4511 Oak Chase WayINSPECTI4N RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 ?- 1 c Date Issued:
(612) 681-4675
. . 4 Y
SITE ADDRESS: APPUCANT: . .
V t w rlAk Ui1AF.i' l-lAY I +' i:ti I i<U1: f i0N
+JAk I.HA •! iktl i h 1:' ) 440.-4633
PERMIT SUBTYPE: TYPE OF WORK:
N rE,e
tNCi.l,lofs I.?[ CF
?
? .. .. ... . . . .
fil ?` a?'?
?
J
l:t MaR f:' ,. 'iti'fii7s7i' I'V ItMI 1 KE utI I12f II 1 1 ?It F.1 fI Tti I I A i wr?Fc?
Permit No. Permk Holder Date Teiephone M
ELECTRIC DCP
PLUMBING
HVAC
Inapectlon Date insp. Comments
FOOTINGS
(
FOUND
FRAMING
RQOFING
AOUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAI HTG
ORSAT
TEST
--
BLDG FINAL r rL?
BSMT R.!
EiSMT FINAL
DECK FTG
1NNYLC:'llUN KLC:UK1J
CITY OF EAGAN PERMIT TYPE:
- 3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
,
SITE ADDRESS:
, . , . :41 1 1 III? ,1 t?li'r
OlAt i tlA'?f ;sNP
PERMIT SUBTYPE:
, APPLICANT:
TYPE OF WORK:
IJ
NI? ( 1 E? t NG
y i ,-• r., 4 1
pf lIr.l{,K
INSPECTION
? D. . .•
RFMAKk•i t t'NiMMt'Y/Fl tt[ ipUr, l HF 7M! sPf.t;rt n tiFr-tw r !'0VFRINty
F
?
-
'
.
:: .?
. : • ,
.. ,
? ...
{ ,.
8?? ,
.. ?
? _. _
?, . _ ?
_:,
Permit Holder Date Telephone N
PLUMBING
HVAC
Inspection Date Inep. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PlUM81NG
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE ? b ?/?
?Cf.?/ ?
wle
FIREPLACE
AIR TEST /,f ?
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONOUCTIVITV
TEST
HYDROSTATIC
TEST
BSMT R.I
BSMT FINAL
DECK FfG
DECK FINAL
CITY OF EAGAN Remarks
Addition Oak Chase Addition #3 Lot 2 aik 1 Parcel 10 53502 020 01
owner P6tu-L. VL C' A/?d,Ce- /fl,o:on/e?1 street 4511 Oalk Gh?se W ay state Eagan, MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF,
STREET RESTOR.
GRADING
SAN SEW TRUNK ; 1973 38 . 02 19.30 20
SEWERLATERAL I975 7. $149.83 NR.01
12003439
7-11-77
WATERMAIN
WATER LATERAL 1975
* WATER AREA 1975
STORM SEW TRK liq- 1983 6.96 29.N
STORM SEW LAT _
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
SUILDING PER. !4911
SAC 1 7-Y-77
PARK
CITY OF EAGAN
3795 Pilot Knob Road
Ea9an, Minnesota 55122
Phone: 454-8100
PERMIT
No.
Date: Auuus', 1977
Site Address: ?? ' 1 ?"''est ?k r•'., ?'7?? -
Lot Block Sub/Sec. T ;
Name ",')bert Clark nldr.
?
? Address `?8??5 W. 178t'r± St.
City MPIs - Phone:
? Name `easonal Control Inc.
i
g ress - Lmdale Ave. So.
City `-; 7 Phone:
This Permit is issued on the express condition that ull work shall be
Minnesoto 5tatutes and City of Eagan Ordinunces.
Receipt No.:
Single I
Residential • •
Multi Res., Comm./Ind. I
New /Alter./ Repair
Cost of Installation -
Permit Fee 20•00
Surcharge .50
Tota I ' ` ) • 50
done in occordance with all applicable State of
Building Officiol
. CITY OF EAGAN
, 3793 Pilot Knob Road
Eagan, Minnesoto 55122
Phone: 454-8100
_ PERMIT
Date
August 5, 197
,
Site Address: L 1' E`'
Lot Block Sub/Sec. `-)c rZI
Name k..
.
; Address
O
City jkeville Phone:
1a;ir, Plumbing F,
` ame
? Address 409 Co. F,ri .41 )
.,?,-.,ilie
City Phone:
This Permit is issued on the express condition thot all work shell be
Minnesota Statutes and City of Eagan Ordinances.
No. =
Receipt No.: '
Single
Residentlal
Multi Res., Comm./Ind. I
New/Alter./Repoir
Cost of Instollation
I Permit Fee 20.00
Surcharge
Total '
done in accordance with nli applicoble State of
Buiiding Official
%..
CITY• OF EAGAN
3795 Pilot Knob Road Eagan, MN 55121 N2 4394
PHONE: 4548100
BUILDING PERMIT 40*00Q' Receipt #
To be used hr Dote • ? :; i 19 .
Site Address. ? '? •?e S' ov Erect 0 Occupancy - ?
Lot Bl ock ' Sec/Sub. ua?? ?"t???`-1 Alter ? Zoning
Parcel # Repoir ? Fire Zone
Enlarge ? Type of Const. l'
W Name Move ? # Stories
3 Address Demolish ? Front S?+ ft.
o r E a& gr Grade n DePth 47 ft.
? Nam, '? o'rser t L. Cl ark
Z? 0 (-':? t)?; ', rt Ctl CL
o•
< Address
"F t 435-6417
Nome _
Address
Assessment Permit 5' rv1 _
Woter & Sew. Surcharge 7o.(10
Police Plan check
Fire SAC i•75,;?;?
Eng. Water Conn.
Planner Water Meter
Council
I hereby acknowledge that I have read this appiication and state that gldg. Off.
the information is correct and agree to comply with all applicable APC Totol
Stete of Minnesota Statutes and.City of Eogcry'Ordinances.
Signature of Permittee
A Building Perrnit is issued to: =•'?'T ' ' ? at'"- on the express condition that
oll work sholl be done in accordance with all opplicable Stete of Minnesoto 5totutes and City of Easan Ordinonc_s.
Building Officiol -?
pannk # poH Isred PffeNh?
Plumbing S' 7-7 .
Mechanical fo`? ?'? - 7 7 /?- s?-? ?-?•? J
INSPECTIONS I DATE INSP.
Rouph-In
Final
Footings -- y> Date Itup. Dnte inmp.
Foundation PI urribing
Frame/ ins• g''/7- ) ? Mechoniool
Final fp-//-» ty
Cwu..?i?.y? «.? •f? ?? `? f
Remarks: , zfqA
i
ir
Y (tiF EAGAN
5 Pilot Kno6 Road
on, MN 55112
??ur?? w?w?r?w? ?...w..•...
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
Na. af Units:
Address:
No.: Connection Charge:
_ Account Deposit: _
,r No.: Permit Fee:
e to comply with the City of Eogdn Surcharge:
vnees. Misc. Charges: -
Total: -
Date Paid:
of Insp.:
CITY OF EAGAN
9795 Pilot Knob Raad Eagan, MN 55122 N4 4394
PHONE: 454-8100
BUILDING PERMIT APPLICATION $40,000. ReceiDt # 6616
ro be wea ror Sing. Fam Dwlg. 6. Att. Garg.Date July 8, 1977
4511 Oak ChBSe WaY -- Ered ? Occupancy I?
Site Address `
Lot 2 Block i Sec/Sub. O8k ChBSe III qlter ? Zonin9
Parcel #
w Name paul Maloney
Z Address 3940 Palisade Way
° ,.,_ 86an
o Name RobeTt L Clazk
o? Addre s 9895 W. 178th St.
?.a ev 1 e ? 435-6417
Nome
Address
Repoir ? Fire Zone _
Enlarge ? Type of Const. V
Move ? # Stories
, Demolish ? Front - 54 ft.
Grode ? Depth 42 ft.
Approrals Peea
Assessment _
Warer & Sew
Police -
Fire
Eng.
Planner _
Council _
Permit 11 9, 50 _
Surcharge 20_00
Plan check
SAC 675,00
Water Conn..__Z$.Q.Q.O
Water Meter _15D?QO
I hereby acknawledge thot I have read this application and stote that Bldg. Off.
the informotion is correct and ugree to wmply with all applicable APC Totol ?u
State of Minrresota Statutes and 'rty E0? es.
Signature of Permittee
A Building Permit is i::ued ro: _ Robert L Clark. on the express condition that
oll work sholl be done in accgfdonce with,oly ppli ble State of Minnqsota Statutes and City of Eagan Ordinances.
Building Official
This rgquest void 18 months &om
e
/+'OCo,f /^.J
Date of this Request p 14067
I, as O Licensed Electrical Contractor OOwner, do hereby request inspection of the above electri-
cal wiring installed at:
Street ?ress?Qr?oute N.?? ? ( •4 CityEA ?A.j
Section ?Towns Range County D?)&Tl1
Which is occupied by
Is a roughin inspection required on this job? No ?' Yes Ready Now ? Will CallX
Power Supplier?bAVlni L IECT?? ? Address QiM cM ,J
Electrical Contractor C"r.? feo Contractor's License No. _
(COmpany Name)
Mailing Address --394pr_p h A O-L- -vs,y. ?-,q(N1a 0 S T12?
Authorized
Phone No. qSq• 61 U
?? ? ?? ????? ?OW
Minnesota State Board of Electricity
, l954 University Ave., St. Paul, Minn. 55104-Phone 645-7703
REQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERED Bl"'1'HIS REQUEST
7Y` dto•'5-1 "
p 14067
Type of Building New Add. Rep. Check Appliances Wi[ed For Check Equipment Wired Fo[
Home ? ? Range ? Tempocary Wiring ?
Duplex ? ? WaterHeatec ? LightingFixtures ?
Apt Bidg. ? ? ? Dryer - ? Electric Heating ?
Commeccial Bldg. ? ? ? Fumace ? Silo Unloader 0
Induslrial Bldg. ? ? ? A'v Conditionei ? Bulk Milk 7'ank ?
Fazm ? ? ? List List
Othet _
?
?
? p
Hei?e s?
?ehers
COMPUTE INSPECTION FEE BELOW
Service Enhance Size: # Fee Feeden9.Subf . # Fee Ci[cuits: # Fce
0 to 100 Am s. _0 to 30,Am iresS F 0 ro 30 Am res
101 to 200 Am s. 1-? '11k,toi100`A '' ce / 31 to 100 Am eces.
Above 200 Amps. vl6ove ps.
fi Above 100 Am s.
Transfocmers Rem eControl
Cim. Partialorothe?fee
Signs Special Inspection Minimum fee $5.00
Remarks TOTAL F
I, the Electrical Inspector, hereby
(Final)
This request void 18 months from
?as bjen ?e y?? •,? ?
ate
Date
?
6 C10(12_?13
2005 RESIDENTIAL BUII.,AING PERNII'I' APPLICATION
i City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
If7? q-Q--
New Constnwtion Reauiremenfs Remadel7Reoair Reaui2mems Ofiice Use OnN
3 2giste2d sAe surveys shmving sq. ft. ot lot, sq, ft af house; and ell roofed areas 2 copies of plan Cert of Survey Recd"?-
- -_ YN
(20°h ma)imum IMCnverage albwed) 1 set of Energy Calculadons for heated additions Tree P2s Plan Recd,
-; `_Y ' N,
2 copies of plan showing beam & window s¢es; poured faund design, etc. 1 site survey foraddNOns & decks Trea Pres Required -'_Y _N
7 set af Energy Ca?ulalians Add'd'ron -lnd?afe ilon-site septlc system On-s?te Sep6c System'' . ? Y_ N
3 copies of Trea Preservatlon Plan if IM platted after 711193
Rim Joist Detail Optionsselacfion sheet (6uBdirigs witlh 3 orless uniLs)
Date S vs/f Construc[ion Cost `-e i(4Q "
Site Address 1 UniUSte #
Description of Work
?
MuIH-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner Telephone #(p?"j ? ) `45? • "l ;3S
Renewal By Andersen
Contractor 1920 County Rd. "C" West
Address Roseville. MN 55113 City
State 651-264-4777 tlephone # ( )
License 420130983
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residentlal Ventflation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissionlype) Submitted Submitled
• Energy Envelope Calculations Submifled
Have you previously constructed a building in Eagan with a similar plan2 _ 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 r}n??•P? a review{? d
appro?al ofplans_ A? n ??C ????? ni
('C- 12P,U1sCSy? I J L 2 1 2005
4plicanYs Printed Name ApplicanYs Signature
vvlvd4V•/1 iuv d4.JV rtSa toJ arx -g408 r?n,?.???UlSKa?j? • .
fe
7urre 7, 20p1 ' - -
- CiYof Eagaa ,
3836 PiIat $uob'g?? •
Eagffn. MN 5.5122 . To Whom It May eonoern:
ffider 7ones is auffioaw to p
F1der )ones to pmvide this ? b??b P?ts for Renewai by Anda? ptease alIow
sa'vicc for na in ?. 'lTeia eutho;Izatian fis vaTid for
date boyond 6/6101: untiI a any
to tha City-
?"anowal by AndGrsen msna?er ?sIY revokes it in witring
I request ihis auttiodiation be accepFed'?pedi@onsly. ac to not dela m the '
oar baiiding Potmib aay fvx$tcr. Plcasc caIl mc If thccc ato Y F?ssirig vf
? contacted at 763-502r490b_ . ?3' 4?eactons., I can be
_ .,
Your imm9diatc attcntion ta tt]is maticr is adnrertnrnrt a -
Sincoioly,
-4AYM and R. Itau
uscatIation Manager
Ranowal by Anderscu Cozporat.zon
C'.c.: Ks?ra-FTrtc? 7nnec .
?` M ?1R?..
_ .... . . . - : °E?t,yatt zU[q
?i
toVU
Received Tiare Jun. 7- 1:01Pfd
2004 RESIDENTIAL BUILDING PERNIIT APPLICATION
City Of Eagan
y lI 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements RemodellReoair Reauiremenls
3 registered site surveys shaxing sq. fL of lof, sq. ft of house; and all roofed areas 2 copies of plan
(20'/o maximum lot coverage allaved) 1 set of Energy Calculations for heated additions
2 copies ot plan showing beam 8 window sizes; poured found design, elc. 1 site survey tor additions & decks
7 set o( Energy Calculalions Addltion - indicate i(onsite sepfk sysfem mm
3 copies ot Trce P25ervabon Plan'rf bl platted aRer 71t193
Rim Joist Oelail Options selection sheet (61dgs wiN 3 or less units Date OIT / 5U << / oy Construction Cost 1+ 1 u I T -
SiteAddress CiQ?- Cy1GL5'e, wO..U1, Unit/Ste #
I?QjQy C
Description of Work
J?.CJ? l??v.xC?WS W? ?
'-'e?sl,h('a O?-C1(\??
Multl-Family Bldg _ Y_
N Fireplace(s) _ 0 ?
_ I _ 2
Property Owner ?\-2M a te Atf rnUs Telephone #(y$ L( SZ( ?4 a3S
RENEWAL BY ANDERSEN
ContraMOr 1920 COUNTY RD. "G" W.
Address ROSEVILLE, MN 55113 _ City
State 651-264-4777 'ephone # ( )
LICENSE 920130983 _ __ -1?
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv I
• Residential Ventilation Category 1 Worksheet
(4 submission type) Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan?
fee applies. 1 ?
??r n
.. I II I
Licensed
Mechanical
Sewer/Water
A NEW BUILDING
Minnesota Rules 7672
. • New Energy Code Worksheet
Submitted
Telephone # (
N If so, 25% plan review
Telephone #( )
Telephone #(
I hereby apply for a Residential Building Permit and aclrnowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
?AC cti?r?Sa,?
ApplicanYs Printed Name
Oli?o
Applicant's Signature
??.?,.r..•,? iuu 1L.OV rna ro? arl yt400 HCPItSI?kL ?YGriUtlK.71fI4 •
re al
,?
. 1une2m, CitY of Eagan .
3836 PiIcrt Sswb Road •
EaM UN ssiz2
mo waom rc May eoncern:
EIdes 7ones is authorized to pan buiIding permits for Renewal by Aadeisea Picaso allow
F1der Joncs to pmvide this ;ervice for us in E%va. `titia mtthntl2a6bn is velid for any
date beyoad 06101: wutil a Mmowal bY An.ciGrsen manaper eaPreasly xevokss it ia wiicing
to the City.
,
I rcqu ? P?nnia ,?°n be accepted-axpedi@onsly. ac W not delay in thn p???g of
oar bnil ' Y fuzthar. Elcasc caFi mc If thcic arc
contacted at 763-50?,4706_ ??3' 9ne?Eona., i can 6e
.. _ „
Your immqdiatc attcat3on to this matter is a?marecL 9 . .
Sinoeiely,
ond R Rau
astallarion Manager
Renowal by A,ndasen CoiPvratzon
C:c.: Karn-F]der Tnnec •
2A2? a„?
a o?
. ?
Receive? Time Jun. 7. 1:07Pld
:
cuu
. CITY USE ONLY
PERMIT #: RECEIPT DATE:
2002 RESIDENTIAL MECHANICAL PEftMIT APPII.IICATION
crrY oF easa?x
S$SO PILOT K1906 RD
FAHAN b1N 55182
651-681-4675
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: C2 - pt'1_) - n -,:)-
SITE ADDRESS:
OWNERNAME: &_Q0.f)F X-G'pL'1'rJLtS TELEPHONE#: 6?5?-
INSTALLER NAME: 6C7,t7l"i^p??2r.J oJ/' TELEPHONE #: '17? - COO ?.
STREETADDRESS: „)/n7/C1 Z?O7An ) AU P
CITY: ? STATE: .? J r ZIP:
Place a check mark next to the permic work type
Add-on, modification or alteration to existina dwelling unit $ 30.00
• furnace replacement
• air exchanger
• air conditioner
• other
Nature of work: 92?21 ?A.?Yz,ri.n 4
4 _k, C r
State Surchar e $ .50
Total
§IGNATURE O PERMITTEE
1/02
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE: BuzLoznc
Permit Number: 032541
Date Issued: 0 7/ 16 / 9 8
SITE ADDRESS:
P.I.N.: 10-53502-020-01
4511 OAK CHASE WAY
LOT: 2 BI.UCK: 1
ORK CHASE 3RD
DESCRIPTION:
pu`ili1it?g. Permit 7ype
Building'Work 7ype
?
Census Code
l
t
)
FIftEPLACE
NEW
434 ALT. RESIDENTIAL
T? `? ! C? f M & i.'}
?6J S`. t Fi C]„
\ ' ?
'
/i
..\. j _ . d2 =`? _.[ .?
.
REMARKS:
CHIMNEY/FIUE MUST BE ZNSPECTED BEFORE COVERING
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50
Total Fee $50.50
CONTRACTOR: - Applicant - sT. I.IC OWNER:
HEAT-N-GLO FIREPLACES 18900758 2009091 BREDEMUS CLAUDIA
13850 W HWY 13 4511 OflK CHASE WAY
BURNSVILLE MN 55337 EAGAN MN
.(612) 840-0758 (651)454-4235
T hereby acknowledge that I
9,n'formation is correct and
5tatutes .and C3ty, tsf Eagan
PERMIT
have read this
agree to comply
Ordinarocss.
APPLICANTiPERMITEE SIGNATURE
?
application and state that the
with all applicakle State af Mrt.
J
?
I UED B. SIGNAT RE
??-
CTfY OF EAGAN
3830 PILOT KNOB RD - 55122
1998 FIREPLACE PERMIT APPLICATION
681-4675
DATE: K-ln 1 ?? W'"I a
DESCRIPT'ION OF WORK: Constrvct new fireplace _
Install Pas insert onlv _
Other
JOB ADDRESS:
L--?
LOT: ?
S(
S 0 - S-a
PERMIT FEE: $50.50
Alterations to existing
Install eas Gne only
BLOCK: I
#: 0,?L ?A ? 4A
APPLICANT (circle one only): OWNER CONTRACTOR
I hereby acknowledge that I have read this application and state that the information is conect
and agree to comply with all applicable State of Minnesota Statutes and City of Eagan
Ordinances.
PROPERTY
OWNER
Nazne: 9 reA Plh1 t1.C 6 CCl J f a Phone #: .?J--'
Last First
Phone #: SyLJ-qSB
FIREPLACE
WSTALLER
GAS LINE
INSTALLER
Street Address: ?-I G Jr? / License # ?2 Q
?533/
city ? vtsg? t' VP_ State:?! • zip:
Vr
Street
Phone #:
City ea a(?_? State: ? Zip: S5
? .?
PERMIT CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: a u x LD INe
Eagan, Minnesota 55122-1897 Permit Num6er: 0 2 7 8 6 7
(612) 681-4675 Date Issued: 0 6/ 2 8/ 9 6
SITE ADDRESS:
4511 OAK CHASE WAY
LOT: 2 BLOCK: 1
OAK CHASE 3RD
P.I.N..: 10-53502-020-01
DESCRIPTION:
INCLUDES DECK
f"`1.,
jB'uildin4s,Permit 7ype SF PORCH
9uilding "wo-rk Type NEW
?Certsur Gade-•,'"-?,,
='1
t.. -,
r
434 ALT. RESIDENTIAL
..
i ?
REMARKS:
SEPARATE PERMIT REQUIRED FOR ELECTRICAL WORK
FEE SUMMARY:
VALUATION
Base Fee
Surcharge
7ota1 Fee
$99.75
$2.50
$102.25
$5,000
CONTRACTOR: - Applicant - sT. LIC.OWNER:
T& J CONSTRUCTSOM 14404533 2002484 BREDEMUS DAVID
15017 MONTEREY AVE S 4511 OAK CHASE WAY
SAVA6E MN 55378 EAGAN MN
(612) 440-4533 (612)454-4235
? I?hereby aaknpw1ed'§e that T have read? this ?appl3aaCion anzl sCaCe that 'Che I
information is correct and agree to comply wiCh all appl3cable Stete of Mn.
Statutes and City of Eagan Ord,inances.
APPLICANT/PERMITEE SIGNATURE
ISSUED BY: SIGNA7URE
C;I/ 7 ;y 6 7 CITY OF EAGAN
3830 PILOT KNUB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New ConsWClion Reauiremants
? 3 registered site surveys
? 2 copies ot plans (include beam & window sizes; poured fnd, design; elc.)
? i energy celculetions
?.3 copiea of tree preservation plan if lot plaried after 771/93
required: _ Yea _ No
oATE: 92 - -ZIP
DESCRIPTION OF WORK: -?
STREET ADDRE5S:
LOT BLOCK
?a OQ
Q (?J
SUBD./P.I.D. #: A?PctqOlo
PROPERTY Name6Y-M>E1'tQ5 4?_DAU t D Phone
OWNER up ?/ .Ia:,
Street Address:? '`?S// DA-LC'J0-56- 1,9&?
d4) State: Hu- Zip: s51 Z
City: CA-Lz Z
coN7w?cTOrt Compan !°4'V Co0SCl2UCR 0 tJ Phone #: U' 3
p ? 3(?i 97 oK
Street Address: 15617 Rbt.?1?R'Idv?? License #: ZdIs? ?
City-5A\m,CYe- State:5-53 7$ Zip:?`3 -7g
ARCHITECT/ Company: Phone #:
ENGINEER
• Name: Registration #:
Street Address•
City: State: Zip:
Sewer & water licensed plumber: . Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that 1 have read this application and state that the informati?n is rrRct and agree to comply with all
applicabie State of Minnesota Statutes and City of Eagan Ordinance?
Signature of Applicant:
OFFICE USE ONLY RE(? EwED I
Certificates of Survey Received _ Yes _ No ,? ^d I
. J U i j;? ? 14
Tree Preservation Plan Received _ Yes _ No _______________ ?
?/s Q • l?
? 2 copies of plan
? 2 slle surveys (extertor addRions & deeks)
? 7 energy wleulations tor heated additions
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation o 06 Duplex ? 11
0 02 SF Dwelling o 07 4-plex o 12
0 03 SF Addition ? 08 8-plex ? 13
e?04 SF Porch o 09 12-plex ? 14
o
0 05 SF Misc. ? 10 = plex ae- 15
G,)
WORK TYPE
31 New ? 33 Alterations
? 32 Addition o 34 Repair
GENERAL INFORMATION
Const. (Actuai)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Apt./Lodging ?
Muiti Repair/Rem. ?
Garage/Accessory ?
Fireplace o
Deck
? 36 Move
? 37 Demolition
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
Basement sq. ft. MC/WS System
Main level sq. ft. City Water
sq. ft. Fire Sprinklered
sq. ft. PRV
sq. ft. Booster Pump
sq. ft. Census Code.
Footprint sq. ft. SAC Code d/
Census Bldg /
Census Unit ?
Building
Engineering
Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $ 57od 0 ?
6
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SAC Units
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DELMAR H. SCHWANZ
LANOSUFVEYOR
' ReqistereC UnOer Laws o/ Tba $lata of Mmnasota
14575 SOUTH ROBERT TRAIL P.O. BOX M ROSEMOUNT, MINNESOTA 55088
SURVEYOR'S CERTIFICATE L
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PHONE 812 423-1789
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o Denotea 2ron
monument
I hereby certify that th:a is a true and correct repreaentation oP -
a survey of the boundaries of:
Lot 2, Block 1, CAK CtiASE THIRD AEDITICN, according to the recorded
plat thereof, Dakota CountJ, Iftmnesota.
Also snowing the locatLon oP a propoeed huuse staked thereon.
Aa suiweyed by me this 39th day of June, 1977.
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MINNESOTA REGISTRATION N0.8675
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Date . Z/z/,7/
BUILDTi?G PERMIi P.PPLICATZ0.9
LOT-a_ BLOCKI,- 1filDI:IOc7 ? / C!
PARCEL & SECTIOi] 1N11DBR IF Ui3PLATTEll
:3DURESS OF PARCEL Tf -/ /
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gsTL&LA.En cos_
O?''IIE;t TELEPHOITE NO.
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CO?'dTPrCTOR_ ?X/-?/C ELEPHONT :?O. y ?-!;_-67L/
AllURESS 99'9r- Ce). /,7n / l Jf /a Ai9 il/ /(6 , !?//l `"1 V` -- -
tdote-? Include sita plan, building plans, and enezcry calculations with this
application
Sicned _
OFFICE US8
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PAP.?C DEDICF>TI0:T FEE
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APPROVALSe
IiSSESSi+IE':Fi' C.T.ERK BUII,DIidG RPT. POLICS DEPT.
r•7AirI2 E SPsP7ER DSPT. FZ12z DrPT. PARK DEPT_
CorLificate for:
Robert Clark
9895 Wast 178th 3treet
Iaakeville, 1Mn. 55044 , .
., . . ; -
DELMAR H. SCHWANZ
LANOSURVEVOR
" Re9isterad UnOer laws o/ The 5[ete af MionesoL
74616 SOUTH R08ERT TRAtL P.O. BOX M ROSEAAOUNT, MINNESOTA b60B8
SURVEYOR'SCERTIFICATE <
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PHONE 814 423-1768
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o Denotes iron
rLonument
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I hereby certify that thie Se a truo and correCt representation of
aourvQy oP the boundariee of:
Lot 2, Block 1, OAK Ct:ASE THIRD ADDITI027, accorditzg to the recordeci
plat thereof, Dakota County, N.i'nnesota.
Also ahowing the locution oP a propoeed houme ataked thereon.
Aa esurvFyed by me this 30th day of June, 1977.
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M.INNESOTA REGISTRATION Np 8625
LgL ? CITY USE ONLY RECEIPT #: 59 gV
SUBD...., Lvai llta?L?? ??? DATE:
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN ; ,
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 6814675
Please compiete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES
Shower
Water Cl.,,, ose _,_f
Bath Tub
Lavatory
Kftchen Sink
Laundry Tray
Hot Tub/Spa
Water Heater
Floor Drain
Gas Piping Outlet' minimum - 1
Rough Openings
Water Softener
Private Disposal ' Dakota Cty. lieense
(new and refurbished systems)
U.G: Sptinkler' home under const.
Altefations ' to existing
Water Turn Around
EASH
3.00 x
3.00 x '
3.00 x
3.00 x
3.00 x
3.00 x
3.00 x
3.00 x
3.00 x
3.00 x
1.50 x
5.00 x
50.00
N4. TOTAL
3.00
20.00
20.00
STATE SURCHARGE
TOTAL
.50 ... ,_. ,
O . Vo
. ?
SITE ADDRESS: BRE°ENUS DAVID
4511 QAK CHASE IYAY
EAGAN , F1H 55122 OWNER NAME:_ H 454-4z35 a
..:..:..:
INSTALLER NAME:
rvVnolvm r?vn.........
STREET ADDRESS: ggM;?7C0jARRIjsur.o laffa I Eps _
. (61 2 827-4033 ? ... . ._ _ _.
2605 GA VE. 80UTH
CITY: MtNNE?MN 55408 ZIP:
PHONE #: ( )
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot I{nob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 4 651-675-5694
New Constructlon Reauirements RemodeVReoair RequiremenGS OKce Use Onlv
3 registered site surveys showing sq. N. of lot, sq. ft of house; and all rooted areas 2 copies of plan CeA of Survey Recd _ Y _ N
(20%maximum btcoverage allowed) 1 set of Energy Calculations for heated addilions Tree Pres Plan Reoi _Y _ N
2 copies o( plan showing beam & window s¢es; poured found design, etc. 1 site survey for addNons & decks Tree Pres Reqd _ Y _ N
1 set of Energy Calcula6ons Adddion - ind'wate if on-sde sepNc system On-sile Sep6c System _ Y _ N
3 wpies af Tree PresarvaGOn Plan if lol plaHed after 711193
Rim Joist Oetail Options selection sheet (61dgs with 3 or less unBs
Date _ f _I / ! / 03
Site Address ?45/? Ock K
Description of Work
Muiti-Family Bldg _ Y _ N
Property Owner
Contractor Renewal By Andersen
1920 Counry Road "C" West
Address Roseville, MN 55113
State 651-2644777
- LICENSE 420130983
/
Construction Cos[ J. oi
/ 1/-i , , _ UniUSte #
Fireplace(s) _ 0 _ 1 _ 2
Y1/
Telephone # ([?jl ) rJ r - 403 5
;ip
City
Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Ca[esorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) SubmiHed Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a buil ' ?Ri similar plan2 _ Y _
fee applies. n ? ?J U ?S
Licensed Piumber U? ?? 3 2003 ?'? Telephone #(
Mechanical Contractor Telephone # (
Sewer/WaterContractor By-?- Telephone#(
N If so, 25% plan review
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
appxoval ofplans. l ?
1CA.i c, `EL?so N_5 l,/?
ApplicanYs Printed Name Applicant's Signature
"°•?.•..?••.. iuv ac.a? rna ?oJ 0!1 ^Q460 !(LL?'tSllkf1 tSY9P(U15?`!S(Y
renal
,?. .
. rtir?e 7, 2001
City of Eagau
3836 PiIot Smob Road
Eagan. MN 5S122
To Whom It May Concern:
Elder Jones is authorized to pUff bnilding perm;ts Por R.anewa{ bY qndecsen_ Qiease xtlaw
Sider loncs to pmvido tfiis ser"vicc for ns in Eagan. 'ntin euthorization is vaiid for eny
date bayand 61610 1; uutil a?`onawal by Andersen manaM expros1Y mvakea it in avricing
to the City-
I request this authoxizstian bc acccpted-axpedidously. ac W not dela rhe '
our baildiaS Poimits aay fnxthcr. Plcasc caII mc If thcic am Y m proeessMg of
?ntacEed at 763-502-47Q6. ??Y 4n?one. _ I cen ixi
Your imm9diate atxcatiott to tWs matter ls a?mieted. ' ..- .
Sincetaly,
K7nd R Rau
on Maxtagcr
Ranowal by Andastn CorPorafian
rr.: x,na-Flaer .r?nea
MFD, "? Mac.
?°^?,?.n,?
;
WUU
Received Ti-me Jun. 7. 1:07PU
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA126302
Date Issued:08/20/2014
Permit Category:ePermit
Site Address: 4511 Oak Chase Way
Lot:2 Block: 1 Addition: Oak Chase 3rd
PID:10-53502-01-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
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 by law in ALL single family homes .
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
David Bredemus
4511 Oak Chase Way
Eagan MN 55123
(651) 454-4235
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA148687
Date Issued:04/16/2018
Permit Category:ePermit
Site Address: 4511 Oak Chase Way
Lot:2 Block: 1 Addition: Oak Chase 3rd
PID:10-53502-01-020
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
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 -
David Bredemus
4511 Oak Chase Way
Eagan MN 55123
Craftsmans Choice Inc
5680 Quam Ave NE, Suite A
St. Michael MN 55376
(763) 276-7465
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA171826
Date Issued:09/02/2021
Permit Category:ePermit
Site Address: 4511 Oak Chase Way
Lot:2 Block: 1 Addition: Oak Chase 3rd
PID:10-53502-01-020
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
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 -
David & Claudia Bredemus
4511 Oak Chase Way
Saint Paul MN 55123--182
(651) 734-5578
Schmidt Brothers Construction
525 N 5th St
St. Peter MN 56082
(507) 469-9817
Applicant/Permitee: Signature Issued By: Signature