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'
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.
CWNEf:
SiTE ADDi;ESS
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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
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Work 211 - ojSG
NATURE OF REQUEST:
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TAKEN BY:
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REFERRED TO:
ACTION TAKEN:
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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
?
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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.
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Applicant's Signature
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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
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baandt anglnaering P. rurueging
4705 woodr tieil
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buinsvi!!e, minnatota 55337
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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.
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Lot 2, Block 2,
OAK CHASE SIXTH ADDITION
Dakota County, Minnesota
Plat bearings shown
o Denotes iron monument
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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.
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DESCRIPTION
Lot 2, Block 2,
OAY. CHASE SIXTH AUDITION
Dakota County, Minnesota
Plat bearings shown
o Denotes iron monument
?????? ark3ificari?? ? ?????jing
2705 woodo trall
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s ????fluota 55537
(612) 0,35°1966
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.
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