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4514 Oak Leaf Cir' CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RLCEI V ED FROM AMOUNT $ J. 1 ak DOLLARS foo ? CASN D CHECK FOR .. ff r: . f : ? X-:: RUND CODE AMOUNT ? •?+ , .. . `,? r I- _ . , ? T7 Thank You ., BY ,o ?}58q iA ? J 1 White-Payers Copy Yellow-Posting Copy Pink-File Copy ,- BUILDING PERMIT Tw lu urd i,u . .. ', CITY OF EAG/lN 9796 PilW Knob Road Bogea, MN ss122 N° 5127 PHONEt 461-8100 Receipt # _ '. " -r-• Est. Value C Site Address "' Mlq c-JaK-LeaL C1xC10 Lot Block ? Sec/Sub. C!12-9 ""7P-x' 4t?'1 i,: ?• . . Porcel # •,I W I Nome 3 Addre: 0 ' Name Zo Addro; Nome Address ..y,l i r.? fw. T?t• r_ I Erect ? Occupancy ni I hereby acknawledge that I have read this opplication and state that the informotion is correct ond ogree to comply with all applicoble State of Minnesoto Stotutes and City of Eogan Ordinances. Signoture of Permittee Alter ? Zoning Repair p Fire Zone Enlorge ? Type of Const. Move Q .? Stories Demolish ? Front ft. Grode ? Depth ft. Aooro vols Fees Assessment Water 8 Sew. Police Fire Eng. Pianner Councii Bldg, Off. APC Permit ' Surchorge ' Plon theck SAC ' Water Conn. Water Meter - _ < a -l t! y , Total A Building Permit is issued to: ' on the express condition that oll work sholl be done in occordonce with all applicable Stote of Minnescto Stotutes nnd City of Eogon Ordinances. Building Official I ' AI Pwwit ?j peb luwa prwiMr Plumbing . -,313 29 31 0- - Mechanitol INSPECTIONS DATE INSP. Rapirln Find Footings 9 Dota Imp. Date Irop. Foundation Plumbing Frame/ins. Mechonical Final Remarks: f'y"v' 1??/?l?G'P?OI'? mf ?(ip?1" S?IO?O f"rT cot?.npy 1oosTs •4- Se?ra? p???ps ?F IPi nn J o jtT l/sv?a or- ? CITY OF EAGAN N 0 132$7 ? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE• 454•8100 BUILDING PERMIT ? Receipt # To be used ror ADDIT?O:til Est. Value $33,000 Date 'UNRCLI 2 .19 87 Site Address 4 514 OAIC L EAF C I R Erect ? Occupancy Lot 2 Block 1 Sec/Sub. CHF:S iSAF{ 4Tc3 Remodel ? Zoning Parcel No. Repair ? Type of Const Addition $}? No. Stories ¢ Name t'1R & I'1RS HOKNER Move ? Length = Demolish ? Depth ; Address Int.lmPr? S Ft ? City Phone Install ? Q Water 8 Police _ Fire - 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 Cjtx of Eagan Ordipanc . Signature of Permittee ``.? ?'• ?( A Bullding Permit is issued to: COVFiaANT CUtJS'I' all work shall be done in accordance with all applicable State of Minnesc Bldg. Var. Date ' Permit -?zy u • 1 u Surcharge 16.50 Plan Revie4 2 0. 0 5 SAC Water Conn. Water Meter Road Unit Tr. P I. Copie Total • 6 that Building wrmn No. P.rmn Had.r o.t. roi.pnone +? Plumbinp M.V.A.C. ElettNc /??? `?., '?c • . '' t ?5 sr? ??'-G?' Irupectlon Dab Inap. Commanb FooNngs l y Footinys 11 Foundafbn Framiny ? Q Rooflnp Rouqh Plbp. Rouyh Htq. Iruul. ? Finplacs ;hplf-7 Find Hly. Final Plbp. Bldg. Fi?al CeA. 0ec. y o f ? L? Deck Fty. Dack Frmy. We11 Pr. Dbp. IT ' PERM # `¦ MECHANICAL PERMIT - CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ?CT PRICE: t,? ? PHONE: 454-8100 ? Site Lot. m Name _ 7ia Address c City Name ? - L <•-- -:;- Address 7 ` , TYPE OF WORK Foroed Air M BTU Boiler M BTU Unit Heater M BTU Air Cond. M BTU Vent. CFM Gas Piping Outlets # Other BLDG. TYPE WORK DESCRIPTION Res. New As Mult Add-on Comm. Repair Other FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 (fiES. HVAC INCLUDES A/G ON NEW GAS OUTLETS (MINIMUM - 1 PER PERMIn COMM/IND FEE - 1% OF CONTRACT FEE • APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 REMODELS MINIMUM COMMERCIAL FEE STATE SURCHARGE PER PERMIT (ADD $.50 S/C IF PERMIT PRICE GOES ' '- BEYOND $1,000) 1.50 EA. - 12.00 - 20.00 - .50 FEE -? S/C: SIGNATURE OFPERMITTEE TOTAL: ? FOR: CITY OF EAGAN CITY OF EAGAN 3795 Pilot Keob Rood Eagan, Minnesofa 55122 Phone: 454-8100 F::?7VI-1" PERMIT Date: rJ'^1rS'79 Site Address: 4514 OHk1E]Eif CirG1E' _ I (l2es N3Y' 4t1 Lot " Block " Sub/Sec. _- C!C[?'I'ICN Aat RODUIRM No. 1431 Receipt No.: 1407' Single Residential Multi Res., Comm. / I nd. I Name rrt-)ile'*bm Builders New/Alter./Repoir 3 Address '" ??"6 f?C?lyokry" L3I'YE" Cost of Installation O City 1'??,? V?i? Phone: 4?4-697? Permit Fee ?n•?? Nome t?'?'? "??? Surchorge ? 5~ . ? Address e 0 V i.. - ,? _ . • - ,? , City Phone: - Total This Permit is issued on the express condition that oll work shall be done in accordance with oll opplicable Stote of Minnesoto Stotutes ond City of Eogon Ordinonces. Building Officinl CITY OF EAGAN 3795 Pilot Knob Road Eaqan, Minnesota 55122 Phone: 454-8100 PIIBIlM Dote: ?23-79 Site Address: ? Lot ? PERMIT 4514 Oaic Ieaf CLrc1e 1 Biock _ Sub/Sec? ?r 4? Name `Ibllefsa[I Illilder8 ? 1.3816 Hblydce °e Address ? V?? City ? ? Phone: c'?nz?Ft??ran Name . Addreu ? 4? 45 So. Rol-)? ''Y'ati t 0 V . C;'X*_rt-•:;?;- e+^^ ? 1 'i City Phone: This Permit is issued on the express condition that oll work sholl be Minnesota Statutes and City of Eagan Ordinances. No. 1352 Receipt No.: 14138 Single I Residential X Multi Res., Comm./Ind. I t3ew New/Alter./Repair Cost of Instollotion 20.00 Permit Fee .5? Surchorge Total done in accordonce with all opplicable State of Official INSPECTI4N RECORD CITY OF EAGAN PERMIT TYPE: "? t?? r t++? 3830 Pilot Knob Road Permit Number: Eagan, NFinnesota 55122-1897 Date Issued: ' (612) 681-4675 . SITE ADDRESS: APPLICANT: 1C,1 4 liAk i f'Ar G1J I'IfF ti FfAR 41N PERMIT SUBTYPE: TYPE OF WORK: „ . D, 7 Pertnit No. Permit Holder Date TBlephona N ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments F40TiNGS FOUNO FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE ?vv FIFEPLACE AIR TEST !( ?? FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL 65MT R.I. BSMT FINAI DECK FfG DECK FINAL . INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITEADDRESS: APPLICANT: ?'. 1 .s 1 1 o i t t r'?f ? tlt I:c i,. „ I L 11 ? Ili ', MAV' a t it f t.1:? 1 4151 68 15 ? PERMIT SUBTYPE: TYPE OF WORK: nLrERn i i c,M iii l,rAc fr•i ttiN ( isaY w) N1101..11;IIjTNii? INSPECTION .. . .. . , ?i i r,,, • ?,???,,. ? ? , ? ..,. F L ? Permit No. Permft Holder Date Telephone # SNV PLUMBING HVAC ELECTRIC ELECTRIC Inspectbn Dets Insp. Comments Footings I Foundation Framing Roofing Rou9h PIb9• Rough Htg. Isul. Fireplace Final Hig. Orsat Test Final Plhg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bidg. Flnal Deck Fig. Deck Final Well Pr. Disp. ?0.2, 9s rn? v Vlpl? - CITY OF EAGAN Remarks Addition S T Lot 2 Rlk I Parcel 10 17103 f120 01 Owner street 4514 Oak Leaf Circle state Eagan, NIIV 55123 ' Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK SEWER LATERAL -164, __ WATERMAIN WATER LATERAL gpg. WATER AREA 3 j Services • . i?- g ;-t) - -- STORM SEW TRK STORM SEW LAT _19$O.- 525. __...35504--° -15^-' CGO S 3 G fhv CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 270.00 13581 3-14-79 9UILDING PER, #5127 SAC PARK cInr oF EAwN WATER SERVICE PERMIT 3795 ?ilot Knob Roud PERMIT Np.: Ea,wn, MN 55122 DATE: "Loning: No. of Units: Owner: ? i ? "; ?• ? • <r Address: Site Address: ? i - - - - Plumber: Meter No.: Connection Charge: ' Size: Account Deposit: Reader No.: Permit Fee: I agree to comply wlth the CiFy of Eogon Surtharge: Ordinances. Mist. Charges: Totul: By Dote Poid: Dote of I nsp.: _ I nsp.: CITY OF EAGAN 8795 rflot Knob Road Eogon, MN 55142 Zoning: _ Owner: -, Address: Site Address: Plumber: 1 egeee to eompFr wiM the City of Eogan Ordinances. By Dote of Insp.: I nsp.: SEWER SERVICE PERMIT PERMIT NO.: DATE: No, of Units: Connection Charge: _ Account Deposit: Permit Fee: ? Surcharge: Misc. Chorges: Total: Dote Paid: ciTr oF EAcaN 3795 Pilot Knob RandEagon, PHONB: 4548100 BUILDING PERMIT APPLICATION MN 55122 N? 5127 Receipt # - '1- 7 -g To be uaed for SF Be71g & Garag2Est.Value 57,000. _Dote 3-14 , i9'4.._ 4514 Oakleaf Circle E a oncy Occu R3 Site Addreu re ? p M h 4th Alt ? Zoning Rl Lot 2 ar es _ Block 1 Sec/Sub. C er 10 17103 020 Ol Repair ? Fire Zone 3 Parcel ?j Enlarge ? Type of Const. V Numa Bruce Horner Move O #$rories c z a Addmss Demolish ? Front 58 n. 26 ? ° Grade ? ?P? fr. Ci Phone Annrovals FeM w Nume 1VL1C1.7V11 n?.uw.a. oG q?re? 13816 Holyoke Iane ?w?^t - P.pple Valley phone 454-6873 ware? a Sew. Ci Police - tw Nome Fire x? Addrew Eng. <w Ci Phwie Planner - Council _ I hereby acknowledge that I have read this appNcation and state that Bldg. Off. _ the infortnation is correct and ogree to comply with all applicable State of Minnesota Statutes and Ciy of Eagan Ordinances. AP? Signature of Permittee - A Building Permit is issued to: all work sholl be done in acco Building Official Permit ?•w_ Surcharge 28.50 Plcn check 75.50 SqC 525.00 Wcter Conn. 270.00 Water Meter , 60. 00 Road Unit 75.00 7orol 1,185.00 CZPS3 on the express condition ihot State of Minnesoto StMUtes and City of Eagan Ordirwnces. CITY OF EAGAN " 3830 Pilot Knob Road, P.O. Box 21-198, Eagan, MN 55127 N a 13287 BUILDING PERMIT PHONE:454-8100 Receiptp ?1111. 7obeusedfor ADDITION EstValue $33,000 pete iNARCH 2 87 4514 OAK LEAF CIR Site Address Erect ? Occupancy Lot Z Block 1 Sec/Sub. CHES MAR 4TH Remodel ? Zoning Parcel No. w Name MR & MRS HORNER 3 Address 0 Ciry Phone o Name COVENANT CONST $a Address 7716 67TH AVE NO : c;ry BROOKLM„PR 535-5101 ?? w W Name •- z ? a Address z a w City Phone I here6y acknowledge fhat I have read this application and state that the information is correct a tl agree to comply with all applicable State of Minnesota Statutes a of Eagan r?an Signature of P itt e?L?„ryL?? A Building Permit is is ued to: COVENANT CONST all work shall be done in accordance with all aoolicable.6tate of Minneso Repair ? Type of Const. Additian g}C No. Stories Move ? Length Demolish ? Depth Int. Impr. ? Sq. Ft. Install ? AoProvals Fees Assessment Permit +Z?G 4 U. 1 U Water & Sew. Surcharge 16 . 50 Police PlariRevie4Z0.05 Fire SAC Eng. Water Conn. Planner Water Meter Council Road Unit Bldg. Off. Tr. PI. APC Parks Var. Date Copies Totai $376.65 on the ezpress condiiion that Statutes and Ciry of Eagan Ordinances. Building Official Minnesota StateBoar of Electricity iversity Ave., St. Paul, Minn. 55104-Phone 645-7703 ES3 FOR ELECTRICAL INSPECTION CHECK BELOW WOItK COVERED BY THIS REQUEST -7 i? 'R 66296 Type of Building New )edd. Rep. Check Appliances Wimd Fo Check Fquipment W'ved Fo[ Home - ? ? Range Tempoiary Wving ? Duplex ? ? WateiHeatei LightingFiacluces Apt. Bldg. ? ? ? Dryer ? Electric Heating ? Commercial Bldg. ? ? ? Fumace Silo Unloader ? Industrial Bldg. ? El ? Air Conditione ? BWk Milk Tank ? Farm+ ? ? ? List (?(, ? thers#? List thers? Other. 0 0 0 R ere R ere COMPIITE INSPECTION FEE BELOW Service nttance Size: 0 m 100 Am s. # Fce Feeders&Subteed Fee C'vcuits: 0 to 30 Am eres # Fce 101 to 200 Amps. MR 31 to 10 0 Am res 4 Above 100 Amps. 1 Transformers Si ns Minimum fee SS.00 Remarks ?y? ? ,/ r // TOTAL FEE ? l, the Electrical Inspector, hereby cg'ytfbk-Mat 044if64jh1p&aon has been made. ?{• o0 (Rough•in) Date ..1-? (Final) Date This request void 18 months from • 7'his request xoid 18 months from ?6 ?/?,?/7y 66296 Date of this Request I, as C7'L' ensed Electric ontract ?O er, do hereby request inspection of the above electri- cal wiring installed at: L Z a 1 Cto Street Address or Route No. 71 Section Township Range County Which is oceupied Is a roughin inspection required on t'<o-,b? No ? Y??? ? Ready Now ? Will Oe?rt? Power Supplier ddress Electrical Contri¢??t?.. ? ?? ? ?n+?+ si A ' 'License No. _ Mailing Address ??"C' vALi+L'C Authorized Signature Phone No. (Eiectrlcal Contractor or Owner Makin9 This Installatlon) S5???j (2 ????? ???? This in:peetion request will not he accepted by the_ ?? ?? ?, State Board unless proper inspection he is endosed. This reauest void 18 nwn[hs fmm C 17 4 9 7 /-?. & ??- 7v731- `l U1 ?/oC& / '??o. Do Nequest Uate ' Fire No. Houph-in Insaection Required7 ?fleady Nuw ?II Notify InsPec- es ?No ?or When Ready censed Electrical ConVactor I [i"-' I hereby sQ est mspectioaboi ebova ? Owner elactrical work installed at 4? j Sveei Address. Box or Boute No. City ?- D - c? t2 ? c ? eclion o. Township Name or No. FanBe o. Counly a OccuOnnt (PRINT) Phone No. Cciu iv ,u ,vs i _ <0 53 - Power Supplier A4S?Qc) - ?t ZO P s7' (.L?t???$$I ? A i9 L Electrical Contractor (Company Name) Contrnctor's Licensa No. i5Fxc-?0 E:-?ce?7e(e Z-!oo v Mailinp Atldress IConVactor or Owner Makine Inslailalionl Authori S' turet ctod0 ner Making Installation Phone Number r ? $ 30-13 MINNESOTp q7{ gOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griqgs-Mid ay'41Ag. - Xoom N•791 gE ACGEPTED BY TME STATE BOARD 1821 UnivaraitY Ave., St. Peul, MN 55104 UNLESS PROPER INSPECTION PEE IS Phene 18121 297.2111 ENCLOSED. REQUEST FOR EIECTRICAL INSPECTION EB-00007-04 ? See instruc[ions for tomoleting this lorm on beek of Yellow Coov. 7/_ :;_1 4, 1 497 "X" Below Work Covered by 7his Request '1 ?°JQO TVPe of OeNQing ` ADCliancea Wiratl EquiVment Wirad Home Range Temporary Service Duple,z Water Heater Lightiny Fixtures Apt. BuilAing Dryer Electric Heatin Commercial Bldg. Fumace Silo Unloader Industrial BIAg. Air Conditioner 8Ldk Milk Tank F- Other Oeci y .t e.r ISOorifyl w p Fee ServiceEMrenceSize M Fee Faxdera/5ubfeetlers N Fue ' Circuits 0 to200qm 5 0 to30Am s 0 to 30Am s Above 200 qmps. 31 to 100 qmps 31 to 100 Am Swimming Pool Above 100_Am s Above 700_Am s Transtormers Irrigation Boorri5 Partial.'Other Fee Jigns 1 I IZ>UecialinspecLOn ?r?? ?, oc r?? iv,} .r?-ri..?.. - - ...? . .,y ? ,f" . P ( J3".. flouBh-in ( rite I, the Electri?al Inspectoq hereby Final oxte ceriify that <he above V7r inspection hes Leen J/kiZZ mada. fhMrepueatvo101BmontM(rom (/ - j`aTAL 5-3,-Y-u REQUEST FOR ELECTRICAL INSPECTION ee-ouuot.oa kIM II, Sea instruetiens for comDletiny this form on beck of yellow copY. (?, / .? ? 96 "X" Below Work Covered by This Request Tvae of euildine Auoiiunces wired Equiument Wi.ad Range Temporary Service Water Heater Lightiny Fixtures yer Electric Hoatin rcial Bidg. Furnace Silo Unloader ial Bldg. Air Conditioner Bulk Milk Tank tner pe.r.i v t er Isoer.ifvl ueci y thor ? pther ompu[e lnspection Fee Below # Fee ServiceEniranceSize H Fea Feedars/SUbteaders N Fee Circuits U to 200 qm s 0[0 30 Am s D to 30 Am s Aove 200 qmps 31 to 100 Amps 31 to 700 Amps imming Pool Above 100-Am s Above 100_P.mps Transtormers Irriga[ion BooMs PartiaL'Other , e Signs SUeciallnspection 'n S neme.ksT .n n . C _ ! //!I •"'• ? 70TAL F E/? ? Nouph-in Date I, tha Elecirical Innpector, here6y cerli/y that the ahove Final o;'??inspection has been • S V% metle. mle repuest voltl 18 monthe trom ,3js/87 9 6 ,? ? ai 5/-?? //& oc ire No. Nough-in Insper.tion flepwretl? 3? ?iteady Nuw [] Will Nntify, InsDec- ?YOS No [or When ReaOy Licensed Elecvical Contractor 1 hereby reQUast insvee<ion of abova Owner electrical work instelled et: Address. Boz or or MINNESOTA yq BOARD OF ELECTRICITV THIS INSPECTION qEQUEST WILI NOT Gripgs•MidvY ldB• - poom N-191 BE ACCEPTED BY THE STpTE BOAflD 1821 Univeraity Ave., St. Peul. MN 66104 UNLESS PPOPEH INSPECTIDN FEE IS Pn...o 16121 297-2111 ENCLOSEO. RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 NewConatmction Reauirements • 3 registered site surveys shovring sq. R. of lot, sq. 8. of house; and II roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam 8 vnndow sizes; poured found design, efc.) • 1 set of Energy Calculations • 3 copies of Tree Preservafion Plan'rf lot platletl e$er 711193 • Rim Joist Oetail Options selecUon sheel (6Wgs with 3 or less uniis) DATE ? SITE ADDRESS TYPE OF WORI APPLICANT C/X5'! S5 e iULTI-FAMILY BLDG _Y FIREPLACE(S) _ 0 _ 1 _ 2 STREET ADDRESS /v ?S ?/J??c?/! lP ?i•.e CITY Us? STATE?LIP S'? TELEPHONE # §!??2 - 4CF-3r CELL PHONE # FAX # PROPERTYOWNER 17d14i/eZ- TELEPHONE# COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RLTLES 7670 CATEGORY 1 MINNESOTA RLiI,ES 7672 (J submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includes: Mechanical Contractor: Mechanical system includes: Sewer/Water Contractor: Water Softener _ Water Heater No. of Baths Air Conditioning Heat Recovery 5ystem I hereby acknowledge that I have read this application, state with all applicable State of Minnesota Statutes and City of E( Signature of OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ RemodeVReoair Reouiremenb • 2 copies of plan • 1 selof Energy Calculations for heated additions • 1 sAe survey kr e#enor additions & dacks • Indicate'rfhomeservedbysepticsystemforaddit+ons VALUATION ?vUJ r _ Phone # Iawn Sprinkler No. of R.I. Baths Phone # Phone # Fee: $90.00 Fee: $70.00 ?n is correct, and agree to comply I AU6 15 200Z ? Not Requ'ff d _ i''v ?. _ ?.,- ed 4192 OFFICE USE ONLY ? 01 Foundation O 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 01 of _ plex 0 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multl ? 05 03-plex 0 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. O 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' [3 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundakon 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 Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector r,zrv aF fAraN CASHZEF(: t<,:; TERMINAI. N0: 60 L1A7E: 12/19/97 T:I:MC: 0:39:27 ITl r, N4fMEr, MfAST1=R GFlS FITTER INC 3210 3001 450 OAF. LEAF C 50.00 205 9001 404 OAK I..EAF C 0.50 Tokal Receipt Amount,: 50.50 Cf,(]f34 64 0 USEfi ID; JAN ? Cao P oC?F ?„'4GAN Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: B U I L D I N G Permit Number: 031295 Date Issued: 12 / 19 / 9 7 SITE ADDRESS: 4514 QAK LEAF CIR LpT: 2 BLOCK: 1 CHES MAR 4TH P.I.N.: 10-17103-020-01 DESCRIPTION: (Gns) rmit 7ype FIREPLACE G? Type NEW 434 AL7. RESIDENTIAL REMARKS: ? ?" °?"?; ?"? ° ? .Aa ?? ? FEE SUMMARY: Base Pee Surcharge Total Fee r $50.00 $.50 $50.50 CONTRACTOR: - ppplicant - MASTER GAS FSTTER5 INC 17708691 2240 SHAWNEE DR N ST PAUL MN 55109 (612) 770-8691 APPLICANT/PEfiMITEE SIGNATURE OWNER: HORNER BRUCE 4514 OAK LEAF CIR EABFlN. MN 55123(612)454-3527 LS M 14 SI .0AT R ?11/ ? ?)0 ? CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1997 FIREPLACE PERMIT APPLICATION 681-4675 1311" DA7E: 7 DESCAIPTION OF WORK: STREET ADDRESS: _ LOT I BLOCK _ CONSTRUCT rTFW FIREPLACE _ INSTALL GAS INSERT ONLY _ INSTALL GAS LIIVE ONLY OTI-IER: s SUBD./P.I.D. #: PERMIT FEE: $50.50 _ ALTERATIONS TO EXISTING cLC' APPLICANT: (circle one only) OWNER ( CONTRACTOR 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. PROPERTY OWNER FIREPLACE INSTALLER GAS LINE INSTALLER Name: ? J-fr?2.? 8/2- )B 12L/z ? Phone #: Signature: Street Address: C.'.j,?e-L£ City: State: Zip: Company: -5V 1?S Phone#: ??7v_dZ Signature: Street Address: c?--- y v 5A4--,'w f'? D2 License #: City: X) S 1-9 State: Zip: Company: 9AA?-L °/ Phone #: Name: Signature: Street Address: City: State: Zip: ; ? OFFICE USE ONLY BUILDING PERMIT TYPE 0 14 Fireplace WORK TYPE 0 31 New o 33 Alterations 0 32 Addition o 34 Repa'v GENERAL INFOI2MATION Census Code. 434 SAC Code Ol REA7ARKS Chimney/flue must be inspected before concealing. J ? CITY.fOF EAGAN 38S0 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT PERMIT TYPE; Permit Number: Date Issued: G??'?i-7 -?-3 ? BUILDfNos?y? 024674 1e/es/eu SITE ADDRESS: P.S.N.: 10-17103-020-01 4514 OAK LEflF CIR LOT: 2 BLOCKs 1 CHES MAR 4TH DESCRIPTION: la // ? 7 ? tJ ?`?t ``.?:?) ' Ef -11 ? ? REMARKS: FEE SUMMARY: VAIUATION Base Fee Surcharge Total Fee (BpY WZNDOW/SIDTNG) ldin?g;.'-,permit Type SF (MISC. ) 1t11trg 48?C.k Type ALTERATION $41.00 $.90 $41.90 $1,800 CONTRACTOR: - Applicant - s7. Lxc. OWNER: BEISSEL WSNDOW & SIDING CO 14516835 0006453 HORNER BRUCE 153 E THOMPSON AVE 4514 OAK LEAF CIR W ST PAUL MN 55118 ERGAN MN 55123 (612) 451-6835 (612)454-3527 S hereby acknpwistltje thaC Z hlve read this anformatian is correet artid agree to camply 5tatute-s and City of Ea Ordi nces. L APPL T/? RMI SIGNATURE a.pp2ication'and state that the wiCfi all applicable SCate of Mln. ,?at? dJ?, rn? ISSUED 6 SIG TU ? INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: 024674 Eagan, Minnesota 55123 Da[e Issued: 10 / 0 5/ 9 4 (612) 681-4675 SiTE ADDRESS: Lo T: 2 BLn c K: i APPLICANT: 4514 OAK 1.EAF CZR BEISSEL WINDOW & SIDING CO CHES MAR 47H (612) 451-6835 PERMIT SUBTYPE: TYPE OF WORK: SF (MISC.) ALTERA7TON OESCRIPTION (BAY WINDOW/SIDTNG) INSPECTION FRAMING „ . ROUGH IN PLBG ,. ROUGH IN HTG FINpL F .. . L \ t`. t ? f i , ?; . , . . , ? ,. KCH6IlYRIL _ PERh!IT # I 14L14 vj I r vr cr?%.ir?n 19ft BUILDING PERMIT APPLICATION 144 681-4675 -w, oQ SINGLE 8 MULTI-FAMILY 2 sets of ptans, 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 thange is requested once permit is issued. ? b Date !L) Yaluation of work 0000 -'' Site Address: Osax lsAr- Cir -SL? - STREET SUITE M Tenant Name: (commercial only) IAT ? BIACK SUBD. ?"?v ? P.I.D. M r,??? Descri tion of work: The applicant is: O Owner Contractor ? Other (Deccribe) Name 40 rne..t Phone r-15q -_1SZ7 Property L.ST FIRST Owner qddress y'S I'-4 pq r_ (zur- G;cc,\4t.- STREET . S7E X City EA&ar, State MN ZipSSlZ3 _ Company Phone C011tPaCtot' Address License #?o4S3 ExpA3/ I_S City W• S? State r`'4J Zip -wr IR Company Phone Architect/ Engineer Name Registration N 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 information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. / Signature of Applicantc ??4?i z OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation 13 02 SF Dwg. O 03 SF Addition ? 04 SF Porch O OS SF Misc. woR?c rrPE ? 31 New ? 32 Addition ? Ob Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'1. ? 33 Alterations 0 34 Repair .. . . ? .. ?. , O 16 Basement Finish . ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Camm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 11 Apt./Lodging ' O 12 Multi. Misc. ? 13 Garage/Accessory ? 14 Fireplace ? 15 Deck ? 35 Tenant Finish ? 36 Move GENERAL INFORMATION Const. (Actual) SAllowable) UBC ccupancy Zoning B of 5tories Len9th Depth APPROVALS Planning Engineering REQUIRED INSPECTiONS ? Site ? Wallboard Basement sq. ft. lst F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Uariance 0 Footing ? Final ? Framing O DraintSle ? Insulation ? 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: 5AC % SAC Units Yalwtim: $ D 37 Demolish MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Assessments 240•IU+ 16•50+ ?r? i2U•U?? \ 376•67* . ? 3 Zt7 7987 BUILDING PERMIT APPLICATIOH - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLIIDE 2 SETS OF PLANS, 3 CERTIFICATES OF SUItOEY, 1 SET OF ENERGY CALCOLATIOAS NOTE: ADDRESSES FOB GOEHER LOTS - CONTRACTOR/HOMfiOiiNER MUST DESIGHATB WHICH ADDRESS IS DFSIRED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSQED. M[TLTIPLE DFTELLINGS - R&SIDENTIAL RENTAL OAIT3 FpR SALE OBIIYS INCLUDE 2 SETS OF PLANS, CERTIFIC9TE OF SIIRVSY - CHECg WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COfff+ILRCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND ? / To Be Used For: LOpF1'( ..??J rif6#jaluation: -T3j 000 Site Address Lot ? Block -T On Site Sewage_ MWCC System Farcel/Sub On Site Well City Water Owner M/?-'7? /o?..?J G7fJ7/YGL'lY Address City/Zip Code Phone Contraetor ?? . Address _ _ -27(6 (g'7 ?A/E A] City/Zip Code D&Myc.Lyt)1'"J mk Phone ? &12-) s"yS S"/p/ Arch./Engr. j@-et 9ddress City/Zip Code APPROV9LS Assessments Water/Sewer Police Fire Engr Planner Council Bldg Off APC Varianee Date: 'Z7 /?/1}'/ Occupancy Zoning Type of Const (Aetual) (Allowable) lF of Stories Length Depth S.F. Total Footprint S.F. FEES Permit Sureharge Plan Review SAC? City SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOTAL 240.'- ? r.?o ?r Phone lk DATE { HU2LDIPIG PERMIT APPLICATION ` include 2 sets of pians. 1 site plan a/elevationa and 1 aet of enerqy cal?culationa. 0 - a? Zb be uaed for Site Address: Lot Block Sec. Sub. dvner (_,?72c?,ns ?? Address Contractor ? . Address o a? Arch./En9• ABdreas valuation Parcel Nwnher M Telephone TelePhone Telephone OFFICE USE Erect Alter Repair Enlarge hbve Demolish Grade OFFICE USE Date of A roval & initial Asaessment '?) . water/sewer Police Fire Eng. Planner Oouncil Sldg. Off. A.P.C. -_-- Occupancy A13 Zoning lY/ Fire Zone Type of Const. / t? of Storiea Front Depth o2 G FEES Pesmit Surcharge Plan Check 7S SAC Ftater Conn. A 74 • /J4 64iter Meter l„ () nC TOTAL 1 l 8s,?=r? 30-0 _- ?- ? ? ? ? Toilefeurn Buildere Inc. - F. C. JACKSON LAND SURVEYOR R6GISTEF6D UND[R LAWB OF STAT6 M MINN6QQTA LIC[NBED BV OROINANC[ OF CITY O? MMN[APOLIS 3616 easr saTH sTReEr 55417 bnrbepor'g QCettificate ? ? ?^? ----- -_` --- /-s' z- I ? 727-3484 4 - ;F- zfr? Mi o=.Zror? `? ? ? ?.1 :ro,o ? m I ? d'I - -cUf-Gl.?pscme?.f +,y ryO, 1 24.33' - --?i 4 ? -?"--- -? :--? .? ti I X!R[BY CERTIPY TXAT TN! A60VE IB A TRU! ANp OpRR[CT PLAT Ow A SURVHY OP Lot 2,Block 1,Ches Mar Four[h Addition, Dako[a County,Mianeaota. A$'ARYEY[O 9Y ME TMIB ZStn:_OAY OF Feb. q ? ? ot.iosai 183-44 P<jk? .? I } cd•o ? I _. ? ? V? . 1 J?4 I j.. \ r 1 ; yi,-` ? I , ? ; ''C?' Y'??/;i ?? ?? d',.•;v?r,,,f?,,..:. . . ., ? ,;:. jF i ? s.r?r a:,ii: ? yf ? . . . p ,y4 . . . . . _ s ???3'i Phono_ ?p,94-1187 It •• . _. , . . ' . ' . . 1 _ m.y eva. . . . ; . ? . . ' ' . . .. . ,. ' ' . ti :.. . , ` ? A$ L`WtiCn%F.gQ!7 C?`' 11?s.:;?x`t;a L?_? t?.OCi? ALhD'ai'S:Cx3` ?` IldTB Bx"?a AJ:)^7_::3 . . : ?. ? Ta7 c.a;.cPuTA:ae2, LI^'i1L r?i 6i' L^[PO,S2;;3 Co TOTd?, Oq, I%?o o?' r'?OSi'') ? 10'Tµ?a v?l?o r.T-o . . . . . ?.?, . . ?Ji e .. . ' , . . . ? . . . _: ., , . . . , ' :. ..' . . . ' . j ? .' . ' .' . ::? . . .': : '. ....'. - - ' TYPL°?f[SSFrq6JT , . • ,. - '. . " t:; .... 'f =TI::`tl py ..ma P9as. TOT91. $Qo Fao C7 l`0o^.8 ('?cy'?? , Y 6 A L.t 0 C, Tl?'.?i I:; IIL.11T%C` IIi ta 7 T CT' %E>;i3Y.:9i???? ZIT CPsTjCo +'d°FiXL°FC ?, - %s.3?J?..?^_430:F ?TT LPi.pOR?J QV M---AG? esJTa L?n*xn 6':? L;XFOS1_'i I:ALI4 AAOt,'F; FItT7I 4? 07.^ 1?1:'J i'c1? i'?!i.Id,'•? e^t?! 7?.??.c',3----- --- ...:. : 7 11 CT oi1 r03 V.b; (STi.rE'.L . . . . . . . _ . . wf• :2^.i E q l' ; Y '+Tli•'6 , .??, .: . . . ..'.. , . . ' ' ... . ., 1 .., ? D"r.TAIL SQe $'P :.?2. F'f S:?• FT. 'rU^ R SQ.'PQ(TTACE ? EiP:Pi;FrEtCF, . 0 Y::IlItC3 OP'r'!lING:i, ; VALUr .? `._ ---- -- 7`?. 5+ r? ii... ..e.}. ? rl - . ..?.,....? ?.. !aI.`)S ? ti ? .. .. . lSc,s„r????_ n ^, t,r f ? ?,L ??' h(J ? 4 ? q Scy SFf)IAbI C Y .? `1 1 C?' ` ? l r -? ? l d? ? . ? J `:` ??l'I ^ . •7 L?t!sr.. in t ? ? I l ) ?M ?l l-t6C t ?5 C ? 1 - {NryF?rio?t ? ? ? R ? il 6 I,`7 ` S f ?- y h ! H y ^ t ! ....r _ r ? ?J , ?UxAL S ?v ?'. r N T T0T11, 1 3 ???oRs ? nr_.?W(m?ln ?P'iGl Z.O SI . ?.,?a.? - - _....._.----.,.?? ? S ! ? .'? cf ? a., ????..m ? m,s.-a?•..?..r ??..?.?. d?.?4_LL? ? CI ri?-"' ? ., , 1 ... ^lUTAL`a' Ci.11,I17(33 ?u a iiTA LS ' ?1C'???1?,? ??IS? ? ? ..<zssas::. ? ' .. • . ------ ------ ---- TOTAL (il) (R? VALi73: ? AUSRAC& "U11 - nTVtnr;n Br rOT1L rAr,? aai:i , ?. _. _ _ i ?P-?, il 1. : .;: -I .•,i on)c.3Lu nt?o?,? <,noae oa rz iz'?' ? 1 12 L __'_?,?/5s..A ?-?-d-' 1,7 ? T 7? s; 3 }t tII, I.lzZ •nra Gr?nt? Ax ? . ta>?,j3{?r1?<FA.1jOU??T2!>b? t ?e ._^.....?....,?«...-y. _-,... t" ? 3 I a?2 .?Ii) ,, '. al ... ? . . . . . ? ' ,- ?, ?'-•. -?-'.a-- . _ _x...?c ?a 7 <„ t A tr ...?.+a:,..1 (' i ? ` t ?-----•--.-.._......_____?r...._..?. ?_?. __I..? i ? ?? • . ? _? 7 i ? .v. arv"r?t rD t.1 p, t4n ,r9 ' ? =-?-?-^--- . .t? !?µ-•m,??._ ?1. 5.. .,,? de!'T ?.?.?? d? ?l?c_? ?n,?/s F??'? ?5.ryt?.?.?_,I?:. i y ?..m?.w.. 7! La? r ? t + :. . f lg.•' C1 R_f ` 'C Y. ' ? R 1.',? ? ?? . ToTC% jZS:r? ;wc.e-? w,rtr?`rrrs t?fi,?CCIL4 ?rJ }? - L1?o?tiE , {l f ? ?}.?,°-•-- - _..? ? ? 1? ?? 7r A)( r1 14.nV..._. Ef2 IlAwi(, I?J F' 'ow?T pF FtoVS E". ?.. ? --•- ?_ ` , ? } t_ i! ?{!11 <: ??'----.^'-• . _? s . ?? ? r ` ?.. 5.?..+.?. hl`CaL?f 3,C?f> i ; . , .,. _ _ _ ,..,. ? - , I: *' City of EaQall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: /0/ 0 9 Permit Fee: 'f% 00 Date Received: Staff: 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 7-4).7" i( Site Address: ?5/ 7 Oa- I< ��ea, e-)1 Cdt.. Tenant: PCL` G„ C>11:1€--4 G� Suite #: 1 J RESIDENT / OWNER Name: ?0(--14- % 1 Phone: /5/4' a Address / City Bk Leckt cl-c_(<. CONTRACTOR ff,,/Zip: Name: �at-+C\ ,r, L C_ License #: t' V / 3 Address: LGO L t1 Vb,.61A. %( U ci City: C -'Ly SJ e-,--- .+-tiState: State:iv Zip: Phone: 6655-D 3 a -175(0S Contact: ! t rv\ C?lPSS<e/ Email: TYPE OF WORK _ New Replacement Repair Rebuild 1NModify Spaceork in O.W. _ _ llti Description of work: 0 e-� ''r •'t < St kS � f.-)ttk4 e l �"�'C 1' PERMIT TYPE RESIDENTIAL Water Softener / Main / Lower Level) Water Heater Add Plumbing Fixtures ( Lawn Irrigation ( RPZ / PVB) Water Turnaround Septic System New _ Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) State Surcharge) FEES $ $35.00 Lawn Irrigation $55.00 Add Plumbing *Water Turnaround $105.00 Septic System $95.00 Fire Repair (replace (includes $5.00 State Surcharge) Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 (add $166.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL 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 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 t•, t rt without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approv of pl, s. x S471 Yd2' Applicant's Printed Name FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough -In Air Test _Gas Test Final City of EaQall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink r For Office Use Permit #: 10/33;96- 9 -ice i/ Permit Fee: Date Received: Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: .3 ).13,) 11 Site Address: I-111 C)0\ IC I efp( C.i rCI Q cf Unit (Odft 1 ) RESIDENT OWNER Name: ..T i + I r; r • Ol Address / City / Zip: Applicant is: Li 5Th t/ 02.1( Leo,C cd Owner V Contractor Phone: G ) G??,P C.119 TYPE OF WORK' Description of work: c, Construction Cost:•, p Multi -Family Building: (Yes / No ) CONTRACTOR Company: (3) i 0-1 to Contact: tor) L %it) 5 Address: City: ��C. fly"; r'1 State: Zip: ,�-) 3 Phone: G �' 1 Gf (D Li c3-14 License #: ac (o 3 k I Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information Portions o the information may be classified as non-public if you provide specific reasonsthat would permit the City;fc conclude that they are trade secrets. CALL BEFORE YOU DIG. CaII 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.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 ON r x Applicant's Printed Name Applicant's Signature Page 1 of 3 41u IY DO OT WRITE B LO THIS LINE SUB TYPES Foundation Fireplace Single Family Garage Multi Deck 01 of _ Plex Lower Level Accessory Building WORK TYPES New Addition 4 Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% ) Census Code r #of Units # of Buildings Type of Construction Porch (3 -Season) Porch (4 -Season) _ Porch (Screen/Gazebo/Pergola) Pool 1411 CiiirtrO//�i 4 ILO PS'S. Interior Improvement Move Building Fire Repair Repair I/6 REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water _Final Framing Fireplace: _Rough In Insulation Sheathing Sheetrock Reviewed By: Occupancy Code Edition Zoning Stories Square Feet Length Width Air Test Final Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous 64. Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant 2-o a? MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required S. Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: Footings Air/Gas Tests Final Siding: _Stucco Lath Stone Lath Brick Windows Retaining Wall: Footings ` Backfill _ Final Radon Control Erosion Control Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL qg 0 x),3 cot90)( Page 2 of 3 Use BLUE or BLACK Ink r-----------------+ I For Office Use � C' � Permit#: f��if��e( j ity of �� I Permit Fee: �5 � 3830 Pilot Knob Road j � / I Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (651)675-5694 I Staff: I �----------------� 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: ��.:: . � Name: , � � r✓ ` � Phone:��l`�� C�.!r� � �R4"��C�@tl�/�i� � � QV1[Cl�r =�: Address/City/Zip: ��! !`-�'�� L 3� ��i�, . ,4, u��: � �[ � � '. Applicant is: Owner /�,.c:ontractor Description of work: f�'� Type of Wark , ��' �- ,�..- ' Construction Cost: `=�•�,5° Multi-Family Building: (Yes /N�� %'� �q 1�''> � ��G`, ` .• ',, �� ,a Company��iG'.�---''" �� ;'I�'��' r/j'C �� ontact: �o�r�t Gf?11'�C��t�D � Address: ��' �� /�/�//f� f'/f�''' /'�� City: ��/ .� _ ;, ��' � � �.... �,/!� ; ` State��Zip: ',S�G� Phone:��..�-:��.�f"��maiL .�� m��1 F, f°�`2:C � License#: �L'�%,7/��•�� Lead Certificate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: N�7"E P/,�ns�nd sup�Ctrtin,g d�cu�er��s m#fs� yau subrtxr�ar�cc�r��der�pt fra�e per�blie infc�rm��ivrr. f'ortions�f ; fhe rr"tfvrir�af�ar�-irt�y be-�/a�"`��`i��1��nr��= �t�li�;'��`�iiiu�r`vvr`€i��pe�f��r��s�iris�h�#'wauld permt#tl�e City ta € , �. � �� con��.t��t t�r� ��ar�trad�'secrefs. : �� 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;qopherstateonecall.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 Stat�.•8uildi,�g'Cod must be completed within 180 days of permit issuance. ,. / y� `�- .� �� „� `'°. x �+'�v�r c�/ sl��/�SG�'lX x � �` .� Applicant's Printed Name Appli anYs Signature `" Page 1 of 3 Use BLUE or BLACK Ink r_-_._____________.� � For Office Use I I ,/ � �16O1 �� j Permit#: / � G�U'7�� I Y � � Permit Fee: �� I 3830 Pilot Knob Road � I Eagan MN 55122 � Date Received: � �-j I Phone: (651)675-5675 � � Fax: (651)675-5694 I Staff: � I � 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ��]' � �'� Site Address: �� -� �C�n� ��,� � ��i{"' Unit#: � Name: �rn 1 �' 1 i^ � �� '0 ��D��°� Phone: Residentl � Owner Address I City 1 Zip: �1,� ��'� �p�� ,��„F (�1�U�� Applicant is: Owner �Contractor Description of work: ��'U��(,-� S i (� 7�yri� , �'��; � c� ��,SG ;�r,.� Type of Work � Construction Cost: ,� 9 � Multi-Family Building: (Yes /No� � � � � � Company: � ` �,Erz �f� Contact: �(na�� -� �,��} Contractor Address:�� , ��,uo�,�C N ,�� )1� city: �cz� r�;� State: IN11N Zip: ,� ) .� Phone: � } � ��,p��j��ail: br,�r) �' b��'_S i�� }�(� License#: ��V► )�� Lead Certificate#: ��{--/ If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) � 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: � i 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 classifieal as non public if you provide specific`reasons that would permit the City fo conc/ude 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.aopherstateonecall.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. _ ''r ,� , X��.Y1 .�;j`��c°Y�_S� X,��,.� � ApplicanYs Printed Name ApplicanYs Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA161875 Date Issued:06/16/2020 Permit Category:ePermit Site Address: 4514 Oak Leaf Cir Lot:2 Block: 1 Addition: Ches Mar 4th PID:10-17103-01-020 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Catherine L Sjoberg 4514 Oak Leaf Cir Eagan MN 55123 (612) 251-3397 Pella Northland 15300 25th Ave N #100 Plymouth MN 55447 (763) 745-1400 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA161875 Date Issued:06/16/2020 Permit Category:ePermit Site Address: 4514 Oak Leaf Cir Lot:2 Block: 1 Addition: Ches Mar 4th PID:10-17103-01-020 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Catherine L Sjoberg 4514 Oak Leaf Cir Eagan MN 55123 (612) 251-3397 Pella Northland 15300 25th Ave N #100 Plymouth MN 55447 (763) 745-1400 Applicant/Permitee: Signature Issued By: Signature