4501 Oak Pond RdCASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
' EAGAN, MINNESOTA 55122
DATE 19 f
REC61vED , ? ?
FROM
AMOUNT $
a ooLLAws
,oo
? CASH Q CHECK
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FUND CODE AMOUNT
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Thank You ?
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White-Payers CoPY
Yellow-Posting Copy
Pink-File Copy
CASH RECEIPT
+ CITY OF EAGAN
3830 PILOT KNOB ROAD
1.. 'EAGAN, MINNESOTA 55122
DATE 19
RECEIVED
AMOUNT
" ae DOLLARS
too
[JCASH E]CHECK
PUND CODE AMOIJ?v
Thank You
6Y
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White-Payers CopY
Yellow-Posting Copy
Pink-File Copy
CITY OF EAGAN
3830 Pilot Kno6 Road, P.O. Box 21-198, Eagsn, MN 55121
PH ON E: 454-8100
BUILDING PERMIT Receipt?
To be used for Est. Value Date
Site Address
Lot Block Sec/Sub.
Parcel No.
oe Name
? Address ° City Phone
ao Name
.
? ? Address
P City Phone
Name
i..LQU i :
Address
City Phone
I hereby acknowledge that I have read this application and state that the
info?mation is correct and agree to comply with all applicable 5tate of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee -
A Building Permit is issued to:_
on the express condition that all work shali be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official_
19
On Site 3ewage Oooupancy
MWCC System Zoning
On Site Well (Actual) Const
City Water (Allowable)
PRV Requlred # of Storfea
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit
Planner Surcharge
Council Plan Review
aidg. off. sac, city
Variance SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
Parmit No. Permit Holder Dats Teisphone
Plumbing
H.V.AC.
Electric 33 7/fo/jr? ,9 a??1
Softener ?
/
Inspection Dsts Insp. COmments ?
Footings I
Footings II
Foundation
Framing ? •ti? - -?9 -,kk-
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace ?
Final Htg.
Final Plbg.
Bldg. Final
C@rt.OCC.
Temp. LP 3-?_?J g - 6?' .S'a iG? L+ t
Deck Ftg.
Deck Final y_ Z-93 'l h6t / M r
We11 - f/
I he' ` 'H
Pr. Disp. ?j p ?
.. , T. . ?. _._
, .._ CITY OF EAGAN
+? ?s 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?- 3.29?.4
PHONE:454-8100 -77
BUILDING PERMtT Receipt t---
To he used for sF DWG/GAR ' Est. value $ 67 + a40 Date NOVT:MBER 28 :i G
Site Address 4501 OAK ;'014D Ri) Erect I:Y Occupancy
Lot:-bBlack j Sec/Sub. FA'.'dN RIDGF, 2ND Remodel ? Zoning R
Parcel No. Repair ? Type of Const v
Addition ? No. Stories
W Name ?C"YLA;VD IiOi-iE5 nnove ? Length 42
= 3471 i? 1 ?? r'Z i3 Demolish ? Depth 4?
o Address Int Impr. ? Sq. Ft.
Ci1y t'iO:Zi)P?N Phone I &3 O Install ?
Approvais Fees
w W Name HALI+QO I ST
?? Address `? 005 W g OTM
i W Citv BLNG`I'N phone 831-1875
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Permit 334.00
Surcharge 33.50
Plan Review 167.00
SAC 575.00
Water Conn. 500. U 0
Water Meter 63.50
Road Unit 290. ? 0
Tr, PI. 156.00
I hereby acknowledge that I have read th is application and state that the
information is correct and agree to comply with all ap licable State of
Minnesota Statutes and Cit?.4f Eagan Ordinances ?
I? ?
Signature of Permittee- 6^ z %, 0rN._
-i-;?-= •
A 8uilding Permit is issued to: KZ:
all work shall be done in accordence with
6uilding Official
Bldg.
Var. Date I Copie . 0
Total o
on the express condition that
6tertules,and Ciry of Eagan Ordinances.
PermR No. Permit Holder Date Telephone M
Pluimbing ( c7
H.V.A.G
,?
`J?/
, </ O
/
EI6CMC r?.??L??
It 1 G:
?'?
Sottsner
Inspectfon Data ln`p. Comments
Footinys I -
Footlnya II
Foundatbn
Framing
RooNny
Rough Ptbq. _2,0
Rough Hty. 4 w
Insul.
Fireplace
Final Nty.
Flnal Piby.
Bldg. Final
cert. oec.
Dsck Ftg.
Deck Frmy.
Well
Pr. Dhp.
M'v? :/.:.'?._i }?i. .:?3?1fr ±
k 'V^u .;?1,-. , , . , . . . iryv;'e! VN R"1w w,1?{. r. a
,
• . PERMIT #
' MECHANI CAL PERMIT
RECEIPT # - -- - y---
qTY O F EAGAN ?
3830 PILOT KNOB RO AD, EAGAN, MN 55121 DATE
CONTRACT PRICE: PHONE : I54-0100
Site Address "` gLDG
TYPE WORK DESCRIPTION
.
Lot lock ' Sec/Sub
? N
R
es.
ew
? Name Add
m Mult
-on
Addr
ss ?^" ' " c'A fL i
C
R
? ? r
omm.
epa
Ciiy t r e r L ?? t Phone 7- h
O
er
t
Name ? Nck ' +0 FEES
c AddreAs y y ?' ? ? v s ?1 (L ?'' RES. HVAC 0-100 M BTU -$24.00
p City '' :? U t??,j L phone 4y`/ ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
TYPE OF WORK w
y GAS OUTLETS - 1.50 EA.
Forced Air M BTU COMM/IND FEE - 146 OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/1ND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Air Cond. M BTU (ADD $.50 S/C IF PERMIT PRICE GOES
Vent CFM BEYOND $1,000.00)
Gas Piping Oudets # ?
Other
FEE ?. ? . ^ ?,,,..-?e.?L ?- ???'?•?
• S? 51GNATURE OF PERMITTEE
S/C:
? ? Ob
TOTAL:
FOR: CITY OF E,4GAN
s .• ..., .
. . , ,
{.r V PI 1 RAIi 1
Site Address
PLUMBING PERMIT
CITY OF EAGAN
3830 PIIOT KNOB ROAD, EAGAN, MN 55122
? PHONE: 454-8100
? Name LJ L //Z&c-,1fs>ffic,9-1
? Address
c City Ss?c. T c Phone `- 722
S
Narne ? C- 1 eS
c Address
p 1 City -Z-1 -/-Ds+.- /+'/0*Phone 11-L -61'66
COMM/IND FEE - 19'o 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 PEfiMIT - .SO
(ADD $.50 S/C IF PERMIT PRICE GOES
? ..Y?1,.t.. :
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
PERMIT #
RECEIPT # 7M3Ot,L?
DATE: / ' 7
BLDG. TY7 WORK DESCRIPTION
Res. New X
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NQ. FIXTURES TOTAL
/ Water Closet -$3.00 i ? ? zr
?Bath Tubs - $3.00 , • ? ?
? Lavatory - $3.00 3 C-C
Shower - $3.00
I Kitchen Sink - $3.09 a ?-O
Urinal/Bidet - $3.00
4?L,- Laundry Tray - $3.00
? Floor Drains - $1.50
? Water Heater - $1.50
Whiripool - $3.00
? Gas Piping Oudets - $1.50
(MINIMUM - 1 PER PERMIn
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
-2 Rough Openings - $1.50 _
FEE:
STATE S/C:
GRAND TOTAL: °"? ?5
. . . ?
(textifiratP of (Orru?attry
Citp ot Cagan
DPpai'#ritPltY Df wIIdbwg JttqPtttDit
This Certificate rssued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance this shucture was in compliance with the various
ordinances of rhe City regerlating building construction or use. For the following:
u.,a.,,jr.tj. A4#G/GAR Nag. Ftrmft rb.
ooav.-r I'AX R 3 Zoms DMW rrve C- ?
owner ot ewwing : i. , r:'? Ai il }:Cj"1 i'. ,Wdrac 5? 1!{ ?l ; s`• -1: i.?
Build'wgAddr?a ??fl??^ ?:1_ LOOLiry .6B! l . it'.DGT .-
.. ) Y /
Date:
B{II]ding 01CW
POST IN A CONSPICUOUS PLACE
'..?`-?_ ''" _ ?2+?,+•--?i??x _'"^,?'?',^ • ' •
1 agree io comply with the Cfty of Esqan
Ordinances.
BY
Date of Inap,:
Insp.:
CITY OF EAGAN
3830 Pilot Knoo. Rpad
P.O. Box 21199
Eagan, MN 55121
Zoning: a7
Owner.
Address
0
Connection Charge: /a 7 5 - 0ai2d
Account Deposit: 15,002d
Permit Fee: 10- 0CFd
Surcharge: - 50Rd
Misc. Charges:
Total:
Date Paid:
WATER SERYICE PERMIT
PERMIT NO.: ? 37 -'-
DATE: 1-2i-"7
No. of Units: 1
Site Adc .?
Plumber. _ P r Mprhanicat , I
Meter No.: Connection Charge: 50 .(ILIP?
Size. Account Deposit: 1..{ JnT rI ?
Reader No.: Permit Fee: 1 ? QQ{?cl ?
I agree to comply with the Clty of Eayan Surcharge: SQTd ?
Ordinances. Misc. Charges:
Total: - r.'eteT !
BY Date Paid: i
Date of Insp.:
cmr oF EAGAN WATER SERVICE PERMIT
3830 Plbt Knob Road ,
P.O. Box2t1?9 ' PERMITNO.: ????
Eagan, MN 55121 DATE: 1-21-87
2aning; R1 No. of units: 1
Owner.
Address
Site Add
Plumber.
Meter Na
Size' -
Reader ti
'_;n`? /!c (0 5? S 3.¦ ? a?^,?,?,?1? `?yon Charge: 500,0012d
O
I sgree to comply wMh the
Ordlnances. ?-Lt ph? 71>
li?R?: v b . meter
BY ??+t Date Paid:
Date of Insp.: a- i 9- k-7 ?nsp,:
CITY OF EAGAN SEWER SERVICE PERMIT
;
3830 Pllot Knob Road 1112
P.O. Box 21199 PERMIT NO.: '
Eagsn, MN 55121 DATE: j- Z 1-- ?,
Zoning: Ri No. of Units: 1-
CITY OF EAGAN n
N0
12J14
3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121
_
PHONE: 454-8100 ?'' 4? / Z_
C/
BUILDING PERMIT Receipt n l
SF DWG/GAR
$67,000
7
b
df 86
NOVEMBER 28
o
euse
or
Est.value Date 19
Sitenddress 4501 OAK POND RD Erect
L'f y R3
Occupanc
Lot6 Block 1 Sec/Sub. FAWN RIDGE 2ND Remodel ? Zoning Rl
Parcel No Repair ? Type of Const N7
. Addition ? No. Stories
W
Name KEYLAND HOMES
Move ?
4
Length 2
3471 W 173RD oemolish ? oepth dR
o Atldress I
l I
? Ft
S
435-3323
JORDAN ph
Ci n
mpr.
? .
q.
ry
one Insrall
a
G
,
Approvals Fasa
o AMF
Name
00
33
?< Address Assessment .
Permit
. City Phone Water & Sew. Surcharg?? ?
Police Plan Review 167. 00
Fw Name HALLQUIST Fire SAC 575.00
?? nddress 5005 W 80TH Eng. WaterConn. 500.00
iw ciryBLMGTN phone 831-1875 Planner WaterMeter 63.50
Council Road Unit 290.00
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe 11
gldg
Off /28/$ 156.00
Tr
PI
inbrmation is correct and a r
pe to comply with all a licable State of .
. .
.
s
Minnesota Statutes and Ci ?of Eagan Ordin nce APC Parks
Var. Date Copies
Signature of Permittee ?? O
Total
A Building Permit is issued to: 1(k-YLHIVL ri Mr:b on the express condition ihat
all work shall be done in accordance with all applic le tat of i neso d Ciry ol Eagan Ordinances.
Building OHicial
CITY1.?OF_?AGAN ?J2 14670
3830 Pilot Knob Road, P.O. Box 21-199; Eagan, MN 55121
PHONE: 454•8100 6 R3 ?y
BUILDING PERMIT Receipt # 0
7o be used for RASEMENT REMODEffst Value $1, 500 Date M ARCH 9 ,19_$$-
Site Address 4501 OAK POND ROAD OFFICE USE ONLY
Lot 6 Block 1 Sec/Sub. FAWN RI?GE 2ND On Site Sewage _ Occupancy R-3
MWCCSystem _ Zoning
Parcel No.
. On Site Well _ (ACtuap Const
a Name WM• WALLACE ClryWater _ (Allowable)
z Addre3s 4501 OAK POND ROAD PRV Required _ # of Stories
0 City EAGAN phOne 4$2-8111 eooster Pump _ Lengih
Depth
o Name KEYLAND HOMES s.F.TOtai
0Q Address 14450 BURNSVILLE PKWY. FootprintS.F.
w CityBliRNSVILLE phone 894-2636
APPROVALS
FEES
uW Name ?LLQUIST Engc/ASSess._ - Permit 34.00
1
00
?w Planner Surcharge .
Addrass
W City BLOOMINGTON phone $31-1875 Council Plan Review
Q Bldg. Off. SAQ City
I hereby aCknowledge that I have reatl this applica ' and sta[e that the Variance SAC, MWCC
information is correct an g ee lo comply it all 'OP iopble S[ate of Water Conn.
Minnesota Statutes and ity Eaga Ordi n es. ? Water Meter
Si9nature of Permittee -
ROad Unit --
A Building Permit is issued to:_ KEYLAND OMES ireatment P1
on the express cond ition that all work shall be done in accortlance with all
Parks
applicable State of Minnesota Statutes and City of Eagan Ordinances. 35
00
? s
? TOTAL .
Building Official_
?C7_S?j??_J? _
This reqvest voitl
18 months tmm ? D d
E 1 ?R F;ri?
?2_cl
?_?,........ . ........
rp- Reqmretl? eady Now Will Notity, Insoeo
/ZJ/r p ?Ves 2 Na ror When FeadY
Aj Licensed Elecvical ConVactor 1 hereby raquest insoection oi above
? Owner electrical work installed et:
Sveet Address, Box or Rmte No. City
yS? / 0,9k Po.-q RO FAG RN
ecuon o. Townshi0 Name or No. RenBe No. Counry
12,7F1or9
OccuOant(PfllNT) Phone No.
L(1/G L I9?l7 Gtl?g G c dl ?F
Power Supplier Atldress
0,401w- "O':'? t- F-r.Plc ?/?cw
Electrical Cnn(ractor (COmpany Name) ConVar.lor's License No.
6F5,-?2 Fcf?r?s? ca D ?1??(
Mailing AdJress IConVactor or Owner Making Instailat
io
nl
/
?
193 J/0 Ge`/lf?ja6ivO9ef /l'?<_ ???iL2/J7iNCTev.?
Au[hor" ed Sipnamre (nVactor/Ownar MakinB I??htallalion) Phone Number
.-?_11i yc3- 2 ? v
MINNESOTA STATE 80AND OF ELECT0.ICITY TMIS INSPECTION NEnUEST WILI NOT
Griggs•MiAwav Bldg. - Roam N-791 0E qCCEPTEO BY THE STATE BOAND
1827 Universitv Ava.. St. Pwul. MN 55104 UNLESS PPOPEN INSPEGTION FEE IS
Phone Ifi121 642-0800 ENCLOSED.
,'1a?r
E
" ? ;
1 6_
"'R'" Be/ow Work Covered by 7his Request
eV4 Add NeD- Type of Bufltling Appliuntes Wiretl EquiVnient Wire!1
Home Range Temporary Service
Duplez Water Heater Lightiny Fiztwes
Ap[. Building Dryer Electric Heatm
j Commercial Bldy. Fumace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm O?ne? e" v thcr ?Snnr.?ry1
t.r Succi y Other Oth,,r
ompute lnspection Fee Below
k Pee ServicaEncrence5iza n Fee Feeders/5abtexders k Fee Circuits
U to 200 Am s 0 to 30 qm s 0 tn 30 Am s
Above 200 qirpy. 31 to 100 qmps 31 to 700 Am s
Swimming Pool Abave 100-Amps Above 1Q0_Amps
Transformers Irrigation Hooms Partial.Other Pee
SignS SpeCial InspeCtion /
5
D
TO FE
Nermrks isO
l EO
6
Rough-in
Final Dnte I, 1h tnl
Inspectur, hereby
certify tha, the above
insoectian has been
made.
HEQUEST FOR ELECTRICAL INSPECTION . EpB-00001-06
1 Sea instruclions fai campletinB lhis farm on back ol Vellow coOV. ?
? O .J o37/
??YKf?
Thh repuesl voiC 18 monlhs Irom V?' ?'
S
G ? ?•y,? / ? /? ?
-r!?F &H 4 G G
Repuest Date " ire No. pouph-in InsVectipn
Peqmre
fleatly Nuw ?Nnti ty. Insaer
?
/
,? ?i es ?NO Ior When qeady
censpdEle,(rical ControctIor 1 hereby request inspaction of above
? Owner 4S b l eiectricel work instelied at:
Street Address. Box or Foute No. City
ection o. Townshio Name or No. Nanqe No. County
/
Occupan[ IP 1 / -
/
.aC?v Phone No.
Power $uO ier ?
? AdAress
?x.
Electrical tractor ICOmpany Nam Conhactor'? ns N /
Mailin ?tlJs ontra?tor or Ownar kina
res Installa onl
C? G '
Authorized i twe IC va or/Owner Mak' g Installatio Phone Number
MINNE?A STATE Bge!U OF ELECTRICITV THIS INSPECTION REQUEST WILL NOT
aripps-Midwey BIdG. - fbom N-191 BE AGCEPTED BY THE STATE BOARD
7821 Univeraitv Ave.. St Peul. MN 56704 UN?ESS PROPEfl INSPECTION FEE IS
Phonef6141642-0800 ENCLOSED.
_..i FOR ELECTRICAL INSPECTION
? See instructions tor completing this torm on back of yallow coDY.
r--A-RA I .iy.r D../..... u ./`.... J I... TA:.. O
n 4 V?I I?V//? VVVGIGV VY I/I?J /?GI?V J?
AAd Re . _.Type of Builtling Apoliantef Wired EnuiVment Wirad
Home nge Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. BuilAing Dryer Electric Heann
Cortxnercial Bldg. Face $ilo Unloade.r
Industrial 81Ag. Air Contlitioner Bidk Milk Tank
Farm tnN, oe?l y ?hm ISne¢ify)
t .r Vecily ther Oth¢r
Gompute lnspection Fee Below
M F ServleaEn\renCaSize p Fee Feetlars/Subleeders N Fee Circuita
,C. . 0 to 200 pm s 0 to 30 Am s i e?d 0[n 30 Am
Above 200 qmps 31 to 100 qmps ?'GCl 31 to 100 Amos
Swinming Pool Above 100_Am s Above 100_Amps
Transforcners Irrigation Booms ? U Partia6"Other Fee
Signs SUecial Inspection S
F
T
emarks
xiZ OTAL F E
i ?
NouBh-in I, tha Elevlcal ?
?
tnspeetot, heraby
Final certity thet tha above
? °yrr ms0ection hes Eeen
e f? meao.
Tb reYUesl volC 18 monMn from
t7i* :;iY,C;;;Xkt* * '1(,:'I•;$ri;:,
_r,]:TY t:i? CiAf:;AP!
t:ASI?T!_he JS T'ii"fit'i:CNAL. i+!i]: 764
ihiTF'; 05!J.Bl39 T':CtSEa 006:1.:l.
?ri ,
NAM:Ea 14 11 R. C0SCT:r:)VI_
32:t0 9001 4501 (:)r-,I: I'-'f?ND R 25105
3422 `?ill:i'!. 4501 OAl€ !"'i]ivvS? I"i W.V.
2155 900i 4501 iJAF' POND R 7.50
?
T'ota:l. Recnzp'.. Amauni:: 422.06
G'r?092O,:
USE:R :I:i1= _IAfi
.•'n'%kYRnC'1,;:rt?'n %?Y"'f,' ?C;X?"?.1??Y ?;Ni:x;1, m.$t?;lN!Yik;'<'::X:kX<irv:?rv in:(YdX?
= ! 1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PIlOT KNOB RD - 55122
657-681-4675
New Conshuciton Reaulremenh
Slgnoture of Applicant:
? 8 reglsfered sile surveys ahowing aq. k. ol lo}, sq. (t. of house 2 coples of plan
and tll rooted areas (20% maximum lot eoveraae allowed) 1 set of enetgy cakulaflons for healed addMlonu
? 2 topies of plans (show beam i window stzes; poured ind. design; etc.) 1 sNe survey for exferior oddlNons 3 decks
? 1 set of energy calculatbns
? 3 copies nf hee preservatbn plon H IM plaHed after 7/1/93
DATE: 5-Z 7`27 CONSTRUCTION COST:
J, WOt-`G'K
DESCRIPTION OF WORK: 6ur SPaSo.J D 4
STREET ADDRESS "/ JGW ^
LOT: BLOCK: ? SUBD./P.I.D. #:
c_??D s-Ig-9?1
Remodel/Reoalr Reaulremenh
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name:M4te?ye-- (.-)iPhone #: 65/- 6 S6"7yb 7
?rasf FUat
Sheet Address: "G Sav Faniel ACY
City 6C&acn! state: Mtif zip:s5/Z ?J
?Ij
Company:c rti P Phone#: &/Z 719^?7 2!?K
(area code)
Street
Cliy
State:
Compony: Name:
Telephone #: area code ( )
Sheet
City
Sewer 8 water Ilcensed plumber (reauired for new constructlon onlvl:
State:
PenaHy applies when addreas change and lot change is requested once permN Is Issued.
1 hereby acknowiedge that I have read thh applteation, slate that the
State of Mlnnesota Statutes and City of Eagan Ordinances.
.
Certificates of Survey Received v Yes
Tree Preservation Plan Received _ Yes
Registrafion #:
Zip:
Zip:
Is cqrrect, Qnd agrqe to eomply wRh all applicabl
OFFICE USE ONLY
_ No
_ No _ Not Required
License # Exp.
MAY 17 199g
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 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. (4sea.
)X
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ?
'
? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25. Miscellaneous
WORK TYPE II
? 31 New ? 35 Tenant Impr ? 39 Gas Line On ly ? 43 Siding/Soffits/Fascia
f? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 '„Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
' Give PCA hando ut to applicant for demol ition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft.
(Allowable) Main level sq. ft.
UBC Occupancy sq. ft.
Zoning sq. ft.
# of Stories sq. ft.
Length sq. ft.
Width Footprint sq. ft.
APPROVALS
Planning Building . a Engineering
Census Code?
SAC Code II
No. of Units il
No. of Bidgs I,
MC/ES System
City Water I
Booster Pump
PRV
Fire Sprinklered
?
?-
Permit Fee
5urcharge
Plan fteview
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:
Z.
103.? ?
4 aa-. () (,
Valuation: $ 1?.
Po ro }/
Od
2 z u?o :?yo x
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SAC Units
% SAC -
Cosgrove Property 4501 Oak Pond Road
30 40
10 20
ID# 10 25801 060 01
Fawn Ridge 2nd Addition 6 1
144.57
?I
0
0
0
N
in
N
Existing 440 sq. ft
Room
House Addition
1480 sq. ft. 47.5
Garage Deck
?
N 89 59' 44" W
158.34
?
0
w
?
.
,
0
7988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR S9LE UNITS fl OF IINITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF 3URVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CONA7ERCIAL
INCLODE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICA9TIONS .yAND 1 SET OF ENERGY CALCULATIONS
To Be Used For: FPND d.?<?k- Valuation: ? Date:
Site Address ?ZS6 / Qu-/C I UN^e' !
Lot C?Block ?
Parcel/Sub? r"°"? fJ oS'V?
-- [?
Owner /.[ 3 Oi?i ? 3 ?+? ///Z IY ?? I
Address
City/Zip Code
Phone Al S ')- - 'u// ?
- '
Contractor
Address ?
City/Zip Codezl-t-4?yl
Phone 'F 7
Arch. /Engr.
Address
On site sewage_
MWCC system _
On site well _
City water _
PRV required _
Booster Pump _
APPROVALS
oecupancy Q-3
Zoning
Aetual Const
Allowable
II of stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Engr/Assess Permit
B1drg. Off.
Variance
City/2ip Code ,,.?`?O i•=--.-?i? ?AS??'?(ENj
Phone Ik 61"3 / - 7 C `
Surcharge
Plan Review
'?2/Z2 SAC, City
SAC, M41CC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL
? eo
-Ar 3y. o0
`o
T .
OC ?: ? ? eTPCIICCT. ??ITTi
n:
1?,` .
? •i
1l i.
?/',C?@CL "-'i '+?;
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?Repair ° :=s*> ??
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xI o = rov x 8 = ?? oo
2o x 22 = ¢40 x(2
C?? 4oc)
R0BE KEYLAIJD HOMES
ENGiNEERING ?DNSllLT{N6 EH6iHEfAS, .
PtANNE9S aad LAHD SUAVEYO!!S
C4MnANY, iNC.
1000 EAST 14611 STR£Z7, BUftNSVILLE, YIHHES071 51237 Pti 432-!004
Cer?Z?`Z crz?e o? ?`Z.t-'r?Y? [.??
LOT 6, BLOCK 1, FAWN RlD6E
DAKOTA CCV"7Y, MlA/AlESOTq
CYZgoa) DENOTES EX 1 STING ELEVATIOAl
(92s.oo) pENJOTES PROPOSED ELEVATION
2ND ADDITlON4
INDICATES DIRECTIDlJ OF SURFACE pRAtNA6E
925.33= FINISHED GAR,46E FLOOR ELEVATION
30' FRDNT BuII.DIN6
SETE;ACK LINE
DRAIMA6E AND
UTILITY EASEMENT
?_i, ? ?i
N bY'i° 3EOI" W ?i9,a1
?9za,7, l9-4 57
-?
(? ?YL4.°% ° Yz4.? 5
ro'
26.00 (925.0? ?
o L OT N
p? ho [130.o Q
? "O
!? -? I \ 1 ` ?
? Vl `^ 22.0o ry? °U,°° (925.0) 1 m
tq N
L 1;tj ?i
3 ? ?n .c f -? V1 (p23.c?
(z Z.
?922 _ 6) 15S.34 (2 :23.0?
S22?j N 89° 59' 4¢" W
L _??r %
I heraby eartify that thia in n t:se and corract rspraaantatian of a traet of
land as ahcvn'and deet^3bed herecn.• An prapered by mn on this day of
G?Td? , 19 8G . ..
j d? Hinn. l?eS. Ho. J?od?S^'
77
5CALE : 1"= 30'
Pii9e t oF 4
-•,? ?? ? EX RIOR EIJVELOPi_ nvrrinr;F: "U" COMI't17A7fON ?
:J3a S`
OWNER:
SITE l1DDRE55:
PIION(; :
CONTRAC70R:??
Determine working ,quare fnol:aqe of eoch
1. Total exposed wall area.....
-- x
- l : 14---- -- - ----z ?Q-5 ?
2. Total roof/ceiling area.....__(a4p sy. ft, x .OZG =
- .. ------ -- --?..-?
Total exposed wall area al;ovc Iloor= 1-7711e--
a
b
c
d
e
f
9
h
i
.1
Total wall window area ..............
.............................
Total door area ............... ----?
.......... ....................
.....
otal slidin9 91ass dooi• arei .................
.............. a
otal fireplace wall area ............... . . . .
..... --
Total wall framin area avera e 10? . . . . . . . . . . . " `
9 ( 9 ) ............................
Total r1m joist area ................... -
........................
net aiall area above floor ...................
..............
.... ? ??. ? _
wall area above floor ...............................
wall area a6ove fluor....? .........
--
............
frame wall area ei foluzdai:ion ..................... •...... ---
Total exposed foundation
k. • Total foundation window area ....................... .,
1. Total net foundation area above yrade .............. ----
' --
Determine "u" value of each wall scymenC
• (e.9. window, door, each separal.e rrall ser.Cion)
a
; x
`An I -
-- -- 7_?-
.
.,
e. ?
-
x
l, ui,
- -
Z---
•. c. 40
x
?,?„--- '
-q9-- ?
-__----«?
?. x lull _
e• 1?7_ _-- x ?????----- -' °-$ --= ----- --
! ?---
131_- X u ll--_ -¢q- - -----s----
? •.--1.3_15 X „v„-- " bS- -----??--
h. __ X "ut, _
i. X 11 ul, ?
-
j. X 'lull -
_
--
k. X "U„ _
1 A
3 . .......................... ... ....Total =
if iCem p3 is She sam
as, or less than item
01, Y°u heve met.the
InCent oF SnC GOOG {c
cnvelopo Average "U" CompuCaCion
Tol•al exposed rooP/ceiLing nrea = ?? 6
m. Total skyli.qht area ............................ ?
n. Total roof/ceiling framing area (:ivcrayc 10%)
1
o. 'fol•al net insulaCed rooL•/cciling ur.ea.........,. p
--F
, Determine "U" value for each rooP/cciling segmeiit
M. H "U" -
Page 2 of q .
n. a iiU"
o, X „u„
n ....................:...... Total = zi.Z
If toCa1 of ;14 is Lhe szune as, or less t:han 142, you have meL- the inL-ent of
shr.6o0fi (c) 1.
. , Altern3te IIuilding 6nvel.oPe Desiqn
'ro ut.ilize the total enyelope 'systein method, Che val ucs eslablished by C]ie sam of
i.tems I13 xnd 44 shaJ.l not be greater than the sum of items Ikl and 112.
-I2• -2?7
3 ' ---?J_? + 4.
I
., ....._ ?
?.
?,_ti. of n??r,qu^• wnll nren for
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? lram,:;,
,
1 .
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FIG. Nl 1'GPVlE11 OF
, S'lWtE iJnl.f.
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SK.?asED k1A L.L r4R-EA
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p v L /3 z ac. 8=?o s?
FuL???2 ; k £3 -
F,Q,
FZ 1 t--I : j' . 1 3 L )C j= I 3 z,
To-tA L = 1 i?l
!1!50-.F*, EKPoSE--D GEILItiq ZGx4p = 1610
w owS t
zf3(, l'f-K t-a-I- i
Z,q4q n
701#0
Zgqq
2248111
? D oo?z.s L?
4v z* ? 38
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? ? f35 M`+ U k) r -f-5 ?
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>
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' ,ar%cez?z?c
ConnCrur. elon R^Vnluo
1, Intcrior air film 0.61
2.
?
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Total (?, ^ s- CJpO
'T
V" .(J-O
rnted
fleac f.Low
up
PZC. d5 ,
F ?.'R+"t o= I
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2 - ??_`-?%?I?CP ._..1??.. ___ • J c? ?,
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yrR'vcri mr?
[oti4
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flov vp • ; , vented
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---
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3
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5. Oi?tsidc nir film 0.l'1
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Tota1
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4.
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. . .
lYOte: Use additional Shee[s if morc rpac4 !:
nccdcd for dc[aiJ.s and calcu?ations,
N
, . • -
• _vl_ilr,.??_rs?v.'?rc.l
-- --_ - _ -=, r----r
*******f***********###**#**f****#ieF
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*AT43: PAYMFTTf' OF M AT TSME pF *
APPLICATIoN DOES NOr CONSTITUTE *
APPROVAL OF PERP'IIT. *
*
INSPDLTION OF SEFQI2 ADID/OR NTATE2 ?
Ii1SI'AT.7ATTQN$ WIIj, NOT $E $(H¢D-
UI.ID UNFIL PII2MIT AAS BEEN
s
*
APPAOVFD. x
?
s
»
»
_________ .. ________ .. ______________ ., .
Pease Print)
1) PROPERTY ADDRESS:
LEGA2. DESCRIPTION: •-
. Lot Slock Sub ivision or Tax Parcel ID )
IF EX¢STING STRCCMRE, DATE OF ORIGINAL B[IILDING PEEtMIT ISSCANCE:
, PRESEpTr 7ANING/PROPOSID L'SE: (Mn Year ..
? CO+"'MERCIAL/FtErAIL/OFFICE I?f R-1 SINGLE FAMILY .
? ??STRIAL Q R-2 DL'PLEX (Ttyv Units)
n INSTITL;TIONAL/GOVII2NMENT ? R-3 ROWNHOUSE (Three + Units) ( Units)
. [? R-4 APAR2I?=/CODIDOMINILTI ( Units )
2) . •, Y_NAME:
,
ADDRESS:_3
CITY. STATE, ZIP:
PHONE:_yl?'' > - G tI?G
For CitY Cse .
?
NAME'--T--)C Plimbers License:
ADDRFSS: ?fZ g? 2v ? yc ?? Active
CITY. STATE, ZIP:S.?ri?rie S?2 FScpired
Not recorded
PHONE: g'95? ?L77S? MASTER LICENSE#
Staff In1t131
4) •?• • • ?..?.i?:?
ADDRESS:
CITY, STATE, ZIP:
5) u v? ? a• • a?• :? • o• - ?•
NNNECPZON T0 CITY SEWER CT?CONAII7C'PION ZU CITY WATER ?( O'i'HER T' _
PHONE:
PLEASE HOLD ApPROVID PERMIT FOg pICK-UP BY ONE OF ABOVE
PI,FIISE MAIL APPROVID PERMIT ZD 1, 2,? Q, pBM
(Circle one)
6) " '. • i ?
F'OR CITY USE ONLY ` -
PERMIT # ISSL'ED .
Pd w/Bldg. Permit FEES:
$ $ ?O 's-"?) SEWER PERMIT (INCLDDE SURCHARGE)
$ $ WATER PERMIT (INCLUDE SL'RCHARGE)
$ lr9? ` ?? $ WATER METER/COPPERHORN/OC'TSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOLNT DEPOSIT - SEWER _
$ $ ACCOLNT DEPOSIT - WATER
$ ,jDD•U0 $ wAc
$ b 7S •Crb $ sAc
$ $ TRLNK WATER ASSESSMENT
$ $ TRLNK SEWER ASSESSMENT
$ $ ' LATERAL BENEFIT/TR[!NK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ ? S-2 U O $ WATER TREATMENT PLANT SORCHARGE
$ $ OTHER:
$ ?Z $ J I G? 6 TOTAL
&i?/2- 7Dd .3 r?
RECEIPT RECEIPT ;
DOES LTILITY CONNECTION REQLIRE EXCAVATION IN PC'BLIC RIGHT OF WAY?
F--l YES IF YES, THEN A"PERMIT FOR WORK SdITHIN PLBLIC
Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CO[VDITIONS:
APPROVED BY: ?
TITLE:
DATE: ? Z 1/17
,
C.T.TY (JF EA(:,FlN
i:ASN:f.E:fi : JS T'F_.RiSS1dAL N0: 699
Pfl'iF::; 04i?/13/a7. '1'7:MI:=: iC)x:ie,
in .
NAME;; AL.1_IFD I'=:CF'coIDEy IRC.
3210 `)C;O:I 4501 nAK F'UND F't 60.00
2155 9001 4501 C1Fl1: F'(lND F't 0.50
300 2001 ?:I.W CAF2NE:L:i:r1tJ 60.00
205 9001 206 CARPJ[iI..:I:AN CJ.".'i(J
320 7001 4313 LL"X F'1' f'P;W 60.00
205 9001 4313 Lf!:X f'l I"I•.W O.E`iU
T'ur,al. Rereip9; Ama.zn+,: 1.8J..&O
CFi z 1;i 4(:1?3
USf::.R ILs; .7AN
'MM'MM" ?M?'F1k:,'(Y,c'.g"i,:X?1; P,t?YY.;;cWnk??C)ki$tk'k')f?k'M??Rm?k:?k#'7;t'Mm?k'?F'M
1999 FIREPLACE PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD - 55122
651 681-4675
Date: ? (?1 (?" z/ A l r?/
Description of Work ? Consh'uct new fireplace xGas _Masonry _ Afteratians to existing
Install pas insert onlv
Other
Job address:
Install gas line oi¢ly
-v ? J
q
Lot: Block: Subdivision/P.I.D. #:
Applicant (circle one only): Owner ontractor Perntit Fee: $60.50
PROPERTY
OWIvER
FIREPLACE
INSTALLER
IVame: ?us Phone #: 23 / Z (fJ 9
Street
City
Company: PIff? 0, Phone#?
? f (azea code)
Street Address:
City
3 ?
State: T?1 Zip: ?
Company: Phone #:
(area code)
GAS LINE
INSTALLER StreetAddress:
City
State:
Zip:
I hereby acknowledge that I have read this application and state that the information is correct and agree to
comply with al] applicable State of Minnesota Statutes d City of agan Ord§an
es.
? C / ?
Signature .
1999
"' State: _?= Zip:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 16 Fireplace
WORK TYPE
? 33 New ? 33 Alterafions ? 39 Gas Line ? 41 Wood Stove
? 32 Addition ? 34 Repair ? 40 Gas Insert
GEnTRAL INFORMATION
Census Code 434
SAC Code Ol
REMARKS
Chimney/flue must be inspected hefore concealing.
7
& D aal
RESIDENT[AL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mu 55122
Telephooe # 651-675-5675 FAX # 651-675-5694
?lyz_?S
New ConsWUion Reauirements RemodeVFteoair Reauvemenls Office Use Only
3 registered site surveys showirg sq, h, of lot, sq, tl. of house; and all raofed areas 2 copies of plan Cert of Survey Recd
(20% macimum bt coverage allowe(l) 1 set of Energy Calculatians for heated additlans Trce Pres Plan Recd
2 copies of pWn showing 6eam & window sizes; poured found design, etc. 1 site survey for additions 8 decks Tree Pres Not Reqd
1 set of Energy Calculafions Addrtion - indicafe rf on-site septic system _ On-sile Septlc System
3 copies oF Tree Preservatlon Plan'rf lot platted aker 711193
Rim Joist DeWil Optlons seledion sheet (bldgs with 3 or less units
Date -) l Qg_ l QS, oJnstrucGon Cost !L? -
C
Site Address ! /
Unit/Ste #
Description of Work
Multi-Family Bldg _ Y_ N Fire ce(s) _ 0_ 1 _ 2
PropertyOwner Telephone # ( )
?
Contractor r
Address o? Y
State _14 Zip I Telephone # (C{5j)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residenlial Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission Type) Submitted Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber ?\\, Telephone #(
Mechanical Contractor Telephone #(
Sewer/Water Contractor Telephone #(
i
ay-
I hereby apply for a Residential Building Permit and acknowledge that the infocmation is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, 6ut 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 [he case of work which requires a review and
a roval of plans.
?
Applicant's Printed Name ApplicanY gnature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgazebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
Work Types
? 30 Accessory Bldg
? 31 6ct. Alt - Multi
? 33 EM. Alt - SF
O 36 Multi Misc.
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ,? 44 Siding
? 32 Addition ? 36 Move Bldg. O 42 Demolish (FoundaGon) ? 45 Fire Repair
? 33 AlteraGon ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement `Demolition (Entire Bldg) - Giva PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
• REQUIREDINSPECTIONS
_ Footings(new bldg) _ FinaUC.O.
_ Footings(deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas 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 '
MGES SAC
City SAC
Utility Connection Charge
S8W Permit 8 Surcharge
Treatment Plant
License Search
Capies
Other
Total
Building Inspector
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115917
Date Issued:10/01/2013
Permit Category:ePermit
Site Address: 4501 Oak Pond Rd
Lot:6 Block: 1 Addition: Fawn Ridge 2nd
PID:10-25801-01-060
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
William Cosgrove
4501 Oak Pond Rd
St Paul MN 55123
(651) 686-7469
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA151218
Date Issued:08/14/2018
Permit Category:ePermit
Site Address: 4501 Oak Pond Rd
Lot:6 Block: 1 Addition: Fawn Ridge 2nd
PID:10-25801-01-060
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
William Cosgrove
4501 Oak Pond Rd
St Paul MN 55123
(612) 919-4794
Window Concepts Mn
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature