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4524 Oak Leaf CircirY oF EAc,AN ' 8795 Pilot Knob Road 6sgan. MN 55 142 PHONE: 454-9100 BUILDING PERMIT ReceiPt # Te 6o umd fer Fef Vnluo Date _-- N2 4891 Site 1lddress Lte Erect ? Occuponcy ".? Lot Block ' Sec/Sub. ' Alter ? Zoning Parcel # Repair ? Fire Zone ?..; Enlorge ? Type of Const. C o Name Move ? # Stories W ? ?d?? Demolish ? Front ft. .-.... Grade fl DeDth ft. ?o Nome ?Stt.`3 r I rj x'° ?? Address - • ` - ??-:... oL.._,. '? 4- G 8 7 3 Name _ Address I hereby acknowledge that I have reod this applicotion and the informction is correct and agree to comply with all State of Minnesota Stotutes and City of Ecflon Ordinanc Slgnature of Permittee Assessment Water & Sew. Pol ice Flre Eng. - Plonner Council Bldg. Off. APC Permit _ Surchcrge Plan chack SAC Water Conn. Water Meter Total A Buildinq Permit is issued to: on the express condition thot all work sholl be done in occor'dance with` cll applicable Stafe of Minnesota Statutes and City of Eogan Ordirwnces. Building Official ?, ..f PwmM # Dah lawd pwwMeN Plumbin9 Mechonicel - -] y ? a t a+? ? - -h INSPECTIONS DATE INSP. Rqph.ln Finpt Footings - •7 Date InaP. Date Irnp. Foundation _ Plumbing 11 - ;!1 FrQme/ins. ? --??'•?fi d?'lr, Mechanicol , /1- = - Finol .- Remorks: 7y f7ecK k" 6 rtI r? f /'?CO !ylplP tc Re c r. F'D rr A gJQ t ? a ? pnt' r /?tSd?aTo y? . /y? rSflh? . ?. u/ s r i r, t?iY /,0- p- d Jn ar £ ? t avlR 0- r 0 •• Rl"n J61ss INSPECTIQN RECORD CITY OF EAGAN PERMIT TYPE: '' 'l'" "" 3830 Pilot Knob Road Permit Number: '•?• ?'' Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: i' ? ??; : i ? ?, ? ?. I ?t ? ????; , ? i, , . ?? . ? ???? . i ?. i•i? + 1{'r i. 1+r,4ti PERMIT SUBTYPE: , i ,:, TYPE OF WORK: N i:1,1 llE'5f:v1111Tl1N , lK.if('liFN1 • DA . D• ? ?h- ? Permit No. Permit Holder Date Telephone N ELECTRIC PLUMBING HVAC Inspectfon Dsta insp. Comments FOOTINGS op' 7'D,9s L ?r+( FOUND FRAMING !-,l,. ROOFING 'I L?p__ ?s ?7?Q .• •? ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FlNAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FlNAL DECK FTG DECK FINAL CITY UF EAGAN Remarks Addition CHES MAR 4TH ADDITION Loc 7 131k 1 Parcel 10 17103 070 01 owne ` {.Ltylscreet 4524 Oak Leaf Circle 5tate Eagan, MIId 55123 V Improvement Date Amount Annual Years Payment Receipt Date STREET SUR F. STREET RESTOR. GRADING SAN SEYU TRUNK 132.93 A? 7 3 12-26-78 I.ATERAL 9 WATERMAIN WATER LATERAL -e?OSI?I- S/17/ 79 WATEFi AREA p - -£-o?s- ?9- STORM SEW TRK COCYr.?2 79 __ STORM SEW LAT ?- f 7 Ej y J 33 Yi7 a i?' C?aS ?- S i 12 CURB & GUTTER SIDEWALK STREET LIGHT ROAD Unit Char e 75.00 WATER CONN. 250.00 11105 8-1-78 BUILDING PER. SAC PARK CITY OF EAdAN 3: ' S Pilof Knob Rood Eagan, MN 55122 Zoning: - Owner. Address: Site Address: Pl umbe r: Meter No.: Size: - Reader No.: 1 ogree fo eomply witl+ Hhe City of Ecgan Crdinances. By Date of I nsp.: WATER SERVICE PERMIT PERMIT NO.: DATE: _ No. of Units: ? _ Connedion Charge: ; '?,• ` - Atcount Deposit: _ Permit Fee: Surchorge: Misc. Charges: • ; ? 'r Total: - Dote Paid: - Insp.. CITY t1P EAGAN SEWER SERVICE PERMIT 3' i5 Pilot Knob Rood PERMIT NO.: _- Eogon, MN 55122 DATE: Zoning: No. of Units: ' Owner: Addresr. -? i rm Site Address r 1 J? Plumber: I ogree to eomply wit6 the City of Eagan Ordinanees. By -- Date of Insp.: 1?? .? ? l! V r' t! ? Connection Chorge:; ,?.ig? r41} ?--- Account Deposit: Permit Fee: Surchorge: ^ Misc. Charges: Total: .. N? 4891 ? BUILDING PERMIT APPLICATION Receipt # `l?Y To be ueed For S.F. Dwell. & C¢y??lue 55,000 pure 7/19 19-7-8- 5ire nddress 4524 Oak Leaf Circle Erect [y Occuponcy. --- Lot 7 Blxk 1 Sec?/Sub. CI'lES MdY ?} Alter p ?r Zoning Parcel ?{' 10 17103 ?70 01 RePOir ? FireZone---V- Enlarge ? Type of Const. c Name Wavne Lundauist Move ? #Stories 3 Address Demolish ? Front 52 fr. ? Ci Phone Ginde ? DePth 50 k. ? Apprewis Feee p Name ''9}12?E'r(?-njd?'Ss ?< Address 1'2Rlfi 14n1cr.,nka ? rwApple Vallevoti..a 45_4-6873 Ncme _ Address I hereby acknowledge thot I have read this opplication and state thot the infarmation is wrrect ano agree to comply with all applicable Stote of Minnewta Statute;/dnd City of Eagan Of0liances. „ Signature of Permittee A Buflding Permit is Issued to all vrork sholl be done in r ce oll Building Offfcial . CITY OF EAGAN 3795 Pilot Kneb Road Eogan, MN 55722 PHONB: 454-8100 Asseument _ Water & Sew. Police - Fire Eng. Plonner _ Council - Bldg. Off. - APC Permit 142 e_s-n n $urcharge 25 .-_Q Plan theck SAC S n-n n Water ConrQ5 Q_,_Q.a_ Woter Meter §g.,_Q¢ Total 1n??a Sn on the expreu condltion that $tate af Minnesota $tatutes ond City of Eagan Ordinances. ;?i? ? - REQUEST FOR ELECTRICAL INSPECTION p ee-ooooi-os ? See insimctions br completing this form on back af yellow copy "X" 8elow Workj.MdWd by This Request Ne Add Rep. Type of Building Applian .,_ Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heatin Apt. Building . Dryer Load Management Comm./Industrial Fumace Other (Specify) Farm Air Conditioner ONer (specify) Contracmr's Femerks: r?rf?cw R?erpa? Sc<?2f/Ca?.. .??n . Compute lnspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimmin Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Am s Above 100 -Amps SignS inspemor's Use onty, TOTAL Irrigation Booms S acial Ins ection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IP NOT / Other Fee .? COMPLETED WITHIN 18 MON7H5. I, lhe Electrical Inspector, hereby til th h Rough-in Date 1/_,),.7_ J cer y at t e above inspection has bean made. F;nai OFFICE USE ONLY „J? ?, ? GCA r !I 1 This requesl void 18 montbs tmm ?-O[/ , 7 0 ? q 5 33 y 9 5? vs 0? 7 ? 4.8 ? 1 1 9 Rapu t Date y / I Fire . ug - n Inspection R '.tl (YOU m stcail inspedor when ready) Inspedion other Tnan Fouqhin ? Ready Now N Will Noilty Inspedor ??j ?' 9J Ves , ? No Oate Reatly I?Vicensed contractor ?owner hereby request inspection of above electrical work at: Job AGOress (S[reet, 8ox or Route No ) l GI[y C.G G V\' Section No. Township Name or Na. Range No. County `D Occupani (PRINn ` Phone No. u 7 L?nl i o u Power Supplier %Ij Atltlress Eleclrical Contractor (Company Name) 4 A ContractoYS Lirense No. 251 I^ l "l (- 1 , ( Mailing Atlaress (COnVactor or Owner Making Instellalion) r- - ?', c? 1 a't? ?1 0o e s Authoriie0 SignaNre onlrador/Owner Making stalla'onJ Phone Number - M C) MINNESOTA pTE BOARO OF ELE PICITV Grigga-Midway BIEg. - Hoom 5-128 II I I I II I I I I THIS INSPECTION REQUEST WILL NOT I BE ACCEPTED BV TME STATE BOARO Phone s1nB1raa-nxMSt Paal, MN 55104 I FNCEnscnOPER INSPECTION FEE IS c/r(DSa ? 2004 RESIDENTIAL BUILDING PERMIT APPLICATION-\,$, x City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 4 651-675-5675 FAX # 651-675-5694 7D °-6 New Comirudion Requiremenis 3 registered siie surveys shaxing sq. fl. of lot, sq. ft. of twuse; and all roofed areas RemodellReoair Reauiremenls 2 copies of plan OFRce Use Oplv CerEof S?uv2? Rerd ?Y N, (20% maximum lol coverege allowed) 1 set of Energy Calculations for heated additions Tm 6Pt03 P.19n:Recd R f P _Y _N.. N Y 2 copies of plan showirg beam & window sizes; poured found design, etc. 1 site surve9 for additions & decks indicafeifon-sitesepticsysfem Additi equaet res ?ree S3n-sileSephC5JSteA? ; ? ?...:Y,....N lsetofEnergyCalculations on• , 3 copies of Tree Preservation Plan if lot platled afler 7/1/93 . Rim Joisf Detail Options selection sheet (bldgs wAh 3 or less units Date oq r Construction Cost / 5iteAddress lk?b?a'1.\" m UniUSte # . ? Description of Work ? 02 i l Multi-Family Bldg _ Y N ace(s) _ rep F ( ft S LU Telephone # Property Owner -,k N ? (? ??, S ? C k Contractor 1 1, yl. ()1._ J ? k Address L39v Li•- ff+^-? 1,5 City State A4"1 Zip 5-5377 Telephane # COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeoiv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventllation Category 1 Worksheet . New Energy Code Worksheet (J submission type) Submitted Submitted . Energy Envelope Caiculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ fee applies. ? ? ? a nn ? U Licensed Plumber D Telephone Mechanical Contractor Telephone #( Sewer/Water Contractor Telephone #( N If so, 25% plan review I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for permit; that the work will be in accordance with the approved approval of plans. J- Applicant's Printe am Appli a permit, and work is not to start without a iG,case of work/*hich requires a review and Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors ? 34 ReplaCement 'Demolkion (Entire Bldg) -Give PCA handoutto applicaM Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. R. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Foofings(deck) _ FinallNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Dnin Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final _ Framuig _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Tes[ _ Final _ Windows _ Insulalion _ Retaining Wall Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Pertnit & Suroharge Treatment Plant License Search Copies Other Total Buiiding Inspector CTl'Y USE ONLY PERMTT #: RECEIPT DATE: I-I i-Oi MIDENTIlkL M£CHlkRIClkI. PEgM1T lEPPLICATIOA - crrY or E*sm S$SO PILOT KAOS iiD S1kHAA Mft 55122 681-6$1,4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: `9 - Z(2 - (p) / SITEADDRESS: C?i?G/i° OWNER NAME: 1Lq1 nYE L.(1itJ?l7 (1%S ? TELEPHONE #: (AREA CoDE) INSTALLER NAME: TELEPHONE #: - Oao? (AREA CODE) STREETADDRESS: CtfO&D CITY: STATE: /-AJ . ZIP: Place a check mark next to the ermit work type New residential dwelling unit under constructionand not owner/occupied $ 70.00 Add-on, modification or alteration to existina dwelling unit $ 50.00 • fumace re lacement • air exchanger • air conditioner • other Nature of work: Chil3 k9; C_ State Surchar e Total $ 56 Reminder: Cal! for inspections. c IGNA OF PERMITTEE Updaced I/Ol CITY USE ONLY PERMIT #: APPROVED BY: RECEIPT DATE: INSPECTOR CObIMERCIlkL MECHkNICAL PERMIT APPI1CATIOR CITY OF £A6m 3$30 PILOT KROB [iD EA&M, b1A 55122 651-6$1-4675 Please complete for: all commercialAndustrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: TENANT NAME (IlvIPROVEMENTS ONLI): PHONE #: (AREA CODE) WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INST.0.LLER: ADDRESS: PHONE #: - (AREA CODE) CITY: STATE: ZIP: WORK T'YPE: New construction Install U.G. Tank _ Interior Improvemeat _ Remove U.G. Tank _ Processed Piping Snecify Nature When installing/removing underground tank, call 651-6814675 for inspection by Fire Marshal and Plumbing Iinspector. Fees: 1% of conffact price OR $50.00 miuimum fee, whichever is greater. Underground tank removaVinstallation = minimum fee Contactprice: $ xl%=$ State surchazge TOTAL $ (Base Fee) calculate at $.50 for each $1,000 Base Fee SIGNATURE OF PERMITTEE Updated 1/Ol CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: c R4qq ?q BUILDING 026649 i1J15/95 SITE ADDRESS: 4524 OAK LEAF CIR LOT: 7 BLOCK: 1 CHES MAR qTH P.T.N.: 19-17103-070-01 DESCRIPTION: (KITCHEN) Building?.,Permit Type Building Wa.rk Type . J Base Fee Plan Review Surcharge Total Fee , r . # 1 REMARKS: FEE SUMMARY: VAIUATION $624.75 $218.56 $29.00 $872.41 SF ADOITION NEW $58,000 CONTRACTOR: - Applicant - ST. LIC. QWNER: LUNDGREN BROS CONST INC 14739640 0001413 LINOQUZST WAYNE 825 E WAYZATA BLVD 4524 OAK LEAF CIR WAYZATA MN 55391 EAGAN MN 55123 (612) 473-9640 ? I hereby acknowledge thet I have read this application and state that the informatian is correct and agree to comply with all applicable SCate of Mn. Statutes and City of Eagan OrdJ:nances. APPLICANUPERMITEE SIGNATURE ISSUEO BY: SIG URE ? INSPECTION RECORD CITYOF EAGAN PERMITTYPE: euzLn=Ns 3830 Pilot Knob Road Permit Number: 026649 Eagan, Minnesota 55122-1897 Date Issued: 11 /15 /95 (612) 681-4675 SITEADDRESS:P'I'N.: 1e-171e3-e e-ei APPLICANT: LOT: 7 BLOCK: 1 4524 OAK LEAF CIR LUNDGREN BROS CONST INC CHES MAR 4TH (612) 473-9640 PERMIT SUBTYPE: TYPE OF WORK: SF ApDITION NEW DESCRIPTION (KITCHEN) INSPECTION FOOTTNGS D. . FRAMING .. INSULATZON FIREPLACE FINAL F L FI . ?; ? .t ;,??. .;? ? ni• . b??. i1 [•?????-uo ?..r:i.wi; ?t.i;:, ._ ..!?[?i.1?V?, ?I! I J?.h,1.i41 1- fl l:;' ,.,I nt.- V ? :.`9! I?.l!i ( ?i ', •_ CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) ?? ??1 3O 681 -4675 New Construr2ion ReauirameMS RemodeVReoair Reaui,ements ? 3 reghlered ske swveys ?' 2 ccpies of plan ? 2 copies of plens Cmdude beam & window saes: poured fid. design; etc.) ? 2 site surveys (exterior add'Rions 8 dedcs) ? t errorgy celalations ? 1 energy eeleulationa tor heated a0ditions ? 3 eopba M trce pmservadon pian iF IM platted aRer 7/1l93 raqulred: _ Yas _ No DATE: 10 ` Z? -qC7 CONSTRUCTION COST: ?•? DESCRIPTION OF WORK: }- aHa) pt M>/ 7700 STREET ADDRESS: (67- /* n AK- 1 fAE eo?jea-r5 LOT BLOCK ? SUBD.IP.I.D. #: PROPERTY Name: wAllX JiW L?I?R?111 ? hone #: OWNER StreetAddress' ?5Z11 MK City: a680 state: Mp[ Zip: CONTRACTOR ARCHITECT/ ENGINEER Company:L009W50 15095 J?I?'lopjl/&hone #: k 13 Street Address: 926- ? WAYZATA $1tY1cDense #: )403 City: k??Xyw State: ? Zip:??3R 1 Company: Name: State: Street Address- City: Sewer 8 water licensed plumber: change are requested once permit is issued. Phone #• Registration #• Zip: PenaHy applies when address change and lot I hereby acknowledge that I have read this application and sfate that the information is correct and agree to compty wfth all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Appiicant: OFFICE USE ONLY Certificates of Survey Received _ Yes Tree Preservation Plan Received Yes _ No ? QCT 2 3 1995 No ; ..----- - --- ...._. _ ' BUILDING PERMIT TYPE OFFICE USE ONLY d 0 01 Founda6on o 06 Duplex o 11 Apt./Lodging o 16 Basement Finish 0 02 5F Dwelling ? 07 4plex ? 12 Multi Repair/Rem. 0 17 Swim Pool ,,-O?03 SF Addition ? 08 8-plex o 13 GaragelAccessory o 20 Public Facility 0 04 SF Porch o 09 12-plex ? 14 Fireplace o 21 Miscellaneous 0 05 SF Misc. 0 10 _ plex o 15 Deck WORK TYPE ? 31 New ? 33 Alterations o 36 Move ,,?32 Addition a 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actuai) Basement sq. ft. MCM/S System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire 5prinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. y3v Depth Footprint sq. ft. SAC Code o/ Census Bidg i Census Unit o APPROVALS Planning Building Engineering Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit 5/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: ?. Valuation: $ % SAC SAC Units .« 4 • }!?}?? M+ , f? . naxE 7 i/ 8' BUILDING PERMIT APPLICATION znclude 2 eets oE plana, 1 eite pian wJelevations and 1 1b be used for," Site Address : ??-w UQd or ? ?ot Slock Se Sub. ? Owner _,??/?? • address .. ? Contractor Address /. _L?1??..aLl?t? !/ i' Arch./Eng. Address Erect ? Alter . Repair Enlarge Move Demolish Grade OF'f'ICE USE Occupancy ? Zoning K / Fire Zone Type of Const. # of Stories Front 5 T Depth OFFICE USE Date of Aflflpproval & IniCaal Assesament s/??• _?? 7,P? Water/3ewer Police Fise Eng. P1dM6Y Cbunoil --- Bldg. Off. A.P.C. FEES Pezmit Surcharge a Plan Check SAC SoO Hater Conn • Wat r Meter ? - ?al TOTAT, set of eaergy ca ,?,ulations. ?, ? Valuation = _ - - ? Parcel Numher ?jf J?/03 D?D 6/ l Telephone .' Telephone c3°2 - °'2 d Telophone ? ? ? /3? ? S-3 `,ro1140Y•oa?saiiao r., iric or:10868 R= t s'' ? ? p ?t83 26 F. C: JACKSON ? . .t• . ; .? LAND WJRV!'YOR. , .. ., r • . . ;_' .. . . .. .. _ '? .e' 4ZflMTiRSD UNOtR LAWi or eTA7E OI MIMNifOTA ?D.:Mf/ 0110IMANCf OIC'JTY M YINNf+V'?fl ?ets sner ssrM eraEST < 55417 . ? .? r ?? < ???. '.727-3484' f ?. , . 13 O ? r k ? 7k` ? ` ? • t?lI?0?7 t &: , a .` ? tal• ? <ti ;C , J i, ? ?1+. ?„5,e ;?.., : ? *u 1?`?.w.?*'"'' ; ?\ Q , ?(G, ? •. ,;A. 1k .? t? ?. p s...w?+• f e GG% ; \ J f t 4 . . _ ? Y. ??'+s ??? ? t r? ? K'' ? y J,. /'ry,??/??J?,H! . ?'? r f`e? { SS Y ?rLtt? ' .,e t° "Oi vl f +'1 ? ??i't1U7 TN? AwOVt bA TIUIt A110 CORRlCT RAT O? A?4UI1V?Y OT ? ? ? r LOC 7?8i0C1c 1?`Ch?Y;lUt lbuttd Additloo? ? '?' t `?, ?x?f:i S ? r 1 ;: ? '? s W w: ? ?i ? ? ?? ???+OW?r.'y??00?1???. ? t r e *y q? V '. . J \ 1 J ..? { ? V . :. ( . • . ? ? ? .'. N? ;{??. ? ` rt^ ?rti+4 / {}fh l " 7-7 4 n '?4 i { M1a ? ,.t M . . Q' ' . • 1 ? ? +%. A 4r ? ? , / • ? 11Y 19I8 { 4 Ar aSava+rsn 0 ?s V?•- ?q?M ? ?.. .J ? - •$ ,, .J ? i . .. t .? P. C. JA N, WwN?10t?1: ?illAtlCN..N????04 +?,yp. tt l 1 t 5 S ?V ? } 7 CITY USE ONLY L r L 1_ RECEIPT dtv SUBD. DATE: /110ps 1995 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 687-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH NO. TOTAL Shower 3 Water Closet 3 Bath Tub 3 Lavatory 3 Kitchen Sink 3 X Laundry Tray 3 Hot Tub/Spa 3 - Water Heater 3 - Floor Drain 3 = Gas Piping Outlet * minimum - 1 3.00 x = Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal " Dakota Cry. license 20.00 = U.G. Spnnkler' home under const. * 3.04 - Alterations to existing 20.00 Water Turn Around 20.00 STATE SURCHARGE .50 -?° TOTAL a? SITE ADDRESS: / 5 av ?k L ea-l Cc rc OWNER NAME: L Ut'12 r-e-) INSTALLER NAME: 1)? n l v S Pl-ry+- STREET ADDRESS: CITY: Da (LL?- STATE: ?? - ZIP: PHONE #: ( 6(Z) 7 2 3 571,`6 ` 2?L OFFICE USE ONLY l _ BL _ SUBD. 1995 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for. , all cpmmerciaVindusfial buildings. P multi-family buildings when separate pertnits are M required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED? _ YES _ NO. IF 50, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED7 YES NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO. IF 50, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of permit fee due on all permits. CONTRACT PRICE x 1°h STATE SURCHARGE TOTAL SITE ADDRESS: TENANT NAME: OWNER NAME: INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE #: SIGNATURE: OFFICE USE ONLY RECEIPT #: DATE' STE. # APPLICANT I METER SIZE: 11 DATE: INSPECTOR: ?----------------- ? ? Permit I Permit Fee: ? 30 60 i ? Da[e Received: I ? ? I Staff: rE::? L _ _ _ _ _ _ _ _ _ _ _? 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: ? -// - d a Site Address: Tenant: Suite #: RESIDENT / OWNER Name: Phone: i Address / Cjty ! Zip: CONTRACTOR Name: Z2u?.?w--?p License ?G 3 Address: City: State: )2.) A-) zip: S-SG .;z 1O Phone: GS/ -?/G 3? ? a 33 Contact Person: TYPE OF WORK _(New _ Replacement _ Repair , Rebuild _ Modify Space _ Work in R.O.W. Description of work: ' PERMIT TYPE RESIDENTlAL Water Heater _ Water Softener -/l? Lawn Irrigation Add Plumhing Fixtures ? RPZ / ?PVB) ? Main _ Lower Level) Septic System _ Water Turnaround New Abandonment RESfDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigatlon (indudes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge) 'Water Turnaround (add $136.00 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 this information is complete and accurate; that the work will be in contormance wim me ommances ana coaes or me ury or 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. ?j x/, J/ // .-S?e. Gt h r/p x/ 1 ApplicanYs Printed Name ApplicanYs Signature City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4524 Oak Leaf Cir Lot: 7 Block: 1 Addition: Ches Mar 4th PID:10- 17103 - 070 -01 Use: Description: Sub Type: e- Siding Work Type: Siding Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Schaffer Window & Siding 2760 - 232nd St E Hampton MN 55031 (651) 248 -4695 Total: Applicant/Permitee: Signature PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K - Applicant - Construction Type: Occupancy: When installing ventilated soffit material, remove existing soffit mate take steps to ensure maximum ventilation into attic space. $90.00 Owner: Wayne V Lundquist 4524 Oak Leaf Cir Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: Building EA083320 06/02/2008 ePermit al (i.e. debris that could block vent openings) and $88.50 0801.4085 $1.50 9001.2195 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA111035 Date Issued:06/10/2013 Permit Category:ePermit Site Address: 4524 Oak Leaf Cir Lot:7 Block: 1 Addition: Ches Mar 4th PID:10-17103-01-070 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . 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 - Wayne V Lundquist 4524 Oak Leaf Cir Eagan MN 55123 (651) 452-7986 Home Depot At Home Services 656 Mendelssohn Ave N Golden Valley MN 55427 (763) 542-8826 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA125941 Date Issued:08/08/2014 Permit Category:ePermit Site Address: 4524 Oak Leaf Cir Lot:7 Block: 1 Addition: Ches Mar 4th PID:10-17103-01-070 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . James Pahl 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 - Wayne V Lundquist 4524 Oak Leaf Cir Eagan MN 55123 Pahl Exteriors 1960 Cliff Lake Rd #129-189 Eagan MN 55122 (952) 451-1018 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA128261 Date Issued:11/03/2014 Permit Category:ePermit Site Address: 4524 Oak Leaf Cir Lot:7 Block: 1 Addition: Ches Mar 4th PID:10-17103-01-070 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - 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 by law in ALL single family homes . 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 - Wayne V Lundquist 4524 Oak Leaf Cir Eagan MN 55123 (651) 452-7986 Home Depot At Home Services 656 Mendelssohn Ave N Golden Valley MN 55427 (763) 542-8826 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA146920 Date Issued:11/22/2017 Permit Category:ePermit Site Address: 4524 Oak Leaf Cir Lot:7 Block: 1 Addition: Ches Mar 4th PID:10-17103-01-070 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors 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: 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 - Wayne V Lundquist 4524 Oak Leaf Cir Eagan MN 55123 (651) 452-7986 Home Depot Usa Dba The Home Depot 2455 Paces Ferry Rd Atlanta GA 30339 (763) 852-1044 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA151784 Date Issued:09/12/2018 Permit Category:ePermit Site Address: 4524 Oak Leaf Cir Lot:7 Block: 1 Addition: Ches Mar 4th PID:10-17103-01-070 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Wayne V Lundquist 4524 Oak Leaf Cir Eagan MN 55123 (651) 452-7986 Ray N Welter Heating 4637 Chicago Ave S Minneapolis MN 55407 (612) 825-6867 Applicant/Permitee: Signature Issued By: Signature