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4733 Oak WayCITY OF EAGAN Remarks Addition VIENNA WOODS Lot 5 Rlk z Parcel 10 81950 050 02 owner 5treet 4733 Oak Way state Eagan, MN 55122 Improvement Date Amount Annual Years ayment Receipt Date STREETSURF. Imp 1981 2$34.45 283.45 10 STREET RESTOR. GRADING ?i' 587.7 : 5$ 77 10 2 5 . . _ SAN SEW TRUNK 1973 129.78 8.65 15 * SEWER LATERAL / * WATERMAIN * WATER LATERAL laRl lO * WATER AREA 1981 * STORM SEW TRK 1981 10 ? STORM SEW LAT 1981 10 CURB & GUTTER SfD£WALK STREET LIGHT Road Unit 260.00 #482 3 12-12- 4 WATER CONN. 470.00 " " BUILDING PER. 1". SAC PAR K . . . . . . .:?.?t i' . . . . . . . v . . . . f;Y. . . .. PERMIT # MECHANICAL PERMIT ? - ' CITY OF EAGAN RECEIPT # - ? ? 3830 PILO T KN06 ROAQ, EAGAN, MN 55122 DATE: - `1 ' •? CONTRACT PRICE: PHONE: 454-9100 Site Address 2 BLDG. TYPE WORK dESCRIPTION Lot r ock Sec/Sub ? Res. New ? p- x Y ? -- Name Mult Add-on ' ? " "" '`' Comm. Repair ? .k Address • ? ? ?J! Other c City Phone FEES c Name RES. HVAC 0-100 M BTU -$24.00 Address ADDITIONAL 50 M BTU - 6.00 3 p City Phone (!M -711 (RES. HVAC INCLUDES A/C ON NEW j CONSTRUCTION) GAS OUTLETS (MINIMUM 1 PER PERMIT 1 5 EA - ) - . . 0 TYPE OF WORK COMM/IND FEE - 196 OF CONTRACT FEE Forced Air M BTU APT BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - 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 SURCNARGE PER PERMIT - .50 Vent CFM ?, (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other FEE S/C: SIGNATU E OF ERMITTEE TOTAL• '? 9 °f qr? FOR: CITY OF EAGAN ? CASH RECEIPT ?. ? CITY 4F EAGAN P. 0. BOX 21-199 EAGAN, MINNESOTA 55121 , QATE 19 ? . / . wecF?R[?oA AMOUNT $ a ooLLwRs ,oo ? CASH ? CHECK ?...`- POR FUND CODE AMOUNT ' .. ? 1 ? ? > C ? , / .? 9? * Than u ??;7 BY , ( . . White-Payers Copy , Yellow-Posting Copy Pink-File Copy Reoeipt MECHANICAL PERMIT Psrmit No. CITY OF EAGAN F" fill in numbered spacea S/C Type or Print /egidy Tot 1. Date ' 2. Installation Cost 3. Job Address r . Lot Blk. Trsct 4. Owner 5. Contractor ' ? .?. Phone " B. Addross 7. City Stau 2ip 8. Building Type: Residential C? Commercial ? Institutional ? 9. Work aascxiption: New 0 Add O Alter 0 Repsir ? 10. Dascxibe Fuel Type 11, No• Epyipmepi 9TU - M. Ea. Foresd Air , No. Eauioment CFM Air Handlin : j r f ; Mfg. g '. Boile?s - , Mfg. Mech. Exhaust Unlt Heater Mfg. OMer ar cond. Mfg. Get. Piptny Outlett 12. I hereby certify that the above information ia true and oorrect, and I ayrea to comply witfi all ordinanoes and codes governing this type of work. ? Sig^ed ' for Rouyh Final Irupections: Oate Insp. Date Insp. This is your psrmit when numbered and approved. Approved CITY OF EAGAN 464-8100 CITY OF EAGAN (I , 3830 Pilot Knob Road P.O. Box 21-199, Eagsn, MN 55121 • PHONE:4548100 BUILDING PERMIT Rece+at Site Address 4733 Lot ' Block 2 Parcel No. Erect Remodel Repair Enlarge Move 0 occupancy R-3 ? Zoning R-1 ? Type of Conat. ? No. Stories O Lenycn 4 6 ? Depth 46 ? Sq. Ft. Address 4 709 O'?n 6dAY Demolish - Grade ..:_.. , .. e?--- Name SAME oU ul Address ? Citv City /lssessr»ent Water a Sew. Police Firo Erq. Plonnar Caunci I Permit Plan check 1 i Y. u u y,C 525.00 Water Conn. 4 7 0_ 0 ? Woter Meter 6 3. 0 0 Road Unit 260• 00 1 hereby acknowledge that I hove read this cpplicetion and state that gidy, pff 12 ? 10 ? 8 4 ?u1 CO . 5 0 the informafion is corred and ogree to tomply with oll opplicoble 9 Stote of Minnesoto Stotutes ond City of Eogon Ordirances. APC Total 1,893.00 Var. Date Sipnoture of Pertnittee A Bufldiny Permit is issued to: ST I L$ I LT CON 5T CO., I PIC . ??? oxpreu cor+cNtlon thol oll work shol? be dorw in occadance with all opplicobls State of Minnesoto Stctutes cnd Gty of Eapan Ordinonces. BWldirg Official Permit No. Pwmit Holdsr Data PlumbMp ? (? - ? • ? " ? 2 _ 99 Ia - H.vA.c. , a1Q Ud3 ? ? ? Elaetric i Y 1 ey) ?.s ys? s o sofc«,.. 513 (rapeetion Date Insp. Other Footinyt / L Foundstion Freming Rouqh Plbp. Rough HVAC ? Inwlstion - ?/ Find Plba. Final HVAC Fjnal CKt/Ooc. Waur Desaibs Locttion: 4Ys11 Sswer Pr. Disp. Cities Digital i Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. Reoeipt PLUMBING PERMIT Permit No. CITY OF EAGAN - ? Fee fill rn numbered apaces S/C Type or Print /egiboly Tot. T_ 1. Date 2. Installation Cost 3. Job Address ', Lat Blk. Tract 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential 0 9. Work Oescription: New 0 Commercial ? Institutional 0 Add ? Alter O Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs $eptic Tank Lavatory Softner Shower Wel I ? Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Qrains Drinking Ftn. S1op S+nk Gas Piping Outleis 12. I hereby certify that the above information is true and correct, and 1 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 when numbered and approved. Approved CtTY OF EAGAN 454-8100 CITY OF EAGAN 3830 Pilot Knob Road P. O. Box .21199 Eagan, MN 55721 Zoninfl: Qwner: Address: Site Address: `' t 1 Plumber. ++rti? .!a.,is?s*1n,? t SEWER SERVICE PERNUT PERMIT NO.: DATE: No. of lJntts: 1 eana Woods 1?-1_ . ?? •::'3 1 yI" !o eempiy wNh tlw Cft ef %p¦ Ordiweneac ey Dote of Insp.: Connection Chorge: 425.00 rid _ Aocour?t DeposR: 1 r. c; permit Fee: • . ? ?ci Surclwrps: • , Ci r. Misc. ChorQes: Tatol: Date Paid: ? CITY OF EAGAN WATER SERVICF PERMIT 3830 Pilot Knob Road P. O. Box 21199 ,. PERMIT NO.: ? Eagan, MN 55121 DATE: Zoning: '? ` No. of Units: 1 Owner. Stikbilt Const Address: Ske Address: 4733 Oak Way L5 B2 Vienna Vood s Plumber: ' idt t:IE'Tnl Jai1i2 .s nf' Mater No.: ???? . a Cortnett6a+ Charye: 4 ?"i Size: ACODUnt DepOSit: f Reader No.: Permit Fee: 1*gne to ompy wMN t6e Gh? of Eo9oe Surcharge: Oedieanom Misc. Cheryes: 63.07 pci r?eter Total: By Dote Paid: Date of Insp.: Inap.: P. O. BOX 21199` . PERMI 1 NV.: Eagan, MN 55121 DATE: Zoning: No. of Units: Address: ar No : c??on aarge= .:. - . ? dunt [)ilppsih A ? r No : 0 Aa6 b (- , co Permit Fee: . pw to oomplr wkb l6 o C.it1l of ""s Surcharpe: ^ I..ae«. W?isc. charoes: ? ? . .i Total: id D t P : a o e ? CASH RECEIPT ? CITY OF EAGAN P. 0. BOX 21-199 EAGAN. MINNESOTA 55121 ? 79 - LARS E] CASH - QICjiC{K'? , 7.) ?a Ju ? _i ,,,Z J ^-J? l / Thank You ? White-Payers Copy Yellow-Pozting Copy e:..i. c:i., r...,.. COGE qMOUNT ??? CITY OF EAGAN N? 9790 , 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 PHONE:454-8100 A? BUILDING PERMIT 2eceipt !•7 # 7 0 Te bs wed for SF DWG/GAR Est. Value 75.00 0 Dote f1R!'RMAFR ig- i q_$q Siteqddreas 4733 OAK WAY Erect x Occupancy R-3 Lot 5 Btock 2 Sec/Sub. VIENNA WOODS Flemodel ? 2oning R-1 Parcel No. Repeir ? Type of Conrt. V Enlarge ? No. Stories 1 Name STIKBILT CONST CO., INC. Move ? Length4 ((L Z Address 4709 OAK WAY oamolish ? oepth46 ? City EAGAN Phone 454-0975 Grede ? Sq. Ft. ApororaM Fees ou VyS ? Name SAMF Address Name _ Address City _ Phone Assessment Woter 8 Sew. Police Flre Erp. Plnnner Council Permit 3715 .UV surchorge 37.50 Plan check 179• Q? 5,4C 525. 00 warerconn.47n nn WoterMeter 63.00 Raod Unit 26a _ nn `I hereby oCknowiedge that 1 hove reud this opplication ond state thaf Bldg. Off.12 10 $4 I??{???? the information is correct ond agree to compiy wilh all opplicoble AP? Tatal 1. 93.00 Srote of Minnesoto Swtures and City of Eogan Ordirances. $Ipnature of PermiMee Var. Date zf•e- A Buildfng Permit It issued to: STILBILT CON CO. , INC. on fhe expreu condiHon ihor oll work shall be done io accordance ? all pliwbleAare pf Minnesom Statutes and Ciry of Eapon Ordinanus. Bulldinp Officiol :t f?1 Phone Tnis reaues[ voia S_3 18 BM305 2 z ?4/?sa -SI 3 g? - -- - -- -- ? ^ ?^ - ?? flequi? ? []ReaAV Now IRIfill NatitY. Inspec- ? es No Iw Whenfleady ffLice.nsed Elec[rical Conhactor I herqby ieqmst inspec[ion of abova ? Owner elecbial wark installed at: Shee Adtlress. Box or Poute No. `? Gily ?33 ?!- ection o. Township Name or No. Range No_ Cwnty Occ pant (MIINT) ` Phone No. i?-q - D97j Power Supplia AAdress 1 /V Electrical Contrac (CompaM Name) Cmha r"s License No. t MaiUng Addres (Comracit ar Owner Making InsraJa[ioN i ,P. ?uc M SS/? Authoriz Siemture IContracro / r kinp Iretallationl PM1Om Nua?bcr y ?l ~2J 70 MINHESOTA STATE BOA60 F ELECTIIICITV THIS INSPECTIDN BFAUEST AILI NOT Griqps-MidweY Bidp- - N-191 0E ACCEPfEO " iHE bTAIE BDAND 1827 UniversitY Aire.. St. Poul, YN 55104 UNLE$$ PppPFA INSIECTION FEE 45 M....e 16121 29]1111 ENCLOSEO. -.? REQUEST FOR ELECTRICAL INSPECTION EB-0°°O1-04 r? .'1 ' Sce imbuetiwrs for completing fhis (om m haek o1 ?rellow cnoV- 6`2 5 0 5 2 " Be/aw Work Covered by This Request dJ Reo. Tvoe oi 8uileina Aoolia.as kired Epuipment Mired Electric Farm Air p Fae Servic¢EntromeSiza k Fee Faeders/5ubteeders M Fee Gircuits ?pp 11 m200Am 0 to30A .? 0 to30Am A6ove 200_qm?n 31 m 700 Artqs ?` 31 to lOQ Arnps Swimming Pool Above 100_Amps Above 100_A Transformers irtigation Bootris Partia4'Other Fee I_I I Sigis iSpeciai Inspec[ion (I,$d() TOTkLFEE Remarks /L Rough-in Da[e?( ? _ectriral / ? 3-6 Inspeclur. Mraby mrtilv ?MC <na ano.n .Final ? . Daie "' "m has been Tn?is revtnet .wa ia ?w f? REQUEST FOR ELECTRICAL INSPECTION . E?'000D1?A q ? ? See imttietims tor completin9 this form on baek of Yallow copY. .'?J/ ? G.?•?.'% IB11 6 9 9 "X" Below Wotik Covesed by This Request T Add Rep. Typg p1 BuilAing ApDlianem 11irW EquiOrnent Wiied ? Home Range emporery Service Duplex Water Heater Lighting Fixtures Api. 8uilding Dryer Electric Heatin Convtercial Bldg. Furnace Sifo Untoader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Offiei aec, v ntAer lSnenlvl - t r Suen(y th Othcr mnute lnsoection Fee BeJow # Pee S¢rviceEnrtra?e5iza q ee Faeders/Subfeeders # Fee Circuits 0 to 200 AnWs 0 to 30 q s 0 to 30 Am s A6ove 200 A 31 to 100 Amps 31 to 100 q nqx; Swi?mni? Pool Above 100-Amps Above _AffW Tramiormers Irtigation Boorcs Partial- Other Fee LI ISigns ' I ISpecial Inspec±ion ITO FEl? ? fle.rks / 8ouph-in Da[e 1. tA E iwl ? Ircpeetor. herebY certify tlpl tlg above Final % ate inspeetion haa been ?da . This repuest Wid ? 9 I q? Y?, 76 month b l 1 i 10," -Req est Data Fire No. Rouph-in Inscection vetl? DNeadV N. Will Notilv.InsOec- ?? ? ? ? ? ?No Yes 10r When Ileady [y`1censed Eiec[rical Gontractw I herebY reouast insoeation of above ' ? Owner electrical work imtallad al: Str t tl s x Rout Citv ?? t _cuon o. Tpwarshi0 N. or Na. Pa No. County Occupa.npl?-1M11NT) #• ? Po)o?ne No?.[/, Powe[n$uppli¢r ?,R Adtlress Elect t a'Zlpf'?6yrtqdqy? ?T Cona? us License No. ? RiC i ? J'„ Mailin8 Atl ris 1 CAT 'p Ins(a?i? ion) APPLE V L?a 11V T .AvMorizetl Siprewre IConhac[or kion) Phonr. Number MINNESOiA g7q7E BOANU (F EIECTNIGITY . THIS INSPECTION REQUEST WILL NOT GriggaalidweY Bldg- - Rodn N-191 .. . BE ACCEPIED BY THE STA7E BOABD 1821 UniversitY Ave.. SL Pau1, YN 55104 UNLESS PROVER INSPECTION FEE IS Phone f612) 2972111 . ENCLOSED. REQUEST FOR ELECTWGLL INSPECTION ? ? Sea i?t?tions for eompletim this form on bnek o1 yellow coPY. 4- ?AW2 ""X"" Be/ow Work Covered by This Request koJAddl ReP-I Troa ot Bui Wieg I Appliances BirW . I E9uipment Bired J ElectriC CoMitioner ? • fee Service EnheneeSiza b Fee Feetlers/5abteeders N ' Fee Circuits 0 to 200 Affos 0 to 30 A-lis 0 to 30 Amos .46ove 200 AmES 37 to 100 qmp5 37 to 100 Ann? Swimming Paol Above 700_Amps Above 100_A Traisformers iRigation BoortE Partial.?Other Fee Sig? Speciai Inspection ? Re?rks l'yo ? TOiRL FEE /J &4o ,cOA?,?. _ ( lv.00) ? Ro?ph-in Date 1. tM1e Ele vies Iapactw.berebY . canih 11ret tha abova Final Daze ? inspoctim has eaen e .t-9Y d.. lift MquWvoid SOMOoft Fees This repuest w:a IB?an st r r? ? G ?? 6 SY(P 19/ e5, vo iMque Date - Fre Na. Rough-in IreOer?ion Haqwred7 ady Nwv ? WiII Notii¢ InsD-- ?! y1,,,.?( lp ? ?Yes o lor Mllypn Iteady Gguceased OlecViral Convactor 1 hargbv ?eOius< inspaction of above El Owner ' electrical wak irstelled at: Street Aadress, Box or Ib No. Ciry 7 ? ec on T?hip Name a No_ Range No. nty a«???? IPRIWJ) P,o. N.. 3 / Povre Supp R'm lv Address E I c[riCal C- cta IC N 1 Con[racto ?s License No. ? 1 7 J ? - linp A dJress (C racta' -Owmer Making 1 taila[ionl ? / '? .0 ` ? Au wizedS?Qnaw ( ont tar r'MakinB I.tallation) Ph Oer / A MINHESOTA STq7E BppRD pF EIECIRICT' THIS INSPEGTION REQUFST WIIL NOT Gripas-MidweY Bld9- - Room N-197 , BE ACCEPTEO Br THE SfAIE BOAXD 1821 Universiry Ave.. SL Peul. YN SStOC UNLESS PROPEp INSPECTIOM FEE IS P1qne (612) 2972111 ENCLOSED. b v q?)qU CITY OF EAGAN Include 2 sets of plans, 1 site plan w/el.evations & BUILDING PERMLT APPLICATION 1 set of erwrTr cal.culations. Tb Be Used For f c<f i- C r Valuation Date site Paaress: 733 l.rJA oFFzce vsE orris Int S Elock Z sec./sub. ?? A4joM j X occupancy ?-3 Parcel Alter Zoning Q-I Repair Fire Zone Owner: ?TikSlr. .i 04014z. L o. ?c • Enlarge _ Tyne of Const. , r Nbve Stories # ? Pddress_ 701 c7AV Dennlish _ Front d(P ft. 2 Grade Depth ft. City/Zip Code: A - Prone #: +-t ?tk O 9 7 S? rPPROvALS FEEs Contractor: Address: ?r City/Zip Code: Phone #: Arch./Fng. : Pddress• Gity/Zip Code: Phone #: Assessrrents Permit Wat,er/Scwer Surcharge 3? 50 Police Plan Check 11 q Fire SAC S 2 51 °-° Eng. Water Conn. 470. Planner • Water Meter (n 3. Council Road Uni.t "p, °° Bldg. Off. / - APC TOTAL 1 , r R. 07) ???x ? 38 = 4?4 X Sq- = 2(a (o Z4 x?3 :?52 x 54 = 2? ?v - 23i x 54 ??24?4 I I x 21 22 x 22 = 484 x t I ? ?324 I +Z82 00?- - C,A L? 1 N F? . H?? D L U N D »2e Morqan Avenue soufn Richfield,Minnesot0 55423 Land Surlveyor Civil Engineer' pbone : 866-2523 survellors G'crt`f`ciatc ? JOB NO. SURVffY FOR: Stikbilt [tomes OESCI IBED A5: I,ot 5, I31oc1< 2, VIP.NNn WOOIIS, City of Eagan, 'Dakota County, Dlinnesota and reserving easements of record. i i Top o?lrf Foundation = 932, 7 Basement Floor = 9z4.e- (iaT1glE I'LOO = `j32i 3 Propo'sed Elevations(= Existing Elevations -- Drainl!age Direction - Denotlies Lot Corner O No,RrN - 420.0 V o° 56` p q"W 918'.D 86.01 r-? - - - - - -"'?? . ? ?. . •; ?'? ? ? ' i ' 1 l? ? y ? I 1.•? . ? I? ? ?N?r. I? -? 529,3 g•?can'r-?. 9z9-? I I ? !I SPLiT L.EVELN I . 10' 0 51'4 K e `. IZC , N ? c,Aa. N0 3Z.0 . -? - ?Za -- - - ' 93 ,o I ?930.o gG, ? ' 9z7_9 _ - - '77--7 5 ou ?? - 9?922b ? O 2 9.'7 .., ? ? OAK WAY . I herleby certify that on /2 /(? /84 I surveyed The property described above and ihot the above plat is o correct representation of said survey. Calvin H. Hedlund, Minn. Reg. No. 5942 1 Nus oI Roomi. Entire House 1? t, .., 3 5 ? 7 8 r 9 IO . S Rumloe Ft FsDoeed Wdl r`g :Z 3 ,eooin nimenta,. tc ' " 1 r ? 3 kA: Y' l u /2 ? Y /,?'/ . _ , 4 CoUing Ht, Ft Dhectlons Room Faca nP 8TM Area BtvL Area Htuh Area Btuh Area BtuL Ares Btuh Am Ht u! Arca BCuh Mea Bta6 Area Btuh Area Htuh EXP SURE ? 8t? Cl? Lenath Hte CI[ Leneth At[ Cl` Length Hea C19 Length Hcr ?e. Length Hta CIe Lene? A« Cle LenptA Hc? CI? Le `ch Hta Cls Lenath Hee CI` Lanach Hk C?e a cro. . Espo.ei y - " ..s..,. ` ?_'? , WwAAnd e -- - r.rtitione a i ,y - ? _ 6 w,nao.. . _ C am ?,,,,4 4 4 . l 6 noo.(a+s) J- J ? 7 W(ndmn North ? I and GLr E dcW w NE k N Doms(Clq 3ont6 ar SE &SW a octm n,a. /? - /' ) 9 D • xOt . 1.).i u r 02 v m/, ??l iSr S3 ?? 9 /? ?219 9S?G ?aq ` 3G /oa ys71 /?? Y ? t tloa. _ , J b -C. q, 31 12 Vmtilatke ; 3 3aA Total BtuL Lor l Dnd Btah Loa " a Toat aeae to.. . s reoa. e aoo .oa avvama. Izoo _ 1 3e0811110.13tn6 Gsin(3truRnee) ' l Duet BWb Gain lf 9um of IJaes 17 and 18 (CI[) Ton! Stn6 G&In (Lw 19: l.s) 1.3 /y i3s- IIBwh fm tir Oa=Litin 2/84 CITY Or EAGAN ?1{41 APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTIODi - (PLEASE PRINT) 1) P?'•.OP&R'!"_' }1DDR :55: r= D?.?I?TIC`]E .?--" (Lot/Block/S ub:ivisicn or ^aY :arcel I.D. ivj=ber) ...'.I:.:'=:t, 5?^P,LC^ DATi' O=' O2T_G2IAI, wIILDl'L`.G :.J:•1T ISS?..a\C:: P:'FSL? ?.l;?7Z:?F:/P?OPCS"rJ LS?: -1 SM;=- FFL1STY . ?0 :?-2 CLTFL{ ('?•,•:0 Ci:ZTS) ? P-3 'IC?t'kQ-?CLTSE (?= + L7:ITS) f U:7I^ ? R-a UNzTs) p Mlj=cIAL/.RE::-.lz?or_Tc:: ? ?e?s??r, ? S?iSTI'^?'SIC.?L?L/G;V?:`.•*?'?;'I' Z) ppp-,7G _.;T (PLEASE FRilii) Nr'V'IEc > i L J i L 7? €FG f?? F? ,? L. ACD4ESS: CIT'_'. Su-.TE, ZIP: PHONE: ?; S'i c;?l I S 3) Pllu,=, 1 (PL?,1SE PR14i) FOR CITY USE O4LY NPl?: 1 fN+4'777?Y?,t,' IJ/`7n!/E.t S .?i?C C ADCi2ESS: PLUP,B£RS LICE4SE: ? CITY, STATE, ZZP; i Attive Expired - PHO:IE: MH??-' GJ'ZPLU:NBER LILENSE k ` Q Not of Hecord ? _ ?D? IF'(P 0 ?? arr inicia 4) OC:.;.'PANT/G*.'•:E'i2 N trLcnat NHir?T) AL?: ADDF2ESS: CTTY, STATE, ZIP: PHO:IE: 5) IIIDIGNTE WIIICH PERh1LT IS BEIi:C RF.'QUESTI:D: ? CL:NECfZON 'IO CITY SEYIEE2 CONNV'MPICN 'IO CITY NATE?2 ? di[;FR (PLL'7LSE DFSCFtZIIE) P=-?ISE F?OID APPP.WID PER'?LIT FOR PZCi:-GP BY ONE OF AB(`VE P=-SE :•Tr1iL APP P??LLT 2,0 4 pBpVE ? ?%v ircle one) 7) SIC.?,TL.:?: f?,k? i???' DATE: ?'J ? ? R Ai?.+M/fJ01? a!f l?:gfr1?! s IYAi=r:? ? i i?ii?i:?a 1t !!!!'1?1y.? f?l f? t?i S?Syfy ? C I TY U 5 E ON;,Y PED-MIT " ISSUED `Frr. S' $ / O . a5-d S io . .,S-o $ $ S S $ $ S . S CF.??D Dr.D•qTT ?I?IC?.TiI:LL JURC??I•GL? WATER PEM1IT (IL:Ciii?E SliRC:?ARGc) WATER METER/COPPERHORN/OUTSIDE RErIGER WATER TAP (ZNCLUDE CORPORATION STOP) S::iE3 TAP AG:OUNT D.F,POSIT - 47ATcR WAC SP.C TRliVK WATER ASSES52?E2iT TRUi4R SEWER ASSE;SME`IT LP;TER;L BEidEFIT/TRUBIK SE:'.EB LATEBrIL BENEFIT/TRUNK WAT°R OTHER TOTAL AMOL'::T PAID; REC°I?T ? e- ade &1 a. DOES UTZLZTY CONNECTION REQUIRE EXC:iVATION IN PUBLIC RIGHT OF WAY? ? YES IF YES, THEN I: "PERAIIT FOR WORK SVITHIN P[7BLIC ROADWAY" MUST BE ZSSL'ED BY THE NO ENGINEERZNG DIVZSION. LZST AS A CONOI- TION. SUEJECT TO THE FOLLOP7ING CONDITIONS: APPROVED BY: TI;LE: DRTE: ?1- --r - ? ?w ?? mwzmw .kmwc = w w*m wew w ap w M17m wjlm V.S am wt40 mm sa Wjm NOL-M wt? m si+ w m City of kali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink r For Office Use Permit#: ( I I S Permit Fee: Date Received: `E I S 113 Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 111 3Ck l( Unit #: Resident/ Owner Name: i I i -t '1/ Phone: Address / City / Zip: Applicant is: Owner Contractor Type of Work Description of work: Construction 2_6. (ZOO o ( 0 d Multi -Family Building: (Yes / Noy ) Contractor Cost:ii, Company: Pee, M i E fL rCD n'I 0 tie I I 23 (IC Contact: Darn /04 Or 4 (2 Address: City: /, 22 -7 7 State: Zip: Phone: 6 /02. 2-k--5— 837,4' License #:gc 6L ?Z‘3 Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, _Yes If COMPLETE THIS has the City of Eagan yes, date and address AREA ONLY IF CONSTRUCTING A NEW BUILDING issued a permit for a similar plan based on a master plan? of master plan: _No Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents, that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.00pherstateonecall.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 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. x 62 /44 / Qv\ Y4-12 Applicant's Printed Name xl / di Putt)? r_ ( 2 Applicant's Signature Page 1 of 3 tS. Use B1A3E or BLACK R, For Office Use r 11 lit :A of Eatall i''d aI y Permit#: f I/ I t� Permit Fee: [ `7 7, 7 3830 Pilot Knob Road Eagan MN 55122 Date Received: 6- --le I7 i Phone:(651)675-5675 I Fax:(651)675-5694Staff: �i l 1n( I 141 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ' 2. Site Address: 4733 oattiotly Unit#: Name: .0d /J I'e ere)(.4 1` .:x.Y"'" Phone: 63g - C43o RESIDENT il t�j OWNER Address/City l Zip: / .- ©CL_,tc uo,- Applicant is: Owner iii'Contractor 1. -,....7(� Description of work: e iYaC e_ k Wei4/?u0X�I/4j ` s'�/,�"? TYPE OF WORKV S Construction Cost: .2:::„..., Multi-Family Building:(Yes /No } Company: / _. .. y cit s io v) Alli-t.. ✓1��'.,e+�/,Ls Contact: /'6 r/-L L cr zt/ ._�p// CONTRACTOR , Address: 202 6 /71 14 City: 10,57-ery2f/44/ State:/ 5-57)‘ ) Phone: ‘51 " 26 9- 6f/i, License#: Ac-- . `5 256 Q Lead Certificate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) • 'Ulz r //If h',9 ...u.. 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 are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. a 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 i : case of work which requires a review and approval of plans. Ext or work a , onz by. - ,:iiipermit issued in accordance with the Minnesota State Building Code must be completed within 180 il da it,, permit ual x i A /,/' if l / x L liei /Afnh'jsii ica a Print- Name are plicarrt's Signature Page 1 of 3 14.--7 .. D-fl 101 "1 DO NOT WRITE BELOW THIS LINE JLi`/O3 I SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace 0 Repair _ Egress Window _ Water Damage — Retaining Wall *Demolition of entire building-give PCA handout to applicant — DESCRIPTION Valuation 30610 Occupancy „MC,--/ MCES System Plan Review Code Edition agp/, SAC Units (25%_100% f') Zoning P,0 City Water "' Census Code 4 31( Stories Booster Pump #of Units / Square Feet j PRV _- #of Buildings / Length .11 Fire Suppression Required Type of Construction p Width /q REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) Final/No C.O. Required Foundation HVAC_Gas Service Test Gas Line Air Test Roof: _Ice &Water _Final Pool: Footings Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: _Rough In Air Test _Final Siding: _Stucco Lath Stone Lath _Brick Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: /., , Building Inspector ole RESIDENTIAL FEES Base Fee 21% Surcharge Plan Review N.6 w MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies J 6) o9" TOTAL Page 2 of 3 C,A L V I N H . HED L U N D /Wacp 1 7726 Morgan Avenue South Richfield,Minnesota 55423 Land Surveyor Civil Engineer' q 7 .j Di*. Phone : 866-2523 '34.,,, Suri'cqor's ecrtt7icaie ,,,.. ::. _:.. „..{ „..;,,... ,L.. . ) ` JOB NO SURVEY FOR: Stikbilt Homes' DESCRI IBED AS: Lot 5, Block 2, VIENNA WOODS, City of Eagan, 'Dakota County, Minnesota and reserving easements of. record. • 920.0 o° 64.24"WQ 9!8'.0 • 86.01 Top o • Foundation = 932.7 r� �_____�� Basement Floor = 924.40 t 4f";s -' i Lr r" il . - . . Garage rloo = 93 z,3 I . Proposed Elevations C7 % i, *I Existing Elevations ----- a N a. . Drainage Direction --; kkr Ivv/4, n1,. s"ca'& gz9.3 Denotes Lot corner 0 4Z `r — EACAN r-1" \ SP -�T tar - . 'ji R.- `� � `E® ti Sv\\ c (7.\\ lit `' ioid) BY: 4 ,,,,a)sturoes _ IZc , rst-qx�/ ` \ N G=, '� i/ 131 DATE: 2144 .. i) `� `o -3z,a BIJi DING I1'';-°`'ACTIONS DIVISION "'`�Z4 2 i,..2. 1....O R TNl I(......, - . \t M , 4t .o F g6. , 9z7.9 7----' 5 ou N 4 21.1,..-7 R? 9 9274 t . - D A K '/ WAY n CERTIFICATE OF SURVEY I hereby certify that on /2 /Co /84 I surveyed the property described above and that the above plat is a correct representation of said survey. j,(,, {2N4,,,-. .... Calvin H. Hedlund, Minn. Reg. No. 5942 • 4 J PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA157609 Date Issued:08/28/2019 Permit Category:ePermit Site Address: 4733 Oak Way Lot:005 Block: 002 Addition: Vienna Woods PID:10-81950-02-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Dollie Crowther 4733 Oak Way Eagan MN 55122--233 Haley Comfort Systems 4320 Hwy 52 N West Frontage Rd Rochester MN 55901 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA157713 Date Issued:09/05/2019 Permit Category:ePermit Site Address: 4733 Oak Way Lot:005 Block: 002 Addition: Vienna Woods PID:10-81950-02-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). 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 - Dollie Crowther 4733 Oak Way Eagan MN 55122--233 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA171807 Date Issued:09/01/2021 Permit Category:ePermit Site Address: 4733 Oak Way Lot:005 Block: 002 Addition: Vienna Woods PID:10-81950-02-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Dollie Crowther 4733 Oak Way Eagan MN 55122--233 Haley Comfort Systems 3708 Broadway Ave N Rochester MN 55906 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature