4490 Oak Pond RdPERMIT NO.
01-3210 Bidg. Permit
01-3422 Plan Check
01-3445 Surch./Adm.
?01-3446 SAC/Adm.
01-2155 Surcharge
r
. 75-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 ACCt. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
28-3855 Park Ded.
a
TOTAL
?+?!_ e+t.w..a.4el.?.?r.. '?c^:?'; I.rlK?e.?. F;dw.. -. , _ , ?: Gti.. _ ,:,T?'i•?:?iX "?
DATE:
a1191s9
RE: 4490 OAK POHD 80AD. L6, B2. FAWN RIDGB 2nd
. ? Naur Sewer & Water Permit for the above property has been completed. It will be held at the
'?Oublic Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
qALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
'A
..-.r.r-Your Sewer & Water Permit for the above property cannot be completed for the following
teasar-?S:
i -
?. Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed untit ftrrther rtotice.
w
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing InspectoFS - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
DATE: 4/19/89
RE. 4490 OAK POND ROADz L6. 52, FAWN xIUGE 2nd
XX *lour Sewer & Water Permit for the above property has been completed. It will be held at the
"Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
JALL PUBIIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer 8 Water Permit for the above property cannot be oompleted for the following
teasons:
--
?Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay tor meter at City Hall. Meter size must be
confirmed by Bili Adams or Dirk House (Plumbing InSpeCtOrS - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REDUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
CITY OF EAGAN
3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT
To be used for •?? U`A?%• I Est. Value $-Yz
Site Address OnK rl??X RL. ?
Lot Block i
SeciSub. i''."'" kIKE 2ND
Parcel No.
W Name 1?ux;
o Address ' ?"1 ='r'
City
Name '
City
Name _
Address
Phone
I hereby acknowlege 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 Permitee
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
Phone
1014
Receipt # '
Date AP'" ? ? . 19
OFFlCE USE ONLY
Occupancy R"3 !-"'l FEES
z«,ing Pp k-1
(Actual) Const "N Bldg. Permit 5 i G.Or
? Albwab{e
( ) V"Zl
Surcharge
y ? • ?' ??
# of Stories
1!
Plan Review
2 57• UU
Lengih
Depth #
?
SAC, City 1?.?o
S.F. Total - SAC. MCWCC 575.00
S.F. Footprint5
OnSiteSewage _ WaterConn 56f3--??
On Site Well Water Meter '?` •
MWCC System 4
City Water
1110"
acct. Deposit 3C;
PRV Required xy SNV Permit
Booster Pump - SNU Surcharge ?• C'. ,
Treatment PI
APPROVALS
Road Unit '? '..
Planner Park Ded.
Oouncil
Bk1g.OH. _ Copies
d
1 . ,):i
7.
Vanance TOTAL
,
? Permit No. Permit Holder Date Telephone #
WATER
SENER
PLUMBING
,
H.V.A.C. ?-
ELECTRIC
Inspectlon Date Inap. CommeMs
??irig5 I Y/i ?
Foundation
Framing 4 3G g ?
Roofing
Rough Plbg. G•
Rough Htg.
lSUl. ^.,('r i? ?Y ? `? '' /?? • l ?Y ?'..?-? ?
Fireplace •? "? -_ -
• GA? ?-*'_ / ?i % -i ? -
AOK?
Final Htg. L '
Final Plbg. an-d -rf - Q L
Const. Meler Pibg_ Inspector - Notify Plumber
Engr./Plan
Bldg. Final 2 ? P
Deck Ftg. I
Oeck Final
Well
Pr. Disp.
PERMIT #
MECHANICAL PERMIT RECEIPT # ?L
CITY OF EAGAN
June? 2;, ZL„-' ?
3830 PILOT KNOB ROAD, EAGAN, MM 55122 DATE
235.00 PHONE: 454-8100 ? -
Site A?ldress 441jV
Lot Block
- : ..
?
m Name K eve
1301
m Address
E iiiii r
c City
Name " iar
c Address 44E
? ?ity EaQa
TYPE OF WORK
Forced Air LennoX
Boiler
Unit Heate5
Air Cond.
G 16-- 7 5 M BTU
M BTU
Ton H S 13-?1 - M BTU
M BTU
Vent ?ALIL%?OX CFM
Gas Piping Outlets # 1 Fur:-lace
Other
FEE:
5/C:
TOTAL•
BLDG. TYPE WORK DESCRIPTION
X
Res.
- New
Muft. Add-on
Comm. Repair
11 Other
FEES
RES
HVAC 0-100 M BTU .
-$24
00
.
ADDITIONAL 50 M BTU .
- 6.00
4 (RES. HYAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEkr1AlT)
- 1
50 EA
.00
COMMJIND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES .
.
TOWNHOUSE & CONDOS - RES. RATE APPIIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT
(ADD $
50 S/C IF PERMIT PRICE GOES - .50
. 50 .
BEYOND $1,000)
.50
.,y
.50
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
PIUMBING PERMIT
CITY OF EAGAN
3630 PILOT KNOB ROAD, EAGAN, MN 55122
Site Address
Lot
? Name
? Addre:
?
c City
? Name .
; Address
O CitY --?
Phone
FEES
COMM/IND FEE - 1°6 OF CONTRACT FEE
APT. BLDGS - COMM RATE APPUES
TOWNHOUSE 6 CONDO - RES., RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMMlIND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.Sa S/C IF PERMIT PRICE GOES
OF
FOR: CITY OF EAGAN
PERMIT # ZC
RECEIPT #
DATE: -?'
BLDG. TYPE WORK OESCRIPTION
Res. ? New -
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAI
_/-Water Closet - $3.00 S
_Z Bath Tubs - $3.00 - -
_LLavatory - $3.00
_LShower - $3.00 ?-
Z Kitchen Sink - $3.00
UrinallBidet - $3.00
?
< C
Laundry Tray - $3.00 .
?Floor Drains - $1.50
___,?_Water Heater - S 1 .50 -
xIII iN.,ui - .?O.uv ?_C?as Piping Outlets - $1.50 /
' f
(MINIMUM - 1 PER PERMI'i)
Softener - $5.00
Well - $10.00
^_Private Disp. - $10.00
= Rough Openings - $1.50 FEE:
STATE S/C:
GRAND TOTAL• % ?
v a ' • ?
(tertrftrate of (Orrupattrg
titp of (eagan
EPpai'$Ulpltf of lliildtitg l1tS#1Pt1tAlt
This Cernficate issued pursuant lo the requirements of Sectian 306 of the Uniform Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City reguTating 6uilding carstruction or use. For the faliowing.•
use ct..sc.uoa SF /GAR eag. Permit Na. 16314
Occupancy Type -R31'- Zoniog District Pp!? 'fYp, C"st V?
Owner of Building IPJ-AN 111CMl Address 4466 WEDGWOM ER• , &CM
Huildin Aed. 44? wx P[M ?nD taasty 1 Fi , $2 , FAIN RTTIf'.P. 21Vf )
`- ?'- ?- uaa: Sfi'P['FMER 23, 1989
Buildin6 Ofricia[
P05T IN A CONSPICUOUS PUICE
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
SITE ADDRE;
LOT ?- BL
APPLICANT:
ADDRESSs _
CITY, STATE
PHONE: I '
CITY, STATE
PHONE: _
OWNER: _
ADDRESS:_
SIGNATURE WHEN 111ETER ISSUED
CITY, STATE ZIp
PHONE:
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMtTS, CONTACT
ENGINEERING DEPT.
SEWER 8 WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN 4/19% F S
3830 PilOt Knob Rd. PERMIT DATE
10371
P.O. Box 21199 WATER PERMIT #
SEWER PERMIT #
Eagan, MN 55121 , METER # B.P. RECEIPT #
R# B.P, RECEIPT OATE 4/1/$9 ,
METER SIZE B
ISSUE OATE ? Xx PRV - BOOSTER PUMP cUl
' ?
SITE ADDRESS
LOT ?BLOCK ?Z..SEC/SUB PERMIT REQUESTED
G
?C SEYVER XWATER
TAPS
?_
APPLICANT: _
ADDRESS: COMM/IND ? RESIDENTIAL ?
CITY, STATE --A ZIP
PHONE:
- 4V_ NE11/ _ EXISTING
' ? ,
PLUMBER: '
ADDRESS: I AGREE TO COMPLY WffH CITY OF
CITY, STATE ? Zip EAGAN ORDINANCES:
PHONE:
OWNER:
C
ADDRESS: j777=
ITY, STATE ZIp PHONE:
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERIVAITS, CONTACT
ENGINEERING DEPT.
'"' ;? ?`'??"`•'?'S'?
PERMIT DATE
WATER PERMIT # 10371 SEW ER PERMIT #
METER # B.P. RECEIPT # 1587
REAOER # B.P. RECEIPT DATE 4/ 1?1 ! R9
METER SIZE
ISSUE DATE PRV _ BOOSTER PUMP
PERMIT REQUESTED
k
SEWER X_ WATER _ TAPS
- COMAA/IND V RESIDENTIAL
NEW - EX15TING
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES:
CITY OF EAGAN N? 16314
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
i? 9 '7
BUILDING PERMIT PHONE: 454-8100 Receipt # C, ?
Tobeusedfor SF DWG/GAR Est.Value $72,000 Date APR 19 , 79-89
Site Address 4490 OaK POn7D RD
Lot _6- BIOCk 2 SeclSub. FAWN RTD(:F. 2ND
Parcel No.
w IName BRIAN THORSON
o Address 4466 WEDGEWOOD DR
City EAGAN Phone 423-3733
Name _
Address
City -
Phone
ww Name
?
Address
aw City Phone
I hereby acknowlege that I have reatl this application and state that the
intormation is corred andcompty w all applicable State of
Minnesota Statules and Ci Eagan yO[rplna es.
Signature ot Permitee
A Building Permit is issued to: R$IAN THQg,C,ON
on the express condition that all work shall be done in accortlance with all
applicable State of Minnesota Stawtes and Ciry of Eagan Ordinances.
Building Official
OFFICE USE ONLY
Occupancy R-3 -M=1 FEES
Zoning PD R-1
(ACtual) Const -V---d Bldg. Permit
(Allowable) v-N 36.00
SurCharge
# ofStories
Length 46 ? Plan Review 257 . 00
Depih -4 3' SAQ Cily 100,00
S.F.TOtal - SAC,MCWCC 575_00
S.F. Footpnnts -
On Site Sewage - Water Conn SRO _ 00
On Site Well - Wa1er Meter 9()_ 00
MWCC System ._M
3
0
}(]( 0.
0
AccL Deposit
City Water
PRV Required xx SM/ Permit 20.00
Booster Pump - SiW Surcharge i_ nn
Treatment PI 729- nn
APPROVALS RoadUnit 340_00
Planner - park Detl.
Council -
BIdg.ON. _ CoPies
Variance - TOTAL 2,771.00
!c/S/?"?
f? 1514 5 13
V
. ?. ,
0
Request ate /?
H Fire No. Rough-in Inspeciio
Requiretl?
? Ready Now i I Notify Inspecwr
. R
lYTes ? No
Wnen Ffiatly?
I censed contractor ? owner hereby request inspection of above electriral work at:
Jab Atltlr s( eet Box or Rou ) Cny
Sectio No. Township Name or No. Range No. County
O ant(P?11NT) ` ., I 1
I `J' ' ! 0 so/ ? l
? Phone N? - ?
Power lier k Atltlress
Elernical Convactor (COmpairy a) " t?tor5 Li
No.
?
v ?
M )
14540 PENNOCK LANE
Auth-A°'ECV`,''Y";"91bPN?'35124 P,ona Number
EIINNESOTA STAiE BOARO OF ELECTfNCITV THIS INSPECfION REQUEST WILL NOT
Grlggs-Mltlwey Bqlg. - qoom S-173 BE ACCEPTED BY THE ST.4TE BOARD
1821 linlversiry Avg, SL Paul, MN SS10i UNLE55 PflOPER INSPECTION FEE IS
Phone(672)692-0800 ENCLOSED_
REQUEST FOR ELECTRICAL INSPECTION
? See Aftuctions tor completing ihis krtn on back of yellow wpy.
P 1514 5 'X° Below Work Covered by This Request
?EB-00001-0]
• r?^
y,5.6" z_
e Add Rgp. TypeofBuilding AppliancesWired EquipmentWired
- Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Spec'rfy)
Comm./Inqustrial Furnace
Farm Air Conditioner
Other (specify) CorrtracYOrS Aemarks:
Compu[e fnspection Fee Below:
# Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 7o i00 Amps
Transformers AbWe200_Amps AbOVe10D_Amps ?Q
Si90S Inspec[or5 Use Only: TOT L ?-
Imgation Booms
Special inspection /
Alarm/Communica4on
Other Fee
I, the Electrical Inspector, hereby Rough-in oe+ r/
(p
certify that ihe above inspection has
been made. Fn?
o :? p ! ??
OFFICE USE ONLY
This requesl void 18 monihs iro.
#b? City of EapIl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax:(651)675-5694
?__ _ __ __ _ _ _ _ _ _ _ _ _ -
? ? ?
I
? Pertnit #: I
I ?.5 b I
I Pertnit Fee:
I ?
? Date Recelved: - I
Staff:
2008 RESIDENTIAL PLUM ING PERMIT APPLIC 6t? ? ?TT
Date: 01,C?'O? SiteAddress: ? OCT 2? 200$
Tenant: Su Liu
#:
RESIDENTIOWNER Name:
Phone: :'? ? i U
Address / City / Zip: a(A 0 0,
CONTRACTOR Name: ?cenge li C
LIO
Address: 1344 n?..ita e+.
ciri: Shakopee, MNs55379 zip:
Phone: _ Ca'nT2L't*§4803
TYPE OF WORK _ New Replacement _ Repair _ Rebuild Modify Space _ Work in R.O.W.
Descri tion of work:
PERMIT TYPE RESlDElYTlAL .
Water Heater _ Water Softener
Lawn Irrigation Add Plum6ing Fixtures
L RPZ /_ PVB) Main _ Lower Level)
Septic System _ Water Tumaround
New
Abandonment
RES/DENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $,50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septia, System Abandonment, Water Turnaround' (includes $.50 State Surcharge)
`Water Turnaround (add $136.00 if a 5l8" meter is required)
$100.50 Septic System New ($10.00 per as built) (indudes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
I hereby acknowledge that this infortnation is complete and accurate; that the work will be in wnformance w@h the ordinances and codes of the City of Eagan; that I understand this is not a pertnit, but only an application for a permit, and work is not to start without a pertnR; that the work will be in
accordance with the approved plan in the'ncase of work which requires a review and approval of plans. -
X \3 Wu`',X- Y?l• (? X ? 11, ? _
ApplicanYs Printed Name Applj?anYs Sign ture
t.
.
1%
?
1999 BUILDING PERMIT APPLICATION {RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 s} 1 3-? 5--
651•681•4675 c?-6
?? q '??"
New Conrtmctlon ReaulremeMs Remodel/Reoatr Reaulrements
? 3 regisfered sNe surveys showing sq. ff. of loi, sq. R. oF house 2 copies ot plan
and all raofed areas (207 maximum lot covera(ie allowed) t sei ot energy cclculatlons tor heated addMions
? 2 copies of plans (show beam 8 window sizes; poured ind. deslgn; efc.) 1 sMe survey for exterlor adtlHlons 8 decks
? 1 seT of energy calculatlons ? 3 copies of tree preservaflon plun li lot plaffed affer 7/7/93
DATE: 4-z I r r 7 CONSTRUCTION COST: 95$g46 3,0C)0
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT: (a BLOCK: 'D-- SUBD./P.I.D. #: V LZW
w (( s,) 45-(- -ssas
Name:?uBG? b?.?16 Phone#: l? (b57) ?SL-?')3S
PROPERTY Last Flrs?
OWNER Street Address: `t r ,`49o Q^tt?. a? ?O?p ? ?^
?
City G04Att? State: zip: 55123
Company: NO tJ E Phone #:
(area code)
CONTRACTOR
Street Address: license # Exp.
City
State:
ARCHITECT/
ENGINEER Company: t1)Qt1)iC Name:
Telephone #: area code ( )
Street
City
Sewer 3 water Itcensed plumber (reaufred tor new consfructton onlv):
State:
1'hnalty applies when address change and lof change Is requested once permit is issued.
Zip:
Zip:
! hereby acknowledge that I have read this application, stafe that ihe Informat(on is covec}, and agree to comply with all applicable
9iate of Minnesota 3tatutes and City of Ecgon Ordtnances. ,
Signature of Appllct:? ?-?
OFFICE USE ONLY D I?-
Certificates o( Survey Received _ Yes _ No
Tree Preservation Plan Received Yes No Not Requ i I red?
Registration #:
i
BUILDING PERMIT TYPE
OFFICE USE ONLY
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
O 03 1 of _ plex ? 08 6-plex ? 13 16-piex ? 18 Deck X 23 Porch (screened)
? 04 2-plex ? 09 7-piex ? 14 Apartments 19 Lower Level ? 24 Storm Damage
? 05 3-pfex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Misceilaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
"0" 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ' Q 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg. ? 41 Wood Stove 0 45 Fire Repair
? 34 Repair ? 38 Demolish (interior) ? 42 Reroof "
GEKRAL INFORMATION
Const. ' (Actual) "
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length Width
APPROVALS
Planning
Basement sq. ft.
_ Main level sq. ft.
_ sq. ft.
_ sq.ft.
_ sq.ft.
_ sq.ft.
_ Footprint sq. ft.
Building 6A-
Engineering
Census Code'
SAC Code
No. of Units
No.'of Bldgs
MC/ES System
City VVater
Booster Pump
PRV
Fire Sprinklered
Variance
--?
Permit Fee l - ?-5
Surcharge 'D - 4S--(
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
5/W Surcharge
Treatment Pt.
Park Ded. '
Trails Ded.
Other
Copies _
TotaL• ( I "'D .--I s-
SAC Units
Vafuation:
i
% 5AC
?
?
tVEYOR'S CERTIFICATE BRIAN;L, THORSON HOMES
V
? .r?2 ? .
/?qLo
C?
r Q
,' '•??9°° `?? ?gLl'o 9p
C
Y
?
?
? v
\
?
?
AIP f 1 F1
, .
IJ u ^ ''d / Li ??: ? \vI/
?
I7y
ERGAN
CO
r
\ i1
\\ ? _a
\ ?'o
\ \ s..,, .
d.? ?-
e - Y?
Ep, t
EPSE PE? /
/
? - ro2. r4
N 0°21
o^ goQ?
\
?
?
?
?
1
?
?
E __
/
1989 SDILDING PEENIIT APPLIC9TION - CITY OF EAGAN
SINGLE FAMILY DWELLING5 14314
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
11W
0 qpR 101989
?Zi 17E? 7 ? Date:
NOTEt ADDRFSSE4 FOR CDRNER LOTS - CONTRACTOR/HOMEOWNfiR MOST DESIGNATE WHICH ADDRFSS
IS DESIRED. AO CAANGES WILL BE ALLOWED ONCE BDILDING PERMIT I3 I3$DED.
MULTIPLE DWELLINGS RSNT9L ONITS FOR SALE UBITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECB WITH BLDG. DEPT., 7 SET OF ENERGY
CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ABCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECTFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: Valuation:
Site Address
Lot J? Block _-2. ,
Pareel/Sub LND;
Owmer /tj!!__?.2_ r ?? ? /rys
Address
City/Zip Code
Phone -ZI,1a
Contraetor
Address
City/Zip Code
Phone
Areh./Engr. _
Address
City/Zip Code
Phone #
Oecupancy R 3 M-r FSES
2oning PD P.- I
Actual Const V- N Bldg. Permit
Allowable V-N Surcharge
# of stories Plan Review
Length 4ICoT SAC, City
Depth SAC, MWCC
S.F. Total Water Conn
Footprint S.F. Water Meter
Acet. Deposit
On site sewage S/W Permit
On site well S/W Sureharge
MWCC System Treatment P1.
City water ? Road Unit
PRV required ?? Park Ded.
Booster Pump _ Copies
TOTAL
9PPROVAIS
Planner
Couneil
Bldg. Off.
Variance
Couneil
# OF ONIT3
.
s!y
0
% O. Oi
4LU-Q
? ?w J
NOTE: Sewer & Water Permit feea and aecount deposit fees tirill be ineluded in the building
permit fee. Processing time Por sewer and water permits ia two daqs once a lic=ensed
plumber has applied for a permit at City Hall.
> ' V??UAT?c?l?l
Gr?Rnc?
ZZ.xzZ = y8y X IS = r? Z (. O
?SMT
z4x38 = ?2o .
`bk 9 = ?2
?---
??9Z.x1ti? Ila88
?I aks?
?-?
a? x3e= 'TKY
8x? = 72
?-
?06q x5c? =53Z?v
. . ? ,
d ?
10
,
t.
:ontr
suiid
,
iENERAI [NFORlM1tOM
•(Other) (Over ] stories)
Buiidin9 Perfineter 1q4 fc.
11a1) hefgbt (ground to eave) ?m.c: eS ft.
2
3. 1. z 2: (above) gross walt apga Zo3Ce fc.
? i. Buildln9 dlaitnsions (l) 3cb x(W) Z-(? ' 10?0 ft.2 roof s floor area
S. Square fcot area of rim joist - Floor Joist size (2 ,c to ? )
tp? x Perimeter = Rim o st area • \ Zb ft2
0. Doors - Area .4 Z . -7
Thit ness `n. actor
Trp* ot Construct on ?4_?t'??s•PQ
Menufacturer
7. Tota1 door's perimeter ?Z. Zft
8. Windows: qAnuhcturer VNO ocl, c cl)
U fattor . 5 O
TYPE
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SIZE AREA (F_,2)
EAGH
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State appraved
nr
4UN9ER OF TOTAL fEE7;;:;
UNITS
4r_ q .,? z..
3 4 4
( _ 12. 59
2 \\ ? <b
Z. 6? .oo
t ' -
g. Total ft.2 Glass \-1 ?.'1 Cl
ftreplate area: Nidth x heiahL • 44;;L- x -? • ?3-- Ft.2
?. 1?. Exposed foundttlon: Height x Perimeter . a x_ IO__? • 53 Ft.Z
'METIOM OF TNIS FORM IS REQUIRED fOR ALL HEY COttSTRUCTiON, MAJOR REMOflEIlN6 ANO BUIlOi!IGS B.EI
i5 USED
13YE0 WHEfi£ ENER6V, OTHER TNAY THE MINIMAL COOE AILOHANCE. .
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, ? • . ? ?,,
WfndOM AtN A 11 w1 ndows' • , (O !J x A "r `$ .d
,. Rim jo1st area A 1Zo, o -ft.z U rim Joisi ? , og U x A?±
s? • .
poor area A ` -?-A -1 -7 ft.? J door area = u ,c q ¦ ?, (e
Fireplace area A ?-- f:.2 Ufireplace - Et-3- U x a? Q-
Exposed f0undation A 15? ft.- J foundation ¦ . ?\ U x A
Framing area A t.4 J franing area •_09 U x A=
?Net wall area A j wall 043 u x:, • ?z. 3
• (!?°, '.'..L . . . . . . . . . . U x -vS 1_?? •
.??_?...
tl, Gross wa11 area x0.11`(A-1 single famiiy S du,:;=x = allowable U.c A/Code
(13. above) . .-?;.
x 0.23 (A-2 other residentia:;
x .23 !OEher buildingt? s`
?c .2E (Ovei• i stor;e;) TUN Must be'?larger Lhan
a ?O x U Gcde zZ?.?t(a . 138 zhoye
+S. Cliiing frdming area (Af) aquals 10.': nf r:;lin? area or the sirtle a5)
C?'1 Z TF?,
"i5A`. Gross cefiling area ¦ (L? 3°b x ('?±) . -,,(e • lc (oO ?ft.2
3Q', . Joist area (Af) • 10^ ce111ng area ft.z xr
iSC. Net teilina are4 (Ac) (15A - 15B) •i ?`?j,? ft.2
- -- ?x;
U teiling :c A C* C7 Z?, nc, __ °\ ?'?__ = ZO %p
U framing x a f• 0 2:L (e4 x?
-oraL u x a . ... . . . ... .. ...... ... . .. . . . . . . . . . .. . . . . .
!.8. Ce111ng area (15A) x 0.026 (A-l sinyte °amily S Cuplex - code ailoaable U x A
--•- ?;.:
x 0:033 (a-2 other resfde^:ial)
x 0.06 ?
(other)
BaUH Must be larger than 15 (above)
A(15,?1 1 n ?` x?fcodel" ._,?. F (or the same as) `.?0 s;:
-r.N07E; Use U and A values obieined f••pm nps 3 and 4.
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R TOTAL
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y
inalde sir Ei1M .EA "
?t4
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4i :'OTAL
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Instde atr f?tm R• .68
2ND WALL - Interior vail
?i SLCTi'Mi, inaulatlon CWe 11.)?'?.:''•
R .
ShaathtnB Z oa l' .
Esceriot v411 coveeint . !?'?
Exterlor alr fllir. n .,li
?
R 70TAL
Z3 . O 3 _ •
?i • '': lnktriur air [ilT
?
HL'M
?-'^+=. ?I G" Ft4 \. =r.sutacton
JOISi 1? ir.ch su(C voud R-1 .88 V•??
?Rim
[u ? j?/4 G.q?ty Vl..?l?
G.4f i?If?lChl-11g z. (t
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0! MaLL COVRRI(1` • ? a
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?{? 8xteeior s'Ir flim lia .17
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f i TOTAL ZA?4?
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lncrrtor ai: ttl^? R'` 66 ,???? ?
? ' ?? •S:o lnsula:tort
6?' ? i ?1k4 Ce?e«.a FounJaClue Z.?o (fdfl j
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xteetor air ftln
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•
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F TOTAL r? _g 'r
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'fxpu.ed 3tucK !
r,raGe 3 • .
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0.91?irFil111
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[niiulatlon ?
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.
O.E1 Air F11m
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arw?+?.r¦?q+?11*!!??1!wM?w?qw.?r.r
F! AT ROOF OR CaTHEORRL CEILId1G
71al u e -'.
FR1,M1 NG
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Inslde air fi
Ceiiing
Jotst (stud ,
insutation r
Air spaCe _
Roaf detkinq
Insutdtfon
8ui]t-up root
Outsidt a1r f
rotat R
t U
.
R
5
0
a VaLu?
CEILIM
0.61
(ndow infiltratich 5 cfm/lineal fpot of crack
014ential door infiltration 0.5 tfm/Spuare foo: or dcor and mininur code requl
W-residential daor infi)tration 11.0 cfr/lineal foot of crack
?y:=12":cona•ete 61oCk no insulatton a.4J R 2.1
12" concreea Dlock insyleted cores =.26 q 3.8
12" 1ightwei.Qht biock, _.32 R 3.1
12" ti9htwri9At 61ock i4sulated cores - .12 R 8.3
D.
;ftnqle glas; • 1,13i wtth storel. Nindor+ .54 .
;?oub1r.91?ss •;:5? ,
'?fiple gtass •.:4?
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SUR'VEYOR'S CERTIFICATE
BRIAN L. THORSON HOMES
1 2
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• FI ? eb
PaAeV o ?E (7??U 9???D
go---- DENOTES PROPOSED SURFACE DRAINAGE
O OENOTES IRON MONUMENT SEf SCALE: 1 INCH - 30 FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE.FLOOR - Qzz,3 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR 6 qlq.S FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK- 9ZZ.7 FEET
WE HEREBY CERTIFY TO BRIAN L. THORSON HOMES THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDAfiIES OF:
LOT 6, BLOCK 2, FAWN RIDGE 2ND ADDITION, ACOORDING TO THE
RECORDED PLAT THEREOF, DAKOTA COUNTY, MINNESOTA.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMEN7S, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 13 TH DAY OF FEBRUARY ,1989.
PROPOSED GRADES SNOWN WERE TAKEN
FROM THE GRADING,DRAINAGE B EROSION
CONTROL PLAN FOR FAWN RIDGE 2ND
CO., INC., LAST DATED 6-6-86 SIGNED: JA nw?C-
ADDITION,PREPAREO BY PROBE ENC,.
HAROLD NC.
BY: C. PEfERSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 12294
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James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029
j
SUR'VEYOR'S CERTIFICATE
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paReVo REQ WRED
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PLANNERS / ENGINEERS / SURVEYORS
9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612•884•3029
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Use BLUE or BLACK Ink
For Oftioe 1
Permit 07 `
of Ealn
I
Permit Fee:
3830 Pilot Knob Road I
Eagan MN 55122 i Date Received: I
Phone: (651) 675-5675 1 1
Stw
Fain: (651) 675-5694 i I
2010 MECHANICAL PERMIT APPLICATION
Date: 01 Site Address: 4490 Oak Pond Road
Tenant: Suite
RESIDENT I OWNER Name: Nick Wieland Phone: 651-644-1410
Address/ City /zip: 4490 Oak Pond Road Fagan PMI 55123
CONTRACTOR Name: Boebm Heati n= Co_ License
Address: 1598 Selby Avenue City: St. Paul
State: ITV zip: 55104-6292 Phone: 651-644-1410
Contact: T'M BOehM Email
TYPE OF WORK New X Replacement Additional Alteration Demolition
Description of work: _R_P_place existing urnare F. A f C with new
NOTE: Roof mounted and ground mounted mecfrenical equipment is required to be screened by City
Code. Please contact the Meebanical Mspectw for information on pemulted sueemg me -
RESIDENTIAL COMMERCIAL
PERMIT.-TYPE X Furnace New Construction Interior improvement
Air Conditioner Install piping Processed
Air Exchanger _ Gas Exterior HVAC Unit
_ Heat Pump _ Under / Above ground Tank C_ Install I _ Remove)
wren " ovsg tank(s), cam for inspeclion by Fire
Other Marshal and
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ 5b TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ X1%
$50.50 Minimum (includes State Surcharge)
Permit Fee
- If Permit Fee is less than $1,000, surcharge is $.50.
- If Permit Fee is > $1,000, surcharge increases by $.50 for each Surcharge
$1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge).
= $ TOTAL FEE
CALL BEFORE YOU DIG. can Gopher state one cam at 1m) dti 4mw for pnmic iou agaiarst anderrowed artily darrrage. Call dE beaus
before you intend to dig to receive locates of wwv, ,er : atearecait.ara
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 riot 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-
xomedE • ~7~nr1
Applicants Printed Name Applicants Sigma re
FOR OFFICE USE Reviewed BY- Date:
Required kw4mcGons: Under Ground Rough In -Air Test Gas Service Test _In4loor Heat _Final
Exterior HVAC Screaming Mspec bon
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA075936
Eagan, MN 55122 . Date Issued: 11/20/2006
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 4490 Oak Pond Rd
Lot: 006 Block: 002 Addition: Fawn Ridge 2nd
PID 10-25801-060-02
Use
Description:
Sub Type: e-Windows/Doors Construction Type:
Work Type: Windows/Doors-New/Replacement
Description: House
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: If altering the opening size, a framing inspection is required. Smoke detec tors are required in all sleeping rooms prior to
final inspection. When wall studs or ceiling joists are exposed, hard-wired detectors are required Bat tery operated types
are acceptable if the wall/ceiling finish (i.e. sheetroc k) has to be removed to install a smoke detector. Brenda Van Sickle
00 Excelsior Blvd St Louis Park, MN 55416 952-915-7226 brendav@selaroofin g.com
Fee Summary: Surcharge - Based on Valuation $2K $1.00 9001.2195
BL - Base Fee $2K $69.00 0801.4085
Valuation: 2,000.00
Total: $70.00
Contractor: -Applicant - Owner:
Sela Roofing Remodeling Mary Huberty
4100 Excelsior Blvd 4490 Oak Pond Rd
St. Louis Park MN 55416 Eagan MN 55123
(612) 823-8046
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.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA077047
Eagan, MN 55122 . Date Issued: 03/22/2007
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 4490 Oak Pond Rd
Lot: 6 Block: 2 Addition: Fawn Ridge 2nd
PID 10-25801-060-02
Use
Description:
Sub Type: e- Siding & Windows/Doors Construction Type:
Work Type: Siding & Windows/doors
Description: House
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed,
hard-wired detectors are re quired. Battery operated types are acceptable if the wall/ceiling finish(i e. sheetrock) has to be
removed to install a smoke detector. Siding: Whe n installing ventilated soffit material, remove existing soffit material (i. e
debris that could block vent openings) and take steps to ensure maximum v entilation into attic space. Windows/Doors: If
Fee Summary: Surcharge - Based on Valuation $6K $3.00 9001.2195
BL - Base Fee $6K $132.75 0801.4085
Valuation: 6,000.00
Total: $135.75
Contractor: -Applicant - Owner:
Sela Roofing Remodeling Mary Huberty
4100 Excelsior Blvd 4490 Oak Pond Rd
St. Louis Park MN 55416 Eagan MN 55123
(612) 823-8046
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.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type: Plumbing
Eaaan. Permit Number: EA092819
Date Issued: 02/16/2010
OR Permit Category: ePermit
41~ it~ of E3
E
Site Address: 4490 Oak Pond Rd
Lot: 6 Block: 2 Addition: Fawn Ridge 2nd
PID:10-25801-060-02
Use:
Description:
Sub Type: e - Water Heater
Work Type: New
Description: Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:
Kris Oien
3670 Dodd Rd
Eaaan, mn 55123
Fee Summary: PL - Permit Fee (WS &or WH) $50.00 0801.4087
Surcharge-Fixed $0.50 9001.2195
Total: $50.50
Contractor: - Applicant - Owner:
Champion Plumbing Citimortgage Inc
3670 Dodd Rd., =100 1000 Technology Dr
Eagan NIN 55123 O Fallon 1\10 63304
(651) 365-1340
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 Cite of Eaaan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
Use BLUE or BLACK Ink
r----------------�
I For Office Use �
' � Permit#: ��7��� j
City of �a��� � , �� �
� Permit Fee: �o - �
3830 Pilot Knob Road 7
I
Eagan MN 55122 � Date Received: �C I
Phone: (651)675-5675 I I
Fax: (651)675-5694 I Staff: I
I I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: � � �3 ��'T Site Address: '�1"t �-� ` �,�-���"�� �� Unit#:
� ;�
�� � � � � �-� � � ��1�w� Phone: ����- c�1`�- � ���3
� Name
�4�IC�@i��/ , t
;Qyy�g� , �� Address/City I Zip: "t ��C� ` �$1-��- 00�+�-' ��-
' Applicant is: Owner Contractor
� ` ' i Description of work:�rL_�- VL�-�p�= � ��..s� � b��c c�y� � s vL�,�
,� Type c�f Wo,rk
Construction Cost: � '��� tl� Multi-Family Building: (Yes /No�
' Company:��v�.��,�� `� � �� � ��-e, Contact: �Q� "� S)-� c�, � -� �-�(,i�
�t?t1'�C���(tf' ' Address: --�. L,�t �--v. City: Lt���,�..v���,�
��'�� �� State:f11��..-Zi S S� Phone:°[Sd-'�34�`� '�OS�Email:
: ; P��_
����� License#: Q C �-(qS(0 � Lead Certificate#:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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:
NC,1T�:Plarrs and supp�r#En���Y+��umen,Nt�r`if �t y�u�v�°�bm�t are con,,st"dp��d�o#�e�u�i�r�E�af�r�n�#rRc�n. Fc�r#ians t�f
fh�rr�fvrm��rc�rr may be��f�s���ec���as`�'rtc�n:���ill�1�f yv���q��it��"'��sp�c���rea���n��',�����Y�uld��rmit#he C�#y tcr
,a����rc � ���� �� ��''�t'e�#l���, ���� ��'�e�fraci �� �"��',M,�
. Y _ S � y a.'"� '
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 �..,�E-'1/"'G ��-�w z e.VI.�"_ x ._....�►
ApplicanYs Printed Name ApplicanYs ature " -
Page 1 of 3