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4555 Oak Chase Way? ?` . . . . . . .r. CASH RECEIPT ' ? CITY OF EAGAN 3830 PILOT KNOB FibAD EAGAN, MINNE30TA 55122 Thank You - ?? Bv WhNe--Payars CoPY Tl.?r? ?/ L'i ??? ? Yellow-POSNn9 CoPY Pink-File Copy & DOLLARS ,oo CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT '';i• ;,?;? •'`C..,'. To be used for ,• ? ? Est. Value $81 r000 Date 15073 Receipt tfAY 15 19 :,L. Site Address 4555 OdK CHA5E TiAY Lot Block ? Sec/Sub. `'-;I CIiASE 6-Tti Parcei No Q Name 101IN$ON REILANB f;t)t4S'TH['C'TIC ti z Addrel5 i 52?', C 122ND S'T o Gity_? M.:, ; i i:, • Phone ,. ?+4- .r3! u °C Name _ .o o Q Address ? Clty_ ?_ ¢ W W W Name r ? z Addrey?s ¢ Wz City Phone i a I hereby acknowled'?e 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. 9ignature of Permittee A Buiiding Permit is issued to: •'` ?? ;";? on the exprecs condition that al I work shal I be done in aceordance with al I app4icable State oS Minnesota Staiutes and City of Eagan Ordinances. Building Officiai OFFICE USE ONLY On 51te 5ewage Occupancy 1'-1 MWCC System Zoning ? On Site Well (Actual) Const V-I4 City Water Y (Allowabie) PRV Required `- # of Stories Booster Pump Length 4fi' depth 48 t S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit 4g8• 00 Planner Surcharge 40.50 Council Plan Review 249• 0t) Bldg. OH. SAC, Gity 100•00 Variance SAC, MWCC 550•00 WaterConn. 550.00 ? WaterMeter 67.(f0 Road Unit 32s_(10 Treatment P1 ?04• 00 Parks - - 83.50 , 5 TOTAL `- g - CITY OF EAGAN . 15d73 '. " 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 BUIIANG PERMIT Receipt # To be used for Est. Value Date ,19 Site Address " .' ? ' U Lot Block Sec/Sub. «AK Parcel No. ? ¢ W 2 3 0 Name 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. Signature of Permittee A Building Permit is issued to: ' on the express condition that al I work shal I be done in accordance with all applicable State of Minnesota Statutes and City o( Eagan Ordinances. Building ONicial OFFICE USE ONLY On Ske Sewage Occupancy ?--1 MWCC System Zoning " On Site Well (Actusl) Const City Water ti (Allowable) ..i: PRV Required ?- ? of Stories Booster Pump Length ' Depth - S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit Planner Surcharge " - Council Plan Review Bldg. Off. SAC, City Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks ' ' ` TOTAL • Permit No. Permit Hoider Dste TNephone ?k Piumbing c- H.v.ac. Electric Softener Inspection Dete Insp. Comments Footings I Footings II Foundation Framing .2 Roofing 144F Ox- 11ioT Rough Pibg. ? Rough Htg. ' - Isul. Fireplace ? .? Final Htg. Final Plbg. Btdg. Final Cert Occ. Temp. LP Deck Ftg. Deck Final Well S-ir ? g /O-kj' STGY' Pr. Disp. ? ^ ... PERMIT.# . • MECHANICAL PERMIT • ' RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN MN 55122 DATE ???? ? , , : CONTRACT PRICE: PHONE: 454-8100 Site AdcJress S " < BLDG. TYPE WORK DESCRIPTION Lot •?' Block SecJSub Res. X New Mult Add-on m R Name ' Addre s/? ? S`?? ? ?? k U H- v acJ Comm. Repair c ?? at CitY Phone 4/ `y7' 9 ?f Other FEES ? c Name A ueN" v RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6 00 ddre s . 03: ? Ciry __1•?INf? /? c Phone 63 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS MINIMUM -1 PER PEkNII'n - 1 50 EA TYPE OF WORK . . ( CONTRACT EE ^ FE T Forced Air ?? M BTU y BLDGS. COMM. RAT AP APLIES TOWNHOUSE 8 CONDOS - RES. RATE APPUES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00 Vent CFM STATE SURCHARGE PER PERMIT - .50 (ADD $.50 SiC IF PERMIT PRICE GOES Gas Piping Outlets # ? ' y' BEYOND $1,000y Other FEE: S/C: SIGNATURE OF PERMITTEE TOTAL• 6 ? FOR: CITY OF EAGAN CONTRACT PRICE Site Addc;ss Lot ?<,.? ? ....,. ? Add c City ? ? ? PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 FEES COMMJIND. FEE -1% OF CONTRACT FEE APT. BLOGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDO - RES. RATE APLLIES MINIMUM - RESIDENTIAL FEE $12.00 MINIMUM - COMM.IND./FEE $20.00 STATE SURCFJARGE PER PERMIT .50 (ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE) For Offic ? O y PERMIT # RECEIPT # y ?j'Z DATE: /. ,/-3 e cl Res. New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: ? NO. FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 7 Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $3.00 UrinaVBidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 1Nhirlpool - $3.00 Gas Piping Outiets - $1.50 (MINIMUM -1 PER PERMIT) 5 OD ? Softener - $5.00 weu - a+o.oo Private Disp. - $10.00 Rough Openings - $1.50 PERMIT FEE: aba(c ?CI STATES SIC: GRAND TOTAI: 5 • ? ? T . ? PERMIT # - ' PLUMBING PERMIT • ? CITY OF EAGAN RECEIPT # - 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ?-% CONTRACT PRICE PHONE:'454-8100 - Site Address `BIDG. TYPE WORK DESCtiIPTION Lot Block y? Sec/Sub Res. New Mult. Add-on _,.. . ? Name _ ? Address c City _ Name _ ? Address O City _ COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE 8 CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES OF FOR CIN OF EAGAN Comm. Repair Other RES. PLBG. ONLY - COIIIIPLETE THE F OLLOWING: NQ. FIXTURES TOTAL -L-Water Closet - $3 00 S Bath Tubs - S3.00 ? Lavatory - $3.00 Shower - $3.00 ? Kitchen Sink - $3.00 B idet - 53.00 U,inall ,, Laundry Tray - $3.00 Floor Drains - $1.50 ?-Water Heater - 51.50 ? Whirlpool - $3.00 ? Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) SoRener - $5.00 Well - $10.00 Private Disp. - $10.00 ' Rough Openings - $1.50 FEE: STATE S/C: '' GRAND TOTAL• ? ? •!'-' ?8. •s s.??' . < r (ger#tfiratt uf Mrrupttnry tirp of Cagatt oPpart1tIPItf t1f lltilbTtto jttlwpl'tiDti This Certifrcate issued pursuant to the requirements of Section 306 of the Untform Buildrng Code cenifying that at the time of issuance this structure was ix compliance with the various ordinances of the City regulating building construcrion or use. For the foliowing.• ux cu.&.tk. SF IWG/GAR Hiag. Per,n;t ?vo. 15073 o-amcy Type R3/A4) zouns mui« E iYa comu• V'1 Owner of Buildiog '" ` FEMAM OONST• pQdrm 1526 E. 12• NW ST. B 'V= 8uMing Addrm 4555 OAK 41A.SE WAY ?hty I.2, B1, QAK aIA.SE 6IlR .IArIIARY 17, 1989 Bwlding Officiel" POST IN A CONSPICUOUS PLACE CITY ar EAGAN Owner AInD 5.5/ a.1 Remarks v?i ?/,-+ is' 5treet 4555 OA1C CNASE WAY 10-53505-020-01 EA+GAN MN SS123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. INIFRIINI( SENIER 1974 172.50 11. SO 15 SAN SEW TRK zc 1984 27.85 5.57 S SAN SEW TRUNK ? Z-Z 1973 253.33 12.67 ZD SEWERLATERAI , Z 1984 7$.SS 15.71 s SEMfER LATERAL -'g 1984 202 . 21 40.44 5 *XIU(KNM WATER LAT 1972 153.33 10.22 15 * WATERLATERAL ? ZZ 1984 303.21 60.64 rJ WATER AREA ? Z 1984 31.35 6.27 S WATER AREA 1S 1984 623.25 41.55 15 • STORM SEW TRK 19$4 § STORM SEWYXX TRK . g70 1984 1093.92 72.93 15 SEWER LAT&RAL ? zZ5 1974 76.68 5.11 15 CURB & GUTTER SIDEWALK i STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN 3830 Pilol Knob Road P.O. Box 21198 Eagan, MN 55121 5ite Conn. Chg: 'SSA_Oftd Acct Dep:_ 7 S - na;A Permit Fee: I-A - On;., Surcharge: 5 C?.3 Tr. Plant Meter. Misc.: PR9 RT.OLtLR':r PermitNo: 71? Date: F°'23-t- `? Meter No: Size: Reader No: Date: j ? . ; Zoning: - No. of Units: I agree to comply wfth the Cfty Ordinances. By WATER SERVICE PERMIT CITY OF EAGAN, Permit No: Date: 6-23-SQ 3830 Pilot Kpob Road B/ P No: Date: P.O. Box•21199 Eagan, MN 55121 > Owner. Jo}maen Re-t lam; Site Address: '• r, ? ? ?? ?a.s° " ' • L'' ?t'1 r??. r,. ? _ , _ Plumber: I .ke `:ide MWCC: 1110 C101m' Zoning• City Chg: ! No. of Units: Acct. Dep: I agree to comply with the City ol Eagan Permit Fee: Ordinances. Surcharge: By SEWER SERVICE PERMIT OF EAGAN Pilot Knob Rd. n, MN 55122-1897 1- / - 89 METER * '11l ??A -2 I Y PERMIT DATE 9/21 / 89 CHIP # 4 07-3 "C"r PERMIT # 10911 METER SIZE B.P. RECEIPT # 394b ISSUE DATE _' F` B.P. RECEIPT DATE 9/ 2I'.f a(? _ PRV - BOOSTER PUMP 5 6 ()RV- CVC? _ICANT: 'J0f/'1J SDJ kE 1L'+c1 D v?fST? -'?a ' RESS: - ?atr1 r , STATE ZIP 7 NE: - - ?? R VIBER: ?I U-+'!i z/' . RESS: ` I (Z z- , STATE 5 ZIP NE: 0 IER: STATE ZIP ic• DAYS PERMIT REOUESTED ? !?? SEWER A- WATER _ TAPS 1 - COMM/IND ?. RESIDENTIAL 'X- NEW _ E7CISTING Lawn Sprinkler Meters are to be In; Ahead of Domestic Meters on Water Credix WILL NOT,be given for Deduct M PROCESSING. CALL 4545220 FOR CITY OF EAGAN Permit No: 9 7 12 Date: 6-23" ? 3830 Pilot Knob Road Meter No: S Size:-EIE" IFOC'T P.O. Box 21199 Reader No: Date: 9 f L-8 ? Eagan, MN 55121 Address: ?nn. Chg: ???9 Op j Zoning: +. ? ct Dep: 1,5, 0; F,i No. ot Units; rmit Fee: rcharge: I agree t omply with the City ol Eagan Plant Ordin n s. ?ter. iC.: r•rl7 fl' R`' er WATER SERVICE ERMIT 4n?? I AGREE TO COMPLY WITH CfTY OF ? CITY GF EAGAN Remarks Addition OAIC CI'IASE 6TH ADDITION Lot 2 Blk i Parcel 10-535US-020-01 owner street 4555 OA1C CHASE N1AY state EAGAN M'1 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK SEWER LATERAL WATERMAIN WATER LATERAL WRTER AREA ?q/ 1985 623.25 41.55 15 STORM SEW TRK i r 1985 1093.92 72.93 15 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 13UILDING PER. SAC PAR K BUILDING PERMIT To be used for SF DWG/GAR Est.Value $81,000 Eagan, MN 55121 N_ 15073 Receipt # is ? v I ? Date M1Y 25 ,19 88 Site Address 4555 OAK CHASE WAY OFFICE USE ONLY Lot z Block 1 Sec/Sub.OAK CHASE 6TH On Site Sewage - Occupancy R-3 M-1 MWCCSystem X Zoning E ParcelNo. V N OnSiteWell _ (ActuaqConst - a Name JOHNSON REILAND CONSTRUCTION Cirywater X (Allowable) V-N W 1526 E 122ND ST Address PRV Required X # of Stories ° _ City BliRNSVILLE Phone_ 894-9300 BoosterPump _ Length 401 Depth 48, ¢ o Name SAME S.F.Totai . o? Address FootprintS.F. U< : City Phone qppROVALS FEES ?w Neme Engr./Assess. Permit 498.00 r Z Planner Surcharge 40.50 i - Address Council Plan Review 249.00 a w City Phone Bldg. Off. SAC, City 100.00 I hereGy ackoowledge ihat I have read this application and state ihat the Variance SAC, M WCC 550 ?D9 information is correct and agree to comply with all ap0licable S[ate of Water Conn. _550.00 Minnesota Statutes and City f Eagan ;dinances. ? Water Meter ? ]?? ? Signature of Permittee ?«dLVI? Road Unit -325.,_00 A Building Permit is issuetl lo: JOHNSON REILAND 7reatment Pt 204.00 on the express contlition that all work shall be done in accortlance with all Parks applicable Sta[e of Minneso[a Statutes antl City of Eagan Ordinances. 2 583.50 p TOTAL , Building OHicial CITY OF EAGAN 3830 Pilot Knob Road, P.O. 8ox 21 •199 PH ON E: 454-8100 REQUEST FOR ELECTRICAL INSPECTION ee-ooomo? ? See insimdions for completing this torm on back oi yelbw copy C? 6 u 3 3 4 •X" Belaw Work Covered by This Request Ne% Adtl Rep. ' TypeofBuilding qppliancesWired Equipmen(Wired • Home . Range Temporary Service Duplez Water Heater Electric Heating Apt. Building Dryer Other (Specity) Comm.llndustrial Furnace Farm ? Air CondRioner ONer (specify) CqMrecta5 Remerks: Compute Inspection Fee Below: # Other Fee # Service Ent2nceSize Fee # Cirouits/Feeders Fee Swimming Paol 0 to 200 Amps 0 to 100 Amps Transfortners Above 200 _ Amps Above 700 _ Amps SignS Inspedor§ Uae Only: 7p7A? ? '[I Irrigation Booms ?D ?? Special Inspection Alarm/Communication Other Fee ( I, the Electrical Inspector, hereby if h h Rou¢n-" oeter , cert yt at t e above inspection has been made. Fimv OFFICE USE ONLY This requesl wid 18 momhs iro. 18 months from'd 91 E 28473 ?y? , S55/? Rev st !]ate Fire No. Rouph-in In ction Requiretl> Dfleady Nuw - otily Inscec- s ?No When peady ?Elec[rical Coniractor I hereby reQUest inspaction of ebove ? Owner electricel work instelled at Sveet dAress. Bo pLR ne S Ciry? ec on o. Townshio Name or No. HanBe No. County O? IPRINT ? ` ? ? %V Pha N - w ? ?.y ? Power Sup ier Address Elyc[rical Con[rector (COmoany mal Contr.ctm' License No. ? ??Myft ICOnVactor or Ownar MakinB Inswilationl cK ELE Authori eI?Q4p??jq(10wner akine lnstnllationl rGaviV UCK LAI& APPT.V Phone. Number MINNESOTA STATE BO ARD OFLC4NW651 w TNIS INSPECTION PEQUEST WILL NOT Griqgs-Midwav BIdB. - Aoom N-191 ??d BE ACCEPTED BV THE STATE BOANO 1821 Universilv Ave.. SL Paul. MN 55104 ' UNLESS P0.0PEB INSPECTION FEE IS .,?___ ,-- - ..e.... ENCIOSEO. . rn%in n g90- ":2- C, 0 UJJ4 / Lt,? ? ?' (.C??z ??G ?.. R uest Dale p.? V a ? - o Fire Na. Rough-in Inspeclibn Requimd??/ r ? Ready Now ,4WAMQtify Inspactor NM1 H ? ?YeS ? No ien eetlY 1[A-ecensed contractor ? owner hereby request inspection of above electrical work at: ,wo nda ess (srceel, B. or Aouie tio.) Gry ?W ^? L7 Se on Na. Tow??ip Name or No. Range No. CouMy Occ upant (PRIfJn o Ph o. _9300 Power SUpplier 0 Atltlress ? Elecniwl Conirador (COmpeny Name) tNDRICK ELFCTRTC Cqpfta2!jrb Licapse No. K Ma;'mgAdareufc454oc?E = e ,AN 5124 ANho' a inp I allalion) Phone Number MINNESMp STATE BOAPD OF ELECTRICITY._.. THIS INSPECTION REQUEST W ILL NOT Gdgya.YWwayBMg: ?A6tim'5773 `- BE ACCEPTED BVTHE STATE BOAFD 1821 Unlverslty Ava., SL Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS PM. (612) 802-0800 ENCLOSEO. r711REQUEST FOR ELECTRICAL INSPECTION 8' ee-ooooi-as I, See. insh.?yc?io?s tor compleling this lorm on back of Yellow coOYr] O/1 -70 ••v" aai„. w.ork Covered bv This Request O't IJ .. .........._.. Appliancwa Wired E9uiVment Wired Type of BuilEing ye Tempor ry Service Hame er Heater itiny Fixtures Diinlex Electrn: HeaUn di i E ne? l Apt. Bu Si!o Unluader ; Cortxnercial Bldy. ace Industrial BIAy. Condit?oner Air Bu lk Milk Tunk er oecitY 11her ISOec.0Y7 farm t .r Succiiy Other 01n?,, ?ompute lnspection hee veiow p F 5 E t S 'tt' F ? F d /5 I7 I ? f? , tha ElecVical ?nspeclor. heroby c i1Y lhat the above ' 17C inspection has baen / a? mede. 01-3210 Bldg. P(Giriit 01-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. [ '01-2155 Surcharge ,75-3860 Road Unit 20-2275 SAC 20,3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 28-3855 Park Ded. $ 00 I ?? '7 69 3 ID S co 0 TOTAL 5 1 E-RRA _ ? t ? . ... rx•rrr.ioz ENvrr,c._ Va:isci: "v" CUMPi)TA'fJON pi:lii:R sii•e nr?viarss G,DT Q?_ CHA e?°` ?_d? ?? . cor;-rr,Acron nnTr PUON1i 7.N_?termine Worl:i.nq scpiare foutage of cacU. 1. Total exyosed kall area ...... sq. il•. X0// - 2 0G. 80 ? 2. Total roof./ceilzng area ....... ^ sq. £L-. X ?zs_ - I 3 r• k 9? 7x . Tct.al wall r:inda:r area .......................... ?lyS n. TC:t.F!7 c]r,01' 22K@21........._.......................^ 'JO C. 'foLal sliditiq qla!,s door area ................... ?$ ll. 'fot:al Pircpt.ace wall area ....................... -- „?- li. To tal wall fram.ing area (average .LOn) ......... _I3Cs L'. 'I'ot.il lti.m joi.st area ............................ G'. •1'otal P'e?: wa11 area above flooi.............. •-- . ' 'Ivtal cxlx+sed fotniclation az'ea - ?0?`__ • I2: TOi:al fo,.ndation Win3ow area .................... Z: i'otril nct foundation area above grade_.......... ?00 De..esn;ine "U" value of cach trall seyaMnt. a. I?-8 x °°a^ , 35 Z? 5z. io ' b. 38 _ x •Iu.. ,'32 q - 1 z_. So c. G$ ?. r "u^ • ?. '-- . x t.V„ _.. .? -- e. x ?????: vU". tj. ?. ? 0`L.._. _.? "•u" i1 O 3 ......... ..........................mra? 7f .iCcm Ill i.s. Lhc same ;is., cn? i.toi.j 1!3., you h.ivc toei: t:hc SnCrnt nf ,. SBC 6006(02. . 'Z'oP;il a::(>O?;nd roo1.`/cr,?.lin9 .trc.k • J. 7'ot;Al s!:ti•].iyiit arc:i.. . . . . . . . . . . .. . ................ k. Tolal rcof./c.iilinq Er.tvninr1 arca ('1vcr.ctqc 107,) ... ...? ? 20 .T- 1. 7'oLal neC iu::ulated LcoP/ccili.nq arca ............. Dcter.mine "U" v.klue for each tclaf/cOiling segmenl•. :1•-???_.__-__ x „u,. `?.?? ?. ° - '?•'? ? ;t _ = _ Z• PJ?! ? k.iL20 ?lull __.02? ? • 1 X lU,l , dz1,- ? •- .. ?3'83. 4 ..................................... 'PoL•al. If toCal of i,'4 is the >ane as, or lcus than (12, you 1i:ivc met thc intent of SiIi: 6006 (,:.)1. . AlY.er.naCe 1luilding Eiivel.opr. Des3.yn " ;o ulil.ize the t:otal emr a7.ooe sysLem mi.tlicd, tlie values estab:Lf.shr.d by the :;u;n of iteias ;:3 and 44 :;hall t:ot b:: yr.eater than t:.lu: sum of iCems II1 and H2. l.io?aC , b v -- + 2. 3.? 2 • 5 ? + 4. 3?.?q ._ Zs6,2q ?r- ? _? ' - OA1,L :;I'•r7'if;l:l ; - ----------- - IiI?T'. :;s•,?..'t vf c•E?tiyur: wnll'arca'f.or'. .? Ir:?:nn r.r,nutrur.tzou BASIC ttnLr. rrr._ ll7 1'1L11U:: Y:N,L >>...,,...?.?..__.?.._Q ;?' .? i..... 1. 2. 3. 4. 5. G. sLnn 01 cienor; Intcr.i.or air fi.lm O.Gs 3?IL..1NSJl.• -- 11,a? Exl-cr.ior air filin 0•17 ? a7 L ?? ll • ? . . l. ? -- r«?:.-? ?, , , • . -= - V . • ? ? ---- ii f ; l? ? • • ? • : ?. . 'Y ' . . • _. Con;;trucFion _ R-Vuluc 1. 711??SL'inY .L.S' 1 ..l_tn OyGf3 Z I??2oc{c- ,y ? ' . 3 t ? 4 . z5 SNid. _'Z. e 4 - 5. 7 'rO 6. ExCcr.3or. :ki.r. filin ' ?•?? ToLai ia.9 i l. Int•erior aiz' filin 0.G0 ?. -IJ-.--Ract- g, - ?tJSJC. 1q.vo 4. 2CL S!'?uT?• ZC G G. lixCerior air filin ? 0.17 7'utal ` Z9.u3 ' 1. ?nt.cr.ior 'ir. f:i].m 0.60 . . 2: '?,-?i., ?NSJI,. /%. uo 3. 4. ? 2:0'?71. St47Z L.eL '". ? ib)i?C? .___. --- ?'_- ,G,? --' 6. ai.r film L•'r.tcri.or 0.!.'1 ? - C. O ? al Gi IL.JL v ? , ---.-- - , ?" If , '..- 1;0-i'I;: )n;liu;iLr, t.)•?.e? ??D?? v:?lue? d:?)?l?'i :uid . 1,J, r.i?c?cnC o[ iu??ulnl:icu?. 7:001, P'IIT.I;fNC: ? . ` 71 . .. . -? ?i , ?1 \ , f.. r _f 1..?''" • • ?,=-;[;;?.- : • , ?.?.'???..5 7.1ryr--: :.y?- r-' ,, ?? (? '??I ,, ? ? il I vcir.c i'?????I?? I1??:??.1`?;j!;?li;l????::_I?J ?" -- -•°;?`---._._?..'. ;.- _,.?--`'? ?: %': ?? ?-U ?_?) . llcac ilo!t ?U Lf{_ ? u?? e 1`I:;. 11S . Ilcac Flca up . .• ven4ed (tons:l:rucl:ic•"([ISC Lur lL'em I,) 1i?V?ilur.. 1. l.nCr?T.i.or nir f:i.lm 0.61 2. ST R?t1?.-------•-----------.5 ? 3. 4. 1: lratc,l' 61 filii (.L.i.Ll) U.(>( . _ .._? 'tbtal 79 e?z Ct,G. f2A'tLp1G(i1:;e Lor. 7tem K) :?. Iiit:cl-i.or Ai.i- Cil:m, 0,51 ?,, -56 ?? ?..., 3. Inclic, a:oft wccid ;- •G 9. 111chc, .insu]. a):ove T1:ami.nq 5. Aii: 'P.il.m 0.51. YfSta1 _cJL./fe 1. tnL-cri.or air fil.m '---- 0.61 2. 3. 4. T:xtcrior ai.r. film (st?1.1) 0.5i. ?TOtal ? .... _ _.!? ? . ) l1 J.. tn ;.i.dn n i.r_ iz].m`_ -------O-G? 2. ?t+?V`,tnaP:??t'?..:'.?•',::•:.?, 3. . cn•QLS???; -': • :. ..•.. • •-- • . . ' Ui..,-., ? ?. . ?. •%1 ?. :.':?•?y_: ?' •?-s-" ,/' ?_:'.--•? /? S -..... __ __? - / ?? /1--'--•"J ? 4??;?i5 7'ot.al '!??/,? ?U `?? . ?= ?'?'`? , . ? .. • NU?F-Vl ;iTTll ? . GnL?..: U::r? ,?;1.1.i'tionnl. ::h??cl.:z 3.L morr? :;??ac??• i.:; , fluu up ' ??i?:,,,.. ?i,.?.i?y•'1_:'?_:•:;i.tilt__" '".n...•?.............. l ? 1 •6 7988 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS ' 5 t) 1M5 , INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 7 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDAESS IS DESIRED. NO CHANGES WILL BE 9LLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL ONITS FOR SALE UNITS 0 OF IINIT3 INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITFi BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COPMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STAUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET, OF ENERGY CALCULATIONS p ^? + ? MaY 17 ?as To Be Used For: ?Oa* _ Valuation: Date: 5--db-B$ ? Site Address 0&?11W?Ean OFFICE USE ONLY $l, D00' Lot _i Block ? On site sewage_ Occupaney MWCC system ? Zoning E Parcel/Sub OvLohasc &M ac(dry-fOn On site well Aetual Const v-N City water Allowable V-N Owner J?B jru?n Rea Ic,kAL}?+i5r PRV required # of stories Address I52(0 EiK /32^4 C"t' City/Zip Code ?w?rngw lC@ Phone $9 VI-It300 Contraetor SUNUSpv1 Q¢w?y?ClQ.x.g`rc?.? Address 1112b G AST ('I1.,+d 9f Q{ City/Zip Code 6L,yrW,W1A,(Z Phone K14-13,aD Arch./Engr. .T'OJ{ @qlA^L•a.U l.awo- p&G Address 1S 4 664+ 1 City/Zip Code ?Mi,Qq?GI(S??- ?7 Phone # Booster Pump _ Length ? Depth 48_y' S.F. Total Footprint S.F. APPROVALS FEES Engr/Assess Permit ?980? Planner Surcharge ?/050 Council Bl " Plan Review v? -2449, 0 0 dg. Off. y ?tg SAC, City /oo, DO Variance SAC, MWCC , O O D Water Conn 55'p,00 Water Meter Ar), pp Road Unit ,Oa Treatment Pl 7pcl,oo Parks Copies TOTAL d VAL uA-'? 1oN ` A. ?. Zox2Z= 14,40 ? x y = N) U3Z.X14_-6dy8 $ASEAIENT 26?e3 4 =9.X y= ?s lyu?t= 16g 6 ?l o = Go 119 2 X?3= ?Sz360 1ST FLC,:=,2 'tsrwT = 1 I 7 2 2tx!l = 'L2 ?rl = ly -? I?os X y`t -5?11?2 8309 ?(0 APFLICATION FOR PERMIT SEWER AND/OR WATER CONNECTIQN , . . . . . , . ? N71'E: PALN2II' OF FEE AT TIME OF ,. ? ? APPLICATIIXN WFS W7' CON- ? ? SiZ1[TfE APPRG"JAL OF PFRFIIT. w ? i INSPf]CPION OF SEShci ANl/OR F4\1ER • ?. ? I[15TAIdATI0N5 WII.L Nl7f BE SCfDULm .*? i t!NTIL PIItMIT HAS BEQI AYPROVID. ,*t •?keee?a?*i?»r.????xr??a?r+??w?+.?it++? oF ecir jan PLEASE PRINT 1) PROPII2TSt ADDRESS: LEGAL DFS(RIPTION:. . (7 Lot Bloc S ivision or Tax Parcel ID IF EXISTING STRL'CTURE, DATE OF ORIGINAL BLILDING PII2MIT ISSUANCE: PRESENT 7AIVING/PROPOSID USE: Q COM[IIERCIAL/RETAIL/OFFICE Q INDLSTRIAL Q INSTIZSJTIONAL/GOVERIVh1ENT 2) ? NAME: ADDRFSS: CITY, STATE, 2IP: PHONEc Y9Lf - Nbn Year (:Z-1 SINGLE FAMILY _ F----]R-2 DL?PLEX ('iWo Ljnits ) ? R-3 4OWMi00SE (Three + Onits) ( Lnits) Q R-4 APARTMENT/CODIDOMINILM ( Units) 3) i :?• NAME: ?F}rrADDRESS: ?CITY, STATE, ZIP: PHONE: ? ? . . ? MASTER LICENSE # Plunibers I.icense: Active Expired Not recorded St Ia n€? 4) ?• ?- rArE: ADoRESS : CITY. STATE, ZIP: '64r r--.-,. S t?: /% PHONE: PQf?-1=?,3 D 0 5) ? ? d ?• : •?u t?? ?FON TO CITY SEWEFt E I;iCTION TO CITY WATER a OTFER \ 6) ?.Tit?'iE?l___l ? 1?4?ti?t" l??. r?? ?? a••Z ?? ? **t,t:t?:t**,t?**?,t?******t?*****,t,t*t,t*t*?t********r*w****,t*,t**rr*?+t**,ttr***?**?,r*******,t,t******?**t**?rx * 1HE GOLD COPY OF 2HE pII2MT WILL BE SIISP DIRFX.TLY ZO PUBLIC FARKS TO FACIISTATE METIIt., PICK-UP. 'R *t PLEFISE ALIAW 7FA WORKING DAYS FOR PROCFSSING. SONIEONE FROM Tf? CITY WILL CONfAGT YO[) IF THERE * ARE ANY PROBLFMS. * ? 3[ *'k * *'k ]k A"R'k * * *'/f 1f'k i( A' A' 7[ ?U ]k lt A"X 7[ ?M # * * * ]¢ A"k *'k A"k'k {?"A"k'k f?"/['/['A"A"/t'k * ]Y'k ?[ ]P f41 rk *'k * Ik s1'!r'1"k lF'k IF ?['k !/ ]F i"k 9e * 1! *'k'/['k'k it A"/c ]F i' i"k'R *'k 1r'/t * * * 'y . FOR CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit S c $ ?C ?• O D $ FEES: $ $ $ c SEWER PERMIT (INCLLDE SURCHARGE) WATER PERMIT (INCLDDE SORCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) $ $ SEA'ER TA° $ $ ACCOLNT DEPOSIT - SEWER $ $ ACCOONT DEPOSIT: - WATER $ S S a? Q-77 $ wAc $ (???ao s _ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ • LATERAL BENEFIT/TRCNK WATER $ $ WATER TREATMENT PLANT SORCHARGE $ $ OTHER: $ $ TOTAL ?.3 8 RECEIPT REC IPT . DOES OTILITY CONNEC TION REQCIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK 6VITHIN PUBLIC ROADWAY" MUST BE ISSDED BY THE ENGINEERING Q NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLL OWING CONDITIONS: APPROVED BY: ?- 7?y TITLE: DATE: 6???IW city oF ecigan 3830 PILOT KNOB ROAD, P,O. BOX 21199 EAGAN, MINNESOTA 55121 VlC ELLASON PHONE: (612) 454-8100 Ma? 7HOM0.S EGAN DAV1D K. GUSTAFSON PPMEL4 McCRFA Mdy 26, 1989 rHEoooaewncMxt c?nciiMemben THOMAS HEDGES CltyPdminishotw EUGENE RBEKE JOHNSON-REILAND CONSTRIICTION ?Cier 1526 E. 122ND ST. BIIRNSVILLBt MN. 55337 R&: 4555 OAR CHASE AAY - EROSION CLEANOP/CONTROL The City has been experiencing substantial erosion into oak Chase Way which is the result of construction at 4555 oak Chase Way. Therefore, we are requesting that you have the road cleaned and erosion control (sod) provided to prevent further problems. Please be aware that the City will be issuing a citation under Section 7.05, Subd. 3, of the City Code which is a misdemeanor unless the debris is cleaned from the street and measures taken to prevent reoccurrence by June 7, 1989. Please contact me at 454-8100 if you have any questions. Sinc? y yours, raC i5 E. Knudsen Engineering Technician CEK/jf THE LONE OAK TREE. ..THE SYMBOL OF STRENGTH AND GROWfH IN OUR COMMUNIIY x . "--- -'°?- 11 Ciuide i-•^??ai VVindow? I Doort Reference 11 Out. Wall Ye?- o Yee- o ' 19_ Fl.I /I'IA5(tQRoom Length / -(?Width Windowa and Dooro-Craakaae and Ar.. CAOttNCIpo IVO. INSULATION How Windows sod Ne, \VICth ot vzne Nel6ht of oane No. of IIffM• LIn.a1 [. af craek Ar<a W. !t. . ? a Coef. Btu Infiltration a, ?C Glass 7 -O 8J Fxp. wall Net exp. wall ,5 1026- .4m.-Wall IP'i Ceiling F1eer-- iorat ntu. Required sq. ft. E.D.R. or aq. ina. W.A. Leader area 154 Fl•1 tsdpcerlI Room L.ength ) 7 Width Windows and Danrii-.['r.A.e. ....7 e- T No. WICIh o[ Dare He1gM o[ pane No, of Ilghtt Llneal tt. of eraek Aroe p* fl. a" a Coef. Btu Infilaaeioo S- Glaea / o C ExP. Wen Net exp. wall 1^''-'ff ? !.. 4 N 1-1? 1 Cciling ?Flee'- I otai oIu. ? Required aq. ft. E.D.R. or tq. ina WA. Leader srca 17FI•I Lev-1oL Roem Il.eneth 1?..(_ Width )z-L 14Me6e U Windowa and Doors--Craeka ge and Area No. Wldth et p.n. HNIht o[ pans Ne. ot Il?bb Llnnl tt. of enek Area p. t4 ll Coef. Btu In6ltration q Gleu ?O Exp. wall •?_ ?_ y? a Net e:p. wall JnR-w?A kiw r, G Ceiling floer- total 13tu. Required sq. R. E.D.R. or iq. ioe. W.A. Leader arca /n 7Tj ?? 7c.4`"'.7 Net esp. I Zt waU Ceiling / Fleer area ( w Waows aYQ UOOrs-i,fOC[O gE lIIG Afti Ne. wmte et paee a•irea o! MM a of IIgIIb LInMI f6 o[ craeR Ana p. ft tu In6leration t p, y tit Gleu ?D,9 50 /S"y? Emp. wall 14 1-6 y, y Net up. wall - lato'N'"ll ,n /G- OL &1 Ceiling _la O- 259 ,S 0 F?ea? lotal Htu. ?a e; Required q. k. E.D.R. wsq. ins. W.A. Lesder ares /`.?" FI. Fn t1ti7 Room I Length /O Wideh $:(- Heiehtgl Wlodovn nd Deors-Xrackax and Ares Na Idth et yam HoItht et yaoe Na o 14au Llnoal [t. ot enek wrom q. [t -? i9,3 'o ?•?d G??? /8', 1 x i ?. Coef Beu Infilttatioo ?j' ?' ZI a Glau o ? Exp. wall Net e:p. wall 7 4M.wa11/lnn 5'-?+l0 15 t. CeilinB Y ID Sf? ,7 r O FJeer- ?5fd II io[at c[u. Required p. N. E.D.R or w, ins. QIA. Isader area -•---•°?- Guide Windows Doon Referenee Out. Well 1'es-No I Yes-F(o 19_ /3'FI.j /4jej" Room Length /,Z Width Windowa and Doon-Cnekage and Arca Construction No. Na. Width of Da.e Heiam o( Dsne No. ot 116bt. unea n. ef eraek wrca sQ. ([. ? 0 (, / I 1?? -?tl t v ?Q -d Q ? Caef. 8tu Infiltration /o Glsss y(o b (?$0 Exp.wall /_ * .te? + •4?3J( D??$ Net exp. wall / (e .lat we11•- ' a,,., - -;. f, r Ceiling a Fbw lotnl tlfu. Required sq. ft. E.D.R. or aq. ine. W.A. Leeder arca Fl•1 _; ?5,n;r t Room I Length Width /.S Windows and Doora--CrackaQe and Arca Ne. Width of Dane Hslght of Dana No.of p.hlo Ltnsallt. of vaek Area M. fl. 3 ') e o qih - c Coef. Btu In6ltration ?J 5 2 2'L Glaa - p $p Etp. wall /r •(a 1.,oS-,(?k e.. Net exp. wall Ug -591a fnr.-..sll Ceiling Floor 11K {$ 'L ?,$ L O lotal 6tu. Required sq. ft. E.D.R. or p. ins. W.A. Lesder arca Fl.1 C?tt Ro, ? t n'? Room JLen6th aC? Width I Windows and Doors-CraekaRe and Area No. Width ot Dane Helght of Da.a No. et II6?b Lln*al tt. ot enek Are& p. tt. Coef. Btu Infiltution Glatt Exp. well ? i Net ezp. wal! a -lnp-1+n11 6a;ling Floor p 1 O Total Htu. 12700 Requircd sq. ft. &D.R. or sq. iai. WA. Leader srea INSULATION Floor Fl.I sr7fRoomlLength „2Q Width wmaows ena uoors--a.rsaca ge sna rvee No, wmte at Daee x.1rei ef pant, ao. ee NghU Lre..i ei. et craek ww M. [t. Coef. Btu 1n61tration Glus Exµ wall /D P 5't .? Il- X ? GN, Net up. wall '101? 'r Inlrwall Gailill8 Floor ) p ! Total Btu. Required p. ft. E.D.R. or tq. inw WA l,eeder area Fl.I Room I L.eegth Width Height Wmaowf sea uoon-i.ncca ge sea Nrcs Ne. Mt ot y?ee HNsst o[ oaM No. ot IfsAH Waeal tt. e[ cncl[ I Catf. tr In6ltrstion Claa FsP. wall Net up. wdl lot. wsll Ceiling Floor Total &n. Required p. k. ED.R. or p. ios. W.A. L.eader ares Fl. Raom 1 Length Width Height Wwdowis sod Deon--Cmeksae snd Ana Ne. Width of pam AeIght ef paee Na o IIgAts Lneal ft. o[ er"k Aro p. t!. Coef. Br Infiltntion Glas Exp. wall Net e:p. wsD Int. wsU . Ceiling Floor I Taal &a Requircd sq. k. E.D.R or ap. im. W,A.' L4"der aeea SURVEYOR'S CERTIFICATE JOHNSON REILAND PoIRoVo RIMMCD QRPROYEl_?D By + DENOTES PROPOSED SURFACE DRAINAGE^ --?_ ?-. EAGAN F'?'Jri:? ' L ? ?LP 3 O DENOTES IRON MONUMENT SET C A E1 ?TV 0 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - q 17.1 FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 909• 4 FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK-9/7•5 FEET WE HEREBY CERTIFY TO JOHNSON REILAND THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 2, Bixk I, OAK CHASE 6TH ADDITION, according to the recorded plat ihereof, Oakota County, Minnesota. IT DOES NOT PURPORT TO SHOW IMPROVEMENTSS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPEFiVISION THIS IITH DAY OF MAY , 1988. SIGNED: JA LL, INC. BY• HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 12294 m -1T Cp? N? mm (r 30 ? ? m W m ?? m?n N D O > o mo c?o a)n o , m rz ? p ? z y cn ? < N m OD Z James R. Hill, inc. PLANNERS / ENGINEERS / SURVEYORS 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029 SURVEYOR'S CERTIFICATE 7 L ? i. \i ? \ ` N 3 LI_ u) m O 0 O Z I I l?J ?. / J N M N . .? ? i / I +'r ? ry?e 5I +° ? Z o JOHNSON ??o " O REILAND , ??= . i . ? 9?s.l 7.3o J ?N \m ,o I 9? ?? \ g?3 5 +°? I I t I ? O I W I ? 0 I O -- I Z PAl% o ?E-OWFIED A?P? ?/.? ? ? D I ? I I)EPT I By EAGAN . = cr l. . I asrau? a unurr -? ? /-EASEUENT P6R PLAT LOT P. 0 T Ln 139.78 WEST I ?% 'N i? 1_1 ? i i? i"") !_?? i i . .J, /-\ . i I. I J m pT ?? Np m?Rt Cn $o ? I-F W 2 a) O m< I O D o N 0 m ' ?ln 0 2? my N? ? p I *1 ? tp -? \ j O t m (A Z N M' P z ?m ai ? ? Om Z< 1 i N aD ? M N ? ?-- .. .. _I James R. Hill, inc. PLANNERS / ENGINEERS / SURVEYORS 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 812-884-3029 C? ? -?. O 9 ?g?/ ro •? \\O .ep/ \ / ? \ `?9jM1'v •O ? o OQ J`'? s ,?'?, QP,t,O ? :a o P +i ?Je ?J ? a +g 0          ÿî ÿ þ þýý  üû îûú      ùýý ÿòèðýê ì  â ð  þýö  ýüûúùø÷ö õ   üúùø ÷ ÷ö õ ôöõóø ò   ñü   ü ðìüø ù ïÿ ýîü  òø ëò ò îü  ò  û ò êé  ÿööøÿ þ é é òÿ  ý  øê é é  ø é    ê  ûòè   îü ûù ö ÿé òùò ê  íæðåæääêäêä õù  ýü  æêãêã ç ü ðþê  ôó ö òñ øø  á å ùú øø âá  ì  ÷ ù øøç ù ô ÿ  ôð àãßäãð  ûù öÿ  ë    øø     é ò     ÿ òøùö  øø ûý  é   ý ü  ùé ÿ ì   ê øø õ òýÿ ü  üùýÿ ü  PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA131039 Date Issued:05/29/2015 Permit Category:ePermit Site Address: 4555 Oak Chase Way Lot:2 Block: 1 Addition: Oak Chase 6th PID:10-53505-01-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Kerry A Trapp 4555 Oak Chase Way Eagan MN 55123 Golden Valley Heating & Air 5182 West Broadway Crystal MN 55429 (763) 535-2000 Applicant/Permitee: Signature Issued By: Signature Gity of Eaaaii 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED JAN 15 2016 2016 RESIDENTIAL BUILDING PERMIT APPLICATION r Use BLUE or BLACK Ink For Office Use Permit* I 3L1 61 9 Permit Fee: 1 Date Received: l .. 25 1 L9 Staff: 4C/ Date: / (a2 (t G Site Address: 145-5-5- 7 57S5- ©wz. Chasi_ (.t/4. �.5 Unit #: J Name: jeGrr y lM ' l 1AG.i,' /PAN) Phone: 60- - (i? ? - /a Address / City / Zip: 6/5" -SC it [i Se 14vg-, �.c�n A'l,v S'-(ia Applicant is: Owner K. Contractor Description of work: )pIIe a _3 t,/Indvw..s /� t 101.11 II �at. n.t-�, -S' Construction Cost: 7 2, s-0, Multi -Family Building:ld(Yes / No ) Company: C1r-.en+ 1-411408 W1,-d.'i/ cd. Contact: L_ Address: /4/640 074 A)6'( Aar City: Apple Valley State:MeV Zip: tj Sl Phone: Pt -3106 Email: ()era • g1W5u, nub/, COM License #: f-3 G O&M -7 Lead Certificate #: A k — 934:247 " If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: Fire Suppression Contractor: Phone: /i/iii oo iii v H✓�iioio oiiomo , o/ ooaiyaae�iir� � 0/!i o/ q// �i .t arr„rry,�arir i,!i �� • � %%/% I"'////// /O///// ��OD/%00/ !D /%O%O�/ I" '// O %D/ w , , CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x Applicartf`s Printed Name Appl icanig natu re Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA137511 Date Issued:07/08/2016 Permit Category:ePermit Site Address: 4555 Oak Chase Way Lot:2 Block: 1 Addition: Oak Chase 6th PID:10-53505-01-020 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 - Kerry A Trapp 4555 Oak Chase Way Eagan MN 55123 Hoffman Weber Construction Inc 3515 48th Ave N Brooklyn Center MN 55429 (866) 970-1133 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA148526 Date Issued:04/04/2018 Permit Category:ePermit Site Address: 4555 Oak Chase Way Lot:2 Block: 1 Addition: Oak Chase 6th PID:10-53505-01-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Kerry A Trapp 4555 Oak Chase Way Eagan MN 55123 (952) 353-0414 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature