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4774 Oak Way,? "`;, • CASH R EC E I PT . , CITY OF EAGAN . P. 0. BOX 21-199 EAGAN, MINNESOTA 55121 . , - .- DATE ' 19 reECervso FROM AMOUNT $ ' I & DOLIARS ?oo ? CASH GHECK FOR / FUNO CODE At-40UNT ? 1 ? 7 Thank You B Y White-Peyers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: , „ , , ?nr wHv PERMIT SUBTYPE: INSPECTIUN RECURD PERMIT TYPE: Permit Number: Date Issued: i,? Fy i ???? ?c : ? QPPLICANT: TYPE OF WORIC: t+u?t t?iNr, 0c,/0 i/A:i t ?` ?" -:? .. •. - .. _-_ _ ] ?.1 -"'?U 3 .? .? ?. 5 I?.F y,? ?I. fn ?( r1f???}.1.'.i???..:r .? ? R rparaKin1.ii tf nrI t:•. 1 n?x ita? .1 e?x 6, 1 ,iI.,? ?a 111'{>Eft (r1-CR".: !q'w i?' iA'r t?' ? Permft No. PermR Holder Date Telephone N S/V1r PLUMBING HVAC ELECTRIC ELECTRIC Inspsctlon Date Insp. Commsnts Footings I Foundation Framing Roofing ' Rough Plbg. Rough Htg. Isul. Freplace Flnal Htg. Orsat Test Final Plbg. Plbg. Inspector- Notily Plumber Const. Meter Engr./Plan &dg. Final Deck Ftg. Deck Final Well Pr. Disp. CASH RECEIPT CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 DATE ? ? k-l 19 wecKIvec FROM ^ f AMpUNT $ I 4 DOLLARS ?oo ? CASH Q CHECK ? ROR iLrIl.:. FUND CODE AfAOUNT , % . Than ou ?''?}Eri 1Gu.! • BY , White-Payers Copy Yellow-Posting Copy Pink-File Copy ( ? PERMIT # fO C??? ? ECHANICAL PERMIT RECEIPT # 'f ? ? ? '2 - CITY aF EAGAM , cy p? 0? 3830 PILOT KNOB ROAD EAGAN MN 55122 r???? ?o 0 ' , , DATE CONTRACT PRICE: ? 3 oo " PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTtON Lot ?.= Block Res New Mult Add-o? Name {? A v r Comm. Repair ddregs ` c Ciry Phone L_ ? ?her - ? FEES Name RES. HVAC 0-100 M BTU -$24.00 Address t ADDITIONAL 50 M BTU - 6.00 3 O CitY Phone 1 (RES. HVAC INCLUDES A/C ON NEW _ CONSTRUCTION) `GAS OUTLETS MINIMUM ( - 1 PEii PERMIn - 1.50 EA. TYPE OF WORK COMM/IND FEE - 196 OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES Boiler M BTU TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 Vent CFM $ STATE SURCHARGE PER PERMIT - .50 . (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other 7 FEE: • ??? , ? ' , f? _, SlC: SI EE TOTAL• FOR: CITY OF EAGAN CITY OF EAGAN Remarks Additfon VTFNNA WOO DS Lot 12 Blk 2 Parcel 10 81950 120 02 Owner Street 4774 f,13k W a v State Eact an, MN 55122 Improvement Date Amount ,4nnual Years '93? Payment Receipt Date STREET SURF. II[lP I981 IO 31 ' $ STREET RESTQR. GRADING 58 7.73 53 77 10 °Z 3•?? _ . 5AN SEW 7RUNK /?• ?3 • SEWER LATERAL 1981 423734 493 23 10 • WATERMAIN * WATER LATERAL • WATER AREA * STORM SEW TRK * STORM SEW LAT 10 CURB & GUTTER SIDEWALK STREET LiGHT Road Unit 260.00 #48487 12-19-84 WATER CONN. L}]Q.QQ it it BUILDING PER. #9810 rr ?i 5AC 525.00 PARK Roaipt ' MECHANICAL PERMIT Permit No. f CITY OF EAGAN . - FN Fill in numbered *aces S/C Type or Print logibly Tot , 1. Date - 2. Installation Cost I 3. Job Address Lot Blk. Trsct 4. Ovmer . 5. Contractor Phona 6. Addross , 7. C'ity State i 2ip ' 1 8. Building Type: Fiesidential 0. Commercial O Institutional ? 8. Work Description: New Add ? Alter 13 Repair ? 10. Dascxibe Fuel Typs 11. No• EqujAIDwp,t BTU - M. Es. Forced Air ' • ' No. Eauioment CFM Air Handlin : Mfg. 9 BOil°n v' Mfg. Mech. Exhsust - 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 oomply with all ordinances and codes governing this tYps of work. Sig^Qd ' for Rouqh Final Inspections: Date Insp. Date Inap. This is your permit when numbered and approved. Approved CITY OF EA(3AN 464-8100 Lot Parcel Na. _ Name j Remodal D Repeir ? Enlarge ? Move ? Y ? Demolish ? Grade ? 4"'`j 9' ? Instail D 1LAr5 -o`1 a7.93 LfY Approvals - 1,1, \ Assessment _ I hereby acknowledga thct I hove recd this applicotion ond stote that tF+e irrlormoNon is correct ond ogree to comply with all applicoble Stata of Minnewto Stotutes and Eity of Eagcn Ordinar+ces. Si9noturo of Permittee A Building Pertnit is iuued to: otl work sholl be done in occordonce with oll oppliooble Stote of Mir 8uildirq Officicl Zoning _ Type of Gonst. No. Stories Length ? Depth 5q. Ft. ioto Stotutes ond Water Conn. Woter AAater Road Unit Parki t Total Ihot xf =? CITY OF EAGAN 9 $1 U ` 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 PHONE: 4548100 } dU1LDINCs PERMIT Receipt ? I InWeetion Dste I Insp. 11 Othe? I ? Inwlation Finsl Finsl Location: Sewer D'ap. Racefpt PLUMBING PERMIT Permit No. CITY OF EAGAN ' ? Fee F FiIJ in numGered spaces S/C TYPe or Print /epib/y Tot 1. Date Li' ; 2. Installation Cost . ' ??? ?1(4 ` k L B T 3. Job Address 1 / 1 . i ot ract 4. Owner * t K-i1t ??J 7 ?-}v ` YA i 'rc LI 4 1?' PF?one ? 5. ContraMor - 6. Address a,4jtl_ 7. City State Zip ' 8. Building Type: Residential Q Commercial ? Institutional O 9. Work Description: New )O Add ? Alter O Repair ? 10. Describe 11. No. ? Fixtures Water Closet No. Fixtures Cesspool/Qrainfield ' Bath tubs $eptic Tank Lavatory Softner 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 cnmply with all ordifiances and codes governing this type of work. : ' _- Signed : /' for Rough F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 ' OF EAGAN SEWER SERYICE PERMIT ? Pilot Knob Raad . I Box 29 799 PERMIT NO.: i, MN 55121 DATE: ; 0: No. of Units: 1 ? r: Stikbilt Iiomes Addi to eanphr wkh tM Ciyr ef Eagew of Insp.: con?,ecei«, aargo: --vWunt Vc? ^_ t. 1J.'JJ F/V l?G PlfR11t Fla: • 11 $urdhwrye: • D Misc. Chorfles: Total: Date Paid: TY OF EAGAN ' ?30 Pilot Knob Raad WATER SERVICE PERMIT O, Box 21199 PERMIT NO.: ! gan, MN 55121 DATE: •'? -- ? ?-`? - n(ng: P, 1 No. of Units: rner; Stikbilt Fiomes Address: No.. h ooMplr WitU IM City of Eeqen No.: Connection Chorge: Account Deposit: _ Pe?mit Fee: Surtharge: Misc. Charyes: - Tota1: Date Poid: CITY OF EAGAN 3830 vriut-Knob Road ? P. O. Bux 21199 Eagan, MN 55121 Zoning: Owner, t'.ones Address: Site .,ddress: Plumber: Meter No.: 2.5; -6 Size: / Reoder No.: `LD 3 1cgre* M eaap iN? tha CNhr of Eagae Ordisena?, BY .LYw - Date of (nsp.: ? o S E12 EZ Vie:una Wuods 1NATE-R SERVECE PERMIT PERMIT Na.: DATE: No. of Units: ? Woods Conr?ection piorge: 470.00 ?d :AGCdU?1? '.: Q? z i. L T) •-: Permit Fee: T Surchorge: - Misc. Chorges: ci'; . 01) pd •?c ' Tatai: _ Date Poid CITY OF EAGAN (v0- 9 810 ' 3830 Pilot Km6 Road P.O. Box 21-199, Eagan, MN 55721 PHONE: 4546100 BUILDING PERMIT RaeiPt # Ts 6e wa fer SF nwr./r.au ese.vaiue 137.000 4774 OAK WAY Erect Ocwpency R-3 Site Addreu lZ /S b 2 S VIENNA WOOD$ Remodel ? 2oning R_7 Bloc Lot ec u . k Repeir ? Type of Const. Ig Percel No ? . Enlarge No.Stories Move ? Langth 81 W Name STIKBILT HOMES INC. ' Demolish ? Depth 38 = Addresa 4709 OAK WAY Grade ? Sq. Ft. ? city EAGAN phone 454-0975 Install O Aoorovob Re? 9 Name ?? Addre r- Citv _ Phone Name _ Address City Phone Asuument _ Woter 8 Sew. Police ? Fire Enp. Vlonnar _ Council _ Permit 52:L_S0 Surchorqa 6R_ 50 Plan Review 969-?$ SAC 59 5 _ (1Q Water Conn. 147n np WoterMeter 6"1 ?0 Road Unit__???..^,0 I hercby ackrwwledge thot I hove read this opplicotion ond srore that Bldg. Off. 1 9_7 9-Rla Parka 7sopi pc 7_00 fM intormation iz correct cnd ogree to comDly with all opplicabla APC Total 2.17`?J.75 Stote of Minrxsoto Statutes d CityoF Eayon dOrdinances. Var. Date Sipnoture of Perminee? ? ~arj''-' A Buildinq Permir Is issued ro: STIKBIL'?' HOMES, INC. on ths axprew cwditlan thm all work shall 6e done in???Qq/ c?ordap?ce wi?h a?ll? o?pplicabla Stote of Minnesota Seatutea and Ciry of Eopan Ordimncea. Bufldirq Officlal ?)"" IEQUEST FOB ELECTWCAL IWECTION Ea0"1'06 p , See :.cstruet?ons t« rnmpl6ll?p thiy form on baek of Vellow coPV. SI (J? 1? 6 t?? X"' Be/av Woik Covered by This Request NIWFAd1 Meo-1 Troe ot BuiWina 1 Aootiane" WirW i / EquiDmenc Wired ? 1Vater Furnace .G 9 F e ServiceEMtnrrceSiza u r?a e ../suef ae.s n cee c,...ii: / O tp 200 Mips ? 30 qm 5 0 to 30 Am ,,. j Above 200 pmvs 31 to 100 qmps 31 to 100 Am ? Swimming Pool A6ove 100_Amps Above 100---AfnPs Transformers Irtigation Boort6 Pertial%Other P Signs Special Inspection p? ? G TOTAL F ? /? e.litv t?t tM1e abm N1? ? inspeetion has been ??j made. m:srevuestwfe 8 ?qrCj ? - 7 ? 'J?/O J .??T GM 2 1 L i a/3 '4- v 10 , (D6 , eq[ Dale/d , ? /? v / Fir¢ No. Roueh-im Inspeclion Re?9uiry?> .g?res ?NO ?ReaAV No? oUfY Inspec- Wr When Ready LA-ticeRSed ElecVical Caotractor I'hereby repaest insoection of above ?Owner electrical work installad er . Sv'eet?+ , Box a iloute No_ h? City - .? ecuon T AiD Name or No. yy Nnngu No. . Counly Occupant(PAINT) iL Phone No. Porrer Su?li¢r ? Address ? ElecUical Contractm (Coiroany Name) ConVacto 4 L cense_NO. KEI VDR F Mailinp onvactor ar Own¢ Ie?sYaila[ionl ?r ? ? 0 PENNOCK LANr Iq?tion) Autho ( ' lvlltl ief'MSr?g_'?TG - .JJ Phone Number YINNESOTA $TpTE Bpppp OF EIECTii1GITY THIS INSPECTION qEQUEST WIIL NOT Gri,,s-Yiduirey Bldp, - Rapn N491 BE ACCEPTED BY TME STATE BOARD UNLESS PROPER INSPECTION FEE IS 7821 UniversiryAve..St Paul. YN 65100 ?- IM21 4911t1l ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION 5t/_',?/ • ' See iastruetions for completirip this torm on beck of Yellow copy. ?LJ ° 30176 "X" Below Wbrk Co?ered by-This Request SI ?S ,OS Nivar Ad p. Type ot BuilCine APOlianeea 1lired Eduioment \7ired Home Range Temporary Service Duplex Water Heater Lightin Fixtures Apt. Building Dryer Electnc Heatin Commercial Bldy. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tnnk Farm Other oeci v +her (5ne6W) . t .r Succify Other othur inn Fs+P Rclnw 71 Fee ServiceEntranteSi¢e b Fee Feeders/SUbfeeders. # Fen Cimuits 0 ,o2 00 Am s - 0 to 30 Am s to 30 Am2s Above 200 qm ?s 31 to 100 Amps p 37 to 100 Armil, Swinmin Pool Above 700__Amps Above 100_A TranslormeB ?rngation Booms Partial.'Offier Fee Signs Specfal Inspectlon g ? TOTAL/ FEEp ? R ?rks ?Q ? i Rouph-in ( Date ? ? / Hectri?{/ j I?rsPOCtw.ib?aby oe?tih thet the above c??i ??3 ' ?o?=ho? nas n?. ? e ? ?reaa. f1ft repuest voitl 18 montM irom ??`?7R5i?15Lia.?3a Vi?Wbo4(13?So ? Rep ate ?? Fire No. Nough-in InsOeclion fleqw d? ?Mady N. a pt I No?ifC I.sPec- ? ' ? es ?No tor Wh¢n INaAy ?enseB Electrical Conuactor I heraby requestinspectioo o( above Owne? ' elecvical work iremlled aY Street `QQJe?, z o ouie No. / Citv ^ ec ? o. 1 ? Towns ip Name or No. ? Range No. UwUL'! & Caun? y ? Occup? nI (INT) i ? 22 " l k) Phone No?. 7 Po Suppli r Address Elecvi a?{Jqq?T` .c.?,C?.at1tC Co [ra 's L No. Mailing Ad?dr»?g? t?? r r q .I7?CrLG Y iRA1pn1 Au[horized SiBnamre (COntreclor Own r P one NwnE¢r YINNESpTp STATE BOARD OF ElECT0.1CITY - TMIS INSPECTION pFAUEST NILL NOT Gripgs-MitlweY BIdO. - Poom N-191 eE ACCEPTED BY iHE STA7E BOA11D 1821 University Ave., SL Pxul, MN 55709 UNLESS PROPER INSPECTION FEE IS PMm 18121 2974111 ENGLOSED. This request voitl ? /? ? ta months Irom E 27007z ?.? ?J ?186G -?`iD "' Rxnuest UTte Fire No. Rouph- in InsVection Repuiretl? X]AeadV Nuw Q WitI Notity InsPec- 7=?4-ee ?Ves ONo mr When fleady X] Licensed Electrical Contractor I hereby request inspection oi ebova ? Owner electrical work installetl et Street AAdress, Boa or Noute No. City 4774 Oakway Eagan ecuon o. Townshi0 Name or No. Renge o, c°°""' Dakota Occuunnt IPqINTI Phone No. Howard Robinson Pawer Supplier ACdress Electrical Con[ractor (COmpany Name) Conhactor's License No. 042252 Mettler Electric MailinB AdJress ICon[ractor or Owner MakinB lnstailatioN 907 46'/ Ave. NE Col. xghta. rtn. 55421 Aut r' etl Sig wre 1 onhact r?Owner Making Installa innl Phone Number - jl? 571-a935 ? IS MINNESOTA STqTE 90AflD OF ElEC7AIC11V TH Griggs-Midwey Bldy. - Room N-797 BE ACCEPTEDINSPECTION PEQUEST WILL NOT BY THE STATE BOAND 1821 Univerxitv Ave.. St. Paul. MN 55104 UNLESS PROPEN INSPECTION PEE IS o?_.,_ m1m cno_nenn ENCLOSED. ?'J /REQUEST FOR ELECTRICAL INSPECTION . pEy8--?v0I0?0/0?1-06 ?? - {? 0 See instractions (or comOleting this form on hnck of Vellow coOV. E 2 7 0 U 7 "X" Below Work Covered by 7his Request N-V HAtl BeO. TVPe ol Building Appliante! Wirotl Enuiumenl WireA Home Range Temporary Service Duplex Water Heater Llghtiny Fixtures Apt. Building Dryer Electric Heatm Commercial Bldy. Furnace Sllo Unloader Industrial Bldg. X Air Corxlitioner Bulk Milk Tunk Farm 01ne, or?? v .1n, ?sn,e??Wi t . ueci(y Other Other Compute lnspection Fee Be/ow p Fea ServieeEntmnceSize tt Fee FeeAers/Suhieeders N Fne Ci?cules - 0 to200Am s 0 to30Am s 0 to30Am s Above 200 qmps 31 to 100 qmps 31 to 100 qm s Swinvning Pool Above 100_Amps Above 100_AmPs Transiormers Irngation Booms PartialOther Fee Signs SVeciai Inspection g '?V,SQ TOTAI F?1 Nerryrks i //? /Y/ Hough-in Oate 1, th Elac ' al inspec . hereby ce lify that the above Final ' spectian has baen ?P rreda. Thle repuesc voiE 1B monilu Iro. s? ? 3(, RESIDENTIAL BUILDING Permit Application City Of Eagan ? ;)LL4 .4 -a ? 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Con54ucUOn Reauirements RemodellRenair Reauirements Office Use Oniv 3 registered site surveys showing sq. ft, of lot, sq. k. of house; antl all roofed areas 2 copies o( plan Cerl ot Survey Reoi (20°k mazimum lot coverage allowed) 7 setof Energy Calculatlons for heated additions Tree Pres Plan Recd 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions 8 decks Tree Pres Not Reqd i set of Energy CalculaUons AddPo'on - indicete Kar-sde septic sysfem _ On-site Sepfic System 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail OpGons seledion sheet (bldgs wHh 3 or less units t ?/ / D o? l? O ?? a e + Construc6on Cost ? Site Address ( ? V 7 ?( U R 1? f.J Av UnitlSte l{ ? RQ Stj &P ` r dJSe J1l_? '4 'b44(? h u ?Q ? DescriptionafWork . L `?- \ P, \ q{ i ?rtp W ld L-c Multi-Family Bidg _ YIZ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner (NA 51 -Q r! Telephone # ( ?) ? q e sr i/ Contractor gI?q Jf,/A ?p f ?tc)o? (?I c M ? .?-,A C AddreSS ? ?t ( qfiti Sfi N City Cd S State A A / Zip ?.?(04 Telephone #( 4[3-) 3? ?'?( tl?I 0 3 ao COMPLETE TNIS AREA ONLY IF Energy Code Category Minnesota Rules 7670 Cateeorv I (? submission type) • Residentiaf Venlilatlon Ca[egory 1 Worksheet Submitted . Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor ? y,, -r2 F-, r , ,_- JUN J -) :'''l:' , I hereby apply for a Residential Building Permit and acknowledge that the infoLmation is complete andl accurate; that the work will be in conformance with the ordinances and codes of the CiO-Yof-Eagan7 and the=5tate 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 wor which?equires a review and approval of plans. , 1??tJLC-L1 W 1? 11 tNtSa ? Applicant's Printed Name Applicant's Signature A NEW BUILDING Minnesota Rules 7672 . New Energy Code Worksheet Submitted Telephone # ( Telephone #{ OFFICE USE ONLY Sub Types ? 01 Foundatiori ? 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 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plgx PI6g_,Y or _ N ? 25 MiSCellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ?4 ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof pl-__ 46 ? 34 Replacement , 'Demolition (Entire Bldg) - Give PCA handout to appliCant - Valuation Occupancy MC/ES System _ Census Code Zoning City Water _ SAC Units Stories Booster Pump _ Nbr. of Units Sq. Ft. PRV _ Nbr. of Bldgs Length Fire Sprinklered _ Type of Const W idth _ Footings(new bldg) _ Footings(deck) _ Footings(addirion) Foundation Drain Tile Roof Ice & Water Final _ Framntg _ Fireplace _ R.I. _ Air Test _ Final Insularion ? 30 Accessory Bidg ? 31 Ext. Alt- Multi ? 33 EM. Alt - SF ? 36 MultiMisc. Siding Fira Repair Windows/Daors REQUIRED INSPECTIONS _ FinaUC.O. Final/No C.O. Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests , Final _ Siding Stucco Stone _ Windows (newheplacement) _ Retauvng Wall Approved By , Buiiding Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total RESIDENTIAL 5 d ??? BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD,' EAGAN MN 55122 851•681-4875 NewConsvuctlon ReauhemaMe • 3 repistered sfle surveys slmwing sq. tt. of bi, sq. fl. ot house; and gll rooted areas (20% maxlmum lot coverage albwetl) . 2 copies of plan ehowing beam 8 WuWOw sizes; poure0lound deslgn, eic.) • 1 set of Energy Cakulatbns • 3 copies of Tree Preservatbn Plan 8 bt platled aiter 7M/93 • Rim ,bW Detail Options selectbn sheet (bl0gs witli 3 or less unas) DATE 2 1- aZ SITE ADDRESS / 7 7 ?? ..... ' TYPE OF WORK /( e ?ootP ? APPLICANT G l?c.%_?S'f.?G ? _ Water Softener _ Water Heater _ No. of Baths MULTI-FAMILY BLDG _ Y _ N FIREPLACE(S) _ 0 _ 1 _ 2 STREET ADDRESS (Si? ? .???- ' CITY ???/O STATE ?'?? LP s S`?z ? TELEPHONE #?Sr SYZ-BSTlCELI PHONE # l7 5?11 IFAX #fS 2 5-111-LL-E 7 PROPERNOWNER 141??- TELEPHONE# 6Sf 1?Y'/no2°Z ------° -------------------- ------------------------------------------- ----------- -° °------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNFSOTA RUI,FS 7670 CATEGORY 1 MINNESOTA RIJLES 7672 (J submission type) • Residantial Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Conhactor: Plumbing system includes: Mechanical Conhactor: Mechanical system includes: Sewer/Water Contractor: Phone M Phone # Fee: $90.00 Fee: $70.00 I hereby acknowledge ihat I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordf?s? Sianalure o} Aoolicarit . .. ? `e? OFFICE USE ONLY ` pemotleVNeoalr HeaulremeMa • 2 mples of plen • isetofEnergyCalculetionsforheatedadd'nbns . 1 stte survey for exnerior adtlilrons & decks • Intlicate tl home served by septic system for addftbns VALUATION Phone # ? Iatvn Sprunkler _ No. of R.I. Baths Air Conditioning ? Heat Recovery System Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ . . Updated 4102 OFFICE USE ONLY O 01 Foundation ? 07 OS-plex O 13 16-plex ? 20 Pool ? 30 Accessory Bldg O 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF O 04 02-plex ? 10 OS-plex 0 18 Deck '? 23 Porch (screened) ? 36 Multi ? 05 03plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage O 06 04-plex 0 12 12-plex Pibg_Yor_ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) O 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair O 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement •Demolkion (EMire Bldg only) - Give PCA handout to applicaM Valuatlon Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaVC.O. _ Footings (deck) _ Final/No C.O. _ Footings (addirion) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply 8 Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total CITY USE ONLI PERMIT #: RECEIPT DATE: -ll-o itU1DEIVTIAL M3:CHMlCAi. FfItM1T Ai'PLICATIOR crrY oF EAswiv 3830 PaUr [cxos Rn RAsM aN saisa 651-681-4675 ? . Please complete for. ? single family dwellings townhomes and condos when permits are required tor each unit Date: '5 'q-dt SITE ADDRESS: OWNER NAME: ACS,DuNI S?.( (1 U TELEPHONE # C¢SI 92LI-9dP9 (AREA CODE) INSTALLERNAME: DlS(4.C1'"(1 c4ptC TELEPHONE#: 9sa S`'(4f'CXX?S (` (AREA CODE) STREETADDRESS: CITY: SR'\IIaC-i ir_ STATE: '?_ko ZIP: 'SS3'1 ? Plaea a ehar4 martr nart tn T6a narmit wnrlt fvna New residential dwelling unit under constructionand not owner/occupied $ 70.00 ?C Add-on, modification or alteration to existin dwelling unit $ 50.00 . furnace replacement • air exchanger • air conditioner • other tJature of work: ? ? r l L?`+?'1 C11ur State Surchar e $ 50 Total Ren:inder: Call for inspections. --- ? MAY 11 20011 , OF Updated U01 CITY USE ONLY PERMIT #: RECEIPT DATE: APPROVED BY: , INSPECTOR COMMERCML MECHih1VIC!!I. PERM1T APPLICATION C[TY of E4slE1Q 3$30 aILOT KAOB fZD E46AA, MA 5518E 651-6$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: TENANT NAME (IMPROVEMElv'TS ONLY): PHONE #: - (nxEn coDe) WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: CITY: PHONE #: - (AREA CODE) STATE: ZIP: WORK TYPE: _ New conshvction _ Interior Improvement _ Processed Piping SpecifyNature _ Install U.G. Tank Remove U.G. Tank When installing/removing underground tank, cal[ 651-681-4675 for inspection by Fire Marshal and Pluinbing linspector. Fees: 1% of contract price OR $50.00 minimum fee, wlric6ever is greater. Underground tank removaUinstallation = minimum fee Conhact price: $ x 1%= $ State surcharge TOTAL $ (Base Fee) calculate at $.50 for eacH $1,000 Base Fee SIGNATURE OF PERMITTEE r- i . Updated 1/Ol _..? CITY•OF EAGAN 3830 Pilot Knoh Road Eagan, Minnesota 55123 (612) 681-4675 e y..; PERMIT PERMIT TYPE: Permit Number: Date Issued: ?./?/ BUILDIMG ?-? 821133 06/07J93 SITE ADDRESS: 4774 OAK WAY LOT: 12 6lQCK: 2 VIENNA WOOOS P.I.N.: 10-81950-120-02 DESCRIPTION: BitY`fldiri-qr-permit T y p e pctild#ng Gte,rk Type ? ? ( F ?4? 4 , r .? \ r 1.-u ±y `-•- ?'. DEGK NEW Y ? REMARKS: LOWER DECKS - 14'x 14' UPPER OECKS - 14'x 6' FEE SUMMARY: 20'x 6' 14'x 12' ,A. ., sI Base Fee $25.00 5urcharge $.50 Total Fee $26.50 CONTRACTOR: - APplicant - sr. Lzc. OWNER: ENER.]AC CON3T INC 14368517 0002973 ROC,ERS CHARLES 1668 STRAWBERRY HILL RO 4774 OAK WAY pFTON MN 55001 EAGAN MN (612) 436-8517 (612)686-5809 I hereby acknnwxetlgs tMat X Mavg read infiarma'tion is correot ond agree ta cjo Statutes and City b•f Eagan flrdirlancers. APPLICANTlPERMITEE SIGNATURE EF BPPlIC&tIPtt $Rd &t$Ikw tlloY. CF9a8 ! y With e3.1 ' aPPlieabJ.a State pf *t,. j t ,n ,?,lllrt,tf ISSCJED Y: S GNAT RE / REACTIYATE _ PERMIT C ? ??c-LLL) CITY OF EAGAN 1993 BUILDINC PERMIT APPLICATION 42-?-"D 681-4675 SINGLE MlVAY-?AIjq43 sets of p7ans, 3 registered site surveys, 1 copy of energy --------- alcs. ----- COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picke(i up by last working day of month. in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date 5 /?? /? Valuation of work ( J'?tBoO• ?? Site Address: ^17 ? 04? Gu STREET SUITE X 7enant Name: (commercial only) IAT BIACK ? SIIBD. P.I.D. M Descri tion of work: The appl i cant i s: ? Owner &Contractor ? Other (Daccribe) Name &Y;2ws d?.?tS Phone Property LAST FIRST Owner L) 441-Iy ?Nj? _ pddress STREET STE M City State VA`N Zip Company Phane Contractor Address .1(?7% e-Al S*C/1wkk1R,4 WI( License #Fboo "3 Exp.'S)31)' City State rn+?. z;P Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber . Processing time for sewer 8 water permits is two days once area has been approved. I hereby acknowledge that I have read this apPlication and state that the information is correct and agree to comply with all applicable 5tate of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation O 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch 0 05 SF Misc. ? 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'1 11VORK TYPE ,RI 31 New ? 32 Addition ? 33 Alterations ? 34 Repair GENERAL INFORMATION .1 A& 90 ? ` .. ? w_ ..?+'? ..,.ar• • . . ? 11 Apt./Lodging, O 16 Basement Finish ? 12 Multi. Misc. ? 17 Swim Pool ? 13 Garage/Accessory ? 18 Coiren./Ind. ? 14 Fireplace ? 19 Comm./Ind. Misc. pf 15 Deck O 20 Public Facility ? 21 Miscellaneous ? 35 Tenant Finish 0 37 Demolish 0 36 Move Canst. (Actual) Basement sq. ft. MWCC System (Allowabte) lst F1. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler ? length On-site well Census Code Depth On-site sewage SAC Code APPROVALS ?"°w?r Le''eI D?ckS' /y jc/ y' ao x 6? (,IPPEfi DECKSt 14x614X6' ??y X J2 d Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ' 0 Site C7 Wallboard D Insulation ? fireplace % Footing PI-Final O Framinq O Draintile Permit Fee Surcharge Plan Review License MWCC SAC tity SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: 2-5-, VJ I Yaliatim: $ . s^i? SAC % SAC Units I) V?1 NCE Z SUflV?NO 8 ENOINEEflINQ C0. ,.f< . 5300NfGHWAY fOf SOf1TH MfNNEiONKA,MINNE50id 55349 ? 84669 JOB NUMBER STANDARD SYMBOLS 31 27 23 -SEC/TWP/RN Denotes 112," ID pipe with Plastic plug Howard xobingon CUENT bearing State Registration No. 9235, set. ' i ? LEGAL DESCRIPTION: "0" Deriotes Iron monumenl,found: i Lo't 12, Block 2, vIENNA wooDS 11+" Deiiotes cross chlseled in concrete §uriace. ? - r f "9826" Denotes exlsting spot elevatton meeisUred ? al the polnt marked by "x", in thl§ ca§e, , F ' 5/84 DATE SURVEYED 982:5 feet above mean sea level. 11/1 ' ! 11/22/84 DATE DRAFTED ,??g82x5"'benoies proposed spot elevatlon at the { 30 SCALE IN FEET PER INCH polnt marked by "x". f i PROPOSED ELEVATIONS: "--?" Denotes proposed direction of storm water I j 943.50 FIRST FLOOR runoff. i • 942:50 tOP OF FOUNDATION CERTIFICATION { 942:30 (3ARAGE FLOOR ? 934 i LOWEST FL OR ? ' 9 8:1e at manhole SANITARY S A I hereby ce?11fy that this j11an, suNey, report ? 936.14 gENCHMARK ? ATION or speciflcatiori was prepared by me and that 1 am a duly Registered Land $urveyor antl Profes- - BENCHMbRK DE6CHIPTIONt °w sional Engineer under the Laws of the State of ? . P?i,• ? , Minnesota. i Top: of marihole as showrl Mlnn. Reg• No. 9235 J ? H PaP F' i.?, .,.:v?: .Hi...r-.,,........: .r...?...d'?,.. .. ... ... ,. ....... :....: , ... i.:l„ . . . . . . , , , .., , t. i . ? '?.? . . ? i 4 7 7 j . ?? :, ??'d? , W?? y E''?? ?t'??+-/ ? 1,, ? ?r. .?,• R l?f?''.?? :. -, j ,?, r . . . ? . ::9 ?? . , ,. ? ...._ , .._........?-?; ._ . . W i . . . .. .. , .. . . ?- ? ? d ?? ?3 ?? i ? '` , _,/ .? ? N '`^_7--•? ..._ , W ..' ? r _ ' .,fzi , ; bKfv? I, ?? I i ? i t•' I ? i /.?? /' ` ?i?l d 4 ?, ?..??Jt?; •?Q'D ? .a ,'?iR ?. 0 ?, . aj".'`m ,Ctio ? ?a•. . I ^ ? il? ? I I R, ? I ? tr ? 2 i7C r. / `- ? {^ Y 1I ? :. I t??. 1 I I ? I?( I1 . }Jy?* ?5 ? ?i , ? Z , ` ,u-PFF?? , t `1 .i It. t;I f i. i. `-) j t?l D??-?? ... . . . ? . . _ . . i "(' ' i . . .. , . . .. K . ,.? ? ' - i-,? j;, u : ,J IL7; ' r . , ?.. t . „? .,. . . .:.:. ... ..... ? t J ?e ...!, ,c. . . ? .. .a, '• , :.-.. ,. ..,_„?,.? .., ., ? .. . . ,?z... ... , CITY OF EAGAN To Be Used For '21-,? f?n RYT .?ju'"aluation Site Pddress: bGuL (A ) rnV 131, 000 . o? Include 2 sets of plans, ` 1 site plan w/el.evations & 1 set of enax?? calculations. Date U-1 OFFICE USE ONLY Lot / Z Block Z Sec./Sub. (J/eIna /.Jno,4ETect Occu1a1CY R'3 Parcel #: Alter Zoning R-I Repair Fire Zone Owner: ftc- (va 41? s ov, Enlarge _ Type of Const. S? Move # Stories Pddress: Demlish Front a? ft. Cit /Zi Code• Grade Depth 38 ft. y p Phone #: APPROUALS FE FS Contractor: STi / i l 7??-te s ,Lti c_ pssessments Pezmit 52.5 • 7-° Address: ?7 Water/Sewer Surcharge ? g sc Police Plan Check City/Zip Code: SAC 52-5 Phone #: 7?- Eng. Water Conn. 4-f O. O0 Planner Water .Meter (o 3 . = Arch./Eng.: Council Rnad Unit 2(o0.°-° Bldg. Off.j W_ - 2 60Re`7 I.°= Address: p,PC T Tv7 City/Zip Code- Pnone #: mrAt q 52--53C? (-) 24 x 52 = ( 24? x s4 = ?? -:?R 2 I 2x z5 ? ? x 54 " I?200 28 x 2 2? (o I(o x I( "?7 7E:?) I? x2¢.= ?32 x4l ?x 18 ' f08 X ¢I l?x- 3? = 5? s x 41= 2_4 3q J Y 13??03 ' .r $+.arlr-; . . ? ., ....`:..: ... . . , .£, . ExTER10R EMYELOrE AYERAGE "11" COMPUTATION . OIME?s ?OWeIr? on SITL ADOIIESis , COIITRAGTOR: G???t? ? o tfC2? _ a?rE: Fmm: UETEIININE MORKIN6 SQUAIIE FOOTAGE Oi EAqI: 1. TOTAL EXMSEp UAI.L Al1EA........ 31p 14- q tt s'1J" • 1_ . 397. 2. TOTK IIOOF/CEILIN6 Al1EA........ . _Ll`f 7 s4 ft x'11" .026 ? . 4(?.7Z j. TOTAL EXPOSEp WALL AREA CALCULATIDNS: Total eaposed wall ana abow tloor........ sq ft a1 Total wall wTndar •rea: 91a2ed...... sq tt a "U" . -?-? • ?! . ? 9) astd. ..... sq ft x ' V' _ ?? _ • ' > ?) Total doer ana ......... ?Z 89 ft s"U" e) Total slfding glass doer aras ? ...... _ 28Z sq fe : 6VI sa ft s '11" e) ? Tetal flnplaa wlf area sq t: : Iv, - ' 0) Total wl1 frawing •na (Awra9. lot)........... 2? 1? I D sq te xIvr, . o c/7 - I ?l , 50 , h Total not vall ana abow ? floor (Insulated)....... JO q ft r "Ir' 9) Total Ne jotst arta......?„_ 3 I?i sq tt x'11" ; Total tandatloa afw (Eaposed) 7`Y'• ? ? tt .......... fq Total feundktlow i vlMw ar+u ............. ?• q It s11P' .? • 4 ? . Total Mt feunAotten .rs. .sow ,r.a......... ?4. 7'? ? q it x'we I I . 10 ?? I ..__ j• • TOTAL a) tAro i) • ? 3?c.°o If Iqm 03 Is eM wms as• K 1ps tAM ttw A. 2 tfm 1 1600e A m o you IuMe rt Mt Iwtaat e1 h i . . a ? z }5':.': . . £.. . . . . ?? . . ' ? . • • . !?? 1 i . ? • • .,46 TdTAL tX?OSED IOOOF/tE1lIN4 CALCIILATtoMft Tetal eyvore/ ?t , .eer/o.tllft! ............ M II Tetal sk1111eAt ars* .......? N It a'V• -? • ? le) Teut rest/af l inq irooIM am (Awraea 1fA).09000 q It x 7. 5z- I) TOtaI Mt Initllaul ?14'?7 sq te : 'tr . 5 Z • 3 ?7, I .e.t/a.t t tM .era....... 70iK 1) tAre II. . ? It tetal et 64 is the sw as. er tess eMa R. Yeu h+w .st the IetMt e1 2 WAR 1.160W A ssd o. • l ALTEp1ATE MIILOt11G ENYELOPE OESICM Ti rtT11m tM mtal Mwlape sYstu wetheA. tM valws estaellsAaA br the sum e/ te..s I3 ase 04 sA.li noc ee 9.uar tMa Me sm ot icrs ?i ana n. i ?. ?1 ?7,C-??-- •:. , T 1 , . I • ? ? • • ?? ?; ? ? ? ?+?i t gs . 1 MnAy arNfr eMt 1 Awr ulwlatod em 'V' ?aoters a" qlues hetif• aed tMt the Meildinq Mn deserisd wes er 03=0040 tM Emrff tewmrwtfm Aet. ? A ?'? ? ...a, ?-. . . . _.. ?,_ .., .., . ?1trA ... . . / ?. _ - _.,.i ! , ??. •;O J ??, _'! ? ? ??u1M ?? :};• ? v? v'? r ?; ? f -_ ??t . ,..,?p• ???.:?? !'t???l?{M .?; ??.?1 f,.:. . • ? f . 0 1p • ?a•; • : ••? . ti' ="Wli 0?3M1 , . ti• ? 0, t •` • • • M,?•:i• •?• : ?'?I' ?: 9 V ???i? ? . ????:?`? •? •???i?:• ' ` ??? p?j* i ?• ? •??P_ 0,0? • . `= . ` ?01f?q MO ? W. . p ? r • • b ? t??1 .??• ? r?4D i/, •w 17 ' Ms- m 1 1111Q1 ? •y ? IJ •• ?o ?s? ?: ?_ ooi ' Z Ji• ???iYl ! . 811011375 Mo111101M Rft 3=4 Q3 WP Ol-V 'N1M ??G' • Vl ? ? 110 lM eisiw tro S'V 'stM . :0311I NOI111715NI MDilr0M • '. =N01197f illOr N1v . •?, . -.T. ?•.; .? ?t - 4? •.'.'? ? ? . • ?1 S ',51 m ;,:.? ? IC ? ? . i ? I . . ; . . . . ? . , G€ O • • U/1 • • a H r??..n •_t._ ,. ;. . , VENTED VENTED caMSTR m 191 4 rALuc. ct??IN sECTioM (iNSixnno): r Int* t air f Iw-_ ) o ,oo 4 Ext*rior air fiiw_ still ". TOTK R a ? Co7 C ? 1/it tE1lIMC 1 2 s •s CEILIIIO SECTI011 (INSIILATEW: • t Interlor air f11w ?.Rl ! ? A xar or • r fUto (Stilif . • Ym 1/R=-- CEILIMR FRAMIMR fECT10Ns } leterter air file 0•Ri 4 xter or • r w st i-Ill sor t .woa s --Tc • . 1roTAL . ? ? 1/R'm 1 Inside air fllm • ?.R1 ! -- ? - ? • s air fivin • . ,?. . 1 ' Y • 1/U • - os3 ? A 5300 NlGHWAY 101 SOUTH DVAN?'i? ? MINNETpNKA. MINNESOTA 55343 SUAVEYING 8 ENGINEERING CO. 84669 JOB NUMBER 31 27 23 SECI7WPlRN Howard Robinson CLIENT LEGAI DESCRIPTION: Lot 12, Block 2, VIENNA LVOODS 11/15/84 DATE SURVEYED 11/21/84 DATE DRAFTED 30 SCALE IN FEET PER INCH PROPOSED ELEVATIONS: 943.50 FIRST FLOOR 942. 50 TOP OF FOUNDATION 942.30 GARAGE FLOOR 934.80 LOWEST FLQOR 918.18 at manhole SANITARY Sf-fAFER ION 936.14 BEN77 BENCHMARK DESCRIPTION: Top of manhole as shown . , f. : j .. , ? . . .. . . _ . . =i. .. ...... .. ... . ? , . . . p ? . _ , .. I ?'- J ? ? ._. ? -- STANDARD SYMBOLS Denotes 112" ID pipe with plastic plug bearing State Registration No. 9235, set. Denotes iron monument found. Denotes cross chiseled in concrete surtace. "982x5" Denotes exfsting spot elevation measured at the pofnt marked by "x", in this case, 982.5 feet above mean sea level. ,"982x5" Denotes proposed spot elevatfon at the point marked by "x". Denotes proposed direction of storm water runoff. CERTIFICATION I hereby certify that this plan, survey, report or specification was preparod by me and that I am.a duly Reglstered Land Surveyor and Profes- sional Engineer under the Laws of the State of Minnesota. (\ / )K Jq(m*s H. Parker, Minn. Reg. No. 9235 / \ . ? W ? ? OAR WA1 • ? W c O a ? o w cu' Z ? W ?l ? /''?•? o '4s h1 ? / . . ? .. .. . ? . . . ?? ? ? ? I • t i 2/84 CITY Or EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTIODT (PLEASE PRIHT) 1) PROP&TYI'Y ADDRESS: I ? r.FrAr DESCRIPTZCN: Lv r- 2- %3?ic a (Lot/Block/Su;d.ivisicn or Tati Parcel I.D. Nlu:berj ? ic S'I'RL'CP7E , naT or CRT_G^AL 'ci;I:.DL`:G :.?,•S; TSJ.c?C.: C'S?: R-1 Sz;GLF. FPNSLY " /0 R-2 DLPi....?Y (TtiD L?:ITS) ? R-3 'IC:,.?'r?Ci.ISE (?"-?F?. = L-7ITc) ( [Nlmc) ? ic-4 LtiI?S) ? CCs%?tE.°.CLAI,/RE:71SI,/pFFICr' Q i1'CL'STRL?L ? I\STP^TIOJ1.-'1I./GG?'???L?1E?,'I` 2) APPLSG V^P (PLEasE rsiUr) rr??: 5 ??Ci3rcr ADDRESS: /6 ev7 s CTTY, ST?'1TE, ZIP: 6 A (? RP PHOLNE: =T)-7(?FjJs' 3) PLC;:fBm NAME; IPLEMSE PR1Ni,)-- .l 00A `S. ' v FOR CITY USE ONLY PDD3ESS: PLUHg,E ? RS LICENSE: f Attive CITY, STATE, ZIP: I f/ jC-5r???L 43Z?43( ? Expired . PHQNE: - / PI'?'?? 1T?r.??J3lJ U.MBER LICFNSE # Not_?Recor drt lnt'.ia 'Z/ ?_J :y(Vj/(J.IhMr'Z *rn^? ;rLGN.]C Yttlill) L?'?? A7DRESS: CITY, STA'tE, ZZP: PHO*IE : S) INDIGATE ;Ni[-lICH PER111IT IS BEILNG RE.L'UESTM-: CONNEC:ION 'Ib CITY SLTi17Ei2 COiVNECI'IQ:I 'IC) CITY WRTL'R O71TER (PITASE D.SCRIIIE) ol u.ult<?.c. U:+t: ? PLEaSE F?OID APPR,pVFD PER^+1T FOR PICF:-L'? SY ONE GF A&JVE %f,alL APP?ZOV'cD Pf.F'•LiT TJ 1, 2.53 4 AFiOVE (Circle one) 7) SICa1L`RE: _ IAI'i? DATE: a! ?l a:?li0.A?JS i il sf l?:faft?! ?a el?sas?ia+A i s is?a:aa a! a! fJ?Fa?ailf? s aa s?s s es?a? ? FOR C I T Y U S E ON;,Y PERMIT " ISSUED ? F°ES: $ r d.Sa $ $ $ $ $ $ $ $ ? . SE:^iER ?'EBM7T (2`ICL::D: SU°CF.?RGE) WATER PERI"LIT (IP7CL'uDE SliRCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SE:vER TAP ?r:Gi.:YT ?..'GSI'= ACCOUNT D.F,PpSIT - PIATEB WAC SAC TRliNK S4ATER ASSF,SSi-?E.'IT TRliVK SEWER ASSESSbIENT LATERAL BEDIEFIT/TRUNK SE:•7ER LATE2rlL BENEFIT/TRU:Ii{ WAT°R OTHER S TOTAL Ari1OUNT PAID/RECEIPT R ? G 90? DOES UTILITY CONNECTION REQUIRE EXCIaVATION IN PUBLIC RIGi-1T OF WAY? YES IF YES, THEN A"PERMIT FOR *AORK WITHIN ? PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGZNEERING DIVISIO[V. LIST AS A CONDI- TION. SGSSECT TO TFiE FOLLOWING CONDITIOIvTS: APPROVED BY: ?- e_? TI;LE: r? DAT° : / .5- AF-_ me W.wwws mwsmmkmw ntm sa =?w wum w wse faa w" Ot+ wtw w lo-" "07" 9&40 +m= sa WiQRa Ocmm sin wi ? L I Y eL ? CITV USE ONLY sueo. ?1Cnha O4s RECEIPT #: f a 7f dq RECEIPT DATE: 1' d S-co PERMIT# 40U?_ 8000 PLUM$INfi PEiMiT (mIDENTIAL) CfCI( OF f.t4filIPI S$SO PILOT KNOB RD SAfiAF, MN 55122 e51-681-4675 Please complete for: ? single family dwellings . townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system ..r1..,« cecu # TOTAL Alterations to existing dwelling - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ GaS i in outlet ' minimum - t 3.00 x = $ Hot tubls a 3.00 x = $ Kitchen sink 3.00 x = $ Laund tra 3.00 x = $ Lavato 3.00 x = $ Se tic S stem new/refurbisned ' requires MPC lic. 75.00 x = $ S8 tiC S stem abandonment 30.00 X = = $ $ ? RpZ new installation/repair/rebuild 30.00 x Rou h o enin 1.50 x = = $ $ Shower 3.00 x Under rounds rinkler ifdwellin isunderconswcuon 3.00 x = $ Under round s rinkler ifexistin dwellin 30•00 X - = $ $ Water closet 3.00 x = $ ? Water heater 3.00 x = - $ Water softener if awenin under consuuenon 5.00 x W ater softener if existing dwell(ng 30.00 x = $ Waterturnaround 30.00 x --- > _ > $ $ 50 State Surchar e .50 --> > --- > ---- > $ 30.50 otal T -> -- --- --- Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. ?-----------•-----••-----------•-----•------••-------------•-----------•----------••-------------•-----------• •---------•-------•-- I -hereby acknowiedge- -that I have•read? -this appli- -ptlon, stale Nat the information is correct, and agree to wmply with all applicable Cityof Eagan ordinances. It is Ihe applicant's responsibility W nodty the propeM1y owner that the City ot Eagan assumes no Iiability for any damages caused by Me City during its nortnal operaUonal and maintenanGaactivi4e5Jatha.tacilities-constn+cted-under ih'%°?n't ?^'??'n Ciry propeRyMgh[rot-wayleasement. SITE ADDRESS: OW NER NAME: INSTALLER STERN,RACHEL 4774 OAK W AY EAGAN, MN 55122 (651) 994-9229 STREET ADDRESS: DBA WFJN 2005 CITY: MI TELEPHONE #: (AREA COOE) TELEPHONE #: (AREA COOE) STATE: ZIP SIGN l F PERMITTEE Clty of EapIl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 6755694 n [E c E rWE,n JUN 1 1 2009 V ?---------------- ? i ? Pertnit#: ?[ L/ / ( Q/ O 6 ? I Pertnit Fee: I I_ ? Date Received: ? Staff: L ----------------? 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION ? Date: ? Site Address: Tenant: Suite #: RESIDENT / OWNER Name: 1 Phone: Address / City / Zip: (gain CONTRACTOR Name: icense #: Address: {? liarece Gonnections ?nC 1313 a Cily: _ _ 1111N 66379ate: Zip: 9 • Phone: iA4644": TYPE OF WORK _ New _ Replacement _ Repair _ Rebuild _ ModiTy Space _ Work in R.O.W. Descri tlo of work: PERMIT TYPE RESI NTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing FiMures ? RP2/ _ PVB) ? Main _ Cower Level) • Septic System _ Water Turnaround New Abandonment RESlDENT/AL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) "Water Turnaround (add $136.00 if a 5/8" meter is required) ' $100.50 Septic System New ($10.00 per as built) (indudes Counry fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ 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 pertnit, and work i t to start without a permd; tt t the work wiil be in Xccordance wi'th the appr6Ved plan ip?fhe case of work which requires a review and Xpproval of la V ?v Applicant's Printed Na e tyl-Vk Appliyan s nature Reviewed Date ' Required Inspections:°;h Under Ground t ? Rough In ? A r Test Gas Test ' Final ? PERMIT City of Eagan Permit Type:Building Permit Number:EA116056 Date Issued:10/02/2013 Permit Category:ePermit Site Address: 4774 Oak Way Lot:012 Block: 002 Addition: Vienna Woods PID:10-81950-02-120 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Mike Heiderscheid 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 - Adam Stern 4774 Oak Way Eagan MN 55122 Md Heidersheid Your House Doctor 47045 Cedarcrest Trail Rush City MN 55069 (763) 862-0616 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA151518 Date Issued:08/29/2018 Permit Category:ePermit Site Address: 4774 Oak Way Lot:012 Block: 002 Addition: Vienna Woods PID:10-81950-02-120 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. 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 - Adam Stern 4774 Oak Way Eagan MN 55122 Uptown Heating & Cooling 3110 Washington Ave N, Suite 100 Minneapolis MN 55411 (612) 827-4674 Applicant/Permitee: Signature Issued By: Signature cold For Office Use rr % �� Permit#: /5 CC E AG A / �O N Permit Fee: 7- Date Received: La 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 EC 'IVE P (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-569' Staff: buildinginsoectionsat7.cityofeagan.com JAN 17 2019 L J 019 RESIDENTIAL BU • PER APPLICATION Date: ( I`7 / Site Address: l t✓• • CLA_ Unit#: Name: T1 Lei- (-4_ i • _. one: Owner Address/City/Zip: 1f7 t 19'K 1.4)ct f j 44f �J `� /2 7-- Applicant -Applicant is: Owner ✓Contractor V p 1,4()ot4C Description of work: RePt 4-c- K.fl#t: ..'U 1, / 43E-14)Typkof Work Construction Cost: 7�(C�� Multi-Family Building: (Yes /No Company: �E ltJD4I- , LZ PJ Contact: .�19-� ' Contract©C Address: ��� ! G /a/ ta City: State: /"Zip: "/ I'7 2�/7 ��7'Email:�- + � �?l( -�C�r►L ,t.esiin- Cyc License#: )3C,o�✓42 / Z- I Lead Certificate#: /V, Zs Z If the project is exempt from lead certification, please explain why: G21 c-7" /O j 4 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: NOTE:Pians and documents l you s • ,awe;considered'to be public�rrma ► Poatians ofthe nation m claaat '�' as ,,, .,.. � � �• �a 'atwrwld'��° ito're to -. -1:, thatets aretradesiavts: You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaean.com/subscribe. 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. 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.aopherstateonecall.org I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with •- • •-noes and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and.•werk•'- •• to St-, without a pe , 'at t - work will be in accordance with thea rovedplan in the case of work which requires a review and pp q pproval o ns x J1-k s � z� f/l � Applicant's Printed Name Applicant's Signature 4 ( 77q QK /' C lc/ DO NOT WRITE BELOW THIS LINE I SUB TYPES _ Foundation _ Fireplace — _ Porch(3-Season) Exterior Alteration(Single Family) 4 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 4 Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation Occupancy /ti4MCES System Plan Review Code Edition I / SAC Units (25%_100% ) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction f b Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: 1 Footings(Deck) Final/C.O. Required Footings(Addition) /- Final/No C.O. Required 1 Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests _Final 1Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS 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 RESIDENTIAL FEES f Base Fee s l kftr4P � "Surcharge / , Plan Review MCES SAC 1, �, , AI V City SAC �J 1 £I Utility Connection Charge �' S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA163442 Date Issued:09/01/2020 Permit Category:ePermit Site Address: 4774 Oak Way Lot:012 Block: 002 Addition: Vienna Woods PID:10-81950-02-120 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 - Casey Kuettner 4774 Oak Way Eagan MN 55122 (651) 983-8334 Sandau Construction 9025 Hwy 101 W Savage MN 55378 (952) 403-9100 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA172438 Date Issued:09/30/2021 Permit Category:ePermit Site Address: 4774 Oak Way Lot:012 Block: 002 Addition: Vienna Woods PID:10-81950-02-120 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 - Casey Kuettner 4774 Oak Way Eagan MN 55122 (651) 983-8334 Sandau Construction 9025 Hwy 101 W Savage MN 55378 (952) 403-9100 Applicant/Permitee: Signature Issued By: Signature