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4474 Oak Pond Rd? CASH RECEIPT ' 19 J reeceiveo ? - FROM AMOUNT $ I I ? J at DOLLARf 7 oo ? CASH ? GHECK CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE White-Payers Copy Yellow-Posting Copy Pink-File CopY Thank You BLDG. y01-3210 01-3422 01-3445 01-344b PERMIT :i0. Bldg. yPermir Plan Check I Surch./ndm. ' SAC/Adm. 01-2155 Surcharge 17-3860 Road Unit 20-2275 SAC 20-3$65 Water Conn. 20-3868 Watez Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permi 20-3743 Sewer Permi 79-3866 Sewer Conn. 11-3855 Park Ded. TOTAL ? . . _. ,?. BUILDING PERMIT Water Police Fire _ To be wed tor S F DWG/GA[t Est. Value $66,000 Date I 4OVEMBER 17 , 19 L1 b Slte Address 4474 _ OAK PONb ;2b Erect rD Occupancy R3 t la Bl L z FA W(V RIU N[) Remodel GF: 2 ? Zoning i?L1 o ock Sec/Sub. . Parcel No. Repair ? Type of Const ? Addition ? No. Stories RSM Na HONiES Move ? Length 41 - 1 me 1830 Add 8 MURPHY LAKF BL VD Demolish O oepth d? 0 ress City?:ZIOR L&one 432-2 440 Int. Impr. Install ? 0 Sq. Ft Z F Name °A`? ? ¢ Address ~ CiN Phone A.P.S. I hereby acknowledge that t have read this application and state that the intormation is correct and agree to comply with all applicable State of Minnesota Statutes and Cituof Eaaan Ordinances. -, A Building Permit is issued to: RSM tiOMES all work shall be done in accordance with all applicable? Building Official . CITY OF EAGAN r? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?- PHONE: 454-8100 Planner Council Bldg. Off. 10/22/8? APC Var. Date 12884 Receipt # Surcharge .3-' • v V Plan Review 165.50 SAC 575.00 Water Conn. 500. 00 Water Meter 63 . 50 Road Unit 290.00 Tr. PI. 156.00 Parks Copie 4 O I Ti.?n I • on the express condi6on that and City of Eagan Ordinances. 1 J -- Pwmlt No. PKmN Holdor DN* Telephone M Plumbinp r. H.W.J1.C. ElectHe v• !G SoHenar InspeCUon Data Imp. Comm?nb Footlnya l Z/ FooUnysll Foundalion Framiny RooNnp Rouyh Pibq. Rouph Htp. ?? • Insul. Fi?eaace 4 ¢7 Flnal Htq. Flosl Piby. ? Bldp. FMN Cort. Oce. Deck Ftq. Dsck Frmy. We11 Pr. Disp. , y, . . , . . , . PERMIT # x' MECHANICAL PERMIT RECEIPT # CITIf OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE: PHONE 454-8100 . Site Address ' gLpG, npE . WORK DESCRIPTION Lot Block Sec/Sub fc Res. ?" New Name - Mult Add-on Address r• j, ,-?i ?. ? Comm. R ?r c City Phone 'i r? pther Name TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent Gas Piping Outlets # Other r M BTU M BTU M BTU M BTU CFM FEE S/C: TOTAL• FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 AQD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. COMM/IND FEE - 196 OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - 10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) ? SIGNATURE OF PERMITTEE -- ? FOR: CITY OF EAGAN , PERMIT # PLUMBING PERMIT RECEIPT # CITY OF EAGAN f 4 7? 5830 PILOT KNOB ROAD_ EAGAN, MN 55121 DATE: J Site Address _V -? 4. ! Lot -"/' Block .2 Sec/Sub m Name _ ? Address c City _ ? Name _ 3 Address a CitY - FEES COMM/IND FEE - 1 % OF CONTRACT FEE MINIMUM - RESIDENTIAL FEE - $10.00 MINIMUM - COMM/IND FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) OF FOR CITY OF EAGAN BLDG. TYPE WORK DESCRIPTION Res. New N_ Mult Add-on Comm. Repair Other NO. FIXTURES ^ Water Closet - $3.00 TOTAL S / Bath Tubs - $3.00 ' Lavatory - $3.00 -? Shower - $3.00 / Kitchen Sink - $3.00 Urinal/Bidet - $3.00 / Laundry Tray - $3.00 - - 7 Floor Drains - $1.50 ? 1_Water Heater - $1.50 Whirlpool - $3.00 ' Gas Piping OuUets - $1.50 Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE ' STATE S/C: GRAND TOTAL• ? ? ` CITY JF EAGAN SEWER SERVICE PEAMIT 3830 Pilot Knob Road :. P.O. Box 21189 PERMIT NO.: Eagan, MN 551P DATE: Zoning: No. of Units: Owner. y ` • ??'"`'s Address: 7 Site Address: ??. _.U' . oi,oa L . ,' ' , 17:;e Plumber ? I a9ro* tc comPn? wtth the CNy of Eagan Connection Charge: ??,?,. •,uf,<< 4 70,40P d ? Ordlnancp, Account Deposit: • °??,? ? Permit Fee: ile). o0pd ! Surcharge: • )C,Pd By Misa Charges: i Date of Insp.: Total: i Insp,: Date Paid: f ?. WATER SERVICE PERMIT MN 55121 DATE No. of Units: No.: to compFy with the City ol Eagan Connection Charge: Account Deposit: - Permit Fee: Surcharge: Misc. Charges: _ Tofal: Date Paid: CITY OF EAGAN 5 - 3830 pllol Knob Read 1NATER SERVICE PERMtT P.O. Boxi1189 PERMIT NO.: P)34._ Eagan, MN 53i21 F? F? DATE:- ] - . -- _ 7 Zontng: RSP?! riomes No. oi Units: Owner. Address: ta,- Plumber Site Addess; e Meter No.: '/'. 3 ,.3 Size: ,S?tsir?cc/?, Reader No.: (I I agree to compy wMh the CA Drdina , 3Y :)ate o} Insp: ge q'7S" ?o RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 657-681•4675 New Construction Reouirements • 3 registered she suneys showing sa. R of lot sq. R M tquse; and all rooted areas (20,6 maximum htcoverage allvHed) . 2 mpies ol plan stqwing beam 8 window sizes, Doured fouM design. eta) • 1 set of Energy Calc ;auons • 3 aopies of Tree Preservatian PWn if lot platled after 711f93 . Rim Jo'sl Defail Optlons seiection sheet (bldgs wiN 3 a lass unils) DATE ? .;JB SITE AD IF MULTI-FAMILY BUILDING, HOW PROPERTY TYPE OF WORK -T&&tjZ 16?0_ i-6b? FIREPLACE(S) _0 _7 _2 _3 APPLICANT SELA ROOFINQ & REMODELI , INC. pHONE #6M-$Z3'K6 ADDRESS ST. LOUIS PARK, MN 55416 ZIP CODE PAGER # UNITS? CELL PHONE # FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNFSOTA RUI.ES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULFS 7672 New Energy Cade Worksheet Su6mitted Plumbtng Contractor: _ Plumbing System Includes: Mechanicai Contractor. Mechanical3ystem Includes: Sewer/Water Conhactor: _ Air Condiaoning Heat Recovery System Phone # Phone # Fee: S90.00 Fee: $70.00 All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is conect, and agree to comply with all applicable State of Minnesota Statutes and City of Eogan Ordinances. Signafure of Apptlcant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1l01 RemodeliReoairReaulrements . 2 cop'ies of plan . t sel of Eneryy CalcuWtions br heated additions . 7 site wrvay for exterar additions & dedcs ly?-Ts VALUATION (EXCLUDING LAND) &(CC V e F" _ Water Softener _ Water Heater _ No. of Baths Phone #: La-wn Sprinkler N0. oF R.I. Baths OFFICE USE ONLY ? Ot Foundation ? 02 SF Dweliing ? 03 01 of _ plex O 04 02-plex O 05 03-plex 0 06 04-plex ? 07 OS-plex 0 13 16-plex ? OS 06-plex ? 16 Fireplace ? 09 07-plex ? 77 Garage ? 10 08-plex ? 18 Deck ? 71 10-piex ? 19 Lower Level ? 12 12-plex PI6g_Y or _ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF 0 36 Multi ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FoundaUon) ? 45 Fire Repair O 33 Alteretion ? 37 Demolish (Bldg)• ? 43 Reroof O 46 WindawslDoors ? 34 Replacement •Demolition (Entire Bldg only) • Glve PCA handout to appileant Valuation Occupancy MC/ES System Census Code Zoning City Watei 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) FinaVC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC Drain Tile Roof _ Ice & Water _ Final _ Other _ Framing _ Pool Air/Gas Tests Ftgs Final _ Fireplace _ R.I. _ Air Test _ Final _ _ _ Siding Stucco Stone _ _ Insularion _ Windows (new/replacement) Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanicat Permit License Search Copies Other Total Building Inspector CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 Np 12884 ` PHONE: 454-6100 / BUILDING PERMIT ? - peceiptli (O?? ?U 7obeusedior SF DWG/GAR Est.value $66,000 Date NOVEMBER 17 1986 SiteAddress 4474. QAK POND RD Erect 7D Occupancy R3 Lot 10 Block 2 Sec/Sub.FAWN RIDGE 2ND Remodel ? Zoning RL Parcel No. Name RSM HOMES Address 18308 MURPHY LAKE BLVD City I'RIOR LNone 432-2440 o I Name SAME oa Address a Ciry Phone F W Name- ? z a Address z aw Ciry- A.P.S. DESIGN Repair U Type of Const y Addition ? No. Stories Move ? Length 41 Demolish ? Depih A G Int. Impr. ? Sq. Ft. Install ? Aoorovals Fees Assessment _ Water & Sew. Police - Fire Pnone 450-0867 Planner I hereby acknowledge that I have read this application and state thatthe information is correct and agree to comply with all applicable State of Minnesota Statutes and Ci t Ea an Or inances. ? Signature of Permitl rsA Buiiding Permitisiss6ed to: RSM HOMES all work shail be done in accordance with all appliuoleState of Minn sc Council Bldg. Ofl. 10/22/81 Var. Permit $ 331.00 Surcharge 33.00 Plan Review 165 . 50 SAC 575.00 Water Conn. 500.00 Water Meter 63 . 50 Road Unit 290.00 Tr. PI. 156.00 Parks Copies T....I ? I ? .00 on the express condition that and City of Eagan Ordinances. Building Otticial- n This nvuesi voia ?,}/?//?'? ' . .. ?. • - ' ' (P 1 1ns Imm ?7 ?'°5 8 6 / Hequest Da J Fiie No. o?ph-in Insoection .?.• ,(3 -3O Q?G7 ? ?Ves ? ?No O.Ready Nuw,ry?Will - Noti1y. InY ec- 3r When Read ?4censea Electrical ConVactor 1 hereby request insDeetion oi ebove Owner 7? alectricel work insfalled et Street Ad res . Boz or Noute a? (/ - /1 V /L / /?// •4C% .(;? ecLOn Ngl Tow shi0 Name or No. RanBe o. County Occu an ?;INM Pn9ry4 No. r Supplier i? Atldress le? trical Conttactor krn ' any N?r iel ?? Conva 1or' icense No. ?.i ?ie ?C /Je? l_ I s, ss (Coniractor r Owner MakinB Instatlati Mailino p.tlJ re ' J C. Aufhorize ' natare IC nha tor wner aking Insiallationl -+- Phyn Number THIS INSFECTIONTIEQUEST VGILL NOT MINNESOTA STATE BOAPD OF ELECTqIC1TY G,iB9s-Mfdway Bldg. - Room N-191 BE ACCEPTED BV THE STpTE BOAND UNLESS PROPEfl INSPECTION FEE IS 1871 Univereitv Ave.. St. Peul, MN 55100 Phonel6721642-OB00 ENCLOSED. HEQUEST FOR ELECTRICAL INSPECTION ee-ooooi os See inatructiuns for complatiM lhis torm on beek of vallow copµ c?"2 C_, -7'.' S O 6 N'* 8elow Work Covered by This Request ? Add Ra 7voe o1 BuilGina . Aooliancas Wirea Equiumant Wiretl I I I I I Commercial Bldy. I I Fumace I I Silo Unloader I Air p Fee SelviceEnhanceSize d Fee Feeders/5ubleeders tl Fee Circuits 0 to 200 qm 5 0 to 30 qm s 3(, O n 30 Am s Abov200 qm ps 37 to 100 Amps r a to 100 Amps Swimmin Pool Above 100_Am ove 700_Am ' tial-'Oth L I I $igns I I iSpecial Inspection ' ? /VmrOfI Nemarks $ i?'j TOTAL FE I X I, tha ElactllCS1 Inspector, he,eby certify thet the sbova inepaction hes bean Thle repueet voitl 18 2 0 04 PY,,sm a'-I O BII1TtD]JYG PEI21VIfI' APPLICATION City OfEagau 3836 PiIot jf3a6b I2oad, Eagan YM 55122 --- - -- --- == -=_ -"-=-Teiegkojae965I-675-5fi75---. FAYff- 651 675 5694- --- ----- ----- - Mevr Consfruction f2„????? ,. 3 re9istered site surreys showiRq.sq, ft of fot sq. t? of house; and aIl roofed areas RemddeVReoai_ } R` eq???yme?k (20°k marimum lof coveraqe altowe? 2 cropies af pfan . 2copiesofpian"showing6eam&windowsfzes; 1?tofEpergyCafcufations forheatedadd i6ons lsefofFne?gyC,alcUlations poufed found design, efc lsifesurveyforaddons&decks 3copiesofT2ePreseivaflonPian'rflotplatfed'after7Ml93 . . . Rddoit-u2??{3??es Rim Joist Defail Opfions selection sheet (61d3s tviryx 3 or fess units ?rc Datej5:L S#te Address , Descripiion of Work MuIt3-Famtly BIdg Property Owner ConEractor Address 3tate 4-vmPLEFE THlS qREq Z4p EnetgY Code Cyfeqory '- Minnesota Rutes 7670 Cs#e o .1 (dsubmission type) ,•Residential Ventifation Category 1 Wwksheet , Submltfed : . • Ene9Y Envelo e ?'?'`t'" " P QalculaSons Subm(tted Telephone # (?s ? ) •p? ?? - (QlY8-jL .,.?Y?N iUAu UII., Telephone#(1031N a A?D_ (Q_ A _ Minnesota Rixles.767)1 . • New ErjOrg,y C.ode Worksheet Submiked Have you previously consfrucfed p building in Eagan ?M}fi q Similar pipn,z _ y fee pppiies. icensed Plumber +lechanicpl Corifiracfar ewedWafer Confractor Tefephone #( ielephone #( Telephone #( N ff so, 257, pfan review LE-Ld T ?AD ocr 2 9 zooa uu L- herebY aPply. for a ResidenCial Bui]ding Pezuiit and aclnowledge tbat tha infozmation is c eY af the work will be in conforn_iance wifh the ozdi ur nances and codes o£ the Ciiy of Eagan and tfie State of MN m"t; thIat tfi s not a permit, btrt onIy an ?p?cation for P ' acc`a?e; atutes; e undezsta.worlcnd wi thiIls b ie in accordance witli the a pproved a erinit pro and worlc is not fo sfart witkouf a val o f pl ans, pIatt in t]1e case of woik which reqvires a review and cant`s Pzinte ame ? pltcant's Signatuze a ConsirucfionCost_,? ? IInitlSfe # -' Y - N I?+'replace(s) p - _ 1 2 O1`F1l.I?e U? VJY+?y/ i, yV??i /?1iJU1 ???'[?j - Su6 Types - Q- o1 Foundatiorr-----17 -07 05=p[eX t7-13- 'l6=plex - 6'-20 -P601 -=-- - El- 30-Accessory Bldg -. El 02 SF Dwelfing ? OS 06-plex ? 16 Fireplace ? 21 , Porch (3-sea.) ?. . 31 Ext. Aif- Multi Q?03i 01bf ??plex ? 09 07-p(ex 0 17 Garege ?22 Porc6/Addn.(4sea.)' Ef- ?3 Exf:Ait-SF ? z,04: 02 ?71ex` 6 10 68-ptex : ? 18 Deck ? 23 Porch (screen/gazelio) ? 36 Multi Misc: 0' 05 03-plex A Q 11 10-plex El 19 Lower Level U 24 Sform Damage ? 06 04-plex Q 12 12-pfex ' Pibg Yor_N Q 25 Mfscel(aneous Work Types , ? 31. New ? 35 Int Improvement O 38 Demolish Interior ? 44 Siding ? 32Addifion ? 36 Moue 6uilding ? 42 Demolish Foundation ? 45 Fire Repair ? 33.A[teration ? 37 DemolishBuilding* ? 43 Reraaf , ? 46 WPndows/Doors O 34 Replacement `Derrzotition (En4re Bldg) = Give PCA fiandouf fo applicant • Valuation Occupancy MCES System Census Code Zoning City Water , SAC Unifs Stories Bo6ster Pump # of Units Sq. Ft. PRV # ofi Bidgs Length Fire Sprinklered Type of Const Width - REQTJIItEA INSEECTIONS Footings (new bldg) FinaUC.O. _ Fooiings (deck) _ FinaVNo C.Q. Footings (2ddihon) - ?. * c? b? -- HVA?C??,?iz .+ .. . . . Foundahou Drain Ti1e Other Roof ' Ice 8t. Water `?-f_ Final ?aol Ftgs ' Air/Gas Tests B n 3 ' Final gremiug ? e _ fo uig _ Stucco _ Sid RT.' Fireplace _`Air"I'est _ Final _ Windows, ` _ _ Insulation _ R'efammg WaII Approved By _ Building In"spectbr ? ., Base Fee Suroharge Plan F2eview MC/ES SAC Citjr SAC Utifityeonnection Charge -, S&W PermiE & Surcharge ' Treatrtient Ptant License Seatcfi Copies Ofher Total . Installed Siding and Windows LIMITED POWER OF ATTORNEY CviJNTY OF COBB STATE OF GEORGIA KNOW ALL PEOPLE BY THESE PRESENTS: THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania ('Principal"), and a licensed contractor of RMA $ome Services, Inc., DBA Home Depot Install_ed Sai_es loca±ed at 660 Mentlelssohn Avenue North, CTo!c'.°^ Vzfley, MNT 55427, having a license number of BG 20268257, do hereby appoint, name and constitute Elder-Jones Building Permit Service, Ina ("Agent") as my true and lawful attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my name, place and stead the power to execute, acknowledge, sign and deliver (in such form as may be required by the municipality) a permit application, or any other instrument(s) which may be necessary and appropriate, in order to obtain the proper permit(s) from the City of Eagan, Minnesota for the installation, maintenance and repair of windows and siding (the "LVork"). The powers conveyed to the Agent by this Limited Powe: of Attcrriey are limited solely to the express powers delineated herein and apPly solely to the Work. This Limi*ed Power of Attoiziey shall expire and automatically be revoked on the 21 st day ef May, 2004, which date is one year from the execution hereof. Further, the powers conveyed by this Limited Power of Attorney may be revoked by Principal at any time by express revocation and shall also be revoked by the Principal's death, disability, incapacity or incompetence. N WI"TN_F.SS WHEREOF this Limited Power ofA±±orney is execiitEd this 21st day of May, 2003 David . Katz SWORN TO AND SUBSCRIBED BEFORE ME by llavid N. Katz on this Z 1 st day of May, 2003. N-? y P ic in for the State o eorgia My Commission Expires: January 21, 2006 396816.v3 Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor. 3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPOT ; , 1986 BOILDING PBRMIS APPLICATIOH - CITY OF EAG9N AOTS: ALL CONTRACTOES MQST BE LICSASSD iiITH THE CITY OF EAGAN SIAGLE F9lIILY DTiiEI.LINGS INCLODE 2 SETS OF PLANS, 3 CERTII MUI,TIPLE DiifiLLINGS - RESIDSN'PIAL INCLUDE 2 SETS OF PLANS, CERTIFII 1 SET OF ENERGY CALCULATIONS C01-MRCI6t OE SURVEY, 1 SET OF ENERGY CALCULATIONS SENTAL DNITS FOB S9LS UNITS OF SIIR9SY - CHECB iiITH BLDG. DEPT., ZNCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND ?? q (v Le? ODD To Be Used For: Valuation: Site Address ? OAk<,YONbFQ Lot `0 Block Z Parcel/Sub 1?a,m eS Owner (?-%YY) Address Y? 1 r3\ City/Zip Code ?\r-slcf LO.Ye. MN, Phone ?? Z9'10 Contractor " ?. Address City/Zip Code .. Phone Arch. /Engr. _ ? ,'Q ? J , ?J l q yl Address City/Zip Code Phone ii Date: I o `Z) `e(o OFFICE DSE ONLY Erect v"' Oecupancy ?•3 Remodel Zoning R•I Repair _ Type oY Const IT Addition # of Stories Move Length 41 _ Demolish _ Depth {p. Int.Impr. _ Sq Ft Install _ APPROVALS FSES Assessments Permit Water/Sewer Sureharge 33. Police Plan Review I 105. ?P- Fire SAC 5-75• Engr Water Conn Soc>. Planner Water, Meter G3.y' Couneil Road Unit 29'0. Bldg Off to•?y,pb Treatment Pl I S(?. APC Parks Variance Copies YOTAL. NOTE: ADDEESSES FOR CORNER LOT3 - CONTRACTOR/HOMEOiiNER MUST DESIGNATE fiHIC$ 6DDRESS IS DESIBED. AO CHANGFS WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSQED. . ,.., . OH11?ER EXTERZOH LIdVElCFE AVERAGE "U ` COi1PWATIO;! SITE ADDRESS -. 3Q N [? Mdv CONTRRCTOR /25i?)1V.,p, ,-; pAT^?? .. c . w 1a ?I B?nPKOt?? petermine working square i'ootags aT each. 3a'???! l. Total exposed wall area ..., 1ys??•o Sq. Tt, x.19, 2. Total roof/ce111ng area Pt, x•? = LG ?? .UG „^ , Total exposed wall area aboye 1'loor = a. Total wall rrin6ti•r area . . . . . . . . . . . . . . . . . 9.?•y b. Total door zr , ea . . . . . . . . . . . . . . . . . c, Total sliding glass area d. Total fireplace vrall area ,,,,;,,,,,,,,, e. Total wall framing area (average 10%),.. / ? O f. Total net wall area above floor Z-LPc;- G. Total riu: jolst area ................... Tota7, expose$ fcundation area = 9g. c? h. Total foundstion r;indow area .......... O i. Total net foundation area above gr4de ,?9-0, Determine "U" value of each wall segmept. a. '?i X liul; -.V> b, ioy X"U'; , o'/? ? 3• / ?U:: i C. _?/cY x D. Ci X nU'0 G w U e. i9.?•u x Ipll ,' a /.?.7 . r. ??io• y x?'u,: - " Q. ztr X 1, U h. c? X''U' v c ? 1. X "U p 3 ... .... .. ... ............. .................. . Total + /L3•7 -",.?... If 1tem N3 is the same as, pr less than item N1, yvu haVg met tkie intent of SBC 6096(c)2. X•?-w ? 3 4!?11' s. ?? ? Slel 4. i (a / y s, !J ?? ? . ..,? Total exposed roof/ceiling area = . , J. iotal akylight area ... ,,,, ' ? , k. Total rooP/celling framing.area•(average ;pr, l. r ?otal net insulated raof/ceilinC area Deterrnine "U; value fqr each rooP/Ce111ng segm#nt, ,.-_-.....__ X '" U„ 3. i -?- 1. 19 3. e, ;{ ,: U1' 4 ................ •.......... .... ........Total +. ,? 5-' °--•-•--• ?? L?.,. ?.:i c 4'. ' ) D i,, ,". s-a c ,-. fr ao c???? It' total o: Mq is tfie sa:ne as, or less than f2o you have met the intent of SBC 6006(c)1. Alternate euiidina Envelope Aesit,n To ut111ze che total envelope systera method, the values e4tat)jisheci by the sun of items N3 arid q4 shall not be ereater than the sum,oP. ltems b'1 and ti2. a. 0+ 2 3•? ?. ? -.----- N- ???""-?C • S i /I u ,.... v ? - ! .c `?tLee?7,, ?`? ?i>b• . r, - ; ? ---- 73qq? 2006 RESIDENTIAL PLUMBING PeRMir aPPLicaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date _? I ?? ! ?Jo `? ( r? ? SiteStreetAddress q?7?-i I?DYICI FU Unit# Property Owner T Xt,??/i ?G l--t.ndI S Telephone #(b51 )idO"?)in l? Contractor Hf??t? (A D f?.!,C Teiephone #? 3 b5- J34 ?? Address ?Jbqo ?l'Yid _ City State-LQO Zip ScR3's l The Applicant Is: _ Owner eContractor _Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Alterations to existing dwelUng $ 50.00 _ Add plumbing futures. This fee includes installation of a water softener and/or water heater at the same time. lf you are installing onlv a water softener and/or wa[er heater, do not complete this section; move to the neut section and check the appliance(s) you are installing. _Septic System Abandonment _WaterTumaround (add $130.00 if a 5f8" meter is required) Other: ? Water Softener ? Vv ater Heater $ 15.00 _ new / replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ 50 Total g 15-5-b 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, 4vork is ^ot to start without a pErmit and work will be in accordan with the approved plan in the event a plan is required to be reviewed and approved. r spj' C4.-, 6w, ApplicanYs Printed Name Applica s Signature 17+-' CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION *RYPF: PA)MW OF FEE AT TIlM pF ArriscAMorr noFS Nom oMiSriTM arPRovAL oF PEPruT. nusrncriorr oF sENat ArID/OR vATEa TT1erAT.T.ATTONS NTIId. NOT BE SQ' 'IID- ULEI) UWII, PIItNIIT AAS H?XN APPROVFD. (,/ P ease Print 1) PROPERTY ADDRESS: .- LEGAL DESCRIPTION: n _ 1 e • L•. ,. _ ? Lot B ock Subdivision Tax Parce ID ) ? l IF E}ffS'PING STRI)CILRE, DATE OF ORIGINAL BL?ILDZNG PERMIT ISSL'ANCE: ' (Mbn Year - PRESENT ZONING/PROPOSID LSE: CD COMMERCA/RET-AiL/OFFICE 0 IAIIN.'STRIAL n INSTI'IUTIONAL/GOVII2NMENT ?R--i SZN= P."-,[-1iLF ? R-2 DOPLEX (7tao Units) ? R-3 TMNHOL?SE (Three + ffiits) ( Uni.ts) q x-a apARTra4r/corro0rurriUm c vnits> z) ? _ - NAVE= ADDxESS: CITY. STATE, ZIP: ?i=, n r L a-:E c Yh .-? SS3 7 2 PHONE: Lf?? -02.41'Sin 3) AoDxFSS:4 Z•. „Ca,:4 f}vr- (1" CITY. STATE, ZIP:sglegve-, rnAl S? -) ? v PHONE: A`1 ?-r - 71 n a MAST'II2 I,I(EN5E# 3,9 7 1-h Pctive EScpirea Not recorded St?a f Initial 3; :a °S..i.:9: NAME: /i4kP - ADDRFSS: Q ?Z'?,???a.. CITY. STATE. ZIP:?S y9v ??. /Ylw ? .SS3 PHONE:_ ?"/rLL-V 7.C 61 (D 'S) ?? ?• ?• : a • * ? M/CONNCTZON T0 CITY SEWII2 ,pCONNDLTION TO CITY WATER o OTHER . 6) '? • ?? [? PLEASE FIOID APPROVID pER6IIT FOR PICK-UP BY ONE OF ABOVE ?PLEASE MAIL APPROVID PERMIT 7iD 1, 2,(?O 4. AHOVE • _ (Circle one) 7) ` ? . : FOR -CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ $ SEWER PERMIT (INCLUDE SURCHARGE) $ $ /D' S? WATER PERMIT (INCLUDE SL'RCHARGE) $ $ WATER METER/COPPERHORN/OOTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ ACCOLNT DEPOSIT - WATER $ 5-DQ r O O $ WAC $ 6- 7S- ' $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRONK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRL[VK SEWER $ $ LATERAL BENEFIT/TRLNK WATER - $ / J(O 'o d $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: s ia g y s? $ TOTAI, _ GL? 3?a GiL?.? RECEIPT RECEIPT DOES UTILITY CONNECTION REQLIRE EXCAVATION ZN PUBLIC RIGHT OF WAY? ED YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MCST BE ISSLED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SDBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: _?l S ? 7 ` AOBE ? RS', NoMes c p?p?+?+Eai undOlAHp siURYEY0115 ENGIN6EAlNG COMPANY, 1NC. . 1000 E115T 1461A STflEE?, EURNSVILLE4 YINNESOTA 55337 PH 432-5000 Cer?i}?i crz? SurYe c? ?r,gQal .06GJCI"4P210sL: LOT lO, BLOCK 2, FAW.N RID6E 2AlDqDD17-10N, DAKOTA CovN7Y, MINNES07A CY?3?_-6r) DENOTES FXIST11.16 ELEVqTfON (926.S ) DEtJO'1"ES PROPOSED EIFVq`rIOfJ .-wa` INQICATES pIREGTIOI,I OF SuRFACE DRAINA(vE 926.83 = FINISF-iED 6ARA6E DAK `bND R44D i g I ? W lri I ? Z N S 84° 22' 04" E -? 79.52 ? 1 c7 025.0) a , ? 5 0 R ?-I S W ui 5 a FW4R ELEVATION v71.?(926.B3) ?9zL.?S I ?O 10.0 2°'00 8 (YL?.S)? ? 1? ? ? S?? ? zi.oo a ts,. ? ? ^ ° , .?i HousE m `? . ? `J ? ??.0 34.0o I ? an 2.3.0 5. . w, o. C923P ? 11 i922_S) I e? I fLOT ) ID / I 10. J P J o ? -7z .o 9y 52 N 890 22' 04" W ?yz4.a) CL /FF D W h 0 O ? O ? O ? ? >I ? . scaLe , ," . so• I hereby certify that thia ie a true and correct rapresentation of a triatot land as shawn'and described hernon.. As praparad by ma on thim /?=? daY ot O1-r0e &z ? 19 86 . - ;r'.-.-,. •? 1?.?? N{nn. Ree. Ne, City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4474 Oak Pond Rd Lot: 10 Block: 2 Addition: Fawn Ridge 2nd PID:10- 25801- 100 -02 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: Replace Description: Fumace & Air Conditioner Comments: Questions regarding electrical perm 952- 445 -2840. Fee Summary: Contractor: Lofgren Heating & Air 5708 Upper 147th St W Suite 102 Apple Valley MN 55124 (952) 431-5811 ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan Permit expired without required inspections. Letter sent 2/03/09 CE - Applicant - $50.50 Owner: Barbara J Landis 4474 Oak Pond Rd Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: Mechanical EA080043 09/26/2007 ePermit equirements should be directed to Mark Anderson, State Electrical Inspector, $50.00 0801.4088 $0.50 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 Use BLUE or BLACK Ink r For Office Use I~ I City of EanoRdn I Permit#: I b-9r5 I I Permit Fee: 3830 Pilot Knob Road c Eagan MN 55122 I Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 13 Site Address: Unit M R e ST Resident/ Name: Svc Phone: 8 (3 ° <8 °'9 " LJ S 3 $ j Owner Address / City / Zip: 144-7q ~k Q m Applicant is: Owner Contractor I Type of Work Description of work: ~c f c~, fL E t2 00 fc ft,:,- 's t i ti4ct~E~ K ~t S Construction Cost: ®o Multi-Family Building: (Yes / No ) I Company: Contact:lc ` t<<- ~ i Address: City: LB-V-,y_v ; t( i Contractor State: W- Zip: Sb Phone: C1 License C `a `t S t Lead Certificate If the project isyy~~~exempt f-rrom` plead certification, please explain why: (see Page 3 for additional information) V C-7 t N O Irv t(2 n 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: 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. Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA143595 Date Issued:06/20/2017 Permit Category:ePermit Site Address: 4474 Oak Pond Rd Lot:10 Block: 2 Addition: Fawn Ridge 2nd PID:10-25801-02-100 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Barbara J Landis 4474 Oak Pond Rd Eagan MN 55123 (507) 236-2445 Mc Exteriors Inc 274 New Brighton Rd St Paul MN 55112 (612) 221-0084 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA152113 Date Issued:10/01/2018 Permit Category:ePermit Site Address: 4474 Oak Pond Rd Lot:10 Block: 2 Addition: Fawn Ridge 2nd PID:10-25801-02-100 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 - Barbara J Landis 4474 Oak Pond Rd Eagan MN 55123 (507) 236-2446 Sable Home Improvement & Repair Llc P.O. Box 31 Webster MN 55088 (612) 760-5874 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA164542 Date Issued:10/01/2020 Permit Category:ePermit Site Address: 4474 Oak Pond Rd Lot:10 Block: 2 Addition: Fawn Ridge 2nd PID:10-25801-02-100 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Contractor accidentally obtained a siding & window permit, instead of a siding ONLY permit. We will be refunding base fee the difference of $73.75. (SB) Please print pictures of house wrap and leave on site for final inspection. Valuation: 5,000.00 Fee Summary:BL - Base Fee $10K $191.75 0801.4085 Surcharge - Based on Valuation $10K $5.00 9001.2195 $196.75 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Ronald & Cynthia A Goerndt 4474 Oak Pond Rd Eagan MN 55123 Nailed It Contracting LLC 1440 Duckwood Drive, #50 Eagan MN 55122 (952) 657-4380 Applicant/Permitee: Signature Issued By: Signature