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4502 Oak Pond Rd PERMIT City of Eagan Permit Type: Plumbing Eaaan. Permit Number: EA094592 Date Issued: 06/23/2010 OR Permit Category: ePermit 41 it~ of E3 E Site Address: 4502 Oak Pond Rd Lot: 3 Block: 2 Addition: Fawn Ridge 2nd PID:10-25801-030-02 Use: Description: Sub Type: e - Fixtures Work Type: New Description: Main Floor Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Alex Barna PO Box 188 Cedar. MN 55011 Fee Summary: PL - Permit Fee (miscellaneous) $50.00 0801.4087 Valuation: 846.00 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: - Applicant - Owner: SoNvada and Barna Plumbing Michael W Larson PO Box 188 402 Oak Pond Rd CedarNIN 55011 Eagan MN 55123 (763) 444-0292 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and Cite of Eaaan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature 4 Use BLUE or BLACK lnl va -----------------i I IWtsI':Q;~c!g~§~ I City of EaARnn I Permit t I n 1 I Permit Fee: tJ~~ _ 1 -Pilot Knob Road I 1 Date Received: MN 55122 I 1 (651) 675-5675 l 1 I Staff: ax. '(651) 675-5694 2010 RESIDENTIAL BUILDING PERMIT APPLICATION D~' - -~b D~-I~- ~atV9J b) ~ Site Address: T I OWNER Name: 1~ w D#6 Phone: Address / City / Zip: 1?ek.) G (96 J /Z Applicant is: Owner Contractor kF WORK Description of work: \ ti Yl'~' ~i 5 Aa ~ng- Construction Cost: Multi-Family Building: (Yes / No TRACTOR Name: Ly__~ to t5-Tz_ License Address: City: State: Zip: Phone: Contact: Email COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 12, months, has the City of Eagan issued a permit for a similar plan based on a master plan? w "M _No If yes, date and address of master plan: 10404 Phone: (cal Contractor: Phone: ter Contractor: Phone: tnfarmati©n r oo► : s aid supporting docu »ents That you suhmlt are ci~nsrt~Fer . 0.6e putSl o rti atlon maybe Classified as rtc~xr-pubft If jfcri# provide speetfi+c reasons that i ouid p tt►ii ti!5e Cft to fit;Y corzcludd 0at.the are trar/e secrets CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. CaR 48 hours before you intend to dig to receive locates of underground utilities. www. o herstateonecall.or I herdbyowknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of t 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 kce with the approved plan in the case of work which requires a review and approval of plans. aaoi LL), L195.0i R%r ..s'Printed Name Applrcan Signature Page 1 of 2 ? CASH RECEIPT CITY OF EAGAN 3830 PILOT KN08 ROAD EAGAN, MINNESOTA 55122 DATE 19 ? RECEIVED ' RROM AMOUNT $ & aoLU?Rs iso ? CASH Q CHECK FOR BY ' White-Payers Copy Yeilow-Posting Copy Pink-File Copy Thank You • BLDC. PERMIT N0. /f 01-3210 ?ldg. Permit 01-3422 Plan Check 01-3445 Surch./Adm. r 01-3446 SAC/Adm. 51.2 01-2155 Surcharge 17-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. 420-3868 Water Trmt. ,20-3716 Water Meter , 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 11-3855 Park Ded. I ? ? • I TOTAL - , CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH ON E: 454-8100 BUILDING PERMIT Receipt# 5157 To be used for Est Value Date ?PR1?' 2 ,19 SiteAddress 11 •AK 1t'OND RU Lot Block Sec/Sub. '??'; "? i t u•: : Parcel No. _ a Name ,tiC W = Address o City Phone a o Name . ? K Address ? City _ Phone yVj W Name F W - = o Address _ ? W City Phone OFFICE USE ONLY On Site Sewage _ Occupancy MWCC System _ Zoning On Site Well Type of Const Ciry Water _ (Actual) ' (Allowable) ' # of Stories Length Depth S.F. Total Footprint S.F. APPROVALS FEES Assessments _ Permit Water/Sewer _ Surchargs Police Pian Review Fire _ SAC, Clry Engr. _ SAC, MWCC Planner Water Conn. ? Council Water Meter I hereby acknowledge that I heve read this application and state Bid¢ Off. _ Road Unit th8tthe information is coneCt and agree to comply with all applicable APC _ Treatment P1 State of Minnesota Sfatutes and City of Eagan Ordinances. Variance _ PaAcs Copies Signature of Permittee TOTAL A Building Permit is issued to: _. on the express condition that all work shall be done in accordarsce with all applicable State of Minnesota Statutes and City of Eagan Ordlnances. Ruilriinn Clffirinl Permit No. Permit Holder Date TNephone it Plumbing H.V.A.C. BCOa??o z, ??5 7 Electric 1 L? Vl? ? ' ) "? ? ? ? `$'S? ?? L`[; Softener Inspection Data Inap. Comments Footings I Footings II Foundation Framing W412 Roofing Rough Plbg. A7fW Rough Htg. y{? Isul. 71e E, Fireplace 2 - P C? • v? L?F.R?C? o Final Htg. ",V, _ Final Plbg. ?:?' •?; 3:'SV Bldg. Final ?,? Cert.Occ. ? ?/L /-6- I'ver -- TemP. LP 0 ? .o- - RD Deck Ftg. Deck Frmg. Well Pr. Disp. ?: . . PEFIMIT # MECHAPfICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-6100 Site Address :;1 ? gLpG, npE WORK DESCRIPTION Lot - Block -? Sec/Sub , ax" Res. New m Name • M u It Add-on Address - - ° Comm. Repair N c City Phone -. Other ? FEES L c Name ? , RES. HVAC 0-100 M BTU -$24.00 Address -- ADDITIONAL 50 M BTU - 6.00 3 O CitY r- . 1 Phone RES. HVAC INCLUDES A/C ON NEW ( CONSTRUCTION) GAS OUTLETS M M ( INI UM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK CaMM/IND FEE - 195 OF CONTRACT FEE Forced Air rl L14 BTU Z' APT. BLDGS. - COMM. RATE APPLIES Boiler r . M BTU TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 Vent CFM ? STATE SURCHARGE PER PERMIT - .50 . (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outtets # BEYoND $1,000) Other FEE: ? - ?- S/C: ' SIGNATURE OF PERNII EE TOTAL: ? FOR: CITY OF EAGAN PLUMBING PERMIT _ CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 Site Address `Z?jZ.> ? 6_4K r Lot 7 Block I Sec/Sub m Name „d4 1r,'aa ,,!Lr? l- 1.N'f.? 'Zz- Address .g c City Phone ? Name 3 Address _ p City Phone COMM/IND FEE - 196 OF CONTRACT APT. BLdGS - C0MM RATE APPLIES TOWNHOUSE 8 CONDO - FiES. RATE MINIMUM - RESIDENTIAL FEE MINIMUM - COMM/IND FEE STATE SURCHARGE PER PERMIT (ADD $.50 S/C IF PERMIT PRICE GOES FEE APPUES" - $12.00 - $20.00 - .50 FOR: CITY OF EAGAN PERMIT # •? =-?-?r-? RECEIPT # DATE: f 7 BLDG. TYPE WORK OESCRIPTION Res. Al New -? Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES ?TAL T -L_Water Closet - $3.00 g _ ?Bath Tubs - $3.00 -3 •?? --.Z-Lavatory - $3.00 Shower - $3.00 __J__Kitchen Sink - $3.00 -3 Urinali8idet - $3.00 --L_Laundry Tray - $3.00 -7 f ? _.-.__Floor Drains - $1.50 --/-Water Heater - $1.50 Whirlpool - $3.00 I Gas Piping Outlets - $1,50 (MINIMUM - 1 PER PERMIT) Softener - $5.00 Weil - $10.00 Private Disp. - $10.00 --3_Rough Openings - $1.50 FEE yt Y u , STATE S/C: ? L GRAND TOTAL• °?y S? 4v +_0 (gtrtiftrate nf (Orrupanry titp of (Eagari Eppatmpnf nf #iuiibing jmwrrtimt This CertiJcale issued pursuant to the requiren:ents of Section 306 of the Uniform Building Code cernfying that at the unre of issitance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following.• tlx aae;sxoon Sr DtyG/GAR eMS. pe„n;i N,. 13525 o-venv-r rne R3 zooins nWzicc ' 'rype cow. V owwor BWla;ng :iM C1AEC BUA5 ING naa= 6 1 331f-"`:'?" rr lDCkT RA= M,m„g naa,= 4S^2 rAY WN) i,oautr ' ., ? ? r ,. ._ . n.te: 26. i ?; - " eWIch,g offid,l POST IN A CONSPICUOUS PLACE f OF EAGAN SEWER SERVICE PERMIT 1 Pibt Knob Road ??? ? anxa1169 PERMIT NO.: 55121 I1 No. of Units: to comply with the City of Esgan of Insp.: Connection Charge: Account Deposit: - Permit Fee: Iu . Uup: l Surcharge: • 5dpe, Misc. Charges: Total: -- -,:......-...?. CITY OF EAGAN Permit No: ? 731 3830 Pilot Kqpb Road Meter No: P.C2 ',oxq1199 Reader No: Eag.;n, MN 55121 Date: Size: , Date: Owner. Rurr Osk. 81dr8. SiteAddress: on 7.0.1:. ,..? ?.. ..i.•r:Plumber- fakeside Plumhin,? Conn. Chg: `- "' S. OQpd Acct. Dep: 15 • OOFd Permit Fee: 1?;• 00'pd Surcharge: - 501:'d Tr. Plant C0Dd Meter. Zoning: No. of Units: 1 agres to comply with the City ot Eagan Ordinances. TY OF EAGAN Permit No: 31 Dat? 30 Pilot Kr?ob Road Meter No: Size: ? . Box 21199 R eadDate: gan; FiIN 55121 O31 ner. l e Address: mber. L_l?eside gf Q( - 195-0 nn. Chg: ? " ct. Dep: 15- c ti d!oi Units: rmit Fee: rcharge: uu I agree to comply wlth the Cit?l of Eagan Tr. Plant Ordinances. Meter. Mi wrA ? sc.: r gy Ga WATER SERVICE PERMIT -1 CASH RECEIPT • CITY OF EAGAN 3830 PILOT KNOB ROAD 0 EAGAN, MI ?? SOTA 55122 /I D,AT 19 AMOUNT I$ G/ I a U UOLLARB ?oe GVNU CODE YMOYNT .6 4 O ' /U r U d i 7 Thank You BY !v°_ 73417 White-PaVers CoPY Vellow-Posting CoDV Pink-File Copy CITY OF EAGAN 3830 Pi ?ot Knob Road, P.O. Box 21-199, Eagan, MN 55127 PHO N E: 454-8100 BUILDING PERMIT Receipt # To be used for SF DWG/GAR Est. Value $57, 000 Date APRIL 28 SiteAddress 4502 OAK POND RD Lot 3 Block 2 Sec/Sub. FAWN RIDGE II Parcel No. a Name BURR OAK BLDRS INC I ? Address 11461 GOLDENROD ST 0 City COON RAP phone 452-2906 a Name_ 0 0 Q Address ? City_ w Name R['SSFT.T PI.AN i? Address PENTAGON OFC PK gW City EDINA Phone 835-5970 I hereby acknowledge that I have read this appllcetion and state that the information is corcect and agree to comply with all applicable 5tate of Minnesota Statutes,eNd C4y of Eagan Ordinances. Signature of Permittee A Building Permit is issuedo: BURR OAK all work shall be done in accordance with all app Building Official On Site Sewage MWGC System On Site Well city Water APPROVALS Assessments WateUSawer Police Fire Engr. , Planner Council Bldg. O(f. APC Variance N_ 13525 OFFICE USE ONLY ?_. Occupancy _ Zoning Type of Const _ (ACtuel) (Alloweble) # of Stories Length Depih S.F. Total Footprint S.F. FEES _ Permit _ Surcharga _ Plan Review _ SAQ City _ SAC, MWCC _ WeterConn. _ WaterMeter _ Road Unit _ Treatment P7 _ Parks Copies 19 $7 R3 R1 $ 353.00 ?30 i?F_Sp i?,w1np -525r t^.0 - 525. 0 u7-fl0 -3@f 90 18Ub0 TO7AL *z'z6"Q S INC on the express condition that ie State of Min ota Srt?atutes and Ciry of Eagan Ordinance& ' n . ;? ?L-e.C?' lr % REQUEST FOR ELECTRICAL INSPECTION EB'-0/0001-05 _ 1 See inntructions lor comDlatinB thie form on beek of vallow copy. ir p 7?7 ? p "X" Be/ow Work Covered by 7his Request PYew4Addl NaD. I TVOe of BuilEino 1 Aoclianeas Wirad 1 Equiument Wired I p Fee ServiceEntraneaSize k Fae FeeOers/3uhfeedars # Fee Circuits • p9 U to 200 Am s 0 to 30 qm s 11 .OU 0 to 30 Am Above 200 qrnps 31 to 100 Amps 31 to 100 Anx:ls Swimmin Pool Above 100_Am s Above 700_Am s Transtormers rrigation Booms,--^' ,"b Partial•'Other Fee Signs 0 ITOTAL I, tha EI Vi Inspector, eraby certify thet Iha above inspection hes been meAe. Thi9 lCqUBSI VOId 18 months trom C 9 7 2 5 8,C / V'-7CG -?'- RequaqtDaie ??' Fire No. Reueired7?/ Peption t a9 ?NO ?qeadY Nuw0 Will Nmily, InsPec- Ior When fleady C&Licensed Electrical Contractor I hareby repuesi insDaction ot above ? Owner elecfrical work inatelletl af: Street Address, Box or RauteNo. soa Oale koric! City Ea ah ecLOn o. TownshiD Name or No. flanBe No. Coun2?? Occ ani (%iINT) ? D k Phone No. ,urr a Power $upplier &Lko -E6- E%c. AOdress ?f3oo ?aD `?' Elecl ical Coniractor ICompanv Neme) A??dla?d ?/ e L'4Yrc? ConVactor's License No. Mailine p.dJress (CoMractor or Owner kinp Instaila[io.) .?soo 1?d 43. 6 urn5vrlle, Authori d Sipnamre lConvactor? ner Making Ins4illationl Phone Number MINNESOTA STATE BOARO OF ELECTRICITV TMIS INSPECTION PEQUEST WILL NOT Gripps-MiEway Bldg. - Room N-191 BE ACCEPTEO BV THE STATE BOARD 7821 UnivaraitvAVe..8t. Paul, MN 56104 UNLESS PXOPEX INSPECTION FEE IS Phene(6121B42-O800 ENCLOSED. CITY OF EAGAN r{ ?,y APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTfON k***Y**t**fi**i***#??YYWXt***#*##- *XYr13: PAYMFNP' OF FFF:E AT qDE C: APPISCATION DOES NUT CONS'i'ZZ[TrE APPROVAL OF PERiffT. rrsPECTIotv oF sEWER r+rm/CR WAM Itv?oIVS WI7 L NC71' BE SCHEI,- TJLID [)NTTIL PERMIT AAS BEIId APPROVID. . P ease P t) ? 1) PROPERTY ALIDRESS: LEGAL DESCRIPTION: '- _ Lot Biock Subdivision or Tax Parcel ID ) IF FXISTING STRCCIURE, DATE OF ORIGINAL BPZLDIiVG pERMIT TSSL'ANC:E: PRFSENP 7ANING/PROPOSID I?SE: (Hbn Year) 0 CaNVERCIAL/Ret'AIL/OFFICE Q IDIDC'STRIAI, ? INSTITL"SSDNAL/GOVERLZ= R-1 SIN= FANIILY Q R-2 DL'PLEX (Tulo C?nits) ? R-3 717h'NHOUSE (Three + Units) { L?ni.ts) ? R-4 APARI:mET1T/CONIDOMINLL'm ( Units ) 2) ••rvr• ADD CITY, STATE, P] 3) u iVAh]E: P,DDRESS: CITY, STATE, ZIP: PHONE: 4) i...u•:,em NAME. ADDRFSS; CITY, STATE, ZIP: PHONE: - DO MASTER LICENSEe a(1??.?/??'fcJ ActiVe Expired Not recorded St?tial 5) i m vu- i•ttr. •?• : an. • oru--vy?? 4? CONNBCTION TCJ CITY SEWER 'g%yCONNFX.TICN To CITY WATER Q fJi'HER ' 6) ??o)(w• r?• r ? PLEASE HOLD APPROVED PERMIIT FGft PICK-OP BY ONE OF ABOVE • rl PI.EASE MAIL ApPROVID PERh1IT TO 1, 2.? 4. AE(JVE -`? , 1?2 ? • , ? (Circle one) 7) r i• u• - AkI & x J 1?, ?S - //- F4R -CITY USE ONLY PERMIT # ISSL'ED Pd w/Bldg. Permit FEES: $ JL) $ $ g $ $ $ $ $ $ $ $ $ $ 29 $ $ a S $ $ S $ G' $ $ $ SEWER PERMIT. (INCLUDE SPRCHARGE) WATER PERMIT (INCLDDE SIIRCHARGE) WATER METER/COPPERHORN/OC'TSIDE READER WATER TAP (INCLL'DE CORPORATION STOP) SEWER TAP ACCOUNT DEPOSIT - SEWER ACCOC'NT DEPOSIT - WATER WAC SAC TRL'NK WATER ASSESSMENT TRUNK SEWER ASSESSMENT LATEI2AL BENEFIT/TRONK SEWER LATERAL BENEFIT/TRL'NK WATER WATER TREATMENT PLANT SDRCHARGE OTHER: * I? LJ I'O C $ <J 1 G, Z! TOTAL -5 / % 3 V/ I RECEI2T # RECEIPT _=S UTILITY CONNECTION REQLIRE EXCAVATZON IN POBLIC RIGHT OF WAY? ? YES IF YES, THEN A"PERMIT FOR WORK 6VITHIN PLBLIC ROADWAY" MOST BE ISSUED BY THE ENGINEERING El NO DIVZSION. LZST AS A CONDITION. -:@BJECT TO THE FOLLOWING CONDITIONS: 'PROVED BY: TITLE: nnmo_ .. .' . . . . Y ' ? , .l".? P . n . ? ^ ?. •p ? ?'. . r n ? ?. ? 1 . . , l ? , `?'T•.+#*JX:'??Nf'a?C?:??ti}!nV*74?k?}:?;'.1!Ckl'A.kF'?:W?F"M.,*i,? F yr?"?ri'?)"? CtT"d rPGON . 'a !',:C!i rMH; r .a-ae;?w+. . •.? 4 f i. 1 ?\?y?.^ ?i?.r•' v?,?ly , . fiw. ^ " , d ?.. ?I"'1 k • ?c ..?? ' +: ;a R-6, ? oq w??. .. ? ? .. . ,. ??.{ . . . , . . ? ?? . , y , ,,?..- .. . ? e i. ;pf. .. .., . .? . . . RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construetion Reouirements • 3 registered site surveys showing sq. R. of lot, sq. ft. of house; and all roofed areas (20% mazimum lot crnerage allowed) . 2 copies of plan showing beam 8 vrindaw sizes; poured found design, elc.) • i set of Energy Calculatbre . 3 copies of Tree Preservation Plan'rf lot platted after 711193 • Rim Joist Detail Options seleclion sheel (Mdgs vrith 3 or less uniGs) DATE ('? '"_ l3'0':??--' RemodellReoair ReautremeMs . 2 copies of plan • 1 set of Energy Calculapons for heated additionx • lsltesurveytorexterioradditions&decks • Iridicate if hane served by sepdc system for additbns VALUATION ?f*,53DU ^ SI .? D{?DR ?SOo2 DrrJ?J?1?D h1J MULTI-FAMILY BLDG _Y N TYE OF WK ? E" 1?L1D? dASr,: FIREPLACE(S) _ 0_ 1_ 2 APPLICANT STREETADDRESS _ fa'a+4^) NICS?I I?--'}' ?_ So.() CITY TELEPHONE # %2-707 -49 S5 CELL PHONE # ivL R-STATE1 IIP 55 33 7 FAX PROPERTYOWNER Nt1ICE ?6lSEC-1F} L.?OY'J TELEPHONE#1o51-6ifF dMIeV ----------------------------------------------------------------------------------------------- COMPLETE THIS SECTION FOR KNEW°' RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULFS 7670 CATI;GORY 1 MINNESOTA RULL:S 7672 (J submission type) . Residential Ventilation Category 1 Worksheet 5ubmitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plum6ing Conhactor: Phone # Plumbing system includes: _ Water Softener Larvn Sprin} = Water Heater _ No. of R.Ir No. of Baths Mechanical Contractor: Mechanical system includes: Sewer/Water Contractor: U ftiJUN 17 20OL ? # ree: Phone # ----------°---------------------°----------------------°--------------------------------°----------------------------- 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 Eaga inances. Signature of Applicant ?? A Cr? ........................... .._............... -----............................... --.................. _-......... ...... OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Pian Received _ Not Required _ Updated 4102 Air Conditioning Heat Recovery System OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. AIt- Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) I ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) I ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ii ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous V ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) 0 44 Siding O 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) 0 45 Fire Repair O 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof O 46 WindowsMoors ? 34 Replacement "Demolition (Entire Bldg only) - Give 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 REQUIRED INSPECTIONS ? _ Footings (new bldg) _ Final/C.O. _ Footings (deck) _ FinaUNo C.O. _ Foorings (addirion) _ Plumbing I Foundauon - HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs Air/GasiTests Final _ Framing _ _ _ Siding Stucco Stone _ _ Fueplace _ R.I. _ Air Test ^ Final _ Windows (new/replacement) i; _ Insularion _ Retaining Wall ' Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ? , , Building Inspector 1999 BUILDING New Conahucfion Reauiremenfs 4 ?? PERMIT APPLICATION (RESIDENTIAL) CITY OF'EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 D 3 regMered sife surveys showing sq. tt. of lot, sq. R. of house and ofl roofed areas (20% maximum lot coveraae allowed) ? 2 coplea of plaro (show beam R window shes; poured Mtl. design; etcC) ? t ee1 of energy cakulatlons D S coples of hee preservation plan N lof plalled after 7/11/99 . DATE: I D " 144 ' !J!j DESCRIPTION OF WORK: STREET ADDRESS: S LOT: -?) BLOCK: F Remodel/Reoair Reauhemenfs 2 copies of plan 1 sef W energy ealculaNons for healed addiHOns i sBe survey lor enferlor addiMonu a dec W 4 CONSTRUCTION COST: .?? Name: LAgsoN I ^R Phone #: (Apv i PROPERTY La? first OWNER Street Address:RSoa OA? &PJD 0-0 city eGA-lis'l state: rw? N Zip: SS UX3 Company-AM allCe.,. Phone #: & l\/ `_ ND . (area code) CONTRACTOR OOW Sfieet Addreu: ?A7 ? fr ''f1t1"? A,UU? A v1? Ucense#aL'm"-r13,P3 ExP• 0 City State: m`? ARCHITECT/ ENGtNEER Company: Telephone #: area code ( Name: Shedt Address: RegistraNon #: Clty State: Zip: Sewer S wafer Iicensed plumber (reautred for new consirucNon onlvl: PenaNy applies when address change and lot ehange is requesfed onee permN is luued. I hereby ncknowledge fhat 1 have read this applicatlon, sFafe fhat 1he Informafion Is correct, and agree to eomply wffh all appllcabl Stde of Minnesota Statutea and CMy of Eagan Ordinances. Signafure M Applicant: Certifiptes of Survey Received _ Yes OFFICE USE ONLY No Tree Preservation Plan Received - Yes - No - Not Required OFFICE USE ONLY BUILDING PERMIT TYPE , ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace I!I ? 21 Porch (3-sea.) 2 SF Dwelling ? ? 07 5-plex ? 12 12-plex ? 17 Garage d? 22 PorchlAddn. (4sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck q? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments O 19 Lower Level I1I 0 24 Storm Damage ? 05 3-plex ? 10 &plex ? 15 Lodging ? 20 Pooi J? 25 Miscellaneous WORK TYPE ; ? 31 New ? 35 Tenant Impr ? 39 Gas Line On ly 0 43 IISiding/Soffits/Fascia ? 32 Addition ? 36 Move Bidg. ? 40 Gas Insert ? 44 ;Windows/Doors ? 33 Alteration ? 37 Demolish Bldg' ? 41 Wood Stove ? 45 'Fire Repair ? 34 Repair ? 38 Demolish (Interior) 42 Reroof II " Give PCA hando to applicant far demolition pertnit GENERAL INFORMATION Const. (Actuaq Basement sq. ft . Census Codei?! (Allowabie) Main level sq. ft . SAC Code i UBC Occupancy sq. ft . No. of Units Zoning sq. ft . No. of Bldgs # of Stories sq. ft . MC/ES Syste'm Length sq. ft . City Water j Width Footprint sq. ft . Booster Pump PRV ?I • Fire Sprinkler?ed l APPROVALS Planning Building Engi neering Varia nce Permit Fee Surcharge a-- S U Plan Review License MC/ES SAC . City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Detl. Trails Ded. Other Copies Total: (( 3 . -7 5 Valuation: $ ? r' SAC Units % SAC 1987 BDILDING PERMIR APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLIIDE 2 SETS OF PLANS, 3 OAKWOOD I , OF SQRVEY, 1 SST OF ENERGY CALCOLATIOHS NOTE: 9DDRESSES EOR COHNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGAATE WHICH ADDR6SS IS DFSIRED. NO CHANGES WZLL BE ALLOWED ONCfi BIIILDING PERMIT IS ISSOSD. MQLTIPLE DWELLINGS - RESIDENTI9L INCLUDE 2 SETS OF PLANS, CER t SET OF ENERGY CALCULATIONS COMMERCIAL RENTAL UPITS FOR SALE DNI4S OF SIIROSY - CHECg WTfH BLDG. DEPT., INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND G7,CC7:0 To Be Used For: Sing12 Fdm11y Valuation: $5e7e0e-.18e' Site Address 4502 Oak Pond Rd. Lot 3 Block 2 Parcel/Sub Fawn Ridge II Owner Burr Oak Builders, Inc. Address 11461 Goldenrod St. City/zip CodeCoon Rapids, Mn. 55433 Phone (612) 452-2906 Contractor sdme Address City/Zip Code Phone Arch./Engr. Ru55ell Plan Adaress Pentagon Office Park City/Zip Code Edina Date: 27 Apr 87 On Site Sewage_ Occupancy f2 3 MWCC System ? Zoning _77 _1 On Site Well Type of Const ? City Water (Actual) (Allowable) # of Stories Length 38 Depth 4-4_ S.F. Total Footprint S.F. APeaovALs FEES Assessments Permit 3rJ3, Water/Sewer Surcharge 7-6. E? Police Plan Review 1-76 Fire SAC, City O CJ ; Engr SAC, MWCC S 2. Planner Water Conn ? Council Water Meter ?1. Bldg Off Road Unit 305-1 APC Treatment P1 ?gp, I Variance Parks Copies TOTAL Phone # 835-5970 PE aosE NGiNEEA1NG COMPRNY, INt. ? 1000 E74;T 1461n S7REET, ? C! ? I'Z zi- Z ccz?e cSurYe r.? Lg` c1 On er4,02iart: ?_o T 3 , 3(YpC,tL Z :P:Av"?t-L Z N 3 ?? ? <0.t1 W Ct p O OQ N ? N_ Lv 5 ? COHSULTINO EH61HEf45 PIAHHEflS and IAHD ?U8Y55337 pN 1:2-300Q NftBURN_cV1LLE,M1NNE!0TA oA? /1390 71810, w (4-Z. O C? AC)() i l rp, ; 'DAtz-o ; ? ? W ? N ? ?.o) o.; 1''rop? C-40`-aqe a ? 3 ? ?se ?_-0 1O•o r? ? ? Mt Eb os ?? z?' o N 9i4,4. ?qZCc,o? a ? ?rzR,tiau-?. ? ?Lf?ScMCr?T ? < tiy S L¢' Q'11?? N ?s 4"0? I f f ! 4•S` ' pfL??[? 6?? ? ?\ Il iz?w ` `n $ ? SLALE I"_30? azv,o) l ? : i t - -. ?\ \ r .,..:. . _ .._ ?Zf24.Z ? DENOTES ..EXISTING ELEVATION V' C qZb,O ? DENOTES PROPOSED ELEVATION DENOTES DIRECTION OF SURFACE DRAINAGE q z(4.33 FINISHED GARAGE FLOOR -ELEVATION I her:by cartify that thia in a t:ue and carreci representition of a traet of land a: aho+?n' and deacribed heracn.• Ae prepared by mn on this /`9+l: dty ot 196'j. . Hfnn. lles. No. Comp. ?b? bnrx /rdqe UHK. u/ u ? ,. . . ?. ?. a'?t 6 ?ewe?Mbe. Inc. ? : ?n?'k ? "AfOhItOC1Y21 tl00?QMf? 01 Wt010 .. ' , . ? . ? { . . ' . . . . . .. ?'. EXTaIOR ENV=PE AVERAGS "U" CQMPIITA2I02i awAa PLAN No. ? S SITE ADDRESS DAM Ma?? ?? ig?s :--r-?- ,; coN?c?R F?URR DAIL ????'.5 PHONE Determine working'square footage oY esoh l I , , '. 1. Total expnsed wall area.....e Mla'd. $q.Yt. xAn = 07,-707P r, 2. Total roof/ceiling area...... sq.ft. x?y?= ZGj,71 - ? 3. Total Yloor/cant. area....... aq.ft. xALQ Total exposed wall area above floor 8s Total W8ll W'12XlOW 8I'98...r??????????????????• . b. Total door 8l98.....???.o???????????????????• , Cs Total sliding glass door BTBS*9,.*******r,e'0....? . ?^y ?. d. Total fireplaoe saall aroa ..................:. r w, , , e.' Total wall framing area (average.l0$),......e Ye Total net W911 8P98 8bOV9 fl00leot-o*eoee???o . .... Q. Total rim joist 8T88......??????????????????a t.. .' . .. Total exposed foundatiott area . h. Total fo11Ada'LioIl W1T1dM.? al`ea..........e.o.o.. . ?? i. Total net Youndation area above grede........ ?? ?• r' 'y Determine ^U" value of eaoh Wall segment _ ae l 19,ca x rou" ? 7C "? -i .. . a. = ]C aU~ ...? a i . ,. - ry= g, n ? a "? x pU" g. fl . s? I',-b,o x "U" h. x "0° _ .; ,, x"U^ PERMIT City of Eagan Permit Type: Plumbing Eaaan. Permit Number: EA094771 Date Issued: 07/02/2010 OR Permit Category: ePermit 41 it~ of E3 E Site Address: 4502 Oak Pond Rd Lot: 3 Block: 2 Addition: Fawn Ridge 2nd PID:10-25801-030-02 Use: Description: Sub Type: e - Fixtures Work Type: New Description: SEE COMMENTS Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: 7,210 Per Jeff W. homeowner needed to pull a building permit, not a plumbing permit. Homeowner misunderstood Jeff and pulled this plumbing E-permit. We have reimbursed the homeowner in full for this permit. pf Fee Summary: PL - Permit Fee (miscellaneous) $50.00 0801.4087 Valuation: 475.00 Surcharge-Fixed $5.00 9001.2195 Total: $».00 Contractor: Owner: - Applicant - Michael W Larson 402 Oak Pond Rd Eagan MN 55123 I hereby aeknowledae that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and Cite of Eaaan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA103783 Date Issued: 04/16/2012 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 4502 Oak Pond Rd Lot: 3 Block: 2 Addition: Fawn Ridge 2nd PID: 10-25801-02-030 Use: Description: Sub Type: e-Windows iDoors Construction Type: Work Type: Windows Doors-New ; Replacement Description: House Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, 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 S4K $103.25 0801.4085 Valuation: 4.000.00 Surcharge - Based on Valuation S4K $2.00 9001.2195 Total: $105.25 Contractor: - Applicant - Owner: Window Concepts NIN Michael W Larson 990 Lone Oak Rd =114 402 Oak Pond Rd Eagan NIN 55121 Eagan NIN 55123 (651)905-010 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA104014 Date Issued: 05/01/2012 OR Permit Category: ePermit 41 it~ of E3 E Site Address: 4502 Oak Pond Rd Lot: 3 Block: 2 Addition: Fawn Ridge 2nd PID: 10-25801-02-030 Use: Description: Sub Type: e-Windows iDoors Construction Type: Work Type: Windows Doors-New ; Replacement Description: House Census Code: 434- Occupancy : Zonin,: Square Feet: 0 Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, 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 S4K $103.25 0801.4085 Valuation: 4.000.00 Surcharge - Based on Valuation S4K $2.00 9001.2195 Total: $105.25 Contractor: - Applicant - Owner: Window Concepts NIN Michael W Larson 990 Lone Oak Rd =114 402 Oak Pond Rd Eagan NIN 55121 Eagan NIN 55123 (651)905-010 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature Use BLUE or BLACK Ink I-----------------m 1 For Office Use I of Ealan Permit I I Permit Fee. (y ® ~ 3830 Pilot Knob Road 1 I Eagan MN 55122 1 Date Received: 6 -P5--1Z- t Phone: (651) 675-5675 ~ l Fax: (651) 675-5694 Staff: INFLOW & INFILTRATION PERMIT APPLICATION Plumbing ! Sewer & Water Date: Site Address: Tenant: Suite Name: ) G° )'~yL 1-~. S a Phone: RESIDENT / OWNER l Address/ City /Zip: Z) i fC P, ltlw k ✓ J Name: 2S S c n wr b t h f r v o -S TInc License 4: co CONTRACTOR Address:} e J City: State: VI'1 Zip: 5 t Phone: Contact: ['Y),' Z 1~L 9 c l~ Email 0 i' K~ rr h c., . ~ )21 b, PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope TYPE OF WORK X- Sump Pump Repair Repair Other. Other. Description of work: DESCRIPTION $60.001 Each (includes $5.00 State Suracharge) L ~ . ~ ~ TOTAL FEE $ (ta ~ r Gl U *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit Ill repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvc►feagan.comlinflow, or City Hall at 3830 Pilot Knob Rd. 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.ora 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 worts is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x_1°7'1sYe_ SC J i X QA' ` -m 42 Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: ,Under Ground Rough-In __,_Final Use BLUE or BLACK Ink For Office Use I I ~ l I City O1 La Permit# I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 I Date Received: Phone: (651) 675-5675 I I Fax: 651 675-5694 I Staff: I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: ffld1-` Phone: Resident/ Owner Address/ City/ Zip: AfL Owner is: Owner X Contractor i Description of work: Dp_~,.~.._ Type of Work Construction Cost. ~0 Multi-Family Building: (Yes / No Company: ,I-) <1 g Eepa- Contact: ` 5 l y y Contractor Address: 1 (p___ ~~t~~ f1VZ~ City: i C State: ~~n ~ Zip: 0,1~bS3_ Phone: i t License t 4 Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes No If yes, date and address of master plan: Licensed Plumber: Phone: i Mechanical Contractor: Phone: E i Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of~ the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. 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. QE,010~ t6L-FF 6& x Applicant's Printed Name Applicant's Sig nat re Page 1 of 3 i PERMIT City of Eagan Permit Type:Building Permit Number:EA118071 Date Issued:10/28/2013 Permit Category:ePermit Site Address: 4502 Oak Pond Rd Lot:3 Block: 2 Addition: Fawn Ridge 2nd PID:10-25801-02-030 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 - Michael W Larson 4502 Oak Pond Rd Eagan MN 55123 Window Concepts Mn 291 Eva St St Paul MN 55107 (651) 905-0105 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA129196 Date Issued:01/20/2015 Permit Category:ePermit Site Address: 4502 Oak Pond Rd Lot:3 Block: 2 Addition: Fawn Ridge 2nd PID:10-25801-02-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener 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. Applicant: Chad Bettin 3208 First Street South Waite Park, MN 56387 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - Michael W Larson 4502 Oak Pond Rd Eagan MN 55123 (651) 688-6428 Bettin, Inc 3208 1st Street South Waite Park MN 56387 (320) 251-2505 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA136982 Date Issued:06/09/2016 Permit Category:ePermit Site Address: 4502 Oak Pond Rd Lot:3 Block: 2 Addition: Fawn Ridge 2nd PID:10-25801-02-030 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 4,000.00 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 - Michael W Larson 4502 Oak Pond Rd Eagan MN 55123 (651) 329-7300 Eagle Siding 1301 East Cliff Road Suite 117 Burnsville MN 55337 (952) 746-3046 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA146122 Date Issued:10/10/2017 Permit Category:ePermit Site Address: 4502 Oak Pond Rd Lot:3 Block: 2 Addition: Fawn Ridge 2nd PID:10-25801-02-030 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 - Michael W Larson 4502 Oak Pond Rd Eagan MN 55123 (651) 688-6428 Holmin Heating & Cooling Llc 3432 Denmark Avenue, #228 Eagan MN 55123 (651) 405-3853 Applicant/Permitee: Signature Issued By: Signature