4572 Oak Chase Way
r i
-7q tyofEa2ii I Permit l
{
31330 Pilot Knob Road Permit Fes:
Eagan MN 55122
Phone: (651) 675-5675 !Date Received:
Fax: (651) 675-5594 staff:
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
sate: ' G sate Accuses: V j! bwz~ VI
Tenant:
Suite 17 _
RESIDENT /OWNER Name: _ Si'l 3W Phone: US- 1 014 6S ()b
Address / City / Zip: CL C f
CONTRACTOR Name: d~U A'S PI 1,Aj YJ/_ i (I a pp t License OLOIISID.K
Address
City: "_Y A (,(.n State: ftd Q zip:
Phone: LQ a 3LO > a Contact Person: &5t'\
TYPE OF WORK \CL_ New , Replacement _ Repair Rebuild Modify Space Work In R.O.W.
Dsskxi n of work: ' L
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
(RPZ / PVB) Main Lower Level)
Septic system Water Turnaround
-New
Abandonment
RESIDENTIAL FEES:
$50.50 n m Water Heater, Water Softener, or Water Heater Wd Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System AhWdonment, Water Turnaround* (includes $.50 State Surcharge)
"Water Turnaround (add $185.00 If a 5/8" meter Is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $ _
I hereby acknowledge that t is information is c mplete and accurate; that the work will be In conformance with the ordnances and codes of the City of
Eagan; that I understand We 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
7t_~G~ .ht;i 1 x
Applicant's Printed Name Appficant'SSignature
FOR OFFICE USE Reviewed By: Date:
e[equlr* Inspections' vnaer larouna Houan-in A1r 1 t r'ae Tact I-innl
Ilr~
a; .
v CASH RECEIPT?, 0
CITY OF., EAGAN
3830 PILOT 1CNOB'AOAD
EAGAN, MINNESOTA 55122
DATE
L4' iC
AMOUM $ '
O CASH
x CHECK
"an
44)L? -? '
C 4 2PS wnno--Perers coPy
Y911a? Cqq
Pinl[--FOb Copy
& DOLLARS
,m
Thank You
,
BY
RE: 4572 OAR CHASE WAY. L15,
DATE:_ 101201A9
82, CL1FF $IDGS
Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
•-? Your Sewer 8 Water Permit for the above property cannot be completed for the fallowing
-' reaol is:
Xx Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issuetl or occupancy allowed untfl further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Flall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITI - TELEPHONE, ELECTRIC, GAS, ETC.
- REUUIRED BY LAW.
CONTACT COMMUNITY DEYELOPMENT DEPA MENT FOR WATER TURN ON POLICY.
?.- - -
Secretary, Building Inspections Dept.
K DATE: 10/20/89
RE. 4572 OA([ CHASS WAY, L15, B2, CLIFF SIDG6
Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBUC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
? Yotg Sewer & Water Permit for the above property cannot be compteted for the following
* rea§ons:
?
?
xx Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS QNLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing InspeCtors - 454-8100) befOre isSUanCe.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POUCY.
Secretary, Building Inspections Dept.
?,. -? . ,. .. .- ? . .. „ .,- ?.•,?r . ,.. .?p.er : -. ? , ?.. ? __ _ x-•-- . . ., ., S?, ? ? r .
r
CITY OF EAGAN /
- •
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ? ? ?2??
•° •
P HON E: 454-8100
BUiLDING PERMIT Receipt #
YI?
?
To be use or?'
?
` Est. Value
di{ ? ?1 ? S00
Date -111N 1
2 , 19-9.L-
Site Addsess 4572 OAK 4`H/IZE MAY
Lot ?- 61ock 2_ Sec/Sub. CI.IP! RIDt? OFFICE USE ONLY
P2fCEIIVO. Occupancy _ FEES
Zoning _
W Name RW i PAi PwYE (Actual)Consl 81dg. Permit
_
o AddfeSS 4572 OA[ Cl?ASE VAY la?abley -
Surcharge
City Phone 658-6147 a oi stories -
Plan Review
Lenglh _
p Name Swmw DePw - SAC
Cit
= .
y
O
? AddreSS S.F. Total -
U
? SAC, MCWCC
City PhOne S.F. Foolprints - ,
WX
4
On Site Sewage - -441.
-
F
W Name On 5ite Well - W
t
M
t
W a
er
er
e
_= Address MwCC Syscem _
d2 City PhOne Cay water _ ?"' ??'?
PRV Required _ S/W Permit
I hereby acknowlege that I have read this application and state that the Booster Purrip - S/W Surcharge
iniormation is correct an(i to camply with all applicable State of
Minnesota 5tatutes and G`ity of gan Ordinances. Treatment PI
Signature ot Permitee APPROYALS Road Unit
A Building Permit is issued to: RM OR PAlI FAId- Planner - Park Ded.
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and Cit
of Ea
an Ordinances Councii --
Copiea
y
g
. Bldg. Off.
BuildingOffiCi81-_e ?,??,(?_? Variance - TOTAL ?•?
Permit No. ParmB Holder Date Talephone #
WATER -
SEWER
PlUM81NG
H.V.A.C.
ELECTRIC
Inspection Date Insp. Commenu
Footings 1
Foundation
Framing '7-k • f' D
Roofing
Rougn Pibg. _ Q S
Rough Htg. 9-S y Q? e?'cl/'rr ? b 6 a. ?
Isul.
FireplaCe
Final Hig.
Orstat Test
Final Plbg• Plbg. Inspector - Notity Plumber
Const. Meter
EngrJPlan
Bkfg. Final
Dedc Ftg.
Dedc Flnel
Welt
Pr. Disp. 3 ?
Flom
RON
BUILDING PERMIT
To be used for SF I
Site Address `'
Lot 15 Block
r ?m??y?`?:?i:r.M ?:
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Receipt #
? Est. Value I
W Name JOE !'I MILLEx COPST
o Address 18133 CEDAR AVE S
City pARM1KMH Phone 431-2001
Zo Name s?
OQ Address
U
cc
City Phone
Name _
Address
Phone
.4217214
?
OFFICE USE ONLY
Occupancy Rr"3 M-1
Zoning 4;4
(Actuai) Const V N Bidg. Permit
(Allowable) V H
Surcharge
# of Stones
Lengih
Depth
S.F. Totai
S.F. Footprints
On Site Sewage
On Site Well
MWCC System
City Water
PfiV Required
Booster Pump
APPROVALS
Pianner
Council
BIdg.Off. ?
Variance
19$9
FEFS
536.00 I,
is•30
I
268.00
490 Pian Review
"I SAC, City
- SAC, MCWCC 5?S•OO ;i,
_ water Conn g4020O ?
WaterMeter ?•? ?
? 30 • 00 ;
XX Acct. Deposit
jq?
S/W Permit ?
20•00
?
- SiW Surcharge i •? j
Treatmem PI ?
228•00 ?
R 340.00 ?
oad Unit ?
-
Park Ded. ?
?
Copies ?
2
8"' 30
- TOTAL ,
f
Permit No. Permit Holder Date Telephone #
WA''TER ??'!S? oJ ? L-. R t. lL/ '?^'• IC? /
SEWER
PLUMBING ?C J
H.V.A.C.
ELECTRIC
Inspection Date Insp. Comments
Footings 1
Foundation
Framing 1
Roofing
Hough Plbg.
Rough Htg.
Isul. f?
Fireplace
Final Htg.
Final Plbg. ?f
Const. Mefer Plbg. Inspector - Notify Plumber
Engr.IPlan
Bldg. Final f
DeCk F19•
Deck Final
Well
Pr. Disp.
? . , .. . .. . „,,, • . _ _ .
• PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN ,?-, ,':: •; ' ? <
?
3630 PILOT KNOB ROAD, EAGAN, MN 55122 DATE
CONTRACT PRICE: PHONE: 454-e100 For Office Use Only:
Site Address ' _ I BI,pG. TYPE WORK DESCRIPTION
Lot ? Block -T_ Sec/Sub
i
,. Res. New ?
4 Mult Add-on
m Name '
Comm. Repair
? Address Other
c City Phone
?
Name ? FEES
RES. HVAC 0-100 M BTU -$24.00
c Address ADDITIONAL 50 M BTU - 6.00
p City Phone (R?• HVAC INCLUDES A/C aN NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM -1 PER PERMIT) - 1
50 EA
.
.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RA7E APPLIES
TOWNHOUSE & CONDaS - RES_ RATE APPLJES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU $ REMODELS - 12.00
Air Cond. M BTU $ MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping OuUets # BEYOND $1,000)
Other $
FEE:
SIGNATURE OF PEAMITTEE
S/C:
`'
TOTAL• FOR: CITY OF EAGAN
. .
CONTRACT 3830
PRICE
Sfte Address?
CRy
0.
PLUMBING PERMIT
CITY OF EAGAN
?ILOT KNOB ROAD, EAGAN, MN 55122
PHONE 4548100
? Address
A City
FEES
COMM./IND. FEE -196 OF CONTRACT FEE
_ APL BLD.GS. - CaNlArL.RATE APPLIES
TOWNHOUSE R CONDO - RES. RATE APLLIE§
MINIMUM - RESIDENTIAL FEE $12,00
MINIMUM - CaMM.IND./FEE $20.00
STATE SURCHARGE PER PERMIT .54
(ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE)
?.., .?,r-. . ?_.:ti,•-._ . ..
Mult.
For Office Use Only
PERMIT # ....ZZL SZ
RECEIPT #
DATE:
New ?
Add-on
Repair
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00
Bath Tubs - $3.04
::T--Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00 35,49C
UrinaUBidet - $3.00
? Laundry Tray - $3.00 ,Z&V
Floor Drains - $1.50 e-10
/ aNater Heater.2 $1.50
Whirlpoal - $3.00
? Gas Piping Outlets - $1.50
(MINIMUM - t PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
.
Rough Openings - $1.50
PERMIT FEE:
STATES S/C:
GRAND TOTAI.:
S ['?
?
C?
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3$30 Pilot Knob Road Permit Number:
? Eagan, Minnesota 55122-1897 Date Issued: 46.
. (612) 681-4675
,.'
±(.? 1 7tiNN I' b9 ltl
SITE ADDRESS: APPLICANT:
0!11t•.I• l1d,Y
?( li i 1-1ll;il irl.'; ? 1t1 f•,'?Iq
PERMIT SUBTYPE: TYPE OF WORK:
( tlf (ACF!!'fl)
?
?
?
I
kF/IAI? P'. A`4 I"'11VAff ilt'ttMl 1 C`. it1'll??Ih1 !1 FOH i1NY # t Y1:1'"If A1 411)I:1
Permi[ No. Permlt Holder Date Telephone M
ELECTRIC
PLUMBING
HVAC
Inspsctlon Data Insp. Comments
FOOTINGS
Y!?/
FOUND
FRAMING
!/- -rrc-
iul3
FOOFINGa
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATINO
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FlREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL + --
?
?
BSMT R.i .
'
BSM7 FINAL
DECK FfG
DECK FINAI
i
Ter#i#t.rate n# (Orrupttnry
Citp of (Eagan
Drpartmpni o# Suilbing 3tteperiinYt
This Ceni}"icate issued pursuant ta 1he requireinents af Section 306 of the Uniforne Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following.•
Use (.'lassi6cxuon SF M/GAR BId6. Ftrmi[ No. 17214
oaua-r'?Yn? R3 1 Zoning District R1 Tym CMSL VN
owner or Bu' I JCE ME= OCNST • Addrm 18133 MAit AVE S. FARMUEN
e 4572 QAK QHASE WAY L 15, 82, iI,?P' R'?
?ia;? nea? ?ry
MMMR 28, 1989
., auuaing
POST IN A CONSPICUOUS PLACE
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilat Knob Rd.
Eagan, M N 55122-1897
DATE ? Q - 13 SITE ADDRESS
PHONE:
k
PLUMBER:1F { ' r
ADDRESS: ' •f?
CITY, STATE j '' PHONE:
OWNER:
ADDRESS:
GITY, STATE
PHONE:
PLEASE ALLQW TWQ 1
SEWER PERIAITS, CON1
SEWER b WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
' C} -? =3 - X `I
oA? r ?
SlTEADPRESS '?7? ?Z" -'
LOT t -?BLOCK ?"- SEC/SUB
APPLICANT: ` I 6 Az?
ADD4': SS:
- CITY, STATE
PLUMBER: L
ADDRESS: _`
CITY, STATE
PHONE: _
OWNER: _
ADDRESS:_
CITY, STATE
PHONE: _
METER #
CHIP #
METER SIZE
tSSUE DATE
X-PRV -I
?
ZIP
PERMIT DATE 1201 -,y
PERMIT # 11045
B.P. RECEIPT ? C 4285
B.P. RECEIPT DATE 10119I8?
PERMIT REOUESTED
? SEWER WATER _ T
- COMM/IND ?RESIDEN'
? NEW EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit 1AlILL NOT be given for Deduct Meters.
l_
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
_ SIGNATURE WHEN METER ISSUED
CALL 454-5220 FOR INSPECTIQNS. FOR STORM
Q? ?,?f? USE ONLY
-jMETER # PERMIT DATE 10120189
\i/ CNIP # a PERMIT # 110??5
METER SIZE ? B.P. RECEIPT # C 42$5
ISSUE DATE I2 ?? ?` B.P. RECEIPT DATE 10 1> 89
PRV - BOOSTER PUMP
-t....
ZIP
i
ZIP
PERMIT RECfUESTED
? SEWER -)`WATER _ TAPS
-GOMM/IND ? RESIDENTIAL
&NEW EXISTING
Lawn Sprinkier Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDI"CES ?
. ? V ?-?`'
? uv"`_
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSIN(3. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
:? •'y- ?9- ----- -- --? ?`
CITY OF EAGAN
BUILDING PERMIF
To be used for SF L
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121?
PHONE: 454-8100
Receipt #
Est.Value $77,000
Site Address 4572 OAK CHASE WAY
Lot is Block 2 Sec/Sub. CLIFF RIDGE
Parcel No.
I? I ON T
Cddress 18133 R
FpRM7N(:TONpho 431-2001 I
Name _
Address
Name _
Address
Crty _
Phone
I hereby acknowlega that I have read this applicatio and state that the
information is correct antl agree to cccppprtrtrt ???p wdh appiicabl§ State of
Minnesota Statutes and City ?c
Signature ol Permitee _
A Buiiding Permit is issued to: -T(1F M MT i.i FR CONST
on the express contlition thal all work shall be tlone in accordance with all
applicable State of Min/n?esota Statutes antl yCyiry? o?i) Eagan Ordinances.
Building OHicial ?Oa1 ? I I,.LI
Phone
1989
OFFICE USE ONLY
Occupancy R-3 M=1 FE ES
Zoning _R--l
(nctuaq Const V=N Bldg. Permit 536.00
(Allowable) V=N Sumharge 38.50
N o( Stories
Lenglh 49' PlanReview 2fiB-no
DePth 44' SAG City 100.00
S.F. Total - SAC, MCWCC 57 S_ 00
S.F. Footprints _
On Sile Sewage _ Water Conn 580,00
On Site well Warer Meter 90.00
MWCC System XX
XX
Acct. Deposil
30.00
City Wa1er
PRV Requiretl XX SNtl Permit 20.00
Booster Pump - SiW Surcharge 1- b0
Treatmant PI 228.00
APPfiOVALS Road Unit 340.00
Planner - park Ded.
CAUncil
BIdg.ON. _ CoPies
Variance - Tp7qL L,806.50
N° 17214
I O•(J ?J
CITY OF EAGAN ND 19230
3830 Pilat Knob Road, P.O. Box 21-199, Eagan, MN 55121
?
PHONE: 454-8100
BUILDING PERMIT Receipt #
E
To be used foi $ASEMENT
FINISH Est. value $1, 500 Date JUN 12 , 7g 91
Site Addc2ss 4572 OAK CHASE WAY
15 Block 2 Sec/Sub. CLIFF RIDGE
Lot OFFICE USE ONLY
Parcel No. oaupancy - Fees
Zoning -
w Name xON & PAM FAYE (ACtuapConst _ BItlg.Permit 35.00
o Address 4572 OAK CHASE WAY (Nlowable) - 1.00
S
h
arge
uro
EAGAN
Ciry Phone 688-6147
x oi siofies _
Plan Review
Lenqth _
F Name SAME Depih SAC
City
i
?a Address -
S.F.TOtal - ,
SAC,MCWCC
? City Phone S.F. Foolprinls -
Water Conn
On Site Sewaga _
Name On Site Well _ Water Metar
0 Address Mwccsysiem _
City Phone
ciry waiar - Aw4 Oeposit
SlVJ Permit
PRV Required _
I hereby acknowlege thal I have read this application and state that the eooster Pump - SnN Surcharge
inPormation is correct an qe lo comply with all ay p?licable State o1
Minnesota Stalutes and ity of E gan Ordin ?nce
s. `
' Trealment PI
'I
'l?
?
Signalure of Permitee !
APPROVALS
Road Unit
FA
A Building Permit is issued to: RON OR PAM r?anner
-
Park oe0.
on [he ezpress condition that all work shall be done in accordance with all Council -
applicable State of Minnasota
tes and City o.f Eagan Ortlinances.
. BIdg.Olt. Copies
?
L
Building Oificial i,] ? 1 I1?/J
Variance - 3b.U?i
TOTAL
0 6 4 0 6,?;,?-
Requesl Date Fire No. / Roughi Insp ion
11-13 - 8 9 eQ
e ' D Reatly Now Wil
Notify
?Wor
Ve
? No hen
Fleatly
I? licensed contracror ? owner hereby request inspection of above electrical work aF.
Job Adtlress (Slreet, Bpv ar FaNe No.) C'Ty
4572 Oak Chase Way Eagan
Section No.
Township Name or No.
Range No.
Counly
I Dakota
OccuOam (PRINT) PhOne No.
Joe Miller Construction Co. 431-2001
Power Svpplier AOtlress
Dakota Electric Farmington, MN 55024
Elecvical Convactor (COmpany Name) Contracror5 License No.
Midland Electric Inc. 041610
Mailing Adtlress (Coniractor or Owner Making Installation)
14055 Grand Avenue South, Suite E, Burnsville 55337
Aulhorized Si re (ConVactorlOwner Making InsiallaAOJn?? Phone Number
?///?p11 892-6688
MINNESOTA STATE BOARD OF ELECTflICITY ? THIS INSPECTION REOUEST WILL NOT
Grigga-MlAway BIOg. - Noom S-1]] BE ACCEPTED BY THE STAtE 90AFD
1821 Unlverelly Ave., SL Vavl, MN 55106 UNLESS PFOPER INSPECTION FEE IS
Phone(8t2) 64241800 ENCLOSED.
?/// 71YY
G 06406
REQUEST FvrWTRICAL INSPECTION
pir See insVUdions lor completing ihls form on back of yellow copy
"X" Below Work Covered by This Request
?0. E0-00001-0]
??9 5
?.,?..
ew Ad - Rep. -- Typeof8uiltling AppliancesWired EquipmentWired
Home Range Temporary Service
Duplez Waler Hea[er Electric Heating
Apt 8ullding Dryer Other (Specify)
Comm./Indusirial Furnace
Farm Air Conditioner
Olhar(specify) ConV cbr5 Remarks:
Compure Inspection Fee Below:
f/ Other Fee # ServiceEntrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 ta 100 Amps
Transformers Above 200 _ Amps Abov 00 _ Amps
SignS Inspecror§ Use Only: TOTAL
Irrigation Booms Z?•CL7 1 /15- 1940
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO S.
I, the Elecirical Inspecror, hereby Aougn-in oaie ,_ ?
certify thal the above inspection has
been made. F??a? oay? / r?
OFFICE USE ONLY
TM1is request witl 18 monihs iram
?
a 3 4 4 g.5 2?
?00
Fequeel Date
? Fira No Rough-in I on
ppqyj?? '
? RaeEy Now ? Will NoGy InapWor
Vfi
R
E
7
, ? Yes ? No an
ee
y
I O licensed contractor gowner hereby request inspection of above electrical work at: ?? ?.;iie l
b0 Atlaress (SVcet. Box or Rauia No.
L!S 7a C7A City
w,
Section No. Township Name or M. ' Ranpe No. Coub? ?
0
°??RR?:
F "?'6??-0t 7
1
Power Sup ier j/ -{, T yi..
O..(??! ? C '?'Nl-I?C, AAdress
Eleclrical Comractw (Company Name? ContracforB Lkense No.
Mailinq AUOress (COnVaclw O.vrer nq Installetan)
-7a
?
, ekA
Autnorixetl Sig?Nr n qwNwner M Instellation) Phone Npum?bjer
NINNESOAI STATE BONRO OF EI-196HICI THIS MSPECTION REQUEST WILL NOT
GrlygrNitlwey BIEy. - Raom &1]3 BE ACCEPTED BV THE STATE BOAHD
18t1 Univerolry Ava., St. Prol, MN 551 .- UNLESS PPOPER INSPECTION FEE IS
PMna (612) 641-0800 ENCL0.SED.
e?'ry? REQUEST FOR ELECTRICAL INSPECTION
M ? See insimctions for campleting Ihis brm on Oack ol yellow copy
_-3 84 4'9 •X° Below Work Covered by This Request
E&OOODt-OB
ew Add Rep. TypeofBuilding AppliancesWiretl EquipmentWired
Home Range Temporary Service
Duplex water Heater Electric Heatinq
Apt. Building Dryer Other (Spacify)
Comm./Industnal Furnace
Farm Air Conditioner
Olher (specity) CoMracbr5 Femarks:
Compute lnspecfion Fee Below:
# Other Fee # ServiceEnirenceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
7ransformers Above 200 _ Amps 100 _ Amps
Sig115 ' InspenorS Uae Only: TO
TA
L
f o
Irrigetion 8ooms ?6? ?
/
7
c3V
Spacial Inspedion
AlarmlCommunication TNIS INSTALLATION MAV BE ORDERED DISCONNECTEO IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in Data ??7 r/ z
certity that the above inspection has
been made. Finai . oale
OFFIGE USE ONLY •
This nepueSt vdtl 18 moMs Irom .
O RESIDENTIAL
i
5(s- BUILDING PERM IT? APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122 ? -
851•681-4675
New Conevuction Heaulrementa
• 3 regktered sila surveys showNg sq. N. of bt, sq. n, of twuse; aM II roofed areas
(20% m3clmum bt coverage allowed)
. 2 copies of plan showing beam & window siZes; pouree found Aesign, etc.)
• 1selWEnergyCalculetbns
• 3 copies of Tree Preservatbn PYan tl lot platted alter 7/1/93
• Rim ,blst Detail Options selectbn sheet (61tlgs wM 3 or less unh)
DATE l/ (Z4,F /d, o ?
,
SITE ADDRESS [
NPE OP WORK e
APPLICANT ?
STREET ADDRESS
TELEPHONE #
a
gS ?v e
?-'
NemodeVHgpalr Reaulrements ?-
• 2 capies of plan
• 1 set of Energy Cakulatlonsfor heated addttions
. 1 si[a survey tor e#erbr add8ions 8 decks
. Indicate If home served Gy septlc sys[em for addttbns
I' J >
VALUATIO04
I
CELL PHONE # P??`7G
a
MULTI-FAMILY BLDG _ Y _ N
_ FIREPLACE(S) _ 0 _ 1 _ 2
FAX #
ZIP
PROPERTYOWNER TELEPHONE #
---------- ------------------------------------------- " ---------- °---------------°-------------
COMPLETE THIS SECTION FOR ••NEW- RESIDENTIAL BUILDINGS ONLY
ji
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 9672
N submissian type) . Residential Ventilation Category 1 WoBSheet Submitted • New Energy Code Worksheet Submitted
. Energy Emelope Calculations Submitted ?,
Plumbing Contractor: Phone #
Plumbing system includes: _ Water Softener ? Lawn Sprinkler Fee: $90.00
Water Heater !I No. of R.I. Baths
No. of Baths '
Mechanical Coniractoe
Mechanical system includes: _ Air Conditioning ?
_ Heat Recovery System,:
5ewer/Water Conhactor:
--°---------°--------------------------------------------------- -----
I hereby acknowledge that I have read this application, state that the
wlth all applicable State of Minnesota Statutes and City of Eagan Ord
Signature of
Phone #
F?JLJN ?
Phone # 1 0 2002 ?
---------- - ---------- -- --- ----
OFFICE USE ONLY
I
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
I? Updated 4/02
OFFICE USE ONLY
O 01 Foundation O 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bltlg
? 02 SF Dwelling ? 08 OB-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Aft - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4sea.) ? 33 Ext. Alt - SF
O 04 02-plex O 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Mutti
0 OS 03-plex ? 11 10.plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Ping_Y or _ N ? 25 Miscellaneous
? 31 New 0 35 Int Improvement 0 38 Demolish (Intarior) ? 44 Siding
? 32 Addition O 36 Move Bldg. 0 42 Demolish (Foundation) 0 45 Fire Repair
O 33 Alteration 0 37 Demolish (Bldg)* ? 43 Reroof O 46 Windows/DOOrs
O 34 Replacement 'Demolitlon (Entire Bidg onty) - Give PCA handout to applicaM
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Final/C.O.
_ Footings (deck) _ FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice& Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco _ Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
8ase Fee
Surcharge
Plan Review
MClES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Meclianical Perrnit
License Search
Copies
Other
Building Inspector
Total
t
SIN6LE F9MILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED 3TTE SIIRVEYS
1 SET OF ENEHGY CALCS.
1989 BIIILDI6G PERMIT APPLIC6TION
CTTY OF EAG9N
1911111
I?TLTIPLE DWELLZNGS
2 3ET3 OF PLANS
6EGISTfiEED 3ITE 3IIRVEY3 -
(CHEC% ftITH BLDG DIV.)
1 SET OF EREEGY C9LC5.
1 .'
r
COIMRCIAL
2 SET3 OF ARCHITECTURAL
& STHOCTURAL PLANS
1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCS.
MULTIPLE DWEI.LINGS RENTAL QNITS FOH SALE UNITS # OF DNITS
D10TEt ADDRE53ES FOE CORNER LOT3 - CDNTRACT08/HOMEONNEB Mt13T DESIGNAiE WHICS ADDEFSS
IS DESIRED. NO CHANGES WII.L BE 6LLOWED ONCE BOILDING PERMIT IS I330ED..
3EWER & iIATBR PERM FEES AND ACCOIINT DEPOSIT F6ES iJII.L BE INCLIIDED WIT$ THE SUILDING
PERM FEE. PHOCFSSING TIME FOA SEWER AND WATER PERMSTS IS TWO DAYS OP1CE A PERMIT HA3
SEEN COMPLETED INDICATING 9 LICEN3ED PLDIiBER.
PENALTY APPLIES i1HEN: PERM IS NOT P6ID FOR IN 3AME MONTH TT IS REQIIESTED.
LOT C9ANGE IS HEQUE3TBD ONCE!PERMIT I3 ISSIIED.
? OCT 1 ?: 1899
To Be Used For: 4122 V? Date: ??
Site Address
Lot ?z Block 2- .
Pareel/Sub
Owner
Address
City/Zip Code
Phoae
Address
Oecupaney /?-' 3 ,U/- /
Zoning -
Actual Const i//1/
Allowable
# oF stories
Length
Depth y y
S.F. Total
Footprint S.F.
On site sewage
? On site well
MWCC System c/
City water ?
_ PRV required ?
u I Booster Pump
CitylZip Code I --"AVY*-- '
, / APPROVALS
Phone `'7 3 ? - ? ? Planner
9reh./Engr. _
Address
CitylZip Code
Phone #
Couneil
Bldg. Off.
Varianee
Bldg. Permit .524-
Sureharge 3As0
Plan Review z6.
SAC, City DO
SAC, MWCC $
Water Conn S<ro
Water Meter 9 6
Aect. Deposit 30
S/W Permit
5/W Surcharge ?
Treatment P1. Zz
Road Unit 3510
Park Ded.
Copies
SIIBTOTAL
Penalty
TOTAL F4=
' • 1/121/4
MINNESOTA STATE ENERGY CODE CALCULATIONS
? BASED QN CHAPTER 5 OF TNE ,
MODEL ENERGY CODE - 198; EDITION
Adoptlon Effective
Owner_ Phone Date
~lSite Address L,aT 15 ?, 1 L.nCK Z CL1FF: R?ta6E
---?
Contractor
Phone
Butlding Classificat!on: Type Al (Single Family E Duplex) Type A2(Resldential)
(3 storles or less
NOTE: Complete pages 3 and 4 first. (Other) (Over 3 storles)
?
GENERAL INFORMATION
b
1: Building PerimeterG,; U)4,6. a?' ft.
2. Wall height (ground to eave) V? ft. ,
. p Z
3. 1: x 2. (above) gross wal l area '7?,"?Z? J?ft.
4. Building dimenslons (L) ?- l( (W) ?Z<a ft.2 roof b floor area
5• Square foot area of rim Joist - Floor Jolst size (2 xIJ? )
Ifi-? X Pi?m?eter = Rim joist area -7
= I 31?? / ft2
12
6. Doors - Area 15 3, D- ?_l ? I?
Thickness in. U factor a o •
Type of Constructton Perimeter, ft.
Manufacturer
7. Total door's perimeter
ft.
8. Windows: Manufacturer 1r?TI?L. ???y?"rh State approved
, U factor
TYPE
SIZE AREA (Ft.Z)
EACH
"v.lol?-? "
NUMBER OF TOTAL FEET 2
UNITS
9. Total ft.Z Glass
10. Fireplace area; Width X hefght = X = Ft.2
11. Exposed foundation: Height X Perimeter a?41 X Ft.2
COMPLE710N OF THIS FORM IS REQUIRED FOR ALL }3€R CONSTRUCTT, h1AJOR REMODEL NG AND BUILDINGS BEIP7
MOVED WNERE ENERGY, OTHER THAN THE MINIMAL CODE ALLOWANCE, IS USEO.
• 12. ' Framing area = 10% of gross wall area.
13. • Gross wall area j S-rj Z??jCO
Windor+ area A ft.2
Rim joist area A 61 -7 ft.2
Daor area A? r C) ' ft.
PMU .1'y- /-)A ? Z
f?lrepla?e area A tJ'Tt0 ft.
Exposed founda,tion A ?Lq(a I 5-J ft.Z
2
Framing area A lg6 707,0? _ft.
Net wall area A ?;,o ft.
ft.2
-?? - ?-1
U wi ndoa,s = 1,7
?V U
x A
= ,1J
U rim joist - e 01+1 U x A = 4'1
U door area = 1 I U x A - o f4
u p wiAx., t e _.4,1 u x A = 1q6
U foundation =• 4 (O U x A = g10
U framing area = rOl5 U x A = ) 71555
U wall U xA = ??27
' (138) TOTAL . . . . . . . . . . U x A
i
14. Gross wall area z 0.11 (A-t single family & duplex = allowable U x A/Code
(13: above) . ,
x 0.23 (A-2.other residential)
x .23 (Other buildings)
x .23 (Over 3 stories)
A x UCode.o(l
15. Ceiling framing area (Af) equals 10% of ceiling area
15A. Gross ceiling area =(L) x(W
156 Joist area (Af) = lOb ceiling area =
STQH Must be l arger thar
F. 138 above
(. or the. same as)
?11 '
= I I ?-0, 0 ft.2
ft.z
ISC. NeL ceiling area (Ac) (15A - 158) = I0Dft.2
U ceiling x A c= 'ltn'Z 7? x ?'?
U framing x A f= x zi58
15d. TOTAL U x R ......................................... Z. ?0
16. . Ceiling area (15A) x 0.026 (A-1 single `amily & duplex - code allowable U x A
x 0.033 ()(-2 other residential)
x 0.06 (other) '
tp?? Q BaUH Must be larger than•15D (above)
A(15.A) I I7i?' 0 x U(code)= F (or the same as ).
NOTE: Use U and A values obtained.from pages 1, 3 and 4.
CERTIFICATION: I hereby certity that I have calculated the "U" factors and "R" values
heren and that the bullding here descrlbed meets or exceeds the State of Mlnnesota
Energy Conservation Act. •
Date S gnl ature
0
?.
-4? m - --,ilr?n
. ?
tA
_-
?, ?
`
?-+q z± 1?7,
15q ?gC;Z,ocv
-?--
_
---
?,--'
---
?
_-
---111
?l I, . ZaX'?"f2_= `..__? i ? X Z-.._ ?`i'! ?------?._ ----
-__I111
z4x? = _II??? cv? _?or?
Z ? --- 5TZ?,-- ?----
0
Tto_
---
? 33, o
-- ---- ----
---
?
' ° °U vaLUE cALcUlatloNs
R VALUE U YALUE
Innlde atr fiim .68 '
4' +r
WALL
§ECTION
STUD
SECTION
SECTION.
Interior vall .47 (Nall) U : R :
Insulatlon 19,C)
Z'??
? j?
'?
Sheathing •
Siding •?D?
Outalde air Ellm . .lT •
R TOTAL Z77.0
3
Instde.air film .68
Intetior vall •?J
Of seud R= ic;:N(O,S (Ftaming) U • R -
Sheathing Z10(p
d
Si
ing
.
r--
Outstde air f11m .17
R TOTAL :5?
Inetde air film R= .68
Lnterlor vall
Ineulation (Wall ) U • R ?
z
ing ,
Extettor c+all co
Extetior air Eilm R =.17
R tU'TAL
R1M
.101 S T
tnterlor air f11m R= .68
tnsulation
lnch soft wood R=1,88 (R1m
JOISt)
eathing Z, ve'o
terior vall coverfng 4(01
Gerlat air Eilm R= ,17
R T01'AL ??. 40
•
?
U If =
? 041
terior air film R= .68
suLatlon
uhda[!on
terior air filn R= .17
F TO'CAL 1 ?? 6 I IF>
posed Hluck
3.
1
(Fdn. ) U = it =
? .
,070
CEILIFIG WITH YEPlTED ATTIC SPACE ABOYE
I R 'lALUE V UE
t FRAMIFIG CEILING
? 0.61 Air Film 0.61 '
Insulation G?? P
/ 14___??! Joist
Ceiling
0.61 Air Film 0.61
4 ZI 1 (0 Totat R 457,-7,5
? Ot'z?
1
U = R roZZ_
FLAT ROOF OR CAIHEORAL CEIL[NG '
R 4a ue R `lALUE
FRAh11NG CEIL[HG
0.61
0.11
[nside atr film 0.61
Ceiling
Joist (stu
lnsulation
Air space
Roof decking
Insulatian
8uilt-up roof
Outside air film 0.17
Total R
I
R =U
-
Jindow infiltration .5 cfm/lineal foot of crack
3esldentlal door infiltration 0.5 cfm/square foot or door and minimum code requirement .
ion-residential door infiltration 11.0 cfm/lineal foot of crack
1b 12" concr•ete block no insulation = .41 R 2.1
1b 12" Concrete block insulated cores = .26 R 3.8
1y 12" ligiit'height block = .32 R 3.1
Jb 12" lightrieight 61ock insulated cores = .12 R 8.3
J single glass = 1.13; with storm window .54
1 double glass = .55
1 triple glass = .41
AI1 exterior walls and ceilings must have a vapor barrier (0.10 perm max.).
fapor barrier must be on the inside (heated side) of wall.
)apor barriers of the polyethelene thin film have no R value.
4.
r. ?
1991 BUI APERMI A ICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL SE ALLOWED ONCE BUZLDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MIIST SHOW A LICENSED PLUMBER.
• i,? ?, i
To Be Used For: fp ]0-sC-mValuation: Date: ('}
Site Address
Lot /,5- Block _Q
Parcel/Sub 001 AA &
ppu ? ?
Owne r K o rl 9- I o.m 7 r?v 2r
Address _ 4Is7 p1 llkKC1 aSP Wnw
City/Zip Code
Phone 6 p$" ? J y 7
Contractor s,o.I
Address Scx-'Yl P.
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
OFFICE USE ONLY
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth °
S.F. Total
Footprint,S.F.
On site sewage_
On site well
MWCC System _
City water _
PRV
Booster Pump _
APPROVALS
Planner
Council
Bldg. Off
Variance
lo ' L9/DS
FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/w Pezmit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Treil Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL ?
6Z 7 'e? agrees that all work shall be done in accordance with
(Signatupe Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
CTTY OF EACAN
3830 PILOT RNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
vpgBtp;.'.???
? ......
FOR CITY USE ONLY
PERMIT #
RECEIPT #
DATE: LP ?
PLEASE COMPLETE' UPPER PORTION ONLY FOR SINGLE FAMILY
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST _
ADD ON 1--
REPAIR _
OWNER NAME : R O r1 ?! 0.YY1 f A VCl
SITE ADDRESS: ?I5--7a oqK G0.Se_ "Y
IAT:? 15- BLOCK -a- SUBD. (
INSTALLER: 50-riI e? 6W Il Pl')
ADDRESS:
DWELLINGS &
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00 1 .OO
? SHOWER 3.00
? WATER CLOSET 3.00
BATH TUB 3.00
? LAVATORY 3.00
_ KITCHEN SINK 3.00
LAUNDRY TRAY 3.00
_ HOT TUB/SPA 3.00
WATER HEATER 3.00
, FLOOR DRAIN 3.00
GAS PIPING OUT.
_ (MINIMUM - 1) 3.00
ROUGH OPENINGS 1.50
? OTNER We,'F 8-J
WATER SOFTENER 5.00
_ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
SUBTOTAL S
ST. SURCHARGE .50
TOTAL: $ 6?O
'?'?MMEkCr?tL?!].`E11?II?aT&LAl:; PLEASE COMPLETE THIS YORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME: .'SITE ADDRESS:
IAT: BLOCK - SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHON6
FOR:
CITY OF EAGAN
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1% $_
STATE SURCHARGE $_
TOTAL: $
(SIGNATURE)
CITY:Eo-l'it) V\ 2IP: S3-ja3
?0.G
?
1990 HIIILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCNITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET DF ENERGY CALCDLATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
_# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
?ESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For. pe-c-L Valuation:
Site Address yZ],7 Oo,K ClrcP ti?o?v
Lot JE Block o Parcel/Sub
Owner Eryn I cA? P
Address y ?7r? no,k Lsr- v
City/Zip Code ??T Jv(J? S'SjZ?
Phone
Contractor
Address
City/Zip Code
Phone
Arch./Engr. S
Address ?_
City/Zip Code
Date:
?
OFFICE USE ONLY
FEES
Occupancy
Zoning
Actual Const Sldg. Permit
Allowable Surcharge
# of stories Plan Review
Length 12, X 15to SAC, City
Depth U x ;1-C SAC, MWCC
S.F. Total Water Conn
Footprint S.F. Water Meter
Acct. Deposit
On site sewage_ S/W Permit
On site well _ S/W Surcharge
MWCC System _ Treatment P1.
City water _ Road Unit
PRV _ Park Ded.
Booster Pump _ Copies
SUSTOTAL
APPROVALS Penalty
-
PlanneY ?
TOTAL
Council
?l
f
A
.
o
o
Bldg. Of
Variance
Phone #
.. >
*ECE(VED Ju? 5 19
90
.iLil?c , 1993
Fir. Eru-_e Riien
City or Eagan
GtlytnEei-3nA Dep8.rt:'iie't;',.
3=30 FilUt E`'.iliib y{oid
Eagan. Mlv 55122
i7C.'S1' il"iSt"E:
At pei uui' phunc Co1"r`JgrSEatiuny r2gnfdit1g the nEr0T1d8T-Y
tlx'altlage e33ement Gii L'ut 15 Hir_.c1,_ 2 ?-1ift Rii3qe. A5 the
humeowner, I wili not cnanr;e the natural topography of the
land nor wiit i harm any natural druinage fiow d_-ross the
eaSemeCiC. Wrtat i5 CicCEsSaf'r tO 3d1, u dNck ?C the
structure, is to piace a o x 6 deck post in the u?.?}:Fr
ri.ht uaYnEi ui the ea5cmenY. The ..u3t W111 have u Slush
cznent iootfng with L-olt annd tin c4p. lhis pust wili lri
r;u wa•r arfer_t the natu;al drainage across the easement.
Th31"il; YUll I`u7- ;'uliY- helj? 11l Y'esu1V1ng th15 s1tUettlull.
}'{un FSJC
4572 Ofi}; L. h'ci 5 c Wdy
F4?an, Mrv =_.=,123
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o d' ??i ,q'? fl H-uvSE N A
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16.0g r?3
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? i /? r P x r29.Oa:!.
• „
? ?o?
q
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a°,f;:
192c? ?. io
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Scale: 1" = 30'
0= oga o6' 38" ? N 89° 50' Zto"? ?l, /
R= 3z5.ao, o (?
0
i M M L7 F-LO
GHASE wAY 0. A N
N
I?
? DAK -------..__°..,
nEcR°rrM. G°E Q U 8R E D
/ NEREBY CfR17fY THAT 7N/S SGPVFY P[AN AR /PEPART
WAS PREPAREO BY ME G9 UNOIfi9 MY OVRECT St19ERY/1/OW
AND TNAr! AM A AULY RfiGISTERED LANO SiLWVEIY,M
UNqER TNE GAM'S Qf' TNE STATE Qr M/NhLESOTA.
oArE S OaA' 19$9 fln Na slao
Lot g , Block 2 ,
CLIF?I?GE
Dakota County, Minnesota
Plat bearings shown
o Denotes iron monument
(ExistingJi Proposed
brondt anginaaring a rurvaying
2705 uroodo trail
buintvilla, minnaioto 55337
(612) 4351466
M3z zsz-?39
CERT/F/CATE OIF SYoYEY
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?;3 q° So ?
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? PRDPOSED n ??
? ?o ?i
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!T? V$E
I??? / /6.v? rGR2 $
r?'+?? 8 s??9g
?? ? ?,DOg E1.93z.7
?....__? ..? _ . a`
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?
ti '??-;
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Scale: 1" = 30'
N
v
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M P ? v
o p
N ? „\ ? ?%A av
tiak 1A v
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DESCRIPTION
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burnivilla, minnalota 55337
(612) 4351966
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165312
Date Issued:10/27/2020
Permit Category:ePermit
Site Address: 4572 Oak Chase Way
Lot:15 Block: 2 Addition: Cliff Ridge
PID:10-17800-02-150
Use:
Description:
Sub Type:Reroof & Windows/Doors
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Windows/Doors: If altering the opening size, a framing inspection is required.
Valuation: 10,000.00
Fee Summary:BL - Base Fee $10K $191.75 0801.4085
Surcharge - Based on Valuation $10K $5.00 9001.2195
$196.75 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 -
Else L Obermeier-smith
4572 Oak Chase Way
Eagan MN 55123
(651) 927-9084
Schmidt Roofing Inc
3509 West Highway 13
Burnsville MN 55337
(952) 888-4889
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA167665
Date Issued:03/25/2021
Permit Category:ePermit
Site Address: 4572 Oak Chase Way
Lot:15 Block: 2 Addition: Cliff Ridge
PID:10-17800-02-150
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Else L Obermeier-smith
4572 Oak Chase Way
Eagan MN 55123
(651) 927-9084
Milbert Company (culligan)
1801 50th St E
Inver Grove Heights MN 55077
(651) 451-2241
Applicant/Permitee: Signature Issued By: Signature