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4064 Olivine DrCITY OF EAGAN Remarks * Cedar Grove Acrruisition Addition f!FnAR GEgvE ? Lot 9 eik >> Parcel 10 167(L4 090 11 OwnerL?iq?'? f? 5 .425f.jl street_4064 Olivine Drive State Eg9"• MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR, GRADING SAN SEW TRUNK 1967 100.00 29.20 20 Paid SEWER LATERAL 1967 484.00 20 Paid WATERMAI N * WATERLATERAL 1972 607.00 24.2$ 25 WATER AREA STORM SEW TRK 1970 70.00 3.50 20 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC 200.00 PARK EAGAN TOWNSHIP BUILDING PERMIT Ownex ._.._-....._/?......-...--°- Address (Presani) ....._. 'J..?..:.?:,.(.?.,....__??.._.._._.,. . N° 1644 Eagan Township Town Hall Builder ... .. ..... ._ ..... ......:._,?:?:.-: :......_.._....__..._. _ _._....._.._._.__. .. . . ' Date .... Address ----- ---------------- ------ ._..--------- ------ ..............._ .----...._........._.. DESCRIPTION --?-- 5foriesl. To Be ---- Used For Fronf --- I Depih _ ---- Iieighi Esi. -Ccsf - - Permii Fee - - -- - --- ---Rem_ax_ks __--- - - I 7 I ??-•.' .r<.:. ? ---- ^?, ?- _ > }? ? /y ? --.__ - - - ----- -- LOCATION Sireei, Road or oiher Desaripfion of ---------- --- LocaSioa I Lof ---------------= P.lock ' L---? Addition or Tracf r :'? I • i. rr t. This permif does not auihorize the use of streefs, toads. alleqs or sid walks n r does ii give the owner or his agen! the sighi !o creafe any situafion which is a nuisance or whieh presenis a hazard fo the heallh, safely, convenienae and general welfa:e !o anyone in the community. THIS PEAMIT MUST BE KEP ON THE PAEMISE WHILE THE WORK IS 7N PROGAESS. i This i G;r • y i - ` -Y ......-r:---.---°---._......_.. hasPermsss• ?on 3o erecf a...7.- ?:' :?'............. .......' -' ........... ..upon a 2o cezlifp, lhai.... ....... :i the above dFSCxibed premise sssbject fo the provisions of the Building Ordinance for Eagan ?t'ownship apied April 11, 1955. ? ? r r ..._ ..................._........??" ?+^- ?{' ' ?"`L'.^.--'--------- Per ......--°-.GCL.': s.:C....._?.:....:."-_'t'`'4L.._.........-----._. ?hairman of?7'nwn?Boe?l ? Building Inspeclor li 2007 RESIDENTIAL BUILDING PERMIT APpLICATION City Of Eagan 3830 Pilot Knob Road, Eagao MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Canshudim Reameme? 3 repisfered sBe surveys slwwug aq, ft of b}, sq. ft d hase; and all mofed areas (20%mmumumbtwraregeallored) . 1 Soils Repat if proposed 6uiWug is to be placed m distluhed amY 2 copies of qan shoning beam 8 wintloa saes: Pcwed lowtl desgn, ek. i set aEnergy calc,ldons 3 copies af Tree Preservetion plen'rf bt plelled afEer 7/1A3 Rim Jdst De?il Options selectim aheet (ppildings wilh 3 a p?s umb) Minnegasco medianical venGlali?on fwm 118 are considered aublic Date _L / ,3L SiteAddress cHAO, Descripfion of Work r Multi-Family B?dg _ y N Property Owner Bualget 6wberioes G:outractor 8017 Nicollet Ave S. Address Bloomington, MN 55420 rg: 1-877-310-1742 sta'e _ FAX: 1-952-887-1659 96. ? t 1,1 u 3bl? nemaoeuHenatr Reaulrements Ofioe Use Onh 2 wpies of plan shawm9 tooft5, beems. )dNS CeA of SurveY Recd _ Y_ N 1 set of Enert?y CekufaGars for I?effied a? Sotls Repat _ y_ ry ?--.??,'?" far additions & depcs Tree Pres Plen Recd Y_ N. BP? ?ent Tree Pres Requned _ _ y_ N ?? ?-7?• {? ?? ? 5 U p a,-ske septie syatem _ r_ N FEB 0 5 2008 state thedr are trade secret and the Constructioll t la 5 /) "l) °.° Unit/Ste # Fireplsce(s) _ 0 2 Tekphone#(brvj) 47J6 `??,q ) . City - Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category - Minnesota Rutes 7670 Cat orv 1 _ Minnesota Rules 7672 (J submissian rype) • Residential VenUlation Category t Worksheet • New Energy Code Worksheet Submitted Subffufted • Energy Emlelope Calculations Submitted In ihe last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan2 _ Y _ N If yes, date and address of masTer plan: Licensed Plumber Mechanical Confractor Sewer/Water Confractor Telephone # ( Telephone # ( Telephone #( 1 hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a pertnit, 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. ApplicanYs Printed Name ' Applicant's Signature S DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 07 OSplex O 13 16-plex ? 20 Pool ? 30 Accessory 81dg ? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Pwdi (3-sea.) ? 31 Ext. Alt - Multi ? 03 07 of _ pleac ? 09 07-p1ex ? 17 Garage 0 22 Porch/Addn. (4sea.) ? 33 Ext. Alf - SF ? 04 02-plex ? 10 0&-plex ? 18 Dedc ? 23 Porch (scxeeNgazebo/pergda) 0 36 Mulb Misc. ? OS 03-plex 0 11 10-plex,. .? .19 _--- Lower Level .. _ ? _ 24 SMrin Damage ? 06 04-plex O 12 12-plex D' 25 Miscellaneous Work Tvoes ? 31 New ? 35 Irrt Improvement ? 38 Demotish IMerior ? 44 'Siding ? 32 AddiGon ?. 36 Mwe Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Afteration ? 37 Demolish Building` O 43 Reroof ? 46 WindowslDoors ? 34 Replacement •Demolttion (EnMire-BWg) - Give PCA handout to applfeaM Descrintion: wamr oamage _ res Valuation Occupancy MCES System Plan Revfew _ 100% or _ 25% Census Code Zoning City Water SAC Units Stories 8ooster Pump # of Units Sq. Ft. PRV # of Bldgs Length " Fire Sprinklered Type of Const Width REQUIItED INSPECTIONS _ Foodngs(new bldg) _ Sheetrock _ Footings (deck) FiuaUC.O_ _ Footings (addition) _ FinaUNo C.O. Foundation i HVAC Drain Tile i pfger Roof _ Ice & Water _ Final _ Pool Ftgs _ A'vJGas Tests Final _ Framing Siding _ Swcco I.ath _ Stone Lath _Brick _ Fireplace _ R.I. _ A'v Test _ _ Final _ Windows _ Insulation _ RetainingVl'ali . ? Approved By: , Building Inspector Base Fee Surcharge Plan Review MClES SAC City SAC Utiliry Connection Charge S&W Pertnit & Suroharge Treatment Plant License Search Copies Other Total < , ' . . . ? . ? . !?%??:?Ytxf71L'M7Xk(*%K*?*W?KXC:k*7F?k1K?XYAIkfk?%:h?F"?%Y+1KH?7KF ?. ' (:IT?? OF EAL;AN `w . J CASrIiCC. tS ?l `.;TEfiRINAL ? N¢.. 7L`18 DAT?e 10/ii'u?50 UhfC '. P.. B(•? ??? , • 5 , t+'F?E: ARG 1 PFRMtTS . ^2iD 9001 44 f"At.k4:tFF''sD rT' )i.i.S 9001 442 Mf?? 1_i§RtT LT i ?:•`a? + .321Q 900 1. 425. MAMDtiTi Ilk, 1rS'.? 2t`55 900J. 42511 LwTADS0A3I"S Iih iR V ? ;'x5d? :cO E r. ll W10 , 9(701 4C16? (7lX 2:55 ?OC]i. 40F,.Mlj f3Y.f'V3.N'c' '1rt 32tp 3rO:1 e.g7,1'WiND13OR rT 7' ?! kliSClf' Cl ' ?F.O? 48r ?P.55 90L0I ? of,] ?ec:eipt 1I?rtla+ent : , ?SL k .i'Sq?JQ h . ? :IAN I? . . " ? 5 W (a. . II - t 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN ?3830 PILOT KNOB RD • 55122 ( 651•681-4675 New Construction Reaulremenh Remodel/Reoalr Reaulrements D 3 regislered sHe surveys showing aq. H. 0/ lot sq. fl. of house 2 copies of plan and aU roofed areas (207o maximum lot coveraae allowed) 1 set o} energy caiculations for heafed addlNons D 2 coples of plans (show beam 3 window afaes; poured fnd. design; e1c.) 1 sMe survey for exterior addHlons 6 decks ? 1 set of energy calculalions D 3 eopiea af hee presena}fon plan B lot platled atfer 7/1/93 DATE: o CONSTRUCTION COST: DESCRIPTION OF WORK: ?C? STREETADDRESS: ??? ?IIIJ?11? C LOT: ` BLOCK: , SUBD./P.I.D. #: l??I'L?(' ? INY?L #'•1 Name: cJf,"1d Qe- Phone#: 6E t -686r_t-i-6 f 31 PROPERTY La9t flnr OWNER Sheet Address: q%14 QhUfYv Or CNy 1:-?Q C1(I V) Siate: mZip: 5.17 111 a?;2 ?Ij Company:fllY1er (CQ1i Ou Ild19( 6/1tn1Ctal5Phone#: bia ?(17-6Q,F29 (arec code) CONTRACTOR ?1 ? . ? ?? Sheet Address: I a0147 (CO ue- L(cense #o-?O l69383Exp, ? City UC1I.SII( 1 I P State: Zip: ARCHITECT/ ENGINEER Company: Name: Telephone #: area code ( ) , Street Address: RegistraHon , CffY Sfate: Zip: Sewer 8 water Ilcensed plumber (reclulred for new conshuctlon oniv): Penaly applfes when oddress change and lof change Is requested once permff is issued. 1 hereby acknowledge fhat I have read this applicaffon, sfate that fhe tnformaHon is conect, and ogree fo comply wMh all applicabl Sfate of Minnesota Stafutes and Cify of Eagan Ordinances. ??- !!P Signature of OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required (?? I OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) 13?02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. , ? 03 1 of plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 _ 2-plex ? 09 7-plex ? 14 Apartments O 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia 0 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) X 42 Reroof ` Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width APPROVALS Planning Basement sq. ft. Main level sq. ft. sq. R. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Census Code SAC Code No. of Units No. of Bldgs MC/ES System City Water Booster Pump PRV Fire Sprinklered Engineering Variance Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S!W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: SAC Units % SAC . . .. ? . ? . ??i- . . .. . . . . . . ' ' il.. ?,: .: . . '? - u' l(?r ,. •; A=ri U e A1 . (. iMAPfr?. . ' lRBtJnt VSINE`.'='i z4r?ne;anE,a. ?? ,,?? ? t?r•? ,... il ? u ° ,tq q ?W>'}?:k?KY:y ;;:kk":'F11C?i'?K+k'ie?Q?K1kiK%t??t.?(KOG:?.ik.!?K??`y!M?%' . > n ?y?/b ? 1999 BUILDING PERNIIT APPLICATION (RESIDENTIAL) CITY OF EACAN ` 3830 PILOT KNOB RD - 55122 651-681-4675 NswConstructlon ReauiremeMS RemodeUReoalrReoWremeMe D 3 repistered site surveys showinp aq. ft of lot, sq. ft W house and gll roo(ed areas PtOX meximum bt cmenae allowad) D 2 copies of ptans (show heam 8 window stres; poured fid. dasign; etc.) D 1 eet of energy caleulatlons D 3 copiec otbee presenatlon plan H lot pWCed a(Iar INf93 DA7E: ?? q OESCRIPTION OF WORK: STREET ADDRESS: `1 t J LOT: ? BLOCK: I 2 eopies of plan 7 set M energy akuWNons tor heeted addidons 7 sMe survey kr exteiior addNOrre 8 decks CONSTRUCTION CO5T: Name: ??rJ J;5eD(1 Phone#: 40 -6?2k"22E? PROPERTY Last Frst OWNER /?p - • (? Street Address: r- City E-Q G Q F? 5tate: m N. Zip: Company:!"711"Ye'f[c?? UilQIn?,T n7Plzcfo(5 Phone#: 6/a 'r77-64??/ (area eode) CONTRACTOR StreetAddress: ?aa?7/U1 ?E? ? ?- License#o??F?Q?3 Exp. ? cky eurnsviswte; ???O, zip: ?5 33? ARCHITECT! ENGINEER Company: Name: Telephone #: ( Street City State: Zip: Sewer 6 water Ikenaed plumber (newconsWctlon only?: Telephone #: P,enaky applles whm address change and lot change is requasted ance permk Is Issued. fhere6y ecknowledge thffi I have read fhie applicafion, state that the information ia cortect, and agree to comply wiMi all applica6le 5fate of Minnesota Statutes and Cit 7f Eagan Ordinances. Signature of Appliwnt: OFFICE USE ONLY Registration #: Certificates of Survey Received _ Yes _ No Tree Preservatian Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 f. Fireplace ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage O 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? OS 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool II WORK TYPE 13 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? ? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof " Give PCA handout to applicant for demolition peri GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of 5tories Length Width APPROVALS Planning Variance Permit Fee Valuation: $ . Surcharge Plan Review j License MC/ES SAC City SAC Water Conn. II;II . Water Meter Acct. Deposit I; S/W Permit S/W Surcharge i; Treatment PL Park Ded. Trails Ded. Other ? Copies II?; Basement sq. ft. Main level sq. ft'. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Engineering ? ? 21 Porch (3-seal') O 22 Porch/Addn. (4-sea O 23 Porch(screened) ?? 24 Storm Damage ? 25 Miscellaneou's Siding/Soffits/Fascia 'I! Windows/Doors Fire Repair i Census Code : SAC Code No. of Units No. of Bidgs ° MC/ES System Ciry Wate I Booster Pump PRV ?i, Fire Sprinklere'd Total: SAC Units % SAC , ?' EAGLN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE• Sept. 2$, 1967 OWNER• Jandri.e Homes PLUMBER 3tei.nsy Inc. NUMBER / 3 Address Lot 9 Block 11- (¢?. 'Y' $f TYPE OF PIPE Cast Iroa OF BUILDING Industrial Commercial Residential Multiple Dwelling No. of units S Location of Connections: Connectioa Charge Permit Fee SCreet Repairs Total $7.50 inspected hy: Date Remarks• sy Chief Irw^pector In conaideration of the issue and delivery to me of the above perait, I hereby agree to do the proposed work in accordan.^.e with the ruies and regulations of Eagan Toc•mship, ?akota County, Minnesota gy Steins, Ine. piease nor,i.fy when ready for inspection and connectien aad before any por:i.os of the vrork is cuvered. Ii R &??a @g??? ? - city of eagan MEMO T0: DIANE DOWNS, UTILITY BILLlNG CLERK FROM: ED KIRSCHT, SR. ENGINEERING TECHNICIAN DATE: AUGUST 23, 1993 SUBJECT: STREETLIGHT ENERGY COSTS-CEDAR GROVE NO. 5(208 LOTS) This memo is to iniorm your department to begin to invoice the energy costs at the single family rate effective August 1, 1993 to the property owners in Cedar Grove No. 5 Addition. Block 1, Lots 1-22 22 Block 2, Lots 1-19 19 BloCk 3, Lots 1-11 11 Block 4, Lots 1-16 16 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 9 Block 13, Lots 1-15 15 208 The City is currently being billed by Dakota Electric for streetiighting in the above listed subdivision. Edward J.`F?'irsCht Sr. Engineering Technician cc: Mike Foertsch EJK/je Jun 24 2013 8:23AM BRUCKMUELLER PLUMBING INC 6516882160 page 1 Use BLUE or BLACK Ink r-- ---------i I For office Use I t I I • j Permit I I I I I I I \lc~ u:~ , Get of EalaR d I Permit Fee: I 3830 Pilot Knob Road I I Eagan MN 55122 I~' Date Received: ' I Phone: (651) 675-5675 Staff: Fax: (651) 676.5694 L------ INFLOW & INFILTRATION PERMIT APPLICATION V Plumbing / Sewer & Water Date: 4 - a~/-I 3 Site Address: 140 &,-7 01 1~✓6I 6 Dr 1 V'ei Tenant: Suite IY• r Sr' Ct sev ~vAnson Phone: &61-' 'a~T'~,ISt~Z~e ,r- Name: RES4 f Q4 z 4 s/ as ~ , ~ ~ Address /City /Zip: ~l~ ~ y ~ 1 f iV l n G ~r' irl/'G, ~ a y'1 ~ N 5 pit.'-~ 1!} / ~,ykl r Name:I'lcl'!C/►'tLf. ~~Cr"6t~I'Y) n~. ~C- License rro./ S l- ~tY) c Afa,7g«/ ~"l GA &eyiu t: - City: ~+G~ n ~ir,:~„a Address: ~ 5-~ State: Zip: J~~.~ ~ Phane: 1 , Niter 1 ~~~~Ii {.'fir y y4 Contact: Cfi[~ r~r^ ~l.Z~~~,~Email: t''~ b ~i I r r yak, r ' I , ~~.e1 i~~t x - .~Iz PLUMBING (within the building envelope) SEWER a WATER (Outside the building envelope) ~t i t. fl ~~"~I'~~11 V' Sump Pump Repair Re air P'~ p r ; Other: Other: t ~-d~~,'~cJ~t ~i x'1'~~r i a' - t r^ r Description of work: . U M - S ' I r FEES $60.001 Each (includes $5.00 State Surcharge) TOTAL FEE $ ~ c)o Vermit fees will NOT be reimbursed by the City of Eagan. If you plan to submit III repair costs for reimbursement, two quotes from qualified contractors must laccompany this application. A list of contractors can be found by visiting www.cityofeataan.comlinflow, or City Hall at 3830 Pilot Knob Rd. 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.aonherstateonecall.ora 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 as reevvjiew and approval of plans. Applicant's Printed Name Ap cant's Signature is - k1w (U1 +-~S' z i ? -fin ~r J f ,i ',v #x llj w y r a ~~dr, ~i~l~ y,,~ 1 ' r ~F~+,yn,4~ ~ ~ ~ 4 ~ 1 t 1 rlfrC ~r t 5, ~ ' 4 I r~ 1~~1t'rw4~4~~. ~ l ~ $~~~'a~!' tt . 'O ~~*c i ~~a+~kl t hap .j ~ r ~ ~ J Y3 4 ~,M> 1~ .I} , .+q,,~~l r ~ 3 1 T".~^"'q'* ~ rl j i ~ ~ ~ _ 5 r ~thlr' ,x i. J~ -nt a~{ 19vs 3 ~Y # f k+f .F'Y I p 4'Ea;Y R,'T^i r +'7tei t, ts' D t5 y" ~r p r R 4 r h` Y . ~ I ~ 2 I R P ~ ~~t wr .w } d n f2 fyv s ` f z° M€.,.. xtn ~ {s sr , ~vxY v'.,; ~ f, q ~;~i'k'1.~;V'~::a`~ ~.°:,iTl ~ .3jl,i~ PERMIT City of Eagan Permit Type:Building Permit Number:EA119651 Date Issued:12/11/2013 Permit Category:ePermit Site Address: 4064 Olivine Dr Lot:9 Block: 11 Addition: Cedar Grove 5th PID:10-16704-11-090 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and house wrap and leave on site. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Courtney Weber 4064 Olivine Dr Eagan MN 55122 Professional Exteriors Inc. 3158 Viking Blvd NE Wyoming MN 55092 (763) 434-1500 Applicant/Permitee: Signature Issued By: Signature .� Use BLUE or BLACK Ink ., . . .r--�-------�--�------+ I For Office Use I � � Permit#: � � �/<JfCI � City of ����� � °'� �� � �,��`t `r� I Permit Fee: �0��- I 3830 Pilot Knob Road �'�"" � I Eagan MN 55122 �. '?;;� � � �S'� I � '� � �, � Date Received: � � Phone: (651)675-5675 �`" I I Fax: (651)675-5694 I Staff: � I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION � Date: ��'�5-(� Site Address: �6N C� iV: � av� Unit#: 1�I ( Name: (�AS�U �u�hStlh Phone: �5�'Q�a�(- (�{�a�D 'Resident/ : : Owner. ' Address�City/Zip: �Ufo�I V�;V�ticr �� ��h,� 551�� ' Applicant is: �Owner Contractor ���� � � �"� Description of work: �'���1�� In��vw in.s� 9a`�^t� d� Type�of Worf�� �� � : Construction Cost: $0� Multi-Family Building: (Yes /No� Company: Contact: COtltl'aCt01' ' Address: City: State: Zip: Phone: Email: License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) �' l COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non=public if you pravide specific reasons that would permit the City to . conc/ude that the 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.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x C�SwI �d�\�1 sb✓� X ApplicanYs Printed Name Applica igna re Page 1 of 3 � ��C�4� O�r'c�� f�r. /� � ��" DO NOT WRITE BELOW THIS LINE / � SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration (Single Family) � Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Multi) _ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building" Addition Move Building Reroof Demolish Interior �Alteration _ Fire Repair _ Windows _ Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation � ���'��� Occupancy r:„�°� MCES System Plan Review Code Edition � �r�� ,�'" �''+� SAC Units (25%_ 100%�) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Sprinklers Type of Construction � Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final 1 C.O. Required Footings (Addition) � Final/No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final � Framing Drain Tile Fireplace:_Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick � Insulation Windows Sheathing Retaining Wall: _Footings_ Backfill_Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls Other: Reviewed By: �� , Building Inspector RESIDENTIAL FEES Base Fee �� � Surcharge �"`����� � ��� Plan Review ���'� � MCES SAC ��� City SAC Y " l ,�--,r ° ,� +i..° �`�' � Utility Connection Charge S&W Permit 8� Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA127689 Date Issued:10/10/2014 Permit Category:ePermit Site Address: 4064 Olivine Dr Lot:9 Block: 11 Addition: Cedar Grove 5th PID:10-16704-11-090 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 or installing Bay or Bow windows, 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 - Courtney Weber 4064 Olivine Dr Eagan MN 55122 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA156600 Date Issued:07/09/2019 Permit Category:ePermit Site Address: 4064 Olivine Dr Lot:9 Block: 11 Addition: Cedar Grove 5th PID:10-16704-11-090 Use: Description: Sub Type:Residential Work Type:Alteration Description:Basement Fixtures 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 (miscellaneous)$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 - Courtney Weber 4064 Olivine Dr Eagan MN 55122 (651) 226-8410 Clearwater Plumbing & Heating 19260 Mushtown Rd Prior Lake MN 55372 (952) 440-3779 Applicant/Permitee: Signature Issued By: Signature Oil ti For Office Use `tfi I •i �i� E AGA � N , � :►� I - Y1:1 Permit / 7�I V .... AUG 12 2019 Permit Fee: /Lf 7 Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: buildinginspectionsecityofeaean.com J 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 6V7//' ' 7 ! Site Address: /067 ‘9111///111 'ter' 2 j .,� Unit#: Name: Je24W VA 4 4-5-40k— Phone: � Phone:��/ RAS' F,I r/l Resident/ Owner Address/City/Zip: / ‘-T ©404/ r� 94AJ ,53-7 az. • Applicant is: Owner Contractor Description of work:,4& 3 ./ S r. Type of Work y �7 00 Construction Cost EI��, Multi-Family Building: (Yes /No ) •s 'any:F,#im ` P/u,,,1L r/ ., - • . rim/ -. -�-�, Contractor Address: A - 1'�% LI f" City: T; � e State:/�/� Zip: ii' �/ 3 lam C-✓_�l '"�� p Phone: mail: �45�'t /' t., gern Lice• #: 'i''r[X SY Lead Certifica,- . If the project is e empt from lead certification, please explain why: 10 ��.! t /L� e�. '' e� r E/ +e>g It f/- 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: N NOTE:Plans and su_ .. _ ..... . pporting 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. 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.citvofeagan.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.gopherstateonecall-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 approvedfplan in the case of work which requires a review and approval plans. x C• Al! k.. Y:iee... .....k x P2ILA Applicant's Printed Name Ap cant's Signature DO NOT WRITE BELOW THIS LINE Iv'2 . / 74// " �o�y Ofivute . SUS'TYPES Foundation Fireplace Porch(3-Season) Exterior Alteration(Single Family) )QSingle 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 C Alteration Fire Repair _ Windows Demolish Foundation Replace Repair _ Egress Window Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant I DESCRIPTION4 Z �©'r �,, Valuation J Occupancy C - + MCES System Plan Review Code Edition in A Zoi 5 SAC Units (25% 100% 21') Zoning P.--) City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings(Addition) 10 Final I No C.O. Required Foundation Foundation Before Backfill >0 HVAC Service Test Gas Line Air Test Hood Roof: Ice&Water Final Pool: Footings Air/Gas Tests Final Y Framing 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 -yr Shower PanOther: _ Reviewed By: / `D Yr)int 11,3 d , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA166293 Date Issued:12/29/2020 Permit Category:ePermit Site Address: 4064 Olivine Dr Lot:9 Block: 11 Addition: Cedar Grove 5th PID:10-16704-11-090 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener 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 - John R Valusek 4064 Olivine Dr Eagan MN 55122 Haferman Water Conditioning 12142 12th Ave. Burnsville MN 55337 (952) 894-4040 Applicant/Permitee: Signature Issued By: Signature