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4701 Oak WayCITY OF EAGAN Remarks Addition 17T$NNA [annDS Lot 1 Blk 2 Parcel 10 81950 010 OZ Owner Street 4 7 01 Oak Way State Eagan. MN 55122 2126 Pin Oak Drive Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. IDIp. 1981 .2834., 45 293.45 10 STREET RESTOR. GRADING ? ?% 587.73 _58. 77 10 SAN SEW TRUNK 1973 129.78 $ S 15 SEWEfi LATERAL ' S( * WATERMAIN * WATER LATERAL * WATER AREA 1981 ZO * STORM SEW TRK 1981 lO * STORM SEW LAT 1981 10 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK ---?-?'? CITY OF EAGAN ? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Fieceipt?t To be used for Est. Value Date Sfte Address Lot Block Sec/Sub. Parcel No. s Name ; Address ° Ciry Phone ¢ .o Name ? ` Address ? City Phone a W Name W = Addre4 n W CitY- I have read this application and state t and agree to comply with all appNcable s and City of Eagan Ordinances. Signature of Permi A Building Permit is is all work shall be done OFFICE USE ONLY On Site Sewage _ Occupancy MWCC System _ 2oning On Site Well _ Type of Const City Water _ (Actual) (Allowable) # of Stories Length Depth S.F. Total Footprint S.F. FEES Permit 13-5t0 Water/Sewer _ Surcherge ' Police _ Plan Review ' Fire _ SAC, CftY Engc _ SAC, MWCC Planner _ Water Conn. Council _ Water Meter Bldg. Off. _ Road Unit APC _ Treatment P1 Variance _ Parks Copfes TOTAL on the express condition that nnesota Statutes and Ciry of Eagan Ordinances. ' Parmit No. Permit Holder Date Tslsphone it Plumbing , - ? H_V.AC. X-, Electric e, ° 6efterter 7IS Inspection Date Insp. Commants Footings i ? 1 Footings II Foundation Framing ? 7 ?.?9. ser- c.??«fi•?nr c? Roofing Rough Pib Rough Ht Isul. t Fireplace Final Htg. 74 Final Plbg. 81dg. Final cert occ. Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. I:'. M1 PERMIT # .q • . MECHANICAL PERMIT RECEIPT # CITY OF EAGAN ` `3830 PILOT KNOB ROAD, EACAN, MN 55122 DATE: 7?? 7 ITRACT PRICE: PHONE: 454-8100 Site Address -70 BLDG. TYPE WORK DESCRIPTION Lot ?' - Block -?- Sec/Sub Res. ? New ? -.,, . Mu Name E%V `S ?!/T6. l?? lt. Add-on Comm. Re air ?u Addre, P / E, cCi?r ?Pv- P c City ?R?v1 Other Phone ? -09% FEES Name ,U 5 .641o,fS, RES HVAC 0-100 M BTU $24 00 c Address . ADDITIONAL 50 M BTU - . - 6.00 3 p City F?L- ? 4 {?7 « Phone Z . zIZ z (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION ) GAS OUTLETS (MINIMUM 1 PER PERMi 1 5 EA - n - . . 0 TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air CQ M BTU APT. BLDGS. - COMM. R,4TE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 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 # 1 ? BEYOND $1,000) Other FEE: :7 n?? ? / L1 ri ? _ . _ ? ? . S G S/C: I NATURE OF PERMITTEE TOTAL• ? 6•Od FOR: CITY OF EAGAN PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 Site Address Lot ? ? Name / ? Address c City F4.0 r L y Phone ? Name 3 Address O City Phone FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1.000.00) FOR: CITY OF EAGAN PERMIT # RECEIPT # DATE: o ? BLDG. TYPE WORK DESCRIPTION Res. 14_ New ? Mult. Add-on Comm. Repair Othe r RES. PLBG. ONLY - GOMPLETE THE FOLLOWING: NO. FIXTURES TOTAL ?Water Closet - $3.00 ,v.i.r8ath Tubs - $3.00 ---? -Lavatory - $3.00 -,/_Shower - $3.00 -?_Kitchen Sink - $3.00 - Urinal/Bidet - $3.00 _-J--Laundry Tray - $3.00 -.;L,_Floor Drains - $1.50 - _?_-Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outiets - $1.50 (MINIMUM - 1 PER PERMIn Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough apenings - $1.50 3 7, FEE: STATE S/C: GRAND TOTAL: ' " ? f (ger#ifiratip of (IDrrupttnry Citp of (Eagan Erparbttrnt uf liullbing Jnsppriinn This Certrficale issued pursuant to the requirernenu of Section 306 of the Uniform Building Code certifying that at the time ojissuance this structure was in compJiance with the various ordinances of rhe City regulaling building construction or use. For the following.• lke (.'lu. ifinu. MICiE'R Blda. Flimit No. ' ;510 ' I x S Occuper.7' fy'pe - Zoning Dislrict Type Canst. ''i ' ?iT??}1?Z ?:' k,77. ' :=' tx: v.. A.V. OwnttofBwlding .. . . Addrm Buiiding p,ddress Laaliry T 1 •;Y,- _7, '?'?l Dau: Buildin; Officirl POST IN A CONSPICUOUS PLACE CASH RECEIPT . CITY OF EAGAN ' 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ? DATE 19 _ eacervee FROM AMOUNT $ ( -V & DOLLAR: ?oo ? CASH [DCHECK FOR ? . ' H -1 i..: ? C_?"-? L.l)cL BY ` ? White-Payers Copy Yellow-Postiny Copy Pink-File Copy Thank You BLDG. PERMIT N0. . I i „? (yt . C. yr'?-aV I ?.• 01-3210 ?j j : %t; Bldg?. P?e'rml 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 Permi 20-3743 Sewer Permi 79-3866 Sewer Conn. 11-3855 Park Ded. TOTAL CASH RECEIPT ? "CITY OF EAGAN " . ' 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 OATE ' RECEIVED ' 9 RROM AMOUNT $ I ? CASH ROR ?-1 <-) s r? a tt 1_k zat Q DOLLARS ?oo CHECK ? AUND CODE AMOUNT , I •I 1 Thank You BY White-Payers Copy Yellow-Posting Copy Pink-File Copy GOLD COPY PERMIT RELEASE FORM PERMIT # _ggm ? ADDRESS /-'t -7 c,{? [A-, PICKED UP BY ? ia? CITY OF EAGAN 3830 Pqot Knob Road P.O. Box 21199 Eagan, MN 55121 Ownqr. - - .~ Address: Site Addr agree to CvmpIy wRn pM CNy ol Eagan of Insp.: CITY pF EAGAN 3830 Pilot Knob Road P.O. Box 21199 Eagan, MN 55121 Site SEWER SERVICE PERMIT ! PERMIT NO.: ? '' `'• 1 `' . ? DATE: No. of Units: , Connecdon Charge: 52 5, 00pd Account Deposit: - I 5• 0nnd , Permlt Fee: 1(1. QOnd Surcharge: Misc. Charges: ?RjnA7 ry 1 r nn 1 Permit No:_ Meter No: _ Reader No: Plumber. icritaste Plualbins. Conn. Chg: 52 5, t?ppr] Acct Dep: - •o P!' Permii Fee: 10• oaP4 Surcharge: • 50 d Tr. Plant 1 ? ? • ??-?Pd Meter. b -17 Misc.:- !?.l)up„ Penalty Zoning: _ No. of Units: - • --;.,..- -,- " -A oate: 7__ 14 _,;' 7 Size: Date: I2I I agree to comply with the City af Eagan Ordinances. WATER SERVICE PERMIT CI?Y OF EAGAN Permit No: Date: 14-8' 3830 Pllot Knob Road Meter No: Size: gi+ P.O. Box 21199 Reader No: e) Ve 77 Dat? ,7?1 -8? Eagan, MN 55121 Owner. :??: i_:, : 1- ',i. :,•?; . SiteAddress: Qak 1•:av ;.J- - =F . ?,? ?a ?r MI( Conn, Chg: Acct. Dep: •'Ntoie diggingcaff 10mIdtbifitied Permit Fee: - ? • VF1i Eb hArur F?'fRlC - M EtC. Surcharge: •-' '"i ?Aaiee ta,cpp?ply with Ihe Cfty of Eagan Tr. Plant Ly Meter. _ x. Misc.: / • ??+?D?? L enalty By WATER SERVICE PERMIT REQUEST FOR ELEC7RICAL INSPECTION -T ? ' Sea instructions for completing this form on Oack ol vellow ropy. ?41949 "X" BeloW Wa,k Covered by This Request Nlev4Addj neo. Tvna oi auiidine AOPlia..ee wiree EpuipmeN Wired Ilk- Home Range Temporary Service Ouplex Water Heater Lightin,y Fixtures Apt. Building Dryer Electrie HeaLn Commercial Bldy. e( Fumace Silo Unloader Industrial Bldg. Y, Air CorMitioner Bulk Milk Tank Farm th«r oeci v Olhor ISner.ifyl t er ucci Y ther Othor ' COTn!/1P. IIISOPCtl011 FAA BPIOW # Fee Servfce EntranCeSixe fl Fee Feeders,5ubienders b Fee Circui?s 0 to200Ams 0 to30Ams atn30Am Above 200 Amps 31 to 100 Ainps 31 to 100 A s Swinttning Pool Above 100-Amps Above 100_AmUy Transformers rngationl3ooms Pertial.OtherFee Signs Special Inspection $ TOT FEE Hem?.ks ?j ?4Q flou6n-in InsOec?oq herah cartily that the ahove Finai ?? ?` 3?7 Insaeetion nas eeen mede. Thle request void 18 montlre irom This request void (?:/?7/,?7 18 months 6om . 419 4 9 I L 75Z7fLe? ;31 ?3j "?_,?, Reqoest Data 6 -13--87 Fire No, qouph-in Insoection Requrted? fleady NuwBWill NplitY. Inspec- CI to Wh R ?Ves ?No r en eatly g Licensed ElecVical Convactor I hereby raquestinspaciion otebove ? Own¢r eleelrical work installed al: Street AdAress, Box or Route No. City q 701 Dgk uiny FA69N ecUOn o. Township Nama or No. Range No. County Qyhor? OccupantlPRINTI Phone No. Naamsr'st y3,? - r z r z Power Supplier Address 4?k??' E?f ?rR.c- F?mi.vcre•,? EleCVical ConVaclor (COmpany Name) Conrcactor's License No. 6 9 sTE2 SLFcT/t/c Lo Mailinp Address IComractor or Owner Making Instauationl 143,50 GHrPPRivD.9i-E I¢vf' ?'••- Auth ized Signature ICOntractor Owner MakinB Installationl Phone Number ? MINNESOTA STATE BOARD OF ELECTqICITV TMIS INSPECTION NEQUEST WILL NOT Grip9B•Midwey Blde. - Moom N•181 BE ACCEPTED BY THE STA7E BOAFD 1821 UniversilY Ave., SL Paul, MN 56704 UNLE55 GFOPEN INSPECTION FEE IS Phmw 18121297.2111 ENCLOSED. g?/aREQUEST FOR ELECTRICAL INSPECTION .yEB-000,O/1-04 I0 Sea inatruetions for com0lating this lorm on back o7 vellow copy. C_ 41945 "X" Below Work Covered by lhis Request Add BeO• ' TvPe of Builtline AoDlioncee Wired ' mem Wired Home Range Temporar Servro Duplax Water Heater Lfghtin, fixtures Apt. Buflding Dryer Electric Heatin Cortxnercial Bldy. Fumace Silo Unloader Industrial BIAg. Air Conditioner BWk Milk Tank Farm 1he. aeu v ther ISPer.ityl t .r SyeutV Other Other Comuute Inspectinn Fee Below p Fee ServicaEntrance5ize p Fee Fexders/Subleeders k Fee Circuits 0 to200Am s Oro30Am s 0 to30Am A6ove 200 Am ?s 31 to 100 Amps 31 to 100 qm s Swimming Pool Above 100_Am 5 Above 100_AmUs Transiormers Irngation [3ooms PartfaL'Other Fee Signs Special Inspection pj p ? S TOTAL -fe___? emarks , ?vl ? NouBh-in Dfl1e I, tha E Inspecto?, heraby cer?ily tMt the above Final D?fC?A?C ?spaction hes been n . .?Aw ? .J e? ? mede. TMa reauest volC 18 montha imm This request wid 18 rtqnths fmm . 41945 Raquasl'Uaxe ire No. Rouph-in InsVection ?J > {fleqwred? Reatly Now Q W,II Notify. Insper `,? / ///?2 . ?Yes 04 NO for When Ready ? Licensed Elec[rical Contrectar 1 hereby request inspection oi ebave ? Owner elactrical work installed et: Street Address, eox or Route No. ' y 76! 6 ?k C ity ?-`? ecLO? o. Township-Name or No. Hange o. County Occupant(PRINT) N'o-R-11iS,-.? Phone No. Power Supplier - Addrass ? Q?hG"7P- /?iF??.eec Electn?pal ConVacior (Company Name) Contracmr's License No. f •U.? ,?.?'srz,_ a F?Ecr-e« C? f ?GG MailinB Address (Conlrac[or or Owner Meking Installation) 17sj-il-- C1'111e10'00ft-46!4? AutitoVgnature IContractor/Ownei Makine InsWllatiunl Phone Number MINNESOTA STATE BOARO OF ELECTNICITY TMIS INSPECTIDN flEpUEST WILL PoOT Grie9s-Mltlwey Bldg. - Roam N•191 . BE ACCEPTED BY THE STATE BOARD 1821 UniversitY Ave., St Paul, MN 55104 UNLESS PROPER INSPECTION FEE I5 on....e (6121 997_9111 ENCLOSED. CITY OF EAGAN N° 13 610 ? • 3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55127 PHONE: 454•8100 ? i c? -] 3?7 BUILDING PERMIT Receipt# Tobeusedfor SF DWG/GAR Est.Value $86,000 Date MAY 12 Site Address 4701 OAK WAY OFFICE USE ONLY Lot 1 Block Z Sec/Sub. VIENNA WOODS onSaeSewage Occupancy X R3 MWCC System Zoning jt1 Parcel No. On Site well Type of Const y Ciry Water X (ACtuaq rc Name NORTHSTAR BLDRS (A1lowable) V w z Address 14772 PENNOCK AVE # of Staries lenglh --5$-'-- ? City A.V. Phone 432-2222 oeptn 50 F Total S , p Nartle SAME . . Footprint S.F. ?? Address APPROVALS FEES P City Phone qasessmems _ Permit zl? 454.50 _ ___ _ - _ 4 3 00 Water/Sewer Surcherge . W W Name Police _ Plan Review 227.25 ?i i- Address Fire - SAGCity 100.00 525 En9c _ SAC,MWCC .00 aw CityPhOne Planner _ WaterConn. 525.00 Council WalerMeter _67_n0 I hereby acknowledge that I have read this apDlication and state Bidg. Off. _ Road Unit 305 00 --TBD- bO thattheinformatiOniswnectandagreetacomplywithallapplicabe AaC - TreatmentPt . State of Mionesota Statutes and City of Eaga Ordinan 7 Variance _ Parks g /J J ? ? ?"f Copies 5 ?? Signature of Permittee 1-- / TOTAL A Building Permit is issued to: NORTHSTAR BLDRS on the ezpress condition that all work shall be done in accordance with plicable S?tJatA?onf Minnesota Statutes and City of Eagan Ordinances Building Official 454•5Ur 43°00+ ? 227-r?+ fi25•OU+ 5`l_7•OU+ (7•OU+ 305•U0t 180•UOr ' 27 q16•`/5 ? ,. . SINGLE FAMILY DWELLINGS /4:p (o io INCLIIDE 2 SETS OF PL9PS, 3 CERTIFICATBS OF SQRVfiY9 1 SET OF ENERGY CALCOLATIONS A10TE: ADDRESSES FOR CORNEE LOTS - CONTR9CTOR/HOMEOANER MIIST DESIGAA?6 WHICH ADDRESS IS DESIRED. NO CH9NGES WILL BE ALLOWED ONCE BQILDING PBRMIT IS ISSOED. MOLTIPLE DiIELLINGS - RESIDENTI9L RENTAL QIaITS FOR SALE LIDiITS INCLUDE 2 SETS OF PLANS, CSRTIFICATE OF SURVSY - CHECK iiITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND (5 ?r To Be Used Valuation: 1 :S?'C Date: Site Address 4J a? OFFICE DSE ONLY Lot J- Block Z- On Site Sewage Oceupancy ( J _ MWCC System ? Zoning Parcel/Sub ooPS - On Site Well Type of Const g$ O ??'/ ° ? ? ° City Water ? (Actual) wner ?, ? /"rEGEi (Allowable) ? # of Stories Address ti) '-?c.9ke-, Length ? City/Zip Code ?.?GA?? S-? %L { Depth S.F. Total 5j Phone / v.2 - Z 2 zo .,r,f _) 6pPR0VALS Footprint S.F. FEgS Contractor Assessments Permit 45zT'. - Water/Sewer Surcharge 43. Address j'7' ? 7 Police Plan Review 227. Zs Fire SAC, City Op. City/Zip Code Engr SAC, MWCC 525. Planner Water Conn SZ 9 Phone Council Water Meter 67. Bldg Off Road Unit -e>OS Areh./Engr. APC Treatment P1 IBD. Variance Parks Address Copies TOTAL City/Zip Code Phone # ` 2? X 52 ? 2A x2_4- _ (3SZx 5 E) -- ,S?)(2? k (2 - ?b4 oS32? ; , , ? ?? ? ? ?1?? ., o , OPst ? a 0 ?°''s^k q m m ' s ? s F_ - - - -1- m Za' V??yyb5? / \ I ? Z Ea 9io,S 2SS ?9 113 4 :z N N ( dto ?, a ? Qy?? N pI ? N I w w !P `) a?..? 'M I ? ? ?? S? 9ts?'h ? i0 O / a . u1 - f - - _ ?- - -Ul ?Sx 91A-7.12 EA-tlT ytin.4 1 30 v? ` J _D?SC?IPT lo t?l 1I?SoZTF? ?OT I ? ?l.-oGIL Z, Sc-ALE 1"= 30' VIENNA WooDS? ALL gEA2?N4?j AS`?UMED DAI?-OTA COUh17-yj oDENoTE?j lRot.l MONUMENT - 1?/?ItiN?SnTA. I hereby certify that this survey was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the laws of the State of Minnesota. Date: /YJ9 f?i ?S G7 .oz cf41 ?? Le oy H.'-Bohlen Registered Land Surveyor No. 10795 -•?--.--? . 'l' _Q, T?:?m.:`-.., !.?1: ?.?T rr-u „?••-l;?' :(l: MIELR $RIAN & SUZANNE GRIEGER SIis ADDP.ESS • 4701 OAK WAY EAGAN . MN CO1,T:ACTM North Star Suildere. Inc. AjTE 4/30/87 ^=;oIT (612) 432-22z2 Deterr.;ine r:or):ing equcre iootzt'e oi' ench. Z1 ?, 69 1. T0 t?l esposen KGll FiS@Cste.. • 2498.66 EO• ft• 2. 1bta1 rooi/ceiliiic rsea...... 1310.78 aq. ft. 34 •o? Tbtal e::rioeed r.oll orea nbwe Sloor 1404.00 ... ............... . d i l i 91.32 a. ibtal . arec .................... n o: m i n 37 82 b. 'ibtr:l noor c.ree ............................................... ................. d ' 40,02 c. 9bi;..1 ea ....... .............. oor es s2idine. ................. ll -0- n. Tote.l crez. ..................... firerilace rr. ............... 10;;) ( 140.04 _ e. 7btp- 1 .......... evera{e e.all Srsmine- crea . ............... r Sl b • 1094.80 f.. 7btn1 ............... oo otie cc c net rrall ai .....:......... 211.50 C. 'lbtal rira joist erea........................... 1bia 1 exnosea fcundation ex'e4 883 16 h. ?ot?11 i',rand .t_o:: coor sLrea ... ................ ..... ........ • 02 doo"s?....... slidir n c l i ' • J. :vtti.l :: . nc u es cundc.tion r:indoc. sea ( i ? ;, 5btc1 net Svannation r.rec above Crade....................... 75. -?? i:. 'tb ta] r.all Treniru- nren (nverp?ge .1d;7) . . . . . . ... . . . . . .. . . . .. . . . . 3 tvu 1. lotal net e.all Sre!^inE :.rea................................... . - Determine "J" vulue of ench call sefine:1t e.,?] 32 X"U" 510 °- ?? a7 b. 37 62 °•"d" 10 - a_7R c.,L0.02 7{,q;" _/.7 = 1R 8t d. -0- X"p,N/A - -?- e.140.04 g'v „ 09 -- f.19-24.60 X"U" .043 = 17.09 F,211.50 X'v: " .0 9 ?? _ h. -0_ X ?v , N A = -0- 1 e •p .v,? .510 = 36.73 i.127:1b--k`1 .53! k.'?. SbJ Y'v .09 = 6.80 2 .16 224.58 =J.??rn.?•..?...?.............. l]ti3l ` If iten #j is the eame as, or less thFin item f1, yrrs he.ve met the intent o!' Sr'. 60G6 (c)2, 4ntssl exxosen roof/ceilint are:^ = 1310.775 M. 4ote1 E?:Ylit3it uec ................................... -0- n, ;btal rooS/ceilin?; iramin€ ere (pvercge 7?,,N ,.,,,,,,... 91.75 o. Ybial net iiiailet.ed rooS/ceilinE orea ................ 1219.025 Determine "U" vnlue for each root'/ceilin( setment. "0 "--N/n ? N/e n. 91.75 Y."U" _03_ - 2,,75 ? o. 1219.025 Y."U" .OZS - 30.48 4 ....................................Zb te1 33.23 If totcl 01' P/ ie the s;,.me or, less tlian 412, yo:z heve ret t?:c irient or E-7?':: Gx-6(c)1. Flfsrnnte illilding En1•elupe T.esij:n :a uizlize.the :otsl envelone systen method, tne vr.lues estzblie.!zefi L,c i?e sx? o` itcris't? uid =4 shr.l] noi_ i;e Cre?. ter ?1:,.z the sz?a of ite.^..e ;!tl c.nd #?2. 1. 462.25 n]uc 2. 58.98 3, 224.58 r]ns 4. 33.23 = 257.82 _ Caili.-.F Fr;+r:e 1-Inte3•ior Air.:ilm 2-1" Sneetrock 3-j?," Soft S'hbod dc F: 't Ir.all q-FS:terior Air Filn 2b tyl R _ ' lb tal' U R 12" In?l<tior. .El 1-Inte=ior l.ir fYl;, .61 •45 ?-it" 5neet*•ocl: .45 31.30 3-12" Inaulation 36.00 .6i G-P-_terior Air FYlr .E1 32.97 Total F'. 39•67 .03 Total v .02.5X lr?n? !'al? R I 1-Inte_ior Air Filtn .68 : 2 t„ SZ,eetrocY .45 2 3-W, soi't c'ood t.. ^5 4-374" Foan: Insul:.tion 6.60 5-7/16" ].:ed. liense Hdbd. .67 6-E;:;.erior Air Tilr. .17 Tbt::1 P. 12. ' 2 3 7btc1 v .c.& ; 4 Ircal:.te8 ?;?11 R 1-Intc^_•ior Air FiZn .68 2419 Shc:etrock .45 ?-3?;inaxlation 13.00 4-3/4" Foan Insil-.tien 6.00 5-7/16" :.:ed. Dense Hdb^:. .67 6-Exterior Air Filr.! •17 Tot-ul P, 20 • 77 ;btal U .CdB liin Joisi R 1-:'-t -,3or 'ir liln .68 2-3-,'r" Ineslation 173 ,00 3-iP" 56f.tjtFo6d 1.83 3 -' 4-:14" Foen Insilation 6.00 p 5-7/1611 1:ed. Dense Hdbd. .67 4 5 b-Extcrior Air Film •17 Zvtal R 22.4 '!b tal U .045 A 1 .S Conc. Bl};, Uninaxlated 9'o tal R 2.12 -1-B To ta.l U .47 1-i: Conc Elk. Stripping & 3?4" Foam InEfal. L• Z" Sr:"ta ^o t31 R 7.91 7b tal U .13 CITY USE ONLY L -/- a RECEIPT #: /0/9 SUBD. (/.,(1iu.H,a? ?Vp'wi RECEIPTDATE:? 1999 PLUMBuve PEi14IIT (fEsIDEN17AL) crrY og EAsAx 3830 Paor Kuos sn iiA6AN, MN 55122 (651) 6$1-4675 Please wmplete for: ? single fam(ly dwellings ? townhomes and condos when permits are requlred for each unil ? backflow preventer for underground sprinkler sysEem - ------ ----------------- -------------------------- ..-------- FIXTURES -------- --------- - ----- ..- ---- °------------------ -'---------°°-- EACH # TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x Floor Drairt 3.00 x = Gas Piping Outlet ' minimum • 1 3.00 x = Rough Openin8s 1.50 x = Water Softener ' for dwellings under construcllon 5.00 X = Water Softener ' tor ezistlng dwelling 30.00 x = U.G. Sprlnkler ' for dwellinp under const. 3.00 = U.G. SpNnklCr • (or ezisting dwelling 30.00 = Alteratlons " to exlattne rasiaence 30.00 - Water Turn Around 30.00 = Private Disposal System " MPC tic. 75.00 = (new and-refurblshed syslems) Private Disposal Systems ' nbandonment 30.00 = RPZ (new installationlrepalr) 30.00 = Reminder: Cail 881 -4875 for inspecdons ot watar healers, STATE SURCHARGE .50 water sokenera, alteraqons, etc. • TOTAL 30 • ?a IltlslheapplcanYSresE -..`--_-°•-.-°-•-°°----°--......-•,..--^ Y A GRIEGER, SUSANNE --. 'n. (s -..---°......°-°.....--•..-----•..-..--?•--------------°?----° -wveet, and ag?ee to complywNh all appliqble Cityof Eagan ordfnances. operatlonal and malnte 4701 OAK WAY pan assumes na Ilability tor any damages caused by Ihe Cfry dudng Ifs normal permit within Clty propertylrlght•of-way/easement. EAGAN, MN 55122 . SITE ADDRESS: (651) 452-4122 OWNER NAME: INSTALLER NAME: RI3 e)Wl P4.v/(/J 5//i(,? TELEPHONE #: ?? - 'fD,3. 23_ STREETADDRESS: CIN' STATE: ? ZIp; S 08 CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1999 CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION PT01¢': PAYMF?lS OF FEE AT TIME pF A'PPT.TcAMoN noEs Nar oK*SrrnnE APPROVAi. OF PERNIIT. IrSencrzav oF sEM Arro/Cx M,zM 7TLSI'AT.TATTQN$ WUy Nj'j' $1, $('HEI>- pLID [7L1FII. PERMIT HAS BkEN APPROVID. -- °-- ---- _ __ P ease Print 1) PROPERTY ADDRESS : ,I'7Q/ 0a .- S,EGAL DESCRIPTION: ° . Lot Block Subdivision or Tax Parce ID i. IF E7QSTING STRC'C'iL'RE, 1)ATE OF ORIGINAL B[JILDING PEtMIT ISS[]ANC.E: ' {Mon ear P12ESEUr 7ANING/PROPOSID LSE: Q COhP432CIAF,/REPAIL/OFFICE r7 ITII)[7STRIAL [] INSTI2L]TIONAL/GOVERIaEN'p ? R-1 SINGLE FAMILY Q R-2 DIIPLEX (TWn Units) ? R-3 TUWNEiIX)SE (Three + Units) ( t?nits) R-4 APAR4TENP/CONIDOMINI[]M ( Units) 2) NAN1E: ADDRESS: CZTY, STATE, ZIP: PHONE: 3) NAAE: ADDRESS: CITY, STATE, zIP: ?On'oriqd'r ,?i?'¦., J ??'?F7 PHONE: MASTER LICQ9SE# ??// Plumbers License: Active Fxpired Not recorded St.aff initial . 41) tl4R,IVAW AFI01• NAME: ADDRES$: CITY, STATE, ZIP: PHONE: - 'S? ?? w • ?• : a • 04 • MIII CONNE.TION T0 CITY SEWEEt fZl, CONDIDCPION RU CITY WATER ? OTHER r°d' {Circle one) ' . 6) ?? • • i ? PI,EASE HOLD APPROVID PIItNIIT FC1F2 PICK-UP BY ONE OF ABOVE -----,_ - ? PLEASE MAIL APPROVID PERMIT 70 1, 2. 3. 4. ABOVE : FOR -CITY USE ONLY PERMIT # ISSUED ?Pd w/Bldg. Permit A $ $ bi?•?Z? $ $ $ s 8 g7_ $ lrJ?-?•U-? $ $ $ $ s $ ..??5 7 1U? RECEIPT FEES: $ f0' Sv $ $ $ $ ? ? • rJ-? S $ $ $ $ $ s $ 2? - (rt) $ 7/ n -7 SS"3 n RECEIPT SEWER PERMIT (INCLUDE SURCHARGE) WATER PERMIT (INCLUDE SURCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SEWER TAP ACCOLNT DEPOSIT - SEWER ACCOONT DEPOSIT - WATER WAC SAC TRUNK WATER ASSESSME[VT TRUNK SEWER ASSESSMENT LATERAL BENEFIT/TRL[VK SEWER LATERAL BENEFIT/TRLNK WATER WATER TREATMENT PLANT SLRCHARGE OTHER: ?? TOTAL , DOES UTILITY CONNEC<ION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? O YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MDST BE ISSLED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWIIVG CONDITIONS: APPROVED BY: TITLE: DATE : ^?- 6 S'aa 1 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ` # 27U4 7/Z New ConsWdion Reauiremenffi RemodeVReoair Reauiremenis 3 registered site surveys sfwwing sq. fL o( lot, sq. ft of house; znd alf roofed a2as 2 mpies ot plan (20% maximum lot coveisge allowed) ' ' ns 2 copies of plan slawing beam & window sizes; poured fomW design, etc. 1 stte survey for additions R decks 1setafEnergyCalculatbns 'system ME 3 copies of Tree Preservation Plan'rf lot platled areer 711f93 Rim Joisl Defail Optlons selectlon sheet (bldgs wBh 3 or less units Date 'J,, !A Y l 0?1 Construcfion Cost SiteAddress `r70 1 0M 4?V Unit/Ste # ? ?f ? ?N 3-/r7? Description of R'ork 7?EG k ? Multi-Family Bldg _ YN Fireplace(s) 2 Property Owner TelephoNa (6ri ) Us? -yi;g ?^' l 6 - 16 ' Contractor Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category t Worksheet • New Energy Code Workshaet (J submission type) Submitted Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone #( I hereby apply for a Residential Building Pernut and acknowledge that the informatiqt?? te; that the work will be in conformance with the ordinances and codes of the City of Eagan and the 3tate of MN Statutes; I understand this is not a permit, but onIy an application for a permit, and work is not to start without a permit; that the wark will be in accordance with the appro p m the case of work which requires a review and approval of plans. n Applicant's Printed OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi O 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF O 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 32 AddiGon ? 33 Alteration ? 34 Repiacement Valuation (9 " Census Code LL?Lq_ SAC Units # of Units # of Bldgs Type of Const Footings (new bldg) X Footings (deck) T` Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation Occupancy U-3 ' Zoning Stories Sq. Ft. Length Width MCES System City Water Booster Pump PRV Fire Sprinklered REQUIRED INSPECTIONS FinaVC.O. ? FinaUNo C.O. _ Plumbing HVAC Other _ Pool Ftgs _ Air/Gas Tests _ Siding _ Stucco _ Stone _ Brick _ Windows _ 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 Total ? 35 Int Impravement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors `Demolition (Entire Bldg) - Give PCA handout ta applicant -3 • a.S j0',L ;_i v r-> a ??v _' . , ' ? . ? .?? . ?c?` ?Q.a ??? ` J „?•? imii /CV/ op ` I e 4 r. Fk ??ti9?1?o ?TD•?'!? ???lT Y973,y S a ?'I\1\\V????\ ? 3. 10 v Y \ v Di / Z ZS,S ?9 ? ?o w Ex Zo, - IL N" I <? 0 , ?-?- ? w w `\ ?b ' z3?s 3r II -?', ? ?N pP 0 ; ..I N 4? o° el ? \ d- 2 I ,o ? L 2b N F? ?.i 9 ? i0 7- Jl ? LI1 ? L x 9? 8.1 3 q-?. I?. ? Qa <7T roA,' q x 1,-S o tz-c' H Sc.ALE t" = 30' ALL. 6EAfLiN4?j AS`?UMED oDeNO-TEg 120Q MONUMEI.IT i I ? d ? I vI ?aQ II D?Sc??pTiotJ LoT I ? F5?-ocic.. Z, YI?NNA WooDS? DP.V-c::)TA? coUNTYj MItiK1u- SoTn,, I hereby certify that this survey was prepared by me or under my direct supervision and that 2 am a duly Registered Land Surveyor under the laws of the State of Minnesota. Date s_/YrA ?? e f G i _ 42""7? e e5:1, Le o? y H.--Bohlen Registered Land Surveyor No. 10795 Use BLUE or BLACK Ink I For Office Use I I I Permit ~ q City of Eap I Permit Fee: I 3830 Pilot Knob Road Eagan MN 55122 ; Date Received: j Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: I I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit 6 Name: Z c, . J ~ J C _ c Phone: 6,5 - ~S~ - 0,3 J,.5 Resident/ Owner Address 1 City / Zip: 7 Q O Ce Applicant is: Owner Contractor Description of work: / L C_ /L v a Type of Work Construction Cost: D d Multi-Family Building: (Yes / No Company: L 0 c.e 4, c ,S ~n3 e- Contact: 6 Address: City: U Contractor ¢ State: Zip: Phone: License ~3C QQ 3 6 j2 S~ Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they . a are trade secrets. - m , 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.ciopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 17 x X A- Applicant's Printed Name ,applicant's Signature Page 1 of 3 Use BLUE or BLACK Ink �-----------------, � For Office Use � � /�gd�2 � �4� 0�L���n .5�,�,��.a3 +�+r �';;,�,. F � Permit#: I ll � E830 Pilot Knob Road O�`� � � 20��{ � � Permit Fee: ��'� i agan MN 55122 �. � !�_a�� /� Phone:(651)675-5675 , /��_ Q ' ` I Date Received: � :., ���,.q. � � I Fax:(651)675-5694 � � Staff: � -----------------� 2014 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2)sets of plans with all commercial applications. Date: 10/21/14 Site Address: 4701 Oak Way Tenan#: Suite#: ����� � � Name: Susan Griener � "���id���� _ �,`u_ . � Phone: 651-452-4122 t Address/City/Zip: same � � Name: K&S Heating, Air Conditioning & Plbg LLC�icense#: MB5216 � ,4ddress: 4205 Hwy 14 W c�ty: Rochester � C�011�� � � ,r � state: MN zip: 55901 Phone: 507-282-4328 � �� contact: Heidi Brown Emaii: hbrown@ksheating.com � �_ � New Replacement Additional Alteration Demolition � �Type �� ' �� ��,�'� � Descri�tion of work � �� ' J � �l� 7ttt@C� �r� �i ;i r � r3�d9a9 ��'"��'8�6��e �j�'�7x1iG'Ylt� � ; �Ll�?e SCI'@@Il@C� b�/',�'1�1f � � � ��' � � il ��.�Dtlt2'� r i 'I� i� F°° + � ,'���`�¢"� �r'b J41� h P'q��tlOf1�7t I [ i i��� SCPQ811{Ilg l71L#�10C�� - � � 3� a�� „w��, .��� .�� ��..� ,�. � , �����,�.�� �tt �.. �a� �� �.�� ���� �. ��.�.r��,�w:�� � � � RESIDENTIAL COMMERCIAL � � xx Furnace _New Construction _Interior Improvement �` ��r������� � XX Air Conditioner _Install Piping _Processed � _Air Exchanger _Gas _Exterior HVAC Unit � _Heat Pump Under/Above ground Tank �Install l_Remove) P — Other RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) $100.00 Residential New(includes$5.00 State Surcharge) _$ 60.00 TOTAL FEE - COMMERCIAL FEES Contract Value$ x.01 $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal =$ Permit Fee *If contract value is LESS than$10,010, Surcharge=$5.00 =$ Surcharge* "*If contract value is GREATER than$10,010, Surcharge=Contract Value x$0.0005 "*`If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan;that I understand this is not a permit,but only an application for a permit,and work is not to start without a permit;that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. X Rick Keehn X �,�jf���— ApplicanYs Printed Name ApplicanYs Signature � - .�,,�. � .. FOR OFFIGE�!�^� Required Inspe�����s: ��v,;��+.��';��;°o� �;-.r���� Under� � '��uah , ;�� � .�' Ga�� ��`E" �°1��.�� Final f 1 �i,�. . .�. � , �. PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA177173 Date Issued:06/20/2022 Permit Category:ePermit Site Address: 4701 Oak Way Lot:001 Block: 002 Addition: Vienna Woods PID:10-81950-02-010 Use: Description: Sub Type:Water Heater Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Suzanne Kay Grieger 4701 Oak Way Saint Paul MN 55122--233 Tony's Appliance Inc. 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature