4065 Olivine Dr
i
Use BLUE or BLACK Ink
ForOiceUse i
of C'~1 i -
Permit#:~1--~ I
City of Ea ~R ;
I Permit Fee: I
3830 Pilot Knob Road
Eagan MN 55122 ; Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 i stafll ~
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
1c)
Date: ~~el 1 o Site Address:
l
Tenant: Suite
RESIDENT /OWNER Name: rnlY Phone: 4&1 _7122
Address / City / Zip: 0 1 V
5222-
Applicant is: Owner Contractor
TYPE OF WORK Description of work:l
f C4bt`~ V\/
Construction CoSt..72 P Sr Multi-Family Building: (Yes No
CONTRACTOR Name: License
Address: p~ ~p( City:
State: Zip: Phone:
Contact: Email:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that 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.goi)herstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plartin the case of work which requires a review and approval of lans.
x Y► x
Applicant's Printe Name Applicant's Sig ture
Page 1 of 2
0-14
a
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
_ Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
01 of _ Plex Lower Level _ Pool _ Miscellaneous
Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
41 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 i Occupancy 1j6 -2 MCES System
Plan Review Code Edition a~7 SAC Units
(25%_ 100%-Z Zoning City Water
Census Code 413q Stories - Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backfill _ Final
Meter Size: Radon Control
Erosion Control
Reviewed By:, Building Inspector
RESIDENTIAL EES
7i
Base Fee 23
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies i
TOTAL
Page 2 of 3
~l r2,n (.T ~ ~ ~~13
MEMBER OF A WATER Winner of 2003
„1
NrW RC" STANDARD CONTROL
TaTm
.,.a
4YBSiW.'.NRP4 W.tRCQklM6t9 dbX.° IryTryG,ll~
SYSTEMS, AWAT DS
5337Lakeland Avenue North Minnesota and
Crystal, Minnesota 55429 Nortit Dakota
June 25, 2010
To whom it may concern;
The window we installed at 4065 Olivine Dr was installed, taped and caulked per
manufacturer's specifications.
If you have any further questions, feel free to contact me.
Thank you,
L~
Michael W Hogenson
Minneapolis 763-537-4849 Burnsville 952-894-4107 Duluth 218-727-1495 St. Paul 651-776-6581
St. Cloud 320-252-0766 Rochester 507-285-6549 Des Moines 515-965-2266
Outstate 800-978-7867 Fax 763-537-1882
I
www.standardwater.com Follow us on '66 Rev. 11/09
MAY-19-2010 09:17 AM STANDARD WATER CONTROL 763 537 1882 P.09
3830 Pilot Knob Road I Date Recelved; . / / v/0
j
Eagan MN 55122 i
Phone: (951) 073.5675
I staff: I
Fax: (651) 975-5694 1 t
2010 RESIDENTIAL BUILDING PERMIT APPLICATION 7#~ 9</19
Date: 13 Site Address: " t U C0 V t I Uf 1r1 -
Tenant: suits -
RESIDENT 1 OWNER Name: Phone:
Address I City I Zlp:
Applicant Is: Owner _X_ Contractor
TYPI= OF WORK Description of work: _ G11M W, I yN ~1 W ArM.U OIL 0 0r
Construction Cost ?.51 00 Multi-Family Building: (Yes 1 No
CONTRACTOR Name: f Licens/e~j#:
Address: 2 I ~ + Ak/hat !V City: [ "1~'tl~~[ ti~Fl
Stake: Zip: Phone: " ~'f
Contact: 1 Email: '
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan Issued a penult for a similar plan based on a master plan?
_Yes _No If yea, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone;
Sewer & Water Contractor: Phone:
~U~r ''.~`i':~~~+'r''c • ~ : ~ %,rp~ Y•~' rA~,!1 ~ is ~..~X. ~ n$' '~^k' • "'r$, ~ F~' q~f ` y.. A^~f ,`~GS,.
r,
CALL BEFORE YOU DIG. Call Gopher State One Call at (881) 454-M2 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gooherstateonscall.org
I hereby acknowledge that this Information ie oomplete and accurate; that the work will be in Conformance with the ordln s and cad a City of
Sagan; that I understand this Is not a permit, but only an application for a permit, and work is not to start wit it, a work will be In
accordance with the approved plan in the case of work which requires a review and approval of plans.
JA) 'BOW
Applicant's Printed Name App cant s Signature
Page 1 of 2
&If-V,.'A& qq,
MAY-19-2010 09:17 AM STANDARD WATER CONTROL 763 537 1882 P.10
SUB
Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
$ingle Family Garage - Porch (4.8eason) _ Exterior Alteration (Single Family)
_ Multl _ Deck _ porch (ScreenlCasebolPargola) _ Exterior Alteration (Multi)
_ 41 of _ Plax Lower Level _ Pool _ Mlecallaneous
Accassory Building
WGRK TYP_EA
New interior Improvement _ Siding Demolish Building"
Addition Move Building _ Rerocf _ 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
DESCRIPtlON
Valuation occupancy MCES System
Plan Review Code Edition SAC Units
(25%_ 100% f/) Zoning 9-1 _ City Water,
Census Code 3~f - - Stories - ^ Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED N
Footings (New Building) Shestrock
_ Footings (Dock) Final I C.O. Required
Footings (Addition) Final 1 No G.O. Required
Foundation _ HVAC
Drain Tile Other:
Roof: -Ice & Water ,-,,,-Final pool: _Footings -Air/Gas Tests Final
Framing Siding: ,Stucco Lath -Stone Lath ,,,,,_.r,Brick
Fireplace: ,Rough In Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backflll _ Final
Meter Size: Radon Control
Erosion Control
Reviewed By: . Building Inspector
RESIRENTIAL FEES
Base Fee /_27
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL Page 2 of 2
CITY Of EAGAN A g45fi
3795 Pllet Knob RooA Eagan, MN 55122
PHONE: 454-8100
BUILDING PERMIT Receipt #
Te bo wed 1er RE-c-IDE HOliSE Est. Vclue $3,000.00 Dare Septetaber fi_ 19 83
Site Addreu 4065 V e T V'_
4 12 Cedar Grove 5 Erecr ? Occupancy
Lot 81ock $ec/$ub. Alter ;ff Zoninq
Porcel # 10-16704--040-12 Repoir 0 Fire Zone
Enlarge ? Type of Const.
W No? Dean e e Move ? # Srories
?
Address 4065 Clivine Drive
Demolish ? Length
G I:a,-an 55122 Pharw 454-2058 6rode ? Depth Sq. Ft.
? Narrke arie .CZ'a t o_ ', nC. Aonro•als Fees
° 2309 Snel in Ave. So.
oU Address ?
?4
?? ?:...P s. 35404 7214628
Nome _
/lddress
I hereby acknawledge fhot I have read fhis application and state that
fhe informotion is correct ond ogree to comply with oll applicable
State of Minnesoto Stotutes ond City of Eagon Ordinonces.
Signature of Permittee C o u, n.
11 Building Permit is issued to:
pll work sholl be done in accordonce with all onelicabla State' of Minn
Assessment Permit
Water b Sew. Surchorye
Police Plon check
Firo SAC
Enp. Woter Conn.
Plonner Water Meter
Council Road Unit
Bld9. Off.
APC (XI
Totol '
on the expross condition 1hm
soro Statutes ond City of Engan Ordinonces.
% ; . ! .
Buildlrp Offitiol / '
Parmit No. Permit Holdsr Mise. Permit No. Holder
Plumbinq
H.V.A.C.
We11
Wstsr
Disp.
S?war
Electric
Inspection Date Insp. Other
Footinyt
Foundation
Fnminp
Rouqh Plbp.
Rouph HVA
Inwlation
Final Plbp.
Final HVAC
Final
Wator Dssc?ibs Location:
VYsll
Sower
Pr, Dhp.
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
Site
m
m
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m
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3
O
Name
City Name 1 ? ? 4
Address
City
PERMIT# ??
RECEIPT #
DATE:
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult. Add-on
' Comm. Repair
FEES • - -
COMM/IND FEE - 1°rb OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
?::?.. .
FOR: CITY OF
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $100 S
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Ki?chen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00 Floor Drains - $1.50
1 Water Heater - $1.50
Whiripool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIn
Softener - $5.00
Well - St0.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
STATE S/C:
GRAND TOTAL•
CITY OF EAGAN Remarks * Cedar Grove Acrruisition
Additi Lot 4 elk 12 Parcel 10 16704 040 12
Owner Q- °if OnnJ 4?, Street 4065 Olivine Drive State Eagan, M 55122
15e i!
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 196T 100.00 5.00 QQ Paid
SEWER LATERAL 16 483. 24.1 ZO Paid
WATERMAIN
* WATER LATERAL rb 1972 607.00 24.28 25 Paid
WATER AREA
STORM SEW TRK 1970 70.00 3.50 20 Paid
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. -
BUILDING PER.
SAC 200.00 452 1
PAR K
W*4"-- ?? /c/ '7
SLAB LOCATION AND BUILDING PERMIT SLIP
.
.. 10,__ A ka .?
Address
City or Village ?
Work
Solesman C J `6 ?
Countour of Lot
At Garoge Site
Permit to be obtained by:
Permit No.
Addition
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" Home , /.??
Phone "1
Home ?
Home
Days Evenings
Garage Size ?ZY K?=
Gradual Steep
Flct Slope Slope
Mi les Customer
Lot No. 6lock No.
Lot Size
?
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? Check here if alley [] Paved ? Not Paved Width
E] Office Copy ? Cement Copy
CITY OF EAGAN N? S4rJ6
, 3795 Pilot Knob Raad Eogan, MN 55712
; PHONLs 434-8100
BUILDING PERMIT rteceiPr # ? y
T. be mee lo. RE-SIDE HOUSE Esr. Value $3,000.00 pote September 6_ ?y 83
Slte Address
loc 4
Parcel #
ve
elock 12 SeW5u6. Cedar Grove 5
10-16704-040-12
Ered ? Occupancy
Alter $p Zoning
Repair ? Fire Zorre
Enlarge ? Type of Const.
Move ? #' $tories
Demolish ? Length_
Grade ? Depth Sq. Ft.-
ADOrovala Fees
w Name Dean Seilke
Z Address 4065 Olivine Drive
g Nume Panelcraft of MN, Inc.
ou Address 2309 Snelling Ave. So.
?;.,,Mpls. 55404 ,,,,,__ 721-6628
Ncme
Assessment _
Wofer 8 Sew.
Police _
Fire
Erg.
Plonner _
Councll -
Bldg. Off. _
APC
Pefmit 3a.7V
Surcharge 1.50
Plan theck
SAC
Water Conn.
Water Meter
Rood Unit
I hereby acknowladga that I have read this application and stare that
fhe informotion Is corre<t and agree to comDlY M'ith all appliwble
Stata of Minnesota Statutes and City of Eogan Ordirwnces.
Signoture of PermiMea
Panelcraft of MN, Inc.
A Building Permit is issued ta all work sholl be done in occordance with plimble ?tats of M' n
Buildinp Official
7ow1 $40.00
_ on fha Expresl cOrdition Ihni
ond City of Eaycn Ordinances.
_ '? $ lS? CITY OF FF?GAN Include 2 sets of plans,
?%?"•
? 1 site plan w/elevations &
BUILDING PERNffT APPLICATION 1 set of enerc?! cal.culations.
` 30
To Be Used For tA Valuation . Date
SitP_ Address: qD oS O? i U t VL `c 'bl' ? OFFICE USE ONLY
Lot ? Block ? a Sec. /Sub. eP ? CorOtl @, E'Srect Occupancy
Parcel #: Alter ? Zoning.
Repair Fire Zone
Qaner:
19 _//CC h J 5 e,1/T? Enlarge Type of Const.
Nbve # Stories
Destblish Front ft.
Grade Depth ft.
Address: city,zip coae: ro-ual? Ss?o1?
Phone # : q 7LI
ContsactAr• P
Address: 6z3D 9 Sr; P ?
city/zip c.oae: Phone # :
Arch./Ehg..
Address:
City/Zip Cocie:
Phone #:
APPROUALS FEES
Assessments
Water/Sewer
Police _
Fire
Eng.
Planner
Council
Bldg. Off,
APC
Permit '3 8 SO
Surcharge l? SO
Plan Check
SAC
water Conn.
Water Meter
Road Unit
TO'I'AL ? S1D. 0 0
EAGAN TOWNSHIP
BUILDING PERMIT
Ownet
._.........---'--...... . : . ?------...----- ..............----
Address (Preseni) -......-.-.--'---- --
.
N°
Eagan Township
Town Hall
1428
Huilder....__......------- .._.__ ---- ..---- ........_...:..__.................:____...___
Date
Address . . ? ----------------------------
? DESCRIPTION ?-
Siotiesl To Se Used For Front Depth Heighl Esi. Cos! Permii Fee - Aemsrks
-. - ` _
??''?' ' . ..
// . .__ .. d-CV. -.. _ .. _..
? LOCATION
-StreeL.Road or olher Descripi3on of Locafion Lo! Block Addition or Traci _
- s_ G _a7 7 -
This permit does not aulhoxise the use of sireefs, roeds, alleys or sibewalksnor does. if give fhe owner or his agent
?lhe righ! !o cseafe any sifuation which is a nuisanee or which presenls a hazard !o the healih, safety, convenience and
general welfare to anyone in the communiip.
THIS PEAMIT MUST SE KE ON THE PR MISE WHILE THE WORK SS IN PROGRESS. ,
This ia So eertify' .... !ha!---- .... ??_:.... ...........'_.. ...hasPermisaion !o erect a..._? , ?..""?.._. -6 .?.`... ??-.:--,;....... upon
.... f...._G'._-.c?.pX_....._._.....
lhe above described premise subjeaf !o the provisioas of the Building Ordinance for Eagan r ' ?Township adopied'Apzil 11,
? 1955. .. Per _.-...._........._._....
........"".....'__.."""__.??..`.'?.Y......' __'.....&......A . ?. "'_"". .....'_"'... .t? ......?
.
. Chairman of Tnwn Boerd Suilding Inspector
EAGAN TOWNSI-IIP
BUILDINlG PERMIT
-. ...
Ownex •-- i ---/`J%---l-..._.._...-Q-,-,--- `----'---
Address (PxesenY) ----- ?_?.?-"5------?e)--?-??°-f-'r` c
- -- '
/
Builder -----?.+_.----.------------------ ------ .._.
Address .......................
..--- ...............a'??"? ------ °---------- .----------------- ---- ---'-----
! ?-
DESCRIPTION
N° 1497
Eagan Township
Town Hall
Dafe ..... 9.-._S_z. -66
Siories To Be Vsed For _ Front Depth HeighE Esf. Cosi Permif Fee Aemarks
I
" ' . LOCATION
Sxreex, xoaa or otnex uescnprion ox Locanoa I Lox i L'locx I Aatlli3on or Trac!
°71 1i?' I a h -=1- ?;T-
This permit does nof auihorise the use of streeis, roads, alleys or sidewalks nor does it give the owner or bis agenf
the right fa ereaYe anp sifuafion which is a nuisance or which presenis a hasard !o the heallh, safeiy, convenience and
general welfare !o anpone in the communiSp. THIS PERMIT MUST SE ?KE,P"T? ?ON? THE PREMISE WHILE THE WORK IS IN PAOGRESS.
This is !o cerfify' ihat-.--..:---------------- ---has permission lo erect a .... ........... ._.. d. .?.`.'.....?'..?. a........._.upoa
the above described premise subjecf !o the provisions of the Building Ordinance f Eagan Township adapfed April 11,
1955.
............................-??•"?"?""'?--?.---6?-J:---..... Per ---.....-----.--.----?--- ...;l?'7?-• C?eGe?l??
"_.__"..._?•__..""_._"____"".....'_"..._..
Chairman ot Tnwn Soard , Svilding Inspecior
4 Q.
4b?
MEMO
_ ciiy of eagan
TO: DIANE DOWNS, UTILITY BILLING CLERK
FROM: ED KIR5CHT, SR. ENGINEERING TECHNICIAN
DATE: AUGUST 23, 1993
SUBJECT: STREETLIGHT ENERGY C05TS-CEDAR GROVE NO. 5 (208 LOTS)
This memo is to inform 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 71
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
The City is currently being bitled by Dakota Electric for streetlighting in the above listed
subdivision.
vit"'Z ?^?- l%,I ?'
Edward J.`t?'irscht
Sr. Engineering Technician
cc: Mike Foertsch
,,
EJK/Je
?D. bo
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 9 651-675-5675 FAX # 651-675-5694
New Construction Reauiremenffi RemadeVReoair Reauiremenis Office Use Oniv
3 2gislered site surveys showing sq. ft. of lot, sq. fl. ot house; and all roofed areas 2 copies of plan Ceh of Survey Recd _ Y_ N
(20°k maximum bl coverage allmved) 1 sel of Eneqy Calculallans for heated addlGons Tree Pres Plan Recd - Y_ N,
2 wpies of plan showing beam 8 window sizes; poured found desgn, etc. 1 sile survey for addiUons & decks Tree Pres Required _ Y_ N
lsetofEnergyCalculations Addition-indicateNon-sitesepNcsystem On-sHeSeptlcSystem _ Y _N
3 copies of Tree P2servatbn Plan If lot platted aker 711/93
Rim Joist DeUil Options selectbn sheet (buildings wiVi 3 or less units)
Date I I /
? l2oU.J , Construction Cost r I??q
Site Address 5 O1IV ?0
UniVSte #
2
Description of Work -?Vinll ftl aa? ?cjn? W I n(A IIYVs
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2
Property Owner 6wber lV KropQ Tetephone #( b5l)3"1 d-j I1'7
Contractor
Address ? UMO'VAndaw a` 8abo
....i. „??y n.?.,? City
State V?O? elgphone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7690 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissionrype) Submitted Submitted
• Energy Envelope Calculalions Submitted
Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Telephone #(
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #(
I 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 perinit, 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. ? • ?
S hdIv Pr?WP6 3L?QAAA&
Applic Ys Printed Name ApplicanYs Si ature
OFFICE USE ONLY
Sub Types
O 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 76 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garege ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
O 06 04plex ? 12 12-plex Pibg_Y ar _ N ? 25 Miscellaneous
Work Types ' .
? 31 New ? 35 Int Improvement ? 38 Demolish Interior , O 44 , Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 48 Windows/Doors
? 34 Replacement 'Demolitlon (Entire Bldg) - Give PCA handout to applicant '
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories BoosterPump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width. f;? ?
<.,.,?•?
.??
?
(
4"! "„ 1. ?. M. .{jV1'Yy elgqI!
9$47$ S-y ? rY.l AJ ??
RES???`)1?IS
_ Footings (new bldg) _ Final/C.O.
_ Footings (deck) _ FinalMo C.O.
_ Footings (addition) _ Plumbing
Foundation I-IVAC
Drain Tile Other
Roof
Ice & Water Final _ Pool _ Ftgs _ Air/Gas Tests Final
_
_ Framing _ _ Siding _ Stucco _ Stone _ Brick
Fireplace
R.I. Air Test Final _ Windows
_
_
_
_ Insulation _ _ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
iURESIDENTIAL BUILDING PERMIT APPLICATION
' City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
? 70,00
New ConstNCtion Renuiremenls RemodeUReoair ReouiremenGS Offce Usa'Onlv
3 registered site surveys showing sq. ft. of IoL sq. tt, af house; and all roofed areas 2 copies of plan Cer! of$urvey Rectl _ Y_ N
(20%maximumbtwverageallowed) lsetofEne[gyCelculatlons(orheatedadtlRans TreePres'PlanRecd .. _Y _N,
2 copies of plan showing beam & window sizes; poured found desgn, etc. 7 site survey for additions 8 decks Tree P2s Re4uiYed _ Y_ N
lselofEnergyCalculations Adddion - indiceteifon-sitesepticsystem Ona@eSepticSystem _Y _N'.
3 copies of Tree Preserva6on Plan if lot pfatted after 7IV93
Rim Jo'st Detail Options selection sheet (buHdirigs with 3 or less unils)
Date A_/31 /?i Construction Cas I I(}.J O
Site Address ?}Q b5 Mj Vi ne 1)2 Unit/Ste #
Description of Work
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner j<imb-er I4 Kro?o Telephone ii (65 I),3 '`t(J -??17-
Contractor ONd LAW-VAndow 4 8ldillg
Address ?MIW MN MIA City
5tate ??'4?`elep6one # ( )
a
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residantial Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previovsly constrvcted a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone # (
Telephone # ( )
I 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 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.
`SN N I ? PYi?f??
ApplicanYs-Printed Name Applicant's Si nature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 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 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-piex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? 05 03-plex p 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or_ N? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior O 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement `Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Lengtli:'r°l-`d' 1% -?'''•'.°? ??•`".' •`"?i`r?e Sprinklered
`
.i ;,t
m=f;-.i e?.,c .>?,m.
Type of Const Width ±;itP.+: iAm .de1'ffik' ¢_?.{; ,?.
t•T;_, .4??' 1Cm?? :&y 3:`4Z.kfl) .'1jl
S •'Irc ?. . ;.f #da'r
REQUIREDINSPECTIONS
_ Footings (new bldg) _ Final/C.O.
_ Footings (deck) _ FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ F inal _ Pool _ Ftgs _ Air/Gas Tests Final
_ Framing _ Siding _ Stucco _ Stone _ Br ick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
•
APR-20-2010 11:14 AM STANDARD WATER CONTROL /763 537 1852 P.01
IMN 58122RUau
Eagan / C/ 1 f
Date Received: 1
Phone: (051) 675.5876 i
Fax, (651) 6754094 I
Cl~ -d C~ i Staff; I
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: D slew Address: W D 1Q-G Q ' e b r
Tenant' -Suite M.
RESIDENT / OWNER Name eAkArQItd,r Phone: -1191--17
Address / City 1 ZIp:
Applicant Is: - Owner Contractor
TYPE OF WORK Description of work: /101/ rive Txl~"gib' r3f~ T y>GJp1~
Construction Cast W I T/l 114.91Y [A~f~
Mulkl-Family Building; (Yes - / No
CONTRACTOR Name: License
Address: -411324ake A) City:
State: Zip: ,r' ! Phone' 6 + - 5 7-UV 2
Cormtact Small:-i. f)s~=lArlbQ'+L'
COMPLETE THIS AREA (ONLY IF CONSTRUCTING A MW BUILDING
In the last iZ months, has the City of Eagan Issued a permit for a similar plan based on a master plan?
,Yss _No If yes, data and address of master plan:
Licensed Plumper; Phone:
Mechanical Contractor; Phone;
Sower S Water Contractor: phone;
m
.N.
CALL B E Y DIG. Call Glopher State One tall at (651) 454-0002 for pro tection against underground utility damage.
Cali 48 hours before you intend to dig to receive locates of underground utilities.
I hereby acknowledge that this information Is complete and accurate; that the work will be in conformance with the ordln es and ca Cib of
eagan: that I understand ihls is not a permit, but only an application for a permit, and work is not to start w - 6 work will be In
accordance with the approved plan in the case of work which requires a review and approval of plans.
X fJ!_
Applicant's Printed Name Applicant's Signature
Page 1 of 2
ANRl
2 0 210
APR-20-2010 11:15 AM STANDARD WATER CONTROL 763 537 1852 P.02
BT $ .
Foundation _ Fireplace _ Porch P-Sesson) Storm Damage
Single Family - Garage _ Porch (44eason) Exterior Alteration (Single Family)
Multi - Deck ` Porch (Scresn/Gazsbotpergoia) - Exterior Alteration (Multi)
01 of- Plsx Lower Level - Pool Miscellaneous
- Accessory Building
AM-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 buiknng - give PCA handout to applicant
DE RIPTIOtj
Valuation coo Occupancy AC -1 MACES System
Plan Review Code Edition SAC Units
(255o_ 100°!0_) Zoning - A- 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) Sheatrock
Footings (Deck) _ Final ! C.O. Required
Footings (Addition) final l No C.O. Required
Foundation HVAC
Drain Tile Other;
- Roof:..,.`ice & Water `Final - Pool: ~ Footings _Air/Gas Tests Final
- Framing Siding: Stucco Lath .Stone Lath _Brick
Fireplace: __._Rough in ,Air Test ,,,,,-Final ~t Windows
Insulation Retaining Wail: Footings Blackf111 Final
Meter Size: Radon Control
Erosion Control -7-11.-~I/ Reviewed By: , Bullding Inspector
14 -w I R L
Base Fee It-
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 2
PERMIT
City of Eagan Permit Type: Mechanical
Eagan. Permit Number: EA102672
Date Issued: 01/06/2012
OR Permit Category: ePermit
40~ it~ of E3
E
Site Address: 4065 Olivine Dr
Lot: 4 Block: 12 Addition: Cedar Grove 5th
PID: 10-16704-12-040
Use:
Description:
Sub Type: e - Furnace
Work Type: New
Description: Furnace
Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson. State Electrical Inspector.
952-445-2840
Amanda Kokesh
5392 Quam Ave NE
Fee Summary: ME - Permit Fee (Replacements) $55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
Total: $60.00
Contractor: - Applicant - Owner:
Dean's Professional Plumbing Kimberly A Kropp
5392 Quam Avenue 4065 Olivine Dr
St. lolichael NIN 55376 Eagan MN 55122--293
(763) 428-1321
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 Citv of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
Use BLUE or BLACK Ink
I For Office Use Ila
City of EaRd l 1 Permit 1 [ 1 3830 Pilot Knob Road j Permit Fee:
Eagan MN 55122 Z I
Phone: (651) 675-5675 I Date Received:
Fax: (651) 675-5694 I J~ I
1 Staff: 1~-1
L -----------------I
2012 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
Date: 11~ 1la` Site Address: L10 tR~ V%t '*t~c W~
Tenant: Suite
RESIDENT / OWNER Name: JAY2 46x'1 lip Phone: fns
Address / City / Zip: (~DS L'"v')vt 6 r.
Name: License
CONTRACTOR Address: City:
State: Zip: Phone:
Contact: Email:
New L Replacement Additional Alteration Demolition
CQ~
TYPE OF WORK Description of work: '
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
RESIDENTIAL COMMERCIAL
Furnace New Construction Interior Improvement
PERMIT TYPE -Air Conditioner Install Piping Processed
Air Exchanger Gas Exterior HVAC Unit
Heat Pump Under / Above ground Tank Install Remove)
Other
RESIDENTIAL FEES:
$60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) _ $ TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x1%
$60.00 Minimum (includes State Surcharge) Permit Fee
- If the Permit Fee is less than $10,010, surcharge is $ 5.00 Surcharge
If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee
(i.e. a $10,010411,010 Permit Fee requires a $ 5.50 surcharge) TOTAL FEE
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before
you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
x► b x
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening
fC5
•
~tty Gas
y
i
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA108483
Date Issued:12/10/2012
Permit Category:ePermit
Site Address: 4065 Olivine Dr
Lot:4 Block: 12 Addition: Cedar Grove 5th
PID:10-16704-12-040
Use:
Description:
Sub Type:e - Gas Line
Work Type:Alteration
Description:Garage Heater
Comments:Questions regarding electrical permit requirements should be directed to Mark Anderson , State Electrical Inspector, (952)
445-2840
Amanda Kokesh
5392 Quam Ave NE
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Kimberly A Kropp
4065 Olivine Dr
Eagan MN 55122--293
Dean's Professional Plumbing
5392 Quam Avenue
St. Michael MN 55376
(763) 428-1321
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116160
Date Issued:10/03/2013
Permit Category:ePermit
Site Address: 4065 Olivine Dr
Lot:4 Block: 12 Addition: Cedar Grove 5th
PID:10-16704-12-040
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 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 -
Kimberly A Kropp
4065 Olivine Dr
Eagan MN 55122--293
(651) 340-7177
Legacy Restoration Llc
14000 25th Ave N
Suite 110
Plymouth MN 55447
(763) 354-7660
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA147801
Date Issued:02/06/2018
Permit Category:ePermit
Site Address: 4065 Olivine Dr
Lot:4 Block: 12 Addition: Cedar Grove 5th
PID:10-16704-12-040
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 -
Kimberly A Kropp
4065 Olivine Dr
Eagan MN 55122--293
(651) 247-1989
River Valley Rpz Llc
1623 210th St E
Farmington MN 55204
(515) 210-2094
Applicant/Permitee: Signature Issued By: Signature