4505 Oak Pond RdCASH RECEIPT
.
f
~ CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
, DATE 19
REGEFRQMIVSO . . • i a
,. ?•
AMOUNT _.__-
- ?
i
i
` Q DOLLARf
' oo
[-]CASH ?ICHECK
3'?-?. i ?<- ?•--?t
1
1 I
BY
• . White-Payers CoPY
Yellow-Posting Copy
Pink-File Copy
Thank You
BLDG. PERMIT N0.
01-3210 ' Bldg. Permit
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
17-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
11-3855 Park Ded.
?
_zz?-
G
TOTAL
? .. .
ul CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN. MINNESOTA 55122 '
r?J
DATE / /! / 19 _L
AMOUNT s / ) (? ?' ?1
,? (J CJ
OOLLARS
+ro
O CASH (A CHECK
IU.
,
BY
C 46?7 ?Ccopy
Wr
Pink---FNe Copy
Thank You
..
DATE:
11/19/89
788 NORTH HAY LAKE RUAD, L1, B5, FAWN RIDGE 2nd
RE:
xx
Ygu r Sewer & 1Nater Permit for the above property has been completed. It will be held at the
- PGblic Works Garage (3501 Coachman F3oad) until the meter is picked up. BE SURE TO.
CALL PUBLIG WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the ahoue praperty cannot be completed far the to44owing
reasons:
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAt 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.
COMTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
DATE:
11/15/89
RE 786 NORTH HAY I.AK?: ROAU, L1, B5, FAWN R1DGE 2nd
:
xx
`4?ur Sewer & Water Permit for the above property has been completed. It will be held at the
' Ppblic Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WURKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
a
Your Sewer & Water Permit for the above property cannot be completed for the following
reasans:
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 - 7ELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
CITY OF EAGAN - 3S5 6
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454•8100
BUILDING PERMIT ReCeipt# -
To be used for Est. Value Date ,19
Site
Lot _
oax PONn xn
FAWiv, R1lSGE ZND
a Name
= Address
0 City Phone
o a Name
:k
el Address
P City Phone
Va
y? W Name
FW
_ E Address
IW City Phone
1 hereby acknowtedge that I have read this application and stete
that the information is conect and agree to Comply with all applicable
State of Minnesota Stetutes and Ciry of Eagan Ordinancea
Signature of Permittee --
A 8uilding Permit is issued to:
all work shall be done in accordance wlth all applicable State of I
OFFICE USE ONLY
On Site Sewage _ Occupancy
MWCC System _ Zoning
On Site WeU _ Type of Const
City Water _ (Actuap
(Allowable)
# of Stories ?
Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Assessments Permit
-
T
-• ;
Water/5ewer _ Surcharge -
-
Police Pian Review
Fire _ SAC, City
Engc SAC, MWCC ?
Planner Water Conn. _
Council _ Water Meter ------------------
Bidg. Off. _ Road Unit
APC _ Treatment Pl . .
Variance _ Parks
Copies
TOTAL "
_ on the express condition that
and City of Eagan Ordinances
Building OHicial
Permlt No. Parmit Holder Date Tslephone t
PJumbing „ Z
H.V.AC.
ElBctriC 9/7C
SoRener
Inspection Date Insp. Commtnts
Footings I
Footings II
Foundation
Framing ;o g
Roofing
Rough Plbg.
Rough Htg. 7/
l5ul. Q P
Fireplace
Finel Htg. -71As F'7 94
?
Final Plbg. ?)1-
Bldg. Final r, 6;/y'•
Cert. Occ. j.7 ?. f!-
Temp. LP
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
n MECHANICAL PERMIT PERMIT #
RECEIPT #
?+, ,'7 --7 CITY OF EAGAN
lo'-? 3830 PILOT KNOB RBAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address 1561 l- n:. Nc-J h['o& BLDG. TYPE
Lot r Block Sec/ u. Res ?
Name 7i-4 Mult
01
?
Address ! `4,t i . Comm.
c Ciry }.: i! 4 6(t f i r,, Phone Other
? Name _
c Address
O CiiY _'.-'
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
WORK DESCRIPTION
New
Add-on ?-
Repair
FEES
M BTU
M BTU
M BTU
M BTU
CFM
- $24.00
- 6.00
- - 1.50 EA. `
APT. BLDGS. - COMM. RATE APPLJES
TOWNHOUSE & CONDOS - RES. RATE APPUES
MINIMUM RESIDENTIAI FEE - ALL ADD-ON 8
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
BEYOND $1,000)
FEE:
.
S/C: SIGNAT J ITTEE
TOTAL: ' /a
FOR: CITY OF EAGAN
ON NEW
C
PERMIT #
, . MECHANICAL PERMIT RECEIPT # ?
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 pATE: 7h hi
4TRACT PRICE: PHONE: 454-8100
Address BLDG. TYPE WORK DESCRIPTION
- d; Block Sec/qub Res. New x
M u It Add-on
Name
Address Comm. Repair
City ? E: d r ?-^ ?L Phone 1-1 k/7 A 4 Other
? il
FEES
Name RES. HVAC 0-100 M BTU -$24.00
3 Address ' i ADDITIONAL 50 M BTU - 6.00
O C?b Phone ? - (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air M BTU APT. BIDGS. - COMM. RATE APPLIES
Boiler
$
M BTU TOWNHOUSE & CONDOS - RES. RATE APPLIES
-??
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMQDELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT -
50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES .
Gas Piping Outlets #
Oth ' M BEYOND $1,000)
er
FEE ?
S/C: SIGNATURE OF PERMITTE
TOTAL:
FOR: CITY OF EAGAN
• , ,r
. `_
? Address I DC, a ;. j ;.
• Block ? SeclSub
? Name 4?4_ 41i['('I)Ctj"'
-Za Address 4 25,3 LAJ• 19L -? t
c City ??acic: , Phone '
? Name '
c Address Liq4U" Prj,
p Ciry 13?f?75v?1r? Phone;+
FEES
COMMlIND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLJES
MINIMUM - RESIDENTIAL FEE - $12.Q0
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
aivrvia i yrs? ?r rcrcnni i- i t? ?;}-??
FOR: CITY OF EAGAN
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAO, EAGAN, MN 55122
PERMIT ii
RECEIPT#
OATE:
BLDG. TYPE WORK DESCRIPTION
R?qs. ? New
?ult. Add-on
Comm. Repair
Other
FIES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
_,,-?Water Closet - $3 00
_L,/__Bath Tubs - $3.00 Lavatory - $3.00
Shower - $3.00 3
chen Sink - $3.00 3- ?
Urinal/Bidet - $3.00
---/--Laundry Tray - $3.00 ? ?n_4-Floor Orains - $1.50
--,4_Water Heater - $L50
Whirlpool - S3 00
Gas Piping Outlets - $1.50 /, S D
(MINIMUM - 1 PER PERMM
Softener - $5.00
Well - St0.00
Private disp. - $10.00
__TRough Openings - $1.50 ?L-S U
FEE:
STATE S/C: • S?
GRAND TOTAL• ?' } U
lNNYL(:'1'lUN KLUUKV
CITY OF EAGAN PERMIT TYPE: •,?? iI u i ra?,
3830 Pilot Knob Road Permit Number: {
Eagan, Minnesota 55122-1897 Date Issued: ,•> i;•??
(612) 681-4675
SITE ADDRESS: APPLICANT:
z•i .
! a;?_ai?J ij I !Ilit td11 { ?. ? ,• ? ?. ?.< 1 0 '1 .
PERMIT SUBTYPE: TYPE OF WORK:
• ri i
Rt`MANr'+' t:" CMNt_`!/f I.tsf' Mlf•it RF lN4f'FC 1Ffl fif F'iwC foN( Ffil iNti
Permit Holder Date Telephone #
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIF TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAI
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVIN
iEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
_
, ft a r
0-
fIltr#ifirafe of (Orrupanry
titp of Cagan
; pprwmr of wuaa;to 3wprum
This Certif[cate isseied pursuant to The requirenrenLr of Section 306 of the Unijorin Buildirtg
Code cenifying that at the time of issuance this structuse was in compliance with the various
ordinances of the City regulating building corutruction or use. For the following:
vx chotfimtkm SF T1WiG/C'x ?.,? ek PtnWt xa. 13556
Occum-Y Type R3 Zoniog Distria '~ I Type Coat. V
Owner of Bwlding ,Un AM WIT5 qdd= 1r+4% WOW= PIUY, WWU
eWtaing naa,= : r+ , l:;'•?: '°' r;?' ::it%;? L,=Ry LS, B t, FA6dd RT.D(£ 2NID
D,? MTDOEt 29, 1987
a„naing oacad `
POST IN A CONSPICUOUS PLACE
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE /Z
&A
SITE ADDRESS ?4_ '!OT L.,H!_OCK ~ SEC/SUB
ADDRESS:
CITY, STATE -
PHONE:
. •
PLUMBER; ADDRESS:
CITY, STATE _ . rE? ? T =, ;, / ?'
PHC]NF• '?I {I?- ?G=C CJ
METER #
CHIp #
METER SIZE
ISSUE DATE
x do„ ?
ADDRESS:
CI7Y, STAI
ZIP
PERMIT DATE Ii I 1 s! 69
PERMIT # 11096
B.P. RECEIPT # '' 4627
B.P. RECEIPT DATE 11 24/8g
PERMIT REQUESTED
+?.
SEWER WATER _ T
- COMM/IND RESIDEN
NEW - EXISTING
Lawn Sprinkler Meters are to be fns
Ahead of Domestic Meters on Water
Credit WILL NOT be given for Deduct M
,.
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
454-5220 FOR INSPEGTIONS, FOR
?..___ _ _ . _._....
- ?-?
cfn oF EACAN SEWER SERVICE PERMIT
3830 Pilpx Knetrlioad 9869
P.O. Box 21109 PERMIT NO.:
'-i.--?
Eagan, NM15512t DATE:
Zonirig:' No. of Units:
..ey an ?iomes
Owner.
Addres°•
Site
Plun
I agree to comply wlth the Cfty of Eagan
Ordinances.
f By
Date of Insp.:
? Insp.:
Connection Charge: 525• OOP?
Account Deposit: 15. ? 0i)u
Permit Fee: 10• 00y'd,
Surcharge:
Misc. Charges:
Tot81:
Date Paid:
CITY OF EAGAN Permit No: Date: ??-S7
3830 PNcAt Knab hoad Meter No: Size:
P.O. Box 21199 Reader. No: Date:
Eagan, MN 55121
Site Address: 4222 viax rofla xoaa
Plumber. ? C Mechanical
))0
d
`35
Conn. Chg: _ p
, Zoning:
Acct. Dep: t 15 •00ad No. of Units: 1
Permit Fee: 1? • OoP3
Surcharge: • 50pd i agree to comply with the City of Eagan
Tr. Plant HQ• Q0I'j Ordinances.
Meter. 1-7
WATER SERVICE PERMIT
CITY OF EAGAN.
3830 P110 KnLb Road
P.O. B% 21199
Eagan, MN 55121
Permit No: 3719
Meter No•
Reader
Date:
Size:
Date:
Owner._
Site Addi
Plumber.
Conn. Chg: 5? 5_0i a??r1"' b --j"4? t1? nl
Acct. Dep: 1`•• o. of ni
Permit Fee: i ?_ ? BY
Surcharge: r? ? 1 agree to comply with the Clty oi Eagan
Tr. Plant 1 `j Q . 00pc1 Ordinanc , 10,
Meter.
. 6 6 '
M isc.: By
WATER SERVICE PERMIT
yb86?
4
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD • 55122
651-6814675
New ConaWetlon Reauirements
• 3 registered site surveys showing sq. ft. of IoL sq. fl. of house; and all roofed areas
(20% maximum bt wverage allowed)
. 2 apies o1 plan showirg beam 6 window s¢es; poured lound desgn, e1cJ
• 1 set of Eneryy Calalations
• 3 copies ol Tree Preservation Plan if bt platled aMer 717/93
. RimJoistDeWBOptiom seleclionaheet(bldpswAh3orlessunAs)
DATE ?bTC?[
JOB SITE ADDRESS
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER P?) I t
?
TYPE OF WORK N r,,,-6
ADDRESS
PAGER # CELL PHONE #
?
_ ZIP CODE SSb?-?'?
FAX #Z&I ? 2?0 --403*q
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category
(check one)
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Contractor: _
Mechanical System Includes:
Sewer/Water Controctor:
_ Air Conditioning
_ Heat Recovery System
Phone #
Phone #
Fee: $90.00
Fee: $70.00
All above informaGon must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that ihe information is correct, a d agree to comply
with all applicable State of Minnesota Statutes and City of Eagan - rdin nces.
Slgnature of Applica
Certificates of Survey Received _ Tree Preservation Plan Received _ Not R ired _
Updated 1/Ot
MINNESOTA RULES 7670 CATEGORY 1
- Residential Ventilation Category 1 Workshaet Submitted
- Energy Envelope Calculations Submiried
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Phone
_ Watcr Softener _ I.awn Sprinkler
Wa[er Heater _ No. of R.I. Baths
No. of Baths
$ 200.1?
RemodeVReoair ReaulremenU
• 2 apies ol plan
. 1 sel of Energy CalculaGons (or healed add'Aions
• 1 SRe survey for ext¢rior additions 8 decks
. Indicate M home seNed by septic system for addilioiu
VA)UATION
FIREPLACE(S) _ 0 _ 1 _ 2
PHONE#
OFFICE USE ONLY
0 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi
? 03 01 of _ piex O 09 07-plex ? 17 Garege ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 LowerLevet ? 24 Storm Damage
? 06 04-plex O 12 12-plex Plbg_Y or_ N O 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition 0 36 Move Bldg. O 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration O 37 Demolish (Bldg)• 0 43 Reroof ? 46 Wlndows/DOOrs
? 34 Replacement •Demolition (Entire Bldg only) • Give PCA handout to applicant
Valuation Occupancy MCIES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinklered
Type of Const W idth
Footings (new bldg)
Footings (deck)
Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
Framing
Fireplace _ R.I. _ A'v Test _ Final
Insulation
Other
_ Pool _ Ftgs _ AirlGas Tests _ Final
_ Siding Stucco Stone
_ Windows (newheplacement)
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
FinaUC.O.
Final/No C.O.
_ Plumbing
HVAC
Building Inspector
.;
?
RESIDENTIAL
BUILDING PERMIT APPLICATION
'
3830 PILOT KNOB RD - 55122 70, Q-O
651-681-4675 ?
New Conatruclioo Reouiremenh RemodellReoair Reauirementa I-1^ O I
• 3 registered site surveys showing sq. R of lot, sq, ft. of house; aiM all rooled ereas • 2 copies at plan `L,,,?
(20°,6 mazimum lot coverage allowed) • 1 set of Energy Calcula6ons Mr healed additions T? f ?'
• 2 copies of plan showirg beam 8 window s¢es; poured tound design, elc.) . 1 sHe survey for exterior additbns 8 decks
• 7 set of Energy CalcWafiora • Indicate if home served by seD6c system for additions
• 3 copies of Tree Preservation Plan II IM pWqed after 7/153
. Rim Joist DetalOptions seledion sheet (Wdgs with 3 or less unBs)
DATE / !J I VA ATION
JOB SITE ADDRESS ?/S'OS? O?l? `f?Or. a? /Z ?
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER? ?,-,e F i n I2L\-)
TYPE Of WORK Y\w?.vj0 ?ef 0 U FIREPLACE(S) _ 0_ 1_ 2
APPLICANT PHONE#
ADDRESS &??CO ?LY7L./' ? U ZIPCODE? 0?2
PAGER # CELL PHONE # 6SJA21I9 a/6 95- Fax #lDV yG 0!?
' NE1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category MINNFSOTA RULES 7670 CATEGORY 1 rp?'n"?--`
(check one) - Residential Ventilation Category 1 Worksheet Sub ri' d? f''? ? 0??
- Energy Envelope Calculations Submitted n
MINNESOTA RULES 7672 li
- New Energy Code Worksheet Submitted By_?
Plumbing Contractor: Phone #:
Plumbing System Inciudes: _ Water Softener _ Lawn Sprinkler Fee: $90.00
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
Mechanical Contractor. _
Mechanical System Includes:
Sewer/W ater Contraetor:
_ Air Conditioning
_ Heat Recovery System
Phone #
Fee: $70.00
Phone #
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this appiication, state ihat ihe inf mation is correct, and ee to comply
with all applicable State of Minnesota Statutes and City of Eagan Or i a :es.
Signafure o( Applican
Certificates of Survey Received _ Tree Preservation Plan eceived _ Not Required _
Uptlated 1/01
OFFICE USE ONLY )
? Ot Foundation
O 02 SF Dwelling
? 03 Ot of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
O 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 OB-plex OP18 Deck
? 17 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y ar _ N
? 20 Pool
? 21 Porch (3-sea.)
O 22 Porch/Addn.(4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 EM. Alt - Multi
0 33 Ext. Alt - SF
? 36 Mulii
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) O 44 Siding
? 32 Addition O 36 Move Bldg. O 42 Demolish (Foundadon) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bidg)• ? 43 Reroof O 46 WindowsJDoors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to appticant
Valuation a600 ga Occupancy "3 MC/ES System
Census Code Zoning P--D City Water
SAC Units ? Stories Booster Pump
Nbr. of Units ? Sq. Ft. PRV
Nbr. of 81dgs ? Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
Footings (new bldg)
?j Finavc.o.
Footings (deck) FinaUNo C.O.
? Footings (addition) Plumbing
Foundation
Drain Tile
Roof Ice & Water Final OtLer
_ Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone
_ Insulation _ Windows (new/replacement)
P,pproved By Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
W ater Supply & Storage
S8W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
?
HVAC
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 27-189, Eagan
. PHONE d56-8100
BUILDING PERMIT
To be used for • SF DWG/GAR
Est.Value $91,000 Date
Site Addresy 4505 OAK POND RD
Lot 5 Block 1
Parcel No,
Receipt
MN55727y No
22-
MAY 4
13556
19 87
Sec/Sub. FAWN RIDGE 2ND OnSiteSewape
MWCC System
On Site Well
City Water
a Name KEYLAND HOMES
= Address 14450 BtiRNSVILLE PKWY
o City B' VILLE Phone $94-2636
o Name SAME
?Q Address
c
P
City
Phone
Name HALLOGIST
City BLMGTN Phone 831-1875
I hereby acknowledge that I have read this application and stete
thattheintormationiscanectand QQQreetocomplywithallapplicable
State of Minnesota Statutes an Clty of . g inapces.
r
Si9nature of Permittee ' d? rywo%?---
A Building Permit is issued to: KEYLAND HOMES
all work shall be done in accordance with all appl State of M
Building Official -6
OFFICE USE ONLY
Occupency R3
X Zoning -Rl-
_ Type of Const W
X_ (qctual)
(Allowable)
n ot stories 4.7
Length 34
Deom
S.F. Total
Footprint S.F.
APPROVALS FEES
$ 472.00
Assessments
Water/Sewer Permit
_ Surcharge -45750
Police _ Plen Review 233750
Fire _ SAC, City t nn . nn
Engr. _ SAC, MWCC 5?25.,Qn
Planner WeterConn. 0?
525
Council Water Meter .
0?
67
Bltlg. Off. Roatl Unit - .
-
-
APC
Treatment P7 .UO
3U5
Variance _ Parks ???
Copies
TOTAL ?U
on the express condition that
nnespga Stajutes and City of Eagan Ordi nances.
rnis enuest ?oia 7.4/77/Fy'
18 rtwnths from
E 43820
?? D 57
. ,...,? ,r ,.?. ??N,,.,,,
t' FeqwretlP 19 fteady Nuw ? Will Notifv Insaeo-
n nVes VNa [or Whxn qeaGy
? Licensed Eleclrical Conlrector 1 hereby repaest inspaction oi above
? Owner electricel work installed at:
Sheet Address, Box or Houte Na.
v /z
/(
"
? Citv
?"cr?-? .
?'G
5 D h
i
!
a .? / .
eclion o. Township Name or No. flange o. Coun
?
I
OccupnntlPPINTI Phone No.
Power $upplier Atldress
I Cont ctor ICompany Name)
' ?
I Contractor's License No.
/
? 1 ? `.rc o?
o4ls -
Mailing Address (COnVactor or Owner MakmA Instailation)
-
v
A
14
?1-? ?? .6
-
e-
Aut 'zed S?gnalme (Conhacmr ncr Making InslallaGon) Phnna Number
' & C.4
MINNESOT STATE 90APD OF ELECTqICITV THIS INSPECTION REQU[ST WILL NOT
Grigqs-Mi way BIAg. - Room N.197 BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
1821 Universitv Ave.. St. Vaul. MN 55104
..o.... ENCLOSED.
REQUEST FOH ELECTRICAL INSPECTION ee-ooooi-os
)P Sae instructions lor completing this form on back at Vepow Coov? S6CJJ`J7
E° 4 3 8 2 Q "X' Below Work Covered by 7his Request
F71d Re0• Type of Buileing. Appliancea WireA Equiumgnt WireA
Home Ranye Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Buildinc? Dryer Elecvic NeaUn
Commercial 61dy. Fumace Silo Unloader
Industrial Bldy. Air Conditioner 8ulk Milk Tank
Farm O[ner Spam y Oihe, (5oeni1,1
t .r SuecifY Other Other
Compute Inspectian Fee Below
p Fee SarviceEnVanceSize M iee Feaders/Subleeders p Fee Circuits
0 to200Am s 0 to30Am s 0 to30Am s
Above 200 Amps) 31 to 100 Amps 31 to 100 Am s
Swimming Pool A6ove 100_Amps Ahove 700_Am s
Transiormers Irrigation Booms Partial.0ther Fee
Signs Speciallnspection S
TOT
Remarks EE
? /Y
flouBh-in Date I, e Elect '
Ins , hereby
rrrnnn,,, ertify that the above
Final e ins0ection hes baen
M ?'; mada.
fltls reauest vold 18 monllu 1rom
a
This ruque5l voitl
? mo9h1t7 0 7
???O ?7-
oj-jg/do
Naquest Da1e fire No.
I Roup in InsVeclion
NeQbire
OAeady Nuw Notify In9Dec-
?
' es No lor Wh¢n Ready
cens?d ElXical Conlmctor . . 1 hereby roquest inspaction of above
? Owner electrical work in8telled at:
Street Address, Box or Noute N/a
? l/J f 4%I i% e? C/` xl! City
ection o. Township Name or No. ange o. Cou it '
OccuDantlPql 1 ? Phone No.
N
Pawer SuppliBr AdCress
Elecvic I onhactor ICompany laly(s)
T Contra or' cen;e 190
w
?
?? C?? ' $?C !• ?
Mailin0 AddressIContractor or Owner Makin0lns ilationl
? J
Owner inB lnstalla 'onl
AuMarized Si0 eture (('„onl{actor Phon N er
J
MINN A STAT OAflD OF ELECTRICITY . THIS INSPECTION PEQUEST WILI NOT
Origps-MiAwey dg. - Room N-791 BE ACCEPTED BY THE STATE BOARD
1821 Univa. aitv Ava.. St. Veul, MN 66104 UNLESS PROPER INSPECTION FEE IS
ihonef6t21662-OBOO ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ea-ooaoi-ohs
..'
? See instructions lor completinq this form on baek ot vel low copy.
S (? ?. -l? -l "'x" delow Work Covered by This Request
?-!yL ?
n?YANt1dl Nao. Tvoe of Buileino Aoolianees WireA Equiumant Wirea I
Bulk
M Fae.- Service Envence Sixe k Fee Feeders/Subfeedera k Fea Circuita
? to 200 qm s 0 to 30 Am 5 iw 0 to 30 Am
1
Above 200 qm )s 31 to 7 00 Amps 37 to 100 Amps
Swinxnin Pool Above 700_Am s Above 100_Am -
Transfortners Irngation Booms JJO Partial,?Other Fee
Sigis I I ISpecial Inspection ?
pamarks ' - 5 LD TOT i ;Eii?ry
Finai
?
I, the ElecHical
Inspeetoq thereby
cerli(y lhat [he above
jnspection hes bean
rpueal
w .' C 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION ?'S D
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
?
?
??.(?
`?1
Please complete for: single fautily dwellings & townhomes/condos when peanits are required for each unit
Date I C) / 1 / 5
Site Address dP-.)(} [] ( 'J Unit #
PropertyOwner ?? C?()Y,?
Telephone#((p5I c?5?a
Contractor
t Add
S ?
-A ? Ci
??'1
?--
ress
tree k ) ?
z_ ty
? r m? rra
State Yy-?T3 Zip Telephone #((o ?"j L--4 jQC) - ln Ckz)A
Bond #: Expires:
The Applicant is _ Owner _zcontractor _ Other
Add-on or alteratian to effisting dwelling unit $ 30.00
V__*? furnace _Additional ? Repiacement
f air exchanger
? airconditioner ?
_New ? Replacement
? other
State Surcharge $ 50
Total $33
I hereby apply for a ResidenUal Mechanical Permit and acknowledge that the information is oomplete and accurate; that the work will
be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an applicafion for a perant, and work is not to start without a permit; ttiat the work will be in accordance cvith the
apprwed plan in the case of work which requires a review and approval of plans.
?
Lnjjv.
Applicant's P' ed Name Ap?ttp ^?m'[?'sY-i ature
e
L
2005 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commerciallindustrial buildings
multi-famity buildings when separate permits are not required for each dwelling wut
DateI C)/ /
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
COntractOr
Street Address City
State Zip Telephone # ( )
Bond #: Eapires:
The Applicant is _ Owner _ Contractor _ Other
Work Type
New Construction _ Underground Tank _ Install _Remove **see below
Interior ImprovemeM _ Install Piping _ Processed _Gas
Nature of Work:
*"When installing/removing underground tank, cal! for inspeciion by Fire Marshal and P(um6ing lnspecior
PQI'tlilt FCCB: 570.50 Undergtound tank ins[allation/removal
$50.50 Minimwn (includes State Surcharge)
or
Conhact Value $ x 1% _ $ Permit Fee
• IfUErmit fee is $1,000 or less, add $.50 State Surcharge
If DCrmit fee is over $1,000, add $.50 for
every $1,000 oe rmit fee $ Total Fee
I hereby apply for a Commercial Mechaiucal Pernut and acknowledge that the informapon is complete and accurate; tha[ the work
will be in conformance with the ordinances and codes of the City of Eagan and with the Mecktanical Codes; tLat I understand this is
not a permit, but only an application for a pennit, and work is not to start without a pernut; [hat the work will be in acwrdance with
the approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name
Applicant's Signature
Approved By: , Inspec[or
PI aoaE
NGiNEERING
COMPANV, INC.
L 1000 E,15T I46th S7REET,
?
COHSUITiHb EH6IHEEAS
PLAHHEflS ond LAHC iUAVEYOQS
BURNSVtLLE, YtHHESOT,1 5SZ37 PH 4=2-5000
CeTZZ}Z CLL?C SZL7"7le l.?
NoMEs
LOT 5, BLOCIC l, FAwN R/06E 2N0 ADD/T/oN,
OAKoTA COVN7Y, MlNNESoTA
Cq41k7 DENoTES EXlSTIN6 ELEVATION
(922•0) DENOTES PRAPOSED FLEVRT/ON
lND/CATES D/REC7/oN oF ,$UKFACE ORA/NA6E
922.33 = Fl/V/SNEO 6ARA6E FLODK EL-EVAT/ON
30' Fi?ANT BU/LD/NC
SETQr4CK L /NE
917. 05) '?NV $ d?
- -
,
V
0
Q 3
?I
'tll
n.G)
N
id
I
I?
g B6° w
-,ORA/N46E AND
U711-/7Y EASEMEM'
/3 a. oo (920. 6)
?'
10 (920.6)
? Wu.a)
" IZ - - ---' ?
--
? u.v Tr9,i_?? -
Lors ?
5
w ?.
0
? l
J'
r2.`?.0
n
4 M o
d'
1 M
?
`
J__*1 1?
A
'
/J' .
J
/
• ?
n
1 O,'
?
1 ,'
l( I ["'
ti I
;
(912A
? ? \
?J
1
eo
?? .: ?
. ,
1
.
. a2ao ? _ 5
r ?
- ?
-
? .
MN
R1?4o)
pjg_q) /44. 57
N 89° 3s'oi"W
I hersby cartify that thia in a t:ue and correct npnQ•ntation of ? trtct of
land as thovn'and deacribed hernon.- Aa prspared by tne on this //"day of
/qnt? s 19 8? . . '
? }tinn. lteE. Ho. /Gc?S
SCALE : I" = 30'
???kR:?R:'KiNk?t%kY6:#;'M?KW7kYF?Xtik'M>R7(Y6?:Y??'?'M, k:kt7$X<&::R?Y,CX;$;Y,c7k
C:I:TY Cl;=' rAGr1N
f:FlPil-I:fI:T..fi: S T'1cRii]:NAL Kl0" i'65
DATE;, Lf.1;0/98 '1'IPfl-r. 14;58:33
?rie
PlAMF:: t,Lt_.T.ED 1=1:fiES:CIiC SNC
:321p 9001 4505 I:1A}'. 1'ND I'i1l 50.00
205 9001 4505 0AK f'Nii fiIi 0.50
i
To'1:a7. R!at'eif.;F, Amr:,u7}' ;I 50„50
Cft0383i 4
U!3r::h TCIe, NFI3JCV
5K?"X??kk: ??'t.",oX>X?Sk??nY,C??>n7r?FPF?k?kM?k?ktr 78);:?k),",%X:X?#]k>$>XXC
CIT'Y OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
033653
10/13/98
SITE ADDRESS:
4505 OAK POND RO
LO7: 5, BLOCK: 1
FAWN RIDGE 2ND
P.I.N.: 10-25801-050-01
DESCRIPTION:
B?1lding??ermit Type
?uildirig Wti'r_k Type
Gensus Code ?.
? , a? -a:.?:. ../t. ,• ` '`.v
"i \,:.rE Y l_,
FIREPLACE
NEW
434 ALT. RESIDENTIAL
REMARKS:
CHIMNEY/FLUE MUS7 BE INSPECTED BEFORE CONCEALTNG.
FEE SUMMARY:
Base Fee
5urcharge
7ota1 Fee
$58.80
$58.50
CONTRACTOR: - ,qpplicant - sT. Lzc. OWNER:
ESIDE CORNEft INC
F;,{R 16331042 20090911 FINLON MIKE
,
--2T?O N FAIRVIEW AVE 4505 OAK POND RD
ROSEVTII.E hIN 55113 EAGAN MN 55123
(6}2) 633-1042 (651)454-5522
, I hereby acknowledge that Z have read this a{zplication and state that the
%nformptian`i:s ccarrect 'a-nd a_qree, to camp3y w3,=th a11 appiicablo State af 44n.
Statutes and City of Eagan Qrdinances.;
_ _ J
APPLICANT/PERMITEE SIGNATURE
ISSUED BY: 5iGNATURIE-
10-13-ql??
C1TY OF EAGAN
3830 PII,OT KNOB RD - 55122
1998 FIREPLACE PERMIT APPLICATIQN
681-4675
DATE: l lA. PERMIT FEE: $50.50
DESCRIPTTON OF WORK: ? Construct new firepiace _ Alterarions to existing
_ Install eas insert onlv _ Install pas line only
J? OB ADDRESS:
BLOCK:. I
SUBDMSION/P.I.D. #: F-CA-W v? ?x A
ONTRACTO
a V?-fl
IAT: ?
APPLICANT (circle one only): OWNER
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.
r
Name: Y- '
? Y-????> ?
D Phone #
?J
:
PROPERTY Last F'vst
OWNER ? ----
FIREPLACE
INSTALLER
? Pf1Jl1Er / lf?I`t1rL?S,?p?'hone#:25-S
? ? / _? •
SmM Address: _13 License # ? a & 0/?
City 1' ,U ? lA S U ?? '?- State: -? Zfi:
GAS LINE
INSTALLER
Other
City EckQri{ r1 State: I.- Zip: , _,!;?7-l°<3
Street Address:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 14 Fireplace
WORK TYPE
? 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Census Code. 434 '
SAC Code Ol
REMARKS
Chimney/flue must be inspected before concealing.
I
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
r10TP,: PAYNiMS OF PEE AT TM OF
APPLICATION DOES NOr CONSTITUTE
APPROVAL OF PERhIIT.
ixsPEcrIox oF SEWM rlND/oR WAMR
nscmnr.ra_TIONS WIIZ NOf BE SCfIlD--
ULID q[drII. PERMLT HAS BEESI
APPROVFD.
? 1) PROPERTY ADDRESS:
LEGAL DESCRIPTION: •-
Lot Block Subdivision or Tax Parcel ID )
IF' EXISTTNG STRC'CILME, DATE OF pRIGZNAL BLILDIIVG PEEtMiT ISSL'ANCE: ." -
..
PRESENP 7ANING/PROPOSID C?SE; (Mon YearY
C] G'OhPMCIAL/R'PAIL/OFFICE
Q IPIDCSTRIAI,
n INSTI'I[PfIONAL/GOVg2N[NENr
? R-1 SINGLE FAMILY '
? R-2 DOPLEX (Two C?nits)
? R-3 TOWNHOL?SE (Three + Units) ( Onits)
? R-4 APARTMENT/C06IDOMIDII[.fi7 ( Units)
• • • v? --
2)
NAME:
• ADDRESS:
CITY. STATE, ZIP:
? PHONE:
3) u c?• NAME:-? For City Use
- rc.,y1.?4Ai o?f-
- Plumbers License:
?' ???
AMRES5: y2s3 1,/ ??
EScpired
CITY. STATE, 2IP:__ Not recoYded
PHONE: $`! y? a77</ MASTER LICENSE# ?al
4) •• • 2• -
NaME:
. P,DDRESS:
CITY. STATE, ZIP:
PHONE:
•5) ? v ? r: • ?• : a • a• - ??
?. mrrrEcrioN z+o czTr sEWM ? wMImcrioN rM czTr wAxEa p orf]ER
63 ? .'. • r ? PLEASE HOI.D APPROVFD PERMIT EY)R PICK-C?P BY ONE OF ABOVE
CS./PASE MASL APPROVID PERMIT Z+D 1. 2./f)4. ABOVE
FOR CITY USE ONLY Y '
PERMIT # ISSGED
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLODE SL'RCHARGE)
$ $ WATER PERMIT (INCLUDE SORCHARGE)
$ ? ?(rU $ WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLDDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ S ACCOUNT DEPOSIT - WATER
$ S Z.5 ? $ wAc
s $ sAc
$ $ TRDNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
?$ $ ' LATERAL BENEFIT/TRCNK SEWER
$ $ LATERAL BENEFIT/TRDNK WATER
$ $ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
S $ j /-(fO TOTAL
73?/Z z- ??V49
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQLIRE EXCAVATION IN POBLIC RIGAT OF WAY?
F--j YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MLST BE ISSOED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CbNDITIONS:
APPROVED BY:
TITLE:
DATE c ?/? Z 7
ASS(a
SINGLE FAMILY DWELLINGS
1987 BOILDING PERMIY APPLICATION - CITY OF SAGAN
IPCLQDE 2 SETS OF PLANSo 3
OF S08VEY, 1 SBT OF ENERGY CALCOLATIOHS
?
NOTE: ADDEESSES FOH CORNEH LOTS - CONYRACTOR/HOMEOiiNEH MIIST DESIGNArE HHICH 9DDRESS
IS DFSIRED. NO CH9NGES IeTILL HE ALLOWED ONCE BQILDING PERMIY ZS ISSIISD.
MOLTIPLE DHEI.LINGS - RBSIDENTIAL RENTAL OAITS FOR SALE U9IS5
INCLUDE 2 SETS OF PLANS, CBRTIFICATS OF SQRYEY - CHECK iiITH BLDG. DBPT.,
1 SET OF ENERGY CALCULATIONS
CANMII?RCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
96000
To Be Used Fo Valuati ? ? Date:
? ..
Site Address 4t??IJ S
Lot Is- Bloek L
Owner
Address
On Site Sewage_
„ MWCC System ?
On Site Well
City Water ?
City/Zip Code ?lu-Lr-a-v+XXo ??.33 Z
Phone
Contractor ?
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code ,?°ji`' ?'t+•r?,
Phone IF Q'j
APPROVALS
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Council
Bldg Off
APC
Varianee
Occupancy F- - 3
Zoning (z - 1
Type of Const
(Actual) Q
(Allowable) -:5z:
It of Stories
Length ?
Depth
S.F. Total
Footprint S.F.
FfiBS
Permit a '12•
Surcharge T5-Fl-
Plan Review Z3(fl.
SAC, City Icl-o ,
SAC, MWCC 525.
Water Conn 525.
Water Meter (o7.
Road Unit 30S
Treatment P1 Ie5p.
Parks
Copies
TOTAL -? ySS. ISO
Z4 o
2? ?28 ? `?z ? x 4q ? 3?032
17 C;B 7 b
-aosE ,
ENGINEERING
COMPRNY, ING.
? 1000 EA57 146IA S7REET,
CDHSUl71H0 EH6IHEEA5
PIANHEAS and LAND ?UpVEYOlIS
BuANSVILLE, YINNESOTa 5!337 PH 4:2-3000
CeT?Z?Z CLL?? SZL7"Ye l.?
j&qcl .I.c.srr?
HOMES
LOT 5, BlACK /, FAW/V R06E 2N0 ADD/T/o/V,
DAKoTA couN7Y, MrNNESoTA
C4.iC,Y) DENOTES EXI9771N6 ELEVAT/O/V
(922•0) DENOTES PROPOS5D ELEYAT/ON
?f lNDICATES D/KEC7/O/V OF ,gUKFACE ORA/NA6E
92z•33 = F/NISHE'D 6A946E FLOOK ELEVAT/ON
30' FRONT 6U1Lp/N6
SETe4CK L /NE
S+ d; ?
'917. 5) v d
- q1 p( J
-'
v
0
S 3
i
?
O
? NN
?
a
d1
i-1.c)
N
,d ?•?
?
I?
(920: 6)
(920.b)
V (? 22.y
9ie,5L -- - - ?5
n Y2w?. O ? M ?'
:zoa '
. P? .:.eo v19?o> 5'
r? -? -UN -
• R1?9_o)
/44. 5*7
Iv=?= k9zo.v) I N 890 38'0i0 W ?919,0?
I bertby cartity that thia ia a, t:ue and corrset r?npraaentation of traet of
lind as aho+m'and deacribed herecn.- Aa PrsPared by me on this //'day of
f?y , 19 f7 . . - _
Ninn. lsa. No. /Gofs?
?
?.r' r / `t
S 06° 59'20' W
/30. 00
•pRA/NA66 AND
UT/L/TY EASEMENT
SCALE : I" = 30'
,.. ; 33(o5
EXTERIOR ENYEI,OPE AVf.RIIGC.. °u"_ COMPIITATiON ,
__ __-
3•Ae9¢M?
? f?M
?
.
nnTr:
:OWNER:KEYL?WD HaME`j!
. _
Y ?.` ?, ` •:Y ? .
SI,T•E.:ADDRESS' PIIpNE:
° ' .
.
.
'?
CONTRACTOR u
Determine working square foota9e of'each - t
Total exposed wa11 area.... Z Oq Z sq. ft. x.11
;
( ?
Total' roof/ce11 ing area... q?g sq. ft, x .026 =
•
2Z •?5"?;
=
Z-
.?
Tatal exposed wall arca above floor
? ? . ??__
7
r 5
r
?k 7
h . n . .
?
? at.wTtltal,wall'windowarea .............•.•..........................•
`
3
r.
doar'area .... .......................................
b* otal
..
....................
s door area
idl
g"
l
t --?--?
c
.
.......
as
n
g
; To
al,sl
. ... .................... •
lace wa11 area
E
l fi
......
rep
o
a Zo9
e.,,,Total wall framing area (average 10%) ............................
f ;',;Total rim joist area .. . ........................................
<
? ?68
r S
[
Z
floor .:...................................
'net wall area.above
? o
wall,area.d6ove floor .....................................
h
wa11'area'above floor .....................................
?. rame wall area at foundation .............. ...................
"
•
,
,
"Total. exposed foundation area=
?'?
3
? k. Totdl Poundation window area .......................
I° ',''l <:Total net foundation area a6ove grade .............. Ilb°I
!r.
Determine "u"
(e,g. window, value
door, of each wa11 segment
each separate wall section)
t
-
13? x „ u„
,35 4'7.3
a.
_ I
b. 3S x ,ou„-
_- :
.31 - Ii,B
>
?
.
,4a
z
l u„ ? ?
s
, 35 =
d. X. iiull
' e. g #,u,l
?
f
?08
K
liull • i
?O?' ?•'? ,;
.
i 5C?? X liu„ ,o? = t?2 .5 ? •. `
y. jsa "+
, Y „lill
, --
,
„ nvelopo Averuga "U" Computation Page i
17
Total exposed roof/cailing area =
m. rTotal skyliqht area ... ...... .........
p ,Y
n.slbtal Yoof/ceiling;framing;area•(averagu 100),:.. 43-7 ,'
o. 2bta1 net inaulatad roof/cciling nrea. .......
Determine "U" value for each roof/coiling aegment
, t
;? y ?f'- 3 .. . . . - ? - - . . . . . . . .
., M. X. 11V
,111 . ? .. 1' ..
i . . h. I I X °Un
?r7 i.. . ?.0. GJ ( I x u0n 107- ` c. r7.4Z . ' '
4....: .... . .......... lbtal
?'TfYtotal of #4 ie'tho same as, or less 1:han N2, you have met tha intent of
° SHC'64Q6 (a) l. ;
Alternatu euildin finve].ope Design
?.47b utiliie the total envelope'systmn method, the values established by.tha:?s:i
, itemg H3 and #4`shall not ba
qreatar than'the sum'of items #l and H2
?+ z. ZS',v e 3 ;-
:
3 . ZO(o .G? + 4.
„? ,. .... ,., .
? y Y
i . :
? v ? ,.j ,. . . . .
,..' . . ' . .
j
. , + ,,..
iy s
y., x.
.? ? ? ?.. . . ..
? ,.-... :. .. .:,-. . . . . . .. . . ..?...
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RESIDENTIAL BUII.DING
Permit ApplicaGon
City Of Eagaa <I ?-) o -
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
?-- I 3 -p?
NewConsWCtionReaui2menfs RemodelrtteuairReauiremenls Ofice UseOniv
3 regisGared sde surveys shawing sq. ft of Wt sq. R af twuse; aiM all mofed areas 2 copies ot ptan CeA of Survey Recd
(20% maximum bt coverge albwe0) 1 set of Eneryy Calculations for heated additions _ Tree Pres Plan Rerd
2 capies of plan showing beam & window sizes; poured found design, etc. 1 stte survey for additions & decks _ Tree Pres Not Reqd
t set of Energy Calalatlons Addifion • indicate i/onsite septic system _ On-site SepOC System
3 capies of Tree Preseroation Plan if bt pPatled afler 7l1193
Rlm Joist Detail Options seledion sheet (bldgs vnth 3 or less unifs
Date 02- / 6G / 63
SiteAddress ?,S'OS- 01114 AND ConstructionCost s,?vD- (Dl)
jeGl, 616.h 5y123 UnitlSte #
Description of Work ?f?SL?WI??? ?l??? 3l`? ? )Z
Multi-Family Bldg _ Y ? N Fireplace(s) "o_ 1 _ 2
Property Owner !,#-a -t- f&-t ti rQ ??I /0 1'1 Telephone # ( 6Sj ) 7 ry ` rr6 Z"
Contractor ? 114 jw? 7LyJ+?i2.s
Address 36/6/ ,
State ?vf /V City 41@06 ?
Zip S-',Z Telephone #(?IZ ) 9? ? d
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Resldential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
. Energy Envelope Calculations Submitted
Licensed Plumber
Telephone #(
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
I hereby apply for a Residential Building Permit and aclrnowledge that the i
that the work will be in conformance with the ordinances and codes of the
1q Fl,
NNNga=b accurate;
and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
pemut; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
D?x6 .SD6?S ? ?aS. ?
' Applicant's Printed Name A icant's ign t re
OFFICE USE ONLY
Sub Types
? 01 Foundation O 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. AR - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex O 10 OS-plex ? 18 Deck ? 23 Porch(screen/gazebo) ? 36 Mul6 Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-piex PI6g_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement O 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
J?P 33 Alteradon ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement •Demolition (Entire Bldg) -'Give PCA handout to applkant
Valuation 6)Dc-
- Occupancy 0-,3 MC/ES System
T
Census Code Y3v Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const 1/ YI W idth
REQUIREDINSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) 2 FinaUNo C.O.
_ Footings (addition) 7
Plumbing
_ Foundation 40 HVAC
_ Drain Tile Other
Roof _ Ice & Water _ F inal
Ftgs
Air/Gas Tests
Pool Final
? Framing _
_
_
_ Siding Stucco Stone _
Fueplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
?O Insulation _ Retaining Wall
Approved By
Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
ToWI
PLUMBING (RESIDENTIAI.)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
Date Z /?/(D ?3
q -i?-o n
5ite Address _ p IInit #
Property Owner K-41. Telephone #( )
Contractor
Address 4 n li 4 City L ,,?, ?CU-11 (1 ?
State Zip ? 0 L{ Teleph ne #?( ?,Y?j '-f
C- ? I'C- zA3- 3 1-7
The Applicant is _ Owner ? Contractor _ Other
Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. Additional consultant fees may apply.
Alterations To Earisting Dwelling Unit, Including $ 50
00
? Adding fxtures to lower levels or room additions, excluding water sokener and water heater .
_ Abandonment of septic system
_ Water tumaround (+ 5!8" meter if needed -$1 21.00)
Other:
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation system
_ Water softener _ Water heater $ 15.00
_ replacement _ additional
State Surcharge $ .50
T
t
l 1
7?-o > ?
o
a -
$
I hereby apply for a Residential Plumbing Pernut and acknowledge that the information is complete and accurate; that the work will
be in confonnance with the ordinances and codes of the City of Eagan and wiffi the Plumbing Codes; that I understand this is not a
pernilt, but only an applicarion for a permit, and work is not to start without a pemrit; that the wo c will be in accordance with the
apped planin the cas of work wlrich requires a review and approval oFpla
fl DCl"?, ?
ApplicanYs Printed Name Applicant's Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA119423
Date Issued:11/27/2013
Permit Category:ePermit
Site Address: 4505 Oak Pond Rd
Lot:5 Block: 1 Addition: Fawn Ridge 2nd
PID:10-25801-01-050
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and house wrap and leave on site.
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: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Rachael D Hedquist
4505 Oak Pond Rd
Eagan MN 55123
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:Building
Permit Number:EA143923
Date Issued:07/03/2017
Permit Category:ePermit
Site Address: 4505 Oak Pond Rd
Lot:5 Block: 1 Addition: Fawn Ridge 2nd
PID:10-25801-01-050
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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 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: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Nicholas S Erickson
4505 Oak Pond Rd
Eagan MN 55123
(612) 669-8177
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA162544
Date Issued:07/17/2020
Permit Category:ePermit
Site Address: 4505 Oak Pond Rd
Lot:5 Block: 1 Addition: Fawn Ridge 2nd
PID:10-25801-01-050
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 -
Nicholas S Erickson
4505 Oak Pond Rd
Eagan MN 55123
Applicant/Permitee: Signature Issued By: Signature