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4486 Oak Pond RdCASH RECEIPT , CITY OF EAGAN 3830 PILO'I' KNOB ROAD EAGAN, MINNESOTA 55122 DATE - 19 aecErvEO t ? AMOUNT $ & DOLLARS ,oo ? CASH CHECK Fan j , • . - ? r . FUND OBJECT AMOUNT J _ Thank Yau BY White-Payers Copy ^' ? 8164: ? P n'k F le C?oPY ?PY BLDG. PERMIT N0. i1-i , , - ;•1 '3-? ; 01-3210 Bldg. Permi 91-3422 Plan Check 01-3445 Suzch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 3860 Road Unit 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permi 20-3743 Sewer Permi 79-3866 Sewer Conn. ,?e-3855 Park Ded. TOTAL Y ; 1? ? CASH RECEIPT ? - n . CITY OF EAGAN M ,. ., J 3830 PILOT KNOB ROAD ? EAGAN, MINNESOTA 55122 ? DATE l 1g RECErvED P1qY AMQUWr & DOLIARS ioo ? CASH U CHECK FUND OB.IECT A OUNT -- CYJ " ? ? ' V ??? ZO ?-70 CGC-) Thank You BY ?- -t= s % r ?- ,--, 8 3$ 4?? wnae-Peyers copy Yao--P-urks Coar Pink-File CopY CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHO N E: 454-8100 BUILDING PERMIT Receipt # ' To be used for 3F AwiG/GAR Est. Value $96,000 Dete ?CiN 4 ,19 sa Site Address 4486 QAK 1'UND ROAD OFFICE USE ONLY FAWN RZDG$ 214n Lot 7 BIoCk 2 Sec/Sub On Site Sewage Occupancy K-3 . E 4NU ?AWN MWCC Syatem x Zoning K-1 RIW Parcel No. Yn On Site Well (Actual) Const a N ame IZ• S• M• MMES City water x (Allowatrle) vm Address 5516 18tlTti ST EAST PRV Required * of storiea 4J 3 ° Cit)& FXI?R LAKS PhOne 432-50019 Booster Pump Length ?g' Depth o Nam6 SAHE S_F. Totai , ? ` Address Footprint S.F. F' City Phone APPROVALS FEES ?- W. V Engr./ASSess. _ Permit 5 513• 00 y j W Name 48 00 Planner Surcharge . = Z Address 279 00 0 Z Council PlanReview . ¢W a Cit Phone Y Bldg. Off. SAC, City 100•00 I hereby ackrtowledge that I have read this application and state that the Wariance SAC, MWCC 550•00 information is correct and agree to cnmply with all applicable State of WaterConn. 5sd*00 Minnesqta Statutes and City of Eagan Ordinances. Water Meter 67•00 Si9nature of Permittee Road Unit 325.00 . ?..5.?.?? ? A Building Permit is issued to: Treatment P1 204.00 _ oA the expReess condition that all work shall be done in accordance with all Parks applIcable State of Minnesota 5tatutes and City of Eagan Ordinances. ?? TOTAL 2 ;?1 •? _ Building'Off icial l?? ^ f CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454•8100 BUILDIMG PERMIT Receipt? To be used for Est. Value Date ,19 Site Address • Lot Block Sec/Sub. Parcel No. .. AI....... . . Phone 4 }d_500V ¢o Name , ? ` Address ? City Phone Name Address City Phone I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee _- A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official On Ske Sewage Occupancy ? MWCC Syatem Zoning On Ske Well (Actual) Const ? City Water ? (Allowable) PRV Required * of Storles Booster Pump Length Depth S.F. Total Footprint S.F. APPROVALS FEES Engr./Assess. Permit Planner Surcharge Council Plan Review Bldg. Off. SAC, City Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks TOTAL .? Permit No. Psrmlt Holdsr Dste Tslaphone ?f Plumbing ., H.V.A.C. Electric ?`-- Softener Inepection Dats Insp. Commsnts Footings I 3. Footings II Foundation Framing Roofing Rough Pibg. S 'a Rough Htg. Isul. Fireplace FinalHtg. f-wi,?t Final Plbg. ` Bldg. Final rZy r 6 Cert. Occ. r.?y Temp. LP Deck Ftg. Deck Final Well Pr. Disp. ?;. -;MECHANICAL PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 CONTRACT PRICE: ==PHONE: 454-8100 Site Address ./d"16 C•e Ar na...p /? r? Lot_' Block 2 Sec/Sub ? m Name ?•?,Q,u s?sr 4 d 1 f?g ?/ ?v Address i SciY.i? c City Phone _At - Name } C? S c Address O CitY Phone ' TYPE OF WORK Forced Air JC!^/T/ 7Ld?rM BTU Boiler M BTU Unit Heater M BTU Air Cond. M BTU Vent CFM Gas Piping OuUet s # ? ?. Other FEE: S/C: TOTAI: RECEIPT # 6 7 c-_ DATE: e BLDG. TYPE Res. x- Mult Comm. Other WORK DESCRIPTION New x Add-on Repair FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PEHMIT) - 1.50 EA. COMM/IND FEE - 196 OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES ' TOWNHOUSE 8 CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMpDELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PEFiMIT - .Sp ? ??t.. ,/ ? Q? n"' SfG?dATURE OF PERMITTEE ? ,. FOR: CITY OF EAGAN . . r: : .. , . . . . ,. . . ,.. . : . . . . .. . . _. . . ... . . .. . . a.: • PERMIT # PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: Site Address Yy,:! 'Q'%' {i . Lot y Block .? SeciSub ? Name _ m Address c City Name _ 3 Address O City _ Phone FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHAFGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1.000.001 OF FOR: CITY OF BIDG. TYPE WORK DESCRIPTION Res. New X Mult. Add-on ' Comm. Repair Other j- ONLY - COMPLETE THE FOLLOWING: RES. PIBG . NO. FIXTURES TOTAL Water Closet - $3.00 t j_Bath Tubs - $3.00 - L $100 avatory - ?t -2 Shower - $3.00 / Ki?chen Sink - $3.00 ' UrinaUBidet - $3.00 .? '-LLaundry Tray - 53.00 - _LFloor Drains - $1.50 ? Water Heater - $1.50 Whirlpool - $3.00 -LGas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMII) Softener - $5.00 Well - 510.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: STATE S/C: GRAND TOTAL• '?? •.vAs fEtrtif iratr uf Mrrupanry Ctp of (Eagan Epprtrnpttf u# 'swld'mg 3wPrtimt This Certifecate irsued pursuant to ihe requirements of Sectton 306 of the Uniform Buildirtg Code certifying lhat at the tine of essuance this structure was in conrpliance with the various ordinances of the City regulating building corrstruction or use. For the following: u,e abmfimom SF M/['.nK eiaa. Femiit rro. 00-aancy TyP R; zooing oWic, RI Type COML L;:n owm of ewmms TL4i H?ES Am„.. 5516 180th ST. E.. PRICFc I.AKE Waaing naa= 4486 QAK '?!!df) %]AD Loc,stY L7, 132. FAWAi R4DGE ??D p„m MAv 24, IARR Bwld'mg Official POST IN A CONSPICUOUS PLACE CITY OF EAGAN ? Permit No: Date: ? 383a Pllot Knob Road B/P Na Date: P.O: ftx 2119a EaganF MN 55121 ? Owner. V( SiteAddress: Oat-_ Por,r' ^oac: L , Plumber: ' f t=^ Sicie Plumbinf MWCC: 550• `'0pd Zoning• ? City Chg: 310-00pe! No. of Units: ' Acct Dep: 1 `0CP`' Permit Fee: I agree fa comply wilh the Citr o( Eagan Ordinances. Surcharge: ` Misc.: By SEWER SERVICE PERMIT OF EAGAN - ?ilot Knob Road Box 21199' m, MN 55121 - . .._ . .. .? Permit No: 9586 Date: 5--1°-•88 Meter No: Size: Reader No: Date: i Oi" e;; n_1, n..ia o..-?. T 7 n'1 'V- t?-C.i..n TT nn. Chg: Srn. ?op` Zoning: U'1 ot Dep: r ' -- No. of Units: mit Fee: ? 0)• ^?d rcharge: • 5`?"'-' I agree to comply with the Citr of Plant Ordinances. ?ter. F 7 -? WATER SERVICE PERMIT ' CIT1f OF EAGAN Permit No: Qate: ^-88 3830 Pilot Knob Road Meter No: yo ? la e) 7 Size: P.O. Box 21189 ? Reader Na Date: Eagan, iIAN 55121 Site Address: 144 ^ F iw;: PQdci R nzad .] ?i2 vsi,m " ?': ce ZI Plumber. T.qkn Sir?n. T'ljtm"? ,?nc- Conn. Chg: 75?-' • {lflpd Zoning: - ACCi D@p: t r•,? ?,",' NO. Of Ulllt3: Permit Fee: Surcharge: I ayree to compiy with the City ol Eapan Tr. Plant '- Ordin ces. Meter. - ? , ;;? 0 M f sc.: ? By WATER SE RVICE PERMIT CITY OF EAGAN . (vo 14 6 5 0 , 3830 Pilot Knob Road, P.O. Box 21-199; Eagan, MN 55121 PHONE: 454•8100 ? 1 ?, I ? BUILDING PERMIT Receipt# T Tobeusedfor SF DWG/GAR Est.Value $96,000 Date MARCH 4 19 88 Site Address 4486 OAK POND ROAD OFFICE USE ONLY FAWN RIDGE 2ND Lot 7 Block 2 Sec/Sub On Site Sewage _ Occupancy R-3 . MWCCSystem X Zoning R-1 Parcel No. FAWN RIDGE 2ND - - Vn On Site Well ? ? _ Actual Const a Name R.S.M. HOMES CiryWater X (qllowable) Vn 3 Address 5516 180TH ST EAST PRV Requiretl _ # ot Stories o City PRIOR LAKE Phone 432-5009 BoasterPump _ Length 541 Depth 46` ¢ o , Name RAMF. S.F.7otal oa Addfess FootprintS.F. U m P City Phone pPPROVALS FEES ra wW Name En9r./Assess. Permit 55$.00 ri Planner Surcharge 48.00 ia Address Council Plan Review 279.00 a w City Phone Bidg. Of(. SAC, City 100.00 I hereby acknowled9e lhat I have reatl this application and state that Ihe Variance SAC, MWCC 550.00 information is correc[ and agree to comply with all applica6le State of Water Conn. 550.00 Minnesota Statutes and Ci of Eagan Ordinances. 67 00 Si t f P itt , ?,^` ^? ? R Water Meter . gna ure o erm ee ? '?-= j? -•- , - Roatl Unit 325 .OQ A Building Permit is issued to _R. S.M.HOMES ? Treatment Pt -20J--ao- on lhe express condition thal all work shall he done in accordance with all applicable State of Minnesola Sta[utes and Ciry of Eagan Ordinances. Parks Building Ofticial_? TOTAL rGH?... Q O Z 3 Renues[ L1ate ? ire No. AooPh-in?InsVer?????? I?AeadY Nuw IA?^1?or 11 NoWhetity InsPec%I 9 {? FeQqUiretl T tn Ready [/UV ?Nn Licensed Elecvical ConVactor I bereby request inspection of above elacHical work installed at: ? OWfIpH Sveec Address. Bon or Poute No. UU h? Dak /)? 1?d C"V Zze.an ecuon o Township Name or No. Nange No. Co tY , ko-fa_. Occu -nt (PflINT) ?Nn eS Phone No. Po r $apulier Address , ?a?mrn?f?l Elecvical ConVactor ICOmvany Name) nar.lor's License No. Con f?.5 , ZG . ? nG. IContracior r Owner Maki ?g In Ma?linB ?+?J stailationl ??s- lwt i 3 - , Authyrizetl SiB?a,{ure onNac /Owner Making Installationl ?-v? Phone Number ?-?36? MINNESOTA STATE BOAHD OF ELECTRICITV BE ACCEPTED BY THE STATE BOARD Griggs-MidwnY BIdO- - Room N-191 UNLESS PROPEN INSPECTION FEE IS 1821 Universitv Ava.. St. Peul. MN 65104 ENCLOSED. Phone (612) 642-0800 REQUEST FOR ELECTRICAL INSPECTION . es-ooooi-os y? ? See instruc[ions lor comOleting this lorm on beck ot vellow copy. y 59 5 3 "x'" Be/ow Woik Covered by Ihis Reques! WftAAddi Aep. Type oi 6uil0iny APO,?On[n! Wirod Equiun?ent Wiretl Home ???ge Tempo?ary Service _ n-? Duole.x Water Heater Lightiny Fixtures Comnercial Bldy. Furnace Silo Unlunder f-l-i-?n'??r'lal Rldu. Air Conditioner Bulk M?Ik Tank lrVl k /I{/t/tc I u Fea '/c ServiceEnVanwSiza h Fae Fanders/5ubleaders N Fen Gircurts U to 200 Amps 0 to 30 Am s 0 to 30 An ps Above 200 Amps 31 to 100 Amps 31 to 100'A s Swimming Pool Above 100-A.m s Above 100_Amps Transformers Irrigation E300Ms Partial'Other Fee Signs Special Inspection Slz? TOTAL F Nema rks ? ? Rwgh-in- - I"°•` I i. ena Eleer? I Insoector. ?ereby cartily that the sbove Final D'?lr [inspection has been ?? .. :? ,. 1/'3G0 matle. mia REQUEST POR ELECTRICAL INSPECTION ee-ooooi-as , Sae instructions lor complatinp this form on beck o1 vellow roCV. .9E8 6 8 7 "X" Below Work Covered by This Request FAd Neo. Tvoe ol Builtlino Aootiantea WireE Equiumant Wire,J 11 1 1 I Duolex I I Water Heater I I Lightiny Fixtures I BI I I I I Industrial BIAq. I I Air Conditioner I I Bulk Milk Tbnk -A p Fea ServicaEnfreneaSixe R Fee Feedere/SUbfeetlnrs N Fen Circuits Lffli 0 to 200 Am s 0[0 30 Am s / 0 tn 30 Am ps Above 200 qin?s 31 to 700 Amps 31 to 100 Am s Swinvning Pool Above 100_Amps Above 700_Amps Transformers Irrigation Booms . ? Partial" I' ' Signs ? I ISpecial Inspection ;5?[/ J-bIT?TAL?F?e-d i /? flemarks ? ) G7 '? ? ? ?r ? nal certify thqt the abou ins0ection has bean made. This request void 18 ??VUC71 78 mpn?hs fr ? C -3/-17/8 9 or or rvo. a, MINNESOTA STqTE BOqRD OF ELECTflICITY Gripps.MitlwaY BId9. - floom N-197 1621 Universi1v Ave., St. Peul. MN 55704 Phone (612) 642-0800 se No. I C,s`l0- L? ;6 c,0 THIS IfVSPECTION qEQUEST WILL NOT BE ACCEPTED BY THE STATE BOAPD UNLESS PHOPEH INSPECTION FEE IS ENCLOSEO. LI ON'l,er . I nerabV reqaest inspaction oi above eleehicel work installetl at o.__. .., _ RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN Q O, a? 3830 PILOT KNOB RD, EAGAN MN 55122 << 651-681-4675 New Constmctian Reauirementa • 3 registered site surveys showing sq. ft. of lot, sq. N. o( house; and all roofed areas (20%maximum lot cove2ge allowed) • 2 copies of plan showing beam & window s¢es; poured found design, etc.) • 1 set of Eneyy Calculations • 3 copies of Tree Preservation Plan if lot platted after 7/1193 • Rim Joist Oetail Options selection sheet (bltlgs with 3 or less unils) DATE -I? ?OCY Water Sottener _ Water Heater vo. of 13atlis SITE ADDRESS q -I S& MULTI-fAMILY BLDG _ Y N TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2 APPLICANT V?Ufi 6?? ?s S$1?1' ??J C STREET ADDRESS ?? _114w- ? TELEPHONE # CELL PHONE # C? Ve_ STAW? ZIP S?6?'w FAX # PROPERTYOWNER C??? UV.dkA,i?? TELEPHONE# Cnfvl ??? ?,?S?S ----------------------------------------------------------------------------------------------- COMPLETE THIS SECTION FOR °NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ yIINNESO'C:1 RULI:S 7670 CA"1'EGORY 1 MINNESOTA RULES 7672 (J su6mission type) • Residential VentilaGon Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Conhactor: ___ Plumbing system includes: Mechanicnl Contractor: Mcchanical systcm includes: Sewer/Water Confractor: Air Conditioning _ Heat Recovery System Phone # Phone # P'ee: $90.00 Pec: 470.00 -------------------------------------------------------------------------°------°----------° ? _ = °?_I 'r n ---- T ?. I hereby acknowledge that I have read this application, state that the information is corr ad0Ngje?tMm ; with all applicable State of Minnesota Statutes and City of Eagan Or Signature of Applicant ------- ----°---------°----------°______ OFFICE USE ONLY Certifcates of Survey Received Tree Preservation Plan Received _ Not Required _ - Updated 4/02 RemodeUReoair ReauiremeMs . 2 cropies of plan • 1 set of Energy Calalations for heated additions . 1 site survey for exterior additions 6 decks • Indicale if home served by septlc system for additiore q 0 VALUATION ? l??U' Yhone # _ Lawn Sprinkler No. of R.I. Baths OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 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 EM. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) O 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demalish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Uemolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Baoster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Foorings (addition) Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Warer _ Final Pooi Ftgs Air/Gas Tesu Final _ Framing _ Siding Stucco Srone _ Fireplace _ R.[. _ Au Test _ Final Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC Ciry sAC Water Supply & Storage S&W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector r RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN J I 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Reauirements RemodellReoair Reouirements • 3 registered site surveys showing sq. ft. of bt, sq. ft. of house: and ail roofed areas • 2 copies o( plan (20%maximum lot coverage allaxed) . 7 set of Energy Calculations for heated additions • 2 cropies of plan showing beam 8 window sizes; poured found desgn, etcJ . 1 site survey for extenor addi[ions 8 decks • i set of Energy Calculafions . Indicata if home served by septic system foraddilions • 3 copies of Tree Preservation Pian if bt platted after 717193 • Rim Joist Detail Oplions salection sheet (61dgs with 3 or less units) DATE II "?L1`?1 "' ? d'' VALUATION SITE ADDRESS yLV%L9 f-LX),J MULTI-FAMILY BLDG Y X N TYPE OF WORKJ"0.C.A.. I 3 Cwnr\d? $ I 00L"yi0 1?O OC _ FIREPLACE(5) _ 0 _ 1_ 2 kn?w?n `-I?KiS'?+? C?¢Mi ?o • APPLICANT kW\Q" ??l,i ?Ad.Il.i'?Q1?1 STREET ADDRESS IRaO 1jG31!'f t1 EA+ "C' LL"+CITY kl0SiC(ri II'QSTATE YWZIPS87 A3 TELEPHONE # ?I'?D?{•-(7TiL'CELL PHONE # FAX # PROPERTYOWNEROINN? ?,la\\a St_ TELEPHONE#JQSI•4SZI- SSID -------------------------------------°-------------------------------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MIVNLSO'l'A RL'L[:ti 7870 GVTI:GORY 1 MIV\L•'SO"C:\ RIiLtiS 7674 (J submission type) . Residential Ventilatlon Category t Worksheet Su6mitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Pluinbing sysLcm includes: Mechanical Contractor: Mcch.mic.il sysLCIn icicludrs: Sewer/Water Contractor: 4Va[crSoficner _ 'WaCCr Heatcr -- No. ol'Bachs -- :1ir Conditioning Hcat Recovcry Syslcm Phone # Phone # Pce: $90.00 In1 JUL 15 2002 ------------------°------------._...-------...-------------------•--- ---------------------° ?- ----------- I hereby acknowledge that I have read this application, state tha/Or' rmation is corr , and agree to comply with all applicable State of Minnesota Statutes and City of Eagances. Si gnature of Applica OFFICE USE ONLY Plione # Iaini Sprinklcr No. of R.I. Baths Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 , (7FFIGt USE ONLY ? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex 0 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF 0 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demalish (Interior) ? 44 Siding ? 32 Addition . ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteration ? 37. Demolish (Bldg)` ? 43 Reroof ? 46 , WindowslDoors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy . MCIES System Census Code Zoning ^. City Water . SAC Units Stories Booster Pump Nbr. of Wits Sq. Ft. PRV : Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (nrw bldg) _ FinaUC.O. . _ Footings (deck) Final/No C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile O[her Roof _ Ice & W ater _ Final _ Pool _ F[gs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (ne«./replacemen[) _ [nsulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC Ciry SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector .•••• ?•, r??,? .uv ..c.av rtiA IoJ OJL '4400 2(CLVG`1`RA? 15Yb'h1YUtSLC.7lSIY re a1 , Tuna 7, aoo1 Ciry of Eagan 3836 Pilot &tob Road Eagan, MN 55132 To Whom It May Conccrn: IIdes 3ones is authorized to pall buiIding peimits for Rcnawal by Andeisen_ p(ease allow Eldcr Jones W provide this scrvico for us in Eam. 'Ih;s authMr8ticm is valid fvr any date beyond 616/01; un61 aIkenawal by Andersen mazLag,ar expxwdy revokes it in avridng to the City- I request t(us authorization 6e accepted expedidously. av to not delay in thc processing of ovr building pcrmita apy fyrthcr. Plcasc caii mc If thcre aro any qucscions. I can be wntacted at 763-502-4706. , Your immr,diate aitontion to this mciuer is apprec}ated. Sincaiely, ond R. Rau astaliation Manager Renowal, by A,ncicrstn Golporation ('c.' Kstrn_FatiPr 7nnea C3H ONotary CiA '" Mq? Y Mlru?pffi ?ac?o4 E"" yn. n.wos Wuuz/uu Received Time Jm i. I:OiPm • +• . . . 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS I V IS () INCLUDE 2 SE'PS OF PLANS, 3 CERTIFICATES OF SURVEYO 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNEft LOTS - CONTRACTOR/HOMEOWNER MJST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLTNGS RENTAL UNITS FOR SALE UNITS 1k OF UNITS INCLUDE 2 SE'PS OF PLANS, CERTIFICATE OE SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERUi CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTUHAL & STRUCTQRAL PLANS, 1 SET OF SPF.CIFICATIONS AND 1 SET OF ENERGY CALCULATIONS - SC'D To Be Used For: -0 Valuation: ? Date: Z. - 2S=?B M, ?. ,.n nn I , Site Address Lot I Block D, Parcel/Sub 0 Ownar _? J I Address •? . i , ,n' - City/Zip Code _ r'f` ? O ? 4 urr, 9G, oou - On site sewage_ MWCC system ? On site well City water ? PRV required , vooster Pu;np _ Phone 9PPROVALS Contractor _ .? Address City/Zip Cod2 Engr/Assess Planner Council Bldg. Off. Varianee Phone Arch./Engr. Address City/Zip Code Phone 41 ., .? Dceupancy R- 3 Zoning Actual Const y- N Allowable # of stories Length Depth S.F. Total Footprint S.F. FEES Permit .558,00 Sureharge Review Pla ?Z/8? -00- 0 0 n SAC, City O ,OU SAC, MWCC 55D.00 Water Conn D, DO Water Meter 6 00 Road Unit O D Treatment Pl Parks Copies TOTAL vALuN ___----- GA?za?E 3Z X2o = 6N0 X I.y'= 6176o ?smr 1Sxl?= 240 I? x?= ye8 rlog x 1 3= qZby HousG? 34 X Z6 2ox2.o= yoo 5 ? 10 = s-o Z 8X L = le 1571 X49.- ?69?9 9 S? /4J3 _ ?. , . . .. LXT4:ItIUIf IiNVL:l.01'1: A'?Ii1+AGli ••U" CO;4PU'1'AT[ON RSM HOMES, INC. 180T?`?S? F' . owurr? . PRIOH LAKQ MN. 55372 ---------- - :: L'CL' AUUI CON'PINC'1'OIt /Fi/I J. DA'CG _ ? , -2-1•IIONE Dececminc uorkin(4 ::yuare (ootagc ot cach. 1. Total expused wa11 arca..... .. o?GSa" ?=y. Ec. x .It 2. 'Pocal rouf.cciliny arca ..... .. /.y?6,p sy. ft. x •025 ?G 9 Total exposed wall area above floor =?G?-??•O a. Total wall vindow arca ................... ................, 1,1O. y b. Total cJoor area ........................... ..* .............. 5?a•8 c. 'POCal slidiny ylass door'ares ............. ................ d. 'POCal Cireplace wall area ................. ................. O Q. Total Wall framing .a[ea (averaye lOV.) ..... ................ f. Total net ua11 area abovc floor ........... ................ 99. y g- Total rim joist arca ....................... ................ 19.9. y Total exposed foundation arca = h. Total foundation windov area .............. ................ O t. Total nc[ foundaeion area aLovc ,r,:dc ...:. ................ 9j.y Getarminc "U" va1ue o( cach wall segment. a . X .. u.. b. %• FI x ..U.. , d9/ - ?• ? c . .?? • ? x „u•, . s s = /9 y d. U x "u" D = O ,. ,;,:,::;-.;)k x ..U.. . i.?k r. _d1 9>f _ x °u° .D?'9 _/d_?;i 7- ,,. /r3/•f'--- ': ••n° .o?? °° /o.}!_._. j .....................................r"t;,i Il itcui tlic sumc a?, or lcSs 01:111 iClMi pl, you idv.. w?.rC rlut incen? u[ slic GuO?,(c:)2. 94? .. 03 / G 1-w ' / ? J SQC G oo G, rrJ L ' • .,1ben1 expo:: ed roof/ccilin y araa = 74 , ]. TQCJL Sky11C)hC dCC.I ............. ........ .................. n) 1:. 7'UC.1L fOOl/CCiLltlq ftJ1111f1y .IC?tJ (JVCCJyI' t1)',) ............. 1. Toc?l net in::ulace d ro.lf/ccilLmj :Irc.z ... ................ Dcr?cininu "U" valu,! lor cacli ruuf/cviLiu(j ?1.:41mrnl.. j. O x..U., o - O k. /?2G x ..U,. . 0?3 = -55? 9- ' 1 . s.y x ..U,. .oa:A- = a9}- a ............... .......... ............'rutal _ -a - If [or.al oF 44 is the same as, or less than 42, you have met tha intent of sisc G 006 (c) i. yK3 s! (r? / ALternate 73uiLdinq Envelope Desiyn '1'o ueilize the toGal enveLope system meehod, elie valucs ost:,bli :h--d by the sum of iteme 03 and 04 shall not be greater [han the sum of item:: kl and R_'. 2 9 ___ _ 3??3 • G _-- ) . ?? f?3, p + .? . 3 ?..? * 3 . -? ?/ 4 ». ,) c ? P, " " z ee-3 z's. 6) S4`.i ?/ APFLICATION FOR PERMIT SEWER AND/OR WATER GONNECTIQN ?.nn?????nnn a ??nwx?nF??xxiwn{ i i N01'E: PAS'MFS7P OF F'EZ AT TZME OF x t APPLICATIOCI W6 NDT LYkr ? * sTI1V1E APPRR7AL OF PII2t4T, ? i INSPF7LTION OF SES'II32 ADD/OR F411II2 ?. ? IIY?'iTAIdATIIXYS WII.L N(If 8E SC'lDttr.m w LT71'IL PFFPffT tGIS BE@I APPROVID. ' eltv f:t+:?rs?+tt?ir???xss:?rtttt+ix+eerxif?+ llm?jkju oF eacpcan (PLEASE PRINT 1) PROPERTY ADDRESS: T•FY:AT• DESQ2IPTION: IF EXISTING STRL'CTURE, DATE OF ORIGINAL BUILDING pERMIT ISSUANCE: Nbn Year PRESENT ZONING/PROPOSID OSE: Q COMME[tCIAL/RETAIL/OFFICE Q IAIDL?SIRIAL a. I NSTI TUTI ONAL/GOVERNMENI' - SINGI,E FAMILY e R-2 DC?PI,EX (7t,o Lnits) ? R-3 TOWN30USE (Three .+: Drjits) ( Lnits) Q R-4 APARTMENP/CONIDOMINIUM { . Units) 2> ? NAME: _ L A-4C AwDREss: 6r CITY, STATE, ZIP: r3-? 7pr PHONE: ??.?.7-`00 3) NAME: ? cr ?P cSTd? ?L ? For City Use Pl e . , .ccm /rn res I,ic nse: ADDRESS: 4 ?i Active CITY STATE L4 ? N Expired , , ZIP: - ..... Not recorded PHONE: ? MASTII2 LICENSE #/ rJIJ , St Imti 4) • ?R?i • 0 NAME: ??Si"n ?dm2 ADDRESS: CITY, STATE, ZIP: PHONE: 5) 6) ? , v • -- - - - .-r ?/ /"? o **?*?*?*****+******,r?*+****:r*?***?*++?**+****************************?******,r*?+****.******??,r****+. * * THE GOLD COPY OF THE pERNIIT WILI, gE SFRI' DIRFX.TLY TD PLBLIC WORKS TO FACII,ITATE MEl'ER PICK-UP. * * PLEASE ALLAW 740 Wl7RKING DAYS FY)R PROCFSSING. SONIEONE FROM Tm CITY WIZS, CONrALT YOL IF 1HME * ARE ANY PROSLIIMS. + '1C) CITY SE4!??TION TO CITY WATII2 O 07'fElt ??° ? FOR CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit $ c S ??•?o $ $ $ $ $ 57?o - Cr z) ? ?b • rr? $ $ $ S $ $ S ' . ? '-?....r FEES: $ /U - 5'?) $ ? $ $ S S S $ $ $ $ $ SEWER PERMIT (INCLUDE SliRCHARGE) WATER PERMIT (INCLODE SORCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLLDE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - SEWER ACCOUNT DEPOSIT - WATER WAC SAC TRLNK WATER ASSESSMENT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRUNK SEWER LATERAL BENEFIT/TRONK WATER WATER TREATMENT PLANT SURCHARGE OTHER: $_ L( 7I C?0 $ _5--/' O ? TOTAL f / 6 (113 If ?If 4 9 RECEIPT RECEIPT DOES UTILITY CONNECTION REQOIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MOST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: S,,?ry_J _r. TITLE: DATE: Hedlund Engineering Services 9201EasfBloomMptonFtsaMay Bbomlrpfm,Mhr»sola 55420 Land Snrreren Clrll Enalneers Lond Planner• Phon*: 988-0289 ? surve10 r?s G'ertlf?cate BOOK _ PAGE _ _ JOB N0. 87R'6016 SURVEY FOR7 R.S.E. Homes Inc. DESCRIBED AS: j-p' '> Block z, FaWN aiDCE '?:;:? °?u?i'fION, City of Eagan, ? POND Lakota County Plinnesota and ? ? Reserving easements of record. Vi-il :1!.-, R - zo . o0 -u Ze.6y 1 -zr°io- 9z o,s 73.? , i -) - ! ca?uE : , z; e, az 9z3 ? 2e•0 GAR. y ?p no., LA.3y 1 zs.G7 / I ?y Mu ROAD N t? qz3.l ,9z3x 1 ? Z Il ? NZ ' ` i7.si I `417 rt.3i GRPW1. SPncE ° - S?p sL rr ? LEVEL - ? 9zo.e Q!T? ? ? 9?° 7 r r ? ,?? -•- .? 3 ? i. 1 sy ? 0 hM I h ?l / I 1 N W N n --.....D___._.__.. 1 -1 W 1 ? ? Sc) ? ? 1 l1 I 1 1 1 ? i . ? _ /? /9o9f '- i ? i GE & UTlLITY EASFMENT 1 ?a 1 ao ,? E 0.e 950 PHOPOSED ELEVATIONS rep er FounaoNon . 924.l0 Ooroye flaor •42y.2 8osafmnt Flaor V ?,? Approx. Sewa Sariu EMv. . Propose0 ENvofion@ . O Emiftinp EIeroNons , Drolnoqe DlneHons ? ......r DenOHS Of/tef StOke ? O BENCHMARK, 6e" La+ 8 1z vl.n el?v. = 9Z!,l MIN. SEIBACK REOIREMENTS 1?1 ti C ? y``?O ?FT v I henby certify fhat fhis suney. . plon or nporT Mas p?opared by me or under my dincf 9 1z supervision and IAot I om o duly Reyisltred lond Surveror undtr The IaMS of fAe Slate M Minnewta, oot•: 3 /! /88 D. ".,.... J? e . neoren, Lisen e No. 14376 - - - - - - - - - - - - - - - - - j I For Office Use ' a Permit #:ql~L~ I Permit Fee: i OD I I 3830 Pilot Knob Road Eagan MN 55122 Date Receive ( (-O Phone: (651) 675-5675 I I Fax: (651) 675-5694 Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION d Date: f Site Address:`? 17J 2/ 3 e Tenant: W o.1 i 1 a Suite RESIDENT / OWNER Name: C C ~ L~~IGZ z Phone: lp f 5 Sal Address/City/Zip: b jL? - 2T Applicant is: Owner Contractor TYPE OF WORK Description of work: Ad" / to Construction Cost: Multi-Family Building: (Yes / No CONTRACTOR Name: License Address: r City: State: Zip: Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculations Submitted 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. 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. x i lt~~t,//etch x Applicant's Printed Name Applicant's ignature Page 1 of 3 qqa, c* -i~j, DO NOT WRITE BELOW THIS LINE '7 -74 SUB TYPES ? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool JA Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi ? 01 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF ? 02-Plex ? 08-plex ? Deck ? Porch (screen/gazebo/pergola) ? Multi Misc. ? 03-Plex ? 10-plex ? Lower Level ? Storm Damage ? 04-Plex ? 12-plex ? Miscellaneous WORK TYPES ? New ? Interior Improvement ? Siding ? Demolish Building* ? Addition ? Move Building ? Reroof ? Demolish Interior ? Alteration ? Fire Repair )4 Windows ? Demolish Foundation ? Replacement ? Egress Window ? Water Damage Demolition (entire building) - give PCA handout to applicant DESCRIPTION: Valuation 3,, a Occupancy - - l MCES System Plan Review Code Edition pill 200-7 SAC Units (25% 100% _j Zoning City Water Census Code 'V3 'I Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Const. Width REQUIRED INSPECTIONS Footings (new bldg) Sheetrock Meter Size: Footings (deck) Final/C.O. Footings (addition) Final/No C.O. Foundation HVAC Drain Tile Other: Roof: Ice & Water -Final Pool: _Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath Stone Lath -Brick -f-- Fireplace:_R.I. __AirTest -Final Windows Insulation Retaining Wall Reviewed By: Building Inspector RESIDENTIAL FEES: Base Fee Surcharge Plan Review r r fe - MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Total Page 2 of 3 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4486 Oak Pond Rd Lot: 7 Block: 2 Addition: Fawn Ridge 2nd PID:10- 25801- 070 -02 Use: Description: Sub Type: Work Type: Description: Census Code: Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264 -4777 e- Windows/Doors Windows/Doors-New/Replacement House 434- Applicant/Permitee: Signature PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K - Applicant - Construction Type: Occupancy: Carbon monoxide detectors are required by law in ALL single family homes. $88.50 $1.50 Total: $90.00 Owner: Clarence Wallace 4486 Oak Pond Rd Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. 0801 9001 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 Building EA089501 06/03/2009 ePermit              ÿ þýýü ûû     úüüýý ùùóòõïüü øóé     þý   þýüûúù   ÷â  ÷ ÷ûúù ô ó ÷ù ÷â  ÷ î  ÷þ î  ÷ûúù îýäý÷ ÷þ ÷ôýñü ÷é ñ ôýñü ÷ þ ß÷ã   ý à é  ÿñ ààê  ÷ñø íþöá÷âëèççê øú  þý÷ï÷ øæ èçìçì  ÷ ö  õô ùù õïñù ýñü õ÷   à éçÿÛêêàã é  îô îô íàëàê ï ÷ üúó  ï ïå ÷ ïùù ïï ä÷ñ÷÷  ÷ ñùúóïùùü þ  äî þý õúä ã÷ ç ùùá ÷ñ þ ý÷ ý úþ ý÷ 41°' CityofEaaau Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink 1 For Office Use Permit #: Permit Fee: Date Received: Staff: L L02 - /031' 2/o31' 2 -13'13 2013 RESIDENTIAL BUILDING PERMIT �APPLICATION LI Site Address: t ? Pana B CXR Unit #: Name: C \ an k Phone: Address/City/Zip: I LI Opp bP A 2..& Ea^ 4t`1 MN) 55 )c� Applicant is: Owner X Contractor c� Description of work: R.Qmroe_ c�, Q-cwL a k' .0) 5 ry Arc;kr,:ltt to n 4i Ie. W1 rn u,,t, 4 .6 I au..° 1 ;1\1.14 J& Q c Construction Cost: 1 500 , OD Multi -Family Building: (Yes / No ) v Company:., red 0 j40c -t r roSontact: t'l,u.rieurt. 6.21 v -> Address: to 3S5 1 S ko.t 1 a City: L i +CA O d State: M N Zip: 5 YJ ..3'55 Phone: 3 aU - 5q 3 -s 1 a License#: 1�y44:0y8ci Lead Certificate #: iv PT- /1)toaofo1 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 1 1 �� 9D C,J,V( katg 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: CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x cheale. 14nd-,, amin A. Applicant's Printed Name x ,C il t e- LICA...64)11.1 l if�2l f l Applicant's Signature Page 1 of 3 04- 1°U.,o/ DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace — Porch (3 -Season) _ Storm Damage .$,s Single Family_ Garage _ Porch (4 -Season) _ Exterior Alteration (Single Family) T Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) _ 01 of Plex _ Lower Level _ Pool Miscellaneous Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100%) Census Code #of Units # of Buildings Type of Construction Interior Improvement _ Move Building Fire Repair Repair REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation "'?( Drain Tile _ Siding _ Demolish Building* _ Reroof _ Demolish Interior Windows Demolish Foundation Egress Window _ Water Damage *Demolition of entire building — give PCA handout to applicant Occupancy MCES System Code Edition SAC Units Zoning City Water Stories Booster Pump Square Feet PRV Length Fire Sprinklers Width Roof: _Ice & Water _Final Framing Fireplace: _Rough In _Air Test _Final Insulation Sheathing Sheetrock Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge SSW Permit & Surcharge Treatment Plant Copies TOTAL Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Other: Pool: _Footings _Air/Gas Tests _Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Erosion Control , Building Inspector Page 2 of 3 Use BLUE or BLACK Ink r For Office Use I ing I ~S I City of ~a aPermit ~ I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: C I vLEv`c V~1A-kc Phone: ISa - S`E - 5-SA g I Resident/ 1 Owner Address / City / Zip: Applicant is: Owner Contractor 1 3 Type of Work I Description of work: VlE - Vtoot~ E~~~~_ Lk9t I i Construction Cost: Multi-Family Building: (Yes / No ) 1 Company: (.A-~ ws Contact: °~57 3~5 ~~,a p i I Address: 24 61~;o ~.c City: Lo-V.c~; E I Contractor State: V AL,- Zip: S-(;V 4 ~ Phone: -15'4- ~S2152' I License C- °t S E O Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) o(:-- t, N U ©r.t L`f 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 i 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. X ~o~ EST ICJ . ~4~/ Et C X Applicant's Printed Name pp ican s Stgrrature - - Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA118132 Date Issued:10/28/2013 Permit Category:ePermit Site Address: 4486 Oak Pond Rd Lot:7 Block: 2 Addition: Fawn Ridge 2nd PID:10-25801-02-070 Use: Description: Sub Type:Siding & Windows/Doors Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Clarence Wallace 4486 Oak Pond Rd Eagan MN 55123 (651) 454-5518 Twin Cities Siding Professionals 664 Transfer Road, Suite 22A St. Paul MN 55114 (651) 255-2844 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r For Office Use Permit#: /"—/qq,4i 4*ti' Clty 0f Eap l _ Permit Fee: VGA 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651)675-5675 Fax: (651)675-5694 Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name: A 1/4.-c 'rt- `i1( c Phone: CS 4-'-{5.1,-SS t fti Resident/ owner Address/City/Zip: (1-44 $G' (A-k m,� �, . , Applicant is: Owner ✓' Contractor Description of work: *-1-7(0 2�-n e tc- \. s. {� k C---, Type of Work 7 Construction Cost: 1 000 '`'`" Multi-Family Budding:(Yes /No ✓) Company: V-in d, 4 T�,y, Contact:"tc3 ' lig LA- I Contractor Address: ''a-'�651-3 v4 ,,LAN L City: Lkt,( „..site Stater Zip: �S� llC Phone: c) £ `1 Email I C v�,,�t,,� ' ,c „,,.,s Qo :i v--(Etviaa, N License#: a-t 15 Lo Lead Certificate#: NAT-('-i b e'1t, `1 -( 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 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 supportingdocuments that you submit are considered to be public information. Portions of the information maybe 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.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minneso . • - 'ding Code must be completed within 180 days of permit issuance. x L ,�,t \rj..,..t e, .��". ” Applicant's Printed Name l Applicant's Signature Page 1 of 3