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4709 Oak WayCASH RECEIPT t l Vy? CITY OF EAGAN P. 0. BOX 21-199 . EAGAN, MINNESOTA 55121 R DATE - 19 wKc6fvQo , - FROM AMOUNT $ . I - ? & DOLLARS I oo Q casH ? cHECK FOR ( FUNO CODE AMOUNT / ' lf ) k? Thank You B?. White-Payers Copy Yellow-Posting Copy Pink-File CoqY CITY OF EAGAN Remarks • Addition VIENNA WOOIIS Lot 2 sik 2 Parcel 10 81950 020 02 Owner Street 47 ng Clak Wa= State F Qr111s MD1 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, j1T1p. 1981 10 1700.69 A014 35 9-11-84 STREET RESTOR. GRADING 587, 73 58.77 1.0 352.65 A014535 9-11-84 , SAN SEW TRUNK 1973 129.78 8.65 15 25.98 A014535 9-11-84 * SEWERLATERAL 2539.42 * WATERMAIN * WATER LATERAL * WATEfi AREA * STORM SEW TRK * STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT ROAD UNIT 250.00 42922 5-1-84 WATER CONN. 470.00 BUILDING PER. 9029 sac 525.00 PARK CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 9029 ` PH ON E: 454-8100 BUILDING PERMIT 88 Site Addre Lot Parcel No. a?c Name _ z Address City _ Name _ Z0 cc f- ?? Address t- City - G? Name WW FW _L9 Addreas .C W City Phone 1 hereby acknowledge fhat 1 have reod this opplicotion and stote that the informotion ls corrett ond egree to wmply with all epplicoble StaM of Minnesota Statutes and City of Eogan Ordirances. $ipnoture of Permittea /1 Building Permit Is issued to: ali work sholl be done in accbrdonce with oll opplicable $tote of Mir Buildinq Official ? Receipt # Erect ? . 111ter ? Zoning Repoir ? Fire Zone Enlorge ? Type of Const. Move O * $tories Demoliah 6rvde ? fl 1, Length ' 1-1 Depth } Sa. Ft. Assessment Water 8 Sew. Police Fire Eny. Plonner CourxH Bldg. Off. APC - Permit - , Surchorpe ? Plan check J SAC •?.?4 Water Conn, ? Woter Meter } Rood Unit ' Totol on the expreu condiHon thni Stotutes ond City of Eopon Ordinances. Sn Permit No. Permit Holder Misc. Permit No. Holder Plumbing ? H.V.A.C. w.u Wster Disp. Sswer Elecftic A ? 1 Z g 1$ y 10. ao S6 3 oq ,? b(2.1 Eq q5 . a c.y Inspection Date Inap. Other ? Footings !a. ? ? ? ?/' Foundation Framiny Rouph Plbg. ? Rouph HVAC Inwlation Final Plbg. Final HVAC Finel Water boscribe Location: Well Sewer Pr. Disp. ? t I?21-84 ?a. - r?r?r c,Tavp r?A• nr- -?t (,' c^ r- NL",-Drzoom ( (.f-Af?AIii 0' CASH RECEIPT ?'""'? ? CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 DATE 19 ReccIveo FROM AMOUNT $ I, & DOLLARS ' oo C]CASH ? CHECK . ? FUNO GODE qMOUNT Tha ou - ' BY White-Payers Copy Yellow-Posting Copy Pink-File Copy Re ceipt?j PLUMBING PERMI7 Permit No.`I CITY OF EAGAN Fee Fill in numbered spaces S/C ; Type or Print legibly Tot ?01 1. Date i2. Installation Cost L k ' B t? ?- T 3. ., ot T l Job AddresS ra . `? 4. Owner ? 5. ContractorL, - i C - _ r _- Phone 6. i Address ( L 1 ? -'f r -c?; , 11tr4- ?T 7. Citv ? I ?• State ?-.- 8. Building Type: Residentiaf}b Commercial ? Institutional ? 9. Work Description: New!Q7 Add O Alter O Repair El 10. Describe 11 No. Fixtures Water Closet No. Fixtures Cesspaal/Drainfield Bath tubs Septic Tank Lavatory $oftner Shower Well Kitchen Sink Urinal/Bidet Other ? Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby Certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed :,' for Rough Final Inspections: Date Insp. Date Insp. This is your permit whert numbered and approved. Approved CITY OF EAGAN 454-8100 Rec$ipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee r Fill in numbered spaces S/C Type or Print legib/y Tot . 1. Date 2. Installation Cost _` . , 3. Job Address tot Blk .'?\ Tract ?- . 4. Owner 5. Contractor Phone 6. Address 7. City State 2ip 8. Building Type: Residential ? Commercial O Institutional ? 9. Work Description: New ? Add ? Alter ? Repair O 10. Desaibe Fuel Type - 11. No. EqLipment 8TU - M. Ea. Forced Air No. E_quipment CFM Air Handlin : Mfg. g 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 Finel Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road ? P. O. Bcx 23199 ? ? PERMIT NO.: Eagan, MN 55121 DATE: " - Zoning: R1 No. of Units: Owner: S t iltb i Address: 4yL,?,J.? ite Address: ?J'i. f , i '..7t. `.'?' ?' V T umber: _(• , • Meter No.: ,???} .±csr?ctlon Charye: 470. UO pti tEo nt Deposit: 15 00 r•?.°. Reader No.: Permit Fee • 10.00 Pd 1?gre? eoaply wlth !he City ef 6agan Surchorge: • Sd pd O?dine Misc. Choroes: 53.00 nc: Total: By Date Paid: Dvt of Insp.: Insp.: CITY OF EAGAN WATER SERYICE PERMIT 3830 Pilot Knob Road P. Q. Box 21199 PErtMIT NO.: Eagan, MN 55121 DATE: _ Zoning: No. of Units: ' Uwnar, Address: Site Address: 4709 Uak 1ri2v T_? D1 Ptumber: - ???' - ''•t;-`'- ? ' Tc eter No.: FA Connection Chorge: + ,..?) ; 51ze: AcGOUnt DepoSit: 15 .?-to Reoder Na.: Permit Fee: j`'j •,~' ?PI f agree M aanplY wilh tha Cify of Eegan Surcharge: 50 pci Ordinano" Misc. Char9es: 53,M r,,4 7neter Total: By Dcte Paid: Date of Insp.: Insp.: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: . .. Eagan, MN 55121, DATE: Zoninp: No. of Units: Ownar. `tikb11 t Gons t Address: Site Address: Plumber. I e9raa to compip wN6 t6e City of Esp¦ Ordinoneea. By Dote of Ir?sp.: Connxtion Chcrpe: 4 2 5. 0 0 Atcount Deposif: ' • `l ?c Permit Fee: I Surchorpe: Misc. CFarpes: Total: rt(#1VST FOR ELECTRICAL INSPECTION E6-000016-04 u ??9 ? ? ' Sae iostructions for compleling this form on back ot yellow copy. L ? n? q?I "X" 8elow Work Covered by This Request FAA Rep. Type ot 6uilding Appliancas NireJ Equipmant Wired,Y Home Range Temporary Service ' j Duplex Water Heater Ligh[iny Fixtures Apt. Building Dryer Electric Heatin Commercial Bldy. Fumace Sllo Unluader ? Industrial BIAg. Air Conditfoner Bidk Milk Tank Farm othA' oe?? y Otherl5nor.Nv1 ther peci(y Other Other Compute Inspeciion Fee Below p Fee ServiceEntmnce5ixe k Fee 7eetlers/5ubteetlars W Fae Cimuits O. 00 0 to 200 Am s 0 to 30 Am ps 0 to 30 Am s Above 200 qmps 31 to 700 qmps 31 to 100 Am s Swimming Pool A6ove 100_Am s Above 100-AmPs Tranytormers Irrigation Booms ? Pertial,'Other ee Signs Specialinspection $ ' T TAL FEE Nemarks IA . I I Roueh-in Date 1, the actrical Inspectoq hereby cartify that the above Final te inspec[ion has been ?matle. Thia reauest voi018 month from ihis repuest void 18 nwn[hs (rom ? q t-t(? ? ? l O Af12 951 La v??..?-- ? 4,oc.dS, Request Date, Fire No. Roueh-in InsDec[ion Re. rted7 ? qu eaAV Now Q W,II Nntify InsOec- I Wh l9 Q Yes o,, en Roatly R'Eicensed Elec[rical ConVactor 1 hereby reqaest insOectian of above ? ? Owner electrical work insialled et O Street Address, Box or Route No. Ciry?^ n ^i 44 0 C-?T ct on o. Township ame or No. R?nge No. County 1 ?k O%/'? Occupem IPRINTI Phone No. ?Ne , S , K's; ?L 7- #ip"44F]f o97'S- Power Supalior oTA- , s oij Atltlress iy,?tM,',V Tbn? /4!A-) Elec[rical Convactor ICOmpany Namol Cnn[ractor's icense Nu. ?- I Mailine Address iConVacto or Owner MakinB Instail ionl 7 M DR ?/rcE Amhorize iBnamra (Coniractor wno aking Installation) Phone Number 3 -73'70 MINNESOTA STATE BOANO41F ELECTPICITV THIS INSPECTION REQUEST WILL NOT Griges-Mitlwey BIdH• - Aaam N-197 BE ACCEPTED BV THE STqTE BOAHD 1827 University Ava., Se. Peul. MN 55104 UNLESS PROPEN INSPECTION FEE IS Phnnw 18121297.2111 ENCLOSED. .? REQUEST FOR ELECTRICAL INSPECTION es-ooooi-oa See instruetions far complet+ . 041 ??'?? YI {'? ?Ig [hie forAl On bbCk Of yellOW cOPV. 1VV Y Q / .11. Bel o? VVe ed by This Request Nev .A?3d Rep. Type of Buiiding Applinnces Wired Epvion2n[ Wired Home Range Temporary Service Duplex Water Heater Li,yh[ing Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Fumace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Parm Otner aeci y cner (SUCCiW) t e. pecify Oiher Olher Compute lnspectron fee Belaw - H Fee ServiceEnirenceSiie tt Fee Fexdars/SuOfeeders N Fae Circuits ? 00 0 to 200 Am s- 0 to 30 Am s 3? 0 tn 30 Am)s L?6ove 200 Am ?s, 37 to 100 Amps / 31 to 100 Am s Swimming Pool Above 100_Amps Above 100_A?n ' Transformers Irrigation Booms D Partial%Other Fee Signs Speciallnspection SD $ 9 TOT Rearks , 41 F? T . Rough-in ate' ^ ? ,the actrical Inspactor, he?ebv certi}y thql the above Final o^=e ?J ectioii hes been de. TOisrepue91vo1G/8monthefmm (/C/I This request wld `, Z D o'1 18 months from F?"'il aR 3 n 9 7 La g.?_ NJ i Q,. ti.?-- Y 5. uv Flequest I]ate / I ? Fire No. Rouph-in InsOection Reqwr ?,,_ ?Reatly Nuw ?y.viii ??otity, Inspac- ? es ?NO tor When Ready icensetl Electrical Contrector I hereby request inspection of ebove ? Owner alectrical wark inatelled at: Street Address, Boz or Route No. {.J-A ' ? City ? 14AJ cL n o. Townshi0 Name or No. anye No. County Dm-_o i ? Occupxnt(PFINT) 5i`k,dicT Phone No. Power Supplier Atldress 0 Electricel Contractor ICOmpany Namal Cont ector? License No. Mailing AdJress ICOntrar,tor r Owner Making Instailati 1 944 AeFL"Lf '1 r+.J efs ienamre (ConVe? r/O n Making Installa?ionl ! Phone Number I - 7570 MINNESOTA STATE BOANO ELECTPICITY THIS INSPECTION qEQUEST WILL NOT Griges-Midwey Bldg. - flo m N-191 BE ACCEPTED BY THE STATE BOAHD 1821 University Ave.. St. Paul, MN 56104 UNLESS PPOPEX INSPECTION FEE IS e1 ___ 1.11, eo, o?.? ENCLOSED. CITY OF EAGAN , 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N? 9029 ` PHONE:4548100 ? BUILDING PERMIT Receipr # Te 6a umd for SF DWG/GAR Est. Volue $88,000 Date 1N AY 1 , 19 84 SiteAddress 4709 OAK WAY Erect ?X Occupancy R3 Lot z elock 2 SeclSub. VIENNA WO ODS Alter ? Zoning R1 ParcelNo. I0-81950-020-02 Repoir ? FireZone E l T f C st V n arye ? ype o on m Name STIKBILT CONSTRUCTION Move ? # Stories z Address 2090 PIN OAK DR DerraBsh ? Length 42 City EAGAN Phone 454-097 5 Gmde ? Depth 50 Ft_ Sq . ADProvolf Feea o Name SAME ? Addre55 Assessment _ ? t- C1ty Phone Water 8 Sew. ? UW Name Police - fi re 1- ?- Address En i? , g, u W City Phone Plonner < - Countll - I here6y ocknowledge thot I have reod this apDlicotion ond stafe that gldg. Off. _ the informotion is correct and agree to comply with all opplicoble State of Minnesota Stotutes and City of Eagon Ordinances. APC _ Signature of Permittea _ A Building Pertnif is issued all work sholl be done in a Building Offlciol Permit $ 397.00 Surcharge 44.00 Plan theck 198 - 50 SAC 525,00 Water Conn. 47Q.. 00 Water Meter f;-3 - 00 Rood Unit grn 00 7otal $1,957.50 1KH1L'1' C:VNS'1' on tha express condition thnr cll opplica e Sf te oi Minnesofa Stafutes ond City of Eogon Ordinances. 397•00+ 44•OC:+ 198•5°_+ 525<OC+ 4 7 0• 0 C+ 63•OC+ 2 b 0= 0 0 i- 1957°SG* CITY OF EAGAN Include 2 sets*of plans, / 1 site p1dT1 W/21EVdt].OriS & UILDING PERMIT PPPLICATION 1 set oF enexY7y cal.culations. B 7 ;, - Zb P?a Used For . Q Valuationo7T C) Date Site Address: , Q ? OFFICE USE ONLY Lot 2 siocx sec; /sub. ? tL-,,1Aq o,DS Erect Occupancy Parcel p pj? ?-ter Zoning ? Repair Fire Zone UN Owner: Enlarge Type of Const. Nfove # Stories Pddress: r. Dennlish Front ft. City/Zip Code: Grade Depth 6-0 ft. Phone #: Contracto Pddress: City/Zip Phone #: Arch./Eng.: Pclclress: APPROUALS F'EES ?o- Assesstrents Permit Water/Sewer Surcharge Police Plan Check Fire ? SAC S' ? Eng. Water Conn. wylO Planner Water.Meter G. Council Road unit V/po Bldg. Off. ' APC r City/Zip Cocle: Phone #: 7CYPAL / ? c'/ S7 - S 0 y ?,/ 7 6 ?w-4 -,- 2005 RESIDENTIAL BUILDING PERMIT APPLICATION 71111?Q?('? ? City Of Eagan ? 3830 Pilot Knob Road, Eagan MN 55122 t? Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauirements 3 registered site surveys shmving sq. il. of lot, sq. ft, of house; and all roofed areas (20% maximum lol caverage allaxed) 2 copies of plan showing 6eam & window shes; paured found design, elc. 1 set oF Energy Calculations 3 copies of Tree Preservation Plan it lot platted after 717193 Rim Joist Defail Options selection Sheet (buildirigs with 3 or less uniGs) RemodellReoair Reauiremenfs 2 copies of plan 1 set of Energy Calculetmns for healed addRions i site wrvey tar addiUOns 8 decks Add'dbn - indkafe ilon-site septtc system Ofifce Use?.ONv CertofSuiveyRecd _Y _N 'Free Pres Plan Recd _ Y_ N. TreePresRequired _Y _N On4te5epticSystem _Y _N Date 41 l'Ib / Construction Cost ? C/, ,J1?/ Z ?u^? Site Address u "' ?O 7 K Unit/Ste # DescriptionofWorkgD-roai,onyl nd(m mlmmlt (hd s Multi-Family Bldg _ Y J( N Fireplace(s) _ 0 _ 1 _ 2 /? Property Owner (3 r u?e " K m wol?er.r Telephone #(?? )gkllll`T Contractor GMM Lnkn Window & $idtttg Add ress ApilibY611111Y+ 111111411l City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Cateeorv l _ • Residential Ventilation Category 1 Worksheet (Jsu6missiontype) Submitted • Energy Envelope Calculations Submitted A NEW BUILDING Minnesota Rules 7672 • New Energy Code Worksheet Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ fee applies. Licensed Plumber Telephone #( Mechanical Contractor Sewer/Water Coniractor Telephone #( Tetephone # ( N If so, 25% plan review I hereby apply for a Residential Building Pertnit and acknowledge 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 accardance with the approved plan in the case of work which requires a review and approval of plans. „ Applic t'sPrintedName Applicant's ignature M APR 2 0 2005 ? OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 37 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF 0 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) 0 36 Multi Misc. ? 05 03-plex O 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex PI6g_Y or _ N ? 25 MiSCellane0U3 Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior . ? 44 Siding ? 32 Addition 0 36 Move Building ? 42 Demolish Foundation O 45 Fire Repair ? 33 Alteration ? 37 Demolish Building` ? 43 ReroOf ? 46 Windows/Doors ? 34 Replacemant *DamclWar. (Eniire 3tdg) - G:ve PCA yandou: to appiicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq, Ft. PRV # Of Bid8 g Length -! ??tinklered Type of Const Width k?} Y:4-AlEY4QS ? .?.! N?A REQUIRED INSPECTIONS _ Footings (new bldg) ` FinaUC.O. _ Footings (deck) Final/No C.O. _ Footings (addition) _ Plum6ing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final _ Framing _ Siding Stucw _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ _ Windows _ Insulation _ Retaining Wall Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Insoector RESIDENTIAL BUII.DING Permit Application City Of Eagan ? 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 NewConstructionReouiremen4s RemodeUReoairRequirementc OffceUseOnN 3 regislered site surveys showing sq. il. of lol, sq. ft. of house; and all roofed areas 2 copies of plan Cerl of Survey Recd (20°/o mauimum lot coverage allowed) 7 setof Energy Calculations (or heated additions Tree P2s Plan Recd 2 cop'ies of plan showing beam & window sizes; poured found design, etc. 7 sde survey for additions 6 decks Tree Pms Not Reqd isetofEnergyCalalalions Add'rtion-indicatei/on-silesepOcsystem _On-siteSepticSystem 3 copies of Trce Preservation Plan if lot platted after 717193 Rim Joist Oetail Options selectlon sheet (bldgs with 3 or less unils /,, Date ?, / I ?Y /03 <!0 Construc[ion Cost Site Address LI-7 U q QQ K W Q(A UuiUSte # Description of Work P-,) 2AX-,Q ? VIJ Multi-Family Bldg _ Y? N Fireplace(s) _ 0 _ 1 _ 2 Property Owner U m('-69Jm Vl k-f-cks Telephone #(?DS I) W db - 7 Z67 ? Contractor C Ge , o?(!? C o l` Address City State -Tyl i?/j ac S? Q.. Zip ? Telephone #( q54 O qL3?Lr COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Cateeorv 1 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted . Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor I hereby apply for a Residential Building Permit and ackni that the work will be in conformance with the ordinances A NEW BUILDING Minnesota Rules 7672 • New Energy Code Worksheet Submitted Tetephone #j Telephone ?????- l`,' Tel'epliorfia pE4tion is complete and accurate; ty 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 pertnit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ? 1 yt VIIE,? ?)\A " 5 Applicant's Printed Name Applicant s i ture OFFICE USE ONLY Sub Types ? 01 Foundation ? 02 SF Dwelling ? 03 Ot of _ plex ? 04 02-plex ? 05 03-plex : ., ? 06 04-plex . ' Work Types ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement Valuation - Census Code _ SAC Units Nbr. of Units Nbr. of Bldgs _ Type of Const _ ? 07 05-plex ? 08 06-plex ? 09 07-plex ; ? 10 08-plex : ' ? 11.. 10-plex ? 12 12-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 19 Lower Level ? 24 Storm Damage ; Plbg_Y or _ N ? 25 Miscellaneous. ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors •Demolition (Entire Bldg) - Give PCA handout to applicant - Gccupancy MC/E3 System - - _ Zoning City Water _ Stories . Booster Pump _ Sq. Ft. PRV _ Length Fire Sprinklered Width REQUIRED INSPEGTIONS _ Footings'(new bldg) _ FinaUC.O. _ Footings (deck) FinaUNo C.O. "- " ' - _ Footings(addirion) _ Plutnbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final _ Franung _ Siding Stucco Stone _ Fireplace _ R.I. Au Test _ Final Windows (new/replacement) _ Insulation _ _ Retaining Wall Approved By Base Fee Surcharge Plan Review MClES SAC City SAC Utility Connection Charge S&W Permit & Surcharge 'freatmentPlant •- License Search Copies Other Total Building Inspector ?5-8 576 RESIDENTIAL BUII.DING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 New ConsWction ReauiremeMS RanadeNieoeir Reauirements OMke Use OnN 3 regis0ared si0e surveys shwd^B sQ. tL of bt sG. R M house; aM I raofed amas 2 oopies ot Plan _ CeR of Surrey Reod (2096 mezimum bt coverage albwed) 1 set ol Energy Calamtiaia far neted addi6ans _ Trae Pres Plan Real 2 mpim of plan showhg 6eam 8 winCOw sims; Poured founA design, e6c. 7 sim survey ta addiGOns 8 deda _ Tree Pres Not Reqd lsetofEnei9YCalalatlans AddVm -indire(eilm-si(eseptesys(em _On-site5eptlcSysOam 3 copies ot Tree Preaervatlon Plan If bt plamed aRar 711193 Rim Joist Oebil Optim selactlan sheet (Mdgs wM 3 w bss umb Date J /? Constructlon Cost ad C) C) Site Address 0 12 ? UnltlSte # DescriQtioa of Work a / r' / () ? (fY? Multi-Family Bldg _ Y? N F[replace(s) _ 0 _ 1_ 2 Property Owner Telephone # ((DS I ) ZP anat 1.dM YWndow i SidNq Controctor uWe meAam Dow Address : . . Apple wAW• MN 86724 Cih, . . . .. .. State ' MM Lk. ? IOOC0427 , . . ., . , :. . _ Zip ` Te[ephone # ( .; . } COMPLETE THIS AREA ONLY IF CONSTRUCTIN6 A NEW BUtLDiNG Energy Code Category - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 (J submissian type) • Residential Yentilation Category 7 Worl?aheet . New Energy Cade Wwksheet Submitted SubmiQed . Energyr Envelope Cakxdatlons Submited Licensed Plumber Telephone #( Mechanical Conhactor ?I n I L"lTePe?ilh?!ne #( t'.:' API7 ? ? Sewer/Water Coniractor 4??rTei pl I ne #( I hereby apply for a Residential Building Pemut and acknowledge 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 pemut, but only an application for a permit, and work is not to start without a permit; that the work wi116e in accordance with the approved plan in, the_ case of work which requires a review and approval of plans. ?ul CA ApplicanYs Printed Name ApplicanY ignature OFFICE USE ONLY Sub Typea ? 01 Foundation ? 07 05-plex ? 13 78-plex O 20 Pool ? 02 SF pwelltng ? 08 OB-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 Ot af_plex O 09 07-plex 0 17 Garage ? 22 Poroh/Addn. (4sea.) ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screeNgazebo) ? 05 03plex ? 11 10.plex ? 19 Lower Level ? 24 SWrm Damage O 06 OA-plex 0 72 12-plex Plbg_Yor_ N ? 25 Miscellaneous Work Types O 31 New ? 32 Addition ? 33 Atteratlon ? 34 Replacement Valuation Census Code SAC Units Nbr. of Units Nbr. of Bldgs Type of Const ? 30 Aecessory Bldc 0 31 Ext. Alt - Multi 0 33 Ext. Alt - SF 0 36 MulU Misc. 0 35 Int Improvement ? 38 Demolish (Interior) ? 44 Sidiry O 36 Move Bldg. O 42 Demolish (Foundatlon) ? 45 Fire Repair 0 37 Demolish (Bldg)` O 43 Reroof ? 46 Windows/Daors 'Demolitlon (EnGro Bldg) • Giva PCA handout to applicant Occupancy MC/ES System Zoning City Water Stories eooster Pump Sq. Ft. PRV Length Fire Sprinkiered f"+:•e?51? r, ?'lSofl3i?+? ', Wlfjtl _ _ Footings(new bldg) _ Foorings(deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation ?? .fi5?c REQUIRED IN5PECTIO1,Sk^:;'rf,;:: FinaVC.O. FinaVNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ AidGas Tests _ Final _ Siding Stucco Stone _ Wandows (new/replacement) _ Retaining Wall Appraved By Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Uti{ity Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ? C A L' V 1 N H. H E D L U N D »ZS Morqan Avenue sourn Rlchtield,Minnesota 55423 Land Surveyor Civil Engineer Phane :866-2523 . surve?/a?r`s G'ert?,??cate JOB N0. SURVEY FOR: Stikbilt IIomes DESGRIBED AS: Lot 2, IIlock 2, UTF.N^IA WOODS, City of Eagan, Hennepin county, Minnesota and resexving easements of record. .? , ., ? Y' .o.o No°56'Z4??W r- - n h n ? ? ? ??4????? ?- -•°?-., ? ?V\ 2 s+o, v?: ?7 i 1 io'-o S st.ces _ 526_r O M ? ?- - ?i i¢ -- ?m L\ a 86.00 ? SourN ? O A 14 CERTIFICATE OF SURVEY I hereby certify that on 4/9 /84 I surveyed ihe property described above and that ihe above plat is a correct representaTion of said survey. ?;?_?.:.!.??-? ? • Calvin H. Hedlund, Minn. Reg• No. 5942 t. o rop of Found orJo.s r 9 29. 4 Sa:e.+re„r F/ow-- 921.3 Gpre?e Floora 92.9.0 Froposed ElevatlonS ? E'x i sr;ny F/evcrions --- -Pra,nage D;veeriafl7s Deno-res Lot Cerner o n/vxrf/ ? ?. ? c 30' io.op stacas °?? Sts.?) ur\ ? ?- - -- - - - „?? ? 2?j) ___--- -r - - -?? 925.3 \ 925.? 9LS.o p -- M wA Y i 1 Nama ot Roomt. Entire House ; " 3 ru ! 4 ? .. l . , . . 2 Runntnj Ft Fsposed WaD ? a xom IAmendona Fc 1 I ? 3 a3 / 07 k(. ! t CoOing HR 1R DlmRioes Rooro Fua ? ' ' nP HTM N ' Ara BCub Area Htuh Area Btuti Area HtuL Area Btuh Of EXPOSURE 0. Htc G7L m Lenath. . Ht[ CI[ or Leneth Ht` Cl[ or Lxngth Ht[ CIL or Length HK C1[. or LenetA Ht` , a crm x d . L ? o Mww Wab MA C , ruehl= a H ? _ - ' . wmAo.. ; am ?-,.? . l 0 72 Doon(HW e - 8(/. 4 ?- 7 Wiodow NmW p ' ? and Clw E&W n NE k DoM(Cli) 9onW a 88 k SW s oeee.nom ? + NK • ),:l y.? b 9 ?Y ?i??. ?N ?S? S3 ?? 9 ,ea j (! ToLI 8buh LeA t Btn6 Los d Htnh Tm de a 800 and AppBanea 1200 ibls Htoh Gain (Swetme) t Btnh Gdn ot Linn 17 aed 18 (0e) J Benh Gdn (IJns IH =1.8) 13 Y `f 9 ? Y ?. ? s! Area Btu6 Area Btuh Mea Htuh Arn Btuh Alea, ` aQ Length Ht? CI[ Length Ht[ ?e LenetL Ht[ Cle Length He[ ?[ Ht? l Uf ?' / . i fe' Air Owatitin z/aa ? CITY OF EAGAN APPLICATION FOR PERyIT SESdER AND/OR WATLR CONNECTIO.i (PLEASE PAINT) 1) PP.OPEYI'Y ACDRESS: -lizz r Fr',I. DFSCR.T=IC:1: or tiS???--• D. NLrim-eri l: D,%:'iy G ' CRIGi.IAL aiIi.^i:G ='•'iT ISw???G=: LPi•1LV ?O R-2 BUPLE{ (TWO LNITS) ? R-3 ZC7.,i1IF:C(iSE (TIIREE + UNITS) ( [T;r:'c) ?-d n ?.:",./CC,T. ?, ? [? AR-- •r*-Ci,?STu:l ? C'r'I`?C.T.ti,l?E:e?Si??OFFIC:: ? I'i?'L`USi?SAL Q NSTI:LTIC%AL/GGV'?,???ENT 2) eLr)DLIC`-NT (PLEasE ?Rt,vr) aDDREss: crr=, sr.n=, zrp: PI:O:z: 3) PLL:IBE? NFv-!E: ADDRESS: IJi Hut:Nta YfF-T? Cr' crrr. STATE, zzP: A.U• ??I '?Z<rz-?? M MJICt( PHONE: L3' '??7.G PLII?4BER IICENSE ?f oU a,e=fl /tr 7 4) OCCUP*NT/G!•iC;rR NME: (PLEASE PR1HI) ADDF2ESS: CITY, STATE, ZZP: PHONE: FOR CITY USE OALY PIUI'8?-RS LILE4SE: c Active E= Ezpired Q NQt?r- R ecgrd C?? C arr inttia 5) INpIG,'I'E WFiZCIi FEFMIT IS BEZNG REQUE=; ? CC.:.VECI'IGV 'Ib CITY SF.?•7ER T ?-CC:".VECrIGV TO CIM' [JP,TER ? GT.mR (PLF.ASE DESCc.IEE) V/ L?L1Vliu Li:?. 7) SIG!^.TL--E_ ? ?I::.;,Sc^, F:OLD APPRWEp PEfi,L1iT FOR PIGR-UP BY ONE OF I1B0'1E pIFaSE :•ML APPR= PEP'•tIT TO 1, 2, 3, 4 AWZ (Circle one) DATE : _ / Mo. mm:??i i E!?? f rt ?.m ?1 oi ss:sa:a:? a?? fi?.reY?iir s a? ?! ?a?saav e F O R C I T Y U S E O N L Y PERMIT - ISSUED F°E5: $ /0.?0 ?r?.:,? i]rq\;Ti r.r.-.r..-•" orx:'-r^) $ 1e.5o WATER PERP2IT (INCLUDE SURCHARGE) $ WP.T°R METE.°./COPPERHORN/OUTSIDZ READ-70 $ WAT^R TaP ( I.;CiUDE CORPORATiO:; STC^r ) $ SE:IE3 $ ACCOU\T GEPOSIT - SEi•:ER $ ACCOUNT DEnOSIT - t^IA:°_2 $ ..17D . ?r6 wac $ SAC $ TRWri ?VATE.'. ASSESS.-1::IT $ TRliNS ScT,4ER ASSESSb1E?IT $ LATE°'vL BENEF'IT/TRUNK SE?•:E3 $ LATERAL BENE°IT/TRUDIh WATER $ OTHER $ TOTAL $ A:?Oli;1T PAID/RECEZPT ; ?? 7a 3 DOES UTILITY CONNECTSON REQUIRE EXCAVATION IN PUBLIC RIGI3T OF WAY? -? YES ZF YES, THEN A"PERMIT FOR WORK 6VITHIN ? PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DZVISION. LIST AS A CONDI- TION. SUDJECT TO TFIE FOLiO:4ING CONDITIONS: APPROVED BY: e?,9 '" TITLE: Ze e_z?? DATE : ??r-- ? .e sw ws ww?m Msm ocl= so sr? wt? w? w s? w? w+ ?c? w?w r?.+? a? ?? se wi+ w? sc ??a w? w? _ , oF 3830 PILOT KNOB ROAD. P.O. BOX 21799 EAGAN, MINNESOTA 55121 PHONE: (612) 454-8100 May 30, 1985 STIKBILT CONSTRUCTION CO 2090 PIN OAK DRIVE EAGAN, MN 55123 RE: 4709 OAB YAY L 2, B 2, VIENNA Ii00DS BUILDING PERHIT /9029 DATED MAY 1, 1984 TO WHOM IT MAY CONCERN: To complete our files, a final inspection is needed on: Plumbing =--- Final inspections are for the present or environmental health. Heating Structural 8EA BLOM9UI5T Mayor THpMAS EGAN JAMES A. SMITH JERRY THOMAS THEODORE WACHTER Council Members THOMAS HEDGES Cify Atlminisirator EUGENE VAN OVERBEKE Clty Clerk necessary to provide the greatest possible protection future occupants pertaining to life safety and Please contact us immediately for the inspections cheeked above. Sincerely, te??9 Dale Perspn Chief Building Official DP/js THE LONE OAK TREE.. .THE SYMBOL OF STRENGTH AND GROWiH IN OUR COMMUNITY o J ? 2005 RESIDENTIAL BTJELDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 4 651-675-5675 FAX # 651-675-5694 New ConstNCtion Reauirements 3 registered s8e surveys sFwwing sq. fL of bt, sq. fL of house; and all roofed areas (20% maximum lot coverage allowed) 2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 setof Energy CalculaGons 3 ropies of Tree PreseNafion Plan i( lol plafled afler 7M193 Rim JoistDefall Options selection sheet (buildings with 3 or less untts) $1s7-. zs RemodeUReoair Reauirements Ofice Use Onlv 2 copies of plan Cert of Survey Recd _ Y_ N 1 set of Energy Calculations for heated addMons Tree Pres Plan Recd _ Y_ N 1 site survey for addidons & decks Tree Pres Required -_ Y_ N Addifion • indicate i(on-sne septic system On-sile Septic System :_ Y_ N Date 7 Coostruction Cost SiteAddress Kt 1C?? QP??C W kY UniUSte # Description of Work ??Ck NADIZic'0 Multi-Family Bldg _ Y N Fireplace(s) _ 0 _ 1 _ 2 Property Owner r? rL<--L--- \oj Nl: Telephooe #c-?l) Contractor 4- Y?6r<" CGWj? AN7' Address kkRG`" ?Viz L City `WVLR ?L°Gl'C- Pi-IC?y State ? YV Zip Telephone #(9q) Q'3'1- 23 1) Er103 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheel (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan8 _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( ) Telephone #( .Afj I hereby apply for a Residential Building Permit and acknowledge 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 approval of plans. mo'E 12q)-1 Applicant's Printed Name 112 ? " v Applicant's Signature 1 5 2005 OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 OS-plex ? 18 Deck A.23 Porch (screen/gazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level O 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or_ N? 25 Miscellaneous Work Types 7 kl Jf} %t "t?G . ? 31 New O 35 IK 32 Addition f ? 38 ? 33 Alteration ? 37 O 34 Replacement Valuation b ? C90 o Census Code L fi SAC Units # of Units # of Bidgs Type of Const I/ - , . , ? 30 AccessoryBldg a 31 Ext.Alt-Multi ? 33 Ext. Ak - SF ? 36 Multi Misc. Int Improvement ? 38 Demolish Interior ? 44 Siding Move Building ? 42 Demolish Foundation ? 45 Fire Repair Demolish Building" ? 43 Reroof ? 46 WindowslDoors 'Demolition (Entire Bldg) - Give PCA handout to applicant Occupancy MCES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width Footings (new bldg) _2( Footings (deck) ? Footings (addition) Foundation Drain Tile Roof Ice 8c Water Final X Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation REQUIRED INSPECTIONS FinaUC.O. FinaUNo C.O. ? Plum6ing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retsining Wall ? Approved By: , Buiiding inspector Base Fee Surcharge Plan Review MClES SAC City SAC Utility Connection Charge 5&W Permit & Surcharge Treatment Plant License Search Copies Other Total ?.;-Jj ..?, ? ?, f? v ., H. H E D L U N D 7726 Morqan Avenue South . RicMield,M4nneaota 55423 ? ,eyor Civii EngineerPhone :866-2523 sr?rve?or?s G'ert??'?cate JOB N0. SURVEY FOR: Stikbilt Iiomes DESCRIBED AS: Lot 2, IIlock 2, VIrP7NA wOODS, City of Eagan, Hennepin county, Minnesota and reservinq eascments of record. 920.? NO°56'24??W - - - Sb.ol- - - - 1 r- - ? ,\\ I ?'j . N I `I'LI.V qr I I? \??? \y\.. 1 ti J I \? 1 / ! ?`? ? OY \.\?(AI ? ' I --- - , ? -^' io'-o p st??es ? ? \ ? ? m?I Q I ? J? -; -r7--=477 i? _ 926•I 86,00 925.6 O A 14 WA Y CERTIFICATE OF SURVEY I hereby ceriify ihot on 4/9 /8`t I surveyed ihe property described above and that the above plat is a correct representotion of said survey. n ? i ?. , '?. ?? •, i ..._.,.. ? { , r'L'? -? ?? ? Colvin H. Hedlund, Minn. Reg. No. 5942 92Z.a ToP os Fou.,do*;o07= 929•4 ?b Baseme.,r F/ao+-- 9213 6ara9e 'Floar= 929.0 y 'PropoSed Elevation5 4D ?. Exisr;?y F/evariens --? W ,Ilrprnaye D;Yecricws --? Penoti's Lot Cornet O ? IU'..pQ S7aL?5 ?? .• ? uv 1 ?• 9t 5.o Q M , . . , H. HEDLUFfD ,eyor Civil Engineer7726 Morpan Avenue South Rithfieid,Minnesoto 55423 Phone:B66-2523 Smrvelor`s G'ert`ficate ,.55?P',?.??° ?,o NRAIV JOB NO. SURVEY FOR: Stikhilt liomes DESCRIBED AS: Lot 2, IIlock 2, VIFNNA wOODS, City of F.agan, Hennepin county, Minnesota and reservinr easements of record. 920• 0 r- - C/ . :; / ?- lo'-o Q SroKes o? M - O A 14 m 9e5.41 ^ 97 5.0 vv A Y '-(-7-0 - - CERTIFICATE OF SURVEY I hereby certify thor on t4 /y /S`i I surveyed ihe property described above qnd ihat ihe above plat is a correci representation of said survey. i i ? Calvin H. Hedlund, Minn. Reg. No. 5942 I . Lr I ?- - O°56'Z4?W --- -_1 • ? ? / `L... ? I N ? ??;.-o `°`•?,//? C9 z,,o> ,X\4?? 19 ? \ z sto,y N??? \",' ! 2C ???\.\?'y-`- CG-f 9ZZ.o T,P of Fou17dor;007= 9 29• 4 $ase.He.,r F /oa+^ = 9 21.3 G a ra 9 e -FlOav a 97. /. 0 Froposed E/evations 0 Exlsr;ny Flevw'riol,s --' J)rArna,ya DiYtCT%a9t ^ Deno-res Lo7' Corner O No?rv /?c301 loo? Stoccs me 1e - - I1`i ? !I \1???? i iy $b.0o ? - SourN 1 li ? L• S l T/L ??W,%-) ,IV 20 w4 t, ? • yr ..? ? F,45? IV.vv 1(l•v? IV,VV 1 5J? ? V r ? 4 m _-- 59S.o5 P 40 I N r F-AS T °449 'ab" w W -r F 6b 14s he 50uth /222. 15 i . ?I 3a 30 J?' I L EAST - - r ? L4-7.12 ? i o 3 ? ? Q ?? ?.. a 0 2 ?1 a ? ? ? 1 L ? EAST- W? ? r 4145.? l ? - ? E ? pl 04 I? ?? Q i ? L ? ERST .? Ln IT= ? 44.30 ? ? ?? oa 107?. 4-3 m M 476 ? 100.0 0 r- g5.oo ? '? f I C! ? ? A ? I? a ` ? L ? 1 O ' Q ? • RN a? :?. a? -z ?? r i- ? i I I E ? ? L F_ AST J L F-AST E ? r 100.00 g?.00 l? 2 ? al ¢ cti 21 L too.av ; ? 85.00 ? L S . _ ? Use BLUE or BLACK Ink ---------------, � For Office Use I ; 1 �18�� Permit#: i � �,r� I 3830 Pilot Knob Road . � Permit Fee:�� LJIJ � Eagan MN 55122 I _. �� Phone:(651)675-5675 � Date Received: �' � Fax:(651)675-5694 .IUL �I O 1015 i staff_�C� __________ i 2014 MECHANICAL PERMIT APPLICATION ❑ Please submit two(2)sets of plans with all commercial applications. Date: 7/6/15 Site Address: 4 7 0 9 OAK WAY, EAGAN, MN 5 512 2 Tenant: Suite#: ____ � � `' G�'"��'� ��,� Name: BRUCE WATERS Phone: 612-6 8 5-3 5 2 7 � ��a�?��.��d�r��w��zr�� , ,� � _� _: Address/City/Zip: SAME � � . h��N��hi��oH�� ` "�4��r��; . �ra�ryGG��,e� , � ; '��r� Name: K&S Heating, Air Conditioning & Plbg LLC�;�„Se#:� MB5218 � �� address: 4205 Hwy 14 W c�ty: Rochester � �� . �onti��ctor � `,y�GH� � r State: Ml�i �zip: 55901 � � Phone: 507-282-43�8 � � � r .� ti � � a - � �;�,,��,��` ; � contact: Heidi Brown � Ema;i: hbrown@ksheating.com�� ,zy �H ��a� r �� New X Replacement Additional Alteration Demolition �� a�� e "(`y�g p�'�� Description of work _ �+k�ud` ,�hu G � N — h� _ y,4 �1�C5��taof�mo�Gnt+�#aCah��r��md�€n�t��rr��han��q �'I�htF��r�qu�.�re�#bTb��c��ed#��,��y�Caq' ..�Y fs._s.. ° �� `_ __.. . a=�oci�y��P[��C�Onf�c�flt��nrc�fi��p��t��;��rr��fcsGr�atic�n��t��'�cr�e�i��r►��'��i�a��. , � —�. � '� RESIDENTIAL COMMERC/AL � � ��r� — �� X Fumace New Construction _Interior Improvement ��,�.��_ X Air Conditioner _Install PipiFlg �� ProCessed Air Exchanger Gas Exterior HVAC Unit � = — _Heat Pump Under/Above ground Tank (_Install/_Remove) '`�� Other � � RES/DENTIAL 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 � ApplicanYs Printed Name ApplicanYs Signature �C�1�C?PF#C�;�USE Req�iir�d tns��ctians� � - ��, _ �_ �,�� r �a ,� — _- '�;'P,'r n�� n,.= �t""".�b NXj"� � .n�e;, :��d �ha��h��p4Y i� `�N . . d M rif�la�ll��G�h��8�"H��y s _ �a,��,��, __ll�dergrc�und '"=Ro�� :y. "��t�� s� _�'��rv�c��s��,�c E '#�� '�°�P��i��u�P��F,�� I�(��c eer�� ",. �a�� ,� ,.�� a�� : PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA139108 Date Issued:10/10/2016 Permit Category:ePermit Site Address: 4709 Oak Way Lot:002 Block: 002 Addition: Vienna Woods PID:10-81950-02-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Bruce R Waters 4709 Oak Way Eagan MN 55122 (952) 649-7279 Appliance Connections Inc 12850 Chestnut Blvd Shakopee MN 55379 (952) 445-4803 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA159683 Date Issued:01/08/2020 Permit Category:ePermit Site Address: 4709 Oak Way Lot:002 Block: 002 Addition: Vienna Woods PID:10-81950-02-020 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Bruce R Waters 4709 Oak Way Eagan MN 55122 (612) 685-3527 Sterling Contracting Llc 210 Central Ave N New Prague MN 56071 (952) 688-6237 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA176371 Date Issued:05/13/2022 Permit Category:ePermit Site Address: 4709 Oak Way Lot:002 Block: 002 Addition: Vienna Woods PID:10-81950-02-020 Use: Description: Sub Type:Reroof Work Type:Replace Description:Includes Skylight Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Bruce R & Kimberly Waters 4709 Oak Way Eagan MN 55122 (612) 685-3527 Eagle Siding 1301 East Cliff Road Suite 117 Burnsville MN 55337 (952) 746-3046 Applicant/Permitee: Signature Issued By: Signature