4544 Oak Chase Way, . .. ? ? ?
r CASH RECEIPT '
CITY OF;.EAGAN
' 3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
l?
DATE
FtECEnreo
AMOUNT I $.Y . Z,?'-7 I (J
& DOLLARS
' 00
? CASH XCHECK
Aw! / . .
Thank You
BY V .i?/ [iLC .l
WhRe-Pallers CoPY
840q * r Yellow-Postlng Copy
Pink-File Copy
-$LDG.PER MITNO. 9001W?
.. ?
?`-
Ul?
01-3210 ..?J
Bldg. Permit'
r?
01-3422 Plan Check ? i G? EO
01-3445 Surch./Adm.
?
69
01-3445 SAC/Adm.
, 41-2155 Surcharge
75-3860 Road Unit
? 20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
-3716
It 20
Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn. 6'C
28-3855 Park Ded.
( I -Yo0 c,
TOTAL
CITY OF EAGAN ? ? ? 7 ?
3830 Pilot Knc6 Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILQING PERMIT Receipt
To be used for ?'`'?? ?Cr'ki; Est. Value =:&y'?'U0 Date AY [:i ,19 ?iL
Site Address 4D
Lot " Block _
Parcel No.
Sec/sub. ?? ?f-;ASk 6TIl
o? Name .JOH''???? ]ZEi1.AND C01t5TPt'CtI0:
z Address I ? 2 b } 121 -•;P 1;T
3
? City +St? iLL?.Phone +c,rj---`•'??1t3
. o Name ;,p..,.?
? Q Addresst
?1- City Phone
?- Q
UW
W W
FZ
U
s Z
w
Name _
Address
C+Ity-
I hereby acknqwledge 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.
Signature of Permittee
A Cuilding Permit is issued to:
on thb express condition that all work shall be done in accordance with all
applicable 5tate of Minnesota Statutes and City of Eagan Ordinances.
Buiiding Official
OFFICE USE ONLY
On Site Sewage Occupancy
MWCC System Zoning
On Site Well (Actual) Const
City Water (Allowable)
PRV Required # of Stories
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS
Engr./Assess.
Planner
Council
Bldg. Off.
Variance
FEES
Permit
.SUfCf18f9B
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
R-3 M-1
E
Y-N
? 'V-:?
J ! f
5U,
604.00
54.50
30?.oU
100.00
J 5C`. l?0
S.'K}. 00
67-00
??O
325,
2U4. {iU
? ??
2,757.
CFTY OF EAGAN Remarks
Addition OAIC CHA.SE 6TH ADDITI0N Lot 3 81k 2 Parcel 10-53505-030-02
Owner streec 4544 DAL CHASE NiAY state $AGAN MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
5AN SEW TRUNK
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA / 19$5 623.25 41.55 15
STORM SEW TRK 1 19$S 1093.92 72.93 is
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
13UILDING PER.
SAC
PARK
CITY Of•:AGAN Remarks
Addition OAK CHA38 6TH ADDTfION Lot 3 Blk 2 Parcel 14-53505-030-02
owner street 4544 OA1C CNASE NUY state E11GAN MI 55123
,
jmg
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STR EET RESTOR.
9[9IKRM SEIPER LATz4C- 1974 172.50 11.50 15
SAN SEW TRK zo 1984 27 85 5,57 S
5AN SEW TRUNK Z 1973 253.33 12.67 ZD
SEWER LATERAL 13 Zj 1934 78,55 15,71 5
? 1984 2 02 1
I b 1QII7C1(Xt?fltlC NiATER 4AT 1972 153.33 10.22 15
WATER LATERAL LL 623 2
WATER AREA $z
N S7 $
STORM SEW TRK S
STORM SEWX? ? gqp 1093.92 72.93 15
SBMIER LkTERAL z 74 76.68 S.11 1
CURB & GUTTER
SIDEWALK
STREET LIGHT I
WATER CONN.
6UILDING PER,
SAC
PARK
PERMIT #
; MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
.? 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE _
'RICE: J?p?ti PHaNE:454-8100
Site
m
m
?
?
WORK DESCRIPTION
?
New
Add-on
Repair
N?
? FEES
? Name RES
HVAC 0-100 M BTU -$24
00
c Addre
ss .
ADDITIONAL 50 M BTU .
- 6.00
p t
City Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM -1 PER PEkRAM - 1
50 EA
.
.
TYPE OF WORK dp COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air ?fD M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHpUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS
MINIMUM COMMERCIAL FEE - 12.00
- 20
00
Air Cond. M BTU $ STATE SURCHARGE PER PERMIT .
- .50
Vent
- CFM (ADD $.50 SiC IF PERMIT PRICE GOES
Gas Piping Outiets # ? BEYOND $1,000)
Other
FEE:
5/C: 'a SIGNATURE OF PERMITTEE
TOTAL:
FOR: CITY OF EAGAN
s :.._
Y S Y C.«r/< ?Jl ci .
d?? BLDG. TYPE
Blocic; $eclSub Res.
,
Mult
Name
Addr 1, yo/ ol*tAN 4-VL l -Comm.
ty
City e
I ., q r ? f?+- Phone Other
?,. . .. . . _ . . .
PERMIT # `?;•,_ i1' / ...: :,..
PLUMBING PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE PHONE: 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot Block ? Sec/Sub ?Res. New ?
Mult. Add-on
? Name ?'?'?-.' % G t, r? ?? •' //?G Comm. Repair
0 Address J? yf 5 '' •, %?6' ?- c Other
c City -?-7 649r <- Phone 27Z?? '-, RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
` Name J?- / •.00v ' water Closet - $3.00 $
_?Bath Tubs - $3.00 T-
3 Address -5/ Lav
tor
- $3
00
y
.
a
p City Phone Shower - $3.00
?
Ki!chen Sink - $3.00 '
FEES
COMM/IND FEE - 1% OF CONTRACT FEE Urin21/Bidet - $3.00
Z_Laundry Tray -$3.0o
APT. BLDGS - COMM RATE APPLIES ,?-Floor Drains -$1.50 ' -
TOWNHOUSE & CON00 - RES. RATE APPLIES ? Water Heater -Si 50 j
MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpooi - $3.00 J '
MINIMUM - COMM/IND FEE - $20.00 _L_Gas Piping Outlets - $1.50
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIn
(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYOND $1,000.00)^ Well - 510.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
SIGNAT RE OF PERMITTEE
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL•
' (gtr#if iratt uf (Orrupttnry
titp of (f agan
Ervttrtmrnt nf luddircg Jnspprtiurc
Thrs Certifccate issued pursuant to the requirements of Sectivn 306 of the Uniform Building
Code certifying that at the time of issuance this strueture was in compliance with the variaus
ardinances of the City regulating building construction or use. For the following.
Lh14 .:' i•. ?'. ._ ? ! ?("` f ' .
u5G Q8.ffiric8UOO ' 8ldg. pCI7IIll NO.
0-va-r Trve zooing Disv;ct F. TYPe Canst.
Dwoerd'Buildi .OWSCV }RLZI.,AN? ?NEO2. Addre,
_ B2, C?e?E:1C13r",EL
e?g naa.? +«Y4 t? GiASC WAY ?ity
Date:
POST IN A CONSPICUOUS PLACE
'
. ? - .. . . ? j? GITY OF EAGAN ; r,072
3830 PilOt Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt #
44
Est. Value
UAK
Parcel No.
a Name ?.?'•_ :+ ::?" .. ,?;?,o ?. ...
W !{
3 Address
a City Phone '
°C Name
,a
? a Address
? City Phone
W W Name
r W
?
Address
u
Q W Gity Phone
I hereby acknowledge that I have read this application and state that the
informatian is conect and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
5ignature of Permittee
A Building Permit is issued to: on the express condition that ell work shall be done in accordancewith all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
,19
OFFICE USE ONLY
City Water
PRV Required
Booster Pump
APPROVALS
Engr./Assess.
Planner
Council
Bldg. Off.
Variance
Occupancy ;
zoning
FEES
Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn. _
Water Meter
Foad Unit
Treatment P1
Parks
TOTAL
Permit No. Psrmit Holder Data Telsphone #
Plumbing C F)
H.V.A.C.
Electric
?!ti?
J1
Softener
Inspection Oate fnsp. Commertts
Footings I
Footings II
Foundation r
Framing 7 ' ?
Roofing O -s-g-Aa
Rough Plbg. L
Rough Htg. ?S? p. e .
Isul.
Fireplace
Final Htg. _ r
Final Plbg.
Bldg. Final
Cert.OCa
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
?'?+?'??•?s ?..1!?i? .. e '?r ? .. . ..f4 . . r ti. . . .,J : A??w-. S ,. . ? .. . !. y :'1C F s.. ?.. . , .. . q6??, .
CITY OF EAGAN Al 1773O
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
P HO N E: 454-8100
-
BUII,DING PERMIT Receipt #
To be used f9r ; nECK Est. Value ; i•000 Date APR 18 ? 19 90
Site Adcitess 4544 OAK CHASE MAY
Lot 3 Block 2 Sec/Sub. OAK CHASE 6TN
OFFICE USE ONLY
Parcel No. ocoupancy - FeEs
Zoning
W Name STEVS 6 LOAI SCHMIDT (ACtual) Const _ Bldg. Permit 2s•W
o Address 4? ? GWE WAY (Allawable) - •?
Surcharge
City EAGAN Phone ? ot siones
?$ Plan RevieJv
?e??
o Name fl??N ?p COA15TRUCTIC?N Dep? ?fl snc
cit
?'~'
Address 10602 166'it! W
S.F. Total ,
y
U? City ??? Phone ?+3?g?3 S.F. Footprinls _ SAC, MCWCC
Water Conn
On Site Sewage _
?
? W
W
Name
on sice wen
W
t
M
t
w -
er
er
a
e
?z Addf@SS MWCC System -
Aocl. Deposit
a W City Phone Cny water _
i
/
PRV Required W Perm
t
- S
I hereby acknowlege that I have read this application and state that the Booster Pump - SNV Surcharge
in(ormation is correct and agree to comply with all applicable State of
Minnesota Statutes and CitXQt Eagan Ordinances. , Treaiment PI
?Signature of Permitee k" vt? ?Pt-&f4 APPROVALS Road Unit
A Bwiding Permit is issued to: D?? "'"AN CONsT Planner - park Ded.
on the express condition that all work shall be done in accordance with all Council 1??
applicaWe State of Minnesota Statutes and City of Eagan Ordinances. B pn, Copies
Building Official i
Va ance
- TOTAL
26e 5{I
PrrmH No. Parmit Holde? Date Telephone #
WATER
SEWER
PLUMBING
H.VA.C.
ELECTRIC
inspsetion Data Msp.. Commer?ts
footirgs I
FoaRou9h Ht9
Isul.
Fireplace
Fnal Ftlg.
Fnal Plbg.
Cast Meter Plbg. Inspector - No6fy Plumber
ErgrJPlan
Bldg. Final
oeck Ftg. Y? 4
Dedc Final 1? 1` / D t?I(v
Well
Pr. Disp.
. . . yp.y? ..ry•!?j-?? f,. . ,.. . . , . ? . . . .
` f
. _.1 . - . ? . . . - . ... _. . . . . .. .y„ .y?.?
. - .y..r..?Fye.r.'l_. w,4
'
. CITY OF EAGAN 18666
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454- 8100 •
BUILDING PERMIT Fteceipt # '
USDMx piHISH
5m
$Z
° JAN i8 11
ised for,/•
To be
Est. Value
+ Date 19
Site Add rss 4?' E? C?Z '?AY
3
OAK C E TH OFFICE US E ONLY
Block Sec/Sub.
-Lot
PSfC21 NO. Occupancy - FEES
STE? `
??IDT Zoning
3s
?
W Name
` (Actuat) Const Btdg. Permil •
O 4 OAK CElAS'$ N1lY
AddrBSS
(Allowahle)
S i
.?Q
4
3
3 urcharge
52-3
2
City EAGAN PhOne # of Stories -
Plan Review
?e?? _
?
o P?xxEa?poL Bui?ERs
Name
Depth -
SAC
cicy
;k ` Address 8'?g HA[iRIET AVE 8 S.F.Total - ,
SAC, MCWCC
? Clty B?Mi? Phone "?Z22 g S.F. Footprints _
Water Conn
?
On Site Sewage _
QLU W Name On Site Well - Water Meter
W
s= AC1dfeSS MWCCSystem _
? Acct. Deposit
lr
< W CItY PhOIIB City Water -
SAN Permit
PRV Required _
I hereby acknowlege that I have read this application and state that ihe Booster Pump - SNV Surcharge
information is correct and agJeA to Comply with all applicable State of
Minnesota Statutes and C.ify`of Eagarf Qrdinances. ? Treatment PI
X Signature of Permitee APPROVALS Road Unit
PLEKlCHNPOL DUILDE Planner
A Building Permit is issued to: - Park Ded.
an Ihe express condition that all work shall be done in accordance with all Councii ?
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Oif, _ Copies
Building Otficial ' ? Vanance - TOTAL 36•00
PemtiR No. Permit Molder Date Talephone #
WATER
SEWER •
PlUM81NG V,3
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation '
Framing
Roofing
Rou9h Plbg.
Rough Htg.
Isul.
FKeplace 1 C.
Final Htg. -f - ? %
Fnal Plbg. - -??
Const. Meter Plbg. Inspector - Notify Plumber
Engr./Plan
Bldg. Final
Dedc Ftg.
Deck Final
Well
Pr. Disp.
CITY OF EAGAN Permit No: Date:
3830-Pilot Knob Road Meter No: 6/111 Size:
P.O. Box 21199 Reader No: Date:
Eagan, MN 55121
Owner.
Site Address ..,
Plumber.
Conn_ Chg; Zoning:
('?
"
"
Acct De ? ? •
?
?
p: '
_;
No. of Units: -
?
• ?Opd
Permit Fee:
Surchar e: • SQ?c
9
-
I agree to comply with the City ot E
,
,
Tr. Plant Ordina s.
Meter. 67 . oQn4
Misc.:
gy ?
WATER SERVICE .
I
CITY OF EAGAN Permit No: Date:
3830 Pilot Knob Road Meter No: g1Ze;
P,O. Box 21199 Reader No: Date:
Eagan, MN 55121 Site
Conn. Chg: 550, OQpd Zoning:
Acct Dep: T?? 5 3 No. of Units:
Permit Fee: ?'
Surcharge: I agree 1o comply wiih Ihe City of Eagan
Tr. Plant Ordinances.
Meter. Misc.: gy
WATER SERVICE PERMIT
CITY OF EAGAN Permit No: date:
3830 Bilot Knob Road B/P Na: Date: `-i5-08
P.O. Box 21199
Eagan, MN 55121
Owner. ,;dhna°n`ReLtand
• fl? :. CE-ase .-<:,v _.> 3-
Site Address:
Plumber: i.ake
MWCC:
Zoning-
City Chg: No. of Units
Acct. Dep: . ' I agree to comply wfth the City of Eagan
Permit Fee: - ? Ordinances.
Surcharge:
SEWER SERVICE PERMIT
? CASH RECEIPT
CITY OF EAGAN
' 3830 PILOT KNOB ROAD
•
r)
FUND I OBJECT I I I? AMOUNT
Thank You
BY
m U
N° 84938 w?'????
Pink-File Copy
i
--R DOLLARS
? CASH ? CHF?EK
?
A"a
r-V ?Uc'1LGL .i??/iG?/?.?J ?tG7r??11?i?> ? d?r???i?fG?/?7X'.
,?,C J>Y.?1?"'w?
CITY OF EAGAN N? 15072
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
Q??p6
BUILDING PERMIT PHONE:454•8100 Receipt # lJ 7
Tobeusedfor SF DWG/GAR Est.Value $109,000 Date MAY 25 ,79$B_
Site Address 4544 OAK CHASE WAY
lat 3 Block Z Sec/Sub.OAK CHASE 6TH
Parcel No.
a Name .10HNSON REILAND CONSTRliCTION
= Address 1526 E 122ND ST
° City BIIRNSVILLE phone 894-9300
OFFICE USE ONLY
On Stte Sewage _ Occupancy R-3 M-1
MWCCSystem X Zoning E
On Site Well _ (Actuaq Const V-N
City Water X (Allowe6le) V-N
PRV Required _ # of Starias
BoosterPump _ Length 57'
Oepth 5(1'
S.F. Total
Footprint S.F.
=¢IName SAME I
UU qddress
. City Phone
w
i
3
x
W
Name _
Address
City _
I hereby acknowledge that I have read this application antl state that the
intormation is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of PermitteE7\1RtA?,) ?If:Hl?OL?,)
ii a.
A Building Permit is issued to: J0HNSON REILAND
on [he ezpress condition ihat all work shall be done in accordancewith all
applica6le State of Minnesota Statutes and City of Eagan Ordinances.
Building Olficial I IoAk ko?k I?
T??
APPROVALS
Engr./Assess.
Planner
Council
Bldg. Off.
Variance
FEES
Permit
Surcharge
Plan Review
SAC,City
sac, Mwcc
Water Conn.
Water Meter
Roed Unit
Treatment Pt
Parks
TOTAL
604.00
54.50
302.00
101121)
550.00
n
?950.0
204.00
50
2,757.00
BUILDING PERMIT
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
To be used for DECK Est. Value $1, 000
Site AQdress 4544 OAK CHASE WAY
Lot 3 Block 2 SeGSub. OAK CHASE 6TH
Parcel No.
wlName STEVE & LORI SCHMIDT
? Address 4544 OAK CHASE WAY
City EAGAN Phone
o Name DARREN WYMAN CONSTRUCTION
i?
0 'a Address 10602 166TH W
m
1- City i•AICi3VTT.LE phone 435-5803
wW Name
'
E,? Address
aw City Phone
I hereby acknowlege Ihat I have read this application and state thal the
inlormation is correct and agrea ro comply with all applicable State of
Minnesota Statutes and Ci of Eagan Ordinanc s.
Siqnature of Permitee
A euilding Permit is issued to: DARREN Sd7 CONST
on the ezpress condition that all work shall be done in accordance with all
applicable State of Min(n?esota Statutes and C?i,ry_ o,f/Eagan Ordinances.
Building Official
N° 17730
Receipt # ?Tj -70?
oate APR 18 90
OFFICE USE ONLY
Occupancy _ FEFS
Zoning _
(ACWaI) Const _ Bltlg. Permit 25.00
(Allowable) - Surcharge .50
N of sfories
Length 1wa Plan Review
Depih ? SA0. Ciry
5.F.7olal - SAC, MCwCC
S.F. Foolprints -
On Site Sewaga _ Waler Conn
On Site Weil - Waler Meter
MWCCSystem -
Cily Water _ Accl Deposii
PRV Required - S/W Permit
Booster Pump - SNJ Surcharge
Treatment PI
APPROVALS Road Unil
Pianner - park Ded.
Council -- 1
00
01dg.011. .
Copies
Variance - TOTAL 26.50
CITY OF EAGAN Np ? 8666
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?
PHONE: 454-8100
BUILDING PERMIT Receipt x J J t??
To6eusedfor BASEMENT FINISH EsLValue $1,500 . Date .TAN 1 199j--
Site Address 4544 OAK CHASE WAY
Lot '3 81ock 2 SeGSub. OAK CHASE 6TH
Parcel No.
WlName STEVE SCHMIDT
o Address _ 4544 OAK CHASE WAY
City EAGAN phone 452-3323
o Name Pi•RKKFNPOi R[I7i DFR
0,Q Addr855 fiFi09 HARRTFT A S
'- Clty RT.nOMTNCTnN phOne-.888-2225
Ww Name
EAddress
az W City Phone
I hereby acknowlege that I hav eatl this application and slale Ihat the
information is correcl and a i
Minnesota Statutes and ?t?ply wdh all applicable State ol
C}y Eag Qrdinances.
1( SignaNre of Permitee -?
AeuildingParmitisi uedto: PLEKKENPOL BUILDER:
on the ezpress condition thal all work shall be done in accordance wilh all
applicable SWIe of Minnesma Stawtes andvCiryof Eagan Ordinances.
8uilding Otficial 491Afl 1 I II..U
?
Occupancy
Zoning
(Aduap Const
(Allowable)
# ol stories
Length
Depth
S.F. Total
S.F. FaotpriMs
On Site Sewage
on sae weii
MWCC System
City Waler
PRV Required
Booster Pump
APPROYALS
Planner
Council
Bldg. Off.
Variance
OFFICE USE ONLV
- FEES
81dg. Permit
Suaharga
Plan Raview
SAQ City
SAC,MCWCC
Water Conn
Water Meter
ACCL Deposil
S/W Permi[
S/W Surcharge
Trealmanl PI
Road Unit
Park Oed.
Copies
TOTAL
36.00
REQUEST FOR ELECTRICAL INSPECTION . ee-ooooi -o
?
? ?
See instructions lor completing this lorm on back of vellow copy.
E 2B474 "x" BeloW Work Covered by This Requesr
J peP. Type o1 8uil0in0 Aa4liancea WireE Equipmeni WireA
Home Fanye Temporary ServiCe
Ouplex water Heater iyhtiny Fixtures
Apt. BuilAinc? D r Eler.tric HeaLn
Commercial 81dy. urnace Silo Unlo,ider
Industrial BIAy. Air Conditioner Bulk Milk Tenk
Farm otner ae,;iry Omee 15neeifv)
tior Sueci y Othe, Oiher
omnute lnspection Fee Below
k F ServiceEntrenceSize tl Fea Feeders/Subteedars # Fen Circuits
Uto200Am s 0 to30Am s 0to30Am s
Above 200 qmps 31 to 100 Amps 31 to 700 Am s
Swinmfn Pool Above 100-Amps Above 700_/lmps
Transformer5 Irrigation Booms Partial'Other Fee
Signs Special Inspectiun
T F
pe?rks ?? )
NouBh-in t ?cnl
nspector, hereby
certity thxt the xbovo
Final D^te in5peclion hes been
de.
rniereQuestvolUlBmontMirom ?
This requgsl void h?1jfy
18 mpn[hs from ?
E 2 8 4 7 4,C (1.k,?.?
st Date fire No. Rouph-in InsVeclion ?,?????
e e ? I l Require ? ?Neady Nuw ?y1vn? rvmitv, ??spec-
es ?No tor ?'lhen fleadV
Q?'ecensed Electrical CoNractor I hereby repuest ins0ection ot ebove
? Owner elactrical work instelled at:
SVee ddress. B or out o. CIt? ?
ec on o. owns iD Nam o. ange M. Covnny
O ? IPRI T) 4C5/ L
we. aa ;P, AOdress
Electrir,ai Contractor ICom nv Namel Cn racto ?s License No.
king InsIailaGonl
14540 PENNOCK LANE
Aut{?o?ipyQ??nqlprR{?E4n?r6Fp;?Qyr9@f ??^}??95,?alla?i?n1 Phone Numbe?
MINNESOTA STqTE BOAPD Oi ELECTRICITY THIS INSPECTION HEQUEST WILL NOT
Gnggs-Mitlwey Bldg. - 0.oom Nd91 gE ACCEPTED BY THE STATE BOAFD
1 MN 55104 UNLE55 PAOPE0. INSPEGTIDN FEE IS
?821 Univareitv Ava.. SL PeuL ENGIOSED.
1991 BUILDING PERHI APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCUTATIONS
MULTZPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
(CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, SUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: A?'0AIEu? Valuation: ? Date:
Site Address 5'SC/9K
Lot ? Block .1,
Parcel/Sub NJ r }1liAa, u th
Owner ?37?1/E •S??/i17?p 7--
Address Al4 y
City/Zip Code 5
Phone 33 a 3
Contractor d"LZA?'eG ?cl!'S •
Address c°Go9 ?"/(/?•`5-
City/Zip Code6 ro"-)
Phone egv E? K,7LbAtll..
Arch./Engr.
Address
City/Zip Code
Phone
OFFICE
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well _
MWCC System _
City water _
PRV _
Booster Pump _
APPROVALS
Planner
Council
Bldg. Off. i?b
Variance
ONLY
FEES
Bldg. Permit
Surcharge I,ck?
Plan Review
SAC, City
SAC, MWCC
Watez Conn.
Water Meter
Acct. Deposit
S/w Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trail Ded.
Copies
SIIBTOTAL
Penalty
Lot Change
TOTAL
?( agrees that all work shall be done in accordance with
(Signature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
CITY OF EAGAN
3830 PIIAT KNOB ROAD
EnGAN, MN 55122
PHONE: (612) 454-8100
"0axxc"m
FOR CITY USE ONLY
PERMIT # -%g
RECEIPT # (I(i ?-51
DATE: /-_/7-qI
PLEASE COMPLETE UPPER PORTION ONLY FOR SZNGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
----------------------------------------------------------------
WORK DESCRIPTION
NEW CONST
ADD ON L?
REPAIR _
OWNER NAME:
SITE ADDRESS:q6-7 q - e,,L 64,-uws1
LOT: ?t BLOCK ? SUBD. ? ? C??
INSTALLER:
ADDRESS:
CITY: ?-o?--? 2IP: v
PHONE
COMPLETE THE FOLLOWING:
N0. FIXTURES F.A.
ADD-ON MINIMUM 15.00
_ SHOWER 3.00
_ WATER CLOSET 3.00
_ BATH TUB 3.00
_ LAVATORY 3.00
_ KITCHEN SINK 3.00
_ LAUNDRY TRAY 3.00
^ HOT TUB/SPA 3.00
_ WATER HEATER 3.00
_ FLOOR DRAIN 3.00
GAS PIPING OUT.
_ (MINIMUM - 1) 3.00
_ ROUGH OPENINGS_ 1.50
_ OTHER
WATER SOFTENER 5.00
_ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
TOT*
/5 -
?
(
SUBTOTAL S 15, eV
ST. SURCHARGE .50
OF
TOTAL: s / S. 50
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRAGT PRICE x 18
STATE SURCHARGE
TOTAL:
(SI6NATORE)
CITY OF EAGAN
19$$ BUiLDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLING3 ? ? ? ? ? • •
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE W[iICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BQILDING PERMIT 23 ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECS WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CONIIMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OE SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIO*erA4--
- N.au.ae-+#?e-) MAY i 7 i9F38
To Be Used For: ,,yr__ Valuation: D'-r6?-? Date:
'{'S??SSite Addressl
T
Lot 7 Block-j,?
Parcel/Sub dlitlo't-
Owner
?
Address
City/Zip Code •`'r-
Phone
Z
Contraetor ?
Address 13•aea srr
City/Zip Code
/?
Phone gq 4-'I
Se' ?
Arch./Engr. n-?i(??20 ?er.tL-?GLe?
-Fr
Address
City/Zip
Phone fF
? OFFICE USE ONLY
? L) rj OOv -
On site sewage_ Oecupancy R-3/M-l
MWCC system ? Zoning E
On site well Aetual Const V- N
City water Allowable V-N
PRV required # of stories
Booster Pump _ Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr/Assess Permit 6ny, o0
Planner Surcharge 5 - SO
Council Plan Review O ?.00
Bldg. Off. ?5?f9 SAC, City 0 O, O
Variance SAC, MWCC SSG,OD
Water Conn ,S O,ov
Water Meter Gq. bo
Road Unit 3Z5,r,ti
Treatment P1 .oo
Parks
Copies , SP
TOTAL
A
vALua-r ,L)r,I
GA Rs,c;,_
? •? .
? ? • a
l2 x zZ = ?6y
Zo,A 2y ? y8o
?-- .
,7?q4 X 14- Ioy16
2G c f zy c3
2 L ?! Ib = 22u
yXl?v- 6?
1`r
6xr3 = zbaq?
15
1tous`
5SmT = tS'4L
Gxs = 3L>
Z?1 =- 1 y
r?r)q?o
I b842.?-(
SURVEYOR' S CERTIFICATE JOHNSON RElLAND
,?- 125.00 N 00 09' 51" W -%%
0
N
R I`
5 \'?
LO T 3 vnanrar.E a urrurr
I EASEM£NT PER PLAT
cJ \f ti
W
o
O 8 $P _ '
?-- o " DCltEs a) EAC"al??? ?r? .?'ij'v?E:E ]
Z ?
_ 34.16 -_? (q124 ?.' 34.17 -
ae.o + - --,
f- 1 tl °I r I'
N PROPHOUSE
i w CDo I o
tl O I
3 K ? 8.6T p
W ?
ni GARAGE ?
n ? N 8.67 0
20.0 16.0
34.16 •?,i 12.0 0 0?0 2.9 'i- 34.17 -1s
1---- c-.. . _ .. ??-
r
Z ? 5
0
0
17
? L-
1 1 A
(9rl• 5)? , x °-
N
N
I
n:a
911.3
OAK
l \i
W
Q-
z
L
o ti
0
°n CD
15 i
?
O N l
N ?
O q 1? '
n w '? ?_.
tn
N
....?
p=g° 00 "1 _ 00
911.
CHASE WAY
?- DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET
• DENOTES IFiON MONUMENT FOUND PROPOSED GARAGE FLOOR -q/3, 2 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 910, y FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - g/], G FEET
p DENOTES NAIL SET
WE HEREBY CERTIFY TO JOHNSON REILAND THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 3, Block 2, OAK CHASE 6TH ADDITION, accordinp to ihe recorded
plat thereof, DaKota County,( Minnesota.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SIikVEItD 3Y ME t7R i1NDER MY t71RECT Si1PERViS101v THiS iv'H DA'i OF iviAY , 1580.
SIGNED: JA ILL, INC. n
BY:
HAROLD C. PETERSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 12294
? -l ?? Np 9 (71 ?O
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James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
9401 JAMES AVE. S. o BLOOMINGTON, MN. 55431 o 612-884-3029
rxzrr.1011 Etavcr.cirr:?nvi;Iwcs "u" cowrirrnTiota
auta:rt
siTe; n7DRCS5
?
CONT[iACfOR Dh77: I'ii6tw-
, • y -
, Dvtermi.ne 41Dlking squaro foot.Fige oi cach.
1. Total exposed kall ezea ...... sq. ft. X?
2: •rotal roof/ceiling azea ..... sq, ft. X, 0?- ?S,o f3?
A. Tct:al wall t•:inclo•,a ar.eta ......................... 171
?
D. Total duor area ........... :..................... 38
?
. Total slidinq glass dovr area .............. (08
C.....
1>. Tot:,3, fireClace wall ar.ca .. ........ . . .. . .. ......^
L. Total wal.l ir.vn:ing area (avcrage 108) .....-•---• If?.?O _., •
E'. 1bLa1 I:i_m joist area ............................. /70 .
C. Total 2?e?- wall area above floor................. 1673
• ' , ' YbCal m:px•sed fowidation area - 129, ,
` It: Total focndatirnn saiu30w area....................
?
I: Total net Lavndation azi:a al>ove gracic............
Dr_ceraiine "U" value of cach wall seTrent.
a. 17l y; .,U., 60i9
? b• 3U' - x"u" - 01-0 -
c. ?g ,; f.u" 13-`,
, ? • ? ___??
x ,.U., ?- -
z
X,;U" 17, lI
f. 170 x^u". , o&
U, 1b73 "o" -7 1. 9?
h. 3• a..u.,
3........ ........................•mtal,
If Atem 113 i:: Lhc saine as, or lc:s than i.CCn I!1. You have tneL• thc inCent oC
fiUC GOUG(c) 2.
... ?_ - .
. . , v :,, . '. - _ - ; •
ToCtil e::puced 1'oPL'I?!'•iling arca a_.___ ??3`?__
?
J. Tot;,l n}:yliql,t arca ............................... ?
k. ToCal rooJ:/ceilinv ' I Craming arca (avcr.aqe 101) ...... 17 3
1. 1'olal neL• iu,^.u1z1L•ea] reof/ccilinq arca.........
Dc:teLmine "U" valuo for eacli rowf/ceiling segrocail•.
J. X "U.1
x. ! 7 3 x .,U,l ? 07-1/
? 1. 15 (oi x „U„ _ oz?`z .iV? 3?.
d .....................................'Poi:al. • ?• 3 S•`??l
If total of 04 is the ,ame as, or le:-is tlian 112, you liavc t6et the inl•ent of
S2C 6006(01. ,
A.lternate Duildinq Gnvelope llesign
'I'x) ul•ilize tlir. L-otal envelooe sy.L-em method, ttie values establ3.slied by tlle
cwn of items !?3 and 44 ehall not be greaL•er than thc sum of itenis {Il and 02.
aY + 2. ?s. oe 312- ?cl3
3. 21P??>3 + 4. 3?.`f9 . a ?5? .02--
?i.
;-
-?;
.?•--r
Vcnced
!'IG. 05
lleaC £loct
up
•n -ar-!}tei•+nt?I-','..:?:t?l?,=_t-•-hr;•e?.r..i'{f..?
?s.
?i.
I licat flo;t up . ?? ;vented'
..fxc. itG' . •
CI,G. FRA61Lt1G(Urc Lor Item 1:)
1. Ini:cri.br Atr f.i].m 0.G1
_`_'------
2'
3. In.:tic n e:r,tt wcod 3?/s 13 .
9. Inchc?, insul above Ii:aming 3G.co
5. 11ir 1'' .m
02 . • Y?'?'al '-- y?2,i6
1. .[nt:ex.ior a.i.r film _ ?p.C,i
3.?..??_._._
4. 7:xtrrior .1J,r. iilin (,ki).1) O.GL
' Total ? i.
2.
3.
4.
5.
In:;i.ilc . i.r Pzlm 0.61
.... ._ .?_. .1'vt.al
1:oCt:: U::r .i;l,].it'zonn]. t;hcul::i 1P morre rj,ae•v
lsocdc?c{ [c»: dotnilt? nn;l c. Jcu!rlCliin:i.
' .
111r7. ir! , . .
'
- - ' t'
• ,,, , _
ttonsCruct;.en. (usc tor Zl:em I,)_ 1t-valnc
3. Q_!./?f /j[o?,? __?_
? `?? ?u
4. „l::tcrinr riir fi.lm ( f..i.ll) __.
U.(+.f,
id2y Totai ?
A15•
.. ... , ...... ..,.. .
: •.. NU.i•-PI:t1TP.ll ?1
. lluaC '
, fluu up •
, , .
rnT' U!•.? ) 1-
-1.. vf woll area Ior
' '
-• _
Iz:unn c:on:il'rUCtiUj1 ? (:on!il:rUCfSon ' R-V,'j lUn
1• 1114;grJor i i- f lm 0_GO
• 3. ? inr.hcv .^.oit ?.?o?l 6.88
• 4, LS j?- S/f3b. 2,oL
bAStC 5. ?5?din? ,! 7
.
t?ni,r,
• G. T•,xlar.ior. 71r iilm
. _ r p.1.7
. 1'oCul
rir.,. I!1 ,
. FIt,1ttL•' SJn7,L 1. InLerior air film 0.60
, ,
2 • •?z ' ,Q.a[J` . ?f5'
? •
9
jip:: ` 4 • _ 2y?3 L SHTG. ?
z.o
^? r ? ? -? ??i?4 -- t eo 7
? ? • _V,,,?_? • G. Iir.Ler..iar. air [ilm O..17
PIG. 112 •
^ ' 7'otal
7-3.03
• ? ? I ?? ? •
? I ' ??? . 1. InLcrior air fiJ.m 0.60
?•--
? ? 24 rt - ll bA-rr I/.vo
? Qj ' 3' --[Nz" u/ML? %,8S
c '-`. ?
S,-r,c_u( " 1 .Y.' "(?y q• zs/si SFj1b z,o (,
?'
2 \
•
Ccri.or air. fi_lm
L•'r.
0, t7
?l (?
\ ? • ToCa1 16. yi
' ?;
" ' ; • ? 0 (?
. ? ? ? ,
.ll
?? .
? .
?.?
G? .
.l InL•crior air. film
0.60
L A':. , d n • .
t? ?,• z' --A - B /3n rT 9.00
? ?' '
' ;? ?
° '? .
n
Q
i _....' O
• .
?'\ ? U . : .
?q?-fn`'C • r
?y
,??• ? ?.
` ^ G. lixl-cr.,ior air fiLn 0.17
?
,?^-f I.'?-- ? , • • • ' ?' 7•otal
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• - ' ?s • ' iii'...
ir? `F . ' •' . . .? . ? . ?.- ?t i
FIC. I!4 !fl l •u• • • v ?Jr
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UO'1'C: Iudlcal.r. t.)7xe, "?;" valtu?, ?ILUI:h ?n?l
p1,ir.umanL I)( lnnul;?kiun.
1490 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCNITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
f20TE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWE? ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: Valuation: ? Date:
Site Address ?5q4 (/ ?? , ul OFFICE USE ONLY
?J aoU-
Lot a Block a w A I FEES
Parcel/Sub ?e4K C.f-IASC ?i?N/1?IJ
Dwner SlEf/E 'Vl? L.Olt/ s?/'?//QT-
Address L9-L
City/Zip Code
Phone
contractor Ld?t?/u j /V/XW Address %b669 16 -2-7- /V
City/Zip Code
Phone ?9-9Q ?
Arch./Engr. _
Address
City/Zip Code
Phone g
Occupancy
Zoning n
0
s
Actual Const Bldg. Permit ,
d
Allowable Surcharge '??o
# of stories Plan Review
Length fs SAC, City
Depth ??'x lo" SAC, MWCC
S.F. Total Water Conn
Footprint S.F. Water Meter
Acct: Deposit
On site sewage_ 5/W Permit
On site well _ S/W Surcharge
MWCC System _ Treatment P1.
City water _ Road Unit
PRV _ Park Ded.
Booster Pump _ Copies 1,01D
SUBTOTAL
APPROVALS Penalty
Planner TOTAL e2 •S 0
Council
Bldg. Off
Variance
SURVEYOR' S CERTIFICATE JOHNSON REILAND
?- 125.00 N 00 09' 51" W -?
.
iI
, N
c?-
W
01
O
0
?- - o
\ i CD
?
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2 a 0
i x 4m?
X
W
R I'%
5FLOT
3 w?axacE' a unurr
i easEwwevr rfin Pur <
APPR
$y
L
N ^:
I 4
34.16 (Q124 - I?,
r Hr1 48.0
! d
? PI
I ? N PROPOSED SE /
?
? a - 34.16
- - - - "200 0
Z ` S
o ?I PROPDSFA
?RrVEwaY
5??1
??
( A 2
•
'I
? 7Q ?,,% N no np' r0l w?? '-?
j T 34.17
34.17 -I4'1.1
W
ED
_-.--? ?
SEPI'
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45.66 ? ? "'
'
Z90 69 N
kn .,?.? ¦n.. R? • ??
" p?g° 00,00
911.3 91?
OAK CHASE WAY
+ DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET
41 DENOTES IRON MONUMENT FOUND
X000.0 DENOTES EXISTING ELEVATION
(000.0) DENOTES PROPOSED ELEVATION
p DENOTES NAIL SET
SCALE: i INCH - 30 FEEf
PROPOSED GARAGE FLOOR -9?/3, Z FEET
PROPOSED LOWEST FLOOR - 9ia y FEEf
PROPOSEO TOP OF BLOCK - 413. (. FEET
WE HEREBY CERTIFY TO JOHNSON REILAND THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF 7HE BOUNDARIES OF:
Lot 3, Block 2, OAK CHASE 6TH ADDITION, occordinq to the racorded
plat thereof, Dakota County,r Minnesota.
iT uGES VvT PURrGRT Tv SHOVJ iiviPRGVEivtENTS GR civCRvr,Citiiricivia, C%l(itY I F1J btil'JVJfV. %iJ
SURVEYtD dY ME OR UNGER MY DIRECT SUPEnIiiSiON THIS IOTi-I aAY OF iVIAY , 1980.
SIGNED: JA ILL, INC. ?
BY:
HAROLD C. PETERSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 12294
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James R. Hill, inc.
PLANNERS / ENGINEERS ! SURVEYORS
9401 JAMES AVE. S. o BLOOMINGTON, MN. 56431 • 612-884-3028
APFLICATION FOR PERMIT -
SEWER AND/OR WATER CONNECTION
;.
? NOTE: PA3QMENf OF FF'F£ AT TIME OF j ,
?
y APPLICAMN DOEi NJT CON- t
? STIIVIE APPA6VAL OF PERMT. .'?
•
i TNSPECTION OF SEM A!D/OR F]ATER •
:.
? I2ISPAUATIOKS WIIJ. N01' BE S'c7ltRrn y
,*y L'NPIL PER7DffT HAS HE@1 APPRGVID.
citv •:?fewr»??t???ei?ewr?iiif?te???+tt?fi
oF eagcon
(PLEASE PRINT
1) PROPERTY ADDRFSS:
C
T•FY,AT• DFSCRIPTION` . . . . . 0 .
Lot B oc S ivision or Tax Parcel ID )
IF EXISTING STRL'CTIIRE, DATE OF ORIGINAI, BUIIIJING PERMIT ISSDANCE:
Nbnt Year
PRESENT ZONING/PROPOSID USE:
Q COMMERCIAL/RETAIL/OFFICE
Q IND['STRIAL
a INSTITUTIONAL/GOVERPIlENT
NP.ME:
d? R-1 SINGLE FAMILY
? R-2 DLPLEX (3t,o [nits)
? R-3 TOWNHOOSE (Three + Uqits)
Q R-4 APARTMEPPP/CODIDOMINIUM
ADDRESS: ?eLLfGcf L 1 h ??r:_ ef2:L-4r (7
CITY, STATE, ZIP:
PHONE:
3) NAME. ;S-q-? .
ADDRESS:
CITY, STATE, ZIP:
PHONE: ` '•
MASTII2 LICENSE # d4_-2 ? 07 ?77 [7
4)
ADDRESS:
CITY, STATE, aiP:. //e
-'_?j
PHONE: 8'rfLi` - 931.0 7
Units)
( Units)
elunwers i,icense:
Ij Active
Expired
Not recordec
St Initia
5) • ?? .? ae
CONNECTION TO CITY SEW?p?CTION.TO CITY WATER Ej 01HER
6)
********r*********x*:r?*:+************t?***,r****+**?**.?****,r***?*+***.**a*,?*x*+******?****+««?*****?
THE GOLD COPY OF 'PfIE pERMIT WILL BE SENP DIRECiS,Y 'PD PUffi,IC WORKS 'i0 FACILITATE ME'IER PICK-UP. *
*k PLEASE ALIAW 7FA WORICYNG DAYS FOR PROCESSING. SOP7EDNE FROM 1m CITY WII,L COATI`ALT YOL? IF TimE .?,
* ARE ANSt PROBI0ENiS.
$******?*****?**?**,r*******:*******+**,r*???*+*****?****++??*«***?****?***??**+r*****??*+*r********?*w
FOR CITY USE ONLY
PERMIT # IS3UED -
Pd w/Bldq. P.ermit FEES:
$ $ $ SEWER PERMIT (INCLLDE SLRCHARGE)
WATER PERMIT (INCLUDE SORCHARGE)
$ /L /•r° ? S WATER METER/COPPERHORN/OL'TSIDE READER
$ S WATER TAP (INCLC'DE CORPORATION STOP)
$ $ SEWER TAP
$ " $ ?(?j •? ACCOUNT DEPOSIT - SEWER
$ $ ?J?-Cr0 ACCODNT DEPOSIT - WATER
s wAc
S ? ?? • d-? -S sAc
$ $ TRONK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRONK SEWER
$ $ LATERAL BEN°FIT/TRU[VK'?WATER
$ $ WATER TREATMENT PLANT SORCHARGE
$ $ OTHER:
S I T7( r O-o $ 47 "6?? TOTAL
?-q Q 1 ? f `-/ 7 3
RECEIPT RECEIPT ? .
DOES LTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MUST BE ISSLED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS: '
APPROVED BY:
TITLE:
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RESIDENTIALBUILDINGs
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauiremenls 3 registered site surveys showing sq. R of lot, sq. ft of house; and all roofed areas
(20% maximum bt coverage allaxed)
2 copies of plan showing beam & window sizes; poured found design, etc.
1 set of Energy Calculafions
3 copies of Tree P2servation PWn'rf lot platted after71153
Rim Joist Detail OpGOns selection sheet lbuildings with 3 or less uni45)
Minnegasco mechanical ventllation fortn
RemodeUReoair Reauirements
2 copies of plan showing footirgs, beams, joists
t set of Energy Calala6ons for heated addiGOns
1 site survey for addiGons & decks
Addition - indicafe 8 on-site septic sysfem
Date r l y 1Q1, ConstructionCost ?-? "le X
Site Address 4z JQiZ UniUSte #
?
Description of Work
Mutti-Family Bldg _ Y ?N Fireplace(s) ?0 _ 1 _ 2
Property Owner iy/ id74 Telephone
Contractor
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTINCa A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master
_ Y _ N If yes, daTe and address of master plan:
Licensed Plumber
Mechanical Contractor
:D? (E ???d?n
MAY 0 5 2006
Sewer/Water Contractor
Telephone # (
Telephone # (
Telephone # (
Iola, e-o
Office Use OnN
Cert ofSuneyRecd _Y _N
TreePresPlanReoi_Y _N
Tree Pres Required _Y _ N
On-srle SepficSystem?.-. _Y _N
6 .- ?.
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a perntit, but only an application for a permit, and work is not to start without a
pemut; that the work will be in accordance with the approved plan in the cas?, of work which requires a review and
approval of plans. „ ?
ApplicanPs Printed Name ApplicanYs Signa e
DO NOT WRITE BELOW TffiS LINE
.? . ,
Sub Types
? 01 Foundation ? 07 OS-plex O 13 16-plex ? 20 Pool
? 32 SF Dweliing ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 0 7 of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
O 04 02-plex ? 10 08-plex ?K 18 Deck ? 23 Porch (screenlgazebo)
0 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New
/)6-. 32 Addition
? 33 Alteration
? 34 Replacement
? 30 Accessory Bidg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
`Demolition (Entire Bldg) - Give PCA handout to applicant
DeSCrlptiOtl: Water Damage _ Yes
Valuation ?•nr? Occupancy
Plan Review 100% or 25%
Census Code Zoning
SAC Units Stories
# of Units Sq. Ft.
# of Bldgs Length
Type of Const V? Width
Footings (new bldg)
u Footings (deck)
? Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
_ Insulation
Approved By: ? ?.
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
MCES System
City Water
Booster Pump
PRV
Fire Sprinkiered
REQUIRED INSPECTIONS
_ Sheetrock
FinaUC.O.
? FinaUNo C.O.
HVAC
Other
_ Pool Ftgs Air/Gas Tesu Final
_ Siding _ Stucco Lath _ Stone Lath _Brick
Windows
_ Retaining Wall
Building Inspector
SURVEYOR'S CERTIFICATE JOHNSON REILAND
?- 125.00 N 00 09' 51" W -?
? ` -
/ N R `
5FL
5
? DRAlNA6f 8UTlUTY
Q?' P? 1??Dp6 c? O T 3 FA4ENEMT P£R PLAT ? `\1
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34.16 -?_ CQIZ9 .-_ 4.17 l?LL
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48.0 vr -rx J \
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PROP HOUSE O1
G
g p EX`gS\N
Z x ? 8.67 / p g SD % NpNS£
W
a
? e N GARAGE 8.6T e ^
16.0 n '
? w_ 01 12.0 0 ? Z. 9 ' p L- 34.17 34.16 20.0 ao
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au. f
en.s
OAK CHASE WAY
+--- DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET
0 DENOTES IRON MONUMENT FOUND
X000.0 DENOTES EXISTING ELEVATION
(000.0) DENOTES PROPOSED ELEVATION
p DENOTES NAIL SET
SCALE: 1 INCH -30 FEET
PROPOSED GARAGE FLOOR -q13. 2 FEET
PROPOSED LOWEST FLOOfi - qio, y FEET
PROPOSED TOP OF BLOCK - 9i3, G FEET
WE HEREBY CERTIFY TO JOHNSON REILAND THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 3, Block 2, OAK CHASE 6TH ADOITION, occordinq to ihe recorded
plat thereof, Dakota County,? Minnesota.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS IOTH DAY OF MAY , 1988.
SIGNED: JA ILL, INC.
BY: `^
HAROLD C. PETERSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 12294
? ?T ?D No D n go Hill inc
James R
-
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,,Z PLANNERS / ENGINEERS / SURVEYORS
n ;0• ? Nm t
i? ? g<
9401 JAMES AVE. S. 9 BLOOMINGTON, MN. 55431 • 612-884•3029
For Office Use
City of
Ea ftIIl Jul 0 9 2009 1 :::::ee 383 0 Pilot Knob Road :
Eagan MN 55122
Phone: (651) 675-5675 date Received:
Fax: (651) 675-5694 Staff:
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: I Site Address:
I Site Address:
Tenant: Suite
RESIDENT / OWNER Name: '1 1 ..h(V Phone: LP) (1 o 1
Address/City 1 Zip:.LV~
CONTRACTOR Name:l . Y`y t j License
Address:` r }a S S i'dinl 1' - °
City: State: Zip: _
Phone:Ut tQ- Contact Person:
TYPE OF WORK New _Replacement - Repair Rebuild Modify Space - Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
4 Lawn Irrigation _Add Plumbing Fixtures
RPZ / _ PVB) L_ Main _ Lower Level)
Septic System Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener. or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge)
"Water Turnaround (add $165.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES
I hereby acknowledge that this information is complete and accurate: that the wort will be in conformance with the ordinances and codes of the City of
Eagan: that l 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 9f plans.
/o f
Applicant's Printed Name Ap licant' ignature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Linder Ground Rough-in Air Test Gas Test Final
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4544 Oak Chase Way
Lot: 3 Block: 2 Addition: Oak Chase 6th
PID:10- 53505- 030 -02
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:
Seta Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823 -8046
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
- Applicant -
Construction Type:
Occupancy:
Owner:
Lori D Schmidt
4544 Oak Chase Way
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
A framing inspection is required when installing a Bay or Bow window or if the opening is altered. 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.
$88.50 0801.4085
$1.50 9001.2195
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.
Issued By: Signature
Building
EA086618
10/06/2008
ePermit
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4544 Oak Chase Way
Lot: 3 Block: 2 Addition: Oak Chase 6th
PID:10- 53505- 030 -02
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:
Seta Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823 -8046
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
- Applicant -
Construction Type:
Occupancy:
Owner:
Lori D Schmidt
4544 Oak Chase Way
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
A framing inspection is required when installing a Bay or Bow window or if the opening is altered. 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.
$88.50 0801.4085
$1.50 9001.2195
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.
Issued By: Signature
Building
EA087924
01/06/2009
ePermit
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116956
Date Issued:10/14/2013
Permit Category:ePermit
Site Address: 4544 Oak Chase Way
Lot:3 Block: 2 Addition: Oak Chase 6th
PID:10-53505-02-030
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
April Desmith
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 -
Lori D Schmidt
4544 Oak Chase Way
Eagan MN 55123
Cedar Valley Exteriors Inc
3369 Coon Rapids Blvd
Coon Rapids MN 55433
(763) 755-2221
Applicant/Permitee: Signature Issued By: Signature
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA172704
Date Issued:10/13/2021
Permit Category:ePermit
Site Address: 4544 Oak Chase Way
Lot:3 Block: 2 Addition: Oak Chase 6th
PID:10-53505-02-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Lori D Schmidt
4544 Oak Chase Way
Saint Paul MN 55123--181
North State Mechanical
1444 14th Street W
Hastings MN 55033
(612) 207-0345
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA172787
Date Issued:10/15/2021
Permit Category:ePermit
Site Address: 4544 Oak Chase Way
Lot:3 Block: 2 Addition: Oak Chase 6th
PID:10-53505-02-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
Lori D Schmidt
4544 Oak Chase Way
Saint Paul MN 55123--181
Haley Comfort Systems
3708 Broadway Ave N
Rochester MN 55906
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature