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4465 Oak Chase Way Use BLUE or BLACK Ink For CW ce Use My p I p SS I 3830 Picot Knob Road Perm Fee. Eagan MN 55122 i Date Received: I Phone: (651) 675-5675 Fax: (651) 675,%94 p staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 11-30-10 Site Address: 4465 Oak Chase Way, Ragan, M 55123 Tenant: Jeff 6 Maureen Spence sinter. RESIDENT / OWNER Name: Jeff Maureen Spence Phone: (651) 770-8455 Address f City f Zip: 4465 Oak Chase Nay,. Ragan, M 55123 Applicant is: Owner X Contractor TYPE OF WORK oescription ofwvrtc: Interior remodel $45, 800 Multi-Family Building: {Yes ! No X ) Construction Cost CONTRACTOR Name: Anchor Builders LLC License d: Address: 516 6th St City: Newport Stata: MN zip: 55455 Phone: 651-769-9373 / Cell 612-964-6690 Contact Barak Steenlage Email: Barak@AnchorSuilderaMN. com COMPLETE THIS AREA ONLY W CONSTRUCTING A NEW BUILDING In the last 12 months, has the Cityof):agaca issued a parm# fora shnitar plan based on a master plan? -Yes _No If yes, date and address of master plw Licensed Plumber Phone: Mechanical Contractor. Phone: Severer A Water Contractor. Phone: NOTF_- Rheas and suppordt►9 documer)& ' that you st bn* are cmxWwW to be pubft inftmation. Portions of Me ration rear be ciassffiW as ttonixibbc if you provicle specific reasons that would permit the City to Conclude MW ft am trail secrets. CALL BEFORE YOU DIG. Call GopbW Stake One Call at )6St) 444-004112 for protectiorr against underground utility damage. Call 48 hours before you intend to dg to receive locates of underground utililies. r a,;.?eca '.o r I hereby aeimowledge that this w&rrnation is comlftte and awe, that the work wcll be in codbrmmnce with the ordinances and codes of the City of Eagan; that I understand this is not a premit, but or* an appicatim for a penrdr 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 wlric h requires a review and approval of plans. X 'qP-0 A 1c le/1 4 x Applicant's Printed Name Applicants Signature Page 1 of 3 r DO NOT WRITE BELOW THIS LINE sus TYPES Foundation Fireplace _ Porch (3-Season) _ Shorn Damage Single Family _ Garage _ Porch 0-season) J Exterior Alteration (Single Family) Multi _ Deck - Porch (ScreenoGazebofflergola) 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 W6ndow - Water Damage Retaining Wall V enwlition of entire building - give PCA handout to applicant DESCRIPTION Valuation of 41120 Occupancy MCES System Plan Review Code Edition? SAC Units (25%-10096 Zoning City Water Census Code 1/3y Stories r Booster Pump - # of Units Square Feet PRV # of Buildings Length r-- Fire Sprinklers Type of Construction War REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final I C.O. Required Footings (Addition) Final I No C.O. Required Foundation HVAC Drain Tile Otter: Roof: -Ice & Water -Final Pool: Footings Air/Gas Tests -Final Framing Sides: Stucco Lath Stone Lath -Brick Fireplace: -Rough in Air Test Final Windows Insulation Retaining Wail: _ Footings , Backfill _ Final Meter Size: Radon Control Erosion Control Reviewed By: . Building Inspector CAP W RESIDENTIAL FEES pYit ~ ,Z,~CD Base Fee Surcharge h%Y ow Plan Review MCES SAC ~It b va City SAC ~o Utility Connection Charge p„n S&W Permit Sr Surcharge gv Treatment Plant Copies TOTAL Page 2 of 3 CITY OF EAGAN 9630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454•8100 • BUILDING PERMIT Receipt To be used for SF i;`JG/" 1'i Est. Value $136. iKx! Date MARCIi 1 1, 1988 „19 Site Address 4463 dAK Cliw6E HAY Lot i Block Parcel No. 2 Sec/Sub.OAK CHASS lSt AAD #I rAkczL a cc Name CU5TOM9 ENF.RGY R(?MES z Address 7693 1 f3Tli STRBFT ° City A?pL? VALLkYPhone 3 - I4 `0c Name S/1!R ? ? Address ? City Phone Name City 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 Ocoinarices. t Signature of Permittee c A euilding Permit is issued to: J'LP! T.7E5TER1NG on the express condition that all work shal I be done in accordance with al I applicable State of MirMesota Statut s and City of Eagan Ordinances. Building Official ?.? ? I OFFICE USE ONLY On Site Sewage Occupancy MWCC System x Zoning ? On Site Well (Actual) Const V? Ciry Water X (Aliowable) Yn PRV Required # of Stories Booster Pump Length 74, " Depth v Z ' 0" S.F. Total Footprint S.F. APPROVALS FEES 692'00 Engr./Assess. Permit Planner 5urcharge 68'00 Council Plan Review 3"•00 BIdg.Otf. SAC, City 100!00 Variance SAC, MWCC 5 50•Clio WaterConn. 550.00 Water Meter 7.00 Road Unit 325.00 TreatmentPt Parks TOTAL i 2s902•00 BLDG. , . ,;. 01-3210 01-3422 01-3445 01-3446 -- -- O1-Z155 i >> -1-7-3860 20-2275 20-3865 PERMIT NO.;'-' ?l Bldg. Permi Plan Check Surch./Adm. SAC/Adm. Surcharge Road Unit SAC Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 20-3713 20-3743 79-3866 ' k1-3855 Acct. Dep. Water Permi Sewer Permi Sewer Conn. Park Ded. TOTAL CASH RECEIPT ,,?,? • ? i CITY QF EAGAN 3b30 PIL4T KNOB ROAD EAGAN, MINNESOTA 55122 DATE • ? i ?'"' ? ? 19 Y':. RECEIVED ' FROM 1 ? S , ? ', 1 ; - l•'l : , ,? r l , _ AMOUNT & DOLLARS ,oo ? CASH L•} CHECK F«+ , I C, :,zQ,. ev ?1 wnice-Payera Copy ??f t: 1871, Pinkle Cppy CAPY Thank You ? - ?. CASH RECEIPT CITY 4F EAGAN . ` 3830 PILOT KNOB ROAD r EAGAN, MINNESOTA 55122 DATE ? ??w • HECEI? P110M . ?" . AMOUNT $ & DOLLARS ioo ?, ? CASH 6-CHECK >.? ? ron FUND OBJECT AMOUNT ..,.' O ? 7 ?2 Thank You ev Whke-Payers CoPY Yellow -Ppsting Copy .. . y . Pink-Pile Copy . CITY OF EAGAN 454-8100 DEPT. OF BUILDING INSPECTIONS'. Correction Notice Located at I have this day inspected this structure and these premises and have found the following violations of city codes governing same: fiC- X/Z sS- ????-?-v - , When eorrections have been made, please call 454-8100 for inspection. ? 1 1, / ",.2 Date Inspector City of Eagan DO NOT REMOVE THIS TAG - • PERMIT # MECHANICAL PERMIT } RECEIPT # ? - CITY OF EAGAN . 3830 PIL OT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE PHONE: 454-8100 Site Addrgss Lot Block ' Sec/Sub BLDG. TYPE WORK DESCRIPTION • J , , - - ? Res. New _ Name Mult Add-on ? Address Comm. Repair c Ciry Phone- - ' Other - Name FEES HVAC 0-100 M BTU -$24 RES 00 . . c Address ' ADDITIONAL 50 M BTU - 6.00 p City r Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM 1 PER PEFiNIM - 1 50 EA . - . 7YPE OF WORK COMM/IND FEE - 19'o OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLJES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater Air Cond ' M BTU M BTU $ REMODELS - 12.00 MINIMUM COMivIERCIAL FEE - 20.00 . STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other FEE: S/C: SIGNATURE OF PERMITTEE TOTAL• FOR: CITY OF EAGAN F-v'T`•e . ?..?r??r?.?..? ? ?K ?..2?.y?T-.R...??? . . . . . i ' . .; :. : _,z 4;,. .. ?ti f]`?, 5„k° ?' ` ? +. ? W ^ PERMIT # , PLUMBING PERMIT ?? 1 RECEIPT # t? ? •_ ? ? CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address '? , " ? BLDG. TY E WORK DESC ION N ? Lot 61ock - Sec/Sub ew Res. _ ? - ? Mult. Add-on ? Name L' - ' Comm. Repair Address + ( ,'? ? ? ?• ? ? ? '` lcj Other c City -Phone ONLY - COMPLETE THE FOLLOWING: RES PLBG - . . FIXTURES TO AL ' ' r ( Water Closet - $3.00 4 ,?a ? Name ? ath Tubs - $3.00 B 3 Address - $3 00 ? Lavator p Ciy Phone . y Shower - $3.00 -? Kitchen Sink - $3.00 -' FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE ?Laundry Tray -$3.00 APT BLDGS - COMM RATE APPLIES Floor Drains -$1.50 ! TOWNHOUSE R CONDO - RES. RATE APPLIES Water Heater -$t 50 MINIMUM - RESIOENTIAL FEE -$12.00 Whirlpool -$3 00 ? MINIMUM - COMM/IND FEE - $20.00 -?/_Gas Piping Outlets - $1.50 _ STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) ) (ADD $50 S/C IF PERMIT PRICE GOES SoHener -$5.00 BEYOND $1,000.00) Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 SIGNATURE OF PERMITTEE ? FEE: ' ! ) STATE S/C: V . y FOR.' CITY OF EAGAN GRAND TOTAL• `? J? . ? F AGAN ? ' k' ,. - 4j-7 -•W -3-3-b,? ???'? PV38 30 Pflat Knob Road, P.O. Box 21-199, Eagan, MN 55121 $g ?.-4-il" ? Sf,4.;,.j PHON : 454-8100 BUILDIjd9,PE Receipt # r .I ?°.. , To be used lor Est. Value ? i r.+ • Date ,19 s. . , Site Address % Lot I Block Sec/Sub. Parcel No. x Name W 3 Address ° City - PhAne ¢ Name ,o ? ? Address ? City Phone ? W Name 2? AilArnee I hereby acknowledge that I hai information is cOrrect and agrE Minnesota Statutes and City o( Signature of Permittee ___ A Building Permit is issued to:_ 1.4 the > of Ordinances. pFFiGE USE ONLY On Site Sewafle Occupancy MWCC System Zoning On Site Well (Actual) Corret City Water (Allowable) PRV Required * of Stories Booster Pump Length Depth S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit Planner Surcharge Council Plan Review Bldg. Off. SAC, City t Variance SAC, MWCC Water Conn. • Water Meter Road Unit Treatment P1 204 Parks 902'00 2 TOTAL I I! , , • Parmit No. Parmit Holdar Date Telephone it P(umbirrg k///?:. H:V.AC. • ? Electric Softener insPeceion Date lnsp. Comments Footings I lf Footings II Foundation Framing (v,4 Roofing Rough Pibg. ' j Rough Htg. Isul. Fireplace i C yQy? t Final Htg. Final Plbg. Bldg. Final r ? Cert.Occ. s Temp. LP Deck Ftg. Deck Final Well Pr. Disp. V- . . (ger#ifira#P pf Orrupanry titp of eagan Eppa2"bUtP1t# Af lltdbhtg Jt[8}1Ptftplt Tlu's Cer[rfecate issued pursrrant to the requiremenLr of Section 306 of rhe Uniform Burlding Code certifying that at the time of issuance this structure was in compliance with the various ardirrances of the City regulatrng building construction or use. For the fallowing.• use cusufimfion 5F Di1G/GAR 14681 mdg. Rrmic rto. occup.ncr Type R-3 zw,;ng niau;ct E t rcm,c V-N ???i? Custom Energy Homes? 7699 13[h Street BWkbng AAdrm 4465 Oak Chase Way Locwity L1,S2,0ak Qme 1st Additf.on, Par+ce B D.w: Julq 22. 1988 - Building O?icial - ' POST IN A CONSPICUOUS PLACE ?xr'r?-xr+-? "+?R?c:?: ?+?nper• n e .;..,?,?"n°r:? ° PHO N E: 454-8 BUILDING PFF`MIT To be-used.?pr ?RCii Est. Value ?9,000 Site AdI ress 4"5 OAK CWE WAg Lot Block SeclSub. Parcel No. W Name SAM o Address City Phone Zo Name OUQ Address 431-61 ? City Phone V? WW Name EW ; Address s W City Phone I hereby acknowlege that I have read this application and state that the inlormalion is correct and agree .lo-earttply with all applicable State of Minnesota Statutes and City oi Eag r?i Ordivifnces. ? Signature of Permitee T ^>'? '"''``?'''?•?- S?0!! BWJWY HO!!&S A Buiiding Permit is issued to: on the express Condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagap Ordinances. ?/ -' 'A. C. < x• rI ?. .:. cl Building Official _„K agan, MN 5 Receipt # - 17887 1990 aFFICE USE ONLY Occupancy - FEES Zoning _ $=08000 (ACtual) Const - Bldg. Permit ? (Ailowable) - Surcharge # 01 Slories - Length _ Plan Review Depih - SAC, City S.F. Total - SAC, MCWCC S.F. Foot¢rints - On Site Sewage _ Water Conn ? On Site Well - Water Me1er MWCC System _ City Water _ Acd- DeP°sit PRV Required _ S/tiN Permit Booster Pump - S/W Surcharge 7reatment P1 APPROVALS Road Unit Pfanner - Park Ded. Council BIdg.Ott. _ Copies . Variance - TOTAL s' Permit No. Permit Holder Oate Telephone # WATER SEWER PLUMBING H.V.AC. ELECTFIC Inspeetion Date Insp, Comments Footings l L Foundatan Frarrring Roofing Rough Plbg. Rough Htg. Isul. Fireplace Fnal Htg. Fnai Plhg- Cons1, Meter Plbg. Inspector - Notify Plumber Engr.lPlan Bldg. Finai O xbd t Deac Ft9. S D? G `' rGJ Deck Final (y. ? Wetl Pr. Disp. CITY OF EAGAN Permit No: ` Date: 3830,Pilot Knoh Road ' gIp No: P.A Box 21199 Date: 4agan, MN 5kaA' Site Address: ? 4 65 0Ak C"n3se Way T..1 Y^ !)s'. cc: 5 5t) , n,?p,, . 2oning. , Chg: No. of Units: . Dep: ' `? . p4nci iit Fee: agree to comply with the City of Eagan harge: - • JI ?p:? Ordinances. - BY SEWER SERVICE PERMIT VOF EAGAN Permit No: `> 6 i t' I PIIot Knob Road Date: Box 21 J9S M?r No: Reader No: SiZe. m, MN 55121 Date: t : ')iston ,,.nerl,y ..o"nea Zoning: Rl No. of Units; - I agree to comply with the Citp of Eagan Ord(nances. WATER SERVICE PERMIT 830 Pitot Knob Road Permit No: 9b?8 fEagwneanr I7Y OF EAGAN Date: O. Qox 21199 Meter wo: ?-?7-SQ Reader No: s1z8: u ? , MN 55121 D a t e: 7- ? -`ioLn:es s , Oak Chase t' l? .J017IIfsnn Conn. Chg: 550. Oorr? Acct. Dep: 15. Op ? Zoning: ?i Permit Fee: , Op No. of Units: Surcharge: .50 Tr. Plant ?04 , p() d I a9ree to comply with the Clty ot Ea Meter. gan Ordlnan Misc.: ey ? WATE R SERVICE PERMIT CITY OF EAGAN N° 14 6 8 1 3830 Pilot Knob Road, P.O. Box 27-199; Eagan, MN 55121 PHO N E: 454-8100 BUILDING PERMIT Receipt# ?I d -7J Tobeusedfor SF DWG/GAR Est.Value $136,000 Date MARCH 11 1988 ,19 SiteAddress 4465 OAK CHASE WAY Lot 1 Block 2 Sec/Sub.OAK CHASE 1ST ADD Parcel No. PARCEL B . Name CUSTOM ENERGY HOMES ? Address 7699 138TH STREET ? Ciry APPLE VALLEYPhone 431-6116 a Name .o 0 Q Addre ¢ City_ W w Name w i? Addre aW CitY- I hereby acknowledge' information is correct Minnesota Statutes an Signature of Permiltee A Building Permit is iss on lhe express conditic appliceble State of Ayr Z e read this application and state Ihat the 7re to comply with ajLapplicable State of of a .Bi es. ? QESTEEING- all work shall be done in accordance with all a Statu s and City of Eagan Ordinances. ?. .s ? . OFFICE USE ONLY On Site Sewage Occupancy R-3 MWCC System X Zoning E On Site Well (Actuap Const Vn Ciry Water X (Allowable) Vn PRV Required _ # of Stories Booster Pump _ Length 74' 6" Depth 281 O" S.F. Total Footprint S.F. APPROVALS FEES 692.00 Engr./Assess. Permit Planner Surcharge 68.00 Council Plan Review 346.00 Bldg.Off. SAC,City 100.00 variance SAC,MWCC 550.00 Water Conn. 550.00 water Meter -62--S1_0 Road Unit 325.00 Treatment Pl 204__.Qp_ Parks TOTAL 2,902.00 Building CITY OF EAGAN NO 1 7887 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 ? 611c BUILDING PERMIT Receipt # 6 7o be used for PORCH Est. Value $9, 000 Date MAY 17 ?g 90 Site Address 4465 OAK CHASE WAY Lot 1 Block 2 Sec/Sub. OAK CHASE 1ST OFPICE uSE ONIV PdfC21 N0. Occupancy - FEES w Name MARK ESLINGER Zoning (AC1uap Const _ Bltlg. Permit $108.00 ? Address SAME (mlowaole) - Surchar e 4.50 0 City Phone x oi stodes g - Plan Review Length _ o Name CUSTOM ENERGY HOMES Dep1h - SAC, City , ou 12645 FIARIDA LANE AddBSS S.F.7ota1 C M C City A.V. Phone 431-6116 S.F. Footprints = SA , Cw C Water Conn On Sife Sawage _ ww Name On Si1e We11 - Water Meter Address Mwccsysrem Acct. Deposit a W City PhOn2 Ciry Water - S/WPermit PRVRequired _ I hereDy acknowlege that I have read this application and state Ihat the Booster Pump - SMI Surcharge information is correc[ and agree to ply wilh all applicable Slate ol Minnesota Statutes and Cit g Ortli ces. Treatment PI ? SignaWfe of Pefmlteel?? (,Jr:tLJ APPAOVALS Roatl Unif CUSTOM ENERGY HOMES A Building Permit is issuetl to: Planner - parkDed. on ihe express condition that all work shall 6e tlone in accordance with all CW"cit -- applicable Stale of Minneso?tes antl City f Eagan Ordinances. / BIag.Off. _ Copies $112.50 BuildingOtiicial %w?l/ Variance - TOTAL r ? REQUEST FOR ELECTRICAL INSPECTION es-oaooi-os , Sea instruclions br compleiinB this form on beck oi yellow cooY- ?? 7A71 __ "X" Belnw Work Covered by lhrs Request FrvaMNriJl nep.1 Typa ot 0uiltling I ApDliances Wired I EpuiumeN WireA I al BI F2rm ce k Fea Servica EntrenceSize n fee Fexdeis/SUbiewee.s N Fee Cir ults 0 to 200 qm s 0 to 30 qm s 0 1 .70 0 tn 30 F?m Above 200 qmps 31 ro 700 Ainps 10 " 31 to 100 q y Swimming Poal Above 100_Am s Ahove 100_Amus Transformers Irrigation Booms Partial'Other Fee Signs Special Inspec[ion S ,?FJ \ Aemarks TO L ry7 __ ?? `i Nough-in ? Dale' I„ t Elecfricel tit_ Insoec ? y l Final certi y thet the above inspBCtion hBS beBn made. thb repuesl void 18 months irom ThiS requesl vo?d 18 nwnffis from `1 J D 7471 e° Fequest Uate •' °? ! ??yy G. (/ v Fire No. NouHh-in InsVer.tion Rey irndt " ?Reatly Nuw ?Will Nntifv ??speo ?. ves ONo ?or When qy??y U u,enrou necence, conv;aetor 1 hereby request inspaclion of above ? Owner electricel work insialled et: Street Address, 00x or Poate No. ? ??? C? ?J' I ?? ?? City ./ . ? ecbo o. Township Name or No. Range No. County ? Occupant IPRINTI Phone No. Po"r SpPlier Atldress Ele ical Con(ractor (Company Name) r???,?.?? Con[rar,lor's License No. MailmB AtlJress (Contractor pr w ner Makine liistailation) 717 "i Tla ? ?CC ?.? ?ti?- Authorized 5l8 lure t n ki stalla?ionl Phii e Nwnber ??G?l,_ Ll23 `/`, MINNESOTA STATE BOAqD CTflICITY TMIS INSPECTION NEDUEST WILL NOT Gliggs-MiOwey Bldg. - Poom N•197 BE ACCEPTED BV TNE STATE BDAFD 1821 Univarsitv qve.. Si. Fnul, MN 55104 UNLESS PNOPEN INSPECTION FEE IS Phone(612)642-0800 ENCLOSED. @ 40145,G/ Request Date , /? Iq? (O ? Fira No. Rough-in Inspection v ? ?ReadyNOwAWlnfe bR tlspector ? No n v. I Llicensed contractor i] owner hereby request inspection of above electrical work at: Jab Agtlss ?Shee[, eox or Route No.) •'r L L S G IG , c le w 4 Ciry IE? a - 45 a,,., Seclion No. Township Name or No. Renge No. Coun 1 t:?,L I4 OccupantlPRINT) ,E? li - Phone No. s h ev Pawer SupPlier Atlaress Ei vical Conhaclor (CO?m+Oany ame) / ? o i.?,?' J c.u?.U? GonVactor's License No, o Y/ 9 F? -?- Mai[ing Atlbrass IComractor Owner Makin?1Inslalla sic?n11 J] . J / ??11?1? ??w-¢J? ar^ t?G Ke Vi ?le S'S-D L/ L AWhorizetl 5 nature (COmraclor.'Owner M king Installa[ M<<.?.?P ? Phone Number y??- MINNESOTA STATE BOFRD OF ELECTRICITY TMIS INSPEGTION REOUEST WILL NOT Gdgga-Mldwey Bldg. - Hoom 5-173 BE ACGEPTED BY THE STATE BOARO 1811 UnivtteNy Ave., $t Paul, MN 55104 UNLESS PFOPER INSPECTION FEE IS ilwne (612) 11C24t800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ? See inslmctions for completini Ihis Iorrn on oack ol yellow copy. G? 40145 `X" Below Work Covered by This Request r? EB-00001-07 ew Add Rep. `' Type of Building AppliancesWiretl EquipmentWired Home Range Temporary Service Duplez Water Heater Electric Heating Apt. Building Dryer Other (Specify) CommJlndustrial Furnace Farm Air Conditioner Olher IspecityJ Conhaclms RemaMS: Compute Inspection Fee 8elow: # Other Fee # Service EntrenceSire Fee 8 Circuits/Feeders Pee Swimminq Pooi 0 l0 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 700 _ Amps Si(fn5 InSpec[ar5 Use Onty: &*4 & TOTAL Irrigation Booms _ Special Inspection Alarm/Communication -- TNIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MON S. I, the Electrical Inspector, hBreby certif that theaboveins ectiorihas Y P been made. ii Rougn-in Pinal oar/l Date ?Y OFFICE USE ONLY This reduast voitl 18 monihs imm }?Y ? RESIDENTIAL BUILDING PERMIT APPLICATION "f ?---r CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 ??? ? 651-681-4675 r NewCOnatructknBeouiremeMS Flom I p Ir • 3 repislered s0e suneys showing sq. ft o1 bt, sq. ft. af house; and II roofed areas • 2 coples ol pan (20%ma+?imumbtwveragealbwed) • lselolEnergyCakuletions heatedadtlaq • 2 copies o1 pian showing heam & whWOw size& poured found tlesign, etc.) • 1ste survey tor exAerior additions ec • 1 set ol Energy Cabulatbns • Indkale B home sarved by septic syslem for add'Abns • 3 Cppies M Tree Pre9enation Plan ii bt platletl aRer 7/1/93 • Rim Joisi Detall OptWns selection sheet (bWgs wtlh 3 or less unils) DATE ? r ZZ - 0 Z" VALUATION :t2J I5 0(7 51TE ADDRESS MULTI-FAMILY BLDG _ Y NpE OF WORK e- +'2?- G, E FIREPLACE(S) _ 0_ 1_ 2 APPLICANi 6-°` O k °i" STREET ADDRESS 7`{(P6 100Sh ln 9{"on TELEPHONE # Z' CELL PHONE # ZIP FAX # PROPERTYOWNER ? ??9Y TELEPHONE# ---------------- -------------------------------- ---------- --------- --------------------- ------- COMPLETE THIS SECTION FOR uNEW,, RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 (?I submission type) . Residential Ventilation Category 1 Worksheet Submitted . New Energy Code Worksheat Submitted • Energy Envelope Calculations SubmittadPlumbing Conhacfor: Plumbing system includes: Mechanlcal Conhactor: Mechanical system includes: Sewer/Water Contractor: _ Air Condirioning _ Heat Recovery System Phone # Fee: $90.00 F-_-??ll? Phone ? o o --------------°----------------------------°------------------------------------------ I hereby acknowledge that I have read This appllcaTion, state that The information with all opplicable State of Mfnnesota Statutes and City of Eagan Ordinangps. _ OFFICE USE ONLY _ Water Softener _ Water Heater _ No. of Baths Phone # Lawn Sprinkler No. of R.I. Baths Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ uadaced a/oz SINGLE FAMILY DWELLINGS 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH AD?RESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. T o Be Used For: Valuat ion: Date : Site Address OFFICE USE ONLY Lot / Slock ? FEES ? Occupancy ?p? a ? Zoning l/ll-Q, Parcel/Sub Actual Const Bldg. Permit p Allowable Surcharge ? Ocuner # of stories Plan Review Length SAC, City Address ??GS e?? ?? r- Depth SAC, MWCC S.F. Total Water Conn City/Zip Code ? Footprint S.F. Water Meter ? Acct. Deposit Phone On site sewage S/W Permit _ On site well S/W Surcharge Contractor Gj,u.4 MWCC System Treatment Pl. City water Road Unit Address /.QG/,S- PRV Park Ded. Booster Pump Copies City/Zip Code ? SUBTOTAL APPROVALS Penalty Phone Planner TOTAL Council Arch./Engr. Bldg. Off. Variance Address City/Zip Code Phone # % a ? tA., P ?j ?/ . / y 0 / i Z9), 00 . V ? i ?x 99o$.-t. , ? s,•+ ?;;•i 7 ? / u N ?° I ? U! . i ,.- ? 0 ?9 ? 4 1/) p V- ? 4 s y v y, !? P ?'1 / Ex 90?° ?° Q / )' &+( 9u1 •? H O ? ? f ? RH 9es.z a J ? ?(. I jW Na0 i dD d? ??--?-2zz, 11.0 o J io?-?------------ --- I -?.. v °c., f-u 9?S.S -0 ?`°.?4 n, ? ROAD Y,C, M OA4.euq563fT ADD. AK- GNASE = =0: E_ N o QT N DESCRIPTION All that part of Lot 1, Block 2, Oak Chase First Addition, according to the recorded plat thereof, Dakota Coiznty, Minnesota, lying northerly of the following described line: ;;aid iine begins at a poirii; on L112 YJeSI: ii;ic of said Lot 1, distant 222.16 feet North of the sout?west corner of said Lot 1; thence South 73 29'14" East a distance of 212.50 feet to the East line of said Lot 1, and there terminating. I hereby certify that this survey was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the laws of the State of Minnesota. D'ate:/?o.??r 2t14sn LeRoy H Bohlen Registered Land Surveyor No. 10795 ?. i ? APFLICATION FOR PERMIT ;NJTE: PAYFO?f OF FEE AT TIME OF APPLICATION W6 F1fJP CON- SI'I7LJ1'E APPRG'JAL OF PIItVIIT. ; INSPFSTION OF SEWM HFD/OR WATEFI ; xxMvaTioNS wna. Nar ee SCEDULED ? I=L PIIiFIIT HAS BEQJ ApPRWID_ ltv oF eaclan (PLnEA.SE PRINT J?) 1) PROPIItTY ADDRFSS: f., .... 4 IC (%) e J t- f4LLTr?t i,FY:Ai, DESCl22PTION: . . . . . . or IF EXISTING STRL'CTURE, DATE OF ORIGINAL BLILDING PII2MIT ISSDANCE: PRESENT ZONING/PROPOSID OSE: Q C0hII,4ERCIAL/RETAIL/OFFICE Q INDLSTRIAL Q INST22[)TIONAL/GOVERPIIMENT 2) NAME: ADDRESS: CITY, STATE, ZIP: (Mont Year R-1 SINGLE FAMILY ? R-2 DUPLEX ('iWo Units) Q R-3 'IbWNHODSE (Three + C'nits) ( Units) ? R-4 APARTMENT/COAIDOMINIDM ( Cnits) PHONE: /VJ`/ _ "#-p 3) NAME: ADDRESS: Ij Active Expired Not recorded I Sta Inf?itiar CITY, STATE, ZIP: (/a.I/e- .7 'YYJ-+,? S`.J'/-2T1 ? PHONE: MASTER LICENSE # 4) ? '• • ?• NarE: ADDRESS: CITY, STATE..2IP: ,pps?? PHONE: 5) + ? ' w 04• • o 5 d" CA CONNECTION TO CITY SEWII2 [4 CONNECTION TO CITY WATII2 O 0'I'HERR 6) -.??7 :t****:t,t****,t***,t,t*****t,t**+t**:t:?,F,t,t,t,t+?-r,t:a,?:?x-s-Fe:',exx,a???,t::.:.•? :?,t??,t*****,t****:t**,t**?****,r?*,tt**,tt**,ra T[IE GOID COPY OF THE PERMIT WILL BE SEDTP DIRFjCSLY 347 P':WZG' `WURKS TU FACILITATE Ng.TEEt PIQC-UP_ * .*k PLEASE ALI;OF1 TWO WORKING DAYS FOR PROCFSSING. SCYAEONE PR:}g TM CITY WILL CONi`ALT YOU IF 7HEk2E * * ARE ANY PROBLFMS. * + ***w+*******?**?***?«,t?*rr**********+r*?***,r?**,r*x***++,t,tr+:***t**?*,r*r:*t**+x******+***+*+*+,r*?***t SEWER AND/OR WATER CONNECTION TOR CITY USE ONLY PERMIT # ZSSOED ? Pd w/Bldg. Permit FEES: $ SEWER PERMIT (INCLUDE SORCHARGE) $ WATER PERMIT (INCLODE SORCHARGE) $ 7'n7? $ WATER METER/COPPERHORN/OOTSIDE READER $ $ WATER TAP (INCLODE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOONT DEPOSIT - SEWER $ ACCOC'NT DEPOSIT - WATER WAC s C.?? • ??--z+ $ SAC $ $ TRONK WATER ASSESSMENT $ $ TRC'NK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ $ TOTAL f / t.'r L ?; ) J, R CE PT RECEPT r DOES UTILITY CO NNECTION REQUIRE EXCA VATION IN P[JBLIC RIGHT OF WAY? Q YES IF YES, THEN A" PERMIT FOR WORK WITHIN POBLIC Q NO ROADWAY" MUST BE DIVISION LIST ISSQED BY THE ENGINEERING AS CO DI ION . . A N T SU BJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: --? Ir 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS / INCLUDE.2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDHESSES FOR CORNER LOTS - CONTRACTOR/BOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOYIED ONCE BUILDING PERMIT IS ISSUED. MfTLTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITA HLDG. DEPT., 1 SET OF ENERGY CALCULATIONS CONMERCIAL IiVCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For:JiNGI.ErAf414y DWE2UNG Valuation: ? 36i 000 ^ Date: M/4RCH 44, iq$$ Site Address 4 9-l05 Lot ? alock ? PAKC.ti ' g' Parcel/Sub (aq,VC.AqSQ ?-%-J,4vjj LoKM'6 Owner CvsYDrr, F'.7e!q4,x 1?b?er Address 7(?,Q9'-- 13'P? 5-y City/Zip Code .5S12g Phone J;M ko65TEk11Jla Contractor Addres City/Z Phone Arch./ Addres City/Zip Code urrlUE ubl? uNLx On site sewage MFICC system ? On site well ' City water ? PRV required _ Booster Pump _ APPROVALS Engr/Assess Planner Council ? Hldg. Off. -1=).39 Variance ZTW-3-3-85 Oecupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. FEES R-3 E V-N V-N 7T 2 S'-d„ Permit 69Z, Oa Surcharge AS.LY7 Plan Review 3 416•00 SAC, City /00,OC7 SAC, MWCC O 59010 Water Conn $.SD .00 Water Meter GQ.00 Road Unit 3Z5,(X7 Treatment Pl 4 Parks Copies TOTAL ? /Q Phone If f??J?='? LuA-T i o r- l GAR Q? E- ?£?X Z. I -? z %2 X S - B X 3 = ?'aSmT 53x?? _ 9 xolo= ? ST ?? ub}Z 3 C? X 2'7 .- l? x ?g : ?K Cd ? S 8`6 IZ (zy) I Li 31 (i ?o) 1251 x13= 16z63 9"7 2 3yz ay _.-- I 33V x?Iq s 65S"6Z Zw+p ?wori ?6 X a5 = 9 00 3K2k?-3°_.- 93o x yq_ ySSOo 1 35U5`i .p q ,--- {' EXTERIOR ENYELOPE AVERAGE " U" COMPUTATION Owner: Si,te Address: 9y6s Qf}k CI-?ASE WAy Contractor: _ GUSTDM ?.?CTZC-i] 44ctlt?50ate: Phone: Oetermine working square footage of each. 1. Total exposed wall area '''7 (p 8 Sq. Ft. x.11 = ?4 2. Total roof/ceiling area I "ZB-7 Sq. Ft. x.026 = a. Total wall window area.. ...................".................. ( O b. Total door area ................................................ ? c. Total sliding glass door area ................................... _ d. Total firepTace wa11........ ... . e. Total wall framing area.(average 10%) .......................... ?-7? ? f. Total net wall area above floor ................................. g. Total rim joist area ............. ..... . ....... --??'-?_- Total er.posed foundation area = 113 h. fota; fraundation window area ........................?........... ? ° i. Total net foundation area above grade ........................... Determine " U" Value of each xzil segment. a. X It u b. ?-1 X „ u „ __ ?2s = ??.1 , c - g4 x„ u„ a. ? X„u 11 ..r = - e. 277 xU" .?? ?_=_ 25 •''L, f. I-7 Cab x^uu e• 2°/5 x„u„ .D41 n. -7 Xwu, ;. tioCo X „ u 3. TOTAL If item #3 is the same as, or less than item #1, you have met the intent of Sec. 6006 (c) 2 j. Total skylight area.. ,,,,,,,,,,,,,,,, --? `} k. Total roof / ceiling framing area 10X..... ........... 17PtI ,-7 1. Total net insulated roof / ceiling area ................. (1 Sg ,3 Determine " U" value for each roof / ceiling segment. J. -- x H u 11 _--? _ - K• 1 Z8 ,'7 xIt u It , 0 2q = 3,-7 ?. 1158•'3 X° u u r 0 1-I - ZZ 4. Z5•7 TOTAL If total of 4 is the same as, or less than #2; you have met the intent of SBC 6005 (c) 1. To utilize the total enveiope system method, the values established by the sum of lines #3 and #4 shall not be greater than the sum of lines M1 and #2. 1. 3G 4. 5 +2. 33 . 5 = 33 8 3. _ZIlv.S ±a. 25,"1 = -ZA 2.?2 . % ? A ,? . ? ' ? S h / ? P? ;? ?Zo. o V ? d? . p•o ?`; $ ? '? Q9 N ?pc ?;y ? i ptrj 9B 4?4 ? a?-- 'n 94 "WJ , / P2QO / 0 di S \ ----_? pq,S ts'? 9°T 5 e? ? Q? ? , , ? ? ? ? ? . f(NQ o 14 1. -'If 0 n 1? ?_ ?0Q ? ? ? c"' 1 Z7 B+c 5o,.a l? ? ? ! f RH 9es.z a J • ? O M ? ?, ? ti N ? jp 1 %? I ? N J ?Nd' I GA ?4:Q dD NOo 3 ? J I? ?- -' - - - - - - - - - - - - - - - ? -? .?---? ?2Z Z. 1(0 - ? . ? ? - cs-r L,.,e sa N y"? •? F. u 915.5' 4o?.iq. ,? ROA? T,?, M ep.u..cuo3E1'7 o.co. ? r ox.?K-- c N As? k'vtG 9'?•?a N o 2T H DESCRIPTION All that part of Lot 1, Block 2, Oak Chase First Addition, according to the recorded plat thereof, Dakota County, Minnesota, lying northerly of the following described line: Uaid iine begins at a poinc or: tiie 'vuest iine of said Lot 1, distant 222.16 feet North of the soutgwest corner of said Lot 1; thence South 73 29'14" East a distance of 212,50 feet to the East line of said Lot 1, and there terminating. I hereby certify that this survey was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the laws of the State of Minnesota. Date: /))a._l, 2 i LeRoy H Bohlen Registered Land Surveyor No. 10795 I90? ?y 6x qo?' H? J hcP.?e I"=30' ???oa dio aa' OF 3830 PILOT IQJOB ROAD EAGAN, MINNESOTA 55122-1897 PHONE: (612) 454-8100 FAX: (612) 454-8363 July 26, 1959 GENE JOHNSON JOHNSON E%CAVATINCi 10805 RICH VALLEY BLVD. INVER GROVE HEIGHTS# MN. 55075 RE: Invoice No. 3524 - IItility Trench Repair IInder Yermit No. RW-27-O58/4465 Oak Chase Lane Dear Gene: V1C ELLISON Mova 7HOMP5 EGAN DAVID K. GUSTAFSON PAMEIA McCREA 1HEODORE WACHIER c.a.xnMenwers 1HOMP5 HEDGES CAN Pdminishabr EUGENE VAN OVERBEKE Ciry G? Z have reviewed the May 25, 1989 letter requiring restoration of the sewer and water trench and realize there was a typographical error. However, the letter did identify the completion date of May 26, 1989 which we mutually agreed upon and in the event of confusion due to the typo, a phone call on your part would have been able to reaffirm the May 26, 1989 completion date. Therefore, please be aware the City will be making a claim against your bond unless the invoice is paid by August 4, 1989. Sin erely your , ??? Craig E. Knudsen Engineering Technician CEK/jf THE LONE OAK TREE...THE SYMBOL OF STRENGTH AND GROWfH IN OUR COMMUNIiY Equal Opportunity/Affirmative Action Employer ?7&? y??,?pp1 2007 RESIDENTIAL PLUMBING PeRmiT aPPUCarioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existinn rP_-iriRntiai crwPuin.,? Date [ {- I?q Street Address Unit # pertyOwner Telephane# Contractor Telephone # ?` ???7 -??'7 ' nv - Address KCity W State-mlw Zip aj ? The Applicant is: Owner & Occupant Licensed Plumbing Contractor Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license InG fee $ M - Per as-built $10.00 Fire Repair (replace burned out fixtures, etc.) $ 90 00 This fee a plies when extensive lumbing repairs are made to a buildin . . Alierations to existing dwelling $ 50.00 _ Add plumbing fixtures to main level lower level. This fee includes installation of a water softener andlor water heater at the same time. If you are installing onfv a water soffener and/or water heater, do not complete this section; move to the next section and place a checkmark next to the appliance(s) you are installing. _Septic System Abandonment _ Water Turnaround (add $136.00 if a 5!8" meter is required) Other: rWater Softener Water Heater $ 15.00 _ new replacement _ Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ 50 Total I?l cn? $ L S -- _ __ ,? 11-1='y aNN-y ?1? a Ro,Juenual riumoing rermit anci acknowledge that the informafion is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the a7roved plan in the event a plan is required t e reviewe a approved,. (? ApplicanYS Printed Name ? ApplicanYs Signatur I?c"l? Use BLUE or BLACK Ink For Offl,e j_STq r1t I , UlLV of 1. Permit 7 I J , I 3830 Pilot Knob Road Permit Fee: , Eagan MN 55122 Date Received: j Phone: (651)_675-5675 - Fax: (651) 675-5694 j Staff:,- I L-----------------I 2009 MECHANICAL PERMIT APPLICATION Date: Site Address: _ ~ qb5 ~'se Tenant: Suite RESIDENT / OWNER Name: 1CJU°/1 Phone: Address / City / Zip: HE SNELLING COMPANY, CONTRACTOR Name: 4 40-vGOgriw~nA INC. License Address: ST PAUL, IVIN 55104 6517646-7381 City: State: Zip: Phone: Contact Person: TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL PERMIT TYPE Furnace New Construction Interior improve4iienl ' Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit _ Heat Pump _ Under ( Above ground Tank Install Remove) When installing/removing tank(s), call for inspection by Fire _ Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ / TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract value $ X1% $50.50 Minimum (includes State Surcharge) = $ Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ Surcharge $1,000 Permit Fee (i.e. a $1,00142,000 Permit Fee requires a $1.00 surcharge). $ _ TOTAL FEE CALL BEFORE YOU-DIG : Call Gopher State One Call at{651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates` of underground utilities, yNvw:gopherstateonecall.orct I hereby ac owledge that this informationis complete and accurate; that the work will be in conformance with the ordinances and dotes of the City of Eagan; at I understand this is nota 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 th approved pl the case of work which requires a review and approval of plans. x X A p p I i c is Printed a Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground _ Rough In Air Test Gas Service Test In-floor Heat Final Exterior HVAC, Screening Inspection PERMIT City of Eagan Permit Type: Plumbing Eaaan. Permit Number: EA097480 Date Issued: 12/20/2010 OR Permit Category: ePermit 41 it~ of E3 E Site Address: 4465 Oak Chase Way Lot: 012 Block: 2 Addition: Oak Chase Ist PID:10-53500-012-02 Use: Description: Sub Type: e - Fixtures Work Type: New Description: Main Floor Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Dan Clouah 3880 Willowwood St Prior Lake, MN 55372 952-447-5761 Fee Summary: PL - Permit Fee (miscellaneous) $50.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 Total: $».00 Contractor: - Applicant - Owner: Preferred Plumbing Jeffrey 1\1 Spence 6400 High Point Trail 446 Oak Chase WaN Prior Lake NIN 55372 Eagan NIN 55123 (92)447-761 I hereby aeknowledae 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 Cite of Eaaan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature Use BLUE or BLACK Ink For Office Use / 9 . * City of Eaali RECEIVED Permit Fee: Alk C C.j 3830 Pilot Knob Road MAY 1 5 2017 Eagan MN 55122 Date Received: ,-.5--15-',7 Phone:(651)675-5675 Fax:(651)675.5694 Staff; 7 V J 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Site Address: 4465 Oak Chase Way Unit 8: ''"A''`'S . :T>`;t,!! {441,4 Jeffrey and Maureen Sp,s�vc.k (651)335-3990 1';.;:x:,.,;', :V.: Phone: te :x; �,,.'. Name: 4,17,1,i/N. 4465 Oak Chase Way Eagan, MN 55123 ., t1a.,,4,;,.:.,. Address/City/ p: Yi ''�tl r1io±<:�`T:..H w .1'Sx�n�Y11's,, ' '',,�'M `'•'}i� _`,r, + Applicant is: Owner X Contractor x"' '`;;• Fifa,:;.:,:", i' ' ° _Ai•:t m4 Egress single casement and galv. steel well •'•�a "si```%u�y% �T ;Y'��;, '. Description of work; ,i..., ;7,..,it1:::,,:, $2,700.00 X 0 ,;, ` ;, •�s; `cgr , Construction Cost: ' Multi-Family Building:(Yes /No ) �e �x Egress Window Guy Dan Ruegemer :,�,*��f�p 9`�x'•:6YCk.:>'✓'i+i1'J.S"u.0\„'Y': , w,;,,,,:x':,,>.,. ,.!^ ::. ,,:gA Company, Contact: .'w,'s Plymouth 4"�'` ' address. 3410 Kilmer Ln N City:Ni*girtiJ K�D/t •; ,-, `'°,?:.::: :Fx : MN 55441 (763)544-2775 Email: Dann@egresswindowguy.com • ,;'owt.j f` ,Via.,,: -: State: Zip: Phone: yi 'W" j� %V(�;°0'%Y �"'' ^;A.:!. ) :R �";". License#: BC665399 Lead Certificate#: NAT-123125-2 a If the project is exempt from lead certification, please explain why: 1988 build: 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: ..�� ..rr.�.,'J�....:.:/.�....1�.:•n•pl.../:q,.>'r•p.p.xwr•4x:{e•r..ter•(ws,.•:•.n�, �t:vWrc..••.yc• -y��/ 'y� yr.S.ut': w:. ,a'�Yaif%: �yr';5:.4 •`"•:KI■fY.l.'E::•rTr1p✓ Jrr(Ott�/ Ur, o/ZIf7 X34000#�41444t :60. •f/Il,,:r..,..+G ;..':Arthi'A{If. MO ••TIO,y'VPi BNpn. +A• JO/;:'r�1: i{l:K..;�w� �"r '�r ,°•: ''`�^'•,{a, '.P rrv�a:.,�.,m; �:'�Y;•:�.,r,,��Ytpdt',yry;�;»;..�.r.:�,•, �M/;,ic �:� .afr. ..�.,.p.k,v7��:;.a � °,F'r"-�• ^, N '4S� L. Y. x ,,.+ ", ? '�l:!'Y ""�3`b. -. ' iMb: '•.' r ,H""irlk' �,•r•',YJt „`.;'3,i 01. t$504 lis ")na ,110alti l,al n n :u lrr rfi'. a .d,:- ,0.ghat:1610 Pjifetiflii KO, ',i0is<,<k +;r,. ,i•'d rAEa 4,�,.„7:�t.:�'w:6:v,.r; `:'9;'YSf?r�n0];�.�tlq,,t"'°'��n�i+.`•A;^; ''d'k' � •w.. .�..� e.»�t.. „Yf• i e,a ems. �rr'.��'% .Y�':aK A �i"• ;W,•kY. 7",. :Anr :4 �'�',' ± j� .M• y4` .b!' ''i�., T•Lrd A. �i•A".y,,, 1" l ��jryt ;�:�t.a ..(•1., C:ti:rkC•7 .o:% ..'�..r.,y..,,�,.: '.s,�Y`!y� 'lIG♦�0@'�Ila�t�fl_ aA . :•tS®t�'. =��C�°¢v ,a;�„„�,.T..r•,ti,;;'�'�dfi',��;/,,v....a•�• .�4.?�: •t '�':.{°,.ri w .. ....:� r.,'y: : ... — . ..k.,... ...d r...;AF.:.:..�u:.M It ...•�.... ..I< . .:.M .. ..a14`�:'. "(.YMa• ,.�.•.�:•J.:. �:1...,..,.:x.K..r•.:r5•,.�.,•.J...T............�........ .� 'V �. x .4'8..: •• '� CALL BEFORE YOU DIG. Call Gopher State One Call et(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities, www.slooherstsbonecall.orq I hereby acknowledge that this information ie complete and accurate;that the work will be In conformance with the ordinances and codes of the City of Eagan;that I underatend 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 plane. Exterior work authorized by a building ponnit Issued In accordance with the Minnesota State Building Coda must be mpletad within 180 days of permit Issuance. x Daniel Ruegemer x ,o Applicant's Printed Name Applicant's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE ----/ &I/ 4,298,c-- SUB TYPES Foundation _ Fireplace Porch(3-Season) _ Exterior Alteration(Single Family) ZSingle Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi _ Deck Porch(Screen/Gazebo/Pergola) _ Miscellaneous _ 01 of`Pies Lower Level _ Pool _ Accessory Building WORK TYPES — New Interior Improvement _ Siding _ Demolish Building' Addition Move Building Reroof _ Demolish Interior — Alteration Fire Repair _ Windows _ Demolish Foundation . Replace _ Repair Egress Window Water Damage _ Retaining Wall :Demolition of entire building.-give PCA handout to applicant DESCRIPTION Valuation 30090 A' Occupancy 3114 -/ MCES System — Plan Review Code Edition — SAC Units (25%_100%._Z Zoning F_ City Water ..._ Census Code /34 Stories Booster Pump #of Units / Square Feet -- PRV r- #of Buildings / Length Fire Suppression Required �– Type of Construction .. a Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O.Required Footings(Addition) 4. Final/No C.O.Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof: Ice&Water Final _ Pool:__Footings _Air/Gas Tests _Final 44 Framing 6,30 Minutes I Hour Drain Tile Fireplace:_Rough In Air Test _Final Siding: Stucco Lath _Stone Lath _Brick EFTS 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: ,Building Inspector RESIDENTIAL FEES ' Base Fee ,t ,--- Surcharge Plan Review 67 dry MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant ' Copies if do xrit TOTAL Page 2 of 3