4522 Oak Leaf CirCASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
RQCEI V EO
FROM
AMOUNT ? I
60- / Q DOLLARS
+oo
? CASH -Q CHECK
FOR
t ,
- .,?,?? /.?!. L(?/?. • -? t-??.i • - • v ? •
rUND COOE AMOUHT
Thank You ;
, q BY -
? -? - ?-
? ?y
15125
-
White-Payers Copy ?
Yellow-Posting Cop ,
Pink-File py
BUILDING PERMIT
Te 6e usd inr -)".'.i ; -
crnr oF EAcAN
3795 Pilof Knob Ror.d Eagae, MN 55122
PHONE: 454-87 00
Est. Volue ? ? ?ta?? •
Site Address
Lot Block Sec/Sub.
Parcei # 6
oWe Name _
3 Address
0
Receipt #
Erect p
Alter p
Repcir ?
Enlarge ?
Move ?
Demolish ?
Grode ?
N2 5307
.r'
Occupancy
Zoning
Fire Zone
Type of Const.
# Stories
Front ft.
Depth ft.
Fees
Name _
Address
4EQ-1Z.44
Assessment -
Water & Sew.
Polite
Fire
Eng.
Pinnner
Counci I
Permit
Surchnrge
Plan check
5AC
Water Conn.
Water Meter
I hereby ccknowledge thot I huve read this application and stote tFwt gldg. Off.
the information is correct and ugree to comply with ull applicuble APC Totnl
State of Minnesota 5tatutes and City of Eagon Ordinances.
Signature of Permittee
A Building Permit is issued to: on the express condition that
pfl work shall be done in occordanCe with oll opplicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
,
". ,
P*nnir # Dato laued PWisMtM
PI umbi ng
Mechanicol
SI 3?10-
INS CTIONS DATE INSP• Rough-In Finai
Footing5 Date Insp. Dote Insp.
Foundotion Plumbing /p
Frame/ins. ? Q- Mechonicol
Final
Remarks:
?-?--
,
. ?
x10'"& 0
r
?
CITY OF EAGAN
r 3796 Pildt Knob Road
p ; Eagan, Minneaofa 55122
Phone: 454-8100
PERMIT
Date: ? 1 i':Z 6 7
Site Address: 4522 Oak Leaf Circle
Lot 1 Blxk i Sub/Sec.
Name CFNTUIZY 21 TI T.LCFS REALTY
e Address 2.193f :oly?k.e Ave.
3
O
City Llikevllle Phone: `169-2244
Name •, ?
'?:le Hararlar_c--
? L.r9'!"
?
?
P Address
0
V
City Phone:
This Permit is issued on the express condition thot oll work shall be
Minnesoto Statutes and City of Eagon Ordinances.
CQ[KBUSTION AIR REQOIRED
No.
Rxeipt No.:
Single I `
Residential '
Multi Res., Comm./Ind. I
New/ARer./Repoir. `Cost of Installction
Permit Fee `' ' . .
Surchorge
II Total
done in accordance with all appliwble State of
Building
!
' CITY OF EAGAN
3795 PiFet Knob? Roed
? Eo9sn, Minnesota 55122
• Phene: 454-8100
_ PERMIT
Dote:
Site Address:
Lot
4522 Oak Leaf Circle
Block 5ub/Sec. _
Name
• 2(t9?F iIOZVC`kE: P,-.-,=,
? Address _ .
T,',•??7? .
City Phone:
Tenz F????,
Nome ?
?
? 14 745 !7( ?-rt 171r7 .
? Address
e
0
u
City Phone:
This Permit is issued on the express condition that all work shall be
Minnesota Statutes and City of Eagan Ordinonces.
11/26/79
No. _
c ?' ')7
Receipt No.:
Single I
Residential
Multi Res., Comm./Ind. I
New/Alter./ Repo(r
Cost of Instollotion
Permit Fee
SurcFwrfle
Toto I
done in accordance with ali oppliwble State of
15E2
Building Official
CITY OF EAGAN Remarks
AdditionCHES MAR 4TH ADDITION Lot Rik ?'. Parcel 1? 17103 060 O1
owneT%?'??+?' ?,?!^ ,'-''street 4522 Oak Leaf Circle State Eagan, NQV 55123
Improvement date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTpR.
GRADING
SAN SEW TRUNK
SEWER LATERAL
WATERMAIN
WATER LATERAL
*
WATER AREA if if
i -
Ser
s 15
STORM SEW TRK
2-. 15
STORM SEW LAT r 15 ?C
? Y O ?51? S/ COD ?` J /01 !
CURB & GUTTER
SIDEWALK
STREET LIGHT
Raod Unit 75.00 ' ' S
WATER CONfV. 270. OO 15125 7-12-79
BUILDING PER,
SAC 151 95 7-12-79
PARK
CM' ?)F EA6AN
3795 Pilot Knob Road
Eagon, MN 55122
Zoning:
Owne r.
Address:
Site Address: •
Plumber:
Meter No.:
Size: _
Reader No.:
1 agree to tomplr with the Cify of Eagan
Ordinonces.
By
Date of I nsp.:
+o eomply with the City oF Eagan
WATER SERVICE PERMiT
PERMIT NO.:
n „
DATE:
No. of Units:
Connection Chorge:
Account Deposit: _
Perrnit Fee:
Surcharge:
Misc. Charges: -
Totol:
Date Paid:
Connection Charge:
Account Deposit: _
Permit Fee:
Surcharge:
Misc. Chorges: -
Totol:
Date Poid:
pq 10@ttY
_
:
N2 5307
I
BUILDING PERMIT APPLICATION Receipt # --) / --2 ) -
Te ba umd for SF Dwlg & Garge Est. Value 77, 000. pate 7-12 , 7979
Site Address r'?ark Strangis/4522 Oalc Leaf Circle Erect n Occupancy R3
Lot 6 Block 1 Set/Sub. CM 4 Alter ? Zoning Rl
Parcel #10 17103 050 Ol Repoir ? Fire Zone 3
Enlarge ? Type of Const. V
c Name t?'k Stsangis
Move ?
# Stories
w
; Address . Demolish ? Front 54 ft.
°
Ci Phone Grode p Depth 64 ft.
m Nome C2ritUxy 21 Ti11q2S RE31ty IriC:. Approvals _ Feaa
0
g? Address 20936 Holyalce Ave.
cMnn.si-___ 469-2144
Nome _
Address
I hereby acknowledge that 1 hav reod this eDPlication and stote that
the infortnotion is correct an u ree to mmply ih all applitable
State of Minnewta Statutesid City of Eaganrol drnances.
Signature of Permittee _J
A Building Permit is issued to:
pll work shall be done in oc?/ca
Building Ofticial `?-
cirr.oF Eac,AN
3795 PiiM Kno6 Road Eagan, MN 55722
PHONB: 4548100
Assessment -
Wo[er & 5ew.
Police -
Fire
Eng.
Plonner _
Council _
Bldg. Off. _
APC
Permit Surthorge 38.50
Plan check 90.50
SAC 525.00
Water Conn270•00
Water Meter 60.00
Road Unit 75.00
Tota1 1,240.00
on the eupress condition that
of Minnesotn Stotutes and City of Eagan Ordinances.
O
1 %on. ^`
Date of this Request ? •- ? ?j - ? ? Fire No. v 77527
1, as O Licensed Electrical Contractor OOwner, do hereby request inspection o( the above electri-
cal wiring installed at:
Street Address or Route No. y? Z Z 001AK <e.f F' G?,C?,?Lg City?
Section Township Range County 1241,--o
Which is occupied by._%n[¢/t /< % .Cl9h?g i s
(Name o? OccuOant)
Is a roughin inspection cequired on this job? NQja? Yes O Ready Now)R:? Will Call ?
Power Supplier
K? i ?3szv ?
?
Electrical Convactor £-GfContractor's License No. _
(COmpeny Name)
Mailing Address
Authorized Signature
011 /
{63-.3 ?e5 7
SU &M
This impection request will not be accepted hy ihe
State Board unless proper inspeetion fee is enclosed.
Minnesota State Board of Electricity ?
Griggs Midway Bidg. - Raom N191 yy ? EH-00001-02
'rsity Ave., St. Paul, Minn. 55104 - Phone 297-2111 ?
EST FOR ELECTRICAL INSPECTION d2?
CHECK OW WORK COVERED BY THIS REQUEST S 7 7 5 2 7
Type oi Building New Add. Rep. Check Appliances W'ved For Check Equipment Wired Foi
Nome ? ? Range ? Tempoiary Wiring ?
Duplex
Apt. Bldg. ?
? ?
? ?
? Wa ater ?
Dr ? Lighting Fixmces
Electric Heating ?
?
Commemial Bldg. ? ? ? Fu?? 481% Silo Unloadex ?
Industrial Bldg. ? ? ? ' ond Bulk Milk Tank ?
Fotrm Lis[ List
1
OIheI
?
?
? p
Hehers? p
y
Heie151
COMPUTE INSPECTION FEE BELOW
SeiviceEntranceSize: # Fce Feeders&Subfeeders: ic Fee C'vcuits: # Fee
0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eres S-60
lOl to 200 Amps. 31 to ] 00 Amperes 31 ro 100 Am eres
Above 200_Amps. Above 100 Amps. Above 100-_Am s.
Tiansformexs RemoteControlCiic. Partial or other fee
Signs Special Inspection Minimum fee $5. ? Sp
Remarks
TOTAL FEE
I, the Electncal Inspector, hereby certify that the above inspection has been ma e.
(Rough-in) Date
(Final) Date ? ? o? ?-
This request void
18 months from
Minnesota State Board of Electricity
?.1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703
REQUEST FOR ELECTRICAL IRISPEC'fION
CHECK BELOW WORK COVERED BY THIS REQUEST
/ g:;, / 79
s - i.`IYll9?1
Type oi Building New Add. Rep. Check Appliancea W ired For Check Fquipment W'uM Fm
Home 7t0 ? [I Range XEJ 41 Tempotazy W'vin
g ?
Duplex ? ? ? Wacer Heatet ? Lighting Fixtuies n
Apt. hIdg. ? 0 ? Dryer ? Elect:ic Heating ?
Commercial Bldg. ? ? ? Fumace XE] 2• 00 Silo Unloadet ?
Industrial Bldg. ? ? ? A"v Conditionec ? Bulk Mitk Tank ?
Farm ? ? ? List - List
Other ? ? ? o
?{ehe?sj 18P. 19 .XX¢. ?lhecs? .
ere 1
COMPUTE INSPECTION FEE BELOW ?
Service Entrance Size: # Fee F r's ub( ers: x Fee Circuits: u Fce
0 to 100 Am s. 0 t ? res
' 0 to 30 Am etes 2 .00
101 to 200 Amj4Q 10.00 ?+(0.100.
mperes 31 to 100 Am res
Above 200 Amps. ?1$ " 0 Amps. Above 100 Amps.
Tcansformers oteControlCira Pattialor othexfee •
Signs '-f Sial Inspection Minimum fee $5.00
Remazks TOTALFE ?j,f_oa 44•50
I, the Electrical Inspector, hereby certify
has been ma
(Final)
This request void 18 months from
This c.?est vo4?I8 months from
/(?/7T
Die af this Request 9-24-1979 S 13 6 0 ?
I, as 53cLicensed Electrical Contractor O Owner, do hereby request inspection of the above electri-
cal wiring installed at:
, a G p ? cc?.o rnOL"' 4
Street Address or Route No. 4522 Oak Leaf Ciscle cityEagan
Section Township
Range County Dakota
Which is occupied by Tillges Construction
(Name o7 Occupanq
Is a roughin inspection required on this job? No ? Yesfa Ready Now ? Will Call MK
Power Supplier Dak o ta CountY REA Address Farmington
7
Electrical ContractorO.B. Thompson El ectric Co. Contractor's License Nn4396
(COmOany Name)
Mailing Address 12201 Mtka BlV. 9 Mt4 f?343
Authorized Signature
Contractor or
This Ins,allation, 933-2521
Phone No.
SUQ?? Moo aPD
king This InStallation)
This inspection request will not 6e eccepted 6y the
Stata Board unless proper inspection fee is endosed.
14
(tprtifirtttr af Orrupttnry
Citp of eagan
igepttrtmenl af BuilDing Jnsprriimi
Thit CMrticate irrutd purtrwnt to tbt +rqairrmrntr of Sraiox 306 of tbe Utti jorm BuiJdirig
Codt tt+tif ying tiwt at the time o f icruanct tbir rt+urture wat in tompliance untb thr variont
ordinaurr of the City reguloting building conn+rution or aue. For tlx (olloudnK:
U. Chr.tl„ SF Dalq & Garaqe &d} Pemut No. 5307
orvwarrra R3 'hwcom?? V pirtz.. 3 zowqwwtt Rl
a,,.,f&W,., Mark Strangis ,.4d. Eagan, hf9
,Y Dale Peterson, Bldg. Of
W« Novenber 30, 1979
.o.. ?. . ?..??„a,.
om
3Q.Sd
2005 RESIDENTIAL MECHANICAL PERMTT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please compYete for: single family dwellings & townhomes/wndos when pennits are required For each unit
DatE
Site
i!I'lIgHd1
JUL I 9 2005
Unit #
Property Owner Telephone # ( )
Contractor
Street Address I? ZZ, w A a) 61 City
State Zip Telephone # ( w( )
r'?n'??/T?r' " ?%
Bond #: M'//?j ( / ?'( I Expires: '
I The Applicant is _ Owner 7? Contractor _ Other
Add-on or alteration to existing dwelling unit
1, furnace _Additional eplacement
?
air exchanger
airconditioner _New eplacement
other
State Surcharge
Total
30.00
50
$ -30' So
I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; that I understand this is not a
permit, but only an application for a permit, and work is not to start without a permi[; that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans.
U 7A kNU?
Applicant's Printed Name Applic t's Signat
2005 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please camplete for: commerciaUindustrial buildings
multi-famity buildings when separate permits are not required for zach dweL';ng unit
Date
Site Street Address Unit #
Tena¢t Name (ifapplicable) Previous Tenant Name
Property Owner Telephone t! ( )
Contractor
Streei Address Cjry
State Zip Telephone # ( )
Bond Expires:
The Applicant is _ Owner _ Contractw _ Other
Work Type
New Construction _ Underground Tank _ Install _Remove **see below
Interior Improvement _ Install Piping _ Processed _Gas
Nature of Work:
**When installing/removfng underground tank, call for inspection by Fire Marshal and Plumbing Inspector
P¢rmit Fe25: $70.50 Undergrour.d fank ins[sllation/rwnoval
$50.50 Mla'uwm (includes Sta[e Surcharge)
or
Contract Value $ x 1% _ $ Permit Fee
• If en rmit fee is $1,000 or less, add $.50 =5 $ State Surcharge
If permit fee is over $1,000, add $.50 for
every $1,000 ermit Fee $ Total Fee
I hereby appty for a Commercial Mechanical 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 with the Mechanical Codes; 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.
ApplicanYs Printed Name ApplicanYs Signature
Approved By: , Inspector
..
?qI
nATE
SUILDIT4G PfiRMIT APPLICATION
Inclssde 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculations.
To be used for ?j; ti1(oL.E 1'ttMj J?,Y??tKo Valuation
Site Addrsst: l15'?',?
l?
Lot Block. ( See. Sub. C/ Parcel Number
Owner MbQW- SrM,L1N`C2Pt S Telephone
address
rontractor (::(sp,tTLl;rZ.,? Telephone -'2 I Y4
naaress 20j3& l.?oi.?lc?fGE_?E
L?4 k.E y? t.?'r ?M n! . 5 5o44
Arch./Eng.
Address
Telephone
OFFICE USE
Erect
Alter
Repair
Enlarge
Nove
etnolish
il
G7cade
OFFICE USE
nate of Approval & Initial
Assessment _-
water/sewer
Police
Fire
Eng.
P2anner
oauncil
Bldg. Off.
A.P.C.
Occupancy
Zoning I?-3
Fire Zone 3
Type of Const.
# of Stories
Front ?
Depth °
FEES
Permit
surcnarqe ---- B ?D ?
r1.an Check
SAC
taater conrr• ?o `
67ater Meter /o ?
TOTAT, ` Q
,
.-
_.. _ . .. ?:
,
__:__... ....... ? ,..
_. . _
. , . .., ,.::
_ ... ._. ,:. . r: ..,v- :
A
BEa BLOMOUIST
MAYCR
TMOMrVS EGRN
MARK PARRPNTO
JAMES A SMiiH
THEOOORE WACMTEF
COUNCIt MEMBERS '
A?arch 4, 1980
CITY OF EAGAN
, 3796 PILOT KNOB ROAO
EAGAN. MINNESOTA
55122
PHONE 454-8I00
The Hardware Store
345 3rd Street
Farmington, A.4innesota 55024 '
RE: 4522 Oak Leaf Circl •L6' B1 Ches n4ar 4th; Eagan, T4innesota
Wood Stove Installatio
Dear Sir;
This is to inform you that the referred wood burner is improperly
installed and shall be removed immediately as it is in violation of
Eagan Ordinance No. 36, building codes. For your in£ormation this
improper installation almost caused a fire,Friday Februaxg 29, 1980,
and resulted in an after hours inspection by this department.
Sincerely,?
- --? ? j 9
Dale S. Peterson
Buildirg Official
DSP/jlr
THOMAS HEDGES
CITY ADMINISTRAiOR
ALYCE BOLNE
QiY CLEFN
THE LONE OAK TREE ... THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITV.
PLi7MBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Family Dwellings
Townhomes and Condos when pernuu are required for each unit
-A I-':?: .-C,7)
Date -// / _-3 10,5
Site Address q 5g;2 oPx? ?ecw L• IInit i!
Property Owner knv\n,4[i JJ e,Sjn e,! yy\ Telephone #((05( )? 5?, -?o/,3S
Contractor
Address ry,if ? 7 Z City 44eV 2
State 1/Vlij Zip SSp Telephone#
T6e Applicant is _ Owner ? Contractor _ OtUer
SeptiC System New _ Refur6ished Su6mit 2 sets of plans and MPC license $ 100.00
, Includes County fee. Additional consultant fees may apply.
Aiterations To Existing Dwelling Unit, Inc?uding $ 50.00
_ Adding fixtures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water fumaround (+ 5/8" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation system
Water softener A Water heater
-
$
15.00
? replacement _ additional
State Surcharge $ 50
Total $ )5'S0
I hereby apply for a Residential Plumbing 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 with the Pluxnbing Codes; that I understand this is not a
pernut, but only an application for a pernut, and work is not to start without a pernrit; that the work will be in accordance with the
approved plan in the case of work which requues a review and approval of plans.
iM ? C G e?L e- eaS ? Ao?a"
Applicant's Printed 1 ame ApplicanYs Signatur
i:X'LEKI.OR ENVPI.OPE AVERA!;E "U" CD.*1I'UTATION
!
?,uer -,1(,.??? Address
OP n e
agal Description of Property: LotBlock ? AdditionGLiL'S Mr-9 474 bate 6 1,
ite Address
AVERAGE LINEAL FEET OF
EXPOSED WALL AREA ABOVE GRADE
'? FL'?• / 4
sizi level 2NV e.0 1
Lineal it. o£ framed wall above grade ix.height of wall = 2;34/0
_?-
im oist area
Lineal ft. of rim 2^7OrGF.' "/t?0 ?Z??{ x height of rim
ower levei '
Lineal ft. .of frav?ed wall above grade ,r6 x height of wall ?f?n"
Linea: ft. of masonry wall above grade„_/ _x heignt above grade?14,4- _ ) 4/4-
TOTAL wall area above grade including windows and doors = -'
?hDOWS: Area x "ll" value
a?e & type x „Ull - (U) (A)
?? ?? _
; _, • ? .< ? __.... :.
:r.,:? .,.. ...,.
sq.
ft.
x ,I.. _
U (U) (A)
,f „ sq. ft 'lUll (it> (A)
11 Ai .,. yo sq. ft (U) (A)
ft "L.. (L ) (A)
„ .. ? _ W y?.nl?; sq. it ?lU„ (U) (A)
1,'Jm' sq. ft "Un (L')(A)
,,u' i ?1C sq. ft "17n (U) (A)
sq. ft lgUlr /
(A)
(
L)
S
11 11 L(?I J Sq• Lt. ?j
/
`
+
Il?ll I? ? I (.\! `LT / (A)
?? ??
:c - ,i?``?-? nt:?• sq. ft (LI) (A)
I I It sq. ft. X 'lUll - (ll)(A)
sq. ft. J?;7 x ItUll ,5r3 = (Ii) (A)
It „ sq. ft. x 'lUll 1o7 (ti)(A)
It 11 r sq. ft. x °0" _ (L )(A)
„ If 0 V l.?-r sq. ft. ?r; x ????? ?'-i ?A)
sq, ft. x "U" _ (11) (A)
^
sq. ft. X "U" _
(C) (A)
?k??
)OORS A l :
rea x va
upe
take & type sq.
" •• ='?- \\'!,CJrT _l7 sq.
sq.
)PAOUE WALL CONSTRUCTION; Area x"U" value
4
s
?Z6. tnfi}' _(„ s4 •
7etail refer -
°nce fron
sq.
a-tacned
s'?eets Sq?
ft: X ?lUll - (U) (A)
ft. x „Ul' ,_ -
(It) (A)
ft. x ,"U'I lo = ?i ? .d (U) (p)
ft. 7 $ X "Un (A)
ft. nUll (l') (A)
ft.'???`'' g nLn (U)\(IA)\
Lt• (?'I ^"' X 11}.?I Ih/I"M I ?/ (U) \AJ
U
ft. (C) (A)
ft. x „U,l?= (?') (A)
ft. X nult _ (tt) (A)
ft:............ X nUu = (U) (A)
2A S3 4-4 /22/
TOTAL Wall Area Including ??-
Windows & Doors :?7 TOTAL (U) (A)
ToTnf Cu) Cn) vnr.vFS gJ7i??? ? ? nvc. "u"
DIVIDcD SY TO'PAL WALL AREA I•G
AVERAGE "U" Minimum .17 or less for 1& 2 family dwellings
Minimum .22 or less for all other buildings
VOTr^,: 7f average "U" values as calculated above do not meet the Energv Code requirements, the
"Alernate Envelope Design" as indicated on Page 5 may be used.
Roo^ crzLTNc
Outside air film T_ ?_,.61 __
Inssslation
Y" Drywalz
Interior air film
TOTAL R
U=1/R
.45
.6i
U
i
Outside air filmr? .
Insulation M7- ;
Dzywa2l
? .v???... . . . .
--
.45
•.,,,__ ?nterior air f11m
.6?
TOTAL R
U g IlR
OfItside air £ilm
:_ -
)nc/CEILING:
U=1/R J=
iTAL AREA: . sq ft.
.
!ia`I reference O /T
x sq. ft. ?''J? (?00 2 ?. .L) C?+)
om above. x sq ft.
•sczibe open!ays x sq. fC. _ (L') (A)
, roaF „U.. r. sq. ft. CA:
,fU" x sq. £t. _ -?••? (pN
x sq. ft. _ ("` Cn:
u x sq, £t. (A)
TO.ALS sa. ft (t•) (A)
!TA.? (v) (A) VALVFiS
VID°D BY TOTAI, PUOF/ AVG. ??ti?? ' ••
.3NC ARF.A
.05 ror venti?ated zoo£s
.10 for all other construction '-. 7_° averay,e vn].ues as calcula*_ed above do not meet the Engergy Code reau'_rements,
"A''crnate iinve'
pn noe c.,.?.. ... . I
?
?:z?].?u,*2,-.?slanf3nQ ?----
.
Insulation
T+'ood decking
,r
Interio ja?.r film
.'_7
,
--- ---61 ?
_ TOTAL B_
' ?rl
_...? 3?,J.^_aaue.:?t ?r.'M1ra ?.ry ;••nar., ,
E
R-Value
FRA-MING MEMSERS iN WALLS
-° -
--
, .op yView
--------- --...._ _'---
film _._.__.__....
Exterior sir ___W-_..
?
, _
_
?,
Siding i !a 2
I{!I ? 1 I i Sheathing
--
- -
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113847
Date Issued:09/09/2013
Permit Category:ePermit
Site Address: 4522 Oak Leaf Cir
Lot:6 Block: 1 Addition: Ches Mar 4th
PID:10-17103-01-060
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Nathan Corbin
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 -
Sean A Vandyk
4522 Oak Leaf Cir
Eagan MN 55123
Corbin Exteriors Llc
1115 Southview Blvd
South St Paul MN 55075
(651) 760-3116
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
r
For Office Use L� { �{
Permit#: i. C V "
*I' City of Eaaan sa w
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651)675-5675
Fax: (651)675-5694 Staff:
2017 RESIDENTIAL BUILDING PERMITAPPLICATION
Date: t `a-4 "tri Site Address: S� n-(> \--QA Gy st <,\-<_ Unit#:
1 I Name: SQQ N 'p `cN P`f� V fl it-4'' \ Phone 1-. - ..scrn-�i 1?
Resident/ \
owner a Address/City/Zip: Lt S 4 A C t,('C��Z- � , S (a—
Applicant is: Owner Contractor 1
Description of work: S s%% . NC. Sic2Q‘- % Cys G 1\ I
Type of Work .6v
Construction Cost: 0® W Multi-Family Building: (Yes /No )
mA
Company: : ,r,\‘02x \ix,,J Z)4\ tr t pA.j ContactG1 ��® 6
,
Contractor Address: Orfa4¢ ZaC‘Q"CC pt:\ City: 5 l„\\ \- i
State d Zip:�S D%_ Phone:b 1'Z=fig)%.“ Email: 1
License#.:SC- •Lk. .-\ \ O Lead Certificate#:
If the project is exempt from lead certification, please explain why:
s 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?
9
_Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
s.
Mechanical Contractor: Phone: t
Sewer&Water Contractor: Phone: i.
Fire Suppression Contractor: Phone: 4
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 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.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 State Building Code must be completed within 180
days of permit issuance. 7
x GVaRiA 11.\- ,1 k,c x /''1� i/ f
Applicant's (Printed Name Applicant's ignature
Page 1 of 3