4524 Oak Pond Rd?r. ?:'?+?ss?.. . ,? ... .. . , . . , . _-, _„ _ . . , r .- .. r
. -- .. ,.._. .. .,- r .? -o.'*a
?
CITY OF EAGAN ? ??5? ?
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?
PHONE:454-8100
B
UILDING PERMIT Receipt #
To be used for POOL Est. Value =11 ,000 Date .IULY 28 , 19 89 ?
Site Address 4524 OAK POND RD
OFFICE USE ONLY
Lot 2 Block 2 Sec/Sub. OAK M3ND EiILLB
PdfC@I N0. Occupancy - FEES
zoning -
¢ MICHALL & YYOM ANlADA
Name
(ACtual) Const _
Bldg. Permit 126.00
; Address 4524 QAK PM RD (Allowable) - s
?
0
City ?? Phone 4%"3?2
# of Stories Surchar e
9 •
-
361 Plan Review 63 •?
Length
? Name VALUY pOOLS Depth ia
, Cil
SAC
Z
U
Address 651 CLiPT RD -
S.F. Total y
,
? City ?RNSYI.1.L Phone 894-1480 S.F. Footpnnts _ SAC, MCWCC ?
Wat
C
r On Sile Sewage - er
onn
W W
Name
On Site weli
W
t
M ?
- er
eter
a
i= AddreSS MwCC System _ ?
IL)
w
a?
Clty PhOne
Ciry Water _
Acct. Deposit
PRV Required _ SNV Permit
I hereby acknowlege that I.. have read this application and state that the
Booster Pump -
S/w Surcnarge ?
information is correct and agree to c piy with all applicable State of
Minnesota Statutes and Cit of Eagan dinances. _
Treatmern PI ?
I
Signature of Permitee ???' ` '?-- lv-!r- ,.4-+ APPROVALS Road Unit +
A Building Permit is issued to: yA=Y MLS Planner - park Ded. ?
on the express condition that all work shall be done In accordance with all Council
applicable 5tate of Minnesota Statutes and City ot Eagan Ordinances. gldy, pff. _ Copies ?
Building piticial ? -
Variance -
TOTAL
194.50
;
?
_ ._ 7
Permk No. Permit Holder Date Telephone It
WATEfi
SEWER
PLUMBING
H.V.A.C.
EIECTRIC
Inspection Date Insp. Comments
Footings 1 - _ S 0/
?
Foundatwn
Framing
Rooting
Rough Plbg.
Rough Htg.
Isul.
Frteplace
Fnal Htg.
Finel Pibg.
Const. Meler Plbg. Inspector - Notify Plumber
Engr./Plan
Bldg. Final
Deck Ftg.
Dedc Fnal
Well
Pr. Disp.
m
. - -4 . ." CITY OF EAGAN
' 3795 PIlot Knob Rood Eegan, MN 55122
PHONE: 454-8100
BUILDING PERMIT Receipt #
To ba wad for Est. Volus Date
Site Address
Lot
Parcel .# -
a
W
z
0
Name
OU /Wdress
r ?:... 1:i
I
Ave.
Erecr E3
Alter ?
17epolr ?
Enlorge ?
Move ?
t?Pmolish ?
Grode (l
Assessment -
Woter & Sew.
Police
Fire
Eng.
Pfcnner
Council
Permit
$urchorge
Plan check
SAC
Water Conn.
Woter Meter
Road Unit
I hereby ocknowledge thnt I have read this npplication and srote that Bldg. Off.
the inlormoYion is correct nnd ogree to [omply with all applicoble APC Total
Sfate of Minnesota StatuFes and City of Eogan Ordinonces.
5lynoture of Permittee . --
h Bullding Permit fs issued to: on the express condition t1uJe
oll work sholl be done in accordonce with nll opplicable Stafe of N1lnnesoto Stotutes ond City of Eogan Qrdirances.
BufldinQ Oftic+o!
Bloek ' Sec/Sub. '-I<<l: Pund Hills 2nc
1_ . . fj^
8'r? 2
-• ..?
83
Occupancy
Zoning
Ffre Zone Type of Const. # Stories,
Length `
Depth Sq. Ft.
Fees
Permit No. Permit Holder Mist. Permit IVo. Holder
Plum6ing
U?
H. V.A.C.
Water Well 0&
? 6 I?'?(/'l S ??zr0?
sewe? Disp.
0-3
I??i'er
Q?7-$'?
?SF ?rc
???ar`r1Fi?(?.
Electric Wot Sw",C
lasRetKian Date 1nsp. - Other
Footings
Foundation
Framin9 AVA3
-
'
Rouyh Plbp. ,? ,
/ 5 ,. _? ?
Rou{h HVA t(.g3 5?-i l( M? e6PM6e#-
10- eE !c7-z/o-83
Inwlation
Fittal Plbq.
Fioal HVAC
? q
. ? -
[
r escribe Loeation:
A
? ?
?
r ..
,Z
km ?
sp. '
Y
?? ? i/ ?? /` 3V"?'f? ? J ? V V ?V -? ??? _
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee '
Pill in numbered spaces S/C
Type or Print /egibly Tot. '
1. Date 2. Installation Cost
3. Job Address Lot ` Blk. Tract
4. Owner
5. Contractor Phone
6. Address
7. City 5tate 2ip
8. Building Type: Residential Cl Commercial ? Institutional O
9. Work Description: New ? Add O Alter ? Repair ?
10. Describe Fuel Type
11.
No. Eauiament BTU - M. Ea.
Forced Air No. Equipment CFM
dli
Ai
H
Mfg. r
an
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg,
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed :
Rough
for
Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-6700
??
? e-0
.L PERMIT #
?? ??? `l/a MECHANICAL PERMIT
CITY OF EAGAN RECEIPT #
3830 P ILOT KNOB ROAD, EAGAN, MN 55122 DATE
CONTRACT PRICE: PHONE: 454-8100
Site Address 4 `` L/ "
? BLDG. TYPE WORK DESCRiPTION
Lot
Black ? . Sec
r Res. New ?
- ?. ?
,._, r ?
Mult Add-on
? Name i ? • , ? ; ; . , :f
?' + ? J
1c` Comm. Repair
?
Address
?
.
??
c City 'a Phone
?
Name '
- FEES
RES. HVAC 0-100 M BTU -$24,00
c Address ' < • - ? ? ? ADDITIONAL 50 M BTU - 6.00
p Ciry Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION
)
GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1
50 EA
TYPE OF WORK .
.
COMM/IND FEE - l% OF CONTRACT FEE
Forced Air M BTU APT BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CQNDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 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 # BEYOND $1,000)
Other $
FEE
,
?
? , .
S/C: SIGNATURE OF PERMITTEE
TOTAL ? ? ?? y ? n; ?. •r?
: I O G?1?
Receipt PLUMBING PERMIT Permit No.
?^ ! L CITY OF EAGAN Fee
` Fill in numbered spaces S/C ?
Type or Print legibly
Tot. ti?7 G Jr ? •
1. Date 2. Installation Cost
00 r
3. Job Address Lot ? Bik. ? Tract
4. Owner
5. Contractor
6. Address
Phone ;%_r ?/ (?-
7. City , - State Zip
8. Building Type: Residential Q Commercial ? Institutianal ?
9. Work Description: New 0"' Add ? Alter ? Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cssspool/Drainfield
_L Bath tubs Septic Tank
? Lavatory Softner
?. Shower Well
_L Kitchen Sink
Urinal/Bidet Other
f Laundry Tray
?L Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Si ned : ` '?
g t 1, ` - + / C for
Rough ? Final
Inspections: Date Insp. Date Insp,
This is your poi?t vYhen n?
)ier,ed and approved.
Approved 4,,t.-._ _ _-ITY OF EAGAN 454-$100
Permit
Receipt PLUMBING PERMIT No.
CITY OF EAGAN Fe8 U U?
Fi/l in num6ered spaces S/C
Type or Print legibly Tot
-
1. Date - '" 3 2. Installation Cost
3. Job Address ot Bik. Tract
J
4. Owner i ld.
---,1 /
5. Contractor _-?2-C- u..4-4 Phone /T l
6. Address
t
7. City rf State Zip
8. Building Type: Residential 40'*'- Commercial ? Institutional O
9. Work Description: NewZT?r Add ? Alter ? Repair ?
10. Describe
11
No. Fixtures
Water Closet No.
L ' Fixtures
CompeouDrainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Wel I
Kitchen 5ink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
compfy with all ordinances and,c,odes governing this type of work.
Signed : for
?
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved ? '{? CITY OF EAGAN 464-8100
Receipt
,
^f ? ?
PLUMBING PERMIT
CITY OF EAGAN
FiII in numbered spaces
Type or Print legibly
1. Date ) 2.1
3. Job A9dres sR
!
4, Owner
? .
5. CorStracto
6. Address
?
7. City,. i?Z-?Cl.cc-
8. Building Type: Residentiat ?
9. Work Description: New ?
10. Describe
11.
No, Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs $e
tic Tank
Lavatory p
Softner
Shower
Well y
Kitchen Sink ?
Urinal/Bidet Other I'
Laundry Tray
Floor Drains
Drinking Ftn.
?
Slop Sink
Gas Piping Outlets ?
12. I hereby certify that the above information is true and correct, and I agree to
comply vaith all or s and codes governing this type of work.
r
h
Signed for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Permit No. f ?'? ?-
F..1,
S/C
Tot.
--471_
State Zi 2'--
Commercial O Institutional ?
Add O Alter ? Repair O
INSPECTIaN RECORD
CITY OF EAGAN PERMIT TYPE: ::I) I 111I140
3830 Pilot Knob Road Permit Number: ys •'
Eagan, Minnesota 55122-1897 Date Issued: 0 f`.
(612) 681-4675
SITE ADDRESS: APPLICANT:
I •. I ?i?.P , ++N1? kf3 ,.:.r,.,f?,. tqt? 1lr11 1
4':L1 !?i;ll? t; ! I t . 'tIU r r? 1, i ?lt,?{ ;ES 1,'
PERMIT SUBTVPE: TYPE OF WORK:
1?; ?.? F 1? I I iif? ??ii:E ;`? L)LN(e[?4A%I;lfit 1
Permit No. Permit Hoider Date Telephone N
ELECTRIC
PIUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
r ?Jy
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAI HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
-
BSM7 FINAL
DECK FTG
DECK FlNAL
INSPECTION RECORD
CIT_Y OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: ` ` " I - ' ' ' '
1il? . kct
•1'?, ?1 ??rs{• ' I'!?IVts ItU
(J AIi 1'tiMtt 11 l ! 1 '. ,110
PERMIT SUBTYPE:
, , , . AE
APPLICANT:
TYPE OF WORK:
Vi ,' !7 r. 1
M ! 4 i4Ai M
INSPECTION D. . D.
?
,
ht taAr;k.,, *:,t FAlcnfiI 1 I.+. r t'Ir T+: 011 t'i 1, 14 1 1 It1 0 1.11 f2Ft)
Permit No. Parmft Mo1dK Dats Telephpne N
ELECTRIC
PLUMBING
HVAC
Inspectian Data Inap. Comments
FOOTINGS
6
FOUND
FRAMING
!( ] T
ROOFING
HOUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVG
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
INSPECTION RECORD
GITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: ti k,,, I. APPLICANT:
,.'1 +ir'#r i'"011 ftfl 1'lil'01, I;+tl i 111 I"fl'a ift,
uNr I •rl N1 1 11 1 1 1•-, .?t4( j r 6 I" ) i.' I e>r,lti
PERMIT SUBTYPE:
, .,i,,,
UF iA (l T 1 N1, ':.'
0 I!!r:l
{tf`PlfiP!
TYPE OF WORK:
f R11M 11Vlr
M I I I
H ?f I t t) iN,i
N.'PIII I %
6'f hi I,' S/`1 4
;r I'a,r; A 1 t 1'f 1? p1 I I' , oi1{f r; I illt I f? P 1.4 Imr ItIV`r k t!+ ?k 1 C AL i:llr 1'I 41 M1? I NI , 414 114 1
?
?
Permit No. Permit Holder Date Telephone N
S/W
PLUMBING
HVAC
ELECTRI
ELECTRIC
lnspection Date Insp. Comments
Footings I J?/l
Foundation
Framing t! ? ?
Roofing
Rough Plbg.
Rough Htg.
fsul. f
Fireplace
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Notity Plumber
Const. Mater
Engr./PIaR
Bldg. Final ,i
Deck Ftg.
Deck Fina!
Well
Pr. Disp.
CITY OF EAGAN Remarks
Addition OAK POND HILLS 3IId ADDITION l.ot_
Owner7?'' -' Street 4524 Oak
' r?
Pond Road State Eagan, MN 55123
ImprovemenC Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRAOING
5AN SEW TRUNK
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK 1 C005171 9-5-78
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
RAOD T 250,00 37 85 7-27-83
WATER CONN.
BUILDING PER. 829
SAC
PARK '
, .
BUILDING PERMIT
To be used for POOL
Site Address 4524 OAK POND RD
Lot 2 Block 2 SeclSubOAK POND HILLS
. OFFICE USE ONLY
PefC01 N0. ZNI) Occupancy - FEES
Zoning _
a NBme MICHAEL & YVONNE ARMADA (ACtual) Const Bldg. Permit 126.00
w
o
AddreSS 4524 OAK POND RD
(Allowable) -
-
5
50
Surcharge .
City EAGAN Phone 454-3042 # of stones _
Plan Review 63.00
Lenglh
F Name VALLEY POOLS oePm ]
? snc
ciry
Address_651 CLIFF RD S.F.7otai .
,
-
City Bt1RN. VII•T F Phone -_894-1480
S.F. Foolprints SAC,MCWCC
_
t
W
C
On Site Sewage a
er
onn
-
r
?w
Name
on sce wan
W
M
ti
?0
AddfeSS
MWCCSyslem -
ater
eler
_
z
a W
City Phone
Ciry water Accl Deposit
_
PRV Required - S/W Permit
I here6y acknowlege at have read this applicalion and slate Ihat the Booster Pump - ?yy Surcharge
information is correct nd gree to c mply with all applic le State of
Minnesota Statutes an Cit of Eagan dlnapcea
II Treatment PI
Signature of Permilee APPHOVALS Roatl Unit
A Building Permit is issued to: VALLEY POOLS PWnner - park Ded.
on the express condition that all work shall he tlone in accordance with all Council
applicable Slate oi M
i
nn
e
sota S
taWtes
and
ity o
C
f
Eagan Ordinances. OIdg.OtL Copies
/
?
?
n
,
?
I
v
w
,,
(
8uilding Oflicial ?7 lfy(AP? 1\ GAfil,i i I IC I
9r._.
Variance
_ 7pTqL
194.50
CITY OF EAGAN N2 16858
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 n` 3 t L? ?
Receipt # 0Est.Value $11,000 Date JULY 28 , 1989
. CITY OF EAGAN NO 8292
3795 Plbf Knob Read Eagon, MN 55122
PHONEt 434-8100 /J
, BUILDING PERMIT Receipt
Te be umd fer SF DWG/GAR Est. Volue $$$.000 pO1e July 26 1 q 83
Slte Address 4524 Oak Pond Road Ered 9 Occupancy R-3
Lot 2 Black?_ Sec/Sub.Oak Pond Hills 2nd Alter ? Zoning PD
Parcel # 10 53601 020 02 Repoir ? Fire Zone NA
Enlarge ? Type of Const. V
rc Nome Jeff & Michelle Ha£lin Move ? # Stories
Z Addreu Demolish p Length 68
? ci Arden Hills phpm 483-4087 Grade ? Depth 36 Sq. Ft.-
o North Countrv Home Bldrs.. Inc. Avv'°•ab Fea.
Name
?? Addres: 3585 N. LexinQton Ave.
1- r,,„ Arden Hills 06,..,. 483-8781
Nome _
Address
I here6y ackrwwledge ihot I hove read fhis apDlicotion ond stote fhat
the inlormorion is wrrect and ogree to wmply with all applicable
Stote of Minnesotn Statutes and City of Eo9an Ordirances.
$ignoture of PertniMea
-??
A Building Pertnif is issued to:
nll work sholl be done in accordance with all
Building O4ficiol
State
Assessment _
Water & $ew.
Police -
Fire
Enq.
Plonner ?
Council _
Bldg. Off. _
APC -
, Inc.
Permit » / • vv
Surcharge 44.00
Plon check 198.50
SAC 525.00
Wofer Conn. NA
Woter Meter NA
Rood Unit 250.00
Totol $1414.50
_ on the express condition thal
ond City of Eogon Ordirmnces.
+t $12q?
i ? CITY OF EAGAN Include 2 sets of plans,
1 site plan w/elevations &
.? BUILDING PERMIT APPLICATION 1 set of_ enPSCgj cal.culations.
?'???;??-??1i?, ?¢
'Ib Be Used For Valuation Date
site Address: Z16-211 984 Qrvc7 fCY OFFICE USE ONLY
(/F+K-n°l nrc..
Lot Block Z Sec./Sub. Z.vp''r
,4Edr'rW
Parcel #:
Oomer: J?FF-? ?e{1LFFE(,??. }-lbcr??n/
Pddress:
City/Zip Code: A-bF-ti1 ?G?f? (?,t?•
Phone #:
Contractc
Address:
City/Zip
Phone #: 11f'?3- e 7$ I
Erect Occupancy T 3
Alter zonin9 ? D
Repair Fire Zone
Enlarge _ 'Iype of Const. _-7-'
Nbve # Stories
Detmlish Front / g ft.
Grade Depth 3 Le ft.
APPROVALS FEFS
Assessments °.Pexmit 3 97, a D
Water/Sewer "'-? Surcharge yv o O
Police '::' Plan Check j 9p,s O
Fire SAC -;; s o 0
Eng. Water Conn. ?
Planner Water .Meter -,^ ,a [IIL
Council Road Unit a fo., a d
Bldg. Off. 7- z 7
APC
'ICYfAL
Arch./Ehg.:
Address:
City/Zip Code:
Phone #:
REQUEST FOR ELECTRICAL INSPECTION ? See instructlons for complaling ihis lorm on back o! yellow copY, Q'I
"X" 6e/ow Work Covered by This Request ? ??`3OZ
Ne Add' A1,W41i""i,'ypa of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Du lex Water Heater Electric Heatin
Apt. Building Dryer Loatl Management
Comm./Industrial Fumace Other (S ecif
j Farm Air Conditioner
Olher (apecily) Comraqor's Remarks.
Compute Inspectlon Fee Below:
# Other Fee # Service Entranca Size Fee # Circuits/Feeders Fee
. Swimming Pool 0 to 200 Am s 0 to 100 Amps
Transformers Above 200_Amps v 700 _Amps
Si fIS Inspecmr's Use Only: TOTA ?
Irrigation Booms
S ecial Ins ection
AlarmlCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONT '
I, the Electrical Inspector, hereby
rti
th
h
b Rough-in Oate ^2 z
-<?
ce
ry
at t
e a
ove inspection has
been made. Fi?ai oa? D
/
OFFICE USE ONLY
THis repuesl vold 18 month3 fmm
/ 15c..d
O)Z? ?5004
Requ st Dete
'y/
? ? Fire No. Pough- n InspecHon Raqviretl
(YOU musr call inspector hen reetly) 10 Ins eclion Olher Than Rough-In
Reatly Now ? Will Noury Inspector
?
u ? Ves N. Dete ReaO
I E,licansed contracior?'?}ewner hereby request inspection of above electrical work at:
Job AGd ess (SVeet, Box or Roule No.)
,? S? 4 0 rrK City
t- ft G?-,
Seciion No. Township NemB or No. Renge No. Counry
?
Ocwpant (PBINT)
? CZ
f?C? Ph5 ona Na
IL/ -?? ?
c L .-
m
Pr --
PawerSUpplier Address
Electdcal Comraclor (COmpany Name)
Gontreclor's License No.
l YY) e -
Mailing Atltlress (COnlrector ar Owner Melting Installation)
AuthoriEed Signature (EO clor/Own akin allatl0n) Pho
9 Number
n
/
?
O
MINNESOTA STAiE BOApD Oil ELECTPI( ITY 'I THIS INSPECTION REQUEST WILI NOT
BE ACCEPTED BV THE STAiE BOARD
Grigga-Mltlwey eltlg. - fioom 5428 I^I? ,. ?Ilu I 1111111111111111111111111111111111111111111
Phone (6 Z) Bi2-0BOOSt. Peul, MN 551 A./"-0 TIIII i EUNLESS NCLOSED OPEfl INSPECTION FEE IS
- IIII
REQUEST FOR ELECTRICAL INSPECTION
t "' See insVUCtions lor completing this lorm on back oi yellow cVpy.
N6,4630 ?°h""gvlow Work Covered by This Request
???33F& 1?_-
e Add Rep. TypeoiBUiltling AppliancesWired EquipmeniWired
Home Range Temporery Service
Duplex Water Heater Eleciric Healing
Apt Building Dryer Load Management
Comm./Industrial Fumace Other (Specify)
Farm Air Contlitioner
Otner(syecity) Contractor's RemeMS:
Compuie Inspecfion Fee Below:
# Other Fee # ServiceEntranceSize Fee # Circuits/Feetlers Pee
Swimming Pool 0 to 200 Amps 0 10 100 Amps
Transformers Above 200 _ Amps Aboye_1107?- Amps
Signs Inspecmr5 Use Ony? ' 7pTp
Irrigation Booms
?
Special Inspection
Alarm/Communication TNIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 1 ONT S.` --
I, ihe Electrical Inspector, hereby
tif
th
t th
i
b Rough-in oaia
cer
y
a
e a
ove
nspection has
been made. F,oai ? oace
OFFICE USE ONLV ? /C_ . . . .
TniS reQUest voitl 18 monihs 1mm
? J3d?3-
? 6 4 3 O.?a
Requnl?Da?e -
Fi?e No. Rough-In Inpsaclion Repuiretl Inspection Other T?a ugh-In
/ 7
j/ ??`
? ? (VOU mu ca?l insPectar when ready) ? pe3Jy Now ' 1 Notity Inspecror
Ves ? N. D.I. Reaay
I Otlicensed confractor i I?wner hereby request inspectionof above elechical work at:
Job Atltlress (S1ree1, x or Rau o.) ?
?5a a---PC
r Ciry .
Seclion No. Township Name or No. Range No. COUnty
OccuOem IPRINT! Phone No.
jy) '(e r'M?l
PowerSupplier AeOress
Elecviwi on rector (COmpany Namel . Ccnvaqor5 Llcense No.
oYl'lfOI.J e'lr-
Mailing tltlress (Conlreclor or Owner Making Installation)
?
Authoriie05r nawre (COnVanor/Ow Maxinq Installation) Phone Number
5y-3oya
MINNESOTA STATE BOAPD OF ELECTRICITY
Grfggs-MlCway Bltlg. - Foom S173
1821 Univereity Ave., SL Peul, MN 55104
Phonef612J6<2-0800 '
THIS INSPEGTION FEOUEST WILL NOT
BE ACGEPTEO BY TNE STATE BOARD
UNLESS PROPEF MSPECTION FEEI ?
ENGLOSED. ?
This repuesl void B"'?Z ?j
18 moMhs fmm
W.U.3 646
c?, aa,oak.Po1?
3$t $S
q4 .so
Reques „ e
??
? Fire Na. RouBh-in Inspeciion
R@puired7
[:)Reatly Now ?]
f ?
Will Notify Insoec-
tor Wh
n R
tl
?Yes ?NO e
ea
y
?y Licensed Elecirical Conlrnctor 1 hereby request insDection of nbove
U Owner elechical work insigllad et:
Stre
t Address, Box or Route No.
e C ity
,
/
15_111? / LCyf\ ?dY? _L/ 4
ectmn o. Township Name or No. Ranye No. Cnunty
O a,uuant IPFINT) C D `(m.(,?,?
' Phone No.
me <
140
Powe, $upplier AtlAress
?i
El?ical Convar.tor (Company Name) -
Q
?
?? Contrecmr's licenso No.
?l
z?
Z c.?D 3 ?
Mailing AJress IContmcmr or Ow?n7et Makin9lnstailationl -
S s(- - /U'?j /n
Au[ho?ized Sienaty[e_l6nnVactor/Owner fM?jJcinB ??sfallatlionl P e Number
U??L_1-!C LE/<
MtNNESOTA STATE BOAND OF ELECTRICITY THIS INSPECTION REQUEST MILL NOT
Grie9s-Midwey Blde. - Room N-191 BE ACCEPTEO BY THE STqTE HOARD
UNLE55 PPOPER INSPECTION FEE IS
1821 UniversitYAve.. St. Paul, MN 56706
o?- 19121 757.2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
, See inatructions fdl comolefing this form on bnck ot yellow copy.
"X'"? B6YOrk Covered by This Request
EB-00001-OA
3 gt 13, 5
AAd RBp. Typa o( Builtlin9 ApPliance8 Wired EquipmBnl WireJ
Home Range Temporary Service
Duplex Water Heater Lightinp Fixtures
Apt. BuilAinc? Dryer Electric HeaLn
Cnminercial Bldy. Fumace Silo Unloader
Industrial Bldg. Air Corxiitioner Bulk Milk Tank
Farm '!? ??her lSO??c?ryl
t r>r Suecily
AY?]. +.?J Other
Compute lnspection Fee Below ' -
N Fee ServiceEntranceSize b Fea Faxders/SUbteeders a Fna Circuits
0 to 200 qm s 0 ro 30 Amps '?? 0 to 30 Am
A6ove 200 qmps- 31 to 1 UO Amps I ._ p27 31 to 100 An s
Swimming Pool Above 100_Am s Ahove 100_Amps
Transiormers Irrigation Boorcis Partial-'Other Fee
Signs Special Inspection
S
T
Rerrwrks ?, AL FEE
a
r
' J
qg
flough-in
Final
e
-?O
AL1 spec tor, hereby
tify ehnt ihe bove
spection hes been
aa.
Thlsrequeslvoidl8monthsfrom V "?• . I - - ?'.
This rn9uesl witl 14?/e ?&c? ?
E 43809 ??v `?
Renuest,Date Fire No. RouPh-in Insuection
ReO rtVes etl? ?ieady Nuw Q W?II Nntify Insaec-
?y No ?or When Ready
g? Licensed Elecvical Convacmr I herebY request insoaction of ebove
;?j Owner elechical work installed ac
?"? ??
Sv¢e ddress, Bo?x/ or D Route No./
S ? '? City?--- ? ?
j r ?
7 d N
.
!
ecuon o. Township Name or No. flanee o. Count/y'?
/?rli\C? ??
OccuDa IP/qINTI^ '1 Phone No.
Power $upplier Address
E - al Co ttacior ICompanv Numel ? Comracmr's Liconse No.
-3,
d ya y!
, i? ? , ? o
Malling Address 1 on[ractor or Owner MakinO Instatlationl
_
/j
/z
7 ,J? c.T A-
-?
Au ' ed Sienatur CoMra odOwner Makiny Installation)
? P/ho?ne Num"yb/?e?r
?O (Y '1 L
MINNES9fiA STATE BOAND OF ELECTNICITY THIS INSPECTION NEOUEST WILL NOT
Grigas- idwey Bldg. - Room N•191 BE ACCEPTED BY THE STATE BOA0.D
1821 Universitv Ave.. 5i. Peul. MN 56104 UNLESS PNOPEfl INSPECTION FEE IS
cwa.nonn ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ?a Ea-ooooi-os
?8 '??8 „
, , See ins<ractions forCompletiwg this brm on beck ol yellow copy. S4zO-T?7
E 43809 "X" Below Work Covered by 7hrs Request
hAd am. Type ol 6uilAine AOPliancns Wind Equiumem Wired
Home Range Temporary Service
Duple,x Water Heater liyhtiny Fixtures
ApL Building Dryer EleCtriC Healin
Commercial Bldg. Fumace Sllu UnloaJer
Industrial Bldg. 'Se Air Conditioner Bulk Milk Tdnk
Farm Otner pe6 v ?nerlSVr.clfvl
? .r Sueu(y [her . Oth?;r
Compute InspecLOn Fee Below _
N Fea ServiceEntmnce5ize n Fee Feedees?Subieeders N Fex Cireuits
0 ro200qmps 0 to30Ams 0 tn30Am
A6ove 200 Am ps 31 to 100 Amps 31 to 100 Am s
Swinming Pool Above 100_Am s
4
? Above 100-A'nls
Transiormers Irrigation Booms
SO
_
Partial.Other Fee
Signs SUecial Inspection S ?
,OT
Pertv3rk5
,C,
Nouqh-in Da tI, t a Electrica
ins ctor, h by
cerli the abova
Final 1e y inspection hes been
/c..-• ?- ?d maea.
n.i.-in im mmnnw tmm
O?/!?REJUEST FOR ELECTRICAL INSPECTION eeaoom-07
(?
( P. InsVUqions br completing this fqrm an back of yelbw copy.
/ J J
P 0 7 7 6 6 Y "X" Below Work Covered by This Request
e Add RG6. ;-lypeofBuiltling AppliancesWired EquipmentWired
Home. Range Tempora"ry Service
< -
7 Duplez Water Heater . ElecVic Heating
Apt. Building Dryer Other (Specity) -
Comm./industrial Furnaca ?
AiYConditioner .. .,: - .. _ ... ._ .. .. _ .....
Olher (specily) CoMraciw5 Remark9: '
<17
Compute Inspection Fee Below:
# Other Fee # ServiceEmrance5ize Fee # CircuRS/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps ov _ Amps
Signs Irrepecror§ Use Only:
f p 7pT L
Irrigation Booms `
Special Inspeaion
Alarm/CommuniCation
Other Fee
I, the Electrical Inspector, hereby
t' th
t th
b
i
i Rougn-im
y
cer
a
e a
ove
ns ect
on h
? P
been made. as Final Dale
OFFICE USE ONIY
This requesl voitl 18 monthe irom
07766 ? ? . , , , A
Request Date Fire No. Rough-in Inspeclion
Requi ?
? Ready Now ?/ill NoliN inspec1w
G
- - es ? No Whan Ready?
1 icensed contractor ? owner hereby request inspection of above electrical work at:
,bb Atltlress (SV]e?et, Box ar Route
5
? Cly?
'-
C /l 6
v l
SeIXion No. Townshlp Name or No. Range No. CWrity?/J
N ?"/K
Occupa t RINT?.. Pho?ne/No.
PoxrerSUpplier Addreas
Elecvi ont dor (Cpnpany Nema) ' Cornrador5 License No.
? -?ti-
?/
Ma,?ng Addreas ,Contracu,«Omer ,n r
bn C?s7?
?-`
?
Au1 ture (CoMrector r AAe Inslallellon) Phone Number
MINNESOTA STRTE BONND OF ELECfRICffY THIS INSPECTION REOUEST WILL NOT
GrigB%Midwey Bltlg. - Pown &773 . BE ACCEPTEO BV THE ST.4TE BOARD
1821 Univenity Ave., SI. Paul, MN 5510/ ' - UNLESS PROPER INSPELTION FEE IS
Phone (615) 642-0800 ENCLOSED.
RESIDENTIAL BUILDING
Permit AppGcation
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
9 -1?o, csD
JY-14 n4j--94.
cP/ml03
New ConsWCtion Reauirements RemotleUReoair Reouiremenfs Office Use ONv
3 iegisteied s'rte surveys showirg sq. fl. of lot, sq. ft of house; and all roofed areas 2 copies of plan Cert of Survey Recd
(20% maximum bt covera3e allaved) i set of Energy Calculations for heated additions _ Trce Pres Plan Recd
2 copies of plan showiig beam & window sizes; poured found design, etc. i site survey foradditions 8 decks Tree Pres Not Reqd
isetofEnergyCalcula6ons AddiUon - indicateifon-sResepticsystem _On-siteSepticSystem
3 wpies of Tree P2servafbn Plan if lot plaHed atter 711/93
Rim Joist Defeil Oplions selection sheet (bldgs w@h 3 or less units
Date S
SiteAddress 451
041< Pd%?d 20A,t9 Construction Cost
1_°A4Ar? Unit/Ste #
Description of Work ???'-??-F C/?m?.?? ,577??5 i.i/ ??'>uYJ.E.,i )9a=G/C
Multi-Family Bldg _ Y _?K N Fireplace(s) _ 0 _ 1 X 2
Property Owner c577F<'WI--? ? ?i.? ?9 2 +F.?- Telephone # (6
Contractor ??L T
Address
State
Zip City
Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Cat . Residential Ventilation Category t Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
. En nvelooe Calculations Submitted
Licensed Plumber Ilj Telephone #(
Mechanical Contractor N tl 11, )l Tele e#( Sewer/Water Contractor ? -1 Telephone #(
I hereby apply for a Residential Building Permit and aclrnowledge that the information 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, 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.
Applicant's Printed Name Applic s Signature
OFFICE USE ONLY
Sub Types ? .:
`S
? 01 Foundation ? 07 05-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 _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Aft - SF
? 04 02-plex ? 10 08-plex ?f 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex albg_Y w_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
X 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) • Give PCA handout to appliwnt
V
l
i
CJ l7
a
uat
on Occupancy MC/ES System
Census Code L/ '' 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 I NSPECTIONS
Footings (new bldg) FinallC.O.
? Footings (deck) ? FinaUNo C.O.
_ Foorings (addition) _ p]umbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing Siding Stucco S[one
_ Fireplace _ R.I. _ Air Test _ _
Fina] _ Windows (new/replacement)
_ Insulation _ Retaining Wall
------------- ----------------------------
------------
---- -------------- ------ Approved By B 7 , Building Inspector
------ ------- ----------------------------- ----- --------------- --
Base Fee
Surcharge
Pl
R
i G / vL>
an
ev
ew
MCIES SAC
City SAC ?
Utility Connection Charge ?
?
`20
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
MINNESOTA VALLEY .
_ ..?.
SURVEYORS .& ENGINEERS CORP.
. ??W . . . . .t.?..
? 1001 EAST GUFF p0A0 W9 NOHTNEAST fOUrtTM STREET
8URNSViILE, MINNESOTA SS.bI._._..-.;-- . GRANO MP1D5. YINNESOTA 55711 . W
. . . iNONE: pth l9C7150 .. . PnOHE: R191 326-0528
CeAiCcalt of Survey tor:elle Hcro/,'17 ?
-
-? OAK
_POND : pq, p .? . . _ : ? .--. . . .. . . , :
? _.?J? •+.:...•..... . jV1.'..w?? /" ?? .r......?. .. . ?- -r?
' },?•=.•. 25 ?61 f(NAi/JOl/S ? ..?_ . . . . t . ,_ '.
I2'' 15 7.52 .. -?f?"-.. . ...- - ? . .._ .
?
r i w -
r;- ? \
? •
.
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.
i ? ? • ?.
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o •not es t ron monweeat
.
21
?'• . --:fES`:RIs'I'LOR-?
. ? ? . . . ... ?. ...??:'?'• ,... ? •.;y..?
l.c+r 2:. H1oek OAK PONn .? j!:..
- •? HILIS 2ND 11DDItIRi. . • •g'c
V
n
N
6./O74-p-pire1.5
ence; .o4 J:ne • ..:
?.. ...... ..._
... . -.. . . . . . . ..I. .
.°, .... .. .- .. _ , ?
i ir.etly anur tn.t tm. is a irw ,na ewr.c+ np.s.nuuon a. luner ot tne eoune.n.s oi m. •eo.e a..oww una..ne or tnobe.us„ of
M brlldfnps, IMrwn. and tll rieiDle snCroacnmenN. ll anr. trom p on fai0 4nd. . .. . . . -_ ..- . . . .. .. - ' ' , -
4 ;.
M wKrhod Dy mw Inh /D ilh ear ol "a/C/I 1Y.M . !1 &&4j ne• ?.4 .[,l?.tj.?? 1LL.E,'
. .. . _.. . - '''• Ap. No 74B9O ? ?. . ?
..::? 0
•' CIT06
Y OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
Oi2 901?6(1161
BUILDING
025615
05/18/95
SITE ADDRESS:
P.Z.N.: 10-53601-020-02
DESCRIPTION:
PERMIT
4524 OAK POND RD
LOT: 2 BLOCK: 2
OAK POND HILLS ZND
,.
B,0"lding Permit Type
B`uilding War,k Type
: :.
?
GARAGE/ACCESSORY
ADOII'ION
it 7
REMARKS:
SEPARAI'E ELECTRICAL PERMIT REQUIRED
FEE SUMMARY:
VRLUATION
Base Fee
5urcharge
Total Fee
$63.00
$2.00
$65.00
$4,000
CONTRACTOR: OWNER: - Applicant -
ARMADA MICHAEL
4524 OAK POND RD
EAGAN MN
(612)454-3042
I hereby acknowiedge that I have read this application and state that the
i.nfiormation is earrect and agree Co comply uith all applicable State af Mn.
Statutes and City of Eagan prdinances.
?
APPLICANT/PERMITEE SIGNATURE ISSUED B. IGNATURE
.a
I
CITY OF EAGAN
1995 BUILDING PERMIT APPLBICATION (RESIDENTIAL)
681-4675
Naw ConsWctien Reauiremanta RemodeVReoair ReauiremeMs
? 3 registered stte surveys ? 2 copies of plan
? 2 copies of plans (inGude beam 8 window sius; pouretl tnd. deaign; etc.) ? 2 site surveys (extertor adddiorts 8 decks)
? 1 energy calwlations ? 1 energy calwlaUons for haated additions
? 3 coDres of Vea preeervation plan H lot platted aRer 7/1/93
rflquired: ,_ Yea _ No ? DATE: _15- /O ' 9S CONSTRUCTION COST:
DESCRIPTION OF WORK: /`td a S i/24l-e- C`u/' a7-7 oc% r' c?F aad°ra ye To (JX /5I?/," ¢ r
/ J
ST ET ADDRESS: ' ? ? ? y ??K ?D /+?D ?,D ?
LOT ? BLOCK SUBDJP.I.D. #: 0AK PoN,I) °I "r,/J' 416`?
PROPERTY Name: l//'/??a?G- /Yl/?.GtaeI Phone #: ?? L
OWMER ? ?l
5treet Address* 0/9K ,?/'??1e?q xz
Ciry: 1:AG?W State: ,/Z I// Zip:
CONTRACTOR Company: Phone #:
Street Address:
License #-
City: 5tate: Zip:
ARCHITECT/ Company:
ENGINEER
Name:
Phone #•
Registration #•
Street Address-
City: State: Zip:
Sewer & water licensed plumber: . Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that i have read this application and state that the information is correct and agree to comply with ail
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY REGhIIV` ItNJ
Certficates of Survey Received L Yes _ No MAY d 0 1994
Tree Preservation Pian Received _ Yes _ No ___ -- --
OFFICE U5E ONLY
BUtLDING PERMIT TYPE
o 01 Foundation a OB Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
a 04 SF Porch ? 09 12-plex
0 05 SF Misc. 0 10 = plex
WORK TYPE
0 31 New o 33 Alterations
j"2 Addition o 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Aw
? 11 Apt./Lodging o 16 ' Basement Finish
? 12 Multi RepaidRem. ? 17 , Swim Pool
69? 13 Garage/Accessory o 20 Public Facility
0 14 Fireplace ? 21 'i Misceilaneous
? 15 Deck „
0 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Planning Building
Engineering
MC/WS System
City Water
Fire Sprinkiered
PRV
Booster Pump
Census Code.
SAC Code i
Census Bidg ;
Census Unit ,I
?
y3?
ei
?
0
Permit Fee Valuation: $ y QO? w I °
Suroharge 6 ;
Pian Review
License
MGNVS SAC !I
City SAC
Water Cortn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge IIIII
Treatment PI.
Road Unit
Park Ded. II
Trails Ded.
Other
Copies
Totai:
% SAC °? .
SAC Units II
I
, , ?,, ..
- .r- ?N ?1INNESOT?1 VALLEY
? ^< SURVEYORS :?c ENGINEERS CORP.
. . . . ..Y-..y .
q ?-100/ EAST CLIFF ROAO ?QB NOflTNEA$T FWWTM STREET
, ?,? ., 4, :BURHSYILLE, MINNESOTA GRANO MRDS. MINNESOTA SS71? ?. W
PMONE: 161Z M7750 . • . .. . PHONE: RIBI 3264528
Cetii(icale of Survey for: ?mcle /Ie Ha o/'n
-
.. OAft POIVD
: - _ D
?.._S?z•_ - 157 52
r + ?' 1 V
? ,r....?•?-'
•_I. .
y ' ??.•?
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::?? ?'?-->. ?.
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s. ?£ ?/ `=r g3
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O Ucnot es f ron twmuieent
.. : -:AES:RIF"I'LON-
.. -•?! .
Let .2,. Bloek 2, ('AK POND
- •• HILIS 2ND 71DDITI[7i. , •g'?
'v
?
N ?
i?
(4" wil-e {ence; en•Z ne . - K ..
,.
i Mrrbp nrUlr tMt tnis Is. trw .ne c«ac1 nment,uon W¦ eur.er of tn• bound.rqf o1 tM abwe Onuftood Iane. ond ol lly beaMSl1 d
M brlldlnps. tlwwn. Snd aII viaime sneroacnmM+ts. n srry. Irom a on uiC 4nd.. .. . . . .. _ .._ . . . . . . . • • , ..-
A. wrwy.e er m. tm.?ar o1 Mafc4 tv$? • :"?; :l?eCar.t/?,C. ?,t,?1?c/.?? ?y„?;
- ' ..: .. . .. ''.'?.Ap. No 74B90 ;?E'•'
CITY USE ONLY
PERMIT #: ? -?) (? S (
RECEIPT DATE:
8002 PXSIDEPTIAL MECH4RICA1. PERMIT APPLICATION
crrYoF EAsAx
S$SO PII.OT HAOB RD
KA8AA MR 55122
651-681-4675
Please complete for. ? single family dwellings
townhomes and condos when permits are required for each unit
Date: ? - o, -6 - (2) a`
SITE ADDRESS: 45a
OWNER NAME: 5?`P? '?- Pc
INSTALLER NAME: 8umsville Heatinq & A/C, Inc.
12481 Rhode Island Ave. So.
STREET ADDRESS: Savage, MN 55378-1122
aTV:
STATE:
Place a check mark next to the permit work type
TELEPHONE #: ko 51 - L+ 56 ' S fl '
TELEPHONE #: cASa ' S-94"??1 S
ZIP:
? Add-on, modification or alteration to existin dwelling unit $ 30.00
• furnace replacement
? ? I? n ?
• airexchanger • D
air condi ?on ? ? ?
• other
.IIII 2 6 20
0
D
Nature of work:
By
State Surchar e $ .50
rotal s 30 - C?
P4 -
SIGNATURE OF ERMIT EE
t/oz
CITY USE ONLY
PERMIT #:
APPROVED BY:
INSPECTOR
RECEIPT DATE:
8008 COMMEfiCIAL MECHAftICi4I. PEgM1T APPLICATION
C1TY OF E46AR
3$30 PILOT KFOB $D
EAsM, Mv 55122
651-6$1-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
STI'E ADDRESS:
OWNERNAME: PHONE#: -
TENANT NAME (IIviPROVEMENTS oNLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
STREET ADDRESS:
CITY:
TELEPHONE #:
STATE: ZIP:
WORK T'YPE: New conshucrion Install U.G. Tank
_ Interior Improvement Remove U.G. Tank
_ Processed Piping
Specify Nature of Work
When instaUing/removing underground tank, call 651-681-4675 fnr inspection by Fire Marshal and
Plumbing inspector.
Fees: 1% of con4act price OR $50.00 minimum fee, whichever is greater.
Underground tank removal/installation = mi++im»m fee
Contract price: $ x 1°/a =$ (Base Fee)
State surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SIGNATURE OF PERMITTEE
Updated 1/02
RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
?-- -?? 3830 PILOT KNOB RD, EAGAN MN 55122
651•681-4675
New Construdion Reauiremenb RemodeVRewir Reauirements
• 7 registered site surveys shawing sq, ft, af lol, sq. 8. af house; and a0 rooted areas • 2 copies of plan
(20%maximum lol caverage allowetl) • 1 setof Energy Calculatians lor heated add'N'ons
• 2 copies of plan showing beam 8 window sizes; poured found desgn, etc.) • 1 sAe survey for exterior addi6oris & decks
• 1 set of Eicergy Calculatioiu . Indicafe'rf home served by septic system (or adtlitbns
• 3 wpies of Tree Preservation Plan'rf lot platted aRer 7/1193
• Rim Joist Detail Oplions selection sheet (Wdgs wdh 3 w less units)
DATE / - 2 7' b'c-
VALUATION ?O t9-4f?.; m?
SITE ADDRESS L'fSZt-{ Ofi<_ fi on J.??L MULTI-fAMILY BLDG _Y _(fi
TYPE OF WORK 7_ c-44? P- FIREPLACE(S) _ 0? 2
APPLICANT C, u ,k..J
STREET ADDRESS ) "J 3 2 S L onr m.Lrc e ?'0vt3 CITY ieD& (m2 S STATE /r'N ZIP
TELEPHONE #'7h3 <I z a?ccr? CEII PHONE #
FAX # '7G 3 ?I2 ? 882to
PROPERTYOWNER S1 6`I/C.' TELEPHONE#T,?l Qs(p sy!!
-----------------------------------°-----------------°-------'°-°-----------'--------------
COMPLETE THIS SECTION fOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOT:1 RULFS 7670 CATEGORY 1 MINNESOTA RULES 7672
(J submission lype)
Plumbing Contractor: ____
Plumbing system includes:
Mechanical Contractor.
Mechanical systcm includes:
Sewer/Water Coniractor:
Phone #
------°------°--------------------°-------°--•°--------°------------------------ ----°-----°----------------------
I hereby acknowledge that I have read this application, state that the infor ati correct, and agree to comply
with all applicable State of Minnesota Statutes and Ciry of Eagan Ordina ?e .
Signature of Applicant --- ? ?-- -
OFFICE USE ONLY
. Residential Ventilation Category 1 Worksheet Su6mitted • New Ener9y Code Worksheet Submitted
. Energy Envelope Calculations Submitted
Phone #
_ Water Softencr L,awn Sprinkles----
_ Water Heater _ No. of R.I. B?ith? ?? U r
_ No. of Baths I I I I 2 5 2007
tlir Conditioning
Hcat Recovery System
Gertificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? Ot Foundation
0 02 SF Dwelling
? 03 Ot of_plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 OS-plex ? 18 Deck
? 11 10-plex ? 19 LowerLevel
? 12 12-plex Plbg_Y or_ N
? 20 Pool
? 21 Porch (3-seaJ
? 22 Porch/Addn.(4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ent. Alt - SF
? 36 Multi
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 AddiGOn ? 36 Move Bldg. ? 42 Demolish (FoundaUon) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors
? 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) 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. _ Au Test _ Final _ Windows (new/replacement)
_ Insulation _ 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
Building Inspector
Copies
Other
Total
i
?k; k?g X< 100 :% 0 k; ** &Y,c * 0t V4 AYF 0 *M t«c
c:[ I"Y Qf- E:AGAN
CFl8H7E[?e MG t'E:RMTNAi._ 1`lC1e :45
DFlTF: 08/23/96 77:ME:;: 00706
zD -,
NAMG: M:f.t,'I-IACL AI:MALia
;ici.(] 9001 2..?e4 naf. F'Oh!T! tt i:`3=25
205 9001 2524 DAf: k'pNS? R Oa`i0
'intr:il Fieeeipt Aifioun+,?
CFi063259
l.1SER Ifi: MAI;1...4'NN
??Ch?*YF%k?>k1k?(7k7kk(#?k.'KX,.YF#(Xt '?.'9F %?>kYn7K#Mh?Y„ ?k:k?k?l'.S,'.%,'t;%?X>k
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT
PERMIT TYPE: B U I L D I N G
Permit Number: 028513
Date Issued: g g/23/9 g
4524 OAK POND RD
LOTs 2 BLOCK: 2
OAK POND HILLS 2ND
P.I.N.: 10-53601-020-02
DESCRIPTION:
EGRESS WINDOW/WALL
ermit Type MS5CELLANEOUS
Typs ALTERATION
434 ALT. RESIDENTIAL
ei? ? t ?rre ?? 5 ss?8a §4? g? as ?
n SSiEZ I 1- -^«' '? 2
a TM""
REMARKS:
FEE SUMMARY:
VALUATIOIV
Base Fee $29.25
Surcharge $.50
Total Fee $29.75
?
l
CONTRACTOR:
?
'I he?
i' i rr'# a
L 5tdti
$890
OWNER: - Applicant -
ARMNDA MICHAEL
4524 ORK POND RD
EA6AN MN
(612)464-3042
?
ISSUED B :4IGNATURE?
i- "?
f 3830 PIL'OT KNOB RDN 55122
1996 BUILDING PERMIT APPUCATION (RESIDENTIAL)
681-4675
New ConsWdion Requlramenls RemodeVRenair ReautremeMS ?
? 3 repistered ake aurveys ? 2 copfea ot pian
? 2 copks of plane (indude beam 8 window shes; poured tnd. design; etc.) ? 2 sila surveys (exterior additions 8 decks)
? t energy plculetions ? 7 energy caleulations tor heated additions
? 3 oopies of hee pesamation plan N bt platted efler 7/1/93
required: _ Yes _ No ? U
DATE: [l - c- y G> CONSTRUCTION COST:
DESCRIPTION OF WORP
STREET ADDRESS:
tOT ? BLOCK SUBDdP.I.D.#: nAK. P(5lV11 !J(LLS A.I dlek.
PROPERTY Name: _4R1411DIq M / Clll-le?- L Phone #: q5y
OWNER `°"T
Street Address• 445 a y 011K pt1N/? /eO
Ciry: ic?'State: Mlt/ Zip. S5/-2 3
coN7RAc7oR Company: ' Phone #:
Street Address:
City: State:
ARCHITECT! Company:
ENGINEER
Name:
Street Address•
City: State: Zip•
Sewer & water licensed plumber:
change are requested once permit is issued.
I hereby acknowfedge that I have read this appiication and state that the intormation is correct and agree to compty with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. ///Signature of Appiiqnt:
,
Penalty applies when address change and lot
License #•
Zip.
Phone #,
Registration #*
OPFICE USE ONLY
Certificates ot Survey Received
7ree Preservation Pian Received
_ Yes _ No
_ Yes _ No
wuc ? i 199s
OFFICE USE ONLY
BUILDING PERMIT TYPE
Ift A
0 01 Foundation o 06 Dupiex ? 11 Apt./Lodging o 16 Basement Finish
0 02 SF Dweiling ? 07 4-plex o 12 Multi Repair/Rem. 0 17 Swim Pool
n 03 SF Addition o 08 8-plex o 13 Garage/Accessory o 20 Pubtic Facility
0 04 SF Porch ? 09 12-plex ? 14 Fireplace P-?21 Miscellaneous
0 05 SF Misc. 0 10 _-plex o 15 Deck
WORK TYPE tn/aal
0 31 New o 33 Alterations ? 36 Move
0 32 Addition ? 34 Repair a 37 Demolition
GENERAL lNFORMATION
ConsL (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
USC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. N 3(_
Depth Footprint sq. ft. SAC Code of
Census Bidg i
Census llnit a
APPROVALS
Planning
Building ti-S Engineering
Variance
Permit Fee Valuation:
Surcharge
P{an Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W PermR
S/W 5urcharge
Treatment PI.
Road Unit
Park Ded.
Trails D'ed. -
Other
:Clfpies .
Total: ' °.
$
.
% SAC
SAC Units
CITY'O? IEAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-53601-020-92
PERMIT
4524 OAK POND RD
L07: 2 BLOCK: 2
OAK POND HILLS 2ND
PERMIT TYPE:
Permit Number:
Date Issued:
e.2 3mg??
BUILDIN?6
024417
08/23/94
DESCRIPTION:
B?iIding?.Permit Type SF PORCH
I,ui?d?a?g l?ork; Type NEW
,.,.
.i
.?,
)
?.
.)
`i•. 4 fi'
(7
?- ???????- ?
REMARKS
SEPARATE PERMITS ARE REQUIRED FOR ANY ELECTRICAL OR PLUMBING WORK
FEE SUMMARY:
VALUATION
Base Fee
Surcharge
Total Fee
$117.00
$5.00
$122.00
$10,000
CONTRACTOR: - Appiicant - 5T. LzC. OWNER:
PANELCRAFT OF MN TNC 17216628 0002179 ARMApA MIKE
3118 SNELLTNG AVE S 4524 OAK POND RD
MINNEAPOLIS MN 55406 EAGAN MN
(612) 721-6628 (612)454-3042
a
; I here'by ackrtoWlsdge that T ha•we read this ap-p2icati.ofi and state that tihe
, ihtot'mation is eorrect and a}ree to comply wi,th all applicable 3tate of Mn.
Statutes and Gity ofi Edgsti Ordirtataoes.=
07.
L
APPLICANT! RMITEE SIGNATURE ISSUED BY SIG TUHE
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
,71., t 1r„
$1 zz.,PD
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered sflXs'yV,?
o y of energy
calcs.
1 6
AU5
19994
COMMERCIAL 2 sets of architectural & str ctural plans, 1 se of
specifications, 1 copy of ene -e --------
alty applies: 1] when permit is typed, but not picked up by last working day of month
ff
whichrequest is made, 2) address is changed or 3) lot change is requested once permit
issued.
Date Valuation of work
Site Address: ?5 Z`{ C)AK r?bnOk
STREET SU1TE p
Tenant Name: (commercial only)
LOT ? BLOCK 2.. SUBD. ?Ti p-I.D. #
Descri tion of work:
7he applicant is: ? Owner FT Contractor ? Other (Oescribe)
Name ?r. ?b+°,_ Mi IZ'? Phone `/`Jrf - 3o`fZ
Property ?sT FIRST
Own21'
qddress 5_?r«
!k5 A!-?P?r
STREET STE #
City State Zip
Company Phone
Contractor Address `?i\`?i 5ti»?-i?-?i >4? , S• License #?'z« 1 Exp._];?
City State rt.A-} Z i p 5?5"Yo(?,
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
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.
Signature of Applicant: ?
/
OFFICE USE ONLY
B UILDtNG PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
11 02 SF Dwg. ? 07 4-Plex O 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
2? -04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. O 10 Multi. Add'1. ? 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 35 Tenant Finish
?T 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Foatprint Sq. ft.
On-site well
On-site sewage
APPROVALS
Planning
Engineering
Building
Variance
REQUIRED INSPECTIONS
? Site 0 Footing 0 Framing
? Wallboard FT Final O draintile
LL?
a/
i '
?--''
Jp-Insul ation
? Fireplace
Permit Fee vaimc;a,: g /'D?o C)
Surcharge
Plan Review License
MWCC SAC I
City SAC 1i
Water Conn. ,Y
Water Meter
Acct. Deposit ,
S/W Permit S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded. •
Copies ?.pp
Other
Total:
SAC % .
SAC Units ,
J. . ,,.
,I . .
I! ? 16 Basement finish
i ? 17 Swim Pool
i ? 18 Comm./Ind.
il ? 19 Comm./Ind. Misc.
II ? 20 Public Facility
I;i ? 21 Miscellaneous
i .
? 37 Demol i sh
ii
?i
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Censu? Bldg
Census Unit
Assessments
' A I I Irr1 Ya'419F r\e%eY 1 20,10? ^AMMeMA nIv
MINNESOTA VALLEY
.? . ?^.?
5URVEYOR5 & ENGINEERS CORP. F???TAU44<
1001 EAS7 CLIFF ROAD 809 NORTHEAST FOURTH STREET
?FhO'?S E?BURNSVILLE, MINNESOTA 55337 GRANO RAPIDS, MINNESOTA 55744 FF? ?
PHONE: (612) 890-7750 PHONE: (218) 326-6528
Certificate of 5urvev for: /V//C/12Il2 l70 Oh/7
OA K POND ROA 0'
15752 ??I 9'! N
S °N
?.
I
.??
?
" s
01--o:n0
ye '?' Ut;lty
Ease'Wenf {`1 ?10
o g
- x '#7 156.10
- `- 4"wire {e,9ce o17 1:,7e - x
?
?
N
4
o Ucno[es t.rnn monument
-:IEC :RIi";'ION-
I.of 2, P,locl: 2, OAK PCRID
ftILi.S 2PJD ADDI'I'SON.
I hereby cartify that this is a true an0 correct representation of a survey of the boundarles of Ihe above described IanC, antl o} the tocation ot
all buildings, thereon, and all visiDle encroacnmenls, if any, from or on said lantl.
As surveyetl bY me leiis_42 -day of /V/aI"Cq _1953. ?? pII&Id_`_ R.L.S.
. - . .. ` Reg. No .f 41-59-0.-.
7??._c
?r? ?
7s-??f ?j
3
?..__.
/rp,?? ?i
?/Fi
'?
°J(7EHIOR 'c'IVELOPE THERN1Al TRAN5411TTANCE
STANOARD WORKSHEcT
Site Address
ConcraCor N)o QTH C n QaYlZI? H n Mf_ R1 h? 6 LS Phone Oat_ ij?li
Buildina Type (Check One) iLy One anC rwo ramily Owe!ling ( ) Octier
rea ' )
Assr.nblv f$how calculatians cn ?aae 2 znE ?) (SaFt) U-Value I U< A I
( % of Total eiling . rea, zss ]kyugnt
5l
?3?
dZ
I
L8 I
Z
I nsulated Area Area Se^ Fia, i) r -
' ?
Framin Area (1O% of Total Ceilin Area, See Fi . 2) ? • dZs) 3. U I
0 Sk li hts (From Pace 3)
C I
? Other (Describe)
?i 1 Total: 35,10
2 Ave2ce U-Value, (UxA)/(A) Fram line 1 "y'"'"'"" I • ?Z 'K"""`
? (For Other Than ne ar.d Twa Family
I ?
3 Reauired U-Vaiue Owellinas See ASHRAE 90 - 75) **"*** .04
( '/. of Total Wall Area, Lzss Window and
-
?
Insulated Area Ooor Area, Sea Fi . 3) Z
Framin Area (10% of Total Wall Area, See Fi . 4)
indavz (From Paae 3)
1 I
?***k
'?? (
Ooore (From Pa e 3) )Aqj2 ` I ZZ I
im Joist A.ea (See Fia..5) •o4 I 5' Z- I
Fireolace Wa11
? Foundation Wall (Abave Grade, L_ss Windaw Area See Fia. 6) I Z 4 1 I l?to•
W " -7' b v I
Windows (From Paoe 3)
oundation
1 I I
Pther (Desc'6e) I
ther (Deacribe)
I
I ' I
b
lo I 2 3,q[
a Touls o .
5 Ave2ae U-Value, Nw1l/lA> 4om Line 4 A'L '"""Fk
(Far Other Tnan ne and wa Family I
? 6I Reauired U-Value Dwellina 5e° 'aSHRAE 90 - 75) .19 **?**
i
?
If Line 2 is greater than Line 3, ar Line 5 greater than Line 6, comolete the fallowing ta detertnine i
dltemative U-Value ;or total eMericr mvelooe,
? 7 Area (Line 1) +Area (Line 4),
o i
? S I UxA ;line 1) + Ux4 (line 4),
I
? I 9 I Area (L'ne ') x U-value (Line 3) x = I "**'?`?' !
I I I
w 10 ?'?'"'?
Area (Line a) x U-`/alue (Line b) _ x =
I I
' 11 I
Line 9= Line 10
"8udae!"
r , I
?
If Line 8 is greater chan l;ne 11, alter assevnblies zs reauired so ! ine d does not exceed line 11.
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otal Asstmbl i erma e5i5tance
ssemb -Va ue (/) rrcer on Pace
, • ?C?_Z
ssemh Area
atvia escri e
_ L. , . 6d'P:l.?:.iG arS U?
iccness -
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NSvI-; 4!/z iCt'.0
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xterior Air i m -Value ee aae
ota Assem 1 erma esistance .
ssembl -Va ue f 1 nter on a e Z,
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01y Z74-
sseme Area 4nq
ateria esai e iickness - a ue
Lp ns c. _g L-Ko r Z" Z•3
ncerior Air i m - a ue ee a e 1
erior ir ilm - alue ee a e
ara szem6 pma esisiance ,{
ssemo -va ue U/K) ntc on aae
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stemo U-Va ue ( ) nter on aae I
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eria Air i m - alue ee Pace
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ssem v U-Va ue ( ) rner on aae
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sseme v -Va ue (1/ ) nter on aae 1
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SKYLIGNT, WINDOW AND DOOR ASSEMBLIES
-Va ue
Sk1i ht Manufacture Manufacture No. No, Used 7atai $ish Aree (A) .R-Value U=1/R U x A
. ? _ . `_ , 4f5
n t.- ? 5• ??f3 ,-7
Totals Enter P aae 1 XXXXXX XXXXXXXXXXX XXXXXXX - XXX X XXX X
Windows
Manufacture
Manufacture No.
No. Used
TaUI Sash Area (A)
R-Vatue - a ue
U=1/R .
U x A
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Paae 1 YXXXXX
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SINGLE FIMZLY DiIELLIBG5
1989 BOILDIAG PERMTT APPLICATION
CITY OF EIGAN
lATLTIPLE DiIELLINGS
COMSfERCIAL
2 3ETS OF P49NS 2 3ETS OF Pi.iNS
3REGISTEAED STTE SURVEYS BEGISTHAED SITE 3DR11EY5 -
1 SET OF EIiERGY C9LCS. (CHECH ftITH BLDG DIV.)
1 SET OF EAERGY CALCS.
MULTIPLE DWELLINGS AENT9L DNITS FOH SAI.E DNTTS
2 SETS OF ARCHISECTURAL
6 8?80CT[TRAL PLiNS
1 38T OF SPECIFICATIONS
1 SET OF EPERGI C9LC3.
/ OF DliIT3
90TEt 1DDRESSES FOA CdRNEif LOTS - COP1'RALTQR/HOMEONNEH lID3T DESIGNATE iiSICH iDDRFSS
IS DFSIAED. NO CHAtiGFS WILL HE ALLOWED ONCE BUILDING PEHMIT IS I33DED..
3ENER 8 A9TER PERMIT FEES 6HD ACCOUNT DEP03IT FEES idILL BS I1ICLODED iIITH THE BOILDIN(i
PEEMIT FEE. PROCFS3ING iIHE FOR SEWEA AAD iiATER PEAM(ITS IS TWO DAYS ONCE A PERMTT H?S
HEEB COMPLETED INDICATING ! LICENSED PLUlBER.
PENALTY @PP[.IES HEENt PERMIT IS NDT PAID FOR IN SAME MONTH IT IS REQDESTED.
LOT C9@NGE IS AEQIIESTED ONCE PERMIT IS ISSOED.
JLIL 2 1 1989
To Be Used For: inG ' dwlrn I Valuation--*?
J
5ite Address # frD? OFFI?
Lot ? Block
Parcel/Sub 6?xK FbND OLS o2rno?/?o?
Osmer IlIClfM}CC. Z ? y?on/n/E- /V9, ,4fjX IV
iddress S? Qf]e ?'?JNi7
City/Zip Code G/16/}?j /VlN • S 5/Z ?v
Phone
Contraetor w/ u POOIS
Addreas
City/Zip Code&rNSrrlle, rr/W
Phone afy/1186
Arch./Engr.
Address
City/Zip Code
Phone R
Date: 7` 20 - 18 q
Oceupancy FEES
Zoning
Actual Const Hldg. Permit JZ(..00
Allowable 3urcharge 51 Sp
4 of stories Plan Aeviev 3,Do
Length 3/ / SAC. City
Depth SAC, MWCC
S.F. Total Ylater Conn
Footprint S.F. Water Meter
Aect. Deposit
On site sewage S/N Permit
On site rrell S/W Surcharge
MWCC System Treatment P1.
_
City rrater _ Road Unit
PHY required _ Park Ded.
Booster Pmp Copies
_ soaTaraL
epraovAts Penalty
Planner TOTAL C ./
Council
Sldg. Off.
Varianee
t
?
t
. . . , . . . ? .. . . . .
. ., ? . .. . ,... .. . .. . .. .:_ . , ... , :... . . : ..:?. __ ,.. w.,:,:.. ?
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?vc: , n>nro.nY-hC?(•?d;;<d.4.a?m.?hOi , d`, . . . ,q"r,n ?
G:f.TV OF EACFvN
CAEiN:f.l_l;:e S `fi"_F.MINr^!... NO- 78.?
nAri-:- H?23/98 rIMr:::,: H:1910:3
?z? ..
Nr?Hi:_:, Mr;a= nRr<ADaa
38i.". 9370 4524 f;AE'. f-'CiNi) f.: 895.,00
32i.t 9279 4524 r1A-:. I::.O;.iD F. 860,0tl
'Or?(:. ?.
.Ji..
J
ia:?lO' _,L.._.?l '1
?..JOi?#
[)r????.
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807.00
98617 9220 4524 trA`. F'l7fJD I1 4.k.tr.00
':ii'% 54220 45?_4 GA: 4U"!Li R t1;..00
e2=:?2 9220 45R4 Onic PoN:o =; 3000
3713 9220 +.sea Ori: Pr.ar!:u F, 50.00
3743 _?2'.r.0 :524 i:lA!: PONs] It 50.00
i.'i.:'i;; 9001 4524 pr:i: i"OiJ1'; R 1..UU
3f l.r 9001 1524 Cqi:: PnNXi 'r'. 20,0(}
TC!t'..-i. l F'PC C?:i.p+ A"1ouY ti;;: 3q67.',.(1(1
r,R0996,:,6
USf:::h £I7;; NAIarY
0 :Ku:",<?:? Yi;%k$cik?Xkt:M:#yFynRi Pt:>k:i'>kV% ?"<* ;'h 01 ??44 .s,'^r',;ik>'f.•1„? * ?k
Lot Block -?- PID #
JPlac OAK i"o ?1-L, A4L?S Z J"
CITY
1998 SEWER AND WATER CON
EXISTING RESI
Connection &
Lateral efit @ 21.30/ff $
Trunk G7a $8 nnection
SAC 1,100.00
Date paid
Receipt #
AccouM deposit 15.00
Sewer permit & ge 50.50
Su6total
permit & surcharge
(a3 $21.50/ff
Tnuilc @ 95/connection
5upply & sto e (WAC)
Date paid
Receipt ,
Tent plant
W
ter meter
A
Waber 7uncot deposi
pe ? surchazge
e
permit & surcharge
Total
J Sewerand
Latecal Benefit @ $2130 and/or $21.50/ff
Trunk @ $860 and/or $895/connection
SAC
Date paid Receipt #
Supply & storage (WAC) N
Date paid Receipt #
Treatment plant
Water meter
Account deposit
Sewer and water per
Subtotal
Plumbing permit &
Total
?00-6F1
/
807.06 444.00
111.00
30.00
100.50
?') D L17.5?
20.50
v
S
807.00
444.00
111.00
15.00
50.50
$
20.5?
S
io
381? R
381?-G3?9
OFFICE USE ONLY
Property owner
Address
M \'
? a y 0a.w,
Phone number
{f s y - ?5o 4z-
f
4q G I-
.
Plumber C-
Sewer /water permit t! -3 y 10 2)
Date Illo23 T Receipt # % 7&6(le
EAGAN
;TION 8 AVAILABILITY CHARGES
JTIAL PROPERTY
&
?
PRV required
Number of taps
Availability $f_Z 5Z,
a9 ?
s(3 dLj?-rtd
City financed
L.ot Black
Plat
p[D q Sewer /water permit #
- - . '.
Date Receipt #
CITY OF EAGAN
1998 SEWER AND WATER CONNECTION & AVAILABILITY CHARGES
EXISTING COMMERCIAL PROPERTY
Sewer Connection & Availability Charges Water Connection 8 Availability Charges
Lateral benefit @ 2130lff $ Lateral benefit @$27.15/ff !$
Trunk @ $1,790/acre Tnmk (a3 $1,875/acre
SAC @ $1,100/unit Supply & storage (WAC) @ $2,955/acre
Date paid Treatment plant @$444/SAC unit
Receipt # Water permst & surcharge 50.50
Sewer permit & surcharge 50.50 ;
Subtotal ' $
Subtotal $
Plumbing permit & surcharge " 25.50
Plumbing permit & surcharge 25.50 '
Total $
Total $ '
Sewer and Water Connection & Availability Charges
Lateral Benefit @ $21.30 and/or $27.15/ff $
Trunk @ $1,790 and/or $1,875/acre
SAC @ $1,100/unit ,
Date paid Receipt # I?
Supply & storage (WAC) @ $2,955/acre '
Treaunent plant (rt? $444/SAC unit j
Sewer and water permit & surcharge 100.50
Subtotal $
Plumbing permit & surcharge 25.50
Total $
The number of SAC units is determined by the Metropolitan Council Wastewater Services (602-1000).
_____--____----____--------------?----------------- - O ?--------------__-----_
? T FFICE USE ONLY
Property owner PRV reguired
Address Numbec of taps
Phone number
Plumber
Availability 9
City financed
CITY USE ONLY [}p?
L? BL/? ?- RECEIPT#: I`(oO CO
SUBD. lX? ?J?kB? RECEIPTDATE: 9 'R'
1998 PLUMBING PERMIT (RESIDENTIAL)
Please complete for: D single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping OutlEt ' minimum -1 3.00 x =
Rough Openings 1.50 x =
Water Softener `for dwellings under construction 5.00 X =
Water Softener ' for existing dwelling 20.00 x =
U.G.Sprinkler "fordwellingunderconst. 3.00 =
U.G.Sprinkler `forexistingdwelling 20.00 =
Alteretlons ' to existing residence 20.00 =
Water Turn Around ' 20.00
Private Disposal System * MPC iic. 75.00
=
(new and refurbished systems)
Private Disposal Systems "A6andonment 20.00 =
RPZ (new installation only) 20.00 =
STATE SURCHARGE .50
TOTAL
------- ------------------------------°-------------------------------------
I here6y acknowledge that I have 2ad this epplicstion, stste thst the information is cortect, and agree M comply wiM all appliceble City of Eagan ordinances.
It is the applicanCs responsibility to notify the property owner that the City of Eagan assumes no liability for any tlamages ceused by the City during its
nortnal operational and maintenance activities to the facilRies constructed under this pertnit within City property/right-of-wayfeasement.
SITE ADDRESS: -7??Y (?A I? Pf5 Nd /e Q
OWNER NAME: M/C t?J`1EL ?IZH/li?}C?7?
INSTALLER NAME: C•? SP r' c/lCe s TELEPHONE #: 7l ?- .?afy ?
STREET ADDRESS:
CITY OF EAGAN
3830 PILOS KNOH RD
EAGAN,
t?7 55122
(612) 681-4675
/? / ?/
CITY: ? L ?l
? e J r I! STATE: ? N ZIP:
CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1998
OF
3830 PILOT KNOB ROAD, P.O. BOX 21199
EAGAN, MINNESOTA 55121
PHONE: (612) 454-8700
October 22, 1984
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
CANADIANA HOMES OR
LVORTH COUNTRY HOME BLDRS INC
127 E COUNTY RD C, STE 4
LITTLE CANADA, MN 55109
ATTN: MR JACK MOXNESS
`Re: 4524-Oak-P-ond _
_ROad
Dear Sir:
?
8EA BLOM9UI5T
Mayor
THOMASEGAN
JAMES A. SMITH
JERRV THOMAS
THEODORE WACHTER
Council Members
THOMAS HEDCES
Ciry AtlmlMSrraror
EUGENE VAN OVERBEKE
City Clerk
91S
As a builder of dwellings, you should be aware of the State laws
relating to dwelling construction in Minnesota, especially the
seven-county metropolitan area. The Uniform Building Code, Section
305, is quite specific on inspections that should be requested
-from the inspection department and what is necessary by the
rbuilder for the inspector to properly make the inspections. This
was not done at the referenced dwelling and our inspectors have
not been able to do their work properly due to your complete
disregard of the Code procedures.
I was able to make an attempt at a final inspection Friday,
October 19, 1984, 11 months after you permitted occupancy and I
was amazed that there was a problem with a leaking roof due to
poorly installed flashings at the chimney and the three skylights.
Those areas should have been and must be weatherproofed as per UBC
Section 3208 and 1707 B and 1707 C. Because the leaks have not
been adequately repaired, it is possible that deterioration of
insulation and the gyp board has occurred and must all be replaced
in addition to reflashing the problem areas. Code Violation #2 is
UBC Section 3306 K and 1711 which require no more than six-inch
spacing between intermediate rails. This zequirement has been
omitted on the handrail to the basement. Code violation #3 is UBC
3707 K, fireplace hearths which are to be supported by noncombust-
ible materials. The hearth on the furnace side still has the
plywood form in place and should be removed.
THE LONE OAK TREE. ..THE SYMBOL OF STRENGTH AND GROWfH IN OUR COMMUNIN
? .
4524 OAK POND ROAD
OCTOBER 22; 1984
PAGE TWO
The listed violations must be corrected immediately and this
department notified and the required inspection made. If this is
not taken care of immediately, I have no choice but to issue a
citation.
Sincerely,
Dale S_ Peterson
Chief Building Inspector
cc: Parcel File
DSP/kf
t
v Y
"MM citV oF cagan
3830 PILOT KNOB ROAD. P.O. BOX 21199 BEq BLOM9UIST ,.
EAGAN, MINNESOTA 55121 nnayar
PHONE: (612) 454-8700 itiOMAS EGAN
- JAMES A. SMITH
JEfMV THOMA$
_ THEODORE WACHTER
Council Membars
OCTOBER 25
1954 THOMASHEDGES
, ? City AGmlrtlsiroiw
EUGENE VAN OVERBEKE
Citv Cler4
MR. JOHN RASK
? 4520 OAK CHASE WAY
EAGAN, MN 55123
D
M ??,? P6 ?
ear
r, Rask: L d,?, a
'
µ
j I S
It was refreshing to listen to a craftsman who places quality above quantity
in the building trades. For your information, the home at 4524 Oak Pond Road
was a dwelling built by a builder that I am ha ving a problem with. The
quotation that yau were asked to provide by Mr. & Mrs. Haglin was requested by
the Haglins on recommendation by their attorney, not this department. The
Haglins do not want the builder ever to set foot on their praperty again and
are Nilling`to sue to get repayment for repairs.
Thanks again for the use of your son's house model. I would very much like to
meet you so why don't you stop in at City Hall for a cup of caffee and observe
the department on one of your aff days.
Sincerely,
(::; M62-?
Dale Peterson
Chief Building Official
DP/js
THE LONE OAK TREE...THE SYMBOL OF STRENGTH AND GRONRH IN OUR COMMUNIiY
?ra?s
Permit Ap
City Of
3830 Pilot Knob Roa
Telephone # 651-675-567°_
MECHAIVICAL
Eagan Mn 55122
FAX # 651-675-5694
Please complete foi: Single.Family Dwellings
Townhomes and Condos when permits aze required fa't each unit
Date 9??, 6 3
?
Site Addres44?y ?
?? 2!n
?.?'.?_? / Unit #
ctc
ProperTy Owner _S&I i'c
- Telephone # (&S-/
Contractor gyrnsvillaHeatin
Ins
& MC
l -
g
,
.
12481 Rhode Island Ave. So, i
l
i
Street Address Sauage MN 55378-1 122 l City
State Zip II
ir Tetephone# ('?a )A /y??,aS
The Applicant is _ Owner ? Contractor Other
Add-on, modification or alteration to existing dwelling unit II $ 30.00
? furnace replacement
air exchanger
A&0- air conditioner
other ?I
Stafe Surcfiarge
IIII
? $ .50
Total :? - . -
i $ ?
LL
? 16y__.__.___. _-i
I hereby apply for a Residen6al Mechanical Pernvt and acknowledgg that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with ihe Mechanical Codes; that I understand Hus is not a
pernut, but only an application for a pernut, and work is 4ot to star`t without a pernut; that the work will be in accordance with the
approved plan in the case of work which requires a teview . ?nd appro'val of plan
Applicant's Printed Name li Applicant's Signature
MECI3ANICAL (COMMERCIAL)
Permit Application
City OfEagan
3830 Pilot Knoh Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: commercial/industrial buildings
multi-family buildings when separate pertnits are not required for each dwelling uni[
Da[e i
Site Address Unit #
Tenant Name (iTapplicable) ? Previous TenantName
Property Qwner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
The Applicant is _ Owner _ Contractor _ Other
Work Type ?
Newconstruction UndergroundTank _Install _Remove
Interior Improvement Call for inspection du ring installation/removal of tank
Processed Piping
Nature ofWork:
Permit Fee $50.50 Minimum Fee (includes State Surcharge)
Contraa Value $ x 1% _ $ Permit Fee
• If permit fee is $1,000 or less, add $.50 => $ State Surcharge
If permit fee is over $1,000, add $.50 per
$1,000 Permit Fee .
$ Total Fee
1 hereby apply for a Commercial Mechanical Permit and aclmowledge that the information is wmplete 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 1 understand this is
not a permit, bot 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.
Applicant's Printed Name
Applicant's Signature
Approved By: , inspector Date:
'" - MINNESOTA VALLEY
SURVEYORS :&:ENGINEERS-GORP, t .T
a -1001 EAST CUFF ROAD ?-e09 NORTHEAST FOURTH STREET
. ? , , . BURNSYILLE, MINNES0IA 551.17.,_,..,,_:_.,.? . GRAND RAPIDS, MINNESOTA 5571? . . .
_ PHONE: (612) 5W7150 PHONE: Q1813264528
, Csrtiticple oi 5urvey for:'e tIe Hao%n? .
OAh' POND ROA rJ
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g_94% 08-19-94 01:47PM P001 #06
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118445
Date Issued:11/01/2013
Permit Category:ePermit
Site Address: 4524 Oak Pond Rd
Lot:2 Block: 2 Addition: Oak Pond Hills 2nd
PID:10-53601-02-020
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Aleksey Burlakov
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 -
Stephen D Swazee
4524 Oak Pond Rd
Eagan MN 55123--198
Diamond Cut Homes Inc
965 Evergreen Tr
Circle Pines MN 55014
(612) 868-9460
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA128222
Date Issued:10/30/2014
Permit Category:ePermit
Site Address: 4524 Oak Pond Rd
Lot:2 Block: 2 Addition: Oak Pond Hills 2nd
PID:10-53601-02-020
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 by law in ALL single family homes .
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 -
Stephen D Swazee
4524 Oak Pond Rd
Eagan MN 55123--198
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(130) 651-2644 X777
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
r----------------i
I For Office Use �
. � // /'
� Permit#: ° -�' �`7'�� ,� .�
Clty of ����� � � �
, �--
� Permit Fee:�� � C--'� (
3830 Pilot Knob Road j i
Eagan MN 55122 � Date Received: �
Phone: (651) 675-5675 � �
Fax: (651) 675-5694 L Staff:______________�
2015 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: �oZ �-�Site Address: �.��� ��`' ! °`� � /r-�
Tenant: Suite#:
� ,� - �
� �`�� � � Name: �Pl/� Phone: �� ~ S 6 :��/�,�
�� 5 �3��;
# Address/City/Zip: �� � v�/� �O L1G! /`-�`
� �]� _1 /� /_ n/�,,
-��- � g '��� Name: 9� c �%�fl�'-. 7 ` /��``%il License#: !// ' f-�i5� 7 7�
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4 �� Address f//� ��fG�/^�'V�F' �/'l/� City: ��`�-'
' o�#r � -� ��- 335-�
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' Contact: ��'�� Email: �l�� �<� `fl�- ev�cEJ u-C4'ST= ��fi
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������� � � '~ New Replacement _Repair _Rebuild _Modify Space Work in R.O.W.
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��* � =' Description of work: ��S Izi// /aE'-� �B��e/ �Cfu� ��� hP�� �.'�-
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� 4 -� �' RESIDENTIAL /l/eu!/o c�fi-�'�
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�`� � £ �Water Heater
� j Water Softener
� Lawn Irrigation�RPZ/_PVB)
�� Add Plumbing Fixtures�Main/_Lower Level)
,�� � - � T � Septic System
'e.."'#�� s � "` -+-
� �� �,#� �,, _New Water Turnaround
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;,�y, _Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge)
$60.00 Lawn Irrigation (includes$5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes$5.00 State Surcharge)
'�Water Turnaround (add$200.00 if a 5/8"meter is required)
$115.00 Septic Svstem New($10.00 per as built)(includes County fee and$5.00 State Surcharge)
TOTAL FEES $
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.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and k is not to s �t without a permit; that the work will be in
acc d ce with the a proved plan in the case of work which requires a review an pprov plans.
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA129617
Date Issued:02/27/2015
Permit Category:ePermit
Site Address: 4524 Oak Pond Rd
Lot:2 Block: 2 Addition: Oak Pond Hills 2nd
PID:10-53601-02-020
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 by law in ALL single family homes .
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 -
Stephen D Swazee
4524 Oak Pond Rd
Eagan MN 55123--198
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(130) 651-2644 X777
Applicant/Permitee: Signature Issued By: Signature