4498 Oak Pond RdCASH RECEIPT
. ?
? CITY QF EAGAN -
3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122
? DATE r tg
rIEceveo
FROM
i?
AMOUNT
? CASH (i CHECK
DOLLARS
iao
? ? ,?? ? • ?l !
FOR
J?
WhNe-Payars Copy
Yello-FOStfn9 CuP1(
PIt?C-FBe C,opy
Thank You
BY
. . ? .. .? .? . .
BLOG. PERMIT NO. ? ' ` ' ' _- •
01-3210 Bidg. Permit
?
01
-422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
? 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. + ? r \'
28-3855 Park Ded.
TOTAL
#DATE: 2/8/89
RE: 4498 OAK pOND RD.•'Lo4r B2, FAWN R1DGE 2ND
xx 4452 liAHiLTON nR., L, B3, LExIHGTON PT 3RD
Your Sewer & Water Permit for the above property has been completed. It will be held at the
Publi Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CAl BLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
kour Sewer & Water Permit for the above property cannot be completed for the following
•reasons:
.
f
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 for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 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, 8uilding lnspections Dept.
BUILDING PERMIT
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
To be used for gp gyG/C?.g Est. value $95, Q
Site Address 4498 QAiC PO:: {> t:OA.i:
Lot 4 Block 2 Sec/Sub. FAWN, RI )CI: 2ND
Parcel Ao. •
W IVame BRZAN L. THORSOH H01l88
;? Qddress 4466 iiFEbGV00Q
° City EAGAN Phone 454"0646
Name _
Address
Phone
W? IW Name
?
z-, Address
a W City 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 oi
Minnesota Statutes and Ciry of Eagan Ordinances.
5ignal0e of Permitee
A Building Permit is issued ta L. t's'.CSkSOD; ilFit"FS
on the eriress condition that all work shall be done in accordance wim all
applicable State of Minnesota Slatutes and City of Eagan Ordinances.
Building Offiaal
16103
Receipt #
' - --
OFFICE USE ONLY
Occupancy R_3 /it-1 FEES
Zoning PIlVA-1
(Actual) Const v---P- Bldg. Permit C bi8.0
(Allowable) V---bL Surcharge 67. ?
# of Stories 30?tl
00
lergth 5? Plan Review .
Depth 52- SAC. City 1 GO• ?
S.F. Total - SAC, MCWCC 575.
00
S.F. Footprints -
t
C
W
?Q
580
On Site Sewage _ onn
a
er ,
On Site Well _ yyytef Meter
0
90.0
MWCCSystem x- 3
City Water
JC- pcct.Deposit 0•00
PRV Fequired x_ S/W Permit 2o.
Booster Pump - SNV Surcharge 1•00
Treatment P1
O
228.0
APPROYALS qpyd Unit 340,
?
Planner - park Ded.
Council ?
Bldg.OH. _ r-opies
?• 2 938. 50
Vananoe - TOTAL
?FOR Mxx 05/04/90 ?
726-8592 CITY OF EAGAN d
., , 161O3
. 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for ;: -r 1raG/CAR Est. Value $951000 Date , 19?tL
Site Address
Lot I Block
Parcel No.
,o Name
V q Address
? Citv Phone
b¢ Name
W W
?
? ; Address
.1(16 City 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: 'P}iURSC?"? ::GHFS
on the express condition that all work shall be done in accordance with all
3pplicable State of Minnesota Statutes and City of Eagan Ordinances.
iIding Official
OFFlCE USE ONLY
Occupancy ?1-11! `-- 1 FEES
Zoning PI1o-I
IActual) Const V_ N- Bldg. Permit ?? 1 g•?
(Allowable) V.-na- Surcharge 47.50
# or stories -
Pl
i
R 309.00
Length ? an
ev
ew
Depth ?- SAC, City I00•?
S.F. Total - SAC, MCWCC 575.00
S.F. Footprints -
On Site Sewage _ ater Conn
W 5?•?
On 5ite well Water Meter 90.00
MWCC System x 30
00
Waier
City ,?[_ Acct. Deposit ,
PRV Required x- SNJ Permit 20•00
Booster Pump - S,'W Surcharge 1.00
Treatment PI ? 2 a • 00
APPROVALS qpad Unit ' •' '?
Planner - park Ded.
Council -
BIdg.Off. _ COp1eS
. ?G
Variance - TOTAL
Permit No. Permit Holder Date Tekphone #
WATER ?J??i'' I ?//G`'iJ? :?????il • 7 D y
SEWER
PLUM8ING ' r
H.V.A.C. ADO/ 41? ,
ELECTRIC /
Inspection Date Insp. Comments
F??irigs I ?
foundation
Framing
Roofing
Rough Pibg. f
Raugh Htg.
Isul. Z/-.O
F?replece
Final Htg. Q
Final Plbg. ?
Const. Meter Plbg. Inspector - Notily Plumber
Ergr.'Plan
Bidg. Final
Deck Ft9.
Deck Final /Z
wan ,-TS'
Pr. Disp. 't I/ &7[. - t? -It
L- 1 -7 -9'0-
? 1- !/i GL.4S'.S'c k. .,,..?..rJt
., , •
CONTRACT PRICE:?' '
Site Address - "
Lot Block _
? Name ''ve
m
? Address 1'
c City ?
Name grian
c Address 4466 t
o ci ?, Ea?gart
PERMIT #
MECHANICAL PERMIT RECEIPT # V'
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ? ••??'
PHONE: 454-8100
?
BLDG. ?E
Res.
Mult
Com m.
WORK DESCRIPTION
New ?
Add-on
Repair
FEES
U - $24.00/
- 6.00
TYPE OF WORK
Forced Air L'f'nrcx 75,000 A BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent CFM
Gas Piping Outlets #? ?_ F?`'rn"` •'- onlir
Other
NEW
FEE
S/C:
TOTAL•
GAS OUTLETS (MINIMUM - 1 PER PERMI'n - 1.50 EA.Y
COMM/IND FEE - 196 OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNNOUSE 8 CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00 /
STATE SURCHARGE PER PERMIT - .50
(ADD $50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
51GNATURE OF PERMITTEE
JI
FOR: CITY OF EAGAN
CON TRACT PRICE:
Site Address •
Lot Block
?
cc
c Name
Address ? -T
Ciry
? Name r'
3 Address
o ciH ? ?.
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EACAN, MN 55122
PHONE: 454-8100
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 SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
?
OF EAGAN
PERMIT #
RECEIPT #
DATE:
BLDG. TYPE WORK DESCRIPTION
Res. New ,-
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLIOWING:
NO. FIXTURES TOTAL
,,;,'7Water Closet - $3.00 g ?
4_Bath Tubs - $3.00
Lavatory - 5100
Shower - $3.00 ? .
_Z__Kitchen Sink - $3.00 -
Urinal/Bidet - 53.00
_/-Laundry Tray - $3.00
4_Floor Drains - $1.50 _
/ Water Heater - S1.50 --
Whirlpool - $3.00
-?Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
STATE S/C: `- !
GRAND TOTAL ?? ('
,?.?
1 . •. @
f9rrti#'irate u# Orru?aury
Citp of (Eagan
EPparb1tPltf of l11t.Ibtltg 3ttB.pPtltalt
This Certificare issued pursuant to the requirements ojSection 306 of the Unijorm Building
Code ceMifying thal at the time ojrssuance thrs structure was in compliance with the various
ordinances of rhe City regulating building constructian or use. For rhe following.,
ux c.tisaifiauo? SF MIGAZ emg. ftrai;, rvo. 15103
oocuw-r Tyx R-3/M 1 Zm;,,s awr-t PD/R 1 Type Comt. VN
ownff or ew7mng MIAN L. IlMgCN MvFS Am. 4466 WIDCW(D, EAGAN
auddine ndaresc 4498 6AK PCM RC1AD im;q ila* b2. FAWN RTi]C,F 2Nf]
nak: APRIL 27. 1989
BuBding Olfida(?
? POST IN A CONSPICUOUS PLACE
? .
i
i.'? - - ° .._......?,
?
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
OFFlCE USE ONLY
PERMIT DATE 21r
WATER PERMIT # 10)0SEWER PERMfT #
METER 3 3 0 B.P. RECEIPT # ?
READER # lZbo V9?.2 y B.P. RECEIPT DATE 27!-'=
METER SIZE S o?
ISSUE DATE AE ?7?g g X^ PRV _ BOOSTER PUMP
SITE ADDRESS L '' •' i I = A'.. I ' PERMIT REGIUESTED
LOT BLOCK ? SEC/SUB ?--j'' - SEWER x WATER - TAPS
APPLICANT: -"? ? - - _ ADDRESS: `/ / ? t? ? •- - ? r), ci _ COMM/IND x RESIDENTIAL
CITY, STATE '4 r`Zlp SJ 1•??
PHONE: 2? Y 6' 6`r4 NEW - EXISTING
PLUMBER: T-h o- A s a-v ?G
ADDRESS: 12201 )1 h?VETONKA BLV
CITY, STATE MIr'NM'f(jNlU( Zip 55343
PHONE: Y?3
OWNER: i -< , ?J ?`. r4 - `.>
ADDRESS:
CITY, STATE ZIP
PHONE: " "S t'
1 AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES:
SIGN_ATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT. • ,
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
PERMIT DATE .
WATER PERMIT # SEWEF PERMIT #
-
METER # B.P. RECEIPT # ' ??
READER # B.P. RECEIPT DATE
MEfER SIZE
ISSUE DATE _ PRV - BOOSTER PUMP
?
SITE ADDRESS
LOT gIOCK -• SEC/SUB `
APPLICANT: '
ADDRESS: -
CITY, STATE j ZIP - -- `.? ?
PHONE: ',' -` 7 ' ? . i`-/
PLUMBER:
ADDRESS: 12201 1INE'1k,)NK,,k, I;L!'? ,
CITY, STATE N1Nj'Z'7`1NK& Zip 55343
PHONE: %L) ;/ ???
?
OWNER: _- - ?` ? , . _'. ; _ ?
ADDRESS:
CITY, STATE ZIP
PHONE:
PERMIT REQUESTED
- SEWER - WATER - TAPS
- COMM/IND '- RESIDENTIAL
R NEW - EXISTING
I AGREE TO COMPLY WITH CITY OF ?
EAGAN ORDINANCES: ?
Y `? I
,
,
;
SIGNATURE WHEN METER ISSUED j
PLEASE ALLaW TWO WORKING DAYS FOR PROCESSING. FOR STORY SEINER PERMITS, CONTACT
ENGINEERING DEPT.
,;
CITY OF EAGAN F N9 16I O3
? 1830 Pilot Knoh Raad
P.O. Box 21- 199
Eagan
MN 55121
,
,
,
PHON E: 454-8100
BUILDING PERMIT Receipt #
To be used for SF DWG GAR Est. Value 95 000 Date , 19$?
Site Address 4498 OAK POND ROAD
Lat 4 Block 2 Sec/Sub. FAWN RIDGE 2ND OFFICE USE ONLV
P2fCBl NO. Occupancy R-.3 1M-1 FE ES
/
Zoning pD,
&-1
w Name BRIAN L. THORSON HOMES (Actual)Consl V-N BIdg.Permit $ 618-00
o Address 4466 WEDGWOOD (Allowable) V?1 h
S 47
5(1
City EAGAN Phone 454-0644 # of Stories _ um
arge _
309
00
55 Plan Review .
_
Lenglh
F Name SAME Dapih 52-- SAQCity 100.00
i
gg Address S.F.TOtal - 575
00
SAC,MCWCC .
¢ City Phone S.F. Foolprinis -
Water Conn
580.00
On Site Sewage -
.
ww
Name
On Site Well -
Waler Meter
0
90.0
?F Address MWCC System 3
aw
City Phone
City waier X- qmt. Deposit 0.00
S/W P
it 20.00
PRV Required ][_- erm
I hereby acknowlege that I have reatl this application and sta[e that the Boosfer Pump - SiW Sumharga 1.00
infortnation is correct and agree to comply with all applicable State ot
Minnesota Slatutes and City of an rdjpances. Trealment PI 228.0
0
J -
Siqnature ofPermitee - APPPOVALS RoadUnit ?340-0
n
A Building Parmit is issued to: BRIAN L. THORSON HOMES Planner - park Ded.
on the express condition that all work shall he tlone in accordance with all Council -
applicable State of Minn o Statutes aCiry of Eagan Ordinances. Bldg. Off. - Copies
$2938.50
BuildingOlficial?Y?-?-?-? ? Variance - TOTAL
3 7/Y7 ? 5iS ?
?8 5`6 5 3
Request Data
? Fre No. Rough-in Ins n
Required?
?Ves ? No
? Ready Now ? Will Notily InspWar
When Ready7
IE' ensed contractor ? owner hereby request inspection of above electrical work at:
Job Atldre (Sireet, gcv?or te ?
/ J Ciy
Sectio No. Township Name w No. Range No. Counry
Oc nt (P n \ ?? D
N Phona?
PowerSUpplie AOdress ?
?
Electriral CoM r(COmpenry Nama)
?ENDRj CaM cror license No.
?a? y
Mailirg AtlEress (COnitle•Yypq_er?y??`?VarAAakirg -
PE?NO
Avlhanzetl SignaNr ( r e n?I?pNel MiyQ_
li 1 I ? g512 Phone Number
MINNESOTA STATE BOARD OF ELECTflICIiV THIS INSPECfION FEQUEST WILL NOT
GriypsMitlway BICg. - Room S1]3 BE ACCEPTED BY THE STATE BOARD
1827 Univerelty Ava., SL Paul, MN 55104 UNLESS PFOPER INSPECTION FEE IS
Phone(812) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL WSPECTION ee-ooom mry
/ ? . ? See instmctions tor completing Ihis brm on back of yalbw mpy. S3 d
?8 5 651 X" Below Work Covered 6y This Request
ew Atltl , p. Typeof8uiltling AppliancesWired EquipmentWired
Home ' Range Temporary Service ,
Duplm Water Heater Electric Heetinq
Apt. Building Dryer Ofher (Specify)
Comm./Industrial Furnace
' Farm Air Condttioner
OtherhspeciN) Conrcaaort Riffinarks:
Compufe Inspection Fee Be(aw:
# Other Fee # S iceEntrenceSize Fee # CircuiGS/Feetlers Fse
Swimming Pool 0 to 200 Amps 0 to 700 Amps
Trensformers Above 200 _ Amps
/ -- Abova 100 _ Amps
SiJI15 Inspetlar§ Use Only: TO L
Irrigation 8ooms ?? • 6 ?
Special Inspection
AIarMCommunication
Olher Fee
I, the Electrical Inspedor, hereby
certify that the above inspection has
been made. Rough-in r
Fi„ai oete
o
OFFlCE OSE ONIY
TTis requesi vold 18 monihs fiom
04701
??
.
H st Oate Fre No. Poug in In bn
Require
? Ready Now 1 Notity Inspector
s ? No When flefltlY?
r? -
I Q,11censed contractor ? owner hereby request inspection of
above electrical work at:
Job Ae ss ( tre eoz or Ho o.> ciry?
Se ' n N Township N9me or No. Fange No. County
U
rrt ( INn P?one o.
l--5a O
Po..Z naaress
Eledncal Comractor (GOmpeny Nama) Co aclor§ Li nse No.
Mailin I
?
Authodzed Si t r wner a in In3 mn
?iPPI.E V.AL?.E3?, MN 55124 Phane Number
MINNESOTA STAiE BOAND OF ELECniIGffY THIS INSPECTION REOUEST WILL NOT
6tlgga-Mitlway 81Ag. - Hoom S173 BE ACCEPTED BY THE STATE BOARD
1827 Unhnairy Ave., St Paul, MN %100 UNLESS PROPEF INSPECTION FEE IS
Phome 16121642'OSM ENCLOSED.
IiEQUEST FOR ELECTRICAL INSPECTION
/ ? Sea instructions lor completing inis fortn on back of yalbw copy
G? 04701 X" Below Work Covered by This Request
EB-00001-0]
?-?''/7/r ?/
ew Rep. TypeofBuilding , AppliancesWiretl EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric HeaUng
Apt. BuiMing Dr er Other (Specify)
Comm./Industrial urnace
Farm Air Conditioner
Other (specity) ConVactor§ Remarks:
Compute Inspectipn Fee Below:
# Other Fee # ServiceEnVanceSize ee # Cirouits/Faeders Fae
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps ve 1 Amps d
Signs Inspecor5 use amy: T p? r/1
?"
Irrigation8ooms ?K
Special inspection
Alarm/Communication
Other Fee
I, the Electrical Inspector, hereby Rouqn-m oa? ?
certify thatthe above inspection has
been made. Final
f
44 oaz
OFFICE USE ONLV v
This request voitl 18 months from .
c [rv cF rAtlara
r.,ASH.r.Ehe 36 TE.RMzNAi. Nn; 6ta0
UFl1"Ft, 08/09/99 l Ti11=: 10;24:011
ID:
hlAt'fL. C(aSFY ;7:Li):I:NG l4 t:ONSTFillCT:L(JN
3210 .`.-)f.)Ol. 464-0 LiF'.r-1CON k17L. 12, 1..25
21.",'55 9001 46411 D1=F1C0N H.T.L `..UO
32 10 90(71 4438 Ot•ll: F'l')ND Ft 125,25
2J.55
.. 907:1. 4498 l"!A!( 4'UND R 3.00
1'nt,a:i. Rnceip+, Amollni,c 314.50
cRJ.i.°,nis
t.15I-:F Iu? JAh
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 ?-
3`1 1 ?651-881•4675 " , J-O , ?-?
New Con:trucfion Reavlremenh
Remodel/Reoalr ReaulrcmeMs lg? _ /? , ? 9
l
? 3 reglrtered slle suneys ahowing aq. fl. of loT, sq. ft. of houae 2 coplss of plan
and gfl rooled areas M0% mmclmum bf coveraae allowed) 1 sei of energy cakulafions foF heated addHlonu
D 2 copies of plans (show 6eam a window sizes; poured Ind. design; etc.) 1 sHe survey fa exTerbr addiNons R dec W
D 1 aM of energy calculaliona
Y 3 eopies W hee servation plan 8 bt plaMed aller 7/1/93
DATE: p CONSTRUCTION COST:
DESCRIPTION OF W RK: /?C'?PC-? G?? lQ 04l=
STREEf ADDRESS:
LOT: 'A_ BLOCK: a SUBD./P.I.D. #:
" `Cdl
Name: (? Ft,4 L_/_ /f &/J 4 Phone #:
PROPERTY Last FU-
OWNER
Sheet Address:
City 114/r14/l,-' State: 4!?/4Zip:
Company:??Y -rP0n e #: h ? U zf??--A.a::!?
(area code)
CONTRACTOR /
Sheet Address: y??????LL ?f?,lZ IJcense #" s6' Exp'
City ?EIWA/ State: Z?44? Zip:
ARCHITECT/ /
ENGINEER Company: Name:
Telephone #: area code ( }
StreeR Address: Regisfration #:
Cpy State: Zip:
Sewer 3 waFer Iicensed plumber (reauired for new conslrucfion onlv):
PenalFy applies when address ehange and lot change is requested once permR Is issued.
I Aereby acknowledge that I hwe read this applkaHon, sfofe tbat the iMormaHon t correct, and cgree to eomply wNh all appNcobl
State of Minnesofa Statutes and Cily of Eagan Ordinances. 4
Slgnature of Apppcant:
Certificates of Survey Received _ Yes
Tree Preservation Plan Received _ Yes
OFFICE USE ONLY
No
_ No
c
u
_ Not Required i_.__
i _.
--
i'
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck
? 04 2-plex ? 09 7-piex ? 14 Apartments ? 19 Lower Level
? 05 3-plex ? 10 S-plex ? 15 Lodging ? 20 Pool
WORK T'YPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44
? 33 Alteration ? 37 Demolish Bldg' ? 41 Wood Stove ? 45
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
" Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC :
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Basement sq. ft. Census Cod
Main level sq. ft. SAC Code
sq. ft. No. of Units
sq. ft. No. of Bldgs
sq. ft. MC/ES Systi
sq. ft. City Water
Footprint sq. ft. Booster Purc
PRV
Fire Sorinkle
Building Engineering
I a?S, aS
3 _ Q C?
Valuation:
? 21 Porch (3-sea.)
? 22 PorohlAddn. (4-sea.
? 23 Porch (screened)
O 24 Storm Damage
? 25 Miscellaneous
Repair
.
?
SAC Units
°k SAC
' oa -
1989 BQILDING PfiRMTT APPLICATION - CITY OF EAG9N
SINGLE FAMILY DWELLING3
l??o -'?
INCLIIDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCUL9TIONS
NOTEs ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOHNSR MOST DESIGNATE WHICH ADDRFSS
IS DESIRED. NO CBANGFS WILL BE ALLOWED ONCE BDILDING PEAMIT I3 I330ED.
MULTIPLE DWELLZNGS RENTAL IJNITS FOR 3ALE UBITS # OF IINIT3
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SORVEY - CHECg WITH BLDG. DSPT., 1 SET OF ENERGY
CALCULATIONS
COtMiERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
ro Be Used For: QJ ?? Valuation: 9 Sf000 ' nate:
Site Address L44 2S o Ft Opn? Kd OFFICE USS
Lot J Block .2_
Parcel/Sub iff, !
Owne;?tC???1
Address '{q66
City/Zip Code ro:ter49,1 SS ( ?3
Phone ? 5 `1 ` C)G?}L(
Contractor
Address
City/Zip Code ?
Phone
Areh./Engr. _
Address
City/Zip Code _
Phone #
Oecupaney k- ?1 M_
Zoning F'D R_
Aetual Const y-r.l
Allowable V-l?!
# of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well _
MWCC System v
City water ?
PRV required _
Booster Pump _
APPAOY9LS
Planner
Council ?
Bldg. Off. ?Z
Varianee
Council
Ec•a FE81 90
F663
Bldg. Permit " ,OC7
Sureharge ,5
Plan Review 100
SAC, City I 00, DD
SAC, MWCC , DO
Water Conn 5 O100
Water Meter 90,00
Acet. Deposit 32,20
S/W Permit 2020
5/W Sureharge ?,00
Treatment Pl. ZZ8,00
Road Unit ?yp.00
Park Ded.
Copies
TOTAL 9 .?
'?Zs'Gj
NOTE: Sever & Water Permit fees and aacount deposit fees irill be ineluded in the building
permit fee. Processing time for sexer and vater permits ia two days onoe a licenaed
plumber has applied for a permit at City Aall.
- .t . VALuaT10N1
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iu114/ng Clesslfiution: Type A1 (5ing1e Fe:nily 8 Uuplex
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(liesidentlal
(3 stoHes or ess
•(0lher) (Over 3 stortes)
'sENE7Al INFORlNTION
` I. Buildin9 PeNneter \Z Z ft.
Wall hetght (ground to eave) va?? e- S ft•
2
1. x 2. (above) 9ross well atoa Z.Z;??fl fc.?? ?xq) +&- x1
4. 8uilding dlmenslons (L) x(11) ?2_56 ft.Z roof S fioor area
' S. Square fcot area of rim jolst - Floor joi<_t stze (2 x lo? )
lo7 x Perimeter = Rim o st ar.ea Z-7_ft2
. ,?
i. Doors - Ara
' TAtc ness
Trp* of Con-iffrct on,
1ltnutatwrer
.
C'a.s7S ForiaNter?.l..? ft.
7. Totst door's peNnMter -ILZ_?a ft
g. Ninaows: ftnufacturer.
U factor _ 5.C
State
70TAL FEE7 .Z
TYPE SIZE AR`EACN: 2) NuUNiT50F
d ? . 3v 4(b ,?-?--
. „ a_?,o 36 _ zz - %I 1
.? L?44n ?'
' 50?0
.. So3?
O ?77?c?.-
' . -7 4
99
(:;C O•. 00
Total ft.Z Glass 1Q0_5\
1? F1reDlate arN: Midth x helaAt • ,_= -- -- • - --- - ----_ Ft.
11, Expose4 foundation: NNght x Perlmeter .__ x??'o -• ?5 Ft.2
:WlfTION Of TMIS FORM IS REQUIREO FOR All NEY COHSTAUCTiON, MAJOR REMODELING AND BUILDI!?GS !EJ'
13YED MHERE ENER6Y9 OTHER TNAi1 TME MINIMAL CODE ALLOHAMCE. IS USEO.
- ?!!?se e t • ? . . .
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141
N1ndow. area A \ qa _z5 l ft. U wlndows • . 50 9 x A¦
. . 2 ?.?._..z.
-0.
:5.
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; se
i SC.
5Q
RIo j01st area A oo _ft.Z
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poor area A -1 -7 -ft.
Ftreplace area A -?- f:.2
Exposad foundatlon A
Framing area A 42?z. O ft.2
Met wal l area a 1'S'9 le _`I Z`c.
U rim joist ¦, . 0 4 U x p• ?. o
Jdooraree• _??•?_UxA¦ 4-(0
U rireplace =_? U x A •?
il foundatton - . ?1 U r A•
;1 frani ng area =_ O 9 U x A- o, o
7wa11 = .043 Ux%+• (,, 4ef
( t 1o . ,':.L . . . . . . . . . . U x .1 •?q . ?
Gross wall area x 0.11 (A-1 single family S d6;.:ax a allowable UA A/Code ?
(13, aDove) .
x 0.23 (A-1 other residentia'.; ,
• x .23 !Other builAing:?
x .28 (Over 3 storre:,) _
?? NH Nust be larger than
a Z Z 30 x l Ccde a???.30 . 138 3beve
Cailing framing area (Af) aquals 10': nf cz;iinn,areaor the same as)
Gross ceiling area •(L) 4Z x('a ? ZQ? • \?'?a? ft.2
Joist area (Af) • 10".. ceiltng area = ft.Z
net ceilino area (AC) (15A - 158) • ft.2
U ceiling x fi c? ,0i?_'\2, x 1\3??7~0 ° ???_?Q7
U framing x A f• . o2t.? q x,
TOTdI U x A ........................................ Ceiting area (15A) z 0.026 (A-1 single `amily S Cuplex - code allowablt U x A
-+-- ,
x 0:033 (A-2 other reside^'ial)
x 0.06 (other)
A (15a) \ ??.s '?) z IL fcodel" . nz(„
BaUH Must be larger than 150 (above),,_
F (or the same as)
NOTE: Use U end a values abtained from eps 1, 3 and 4.
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1
Instde itetiis
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ALL / a;!
f? tneertor • (4a11) C
? SECTI6II .!? ?G`• F•b ca :nsu.xtt..n 1°l • Oo
C) 4?
~
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•1 Jucslde air film .11
y Q rornL
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,:.
? lnslde air tilm .69
?
sn'D ---?- v? -G?} inc m- t oc '+i i l . 4'
SLCTION ud
c R= (F ramtng)U -
3/q ?hea[hing 2.0(?
5 Ld i ng .?7
i, oautde air illn •17 ,?01
'"OTAL ? O . ? C]
InsiCe air tilm Rs .68
2ND uALL in[ertor vail •'4
l
"
SECt1'?h
:nsulatton
??.Co
%
(Wall z.: • R •
Shuthtng Z •C!)a
Ex[ertor va11 covering , f-'1 ? .:
ExCnrlor air film 'n ..17
7
R TOTAL Z-
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.; Intc-iur air [IiT ?' .63
.
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il `" :? \. 'r.suta:_1on
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;?• JOIST l? ir.cA sult +uud R=1.88 ?Rim ? s?' •
Joist)
3/4 a°l( Sl. a ?, O?v
1/1
"?iteAor vall cuvertng •??
•' Extertor air ftlm Ro .17
a roreL z4 _ 4(m
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atsrior air fl ln R¦, .17
F TOYAL 5 ?^ •?
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FRAMiN; CEILfN6
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0.61 Air film 0.61
, 3\ .15 tnsutatton 4 4. o
. .- 4. 3?b ,;o i s t .,
?? ?A Ceiling . . 5Q?
. • ,
O.E1 Air Film 0.61
3`7.9 3 Totai R
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?
F!.4i ROOF OR CaTHEDiiAI CEILING
R'Va ue
f R;.MI NG
Inside air fi?n
Ceiiino 1
Joist {stu ?
Insulation
Air space
Roof decking r
Insulatlon
Bu11t-uD roof _
Outside air f11m
Total R
-_;- ? U
R •
, -
R YALUE
CEILING
0.61
lindow infiltrsticn .5 cfm/11nea1 foot of crack
tesidential door inflltration 0.5 cfm/square foo; or dcor and mtninun cade requtrement
an-resldential doar infiltration 11.0 cfm/lineai °oct of crack
Ip 12" conct•ete block no insulation =.47 R 2.1
1p 12" concrete block insulated cores =.26 q 3.8
1S 12" lightaeiohc blotk - .32 R 3.1
;p 12" lignt?e13ht block irisulated cores - .12 Q 8.3
J single glass ¦ 1.13: ?+ith stom Nindosv .54
1 double glass • .55
1 triple glass ¦ .41
411 exterior walls and te111ngs must have a vapor barrier (C.10 perm i:ax.).
:apor parrier must be on the inside (heate4 sfde) of wall.
?apor barrfen of the polyethelene thin film have no R value.
a
i4103)
1990 BUILDZNG PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLZNGS
MULTIPLE DWELLINGS
?
COMMERCIAL ?
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SI2E SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WKEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MDNTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/NOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL SE ALLOWED 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 Used For: Valuation: Date: `s/? /SO
Site Address w78 Q/¢je rpyyY /u-! OFFICE USE ONLY
Lot ? Block ' FEES
Occupancy
? Zoning
Parcel/Sub ?f? p/ Q, )-( Actual Const Bldg. Permit
? /?//
q
'
? Allowable Surchar e
Owner u(
4
. (
e[`
9 # of stories Plan Review
?ngth snc, city
Address
?! 9I' OAK ?$?..? ? Depth SAC, MWCC
S.F. Total Water Conn
City/Zip Code ?4AGN . Snd ? Footprint S. F. Water Meter
Phone GB ?
7- fGG 9- 7jfl-
fsI'•t
On site sewage Acct. Deposit
S/W Permit
woR K _
On site well _ S/W Surcharge
Contractor MWCC System _ Treatment P1.
City water _ Road Unit
Address PRV Park Ded.
Booster Pump _ Copies
City/Zip Code SUBTOTAL
APPROVALS Penalty
Phone Planner TOTAL
Council
Arch./Engr. ?
Bldg. Off. 5I3
Variance
Address
City/Zip Code
VAE--7
Phone #
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SLDRVEYOR'S CERTIFICATE BRIAN L. THORSON HOMES
REVISED I-28-69 TO SHOW
E%ISTING ELEVATIONS
f--- DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 9L5.0 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 92Z,2 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK m 9 ys,4 FEET
WE HEREBY CERTIFY TO BRIAN L.THORSON HOMES THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
LAT 4, BLOCK 2, FAWN RIDGE 2ND ADDITION, ACCORDING TO THE
RECORDED PLAT THEREOF,DAKOTA COUNTY,MINNESOTA.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT A5 SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 137H DAY OF DECEMBER , 1988.
PROPOSED GRADES SHOWN WERE TAKEN ME L, INC.
FROM THE GRADIN6,DRAINAGE 9 EROSION SIGNED: JA ?
CONTROL PLAN FOR FAWN RIDGE 2N0 {
ADDITION,PREPARED BY PROBE ENG. BY ?,rq?°l.?..1?QC
CO.,INC., LAST DATED 6-6-86 t??,q?i?
HAROLD C. PETERSON, 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•684-3029
, ,,
SURVEYOR'S CERTIFICATE
EX?ST? ?E
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EIAGAN
REVIEWED
BY
DATE &A°
/
BRIAN L. THORSON HOMES
REVISED I-28-89 TO SFpW
E%ISTING ELEVATIONS
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EAGAN ENGI,")T; q?Ri",?G :i)_i'"t'
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9401 JAMES AVE. S. • 6LOOMINGTON, MN. 55431 • 612-884•3029
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Use BLUE or BLACK Ink
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Permit
City of Ea Ed~
Permit Fee. . I
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: 4 L4l q 5 ' O A Y--:? Unit
Name: Phone: t5/" 817?*1N
Resident/ 9S d ArOn,)1~ Z~1ls>4n~ 7
Owner Address /city /zip:
Applicant is: Owner Contractor
Type of Work Description of work:
Construction Cost: Multi-Family Building: (Yes /No
Company~D . ) C I G l~E~~ ~ Contact:,
Address: (I} City: Lit IU~S
Contractor I
State: Zip: _5c5r~~ Phone:
License #t\ Lead Certificate
v
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
i
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:
f ,
Mechanical Contractor: Phone:
E
1 Sewer & Water Contractor: Phone:
I 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
I 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.J~
x D~~ ~ x Q 0 :~~~.LA_
Applicant's Printed Name Applicant's Signatur
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA152853
Date Issued:11/05/2018
Permit Category:ePermit
Site Address: 4498 Oak Pond Rd
Lot:4 Block: 2 Addition: Fawn Ridge 2nd
PID:10-25801-02-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 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 -
Rudolph P Jafolla
4498 Oak Pond Rd
Eagan MN 55123
(651) 497-8170
Holmin Heating & Cooling Llc
3432 Denmark Avenue, #228
Eagan MN 55123
(651) 405-3853
Applicant/Permitee: Signature Issued By: Signature