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4550 Oak Chase Way. ' CASH RECEIPT CITY. OF EAGAN , P. O. BOX 21-199 EAGAN, MINNESOTA 55121 DATE 19 AMOUNT $ I & OQLLARS too ? CASH Q' CHECK . . . . r?..' ' / FOR -- ' ' ` • ? ? BY White-Payers Copy Yellow-Posting Copy Pink-File Coav Thank You CASH RECEIPT ? CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 DATE , 19 Rceerveo FROM AMOUNT $ & DOLLARB ?oo ? CASH ? CHECK FOR FUND COOE pMOUNT ? Thank You BY White-Payers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN g'?' S rj • , - , 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 QyJILDtNG PERMIT aece?pt ";r' '. ;A". C99 Q00 ?dOVE?•'BR?-'. 2E, 84 T??ped ior Est. Volue Y , Date , 19 Site Address 4 5 ,50 OAK C[iASE WAY Erect Occupancy R.? Lot ? elock 2 cec/Sub. OAK CHASE 6 Remadel ? Zoning R Parcel No. Repair ? Type of Const, V Enlarge ? No. StwiS W Name Move ? Length Addres N RP- DALF BLVD., ()Demolish ? Depth ?- ? City ? }Iy N Phone - Grade ? Sq, Ft. ? Name cARl71 ?9Li -(_)C) Apororals Faes r y ) • ? o? Address Nssessment Permit ' u? City Phone Water a$ew. Surchorpa 47.00 Police Plan check 207.50 ?W NamB RAY BRA+1DT Firo SAC 525.00 W '' 470.00 2o Addre!? Enp. ate? Conn. t W Citv •`? ,' Phone Plonner Woter Meter 260.00 63.00 Countil Rood Unit I hereby acknowledge thot I have leod this opplicatiorl qlMd stote thaf gldg. Off. 11/21/8 Xp"( C0pv ) 1.00 the information is torrect ond ree fo l campy wifh p"II opplicable APC Total i •?' State of Minnesoto Statutea cn?City of Eagan Ordi?iances. / Var. Date Sipnaturc of Pem+ittee / ,; ? N 5 (-) 4 . ._ .., CONST A Butlding Pennir is iuued ro: i on the express?ho? all work shall be dons in accordonce with all applioobie State of Minnesotc Statutes ond City of Eoqan Ordinonces. Buildirg Officiot ' Psrmit No. Psrmit Holder Daft Plumbing L q,.,j(t S s d F/ I• r Y_$c H.VA.C. ? fA.CtI,O / - ) Elsctric ? ? ? ? (S ?S 3 ? . 5 Sofcener Inspection Date Insp. Other Footings 477,F Foundation Framing ?? ? • ?.o Rouyh Plbg. ?,Zis C.cJ ? Rouyh HVAC ?? -ds ? -/• ? ' Inau lation Final Plbg. Final HVAC Final Cart/Oec. r D?i? Loca on: E - Di p. Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee FiII in numbered spacea S/C Type or Print /eglb/y T,a. 1. Date 2. Installation Cost r 3. Job Address Lot ? Bik. ? Tract ? ? 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential ? Commercial ? institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? 10. Describe ? Fuei Type 11. No. Eauioment BTU - M. Ea. Forced Air No. Equiament CFM A H Mfg. ir andling: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Othe Air Cond, r Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Dete Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-$100 Reosipt PLUMBING PERMIT CITY OF EAGAN Fill in numbered spaces Type or Print /egibly 1. Date ' 2. Installation Cost Permit No. Fes " S/C Tot • "' 3. Job Address " Lot Blk. Tract ' 4. Owner 5. Contractar • x?' ? ?%- , • Phone 6. Address 7. City ' State • ' ZiP -- ? - 8. Building Type: Residential C? Commercial ? Institutional ? 9. Work Description: New D" Add ? Alter D Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory $oftner ? Shower Well ? Kitchen Sink Urinal/Bidet Other i o?_ Laundry Tray ' Floor Drains Drinking Ftn. i Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: ` for ? Rough Final Inspections: Date Insp. Date Insp. This is your permit wfien numbered and approved. Approved _ CITY OF EAGAN 454,8100 C1TY nF,EAGAN o,,,,;,;,,,, OAK CHASE 6TH Owner l 1 f Remarks ' ??r ADDITION Lot 2 eik Z Parcel 10-53505-020-02 4550 OAK CFIASE hU1Y ?__._ EAGAN M 55123 Improvement Date A ount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. r 9Il?3?DpQl?C SSMER LAT Z 74 172. SO 11. SO 15 ?3 SAN S8W 1RK Mp, 84 27.85 5,57 S SAN SEW TRUNK ZZI 1973 253.33 12.67 20 r SEWERLATERAL 1994 78 iS I SEWER UTERAL 1984 202.21 40.44 S DQlI7CKMKIC NIATER LAT 1972 153.33 10.22 15 - • WATERLATERAL Zy 19$4 303.21 60.64 S / WATER AREA %-z-3 1984 31.35 27 NATER AREA 1984 623.25 41.55 15 • STORM SEW TRK 1984 rJ STORMSEWXXX TRK 170 1984 1093.92 72.93 1S M/ SEWER LATERAL 1974 76.68 5.11 1S CURB & GUTTER SIDEWALK STREET LIGHT ! X?f R 260.00 ??47903 11-26-84 WATER CONN. 470.00 if BUILDING PER, 99745 ii SAC PARK CITY OF EAGAN WATER SERVICE PERNUT 3830 Pilot Kno?• Roed P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DNTE: Zoning: r? No. of Units: 1 pwr1er: Johnson neilaad Constr Mdress: Site /4ddress: 4550 Oak Cahse ka3• L' BZ (?av. Ghase trt Plumber. ...... --- - - - Meter No.: Conrection Charge: Size: AcoourM Deposit: Reoder No.: Pertnit Fee: 1ayeee to oomPly wN6 ile CiFy eF Eepsn Surchorge: Oe+aROneu. Misc. CMrfles: Total: By Date Poid: Date of I risp.: I nsp.: ITY OF EAGAN SEYYER SERVICE PERMIT $30 Pilat Knob'3oad - . O. Box 21199 PERMIT NO.: agan, MN 55121 r, DATE: oning: d No. of Units: *ner: Johnsnn rei' rn? rA3 ns'r Add BY - Dnte 1 nsp. of Insp.: Total: Date Poid: to eomalq wilh tM Ghy of Eagan Connection ChanDe: 425.00 nd Nees. AtCOUnt DepOSit: 15. Permit Fee: 11 Surchorfle: Misc. Chorges: C+ITY OF,EAGAN Remarks ,4ddition OAK CHA3E 67H ADDITION Lot 2 RIk 2 Parcel 10-535O5-020-02 Owner street 4550 OAK CHASE WAY State EAGAN IYQV 55123 Improvement Date Amount Annual Years Payment Raceipt Date STREET SURF. STREET RESTOR. GRADING 5AN SEW TRUNK SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA STORM 5EW TRK ? S 1985 1093.92 72.93 15 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN M 9745 ?- 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 4548100 Receiot BipILDING PERMIT # To ba und.lor SF DWG/GAR Est yalUe $94,000 pate NOVEMBER 26 _ 1q84 Sitenddresa 4550 OAK CHASE WAY Erect KI Occupancy R3 Lot 2 Block 2 Sec)Sub. OAK CHASE () Remodel ? Zoning RZ . Percel No. Repair ? - Type of Const. V Enlarge ? No.Stories JOHNSON REILAND CONST Move ? Length 52 - m = Name Address $200 NORMANDALE SLVD., #301 Demolish ? Depth 4 4 9 City BLMTN phone 447-8290 Grade ? sq. Ft. o Name SAME' u` Address ? city Phone this appl fqf'wr?/Od state tMat to copfp?y J?v?t1,( I oPDiicoble of RaQInItQr46 nces. G?I Name RAY BRANDT 2705 WOODS TR x? Address ?W Citv BURNSVILLEphone 435-1966 1 hereby ocknowledge thot I have fhe inlormotion is corrett cpd a State of Minnesoto Stotute an Signature of Permittee A Buildin9 Pertnif Is issued to: - all work sholi be done in accordoi Assessment - Woter & Sew. ADVrovals Fees Police Fire Enp. Planner Councll BIdg.Off. 11 21 $ APC Var. Date permit $ 415.00 Surchorpe 47.00 Plan check 207.50 SnC 525.00 Woter Conn. 4? ?• Q 0 Water Meter 63.00 Road Unit Zhn _ n0 0 stvrxs(copv ) 1 . 0 rotel $1.988.50 ISOP REILAND CONST o? the expres condition Ihal opplicable ate of inrSesota $tatutes and Ciy of Eogan Ordinancea. 8uildirq Official I BUILDING PERMTT APPLICATION --CITY OF"EAGAN ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN To Be Used For: -S r ;V(n' v- o,C?L Valuation: Site Address: Hs'S; Lot:`2- Block: ? Sect/Sub: Parcel #= 0-h Owner: Address: City/Zip Code: Phone #= Contractor: 1?At?C00LIST. Address:_S??Q?IVT?dltilciU2 ct?Z???c? ??("?} City/Zip Code:,?-??ao??;nG1?nn V411L ??`I37 Phone #: i-JL1 Kt4h./Eng:?l`_d? ??)i??tF^,?°1? City/Zip Code: 6?i?))SQM.e Phone#: _ L? -? -- 1?j ?-(c, INCLUDE Q SETS OF PLANS, Q CERTIFICATES OF SURVEY Q SET OF ENERGY CALCULATIONS C2?n??1 Date : - -?--- 9a„oOa- 5. • • Erect: x Occupancy: Remodel: Zoning: Repa' Type Of Const: Enla e # Stories: Move: Length: ?em sh Depth: G Sq. Ft.: R- 3 4 ? Assessments: Permit: ?5•?' Water/Sewer: Surcharge: Police: Plan Rev.: Fire: SAC: -rj 25 ? .°` Engr.: Water Conn: 70 Planner: Water Meter (11310 Council: Road IInit: 2(00.°-° Bldg_ Off.• Parks: APC: 2 u'PICS ? o? Variance: ? N ??.5? 2? ??0 = o4?x s?-? 2 !? x?4 " l?? ? 54 z 105?4 Z4 x L 4 '5? Co x I I = ? 3 3? Z-'l B?-? 19or? ?(o Y,? - (o?cSq = 51 G3v:`? G(REQUEST FOR ELECTRICAL INSPECTION . EB'00001'04 See instruCtions for c?mpleting this fam,on bac4 of Yetlow wpY• •? ??, ?{7 ? 3 ""R"' Belae-Nork ,Covered by This Request ?krof ivddf Rep. TvVe o7 Builtline Appliances 1lired Equioment qlired Home Range Temporary Service Duple,x Water Heater ightiny Fixtures Apt. BuilAing D er Electric Heatin Canmercial Bldg. urnace Silo Unloader Industrial Bldg. Air Conditioner Bu{k Milk Tank Farm Othe. pecily Other ISUr.r,ifyl t r Sueu(y t er plhe, Compute Inspectlon fee Below 0 Fee SarviceEMrenceSize k Fee Faeders/Subieedere .M Circwts Um200qms Oto30qm Oto30qm Ahove 200 qm ps 31 to 100 Amps 31 to 1 DO Amps Swimming Pool Above 100_M Above 100_ArtqPs Transiortners lrrigation Booms Partial•'Other Fee ? Si?s . Special . n 5 , OTAL L?l R rks ,T--? q?? ? J n. ra Ibuph-in ? Date , the Elacniwl /,?? ? Inspector. I?ereby certifY IABt lhB abpv9 Final ` Date ,j?(qp«tion has 4een 3 -?6 - ?aa. TIifmOueelvaidlBmonlRSkom (/?i v?lc?v/i`?lL 5 ,??'+?"d ? U -I`i - ?1?R 53 N ue Date 4 Fire No. I Rouph-in Inspectinn Nepmre?7 []peatly N. (IIJ71tA Nmilv. ??suec- t h [] NO w^° or W en Reaav OCcensed ElecVical ConVacior 1 hareby requesi inspection oi ebove ? Owner electrical wor4 iretalled at: SVeet Atldress, Box o Roule No. u-?-. City ecvon o. 7ow ip Name or o. Range No. V County, Oc_c4yant (P111NT) f7G - JSO / t) ? L % PAo No. - ? Power upolier A tltlress • ? Elec?yi?l??.on[ractor ompany Namel NDRIC Contrac 's License No. Wailinp A ?t? ?4E?E,tb'E,?qn1't@ptor o- r i p InstailatioN N1VpC Authonz u a7SlttOv?n?I?1,a i ailationl ?'' i / 1VL.LV 9,912,4 Phone NmnDer MIyNESOTp STA7E BOARD OF EIECTRICITY THIS INSVEGTION REQUEST WILL NOT Gripps-d/idway 81dp. - Ibom N-791 gE ACGEPTED BY THE STATE BOARD UNLE55 PROPER INSPEGTION FEE IS 1821 UniversitY Ave., St Paul, MN 55104 -- P1qne (612) 297$111 _ ENCLOSED. CITY OF EAGAN WpTER SERVICE PERMIT 3830 Pilot Knob Road 5872 P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: 12-5-84 Zoninp: . RT No. of Unita: 1 Qqmer; -Tnhn enn R i 7 an C'nnc Addrosr Site Address: 4550 (lak f`ahqo Walr T9 R2 nak Ch ace VT Plumber. Lakeside Plbg AAeter No.: ?i(o.9' .5 141 ?l `f Size: ^ n Rtode? Ne_• /O Yll 1 ag.e? ee eomvb M+he Ctb oF.Fe e Ord n By oote of Imp.: Cannectia+Charpe: 470_00 pd Acwunr Depodr: 15.00 pd permit Fce: 10.00 pd Surrharga: .50 pd Mix, qbrpes; 61_ 00 nd mat er TotoL• -nd }?9?a nl Date Pold: .? Insp.: lL- 27-Sts f' ' ?IpkA,;? . CWNEf: SiTE ADDi;ESS COiVTR;tf,TQr,t ?- .='--. , • , , { ....w_.Y.?..?...?:,?::? r.xT?_r,IoR rNVrio??I-"z i?Aci-u" cOrF,PUrk'rion!.DA7c ___-- PNqDJE Gei-c.;rmin?: ??oi°I<1no rqurrc roo!-aqe oF c??,h. ?. f. Tofi? f?>.po ?, «, d vt a I I ? . --- . . ?re? .... 2?J2'L sc?.. r;. x ---•-?r:.: ?Z?G.y?l 2 . 7 p1'a 1 fqC) ?i /Cc? ! 1 Tfl g aI"C Z: . . . _'_-___._._.....__ =q . x.i . :C Tofi?.,l e;:posed v, afl ai-ca a6ove fI cor. __,.---- a. 'I?o??a8 4Vad E!?d?noov,, Are a .. ..... ....... ?S3 . . . . b. To1aa fJoor Area ....... . .,. '----- ---- .. c. l'oG' 1 d i rig yla?s clvor ?i ............ area ........... : - d, fo'ral fFrepJac?: !,?e:41 ???a ' ........ .. ....... ... ---- `____ c.? Tei-ei?;a4l fi-hrnng area ( everage IUN) ? .. .. .... --- f. foi-aY n c;'i a i! area ai:ov=a fiopr .... . ...... . n 9 r., ?o . . . . . .. . ............ .......... -- .......... `L3o A-° r;xaosi;d r'oun dai'fon areD .. ??o - ------- h. TO 1-a f 1` O U!l G"[. j e p I? . 1V 1Yf fi O Vl a ' ' 1 t` C' E: . I'7? ... . •.o ia1 nerir ;ouncihiiaci arcu abovc orade __....--- .......... Deterr1 j ne "Un v<?I?.ir:: of each k<<<DI I scgmc.ni' u 35 3, a (a x <<u" - C.__ y V:urt ------- - ? - - --- l= . X ti Li11 _ - - - -_.._.__ ;, f'??" ?r?•_-__ ??"-f-??------___ x ?_,;,? __ __??`/3---- - y----_:. ']l v _..,_ ----- .-? c) if U„ --------- __- --_...?..----- - ----?--- . ?G.('o? ---- d v °- --- ------°- - -- ------ -- _------___---- 3 . . . . - ----_° . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . To ? a { - !__. 2 ?-o- 9?F ?'-hv sune 2s, or I(3 ?in;E?n'r o?' S8 ' ` ss ?h5ein d Fc rn ?I v you havc? mEF ?i!?ic C 6UG (c:) t. ? F ? d -i ? ioi???9 e><pos?d roof/co?Idny zirr-, E, = ' ?ohai r;ross r-ouf/cod! inr arc;s .. -- _._.__ ?O'i'EII 'Sf<y.4FU?ii' a {'c a ...... _. . . . ...._._?•... . -.. .. 7otD l rooi/cad ?Fraining e?ro(1 ? ........ . ------- ..i. 70i"tl? R:idi!SUIal2d I'CO(lC()SI Itlc?-?df"Gc1 ----.. 8_?-? ---- C?ai`erin1 ne "U'f vaiu a fur ea;:h i°orDr„o s I9ng'?segrnent. ? _ ? i . , " u Uv ? f . ?? ? . . ? . .. . . .... . .. . ?':. . ...?.. .... . ^ . ?' `.' ' ? . 91 11 ?.: .. ?.._.__- l. ?._ _ . ._..??._____?.._ .._?. .: , . . . . . ? -- ---- __ _._. ...------- - ? a ........... ....... •.- .. • .rr?,d? Zl;q7?= ! ? 8 ho'h.ao' or li2'fen'r of 56 i,<.s?, ihan i?2 y C ' ou have moi• -the 6006(c)!. . To ui f olzed ifie 9o?j,a! Priv(, lope sys?•am mc;liod, 1'h e valuss esi- abl tshed ? sum o I Tems :',`i ancl f E1'ems a n d shal I rio'h be g ;+2, . r ?'fhEin the surn o?f 7 • ____- -_-_-- ? 2 . ------ ?:, , . % ? ' ' ?-. ? I IVJ ?/1/i- ??v 1?1"?'? ?: . 1.E5 ' 0 _S`- • lr12"-?. ?, ?/ 7 ' S ID/n? , ,G7 ' /• s , ?,-?rt: - . U,??3 ?_----- _- ?-3 CO ?l ?../! • h I ^ ! 13 l= 5 `lrJ?' , G, gj ??: .?.---------?"'-: i r .V ? Ic? _oa t ?t,r.h?1l:? ; ? ! . "' I S . _ ?`r7r'/?r.(•tw?LV??"??i eI, ?? i !""I/'i( ?Vl., . 4. --- ? ? __ , , ,. z , )fA ? ? ?: 3 , ?1 } ( t %I?I , ? i ? ? t < t } . A >A .????t b f? i i il ^ y , Y , a = ?r ? , ?,. . . ; ; , . a F y } e [ yd z+ `. ? k - . . . . . . ..1 . . ... . . ,. ... iARR1ER LOAP ELIE INFORir1ATION CENTER METRO AfR PA? I19401 Normandai;; Raad _P?dOG Minnesota 5J ;/2 OP*ION 1 OPt10N Z OPTIOM 3 1. Summerdesign tlegrees ............. _ (90, 95, 100, 105, 110 or 115) (If 90, 105, 110 or 115, Item 2 N.A.) rr-------- ? 2. Dailyrangel0°-35°) ... ............. ? ... ? 3. ..... Wintertlesign degrees ............ ? 4 (Precede a minus number with M) Numberofwindowpanes .............. . ? 5. (1, 2 or 3- If 2 or 3, Item 5 N.A.) StDrmwindows?(YOrN) .... ...... .... 6. WindowsweathersCripped?(YorN)_... 7. Four window areas star[ing with N or .. . .. .. NEorientation # N . (Ex? N825N30#20#25#ri; Max pei side: 999 Sq. ft.) 71 N orNE 72 E or SE qk 73 S or SW 74 W or NW ? ,?+?? ## ## B. Shadedwintlowarea . . .. ...._. (D or sq. tt_ Enter O If not applicable. Max: 999 sq. ft.) 9. Doorarea ...... ........... . (0 or Sq. tL Max'. 999 sq. fL It 0, Items 10 & 11 N.A.) 11 ?---? r-? 10. Doorweatherstripped?(YorN)........ . S mdoors?(VOrN) St 11. .... ......_ or . 12 Firststory perimeter .................. . 13. Secondstory perimeter ............... . ? yy ? 14. Thicknessofwallinsulation. . . . ... . (0, 2. 4 or 6" fiberglas. Enter MA for masonry; R values, enter R,then value. Ex: R19) 15. Basementperimeter ..... ....... (o or linear ft. If Q Items Y6, 17 &28 N.A.) 16. Basementheated?(YOrN)..... 17 (If N, Item U N.A.) Perr.entabovegrade(Ex:5%=5) ...... . ?sap # ? . 18. Area of roof wlth exposed beams or #N HN tt# studio ceiling ........................ . (0 or sq. ft. If zero, Items 19, 20 & 21 N.A ? ? ? 19 . woodorfiher .. .... . ... .. .. . . . (W forwood, Ftor(iber.lf W, Item20 If F, Item 21 N.A.) r---7 20 . Thicknessoftiber ... .............. . (1.5, 2 or 3' or R values) ? 21 ...... . Insulation ........ . ...... .? (Y, N or R values, Y assufnes 1.5 ") •PTIO11 1 OPTIAII 2 •PTIOl1 3 22 Area of ceiling under vented roof or unconoitioned space ...... ........... (4 or s ft If 0 It 23 N A q . # ? ? a q. . em _) 23. Thicknessoflnsulation .......... (0, 3, 6, 12 or 18" of fiberglas or R values L Ex: R30) 24. Areaoffloorsoverunconditionetlspace O p ? ? (0 or sq. fL If 0 Item 25 N.A.) 25. Thickness ofinsulation ........... .' (0, 3 or 6" tiberglas, or R values) ' . 26. Area of floors over open or vented space . orqarage . ......... ..... (0 or sq, ft. If 0 Item 27 N.A ) a Nk ## ---- ? #R 27. Thickness ofinsulation ,,,., " II -- ? (0, 3 or 6 of fiberglas or R values) -?-? 28. Basementarea l ao If (0 or sq. ft. If Item 75 is 0 skip this entry.) 29. Totalheatetl area .................... . q (sq, rc7 30. Perimeterofconcreteslah .......... 36 g . ? ? ? (0 or linear fL) Qf 0, Item 31 NA.) 31. Thicknessofslabinsulation........ " ? ? (0, 1 or 2 ) 32 Desired summer indoor temperature swin9 .............................. V ( alue between 1 antl 6 inclusive.) 33. Desiredwinterinsidetempereture..... 34. Duc[location ....................... _ ? ? ?? RI (AT = attic, eA = basement, SL = slab, CR = crawl space. CO = conditioned space) Qf BA, SL, or CO Item 35 N.A J 35. Thickness ofinsulation . . ....... `?.?-? p ------ ? ? -? (0, 1 or 2". Use 2for 1" rlgld.J "f VR ?EPNATDATAy.......................... cs pq kN p# "CORRECTIONS?" If there are no corrections required en[er HK. If therc are corrections to the data, eNer question number, N, [he new data, and ##. ? no u?wthe# rcorrections, ente.r#tt only. ## # ?# ## p# COOLING B.T.U.H. o EpUALS 35576 AT /S •F B.T.U.H. pT °F HEATING B.T.U.H. Q 73VOIa .2 -7.2IQ00 ??QJt EQl1ALS 73 yd6 AT p • S? ?- B.T.l1.H. AT 'P "REPEATTHEANSWERS"(VorN)......._ g# F--aw "SAVEYOURDATA?" ,. #p ## Y or N: orYRktt will save ypur data and goes to 6eginning for new Analysis: or NRNtt wlll not save data but goes beck to beginring foi new Analysis. JOBNUMBER ............._...._..,.... ? If you want !o save your data CLIC asslgns Job Number "STRUCTURECHANGES?..... ............ If there are no changes required enter pR_ It there are changes to the data: enter question number. u, the new cJata. and pu_ # kr ? pp Ex.25#R300# If no further changes, enter ## only. ? yp B.T.U.H. AT 8.7.U.H. Ai °F NN x# u p# #R ME7"RO AIR 19401 Normandale Ro,n nINCISSIAMCII Prlar Lake, Minn?:s,tc? (612) [,.q.: -C ? ? , OPPORTUNIN HOME 3-7e P,inrea in u.s.n. 83e-039 2004 RESIDENTIAL BTIII.DING PERMIT APPLICATION ? City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 7??s Gcc.CP.?a? 7 /9 ?o y New Conshucfion Reouiremems RemodeVRenair Reouiremenk 3 registered site surveys showing sq. R o( bf, sq. ft of house; and all roofed areas 2 copies of plan (200k manimum lot coverage allwved) 7 set of Energy CalculaUons for heated additions 2 copias of plan show(mg beam & wlndow elzes; poured found design, etc. t site suney for addifions & decks - lsetotEnergyCalculatioos AddltMn-indkffieifortsdesepticsystem , .. . . 3 copies ot Tree Preservation Plan'rf bt plaBed after 711193 Rim Joiffi Dehail Options selection sheet (bldgs with 3 or less uniGs Date "r I? ? l H Construction Cost UniUSte # - Site Address, ? Description o[ R'ork eu)) \ Multi-Family Bldg _ Y ?( N Fireplace(s) _ 0 _ 1 _ 2 P t O hone#(Vlt) (OaAD -q33Z- ?TL(V\V 5UV?- le roper y wner g p e. ? I - 3. 9 Contractor Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Tofinnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy COde Category . Residential Ventilation CaDegory 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submltted Have you previously constructed a building in Eagan with a similar plan? _ Y'?Z7 N fee applies. Licensed Plumber IF7 rp („Lrp p M ri- n Telephone #( Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # ( If so, 25% plan review I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN 5tatutes; I understand this is not a permit, but only an applicarion 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 wluch requires a review and a-1 proval ofplans. t??v?T °?1??1r?SDtn Applicant's Printed Name Applicant's S' ture OFFICE USE ONLY Sub Types r-, ? 01 Foundation ? 07 05-plex O 13 16-plex ? 20 Pool ? 30 Accessory BICg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) 0 36 Multi Misc. 0 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? OB 04-pleX ? 12 12-pleX Pibg_Y or _ N ? 25 Mi5CellaneDUS Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding O 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bidg) - Give PCA handout to appliwnt Valuation -7-16:01 Occupancy 2-3 MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const ? Width REQUIRED INSPECTIONS Footings(new bldg) FinaUC.O. Lo Footings (deck) ? FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs _ Air/Gas Tests Firtal '70 Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Tes[ _ Final _ Windows _ Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ??*******?***************************** CITY OF EAGAN CASHIER: JS TERMINAL NO: 256 DATE: 08/08/00 TIME: 16:00:29 ID; NAME: JAYSON LINDSAY ROOFING 3210 9001 4550 OAK CHASE 125.25 2155 9001 4550 OAK CHASE 3.00 Total Receipt Amount: 128.25 CR135575 USER ID: JAN *******:r*:r***?:r********?r*****:c****x**** 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) (?J cirr oF E?cnN ? I 2 g 3830 PILOT KNOB RD - 55122 7,? 851-881-4875 D 3 repltfereA fMe wrveya ahOwiny fq. k. ol bt, aq. N. of houae and,gn roofed arew t2Q%mmdmum lot covemae ailowed) > 2 caples ol plans (atww beam & wlndow sima; pouretl hW. dedgn: efc.) > t set a eneryr cacuwnona > J coplea ol hee prefervallon plan tt lof platted aHer 7/1 /9J DATE: y- g_OC7 DESCRIP'fIONOPWORK: ZrAle)? STREET ADDRESS: d LOT: 7- BLOCK: ? SUBD./P.I.D.C va? s oapies w ww, 1 set ol energy calculaHOns tor heated addlXOns 1 aite wney for exledw addiHOns d tlecks CONSfRUCTION COST: Name: 3o nh s&o 5' Pr?one #: l33 a PROPER'fY Lost ' Fi"'t OWNER ?p Sfr6et Addf988: cn,, sra?e: vP: S s ia3 J?dSeyi .e..d G?r? Pnone s: 6 (?. 2 9,?-? (?'S7 Company. (area code) coNrRAcroa Sheet Address: S rw I_ ucansa u EXP. q}y State: Zip: AR wH1iECT/ ENGINEER Company: Name: '• Telephone t: ( ) Sfreet Addtess: Re9???? ?? citY State: 5 '{Ob. o0 Z(p: SeweNwater licensed plumber (If installina sewer ter): Ptwne #: I hereby acknowledpe Ihat I have read this applkatbn, dafe that Ihe infortnalion is cortect, and agree to compry wilh ap appqcable Stafe of Minnesota Sfatutes and CHy of Eagan Ordinanees. /J Siyiwlure of Applicant (o - ? OPFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received - Yes - No - Not Required OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) 0 02 SF Dwelling ? OS 06-plex ? 17 Garage ? 22 Poroh/Addn. (4-sea.) ? 03 01 of _ plex ? 09 07-piex O 18 Deck ? 23 Porch (screened) ? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage ? 05 03-plex ? 11 10-plex Plbg _Y or _ N ? 25 Miscellaneous ? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg. WORK TYPE ? 31 New ? 36 Move Bldg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bidg)' ? 44 Siding ? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors * Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code # of Stories s9• ft• No. of Units Length sq. ft. No. of Buildings Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS 0 Stucco/Stone APPROVAtS Planning Building Engineering Variance ? 31 Ext. Alt - Muiti O 33 Ext. AR - SF ? 36 Mufti Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit SNV Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: $ SAC Units % SAC . , - . , ?• 2/84 CITY OF EAGAN . t APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTIOr1 (PLEASE PRINT) 1) PROPFSYrY ADDRESS: --3 ('? r.Frar DESCRIT-YPZCN_ c?- 0- 4 /c CCt` (Int/Block/Subdtvision or Tax Parcel I.D_ Nimber) I'r' E=S^__:G 5'?'RL'CT!JRE , DATE 0F ORIGi IAL uiILDLIG PEF-%!IT ISSur-%C.: PiZx'.SL': ?:^.`IPr,/naOPOS'cJT L'S'-5?R-1 SiXGLc: FP_'NILY . ? R-2 DUPLE.{ (7?0 LTIITS) ? R-3 TCINDIIiCUSE (TYRZE + L':1ITS) ( UNITS) [3 12-4 A..7ARm?ti???:'?1'??.l??Jt'f ? ULIITj) ? CQmi''RCLzkI./RE:AII,/OFFICF ? ?.'DL'ST.?AL " ? 1?VSTITC,'TIONAI,/GGVE2N,.^'ff..'^?'T 2) ppP7.,2C,?V'T (PIEASE PRINi) rmtIE: / ADDRE55: CI'PY, STATE, ZIP: ZLZ i ?/c_ q(1e?? PHOiNE: ` f? -1 - 3) pu,?,ffiER ?: PLEA' PRINT) ?' l1f?? ??i / /r/- FOR CITY USE ONIY ?, ? - ADDRESS: 4 PLUMBERS LICEYSE: Acti CITY, STATE, ZIP: /'/_?'i ve Expired i?1E; PHO 4 3 1`? ???7`- .?.c? d G pLI1NBER LICENSE # C?L_ j? 7!q-t r? 0 Not of ecord c-' a nitia 4/ u_.l..pYH[V1yUVC11:R ? krLcHac rniriI) : ADDRESS: CITY, STATE, ZIP: PHONE: 5) INpICATE W[-IICH PERMLT IS BEING RDQUESTM: ?D?ONNELTION 'Ib CITY SE7i9ER a CONNECTION "IO CITY WA'I'ER ? diEIR (PLLASE DFSCRIBE) 6) ? PLEASE F?OID APPR(NID PERMiT EOR PICI:-L'P BY ONE OF ASOVE ? PLFt'iSE : tAIL APP P tIT T'J 1. 2. O 4 ABWE R? (Circle one) 7) SIcj.TA'IVF2E: DATE: , .. .. . MR?lqi6MfRSli??1?vEO:g?a?.fltHtsaa=? F O R I T Y U S E O N L Y PER^1IT '` ISSUED F°E5: $ v c $ i D S-a $ ? ? . ?•--a S $ $ ?'a; $ /_S,-r? $ r:17ci. $ $ S S $ . SETriER I'E3?1T_T (I`TCL?DE SU°C!:ARGE) WATER PERP1IT (INCL'JDE SliRCFiARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (ZNCLUDE CORPORATION STOP) SEWER TAP ACCOUNT D.F,POSIT - GIAT°R WAC SP.C TRliNK 49ATER ASSLSSi1ENT TRU:IK SESdER ASSESSh1EDIT LATERAL BENEFIT/TRUNK SE:•IER LATERAL BENEFIT/TRUNK 6VATER OTHER ' S TOTAL AMOLT:IT PAID/RECEIPT ;1<<J?J?-/ DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGi-IT OF WAY? ? YES IF YES, THEN n"PERMIT FOR WORK WITHIN ? PUBLZC ROADWAY" MUST BE ISSUED BY THE ' NO ENGINEERING DIV:SION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: ' APPROVED BY: ,"1?"lt?? TI:LE• DATE : - / + ?M MIUi MMi+ WM @t=Ne !M wta w ? )e fi! w= w.a FkSw RPil Wcl% w:O wE =sa wiw W?w Rmmalm w = . City of Eapn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 2008 RESIDENTIAL BUILDING PERMIT Date: ?-7 23-0 c Site Address: Tenant: ?ss0 C,4 K c --- ----------- I Fnr O_ffite u?e ? ? Pertnit #: 7J T-7017 1 ? Permit Fee: ? Date Received: / d-3 ? j Staff: C. ? I ----------------- APPLICATIONGGI-P?? 7/a9 _ wAy ? Suite #: RESIDENT / OWNER Name: H NSO lV Phone: 6s? ????9 Address / City / Zip: _ #-55-0 QA k GH11J E W'7" Y Applicant is: _ Owner -k Contractor TYPE OF WORK Description of work: U.YT 9T 6r 4 OPl T67AV Construdion Cost:? ! `Tjs0 67 Multi-Famity Buildin : (Yes No g CONTRACTOR Name: ka1rlr? Z C4 Ns! License#: Address: _176'gU ? ACMV "7^ 1 ? `TN City: ???? ? 1 7 State: Zip: s-?O p Po ) P ' z ` Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet CBtegory Submitted Submitted (4 submis5ion type) . 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 plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: - Phone: Mechanical Contractor: Phone: Sewer 8 Water Contractor: Phone: NOTE Plans and sripportmg docoment ' . , s that you,submlC a"re considered to bepubLc informafrod.Portions;oi«; the inforinafion inay be class?fied as non-public# you',provide specifrc reasons thaf would permif the Crty to .' bnclude thatihe are batle"secr?ts `; ' " 1 herehy acknowledge that this information is complete and accurate; that the work will be in confortnance with the ordinances and codes of the Ciry of Eagan; that I understand this is not a permit, 6ut only an application for a permit, and work is not to start without a permA; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Xpo 1 I!?ff )24rfz w p s (D z ? M 1E p x Applicant's Printed Name J? ApplicanYs Signature JUL 2 3 7_008 Page 1 of 3 DO NOT WRITE BELOW THIS l.IME tUB TYPES ? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool ? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi ? 01 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF 0 02-Plex ?- 08-plex ? Deck ? Porch (screeNgazebo/pergola) ? Multi Misc. ? 03-Plex ? 10-plex ? Lower Level ? Storm Damage ? 04-Plex ? 12-plex ? Miscellaneous WORK TYPES ? New ? Interior Improvement ? Siding ? Demolish Building' ? Addition ? Move Bu ilding ? Reroof ? Demolish Interior ? Alteration ? Fire Repair ? Windows ? Demolish Foundation ? Replacement ? Egress Window ? Water Damage ` Demolition (entire building) - give PCA handout to applicant DESCRIPTION: Valuation Occupancy MCES System Plan Review Code Edition SAC Units (25%_ 100% Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Const. Width REQUIRED INSPECTIONS Footings (new bldg) Footings (deck) Footings (addition) Foundation Drain Tile ? Roof: Ice & Water _Final Framing Fireplace:_R.i. _AirTest _Final Insulation Reviewed By: RESIDENTIAL FE'ES: Base Fee Surcharge Plan Review MClES SAC City SAC Utility Connection Charge S&W Pertnit & Surcharge Treatment Plant Copies Total Sheetrock Meter Size: Final/C.O. Final/No C.O. ' HVAC Other: Pool: _Footings _Air/Gas Tests _Final Siding: _Stucco Lath _Stone Lath _Brick ' Windows Retaining Wail Building Inspector Page 2 of 3 ?YD'f'?hW'?K ? ? t?{v ??1 ? I.4.ilN L/?? V 0. ?L ? H O. S-C QARRIER LOAP ? ELIE o? cjuf,c? INFORMATION CENTER MEI-RQ AaR 19401 tVorrriandale ncad P_rioG Lake, N1inn2sota 5537 % 1612) A47•; 1z4 OP*ION 1 OP*ION Z OPTION 3 1. Summerdesigntlegrees .............. . 9s N ? ? (90, 95, 100, 105, 110 or 115) 2. (If 90, 105, 110 or 115, Item 2 N A) Dailyrange(0°-35°) ...... ...... ... . p 3. Winterdesigndegrees......... /4 il q # (Precede a minus number with M) 4. Nu mber of window panes ............. . (i, 2 or 3. If 2 or 3, Item 5 N.A.) 5. Stormwintlows?(YOrN).,.. . ...... 6. WindowsweatherstriPped? (YOrN).... . Z Four window areas starting with N or ? / ? # ? ? Ex N#25#30N20#25N#; Max per sitle: 999 sq. ft) 71 Nor NE 72 E or SE #1 73 5 o r S W 74 W or N W ? 6 k# ## Nq B. Shatledwindowarea . . .. ....... .. ? # I ql ? F ? (0 or sq. ft. Enter 0 ii not applicable. -- Maz: 999 sq. ft.) 9. f ......... . ?Oorsq t.Maz:999sq.ft.IfO, 10. Items 10 R 11 N.A.) Doorweatherstripped?(YOrN)....... 11. Stormdoors?(VOrN) ......... . ... 12. Firststory perimeter .................. . 73. Second story perimeter ............... . 74. ThicknessofwallinsWation........... . (0, 2, 4 or 6" fiber9las. Enter MA for masonry; R values; eMer R, then value. Ex: 1319) 15. Basement r t O lfO, ltems16.17&28N.A.) orine iPt 16. Basementheated?(VorN) ............ . ..n. ?.Q,.?.?F• ? ;.r ? ' (If N, Item 17 N.A.) 17. Percent above grade (Ex:S%=5) ..... «3? 18. Area of roof with exposed beams or studioceiling ..... . . . . p# ?tp p# (0 or sq. fL If zero Items 19 20 & 21 N A ) 79. Wood orfiber ....... (W forwoo0, Fforfiber. If W, Item 20N A. y , . x H F, I[em 27 N.A.) 20. Thicknessolfiber ................... . . ` . ?. x? :? ¢ y? . . (1.5. 2 or 3" or R values) . . . . 2I. Insulation ........................ (Y, N or F values, Y assumes 1'5") v.??,k,':..x?..? `„ss?.¢?'•#s?' .r f,.¢?v.,sav,v ,,: OPTION 1 OP*ION Z 22. Area of ceiling under vented roof or unconditionedspace _ ................ I O 3 p # (0 or sq. fL If 0 Item 23 N.A.) . 23. Thicknessoflnsulation............. ?,-? # ? (0, 3, 6, 72 or 18" af ti6ergla5 or R values. Ex: R30) ? 24. Areaoffloorsoverunconditionedspace O # ? ql (0 or sq. ft. If 0 Item 25 N A) L_J 25. Thicknessofinsulation .. .. ........ (Q 3 or 6" fiberglas, or R values) . 26. Area of floors over open or vented space, ......... ar e ?r ft. If 0 Item 27 N A ) sq (0 o 27. ThiCkne55ofinsulation .. . ......... . (0, 3 or 6" of fiberglas or R values) 28. 8asement area ........ ........... #.. # ? (0 or sq. fL If Item 1519 Oskip Ihla entry.) 29. Total heated area ..................... ?93D k ? ? (sq. tt.) ? 30. Perimeter of concrete slab . . ......... (0 or linear fL) (If 0, ttem 31 N.A.) 31. Thicknessofslabinsulation ............ (0, 1 or 2") 32. Desiretl summer indoor tempereture swing ................ _ .............. 3 uN kN (Value between 1 antl 6 indusive.) 33. Desiredwinterinsidetemperature .... ?? ° N ? 34. Ductlocation ......................... (AT = attic, BA = basement, SL = slab, CR = crawi space, CO = conditioned space) (if BA, SL, or CO, Item 35 N.A ) 35. Thicknessofinsulation .. . .,..... (0, 1 0r 2". USe 2 for 1" rigid.) " 'REPEATOATA7......... .................. V orN ? „COPRECTION54" ....................... If there are no corrections required enter SN. If there are corrections to [he data, en[er ques1ion number, tt, the new data, and #K. Ex: 19#W#N ? # Aq q #N If no further corrections, enter## only. kk pp OPTION 3 ? ? ? p# ? ? ? ???----??--?? ## ? ? ? #k q H# ## COOLING B.T.U.H. c7 EOUALS 3°Z(53a AT L? °F B.T.U.H. AT °F B.T.U.H. AT °F HEATING B.T.U.H. Ul- EQUALS S? I OD- AT -`A °F ?-20 B.T.U.M. AT. °F B.T.U.H. AT °F "REPEATTHEANSWERS"(YOrN) ......... #ft pp Hq "SAVEYOURDATAY' ...... .... ... .... q# gp #k Y or N: or VR#N will save your tlata and goes to beginninq for new Analysis: or NR#k will not save tlata but goes back to beginning tor new Analysis. JOBNUMBER ............................ If you want to save your data CLIC assigns JOb Number "STRUCTUtiE CHANGES?................. If there are no changes required enter ##. If there are changes to Ihe data; enter question number, #, the new data, antl qp. # #M p p# # kp Ea:25NR30#M If no further changes, enter 0#7 only. #K aa qq METR0 AIR 19401 r?orma,daie Roaa 60.11.29t1c.)9. Prior Lake, Minnescta 5v372 (612) 447-8124 OPPORTUNITY HOME 3-78 Princea io U.S.A. 838-039 ? ?- CITIZEN'S REQUEST FORM EAGAN ENGINEERING DEPARTMENT DATE: b - 9 .- y'o NAME: ADDRE PHONE : -Ao w? F 4r `J 6 ? `I L 5 ( Work 211 - ojSG NATURE OF REQUEST: 0a,L C94-,C?.sL. 6 T * TAKEN BY: u a REFERRED TO: ACTION TAKEN: 7r 9A BY: DATE: (n - 13 - G RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New Construction ReauiremaMs • 3 registered site surveys showing sq. ft. of lot sq. ft. of house; and all roofed areas (20No maximum lot coverage allowed) • 2 cropies o( plan showing beam & window sizes; poureA fourM design, etc.) • iselofEnergyCalculations • 3 copies of Tree Preservation Plan if lot platted ailer 717193 • Rim Joist Detail Opiions selaclion sheet (bldgs with 3 orless units) DATE y0 14?b Z JOB SITE D C ak C,4i c??-(' oj ? 700o RemodeURepair Reouirements . 2 copies of plan • 1 set M Energy Calculations for heated additiom • isdesurveyforexlenoradditions&decks • Indicale'rfhomeservedbysepticsystemforadditions VALUATION IF MULTI-FAMILY BUILDING, HOW MkNY UNITS?? PROPERTY OWNER K+ ?k\" d" * 0 k-- J n TYPE Of WORK ?1V FIREPLACE(S) _ 0 ?1 _ 2 APPLICANT ? W\6 ? PHONE# - ? ? ? ?? "Z' ADDRESS PAGER # CELL PHONE # FAX # CODE NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNl?SOTA RUI.ES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Suhmitted - Energy Envelope Calculations Submitted MINNI?S01'A AULES 7672 - New Energy Code Warksheet Submitted Plumbing Contractor: Plumbing Systcm Includes: Mechantcal Contractor. Mechanical System Includes: Sewer/Water Conhactor: Water Softener Watcr Hcatcr No. of Baths Air Condiboning Heat Recovery Syslein Phone # P'ee: $90.00 ree: $70.00 All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eogan ?Ordinances. SignatureofApplicanf ??'?I-o_ Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 2002 Phone Lawn Sprinkler No. of R.I. Baths Phone # ?ss?o 2004 RESIDENTIAL MECHAlVICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. single family dwellings & townhomes/condos when pemvts are required for each unit Date Jc / UP Site Address ? Unit # - Property Owner ?? ?? ?? `? ?-?? ? ?? ? S ? V1 Telephone # ( ?(r j 1 ) lU ? ?o ' ? ?? eA ? Contractor J Street Address Ci[y State Zip Telephone # ( ) Bond tt: Expires: The Applicant is ? Owner _ Contractor _ Othei Add-on or alteration to ezisting dwelling unit $ 30.00 furnace _Additional _Replacement air exchanger air con itioner` Ne}w? Replaceme 7 ? ? c ^ ?r 0? other U--? 1 ?n ?J `° U1 ?? ?? t cI?X. CM-.- • State Surcharge $ 50 $ Total I hereby apply for a Residential Mechanical Permit and aclrnowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a pernut, and work is not to start without a permit; that the work will be in accordance with the a roved plan in e case of work which requires a review and approval f planB_s. .?4/UJ YU- ??e V4-\ S Uv^' Applicant's Signature k CE/gT/flC.4T_ Of S7AftTY ? =L- z.5 q?i.q ?-- l ?g 0 1 ? ? zs Scale: 1" = 30' •?, N G9°S6o9"E I IS7,,? ?a2,ol N - J ? - - - o?- ---? zo ? ToF or 5?f3 24.0? 9 6qo?k hs' .urx Q 6,00 0 ? P °i4. 1 ?00 \ 1 ?7), ? ? I ?sc I T?„s ? I ( I J z? U'l \ ? ?2.5 ) Isz, ; r ., -.- DESCRIPTION / HFREBY CER7IFY TNAT TN/S SU4VFY PC.AK OrT Ri-PORT IYAS PR£PARED BY Af£ OR l/N0£R MY D/R£Cr .FtO?'f'RV/S/AN AND TNAT ! AN A DULY RFG/STER£D LAND ,SWV4FYA4 UNOER TNE LAkS OF TNE STATf LiF X/AiHESOtA. OATf I?i'?Iw?r-? ?{i? REG q!7 8140 Lot 2, Block 2, OAK CHASE SIXTH ADDITION Dakota County, Minnesota Plat bearings shown o Denotes iron monument q oz. I baandt anglnaering P. rurueging 4705 woodr tieil ?.` buinsvi!!e, minnatota 55337 - ?3S°1966 ?? . _2?_ ..?`tui 'fTT3Sl."latv..a:-.-?.,-)sa-±s.?.ae.'._?-.ss_'-xay.:su??.s.?a.--ar.-.r?+nrcT-.v._..--nwr.ec.+-n•?m.n-iu-.?rt--.r.. z W W l? t CE/gT/fICAr- OF -?, , ? ;- zs , -- ?o ?- - - - f-i ID ? o ` ? 1 ? m c' ?7 l? ? ` 1\ R 17 V' E V,?'A? 6N???CTfiONS 0,?z-vr. p-ec\,r- J`( G /1150091,C 187,19 `? T?? pr ??ftpj Do ? ? 13• ? , A?BOVb p yv E Fo °c l ° ,-- - - - z ? Scale: 1" = 30' ? I I I _? zo Vi N?9°SO o9?'C .:- DESCRIPTION / HER£BY CER77fY THAT 7M/S SU4vFY PLAk aT RFpORT WAS PREPAR£O BY kf£ OR UND£R NY D/FFCT SU°FR?/StAY ANO rNAT ! AM A LNJLY REGfS7"E'Rf0 LAlVO SVF'Y£?°LbY tJN0.`R 7H£ LAAYS AF THf ST.4rE A` MtKN:SGTss. oar£ REr- wa. 8:40 I ol ?Q----? Zo Lot 2, Block 2, OAK CHASE SIXTH ADDITION Dakota County, Minnesota Plat bearings shown o Denotes iron monument z O vJ p w ? `- °I bZ. 1 I (612) 435'1966 . CEfFTJFtCi4T-E Of 9AVVEY -1;iLcfitl?G MSPI?CTMNS !??FIT. .•. ? , p ?- . I N 890SO09"E ?a2,o Zo ?o?----- nw „x! or L?t ? T?- 1 0? N 1\ 2? ?0 c g G A C s? 3 i?, ? L j ? _ \ ??S' Mrx - ? ?? ?T,.f?• A-II?vb b..?" ? ? z Q 00 '?C ? rL-(J??? p I W -?- 'Yl ` 7m ' ? , oo ? 9), C- `°? ------------ Lrt Za qoz. l I 2S ?__- N Q SO 09"G _:. ? Scale: 1" = 30' l HFR£BY CfR77FY TNAT TN/S SGR?EY, fL.9M OR RrPORT 1P'QS PR£PAR£D BY M£ OR UMDER MY 0/Fa£C7' sA'L`R'?ISIGkM ANO rHAT I AAI A DULY Rf6157'fR£O CdliVO SURYc`MA7 UHOER rHf LAm'S OF THE STdrf- pF m!h'h':SOTit. ? OAT£ ????• r-1 7-G?-F AE'G No. 814U DESCRIPTION Lot 2, Block 2, OAY. CHASE SIXTH AUDITION Dakota County, Minnesota Plat bearings shown o Denotes iron monument ?????? ark3ificari?? ? ?????jing 2705 woodo trall t?- s ????fluota 55537 (612) 0,35°1966 ? -- -?,? . PERMIT City of Eagan Permit Type:Building Permit Number:EA113712 Date Issued:09/06/2013 Permit Category:ePermit Site Address: 4550 Oak Chase Way Lot:2 Block: 2 Addition: Oak Chase 6th PID:10-53505-02-020 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Dave Austad 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 - Debra T Johnson 4550 Oak Chase Way Eagan MN 55123 Austad Construction 182 A Ryan Ln Little Canada MN 55117 (913) 651-4820 X070 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA126182 Date Issued:08/15/2014 Permit Category:ePermit Site Address: 4550 Oak Chase Way Lot:2 Block: 2 Addition: Oak Chase 6th PID:10-53505-02-020 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Debra T Johnson 4550 Oak Chase Way Eagan MN 55123 Capstone Bros Contracting Inc 216 North River Ridge Cirle Burnsville MN 55337 (952) 882-8888 Applicant/Permitee: Signature Issued By: Signature