4493 Oak Pond RdCASH RECEIPT r?
;
CITY OF EAGAN
?.,830 PILOT KNOB ROAD
w ?
E-AGAN, MINNESOTA 55122
• -?
DATE 19
' , -- ?= ? j''? - •
RECEIVEO /
FROM ,t?4 I r _f.
AMOUNT $ I
9? DOLLARi
oo
- 7
? CASH Q CHECK
FOW ? r ?? ? ; . i : , / . . ; ?. ?? ? LL•_.?J,?? ;( , .
f t,
B Y %.
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thank You
BLDG. PERMIT N0.
• ' ? `?', ' - r-' ' ? ?` -? ''L?
01-3210 ? 'krdg.11 fermi
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
17-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Metez
20-2252 Acct. Dep.
20-3713 Water Permi
20-3743 Sewer Permi
79-3866 Sewer Conn.
11-3855 Park Ded.
TOTAL
.,.-. . -.._ `?. _-?„??. . . . . . : . ? _
CITY 4F EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
?
PHONE: 454-8100
B
W
?
UILDING P
MIT Receipt # ?-
To be used faF DECX Est. Value :1 ,OQO Date JUN 18 , 1991
Site Address - 4443 0" PONO &D
Lot _$_ Block _1- Sec/Sub. fAiit+i ?Zt76B 2IID OFFICE USE ONLY
P8fCel NO, Occupancy _ FEES
Zoning _
W Name 30lQI IRHYE"iZ'L (Actual) Consl - Bldg. Permit 25.00
? AddreSS "93 QwK PomD RQ JANO1Mable) - 30
Surcharge -
City LACAM Phone 454-2063 # oi scories
Plan Review
Lengih
p Name SANK Deplh SAC
Cit
? .
y
AddfeSS S.F. Totat -
SAC, MCWCC
Clty Phone S.F. Foolprints -
t
C
W
On Site Sewage _ er
onn
a
F
¢
W w Name
on site w?l
-
W
M
;
Address
Mwcc system
_ ater
eter
0
i W CitY PhOfl@ City Water _ Acct. Deposit
PRU Required _ S/N Permit
I hereby acknowlege that I have read this application and state that the Booster Pump - SiW Surcharge
information is correct and agree to comply with all applicable State o(
Minnesota Statutes and City of Eagan Ordinances. Treatment PI
Signature of Permitee APPHOVALS Road Unit
A Building Permit is issued to; JOU aREYVM Plenner - park Ded.
on the express condition Ihat all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. gldy. pff. _ Copies
8uilding Ofiicial I variance - T07AL 25•30
Pe?mh No. Permit Holder Date Tel*phone #
WATER
SEWER
PLUMBING,
H.V.A.C.
EIECTRIC
Inspection Date Insp. Comments
Footings I
FoundaGon
Framing
Roofing
Rough Pibg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orstat Test
Final Plbg. Pibg.lnspector - NotifyPlumber
Const. Meter
EngrJPlan
Bldg. Final
Dedc Ft9• 1-/1
Dedc Final "/4? ps-
weu
Pr. Disp.
• •---+? ? CITY OF EAGAN
•3830 Pitot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH O N E: 454-8100
BUILDING PERMIT Receipt #
To be used for Est. Value Date • ,19
Lot Block Sec/Sub. Parcel No.
a rvame
W ?
3 Address
? City
a Name
.o
? ? Address APPROVALS
a
? City Phone Assessments
? WateUSewer
?
F W Name Police
Fire
?z address . ? :-;:...? E?9
r.
? W City Phone "-? ? ? ? -, 'j Planner
Council
I hereby acknowledge that I have read this application and state Bldg. Ofi.
that the information is coRect and agree to complywith all applicable APC
State of Minnesota Statutes and City of Eagan Ordinances. Variance
Slgnature of Permittee
, . .?•: s ?? ? T r4?
OFFICE USE ONLY
_ Occupancy
_ Zoning
Type of Const
_ (ActuaQ
(AIlowable)
# of Storles
Length
Depth '
&F. Total
Footprint S.F.
FEES
_ Permit
_ Surcharye
Plart Review
_
_ sac, city
_ sac, Mwcc
_ Water Conn.
_ Water Meter
_ Road Unit
_ Treatment P1
_ Parks
Copies
TdTAL
.
A Building Permit is issued to: ) ... . on the express condition that
all work shall be done in accordance with all applicable State of Minnesota 5tatutes and City of Eagan Ordinancea
Building Official
' Permit No. ParnNt Holder Dste TNephone s
Plumbing
H.V.A.C. -7
Electric
Softener
Inspectfon Dste Insp. Comments
Footings I %6
Footings II
Foundation
Framing y? R?
Roofing
Rough Plbg.
,
Rough Htg. y?
Isul. ?
Fireplace ?
Final Htg. ?s 7
Final Plbg.
Bldg. Final 7 ?
cerc ooc. , ? f? c o.??• e-? a --?• ? c. „?Q 1I ,:z
Temp. LP
.ri r a 4/
Deck Ftg. c- , rQ e?
Deck Frmg. 7?Sf -7
Well
Pr. Disp.
?e..?:.•. ?' ^ . , ... . . . .-... ,. ., .. . . . . . .
PERMIT #
MECHANICAL PERMIT !c
CITY OF EAGAN RECEfPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: l PHONE: 454-6100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot Block Se c/S
ub
, Res. _?- New ^K
Name Mu1t Add-on
Comm. Repair
ao Address
c City ' Phone H -O y Other
Name • c t FEES
RES. HVAC 0-100 M BTU -$24.00
c Address ?' ?-
J - ADOITIONAI 50 M BTU - 6.00
O Gity 'Phone ' Qb (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLE7S
MINIMUM
PER PERM
(
- 1
IT) - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air M BTU APT BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & COND05 - RES. RATE APPLIES
Boiler M BTU $ MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
llnit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent. CFM g (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # $ BEYQND $1,000)
Other $
FEE:
S/C: SIGNATURE OF PERIv11TTEE
TOTAL 'Zb `i
FOR: CITY OF EAGAN
, . _ .. •?:-,, . , . , • .,. ,? , .; ...
• , . , PERMIT #
, PLUMBING PERMIT RECEIPT # - CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
Site Address
Lot
m Name .,P. • i.
?o Address 1,iq11_!5 -
?•,-,s t
c City
Name _
3 Address
0 C'ry -
BLDG. TYPE WORK DESCRIPTION
Res. 2c New X
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
? Water Closet - $3.00 $
?Bath Tubs - $3.00 •
_LLavatory - $3.00
Shower - $3.00
_LKitchen Sink - $3.00
Urinal/Bidet - $3.00
1 i a??nr1lN Trav_Tnnn 2-?
TOWNHOUSE & CONDO - RES. RATE APPLIES ? Water Heater -$1.50
MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00
MINIMUM - COMM/IND FEE -$20.00 1-Gas Piping Outlets -$1,50
STATE SURCHARGE PER PEFiMIT - .50 (MINIMUM - 1 PER PERMIn
(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYOND $1,000.00) Well - $10.00
11 • Private Dis - $1000
FaR: CITY OF EAGAN
p. .
' Rough Openings - $1.50
FEE:
STATE S/C: '
GRAND TOTAL: ? y 1Z
* -., .
(Urti#irat.e uf Mrruvttnry
Citp of eagari
?rpartmm# o# ?t`t[ding Jwprftun
This Certifrcare issued pursuant ta the requirements of Section 306 of the Uniform Building
Corte certifying that at the trme of rssuance this strrecture rwas in compliance with tlre various
ordinances of the City regulating building carrstruction or use. For the fo!lowing:
U. Clessifieauon `?'??"; :•';, Mdg. Permit No. _
pti'
OccupancY'fyPe TunNB Rctnct ? t TYPe Cons-
OwnerofBm7ding ',:.RR CkW N. Address '>FlBuildiog Addreas l.ocal'tty
ewaaing officW
n.tc +,Mv 15, I;r'..
POST IN A CONSPICUOUS PLACE
Road
SEWER SERVICE PERMIT
PERMIT NO.: 4-17 `` '
No. of Units:
t xiace
wflh the Gty of Eagan
of Inap.:
Connection Charge:
Account Deposit: _
Surcharge: -
Misc. Charges:
Total:
Date Paid:-
WATER SERVIGE PERMIT
CITY OF EAGAN Permit No: S 59 ? Date: /4 ?'-
3830 PNot Knob Road Meter No: Size:
P.O. Box 21799 Reader No: d-3 P , r? Z L3 Date:
Eagan, MN 55121 -- --
Owner. ''i rr .?•a?: r?c'_rs.
Site Address: k Ponc Roac L6 Bi Fa4m _?_? :•? e 11
5.,? j'??;? -" -o "p? -
Conn. Chg: 525.00pd ?'r? r? ? ?-???W??fii?g7 r1
Acct. Dep: 15-0-0 1 • ??????IpG 1 -
Permit Fee: W°`1
Surcharge: ??"EI a9 ?C +o co Etpply ? witn me cify or ea9an .50114, Tr. Plant i°:!? _04tnt lID GI"br"
Meter e
WATER
• CASH RECEIPT •
CITY OF EAGAN
3830 PILOT KNOB ROAD
RECEI V EO
EAGAN, MINNE A 55122 ?'\
/
-? owr? ?,s ?
AMOUNT ?-- $ ? /I6U
& DOLLAR6
?oo
? CASH ? CHECK
COR
_V?/
fUrvO I COnE I pMOUNT
Thank You
N_ 72083
White-Payers Copy
Vellow-POSting Copy
Pink-File Copy
BUILDING PERMIT
To be used fur DECK
Site Address 4493 OAK POND RD
Lot $ Block 1 Sec/Sub. FAWN RIDGE 2ND
Parcel No.
w I Name JOHN BREYETTE
? Address 4493 OAK POND RD
City Ea[:AN Phone 454-2063
o Name SAME I
?? Address
City Phone
ww Name
x? Address
a? Ciry Phone
I hereby acknowlege that I have read this applicacion and state that ihe
iniormation is correct and agree to comply with all applicable State of
Minnesota Statutes antl City Eagan Ordinances.
Si9nature ot Permitee L
A euildin9 Permit is issued to: JOHN BREYETTE
on the ezpress condilion ihat all work shall be done in accordance with all
applicable State of Minnesota StaWtes and City of Eagan Ordinances.
Builtling Official
CITY OF EAGAN N? ? 9285
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 '
Receipt # ? 1 4bN?
Est.Value $1,000 Date JUN 18 , I g91
OFFICE USE ONLY
Occupancy - FEES
Zaning -
(ACtual) Cqnst _ Bldg, Permit 25.00
(Allowable) - Surcharge .50
# of stories
Lengih 17 ' Plan Review
Deplh 12 ? SAQ City
S.F. Total -
SAQ MCWCC
S.F. Footpnnis -
On Sile Sewaga _ Water Conn
On Site Well - water Meter
MWCC System _
Acct. Daposil
City Water _
PRV Required _ S/W Permil
Boosler Pump - S/yy Surcharge
Trealment PI
APPROVAlS qoad Unit
Planner - park Ded.
Council -
Bldg. Dft _ CoPies
Variance _ TOTAL 2J.50
, CITY OF EAGAN N9 13 3 4 3
r 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt# 71S M
To be used for SF DWG/GAR Est. Value $ 57 , 000 Date MARCH 13 19 87
Site Address
Lot $ E
Parcel No.-
4493 OAK POND RD
1 Sec/Sub. FAWN RIDGE 2
a Name BURR OAK BLDRS INC
= Address 11461 GOLDENROD ST
o City COON RAPIAQne 452-2906
=alName SAME I
V V Address
r City Phone
aZlName RUSSELL DESIGN I
z- Address PENTAGON OFC PR
City EDINA Phone 835-5970
OFFICE USE ONLY
On Site Sewage Occupancy
MWCC System X Zoning
On Site Well Type W Const
Ciry Water $X- (Actual)
(Alloweble)
x of Stories
Length
Depth
S.F. Total
Footprint S.F.
APPROVALS
Assessments
water/Sewer
Police
Fire
Engr.
Planner
Council
FEES
Permit
Surcharge
Plen Review
SAG City
SAC, MWCC
weter conn.
Water Meter
Road UNt
Treatment P7
Parks
Copies
R3
RT-
V
v-
dd
$ 353.0
28.5
176.5
100.0
S9S.O
?gr;.0
(.7.0
305.0
180.0
1 hereby aCknowledge that 1 have read this application and state I Bldg. OM. _
thatlheinformationiscorrectandagreetocomplywithallapplicable A? -
State M Minnesota Statutes ? d City of EaganOrdinances. Variance _
Signature of PermiUee ?z ?"??"
A euilding Permit is issued to: BURR AK BLDRS
all work shall be done in accordance with all applic le State of '
Building Official ?
TOTAL $.2.,.ZGQ.O
INC on the express condition that
esota Statutes and City of Eagan Ordinances.
This reauest void
18 nnnths from
C _8U8 98
L _- - ?
Re uir d? Neady Now Will Notify Inspec-
3` ? - p^7 o / 1'es ?NO rar When Peady
? licensed Electrical ConVnctor 1 heraby reQUest inapection ot abova
? Owner electrical work inatelletl ef:
SVeet Atldress, Boz or floute No.
D
?
d City
6
ak
oh a uv?
eciion o. Townshi0 Name m No. anBa No. Cou ty
L.J .rGI?O??
Occup t (PNINT)
D
k
? Phone No.
a-
urr
Pow¢r Supplier
h Aa, t- ee, Atldress
43oo ?>a 4117
Elacv -c1 Convactor ICompany Namel - Cnntrar.tor"s License No.
rdla"C/
Mailing Address (Contractor or Owner MakinB Instailation)
l 4
?d 4
L?
8
urrq-4 Vi
50o
a
o '
f?
Authoriz ignature (Contractor/Owner MakinB Itistallation)
eo-P Phone Number
T16-- 6Gl
MINNESOTA $TATE BOAPD OF ELECTIiICITV THIS INSPECTION 0.EQUE5T WIIL NOT
Gripps•Midwey Bldg• - floom N•191 BE ACCEPTED BY THE STATE BpqRD
UNLESS PROGEfl INSPECTION FEE IS
1821 Universitv Ave.. St. Paul. MN 55104
Phone(812)842-0800 ENCLOSED.
1114/s7
"J(" Below Work Covered by lhis Request
AAd Xep. Type ul BuilAing AOVliances Wiretl EquiOmenl WireE
Home Range Temporary Service
Duplr,x Water Heater Lightiny Fiztures
Apt. Building Dryer Electric Heatin
Commercial Bidg. Fumace Silo Unloader
Industrial Bldg. Air Conditioner 9ulk Milk Tank
Farm Othxr Dec, v ther ISncr.ifyl
t r peufy t er 01her
ompute lnspection fee Below
p Tee ServiteEnbeneeSize k Fee Feeders/Sublaeders b fee Circuits
. W 0 to 200 Am s 0 to 30 Am s (0 0 to 30 Am s
Above 200 qmps 37 to 100 Amps 31 to 100 q y
Swinunin Pool Above 100-Am s Above 100_Am
Trenstormers nigation Booms
p
Pnrtial•'Other e-..
Signs Special Inspection $
?d
nemarks
Hough-in Date 1. tpe Elachi
1 InsGacto.. hereby
certify that the above
Fina? ¢N?j A? inspeetion hes been
f0? ? meao.
REQUEST FOR ELECTRICAL INSPECTION ea-ooaoi/-o/s
' Sea instructions br completirg this torm on back oi vallow copn
mM reGUest vold 18 monchs trom
RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
Naw Construction Raauirements
• 3: egisterea sde surveys showing sa. R. of IoC sQ. R. of house: and aA roofed areas
(20°5 maximum lot wverage allowed)
• 2 cooies of plan showirg beam 3 mndow srzes; poured found desgn, etc.)
• 1 szt of Energy Catculations
• 3 copies of Tree Preservation Plan if lot platted after 711193
. Rim Joist Oetail Options selectlon sheet (bfdgs with 3 or tess unifs)
it 3- _7s
RamodeUReoair Reouirements
. 2 co0ies of plan
• 7 set of Energy Calculations for heated additions
• 7 site survey (or extenor addifions d decks
• Indicate if home served by septic system for additions
DATE 7 - ?? 0 2 VALUATION
SITE ADDRESS (:?3 00l? r0i?7
TYPE OF WORK 1561 d?? t 1104; J4
MULTI-FAMILY BLDG Y N
FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT
STREET ADDRESS aOO 6t/<S7 CITYJj1a'/hl, 34c, STATE L IP S S42G
TELEPHONE #?''1S2-8Pr 1 -2 riSJ' CELL PHONE # G/2-2 1?,' 8S G I FAX # G SZ '?Qi'31 G7
PROPERTYOWNER Cv??l S?y S''It?q? TELEPHONE#
---------------------------------------------------------------------------------°------------
COMPLETE THIS SECTION POR "NEW° RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MIVN[:SO'CA 12CI.E5 7670 C:1"fEGORY l
?o. e r
(v submission type) . Residential Ventilation Category 1 Worksheet Submitted • +?E grgY
• Energy Envelope Calculations Submitted p
II jUl 0q 2002
Plumbing Contractor:
Plumbing sr's[cm includes:
Mechanical Contractor:
'V[cch;mic:il ,cstcm includes:
Sewer/Water Conhactor:
_ Water Sof[ener
bVater Hcater
No. of Baths
Air con<litioaii,n
f [eat Rccovcny Sys[cm
Phone Ik
r«: $70.00
---------------------------------------°----°--------------------°---.....---°--...--•°-...--------------------------
I hereby acknowledge ihat I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Or i n?L
Slgnature of Applicanf
OFFICE USE ONLY
PllOflf #
I.awn Sprinkler E
No. of R.I. Baths
Phone #
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updatea 4102
OFFICE USE ONLY
? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwefling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 70 08-plex ? 16 Deck ? 23 Porch (screened) ? 36 Multi
O OS 03•plex ? 11 70-plex ? 19 Lower Level ? 24 Storm Damage
0 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
M 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (81dg)' ? 43 Reroof 0 46 Windows/Doors
0 34 Replacement •Demolition (Entire Bldg only) • Give PCA handout to applicant
Valuation Occupancy MClES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinkiered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bld¢) FinaVC.O.
_ Footings(deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Wa[er _ F inal _ Pool _ Ftgs _ AiriGas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
W ater Supply & Storege
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Building Inspector
Total
1991 BUI ?I' z IICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCULATIONS
MOLTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
(CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIDNS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSE5 FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be ilsed For: LtCx ' Valuation:
Site Address !1(193 GAKVNb,P-lb ?
Lot $ Block I
Parcel/Sub
Owner ?xY) -'bYe(/Cw
Address q4q3 (3jgk j:}{')Q ?l
City/Zip Code cYa{ 14h, mn scm/?
Phone 7.5?{ c?3(q3
Contractor
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
, {,?y N 1 a eEeo
Date:
OFFICE USE ONLY
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well _
MWCC System _
City water _
PRV _
Booster Pump _
AYPROVALS
Planner _
Council
Bldg. Off.
Varlance
FEES
Bldg. Permit?;
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/w Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
I.ot Change
TOTAL
:.5. w
agrees that all work shall be done in accordance with
(Signature of tractor)
c?
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
WOR O B E g`"
CONSIiIT{H6 EH61NEf95
E?IGtNEfti1NG PLAHHE9S ond LAHO ?URVEYOBS
COMPfiNY, INC.
? 1000 EAST 14611f 57AE:7, BURN_`VILLE, LLI21HE:OT.1 5S337 pSi 432-3000
C?rz z?'i cczze ? S`Z?crZr'e c?
?4C1 .DGSCr??e?ion• LCD'r
' FAv?rl 2??Cx? Zr?D FIDO?T?Ot?
?
? 4 'jP?`'L 4z1
'hp h? ,n' v? s- 5 ? o
I? uT t. i?Y E/15E^..C-r? i
LOT
! P ??a-• 1 ?*at4?. ( ?q:?.o,
i?S
d
? 23&a'
. i ?• ?' ? ^ ?? S P ?°4- (?a=`°' ? \
?
, ,?.• ? ?op Q .o. o. I/ ? ?
0.Li
?? o .qi5.s ° ?` \ ?°J
, 0
ti
6 0 :•. 6 ? N/,n ?\
?
°2
? Q?Q•3 ; DENOTES EXISTING ELEVATION
SGAIrC I•"-30 CqZA'•t )DENOTES PROPOSED ELEVATION
? DENOTES DIRECTION OF SURFACE DRAINAGE
RZ5,33 FINISHED GARAGE FLOOR ELEVATION
I heriby cartify that thia ia a t:ue and carrect raprasentition ot a tract of
land a: ahown" and described hernon.• Aa prepared by me oa thia 19M day of
J.4.u0f„ey , 19 87 . .
^?P• h? b? ?a?ye
Ninn. les. Ro. «gS
OAKWOOD I *
7987 BOILDIAG PEAMIY APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLODE 2 SEfS OF pLANS, 3
NOTE: ADDRESSES FOR CO88ER LOTS - CONTRACTOR/HOMSOi1NfiH MQST DESIGBAYS WHZCH 9DD8BSS
IS DFSIRED. NO CHANGES SiILL BE 9LLOflED ONCE BQILDING PERMTT IS ISSIISD.
HOLTIPLE DWELLINGS - RESIDENTIAL RSNTAL D1iTfS FOR SgLE OAI?S
INCLUDE 2 SETS OF PLANS, CERTIFICATB OF SQRYEY - CH6CB WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COPMERCIAL
INCI,UDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND'
OF SDRVEY, 1 3ST OF E6fiRGX CALCOLATI09S
57, oo?
To Be Used For: _Singla Family Valuation: ffl-ryryR-ryt Date: 31124p7
Site Address 4493 Oak Pond Road
Lot 8 Block 1
Parcel/SubFawn Ridqe II
Owner Burr Oak Builders, Inc.
On Site Sewage
MWCC System ?
On Site Well
City Water ?
Occupancy K 3
Address 11461 Goldenrod St,
City/Zip CodeC00n RapidS, Mn. 55433
Phone (612) 452-2906
Contractor Sdme
Address same
City/Zip Code
Phone
Arch./Engr. Russell Desiqn
Address Pentaqon Office Park
City/Zip Code Edina, Mn.
Phone 0 835-5970
Zoning 2 1
Type of Const
(Aetual) ?
(Allowable) SL
# of Stories
Length
Depth ?
S.F. Total
Footprint S.F.
FSES
Permit ?
SurCharge Zg.Sa
Plan Review
SAC, C1ty ?
snC, rnWcC 525,
Water Conn 52S
Water Meter (o
Road Unit
Treatment Pl 180.
Parks
Copies
TOTdL a 4 ,
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Couneil
Bldg Off
APC
Variance
F3?rz? ?a?
eosE ??«
ENGiNE?f?1NG ?OHSllLT1N0 fN61HEfR5
AIANHEAS ond LAHO ?UKVEYOflS
COMPANY, INC.
? 1000 E157 1461ls 52AEE7, BIIRNSVILLE, YINHESOTT 55337 pH 452-3000
Ci°Tz Z?Z CLZ?E O? SZ.L'p"'YE' Y
?.a?a1 .Descr?P?iorz• LcD-T" 8, 3L-()L4 1
FAv?N R?D CA? Zri? ,4pfJrTIQN
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t
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00
/ W4,? ? DIZA„?AU-c ¢ J? A•
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s
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p ? _ Lo`r 8 s R?
?G 4A
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6z3.
(QZ3rS1 ?.. o.'' \ 6 cC
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` o\ 2y, o o ?i o ° ?
cz25.)`i'? / 0.Gi
inzs.s °
\ ` \ '
('7
?
I I ? LQ l 8.? . . . . . .
Q??•3?, DENOTES EXISTING ELEVATION
SGAI..?. I 1=?0 C9z4•? ? DENOTES PROPOSED ELEVATION
DENOTES DIRECTION OF SURFACE DRAINAGE
?Z533 FINISAED GARAGE FLOOR ELEVATION
I heriby cartify that thia ia a t:ue and correct raprzaentation ot a tract of
land as ahovn' ind dcscribed hernon.- As praparad by mn on this /`9M day of
-'.c+OAVP?r , 19 87 .
Hinn. Xes. No, 14*145-
Comp. %r bnrx /eJqe
cvra....j?..w)
0
p Kz s ? 97B?H4?
," , craQil @ eeeONOlsa. 4fC.
i "0rehlteelttml doalpMq 01 outaSe:... - . ... : ? ? .
EYT&iIOR ENVELOPPs AVERAGE "0" COMPOT&TIOti PLU No. F?3 03 0e. ?,
s=TE AnnMMs naxr MAruh? I 9S5
.
?
CONTRACTOR P.)U(ZR DAK- Ph.)tt-a(-;R`? ' FHONE Determine crorking 'squa.re footage oP each •.
,ll
1. Total exposed wall area...... aq.Yt. x?
P2Co
?. 2. Total roof/ceiling area...... ?(,,P,p sq.ft. x 2:5= T7, vj7 3. Total floor/cant. area....... sq.ft. x,.1Q
` Total exposed wall area above floor 1511,0
. 8• TOt.81 W8)l NindOW area .....................?• II J?0 .' . ..-. .
b. Total door area ............................... ?
; n.
Total sliding glass door area ................ ?
d., Total fireplace wall aroa..................:.
d * .,. TOt81. W811 fI'8S4iAg 9I'Ba (8462'8g0 .1 O%). 0. 0 0 0? • ? .
P. Total net wall area above floor ..............
g. Tatal rim joiat area ..........................^
Total exposed foundation area ? l' O-1? .
h. Total foutdatioa windrnr area............e....
.::. ?
i. Total net foursiation area above grado........
Detsrmine ^0" value of eaoh xall segnent
' .
g. I19?a x roU" ,?5 = 41??05 • . • , .
b.? x nu" ? _
p, ?O x °IIM = -??iT
-777
a A N„a
p• L, o x pU"
g. I :6.o x "D" I-
h. x "U" _
x°U" 0 i O
4, ................................... TotaM
If'item #F is the same asv or less than item $1p you hava met -
tha intant oP SBC 6006(0)2. "
;.;
t.?.. . . '
xnt. Air .68 Taxo aNs. wara, Int. Air .be
1/2" S.R. 045 w/ SFt. & SIDIliG 1/2" S.R. : ?45
stud 6.fsb Tna. 19,0
25/3zn 811d. 2.06 25/32" Sild. 2.06
sidin6 , (A ? C siding . , , (0,
c
EXL. Air •17 : Ext. Air •17
Total "R" Total "R°
TAfiU CLG.
maum
1/R = "U" 1/R = "D"
Int. Air
.68 ;
i THRD CONC 9IACK Ittt. Air
.68
(-/ InS• I ?rO I C.B. (I-4
i
Opt • $tyI'O • ?t. • Itl$ •
1 1/2" Wood 1.89 Ext. Air
.1?
25/32" Hil:d. 2.06 •-''s . Opt. S.R.
i
Siding Opt• Sirl•
E[t. Air •17 ? Totdl "Rp 115
Opt. Brick .- - '`
"U" °
, O
TotBl •Rn = 24?47 ?
l IR - °U°
Int. Air .61 _THBII CIG. Int. Air .61
S.R. (`?1a11) . .?.'ro INSULATIODT S.R. .6{°
Clg. Memb. Ins. ( ") -%+0
Ins. C "), Sti11 Air .bl
still Air .61 Total "R" _
TOtRl pRp - +I i 1") I r 1/R ='r0" °
1 /R = "B" _ FI 0SOt-7-
??:? . . . . . ' _ . ' .
Total exposed roo£/ceiling areal
?"• ?. Total eiylight area..................................... -
? k. Total roof/ceiling framing area (aver. (.100160to/e)...„
(.o62jCa124^o/0)... ?,?'?
1. Totsl net insulated Y'00f/ceiling ?L.?j'
8I'88 ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? • ^....?• ? '. -?...?.
r
Datermine "U" value for each roof/ceiling segment
?
nUn _
k. ??? ?O 7? nUo p ?
n Un
...................
' •????e?????????????r?????????•
5. 1'Ot81
If total of #5 is the same as, or less than $21, yon hava met the
intent of ssC 6006(c)i.
Total exposed floor/cant. area
', ?. .'.
m. Total floor/cant* framin area (average .10?+).....
...••
? n.Total net insul$ed floorgQAA'E• 82'68*o**oou**o99*,*e9*e
Determine "II" value for eaoh Yloor/caat. segroeent
m, x "II" _
n. 7C nUa _ . . ' .
6. ................................................. 'fotal
If total oP #6 is the aame ast or lese than $3r Yau have met the
intent of sHC 6006('0)3. ?,. .....-,.-AI,TN?tNATE BUIIDIltG MIVELAPS DESZGN
f k' To utilize the total envelapo aqstem methodg the valuas established
bp the aum of items #49 #5 and #6 shall Dq? ba greater than the sw9-?.
of itams #19 #2 and $3. ? -
1
I T1-?F5 20 3.
4., ?4 5rUP 5, ???'7(v 6. ? (?0?"?,02
PreParea •
? 3-I -85
Date
:
1. . - . . . .
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*XYl'?:: PAYMt3DTP OF FEE AT TIME OF
APPLICATION DOFS NGr CONSTIIVIE
APPR(3VAL OF PERMIIT.
INSPDCPION OF SESM ANID/CR WAZER
TISS'I`AT.T.ATTON$ wbL NO'j` $E $(HED-
ULID i][PfIL PERMIT AAS BEEN
APPR(7VID.
P ease Print)
1) PROPERTY ADDRESSr 4?g& lJf}4
LEGAL DESCRIPTION: '
. Lot Block Subdivision or Tax Parcel ID )
IF EXISTING STRL'tZL72E, DATE OF ORIGINAL BLIyDZNG pII2MZT ISSDAAICE: :
(Nbn Year)
PRFSENT ZONING/PROPOSID C'SE:
Q COLNRERCIAL/RETAIL/OFFICE SINGLE FAMILY
Q IbIDCSTRIAL F-I R-2 DL'PLEX (T.A C?nits)
INSTI7i]TIONAL/GOVIIRNAES]T R-3 10WNHOUSE (Three + Units ) ( L?nits )
? R-4 APARTMEW/COAIDOMIIVIL'M ( Units)
2)
PHONE:
3) ? u i:?•
NAME: s'-i
N11ME: 1A-i1--e- 's ?i'127C
ADDRESS: 1,24/W57
CITY, STATE, ZIP:
ADDRESS: f?? 4/e;E 'gf./G ol
ciT^r, sTATE, ziP:_sr?,.-aR?., ?r.?. r51a79`
PHONE: ??/- 7 6D b MASTER LI(ENSE# ZJD? ? 87 ? n
Active
Expired
Not recorded
5 Inita.al
q) a• ?++' la?• -
NAINE: Qc.?rr OA-.f? i' r' LdCc
ADDRFSS:_
CITY. STATE. ZIP:
PHONE:
/8'17 n' .
5) ? r? r: • ?• : ? • y? - ??
? CONNEClION M CITY SEWER ? CONNECTION TO CITY WATFrR 0 OTHER_-
?---__
6) ??? r w• i- ? PLF.ASE I-IOLD APPROVID PEf2MIT E'QR PICK-C?P BY ONE OF ABOVE
fR( PLEASE MAIL APPROVID PERMiT TO 1. 2. 3. 4. ABOVE
»?? (Circle one)
7) r. n • ?•u/fi? f Q /?
-?.-.?
FOR CITY USE ONLY
PERMIT # ISSUED
??gs-i-3 .
Pd w/Bldg. Permit FEES:
$ $ -2) SEWER PERMIT (INCLUDE SC'RCHARGE )
$ $ WATER PERMIT (INCLUDE SURCHARGE)
$ /' G` e) $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLLDE CORPORATION STOP)
$ $ SEI^7ER TAP ?$ $? ACCOUNT DEPOSIT - SEWER
$ $ ACCOLNT DEPOSIT - WATER
$ erz $ wAc
` (o G $ SAC
$ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRLNK SEWER
$ $ LATERAL BENEFIT/TRLiNK WATER
o $ WATER TREATMENT PLANT SDRCHARGE
$ S OTHER:
0_6 $ TOTAL
?? ?
BC,`IPT #_- RECEIPT
DOES UTILITX CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
? ROADWAY" MUST BE ISSLED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE : ? L2_1 If/
? ?53 (?
2007 RESIDENTIAL PLUMBING PeRMiT APPLicaTiorv
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
, 651-675-5675
Please complete for modifications to existing residential dwellings.
Date
Site Street Address i_( q3 NK Unit #
Property Owner 76f, 9-ju''1 Telephone # ( )
Contractor Telephone # ( )
Address l ?I E STh ST ?t.t46 W1 City C'L0 11 (4 State /,JN Zip ?ri1
The Applicant is: _ Owner iContractnr _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Fire Repair (replace burned out fixtures, etc.) $ 90.00
Alterations to existing dwelling $ 50.00
_ Add plum6ing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. If you are installing onlv a water softener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
Water Turnaround (add $136.00 if a 5/8" meter is required)
Other:
Water Softener V Water Heater
_ new ? replacement $ 15.00
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge V ? $ 50
Total JUN 2 5 2007 g li:j:0
I hereby apply for a Residential Plumbing Permit and acknowledge that the intormation is compiece ana accuraie; ulaL uIe
work will be in conformance with the ordinances and codes of the City of Eagan and the plum6ing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
accordance with the approved plan in the event a plan is required to be reviewed a approved.
N.c?-? ?,?',?,?- ,?(-, J?
App i clanYs Printed Name Applicant's Signature
?
2007 RESIDENTIAL MECHANICAL rExNUT arrLicnTioN ce
City Of Eagan
3830 Pilot Knob Road, Eagan NIN 55122 ?
Telephone # 651-675-5675
Please complete for. single family dwellings & townhomes/condos when permits are required for each unit
Date (:). / ;11 / () 1
Si[e Address --TqUj CG? P?17_6 ..1 Unit #
Property Owner Prp,.,, Telephone #(GCJf A r?S r .J 53 70
Contractor Dan Wohlers Southside Htg. & A/C
6950 W. 146?' St., #106
Strect Address Apple Valley, MN 55124 - ?`?
state (952) 431-7099 Telephone# ( )
Bond #: T2,L- 3-OcJ4-7ga-7 Expires: d?7
The Applicant is _ Owner X Contractor _ Other
Fire repair (replace burned out appliaoces, ductwork, etc.) $ 90.00
This fee applies when extensive mechanical repairs are made to a building.
Add-on or alteration to existing dwelling unit $ 50.00
V - fumace _Additional ReplacemeM _ New
air exchanger
y. airconditioner
_ heat pump
v
otRer
a
State Surcharge $ .50
1
T
t $130 r?)
9
O
c.-
I hereby apply for a Residential Mechanical Permit and acimowledge that the information is complete and accurate; that the work will
he in conformance with the ordinances and codes of the City of Eagan and with the Mechanicat Codes; [hat Iunderstand 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. ,
ChC'ar? 1.
Applicant's Printed Name Applicant's Signature
Date:
City of Eaan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Tenant:
Use BLUE or BLACK Ink
ELSIEMEMI
Permit #:
lyPer/Mt)
cc?—
Permit
mit Fee: C
Date Received: , 3, ); 13
Staff: bid
2011 RESIDENTIAL PLUMBING PERMIT APPLICATION
Site Address:
Suite #:
RESIDENT / OWNER
CONTRACTOR
Name: Upi h1 Phone: /5` --4J't* �c 1 7
Address /City /Zip: v f.'11Q( xf -(010k. .m t
Name: MILBERT COMPANY INC.dba CULLIGAN WAIEIC/
Address: 1801 50TM ST EAST City INVER GROVE HGTS
55077
State: MN Zip:
Phone:
651 '.451.-2241
Contact: BILL.MILBERt:F . Email:
TYPE OF WORK
_ Nevi placement _ Repair _ Rebuild
Description of ork• ..
_ Modify Space Work ira.R.O.W.
PERMIT TYPE
RESIDENTIAL
Water Heater
Lawn Irrigation ( RPZ / _ PVB)
Septic System
New
Abandonment
later Softener
_Add Plumbing Fixtures i.. Main / _ Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation (includes $5.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $5.00 State Surcharge)
"Water Turnaround (add $166.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
$95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. Cali 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.000herstateonecall.ora
1 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 1 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 plan
x U/`►
f/('9i&f , f/
Applicant's Printed Name
City of Eaaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit
Fee:
121.1L/2-
Date Received:
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:5Jeo
Site Address:
0A(4).6111
Unit #:
Resident/
Owner
Name: I, ) 1-"1 jjl'YN �'� - Phone:
�(
') j
T (� .. Iq
Address / City / Zip: `T ` 47`93
Applicant is: Owner -X Contractor
Type of Work
Description of work:gEgo2N-F- 4r 1,5 -1-Ese.-
Construction Co4 8 ) 1 Multi -Family Building: (Yes / NoD( )
Contractor
Company: ] ) ) j f ,' i �, Contact:.1/0 I'
_..
Address: 11 S6>l ,. -e �"(�y� A) City: )-11 f i'J
State: Y &) Zip: n� Phone: ! ` c✓ ~' `� J(,./
License # (-s`T 46 j) / Lead Certificate #:
'`
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
Yes If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
_No
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
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.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.
xDt.+v1J], S i<L 1 !
Applicant's Printed Name
Applicant's Signa
Page 1 of 3
City of Eagan
PERMIT
City of Eaan
Permit Type: Plumbing
Permit Number: EA136227
Date Issued: 05/03/2016
Permit Category: ePermit
Site Address: 4493 Oak Pond Rd
Lot: 8 Block: 1 Addition: Fawn Ridge 2nd
PID: 10-25801-01-080
Use:
Description:
Sub Type: Residential
Work Type: Replace
Description: Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:
PL - Permit Fee (WS &/or WH) $59.00
Surcharge -Fixed $1.00
0801.4087
9001.2195
Total: $60.00
Contractor:
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
- Applicant -
Owner:
Brenda L Thompson
4493 Oak Pond Rd
Eagan MN 55123
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
City of Eagan
PERMIT
41' City of Eaan
Permit Type: Building
Permit Number: EA152547
Date Issued: 10/19/2018
Permit Category: ePermit
Site Address: 4493 Oak Pond Rd
Lot: 8 Block: 1 Addition: Fawn Ridge 2nd
PID: 10-25801-01-080
Use:
Description:
Sub Type: Windows/Doors
Work Type: Replace
Description: Two or More Windows/Doors
Census Code: 434 - Residential Additions, Alterations
Zoning:
Square Feet: 0
Construction Type:
Occupancy:
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
Fee Summary:
Valuation: 4,000.00
BL - Base Fee $4K
$103.25
Surcharge - Based on Valuation $4K $2.00
0801.4085
9001.2195
Total: $105.25
Contractor:
Home Depot Usa Dba The Home Depot
2455 Paces Ferry Rd
Atlanta GA 30339
(763) 852-1044
- Applicant -
Owner:
Brenda L Thompson
4493 Oak Pond Rd
Eagan MN 55123
(952) 426-5004
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