4454 Oak Chase Way
Use BLUE or BLACK Ink
For Office Use
1 I
City of Ea an KI I Permit Fee: I
3830 Pilot Knob Road I T
Eagan MN 55122 R E C F I V ® j Date Received:
Phone: (651) 675-5675 I Staff: I
Fax: (651) 675-5694 JAN d 5 2011 1 _ _ _ I
- - - - _ _ - - - - - - - J
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: t r Site Address: 7& 6- q i~ r^-~
Tenant: Suite
RESIDENT /OWNER Name: Crk-s -t `/~t CGrCVi - Phone:
Address / City / Zip: 7 ~~~f (ALI za ca'-+- 5.123
Applicant is: Owner Contractor
TYPE OF WORK Description of work: iftC
Construction Cost: !P~✓ Multi-Family Building: (Yes / No
, )
CONTRACTOR Name: License
Address: 6F5-6 C_xe« City: prc C^e-
State: Zip: 'J53 7 - Phone: S-2= ~r7 - 33 ' r
Contact: ~64` L CA. 9_0-- Email: 442`~L4F All
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL 13EFORE 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 no to start with ut a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and appr v f pla
x t rse x
Applicant's Printed Name Applican s Signa re
Page 1 of 3
a
DO NOT WRITE BELOW THIS LINE `
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
m
Valuation Occupancy ,U-1 - MCES System
Plan Review Code Edition - SAC Units
(25%_ 100%_) Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (NeW Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) _*e- Final / No C.O. Required
Foundation HVAC
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 k I re.#zw PY- X 114 10 `I' W ~
Base Fee /.!7 --41
Surcharge C/Yfa~/ 0 c J k~l
Plan Review
Y K
M~YI"~ /f/- 70
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE Iy
wcegiveo
FROM
AMOUNT $ I
?
Ee DOLLARS
1 oo
[:]CASH E]CHECK
T k You
?•
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
CITY OF EAGAN Remarks
Addition Oak Chase A[iC3Y1. Lot 3
Owner Street ?? Oak Chase
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUR F.
STREET RESTOR.
GRADING
SAN SEW TRUNK .)
L 1973 1
-
-
SEWER LATERAL
WATERMAIN
* WATER LATERAL
WATER AREA - `5y
t.1 1071.75 1
# STORM SEW TRK iS liq 23115.00 156.33 1
* STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 250.00 10862 7-14-78
BUILDING PER.
SAC
PARK
BUILDING PERMIT
N° 4883
Rece i pf #_? d 7f 6?-
Date . 19
Site Address
Lot Block Sec/Sub.
Parrxl # .
ei Nome
z Address
9 f
? Name _
0
?
OV AddfESS
V?
?- r:...
Erect ? Occupanq
Alfe? [3 Zoning
Repoir ? Fire Zone _
Enlorge Q Type of Const.
Move ? # Stories
Demolish ? Front ft.
Grade ? Depth ft.
Appro va Is Fees
Assessment _
Woter & Sew.
Police
Fire
Eny.
Planner
Council
Permit
Surcharge
Plon check
SAC
Water Conn.
Water Meter
I hereby otknowledge that I have read this opplicution and stote that gldg. Off.
the informotion is correct and agree to compiy with o!I applicoble
State of Minnesota Statutes ond Ciry of Eogan Ordinances. APC Totel
Signaturo of Permittee I-
A Building Permit is issued t+o: on the express tondition thct
all work sholl be done in accordonce with oll applicable Stcte of Minnesota Statutes and City of Eogon Ordinances.
Building Officiol
cinr aF ????
3795 Pilot Knob Road Eaqew, MN 35122
PHONlt 454-8100
3 3 3 3
hnnk ;j oote lawd hrsMtN
Plumbing ?.? S fCI
Mechanical 7
?
•5,4.5L-1
0 3 4- lS
J?
INSPECTIONS DATE INSP• Rouph-In Finol
Footings Dat° D°t° I^sp.
Foundotion Plumbing ,t J _
Frame/ins. Q`/O?-? Mechonical
Finai ' c
i
Remarks:
M comply wifh the Ci1r of Eagan
Bv
Dote of Insp.:
I nsp.: _ __
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
_ No, of Units: ?
Connection Chorge:
Account Deposit:
Permit Fee:
Surchorge:
Misc. Chorges:
Totol:
Dote Paid: _
CIT1r OF EAGAN
8795 Pilot Knob Road
Ea9an, MN 55122
Zoning:
Owner: ----?
-------?._
Address:
---'------
Site Address:
Plumber: _
Meter No.:
Size:
Reader No.:
1 ogree fo eomplr wilfi the City of Eagun
Ordinanoes.
WATER SERVICE PERMIT
PERMIT NO.:
DATE: _
No. of Units:
Connettion Chorge
By
Dote of Insp.:
Account Deposit:
Permit Fee: _
Surchorge: _
Misc. Chorges:
TotaL
Dote Paid;
. ,
.
? .
?
PLII*_
. N?.
CITY OF EA w
3795 Pilof Knob Road Eegan, Minneoota 55122
Phone: 454-9100
PERMIT
No
° .
Date: i tr•: -
Receipt No
:
.
Single I
Site Addres{: Residential
Lot 81ock Sub/Sec. Multi Res
Comm
/Ind
I
_ „
.
.
Nome /Alt
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er./
epo
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; Address t
C
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ll
O os
o
nsto
otion
,
Ciry - Phone: .
"
P
it F
erm
ee
ame r
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S
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? Address
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City Phone: T
ta I
o
This Permit is issued on the express condition that cll work shoil be dorre in accordance with oll applicable State of
Minnesota Stotutes and City of Eagan OrdinanCes.
Building Official
CITY OF EAGAN
v"OK 3795 Pilot Knob Road
Eagan, AAinwesota 55122
Phone: 454-8100
- - " _ PERMIT No.
Date: '
Site Address? "
Lot Block Sub/Sec. _
Name '
?
? Address
City Phone• 54- 5843 ?
N e , ...
.
?
° Address
0
V
City Phone:
This Permit is issued on the express condition that all work shall be
Minnesota Statutes and City of Eagan Ordinances,
Receipt No.: '
Single I
Residentiol
Multi Res., Comm./Ind. I
New/Alter./Repoir
Cost of Installation
Permit Fee
Surcharge
Total _
done in accordance with all opplicable 5tate of
Building Officipl
cIrr oF eacaN
3793 Pilet Knob Rood Eagan, MN 55132
PHONF: 454-8100
BUILDING PERMIT APPLICATION
to ba usea Fo.SF D"'ell. 8 Garagetst va11e 70v000
Ns 4883
Receipt # 146?
Dote 7/14 _ _. 19 78
Site Addreu 44p4 was Lnase way
Lot 3 Block 1 Sec/Sub. d 85E
Porcel # 1053500 030 Ol
s Name Ru5521 C. Thurston
z 2128 5hale Lane _
Address
„_ agan r, ___
o Nome 52me
Zu
?? Address
F h.., ati.,?e
Name
1 hereby acknowledge that I have read this opplication and stote that
the information is mrrect ond ogree to comply with all applicable
Stote of Minnesota Srotutes and City of Eagan Ordinances.
SignMure of Permittee --?'?2 - ???•s 4-tm
.i
Erect [7¢ Occupanq L
Estate
Alter ? Zoning
Repair ? Fire Zone
v
Enlarge ? Type of Const.
Move ? # Stories 2
DertwNsh ? Front 4 ff.
Grade ? DePrt+ 33 fr.
Approvak fees
Assessment1?l!Ulti Permit W7•`w
Water 8 Sew.
Police Surcharge 35•00
Plan check
Fire SAC 500•00
Eng. Woter Conn. 250•00
Plonner
Co,,,,c;l WaterMeter 60•00
Road Unit 75.00
Bidg
Off
.
.
APG
Total 1089• 50
A Building Permit is issued on the exprea condition that
all work shall be done in nce with a a iwble State of Minnesotn Statutes and City of Eagon Ordinonces.
Building Officicl ?-?-? ?° 1. f
Minnesota State 6oard of Electricity
1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703
REQUEST FOR EIECTRiCAL iNSPECTiON
CHEC[C *&i;QW WOAK?OVERED BY THIS REQUEST
P 68281
Tryp@ of BuOding New dd. Rep. Check Appliances W'ved For Check Fqu'ryment Wued For
Home ? ? Range ? Temporazy Wiring ?
Duplex ? ? ? WaterHeater ? LighfingFixlu[es ?
Apt. Bldg. ? ? ? Dryex ? Etect[ic Heating ?
Commeicial Bldg. ? ? ? Fumace 0 Silo Unloader ?
tndustrial Bldg. ? ? ? Ait Conditione[ ? Bulk Mdk Tank ?
Farm ? ? ? List
) L
ist
)
Othe[ ? ? ? p
}
Herels) p
}
Hehe13f
COMPUTE INSPECTION FEE BELOW Q3% a, R
Seivice Entnnce Size:
0[o 100 Am s. ? Fee Feedeis -
0 to 3" m ee C6cuits: #
0[a 30 Am eres Fee
101 to 200 Amps. 31 to 100 Ampexes 31 to 100 Am eres
Above 200 Amps. Above 100 Amps. Above 100 Amps.
Transfoxmers Remo[eControlCirc. Partialorotherfee
Signs Speciallnspection Minunumfee$S.OQ
Remack TOTAL FEE ? ?
I, the Electrical lnspector, hereby certify that the above inspection has been made.
(Rough-in) / c Date.
(Final) , Date .5 - !o - 7d/
This request void 18 months from
Thic request void 18 moaths from
/
Date of this Request P 68281
-
I, as ? Licensed Electrical Contractor IR'Owner, do hereby request inspection of the above electri-
cal wiring installed at:. Lt, f-3 kA,- k? t %.k I'DuRw. 14.1 r4c4 c9 n . ..
Street Address or Route No. e7i". it
Section Township Range County
Which is occupied by
Is a roughin inspection required on this job? No ? Yes ? Ready Now ? Will Call 02"
Power Supplier Addre?d s .?-? ---Ze--.-K?
. -?
Electrical C
Mailing Adc
Authorized
Contractor's License No. _
a.
No,A' e<,4--:9
(tIeCKj5a1 CQntractor or Ownef Making Tnis Ini[illatlan)
? ?'jo (,? ?D ?/J . This inspection request will not be accepted 6y the
(? 7 fn„?f
c?? ?? l,il ?? U I? '??'??I State Baard unless proper inspection fee is enclosed.
Minnesota State Board of Electricity
?S University Ave., St. Paul, Minn. 55104-Phone 645-7703
REQUEST FOR ELECTRICAI INSPECTION ? ?9.r, d
CHF,CK BELOW WORK COVERED BY THIS REOUEST
Type ot Building New Add. Rep. Check Appliences W'ved For Check Equipment Wired Frn
Home
Duplex
Apt. Bldg.
Commerciai Bldg.
?
?
? ?
?
?
? ?
El
?
? Range
Water Heatec
Dryex
Fumace ?
?
?
? Temporary Wicing
Lighting Fixmres
Electric Heating
Silo Unloadei ?
?
?
?
Industrial Bldg.
Fazm
O[her ?
?
? ?
?
? ?
?
? Av Conditioner
pList
F[eh ? Bulk Mil& Tank
pList )}
HeheIS1 " ?
COMPUTE INSPECTION FEE BELO? ff Nk 1j 1i 'U
Seivice Entrance Size: # Fce F s&S ee cuita: # Fce
0 to 100 Am s. 0 to 30 Am eres Am eres
101 to 200 Amps. 31 to 100 Amperes Am eces
Above 200 Amps. Above 100 Amps. g
0 Amps.
Transformers Remote Control Circ. other fee .
Signs Special lnspection fee 55.00 a ?J
Remarks
...._.,?_._-.._ / TOTAL FEE
I, the ElecMcal [nspector, hereby/c?rt?fy t*/N',bdve ins ection has been made? /?Z- 7- ?Y
(Rough-in) Date
(Final) • ? i^ Date
This request void 18 months from
yThis req'uest void 18 months from / a14 7
R 5254
Da:t of this Request / o-??? y? 1 sf'/
1, as O Licensed Electrical Contractor Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route
Section
1Vhich is occupied
Is a roughin inspection required on this job? No ? Yes E!r Ready Now ? Will Call LK
.. ri i -??p - 1-si "4s,CS o =;7 .;!
PowerSupplier/?,?I.c.-??z'' Addre??
Electrical Contractor, -' ?
(CO?J pany Name) ?
Mailing Address,-? / ,- ,Q'
Authorized
L9cense No.
?C;;L
tei`cincaV,,4?oncrocmr or owner making rnis mstanavon)
(?? /?r,a u 5P? o? ?r,?/? ?? (r'0?,?1? This inspection request will not he accepted 6y the
?? ??, 0?? l? State Board unless proper inspectian fee is endosed.
up Range County?-?-?
?-
__
BUILDING PERMIT APPLICRTION
Znclude 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculations.
To be used foz vult//, ql (90'a?`
Site AddresE; ?J?f?,t Qor /?
/
Lot 3 Block f
/
?
Ot+mer a.SS?kk ?_,
Address 2 i 2 4 c' ? L,
Zz?
Contractor
Address
Arch./Eng. ?a-tj
AddreSs
lD 5J500 030 0/
Telephone 5 i `A '5
Telephone
Telephone
OFFICE USE
Erect
Alter
Repair
Enlarge
Move
Demolish
Grade
O£FICE llSE
Date of Approval & Inipial
Assessment vl,a,
Flater/Sewer
Police
Fire
Eng.
Planner
Oouncil
Pldg. Off.
A.P.C.
valuatio ? D 12zvd ?
m/,q /
See. Sub. a'K?,4gkgce/Nwnber
2oninq rTaTG _
Fire Zone
Type of Const. ?
# of Stories 7?-
Front
Depth
Occupancy
FEES
Permit
_ ? .13,
?
f/
%v9 V& --.
Surchar9e ----- 35' ' --- --
r1.an Check
SAC
taater Conn. ?
{•i??e??terl -
TomAL d 9 -so
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4?a X C 1,?SP l?oa G? {or e/ v m? r? y ? IozJ `? a
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,,.. ,
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EACAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Construdion Reauirements Remodel/Reoalr Reauiremenfs
> 3 regfs}ered sNe surveys showing sq. k. of lof, aq. tt. of house
and all rooled areas (20%, maxtmum lot coveraae allowed)
? 2 copies of plans (show beam 8 window sizes; pouted fnd. design; efc.)
> t set ot energy calculatlons
> 3 copfes oF Tree preservaflon plan IF lot plaHed aRer 7/1/93
DATE: lI/ I 1 I?
. ,
DESCRIPTION OF WORK: ?
STREET ADDRESS:
LOT: -?) BLOCK: I SUBD./P.I.D. #: UC-y- u
2 copies of plan
1 set of energy caiculations for heated add0lons
1 sRe survey for exferior addHfons 3 decks
CONSTRUCTIONCOST: ?-7OU ?
Name: LaA9YdC.1/)' ?V.
PROPERTY Lcs1 Flrst
OWNER
Street Address: _S ?Q-
City CState:
/'A'?
zip: 5sr a3
Company: SELq ROOFINQ & REMODELING INC. Phone #: i a ?3 ^8?
LSIOR BLVD. (area code)
CONTRACTOR ST. LOUIS PARK, MN 55416 1?
Sheet Address: ID #0001050 License # / ,50 Exp.
City
Phone #: ASA - 5 84 3
State:
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code (
Street
City
Registration #:
State:
Sewer 8 water Ilcensed plumber (required for new construcfion onlv):
Penalty applies when address change and lot change is requested once permff is Issued.
Zip:
Zip:
I hereby acknowledge that I have read this appllcatlon, stale thaf ihe InformaHon s cort ct, an a ree to comply wHh all applicable
State of Minnesota Statutes and City of Ecgan Ordinances. ?
Signature of Applicant:
i _- -
OFFICE USE ONLY 1
ti'?( JJr
Certificates of Survey Received _ Yes _ No ?\
Tree Preservation Plan Received _ Yes _ No _ Not Required _
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA091452
Eagan, MN 55122 . Date Issued: 10/06/2009
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 4454 Oak Chase Way
Lot: 3 Block: 1 Addition: Oak Chase 1st
PID 10-53500-030-01
Use
Description:
Sub Type: e-Fireplace Construction Type:
Work Type: Gas Fireplace (new)
Description:
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: huprovements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary- BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
Valuation: 3,000.00
Total: $90.00
Contractor: -Applicant - Owner:
Hearth and Home Technologies Crisfor H Town
2700 N. Fairview Ave 4454 Oak Chase Way
Roseville MN 55113 Eagan MN 55123
(651) 633-2561
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
For Office Use
City I Permit
I
of ~aian
Permit Fee:
I
I I
3830 Pilot Knob Road I
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 I Staff:
Fax: (651) 675-5694 I
2011 RESIDENTIAL PLUMBING PERMIT APPLIC TION
Date: Site Address: Ac~ C ~~,e rvaY~
Tenant: Suite M
RESIDENT/ OWNER Name: FZ9WNG Phone:
Address / City / Zip: i^
CONTRACTOR Name: 0 P1~Yh'W ' License '
Address: A/2- 7~" City: L
Stater Zip: Phone: 51 - LL U- R-2
Contact: Email:
TYPE OF WORK - New _ Replacement - Repair _ Rebuild - Modify Space _ Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
Water Softener
Water Heater
Lawn Irrigation RPZ PVB) Add Plumbing Fixtures d Main /3 Lower Level)
Septic System Water Turnaround
_ New
Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation (includes $5.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $5.00 State Surcharge)
'Water Turnaround (add $166.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
$95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $
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.CIODherstateonecall.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 wor which requires a review and approval of plans.
11 A
X_ x
Applicant's Printed Name Applican s Si nature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground -Rough-In -Air Test Gas Test Final
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118157
Date Issued:10/29/2013
Permit Category:ePermit
Site Address: 4454 Oak Chase Way
Lot:3 Block: 1 Addition: Oak Chase 1st
PID:10-53500-01-030
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Kathy Espelien
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Susan M Haight
4454 Oak Chase Way
Eagan MN 55123
All Sons Exteriors Inc
P.O. Box 146
Lakeville MN 55044
(952) 469-5221
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA126243
Date Issued:08/19/2014
Permit Category:ePermit
Site Address: 4454 Oak Chase Way
Lot:3 Block: 1 Addition: Oak Chase 1st
PID:10-53500-01-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Ashley Orman
130 Plymouth Ave N
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Susan M Haight
4454 Oak Chase Way
Eagan MN 55123
(612) 747-8168
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824-2656
Applicant/Permitee: Signature Issued By: Signature
Receipt:#629696
811767
RetmEw. $46.00
1111111111111011111IIIIIIIIIIII)
SIMPLIFILE
5072 NORTH 300 W Recorded on:10/9/2019 9:01 AM
By:CZP,Deputy
PROVO UT 84604 Cert# 156318
Office of the Registrar of Titles
Dakota County,Minnesota
Amy A.Koethe,Registrar of Titles
TEMPORARY INGRESS AND EGRESS EASEMENT
This easement made this 1-3 "day of r"'i' 2019,between SUSAN M.HAIGHT
(hereinafter referred to as"Landowner"),and the City of Eagan,a Minnesota municipal corporation,
organized under the laws of the State of Minnesota(hereinafter referred to as the"City").
WITNESSETH:
That the Landowner,in consideration of the sum of One Dollar($1.00) and other good and
valuable consideration, the receipt and sufficiency of which is hereby acknowledged, does hereby
grant and convey unto the City,its successors and assigns, a temporary ingress and egress easement
from October 1 through October 31 for surface water management purposes over and across the
following described premises,situated within Dakota County,Minnesota,to-wit:
Lot 3, Block 1, OAK CHASE 1sT ADDITION, according to the recorded plat
thereof on file in Dakota County,Minnesota.
The grant of the foregoing temporary ingress and egress easement for surface water
management purposes includes the right of the City, its contractors, agents and servants to enter
upon the premises at all reasonable times to access and manage the adjacent surface water body and
the further right to trim or relocate trees, brush, undergrowth and other obstructions. After
completion of such surface water management, the City shall restore the premises to the condition
in which it was found prior to the commencement of such actions, save only for the necessary
trimming of trees, brush, undergrowth and other obstructions, subject only to permanent easement
alterations.
The Landowner, their heirs and assigns, does covenant with the City, its successors and
assigns, that it is the owner of the premises aforesaid and has good right to grant and convey the
easement herein to the City.
IN TESTIMONY WHEREOF, the Landowner has caused this easement to be executed as
of the day and year first above written.
�A "_
SUSAN M.HAIG'f�
STATE OF MINNESOTA)
) ss.
COUNTY OF`t tok )
The foregoing instrument was acknowledged before me this Z_ day of
fF� ,2019,by SUSAN M.HAIGHT.
Notary P &9
APPROVED AS TO FORM: GREGG ALAN THOMPSON
Nage(PuBuc-INNNEs°7k
- gores
my ,
commission
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City Attorney's Office
Dated: /i I YI/l
APPROVED AS TO CONTENT:
4 /I
Pub Wo ' D artm t
Dated: q7/ q7/c
THIS INSTRUMENT WAS DRAFTED BY:
CITY OF EAGAN
Public Works Department
3830 Pilot Knob Road
Eagan,MN 55122
651-675-5646
2
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA178017
Date Issued:07/28/2022
Permit Category:ePermit
Site Address: 4454 Oak Chase Way
Lot:3 Block: 1 Addition: Oak Chase 1st
PID:10-53500-01-030
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Susan M Haight
4454 Oak Chase Way
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-7052
Applicant/Permitee: Signature Issued By: Signature