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4052 Olivine Dr?CITeY OF EAGAN PERMIT SUBTYPE: ilot Knob Road Eagan, Minnesota 55122-189 (651) 681-4675 SITE ADDRESS: . , , , INSPECTION RECORD PERMIT TYPE: Permit Number: ? Oate Issued: APPLICANT: TYPE OF WORK: cl f I ;ririt>TI1?P4 F ?? L ?3.00 11 ( IIF'1 7 I }; f I"1 A R P: S. I' t R N RF V i f! J F Cl H Y 4.f A Y N E M 1 t f 1" (t Permit Holdsr Dete Telephone i EWER/ WATER PLUMBING HVAC lnspecHon Dete Insp. Commenta FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FlREPLACE ' FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC MEfER IRRIGATION METER FLUSH MAINS CONDUCTIVI7Y TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN Remarks * Cedar Grove AcquiSltlon Addition CEDAR GROVE #5 Lot 11 gIk 11 Parcel 10 16704 110 11 Owner -- Street 4052 Olivitle Drive State EaQan• MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRAOING SAN SEW TRUNK SEWER LATERAL WATERMAIN * WATER LATERAL ? WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 9UILDING PER. SAC PARK CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454-8100 WA'I'ER SnFTE'Nf'R Date: Jeuie 21, 1977 PERMIT Site Address: 4052 Olivine rJ2'ive Receipt No.: Single Residential No. X. Lot ?L Block ? Sub/5ec. C G' ? Multi Name Steve Lempelius 3 Address 4052 OliVine Drlve O Ciry Eaaan 55122 Phone: ? Lindsay Water Conditianing Co. Name ` ? Address 4215 Cedar Ave. So. a 0 v ity F'.?nar 55122 _ Phone: This Permit is issued on the express condition thot all work shall be Minnesota Statutes ond City of Eagan Ordinances. New/Alter./Repoir dlteration Cost of I nsta f lation Permit Fee 5.00 ' ? 0 Surcharge Total S n done in accordance with all applicable State of 122 Building Official CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-189 (612) 681-4675 SITE ADDRESS: ' ? ? ,??? ? 1 r.?t F)12 t i i?:-?l' 1??:1#`:'t Q'• ? PERMIT SUBTYPE: . , 1..• , 11?I NYE(?''lUl?l KL?;UKlI PERMIT TYPE Permit Number: 7 Date Issued: ia1a4 - I an - t I AF'PLICANT: 11 f< i OC le f E: TYPE OF 1NORK: IIT I (Ir nt fi •1"2n?JH #1 I l !; J ?? fi ftNI T0 Nlrr n ? a ? .. . . . . ?? ? . ? ? . ? I) l' S !" k 1 P i I 0 t! j rt . P. 14 1 1• nI11 Permit Holder Date Telephone Ik PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING f y? I?y ? ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG S 4V ORSAT TEST ? BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTI V ITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL EAGAN TOWNSHIP BUILDING PERMIT Owner '..._L'?-.s?rf.=<3:..._.??.-r.?: :<...._-......?.r..._._'_. Address (Presenl) C__...'&.-......U-.-:.:i-?,:(..`_....../..f.?c?:a.::.:-:-- • Builder ---------- ------- .G.c--.-------- .__......---------------- _....-- Address .... ..-------------- ......._..--------. .__.----- --........._....... N° 1644 Eagan Township Town Hall Dale ---- ???_... /._.....__.........__ - -- ?--- - - - - ---- --- - ---- - ---- ? ;?.,, ?_?.., ?; - --^ -- ------ --- --- - ? 07 LOCATION Streei, Road or olher Descripiion of Locafion ? Lo! P.lock ' Addifion or Yraai --- ------ - ..__--------- ---------i??= 1. G %, tr ? ? Icirli? ii ?? ?. This pezmif daes not aufhorise the use of sireeSS, roads, alleys or sid€walks n6 does it give ifie owner or his agent the righiio creafe anp siiualion which is a nuisanee or which presenls a hazard to the healih, safefp, convenience and general welfaxe !o anyone in the eommuni4y. TFiIS PERMIT MUST BE K£P ON TFiE PAEMISE WFIILE THE WOAK IS IN PAOGRESS. ?. • ?r.Y? • . -[ ... ....__.....'....._-- has Pexmissnon !o ereci a.....:l?.t. _.".........._.'.:? ??............. upon This ?s So ceriifp, ihsl.._C-.... :..u?....._ ......-. -- ' the abave descxibed premise subject fo the provisians of the 8uilding Ordinance for Eagan ownship acTopied April 11, 1955. .L: . GLC?..:.%•_ ?- ._---.....----..._----.... ..xL.^.?..---- - ......... _.__?- .............. Per .......__...---..? s ( ...__.t:. ---------- I -......---- - - ----......_.....- . .. . - ? ----.. airman o nwnGBoa? ' Suilding Inspector ? {j EAGAN TOWNSHIP BUILDING PERMIT owne: ..lLG.t•[?as^... i....W?'"??................. ........................ ,n- Address (Pseseni) ...?r!S.7' h".?.----.--. .. ? Builder .......... -----...... Addreu --------- -................ .......... DESCRIPTION N° 1'736 Eagan Towaship Town Hall na:e Siories To Be Used Fos Fron! Depih Heig6i Est. Cos! Permif Fee Remarka '-- ? ;Lo a7 ./ . T. _ A.A?r 1L? O Sf " LOCATION Streei. Road or olher Deseripiion of Loeai3on I Lot I Block I Aacmon os 1-raci /? I ?/ ? ? ??• s' This permif does nof aufhorize the use of sixeels, roads, alleya or sidewalks aor does it give the owner or hin agen! !he right fo ereaie anp sifuafion whieh is a nuisance or which presenls a hasard fo the healih, safety, eonvenieace end general welfare !o anpone ia the aommuniiy. THIS PERMIT MUST SE PT ON TH£ PREMISE WHILE THE WORK IS IN PAOGRESS. - ? . This is !o eerlify, fhal....?-... ............._--..._..hes permissioa !o ereet a....... ..!5?!_upon the above described premise subjeci So the provisions of the BuLlding Ordiaance for Eagan Township adopled April 11, 1955. --n ./..?.......-'-""-'----. Per '_"'-.--.-'.-'_--- ?......!!,?!.`?`.?!F:f..........?.?..G... Ch?ai a ?. 0 f Tnwn Board Huilding Inspec2oz p ?'? a ? ? r ? ?" RESIDENTIAL BUILDING Permit Application as City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construc6on ReauiremenLS RemodeVReoair Reauirements Office Use Oniv 3 registered site surveys showing sq, ft. ot lot, sq. fl. of house; and all roofed areas 2 copies of plan Cert of Survey Recd (20% maximum lot coverage allaxed) 1 set of Energy Calwlations for heated additions _ Tree Pres Plan Recd 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for addi6ons & decks Tree Pres Not Reqd 1 set of Energy CalcuWtions Addition -indicete if wisife sepfic sysfem _ On-sde Septic System 3 copies of Tree Praservation Plan if lot platted aNer 711193 Rim Joist Detail Options selection sheet (bWgs with 3 orless units Date 0? (o C t ti C _ __ ons ruc on ost Site Address A(06-, Unit/Ste # Description of Work Multi-Family Bldg _ Y?N Fireplace(s) _ 0 _ 1 _ 2 Property Owner ( - Telephone # ((pS( ) LISQ - o? ?)pY Contractor Cedar Valley Exteriors, Inc. Address __Bia???? City State Zip Telephoue # (7(03) 'I5"S ='o2'oZa,) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesoq Rules 7670 Cateeorv I Minnesota Rules 7672 Energy Code Category Residendal Ventilation Category 1 Worksheet • New Ener Code Worksheet (Jsubmissiontype) ? Submitted gY Submitted • Energy Envelope Calculations Submitted Licensed Plumber Telephone #( Mechanical Contractor Sewer/Water Contractor Telephone # ( _r ' I?; I? n I''? rTl III h o n e #( ii„ .. '. 4 J ,.;'r I hereby apply for a Residential Building PermiLQEd_ackn_, owledge that 4he information is complete and accurate; that the work will be in conformance with the ordinances and-cades-' the City of Eagan and the State of MN Statutes; I understand this is not a pernut, but only an application far 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. lqvn u 6era1v11cQ ApplicanPrinted lt4ame C? 7A? Appl ant's Si ure PERMIT CITY OF EAGAN - 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: 4052 OLIVINE DR LOT: 11 BLOCK: 11 CEDAR GROVE #5 p.I.N.: 10-16704-110-11 DESCRIPTION: ilding'.Permit TyPe ,ilding Wiirk 7ype nsus Cotfe ? 4,Y A.z,^ i% T.O. & REROOF PERMITTYPE: eurLorNe Permit Number: 0 3 3 6 9 0 Date Issued: 10 / 15 / 9 8 STORM DAMAGE REPAZR 434 ALT. RE5IDENTIAL ! h/ REMARKS FEE SUMMARY: CONTRACTOR: OWNER: - Appiicant - STANTON ANTIONIO 4052 DLIVINE DR EAGAN MN 55122 I I hereby acknawledge that T have read this 3,nformaCion ls crarrect and agre:e to comp2y Statutes and City af Eagan' Ordihdncas, -' (_ _ < APPLICANTlPERMITEE SIGNATURE 3pplicoti.on anc# state that tMe with all applicabie State of Mrt. ED BY: SIGNATURE 1998 BUILDING PERMIT crrsr 3 ? ? n ? 3830 PII.OT I 61 New Construction Reouirements ? 3 registered site surveys ? 2 copies of plans (inGude Deam 8 window saes; poured fid. design; eti ? 1 energy caleulations ? 3 wpies af troe preservation plan 'rf lot platted atter 717193 I required: _ Yes _ No DATE DESCRIPTION OF WORK: STREETADDRESS: YOSZ ? LOT: BLOCK: 'PLICATION (RESIDENTIAL) EAGAN ?xn - s5122 1 o- RemodeVReoair Reauirements ? 2 copies of pWn ? 2 sfta surveys (exterior additions 8 decks) ? 1 energy catculations for heateC addRions CONSTRUCTIQN COST; 20DO- Dn SUBD./P.I. . #: Name:/y-N TU PROPERTY Lwt OWNER Street Address: Y Phone #: 0 City Company: CONTRACTOR Street Adc City ARCHITECTI ENGINEER Company: Street Address: City Sewer 8 water licensed plumber (new construction oniy): and lot change is requested once permit is issued. I hereby acknowledge that I have read this application a State of Minnesota Statutes and City of Eagan Ordinan State: 40 /l% Zip: 5~S`/ ?-?- Phone #: License ii State: Zip: State: Phone #: Registration #: Zip: Penalty applies when address chang state that the intormation is cortect and agree to comply with all applicabl of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes Tree Preservation Plan Received Yes No No 1kM ?YX?4;hkk(K?Skh':Y6??F%?A(ik??kW„SXY.<M?nN.k?h'<vc5KY6k?????Y,:W.X«:?F czrv nF F_:AcAu r,nsH:i:Ei,- S rN_r.M7NA!.. NO: '931 nA?e. iarQr98 SSHE=: 0r.4108 ID. NA14E:.,, ANTC)N.T.O I._ EiTAN70N 3210 :yDO:E ApSc? nl_:CV:I:NE Df'r. 50.00 205 9001 4052 oLi:V.tn:r:. DR 0.50 , rt,,,:i. E;ecNzpt n:r;ouW .so.so cRc a89ar, I Usr::R :rD: NANcv I 'M'MY[** :0 Y14 •J,t:0 yFti:7$* iXM'i:Y'rvXt*:;>XfFYF**7k ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (657) 681-4675 PERMIT PERMITTYPE: BurLozNc Permit Number: 0 3 3 8 0 8 Date Issued: 10 / 2 8/ 9 S SITE ADDRESS: P.I.M.: 10-16704-110-11 4052 OLIVINE Dft LOT: 11 BLOCK: 11 CEDAR GROVE #5 DESCRIPTION: PORCH DECK NEW ALT. RESTDENTIAL ? FTGS - FUTURE Bu.3r1dinq?Permit Type Building W3,r?k Type ?Census Code \ 434 ) 1 C? ..._.. Uai ?_. i REMARKS: PLAN REVIEWED BY WAYNE MTLLER. FEE SUMMARY: Base Fee $50.00 Surcharge .50 Total Fee $50.50 CONTRACTOR: J .' OWNER: - Applicant - STANTON ANTONIO 4052 OLIVINE DR FAGAN MN 55122 T hereby acknowledge that I have r•ead thi,s application and state that the information is correct end agree to r.omp].y with all applicable State of Mn. Statutes and City of Eagan Ordinances. L ??t ? ? APPLICANT/PERMITEE SIGNA7URE . IS D BV: SIGNATU E .? 1998 BUILDING PEF 3830 New Construdion Reauiiements ? 3 registered site surveys ? 2 copies of plans (inGude beam 8 window s¢es; poured fnd. desi5 • 7 energy calalations ? 3 wpies of tree preservation plen if lot platted after 711193 required: Ves No DATE: /0 7 DESCRIPTION OF WORK: DEC-r--- -ro o; STREET ADDRESS: ?4O.S-L (J L/(/ t LOT: ` ` BLOCK: ? , SUBD./P Phone #: PROPERTY Lut OWNER Street Address: r? 7?U .r ? d <-1 City 4?Af A a1 Company: CONTRACTOR Street Address: City ARCHITECT/ ENGINEER Company: Name: Street Address: City Sewer 8 water licensed plumber (new construc6on ony): _ and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and Siate of Minnesota Statutes and City of Eagan Ordinance State: U,4 -A-) Zip: Z Phone # License # State: Zip: Phone Registration State: Zip: , Penalty applies when address chang that the infortnation is correct and agree to comply with all applicabl of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes Tree Preservation Plan Received _ Yes APPLICATION (RESIDENTIAL) OF EAGAN KNOB RD - 55122 ? 31-4675 u RemodeVReoair Reauirements ? 2 copies ot plan :.) ? 2 sde surveys (ezterior addkions & decks) • 1 energy calalations for heatetl additions CONSTRUCTION COST; /dOo a- D o iz #: &_?,? Cvo\i-e -4=L- S_ No No - Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex O 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 = plex WORK TYPE 'r 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning ? 11 Apt./Lodging ? ? 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 915 Firepiace ? D k / ec ? 38 Move ? 37 Demolition r? .'? ? 16 Basement Finish 17 Swim Pooi 20 Public Far,ility 21 Miscellaneous Basement sq. ft. MC/WS System _ Main level sq. ft. City Water _ sq. ft. Fire Sprinklered _ sq. ft. PRV _ sq. ft. Booster Pump _ sq. ft. Census Code. _ Footprint sq. ft. SAC Code Census Bldg Census Unit Building Engineering Variance Permit Fee Surcharge Plan Review License MCNVS SAC Cfty SAC Water Conn. Water Meter Acct. Deposit SNV Pertnit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: $ /j? % SAC SAC Units ! CITY USE ONLY LOT 1L BL RECEIPT #: I SUBD. RECEIPT DATE: 1998 MEcHMicAL ??ERMrr (REstUMtAw CfI'Y EAfiAP S$SO PILOT KNOB itD EA6Ak bIN 55] ES c612i6e1-4675 Complete this section onlv if you are installing HVAC in single family, townhomes or condos under construcdon and not owner /occupied' I? _ MTer; 0_1n() M gTi1 $ 24.00 ADDITIONPiI. 50 M BTU li 6.00 I! • Gas outlets ( minimum of one required @$3.0i ea.) I • State Surcharge: • TOTAL: .50 Complete this section on[v if you aze remodeling,ll, adding to, or repauing existing single family dwellings, townhomes, or condos. Note: Mechanical perriiit is not required for alteration/add-on to ductwork in existing residential units; but is required for the fol II lowing: X Install furnace I! X Install air conditioning _ Install air exchanger, i.e. Vanee syste?m, etc. _ Other I? 1i:.i,-n??: fee zyp:?es :c aIl.remo3et or zdd-ons ofl=xis?ng rV?:dences $ 20.0:? P. State Surchaz•ge I; Total: $ 20.5 SITE ADDRESS: OWNERNAME: T_0 INSTALLER NAME: STREET ADDRESS: CI7'Y QlI V1 hZ Q/" ,S'f"Gt h tOtl SYohlers Southside Htg. & A/C, Inc. 14732 Pennock Avenue Apple Valley, MN 55124 PHONE #: 'W 5 - )3,f ?O PHONE #: 4'3 )- 70 91 STATE: ZIP: l?a? ?'GUz?-e?-? SIGNATURE OF PERMITTEE JS/FORMS BLD/IvIECH PERMIT (RES) - 1998 EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephoae 454-5242 PERMIT FOR SII47ER SERVICE CONNECTION DATE: 3ept. 28, 1967 tiUMBER OWNER: Jandric Homea Addresa I,ot 11 Block 11 -64 X. oS PLUMBER 3teins, Inc. TYPE OF PIPE s. Tron _ DESCRIPTION OF BUILDING Industriall Comnerciall Residential I Multiple Dwelling ! No. of uniYs % Location of Connections: Connection Charge Permit Fee Street Repairs Tatgl $7.50 Inspected by: Date _ Remarks• By Chief Inspector In consi3eration of the issue and delivery to me of the above pexmit, I hereby agree to do the pronosed work in accordan^e with the rules aad regulations of Eagan Township, DakoCa County, Minnesota gy 3teins, Inc. 1G¢?? Plea_se nntf.fy wh.en ready for inspection and cosus2ction aad befere an) porii.oa of the o.*ork is ccvered. , i? Ir '. -city of eagan 70: DIANE DOWNS, UTILITY BILLING CLERK FROM: ED KIRSCHT, SR. ENGINEERING TECHNICIAN DATE: AUGUST 23, 1993 MEMO SUBJECT: STREETLIGHT ENERGY COSTS-CEDAR GROVE NO. 5(208 LOTS) This memo is to inform your department to begin so invoice the energy costs at the single family rate effective August 1, 1993 to ths properry owners in Cedar Grove No. 5 Addition. Block 1, Lots 1-22 22 Block 2, Lots 1-79 ig Block 3, LOts 1-11 11 Block 4, Lots 1-16 yg Block 5, Lots 1-25 25 Block 6, Lots 1-22 22 Block 7, Lots 1-25 25 Block 8, Lots 1-5 5 Block 9, lots 1-2 2 Block 10, Lots 1-23 23 Block 11, Lots 1-14 14 Block 12, Lots 1-9 g Block 13, lots 1-15 15 208 7he City is currently being billed by Dakota Electric for streetlighting in the above listed subdivision. Edward J. f?'irscTit Sr. Engineering Technician cc: Mike Foertsch EJK/je v?) \ .•r• ? - 69'/S6 _' im _ 9Z , OL iO %? . 'i %'y7 '"#.f° ---Lg-- --- b ?. ?--- ? ? 4 , \ \ / ' ? a yy'?,M • b ? ? 1't y? yti ? 4 %t ? ? ~ 1 `4 % M ? -? ?Iy .10• --LB- ? d. •? , G ? _ -9? ?(;zra ? ?. _? ? ,-•? , ? ? : -IL ?, ? $? ?'•? p? ?l ? °0 ? ? ? ?ia ' .,,?. -•? ?, ,?? ? :,o;z..?r ? ? ? .? F' ? ,6?'a? LS Z b' ' , ?t" ? ? ' ?. s• ; ? ?• ',`E'`? , V014 4 ?y? .1.p ?3 +.d ,?r]p!. & p • W • 1 S ??IfI???? t w ¢ '? ` %'.?,y-? ?.tr ?•.. y4 ,?. ? ?y i # 4?1 . 4 n? x o- \1?' 77?? . ? f F ??? ?d ?b ?'?? ?? y4?.i++a r t ,7:, ?"yt? '??t, ? y??? r } ... ? .. '?*. lZ:oZsO z ? 04 ? ? ^ W 1 -? i r -- • zs II1 -5 PERMIT City of Eagan Permit Type:Building Permit Number:EA107293 Date Issued:10/04/2012 Permit Category:ePermit Site Address: 4052 Olivine Dr Lot:11 Block: 11 Addition: Cedar Grove 5th PID:10-16704-11-110 Use: Description: Sub Type:e-Reroof Work Type:Reroof Description:House & Garage 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 . Valuation: 7,000.00 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 - Grete J Stevens 4052 Olivine Dr Eagan MN 55122 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA114197 Date Issued:09/12/2013 Permit Category:ePermit Site Address: 4052 Olivine Dr Lot:11 Block: 11 Addition: Cedar Grove 5th PID:10-16704-11-110 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 . Elizabeth Hess 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 - Grete J Stevens 4052 Olivine Dr Eagan MN 55122 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature i Use BLUE or BLACK Ink For Office Us City of Eap Permit I I C) I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 I Date Received: ~ Phone: (651) 675-5675 I _ 1 Fax: (651) 675-5694 1 Staff: I I I a. 2013 i RESIDENTIAL BUILDING PERMIT APPLICATION Date: ~I 1 I Site Address: ~V UZ 0 I I V1 Y) e 0 r Unit Name:. ~M) Q, HA'VICD I 1 Phone: q 1~)2 1 12 -)-f g142, Resident/ /1 J~~2 r,~' ,J Y,~~ ,n~ Owner Address/ City/Zip: ~fl V , ~ Applicant is: Owner ,Contractor Type of Work Description of work: MrAa b 00 U Construction Cost: n n Multi-Family Building: (Yes / No ) Company: 80-10- tl Inc, GA1c~ K2' I in4 ~.o tact:' t Contractor Address: ~f )oG u_ck:/ov- 6(Ud T City: , S-1• L c) P01- -k- State: Z``ip:-r~ ~B Phone: ~Sc-~I1 ~~/J`~ oZ License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _XNo If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.oogherstateonecall.orn 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 Minnes to State Building Code must be mpleted within 180 days of permit issuance. X ~ X ApplicantI~'s Printed Name Applica s Sig at re Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA115425 Date Issued:09/25/2013 Permit Category:ePermit Site Address: 4052 Olivine Dr Lot:11 Block: 11 Addition: Cedar Grove 5th PID:10-16704-11-110 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . 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 - Grete J Stevens 4052 Olivine Dr Eagan MN 55122 (952) 412-4942 Window World Aka Probuilt America 2211 11th Ave E, #130 N St. Paul MN 55109 (651) 770-5570 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA140771 Date Issued:01/20/2017 Permit Category:ePermit Site Address: 4052 Olivine Dr Lot:11 Block: 11 Addition: Cedar Grove 5th PID:10-16704-11-110 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Katie Hanson 4052 Olivine Dr Eagan MN 55122 (612) 719-3087 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA152952 Date Issued:11/09/2018 Permit Category:ePermit Site Address: 4052 Olivine Dr Lot:11 Block: 11 Addition: Cedar Grove 5th PID:10-16704-11-110 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 - Katie Hanson 4052 Olivine Dr Eagan MN 55122 (952) 412-4942 Crew2 Inc 2650 Minnehaha Ave Suite 100 Minneapolis MN 55406 (612) 276-1680 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA155042 Date Issued:04/25/2019 Permit Category:ePermit Site Address: 4052 Olivine Dr Lot:11 Block: 11 Addition: Cedar Grove 5th PID:10-16704-11-110 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Katie Hanson 4052 Olivine Dr Eagan MN 55122 (612) 719-3087 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature t p For Office Use Permit#: Permit Fee: • • 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Date Received: (651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 Email: buildinoinspectionsacitvofeaoan.com Staff: Commercial Plan Submittal:eplans( cityofeagan.com L 2019 RESIDENTIAL MECHANICAL PERMIT APPLICATION Date:�Z1? Site Address: / Oc2. ©// V/ d Tenant: Suite#: Name: Phone: �r v Address/City l Zip: "TIJ�Z t�l/ 0.-11 ftif, Name: 2'OC1 ltie -1' � License#: Address: L '62 ata D Lt I6 P.1-1 City: 4 rH►,�z. C-000-11' ,"h � ,a� State: � (� Ai Zip: (soy,/ Phone: Contact: Email: �A= RESIDENTIAL Furnace Air Conditioner Permit T� Air Exchanger Heat Pump Other o � �� New /( Replacement Additional Alteration Demolition Type Description of work: TV�r14- RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge =$ TOTAL FEE 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.citvofeaoan.com/subscribe. I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of a the City of Eagan; that I understand this is not a permit, but only an application for permit, and work is not to start without a permit; that the work will 'n accordance with the approved plan in the case of work which req ' - a review and approval of plans. Applicant's Printed Name • plicant's Signature FOR OFFICE SE Requite Ins 'off iue p l(I Raf� Date: v RoughAir.Tom. Tete ttt I�otrrHeat .Final PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA163357 Date Issued:08/27/2020 Permit Category:ePermit Site Address: 4052 Olivine Dr Lot:11 Block: 11 Addition: Cedar Grove 5th PID:10-16704-11-110 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 - Katie Hanson 4052 Olivine Dr Eagan MN 55122 Bob Boldt Hvac 4310 Trenton Tr Eagan MN 55123 (651) 454-7760 Applicant/Permitee: Signature Issued By: Signature