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4770 Oak Way DE___ Use BLUE or BLACK Ink _ i I r urC)ffice U~,, ~ I I Permit pity of EaVnclfl ~s RECEIVED I Permit Fee: 3830 Pilot Knob Road ► I Eagan MN 55122 JUN 0 7 2011 j Date Received: Phone: (651) 675-5675 I ► Fax: (651) 675-5694 Staff: 2011 MECHANICAL APPLICATION Date: 2 V' l ~Syittee Address: 4:710 00,Y- WM Tenant: ll ~ [ I !(,(,(J h_ Suite RESIDENT I OWNER Name:.. J' m l.! tt~t,1 id~ Phone: 1U `rOC3~0 [i0 Address / City / Zip: W _4170 021~ CONTRACTOR Name: e atr 1 1ta fih l License Address: IqD Gy~&-m-leffCity: J State: r(~n ~yryzip: ua Phone: tUJs T~ `~`1 ~ ~1~ _ Contact: o i i p t, L~=m Email: 1~• Y~ 1 idV1.t ir TYPE OF WORK New X1 Replacement Additional Alteration Demolition Description of work: NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City' Code. Please contact the Mechanical Inspector for information on permitted screening methods. PERMIT TYPE RESIDENTIAL COMMERCIAL Furnace _ New Construction Interior Improvement Air Conditioner Install Piping _ Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump _ Under / Above ground Tank Install / _ Remove) Other " when installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $95.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal OR Contract Value $ x1% $55.00 Minimum (includes State Surcharge) Permit Fee - If the Permit Fee is less than $10,010, surcharge is $ 5.00 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee Surcharge (i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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 plan x jamIe Home x Applicant's Printed Name Ap icant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: _Under Ground Rourlh In Air Test ' (gas Service Test In fluor Heaf Final Exterior HVAC Screeninq Inspection CITY OF EAGAN Remarks Addition VIENNA WOODS Owner 10 81950 130 02 Sireet A770 Oak G'ay state E aqan , MDT 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. Ipip,.61 19$1 2834.45 283.45 jQ STREET RESTOR. GRADING IIW ? 587.73 58.77 10 SAN SEW TRUNK SEWER LATERAL /?;' * se WATERMAIN * WATER LATERAL * WATER AREA * STORM SEW TRK 1981 10 * S70RM SEW LAT 1981 10 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK ? SEWER & WATER PERMIT CITY QF EAGAN 3830 Pilot Knob Rd. P.O. Box 21199 Eagan, MN 55121 OFFICE USE ONLY PERMIT DATE WATER PERMIT # SEWER PERMIT # METER # B.P. RECEIPT # READER # B.P. RECEIPT DATE < • METER SIZE ISSUE DATE - PRV - BOOSTER PUMP SITE ADDRESS - ?!A? LOT ?>>!LOClC SEC/SUB ?Zt 812 fv A ?- ?.. ? APPLICqlVT: ADDRESS: ZIP i_" .'" .• ;.??'? PHONE:: , PLUMBER: '-'?"'i ?? ' fM; - ?' ;1 ;??s s ?' '?`,'' (?• ADDRE`SS: v'." . L '' -I CITY, STATE L ZIP PHONE: ? - OWNER: C'. , cst ?? > . . } ADDRESS: CITY, STATE ZIP PHONE: PERMIT REQUESTED 'SEWER WATER _ TAPS _ COMM/IND _?_, NEW ? RESIDENTIAL EXISTING I AGREE TO GOMPLY WITH CITY OF EAGAN ORDINANCES: ? - ,? SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. P.O. Box 21199 Eagan, MN 55121 OFFICE USE ONLY PERMIT DATE WATER PERMIT # ry1?''` SEWER PERMIT # _ METE # 112 B.P. RECEIPT # C 1716 ER # gX? a? 7 B.P. RECEIPT DATE METER SIZE S o c? ISSUE DATE r'PRV - BOOSTER PUMP SITE ADDRESS .4 ? f WA LOT _"?LOCk SEC/SUB APPLIC.pANT: ADDRESS: { `7 SG? ? K' ? 1? WCX?r? "'!`i',?? , - ?5?1 i +u ,?• CITY, STATE L/AG ?1, ''• ! i , ? ?1 • ZI P PFtONE: PLUMBER: A?? 1?' ? fi: r' 4 j r: t??f-? C.• ADDRESS: _', i"' S CITY, STATE t..r-.?? uti'•t?, ZIP ?,..., _ PHONE: OWNER: ?AA ADDRESS: V74 CITY, STATE ZIP PHONE: PERMIT REGIUESTED ?S SEWER _L WATER - TAPS - COMM/IND y RESIDENTIAL J__ NEW _ EXISTING I AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES: ?,,? ;?, StG R WH MET?i ISS D ? PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. . ? ,. CITY OF EAGAN ;;ti ? 1637V , 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MM 55121 PHONE:454-8100 r BUILDING PERMIT Receipt # • ' .? ? To be used for SF i*'?;;"GAM Est. Value $12?,, OuO Date APR 28 , 19 Site Address 4770 GA*. t,kY Lot - ? Block ' Sec/Sub. `1 i t?- ???aA ?(?UT35 OFFICE USE ONLY Parcel No. occuPancy R"' 3 -H-i FEES ¢ 7I LT.uE r. ;Xe tE::i Name Zoning (Actual) Consf Bidg. Permit 7:S ti . OCi 3 Address 27?95 91:?'?? i??, ti(ilTi 2Zt? (Allowable) V r` S h v?.OQ 0 urc arge City Lj?,f'J°V jL!-• Phone 6 +2-5 100 #orscories ?4 ., ? 7s ? Plan Review • Length . o Name Depth g6 SAC, City 0 . ? , ? Q Address S.F. Total - ? 7 S• OU fr SAC, MCwCC City Phone S.F. Footprints - ?Nater Conn ??? ?? On Site Sewage _ y?j Name On Site Well Water Meter ?C•00 W xx sZ Add1'ess MWCCSystem 3??(? Acct. Deposit a W City Phone ciry water K? SlWPermit 20 . 00 PRVRequired I hereby acknowlege that I have read ihis application and state that the Booster Pump - g,W Surcharge 1•00 information is correct and agree to comply with all applicable State of ?y.? ..: "I Minnesota Statutes and City of Eagan Ordinances. Treatmerit PI Signature of Permftee APPROVAIS Road Unit ?'. O? 3 ?iZ !•-., ' ; A Building Permit is issued to: Planner Park Ded. on the express condition that all work shall be dor1e in accordance with all Council - applicable State of Minnesota Slatutes and City of Eagan Ordinances. gldy pry. _ Copies ?? i j?•`J`'? Building OffiCial Variance - TOTAL ~ Permit No. Permit Nolder Date Telephone # 1NATER SEINER PLUMBING H.V.A.C. ELECTRIC ? ,? cJO?s'd ? ?- YL-E.? G p? OrJ Inspection Date Insp. Comments Foptings I Sr l.?? Founda6on i Framing G ? Roonng Rough Pibg. ? Rough Ht9• ? 9 T1J; ?r? lsUui/ IsuL e,js Freplace Final Htg. Fnal Plbg. -e7 Const. Meter Plbg. Inspector- Notity Plumber Engr./Plan Bldg. Final Deck Ftg. Deck Final weli Pr. Disp. . . - " (terti#iratt uf Orrupanry titp of eagan sPparbuFrit Of i1tltbtilg jwPtttDri Thrs Certi?'icate issued pursuant to the requiremenls of Section 306 of the Uniform Building Code certrfying that at !he time of issuance this structure was in compliance wilh ihe various ordinances oj the City regu/ati?tg building construction or use. For the following.• u. cw.F,;o„ SF II7WG/GAR Bus. ?,,m;, No. 16376 o-„p.-Y Type $3/t11 &,,;,,g nor;n PD/R I Tya c- VN Ow,,?r Gf Bwlding TILLM Fam Addrm 17595 IQ3MCJUD TR, LAXLVII.iE 8Widing Addrm 4770 QAK WAY ??ity L 13, B2, VEZNA WOOD6 /L11 n,tc JULY 26. 1989 POST IN A CONSPICUOUS PLACE PERMIT # • ' PLUMBING PERMIT RECEIPT fi CITY OF EAGAM 3830 P1LOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE PHONE: 454-8100 Site Address '.27,? Lot Btock Sec/Sub ? Name !?`•G . j ? r ?i Addres _.?.. % , s c ? Ciry i Phone ? Name ; Address O Ciry Phone FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE 8 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) SIGNATURE OF PERMYfTEE FOR: CITY OF EAGAN BLDG. TYPE . WORK DESCRIPTION Res. ?. New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: N(. FIXTURES Water Closet - $3.00 TOTAI, i Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 i ` Kitchen Sink - $3.00 UrinaV Bidet - $3.00 +Laundry Tray - $3.00 Floor Drains - $1.50 ?-- ? =Water Heater - $1 50 Whirlpool - $3.00 Pi ZG i O l f -27 as p ng ut ets - $1.50 (MINIMUM - 1 PER PERMM Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 -7 F E E: STATE SlC: GRAND TOTAL• PERMIT # -- ' MECHANICAL PERMIT RECEIPT • ' ' # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 y? Site Addr,ess -'?' LotBlock Sec/Sub' ? BLOG. TYPE WORK DES ON Res. ? New n ; Mult Add-on Name + l - Comm. Repair ca ? Address ' Ciry?t l???!r1C? tC+1? MrJPhone ? - - Other FEES Name ' RES. HVAC 0-100 M BTU - $24.00 c Address ADDITIONAL 50 M BTU - 6.00 p City ? l. Phone (RES. HVAC INCIUDES A/C ON NEW CONSTRUCTION) 50 EA GAS OUTLETS (MINIMUM - 1 PER PERrAIT) - 1 . . T1fPE OF WORK CaMM/IND FEE - 1°/u OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPUES TOWNHOUSE S CONDOS - RES. RATE APPUES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 5/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other FEE S/C: SIGNATURE OF PERMITTEE j TOTAL: '. r r. FOR: CITY OF EAGAN .. , ,. ,..:,__. _.... -__..:? . INSPECTION RECORD CIT'Y OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: 1 1.11 tN r, fA.' f f+?W pr. /(AA 10/. (612) 681-4675 SITE ADDRESS: APPLICANT: t i? I: t{ tc ?. ?+? ? , :tk IIAY • , . , . f.?r. PERMIT SUBTYPE: TYPE OF WORK: ;.1 ? , 0t ;.? ? ? '4 ? ba Gri ? ? Permit No. Permit Holder Date Telephone fl ELECTRIC PLUMBING HVAC Inspecdon Date insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBINO - PLBG AIR TEST ROUGN HEATINC3 GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. 85MT FINAL DECK FiG ?` 7?a? M$ No u?v1? '?f'-?? '"?t I DECK FINAL ? - - - INSPECTIQN RECORD CITY OF EAGAN PERMIT TYPE: ?l3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 ,, . ; ; ,.; I •,, (;, 3 xL, SITE ADDRESS: PERMIT SUBTYPE: APPLICANT: TYPE OF WORK: ,a ru R 11 I E t i'1' H{i A F* INSPECTION ., . D, Re- .rnr . :.. .-1 N,'t nrvI rwr..u t+r n?I IK t. tsAKi.F , F - ?p V? UG ? V_-a- L Permit No. Permit Holder Date Telaphona # ELECTRIC PLUMBIN(3 HVAC InspecUon Dab Insp. Comments FOOTiNGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN NQ 16376 3830 Pilot Knob Road, P.O. Box 21-1 99, Eagan, MN 55121 .. PHONE: 454-8700 BUILDING PERMIT Receipt # Tobeusedfor SF DWG/GAR Est.Value $128,000 Date APR 2 8 , 19-89-- Site Address 4770 OAK WAY Lot 13 Block 2 Sec/Sub. VIENNA WOODS OFFICE USE ONLY Parcel No. Occupancy R-3 M-S FEES pD R-1 Zoning w Name TILLGES HOMES (qcmap Const V-N Bldg. Permil 738.00 o Address 17595 KENWOOD TR. SUITE 220 (Anowable) V-N h S 64.00 arge urc City LAKEVILLE Phone 892-5100 u oi stories - 369 00 721 PlanReview . Length _ F Name SAMR. Depth 54' SAQCiry 100.00 t ¢ Address S.F.TOtal - 575 00 N ? City Phone S.F. Footprints - SAQMCWCC . `Nater Conn 580.00 On Site Sewage _ ? ww Name OnSiteWall - WaterMeler 90-00 5 s? AddfeSS MWCCSystem XX 30 00 u ? Acct. Deposit . ¢w City PhOf18 Ciry Water X S/W Permit 20.00 PRV Required I hereGy acknowlege that I have read this application and state that ihe Booster Pump - SW Surcharge 1.00 information is correct and agree to comply with all applicable State of 22$ 00 Minnesota Statutes antl City of Ordinances. Treatment Pl , SignaNre ot Pefmitee .? J APPpOVALS Road Unit 340. nn TILLGES HOMES A Building Permit is issued to: Planner - parkoed. on the express condition that all work shall be done in accordance with all Council - applicable State of M nnesota Statutes and Cit of Eagan Ordinances. i gidy. pK. _ Copies ./ ? Building O%icial !-???µ_LJ Oll? I TKy Variance - TOTAL 3?,135.00 I ? ? _ DATE: 5101/89 RE: 4770 OAK WAY, L13, B2. V1ENNA IRDODS RX y` ?f9our Sewer & Water Permit tor the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO 4239kLL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATERTURN ON. - Your Sewer & Water Permit for the above property cannot be completed for the following ? reasons: -? Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. - COMMERCIAL PROJECTS ONIY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. ? - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. DATE: 5/1/89 ? RE: 4790 OAR WAY, L13. B2, VIENNA W06DS' ?i ?;Your Sewer & Water Permit for the above property has been completed. It will be held at the `A ublic Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO • ALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. - Your Sewer & Water Permit for the above property cannot be completed for the following , reasons: ,I ? Your Sewer & Water Permit for the above property has been completed, 6ut the meter cannot be Issued or occupancy allowed until turther notice. - COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. This reQUest void ?8 monlhs lrom O / ? 886312i- 904,07 ???/ °" - -- - nre rvo. Houph-in Inspeciion - S? Re red? OqeaAy Now [EWill Nmity, ;E-u Inspec- p? y ?N 1 Wh q dy UT1- 4 Elec[ncal ConVactor ? I heraby re0uest inspection ol ebova Owner ni..?n?..oi .. _ _ ..'_. .._. Street AAdress, Baz or Route No. d??^ "'f a/ w "'f a/ .. ......o??e.. a.. Ctv e „ ? a a ?l l ? o„ o. Township Namo or No. ange No. Counry /' Occupant (PqINT) Phone No. Power Suppli Atltlress ? / ? ?e Elec[ric2 Conuactur ICompany Nume:) ^ ^ ? Cnn[roctor's License No. , ?.? Marling AdJress IContractor or Owner Makine lnstailationl Authonz SiBna[are ? n ctodOwner Makine InsWlla,ion) Phnne Number - b3-38`ra uin?u?...... -- nI c ouw.nu ul? [Ltt Gri ?tICITY [nI5 INSPECTION qEQUEST WILL NOT gqy_Midwey Blde. - Noom N-791 BE ACCEPTEO BY 7HE STATE BOqqD 1927 Unive.sitv Ava.. St. Peul, MN 55704 UNLE55 PNOPEN INSPECTION FEE IS Phone(6t2)6G2-0800 ENCLOSED. ChSH.41i_ii. .o ;'F:P.NiI?d,1i.. h:Oe =?'.'ir ..? ? r; ?: .. .. ?_? ..,.., cr' ? ....f..) 1. . . ,c.?? e? ^ i:, ci ?'? r: r;:. 2 - ?... i ??_..:I ??V r ?..?r... i.rq +D „ M(-1;? D C'iOti`i...E •:??o : t? ^ )Cl:.. 477r.] f.-?I: i?6^aY "i.l,:(:)L ..,,...t... ?ei i'_1`;5 '.?i?':):i. 4770 CiF,I: plftr' O.F.it:) w t Toi;a7. Rnr.::-_.;it. c;moi.;.rrl::, `;flu=;i1 CR09'ri.`7.74 . Lif:tiii:ii :CD: Pd.ilt7r:y REQUEST FOItELEC1MICAL INSPECTION ? ee-ooooi-qos , , Sae inslractions lor com0leting this fprm on back of vallow wCY. g 8 6 3 1 ""K"' Be/ow Wurk Covered by 7his Request FAtl flep.• TYae of Builtlmg AOOliancee Wirod EquiVmenl WireA Home Range Tempprary Service Duplex Water Heater Liyhtiny Fixtuies Apt.Building Dryer ElectricHeabn Cominercial Bldy. Fumace Silo Unlonder Industrial Bldg. Air Conditioner Bulk Milk Tenk FBlm Othx, peu y .thtrr ISnp<:Iyl ther u!`?? Y ther pthi,r Comoute lnspectlon Fee Below N Fee Service EntrenceSize n Fee Feeders/SubteeJers u Pee Circuits s Oq U to 200 Am 5 0 to 30 Am s 0 tn 30 Am>s Above 200 Amps 31 to 700 Ainps 31 to 100 q y wimm S ing Poot Above 100_Amps Above 100_A?nps Transtormers Irrigation Booms p Partial,Other Fee Signs Speciallnspection / flertwrks r-??F? Nouen-in oye ' . BC\IICTI nspaclor, hereby ce??ily Ihat ?ha above final ? D^??/? ? pection has been ? de. This repuest vo1G i8 montha irom PERMIT ' CITY OF EAGAN ^ 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: Permit Number: Date Issued: SITEADDRESS: 4770 oAK WAY LOT: 13 BLOCK: 2 VIENNA WOODS P.I.N.: 10-81950-190-02 DESCRIPTION: B u-f'1c}'i'ng€ P e r m i t T y p e 6uildin_g"W,prk Type ,Gens?us Cod?f'°-" ,, I ? '- pECK NEW 434 A.LT. RESIDEN7IAL REM4q% REVIEWED BY MIKE BARCK FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: , ? BUILDING 032010 05/26/98 BLrYL?' MAX.. 477@ OAK WAY EAGAN MN 55122 (612)452-4242 ? I hereby acknowledge that I have`iread t#ais °applickt'ia`n"ehii siate` twit 'Ghe n I infarmation xs cowreet artd agreetn• com,ply t?i.th al,i appli?cab,Ze State of' Mn. ?._, StaCUCes a6d CICy ?af Eagan0j^dinane"6s.',s ?. ' ; ? ?,IC6PLICANT/P M E SIGNATURE ISSUED BY;bIGNATIME f?998 BUILDING PERMIT APPLICATION (RESIDENTIAL) f,JfO,J 0 ? CITY OF EACiAN 3830 PII.OT KNOB RD - 65122 14 esi-ae?s cLf.?tc?5- New Construction Reauirements RemodeVReoair Reauirements ? 3 regiatered ake surveys ? 2 copies ot plan ? 2 copies of plans (inUude beam & window sizes; poured fid. design; etc.) ? 2 slte surveys (exlerior addkions 8 dedcs) • 7 energy celeulations ? 1 energy calalatlons for heated addHions ? 3 copies of tree preservation plan H lot plattetl after 711193 requirod: _ Yes _ No DATE: S?- ??I 15 CONSTRUCTION COST; DESCRIPTION OF WORK: N, r STREET ADDRESS:? L? ?7O U-g-/L LOT: l? BLOCK: 12 , SUBD./P.I.D. 9.r/meog, Name: Phone #: ej f- 7 J'Y? PROPERTY ? Fi i OWNER - A StreetAddress: q7?D City g a l/d?,,. 2 State: 3797n/ Zip: Company: CONTRACTOR Street Ciry State: Phone #: _ License # _ Zip: Phone tl: ARCHIT'ECT/ ENGINEER Company: Name: Regishation #: Street City Sewer & water licensed plumber (new construction only): and lot change is requested once permit is issued. Zip: Penalty applies when address chang I hereby acknowledge that I have read this application and state that the infortnation is wnect and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required State: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ? 03 SF Addition ? OS 8-plex ? 13 Garage/Accessory ? 04 SF Porch ? 09 12-piex ? 14 Fireplace ? 05 SF Misc. ? 10 = plex )?I?J 5 Deck WORK TYPE ?9, 31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. (Allowable) Main level sq. ft. UBC Occupancy sq. ft. Zoning sq, ft. # of Stories sq. ft. Length sq. ft. Depth Footprint sq. ft. APPROVALS Planning Building Altg Engineering Variance W 3,1 of _L Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit 5/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: $ ? 16 Basement Finish ? 17 Swim Pool ? 20 Public Faciliry ? 21 Misceilaneous MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit °k SAC SAC Units LS f? = r?b?dn-?a ?? ??+szs?s? ?o da1.. 7 ? \ ? ?? . , ?- ?? ; ,?- ? ??. ? Ltb ? .. ? ' ? ?'•. <???-? ? - ?i ?.? ?, ? EZ , L , 1l S??-S /NJY ?/Y P/ -1-1 ---*, ? F ID 4 ... . ?. ? 4CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: . Uzo s 8/v3 0/s/9o 6UILDIN6 027690 06/04/96 SITE ADDRESS: P.S.N.: 10-81950-130-02 4770 OAK WAY LOT: 13 BLOCK: 2 VIENNA WOODS DESCRIPTION: ilding?,,Permit 7ype ilding Wo,rk Type Gensus Code DECK NEW 434 ALT. RESIDENTIAL c L REMARKS: FEE SUMMARY: I Base Fee Surcharge Total Fee $45.00 $.50 $45.50 CONTRACTOR: OWNER: - Applicant - BOYLE MAX 4770 OAK WAY EAGAN MN 55122 (612)725-3550 I hereby acknowledge that I have read this application and state that the information ie 6orreet anrl agree to eomply with all appliqable State of Mn, L Statutes and City of Eagan Ordinances. ? ??? I?T/PERMIT SIG 'ISSUED Yf ?IGN ?UR? I? CITY OF EAGAN - •. - 3830 PILOT KNOB RD - 55122 /ft 1996 BUILDING PEaMIT APPLICATIDN (RESIDENTIAL) 6814675 CCt.v;o?Q Zf 9 u Naw ConsUUCtion Raouirements RemadellReoair Reauiremenls ? 3 registered efle aurveys ? 2 copies af plan ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) 2 site surveys (exterior addkions 8 decks) ? 1 energy calculations ? 1 energy calculations for healed additions ? 3 capies oT tree preservatfon plan H lot plaNed aRer 7/1/93 required: _ Yes _ No , DATE: CONSTRUCTION C05T: 66t DESCRIPTION OF WORK: STREET ADDRESS: -1 LOT 13 BLaCK /_- - i PROPERTY Name: Giy4?? ?i?9? Phone #: ysj-y?y'? OWNER ?- Street Address• Company: Phone #: i City: State: ?. Zip: CONTRACTOR ARCHITECT! ENGINEER Street Address: City: Company: Name: License #: Zip: Phone #: Registration #: Street Address• City: State: Zip: Sewer & water licensed plumber: ?f?' Penalty applies when address change ar cfiange are requested once permit is issu . I hereby acknowledge that I have read this application and state that the information is correct and agree to compty wi: applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY ,IVEDD Certificates of Survey Received _ Yes _ No ,,1 ; •.. ? ;, ? ' ? Tree Preservation Plan Received _ Yes _ No State: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition o OS 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. a 10 = plex WORK TYPE ? 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowabie) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning ? 11 Apt.lLodging 0 ? 12 Multi RepaidRem. ? ? 13 Garage/Accessory ? ? 14 Fireplace 0 AD 15 Deck ? 36 Move ? 37 Demolition 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous _ Basement sq. ft. MC/WS System _ Main level sq. ft. City Water _ Sq, ft. Fire 5prinkiered gq, ft. PRV _ sq. ft. Booster Pump _ sq. ft. Census Code. _ Footprint sq. ft. SAC Code Census Bidg Census Unit Building Engineering Variance ? -42- Permit Fee Surcharge Plan Review License MCNVS 5AC City SAC 'vUaier Conn. Water Meter Acct. Deposit SM/ Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Traiis Oed. Other Copies Total: Valuation: $ % SAC SAC Units f I \ ? - ± \ hI-Lri ?,` , ? IJ? \ m I 'i CB4-Aj ? . n ?. , 4 I \ ? _---- .? ?. - Adr,1 ?IdQ o L 110-1 , i ?z C ?c 'L-Lb , ?. /Or ? 4_ 1#+ 11 ' '- ( ?/' Y F I? ? ,'VGY !1' ?i6 v 7 ? s?-?'? oG G!? - (i? z-a/ 11 "I J : . , o•* 738•OU+ 64•OU+ 369•OU+ 1, 904•00+ 3p 135•00* 738•U0+ 64•00+ 369•00+ 1p 964•00* 3y 135•00* 1989 BDILDING PEffi!IT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS I T?I 4 INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: 6DDRFSSFS FOR CORNER LOTS - CONTR9CTOR/HOMEOWNER MUST DESIGNATE iIHICH ADDRESS IS DESIRED. NO CHANGFS WILL BE ALLO{iED ONCE BIIII.DING PEAMIT I3 ISSOED. MIJI.TIPLE DWELLINGS RfiNTAL QNITS FOR SALE UNITS # OF UNIT3 INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SORVEY - CHECg HITH HLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMEACIAL INCLUDE 2 SETS OF ARCHITECTUAAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: G'lC -6yq; 4- Valuation :I?J2. - . Date: Site Address 477 0 Qa{c yJa? Lot 11* Block 2 Parcel/Sub VIkyl V1Ol 1IYOC9 Owner M OlX E70y6 _ Address ireq KaNN ? . _ City/21p Code GQqkN ? MN . Phone 4 ,c;;rz - qi-Gf7p Contractor TiA4ft 14DWIL* _ Address ???5 Ker?rva?dT?'. Z2?D City/Zip Code leakewflIfMY{• 6X/44, Phone Arch./Engr. i-2 fS,ocio -? Occupancy R-3 /4- 1 Zoning PD R-I Aetual Const V- N Allowable v -nl lt of stories Length _ Z7 ! Depth S.F. Total Footprint S.F. On site sexage_ On site well MWCC System ? City water PRV required vl? Booster Pump ? APPROV6IS Planner _ Council {?- Bldg. Off. -r1 ?J 41z-8 Varianee Address City/Zip Code Phone # v 5 r FE6S Bldg. Permit 738? Surcharge 6 9, o p Plan Review 369 ,oo SAC, City Op,Da SAC, MWCC 5175,00 Water Conn rigD,OO Water Meter 30,00 Aeet. Deposit -%p,cc> S/W Permit 20,0?') S/W Surcharge /, o0 Treatment P1. g,oc> Road IInit ,:340, o0 Park Ded. Copies TOT9L NOTE: Sewer & Water Permit fees and aecount deposit fees srf.ll be included in the building permit fee. Processiag time for aeWer and water permits is two days once a liaensed plumber has applied for a permit at City Hall. ! VA uktsTlC) Q ? z 2 X -Z'5 = S 5-0 Z 2 l? ? u= Z? ?zxZc. G ?b?2 ? e9? KI`I= z3?yL( 4-?.n,,,.s?' ?- - T3 Svh T? I ie q(. 3X z) 2- ?C 1 .? = La )Ssb x ?s °?ZSa? ?----_ I z-??q y , , . ?flose ?NGI?V??fl1NG CornpANY, iric. IUUU EABP 166m &TR66T, TiuGES Co.vsr. h, ftZ,ev.oi CONSULTIN6 ENOINEEflS PIRNNERS and LAND iURVEYof4b BURNSYILI.6, MINNEBOTA 6633i PN 43Z•30U0 Gertificate o'f SLWvey Legal DeSCi'117L1011: LoT /3, BGOCK 2, y/ENn/-9 di/OOD.S, pgKOT"fl C0t11V77! MiA/NE5'oT.9 (93Ef) DENOTGS EXISTING ELEYATION $nnK IZ(, PA6F Iz ( 938-ZD UENO'fES PROPOSEU ELEVATION . INUICATES UIftECI'ION OP SURFACE DRqINAGE 538. So = r-INISI-IEU (UARAUE rLUUR ELEVA710N 930.7 = BASEMENT FLOOR ELEYATION 938.83 = TOP OF BLOCK ELEVATION Sa9? : ??? ? 30 , . ?Y + )AlC a O . w4 Y ? ,yv ?o .?. \? \ 30' Fi2oNT 9014O/N6 SETBACie G /NE 4 N B8. ao' ao" E .n 00 ? 8 '38? 8 . ? (9jB o) I Bg ? 6L I \37 ? ? o28;? I 'n\J ? ?(939'>? I ?g¢ 6? (934- 7 ? V U) N ? \ ?\ T ??9 21 ? ?` ? I ? ? \ J C r? ? ? J 1 (T1 1 ^ / OQs \ C,8- ? 7ev-9z7.? ?', " ?• InC u \1 BY Date ly " DRA/NAGE Ati/D ° EACAR1 E14GIIl1EEI3IIU DEPTUT/G / TS" EASEMENT <2aa.-7- 26,73 pAVo ??OURED c9Zg.?,N99- { lietaby certify Ihal lhis is a lrue nnd correct repreaenlalion ol a lroct of land as ehown and described hsr.on, Ae piepaced by me on lhls L7f day o? ?pf- it- ,1989 , z?/?? 'e";? Minn, Reg. No. ?6?BS , EXTERTOR ENVELOPE AVERAGc "U" COMPUTATION GbJNER MAX Mt.* STTE ADDRESS 10 OAK WAY • CONilcACTOR I'79P'5-f-7 D."„c ??. PHONE Determine working square footage of each. 1. Total exposed wall area ..... 7- Z44, I sq. ft. x_:,_, = 2 E3,'7 2. Total roof/ceiling area ..... 1 '5' 50 sq. ft. x?,?? _ =2=0 Total exposed wail area aoove floor = 2r a. 7ota1 wall window area ........................... b. Tota1 door area .. ........................... ? c. Totul sliding glass door area ................ d. Total fireplace wall area ....... ... ............ Z.? e. Total wall framing area (average 10%)...:........ ? f. Total net wall area above floor ................. . g. Total rim joist area ............................ 7otal ekposed foundation area = 1'1 3 h. Total four,dation window area ..................... .____--• i. Toal net foundaticn area above grade ........ .... 1-7 ? Determine "U" value of each wall segment. a._j.?? , 8 I x b. 37. '1 07 X C: LV --x d . '5z'? ? co X e.,J lolo A*s X f. 14?fq ? 89 x s. ? 73 . 60 x „u 4 ? ?f5 = , ?-I 13 u„ ltuli S3 = . „u„ lluit Itull ?D4' GHp,oc liuit , v? = h. X "U" _ X Oul, ? I r = 2o,'Jv . 3 .....................................Tota1 ,7 If item ;i3 is the same as, or less than item til, you met the intent of SBC 6006(c)2. Total e>:posed roof/ceilino area = ?? Sa j. 7otal sl;ylignt ar2d.............. ...... .. . k. Tatal roof/ceiling `raming area (averzqe lON)... oa 1, Totol net insulated roor"/ceiling area........... cv . Determine "U" value for each roof/ceiling secmert. • j. r X ??U" ? k, X „U„ (\ 4 ..................................Total -? - i 2.G l+?? I\ l` totzl of ,;4 is the san: as, or less than i2, you have m?-Lthe intent of SBC 6006(c)1. Rl:ernate Quilding Envelope Desi9n 7o utilize the total envelope system method, tre values estoblished by the sum o` items a3 and `4 s.hall not be greater than the sum of items #l and ='2. I . Vi + 2, 3. '' 4. "`?'? ?e..f"'? _ "',??. 1•, 't, I T - INSTANT TESTING COMPANY _ CO 4000 BEAU D' RUE DRIVE _ EAGAN, MINNESOTA 55122 Phone 454-3544 FOR: TILLGES CONSTRUCTION COMPANY Attention: Mr. Felix Tillges Tillges Construction Company 17595 Kenwood Trail (Suite 220) Lakeville, Minnesota 55044 PROJECT: Vienna Woods, Lot 13 Block 2 (4770 Oak Way) DATE TESTED: 2 May 1989 REVISED: 5 May 1989 INPLACE DENSITY TEST REPORT AUTHORIZED BY: Friedees INPLACE DENSITY RESULTS TEST nUMBER: LOCATIOT: DEPTH BELOW GAADE: PROCTOR CIIRVE NUMBER: YISUAL SOIL CLASS: % MOI STURE: OPTIMUM MOISTURE %: RELATIVE MOISTURE, %: FIELD DE\S1TY, PCF: STANDARD MAXIMUM DRY DEnSITY, PCF: RELATIVE t7ENSiTY, %: REQUIRED MINIMUM: 1 20' west & 10' south of northeast corner of house 2' 89-03 Uledium Sand w/Gravel 5.2 11.4 46 122.8 121.2 95 2 25' west & 15' north of southeas4 corner house 1' 89-03 5.6 11.4 49 121.8 127.2 100 95 REMARKS: Relative density results based on Standard Proctoe. Tests meet density requirements. Proctor sampled w/field test #1, see attached sheet for results. CHAAGE CODE 2 - #306 + hr1y - #601 -0.75- 4 - #612 mileage COPIES TO: Tillges Construction Company Friedges Lanscaping City of Eagan Building Inspector ? ? /? f? Signed ? '?• G. J. Kopacek Professional Engineer - Registration No. 7254 I T? 0INSTANT TESTING COMPANY 4000 BEAU D' RUE DRIVE EAGAN, MINNESOTA 55122 Phone 454-3544 FOR: TILLGES CONSTRUCTION COMPANY Attention: Mr. Felix Tillges Tillges Construction Company 17595 Kenwood Trail (Suite 220) Lakeville, Minnesota 55044 INPLACE DENSITY TEST REPORT PAOJECT: Vienna Woods, Lot 13 Block 2 (4770 Oak Way) DATE TESTED: 3 May 1989 @ 8:15 REVISED: 5 May 1989 ACTHORIZED BY: Friedees INPLACE DENSITY AESULTS TEST NUMBER: LOCATION: DEPTH BELOW GAADE: PAOCTOR CURVE NUMBER: VISUAL SOIL CLASS: °6 MOISTURE: OPTIMUM MOISTURE $: RELATIVE MOISTL'RE, %: FIELD DENSITY, PCF: STANDARD MAXIMUM DRY DENSITY, PCF: RELATIVE DENSITY, REQUIRED MINIMUM: 3 4 northeast corner of backwall oY garage house pad, footing footing line Footing line, (5' course-walkout) @ footing grade 2' 89-03 89-03 Medium Sand w/Gravel-- 5.6 5.9 11.4 11.4 49 52 117.4 119.1 121.2 121.2 97 98 95 95 REMARKS: Relative density results based on Standard Proctor. Tests meet density requirements. CHARGE CODE 2 - #306 + hrly - #601 -0.75- 4 - #612 mileage COPIES TO: Tillges Construction Company Friedges Lanscaping City of Eagan Building Inspector Signed ? Y-?r - G. J. Kopacek Professional Engineer - Registration No. 7254 1 +r? INSTANT TESTING COMPANY T 0 4000 BEAU D' RUE DRIVE EAGAN, MINNESOTA 55122 =Phone 454-3544 FOR: TILLGES CONSTAUCTION COMPANY Attention: Mr. Felix Tillges Tillges Construction Company 17595 Kenwood Trail (Suite 220) Lakeville, Minnesota 55044 INPLACE DENSITY TEST REPORT PROJECT: Vienna Woods, Lot 13 Block 2 (4770 Oak Way) DATE TESTED: 3 May 1989 @ 1:00 REVISED: 5 May 1989 AUTHORIZED BY: Friedaes INPLACE DENSITY RESULTS TEST rUMBER: LOCATION: DEPTH BELOW GRADE: PROCTOR CURVE NUMBER: VISUAL SOIL CLASS: % MOISTURE: OPTIMUM MOISTURE RELATIVE MOISTURE, %: FIELD DENSITY, PCF: STANDARD MAXIMUM DRY DErSITY, PCF: RELATIVE DENSITY, REQUIRED MINIMUM: 5 30' south & 20' south of northeast corner 0' 89-03 6 extreme northwest corner of house - on garage footing 0' 89-03 Medium Sand w/Gravel------ 4.5 5.4 11.4 11.4 39 47 117.2 122.6 121.2 121.2 97 100 95 95 RE\tARKS: Relative density results based on Standar8 Proctor. Tests meet density requirements. CHARGE CODE 2 - #306 + hrly - #601 -1- 4 - #612 mileage COPIES TO: Tillges Construction Company Friedges Lanscaping City of Eagan Building Inspector C Signed ?:,+?i'??? _" > ? "• G. J. Kopacek Professional Engineer - Registration No. 7254 12/07/2010 TUE 11:24 FAX 6514378831 Q002/002 C4515 Use BLUE or SLACK Ink 0~ { Permit C::rAl City of Ea 3830 Pilo { Permit Fee: t Knob Road t Eagan MN 55122 I Phone: (651) 675-5675 {Date Received: { { t Fax: (651) 675-5694 I Staff. NZ, ! J 2010 MECHANICAL PERMIT APPLICATION Date: Q Site Address: 1 i 0 t,LK VM Tenant: KIM c h laU t CA l u 1_/ Suite RESIDENT/OWNER Name: 1 f t f i Gn0j)d1f1Y_ Phone: Address 1 City / Zip: CONTRACTOR Name: 0" r- r, p (iI' C iTh- ACddress: 1!90L4 Vel/hjl1 W _ 7ity: State: Wt t Zip:- _ Phone: 112S! (4371 - q.1 :1 Contact: Email: A1211 uipodr hour a[ 6 L111 TYPE OF WORK NewReplacement Additional Alteration Demolition Description of work: L Aq, n Q MR. 7-NewConstruction PERMIT TYPE RESIDENTIAL COMMERCIAL /Furnace Interior improvement Air Conditioner nstall Piping Processed Air Exchanger Gas _ Exterior HVAC Unit Neat Pump Under / Above ground Tank Install / _ Remove) -Other " when installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x1% $50.50 Minimum (includes State Surcharge) - If Perm! Fee is less than $1,000, surcharge is $.50. = $ Permit Fee - If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ Surcharge $1,000 Permit Fee (i.e. a $1,00142,000 Permit Fee requires a $1.00 surcharge). TOTAL FEE CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www aooherstateonei orn 1 hereby acknowledge that this Information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plan U,0, i x {e rMQ-~ x 01"V01'e Applicant's Printed Name App ant`s Signature frna/^.^~~}l ~f JCCTKT.i ~'y 4,ti 9z ;~Mea. RY:t.R'~ n ~ <r^ ..cn r~ y~ r+G v,t k 5~~,.!'KKe3 Lr ~ 1.F :~L, ~l'S~J .(3~```t"' Y, ~ 't'Y h yI4 ~ 4 ~ t i"Y^*!f ~ Y' Y,F' t2. .~,~1~4 v' .m 3 ~ ~t .48 ~rUUlill i-iQ't~ 'z~1~t r. ~m x~~~~'y~.8 Y~f,3$i cA ~ t~Yr I:F'ks~fi<f I'1 sr7~ a., Use BLUE or BLACK Ink r_____.____�..._._ __, I Fot Office Use I � � Pertnit#._� ��.a�8 , �lt� Of �a aIl : , , � � Pertnit Fee°�Q� • � 3830 Pilot Knob Road i � � ` �� i Eagan MN 55122 Date Received: Phone:(651)675-5675 I � I Fax: (651)675-5694 � Staff: S • � I I ...----------------� 2015 RESIDENTIAL BUILDING PERMIT APPLICATION ^,-- . Date: � �� Site Address: 7�� x �� Uni##• ��, Name: ��%1 L L i�-f�S ��IZ�� Phone: cn SJ- ��^�f,�9 �' Address/City/Zip: �� l�G4�(�� , ��A� : �5"�j�r ApplicaM is: Owner �Contractor Description of work �� aC.�C C�Q.��E �r . r ,,,�— . Construction Cost: ��° � Multi-Famity Building:(Yes /No� . � ��,, �"" Company: 6 / �t/'4l Qdr'''� Contact:�7�E'l/��W1� Address:.�P�� 5� ��/� /v. City: ,�/Y��l.S . State��Zip: 7�� Phone:� 7' maiL• . License#: G,�O��0¢32-- . Lead Certificate#: /'��= 7� �Z�"� If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) �� ;� COMP�ETE 7HIS 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: l.icensed Plumber; Phone: • Mechanical Contractor. Phone; Sewer�Wate�Contractor: , ` ' ' Phone: ` ` . . CALL BEFORE YO,tJ DIG. Call Gopher State One Call at(651)484-0Q02 for pro#ection agalnst underground uttlity dama�e. GaN 48 hours ` before you intend to dig to rec�lve locates of underground utll�ies, yyww.aoRherstateo�gcatl.ora I hereby acknowledge that this information is complete and accurate;that the work will be in confortnance 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 wortc will be in aecordance with the approved plan in the case of work which requlres a review and appeoval of plans. Exterior work authorized by a bullding permit issued in accordance with the Minnesota State Building Code must be mpleted within 180 ,- days of permit issuance. . ' . ,. X � �'►2 � X .�> �. ApplicanYs rinted Name Applicant's S(gnature � Page 1 of 3 >� ' � Use BLUE or BLACK Ink r-----------------� I For Office Use � I C' i Permit#: ��(�� I lty of ��Il I permit Fee: / 4" ��`� � 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax:(651)675-5694 � Staff: I I I 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: "��'�� / � o � �� y Name: G-U Phone:�v-��"9��' �/�3� �� - �� Address/City/Zip: G� � � �� h i Applicant is: f/�Owner Contract y CY a � ' � Description of work: i� ��t'��'�� ' '��' K Construction Cost: ��C� Multi-Family Building: (Yes /No� �� s Company Contact: '= N� � ��,��, Address: City: �� ` �: State: Zip: Phone: Email: � s�� .,;_ � License#: Lead Certificate#: ��. If the project is exempt from lead certification, please explain why: 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: Fire Suppression Contractor: Phone: � E � �� , �s�t��l�r�d��r��#��,��'��a� �+�f�� '��s��`� s ��`�� `rt�r�t,��+�d��o��c�',y�'�►�'�i��'��f�r�l��.�ty� � � a��a�� , �� < � , � � � � . , e � �,� ....- � =� . �.,�.��- ....� . .� �...� .......� ��...... .. � 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.goaherstateonecall.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. � � � �A � G'U � � / ��/y/_.S' X l�l/�%2�G%�-r-A' Applican s Printed Name Applic�,, Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA148899 Date Issued:04/26/2018 Permit Category:ePermit Site Address: 4770 Oak Way Lot:013 Block: 002 Addition: Vienna Woods PID:10-81950-02-130 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors 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: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - George Williams 4770 Oak Way Eagan MN 55122 (651) 925-7139 Window World Twin Cities 2106 11th Ave E N St. Paul MN 55109 (651) 770-5570 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA168195 Date Issued:04/13/2021 Permit Category:ePermit Site Address: 4770 Oak Way Lot:013 Block: 002 Addition: Vienna Woods PID:10-81950-02-130 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) 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. We encourage you to retain an electronic copy of photos until the project passes a final inspection. *Roof permits issued between December and March will be inspected in the spring or when weather warms up. 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 - George Williams 4770 Oak Way Eagan MN 55122 (612) 554-2008 Bayport Roofing And Siding Llc 2240 Edgewood Ave S, Suite 201 St. Louis Park MN 55426 (612) 235-7663 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA170211 Date Issued:06/23/2021 Permit Category:ePermit Site Address: 4770 Oak Way Lot:013 Block: 002 Addition: Vienna Woods PID:10-81950-02-130 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors 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: 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 - Sheila M Gagliardi 4770 Oak Way Eagan MN 55122 (612) 554-2008 Window World Twin Cities 2106 11th Ave E N St. Paul MN 55109 (651) 770-5570 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA171483 Date Issued:08/18/2021 Permit Category:ePermit Site Address: 4770 Oak Way Lot:013 Block: 002 Addition: Vienna Woods PID:10-81950-02-130 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 - Sheila M Gagliardi 4770 Oak Way Eagan MN 55122 K & S Heating, A/c & Plumbing Llc 4205 West Hwy 14 Rochester MN 55901 (507) 282-4328 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA176218 Date Issued:05/05/2022 Permit Category:ePermit Site Address: 4770 Oak Way Lot:013 Block: 002 Addition: Vienna Woods PID:10-81950-02-130 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 - Sheila M Gagliardi 4770 Oak Way Eagan MN 55122 One Hour Heating & Air 15191 Boulder Ct Rosemount MN 55068 (651) 437-4177 Applicant/Permitee: Signature Issued By: Signature