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4528 Oak Leaf CirCITY OF EAGAN »ss P" Knoe ie.va bgon, #tN 55121 PHONEs 4544100 dU1LDING PERMIT Receia # T. 6. ...d fe. For•i. i: Fet vnh? "')+SUn n,..e Auizust Il Site Addreu 2.. _,-' I)aK leac l.li'Cle Lot 2 Bl«k 1?/Sub Ches :Iar 4th Porcel # 13, 17103 090 i:l ac Name W ? Addro; _ T' Nom! '- uo ww : vv?.a Address F . Excalsior Ave. u? ? r;*., ''':i. ?. s 06- 93i Name Addross 1 here6y acknowladge that I hove read this applicotion ond state thot the inlormotion is correct ond ogree to comply wiFh oll cpplicoble State of Minnesoto Stotutes and City of Eogon Ordinorxes. Sipnoture of Permittee A Building Pem?it is Issued to: oll work shall be done in accordonce with all og Buildirg Official « S? i 83 Erect Occuponcy ' /11ter ? Zoniny ' -1 Repoir ? Firo Zone ' {' Enlarye Q Type of Corut. v Move ? # $tories Demolish p Length Grode ? , Depth ' Sq. Ft. ApProva Ia Fees Assrssment Woter 8 Sew. Pol ice Firo Enq. Planner Council Bldp. Off. APC Permit Surthorge ' • _ fl Plan check SAC Water Conn. Woter Meter Road Unit -.3851 Total • . V on the expreas condition tMl Stotutea ond City of EoQon Ordinances. PKmit No. Parmit Holder Misc- Pmmit No. Holder Plumbinq . H.VAG 1AIr11 Waftr DisPw Eketric Inawaua, Wte lnsp. -aner Footirg? FouneMtion Fr?mNq Rouyh Plba ., ouph HV Insulation Final Plh¢ Final HVAC . Find Vik"WW Dae?ibs Loeation: YIfNI Swmr Pr. Dkp. i -? ? CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ?. , DATE 19 17fiCE1VEO FROM ' AMOUNT $ ` ? ! ae DOLLARS too ? CASH ? CHECK i . sy K . PUND C0D5 AMOUNT -- --- ` - - --t - I ? ', -? - -- - --- _ ? - ? _ .. --- / ?. ? ? ' -- Thank You ?3779 _7 , • ? BY .? f ?! White-Payers Copy Yellow-Posting Copy Pink-File Copy ' CITY OF EAGAN 3745 P11et Kao6 Road Eagan, MN SSiZs . PHONEs 454-8100 BUILDING PERMIT° 1$• Site Receipt .# ue Dote 'pi i t 4 l.ot Block Sec/Sub. `''r- s';ar 4 th Parcel # ac Name W Z Addross 9 - - ->11.etSOi1 1dldxs Zr Name 13816 Flai yokr• Ave. o? Addresa u? a ie, ,:.._n8 I ? 1- r:.., o?.....e Nome _ Address I hereby acknowledge that I have read this application and stute that the informoTion is correct and agree to rnmply with cll cpplicable 5tote of Minnesoto Stotutes and Ciry of Eaqcn Ordinances. Signature of Permittee ?.:. ?. i A Building Permit ls issued to: " oll work sholl be done in accordance with nll applicable State of Building Officiol N4 5146 2727 I •1 Erect ? ' Occupancy Alter ? Zoning ` Repair ? Fire Zone Enlorpe ? Type of Canst. Move ? # Stories Demolish ? Front ft. Grade ? Depth ft. Anoro rals Feos Assessment Woter & 5ew. Pol ice Fire Eng. Planner Council Bldg. Off. AP?: l7- Permit $urchnrge Plon check SAC Water Conn. Woter Meter h' Total on the express condition thot Statutes ond City of Eagan Ordinances. '.mn # Doa t?wa F«.uW Plumbing y . 11 - Mechanicol il?sz 5-.2 /-'? 7 INSPECTIONS DATE INSP. h-In Rou Firwl Footings p Date Dots ln Foundation Plumbinp Frome/ins. MecFanital r Finol 7' Remarks: cz- ? q_1? ? CITY OF EAGAN . , 3795 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454-8100 F??^ PERMIT Dote: 5'21 T9 1 Site Address: 45n CiiC Iaaf DriVE t1 Lot ' Biock 2. Sub/Sec. Cheo r? th ?'ICN A7R TECUnM Nome Tol-lefam Bicim New/Alter./Repair. 3 Address 1M16 MlYcke AVe• Cost of Installation 0 City ?'e V&"eV Pfione: 454--6873 Permit Fee No e Surcharge r ? u Address ?A 94 5 S0. F**1P'I? ?t1 e 0 V City *.?:??r,-?_.-'r '`?;:,'c•_ Phone: Total This Permit is issued on the express condition thot all work shall be done in aCCOrdance Minnesota Statutes ond City of Eagan Ordinonces. Receipt No.: 10771 Single I Residentiol x Multi Res., Comm./Ind. I No. 1453 ?'x1+1 20.Ot) with all applicable State of Building Official CITY OF EAGAN . . 3795 Pilot Knob Road ' Eagon, Minnesota 55122 Phone: 454-8100 PERMIT Dete: 7-17-79 Site Address: Lot S 1 Name _ m e 3 O ? Address ? 13816 13°Iyoke Ave. City App1e Vtil'lW Phone: 454-6$73 Nome 4528 Oaicc Leaf Circl.e Block I Sub/Sec. Chas Mar 4th Tbl.lefaQl F31.dL'S. Geinz-Ryan No Z" Receipt No.: 15140 Single I Residentiol X Multi Res., Comm./Ind. ? New/Alter./Repoir. Cost of Instollotion Permit Fee Surchorge 20.00 .50 0 ° Address 14745 SO. A?bpY't ''rdlI c 0 u City : ?Sem„f,t Phone: e %?- ' 144 Total 20 . 50 This Permit is issued on the express condition that oll work shall be done in occordance with all opplicoble State of Minnesoto Stotutes ond City of Eagan Ordinonces. Building Official INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: t , I 1 1 14F3 ;? r, ? 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 551.22-1897 ? - Date Issued: (612) 681-4675 , . ,. . SITE ADDRESS: , , APPLICANT: ? 'tlh 1 i AI ? Ik ?+..r{ i w•'?Y ( i I IIP4i 1 WI' i< ;, . +i 3?r 3? , 'T ? j ? . _ . .. _ 3.re?e€.?x ?- PERMIT SUBTYPE: TYPE OF WORK: PUrs rct tRaOF rai>> Petmk No. PertnR Nolde? Dat* Telephona N ELEC7RIC PLUMBING HVAC Inspectlon Date Insp. Commenta FOOTINGS FDUND FRAMING ROOFING ?417 7 146 ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GA5 SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL _ . .,r cAGAN Remarks Addition CHES MAR 4TH ADDI TION Lot 9 eIk 1 Parcel 10 17103 090 01 Owner Street 4528 4ak Leaf Circle State Eagan, NIN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SANSEWTRUNK 132.93 C006540 9-26-79 SEWERLATERAL 3259.46 C006540 9-26-79 WATERMAIN WATER LATERAL C006540 WATER AREA 163.58 C006540 9-26-79 Services 15 C006540 STORM SEW TRK 15 C006540 S70RM SEW LAT - 525.63 ---2&v44_ 15 C006540 q? 1 /9 O ` S?_ y ?C U!ns ?t E 9 G, CURB & GUTTER SIDEWALK STREET LiGHT Road Unit 75.00 13779 4-4-79 WATER CONN. 270.00 13779 4-4-79 EIUILDING PER. #5146 sac 525.00 13779 4-4-79 PARK WATER SERVICE PERMIT Vrrr oF IIAGAa 795 Pilot Kno6 Road PERAAIT NO.: Eagan, MN 55122 DATE: -Zoning: No. of Units: Owner: ? - Address: 'Site Addresst 'Plumber: - - - ;Meter No.; Connection Charge: Size: Account Deposit: ;Reoder No.: Permit Fee: ,1 agree to eomplr wit6 the Citr of Eagan Surcharge: kOrdinanees. Misc. Charges: Totol: ;By Dqte Paid: I Date of I nsp.: I nsp.: SEWER SERVICE PERMIT CITY OF EAGAN 3745 P::at Knob Raad PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No, of Units: Owner: Address: - _? Site Address: ? - Plumber: - 1 agree to eomply wilh fhe Cify of Ea9an Connection Charge: Cedinances. Account Deposit: Fermit Fee: Surcharge: By Misc. Charges: Date of Insp.: Totoi: CITY OP EAGAN ' 3795 Mlot Kneb Road Eagan, MN 55122 N2 5146 ! ' i + PHONE; 454-8100 BUILDING PE?IIT?l?PPLICATION 59000. Receipt g. , ? _ 19 To be used for Est. Volue pa? April 4 7y Stte Address 039 OakI?a, L@af Q€ CR Erect ? X Occupancy . Lot 9 Block 1 See/Sub. Ches M8i 4th Alter ? Zoning Rl Parul # 10 17103 090 Ol Repoir ? Fire Zone 3 Enlorge ? Type of Const. V - 9 Name BIUCe Beneke Move ? # Stories ? Address Dercwlish [] Front 5 8 ff. Ci Phone 6rade ? Depth 4 8 {?- T 11 £ Bld ApDrmals Fees p Name O E SOII LS a? 13816 Holyoke &ve. Assessment_ u Add rn ~ p e a ey Woter & Sew. CI ?ne ?w Nome Police - Fire ? Address En9. C( Phone Planner _ Countil _ I hereby acknowledge that I hove read this application and state rtwt Bldg. Off. the information is correct and agree to comply with all applicnble APG - State of Minnemta Statutes and Ciry of Eogan Ordinances. Signature of Permittee A Building Permit is issued to: Tol le£5o B1dTS. all work shalt be done in acrnrd6nGe wi II_o pu"le Srote of Permit 1:)}.UU Surcharge 29.50 Pian check 76. SO SAC 525.00 Water Conn. 270.00 WcterMeMr 80 - 00 Rd Unit 75.00 Toral 1189.00 on the express condition that Stotutes and City of Eagan Ordirwnces. Building Officiol BUILDING PERMIT . arr oF Enc„s,N N° 8377 3795 Pllof Knob Read Eagan, MN 35124 • PHONE: 454-8100 j Te ba wed_1or _ POOL S FENCE Est. value $9, 500 Receipt jk J ' pate August 11 _ 1 q 83 Site Address 4528 Oakleaf Circle Lor 9 Bixk 1 Sec/Sub. Ches Mar 4th Porcel # 10 17103 090 Ol rc I Nome Keith Bghnke z qddre# 4528r0akleaf Circle ^l^ p Name Custom Pools Addreu 601 E. Excelsior Ave. 81 .-?..Honkins ??___ 943-2955 Nome _ Address I hereby acknowtedge that I have read ihis applicarion and state that tAe informotion is corrend ogree fo wmply with all applicable $tate of Minnesota $tatute ond City, af,EaQOn,Ordirwnces. SIOnature of Permittee A Buiiding Permit Is issu cll work shali be done ir Il! fldinq Official - with Erect $p Occupancy R-3 Alter ? Zoning R-1 Repoir ? Flre Zona NA Enlorge ? Type of Const. V Move ? # Stories Demolish ? Length 15 Grode ? Depth 30 Sq. Ft._ Approvala Feea Auessment Permit 80.50 Water 8$ew. Surcharge 5.00 Police Plon check Firo SAC Eng. Woter Conn. Planner Weter Meter Cauncil Road Unit Bldg. Off. APC Totol S . SO on f he express condition Iktni sotw5rotutes and Ciry of Eoyan Ordirancez. n,rp CITY OF EAGAN -? BUILDING PERMIT APPLICATION ? 4'?aV\c? ? ae used For ; ? ? n o ?o ? Valuation q Include 2 sets of plans, 1 site plan w/el.evations & 1 set of_ er.ergy cal.culations. Date 73 Site Pddress: -{ ? ,r C l p I OFFICE USE ODII.Y Lot I Block Sec./Sub. C ES /?QJ` +--'L"rect ? Occtiipancy 1"r3 Parcel #: 7j oQ Q dI A1ter Zonirig A"' - I / Repair Enlarge Fire Zone TYpe of Const. Qaner: /?j N6 - ? Move # Stories Address: 5 ie Denalish Front /S ft. City/Zip Cocle: 19S 'q'-! Grade Depth 3 0: ft. Phone #: L/SL/- Contsactor: M Pn? ( S Address: (o D f ? . Cr_,f?P'S/OA / CitY/ZiP Cocle: /?o??iiJS,, YYI?7 Phone #: Ci' 3 Arch./Ehg.: Ptldress: City/Zip Code: APPROUALS FEES ,SQ Assessments Pesmit $'0 Water/Sewer ? Surcharge Police % Plan Check Fire Eng. Planner Council Bldg. Off. APC Phone #: - &-rl.p.?A.? 4W T..71 4 $v' - {AnE t?E[°, - S' -8'3 SAC Water Conn. Water Meter Road Unit TO'PAL (j' ? • S C:?) ceyuest void 18 months from [Phs - 11 9 Date of ithis Request R 76915 . 'T, a?g Licensed Electrical Co t actor Owner, do hereby request inspection of the above electri- cal wirieg instalied at: L c? 61 M-{_f-, Street Address or Route No. City Section Township Ran Count Which is occupied by (Name of Occupdnq ls a roughin inspec on required on job? No ? ? Ready Now ? Will C Power Supplier ???- F 6? Address Electrical Contractor ?ntr c i'?I.iTnse No. _ ?.E C'? 0 9 Mailing Address E _ ,9 _? _? e? ? A TSZDT ?' V ALLEY ?p4s'(o r?"Qla i T?ils???at?op) Authorized Signature ? A n?71'. ?j2 Z lvb' (ElnBCtrical p?r wner Makin9 Tnis Inshllatlon) S?yy???? ?? /r?,?? g? ?+ o ?F,?i? This inspec6an request will not 6e aceepted by the u irv as r3 State Board unless praper inspeetion fee is endosed. Minnesota State Board of Electricity ? 1504 University Ave., St. Paul, Minn. 55104-Phone 645•7703 REQUEST FOR ELECTRICAL INSPECTION tHECK;$ELOW WORK COVERED BY THIS REQUEST R 76915 Tgpe o& Buil ' New Add. Rep. Cbeck Appliencea W ired Foc Check Equipment Wired Foc Hothe ? 0 Range ? Temporary Wiring ? Dup1eA ? ? ? Water Heater ? Lighting Fixmres ?-Q ApL Bldg. ? ? ? rryF3? \ ? Etecuic Heating ? Commesiai Bldg. ? ? ? ;Irnace ' Silo Unloader ? Industrial Bldg. ? J? AWConditionet ? Bulk Milk Tank ? Fazm ist.? List Oth ? ? ieis O reers A er e ! COMPUTEINSPECTiWFEf BELOW Se[vice Entiance Size: Fee Fceders& Subteeders: # Fee Circuita: i! Fee 0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am ies 101 to 200 Am s. 31 to 100 Amperes 31 to 100 Am res 2 46 Above 200 Amps. Above ]00 Amps. Above 100 Amps. Transformers RemoteConvolCim. Partialoiotherfee Signs Special lns ction Minimum fee $5. - Remarks TOTALFE y VO? (Final) This request void 18 months from has been ma . Pate 7 -? nate , ?,:z 1 y_ ? ?S?g??;a Lq?B1,c.L?sMa` ?('?? a?q?s ] 8 months from 30 . C O Date of this Request 3 Fire No. T 21483 I, as 1N Licensed Electrical Contractor OOwner, do hereby request inspection of the above electri- cal wiring installed at: Street.Address or Route No. 4528 Oak Leaf Circle Section Township Range County Which is occupied by Keith Behnke Is a roughin inspection required on this job? No 8$ Yes ? Ready Now ? Will Call CJy, Power Supplier Address ElectricalContractor Lane Electric Company, Inc. Contractor'sLicenseNo0398225 (COmDany Name) MailingAddress P. 0. Box 1156, Burnsville Minn. 55337-0156 (Electrlcal Cont?ac[ r or Owner Making This Installa[ion) Authorized Signature f= , Phone No. 990-4227 (Elactrical Contractor or Owner Making This insta118tlon) ?`{?p?f'[? ? ??Q??? ???QA This inspection request will not 6e accepted 6y the ? ?? ?? 11 State Board uniess praper inspection fee is endosed. ..vsota State Board of Electricity Griggs Midway Bldg. - Room N197 --att University Ave., St. Paul, Minn. 55104 - pFqne 297-2111 REQUEST FOR ELECTRICAL INSPECTION 'HEi; BELOW WORK COVERED BY THIS REOUEST EH-00001.02 3"la (15- [T 21483 i ype oc nuuamg rvew naa. xep. Check Appliances W ired For Check Equipment W'vedFor Home Duplex APt. dldg. Commercial Bldg. Indaoirial Bldg. Fatm' Olher ? El ? ? ? ? ? U ? ? ? ? ? ? ? ? ? ? ? ? ? Range Water Heater Dryer Fumace A'v Conditioner , Lis[ Swimm?.ng Rthers# ere 11 ? 0 ? ? Pool Tempotazy Wiiing Lighting Fixtures Electric Heating Silo Unloadet Bulk Milk Tank L;st OHthers? exe ? ? ? ? ? COMPUTE INSPECTION FEE BF,LOW Service Entronce Size: # Fee Feedeis&Subfeedecs: S Fee C¢wits: # Fee 0 to 100 Am s. 0 to 30 Am eres - 0[0 30 Am eres 101 to 200 Amps. 31 to 100 Am eres 31 to 100 Am eres Above 200 Amps. Above 100 Amps. Above 100 Amps. Transfoaners RemoteContiolCirc. Pactialorothertee Si ns Special lnspection Minimum fee Remarks TOTAL FE ? O • 5 I, the Electrical Inspector, hereby tha e bole ins ection has been m (xoa8h-?) i nate (Final) Date 3 This request void 18 months trom CITY USE ONLY LOT 1 BL I SUBD. ?,,G? 1 Y \Q ? `--r? RECEIPT#: ? I U '4 RECEIPT DATE: (' ?q - q I MECHANICAL PERMIT # 1999 MECHAIVICAL P£RMlT (RESIDENTIAL) CITY OF f.14fiAA ' S$SO PILOT KNOB i{D £kfikN MN 551 EE Date: (651) 681-4675 Complete this section onlv if you are installing HVAC.in a single family dwelling, townhome or condo under construction and not owner /occuoied. • HVAC: 0-100 M B T U $ 30.00 ADDITIONAL 50 M BTU 6.00 • Gas outlets (minimum of one required @$3.00 ea.) State Surchazge .50 Total $ Complete this section on/v if you are remodeling, adding to, or repairing an existing single family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. ,,A:- New Furnace _ Air exchanger )c Other Air conditioning Other DO Z ?/?TE2 $ 30.00 State Surcharge 0 Minimum Total Due $ 30.5 siTEa.DnxESS: pf 5-2 e LI)4e&?WF 1q,,/Lc/E OWNER NAME: ;3tz?ee T/i#YfS PHONE #: - INSTALLERNAME? ,?YUlVA?? J'`U/d2ls/A/6 PHONE#?: A6S?> _0?8 ??tf6 STREET ADDRESS: SO S??1??0 GP? 4U?-7- (AREA CODE) CITY: STA ,1 A ZIP:S-?l? ? i S G ATURE OF PERMITTEE Alteration Repair Reminder: Ca11681-4675 for inspections. CITY USE ONLY L BL SUBD. APPROVED BY: , INSPECTOR RECEIPT #: RECEIPT DATE: MECHANICAL PERMIT #: 1999 MECHRNICRL i'ERMIT (CO1NMEiiC1AL) CI1'Y QF EAfiAN S$SO PILOT KNOB gD £AfiAN,Mv 551 QQ (651)6$1-4675 Please complete for: all commerciaUindustrial buildings multi-family buildings when separate pertnits are not required for each dwelling unit DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION _ INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: 1% of contract price OR $30.00 minimum fee, whichever is greater. Processed piping - $30.00 CONTRACT PRICE x 1% PROCESSED PIPING PERMIT FEE STATESURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TENANT NAME (1MPROVEMENT5 ONLl): INSTALLER: ADDRESS: CIT'Y: ($.50 per $1,000 of uermit fee due on all permits.) PHONE #: (AREA CODE) PHONE #: - (AREA CODE) STATE: ZIP: SIGNATURE OF PERMITTEE L9 BL ? CITY USE ONLY RECEIPT#: 8101/ 60 D RECEIPTDATE: 1997 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) B81-4B75 Piease complete for. ? single famiiy dweilings ? townhomes and condos when pertnits are required for eaGh unit ? backfiow preventer for underground spdnkler system FIXTURES EE&H yQ, TOTAL Shower 3.00 x = Water Closet 3.00 x - ' Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot T • ater' eater ` 3.00 3.00 x = x ?_ _ ar7 3.00 x = Gas Piping Outlet • minimum - i • 3.00 x = Rough Openings 1.50 x = Water Softener ' for dwellings under conshuctinn 5.00 x = Water Softener ' Tor exfsdng dwelling " 20.00 x = U.G.Sprinkler •fordweliingunderconat 3.00 = U.G. Sprinkler • ror existing dwening 20.00 = Alteretfons • ro exlsting residenee 20.00 = Water Tum Around 20.00 = Private Disposal System ' Dak Cty lic. 75.00 = (new and returbfshed systems) Prnrate Disposal Systems' nbandonmant 20.00 = STATE SURCHARGE .50 '.TOTAL I hereby acknowledge that I have reed this application, stete that the fnfortnaNon is cared, aM agree ta compy with all applfcable Cky M Eagan ardinances. R is the applicanPs responsibiliry to notHy Na property oxmer that the City M Eagan aesumes no Ilabllity for eny tlamages aaused by the Cily during Ib nortnal operadonel and maintenance edivitiea to tlhe facAities cor.struc0ad wMer ffiB pertnd wkhin Cily propeRylright-of-way/ease" . , I 4528 QRK I.ERF C I RCLE SITE ADDRESS: EFGfiN , MM 55123 OWNER NAME: I N 6$3-9744 W 941-9505 INSTALLERNAME: TELEPHONE#: S7, 7-?T1J.33' STREET ADDRESS: Z ? crrr: MPLSI - STA : LJ ZIP: - - ? *RE OP PERMITTEE ?. i'Y OF f.::(-t,AP! CASIi:L1=.Rs S ?l2'kM:CNFl!... NI]: 69 IiAI'F2 07/01/E37 l'TMl.:rc 000::30 II?, PAME-: 13ft.T.NI•;MAN-F'l.1SSLLL. IiONiC IMI''iiUMT 3i.'.:LO :)QCIJ. 4528 C1AF; L.E:F?F 87.25 2i.,`..`5 9001 4528 C)F1K L..FA'r 'r'_..OC1 31.30 9001 4528 t.lAt: `:;.CIO c t 1'n'I;;:,i1 "iecei.,l: ???no?.,?r?,l;e 94,E5 ( r;:o-re,952 Uirr-+; zDa Nr,Ncv CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT ? PERMITTYPE: BuILoING Permit Number: 030354 Date Issued: 0 7/ 01 / 9 7 SITE ADDRESS: 4528 OAK LEAF CIR LOT: 9 BLOCK: 1 CHES MAR 4TH p.I.N.: 10-17103-090-01 DESCRIPTION: REMARKS: FEE SUMMARY: Base Fee Surcharge Lic. Search Total Fee SF (MISC.) REPAIR 434 ALT. RESIDENTIAL (RODFING) B{iildin?g.-Permit Type '¢ui:ldin,q Wd,rk Type Census Eade t ?3lb : . 2 P :?%I . ? '.'.....+ 0 q },: "t... "^ FlJ } VALUATION $87.25 $2.00 Fee $5.0@ $94.25 $4,000 ' CONTRACTOR: - Applicent - sT. LIC.10 WNER: BRINKMAN-RUSSELL HOME IMP 17358367 0008168 NYGAARD JEFF 3415 NARTFORD RD 4526 OAK LEAF CIR WOODBURY MN 55125 EAGAN MN 55123 (512) 735-8367 (612)683-9744 ? Z hereby acknowledge that I have read this application dnd state that the infflrmatzon a,s cor,FecC andagree, to cpmply w;t,th ail applicaale State of Mn. Statutcs and City'ofi Eagan?'flrditiances?." APPLICANT/PERMITEE SIGNATURE -r'SSUD y: -?? - S A UIRE k J 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 5830 PILOT KNOB RD - 55122 681-4675 ? 3 registereA atte surveys • 2 cropies of plan ? 2 copies of plans (Indude beam 8 windwv elzea; poured fnd. deaign; etc.) ? 2 site surveys (exterior additions & dedcs) ? 1 errergy calculations ? 1 eneigy calculaGons kr heatetl addkions ? 3 topies M tree preservation plan H lot platted after 7/1/93 repuired: _ Yes _ No DATE: ??301`7'7 CONSTRUCTION COST: ?? ? DESCRIPTION OF WORK: STREET ADDRESS: LOT Q_ BLOCK _ ? ear ^ ? dT ?YnG? !?-? rc+?? ye<r ? 1-?b 2?3 ?o Q ? 5's?g da,? L.?F - c,•n(e _L SUBD./P.I.D. #: PROPERTY Name: 4?aart Phone #: ?$ ?- `17Y`1 OWNER m„ StreetAddress: - ys ? D?-k L ?.F ?f,'r City: State: 14 /V Zip; SSf -2--3 coNritacTOrt Company: ???hk^?? ?"TS?(? Phone735-$3G7 II g O ?YIS Street Address: l'?ar ??d 3I3 ?cl License #: gI ? City: State: Zip: SS! 2S /0/1/ ARCHITECT/ Company: Phone #: ENGINEER Name: Registration #: Street Address: City: State: Zip: Sewer 8 water licer.ned plumber (new construcfion onty): and lot change are , equested once permit is issued. Penalty applies when address change I hereby acknowledge that I have read this applipGon and state that the information is correct and agree to compty with all applicable State of Minnesota Statutes and City of Eagan Ordinances. r Signature of Applicant: Z2, OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY 47? . ? BUILD ING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish 0 02 SF Dwelling ? 07 4-plex ? 12 MuRi Repair/Rem. 0 17 Swim Pool 0 03 SF Addition o OS &plex n 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch o 09 12-plex o 14 Fireplace n 21 Miscellaneous 0 05 SF Misc. 0 10 _-piex o 15 Deck WORK TYPE 0 31 New 0 32 Addition ? 33 Alterations o 36 Move 0 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actuap (Allowabie) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Basement sq. ft. Main level sq. ft. sq.ft. sq. ft. sq.ft. sq.ft. Footprint sq.ft. Building Permit Fee &7 as Surcharge a. °o Plan Review License 5 • ° ° MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SNV Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Totai: 9 . a s Engineering Valuation: $ MCNVS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Variance % sAc snc units 9-6-77 DOG KE[TM-L - 3506 LE :IPTGTOId AVEPIUE. The application of Ralph i7elson and Roger Johnson for conditional use permit and v4ri8nce for a dog kennel on 4,8 acres at 3506 Lexiagton Avenue Sonth was next revi.ewed. I1r. DTelson and t4r. Johnson were present. IC was noted that no keanel iicense was in existence on the property, but it had been used for dog Icennel purposes for a number of years. Because of the 5-acre provision, a variance was requested. ihe APC recomnnendations were reviewed. rtr, ttelsoa indicated he utulerstood the recommendaCions and agreed with the recom- mendations of the Planning Con¢isaion, 9mi.th moved and P,ahn seconded a motion, with, all members voting in favor, to approve the application for conditional use , permit and variance on an ennual hasis in both cases arnl farther, approve the issuance of a kennel license, all snbject to the conditions of the APC. DGVID SCHIOUIIYTG VF.RIANCE, Mr, David Schoeaia; appeared oa hehalf o€ his requeot for 10-fooe variarrce trom street set back on I,ot 1, Block 1, proposed Ches 14ar 3rd Addition to locate a home 20 feet from the roa3 right of way on Ches 14ar Drive, the purpose would be to accommodate trees oa the lot ani the APL' recomended approval, inciuding approval of staff permits far variances throughout Ches PZar :,dditions for the same reasons. Snith moved and Wachter seconded a motion oyith all mem6ers voeing yes to approve the application and further, to permit ataff approval of similar variance probleaos fn all of Ches Mar Additions for Yhe purpose of saving existing trees. PAUI, Tt•IOMy - LOT 3 HIGIiVIEW p.CgES VAPIAtdCE. T•Ir. Paul Ttvomey appeared on behalf of his application for 10-foot variance trom street set back on the East side of Lot 3, Highvieca Acre3 from a 30-foot roadway easement, The APC recoumended appzoval Co provide a 20-foot set back for a garage in light of the fact Chat it did uot appear to affect adjacent propeity owners. Polzin maved and I7aahter seconded a motion with all members voting yes to approue the application. MICHAEL ZYLItA - GE1LcLYY RpAD f?,a,nJSTT9GPTT5, Iir, 14ichae2 2y2ka appeared infor- ma11y requesting the Council to provide for a change of location of proposed Galaxy Avenue neax its intersectiop with Cli£f Road due to the 35B proposed location. - 9- L . ?. Ci - (,e- 7? : r" f ? ES ? . ? W a ?--- - -? ., : ? ' nAx?a BUILDING PERFIIT AP?LICATION Inolude 2 sees of pians, i eite plan a/elevations'and 1 aeE of energy calculations. ?- - 000 p ? To be vsed for , . .?? Valuation ?- ? ? 31te Addresss . Lot Block Sec. 5ub. , Owner ,1i%/C?P .rt?Q?se?v Addzess y . ,. ? Contractor f? ? Addresa L v f/ ? Arch. /En9. Address Erect Alter ltepair EnZarge Asove Demolish Grade OFFICE USE Date of Appraval & Initial Aesessment water/sewer Police Fire Enq. Planner OounCil .?ex?n0, P1dg. Dff. A.P.C. ? Parcel Nwnber j7103 09O, 0 i Telephone , TelePhone 7 -3 Telephone OFPICB U9E , Occupancy Zoning K/ Fire Zone s Type of Const. ? # of Storiea Front 6°FS Depth FEES v-? Permit Surcharge ? 9 ? Plan Check SAC 6-5Z5, / U r ?3?8d , ?-.? ?.,liefson 8j1lldrrs Sn:. F. C. JACKSON LAND 6URVEYOR ?& /"•- ? d? p[618TQRlD UNOtR LAWB 0? fTAT6 0/ MINN[{OTA •? i- ?C ;l uQNI[D [Y ONDINANCR pI CITY W YIld[MOLN N<I 'v I • ii ? 41 V ? O ? j 00.0 l Or.1G939-1 , 1S3;4SA ???? 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' c On I:?'?OT:9TSC'?. ?!7 il1F,[,?i F, r, . ?, n sT 1?'z ea 2'I?YC: ? ? r,?a V:1c?d7E ) t _ TyFL 07 %I7 CuTL3o ?vic"rJ F.c.. ! p" r-„s'fIICR ' j ?, ?i?? ep--? ? • - ` . . . s:Cz? IL3U??^_i i0i;: 87 12L004,S -, ??3??'q?L" tP?' UL??J? 0? LRf'?S?'; 1?ALL? ?L?OVE l3???Z`^ . , FI%?Fw-3_1 07 e4.7 t [?FTIW?::t f;T?' 022 ^?'? c1Px, 6??{E'? Eiri£?S?;n:? ., , . • . , . S f.? 1.) . DETAIL SQ, PP RESFEr.EfCI's , 3G1. E'T ' Sc;. FT, ?•(J?? X SQ.'PqCYtACE OP;:1fIHGS VALUE '. ' ?W- LN (C--... crnu t' ?f ' 39 5G ? i5(v G)/n ' Of ? i . ^ "?.` ?, •? y ?.. ?.?..?fl.. _L ..?. SGYT?>l.i Il e 9 ri ? L/ ? t f f'{ ly? ? ll•? (7? ? 'Y ?? L d ) ,'rr On? ( . ???..... ? ? ,1i«__. r? S9 o ' . ? ', ' C'i " ? ? ? f y rj I . ? . .. . ? . ?l° . h Q J ? i ? 9 (? ? Z ti ? .....?R .L4? ..)?.?.?.?• ?? .. „ . '?,.'•ea?.? . ; .o z+ . ?.??. fl ?..m..? ....?...!V.r.??....•_.w... ...?,,.? ??..?? .. . A ?? ' ' ?? v iUlA Li . . ??+.,.,.. ? . ". . . ,?}?,•'= ?..?{ y-? s ?TO^A .,.e , DOOR3 ?_•..??-?__.?.,>? ? iUTALS ? 5 Co? 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L ?`?.ttx.) ! t ? i.t?? ? ? ? •-•._.,_ ?= 1 lo?r r... E _ _ ?. _ . .._ ' ?_-4 , 9 ` F R OF LJ005 E I ? ?.!?H(?? ?? IA d) .?.. ?., , _ ?-??. ",., „ • .:i.. , ,. , . _.. . . , . _ °..; '. " ' 2004 RESIDENTIAL BUILDING PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 ('?) Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCtian Reauiremenfs RemaleVReoah Reauirements 3 regislered site surveys showiig sq. ft. of bt, sq. ft of house; and all roofed areas 2 copies of plan ?' Em (20°h maximum bl coverage allowed) 1 set of Energy Calatations for heated additions s. 2 copies of plan showing b?m & window sizes; poured found desgn, etc. 1 site sunrey for additions 8 decks _? ?? 1 set of Energy Calculations Add?ion - indicate if orrsRe sepNe sysfem ___w_ '}?3 copies of Tree Preservatlon Plan if lot platted after 717193 Rim Joist Oetail Oplions selection sheet (61dgs with 3 or less units Aate __7_ Construction Cost SDoO p Site Address Lec? C; v UniUSte # Descriptian af Work -}- p - Multi-Family Bldg _ Y?1F Fireplace(s) ?0 _ 1 _ 2 Property Owner 610`1 !-v Telephone # 1eS f)&8 7 O'f 6 j Contractor c S i Address Y S?8 Om b? LPti -C Qk- City L- ci q- q.1 State O.A AJ j 23 Telephone # ( 6/) 6 fT 7 Zip S7r O y (?I (olZ - 885- v 45 "Z C?> 44 E?.t'rzy COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Cateeorv 1 _ • Residential Vsntilation Category 1 Worksheet (Jsubmissiontype) Submitted • Energy Envelope Calculations Submitted A NEYY BUILDING Minnesota Rules 7672 • New Energy Code Worksheet Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, fee applies. / Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # ( Telephone #( O review I hereby apply for a Residential Building Pernrit and acknowledge that the information is complet?Ad accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN 5tatutes; I understand this is not a permit, but only an application for a pernut, and work is not to start without a permit; that the work wil] be in accordance with the approved plan in the case of work which requires a review and , approval of plans. ??A-tJ Applicant's Printed N e Apph? ?cant's 5ignature OFFICE USE ONLY Sub Types O 01 Foundation 0 07 05-plex ? 02 SF Dwelling ? 08 06-plex ? 03 01 of _ plex ? 09 07-plex ? 04 02-plex ? 10 08-plex ? 05 03-plex ? 11 10-plex ? 06 04-plex ? 12 12-plex Work Types `g' 31 New ? ? 32 Addition p ? 33 Altera6on ? ? 34 Replacement Valuation C C d ? v ensus o e SAC Units # of Units # of Bldgs T f C t ? ype o ons ? 13 16-plex ? 16 Fireplace ? 17 Garage ? 18 Deck ? 19 Lower Level Plbg_Y or _ N ? 20 Pool ? 21 Porch (3-sea.) 0 22 Porch/Addn. (4-sea.) ? 23 Porch (screenlgazebo) ? 24 Storm Damage ? 25 Miscellaneous .. , ? 30 Accessory Bldg ? 31 Ext. Alt - Multi Q 33 Ext. A!t - SF O 36 Multi Misc. i?rZa?t ?y,frzc? ?- ]7 ??K ... ? 35 Int Improvement ? 38 36 Move Building ? 42 37 Demolish Building" ? 43 "Demolition (Entire Bldg) - Give PC Occupancy ? -? Zoning Demolish Interior ? 44 Siding Demolish Foundation ? 45 Fire Repair Reroof ? 46 WindowslDoors A handout to appiicant MCES System City Water Stories Booster Pump Sq. Ft. PRV Length l ( Fire Sprinklered Width j Ct ? Footings (new bldg) ?r Footings(deck) ?g Footings (addirion) Foundarion ? Drain Tile Roof Ice & Watei Final 10 Framing Fireplace _ R.I. _ qir Test _ Final ? Insulation Approved By: Base Fee Surcharge Plan Review MClES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Capies Other Total REQUIREDINSPECTIONS _ Final/C.O. ? FinTUNo C.O. _ Plumbing _ HVAC Other Pool Ftgs Air/Gas Tesu Final _ Siding _ Stucco _)4 Stone _ Brick _ Windows _ Retaining Wall ilding Inspector ?------------------- ?-1??1. -a-?S a? .6 cDm :A Deck 2,40,bnSc(,00 ? jq3b4.o- a26h l? ZS?.!va x ??•v.J -? 2700 .uo F?wr Fvw- 2?'uv?one I 1:nf cz? ?? O?.UI z fj,i3aa :Jn Permit Number REScheck Compliance Certificate 2000 Minnesota Energy Cocle REScheckSoftware Version 3.5 Re(ease le Data fitename: C:\Program Files\Check\REScheck\IIayes Residence.rck PR07ECT TITLE: Hayes Residence COIJNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 06/0 U04 DATE OF PLANS: 05/14/04 PROJECT DESCRIPTION: Addition & Remodel COMPLIANCE: Passes Maximum UA = 118 Your Home UA = 116 1.7% Better Than Code (UA) Checked By/Date Gross Glazing Area or Caviry Cont. or poor Perimeter R-Value R-Value U-Fac[or UA Ceiling 1: Flat Ceiling or Scissor Truss 300 44.0 0.0 8 Skylight 1: Wood Frame:Double Pane with Low-E 10 0.330 3 Wall 1: Wood Frame, 16" o.c. 850 19.0 0.0 44 Window 1: Above-Grade:Wood Frame:Double Pane with Low-E 70 0330 23 Door 2: Glass 30 0300 9 Basement Wall I: Masonry Biock with Empty Cells 200 19.0 OA 29 Wall height: 3.5' Depth below grade: 2.0' Insulation depth: 2.0' Furnace 1:'Fotced Hot Air, 78 AFUE Air Conditioner 1: Elecuic Central Air, 10 SEER Proposed and Maaimum U-Factor Averages Proposed Average U-Factor Above-Grade Windows and Glass Doors 0.321 Includes Foundation Windows > 5.6 ft2 Skylights 0330 Maximum Allowed U-Factor 0370 0.550 COMPLIANCE STATEMENT: The proposed building dasign described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the 2000 Minnesota Energy Code requirements in RES checkVersion 3.5 Release le requirements listed in the RES checkIns ection Checklist. Builder/Designer ,? ? F!?s (formerly MECchec4 and to comply with the mandatory Date ?' 1 -0 ?7??? Conneetws USP# JUS410 RefM LUSR10 NER-dOB ICBO ES ER• 51 eIIIPeiiiiiiii11iiiiiiigiq!!I? / Y ' . . . No. 3600 62 535cl 2004 RESIDENTIAL MECHANICAL PERMIT City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dweilings 8c townhomes/condos when permits are required for each unit 3 a -.sv LS!ll L, S JUL 0 5 L*104 Date Site Address ?S -?y.t Dc& Le6i (J) Unit # Property Owner Telephone # ( (dR) ? Ce.l Contractor Street Address L-Or-Q- Rrk- 9f.LUi? City T? ! k State ?M In11Q,cpT7,1_ Zip 7Telephone #(?p3) ?T a Sond #: 7q co `co r7 Expires: 3 d? ? The Applicant is _ Owner Contractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 furnace _Additional 7 W?eplacement air exchanger ? airconditioner New XReplacement ?C other ?U? "r?tn't? Q./iIhY?AJ"?G 2U1f 5?15\??l.C?"C?.b(k- State Surcharge $ .50 Total $ 30• S0 I hereby apply for a Residential Mechanical Permit and aclrnowledge that the informafion is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mecbanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a pemut; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of pl W ?N?Y?G?a S-F, Nlari 2 ? Applicant's Printed Name ApplicanYs ign e 2004 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please comple foc commercial/industrial buiidings multi-family buildings when separate permits are not required for each dwelling Date Site Street Address Unit # Tenant Name (if applicable) Pr ious Tenant Name ,?^\ Property Owner 1 ? Telep6one #( ?p f a) 3L0 4P -, 3985 ? Contrector ? I- ' + -I Add rl flv `ar k_ Cit s Street ress p y State I h n p SJc elephone #(??3 ) ?a Bond Ex 'res: TNe Appl[cant is _ Own W o ctor ther Work Type New Construction P Undergr und Tank _ stal _Remove'*see below Interior Improvement instaill ping _Processe Gas Nature of Work: '*When instafling/removing derground tank, call for inspection by Fire Marsha nd Plumbirtg Inspector Permit Fees: $7oso Under und tank installeHonhemoval $5050 Min' um (indudw Sta[e Surcharge) or ContractValue $ x I°fo = $ PermitFee . If oermit fee is ,000 or less, add $.50 ? $ tate Surcharge If oermit fee is ver $1,000, add $.50 for every $1,000 ermit fee $ To 1 Fee I herehy apply fo a Commercial Mechanical Permit and acknowledge that the information is complete and accurate, that the work will be in confo ance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that I und stand this is not a permit, b only an application for a permit, and work is not ro start without a permit; that the work will be in acc dance with the approved 14an in the case of work which requires a review and approval of plans. Name Applicant's Signature Approved By: , Inspector 03?(0 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. 5o - so 7 n Y /°? Date I I G • Sit St t Add e ree ress Unit # Property Owner Telephone T L?.E"!?i,U Telephone # ?r/? ??'• f?a3a Contractor/tl02 , / Address0v/// N??ll')7/7/L16 *,1:/z N city(.or6_11/Lt State" Zi ?a7,9 The Appiicant is: _ Owner _ Contrector _Other Alterations to existing dwelling 2 / $ 50.00 dd fixtures to rooms, excluding water softener and water heater J? Z,2?4 Septic System Abandonment ?,?zG ?7 I I _Water Turnaround (add $121.00 if a 5/8" meter is required) X Other: (!LG?°z _ Water Softener X Water Heater $ 15.00 ?r replacement X additional Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 State Surcharge $ 50 T t l $ JV o a 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 the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and ap roved. ApplicanYs Printed Name A plicant's Signature 2004 RESIDENTIAL BUILDING PERMIT APPLICATION JuL 1 2 2?04 U City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 3 registered site surveys shmving sq. ft of lot sq. ft of house; and ali roofed areas (20°h maximum lot coverege allowed) 2 copies of plan showing beam & window sizes; poured (ound design, etc. t set of EneTgy Cakulations 3 cores oi Tree Preservation Plan if lot platted after 711H3 Rim Joist Detail Options seleclion sheet (bldgs wiM 3 or less units . RemodeUReoair Reauirements 2 wpies of plan 7 set of Energy Calculations tor heafed additions 1 site survey for additions & dedcs Add'dion - indicete ifon-sife sepfic system ,T?7o-0t) o?ce u?onrv CeAofSti.tvey Rec?d Y,, lYae PrESRequiied ?'"1l _Ii On Sde 0 ._ :Y; Date ( Site Address ' /? ConstructianCost ??` 720 ( ?/1 ? UniUSte # Description of Work 1,fek ?- ' " - - Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2 Property Owner ??/?n Telephone #( G/d ) 3?a? -so ds? Contractor Address State C<<Y Zip ? Telephone 1t (?3 ) -??f ?5?,? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category , Residential VenGlaGon Category 1 WoAcsheet • New Energy Code Worksheet (J submission type) Submitted Su6mitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( ielephone # ( Telephone #( 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 pernut, but only an application for a permit, and work is not to start without a permit; that the wor , will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ? ApplicanPrinted Name Applicant's Signature OFFICE USE ONLY Sub Types O 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. Ait - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt- SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ 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 Windows/Doors ? 34 Replacement 'Demolition (Entire 81dg) - Gi ve PCA handout ta appliwnt Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinkiered Type of Const Width _ Footings (new bldg) _ Footings (deck) _ Footings (addirion) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final _ Insulation Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total REQUIRED INSPECTIONS F;navc.o. FinaUNo C.O. _ Plumbing AVAC Other _ Pool _ Ftgs _ Air/Gas Tests Final _ Siding _ Stucco _ Stone _ Brick Windows _ Retaining Wall Building Inspector Use BLUE or BLACK Ink r For Office Use ' •Permit#:C --''I �� Ol ��Il Permit Fee: S-0 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone:(651)675-5675 Fax:(651)675-5694 Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 04 May 2017 Site Address: 4528 Oak Leaf Cr Unit#: Name: Patrick Miller Phone: 507-413-3606 Resident/ 4528 oak leaf cr Owner Address/City I Zip: Applicant is: Owner Contractor Type of Work Description of work: Pool Demolition Construction Cost: Multi-Family Building:(Yes J No X ) Company: Contact: Contractor Address: City: State: Zip: Phone: Email: License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: 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 X No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.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 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. xPatrick Miller x _ .1I! / Applicant's Printed Name Applicant's '7 nature— Page 1 of 3