentv ??no? lspecltyl t er SUecify Other Other Comnute Mspection Fee Be/ow A Fee ServicaEntrenceSize p Fee Fexders/Subieeders A Fee Circuits to 200 qm s 0 to 30 Am s '? 0 to 30 Am s 1 INA4 6 bove 200 qmpsi 31 to 100 Amps 31 to 100 Am s ? Swimmin Pool Above 100_Amps Above 100_Ainps Transrormers Irrigation Bwms l Partial%Qther Fee I ? ?Signs ISpeclai InSpectlon I S 2U flemarks T ? }E ( nal Inspactoq hereby cartilv lhat the above inspection has bean made. lFh19 fBGUBStti'OIO This reques[ vaiE 3 -2 ?• y Al /' S Q 78 rcqniths Irom A° , ?? 7 a n LI g?O,a K c}?R sZ S'? ?f i'7 K?i I I Pequ t Date ?y Fire o. Rough-in InsVection (?j Re mr ?fleaAY Nuwj7].W1frNntify, Insuer V e5 ?Ni? ror When Ready censed ElecVical Contneror I hereby requast inspection oi above Ownar alectrical work installad at: StreeJt ?Address, Bjo?x or R No. ? Citv (/?p? ??f 1 ? ?? / V /? G' ecUOn u. Townshi0 Name or No. Ranye No:- Counly cr.v ant IPH NT) hone No. Po upplie Atldress "ih Elac[rir.al Convactor (Comuany Name) ICERtDRIM ELEMTC Cont mr's icenso No. p ia i Ma i I i ng AdJress? I??r?7qtprryr..i??q?isi? t ?rv Authorized r n blW n a i 1 Phone Number THIS INSPECTION qEQUEST WILI NOT MINNESOTA STATE BOAND OFELECTftICITY GriBBS-Midwey Bldg. - Boom N-197 - - • gE ACCEPTEO BY THE STATE BOAflD UNLE55 PROPEH INSPECTION FEE IS 1821 UnivarsitY Ave., St. Peul, MN 55104 Phone 16121297-2111 ENCLOSED. YfATER SEltVICE PERMIT .,wu Nilot Knob Road P. O. Box 27199 PERMIT NO.: 5358 Eagan, MN 55127 DA7E: 3-23-84 2ontng: Rl 2iflfi[UOi7FlIi[I$MiIXMNo. ot unies: 1 Owner; Johnson-Aul nd CQnSt ress: i? q?mtt; 4590 OAK CHASE ROAD L1 81 Oak Chase Sth ?,; Lake Side P1bQ Z ter No.: , 3</ 3- ,2 / 9 7 2. Connection tlarge: 450 . 00 pd Siu: ?? " Aa?- Aceounr Depoult: 15.00 pd Reader No.: D 3 L 3 8 6" o?Z permit Fee: 10.00 psj 1 asm b oomPly Whh eM GtY ef Eagan Sureharge: : 50 pd adteoeen.. Miu. Cnoroes: 61.00 pd met p,?wA4-4 . Q13 p) ram: ,? a &0 ?-r <IL;-& 2r , BY w-? Dc" Po,d: Dute of Insp.: k/ ,Lk SI Insp.: 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit 4' ?p s= Date 08 / ca / ns- Site Address 5S9o P-D Unit # ?1'\?? / P O t cy ? roper wner y u ) Telephooe # ( ) Cootractor Gxo"?S( S ? St t Add Oq h, Atl? P4? Ci ree ress ty State fY \Ylj Zip Telephone# Bond Expires: The Applicant is _ Owner ' ?Contractor _ Other Add-on or alteration to existing dwelliog uoit $ 30.00 ? furnace _Additional _Replacement air exchanger ? i di i a r con t on rNew e Replacement ^ ? other UW_?P State Surcharge S .50 Total $ I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and acci be in conformance with the ordinances and codes of the City of Eagan and with the Me nical P)de-s; that I 'll be permit, but only an application for a permit, and work is not to start witho t &Signat'?r? ap oved lan in the case of work which requires a review and appro alo . App il cant's nnted?Vame Ap licant'that the work wi ?? i?^?. ll •stand this is not a cordance with the U 2005 RE5IDENTIAL BUII,DING PERNIIT APPLICATION W City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 4 651-675-5675 FAX # 651-675-5694 New ConsWction Reauirements 3 registered site surveys showirg sq. ft. W lot, sq. @. of house; and atl roofed areas (20% maximum lot coverage allowed) 2 copies of plan Showing heam & window s¢es; poured found design, etc. 1 set of Energy Cakulations 3 copies of Tree Preservation Plan H IM plafled after 711193 Rim Joist Detail Options selection sheel (buildingswith 3 oriess un'ha) tffi,* lj(i4 RemodeVReoair Renuiremen4s Offce' Use OnIJ 2 copies of plan Cert of Survey Recd _ Y_ N 1 set of Energy CalculaGons for heated addNOns Tree Pies Plan Recd _ Y_ N lsitesurveyforadd'Nons&decks TreeP2sRequiied -'Y: N AddA.ron • indicate If on-sife septic system On-sde Septic System _ Y---- N Date Construction Cost Site Address Unit/Ste # Description of Work '74- ????:,.-n /l ?N't Multi-Family Bidg _ YZN Fireplace(s) _ 0 Property Owner e N-ra? Telephone # Contractor /?,?a? S"?J2 ??S Address ?/ ? ?? ?? ? ?'r City State /17N Zip -5 5 3° Telephone #(9?.2) 8fP- JZ?o 0 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissionype) Submitted Submitted • Energy Envelope Calculations Submlqed Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone #( I hereby apply for a Residential Building Pertnit 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 witho a permit; that the work will be in accordance with the approved plan in the case of work w' s u rpian? d approval of plans. ?r??l JllN 1 3 2005 ?I ApplicanYs Printed Name Applicant's Signature `' ` OFFICE USE ONLY Sub Types 0 01 Foundation ? 07 05-plex ? 13 16-plex O 20 Pool ? 30 Accessory Bldg 02 SF Dwelling ? 08 06-plex ? 16 Fireplace O 21 Porch (3-sea.) ? 31 Ext. Alt - Multi (? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF O 04 02-plex ? 10 OB-plex O 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? OB 04-plex ? 12 12-piex Plbg_Y or _ N ? 25 Miscellaneous Work Types n kvv? oLAvL /t,.,? j o??17^-(?/ Tll-i ? ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding O 32 Addition ? 38 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entlre Bldg) - Give PCA handout W applicant Valuation 0l12 Occupancy MCES System Census Code ? Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width _ Footings (new bldg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final ? Framing Fireplace _ A.I. _ Air Test _ Final ? Insulation REQUIRED INSPECTIONS Final/C.O. y Final/No C.O. 7 ` Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 7"tL? </21jf9,n I?AV1;i y? ?oo 2005 RESIDENTIAL BUILDING PERRIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 4 651-675-5675 FAX # 651-675-5694 New Construdion Reauirements RemadellRaoair Reouiremenls Otfice UseOMv 3 registered sile surveys showing sq. ft of lot sq. ft ol house; and all mofed areas 2 copies of plan Cert M SurvOy Recd . _Y _ N (20% mazimun lot cove2ge allawed) t set of Ene(gy Cakulatbns for heated addNOns Tree Pres P.lan Reed .. _Y _ N, 2 wpies of plan showing 6eam & windax sizes; poured found desgn, elc. 7 site survey for addifbns 8 decks Tree Pres Required _Y _ N 1 set of Eneyy Calculations Addition • indicete ff onsRe septic sysfem Onsite Septic System _ Y_ N 3 copies of Tree P2servation Plan If lot platted aRer 7ft193 Rim Joist DeWil Options salediort sheet (buYdings with 3 arless units) Date J 5 /o? Construction Cost Site Address qEon _Chk-? CS (2f'q sx_Rr; , UniUSte # e m ? U Description of Work - u aae!?, Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 1 Property Owner Telephooe # ( ) Contractor -?- Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Enefgy Code Category , Residential Ventilation Category 1 Worksheel • New Energy Code Workshaet (4 su6missionrype) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan witfi a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and appmval of plans. ? Applicant's Printed Name Applicant's Signature u Cj y5?+ 2005 RESIDENTIAL MECHANICAL NERMIT APPLICATION City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone N 651-675-5675 Ylcase complele for: sittgle family dwcllings a@. townhomex/condos when pennits arc nquiiad for each unit Datc # Site Addresa Unit Property Owner ------- 1'clephare # ( ) Contractor Kline COrp. DBA: Practical Systems Strect Addrcss 4342B Shady Oak Road. City . Hopkins, MN 55343 Statc 952-933-1868 '1'clcphone # ( ) __ Bond #: E:pirc+: 1'he Applicant is ? Owner 1Z Contraccor Olhcr Add-on or atteration [o exixtin g dwelling unit $ 30A0 furnace _Additional _Replacement air exchanger air condit n r io e New Replacement - ?? L ? , ? other ?I -I-? 1 v Statc Surcharge $ 50 Totul I _ S I hereby apply for a Residential Mectianical Pemtit and acknowledge that the information is complete and accuratc; that We work will bc in confonuance witli tlie ordinances wid codes of the Ciry oF Eag.w and widi tho Mechanical Codes; lhat f understand lhis is not a pcmtit, but oiilp an appiication for a pcrnut, and work is not to slarl without a pcnnit; tha[ thc work will be in ;iccordancc widi thc approvcd plan in the case of work which requires a review xnd approval ot plans. ??.9-( -W 61- l,A Applicant's Yrinted Name Applica, t s St natur ` Lo q 5-?5 -1) 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit 1 3? s-D D ate Site Address Kq 0 OAK C6A SP 00 Unit # P t O MOO(Ar) I'Cl2SC ) O ( JAPJOY JUh 16(ephone #( q Sz ) g9ff- S7j00 roper woer y a, Contractar -, C!V Lf -9 I /^ F f 12 StreetAddress IVAA/l rU ^ City 09«e6i nt State Zip Telephone #((d Bond Expires: The Applicant is _ Owner ? Contractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 furnace `Additional _Replacement air exchanger air conditioner New Replacement X' other DU tT "W 08 ? l/c.-ili" i2c1 tl - ve v14- Flctup State Surcharge $ .50 Total $ v° !Kb I hereby apply for a Residenfial Mechanical Permit and acknowledge that the informatioa is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codat I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that,Nfe wo iII be in accordance with the approved pl in the cas2ele rk which reC/?ires a review and approval of plans. -C h ?.N / . / n/ .. Applicant's Printed Name Applicwft's Sj4nature ? 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) I l I? 3830 PIL'OT KNOB RD - 55122 651-681-467? ? New ConahueXon ReaufrerneMS 0 J7?'7 A ggmodel/Reoair Reaulrements > J registeretl site wrveys ahowinp aq. R. of lot, aq. R. of house"? '? 00 2 coples ol plan and SJI roofetl areos (20% maxlmum lof coveraae ailowedf ??? 1 se10( energy talculaHons for healad atldltlons D 2 copies ot plans (ahow Decm & window sizes; pouretl hW. deslgn; eic.) 1 slte wrvey for exfedw atltliHOns & tlecks ? 1 set W energy calcWatlona ? 3 copies of tree preservation plan II lof platled aRer 7/1/93 ? DATE: 8 - 4 ' b v CONSTRUCTION COST: (0'(12 -7 (10 If?s? DESCRIPTION OF WORK: '[F?F2 O?? ??=r2CC?? 1'TDC ('"f multl-famiry bldg., how many units? STREETADDRESS: 4?9o c74K- Cl-IyoKI 2-? IOT: I_ BLOCK: I SUBD./P.I.D.#i: 001? C?JL PROPER?Y OWNER CONTRACTOR ARCHITECT/ ENGINEER Name:l tzL.i)t2(C.k.COm Phone#: CoS( Lasf Firat I- Sheef Address:_ 421(--) 064C C'-ASl-. 6- t? ay L-?-IZ' ?A-?( sra?e: mw zip: S- S i 2 3 Company: v v E S 71)2N l ..(-DA-')(- Phone #: -7(a?4 O? O4 (area code) SheetAddress: 97C)o License#zol SSSUb Exp. 3-31-01 City F'L`? ??t-ii State: Company: Telephone #: ( {'1l4 Name: Sheet Address: RegishaNon Y: City State: Sewer/water licensed plumber (if installina sewer/waterl: Phone #: Lp: Si Zip: 1 hereby acknowledge that I have read this applieaBon, state Mef the infortnafion is cortecf, and agree to compy wflh all appGcable Siate of Minnesota Statutes and City of Eagan Ordinances. / Signafure of Applicant Certificates of Survey Received Tree Preservation Plan Received OFFICE USE ONLY Yes _ No Yes _ No _ Not Required 2000 FIREPLACE PERMIT APPLICATION 3830 PILO KNO ROAD - 55122 651 681-4675 ? Date: Description of Work: Construct new Sreplace Gas Masoary _ Alterations to eatisting ? Install eac insen oalv _ Install gas line onlv Other ]ob address: `7 Lot: Block: Applicant (circle one only): Owner A6, PROPERTY OWNER FIItEPLACE INSTALLER Subdivision/P.I.D. #: J? Permit Fee: S60.50 Name: r rp4er i J? s o n, SC( kf.( f 0 Phone #: (PS)- I.ast irst _ Street S ? City C: Gt State: /"l n/- Zip: comPany:_ Dr2 S T l? e C°c) Y o eY' lAb' Nr?F?Y0"Pb e#: -0'7S (area code) Street City U yo.S ui I r l?° ?State: /" `JVr Zip: ..$-7 -3 ? Phone #: (area code) GAS LINE STALLER Stre, 1 City State: Zip: I hereby aclaowledge that I have read Uus application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes an City of Ea an Ordinances. e ? n Signature OFFICE USE ONLY BUILDING PERMIT TYPE ? 16 Fireplace WORK TYPE ? 31 New ? 33 Alterations ? 39 Gas Line ? 41 Wood Stove ? 32 Addition U 34 Repair O 40 Gas Insert GENERAL INFORMATION Census Code 434 SAC Code Ol REMARKC Chimney/flue must be inspected before concealing. ? / _ s ?n 2/84 CITY OF EAGAN t ? APPLICATION FOR PERMIT ' SEWER AND/OR WATER CONNECTION I (PLEASE PRIHT) 1) PROPERTY ADDRESS: 4590 Oak Chase Road Eagan, Minnesota LFGAL DF.SCRZPTION: Lot 1 Block 1 Oak Chase 5th Addition (Lot/Block/Sulxlivision or Tax Parcel I.D. NLUnher) 1F EXISTL\G STRUCiURE, DATE dF ORIGINAL BUILDING PERb7IT ISSOANCE: (Month/'Year) PRESIINT Zf%NIDI,/P?LPpSID USE: $X R-1 SINGLE FAMSLY ? R-2 DUPLEX (TWO UNI'1'S) ? ? _R-3 70WIqHOUSE (TFIl2EE + U[JITS) ( [7NITS) _ ? R-4 APAR'24ET7T/CODIIXMIIVIUM ( UNITS) ' O CIX4IERCIAL/RErAII/OFFICE p IIMUSTRIAL. ? INSTITUTIONAL/GOVERtIMENP APPLICANT ' (PLEASE PRINT) NAME; Prior Lake Excavating, Inc. ADDxESS: 16670 Franklin Trail 5uite 230 CITY, STATE, zzP: Prior Lake, MN 55372 PHONE: 447=8280 3? P?ME . R PLEASE PRINT) Lake Side Plumbin FOR CITY USE ONLY NAME : g ADDRESS: 14449 South Highway 13 PLUMBERS LICENSE: M ? . _ Active ? CITY, STATE, zIP: Prior Lake; Mn 55372 0 Expired . ' PHONE: 447-6080 MASIER 002387M0 PLUMBER LICENSE 1J 0 No of Fec d S{p?T_ a ni ia 4) OGLUPANT/Cfr]NER NllME: CITY, STATE, ZTP: PHONE: Johnson Reiland?Construc?tion 16670 Franklin Trail Prior Lake, MN 55372 447-8290 or 447-8293 5) 6) IIJDICATE ONE: ? PL,FASE HOLD APPROVID PERMiT FOR PICK-UP BY ONE OF ABOVE PLF,ASE MAIL APPR(7VEp PERMIT TO 1. Q 3, 4 ABCAIE • (Circle one) 7) $IQV71`LVRE: DATE: ? occ/ i?Y IIQDICATE WHICH PERMIT IS BEING REQUESTFD: ? QONNECPION 7U CITY SEPIER CONNDCPION `iO CITY WATER ? CIiHEEt (PLEA,SE DESCRZBE) . °`?t?+??????!.?`,+, R-.--::-:::?,-±!!irM!!?Mit?lililidkiii?i4ih?++?1F?Fthlh?l#MIMM?h'!?!°ftNwl?P'?Pff'M?F±1iFi!I?k1FNi!?Y?aws+?c? F O R C I T Y U S E O N L Y PERMIT # ISSUED _ , .. ... FEES: $ SEWER ?ERMIT (INCLUDE SURCHARGE) ' $ Sd WATER PERPIIT (INCLUDE SURCHARGE) _. ;-WATER_METER/COPPERHORN/OUTSIDE READER j S _. WATER TAP..(INCLUDE CORPORATION STOP) ? $ SEWER TAE $ ''ACCOUNT !DEPOSIT - SEWER . $ ` . ?. Y'ACCOUNT.DEPOSIT - WATER :. , . , ., , . $. WAC . , . . . .. , , : $ .. TRUNK WATER ASSESSMENT ?,-..,., . :?.._... _ . . . . ., . ..,. _ $ . TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SEWER - S -... . ...LATERAL BENEFIT/TRUNK WATER . $ OTHER $ ,,..., TOTAL ' . ; $ . . ?/• "'-ep ,. . . , : . .. .. . . ?? AMOUNT PAID/RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN.A "PERMIT FOR WORK WITHIN ?_ PUBLIC ROADWAY" MUST BE ISSUED BY THE ft:!5 NO F'.NGIN_r:,FR17 7G DI`,'ISi^C:. I.IST AS ACONP.i- TION. .. . : .,.._.._ .. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: ??j D _. . . - . . _. .. TITLE: DATE: 3-?'y? , :. .: ' ? e;? euw ?ra ?rp? ? ?*? ?4 ?!! !r? ?t?!AETi? !I'H!? II'f?11 R'tT ?!'?!1'inf ?'E?!I ? ?T f'?I ? ?'f;.! ?1}' w? ?'4! !' ? PTu Steve Hanson City of Eagan ¦ 3745 Pilot Kneb Read Eagan, MN 55122 ?pina awalm', a, FromJohnson-Reiland Construction orman a e v . ? Suite 301 Bloomington, MN 55437 Subject 4590 Oak Chase, Eagan 44?-t3Z9(7 L)6,h! Date Auqust 17 198_4_ Dear Mr. Hanson: nc ose is a survey or a aser. If you have any questions, please call. CF?-? ?-23 Signed WilsonJones GPAVIINEFORM64-9W 2PAPT e. t983 • PRINTED Irv U.5 A. 2B3 .4?.-.. _:a:?.•.^.?r?'.«-..sz^- , ?v?t?::rac?3..x?.?vs:a^ti?:e^'_:'.JiGii't?2.. '-....-.-.Q...???9L"„?&.:?'?.s... .•_-'-.-?.r... C'E',?'T1rfL's1TE DF Slo?qWY -- \ -? ? ? fi U ? 1 1 30 1 10 o 2 Scale: 1" = 30' D o 4? -° a ? J c" - 3p . I . _ I , '7°53s3 » N ? V1 e LJ I Q i t 1 s4,o? ? ! ; ?a 'i t 1 3 1 ?'?M?"?N ??Q• ?LR? ? ? I 3?hoo I ? I I I J- I I. I ID I ? `------ - - - -- ?5 o ? 1ZO,u9 CLIFF- WEST OESCRIPTION / H£R£BY CERT7fY 7HAT TH/S SU4V£Y, PCAN OR REPOR7 W45 PREPAR£D BY MF OR UNOER MY 0/R£CT Sw£RV/S/GW AND TNAT I AM A AULY Rf"G/ST£laEO LANO SUFVE7GW UHOER TNE LAWS Of THf STATf C3F Ai/HNf.SOrA. Lat 1, Bleck 1, OAK CHASE FIFTH ADDITIOfJ Dakota County, Minnesota o Denotes iron monument Plat bearinos sheHm OATF I REG , I . ? 1 -? N z ? OU Q v? ?E: .- ?i ? i L:t,if.F:;,! C;ONtiiRVAT:CUPI SUPPLE,NENT i'O 6[JILUI6G PERMTm HPYLICATION $tl2LbING ANb SAFETY DEPARTiMENT CITY oF WOObBURY., DIINNESOTJC 55042, bA2"E: mhia supplement ia provided to aseiat the applicant in computing the EXTERIOR ENVEIAPS , ? AVLI2AGE "U" i'AC'POR INt'OR14AT20N. This informatiott is required so the BUILDING OfiE'ICIAL can determitta that the submitted plana comply with the ENEkGY CON5ERVATION DE52GN CRITER2A of the STATE- BUILb2NG CODr (5ection 6001). It ia the APPLTCANT'5 RESPONSIg2LITY 20 accurately and complefe2y compute the datat reflect the proper DESIGN CRTTERIA in tha plane submit product specification, as needed to aupport the "R" and "U" factore usadl ehd to assure that construction is accomplisted per the approved plane. 14.?`- i,? 6,4 JOH IQCATIONe . OWYrR(S): PHONEI CONTRACTOE2: PH4NL"s_ A. Det ermitte the total exposed wall area as followse % 1. Total wall window area - z. Total door area 3 g 3. Total sliding glass door area _ I d 8 4. Total fireplace wall araa 5. Total wall fram3ng area (average / y 7 Z b. Total net wall cirea above tloor 7. Total rim joist area ?S SubtotaX: TotA1 exposed wall area above floor B. Total foundation window area 9. Total net foundation area above grade 5ubtotal: Total expased foundation area / GAM0 TO'PAL EXPOSED WALL AREA I? J B. Multiply the GFiANb TO'rAI, EIiPOSED WALL AREA X.19 = (non-residential .23) C. Detetaine the to'cal exposed roof/ceiling area as follows: ? 10. motal ekylight area .ll. Total roof/ceiling franing area 12.. R'otal net insulated roof%ceiling area GRAND TOTAL rXPO5E0 ItOOF'/CEILING AREA 7 L D. Multiply the GkANb TO'PAL EXPO5Eb ROOP/CEILING AREA X.04 = (non-residential .06) 1v 3 xtem I c?//• 3J? ? Item II ?c?, e)' , - 1 - XIlU?? 2. ? u X uUlf .,?S m Z d. cr p 3. R„U„ _ s S ? 5 9. y o 4, ? x liUil ?- a ? x uVu 4'v . a ` / • (9 $ . . X "U° x u U" , v J ? m • '8 ! ?"''.. .. . . S. ?-- K uuu „-- m x ':u? m ADb 1-9 FOR T07AL WALL SEGMENTS , . .:° .Item III 3 .:3 F. Cetermina the "U" va'lue of each segment (10-12) and mtsltiply by the area as follaws: . . 1 O. • '_" .. X „u„ . • ...? . ' ? . ' --- '. ' ' • li. /</P, X "U" ,?2? ? ?,'/y . . •.. • ??a*. . ? .7 y`y . x oud v li.'/ . ? n 2I..g? . • . ? . . A4D 10»12 FOR 70TAL ROOF/CEIIIMG SEGMEMtS ? _•: Item IY ?•a? :. If 2tem Na. IZS .is the same as, or 2mss than Stam No. Y, yau havs met the .{atant . oX 3tate Bu.{lding Cade 6006(a)2. , , • : 4. SF Stam ?JO. YV Sg the same av, os 1oss than SEam Cla. X2, you hatve met the Sntant of 5eate Build.ing Cade 6006(c)1. .•- . . , .' t. Acld Item No. I _q1j ,3-5' + Item Pdo. iI 5yc? . a ? 0 3 .. . J. Add Ytem No. III 1y,3 + Item No...Yb ?;. It' the sum of Items TSS and Iv ara 2egs than Sterrts Y and SI. you hevdf imt tha Sntent'af thm co3a tor tota2 envelope system. .. , • . ,. TsL additian to the abovr 14ema ,ou mc?y hsva to add fyr euch items ao iloora over unheat? cipaaae, such ae.cautileverd aresa, eta. Ta urrive at "n" value dinide the tntttl of the R"lvma for each eegment (aa ahove) luLo 1.000 Anmwor qou have is the "U" valuo far that aegmant. E.-nmplea A$otal "H" or 35.08 divided into 1.000 ? 0 .028 "tT" The nndereignedi aa applicant for e$ullding ? Pmreit# harab7 affirms the abare intormation han boan praparad and ssubmit4od bq himsolf cr nnder his direation; herebp aclmae+ladgee the 3n"orcaticm to ba corroct end accnrate; and hareby pzoeenta L•he information rorith required plana itt support of the Baildittg Permit Applicetiott ? _.._._ - z - Sigaatvr« '31 24 ? ' .?? ?ALL SEMCNg:.:... fi-cte*aor air film s?ains. ? Sheathinsz ? Insu].atian 7 Interior Finish ? Interior Fir.ish ? te.rior A?r filn " .i7 (o7!3 •w ?/Sr r- .68 _ Total'R ? ? • D 3 ???/vlfl`9 G F.:cterior air'fild .I7 5idinq ? 5heathing )_, e) (a Insul2tion t ? ?'L vJcPIJ, y' "i' 8 Interior, finish Tnterior air iilm .68 --- xotRl R ?e . ? , . , 94 M - ?,.. t:cterior air Film Sidir.R 7 i?s7 ? -•- ._.Ir.?:x^?ic ? z /3 - c.l.? ( ? • Intcrior Ai- film I ? -- f I ! T°t^l_R : 1,91 L 4 _ : 0?? ?II - - f.rio??+i„ f;lm •1? Sheathins? ? 1I ?. InsulAtion ? III Interior Einish ? znterior xinish ? Trytrriar Air ri,'L ' LE8_ TotrzZ R irun = Ekterior air'filn • .17 Shettthing ?• Tnteriar air filn ,68 ?--_ ? 7'otnl R ?---, ?--' I ? uQu • . , Ek?{;erior air F'ilm 1' _. I . Sidir.p, ? lit n' -- - - - ? i I C? - ?-?---- ,L-, ' InL^L'lOP Air fil.m .68 i TOl:ll C? • n`rr? ' 9 ' --- - -_ ? i?'`? 2 f ?i??'??;1; i?? . L/ ? Heat flow . ... 3 ... .. C '. .? --?6 ao?rn.. Qverha.ng..(Outside air- beYaw) ,. .. . . . . -o.--.? -? -07 ? Hea{: flow down 1. Tnterior air film. 4.92 2. Finish iloar7 3. Sub/floor ? ' 4. In8ulatiau2 . 5. 6. Ecterior air film!,(still) 0192 fiotal R fra?r V = 1/R ' ?. 1. Tnterior air film. 0.9; 2. Fini'eh floor. ? 3. 6ub/floor ? ' 4. Insu2atiott ? ' ' 5, . . . 6. .Fbcterior finieh . 7.,Exterior air fi1m. 0.1; • 'xotai n Transfer these totals pgge 1. -.Wittdow sizes shall,ba ca7.culated from.the width & height of its opening. Door sizes•shall be ealculated from the actual door size itaelf. - 5 - , rig. W# j / ? .. _ - _-__- •-- ? -- ? nf^/'.j .?•?7,`1r,?'?,??1?'• ??1,1?),: i?,,;, t I?- Hea.t ? Tlow up Hcat flow up UEe this framing schedule for which- ever ceiling or r detail you use. - 1. ?terior air film. 0.1 (k) •2. Tntorior ceiling. ? • ? -??S, ?• 3. Insulation ? • `f U• ? •4. Ixterior air £ilm 0.t . total V= 1/R "II"= 0.2 motaa ceiling framing erea. . 1. Interior air film O.E 2. Interior ceiling ? - . ot 3• Tneuletion ? 3a. Jo 4. Framirg ? ?f • 38 5. FSrterior air film O.E Total 3 6. /fo . V = 1/R . , l. Interior_air fi7.n 0.6 (k) 2: Inte^?.or ceilinx 7 3. Iiimilaion ? • ' 4. f.'kterior air film. motax (I = 1/R o C) -CY ?-Q ? ilVNr ?f t'• . ? Itttl Y _ _?., •Ii Y . . . . ' ; .;...,? . ?...+? =^-?+• ? •?. J ?, . ', ? . /. ??ri. . '/ /`'/,?r-el' ?!_? /r\•- Y?I???l? ?. ?. Heat ilov up # 6 1. Interior tt9r fi.lm. 0.6 2. .Lqs .e?]93'?r t ? 3. Ftoof insu'lation ? 5. O:ttsiclc air fi.lm. Totnl U = 1/R uuu _ Tron9fas your U valuea to pnge 2.. CompUte aquare footuge And compute tcriels in blanks ? "R" Ualue 1 .68 Interiar Air Fil .AS ? Wellbaard ]"J••UD 31 Ineulatinn - 1.22 1 Fiborboard Sheething .G1 Aluminum Siding .17 Exterior Air film ?Q .?" .'s_ rntei "RII veiue ,68 Intorior Air F'i].m 7.1.00 3i Insuletian . ? 1.8'8 1j Softmood • O 1.00 Rim Joist Ins. Line .61 Aluminum Siding.r---?-~ .17 Exterior Flir Film .15.34 Totel "R" Valua ?QI .68 Interior flir F'i1m ' 1.2H 12° Concrate Bloc1 ,17 Exteriar A1r F'ilm ' 'I. P 3 Tate1 "R" Uelua _ E , . p-+ ?'i"Tp, f n 1z R p. = 7'?'?t ? !;? ???_ ? ... ? •..: ? I i . .. _T ZXS ?JtTJ•?:. , . . -- / ( ?J - • • • Y.- ,• Y., p . s l • ?'. ELIE CARRIER LOAO INF'ORirlATION QENTER , ??.-;•? +-? ?,,r>> ^ ;'Giz!n ?'.o?la " {?!or:na_•. - = r `:?41 ^iioG La':e, Iv{;nnes?ta 55::5 ; 11 ?612) 447-8114 OPTION 1 1. Summerdesign tlegrees ............. .. (90. 95, 100. 105. 110 or 715) (I( 90, 105, 110 or 115, Item 2 N.A.) Z Dailyrange (0°-35°) ................ .. ? ••? ? # 3. Wintertlesign degrees ............... .. (Precede a minus number with M) 4. Numberofwindowpanes ............ ..? (1, 2 or 3. If 2 or 3, Item 5 N.A.) 5. Storm windows? (Y or N) ............. .. 6. Windowsweatherstrippetl?(VOrN)... .. ?S q 7. Four window areas starting with N or NEOrientation .. ... ? (Ex: NM25H30#20!?25ak; Max per side: 999 sQ. ft.l 71 rNE `3 # 72 r SE I ?L p 73 SW r ? 74 or NW 1'3 t!k 8. Shatledwindowarea . ...? (0 or sq. tt. Enter 0 if not applicable. Max: 999 sq, tt.) 9. Doorarea .......................... (0 or sq. fL Max: 999 sq, it If 0. (tems 10 & 11 N.A.) 10. Doorweatherstripped?(YOr N)....... t! 11. Storm doors? (Y or N) ................. ?j #N 12 FirststOry perimeter._..._......_... 13. Secondstory perimeter........._..... i - 1- ?- 1-? 14. Thicknes5ofwallinsulation . .... - - -- - ? ?? ? il (0. 2, 4 or 6" fiberglas. Enter MA for masonry; R values, enter R,then value. Ex: R79) 15. Basementperimeter . ? L} ? # (0 or linear it. If 0, Items 16, 17 & 28 N.A. ) 16. _ _-- Basementhea[ed?(YorN) ............. Q?S # Qf N, Item 17 N.A.J 17. Percentabovegratle(Ex:S°ro=5) ....... 16. Area ot roof with exposetl heams or studioceiling .. .. N# (0 or sq. fl . If zero, Items 79, 20 8 21 N.A 1 19. Wood or fiber ...... . .... . _? (W forwood, Fforfiber. If W, Item 20 N.A., It F, Item 21 N.A.) 20. Thickness oftiber .................... (1.5, 2 or 3" or R values) 21. Insulation ............................ (Y, N or R values, Y assumes 1:5") ???V40'V OP*ION Z O ? ? ? O ? ? ? ? NN ?U 5.'t, i'.ae VV G 17 ? ?tp ? ? ? OPTION 3 0 ? ? ? ? ? ? ? ? ? Nq `. ? ? #k ? ? ? #N ? ? ? ? ? OP*ION 1 OPTION 2 22. Area of ceiling untler vemetl roof or unconditionetlspace ... .............. (0 or sq. ft. If 0 Item 23 N.A,) 23. Thickness oi Insulation .. .... .. .. . 2_ ? p ? (0, 3, 6, 12 or 18" oi fiberglas or R values. Ex. F30) 24. Areaoffloorsoverunconditionedspace Q # ?? (0 or sq. ft. If 0 Item 25 N.A.) ?-? 25. Thicknessotinsulation ................ ? ? (0, 3 or 6" ti6erglas. or R values) 26. Area of floors over open or ventetl space, orqarage ................... _ ....... ? aq #k (0 or sq. (t. It 0 Item 27 N.A.) ? 27. Thicknessofinsulation .. __ (0, 3 or 6" of fiberglas or R values) ? 28. Basementarea . . (0 or sq. iL If Item 151s 0 akip Ihis entry.) 29. 7otaiheatetl a-rea-.. - ................ . . . (sq, tt.) 30. Perimeterotconcreleslab ............. 73- 6p ? (0 or linear tt.) (If 0. Item 31 N.A.) 31, 7hicknessofslabinsulation........_... (0. 1 or 2") 32. Desired summer indoor temperature swing ........................... ? Mri riN (Value between 1 and 6 inclusive.) 33. Desiretlwinterinsidetemperature ...... ? N ? 34. Ductlocation ......................... ?. It I RI (AT = attic, BA = 6asemenl, SL = slab, ?-? CR = crawl space, CO = condltloned space) (If BA. SL, or CO, Item 35 N.AJ 35, Thicknessofinsulation ............... . ?? ? (0, 1 or 2". Use 2 for 1" rigitl.) ?- ' REPEAT DATAy, ......... .. _ ............ L''-? Nu ## Y or N "COHHECTIONSY. .. _ ................... If Ihere are no corrections required enter ?k. If thero are corrections to the date, enter question number. a, the new data, and ?a. Ex: 19NWNN p kq ? N pn It no further correclions. enter## onty. ## gq COOLING B.7.11.H.J EOUALS 3,T'?l qTF B.T,U.H. AT °F HEATING B.T.U.H. EOUALS_LC_Ite_!S_AT ??°F B.T.U.H. AT °F "REPEATTNEANSWERS"(YOrN)......._ p# #q •.SAVEYOURDATA?.' .................... pa ag V or N, or YR!!Y will save your data and goes to beglnning for new Analysis; or NRdN will not save data but goes 7ack to beginning for new Anatysis. JOBNUMBER ......................... If you want to 5ave yoUr data CLIC assigns ? Job Number "STRUCiURE CHANGES?" ............... Ii there are no changes required enter pu. It there are chenges'to the d2ta, enter questipn nwnber, k, (he new Aata. 2nd ?F N kp g pu Ex: 25?! R 70Nk I( no further changes, enter ftk only. Na qp ? i!N uq OPPORTUNIN HOME METRO AIR '19401 Nermandale Road Prior Lake, Minr.escca 55:372 (612) 447-&1 24- s-7a Pnnted m U.S.A. ??ri OPTION 3 ? ? ? ? !t# ? ? ? ? tip ? ?-J ## N #u fiM B.T.U.H. AT °F B.T.U.M. AT °F utt u{t 838-039 ùûð þýý üûÿüûû úýýù îòëïý îóìæì æòæ þýö ÿþýüû úù óøÿýüû øýüû úù ø÷úùöûõ ôÿ óÿóòîÿûü ñ ðÿøï õûøíõììõøðÿøõøþøõëêøúúûêøêøõ ý ûëóêøêûêøë óøþõéøøøðÿøþüúêõüìõë ïçç òëæå ëåæ õú ÿøìøèÿççë ë æ èÿë ô óû öòñ ûû ûéøü ÿ øÚì æ ÿìø æîóìö ÿøíä÷ææòàä÷ææ ò áàæ ßàååâò ìøþüúììíøìûûììêøõøøøõûüúìûûþ êä ÿóüêîøë ûûù øõ ÿøÿü ÿø PERMIT City of Eagan Permit Type:Building Permit Number:EA114503 Date Issued:09/16/2013 Permit Category:ePermit Site Address: 4590 Oak Chase Rd Lot:1 Block: 1 Addition: Oak Chase 5th PID:10-53504-01-010 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Paul Cunningham 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 - Sandra L Johnson 4590 Oak Chase Rd Eagan MN 55123 Cva Group 7263 Washington Ave S Minneapolis MN 55439 (612) 216-5513 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA156859 Date Issued:07/22/2019 Permit Category:ePermit Site Address: 4590 Oak Chase Rd Lot:1 Block: 1 Addition: Oak Chase 5th PID:10-53504-01-010 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Sandra L Johnson 4590 Oak Chase Rd Eagan MN 55123 Spring Plumbing Llc 11473 Kenyon Ct Blaine MN 55449 (763) 614-7963 Applicant/Permitee: Signature Issued By: Signature . 114 .. -,t ,_ For Office Use . 4 � I � g , � � , Permit#: d., EAGAN, � j / I •..... ........ EAGANCI ";' Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 Staff: build inainspectionst cityofeagan.com 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: U -1 Z-// Site Address: 1151 a A k- U'l ltf t' Rd 61:iui 55a3 Unit#: _ Name:Murk-hiIio ''i n 4'SailAv $1I OVI Phone: (oil- 72.3"11117 Resident/ r',, ! Owner Address/City/Zip: /1510 Oak. U'Iasc 2,A 1 a. t MN 5512-3 Applicant is: Owner ✓ Contractor � � f Type of Work Description of work: 131x.yiYl►�DOrY1 ran 0/IL I Construction Cost: Multi-Family Building: (Yes /No I) Company: (Mau u Comb-whorl lvii.. Contact: f yaM Smell Contractor Address: I314S 1 (rror- j t �`. City: A4ppl.t VtiJky State: MN Zip: 55124 Phone:W61^27-1"31I PEmail: rni(ALO 1 tW a,mil . t rvi License#: B G 5O V 5Z I Lead Certificate#: NAT (pi 3'JI "I If the project is exempt from lead certification, please explain why: .3)/".2 /t? ah 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: Fire Suppression 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. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeadan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.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 PIAA4 SC wt f I xA jt Applicant's Printed Name A lidant' Signature PP s 9 DO NOT WRITE BELOW THIS LINE 1.469Oti) bh---cC gcl . /<-71-/6 / SUB TYPES Foundation Fireplace Porch(3-Season) Exterior Alteration(Single Family) Single Family Garage Porch(4-Season) Exterior Alteration(Multi) Multi Deck Porch(Screen/Gazebo/Pergola) Miscellaneous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES New Interior Improvement Siding Demolish Building* Addition Move Building _ Reroof Demolish Interior J 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 "7 2 Occupancy ....t4. / MCES System Plan Review / Code Edition )_i/J SAC Units (25% 100% _ Zoning jC City Water Census Code li -3/7 Stories -- Booster Pump #of Units / Square Feet _ PRV — #of Buildings / Length f Fire Suppression Required Type of Construction ..13 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) k_ Final/No C.O. Required Foundation Foundation Before Backfill HVAC Service Test Gas Line Air Test Hood Roof: Ice &Water Final Pool: Footings Air/Gas Tests Final Framing V30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test Final Siding: Stucco Lath Stone Lath Brick EFIS Y Insulation Windows Sheathing Retaining Wall: Footings Backfill Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: ,7, , Building Inspector RESIDENTIAL FEES _ .7,- Base Fee % %fit -( y�� /'%/moi Surcharge Plan Review ,--i-/ %� MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 111 II . F F.;IIr For Office Use d �,+ i 5 .`4 r!'� i • Permit/t: /59 7 - E ,is G A -- rn� .. Permit Fee: `-c`` 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 C EIV Date Received: / R aG-/ . 1,; (651)675-56751 TDD: (651)454-8535 I FAX: (651)675-5694 ) buildinginspeclions(a)cityofeagan.com DEC 2 6 2019 Staff: i 20199 RESIDENTIAL PLUMBING PERMIT APPLICATION ` Date:, `I1 1, 1 Site Address45/ D D 1'1( G'� /'b!V .' 5`�,Ll r . Tenant: . ar. f • o'�'!A, ? Suite ii. i !l. ResldentLOwneri Name: — i` fij _Ai �� -, { ( r ' Address/City/Zip: 11 r: ,.� Name: MILBERT COMPANY dba CULLIGAN WATER License f/; WC641376 t It Address: 1801 50TH STREET EAST 1Contractor City: INVER GROVE HEIGHTS ; State:_tYf4 _.Zip:. 55077 Phone: 651-451-2241 )'' i'G Contact: BILL.MILBERT Email: gloria.abas@culligan4water.com _New Replacement Repair Rebuild Modify Space Work in R.O.W. 1, Type of_W:ouk:' . ±' Description of work: • jWater Healer `' Lawn Irrigation.(_RPZ/ PVB): x Water Softener Add Plumbing Fixtures (_ Main/ • Lower Level). D:esCrtptlot . _____Septic System ILDescription: - I ; New - ', Abandonment Connection to City Water from Well r ;) ) . .._... �_._................._ __ RESIDENTIAL FEES j $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge) li $60.00 Lawn Irrigation(includes State Surcharge) ',1t1 $60.00 New fixtures, adding or removing piping (includes State Surcharge) $60.00 Septic System Abandonment li'. $100.00 New Residential (fee collected with Building Permit) Il .$ 115.00 New Septic System (includes County fee and State Surcharge) $60.00 Connecting to City Water from Well' + $290 for Meter and $190 for Radio Read = $540 d 1.! *Sewer&Water Permit also required for connection charges TOTAL FEES $ 60.00 '' fCALL BEFORE YOU DIG. Call Gopher State Ono Call at(651)454-0002 for protection against underground utility damage,–Call 48 hours before-you inland to dig to receive locates of underground utilities. www.eopherstaleonecall.ory i. You may subscribe to receive an electronic notification from tho City of proposed ordinances by signing up for an email update on the City's websito at www.cityo(oagan.com/subscribe. I i' 1 hereby acknowledge that this informm information is cops le and accurate; that the work will be in conformance with the ordinances and codes of the City of j-i!: Cagan: that I understand this Is not a -rmit, hut my an application for a permit, and work is not to start without a permit; at the work will be in a cordai,ce Ih the approved pl. in Vi ase of w 'k which requires i review and approval f pi ns. AI IP x • i I pl cant s Printed Name � I Applicant's Signature . I i. Page 1 Of-.2. I l;w -I ab illi'' Mt