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4526 Oak Chase WayINSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: {612} 681-4675 SITE ADDRESS: } i'HW.F I.IAY 'l;?I ? .? ? .. • ? ? APPLICANT: ` I ( 1 11 Itu t I 11 (N(i N .'ty l .' 4 N7/?,fii<+5 . lA'x !IiF?"Y 1"I l:? `, AftE Ilf';Ii3{yt.h FOk lU'iilKt r?I?IIN 4.t1'7'fi I,fNi1+IVUF>1 ? ? PERMIT SUBTYPE: TYPE OF WORK: 141 u i 1 i 1 110 r i Wi FOM r u t uhf AMIw PKmit Ho. PKmit Holdw Dsb TNkphane # ELECTRIC PLUMBING HVAC Uspecffon Date Insp. Comrtwnb FOOTINGS FOUND fRAMING 0/1 is? Z ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING QAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG 31_ DECK FiNAL y/?l,Q INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: '+'.. liriP +.IiA',f I•IAY IIInt,_ ?.r??i•.,r t.?01 14utt-It I N+i if.'ty,'c,! ftf0 iK: APPLICANT: ; ill?•?I I Ik ibi:'1 t.Fit . _ ? t{F F v PERMIT SUBTYPE: TYPE OF WORK: a IEIrA'f tON „'r .i I r I; tlia iofuF 1IVI i"t II!`r p Aftt:A Partnk No. PertnR Holdsr Date Telep n# ELECTRIC ?j(` ? , 9 5 95 PLUMBING HVAC InspecUon DaM In•p. Commanb FOOTINGS FOUND FRAMING 'i ROOFING ROUC3H PLUMBING PLB(3 AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL FffO ORSAT TEST 8LD(3 FINAL ? -,W- 60 BSMT R.I. BSMT FINAL DECK FfG DECK FINAL `CASH RECEIPT • ? 1 CITY OF EAGAN P. 0. BOX 21-199 EAGAN, MINNESOTA 55121 DATE f 9 R<Ctl V tD FROM AMOUNT $ I & DOLLARS "o ? CASH ? CHECK rOR . FUND CODE AtAOUNT ) 5. ? 1 ) - )i Thank You 54431 BY White-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN Remarks ? 1 L Addition ? CHASB 6TH ADDITIQH Lot 6 Rik 2 Parcel 10-53505-060-02 owner ..screet 4526 OAK CFIASE NAY stace EAGAAI NK 55123 ??- Improvement Date Amount Annual Years r Payment Receipt Date STREET SURF. STREET RESTOR. JIl[3ERM SENBR LAT Ll 1974 172 . SO 11. SO 15 _Ael-fd SAN K 1984 27.85 S S7 S /6•75 SAN SEW TRUNK z 1973 253.33 12.67 ZO 79 SEWER LATERAL Z 19 78,55 15,71 5 L? 1984 202.21 40.44 s Ap/ _ 1 IIIATBR LJIT 1972 ? 153.33 10.22 15 /o . a9 • WATER LATERAL LL 1984 303.21 F/ qs WATER AREA ?-3 1994 331.3S 6.27 5 gs '611 1984 - ? 623.25 41,55 15 A STORM SEW TRK 1984 5 STORM SEW)W TRy g 70 1984 ? 1093.92 72.93 iS 4 a 197 7b 69 i is 5.3y CURB & GUTTER SIDEWALK 4- STREET LIGHT WATER CONN. 9UILDING PER. SAC PARK CIT.Y OF EAGAN Remarks Addition OAX CHASB 6TH ADDITION Lot 6 Rlk 2 Parcel 10-53505-060-02 Owner street 4526 OAK (HASE 1qAY State EAGN1 14N 55123 Improvement Date Amount Annual Years Qayment Receipt Date STREET SUR F. STREET RESTOR. GRADING SAN SEW TRUNK SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA ?D STORM 5EW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT Road Uni.t 2 WATER CONN, rJ' OO.OO BUILDING PER. sAC 525.00 PARK Raaipt ' PLUMBING PERMIT CITY OF EAGAN Fill in numbered apacea TyPe or Piint /eyiblY Parmit Na Fm ' S/C 1. Date 2. Installation Cost ' 3. Job Address `? 1?p ..CIk; I LFxI •'•'.Lot Blk. Trsct 4. Owner b. Contractor Phone " 6. Addrsss ' 7. City State Zip 8. Buildiny Type: Residential jO Commercial ? Institutional O 9. Work Description: New 0 Add ? Alter ? Repair O 10. Describe 11. No. Fixtures Water Closet No. Fixtures Ces o l/O i fi ld Bath tubs sp o ra n e Se ti T k Lavatory p an c ft S - Shower o ner Well ' Kitchen Sink Urinal/Bidet Oth Laundry Tray er Floor Drains Drinkiny Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, end I agree to oomply with all ordinances and codes governing this type of work. Signed : for Rouph Final Inspectiona: Date Insp. Date Inap. This is your permit when numbered and approved. Appraved CITY OF EAGAN 4544100 Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces , S/C ? TYPe or Prim legibly Tot. . 1. Date ?" - 2. Installation Cost , { 1 ' 3. Job Address ? Cot `- Iks" ' Tract r 4. Owner 5. Contractor " Phone 6. Address 7. City ' T State ?-l Zip 8. Building Type: Residential I?r Commercial ? Institutional ? 9. Work Description: New e Add O Alter O Repair ? 10. Describe Fuel Type 11. No, ; Equipment STU - M. Ea. Forced Air No. Equipment CFM Ai H dli Mfg. r an ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all prdinances and codes governing this type of work. Signed: for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 Y' -F? • CITY OF EAGAN ? 106 76 3830 Pilot Knwb Road, P.O. Box 21•199, Eagan, MN 55121 , ' PHONE: 454-8100 BUILDING 'ERMIT aKeipe ? qp_ i_ WI L_ ' ?_? •i_• _ . ..., /, site aadres. ,. ?` 'r.; a1 y erecc iQ oca,pancY o Lot Black secl5ub. Remodel ? Zoning Psrcel No Repair ? Type of Const. 17 . Addition ? No. Stories l:-' " - -- . Move ? Length at [NName Demolish Depth dress Int. Impr. Sq, Ft. y Phone Install ? 9 Narne ?`PVro?a?s ??a jl . u Addreit Assessment Permif ci i f1 t: i, 1- City Phone Water a Sew. Surcherge PoUce Plan Fievlew ` ?W Neme Fire SAC r . uI Add?ese ' Enq Weter Conn . . t W City Phone Planntr Weter Mster Countil Road Unit I hereby acknowledqe that I how rood this application ond stota that l Bldg. Offt Tr. PL ` the inlormotion is Corrett ond Oyree to tamply with all opp icoble . APC k P Srot• of Minnewra Sroruces and Gry of Eoyan Ordinonces. ar s Var. Date Copies Sipnoturo of Penniftes Total ' A Building Permit {s issuod to: - ----- " on the expresf caditlon all work sholl be done in oCOOrdanCe wifh oll cpplitabls State of Minnesoto Stotuta ond City ot EcQon O?dinonpt. 8uildinp Officiol Pwmh No. Pwmk Holdu Dob TNsphono ? Plumbino U u ? H.VA.C. .6 ' t( I EkeWc . h l U , 3l 51?? ?a a,Sd son«»r Impsctioo Date Insp. Oth?r Footinys I % Footinys II Foundation d ? FramMy Rooflnp ? Rouph Plby. ? _ r /1 oU RouphHtg. Insul. ? Firepface Flnsl Htg. p Final Plbg. Final 3 rj CNt/Occ. Watsr D*wibe Loestion: WaII Sawrr Pr. Disp. , ITY QF EAGAN 8:?rd P W ilot Knob Rosd ATER SERVICE P? P. O. Box 21199 I Eagan. MN 55121 PERM IT NO.: --- ? ? Zonirg:. • D^?: -, ? pM,n.r No. of Units: - ? Addreas: Stte /lddress: 1r NO • c.?lg?? ? 1 -?Oet11lDffoA??; .?n`:K c.. er No.: Q?? ?? v•- ?' ?-f?e?friiu U ' F . ' ' i • • ? - w ft eoiuolf wit6 !M City of rl.W, Su?dhorge; anew Mlac. Choroes: 1232F, ' ._ ? TOtOl: r 3 . ? r of I Daft Pald: g s InsD.: CITY OF EAGAN SEWER SERVICE 3830 Pilot iCnob Rosd P. O. Bax 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zonlrq: No. of Units: ' 4wnsr. ?' - /1rldress: Site /Vddross: Plumber. 1 Mne te eemply wkb 1M Ciq? ef Mgew Ordiwenom BY - Dote of Irup.: Co?lnediol'1 Ch0roe: Account Deposit: PermR Fes: Surcharpe: Misc. Chorpes: Total: Doh Paid: CITY OF EAG AN 3830 Pilot iCno6 Road WATER SERVICE PERMIT P. O. Box 21199 PERMIT NO : Esgan, MN 55121 . DATE: Zontnp: _ OM//1Cr: '.i. . _ _ No. of Units: AddRm $ft /1ddrCSi: i W ?ItXI'IbOR MQfOf NO.: COfI?i!C'fldl Q10f9Q: SiZQ: ACCOUIIt DEpOSl1: ^ . , Recder No.: Pennit Fee: ? prN h om* wim fiw Cihr of E??n Surchar"; Ordiftwomr. Mtac. Chorges; •-,? . , TotoL B Y Date Pcid: Date of Irnp.: 1- RESIDENTIAL q5yS?- BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New ConsW ction ReauiremeMs RemodellReoair Reauirements • 3 registeretl site surveys showiig sq. ft. of lot sq. N. ol house; and all roofed areas • 2 copies of plan (20°h maeimum lot coverage allowed) . 1 set af Energy Calalations (ar heated additions • 2 copies ot plan stwwing beam 8 window saes; poured faund desgn, etc.) • 1 ske survey for exterior addiUans & decks • 1 set of Energy Calculations . Indicate rf home served 6y septic system tor addNOns • 3 copies of Tree PresenaGon Plan'rf bt platted afier 711193 • Rim Joist Oetail Op6ons selection sheel (Mdgs wilh 3 ar less units) DATE JOB SITE ADD If MULTI-PAM PROPERTY OV TYPE OF WOR APPLICANT _ ADDRESS _ PAGER # =a3 d ? A6/-??-D07 NtIV RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category (check one) _ MINNESOTA RULES 7670 CATEGORY 1 - Residential Ventilation Category 1 Worksheet Submftted - Energy Envebpe Calculations Submitted _ MINNESOTA RULES 7672 Plumbing Contractor: _ Plumbing System Includes: - New Energy Code Worksheet Submitted Phone #: Water Softener _ Lawn Sprinkler _ Water Heater ? No. of R.I. Baths _ No. of Baths Mechanical Conhactor: _ Mechanical System Includes: Sewer/Water Conhactor: _ Air Conditioning _ Heat Recovery System Phone # Phone # Fee: $90.00 Fee: $70.00 All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is =rreandee to comply with all applicable State of Minnesota Statutes and City of Eagan inar3ces. // - h, - - SlgnatureofApplicanf t? Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1/01 VALUATION YOnD • C,6 CITY OF EAGAN N2 10 6 7 6 3830 PiIM Krrob Road, P.O. Box 21•199, Eagan, MN 55121 BUILDING PERMIT PNONE: 4548100 Receipt # ? 6- / 7, / ??' i -? - 4526 OAK CHASE WAY Sitenddrase 6 OAK HASE H Lot 81 ock Sec/Sub. Parcel No. TIMSERLINE BLDRS INC nlame . , ? Address 3727 SO. HILLS WAY ? City EAGAN phone 454-5918 ? Name SAME 8u Addrest ?- City Phone ww Name Addrass uo ?uZ. City Phone Erect 7Q Occupancy R-3 Remodel ? Zoning R-1 Repalr ? Type of Const. V Adtlition ? No. Stories Move ? Length 4 8 Dem0liah ? , Depth r,¢ Int Impr. ? _ Sq. Ft. Install ? Aoororalf Foas Asussment _ Warer 3 Sew. PoNee - Fin E^0• Planml _ Council - pefmft 410 _ n n Suroherge 49 _ S 0 Plan Review 91 S n n (1 SAC 57r. _ 0 Watar Conn. R00 T0 D weter Meter --63.,4_0 Roed Unit I hercbv ackmwledps tFat I hava reod this aPPlicotion and srote thaf Bldp. OTfj 7c PI.P,3'? n n fhe inlormation is Gorrect ond agree to comply with all opplitable A? Stufe of Minnesoro Stotulas and Ciry of Eopan Ordinonces. Parke _/..?. Var. Date Copies Sip?wturo of Permittee on 7otel 9, 1 96 SO A Buildinq Paonit Is issu? tn: TIM LINE BLDRS. INC. tha expmas caditlon 'IMi all work shall be dana in occardqQe with all oppfifobla Stme of Minnewta Statutea ond City o7 Eopon Ordiranees. Buildinp OHlclal REQUEST FOR ELECTRICAL INSPECTION , Soe imt fions iw completi?g this form on Mck of vallow eopy. h1 0.14 ?,? qb t?X'" Be/ow Work Covered by 7his Fequesl 7}1 ?a D R+..jnaal nev.1 Tvoa oe au:wine ? G no?i?mes w?.ea L eauiu??? wi." ? 1 Home Ranqe 1 Temoorarv Service ? Heater R Fee erviceEtrtranceSiza b Fee Feeders/Subfeeders H Fee Ci?cuiis ta 200 0 to 30 A MDS 0 to 30 Am s Above 200 Am??u 31 to 100 Amps 31 to 100 qm Swimmin Pool Ahove 700- Above 700_Amps Transformers Irtigation BoorrS artial:'Other Fee Signs ISpeciallnspec5on k (LJ OTAL 1, the Elacdical' lnspector, he,eby Certi(Y thet the above 1FSpection has bee. ` i8is rephe?t void 5 y y S u bly -M L(o Ba c a!c Q-11-? 4. 8-ta -SS' Id.OU eqsl Dale ? ? 7- Fire No. liouph-in Irece??? ? ?9wred? adYNaw?WiliNnGfv.InsOec- 1or Wh R A ? F ? yes No r.n ea y [HrLir.enseA Elechical Contractor 1 herebv reauest inspection of above ? Owner electrifal rrmk imtelled a2: Street Address, Boa or floute No. Citv ? naaaa- u coum Occ n[ IRII TI PM1Om No. 11 o , SuP lia Address EI ipl Co ctor (Co,roa N. 1 Contractor's Liceose No. 1 Maif dress (Contractor or Owgpr Makin nsfailatio 1,-6,? Inrstallationl AuMo Sig-re !C tra Ow Phone NumOer ? Z e l FSOTA yTpTE BppRO OF 6?C7NICITV THIS INSPECTION REQUEST WILL NOT -Midev Bldg _Roamn N_191 BE ACCEPTEO BY THE STqTE eOARD 7827 Uniwrsiq AVe_. St. Paul, tlN 55106 UNLESS PROPER INSPECTION FEE IS . Pbm 18121 297-2111 ENCLOSED. REQUEST FOR B..ECiRICAL IWSPECTION EB'00001 -04 See :mtr¢cims for eompleting this fvm o4_,e Lot vellow copV• / 63115 ?? ""X" " Be/aw Work Covered'by This Request 1a>I a? A' Typo ot Bui Win9 ApoliaMen Nird EauiPment Ni,ed Home Range Temporary Service Duplex Water Heater Lightiny Fixturez Apt Building Dryer ElecVic Heatin Cpmnercial Bldg. urnace Silo Unloader Indstrial Bldg. Air Conditioner Bulk Milk Tank Fam Other Pen v Other ISO ciW) _UtFZ, Speciry ther Other Compute lnspecuan Fee Below I • Fee Se?viceE?rtm?e5iza p Fee Featlers/Subfeede,s W Fee Circuits Oto200 Oto30p s 0 m30Am Above 200 qm s 31 to 100 qmps 37 to. 700 q Swimmi Paol Ahove 100-Am Above 100_nmVs Treursiwmers Irrigation BoortG Partial%Other Fee Sigs Special Inspec[ion A"') /7 /t ? l v/ NY /NUD ibuph-in . • owe n 7?,i??. ? ?, t ElecVical InsVe 4r certify thet tig xbove /?.ALJ ? iMOeetipn Ias been l l / ?de. : 1MApml wai01B mon0n fiwn ;a, ?,w:d 54pq 9(I) ItS & ?? L ? ? ?2 D?c Clti? ? Nep l ?e Fire No. ?ouh 11- OAeaEy Now W?11 Notify.lnspec- p(.3 Ycs ?Nn torWhenlteadY tirLi ElecTripl Contractor 1 hereby repuast insoaction ot above ? Owner eleetrical ww4 imtalled at . - 517 t Address, Box or Rou No? CitY ? ? SVl Uon No. Township Narne or No. n Na. Occupunt IP111 6fOG..C.tO Po uppl' /,S?'? t Atldress ? ? . triral Contractar G Namel Contractoi s License No. ' D 3 WiliW ddressiCont toror Maki?Ire?ailaGoN ? SS _ ?s3?fs Auth Comrd w Owue 1lakinp Iretallat onl ori rew d, Ph e Number 3 - /3 30 YIN?p gTp7E gpppp pF ELEZTRICfiy THIS INSPECTION REQUEST WIIL NOT Gr" dreY Bldg. - Ibom N-191 BE ACCEVTED BY THE STATE BOABD 1821 UniversiryAve..St Peul. YN 66106 UNLESS PROPER INSPECTION FEE IS qone, ,61121 297Z?111 ENCLOSEO. REQUEST FOR ECMTRrM fNSPECTION dlilism ? See instructions 7or com0letin9 this torm on Eack of vellow eopy. q r' AR.ql 7 "X" Below Wnrk Covered by 7his Request (? 1,2 3! Mpw Add Reo TyOe of BuilCing Appliancea Wired EquiumanlWirM Home ' Range Temporary Service .DupleR Water Heater Lightfny Pixtures Apt. Building Dryer Electrii: HeaUn Commercial Bidg. Furnace Silo Unloader Industrial BIAg. Air Conditioner Bulk Milk Tank Farm me. oeu y emFr ISnarlrv1 [ .! VC(GIIy O1?1Cf al h('r IOD FPP Relnw r Fee ServiceEnVaneaSize tl Fee Feeders/5ubfeeders K Fee Gircuits U to 2 00 Am 5 0 to 30 Am s • o' 0 tn 30 Am s Above 2 0 qm ?s 31 to 100 Amps ?py 31 to 100 Am s Swimming Pool Above 100-Am s Above 100_Amps Transiormer5 Irrigation tkwms tia6'Other Fee $i?s Special Inspection b ? TOTAL F E , Nem?.ks / i HauBh-in D t h e E esGecoby naDection hgg been ada. Tliis reQUeat volA /B monttm from This mQUes[ void ?„`?, 78 nnnchs from 46917?.?, c?KC?I«P ?5?- ?'S3.oo flequest Date . Firp No. Rough-in Inspection ? /? ? ?? Rered? ? AOady Now Wt11 No?ify Insoec- ? ? es No l.r When Feady Licensed Elecvical Contractor 1 hereby raquesf insoection ol ebove ? Owner electricel work instellad ot: Stree[ Address, Box or Foute No. S10 oAK Cl'f-F p/1 City le/-/&4AI ecUOn o. Township Name or No. Range No. County y y°y? Occupnnt IPPIN O ? Phona No. Power Supplier ?lCe ?fnr? Atldre s ? fati EleWcal Contractor (CompanY Name) Convar,t e 5}?i?cyense No. O ?l f2 maning Hwress iuonvactor or uwner marcing instanauonl L?-o?1s' a7F?-N4?2Y i.l/3YJaSeACiwf /xV41 S-S AuMonzetl SiBnat?ur?e (C9p^ vacto Owner Making Installa[mnl rnone Number ? -??- '?f2 3 - ?/I3 MINNESOTA STATE BOARO OF ELECTRICITY THIS INSPECTION pEUUEST WILL NOT Origgs-Midway 81dg. - Noom N•191 BE ACCEPTED BV THE S7qTE BOAND UNLESS PXOPEfl INSPECTION FEE IS 1921 Univaraitv Ava., Se. Vaul. MN 55104 Phone (612) 297-2111 ENCLOSED. 'REQUEST FOR ELECTRICAL INSPECTION p 10, See inslruqions for rompletinB ihis brm on back of yellow copy. "X" Be/ow Wc,,4Govered by This Request ? E8-OODUi-w ?? Ne Add Type of Building ` Appliances Wiretl Equipment Wiretl Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Spacify) Farm Air Conditioner r (specity) Contractors Remerks: . Compute Inspection Fee W j /u? k Other Fee # Service Entrance Size Fee N Circults/Feeders Fee Swimmin Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200-Amps Above 100 -Amps . Si OS inspecror's Use Oniy, / TOTAL Irrigation Booms 1 ( S ecial Ins ection ? : ?? AIarMCommunication THIS INSTA ATION BE ERED DISCONNECTE NOT Other Fee COMPLETED HIN 1 I, the Elecfdcal Inspector, hereby R°ugh-in certify that the abova inspection has been made. F'nai oe? ? 4 , ' OFFICE USE ONLY This requesl voltl 18 months irom 0- 4 =274 Y -„r D(e' ? s' , 59 , q Reque t Det ire No. Roug (In Inspection ReaWred (Y6uYnu5lcspectorhvnen reatly) Ins ect' Other Than Rou h-In eatly Now WiIlNOtity Inspecmr / Wes ?,.,I No DBte Reetl IQ4115E?nsed contractor ?owner hereby request inspection of above electrical work at: Job Adtlren (Street, Boz or Route NoJ L- :53 b noo-0/7-A- kiiR Clry e?9-6ftW Section No. Township Name or No. Renqe No. Counry Occupent (PRINT) , E ? ?? O r ?? V' l Pho No e . ? -??? ? Powar Sup011er ACtlress Electdcel Confrector (Company Name) Contrnccors License No. at? ?IECTP-l? q a *1 h Mailing Adtl?;(?ractor wnei Ma??lnslellation) 5 T? K ?" /W ? C ? Aulhonzed SignaWre (COntraclodOwn eking s tion) Phone Number 73-y7 MINNESOTA SiATE BOAPU OF ELECTRIC Orlgge-Mltlway BItlB. - Room 8428 I I I II I I II THIS INSPECTION REOUEST WILL NOT II BE ACCEPTED BY THE STATE BOARO Ave, 182 Pho1 na?6121644-0900St. Peul, MN 55104 ENCEOSEOOPER INSPECTION FEE 15 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITEADDRESS:P.I.".` 1e-535e5-e60-e2 APPLICANT: LOT: 6 BLDCK: 2 4526 OAK CHASE WAY, RUPOLPH OAK CHASE 6TH (612) 686-9061 PERMIT SUBTYPE: TYPE OF WORK: DECK DESCRIPTION BUILDING 026124 07J28/95 KEI7H NEW F7G5 FOR FU7URE ADDN e . , , . ?. y . - . . e'? # f REMARK9: 14'x 12' OECK FTGS ARE OESIGNEp FOR FU7URE ADDN WITH WHIRLPOOL PERMIT CITY.OF EAGAN 3830 Piloi Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT TYPE: Permit Num6er: Date Issued: 4526 OflK CHASE WAY LOT: 6 BIOCK: 2 OAK CMflSE 6TH P.I.N.: 10-53505-060-02 cQ.o40/s s BUILDING 626124 07J28J95 DESCRIPTION: FTGS FOR PU7URE ADpN B#1'ld.lh4%Permit Type C1ECK gij'iZ;tLing °L1`?k 7ype NEW sy d tI p.? d iC 2 ilgrF T"V 4a°' v>. < • a,_wi 'f .« ?r 7? °9x.tsfb.._ar eP ?? 64 REMARKS: 14'x 12' DECK FTGS ARE DESIGNED FOR FUTURE ADDN WITH WWIRLPQOL FEE SUMMARY: Base Fee $30.80 Surcharge $.50 Total Fee $36.50 CONTRACTOR: OWNER: - Applicant - RUDOLPH KEITH 4526 OAK CHASE WAY EAGAN MN 55123 (612)686-9061 I Mereby 'ac krlpwle`dq.e .tNr'?t 'T iiave re?a,d Cfia.s 4 a?nf,ormat3,s?n is cart;tct. and; mgr,ee tn cnr4ply u Sta•tut" -,,,and City af r,agarr`` 4S_rdinances. ' APPL CANTIPERMI E SIGNATURE c ? ifth a5:3;'aPpY:3r'61r1a StaIre. off944" JSSU64.ED BY: IG u eI ? CITY OF EAGAN ' r IU14 5830 PILOT KNOB RD - 55122 ? 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 Naw Censtruation Reauiremenfs RemodeVReeair Reeuirements ? 9 iegbleied aite survays ? 2 copiea of plan ? 2 oopiea of plana (indude beam 8 window saes; poured fid. design: etc.) ? 2 ske swveys (exterior atldRiona & decks) ? 1 enmgy celalafiona ? t errergy calculetiona tor heated addkions ? 9 mpfes of Vee proasrvation plan H bt platted after 7/1f93 required: _ Yea - No DATE: 17IL ? ZI /? qS CONSTRUCTION COST: 2SOO DESCRIPTION OF WORK: pc C- x STREET ADDRESS: y 5 ClW061' LOT ?0 BLOCK ? SUBD./P.I.D. #: 0,4K Cllwfjt? -r/XTlf F/?/7 I?C7 PROPERTY Name: l7 U?C?6,P# Phone #: hc&~? O b/ OWNER Street Address• y?C 2'or 1?/}f15 UJ..? 7° ? City: State: zip: CONTRACTOR Company: Sio?- Lie Phone #: Street Address: License City; State: Zip• ARCHITECTI Company: ?SELF ENGINEER Phone #• Name: Street Address: City: Sewer & water licensed plumber: change are requested once permit is issued. Registration State: Zip: Penalty applies when address change and lot I hereby acknowiedge that I have read this application and state that the infortnation is correct and agree to campiy with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant zze.d4a OFFICE U5E ONLY =1EE Certificates of Survey Received Yes No Tree Pre?rva4on Plan Received Yes No OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation o 06 Duplex n 02 SF Dwelting o 07 4-plex 0 03 SF Addition o 08 8-plex 0 04 SF Porch o 09 12-plex 0 05 SF Misc. a 10 = plex WORK TYPE -er-'31 New o 33 Akerations 0 32 Addition o 34 Repair GENERAL INFORMATION r .r , . ?.?.».? ,- -? 0 11 Apt./Lodging o 16 Basement Finish 0 12 Multi Repair/Rem. ? 17 Swim Pool 0 13 Garage/Accessory o 20 Public Facility ' 0 14 Fireplace ? 21 Miscellaneous ,0-' 15 beck btew FT*t A,cc ? ?ss?4?rce fe? ?"ul?+?z 0 36 Move Ay?rr+a,r "? k.?FllluPoaF ?'?.t't': 0 37 Demolition ' Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. yy Y Depth Footprirn sq. ft. SAC Code ?i Census Bldg ? Census Unit O APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ l yOL Surcharge Plan Review License MC/W5 5AC City SAC Water Conn. Water Meter ° Acct. Deposit S/W Permit ° S/W Surcharge ?i Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies , Total % SAC SAC Units MINNESOTA VALLEY SURVEYORS INC. 1331 LARC INDUSTRIAL BOULEVARD, BOX 1169, BURNSVIILE, MN 55337 612-890•7750 i CEr<TIFICATE OF SURVE?? I ? M. H, A'jSUMEV ?? ? PtE?/. _ ?00.<J ?-V ?N N N I? O Z W ?I / Q 1 'x P ? ? a N I Q ? ? 50 'rqM19E2LI?dE BUILDERS? INC. I N 89`35 37?'E : rleAbJq(p& f V7/LlTY EqSEMEA?Y? ? ? ? ?`s9 ? ? i • I?. A/?w i Af ?R I 94- ? ? I U? ? A ----- ----- '^,`-`--- --- p?- ---- ,o 07 12 .? / 90.T7 49.?1 °td'1 9°5 oa9" E I F-D ? °T ? O ` Fv \-? ? I SCqLE ? I"= 40' Lor 60 Bl?ocK z , OA K C[-FASE 6pIXTP ADDITION '..:4K?J-:. `Y? M,iAllv6SCrA • DENO"TES =?? K E a PEh/OrES i?ON MC?jUmEnJT- I hereby certlfy that this survey, plan, or report was prepared by me or under my airect supervision antl that I am a duly Ragistared Land Surveyor under the lawa of the State of Minneaota. , - ? /' . No.Z ._ a 3 85 - / 37 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITEADDRESS:P'z•N.: 1e-535es-06e-e2 APPLICANT: LOT: 6 BLOCK: 2 4526 OAK CMASE WHY RUDOLPM OAK CHASE 6TH (612) 686-9061 PERMIT SUBTYPE: TYPE OF WORK: SF (MISC.) DESCRIPTTtlN F L BUILDTN6 026267 08j22/95 KEITH ALTERATION ROOF OVER DECK AREA ? CITY OF EAGAN 3830 Pilot Kno6 Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-53505-660-02 PERIVIIT PERMIT TYPE: Permit Number: Date Issued: 4526 OAK CHASE WAY LGT: 6 BLOCK: 2 QAK CHASE 61'N ?ww-7i-4117 s?/a-3/?'.? aUiioirec 026267 0$J22J95 DESCRIPTION: ROQF OUER DECK AREA B;sPildYnt?•-,,Permit 7ype SF (MTSC. ) 0,•u 31d t, vrg d4xk Type ALTERATION ? ?. ? ?. tam-+tt ? p? kat 4f n r- ' °.?a ve,?'3.rL . iY At+' -s`"' ?rs ?€ : -v REMARKS: FEE SUMMARY: VALUATION 8ase Fee $74.75 Surcharge $1.50 Tota1 Fee $76.25 $3,000 CITY OF EAGAN ? 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 6814675 ? 3 regfstered sMe surveys ? 2 copies M plan ? 2 copbs af plans (indude beam & window aizes: poured fid. tlesign; etcJ ? 2 site surveys (exteriw addltions 8docks) ? 7 eneigy cakulations ? t energy rslculations for Mffied addttions ? 3 cropies M tree preservation plan it bt platted after 7N/93 laquired: _ Yes _ No DATE: C%1- /?' IFS CONSTRUCTION COST: DESCRIPTION OF WORK: Bu <??I?OG- KaaF ?R?'?T??E clr'a Otrif I? ?+??f?i?? /?«?L?,F? 7 \ STREET ADDRESS: LOT ? Y 5-6 ?/r,C' ci"rfE V-1g7- O??K P?itJ1oo1Gr- BLOCK I SUBD./P.I.D. #: r/AL rrlnL LIL M1711arJEp oR/7-0 f - PROPERTY Name: R v z?a G? K,Er T/7" phone #: owNeR ?_ ,... Street AddressVSZ6 oW?'C" erlW 9L' 14'Wr City: Eif ??A/ State: ??? Zip• SSI Z3 coN7rtac7os Company: Phone #: Street Address: License #• City: State: Zip- 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 i have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinancest!!! Signature of App lican ?? OFFICE USE ONLY o?.r Certificates of Survey Received Yes No `?- Tree Preserva6on Plan Received _ Yes _ No 4d2 mypo?X4? d- w? LLGaN 1 ? /'?-ad? - ?&V OFFICE USE ONLY .,, , ", T', ? a. BUILDING PERMIT TYPE 0 01 Foundation o 06 Duplex o 11 Apt./Lodging o 16 Basement Finish 0 02 SF Dwelling ? 07 4-plex ? 12 Muiti RepaidRem. 0 17 Swim Pool a 03 SF Addition o 08 8-plex o 73 Garage/Accessory o 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Misaellaneous ?05 SF Misc. 0 10 _-plex ? 15 Deck WORK TYPE 0 31 New 6?,'-33 Alterations o 36 Move ? 32 Addition o 34 Repair ? 37 Demolition G,ENERAL INFORMATION Const. (Actuaf) (Allowabie) UBC Occupancy Zoning # of Stories Length Depth Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprirrt sq. ft. MG/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. ?/-?fil SAC Code ° Census Bldg ? Census Unit O APPROVALS Planning Buiiding Engineering Variance „ } ° Perrnit Fee Valuation: $ 3,060 5urcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S!W Permit 5!W 5urcharge Treatment PI. Road Unft Park Ded. Trails Ded. Other Copies Total: ?J ?/?/? [' /ow?cr 2ca44r Uca,vy 12- x aF/f.t`2f1oV/ ?G ?°?,cN\ ? Z S` z v % SAC SAC Units r.zTV oF FAGAN CASHSE:Re Ja 7E'Rt4INAI_ N0- 70 DA'1'Eu 08/02/99 '1':CM[_a 0a5:701 ID^ NnME.s J.M. Cif='LIC;G,EMON COMF'ANII=S? IPaC. 32:10 9001 4`5SrQs UAK CI-IA'iil: 251,,235 3422 3001. 4526 OAK CNASE. 163.31. 2155 :JUOIL 4526 UFlh G-I(-tSE 7.50 ? lrata:l fier..eipt Amot,ni:. 422,06 CR 1147°i_7 I.ISf_:R .T.Da J41N 37b 35- 1999 BUILDING PERMIT R,PPLiCATION (RESIDENTIAL) CITY dF EAGAN 3$30 P!!CT KNOB RD - 55122 651-681-4675 ' nstructlon Reauiremenh D S registered sRe surveys show(ng sq. tt. of loT, sq. tt. 01 house antl gU rooFed areas 0% maxfmum lof coveraae allowed) D 2 copies oF plans (show beam R window sizes; poured ind. design; etc.) D 1 set of energy calculatlons ? 3 copies af free preaervation plan 91of plafted aker 7/1/93 DATE: C DESCRIPTION OF 1 STREET ADDRESS: Remodel/Recalr Reaotrements / 2 coples of plan 1 se1 W energy calculatians for heated oddNlons 1 sMe suney for exleriar addMlons 8 decks CONSTRUCTION COST: IY, 30 CD LOT: k?, BLOCK: ?-- SUBD./P.I.D, d6: W.iO ° O-k Name: Phone #: PROPERTY Last ? Firot OWNER k N Street CNy ?r q? r°? State: Zip: ?"?"?ta Company: ? S"? ?`?sLw?n) Phone #: A.--:! ?4-- s 14 (area code) CONTRACTOR ? ?? ?} \ Street Address: r?' ? \?l License #?3S°l Exp. -qallo5cc City State: Zip: ARCHITECT/ ENGINEER Company: Name: Telephone #: area code ( Street Address: Registration #: City Sewer & water licensed piumber (reautred for new construction onlv): State: Penalty applles when address change and lot change is requesfed once permR Is Issued. Zip: I tieigby acknowledge that I hove read this appllcaHon, stote that ihe intormaflon Is correct, and agree fo comply with all applicabl Stofe ai Minnesota Statutes and City of Eagan Ordinances. Signafureo(Applicant• OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received - Yes - No - Not Required RECEIVED JUL 1 1999 BY: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-piex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea!:) 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage 22 Porch/Addn. (4-sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage O 05 3-plex p 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line On ly ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors „ 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair 34 Repair ? 38 Demolish (Interior) ? 42 Reroof ' GIVe PCA hanrlntit Tn ?pnliran4 fnr Licmo ljt;pn permjt GENERAL INFORlIAATION • Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System Length sq, ft. City Water Width Footprint sq, ft. Booster Pump , PRV Fire Sprinklered ? APPROVALS Planning Building /,a6 Engineering Variance : Permit Fee Valuation: Surcharge Plan Review License MG%FS SAC City SAC Water Conn. , Water Meter Acct. Deposit S/W Permit S/W Surcharge ii Treatment PI. Park Ded. .. Trails Ded. ' Other Copies Total: SAC Units ? % SAC 6124836441 dUL-2,2-99 FRI 2 : 0 7 PM J. M. Bruggeman Go, Ine. FAX N0. 6124836441 Owner: Kefth Rudolph & Barb zeches Site Address: 4526 Oak Chase Way Eagan, MN Contraetor: J.M. Bruggeman Date: 7l22/99 phone: 657-483-5144 Determine Workin4 S auare Footage Of Eac h 1. Total Exposed Wall 2456 sq. ft x"U" 0.110 = 270.160 2. Total Roof/Ceiling Area 1200 sq. ft x"U" 0.026 = 31.200 3. Total Exposed Wa11 Area Calculations! Total exposed wall erea above Floor 659.568 sq. ft A) Total wall window area- Glazed 305400 Bq, ft x"U" 0.35 = 106.75 Glazed Sq, k x"l1" 13.35 = 0.00 B) Total doot area: 60.600 aq. k x`U" 0.06 = 3.64 C) Total sllding glass door area Glazed 0.000 sq. n x^U" 0.35 = 0.00 Glazed sq, ft x"U" = 0.00 b) Total firapiace wall area: 12.000 sq. ft x"U" 1= 12.00 E) Total wall 6aming area Avgr2gB 10% 214.400 sq. ft x'U" 0.107 = 21 76 F) Total net wall area abpvg 11ppr (insulated) 1448-000 sa. ft x"U" 0.045 = 65J9 G7 Total rim Jdst area 87.000 sq. H x"U" 0.043 = 3.71 Total fpundatlon area (exppSed) 312.000 sq, ft x"U" 0000 = O.Oo H] Total foundation wlndow area 73.000 sq. k x"U" 0.5 6,50 p Total net toundation afe8 above grade 299.000 sq. N z"U" 0.075 = 22.43 Total a? tbru q= 242.51 3 If Item #318 the same as, or less than item #t, you have rnet ihe intent of 2 MCAR 1.16008 A antl 0 P. 2 6124836441 1U1-22-99 FRI 2:07 ?M 1. M. Brugg2man Co. Ine. FAX N0, 6124836441 12tal Exposed Roof/Cellina CAlculatioos 4 Total euposed rooflceRin9 area 5200.000 sq. ft Jy Total Skyllght area 52.000 eq. k x"V" 0.33 = K) Totel r00f.Ceiling framing area(averaga 10%a) 120.000 sq. ft x"U" 0.020 = LJ 7otal netinsulated rooVceiling area 1088.000 6q. ft x"U" 0.022 = a Toral J) mru Ly _ IF total af 94 Is the Same as, or 1e99 than #2, you have met the intent of 2MCAR 1.16008 A an6 O. Aitemate Bullding Envelope Design To utillza the total enveloQe system method, the values eslabtlshed by the sum of items #3 and p4 shall not be greater Ihat the sum of Items #1 and #2. 1.J 270.160 + 2.) 31.206 ° 301,360 3J 242.51 • 4.) 29.883 = 272.192 CERTIFICATION 1 hereby CertiFJ U1at I have calculeted !he "U" tac[ors and'R" Values herein and fhat Ihe bullding here described meets or exce¢ds the State ot Minnesota Energy Conservation Act. (Slgnatvre) 3.960 2.394 23.329 29.683 F. 3 (Dale) 6124836441 ,1UL-22-99 PR[ 2:08 PM J. M. Bruggeman Co. Inc. AAX N0. 6124836441 CONSTRUCTION Wall Framing sectlon i) IntedoreU8lm 2) 1/2" 3!R 3) 5.5 inches oF soft wood a)7/1a osa 5) Cedar Lap B) Ezterlorarrnlm Wail Secaion(insulated) 1) Inleriorairftlm 2) 1/2' SlF2 3) B" FG INS 4) 7118 OSB 5) CedarLap 6) Exteriaairfilm Rlm Jolst SecUOn i) In(erbralrfilm 2) 6" FG IN$ 3) 1.5" SPF 4) 7lt6OSB 5) Cedar LAP 6) Ezteiior8irfilm Foundatlon Section i) Inieriofair flm 2) 2"FOAM 3) BLOCK 4) Exleti0r BU f In7 5) 6) Total R = U = tIR Tota1 R = U=t/R Total R = U = 11R Tatal R = U=7/R #Z•VALUE 0.68 0.45 6.87 0.66 1.05 0.17 in 4.ioi 0.88 0.45 1s 0.68 1.05 017 22.07 0.045 0.68 19 1.85 0.86 1 .05 0.17 23.45 0.043 0.68 10 2.48 an 13.33 0.075 P. 4 6124836441 JUL-22-99 FRI 2108 PM J. M. Bruggeman Co, Ine. PAY, T10. 6124836941 CONSTF2UC710N R-VALUE Ceiting Section(irlsulated) 1) Interirn air Film 0.61 2) 518" S/R 0.56 3) INSULA710N 44 4) Exterior air film(still) 0.61 TOtdl ft - 45_78 u = i!R 0022 Celling Framing Section: 1) fn0ertor a1r flkn 0.81 2) 0.58 3) aa 4) Exleriorairfilm(still) 0.61 5) inches of soft wood 4.35 Total R = 50_13 P. 5 u = VF2 0.020 ? 1985 BUILDING PERMIT APPLICATZON - CITY OF EAGAN NOTE: ALL CONTRAC?ORS FIUST BE LICENSED WITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 7 SET OF ENERGY CALCULA TIONS 9„ *?7 99'°°0. -° To He Used For: Y !K>iea . Valuation: Date: T? Site Address: eAg- a Ajtj j,-)Iy OFFICE USE ONLY _ Lot: ? B1ock Z Sect/Sub OAV_ Erect ? Occupancy Remodel Zoning ?-I Parcel li ? Repair _ Type of Const ? 3 , Addition U af Stories Owner A-*? Sj? "t/ Z Move ? Length _ 46 Demolish Depth 5 4 Address 'L231 (f4Ai'1-Ly1-F CT: Int,Impr. ? Sq Ft Install City/Zlp Cbde W4nrf ?? ka .? M s. ?• _______'__?__ "_"""'-__' __-_'- Phone __?'L(o r 75?? ? ApPROVALS FEES Contractor"?"?? ?at? ?? ?,T?t.1 C, Assessments Permit 430- ? Water/Sewer Surcharge 4q. = Address ?-v, IkC? ?? police Plan Review 2i5 .? t? Fire SAC 525,= City/Zip Code M1,j 5 T123 Engr Water Conn 5c-?. ? Planner Water Meter l0 3.= Phone Council Road Unit 7ga- '= Bldg Off Treatment P1 I32. - Arch./Engr. APC Parks Variance Copies Address City/Zip Code TOTAL ?p f C+ L <?) Phone,U 2 2? 30 `(,-,Co x 54- =3 5co4o 14 ? 2z- ? 308 x q( = i Z(, z g - 1? x t ? 2 12o )" I , ? q1, ZC) SZ&o 'Lo ?24- 22 ? 3? Z7o(aO 1 , ?2 x 4r = ?27? 9 a> 32C) MINNESOTA VALLEY SURVEYORS INC. 1331 LARC INDUSTRIAL BOULEVARD, BOX 1769, BURNSVILLE, MN 55337 612-690-7750 i CERfIFICATE OF 9U1?VE`1' </ - , rMgeRUUE gu,L.Verts, JNc. M. H. A}SUMEil ? ry ^ + r - - oN h ? o h ?- O Z ? I N $ 9 *35 37"E `"i" / 90. 89 ------------------ Q i?/q4C ' vT/L/TY £A4EMEIJY` s 9 ? o p. as ? i I Z ? v c Q` Y? v oP 9? ? c, ?? I 2r ?E s Bao &7 72 ?- ?U I I i ? ? 3 I ?-°r (o i - > I I? i h2 I /J - o N 1' 4 \ .F ?. N -1?- • /90.77 p/ $9`50 o9??E J IfV gE.36 I I SCAI.E> I"= 40' Lor (a, Bi?ocK z . OAK CMASE -9)XTW ADDITION pAr<c?r,A cn;N:r>', M1/0NCSCrA I hereby certify that this survey, plan, or report was preparetl by me or under my direct supervlsion and that I am a tluly Registered Land Surveyor under the laws of the State of Minnesota. ! . _ • DENOTES ?i?KE ,c•• ?,? ^r •? ? e? o vEnJorES WoN M014ur.iEWr ie_?% v?_x Z 5? ?? qag. No. 85- r 37 I y • ?3 2/84 CITY Ot EAGAN AP°LICATION FOR PER:SIT SEWER AND/OR WATER CONNECTION (PLEASE PHINT) 1) PF.OPERTY P,DDRESS: 4-- rFr-lI. D.SC_I°TIC:1: (IiotBlocfc/Subcii.visicn or TaY Parcel I. D. NL:;,-er) S?'.°S,'C^'!Ii2E, DXi? OF CB?Gi e' uiII.DL`:G -=-'Si ZSjUr\C:: P?zSzT ::..^.;7IiF;/PR0POST CS: ?R-1 SyVGI.: FAti4.° . R-2 DUP= (7.C0 II::ITS) ? cZ-3 TcUNE-CrTGE ('I?-'_°=- + L^Tii'S) f WITS) ? R-4 A2P,R7•c•7T/CC_SJCi.rnIT;,?1 ( LtiI TS} ? CC,nin1ER?CLM/RE"".nii?Cc 'IC= Q IMML'ST:ZI.3I, Q T,%TSTI'tLTIC.t'AL/G.?^G=-`MTM'?,'P Z) AP?T_,IG=1•iT ..1-? (PLEASc.PRINi) NAd•IE: ? ? I IC ( 7 ; Y ?' ADD.4ESS: Crrr, sra=, aIP: ' N C-5 r 2Z- PHO?fE: ? _.. ..-- - 3) pu:?? (_L ASE PRI, i), FOR CITY USE- MME. ADDRESS: i : ° ' CITY, STATE, 2IP: ?h ?'?,?'`j ? r P??: "17?' G?7iI PLUHBEF LFCENSE ?V ??? ecord r tt 4) CCCZ1?PP]T/Ct- z, IEt2 rmrE: ,,(PLEASE PRINf) ADDRESS: CIZ"l, STATE, 2IP- PHO:lE: 5) SNDIC:>TE :•7HICH PERt-tIT IS HEItv{; REQUESTID: IM CL:u'?1F.C.TZON 'f0 CITY SE47ER ? CU:INFY,TIG.I 2C) CTTY WATE.Tt ? OTI?£R (PI..T-A5E DFSCRISE) • 6) mmZG?:. C.:i: • • ? P7.°_LSE I?OLD r1PPROVm Pgt.MST FOR PIC:-GP BY O,IE OF rIBMlE •? PT tASE MAIL APPRGS/ED PE.F:•IIT TJ I. 2. /I 4 ABOVE (Ci.rcleone) 7) SIC,A'IL'RE: i - . ., ...??.??,,..??.,. ?.«?.,.?.,..,.?.o., ..,.. ?...?..?:..,..?...?,..,.W.y..,.,. ,...?9...?.?.: , F O R C PE?Ml ED - I T Y U S E O N:. Y rvr S ' $ i $ /L'-S0 $ (C .3,' CL? . S S $ /S•?U $ -vv $ C)G-vU $ s S $ $ $ - S S---.:LR °r_3`1rT (INCLI:iL JU?iZC'lY.GL) WATER PEF2ltZ': (IL1CLtiDL JLRCi'.k1LZGL) WeITER METER/COPPERFFORN/OUTSID° REi,G: R WATER TAP (INCLUDE CORpORATI0N STO?) SE:JER TA? ACCOlivT DEPpSIT - T•JATE:t wac sac TRli'VK tVATER ASSESS:?E:+T TRUNK SES•lER ASS :SS:eE.^iT L`nTEPUAL BE:iEFZT/T'.?,UNK SE::`ER LAT[,Rt1L BENEFIT/TRU.:K j4AT°P, WATER TREATMEtQT PLANT SURCHARGE OTHER: TOTAL AMOUNT PAIDjRECEI?T DOES UTILITY CON.7ECTION REQUIRE EXCaVATION ZN PUBLIC RIGHT OF WAY? ? YES IF YES, THEN A "PERb1IT FOR 'AORK WITHIN PUBLIC ROADWAY" MUST BE ISSUE? BY TFiE NO ENGINEERING DIVISION. LIST AS A CONDZ- TION. SUEJECT TO TSE FOLLOSdING CONDITIONS; APPROVED BY: TI:LE: DATE: ?a fw ?rs? w? s? eEA ?a? wt ??Jr wCa A ?i w sJ? wl? w.+? ?tti /r ?wi? fti? ?+ wE ???? w?a? ?rt? ?! sl? wl .. ? ' _ . . . . . . .. ; MINNESOTA VALLEY SURVEYORS INC. 1331 LARC INDUSTRIAL BOULEVARD, BOX 1169, BURNSVILLE, MN 55337 612-890-7750 i CERf(FICATEOF_ =SURVE`( 4-o J M. H. AySVM EJ ? 'M r N I? r o ti O Z PN Q N q P I ? Z )lc ? I `rMBEftLINE gU1LDERS,_1???.,. °.:-.-- , - , `p 8? N S 9'35 37 / 29.67 r --- vTltt7? £ASEMEljT? I ? I ? ! v 3 ti I o I ? 1:??_. ? . ? SFQ ry \? A4 'e v- F '? ?o ?Pa1iE(J ?._?- - \ e I °?2r?-E y2 iC ? ? N..qY h^: o n J 01.0 /90.77 0 ?9.?li 96.69 p/ft9'5o09E I I I I I ? i i I ? ? PIc, ? W T N ? ? _ . I ? I SCALE 1 1"= 40' • DENdT?S 6?'K6 ' o vENor?s iRoN N7orJUMEnIT" Lor 46, eL_ocK z , OA K CNASE 671XTI4 ADDITION irA r<Ir.n MirIrJE`,c-rA. I hereby certily that thls survey, plan, or reporl was preparad 6y me or under my direct aupervislon and that I am a dvly Flegistered Land Surveyor under the laws ot the State of Minnesota. ,- `?.• i' c `? .'. No: 85-137 ? -- ----------- ? F« o6?use ? j Pennit?B: <YLT I Pe1miE Fee: I Date Received: I ? Stalt. 2008 RESIDENTlAL BUILDING Date: SiteAddress: Tenant: Suite #: RESIDENT / OWNER Name: Phone: l0 S/ (O i3 6^`Z&/ Address / City / Zip: Applicant is: ? Owner _ Conffador TYPE OF WORK ._-- Oescription of work• ? Constnictio Cos ?? ? IPI ulU-Family Building: (Yes No CONTRACTOR Name: - Licee #: Address: O - ? City: St ate: ip Phon? 53-Contact Person: 2GY G0' ? . COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rufes 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code .Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category sunmded suiunmed (4 submission type) • Energy Emebpe Caiculations Submitted 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 documenis that you submit are considered to be public information. Portions vf the information may be classffied as non-public H you provide speciricreasons thaf would permit fhe Cify to >. conclude U+at fhe arg?trade'sec7efs. 1 hereby acknowledge that this information is complete and accurate; that the wark will be in confortnance with the ordinances and codes of the City of Eagan; that i understand this is not a permit, but ony an applica6on for a permit, antl work is not to staR vri[hout a permit that the work will 6e in accordance xrith the appraved plan in fhe case of work which requires a 2view arM approval of plans. ApplicanTs Printed Name RMIT APPLICATION x Appticant'sSignaWre , Page 1 of 3 . . .. ? ? .. . . .... . ? . ... . i .._. ? . ? ? .. ? . 3 + `"4 . .? : ..' . . . K i ","-?il:.1.J l{VE . ...03 I .. :P ?j...?J. E _? •.??.? .? ?. ? ....'i !j?'?.? ??. ..Tt-{ 3 , !iaE^,'.? ?. }' 4 __._. . t` n ?.lLP f",,,? ?'? iJ t-?t _ c i r-o i C AOD a i " " ? 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City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4526 Oak Chase Way Lot: 6 Block: 2 Addition: Oak Chase 6th PID:10- 53505- 060 -02 Use: Description: Sub Type: e- Fireplace Work Type: Gas Fireplace (new) Description: Census Code: 434 - Occupancy: Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Fireside Hearth & Home 20802 Kensington Blvd Lakeville MN 55044 (952) 985 -6675 Chimney /flue must be inspected prior to concealing. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. Andrew Hoffman BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: $90.00 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 PERMIT City of Eaan - Applicant - Construction Type: Owner: Keith A Rudolph 4526 Oak Chase Way Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: $88.50 0801.4085 $1.50 9001.2195 Issued By: Signature Building EA082593 04/15/2008 ePermit PERMIT City of Eagan Permit Type:Building Permit Number:EA120551 Date Issued:02/19/2014 Permit Category:ePermit Site Address: 4526 Oak Chase Way Lot:6 Block: 2 Addition: Oak Chase 6th PID:10-53505-02-060 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors 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: 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 - Keith A Rudolph 4526 Oak Chase Way Eagan MN 55123 Apex Energy Solutions 1509 Southcross Drive West Burnsville MN 55306 (651) 688-2739 Applicant/Permitee: Signature Issued By: Signature j , � Use BLUE or BLACK Ink � For Office Use � ' j Permit#: �� Y ��°� �ltV 0� E� �Il .��=�� . �- �� d � �� '� PermitFee: � � � ,�/��-y 3830 Pilot Knob Road �. � .� "� ( Eagan MN 55122 y�'t� .� � �� Date Received: � �� Phone:(651)675-5675 I I Fax:(651)675-5694 I Staff: I I I . ��________��__J 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: SiteAddress: `�5�1� O�l� Lf�/�5� �1�"I � Unit#: ��, .� ��`� Name: 8�� G/-�� Phone: �,��_ (m�i`v�- �D6� F�'t�'r��t %- �� °��;�, ��r,�� aaaress i c�ty i z�p: yS"�G o�rc. �'�� w�,I, �4�� /k.J 5"�rz3 �� „� Applicant is: Owner �Cantractor � � ,,�,,,�,,, :�. ,,�.�� Description of work:Q�D�C-� F12tH17" � �✓T�`� po2c'�i �.�T�/ �r,pos�r�= A` �,�,,, �a,,,� Construction Cost: Multi-Family Building: (Yes /No �) � %, ° ,,.,, � � �� company: �'G�`'� i'R-��T'� �cl��r�l; r'...�G� contact: �'�nl�� /lt�GL�2 „ ,��„., , : ` �� r . � �C?ti'�t�C��4F, � Address:3Za� �7��/5c� C'_� City: N'=� BI�Sf�iBn� �, „�� j� State:�Zip: i r Z- Phone: �-�-�1-f i� Email: �� CCi��P-��%1��`1Lv�"a�- �;�,;�,,,,,� , %�,; ? License#: $('�o��oCot('7 Lead Certificate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) L� ��- �� ' 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: N{?�';� ��?�,�ttd�ppOf�dQ��@��'f�t yt?�� +��!�fl� � �� Iftf`Q��18�;�`t�1"��bc�i �;; ��!?fG ��` }� �I8�78�1�`� Xi{�tt*w !�� t/lt�t S+�it3S� ` / �� / �� \�` Fi� �' � 7 �'�€��, �� V�1?�t��'l.'lfj! % �. i� i.�"„��5�� ' %-- ��i: i. C'��+C�tICIG�? �ZF /, � �� . 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.aopherstateonecall.ora I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exteriorwork authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. / �� X ��,� /Yle►Lt r�' X , o�... Applicant's Printed Name Ap �canYs Signature Page 1 of 3 �� `6 ��,� � � �-.--- �� E�� DO NOT�RITE BELOW THIS LINE /�� .g SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) � Single Family Garage _ Porch(4-Season) _ Exterior Alteration(Multi) _ Multi � Deck Porch(Screen/Gazebo/Pergola) Miscellaneous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior 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 ��J Occupancy � MCES System � Plan Review � Code Edition �!$'� SAC Units "' (25%_100%� Zoning �_ City Water -- Census Code �`/3k Stories Booster Pump -�' #of Units / Square Feet �'� PRV `" #of Buildings � Length '— Fire Suppression Required '""� Type of Construction �� Width —o" REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) �G Final/No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests _Final Framing Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control �.�---- Other: Reviewed By: , Building Inspector RESIDENTIAL FEES �� JJ� Q �� Base Fee �13 i 7,• Surcharge Plan Review �Y 7 MCES SAC City SAC Utility Connection Charge S�W Permit�Surcharge Treatment Plant Copies TOTAL Page 2 of 3 . j �� 1 �� . : �� :�1�LD � � �1M�IESOTA VALLEY �URV�YOR� �N�. JUl 10 1015 133f LARC lNOUSTRIAL #30llLEVARp, BC�x 1i69, BURNSVI�.LE, MN 55337 812-880•775t? r ��.� �'��1�1��' La�" �C��1/�"�'1� r�� , I Tn�8�R�1r.tE- �u1Lg�F�� tt�t.. t'af.� � � � , � J � 99.fls 1�+ 89'35 3�..� � �'''l�19.00 . 94r.7/�;: !9�7!$9 , F� � � �f� ..�� ,. 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