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4556 Oak Chase Way Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - For Office Use ~p Ra~ I Permit#: City of Ea I ~o I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: I I 1 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 712 /0 Site Address: SSG 96 4r- 4 e wQ Tenant: Suite M q ~ a r'd RESIDENT / OWNER Name: ~e s►, ~e Phone: li S/- 3 p $ 00 Address / City / Zip: 7`S~ Applicant is: Owner Contractor TYPE OF WORK Description of work: LJ h le & t r+i en J ~~n 4 la emg_hl Construction Cost: Z 9 /S-O Multi-Family Building: (Yes / No ) CONTRACTOR Name: J c.. h 14-)_ t1f- Svc :~'_Tcense 3 7 Sf(o rA Address: G 2 . La Kc ve-(`!iek &y. !S State: Zip: /S V-410 Phone: /Z -9Z 5- 4 Contact: o Email: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Ea an issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of ter plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call 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. 7ith or I hereby acknowledge that this information is complete and accurate; that the work will be in confor' ances and codes of the City of E agan; that I understand this is not a permit, but only an application for a peand ork is npermit; that the work will be in accord e with the approved plan in thecase of work which requires a review and ppr al of planX 0~ Gi ! Z x Applicant's Printed Name Appli nature Page 1 of 2 CITY OF EAGAN ? r 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?a 17092 PHONE: 454-8100 - BUILDING PERMIT Receipt # ? To be used for SP DWC/GAR Est. Value =131•000 Date S$P 2 1 ,1 g 89 Site Address 4556 OAK CWE WAY Lot i Block 2 SeclSub. OAK CHME 6T11 OFFICE USE ONLY Parcel No. ? 3 occuPancy Ii-1 FEE S S 30Hti$0?1 REII AIID COliS'P Zoning v-H 7? ? ac - , Name (Actual) Const Bldg. Permit • ; AddreSS 1526 E 122ND ST (Allowable) S 65.50 0 CitY BV?Vi?E PhOn2 $?-g3M # ol 5tories urchar e 9 374 ?Q 531 Plan Review . Lengfh p Name SAME Deptn - SAC City 100400 Z O ? Address S.F. ToWI - , S7S•? u SAC, MCWCC ? City Phone S.F. Footprints - Water Conn 580.00 r- On Site Sewage F W Name on siie wen W M t t ?•? ? er er a e ?; Address MwcC system ? ACCt. Deposit 30.00 `w Cjty Phone City Water _ S P 20.00 PRV Required _ emtit IW I hereby dcknowlege that I have read this application and state that the eooster Pump - S/W Surcnarge 1000 information is correct and agree to comply with all applicable State of M ? ?5 innesota Statutes and City of Eagan Ordinances. Treatment PI . Signature of Permitee t ? '' -- APPROVALS Road Unit 340'00 A Building Permit is issued to: JOHNSON-REILAIiD WUST Planner - park Ded. on the express condltion that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldy, prf. _ Copies 3, ISI.dO Building OHicial I Variance - TOTAL ? PermH No. Permk Halder Date Telephone # AVATER ? • SEWER - PLUMBING c y rJ ? u.?? I- ?C,S , d, l??? ?y ,5 H.V.A.C. ELECTRIC 4P v a Inspection Date Insp. Comments Footings I y2G t?5 Foundation Framing Roofing Ragh Plbg. Rough Htg. ! [sul. B.O?- 4?- ..r? ?••/ , ?replace ? is aF Os - Fnal Ht9. 1G ??' •4? Fnai Plbg. Const. Meter Pibg. InspeCtor - Notify Plumber Engr.lPlan Bldg. Final Detk Ftg. Deck Fnal weu Pr. Oisp. INSPECTION RECURD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: <<;?? iir•.t -, ? i? ? ha : r t.40 .f,F..a t IIt: i I . IM I 1 i? i Mit ,o:`W8 : a W. 1 IA I 1'+ 3 ,1 q t j?t?` c? #r''? ?. PERMIT SUBTYPE: TYPE OF WORK: ??j ? ;.?: 'r I?;n: ?:t'X16` F ?7.?•%lh? Pe?mft No. PermR Holder Data Tobphona # S/IN PLUMBING HVAC ELECTRIC ELECTRIC Inspection DaLe Insp. Cantnsnts Footings I Fourxlation Framing Roofing R°ugh PIb9- Rou9h Htg. Isul. Freplece Final Htg. Orsat Test Flnal Plbg. Pfbg. lnspedor - Motiiy Plumber Const. Meter EngrJPtan &dg. Flnel Deck Ftg. oedc Finai ?? 6//Q? ?? - , • weli _ Pr. Disp. INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: + EI' 1 Nr+ 3830 Pilot Knob Road Permit Number: r?`t 1 Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: ??i'?i ? 1tr1'?t? t-lAY ?:??r?; I i ? ? .';!1'I'141R4` ',E.k??11?:;,? . OAk COASk ? ii ; ?, ? .? , ?, „i ? ?,E; ? PERMIT SUBTYPE: TYPE OF WORK: . „ ., , ,i , ,,1 , ' `11 iF'RATi1)N ? r ? ? Permit No. Permit H Ider Uate Telephone t ELECTRIC PLUMBING HVAC InspecHon Data Inap. Comments FOOTINGS FpUND FRAMING ? ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL L1 BSMT R.I. BSMT FINAL OECK FTG DF_CK FINAL (gtrtifira#it af (Orruvanry Citp of (eagari igPp1'#tltPttf 0f iwbwg jwPItIm This Cerrifrcate issued pursuaret to the requiremenls of Section 306 of tke Uniform Building Code certifying that at 1he lime of issuance thu structure was in compliance with the various ordinances of the City regulating building consduction or use. For the foUawing.• uu cktlifimfim SF WG/GAR swg. R?;t rb. 17092 RUM O-"P? ? Zoniiw Dnv- 1526 E 122ID?S'P., Bt]I?TIIIE o„?? ?? 45iataON-REICLM 56 OAK BHA.SE WAY ? L 1, B2, OAR 4IASE 6IH DEMBER 28, 1989 ? Building Off ' , POST IN A CONSPICUOUS PLACE CiTY O? EAGAN Remarks '= j !t?--'? Addition OAK CHASB dTH ADDITION Lot Y Rlk 2 Parcel 10-53505-010-02 Owner R- 7 R'n120r-ieS HC„ street 4556 OAK CHASB MAY state BAGAN MN 55123 d ? , ; ", Improvement Date Amount Annual Years Payment Receipt Date STREET SUR F. STREET RESTOR. 9f4IlUKM SEMBR LAT 1974 ? 172.50 11.50 15 SAN SEW 'IR1C ? ? 1984 27.85 5.57 S SAN SEW TRUNK L? 1973 253.33 12.67 20 SEWERLATERAL z- 1984 78.55 15.71 S SEWER LATERAL ? r, 1984 202 . 21 40 . 44 S 9oXXKBlAtl(]Ni NATSR LAT 1972 : 153.33 10.22 15 WATER LATERAL 'Z 19$4 , 303.21 60.64 S WATER AREA L? 1984 31.35 6.27 5 NATER AREA S7 1984 i 623.25 41.55 1S • STORM SEW TRK 1984 rJ STORM SEWXXX TRK g lb 1984 r 1093.92 72.93 15 SE1qER LATERAL y 1974 76.68 5.11 15 CURB & GUTTER SIDEWALK ? STREET LIGHT y' WATER CONN. HUILOING PER, SAC PARK CITY OiF EAGAN Remarks Addition 0AK CNASE 6TH ADDITION Lot 1 131k Z Parcel 10-5350S-010-02 Owner street 4556 QAK C}1ASE i1TAY state FAGM MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA 23 STORM SEW TRK ' 1985 1093.92 72.93 1S STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN NO 17092 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 / D V BUILDING PERMIT Receipt # e _ , < ? <rl Tobeusedfor SF DWG/GAR Est.Value $131,000 Date SEP 2 1 , 79R9-- Site Address 4556 OAK CHASE WAY Lot 1 Block 2 Sec/Sub. OAK CHASE 6TH OFFICE USE ONLY Parcel No. Occupancy R-3 M-1 PEES E Zoning W Name .TOHNSON-RETi.AND ANS (ACtuap Const V-N Bldg. Permit 748.00 V ? AddreSS 1526 F. 122ND ST -N (Allowable) 65 50 ° Surcharge . RIIRNSVii.T.F. Cily Phone R94-9300 xol Stories - Plan Review 374.00 Lenqlh _532 o Name SAME Oeplh 481 CiIy SAC 100.00 } , ga Address s.F.rotai - 575 00 SnC.MCwCC . ? Clty PhOf1B S.F. Footprints _ Water Conn 580. 00 On Site Sewage _ ?w Na1Te On Site well - Waler Meter 90.00 E ? Address MWCCSystem XX qcct.Deposit 30.00 a W City Phone City water xx it W P S 20 00 PFV Required - erm / . I hereby acknowlege tha[ I have read this applica[ion and state that the Booster Pump - ShV Suroharge 1.00 inbrmalion is correcl and agree lo comply with all applicable State ol Minnesota Statules and Cdy Eagan Ordinances. Trealment Po 0 228.0 11 Signature ot Permilee ?? 0(5(0-? 1V? U?.D APPROVALS qoad Unit 340.00 A Building Permit is issued to: JOHNSON-REILAND CDNST Pianner - park Ded. on the exprew condition that all work shall be done in accordance with all Council applicable S[ate of Minnesota Statute s and City of Eagan Ordinances. BIdg.Off. _ ?Pies , J BuildingOHicial Lnun RQLfI,I ?I??{ 9 Variance - TOTAL 3.151.Sp IIIIIII I? ?I Iill REOUEST FOR ELECTRICAL INSPECTION? State Board of Electricity ? Minnesota 192?1 U( iu,e'sity Ave., Rm. Si2 $t? Paul, MN 55104 * 2 2 2 1 0 5?* Phone e12 sa2-0eoo :r ?& ? 4 Home Apt. 81dg. Other: New Addn m ercial In dushial Farm Remod Re air d. t Htg. Equip. Water Wc Load Mgmt. Other: D., Ran e Elec. Heat Tem .$ervice "X" above the worVc covered by this request Enter remarks in this spoce and on the ba<k of the whife copy only. LC>iv? (tve t Cin/id'19 Calculafe Inspection Fee - This Inspecfion Requesf will nof 6e o<cepted wiihout the correct fee: Olfier Fee # Service Enha?e $me Fee # Circvils/Feeders Fee Mobile Home Park Stall 0 ro 200 Amps 0 to 100 Amps Streef Ltg./Tmffic Sig. Above 200 Amps A e 100 Amps Transformer/Generator INSPECTOR'SUSEONLY TOTAL Sign/OuNine Llg. Xfmr. ?AfJ Y? Y? c ? lJ Alarm/Remote Control l? Swimming Pool I here <em Mai I ins ened the d I' sm ed hf.;n an the dnree smred Ilfi9ation Boom Rough-In Slx'?/ S ecial Ins eciion p p Invesfigotive Fee Final ? Dok THIS INSTALLATION MAY BE OHDERED DISCONNEC OT IN 18 MONTH . 222° 10 5[5 ??IC uSE ONLY This requesr.oid 78 months from .alidanon da? prinred in M?s 60:. y?7/ 9? 1 11 ? ? O PLEASE PRINT OR TYPE , Requat Dak Rough-in insprlnon requimd2 es ? No InepeCion OlherThon Roogh-In: Q Ready Now ?Vill Call /(? C•# ` ?You mwt mll ihe inapenor whe n readY) Dom Beady: I, icensed contractor ? owner hereby request inspection of the above elechical work at: lob dmss ?Slree?, Bor, or Rouro No.) ysS'?, o,qk cciAsJ wA Cih EAGr4N Zip Code ?s72.a Seclion No- Township Name or No. Range No. Fire No. Cowry 0/T n fi?o 7Y,4 Occupant eu4r ?Xri,v.so+v Phone No. Power Supplier Addmss Eleclncal Canvocror (Company Name) iAt.Axtrc EUC'tvea?. iNc? Cammtlar bunse No. e/-}oo7r ? Moster lic No. (Plant Eled. Onlyj l4mo i?v3 Moilinq Pddroea (ContmMror Owner Performin nsmllaHOn? L1 33 IZ(oVL w1vO `[nr4vc ? lEt4Ga/,,) riiN AWhon Sig re on??pam??!2?.nrning I?Mllafion? Phone No. EB-0OOO1h10 6/95 ? t3TATEBOMOCOPY•SEEINSTpUCTIONSONBACKOFYELLOWCOPY 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 4 651-675-5694 New Construction ReauiremenGs 3 registered stte surveys showing sq. ft. of lot, sq. it. oi house; and all roofed areas (20%a maximum lot mverage allowed) 1 Soiis RepoA if proposed building is to be placed on disturbed soil 2 copies of plan showing heam & window sizes; poured found design, etc. 1 set of Energy Calculations 3 copies of Tree Preservafion PWn if lot platled after 71153 Rim Joist Defail OpGons selecfion sheef (buildings with 3 or less uniGS) Minnegasco mechanical ventilation form RemodellReoair Reouirements 2 copies of plan showing foo6ngs, beams, joists 1 sef of EneTgy CalculaUons for heafed addi6ons 1 site survey for additions & decks AddRion - indicafe il on-sife sepfic system Telephone #( Da[e / o? iZ Canstruction Cost 71 70? 01- Site Address 46$S4 ? G KGNO sr WQ Uni USte # Description of Work C,1 % „a?ows f PN ?r M a4'a doo? re'; ?'f `-?br?"onS Of Multi-Family Bldg _ Y_?,N Fireplace(s) _ 0_ 1 _ 2 Properry Owner &r(oq ,f °r- rnf. 7o," '41btf/ Telephone #(&IPsI) 300- 800 C vA -77 Contractor $ O C • r • Adare55 z•l . aGcC ?J?? . city State Zip Telephone # (00Z) 9 ZS' -'?'3'z? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv I Minnesota Rules 7672 Energy Code Category . Residential VentilaGon Category 1 Worksheet . • New Energy Code Worksheet submission type) Su6mitted Su6mitted . 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? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Contractor 710 _ at? Oificedl??t)nN BoilsReWA g =N Oa SAeSED?'?'Stem.? '?F z`Pl Telephone #( ) Telephone #( y 1 hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; ? that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN ' Statutes;. I,u rstan this is not a permit, but only an application for a permit, and work is not to start without a per{nit3 th4 the wor wil? be in accordance with the approved plan in?tla?yc se of work which requires a review and .i na //2r Signature 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan Cf 3830 Pilot Knob Road, Eagan NIN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits aze required for each unit Date//?c? Site Address y? Unit tt Property Owner ? L Telephone # ( 6s'/ ) •i 9p- .y'dn(? Contractor Street Address ?City State ?29AJ Zip Telephonek ( 65/ Bond #: Expires: The Applicant is _ Owner r/ Contractor _ Other Add-o or alteration to eaisting dwelliug unit $ 30.00 ? f l ZR t Additi l urnace _ ona acemen ep air exchanger ? i diti ? /? VR l N t a rcon oner _ ew ep acemen other . State Surcharge $ 50 Total 50 $ I herehy apply for a Residential Mechanical Pernut and acknowledge that the information is complete and accurate; that the woxk will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand t}ris is not a pemut, but only an application for a pernvt, and work is not to start witbout a pemrit; that the work will be in accordance with the a roved plan in the case of work wluch requires a review and approval of p . o6c-, TA1767\- --7-- ApplicanYs Printed Name Applicant's ignature IS v iiii NOV 0 1 2004 RESIDENTIAL BUILDING Permit Application c ti City Of Eagan -) ??L, 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWdion Reauiremenis RemodeVReoair Reauirements Office Use OnN 3 regislered sile surveys shariing sq. R of bt, sq. ft of house; and all roofed areas 2 mpies of plan CeA of Survey Recd (20% rriaximum lot coverage allowed) 1 set of Energy CaicuWtions for heated additions Tree Pres Phan Recd 2 copies of plan showing 6eam & window sizes; poured tound design, etc. 1 sfle survey for additions 8 decks Tree Pres Not Reqd 1 setof Energy CalcuWtions AddiG'on - iiro'kafe rfon-sife sepfic sysMm _On-site SepGc System 3 copies af Tree Preservatlon Plan 'rf bt platted afler 711/93 Rim Joist Detail Options seledian sheet (bldgs with 3 or less uniLs o ?j -?- •, 1l.ulcnu.t 3ma .la,brr IS(?;SD3'? , , -t kg? z Date+/ I ? / O ConstructionC SiteAddress. ?Is32F CYxI_ 0-i,? tO at-I UnitlSte # DescriptianofWork ?'tipR,o-? uJl'nel?nl aF Muttl-Family Bldg _ Y ? N Fireplace(s) _ 0 ? 1 _ 2 4¢,? Property Owner ??t ?? 1 i? ??'t`?'• Telephoae #(? ?) 3?U'$J p Cp Contractor Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Cateeorv 1 • Residential Ventilation Category 1 Worksheet (d suhmission type) Submitted . Energy Envelope Calculations 5ubmitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor A NEW BUILDING Minnesota Rules 7672 • New Energy Code Worksheet Submitted Telephone #( Telephone #( Telephone #( { ? ,qnr 1 6 ?n?7 I hereby apply for a Residential Building Permit and aclmowledge that the information is complete and urate; that the work will be in conformance with the ordinances and codes of the City S Eagan and the State f MN Statutes; I understand this is not a permit, but only an application for a permit, anartcrot-to-st hout a permit; that the work will be in accordance with the appmved plan in the case of work which requires a review and approval ofplans. V"t (M.4 = C_ "`-2-r Applicant's Printed Name ApplicanYs Signature 14 1-YCITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT TYPE: Permit Number: Date Issued: e'? C? ?y 6UZLpING ?j @20874 05/07/93 SITE ADDRESS: P.I.N.: 10-53505--010-02 DESCRIPTION: .... ? PERMIT 4556 OAK GHASE WAY LpT: 1 BLOCK: 2 OAK CHASE 6TH 14'X16' & 17.51X16' B.uildin'gqPermit Type DECK Bui2ding lJWrk 7ype NEW . ° " ?V. sz• ... - •.. '1. %.,r C_? , _ ? ...... . - REMARKS: FEE SUMMARY: Base Fee $25.09 Surcharge .50 Total Fee $25.50 CONTRACTOR: OWNER: - ]OHN50N 9556 OAK EAGAN (612)590-5541 Applicant - CURTIS CHASE WAY MN I hereby acknowledge that I heve read this information is correct and agree Ca oomply Statutes and City ot Eag Ordinances. ? i? APPLICANT/PEFM E SIGNATURE applicatinn amd state that the with all appJ.iaable State nf pi'n. -1 ISSUED B . SI NATU INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITEADDRESS: Lor: 1 BLOCK: 2 APPLICANT: 4556 OAK CHASE WAY JOHNSON OAK CHASE 6TM (612) 540-5541 PERMIT SUBTYPE: TYPE OF WORK: DECK DESCRIPTZON guxLnzNG 020874 05/07J93 CURTIS NEW 14'X16' & 17.5'X16' F- 7 W. : ?. ? REACTIVATE , . --------------- CITY OF EAGAN PERMIT # 993 BUILDING PERMITAPPUCATION ; E661 h 0 AbW. 681-4675 y???.???? S i(Q) (0 3 h,ao7337-411 N SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy . calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. .;:,_ Penalty applies: 1) when permit is typed, but not picked up by last working day of month. in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date .'> Valuation of work Site Address: ?/.?s? &)',? SiREET SU1TE N Tenant Name: (commercial only) IAT ? BIACK 2- SUBD.eLk k As P.I.D. N ' d Descri tion of work: The applicant is: ?Owner 0 Contractor ? Other coescrsne> Name Phone lm?SB L`?le-'.-(ff Property LAST F,RST 5 yp-?? Y!(c?) Owner pddress N.SSLo Q? l'c..?e /,,??1/ STREET SiE I City State A4 Zip ???L=3 Company V114 Phone Co ntractor Address License # Exp. City 5tate Zip Company Phone Architect/ Engineer Name Registration ? Address City State Zip Sewer & water licensed plumber . Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the lnformation is torrect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ? OFFICE USE ONLY BUILDING PERMIT TYPE 11 01 Foundation ? 02 Sf Dwg. ? 03 SF Addition O 04 Sf Porch ? 05 SF Misc. WORK TYPE ? 31 New 32 Addition 0 06 Duplex ? 07 4-Plex ? 08 8-P1ex ? 09 12-Plex ? 10 Multi. Add'1. ? 33 Alterations 0 34 Repair ? 11 Apt./Lodging ? 12 Multi. Misc. ? 13 Garage/Accessory ? 14 Fireplace 15 Deck ? 35 Tenant Finish ? 36 Move ? 16 Basement Finish ? 11 Swim Pool ? 18 Comn./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous p 37 Demolish GENERAL INFORMATION Const. (Actual) (Allawable) UBC Occupancy ? Zoning # of Stories Length Depth prix,6 APPROVALS Planning Engineering REGIUIRED INSPECTIONS 13 5ite ? Wallboard Basement sq. ft. lst F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Foatprint Sq. ft. On-site well On-site sewage Building Variance 19 Footing P-Final MWCC System City Water PRY Required Booster Pump Fire Sprinkler Census Code 443 L SAC Code C. d/4 &4f,W U44& ? Assessments ? Framing ? Insulation ? Draintile ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units ',tlJ I valuoc;m: $ ,5u 0 CITY OF EAGAN ? 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: L'205 5!1?5- BUILDING @27251 04/10/96 SITE ADDRESS: P.I.N.: 10-59505-010-02 4556 OAK CHASE WAY L07: 1 BLOCK: 2 BAIC C#ASE 6TH DESCRIPTION: BASEMENT FINISH Al7ERATION 434 ALT. RESIDENTIAL 4 ? _ 1101, REMARKS: FEE SUMMARY: 8ase Fee $50.60 Surcherge $.50 Total Fee $50.50 CONTRACTOR: - qpplicant - s7. Lzc.OWNER: QUALI7Y CARPENTRY SERVICES 18941961 9009073 JOHNSON KURT 1504 E CLIFF Rp 4556 OAK CHASE WAY BURNSVILLE MN 55337 EAGAN MN (612) 894-1961 (612)688-2412 ?• r 3 n:i ? `StF 14 tqI CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1996 BUiLDING PEaMIT APPLICATION (RESIDENTIAL) 681-4675 RemodeVReoair Requirements ??o.-go tff ' `f1?'I.?',.U.1?li. 4-? ? 3 registered sile surveys ? 2 copies of plan ? 2 copies of plans (indude beem 8 window s¢es; poured fid. design; etc.) ? 2 site surveys (exterior additions & decks) ? 1 energy calcuiations ? 7 energy calculetlons Tor heated addkions ? 3 eopies of hee preaervatfon plan ff lot plalted efler 7/1/93 , requfred: _ Yes _ No . DATE: CONSTRUCTION COST: Soo, o o ? l afll /e Ff" ti.n 'Crn I gAec DESCRIPTION OF WORK: add STREETADDRESS: 14 556 OuL Ckw,s.e C?Da LOT ? BLOCK ? SUBD./P.I.D. #: PROPERTY Name: JoknSo" V('r-f' Phone#: owNeR ? ""•, StreetAddress `K5L Oak C",se Ciry: State: Zip: CONTRACTOR Company: Qu?.? ? tN ct?r en-rr " SP.ru kc e S Phone #: Street Address: I S4 r• Cl ?? QJ- License #: g°? 3 City: IIe State: M k) ZjP• 5533`1 ARCHITECTI Company: p Phone M ENGINEER Name: Registration #* Street Address, City: State: Zip: Sewer & water licensed piumber: NO 16A?' Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to compiy with all applicabie State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applipnt: OFFICE USE ONLY Certificates of Survey Received _ Yes No ppR 0 2 M Tree Preservation Plan Received _ Yes _ No --------------- .?. ? SINGLE FAMILY D4IELLIHGS 2 SETS OF PLANS 3 AEGISTfiRED 3ITE SORVEYS 1 3ET OF ENERGY CALCS. MULTIPLI3 DWELLINGS RENT9L UAiITS FOR SALE IINTTS 2 SETS OF ARCBI?ECTURAL & STAUCTURAL PL6N3 1 SET OF 5PECIFICATIONS 1 SET UF ENERGY CALCS. # OF ONITS dOTEs rDDRES3FS FO@ CORNER LOTS - CONTR6CTOR/HOMEOWNER MQST DESIGNATE WHIC9 iDDRESS IS DFSIRPD. NO CfiANGES AILL BE ALLOIiED ONCE BUILDING PERMIT I3 I38IIED._ SEWER & NATER PERMIT FEES AND ACCOONT DEP0.SIT FBE4 i1ILL BE 2NCLiJDED YiITH THE BOILDI1Qa PERMIT EEE. PROCFSSING TIME FOR SEWER AND i1ATSA PEEtMIT3 IS TWO DAYS ONCE A PERMIT HbS BEEN COMPLETED INDICATING A LICBNSED PLUlBER. PENALTY iPPLIES HHENs PERMIT IS NOT PAID FOR IN SAME MONTH IT IS RE9[7ESTED. LOT CHAIVGE IS REROESTED ONCE PERMIT IS ISSUED. RECD SEP 1 jo• To Be Used For: Site Address ?ING?E -FAMtL?I . Valuation: (3lDate: q5'56 ?+tctC?{?SE (I?IA? OFFICE DSfi Lot ? Block 'L Parcel/Sub QAK CHk? (0", Owner <<1'?tfi?SSor?- Address ??- City/Zip Code $drzNsJrCCE 55337 Phone 8 96 `rg5 Z-'Z_ Contractor JOIk?SOtJ- Pr?71L.1}1Jlp CgNS?_ Address 1526 E • 122-??qS;t . City/Zip Code 55?33"7 Phone 89-(- 4 360 Areh./Engr. Address City/Zip Code 1989 BiIILDIAG PERMIT 9PPLICATION CITY OF EAGAN ? ?AlITLTIPLE DWELLIN ? COMt7ERCIAL 2 SBTS OF PLANS AEGISTEAED SITE 3URYEYS - (C9ECS WTTH BLDG DIV.) 1 SEf OF ENERGY C9LCS. Occupaney R 3 M -I Zoning Aetual Const Allowable N of stories Length ? Depth S.E. Total Footprint S.F. On site sewage On site well MWCC System --k47 City water _ PRV required _ Hooster Pump , igq/ =s ?ss Bldg. Permit 7q$.a0 Surcharge 65-50 I Plan Review r) 44, SAC, City I00,00 SAC, MWCC 51SD0 Water Conn 5,60,00 Water Meter 90 ,? Acet. Deposit 30,00 S/W Permit ZO,cw S/W Surcharge ,OD Treatment P1. 28.00 8oad Unit 3 O O? Park Ded. Copies 3IIBTOTAL Penalty TOTAL Phone !I , ' V'A Lu. A-r i v Q . `. G ??A?E ,??, r" ? ,? Z 2 V 30 .:- _?-- d y?f 7? ? S=`?66 0 r--- d2 G u-Z, l? SLI l? II X Zrd = 3oS ZX($ = 3(1- GY) tf $4/ iZx lo > 12-0 Jo94 X ly? 1531c? ? ST ?? oo1L _?---------- °?s?n-r, = 109y I?crd= 10 lloy k 50 = 5S20 0 7 -----? ?`?''?'tT = LIk/o ? 12 x ?L = 1 v?c( k c? C?y4? `7 ?--- 9`i '1 X So ?/-3odAld 1.1-107 7t't-?r: u» iz.. 5•p. 'L-- ' .. ' ?? exi•rt;7.uit c:?:,r?;r.?";-+r; riCaMwcL "•a" coMeuTn•riota c???ucn siTr: nDoues ro"TnhCl'On nnTr PIIOHL•' • • , , Aeterml.ne wo.rJcf.lig squaro fook:ige of cach. l. Total exposed wall area ...... ?(00?i sq. fL•. X•?? - a8?O.2Z 2. Total roaL•/ceiling 'aren . .. r`f ZJ sq. ft•. R, 02:6 A. 7ci:a1 wall v:indoa area .......................... ?9? '• . 8 ' D. Tutal dc,or area................................. C. Total sliding gla:sn doorarea .................. D_ Tol•nl fireplacc aall area .......................? - . ,. i. 1'aCul wall iraming area (avcra e lOt 2 ) -.......... 200 L•'. 1bt:z1 l:im jolst .trca............••.•.••••••••••.. _ 23'7 G: Y'ot;al 2iet wall zrea abovc floor................. 180?? . , ; . 'lbLal n.r.pc,3ed Soundatian area - 9 7 , • tl: Total f.oundahi.on ain3ow area .............. .. 9 T: 1ota1 net i•aundation area above gradc........... 8 g _ Dr_Le=minc "U" value oE caclti Iwall :,eyment. 11.? x d(1^ 3e x "u,. _?„ ?33g ? C. x "v" ?. 3Sz a - l??`17 . . ,, . . ?, - . X ,.,," - s . - . C'•- .7-00 7C qiU" x ^u•. r ^v^ ?'f3 Q 62 ? . • - ? •>>. 9 • x -U- 3 3 .............................. .....Tota.i, ir .tte,n 03 sa tibc samu nn, c,Y?• lc..::: SLC I,UUG(c)2. r.),:in S.c?•„ nl. ..lnrc thc inec„c or• . . i _ , . - 'Iulnl expatsr.d reoE/cniling arca J. 7•oer31 Sl:ti•.lic,ttt Orc:t ............................... _. ? k. TOtal zool:/ccilin<{ L'rnmiitg aren (aver.age lOt)..... 1. 1'ol•al irct in::ulaCcd reoC•/catlinq arca......... Datetmino "U" val»a for cach roof/ceiling cegmenL•. ?. . r' x uUn • k. I/v x "U" . . 1 /d /3 x lU„ ? ez-i?- ' ? 2i, zq • ?t ...................................... ratai • ?• 2 '9g ZE tel•al oE 04 is thu aamo nnt or lrssts ttian 92, you h.ive inet the inLent oE SYC 6006(c)1. . AlY.nr.nnl•e Dui:ldistg CnvelopQ De3ign ' ' • '1'n ul•ilize tlui L•otal envelopo Lyt+l:nm meChod, tlte values est•ablishr.d by thc cusn oE item.g 67 and 04 cliall ttot bv greater lhan l:hr, sum o£ ii:enis Itl aiid I12. . ?.• V_?`?. f/?? + 2. r7•r?/?a '3/? ! ? .. ,'. . 3. ' s1 ??I-711 + A. (?-q'q8 2004 RESIDENTIAL BUILDING PERMIT APPLICATION 623 (p2 ? City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construchon Reauirements RemodeVFteoair ReauiremeMs 3 regisfered site surveys showifg sq. ft of lot sq. ft of house; and all rooted areas 2 copies of plan (20% maximum lot coverage allowed) 7 set of Energy Calculations for heafed additans 2 copies of plan showing 6eam & window sizes; poured found design, etc. 1 site survey for addilions R decks i set of Energy Calculations Add'dion - irxiicate i(on-sffe septk system ME 3 copies ot Tree Preservalion Plan if lot platted af[er 711193 Rim Joist Detail OpGons selecUon sheet (bldgs with 3 or less uniGa Date ?' / 2Lt / 0?L Conshuction Cost 4ZN-bol Site Address ySp O ka k1,? UniUSte # e'pR k^) Description ot Work GPcS ? ?,sAACC' Multi-Family 731dg _ Y_ N Fireplace(s) _ 0CD _ 2 Proper[y Owner Telephone # ((?-? ) _jW 'c`3c7yo Contractor Address 30z:?D L-). City ,?? ? Gtc' State !k? Zip !9$311 Telephone#(R'NZ )Yfi.)'v»0 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesob Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submissioniype) Su6mitted Su6mitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ fee applies. Licensed Plumber Telephone #( Mechanical Contractor Sewer/Water Contractor N If so, 25% plan review Telephone i(rl, U Telephone #„(?1? I hereby apply for a Residential Building Permit and acknowledge that the inforiEtion-issotr?glete-andlaccurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a 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 aroved pl 'n the cas work which requires a review and approval ofplans. Applic Ys Printed Name ppAppli t's Signature n . \ ?SEP.20 189 21:48 JOHNSON REILpND COSTRUCTI01? °.0021002 ?? ** * PIDNEER * eng?- ney rng,:: 1 ? *T ll EC1s (612168i-1914 Certifiaate of 5urvey for:-JO P.NSDN..._.RA1LCli-V-.-r_ s. a9°sdvs'k/. 1 q . T,?=9i1?fi . a ? s0 ?e J g' 2422 Enterprixa fliiva Mandqu I laights, MN 65120 - i5z.3r - -9? NoaTN ia1i5 . ? e ?. 7 ? ,. ? s R 1 ? -? ? ? 'v •.r . Y) ?x rt. ?,3:a / 913,r ? ,1N ?i?'n` O -S ,. dN ,sk ca `•o . . 4?A '3'? R %._ byC1Ut} #, $f'SO' o!", B? D:?f? ? ~ ,O ! Z pr2. z4- ? g?•9 ---?_'-- - 7N.iff EAG'AN .4 . 900.0 pehofes exist`in E?levalrort • 900-D D¢1tOf¢5 f1rOl??Pd F/8vofiorl - 'fJenoles Uruin?ef UfiliU E?rserner??- --+-- Denofes Qr•airr e rlvw ;JtrawS o Denafes martumenf BeUrfrlc?S sfloWn are pSSuRtEd ?J ZNp-ERING llEPT' pWA?OS E(? ?L46VA71 oN L0 F?vor . W6Y dlt9?0,8 T'? o; Black flevativri a.o - Garae 5'luL I/evation 1 (o - Y n OCIJ4 Cf Orr'ftf I7t16. 1eC1.1 fU EpSe/riPrflS LoT 1.., BLack ?, oA?! CHA?E G r? ADDITIpI? dA1(o7/1 COUNTY 1 heieby cerlf(v U-el thls ?urvey, plon or npml w??+f rC.Verod by mt or urMBr my ?66ecl w?p1eYr7vitlen and tlui I am July pep4lered Land 9urunvoe under Ifia Inws o( lM Stato ol Minnpwta. Daud thlt?.(?_- dey o1 ?..•. ?_? ... A.n, 1x>_t_ / - _-• =.? ? / . . ?.. _ . ?S?QrI?.° ' 1 'nch? - • . - ,a.. , . lnB91 .rv0 5 773,¢y v \ t. 20 189 21:48 IOHNSON REILRND COSTRUCTIO"' °.002i09? < ?? ?•K PiG?h * engir * 4t #* 2472 Entnrprixa brive Mendon 1leigMs, MN 66170 Is12y 6e1-1914 Certificate of 5urvey for;-LO4iNSoN_._._.? ?LAP-0-, ? NoRT'N 5. 89°5o'09 ON/. , O ? .- l4P.3! - 97j5 ? . ! ? . . 3?fb ti?•° --S ? s yml3 •S v ? ?, t U t2? ? ? ?9 $ I ? 9rt. z4- ? ?s r f I "d{ ? d? 1 ?. w w?k u? b. 93•9 =7N N rl.d4`so'o9"?• 'rN t??91G.o? 0 B ? Da.e - 9?. i4 EAGAN E.NG.iNF RiNc. DEPT • . 90010 Derrofes exisfW flevUlrron Dertntes propd??ed Flevofiorl Lowess????ar?oN ^F'uor. eva idrt a 8 ? - fknnles Drulnv e? UfiliU Eq5erner?/- ?? ot Block clevafiori 410 --? Denotes or•virr Paw Arrows Garae S Ia G Flevcrl`ipn 0 lJenofes mertumerif p Deno es Otfsef gub &arrnjs showri are assumed SubecF fa Easetrier?li; of"Rpccx d LoT 1_., BLaek1?.., oAkl CNASE GrN ADDITIDN oauorn couN7-y 1 hateby certily thet Sbla euryey, pqn or ropon we?sJ'?_. .eVervd bY mt or und6r my Jhcct suparvldon ind thnt I nm July pegbllred Lend Survnyut unda the tnwy of tM 8tato ol Minnpwu. Dated tht:_1?2 dey ofzIb J9/....._ A.n, i9m-, ?; /??/?p • ? inch. Q jgel v 4?.n? . - - ' p• . SIKICH L.S. nCG. N7. 1A091 Ht;HI•:AY EASrXZ2IT DEED THIS ItdIENTURC, made and entered into this day of November .? lq 83 ? by and betwaen HOUSTON CONSTRUCTION INC. a Minnesota co ora ion as Grant or, and the C i Y y o ?agan, Dakota County, Minneaota, as Grantee. r WITNGSSETH 41HEREAS, said Grantor ie%eethe otaner of the tracta oP land in the C i ty of Eagunv Aakots County, rIinneaota, legally deacribed as . follawa; A temporary public right of way easement for purposes of a temporary turn around at the end of the platted right of way for Dak Chase Way near the East line of Oak Chase Sixth Addition, over the following described property: • Tho§e parts of Lot 1, $lock 1 and?L'oi:1;=_B'1ock.2,__Oak_?hase_Sixtti_9dd'ieiori; , Dakota County, Minnesota, lying within the circumference of a circle having a radius of 40.00 feet, the center of said circle being at a point on the center- line of said Oak Chase Way 64.00 feet westerly of the East line of said Oak Chase Sixth Addition. (OVER) N041 TEERrPpRE, the said Grantor in consideratfon ef One ($1.00) DoEasr' and other good and valuable coaeideration to it paid by,Granteey rece3p¢ whereof is hereby acknocrledged, hereby conveys, warranta and dedicatea to said Grantee, ita eucceasors end asaigns, for higknlay purposes, together with tho ' unrestricted right to improve the same, the above described tracts of lanrl, together with the right to lay, ma3ntaln, operate and zepai,s utiliey lines avar and through ea3.d above tract, free aad clear of all encumbraacea,, excepC fag restrictions, =eaervations and easemeats of record' if aay. . . And said Grantor_ for it self , its heirs, executora, admfniseratora' end aasigna, do es covenant never to cut, damage, dectroy or remave any 'tree or ? schzub or other natural grocyCh upon the hereinbefom described premiaes fov thts continuance of this easement and do es herehy grant and convey to the said -ity of Lagan aZl grasses, achruba, trees atid natural groweh now existing on said lacrls or that meq be hereafter planted or grawn theraoa. - ? And the said Grantor , for it $eif , its heirs, executora, adwini- strators and assigns do es hereby release the sai.d C i t y of'Eagan, its succea- i sors and assigna, from all c2aims for any and alI damages resulting to the premi3ea hereby comveyed by reason of the location, grading, conseruction, mni.n- tenanca, arnl use of a public highway over and upon, the removal of materials from the premises hereby conveyed and from the usea incident thereto; it be3zg understood said release shall not apply to anp damage to any psoperty abutting ; the premises conveyed hereunder arising because of the use of the premiaes ' conaeyed hereunder by the Grantee; and said C i'Gy of Eagan shall have the right ; to use and remove a1L earth and othsr materials lying within the parcel of Iartcl ' hereby conveyed ard the risht to construct and maintain, upon the lutu,s adjoining the parcel hereby conveyed, such portable snow fencea daring such monthc as •• weather conditious makct necessary; provided thaC,auch enow fences ahall noC inCer- fere with any acceas Y08t13 now or ia the future leading from the property nbutting Che premises coaveyed hereundar.. And the esid Grantor , tor it self ' its heirs, executors, annin- . istrators and asaigns doe hexeby waive ttie right Co any and all notice f-or the resoval of trees or hedgea withln the limitc of the abmae described hi;tttvay • . urnler the provisiona of Cection 160,22 r3inneaota Statutes Annotated or otherwise and hereby expressly.waivea any claim for damagec on account therooE. . Ir1 F12TNCSS WHEREOF, said Grantor has hereunto set its hand and seal_ the day end year first above wriCten, - In Presence of; HOUSTON CONSTRUCTION, INC. ? By• ? 1irA {, ??}^ And• Its tirsi Its STATE OF MINP uOTA) ) 88• EXE:•'II'T FEOt4 ST1TE DE? TAX STAt?lPS COUIiTy OF Ott this day of 19bePore mQa a No -PtYSI"i v ithia and tcr said Countys pe.rsonal2y appe to me kao the pecso _ dsscriL•r.a in, aud ia o executed the foxegoin and ac?cr?cale o hat he executed the 9s.ne 88 rea act ansl deed. - This•instrument drafte3 by; Paul H.Hauge„ Atto'rucyQ-sP,-Law 3908 Siht.ey 1r:moria1 F?r,•, . Eagan, FSLnwsota 55122 Said temporary easement expires upon extension of Oak Chase Way East of Oak Chase Sixth Addition. Ma 1005%-CerN6nle of Acknowkdammt-8y Coryoratien Yiller-Da,is Co., YiveupoRf, Hi? _--'__-.__. . . ..... . .. MINNESOTA .*tate of.._ ............... 4M. County of .............. ......... DAKOTA........................ ...... . On thia..?.f......?.vday of........ PavelAb2.i'........ _...... I9.83...., I befZZ, a not?ic..................................wiEh,in and for eaid County persnnally appeared .....................and......................... ... U........:........:. ......... .. . ..... per?g?aa ...... . did eay that mae?rc?csiva%y Eo lly knorvn., ho, being each. by me duly sworn..... ...... tka.........??w?:,:??f...... ?. ......................... .Preaident and the............. ............ ............. ......... ............,:.:........................................................of ? HOUSTON CONSTRUCTION... corporation named in tha .................... the: ........ ...... ...................... ..INC............................... -.............................................. ; foregoinp inatrument, and that the seal affixcd to aa,id instrumenE ra the corporate aeal of said corporaEion, ? and Ehat eaid instrument wus signed ai nr Pfm ? f t I natrua *qrporbqn of .............._i. C.to.F.S...........................¢?ed said ?.................nnd . to be ? f U ree ¢ctD U f and deed of said aorporatian. .nr? vw??v.,w?:. .??...^- .*w,nr,nnnn• Not2ry Publio....... °...... rU?Q..rl.?-?./ County ........._ .................. < 3.. Nt1ITN CHAFFE? • I a ]9 a?..SLiC-kiNtiL50TA ? .31y eo7nmtssion uzAirea . ......_ .... ... .. . ........ .... . ....... ..... tAy Conmissiaq Expires Mx;ch. 12,1956 TEMPORARY AIGHT-OF-WAY EASEMENT THIS INDENTURE, made and entered into this z4 ':L4day of November, 1983, by and between HOUSTON CONSTRUCTION, INC., a Minnesota corporation, as Grantor and the CITY OF EAGAN, Dakota County, State of Minnesota, as Crantee. WITNESSETH WHEREAS, said Crantor is the owner of the traets of land in the City of Eagan, Dakota County, Minnesota, legally described as follows: A temporary public right-of-aay easement for purposes of a temporary turn around at the end of the platted right of way for Oak Chase Way near the East line of the Oak Chasa Sixth Addition, over the following desorlbed property: Those parts of Lot 1, Block 1, and Lot l,_ Bloek 2,.__Oak_Chasa_S1_xthj Addition, Dakota County, Minnesota, lying within the circumference of a circle having a radius of 40.00 feet, the center of said cirele being at a point on the centerline of said Oak Chase Way 60.00 feet xesterly of the East line of said Oak Chase Sixth Addition. Said temporary easement expires upon extension of Oak Chase Way East of Oak Chase Sixth Addition. NOW THEREFORE, said Grantor in consideration of One ($1.00) Dollar and other good and valuable consideration to it paid 6y Grantee, receipt whereof is hereby acknowledged, hereby conveys, warrants and dedicates to said Grantee, its successors and assigns, for right-of-way purposes, together with the unrestricted right to iroprove same, the above described tracts of land. And said Graqtor, Por itself, its heirs, executors, administrators and assigns does covenant never to cut, damage, destroy or remove any tree or shrub or other natural growth upon the herelnbefore described premises for the continuance of this easement and does hereby grant and convey to the said City of Eagan all grasses, shrnbs, trees and natural growth now existing on said lands or that may be hereafter planted or grown thereon. And the said Grantor, for itself, its heirs, executors, adminiatrators and assigns does hereby release the said City of Eagan, its successors and asa3gns, from all elaims Por any and all damages resulting to the premsies hereby conveyed by reason of the location, grading, construction, maintenanee, and use of a publie right-of-aay over and upon, the removal of materials from the premises hereby conveyed and from the uses incident thereto; it being understood said release shall not apply to anp damaga to ary Frcge^ty abuttina the premises conveyed hereunder arising because of the use of the premises conveyed hereunder by the Grantee; and said City of Eagan shall have the right to use and remove all earth and other materials lying within the parcel of land hereby conveyed. And the said Grantor, for itself, its heirs, executors, administrators and assigns does hereby waive the right to any and all notice for the removal of trees or hedges within the limits of the above described right-of-way under the provisions of Section 160.22 Minnesota Statutes Annotated or otherwise and hereby expressly vaives any claim for damages on account thereof. IN WITNESS WHEREOF, said Grantor has hereunto set its hand and seal the day and year Pirst above written. , HOUST CONSTRUCTION, IN . By: (f rts: ; And State of Minnesota ) jts• County of Dakota )ss. On this,-2-9 day of November, 1983, before me, a Notar Publie within and £or said Countg, personally appsarad ?C?<??-.? _ and who being each by me dLfly sworn did say that they are respectively the -_ President and the of HOUSTON CONSTAUCTION, INC., the corporation named in the foregoing instrument, and that the seal affixed to said instrument is the corporate seal of said cor- poration, and that said instrument was signed and sealed in behalf of said cor orat on by authority of-its Board of ?ireetors, and said ?^- ? and acknowledged aaid instrument to be the free act and deed of said corporation. This Doeument Drafted By: Hauge, Smith, Eide & Keller, P.A. 3908 Sibley Hemorial Highway Notary Public ....:.. Eagan, t•W 55122 LORENE A. LE'. (612) 454-4224 EXEMPT FROM STATD ? EED'TAJ6rSTAMRSMINNF50TA ??_ DnhOiA CUUNTY :My commi,siop.:..e.pirc: Nov. 23, 198? Z:.:..?.__? ' ........ ?...»,,..?... _..,?k Use BLUE or BLACK Ink J r F,,[ I o1I s l I are I Permit City of EaV I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 I Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 AVG os RECD i Staff: - - - - - - - - - - - - - 2010 RESIDENTIAL BUILDING PERMIT APPLICATIO Date: 915-1111 Site Address: ' 15S-6 i Ik C a S-e- ' ) ~z -I Tenant: I!~t y', Un1 / K- Suite RESIDENT/ OWNER Name:O': Arl+ 6n►Y0 /M v' /o~ Alkr Phone: iyS/- 3f~9- ?0176 Address / City / Zip: ~SSIo ©Q kCt SG w a y Applicant is: _X Owner Contractor e 0 9a ra~.~ n s,4,# w . a1a ej - w&-~ TYPE OF WORK Description of work: ob Construction Cost: /©OD Multi-Family Building: (Yes / No A) CONTRACTOR Name: 1 ,F- Sor License 7S1, Address: 6J. /Z e e t/ iXv. State: Zip: Phone: 40 S'-7' 3 -4 Contact: b4m ~ti Email: 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: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG'. Call Gopher State One Call 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 rdinances 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 n with 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 pi x Dch4lo le. 57C 4U /fz- X Applicant's Printed Name Appl' ant's Si u Page 1 of 2 BELOW THIS LINE v l DO NOT RITE SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family - Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) _ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) _ 01 of Plex Lower Level Pool _ Miscellaneous Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior _ Alteration Fire Repair Windows _ Demolish Foundation _ Replace _ Repair, Egress Window _ Water Damage Retaining Wall *Demolition of entire building -give PCA handout to applicant DESCRIPTION Valuation C> Occupancy MCES System Plan Review Code Edition SAC Units (259%_ 100%) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final 1 No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Meter Size: Radon Control Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review t9 0 MCES SAC ' City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 2 PERMIT City of Eagan Permit Type:Building Permit Number:EA117840 Date Issued:10/23/2013 Permit Category:ePermit Site Address: 4556 Oak Chase Way Lot:1 Block: 2 Addition: Oak Chase 6th PID:10-53505-02-010 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Eva Lewis 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 - Marte E Baro 4556 Oak Chase Way Eagan MN 55123 Purpose Driven Restoration Llc 325 Main St NW Elk River MN 55330 (763) 633-4737 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA136128 Date Issued:04/26/2016 Permit Category:ePermit Site Address: 4556 Oak Chase Way Lot:1 Block: 2 Addition: Oak Chase 6th PID:10-53505-02-010 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$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 - Thomas M Albert 4556 Oak Chase Way Eagan MN 55123 Aj Alberts Plumbing Inc 7975 Afton Rd Woodbury MN 55125 (651) 738-0580 Applicant/Permitee: Signature Issued By: Signature CityofEaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 JUN 1 5 2016 r Use BLUE or BLACK Ink For Office Use t Permit #: / 7,24 `U" Permit Fee: _ 1,7 Date Received: '! Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: q566 l L ) m/ Name: To M A YI IIJ? O - Phone: Date: P't �k Address / City / Zip: 45319 OPt - t 5 WAy Applicant is: Owner X Contractor Unit #: Description of work: \t4�7t . Rot- ? -w Construction Cost: 3i:551) Company: Address: Multi -Family Building: (Yes / No ) dAfRe y ti 1 Contact: - 5 4 151-02- f --5 Iv r City: Nko State: AO Zip: ()35 Phone: - to L 'nail: e J License #: �f--1 11 Lead Certificate #: Or; f.'s' L0( ", 1 If the project is exempt from lead certification, please explain why: \111)1 '1jS iztki II S9 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: F Plans and supporting documents .that you submit are considered t0 be public..infor . he information may be classified as non public rf your provide specific reasons that would conclude -that` they are trade secrets. 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.orq 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 k -S0t6)50 Applicant's Printed Name Appli • nt's 'j gnature Page 1 of 3 8 L/5 eJ/DO AI NOT WRI E BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of Plex Fireplace Garage Deck Lower Level WORK TYPES New Interior Improvement _ Addition _ Move Building Alteration_ Fire Repair Replace Repair Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% , ) Census Code # of Units # of Buildings Type of Construction 30_9 Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: Ice & Water _Final Framing 30 Minutes 1 Hour Fireplace: _Rough In Air Test Final 1 Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Siding Reroof Windows Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Pool: _Footings _Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings Backfill _ Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: Reviewed By: ( / , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3