4529 Oak Chase Way
PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA094633
Date Issued: 06/23/2010
OR Permit Category: ePermit
41 it~ of E3
E
Site Address: 4529 Oak Chase Way
Lot: 8 Block: I Addition: Oak Chase 5th
PID:10-53504-080-01
Use:
Description:
Sub Type: e-Windows iDoors Construction Type:
Work Type: Windows Doors-New ; Replacement
Description: House
Census Code: 434- Occupancy :
Zonin,:
Square Feet: 0
Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL - Base Fee S3K $88.50 0801.4085
Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195
Total: $90.00
Contractor: - Applicant - Owner:
Renewal Andersen John A Breviu
1920 County Road C West 429 Oak Chase Wad
Roseville NIN 55113 Eagan NIN 55123
(61)264-4777
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 Cite of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
? CASH RECEIPT
,
C tTY O F EAGA N
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
19 RCGEI V ED
FROM
AMOUNT $ ?I
& DOLLARS
1 oo
? CASH n/CHECK
FOR
, .
,u
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thank You
BLrG. PERMIT N0. % 66/-
`i
-
" .
,
. L
/IJ
;
01-3210 . Permit
Hldg ; ( G
01-3422 Plan Check
01-3445 Surch. /Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
17-3860 Road Unit
20-2275 SAC
20-3865 Water Conn. ' ?-
20-3868 Water Trmt. ?~fc;
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
11-3855 Park Ded.
TOTAL
INSPECTION RECORD
CITY OF EAGAIV PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE QDDRESS: i ' rf 1, . . ;, 1 ? ,
i I') i ,;
?b • . 44M (: IIA'iF' I.JAY
0F4k (:idASF I, T N
PERMIT SUBTYPE:
. . I , H
F:1? ! i F? ? N??
{ APPLICANT:
?
TYPE OF 1NORK:
\
INSPECTION
, :, . D. .
. D.
ttF MAFiKS = :f f•IiNfi t€ 1't: trM1 J.`:, Rt +1tff frF 0 FfM AIMY f t t C l ktl= A+: i,1r lyl. l1M19 t Not fJrrl;k
Permit No. Permk Holder Date Telephons N
ELECTRIC ?$?
PLUMBIN
HVAC
Inspection Data Insp. Commsnts
FOOT4NGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING H
r I?/?5
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
VTSSISL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG ?
FINAL HTG
ORSAT
TEST
BLOG FINAL
BSMT R.1.
BSMT FINAL
DECK FT(3
DECK FINAL
iNSYECTIUN RE(:U121.)
? CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(651) 681-4675
S1TE ADDRESS: APPLICANT:
PERMIT SUBTYPE:
TYPE OF WORK:
101. ; t, R i i> -a I fIN
fi?r i 1 i? 1 Nis
N'3 N+,';A
Nr /itt/9 S1
INSPECTION . . .
f;k Mlil'Y ; !'I AN i,!'VIC'Wft? RY l.IqYNf M I I I f f? w ?
?•I l'., ll(F F'fiftM[1 kf 0 11IFdFD Fnk Atd11 PI IIMiI INii I.?iipr,
F_
I
Permit Holder Date Telephone #
SEWER/
WATER
PLUMBING
HVAC
Inapection Date Insp. Comments
FOOTINGS 2• r g •
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
La+6J
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRiGATION
METER
FLUSH
MAINS
CONDUCTIVITV
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY OP EAGAN
OAK CHASE STH ADDN
Owner
Lot 8 eik 1 Parcel 10-53504-080-01
Street 4536 OAK CHASE WAY State EAGAI+I MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. ?- ' g
STREET RESTOR.
GRADING
SAN SEW TRUNK 2-0 1984 41.78 8.36 S
SEWER LATERAL z 1984 117.82 23.56 5
SEWER I,ATERAL g z 1984 303.32 60.66 5
WATERMAIN
*WATERLATERAL $ L7i 1984 454.82 90.96 5
WATER AREA g 1984 47.03 9.41 $
WATER AREA 1984 155.00 155.00 C008422 4-26-83
STORM SEW TRK 1984 S
* STORM SEW LAT 1984 5
ORM E TRK 984 272.50 272.50 C008422 4-26-83
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CITY UF EAGAN Remarks Ir"
Addition • OAK CHASE 5TH ADDN Lot 8 131k 1 Parcel fl-53504-080-0
owner street A67Z OAK CHASE WAY state AGA,\' INi1 55123
45Zq
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF,
STREET RESTOR.
GRADING
SAN SEW TRUNK ZZ
.
SEWER LATERAL
Z
40
WATERMAIN
WATER LATERAL C
WATER AREA
STORM SEW TRK j$ 272.50 272.50 CQ $QZZ 4-26-83
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
5AC
PARK
/ pxtatAf /o - 4a7a0 - O11 -77
? E"J)•..? C. PERMIT#
! 2 MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNQB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100 For Offiee Use Only:
Site Address ZZ BLDG. TYPE WORK DESCRIPTION
Lot Block ? 3ub R? t-'` New ? • , _
- ` ? Mult Add-on 1--"
Name
cg
Address z Comm. Repair '
,
c City Phone ?? I
Name v_ -- FEES
HVAC 0-100 M BTU
RES
-$24
00
?
c
Address .
ADDITIONAL 50 M BTU .
- 6.00 ;
0 ?i? ??o?? (RES. HVAC INCLUDES A/C ON NEW ?
TYPE OF WORIC
Forced Air
Boiler '
M BTU
M BTU CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT)
CDMM/IND FEE - 14'o OF CONTRACT FEE
APT. BLQGS. - COMM. RATE APPLIES
TOWNHOUSE 8? CaNDOS - RES. RATE APPUES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON & ?
- 1.50 EA. `i
Unit Heater M BTU
Air Cond. .? '/7- M , gTl.}
Vent. CFM
Gas Piping Outlets #
. REMODELS - 12.00
MINIMUM.;EOMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMfT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
Other ?
?.,
FEE:
,?.
S/C: •; r. RE F E
TOTAL• FOR: F EAGAN
_ . ? _ . --?.??---
• • CITY OF EAGAN
' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH O N E: 454-8100
BUILDING PERMIT Receipt ?
To be used for ' Est. Value iiU, 5vk. Date r 1 ,19 R
Parcel No.
a Name
W
; Address _
° City Phone ¢o Name
.
V 4 Address
? City Phone
Name
Address
City Phone
I hereby acknowledge that I have read this application and state
that the information is correct and agree to comply with all appliceble
State of Minnesota 5tatutes and City of Eegan Ordinances.
Signature of Permittee :
A Building Permit is issued to:
all work shall be done in accordance with all applicable State of
Building Official
FEES
Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Roed Unit
Treatment P1
Parks
Copies
TOTAL
on the express condition that
Minnesota Statutes and City of Eagan Ordinancea
On Sife Sewage
MWCC System
On Site well
Ciry Water ?
APPROVALS
Assessments
Water/Sewer
Fire
Engr.
Pianner
Council
Bldg. Off.
APC
Variance
Occupancy
Zoning
Type of COnet
(Actual)
(Allowable)
# of Stories
Length
Deplh
S.F. Total
Footprint S.F.
?
?
a
;
? Permit No. Permit Holder Date Telephone *
Plumbing /,L ? >? u ,u? ?i> c?•. . `' % }I/h'j
H.V.A.C. C1._,2 --I ? e'` z .
Electric 87
? c
Softener
Inspection Date Insp. Comments
Footings 1 ? 44-)
Footings II 411147
Foundation
Framing ? P
Roofing
Rough Plbg. J-1 7 ,99 1
Rough Htg. 1 .V5? L
1SUI. 7 - cO
Fireplace
Final Htg.
Final Plbg.
Bidg. Final
Cert.Occ. 41
Temp. LP
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
CONTRACT PRICE:
Site Address // y
Lot
BloC.k. ?
7
Name
Address t % + ?. • - ? `
c City , _ - Phone fa
_ Name
c Address
O Ciry Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/?ND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
-
??
.
SIGNATURE OF PERMITTEE
FQR: CITY OF EAGAN
PERMIT #
PLUMBING PERMIT RECEIPT #
CITY OF EAGAN .
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
PHONE: 454-8100
? BLDG. TYPE WORK DESCRI?TION
Sec/Sub Res. V"New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
' Water Closet - $3.00 $
? Bath Tubs - $3.00 <
Lavatory - $3.00
•Showcr---$Y3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
' Laundry Tray - $3.00 -
' Floor Drains - $1.50
? Water Heater - $1.50
Whirlpool - $3.00
' Gas Piping Outiets - $1.50
(MINIMUM - 1 PER PERMM
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
i Rough Openings - $1.50
FEE:
STATE S/C:
GRAND TOTAL:
PERMIT # ?-
' ' MECHANICAL PERMIT RECEIPT # '717,1, ' y
CITY OF EAGAN ?? :y .?-- -"
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE:
Site Address "-- - BLDG.TYPE
Res. A
Mult
Comm.
Other
WORK DESCRIPTION
New ..?,'
Add-on
Repair
6 ?
m
R C
?. ?
?• d
? c
, O
TYPE OF WORK
ForCed Air ? f« M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent CFM
Gas Piping Outlets #
Other •
FEE
j
.?i.f.?
?
, rJ
??r:
-
?
_
?,. ?
. .`.
,_ ..
TOTAL•
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M B7"U - 6.00
fRf3. HVAC INCLUDES A/ff ON NEW
GAS OUTLETS (MINIMUM -1 PER PEkilAl'n - 1.50 EA.
COMM/IND FEE - 1a/o OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAI FEE - ALL ADD-ON &
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
, . 1 .
. . - i / - . . . f ., . ^- ...
SIGNATUFE OF PERMITTEE
„v?
... 5., y t . . .
FOR: GTY OF EAGAN
? , • ?. -
(Itrfiftrate uf (Orrupnry
.
of eagan
Epparbn,mi of suilding jwprtiorc
This Certifcate issued pursuant m the requirements of Section 306 of the Uniform Burlding
Code certifying that at the tirrie of issuance this smecture wns in compliance wtth the va?ious
ordrnances of the City r•egulating building construction or use. For the jollowing.•
use cLsiGaaoo DCIGAR ewe. Ptrro;i Na
Oawency'ry'Pa iv Zoning piaria x; Typn rume v
o.,,,. dB,,;b;,g lffw-Am. IHAII.EY ?'?•'?' Aac41095 VIKIis1G MZ3:'F, T-?I--Rt :1e1trcx;
s.bM aa&,. t, 529 %K 4jET y,B, B i. OW 4A?
, i
2- .?: naa? NUVHMMR 20. ? 9'
POST IN A CONSPICUOUS PLACE
CITY OF EAGAN Permit No: Date:
3$30 PflOt KnOb Roed Met6r NO:4 2.? Size: '619'" 'focX
P.O. Box 21189 Reader No: tl.?T?Z:7T??- Date: ?-7?
Eagan, MN 55121
SiteAddress: '5'19 `iQ== C%ase ti?av T,3 R'_ Oak Cliase 5t1,
Conn. Chg: 525. O0Pd WAAnut'; P?
Acct Dep: 15.0O d NO,?**W Iti@'9 ;.
Permit Fee: i0 . oo (Be Qre ?EC.?R1C ,?,? EtG-
Surcharge: . 5??n(iE?.EP ?r? o th the City of Eagan
Tr. Plant 1`: 0, J;) ?W
Meter. ?i
Misc.: BY-?i 1?
WATER SERVICE PERMIT
Date: 9 -25
CITY OF EAGAN Permit No:
3830 Pilot Knob Road B/ P No: 74 -1= Date: b-g``?
• _ P.O. Box 21 +199
Eagan, MN 35121 4
SEWER SERVICE PERMIT
CITY OF EAGAN
3830 Pllot Knob Road
P.O. Box 21199
Eagan, MN $5121
^------ >c'.;o
Permit Na
Meter No:
Reader Na
Date: 9-25._'::7
Size:
Date:
Site Address: I %?k Cha9e :"'flv I:
Plumber. Vestonl:.a Plumbini;
Conn.Chg: 525•00pd Zoning: F1
15. 00Pd No. of Units: 1
Acct Dep:
Permit Fee:
I agree to comply with the City ot Eayan
Surcharge: •5 `'' `Zv"
•
Tr. Plant ??? • `?'???= Ordinances.
Meter e, 7 ua-,;? _
Misc.: BY
WATER SERVICE PERMIT
MWCC: r 5 QOrd Zoning:
?
City Chg: ?•ofr ? NO. Of Units:
ACCt. Dep: I agree to compiy with the City of Eagan
Permit Fee: . Ordinances.
Suroharge:
• CASH RECEIPT •
, CiTY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINN SOT 55122
ATE ? 19 -2
weceuveo
rworn
AMOUNT $ g I I?CJ
& DOLLARS
? CASH ?'l ECK 1
•OR
wuwo cove nmourvr
? C) ? r3
!) GO
S
Thank You
N4 77741
BY
• Whire-Payers Copy
Yellow-POStin9 COpy
Pink-File Copy
CITY OF EAGAN (v? 13699
3830 Pilot Knob Road, P.O. 8ox 21-7 99, Eagan, MN 55121
PHO N E: 454-8100
?] `41 (
Z
BUILDING PERMIT Receiptx O
To be used for SF DWG/GAR Est. Value $120,500 Date JiiNE 1 ? 987
Site Address ?9 '4?36 OAK CHASE WAY OFFICE USE ONLY
Lot 8 Block 1 Sec/Sub.OAK CHASE STH tl
e ?- ?
ncY
MWCCSys
em on g Rl
PBrcel No. On Site Well Type of Const y
City Water (ACtuaq
X
_ -v-
a Name MICHAEL HALLEY HOMES (Allowable)
i 11095 VIKING DR
Address a of stories
Len
th
73
° City EDEN PRAIRIEphone 944-1059 g
oeptn 24
F
Total
S
.
.
, p N9m0 SAME Footprint SF,
?Q Address APPROVALS FEES
m
i-
City Phone
qssessments
_ Permit
$ 566.50
Watef/Sewer _ SufCherge
W W Name LARRY KOLMEYER Police _ Plan Revlew 28 2S
_? Address SAME Fire _ SA0.Ciry 00.00
¢= Engc _ SAC,MWCC S??onn
aw City Phone Planner _ WaterCOnn. 52onn
Council _ WaterMeter 6?7...99
I hereby acknowledge ihat I have read this application and state Bldg. Off. _ Road Unit 365.00
thattheinformationisconect dagreetoco plywithallapplicable APC _ TreatmentPt t8?e
State of Minnesota Statutes n City of E?n Ordlnances. Variance _ Parks
Copies
SignatureofPermittee 1'1 TOTAL $2,612.Z5
A Building Permit is issued • MICHAEL HALLEY HOMES on the expiess condition that
all work shall be done in accordance wit?h,a/ll?applicable Sta of M
? innesota Statute s and City of Eagan Ordinance&
?
Building Official ?
?
REQUEST FOR ELECTRICAL INSPECTION dft ?eye/-o,oo`aiQ-oe
See instruclions lor comDleting lhis torm on Eeck oi yellow copy.
"X" Below Work Covered by This Request
RiawlAAdl ROO. I Type DI Buildinp I ApplipnCe] Wired - ? Equipmenl Wired ?
umace
k Fee ServieeEnhanee5ize k Fee Fexders/5ubteeders N Fee Circuits
? Oto200qm s O30Am s
12 Oto30Am
Above 200 Am?y 5,
ta 100 Ainps 31 to 100 Am s
Swimming Pool Above 100_Amps Above 1Q0_AmUs
Trans*ormers Irrigation Booms Partial.'Other Fee
L? I$igns I I ISpeciallnspection '
Aemerks ??Q TOTAL E ?
? ?. /
(i(/ ?j I, Ne Elec'I
? ?Q 1 Inapectoq ?ereEy
? certify thet the above
Final - • n//? ^ie ? insDeetion has been
m
? ade.
TM1Is
18 ir
m id
7-?Z.29 `/'
I-a bv
Street Address, Boz or Poute No. CitY
? ?,? ?
6 ,? ? .?
m Township N ma or No. Range No. Count
Occuoant IPNINT) Phone No.
Pow¢r Supplier Address
Eleclnc/altractor (Company ame)
an
C
S C Var.lor's L cense No.
Gl?Di
J
Mailing Addras9 (Conv clor ot Owner Makine Iretai?ationl
?? . 7 Y.1? /
Authorized Signature IContra i wner Makine nstallatioN Phana Number
?/
NNESOTA STATE BOQ OF EIFCTRICITY TMIS INSPECTION REUUEST WILI NOT
ripps-Mitlway BIAg. - Room N-197 BE ACCEPTED BY THE STATE BOARO
UNlE55 PROPEP INSPECTION FEE IS
7821 Universitv Ave.. St. Peui, MN 66104
Phone (812) 842-0800 ENCLOSED.
iffUcensed Elecvical Contractor I heraby request inspaction ot ebove
? Owner electricel wark installed at:
This repuest void l 5???
18 rtqnths (rom ?
?`?' O Ct%J
E 40420 g 41
Request D2ta
?a y,7
' ?
?/ Fire No. RauNh-in Insuection
RequireA?
? j??
lJ[? eatly Nuw Q Wi11 Notify, InsOec-
Wh
t
^
0 0 ?Ves
?lo .r
en qeadY
/
icensed Elec[rical Contractor I herebv reouest insvection of ebove
Owner electrical work installed at
Street Address, Box or Route No. CiIY
9s'a9 O??.crlws? ?'?? E?2 1411
ecua? o. Towns?ip Name or No. flange o. Coun
l
y
/
?
/? -?
4?I Pi? ?i1
Occuuan[(PRINT) Phone No.
3-fluC
Power Supplier ACtlress
Electrical Convador ICompany Nxmel Conhnr.lor's License Nn.
z13cHzuC ,,c, inrC, f?cl?.?t:/
Mailin9 ?+dJress (Contrer.[or or Ow r Makinp InstailatioN
Au[horii 'A Si atur¢ (ConVac O n r MakinH Installation) Phone Number
? `c?- 4. Y-s"a- :3 31
MINNESOTA STATE 90AND OF ELECTflICiTV . TNIS INSPECTION NEQU[ST WILL NOT
Gri89s•Mitlway eldg. - qaam N•197 BE P.CCEPTEO BY TNE STqTE 90AND 1921 Universitv Ave.. St. Paul. MN 55104 UNLESS PflOPEN INSPECTION FEE IS
.,?___ ,—— -1 .,e.... ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ?. EB-00001-06
C 0 See instmctions lor comoleting this lorm on back o/ Vellow coOY.
G^ 404210 "X"' Below Work Covered by This Request
Add peD. TVpe ot Building AODliances Wiretl EquiVnien1 Wired
Home Range Temporary Service
Duplex Water Heaier Liyhtiny Fixtures
ApL Building Dryer Etectrie Heatin
Commercial Bldy. Furnace Silu Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Otnr, oec? v 0111c, (sne,lty)
t er Sper.ifY Other Oth?vr
Comoute lnsoection fee Below
p Fee ServiceEnhanceSize fl Fee FeeOers/Subleeders b Fert Circwts
0 to 200 Am 5 0 to 30 qm s 0 tn 30 Am s
Above 200 qmps 31 to 100 Amps 31 to 100 Am s
Swimming Pool Above 100 -Amps Abave 100_flmps
Transrormers lrrigation Booms .-bU Partial.' e
Signs SUecial Inspection 5
TO L
6
Aemarks ?u ?
Bouph-in D1te i. rhe rical
Inspector, hereby
cerlily thet the above
Final ? D^te?
?!!7 oeetion has baen
Oe.
Thie repuest vold 18 mon[In fmm
8 ?{ Qs
REQUEST FOR ELECTRICAL INSPECTION Ea-aoooi-o.s/
Ill See insWCtions for mmpleting this form on back oi yellow copy. ; NJ?3?U
-yared by This Request ? .
Ne Add Type of Builtling ,N Wired Equipment Wired
Home Range Temporary Service
Duplez Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm.Andustrial Fumace Other (Specity)
Farm Air Conditioner
Otner (specify) Conhactor's Remarks: T ./ /?,'y.,r" 6 7 • `a• %D't
Compute Inspecfion Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps G
Transformers A6ove 200 Amps Above 700 -Amps
SI[]Il5 Inspector'sllseOnly: TOTAL
Irrigation 8ooms /yl?? ?-
Special Inspection
AlarmlCommunication THIS INSTALLATION MA BE ORDE DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 78 T
I, the Electrical Inspector, hereby Rough-in Date
?
certify that the above inspection has
been made. Final Da[
OFFICE USE ONLY
This request voitl 18 monlhs im.
cro
Reque a[e
2 L Fire No. R ugh-In Inspec?ion Requiretl
(You must nspecIor w?en reatly) Inspection Other Than Ro - n
? Ready Now ill Notity Inspector
V es [] No Oate Reatly
I?ensed contractor ?owner hereby request inspection of above electrical work at:
Job Atltlress (Sireal. Box or Fou[e N
.,0 :?
/
? City
?
,?
?
? ,
-t N
Section Na Township Name or No. Range No. County??
J 7
Q
Occupant(P
4.7 •' ?4"' Phone No. Q
? ? / ??
Power Supplier Address
Electtlaal C n ctor (Co any Name) J?
L
???" Coniractor§ License No.
G?fb o
.r, ?.
?,•-r.ar.a „
?.
Mailing Atltlress lor or Owner ' g Installation)?
v jil?
Auihorizetl ure ( Mract er M king Ins?alla ) Phone /Nu/mber
MINNES ATE ARO F EL CTPIq THIS INSPECTION REQUEST WILL NOT
Griggs-MiOway BI .- poo 5428
1821 University A e., 5t. ul, MN 55100
111
1
11
111
111
1111
1111
11111
11111
1 BE AGCEPTED BV THE STATE 80AFD
UNLESS PFOPER INSPECTION FEE IS
ff
oe..?. na», ee,_nnnn . Funi nccn
?xg-7 V
G
New Construction ReaulremeFrt
s
• 3 regislered site surveys showing sq. ft of IoL sq. ft. o( house; anll roofed areas
(20% marimum lot coverage al6wed)
. 2 copies of plan showing beam & window sizes; poured found design, etc.)
• 1 setN Energy Calculations
• 3 coples of Tree Preservation Plan if lot platted after 7f1193
• Rim Joist Detail Options selection sheet (bldgs with 3 or less uniLs)
DATE _ ? - ?? o ?
JOB SITE ADDRESS !ZS v;?9 01,4k
IF MULTI•FAMILY BUILDING, HOW MANY UNITS
PROPERTY (
TYPE OP WC
APPLICANT
ADDRESS ?
PAGER #
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD - 55122
651-681-4875
RemodellReoalrReaulremeMs
. 2 copies of pWn
• lselofEnergyCalalatlonskrheatedadditions
. 1 site survey fore#erior addi6ons & decks
. Indirate'rf home served by septic system for addifions VALURION ?
s-Z w y
( J ?JG Z oa/?_
4' /?1uM
P., /.tJ U c'_? C C7
2^ S
FIREPLACE(S) _ 0 _ 1 _ 2
PHONE# 61a - 7v7/ S.333
,Pl S ZIP CODE ss tl U'E'
FAX# -7a/- 19oS?
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category
(check one)
Plumbing Contractor. _
Plumbing System Includes:
Mechanical Contractor:
Mechanical System Includes:
Sewer/Water Contractor:
_ Air Conditioning
_ Heat Rccovery System
All above information must be submitted prior to processing of application.
Phone #
Phone
Fee: $90.00
ree: $70.00
I hereby acknowledge that I have read this application, state that the information is 9rrect pnd-?ar?mply
with all applicable State of Minnesota Statutes and City of Eagan Or inances. T'?'???
Signature ofApplicanT cN-+w ? `? ?
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 2002
°rUoC/ e?ha-?a_
_CELL PHONE # _
MINNESOTA RULF.S 7670 CATLGORY 1
- Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Phone #:
_ Water Softener _ I.awn Spi•inkler
_ Water Heater _ No. of R.I. Baths
No. of Baths
-ve _
OFfICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 6ct. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bidg. ? 42 Derrwlish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement "Demolition (Entire Bidg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings(new bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation INAC
_ Drain Tile Other
Roof _ Ice & W ater _ Final Pool
Ftgs
AirlGas Tests Final
_ Framing _ _
_
Siding Stucco Stone _
_ Fireplace _ R.I. _ Air Test _ _
Final _ Windows (new/replacement)
_ Iusulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Buiiding Inspector
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
cRWll
BUILDING
026093
07/26/95
SITE ADDRESS:
4529 OflK CHflSE WAY
LOT: 8 BLOCKe 1
OAK CMASE 5TH
P.S.N.: 10-53504-080-01
DESCRIPTION:
8d"ild?tn44'iPermit Type BASEMENT FIMISH
PW14169- 4?T.k Type ALTERATION
. -?
?x
r y: °«»;m,?:q
rz:??x
k r r.
£.?uo?? y. ? y £ t YEme`9 ?.a4
V 9 .e3aS? . V
r ?{3 aia
?v'i... " t ';:?•
?-,v 4.;v?
T. a§t
REMARKS:
SEPARATE PERMITS REQUIRECI FOR ANY ELEC7RYCAL OR PLUMBING WORK
FEE SUMMARY:
Base Fee $35.00
Surcharge $.50
7otal Fee $35.50
CONTRACTOR: - Flpplicant - s7. Lzc. OWNER:
VON Rl1DEN CONST, STEVE 14695721 0007022 BREVIN JACK
23625 JERSEY CT 4524 OflK CHA5E WAY
LAKEVILLE MN 55044 EAGAN MN
(612) 469--5721 (612)454-9391
? . _. , . . ? . . .,.y . . _ , . , ,
?
t'herehy acknuwledgo thaC I hev2 read tMis aopl2cat.???t,and-nsta?e`; ttla.t ?heE
• :infnrmataarr is eorreet and agre,e'`admply w?=th° r?11.'appli?,atsle 5?"????
Statutes and Gity`af
I
? ........ . . a. ., e ,.. . . e ._ . . .. . . . <...... ._. . ? .. ?? _ _ . .v..... ??
APPLICANTlPERMITEE SIGNATURE
I 1fCPIA I\ O.lA I IIL,lf'
ISSUE Y: IG TURE
CITY OF EAGAN
?c lo'?3 3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
?
? 3 registered site wrveys ? 2 ceples of plan
? 2 oopiea of plans (indude beam 8 window sizes; poured ind. design; etc.) ? 2 aite surveya (exterlor aGditions & decks)
? 7 errergy ealalatioro ? 7 energy cakulations for heated addftions
? 3 eopba of Vee pieservatlon plan ff lot plaUed efter 711l93
requfred: _ Yes _ No
DATE: IS CONSTRUCTION COST:
DESCRIPTION OF WORI
STREET ADDRESS:
LOT BLOCK
PRUPERTY
OWNER
CONTRACTOR
ARCHITECTI
ENGINEER
auesu.rr.i.u. 3F
Name: S0.C? ?3r"' L-X- Phone #: Ll-Sq ^ 17s, 17/
?, .o..
Street
City:
Compa
Street Address?36DS License #:
City: 1? v, ? 1? ? State: UN"k. Zip. -L?d v
Company:
Name:
Phone #-
Registration #•
Street Address,
City: State: Zip:
Sewer & water licensed plumber:
change are requested once pertnit is issued.
Penalty applies when address change and lot
I hereby acknowledge that I have read this application and state that the intormation is correct and agree to compty with all
applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. ,! p? r)c9-? 1?--?
y V
Signature of Applicant: ?
OFFICE USE ONLY
Certificates of Survey Received
Tree Preservation Plan Received
^ Yes _ No
_ Yes _ No
???EWED
J U L 19 1595
--------------
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex
0 02 SF Dwelling o 07 4-piex
0 03 SF Addition o 08 8-piex
0 04 SF Porch ? 09 12-plex
0 05 SF Misc. 0 10 = plex
WORK TYPE
0 31 New a&-'33 Alterations
0 32 Addition o 34 Repair
GENERAL INFORMATION
Const. (Actuat)
(Aliowable)
UBC Occupancy
Zoning
# of 5tories
Length
Depth
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
Licenft.
MCNVS"SAC
City SAC
Water Conn.
Water Meter
Acct. Deposft
S/W Permit
SM/ Surcharge
Treatmerd PI.
Road Unit
Park Ded.
Trails Ded.
C?ther
Copies
Total:
OFFICE USE ONLY
. ?.. .
a 11 Apt./Lodging -a?-16 Basement Finish
0 12 Multi RepaidRem. 0 17 Swim Pool
0 13 Garage/Accessory ? 20 Public Facility
0 14 Fireplace o 21 Miscellaneous
0 15 Deck
? 36 Move
0 37 Demolition
_ Basement sq. ft. MC/WS System
_ Main level sq. ft. City Water
_ sq. ft. Fire 5prinklered
_ sq. ft. PRV
_ sq. ft. Booster Pump
_ sq. ft. Census Code. y?y
_ Footprint sq. ft. SAC Code ?i
; Census Bidg i
. . Census Unit ?
Building EngineeHng Variance
Valuation: $ 'a -
% SAC
5AC Units
crrv oF EAraN
GA5HIER: S TEkMINAI_ N0: 733
AATE? 02/1.9/99 TIML:., Oi ?23e49
ID ;
NAME: RQHAM UJNCi TNC
3210 9001 4529 OAK CFIASE 279.?5
3422 30Qi 4529 OAK CHASE 181.51
2155 9001 4529 OAf: CHAaE 8.50
/Tota7. Receipt Art:rn.an+,; 463.26
CfiiO3043
1.15f:R ID: NANCY
%?#X? ?k?K?%XcXcX??X X?X?#?#?XX?Xc#X?%cX??#?Xxt%c%?X???XX???Xk?*?X?k#
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(651) 681-4675
PERMIT
PERMIT TYPE: c u t I-o:r iv (i
Permit Num6er. (n 3 q 5:3 ?
Date Issued: 49 2/ 1 S! 9'3
SITE ADDRESS:
P.I.i`d., t 1.0-5350 4-78 0-_0 1
as29 0AK r,Fia SE wAv
i.or: s eLot:r;- i
O,nK cHAsE w,rH
DESCRIPTION:
a:^;cL u[) Es
F3i.Ud1dinef-tFr=rmi.C 7YPe
F3Iai1tla.nq HJb?k Type
,Zen5us Codc
i ?
?` -
`
i ?.
1
ry`lM ?-
?,} ' E.
Cfip,WL S!'Ai:E
SF FlUUI7'IOH
NEW
Usu Ai T. Rr_sz9EnrrxaL
/ r. . "
i ?
`X ? . ,... b.. ? '.. .., .., 5 ... . .
REMA?iKS:
l?' NiV nE:'JIEWED 8 Y 6JAi'NrE P9ILl.E_R.
SEPERATE ?'EF2M]'T RF.,(JUIRE[) FOft F1NY P LUhi^oSyG 6JOF2K.
CALL (6:L2) 445--2840 kEGFlFYD:CNG ELE[C7RSCAL F`t=ftMT1- ANO 3PlSPE[,:77GIVS.
FEE SUMMARY:
VaLuATlohi ss;.e00
Ct,ase Fee
P.lan Revi-w
Sui-,haroe
l-nral Fee
4:27S.2E,
?:1.?1.51
a8..5P?
$,46t;.25
3 TONEWUDCJF`.lE LOPP91'cPlT
1r, G? 1, WCST 77 i'W
SiVR 1?iN
1= } 8 3X -t;267
11npl.inanr. --
13376267
.31"ftEET
554:5
Si • Lzt=- OWNER:
26077437 612E`dIU JACK
45:9 6HK CliAiE WNY
tAGFlPI mN 561.`L`3
i E'il.l
T herehy aCknowledRe that ;t haue rszad this
lntefrmatiffn iq carrect andaqree ta campl.v.
5tstutes and X:xty ot E4oan Ordinances.
APPL ANT/PERMITEE SIGNATURE <aWpllcatfcrn and si:aLe Lhat Yhg
L
t.+ath all anoli.cabl.e SYate 09- Mn.
-1
I ED 6V: SIGNATUR-r
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PII,OT KNOB RD - 55122
?- (651) 681-4675
New ConstruMion Reauirements
? 3 registered sRe surveys
? 2 copies of plans (include beam 8 window sizes; poured fnd. design; etc.)
? 7 energy plculaGons
? 3 copies af tree preservation plan if lot platted after 7J7/93
required: _ yes 7 No
DATE:
DESCRIPTION'OF WORK: `/ ? -?-?-?-
COST?! L9? ? 0
STREET ADDRESS: 7`S2,9 0,5?-h- ,C?46-" GJ
LOT: ? BLOCK: /
SUBD./P.I.D. #: O ?. ?A?- s?
Name: _ Lw-. k 3R-Ev% ? Phone #:
PROPERTY ? L%st Firsc
OWNER Z/
StreetAddress: 7,5 G?
/ • i
City State: f4A11 - Zip:
Company,,7f&Ew? ? El(orc4 Phone #: d.37 ,&?O 7S%- Z°C'G
CONTRACTOR 00
Street Address: / (,t)• 7!??t 4License #?2 UO J2Y37 Exp.,j246
-9
City
ARCHITECT!
ENGINEER
Name:
RamodeVRaoair Reuuirements
? 2 eopies of plan
? 1 site surveys (exterior additions & deGcs)
? 1 energy calculations for heated additions
State: Zip:
Phone #:
Registration #:
Street Address:
City
Sewer 8 water licensed plumber (new construction only): _
change and lot change is requested once permit is issued.
State:
Zip:
Penalty applies when address
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable
State of Minnesota Statutes and Ciry of Eagan Ordinances. ^ (?
Signature of Applicant:
']CH
OFFICE USE ONLY
Certifcates of Survey Received _ Yes _ No 666t j j 82?
?
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
I
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-piex
/0 05 SF Misc. ? 10 = piex
WORK TYPE
? 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
? 11 Apt./Lodging ?
? 12 Multi Repair/Rem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
? 36 Move
? 37 Demolition
?/t) Basement sq. ft.
VP Main level sq. ft.
&r>ryJ sq. ft.
sq. ft.
sq. ft
sq. ft
Footprint sq. ft
J 6 ??
Building /,-' Engineering
rv. ? rS
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
Census Code L/ 3y
5AC Code
Census Units ot
Census Bldg d
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
a'?C??valuation: $
45 ?-
l?i.??
?ra1? Xg ?f ??v 5'sb
14S XI5 ' - e ?r
l &2od
'4
% SAC
SAC Units
612 882 7942
0.7-12-1999 04:41PM FROM * DESIGN CLASSICS * TO 6814694 P.02
? ?rU~ V!L/
. . . , ' . /' ?!// ( ?
Form for uae with Minnesota Rnles part 7670.0475, Subp. 2
. 1& 2 Faatily Residential "Cookbook" Method
SI7'E wODRE55 "-5- 00- Gty G p1 I?JV +?
gLt'L°°t ~wac?-D n1ePM6rv' °'tg?fi
Minimum Criteria:
Rim 3oisr. R-19 insulauion Fomdaton Windaws: Insula[ed glass. IQ" air space. wood or vinyl frame
Entry doori: 1?R inch zolid wood with StOm Or better
$TEP l Window & Door Ares
Total Window & Door Area in Sq. Fcet
WINDOWS (including fuundation windows):
Dirixnsions Qnty. Area
?
24 ? ft?D
z
x
x
x
x
x •
x
X
x
R
Doaxs:
r 11 x ?.
x
x
Total Area of
Window & Doois
a! A
Totai Wa11 Area in Sq. Ft
Wall Total Perimetor Height Area
STEP 2 Calculate area ac a percent of wall
Boz A(window & dvor area) divided by Boa B(total
wall area) times 100 equals the window and door aiea
as a percont of wall azw (Box C).
Box A 56,? x 100 = 1??4da C
$vx B 3gZ? Q
?- STEP3 Design Features ?
r ASSEMBLY OPTION
FxANEwAa.:
STnWDnRD FRAMQtG ?
ADVpNCEb FRAMING
GVi7Y ItdSUiATION R- ?
5?THIM: LESS 7'HAN R-5 ?
R-5 OR MORE
WII'fDOWS (encept foundstiOn windows)-
.
U-FACTOR U' !Z
From the table, duermine the maximum pezcent window
.4t door uea for the design options selectcd and entw thc
valae in box D 6elow:
Z?D?n
Tota, Area 39.?a
nf waI3
I Box C must 6e less ihan or equal to Box D
TOTRL P.92
f inu ?umya, y -
?
king Drive
,
380
Pg• 65
prairie Mn 55344 Bk. 111 /
DELMAR H. 8CHWANZ
Lam Suwmvom mc.
wqw,.e u14W u.. a nr w a wwwwM
e?vaza??
TA
11750 $OUTH ROBEHT TRAIL ROSEMOUNT. M1NMM
SU VEYOR'3 Cff FICATE
,?
? I - •
q12•? ? ??
? ?
c ?
J l
? ?
3? ` CA
v
"
(
W
qi6
4\U'
- e
/
\, ' IN
? 9?•? ?
,.ay ? ,
? ?
I 3
? A y
"
T'? 24 ZOA
? ?
.
`
-
1
Scale: 1 inch = 30
I
,
.
++ood hub
a... '
? ? Q e?tib = existing
in
i,, ? elevation
pzoposed
,
; HouSE i
? elevation
? .
..'L . ? 24 9i3.0 'w,?..zoo
'"
TP H?e: 9W.1 -?? ?a
?
91q.7q ^
9i2.9 Z.
& Utility
D
I p
t
rainage
;r Easement '
/'
113 1ePC°1sm ?
r
7 4?o.8+
!
o
Lot 8 Block 1 011K CWlS$ FIPTH ADDIRION'
according to the record ed plat thereof,
qR'? Dakota County, Minnesot
r a.
Also showing the locati on of a proposed
I hareby certNy thet lhis survey, plM or nintl house th2reon.
i
prepsrod by ms w unNr my diroct wpav
?A•
-
iNSrod Land Survsyor undsr
dul
R
y
p
tnat 1 sm s
Y
,
.
the lews ot tM Stste o1 Mionesota
Sehwsnz
DNmu H
.
May 20, 1987 Minnewte Rs9hWi°^ N D. 805
Deted
L? BL CITY USE ONLY RECEIPT
,,a SUBD. ?u^r- 5t,
DATE: 7,110195
1995 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH NO. TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
(ias Piping Outlet " minimum -1 3.00 x =
Rough Openings 1.50 x =
Water Softener 5.00 x =
Private Disposal ' Dakota Cry. license 20.00 =
U.G. Sprinkler * home under const. 3.00
?
Alterations " to existing 20.00 = o?D
Water Turn Around 20.00
STATE SURCHARGE ? .50
{J S
TOTAL o?D r
..L .,??
SITE
OWNER
INSTALLER
?
r
STREET ADDRESS: 9,4 )3 CITY:STATE: ZIP:
PHONE #: ( ) - 5? -'? ?-
?
7 ?/?? A? . Po?? -
1987
SINGLE FAMILY DWELLINGS
INCLODE 2 SETS OF PLAAIS, 3 CERTIFICAT6S OF SIIRVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: A?DRESSES FOR CORNER LOTS - CONTR9CTOR/HOMEOWNER MDST DESIGAIATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BS ALLOWED ONCE SIIILDING PERM"iT IS ISSIIED.
MULTIPLE DWELLINGS - RFSIDENTIAL RENTAL DflAITS FOR SALE II@iIRS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRVEY - CHECK TiITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1$ET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
. -r. ?
To Be Used For:
4S29
Site Address
Lot C/ Block
s
Parcel/Sub
-?7
Valuation:Date:
i
Owner 2A. W-gva
--
Address r?
City/Z1p Code (??_ ¢„ /?L?,?,? m ?S? y'?f
Phone
r
Contraetort??`,A
e5X
Address
City/Zip C fS3 yY
Code ^,'N,,J
Phone
Arch./Engr. 4?P !X
Address l?o?
City/Zip Code Ssavy
Phone fF Of'% 1O S?
6n Site Sewage Oecupancy
MWCC System ? Zoning
On Site Well Type of Const
City Water ? (Actual) Q
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEFS
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Counefl
Bldg Off
APC
Variance
Permit S" . a'o
Surcharge Go. so
Plan Review ,jFS•?i
SAC, City /pe,
SAC, MWCC
Water Conn
Water Meter A 71
Road Unit S o a.
Treatment P1 g/ 6.
Parks
Copies
TOT@L
5-
.?? ? _S ! Y. r .3c??
?-
63,bov
s-Y 1ila, ??c v{ = ir?`q? o
x
J 3 x `{ S`?. rY 0?--
_ ry? ,? o p
r ? ?!
YS. p
Y: k. a
8
'' ?. ,
, ,? ..
Halley Land Company
11095 Vlkinq Drive Suite 380
Eden Prairie Mn 55344 . +
Bk. 111 / Pg. 65
DELMAR M. SCHWANZ
LAM SURVRVOR& M.
woaww umr w+d ne aaa a wM.s.
14750 SOUTM ROBERT TRAIL q08EMOUNT. MfNN80TA 812/149-176111
SURVEYOii'S CE FICATE 912? 61
??---?
?
.
.
?- ?
?- -
. L
?---
? ??'?• 3 m
We5 -
-6?' ?5 ??•??? e
.?
? •?i Ika: •?p ?; ' c-•
AiY.97 ? ?
I 1 , i, - -- -
-?.
> >
?-- ,
Lo
? IDSa n
? Ncx?sE
V p: 24 9110 'io
`S{ Te µ,g, 9W.1 .r?
Drainage & Otility 912.9
? Easement
n ?
_ .../
/
? .-- , -
i- o •yyfj'
I hereby certily that thie survey, plan, or rsport wa6
prepared by me or unESr my direot wpe/vlsbn and
thet I am a duly Ragiatand Land $urvayor un0ar
tne lews of the State ot Mfnossots.
Dated May 20, 1987
13,,r"o0
?
Scake: 1 inch = 30 fee
wooa nub
?
existin,g
elevation
i N
proposed
I elevation
.
Z ?p
+`?111.3.. '(o?GuAD =
9ro.8+r
Lot 8 Hlock 1 OA1C CHASS FIFTH AoDIRIat,
according to the recorded plat thereof,
Dakota County, Minnesota. Also showing the locatiort of a proposed
house thereon.
Wlmn H. BchwMZ MMneeota RspMrNbn No. 8826
•' .,• _.
EXTERIDR ENVELOPE AVERAGE "U° COMPUTATION
OWNER
SITE ADD ESS
?
CONTRACTOR _AA DATE PHONE 9v`? IdS?
Determine working square footage of each.
7.' :Total exposed wa]1 area ..... . Z?o`f?• 5 sq. ft. x .11
= p
,
2. Total roof/ceiling area ...... ??Q/•? sq.,ft. x- .026=
Tota] exposed 'wall area above floor = ZGI?i• 5?
a. Total walt window area ............... 8 4'+
,
. b. Total door ar@a :..:............................. '
...: ........
c. Total sliding gtass door area ........
d. Total fireplace wall area............
???????? ........... -?-
e. Total wall framing area (average 10%)...:......:. • ?'j •
f. Total.net wall area above floor ................. S. Z
g: Tota•1 r.im jo.i.st area ' • •• Total exposed foundation area
..,.. . _ .
, h. Total foundation window area .................. /D
• .... -
i. Toal net foundation area above grade ....,....... ?
Determine "U" value of each wall segment. ' . H. _ :01v4:7-- X nU° i55 = 07 .
b,- X "U" "0 ? /,a• 8 C. D 2 xglup d, ?- X IOUn ?-
. . e. ? Z/•? gIOUa
. . f. ZO -2 x.,um g 0un
n._ /0- x °u° .55 = 5.5
i• '?/•s X ,,,,n
3. ......• ...........................Total ?" .
If item #3 is the same as, or less than item #1, you have met the intent
of SBC 6006(c)2.
?
?
Total exposed roof/ceiling area = /G{//, <
3. Total skylight area ............. ........... ...
k. Total roof/ceiling framing area (average 1.0%) ...
.
1. Total net insulated roof/ceiling area,.......... .
, Determine "U" value for each roof/ceiling segment.
3, -8-. . x liuii
k. x i,u„
X „U,. : - . D10
4 ......................... ...:.....7ota1
. . . ??`?.`?`
If total of #4 is the same as, or less than #2, you have met the intent of
SBC 6006(c)1. .
Alternate Building Envelope Design
To utilize the total envelope system method, the values established by the
sum oF 9tems #3 and #4 shall not be greater than the sum of items #7 and #2.
+2. ??•7i = Z3 Z.Z
3. + 4.
?
G?
-i
ExLni•ior nir f.im 0.l'7
?? ,...,? ? • t b
T TAI. R
u = '1 /R = . 10
? . . , :?-. ? . ?ouT ?v?.1vf?d. fL s ?j•l3
'?'? •: ??'`?.% I`; ?.`• Slnb On Grado
. . ?...?_• ,.;' .
. ' •.; .: . .:. `' ?? •- a
, . .? . . A .
•? .^
••. .. .. ' ? .
.., .. •. . •'' : II1///7 ?.f?i?? -;? • ? ?, ? .
A
??. . ? ? ? • '.? . ? .?, !'"'??'? ?E?' ? _ •. ° •. • '-_
. • • y?' . ? -.
. ?. . ,'. • ? A ?,
s : r i ?. . • •
,L ` '. ? .r V - • ? !? .Q
? ? ?• iK o ? ,???
. .
`? •' . I ' ,.y'
I,.1?? ••?? ? r/? i •• ?.L i
• . • . r • "1
? • ' • •
• • ' • • . ? •.. ?. `•/V-? ?/
?. • •??. •• ? . .
,.; .., ¢.
I ?
?
.7
? `• -
-?r-
Wa11 Framing Soction:
--?1 Tntorior air
L ? r , • ',"'?'. ' '
,?.
Wall 'Section (Ttiaulated)
1 Tntorior eir f?lm
?""'?2 ' C?. W. F?p.
R Vnlue
To•rnL n =
u=1/R=
• ?: •
:i
. 3 a ?s.s? ?r.ac. o
"
EA
UE'
1
1
Y1?
s.
,
SI-
.
A4 1 r2
1.25
6'xtor or a r film 0.17
. • ' ? •. . TOTAL R _
? 7
r:
'
u J/R
= - 0
:? ? I
? ?' "• -`? ? . ; .
' t {yi ir? r;! ..r - -
..i"?? ?? ? _> . .. , ?ti' .,t - •.? ? .,. - -. _ . _ _. .,
rat:. .. . .
Rim Toiat Seations ' . .
-
Interior air film
? . 2 ? I L O?
-? , .. 3 U 2 ---??iDemnm!n, .
.ti?':.•: ,?.
?F.tf
?
.
tiE?ctorior air Yllm
W'.., iOtul N = r-:
? ? ..
„? ' '.' ' ._. . . _... _ .
• ... Fovndation Section:
.. ?i
•- ' - . ?
' • `,
;
AIR j VENTED
FLOW ?
--
?.
r
.,
?l
, CEILII+G SECTION (ItiSQLA:ED?:
? 1 Tnterior nir fi]m 0.61
? . ' • ' 3 Z-? e1.??LJ? 68.OD
4 Exterior air film._ _ : .
(still) 0).61
, ; •F; TOTAL R = tFe?,' a
•F'? U = 1/R = .^
Q?0
. `
) ?... 5 "CEILTNG FRAMING iP.Cf70N : _
`.1 Interior air• tilm
G.c.O
15 5fv
.
. _
;'k 4- Interior air film ?• . • :?--?'
?''0 "
'
::''
?
' ? •
'? ? (still) 0.61
?
•
: ,,
?.:
.?:. ..r.i. ..r. :
.
5 s
3
'inches soft wood
? $P
.•: `
, ?, • ToTAL'.R. .
; ,_
.
,>
?: ? :,
-`?:?.%i??" ?.: t
.
•N
•a:._
- -
U
;
?a
.` ?,:
• - _. . . .. .
?
y ?y•j.• . .
????? •?e: . . . .-..:
. ..
??;?`• ?
. ? '" CE ILING SECTION (INSULA TED)
'•?'
?:
; . 1
• Interior aiz film • O.F>L.-I
,
, Z CT -7'.' :45:
i
1L •.' .? 3 ,
.
' Extcrior air film
?,;i:i;;,:'i:
.
. • ... (stil]) ?.61
,: ?ri,
•. . , ?? . TOTAI, R =
•
^? . u- 1:R = .O
,._
n • .;; ; .
`"t•e ~...
± CEILING FRIIMING SL:CTION:
i Interior air film 0.61
2 4FT
, ,
3 r-,ca. w5+ acvc
4 Exterior air film
(still) O.Eal
5 llI/'L inches soft wood
' TOTAL R =
• u=i/n= .y
1 Inside air film 0.61
2 ?
3
4
5 Outside air film 0.61
TOTAL R x
. ,
. ?.. . 4:...?.y.
y
------.., s(5 _
. .. _ .. . . . ? . . . ?j.. A. ..
w/tA't70W ArEA
--.. ? ..._ .... .. _.._,.
3?xu?/3c? _._. f ? ? I 14111?11«.?_15-X %5 _--
. ,.
}
? I
' 2/84
l CSTY OF EAGAN
i APPLICATION FOR PERMIT
- SEWER AND/OR WATER CONNECTION
(PLEASE PRINT) .
1) PROPERTY ADDRESS:
r_Fr3a?, DESCRIPTION: 041[ C v1ly f S?
(Lot/Block/Suhdivision or Tax Parcel I.D. NuTiher)
? ir E{iS_= :G ST^n[tC.-.'I::<E, DATE 0^ ORIGINP.I, nLi2I„?.?`:G F=+iT 'iSj -rY
_
?
•-
? PPWSr T .:?`7I1ry^2??OPOS? U.=-- (g-'R 1 Si= FP?IrT?.y
? ? R-2 DIJP-={ (T.,n L'CITS;
M R-3 ICiriNtiOIJSE (2HREE + LJNITS) ( UNTTS)
E3 R-4 APARZ^=/CONDCXMNIUM ( IINITS)
Q COMMEI2CIAL/RE,TAII,/OFFICE
? =usTRIAi
? IlVSTITUTIONAL/C',OVIItNN=
2) AppLICANr
NIIINIE: (PLEASE PRINT)
?
ADDRESS: ['e' s? l cQ
CZTY, STATE, ZIP: Yr) Til9[n.A
PHO'ME: Y i?d
3) pLiJMBIIt PLEpSE PRINT) FOR CITY USE OHIY
NP
1?4E: ?
?
ADDRESS: -: PLUMBERS LICENSE:
Q Active
CITY, STATE, ZIP: L] Ezpired
PHONE= MASTE
PLUMBER LICENSE 1/ 0 Not of Record
..
a nitia
4) occ.-UPr,rrr/arNm NAME:
ADDRESS:
CITY, STATE, ZIP;
PHONE: 77 ?
/ -
?
5) INDICIITE WE3ICH PERMIT IS BEINC; F2EQUESTID;
?COJ?IIdECrION 'I1? CITY SEL?IER
?-?, /
Ly" CO'•VNE?TION TO CITY WATER
[] OTfiQt (PLEASE DESCRIBE)
b) LNpI= 0LNE :
7) SIGVA'NRE:
? PLFIISE HOLD APPROVEp PERMIT FOR PICK-UP BY ONE OF P.HOVE
? PLFASE MAIL APPROVEp PERMLLT TO 1, 2 3, 4 AHOVE
(Circle ane)
ti
DATE: - 2,.3' 9
O R C 2 T Y
PERMIT = ISSUED
FEES: $
$ /(i •
$
$
c
Y
$
$
$ ?7S c'77
$
$
$
$
$
S E O N L Y
SEPIE.°. P-'RMIT (IVCLliDv- SUP.CHARGE)'
WATER PERP'tIT (INCLUDE SURCHARGE)
WATER METERJCDPPERHORN/OUTSZDE READER
WATER TAP (INCLUDE CORPORATION STOP)
SE;dER TAF
ACCCL'NT DEPOSIT - S°j,PER
ACCOG'NT D°POSIT - h:ATEF,
WAC
SAC
TRUNK WATER ASSESSMENT
TRUNK SETiJER ASSESSL9ENT
LATERAL BENEFIT/TRUNK SEWER
LATERAL BEN?EjFIT/TRUNK WATER
OTHER - T /'- Ct,/ -L'-
$ TOTAL
S ?-J ?1 ?• ?' ?? AMOUNT PAID/RECEIPT # 7??(,? j
l 7
DOES UTZLITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGi3T OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
?-! NG E*?GIDIEE.°.I.dC CIVISICN. LIST AS F CO^]DI-
TIO[V.
SUBJECT TO THE FOLLOWING CONDITIONS:
?
APPROVED BY:
TITLE:
cl
DATE:
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4529 Oak Chase Way
Lot: 8 Block: 1 Addition: Oak Chase 5th
PID:10- 53504- 080 -01
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264 -4777
Surcharge - Based on Valuation $3K
BL - Base Fee $3K
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
Permit Type:
Permit Number:
Date Issued:
Permit Category:
If altering the opening size, a framing inspection is required. Smoke detectors are required in all sleeping rooms prior to fins
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. Tim Schenk Elder -Jones
Building Permit Service 1120 East 80th Street, Ste. #211 Bloomington, MN 55420 952- 345 -6040 kara @elderjones.com
$1.50
$88.50
$90.00
Owner:
John A Breviu
4529 Oak Chase Way
Eagan MN 55123
9001
0801
Building
EA076721
02/15/2007
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply with all applicable State
Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114750
Date Issued:09/18/2013
Permit Category:ePermit
Site Address: 4529 Oak Chase Way
Lot:8 Block: 1 Addition: Oak Chase 5th
PID:10-53504-01-080
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, 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 -
John A Breviu
4529 Oak Chase Way
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA121285
Date Issued:03/24/2014
Permit Category:ePermit
Site Address: 4529 Oak Chase Way
Lot:8 Block: 1 Addition: Oak Chase 5th
PID:10-53504-01-080
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and house wrap and leave on site.
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.
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
John A Breviu
4529 Oak Chase Way
Eagan MN 55123
Lindus Construction
879 Hwy 63
Baldwin WI 54002
(715) 684-4647
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA131371
Date Issued:06/16/2015
Permit Category:ePermit
Site Address: 4529 Oak Chase Way
Lot:8 Block: 1 Addition: Oak Chase 5th
PID:10-53504-01-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
John A Breviu
4529 Oak Chase Way
Eagan MN 55123
(651) 454-9391
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460-6022 X253
Applicant/Permitee: Signature Issued By: Signature
!"
#$%&'()'*+*,
-./$%'"&0-1L6$4@$,+
-./$%'56/7-.189::FB<
>*%-'!??6-@199ABFA<B9C
-./$%'#*%-+(.&1--./$%
D$%-'8@@.-??1''EC<F''J*R'#3*?-'S*&''
P"#$% &&'())**+ &&W>%&CH>8-&!H
/01 '23!\[!2O32'32P2&
78-
>-?2.$0%$(,1
,9:&;.<- ?*+)S8\\1@8C+8@9$*+&;.<-
?@%&;.<- =-<#>$-
1-8$@*<*+ ;S&@&K@-&?*+)S8\\1@8
C-+898&C)- O\[O&3&W$$9<>+$.
b+*+E
,G9>@-&A-- 2
0F<@V-F-+8&&H-&HF-&@-G9*@-&8F%-&)--$@8&*+&>##&:-)@F8Q&0T&>#-@*+E&S*+)S&<-+*+E8&@&*+8>##*+E&">.&@&"S&
#(//-,%?1
S*+)S8J&$>##&T@&T@>F*+E&*+8<-$*+Q&C>##&T@&T*+>#&*+8<-$*+&>T-@&*+8>##>*+Q
C>@:+&F+R*)-&)--$@8&>@-&@-G9*@-)&S*H*+&'2&T--&T&>##&8#--<*+E&@F&<-+*+E8&*+&@-8*)-+*>#&HF-8&LK*++-8>&,>-&
"&3&">8-&A--&UOXU'2\[Q5!&2P2'QO2P!
G--'D6//*.&1
,9@$H>@E-&3&">8-)&+&a>#9>*+&UOXU5Q22&M22'Q5'M!
a>#9>*+ &&OJ222Q22
"(%*41H9BCI<C'
#(,%.*2%(.1JK,-.1
3&&(<<#*$>+&&3
=-+-S>#&(+)-@8-+`H+&(&"@-V*9
'M52&C9+.&=>)&C&?-8O!5M&W>%&CH>8-&?>.
=8-V*##-&KY&&!!''\[I>E>+&KY&&!!'5\[
L6!'N&56O3O444
0&H-@-:.&>$%+S#-)E-&H>&0&H>V-&@->)&H*8&><<#*$>*+&>+)&8>-&H>&H-&*+T@F>*+&*8&$@@-$&>+)&>E@--&&$F<#.&S*H&>##&><<#*$>:#-&,>-&
T&K*++-8>&,>9-8&>+)&C*.&T&I>E>+&W@)*+>+$-8Q
(<<#*$>+\\/-@F*-- &,*E+>9@-0889-)&". &,*E+>9@-
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA141197
Date Issued:02/27/2017
Permit Category:ePermit
Site Address: 4529 Oak Chase Way
Lot:8 Block: 1 Addition: Oak Chase 5th
PID:10-53504-01-080
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
John A Breviu
4529 Oak Chase Way
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA148366
Date Issued:03/23/2018
Permit Category:ePermit
Site Address: 4529 Oak Chase Way
Lot:8 Block: 1 Addition: Oak Chase 5th
PID:10-53504-01-080
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 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 -
John A Breviu
4529 Oak Chase Way
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA154216
Date Issued:03/04/2019
Permit Category:ePermit
Site Address: 4529 Oak Chase Way
Lot:8 Block: 1 Addition: Oak Chase 5th
PID:10-53504-01-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
John A Breviu
4529 Oak Chase Way
Eagan MN 55123
(651) 454-9391
River Valley Rpz Llc
1623 210th St E
Farmington MN 55204
(515) 210-2094
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA154586
Date Issued:04/02/2019
Permit Category:ePermit
Site Address: 4529 Oak Chase Way
Lot:8 Block: 1 Addition: Oak Chase 5th
PID:10-53504-01-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
John A Breviu
4529 Oak Chase Way
Eagan MN 55123
(651) 454-9391
River Valley Rpz Llc
1623 210th St E
Farmington MN 55204
(515) 210-2094
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA155112
Date Issued:04/29/2019
Permit Category:ePermit
Site Address: 4529 Oak Chase Way
Lot:8 Block: 1 Addition: Oak Chase 5th
PID:10-53504-01-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
John A Breviu
4529 Oak Chase Way
Eagan MN 55123
(651) 454-9391
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460-6022 X253
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168832
Date Issued:05/05/2021
Permit Category:ePermit
Site Address: 4529 Oak Chase Way
Lot:8 Block: 1 Addition: Oak Chase 5th
PID:10-53504-01-080
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
John & Linda Breviu
4529 Oak Chase Way
Saint Paul MN 55123--182
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
(651) 633-2561
Applicant/Permitee: Signature Issued By: Signature