4391 Onyx Dr cIrY oF EAGAN
3795 PIlef Kso? Raad Ea9aw, MN 55122 .
PHONEs 454.8100
BUILDING PERMIT Receipr #
Te 6e wmd for Est. Volue Date 14
Site /lddrcss Erect
?
Occuponcy
Lot Block Sec/5ub. Alter ? Zoninfl
P
roel # Repoir ? Firc Zone
a
Enlorpa ? Type of Const.
W Nome Move
?
# Stories
Z
? /lddress Demolish ? Length
Ci pho? Grcde ? Depth Sq. Ft.
4? Aoororols Foes
?a Nome
?? Address
h r:?. ?•n?___ " _
?W Name
?
_? Address
u
Assessment _
Woter 8 Sew.
Police
Firo
Erq.
Plonner
Council
Permit
Surchorfle
Plon check
SAC
Woter Conn.
Water Meter
Road Unit
I hereby ocknowledga tFwt I hove read this applicotion ond stote that gldg. Off.
the inlormcfion is correct and ogree to tomply with oli applitable
Stota of Minnesota Statutes ond CIry of Eagon Ordinances. APC Totol
Slpnafure of Permittee
A Building Permit fs issued to: on the express tondiNon thnt
oll work sholl be done in accordonce with oll oppliaobla State of Mlnnesotn Stotutes ond City of Eogon Ordinoncea.
Buildiny Offltiol
Permit No. Permit Holder Misc. Permit No. Holder
Plumbing
H.V.A.C.
Welt
Watar
Disp.
S?wer
Electric
Inspection Date Insp. Other
Footingt ?
Foundstion
Framinp ? y
Rouph Plby.
Rouph HVA
Inwlation
Final Plbp.
Finsl HVAC
Final
yyater Wscri6e Location:
YYell
Sawer
Pr. Disp.
CITY OF EAGAN Remarks * Cedar Grove Acquisition
Addition CEDAR G%JVE #4 Lot 24 elk 3 Parcel 10 16703 240 n3
Owner?l/=?a?-?-'?? Street 4391 Oiiyx Drive State Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTaR.
GRADING
SAN SEW TRUNK
* SEWER LATERAL t(Q 1972 1,304.00 52.16 2$ Paid
WATERMAIN
* WATER LATERAL 1972
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
9 90 //eqop/
RequescDate
!`) ??_ G?
'
?? ? Fire No. Rough-in InspecMion
qgyinw? /
? Yey
Reatly Now 0 Will Notity Inspeclor
When RBetly4
117f licensed contractor ? owner hereby request inspection of above electrical work at:
? `
JaD Atls (Street, T. ar?Re No.) x
Sedion No. Township Name or . Range No. Co
n??PRI T? .
E l c? Phona Na.
PawerSu lier Atltlress
Ele tal omractor (G mpany Na?.me1 / ???
??_ Co 1ct SOns I G ¢,?
? Y
Mailing Am pCOnvamor or er Maxing Ins?ellation?
c?-
AWh iiL Siq ature f onh ctovOwner Making Insta ation) ? Pho rqp
U
GHqga-MlAway Bltlg? ?RO -1T3 "? BE ACCEPTEO BV THE STATE BOARO
1821 Unlvercity Ave.. eul. M O6 UNLE55 PROPER INSPECTION FEE IS
Phane(614)8C2-0B00 ENCLOSED.
REQUEST FOR ELECTRICAL INSP6CTION ?°?`?'?? ee.ooom-oe
? ?
??
?29390 See instmctions^br comol?9 tnis form on back of yellow copy,
"X" Below Work Covered by This Request
ew ACQ Rep. . Typeof8uiltling AppliancesWired EquipmentWirad
Yiome Range Temporary Service
Duplez Water Heater Eleciric Heating
Apt. Buiiding Dryer Other-(Specity)
Comm./Industrial Fumace
Farm Air Conditioner
Other(specilyl ComracmrSRemarks: ?I. ^. ^ ?'? _a Q^ /?/n
Compufe Inspection Fee 8elow: ('.91f;L
# Other Fae # ServiceEntrance5ize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 1O0 Amps
Signs Inspecror5 use oniy. TOTA
?
Irriqation Booms ?
SpeCiallnspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 78 MONTHS.
I, ihe Elecirical Inspedor, hereby flO°9h-'n
r oa?e
cerfify that the above inspection has
been made. F?ai
? re.
OFFICE USE ONLY
This re0uast voi0 10 mon[M1S irom
CITY OF EAGAN _
- 7795 Pibt Knob Rwd fagan, MN 55122 N? 7561
PHONE: 454.8100 -
BUILDING PERMIT . Receivt #
Te M uted for 3 SEASON PORCH Est, yolue $6500 pote OCtobOr 8 _ 1 q $2
Site Addreu 4391 OnVX Dx'iVe E
t O R-3
rec ? ccupancy
Lor 24 BI«k 3 Sec/Sub. Cedar Grove 4th Alter p Zo?ing R-1
parcef # 10 16703 240 03 Repair ? Fire Zone NA
E V
nlarge M Type of Const. II
Na? Nlr. & MTS.DEflI118 Farenella Mo S
i
W ve 0 #
tor
es
; qddrcsy 4391 OnVX Dx1Ve Demolish ? Length 14
a
Ci an 55122 452-7693
g Phone Grode
? De th 12
P
Sq. Ft._
c Mastro Construction Co Aov.o.ab Fees
o Name
?? Address 5543 Huqo laoad •
r.... White Aear 2.k.e,--- 429-5962
Neme P+='row Su3lding Center •
Address
I hereby ocknowledge that 1 have read this opplication and state thot
the inlormotion is correct and ogree to wmply rith all opplicoble
Srote o( Minnesoto Statutes,and-NryZ Eag n rd' S.
Slgnature of Permittee
/1 Building Pertnif is issued ro: Ma8tr0 COnetrq j
oll work sholl be done in accordonte with oll ' ble Stote of ir
Buildinfl OfHcial _
Assessment _
Water 8 $ew.
Police _
Fire
Eng.
Vlonner _
Council _
Bldp. Off. _
APC
Cb,
Permit bZ.DV
Surcharge 3.50
Plon check
SAC
Water Conn.
Woter Meter
Rood Unit
Totol $66.00
_ on tha express condition Ihai
ond City ot Eogon Ordinances.
50 ? CITY pF EAGAN Incltule 2 sets of plans,
? - 1 site plan w/elevations &
BU7LDING PERNffT APPLICATION 1 set of energy calculations.
?b Be Used For PC (LC)+ Valuation ?500. o() Date lJci. (o ? lq&'2
Site Pddress 43 91 0un r /Z. OFFICE USE ONLYz
Lot ;2 q Block ? Sec./Sub. Ctcar- G ra Vf ?Erect .?"
OccuPancy
?
7
Parcel #: I0 l?o`70 j??D O? Alter
Repair
Owner: irnP3. ti,O.S fi R ? " L(?- ??4e?
Acklress: 4-3 97 u n x pemolish
?
City/Zip Code: wi/ 2 Grade
Phor,e #: 4SZ-7693
2onin4 ff- /
Fire Zone
Zype of Const. /??'?'"
# Stories
Front ft.
Depth /y ft.
Contractor: (N}-Tw-p cpp,? Cp. Assessnents Permit /
Tdater/Sewer Surcharge
?'d??ss: SS43 ("?Vln ?O Police Plan Check
City/zip cbde: ?.iJ- 3. L IY? f?l `:5,511o Fire SAC
Phone 5 G Z ?9. Water Conn.
% Planner Water Meter
Arch./En9•: N'-Row 2U, in7E Ct --i Council Road Unit
Si?dg. Off.
Address: ? APC
cit1/zip coae: J t iL-LwWi C2
Phone #: 4139 - 3 ?1 Fl
nrrAr. * 0 (o ? o (?)
EAGAN TOWNSHIP
BUfLDING PERMIT
N° 921
Eaqan Tawnship
Town Ha11
Dafe ............................. _'...._.........
5toxies To Be Used For Fxoni Depih Heigh! Esi. Cosl. Bermif Fee _ _ Aemarks
or
LOCATION
or
3 - t' - 6 ? 8' -' ? ?? °? I ?t?2e-c/ ?-f.,, ?• .zx ', 7 4
-----
This. pexmii does nof aulhozise the use of sireets, roads, alleyc or sidewalks nor does iY give the owner orhis ageni
the righi So creaie anp situafion which is a nuisance or which presants e hazard !o the healih, safeiy, convenience aad
genexal welfara fo anqone in the communiiq. .
THIS PERMIT MUST 13,EO K"EPT` ON THE PAEMISE WHILE TFiE WORK IS IN PROGAESS. .
This is to eerlifp, thal.L.[ce-v.-..- A_,--------- has permission fo exect a...?!z..?.-^ . : .... . ........ . . .'- _ .- - upon
?
f6e ebove described premise sv6ject to the pxovisiona of the Bvilding Ordinance for Eagan Township adopfed April 11,
1955.
. .
_._._.-.i? ?__.... ._:.?._..--...._.....?....__..
................... =--.-......???,---...... Per .--.._ `
--°- ? --- .
....
Cheirmen of Tnw ?BKoErd - . ? ' Bvildinq Inspecfor
EACAN TOWNSI°-IIP
BUILDING PERMIT
ownez .... "'...J ?.t,,
........................... ....""'..'_..'."
Address (Presenf)
'.?s.D....._.?-.??..-..a:!-::?-
n ?;--'- -
Builder .....:1..??
- - - _A_ _._... -- - - --- .....
Address ---'.'.d
.- - ........,?.?:--:.:1,_: -- - - ..
DESCRIPTION
N° i_081
Eagan Towaship
Town Hal]
Da2e -- --°---'.._.------
Sfories To Be Used For FronY Depth HeighY Esf. Cos! Permii Fee Remarks
ab ^? ?': ?' s'
LOCATION
Siree2, Road or ofher Deseripfion of Locafion Lo! Block AddiSion or TracY
This permii does nof aulhorise the use of slreeis, roads, alleps or sidewalks nor does it give the ownes oz his agenf
the righ! !o creafe any sifuaf?on which is a nuisance or which presenls a hazard io the healfh, safely, eonvenienee and
general welfare !o anyone in the communiiy.
THIS PERMIT MUST B£ EPT ON THEBREMISE WHILE THE WOAK IS IN PROGRESS.
This is fo ceriifp, Yhai..yX--------------- has permission Yo ereci e............. .. ..___........._._ ......... . upon
- -----'•.-
the ahove dESCxibed pxemise suhjeet io the provisions of the Building Ordinanoe for Eag Townsh adap3ed April 11,
1955.
...... ....---....._ . ........................... Per ....----.J?"`??..g ??..-10
-I g'......p..-----................"----"..
: Chairman of Tnwn Soard / Buildin Ins
. a. • g.
US%,;2,
2004 RESIDENTIAL BUII,DING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
? 70 ? o
NewConstructionReauirements
3 registered site surveys showing sq. fl. of lot, sq, fl. of house; and all roofed areas RemodellReoairReauiremenis
2 copies of plan
Q'J1 bFSwveY ffmdFjj?
Y ?.
?
(2(1%maximumlotcoveragealiowo lsetofEnergyCalculalionsforheatedadddions 3'r2CPtesP18nR2ed N
Y
2 wpies of plan showing 6eam & window sizes; poured found design, etc. 1 sife survey for additions & decks Tres Pr?s Requrc?i
lsetofEnergyCaiculations Adddion - indicafeifon-sitesepticsystem Dn-s31e5epGC.Slem _Y _14
3 copies of Tree Preservalion Plan if lot platted afler 711/93
Rim Joist Detail Oplions selection sheef (bldgs wilh 3 or less units
Date -Z /C) A4 ConstruMion Cost
\
Site Address R) 1;ll V L? CuP IIniUSte #
? S
MAI
-
Description of Work T-o??'%A
?,
Multi-Family Bldg _ YK N Fireplace(s) 16 0 2
Property Owner Lp J2 Z Telephone # ( GS/ ) V l
Contractor SQ\'K7
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ ntinnesota Rules 7672
Energy Code Category . Residential Ventilation Category 7 Worksheet . New Energy Code Worksheel
(Jsubmissiontype) Submitted Submitted
. Energy Envelope Calculations Su6mitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Confractor
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 pemut, 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.
1Ljr lDr Q lIc, Z>10 m
Applicant's Printed Iame
?
Applicant's Signature _
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OB OB-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Mul6
? 03 01of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 Ext.Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addkion ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
O 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 Length Fire Sprinklered
Type of Const Width
_ Footings(new bldg)
_ Footings (deck)
_ Footings(addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Tes[ _ Final
_ Insulation
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
REQUIRED INSPECTIONS
FinaUC.O.
Final/No C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
Building Inspector
? C
RECEIVED ?UL
ZONIftG - NOTIFICATION pF INTENT
Faster Family Homes
Day Gare Homes
TO:
7Gs
7 M
S`S c ? ?-
DAK 544
FttOM: Dekota CouxttY Social Sernicea
357 9th Avenue North
So. St. Paul, MAI 55075
APPLICANT:
?
SSl 2 z--
Number of Natural Children under 18 ia home: 0 1 2,04 S'
(circZe aumber)
Number of Foster Ch1idren include4.in licease:101 2 3 4 S b 7
40. (circle nwnber)
Number of NaturaI. Preachool Children ia Home: 0CI)2 3 4 5
(circls number)
Number of Day Care CHtldrea included in license: d 1 2 3 4 5 b 78 4 10
(circle number)
DATE OF NOTIFICATION: / -,;L
?Z
40 City of Eapn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
?-----------------
? GeUS@ ?
j Permitp: 7?
? Permit Fee: ?
? Date Received: / -?/ j
I Staff: ?
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address:`i 221 v(tyX b(. 1 l 1 V
Tenant:
Suite #:
RESIDENTlOWNER Name: Phone:
Address / City / Zip: 5ctyk&
Applicant is _ Owner _X_ Contractor
TYPE OF WORK Description of work:
Construction CosC Multi-Family Building: (Yes No
CONTRACTOR Name: \j, C,? License #: Zl7 ?rJ?
Address: IW 7_J O I?C
State: W? Zip: "?J93 3 a
City: ? b
`
Phone: E,Q '_4Cx`J41 L ContactPerson:.IG?O?\ fvT?-?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateoorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilalion Category 1 Worksheet • New Energy Code Woiicsheet
CBtEgOIy Submilted Submitted
(4 SubmiSSiOn type) • Energy Envelope Calculations Submitted
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: Phane:
NOTE: Plans and supporting documents that you submit are considered to be public informaHort. Portions of
the lnformatian may be classified as non-public if you provide speci/ic reasons that would permit the City to
condude, tha( the are trade secreis.
I hereby acknowledge thai this information is complete and accurate; that the work will be in coniormance with the ordinances and codes of the City of
Eagan; iha[ I understand this is not a permit, but only an application for a permit, and work is not t6stah withou permit; that the work will be in
accorr7Ia-nce with the approved plan in Ihe case of work which requires a review and approval of pla .
X ki? ?Yj x
Applicant's Printed Name Applic nTs Signature
Page 1 of 3
Use BLUE or BLACK Ink
1
City (� For Office Use2
0of P� all]n] t Permit#: l 4/0 37
3830 Pilot Knob Road Permit Fee: 6c) `0 v
Eagan MN 55122 /
Phone:(651)675-5675 Date Received: fA.I 3-/(
Fax:(651)675-5694
Staff: 4
iSW
2016 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans )with all commercial applications.
Date: /01//e)//tco Site Address: `4 ll1P3 G L )9tV
Tenant: Suite#:
Name: 3 f ac/ MQh Phone: �ra 7 3d 6,/-(15-
Resident/Owner
'
City Lt 3q( dh► .� )9rilie �c- civ. a�
Address/Ci /Zip.
Name: �_' l� (!-..�,A Cdr License#: " •01-11/
Contractor Address: -i"- .fii1. , A i City: '/My;(,(1State:/ - Y1 Zip: �j� d(7 Phone: /L 5 / —2-q --.) 7f-E5----
Contact
� 7f�
Contact: / V Email: QUI ira Ll'Aaf . ` Co
—
er
New Rep,.cement Additional Alteration Demolition
Type of Work Description of work: .. /,LteA---- e .)(6-1---% ' r A-Ct'�
NOTE:Roof mounted and ground mounted mechanical equip -nt is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
7FRESIDENTIAL COMMERCIAL
Furnace New Construction _Interior Improvement
Permit Type i —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 or alteration to an existing unit, includes State Surcharge //''�� /'�
$100.00 Residential New,includes State Surcharge =$ �(/.(/U TOTAL FEE
COMMERCIAL FEES Contract Value$ x.01
$60.00 Permit Fee Minimum
$75.00 Underground tank installation/removal,includes State Surcharge =$ Permit Fee
Surcharge=Contract Value x$0.0005
_$ Surcharge
If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE
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 perm t;that the work +- r accordance
with the approved plan in the c se of work which requires a review and approval of plans.
` jJ ,
X l C 10h G,;
Applicants Printed Name Applicants Signature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground - Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA152635
Date Issued:10/24/2018
Permit Category:ePermit
Site Address: 4391 Onyx Dr
Lot:24 Block: 3 Addition: Cedar Grove 4th
PID:10-16703-03-240
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Geoffrey L Johnson
4391 Onyx Dr
Eagan MN 55122--201
(860) 983-4077
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature