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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 N R i .. ew er./ epo r ` ; Address t C f I ll O os o nsto otion , Ciry - Phone: . " P it F erm ee ame r hor S ` ge u c ? Address e e U 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 ? ? M A ? ? f P? ,?? 7T Sa? I ?99.6f ? 3L ? . ? ---- --- Z `? Z - ?8 ? i •- - -'YV ?a?o.r40? a'ooo 600" %,-`° ?d.daev fa ? .,?. '00i ? /ov •----_ ? ?. ? ^'? _ ? ?•r _ ?? ? -- °? ?"n ?? , Y 3 02 /,-- zy' 1 Nal ti 64 -''"6 ? Lo7 s i? ? ? ? ??oca? g ?AK ONASC A m> r-rioA/ F? r ?ooTwy s?9 -vri.w'P ?a? 6 2 fe ?a? ovrt a. iar ?f.uJeY', 4?a X C 1,?SP l?oa G? {or e/ v m? r? y ? IozJ `? a ------- _-- z ? Z - 68' _ _ _ . /-- zy, ? ? _ _?ra?.?.?.s?.s,.- ? e1' ..-°~ as?.s?.?.? ?, fa a? ? ..?.?-- v? _ ----_ ._.._..... ,. ? t . ? ?`a 2 o, . M ? Lo'T' 3 OAR 0NASE - ?- / ? i ; i 28d . E A ?'s AN 'APPF20V ED ()4c K A/cfPS On ??mo? ev pATE 7 t s iAb'D rTia A/ oTr?. t iJo -»'i-crP ? ??hda7or ?O y ° ?. mak. .N?SfP, . . ?? ? {oY ;?/.?`?r?y ,'/ --- -- - - - - -- -- ,,.. , 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 C ✓ice� f�f✓l✓✓ter✓-�fr� ✓✓l��.l�-il /5 f 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