4713 Pebble Beach Way,
?w r. .
(gtrfifira#t of (Orxupaniy
tirp of Cagan
???rtment u# sttilltg iwpmmt
nS cerdflawe cssWpursuaxr m rhe mqutrrnunts of SectloR 306 of 1ke uWOrm Bmiltg
Code arttfytng lhat as the &ne of irsrwnm fhls sducturr xrrs rie conrplianm widi lhe Mariows
ondrwncGS oj the City negulati»g bulWing coauvuckon or m For the foflowing.
UNCUM&Mdm SF DWG/GAR SW Pank ft 151
1 R Vlv
0="S-TTYP 90NS (JMLRilCTIQ?d ?... 4600 FALY }QLi.S I7RIVE:, EAG
? ;.? Dmc 6/2f/42 .
&aft omci.r,
1 p'.
t
POST
C°ntrol
INSPECTION RECORD I No.
''-C&4'` OF EAGAN PERMIT TYPE: eiex+??
3830 Pilot Knob Raad PeRnit Number: p? t????a
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: La 7 r 6 a t. a r K- APPLICANT:
4713 PEBBLE dEAGN WIIY SuNS CONS7
FAJt'1LJAY HTI,I.S 3Rp (612) 4t2-b361S
PEAfAIT,§UBTYPE:
TYPE OF WOFtK: wEw
lu1ia?1 1 141,
IYNSIfIRTION
IFTREPt AU
14MARK °; - :, & W CON1'RAC.10R -- R CP1.8q
FRAM1Nii
FINAI
Permit No. Permit Holder Date Telephone #
SNV
PLUMBING
HVAC 8 9? .23 //
ELECTRIC
ELECTRIC
Inspection Dete Insp. Comments
Footings I C/- ?, ? Z D(?
Foundation A-
Framing
S, I Z-?
?- /Ua 44t riC.
2
Roofing
Rough Plbg.
?
Rough Htg.
Isul.
Fireplace ?
Finai Htg.
Orsat Test
Final Plhg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final ? .24--,9Z ?.
Deck Fig.
Deck Final
Well
Pr. Disp.
,c,f2
?lo
6A5'
?y??
11NSYLC:'1'lUN Kl:(:UK1)
,
CITY OF EAGAN PERMIT TYPE:
?SO Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
?? r•? 0 ep.?
SITE ADDRESS: ; „, . , ,,,
. ? IA ewl i 10 ar.H 4iA';
t 6i ik4JAY !li l l S :3Rn
PERMIT SUBTYPE:
,; A
APPLICANT:
1 2 ? tri 1.•49 rf
TYPE OF WORK:
iI) llrl
I:ti ! I tII Miy
ei:','4 i
06 / 1 1 It)r3
INSPECTION D. . .•
Rf MARKti a f'I AM RCVFt.lFO BY MIKt' BAR['Y
•CAI_I 44?} ':i9H ftFriANI)INi? F'lFC7k1?_r=,1 ; f(rp41T ANO fM?+F(' 71(?N??
?
I
? J
Permit Holder Date Telephone N
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
-
FOUND
I
FRAMING
HOOFING
ROUGH
PLUMBING
--
PLBG
AIR TEST
-
- -- -- -
ROUGH ? ? -
HEnTING q
? lQp
_
G A S SVC _
?/
-- - - ?
I TEgT _ (/y(
INSUL
GYP 80ARp I
?
FIREPLACE - -
- - - ---
FIHEPLACF
AIR TE51 ? n
J ? J
FiNAL Pi nc ?
'
?
-
I INAL HTG - - -
?
ORSAT -
TLST
BLDGRNAL
I DOMESTIC 1
METER ,
IRRIGATION 1
METER
--
- - - -
rIf LUSH
?
IMAINS
? - - -- --
- .
C'I.NdG:!l; t i'i I I Y
' HY DROSU.iu,
1EST
L3SMT R.I.
IBSMI FINAL '
i --
If71"CKFfG
? - --
? DIrCK FINAL
? - - ` - -- -
Address:4713 pEgBIE BEA„rH Wyy Lot 5 BlkZ Sec/Suh gALWAy gpis 3RD
These items were/were not complete at the time of the final inspection.
t: 6 2 92 Yes No
TnqpPCrnr-
Final grade (6" from siding)
Permanent steps - garage f
Permanent steps - main entry
Permanent driveway ?
Permanent gas ?
Sod/seeded grass
Trail/curb damage e?
Porch
Basement finish
?eck
Please verify with the builder the removal of rooE test caps from the plvmbing
system and the shut-off of vatar supply to the outside laum faucet befora
freezepotentlal exists. ?
p[LlttFO[Yfll
White - City copy Yellow - Resident copy Pink.- Contractor copy
f -/d a-2 Z
1 ?t?? ?4& 3
J 2 8 5 0 6 ?.
ic s6,59
Reduest Date
April 20
1992 Fire No. Ro in InspecTOn
Repuire0?
? ReaOy Now NWill Noiiy Inspectw
R
7
W
, Eres ?NO hen
eaEy
Ilj? licensed contractor p owner hereby request inspection ot above electrical work at:
Job AOtlress (SlreBt. Box or Route Noj City
4713 pebble Beach Rd. Eagan
$ectron No. TownsM1ip Name or No. qange No. Counly
Dakota
OccuDenl(PRIN1) Phone No.
Sons Construction 431-5355
Power Su lier -
`?akota Electric FAddress
+300 220 St.
W., Farmington
Electrbal Comractor (Cwn n Name
Joos g?ec?ric Co. ConVedw5 L nse No.
AM01?95
Mailmg AOtlress ICOnVactor or Owner Maklnq Installatronl
2104 Great Oaks Dri e Burnsville MN 55337
AufionteE SignaWre lGOnvactoripwner Making Ins atron Phone Numbe
?31-4755
MINNESOTA STATE BOAPp OF ELECTHICRY / TMIS INSPECTION REQUEST WILL NOT
Grigga-MlEway Bitlg. - Hoom ST/3 ` BE ACCEPTED BV THE STATE BOARD
1821 Unlverslty Aw.. St. Paul. MN 55100 UNLESS PROPEF INSPECTION FEE IS
vhone(812) 64241400 ENGLOSED.
REQUEST FOR ELECTRICAL INSPECTION EB00001-08
J 28506 Sae Ins{pictiorw IorQompleling flhis torm on back ot yellow cqpy ?"y?D - 5Z
`k"`8elow Work Covered by This Request k?/U $?, 3 J`
-ew Atld Rep. Typeof8uiltling AppliancesWired EquipmeniWired
Home Range Temporary Service
Ouplez Water Heater Elechic Heating
Apt. 8uilding Dryer Other (SpecHy)
Comm./Industrial Furnace
Farm Air Conditioner
Other (syecity) Contrector's Remarks'.
Compute Inspection Fee Below.
# Other Fee # Service Entrance Size Fee # Circuils/Feeders Fee
Swimming Pool 0 to 200 Amps 1 0 18 ]. 11 0 to 100 Amps 4 ,
Transtormers Above 200 _ Amps Above 100 _ Amps
Signs InspectorS use Only. 70TAL
'
Irrigation Booms ?
J J d.6
W5• 50
Special Inspection
AlarmlCommunication TNIS INSTALLATION MAY BE ORDER SCONNECTED IF NOT
Olher Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Ins ector, hereb
certi that the above ns ection has
fY P
been made. R°°9°"°
Final oere
Date^
??-
OFFICE USE ONIV
Thi3 request voitl 18 months Gom
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
? 3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Constructlon NeaulremeMe
• 3 registeretl site surveys showing sq. tl, ot bt sq. tt of house; and 1II roofed areas
(20% meximum bt coverage albwed)
• 2 coples of plan showing beam & wintlow slzes; poured fountl desipn, etc.)
. 1 set o1 Energy Calculatbns
• 3coples W Tree Preservatan Plan'rf bt platletl afler 711/93
• Rim Jokt Detail pptions seledbn sheet (hldgs wAh 3 or less untts)
DATE (O -- I a - 0'9?
SITE ADDRESS47J
NPE OF
NemodaVNaoeh Reauirementa
• 2 ooples of plan
• 1 set ot Energy Calculatbns for fieated addifions
• 1 site Survey for ez[erior add@bns & decks
• Indicate fl home served by septk system for etltl0bns
C) ?
VALUATION
??l b 1e? is-9-c'a (,J
APPLICANT J W L ?
STREET ADDRESS 3 a 59
TELEPHOI?E 11
PROPERTY OWNER
_Q_r m
J I Q0'-_6ELL PHONE #
FaxL&s!__))453 - y oa,3
TELEPHON?45 ? ? L0
COMPLETE THIS SECTION FOR ^NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Confractor:
Plumbing system includes:
Mechanlcal Conhactor: _
Mechanical system includes:
Sawer/Water Contractor.
_ Water Softener _
_ Water Heater _
No. of Baths
Air Conditioning
Heat Recovery System
Phone N
Phone #
Fee: $90.00
Fee: $70.00
------°------------------°----°-----------°-------------------°--------°------------°--------------°--------------
I hereby acknowledge that I have read this applicaTion, state th information i?rr t, and agree to? comply
with all applicable State of Minnesota Statutes and City of Ea m r inances.
Slgnalure of Ap?Ont_-,"
OFFICE USE ONLY
c4l?
MULTI-FAMILY BLDG _ Y ?N
FIREPLACE(S) _ 0 _ 1 _ 2
Phone #
Lawn Sprinkler
No. of R.I. Baths
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool 0 30 Accessory Bidg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (&sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ 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 (screened) ? 36 Multi
? OS 03-plex ? 11 10.plex ? 79 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
13 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
13 32 Addition ? 36 Move Bldg. 0 42 Demolish (FOUndation) ? 45 Fire Repair
0 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & W ater _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (newheplacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Buiiding Inspector
Total
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements RemodeVReoalrReaulremenfs Office Use Onlv
3 registered si[e surveys showing sq. fl. of lot sq. N. of houu; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y_ N
(20% maximum lol wve2ge allowed) 1 set of Energy Catculatiom for heated addNOns Tiee Pres PWn Recd _ Y_ N,
2 copies of plan showing beam & window sizes; poured found design, etc. 7 site survey for additions 8 decks Tree P2s Requi2d _ Y_ N
7 sel of Energy Calculafwns Addition - indicate tlon-sfte septk sysfem On-sRe Septic System _ Y_ N
3 copies of Tree Preservation Plan ff lot platted after 711193
Rim Joist Detail Optirnis seleclion sheet (buildings with 3 or less units)
Date Constructioo Cost g/??I?
Site Address 7 / PF I
?l)e. hC??,?/l [J2?i UniUSte #
Description of Work ftc!=?e. ,`lAhl1jl afG'Q jQ x 12
Multi-Family Bldg _ YK N Fireplace(s) _ 0 _ 1 _ 2
Property Owner ?- Lo6 L&(r-a`Jv\ Telephone # ( )
Cootractor .?2u A f5(?? ?? ? S'f
Address )/ ?
/ / ` ?? ?i /
0 City ? h6 rcOpfe
State Zip 5T,37% Telephone # ( F "> ) aOc) - 3 9,92-
9S? N96 f / O
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy COde Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculations 5ubmitted
In the last 12 months, has ihe City of Eagan issued a permit for a similar plan based on a master plan8
_ Y _ N If yes, date and address of master plan:
Licensed Piumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Tetephone #(
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. „
ffllQ m 9 ??,C 2,4 dl
Applicant's Printed Name Appli anYs 5ignature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-piex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt-SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof I] 46 WindowslDoors
? 34 Replacement 'Demolition (Entire Bld g) - Give PCA handout to applicant
Valuation Occupancy MCES System
Plan Review 100% or 25°/a
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings(new hidg) _ FinaVC.O.
_ Footings (deck) _ Final/No C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Aoof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas T ests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ A.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
r--_
?---
SOUTHSIDE CONST[tUCTION
RF:SIDEN"1'IAL REMOllEi. ANU NEW CONSTRUCTION
'fROY 952.393.7513 OR AL 952-200-8239
To: 3eff Whaeler
Building Inspector city of Eagan
Re: Siding replacement at 4713 Pebble Beach Way, Eagan, TNn 55123.
Problem- Water damage due to no flashiag on deck ledger board
Action Taken- We rerooved damaged siding, %z" OSB sheathing, and deck ledger board.
Inspected 2x6 framing and only found minor damage '/?" to 1/2- on board ends siding side. In
order to a keep good sh-aight surface, we sistered in new 2ac6 boards (6). We then in.sMllad new
'/z" OSB outer sheathing. Next, we covered wall with Tyvek house warp and residing with
Masonite Doo61e E)utch textuied siding m mstch existing. We also installed new galvanized deck
flashing and 2x10 ledger board. Ledger was fastened to house with 6" 3/8 lag bolts, 2 every 16".
Siding was replaced to midd(e of kitchen wittdow and patio door. Siding was secured with 8d
gatvanized nails. Caulked as required- deck flashing and bolts, around door, window, and siding
ends. Advised homeowners to prime and paint as soon as possibie, and to have g-ound regarded
under deck. Grade slopes to siding and doesn't have drainage.
Customer wanted me to send them a copy of inspection for their records. If you could fax me a
copy that would be greai. My fax number is 952-492-5618. IFyou need anything else fi`om us
you can contact me at 952-393-7513.
Troy Rasmussen
i'd BT9S-Z64-Z56 Rojl e69:11 SO ZZ Z00
8ti95 z64 Z56
INSPECTION RECORD I ControlNo. 0157
CITYOFEAGAN PERMITTYPE: euiLoiNG
3830 Pilot Knob Road Permit Number: 000151
Eagan, Minnesota 55123 Date Issued: 04 / 02 / 92
(612) 681-4675
SITEADDRESS: Lor: s BLOCK: 2 APPLICANT:
4713 PEBBLE BEACH WAY SONS CON3T
FAIRWAY HILL3 3RD (612) 452-5355
PERMITAUBTYPE:
TYPE OF WORK:
NEW
INSPECTiON
FOOTINCa .. .
FRAMZNO .A
IMSULATION FINAL
FIREPLACE
REMARKS: S& W CONTRACTOR - R C PL80
?
?
CITY OF EAGAN
3530 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
DESCRIPTION:
PERMIT TYPE
Permit Number:
Date Issued:
4713 PEBBLE BEACH WAY
LOT: 5 BLOCK: 2
FAIRWAY HILLS 3RD
8u31tSYitg. Permit Type SF DWG
Buildiny Ckork Type NEW
?J9C Oceupari'dy, R-3 M-1
' Gonstruetion YyQe V-N
Zoning R-1
j?8uilding Length 52
guilding WidCh 45
, ._
?j
` v.._l ...I ?.. J i ? . `1 y ? ._... ..
. ..... ?., t
REMARKS: CJ
S 6 W CONTRACTOR - R C PLBG
BUILDINB
008161
04/02/92
FEE SUMMARY:
BBSe Fee
Plan Review
5urcharge
SAC
SAC $
SAC Units
5ubtotal
VALUATION
Z$7T.50
$570.38
$89.00
$700.0@
1@0
$2,231.88
$168,000
MISCELLANEOUS
Total Fae
_ $1,610.50
$3,842.38
CONT?p CTp R? - APP cant - ST. W ER:
30H3 CbN?T 14525355 00026. OTVS COMST
4600 FAIRWAY HIILS DR 4800 pAIRWAY HILLS OR
EAGAN IAN 55123 EA6AN MN 56123
(612) 452-5355 (612)452-5355
I hereby acknawled'g:e Cha•t I have read this
information is correct a;nd agree to corhply
Statutes and Gity nf Eagan prdinances.
L
APPLICANT/PER ITEE SIGNATURE
%M r
PERMIT
application and state that the
with aEl applicable Stete of Mn.
-j
issuE e?SIGNATURq?
Control No. 0157
PERMIT li ij , CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
681-4675
# -as, qa•3
MAR 3 i. RECD
SINGLE & MtlLTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy af energy
caics.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typ9ng of permit is requested, but not p9cked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date 3 / 7 / c; 7-- Valuation af work ? ) y.
Site Location: LI'7 1-5 pe13DLL-= ,Y,le-tir`/,
STREEi STE M
Tenant Name: h'j
LOT `a BLOCK Ji SUBD. F?IIz lv`? / M LLj' 3?? P.I.D. #
Descri tion of work: N'E41.' X-NiE-
The applicant is: 0 Owner GY?6ontractor ? Other (ues«;be)
Name 4;)?? Sc y7 J Phone 7)? - 3-3 s-1 ?
Property LAST FIRST
Owner Address l'-AllZ?c-4 /Z/-L, .1)n
STREET STE Y
City State Jy/1/1 Zip 5SZ2- 3
Company Soh s s -7` Phone 5-3 ?- i'
Contractor Address '-??GC ?A/2?•=? ?LL} .hn License # 2rl Exp L3/ y3
City State Tip
Company Phone
Architect/
Engineer
F
Name Le? %le_,L Registration #
Address
City State ?m? Zip S)?Z3
Sewer & water licensed plumber ?•L P?/???3/iJCr . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have rea this application and state that the information is
correct and agree to compl with ?1l pli able State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Garage/Accessory ? 11 Res. Add./Porch ? 16 Agricultural
% 02 SF Dwg. ? 07 Fireplace ? 12 Camn./Ind. New ? 17 Building Move
0 03 Two family O 08 Deck ? 13 Comm./Ind. Add ? 18 Demolition
? 04 Multi-fam. T.H. ? 09 Basement Finish ? 14 Lomm./Ind. Rem. ? 20 Miscellaneous
? 05 Apt. Bldg. ? 10 Swim Pool ? 15 Public Fac.
WORK TYPE
p 31 New ? 34 Remodel ? 37 Move
? 32 Addition ? 35 Repair 0 38 Demolish
? 33 Alterations ? 36 Tenant Finish 0 99 Undefined
GENERAL INFORMATION
Occupancy R3 M-i Basement sq. ft. MWCC System YES
2oning R-I lst F1. sq. ft. City Water Ec
Const. (Actual) v-N 2nd F1. sq. ft. PRV Required
(Allowable) v- N Sq. Ft. total Bnoster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length 5I'12' On-site well Census Code loi
Depth On-site sewage 5AC Code _01_
APPROVALS
Planning Building % / 4lf?s Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site
? Wallboard
? Footing
? Final
0 Framing
? Draintile
O Insulation
? Fireplace
Permit Fee g'7'1,5iD veimc;a,_ s 168, D0,)
Surcharge
Review
Plan gy, Do
'10 Gqr2qbE' ZZXao= 440
'
Licen izxK= J_
1
MWCC SAC 100100 gWWT; 5")?xl6? S,z5?
City SAC I00,00
3,2x3Z? ?oZy
Water Conn.
Water Meter 6'IS,oo
95,00
?011zX i5= 158
Acct. Deposit 30, 00
S/W Permit
h
S
W S 30,00 ? 15 = ?? q3u
urc
/
arge
Treatment Pl. ??O,ao ?57 Fc,>c)R
Road Unit
Park Ded.
Fjg*^T = i262 x5 3^
Trails Ded.
Copies
Other
Total:
3Z ? l`'`y
% ? o?
SAC 1`i Ig%z - 3?
Z
y x
? ? ??
SAC Units ? -
13S
. _ iw??/p/?•f??W',srOvcT%u
N3::£r JlIYJ ?ii'? (?
? PinNnens° o a°Lei+u sfunveroas
{iOt3E
``•?'.?, . .BK. 166
NGINEE(ifNG Z J%53
COMPRNY, 1NC.
,
? 1000 EA57 1461h STREES, BURNSYIILE, MINNESOTA 56337 PM 432'3000
C1EFiT1FIC/ATE OF SURVEY
Legal Descriptiorr
?
SCALH : 1' - 3U'
'J
oRq/N9SE AND
uTiGi>Y EA5Eir1ewv7'
G?3o.z?
((_030,-?
\ '? F
v a?
\i L
? C1\?
(tari ) UENOTES EXISTING ELEVAT{ON
(fo3q.2 ) DENOTES PROPOSEU ELEVATION
INUICATES DIRECTIDN OF SURFACE DRAINAGI
1037.50 = FINISHED GARAGE FLOOR E4EVATION
lo37-,00 = BASEMENT FLOOR ELEVATION •
J040.00 = TOP OF FOUNUATIUN ELEVATION
i
6po
2 ,
t?4{'?,` ?¢z6 4¢3y
r Q ?
. ?\.`•, 3;
?
E
.
?
?
?4P
f? •.,f?.?._.?..?.._ ._ -
ZWU%NFERIATG DEPT
I heraby certifiy that ttiis .ie a true and correct representation oP,a trac
land as shown and desoribed liaraci . ?• As prspared by me this ? dv.
iainn. iiey. 110. /6oe
?
h,
14k-
?3oF/. F,eo.vr B?i?iN6
sErBAc,e Li,vE
?
Mw
\0
M
m
? ? ,?
EXT88I0&.ENVBLOPB ENEB(3Y CODB CO!lPIT'PATIOlT WQAYSH88T
To Determine oonpliance with the etinneaota Fhergy Oode
(Secticn 502 of the State Aciended 1983 !lodel &wgy. Code)
Pt0]2Ct Tl? .7ohnson Home, Sons Construction Co. Builder
Slte AddrBSS '4713 Pebble Beach Wav, Eacian Mn.
1. EXPOSED WALL CALCULAT10N3
II.
AR@1 '0" W1fy6 ARFA Y "Il°
A. Opaque Wall
1. Masonry/Crncrete '
a.
b x .
o x .
C.
2. Foundat an Wa Gt Y .
a. lo ,•'Z-5 x . 07 ? 4.71
b.
3. EYame Wa x .
d. I71Suld? AC2a X .04-
a ,??
?J.:q
1-
b. Framirig Area (Ave. 158 at 16' x)
'340. I x . i n ? _
_
?q-. ?
??? ?? (Ave. 10i at 24' x) Y ¦ ?
4. Peri
pheral Floor Fdje/Rim Joist
a• 220 Y . 04
D. Y .
B. Czlazing
l. Wirrlows
d. o x •
3pl
35
b• ,
,
'
4o x
2. Doors x .
C. Doors
l. woad
a. Solid
? x •?°
Z
b. With atorm
2. b42td1 x ' s
3. Overhead x :
4. Other x :
D. Z+OTAL FTP.IL AIiFA, sq, ft......r :............. 27 (ei
E. 701AL of ARFA X"U° ......................... .......................... Z(oZ .lG
800 F/CEILING CALCULATIONS
A. FiAOf/Ceiling Insulated Area ILa 14. (a x • D L '137- 2-li
8. Roof/Ceiling Framing (Ave. 158 at 16" oc) x ?
C. Roof/Ceilirg Frataing (Ave. 108 at 24' x) 1"19•4 x •oZ n?
D. Skylight x .
E. TDTAL FMF/CEII.ING ARFA sq. ft .............. .1-79 4
F. TOMw aF APFA x RUM .................................................. 35 $7
lll. tSUiLDING ENVELOPE SEQUIRBMENI'S
TOTAL pRFA gZQUIgm "U" ALLOWA13L8
(Fcvp I.D & II.E) (Ftcin V.). (Area x
A. n? wali : 1.? te5 x 2`t d?
8. Roof/Ce iling : 1194 x O ZL ?
C, TOppy arrn„TAnr_F gUu,pING MWIIppE (TOta1 of A& 8 abwe) ... =3 4.5 .(. 2
iV. ACTUAL BUII.DINCi ENVELOPS
ACTUAL
(Araa x 'U•)
A. Expossrx3 Wall (From I.E) 1b
B. Roof/Ceiling (Fraa II.F)
C. TO'PAL ACTUAL BUII.DIW FNVIIAPE (Tot81 of A& 8) ............ .2q19`l
•(hwts code npuirrnts 1i less tha IIi.t) \?-
V. REQUiHED "U" VALUES
PDOF/CEILING
Detdched one and two family dwellirgs .11 .026
* Multi-Family Pesidential Builr3in9s .238 .033
(3 stoties or lesa in height)
* A11 Other Oxnstruction 7ypes (3 stories or less) .238 .06
* All Other Crnstructirn Types (Mwre than 3 staries) .28 .06
• Basnd on 8007 heating degree day5 (hpls/St. Paul)
Adjust 'U' wlues acwrdinyly for other lxations
cExz•IFicnTiox
I heceby oertify that I have arrQletEd the above infotmation arid Chat it oaapliea with L
Minnesota State Energy Code./ „
SCSD 3-89
CC/SN/6574
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EACAN
? 3830 PILOT IU108 RD • 55122
C l0 651-681-4675
New Consfruction Reaulrements
? 3 registered sRe surveys showing sq. k. of lot, sq. R. of house
and gU roofed areas (2096 maximum lot eoveiaoe allowed)
? 2 copies of plans (show beam 3 window tizes; poured Md. design; etc.)
? 1 sei of energy calculaHons
? 3 coples of hee presenaHon plan fl lot plaHed aHer 7/1/93
DATE: A 1 f 5I 9/
DESCRIPTION OF WORK:
Remodel/Reoah Reaulremerrh
2 copies of plan
1 sef W energy calculaNons for heated addRlona
1sMe survey for exferlor addHions d decks
CONSTRUCTION COST:
00
STREET ADDRESS: /Z!E/ ,/-J
LOT: s BLOCK: SUBO./P.I.D.#:
Name: Phone#:4 5/-??? sFj?
PROPERTY Lan Firsl
OWNER `?
Street Address:?` 72 T ZZ?,9G /? 4L-24v
City Stafe: ?L-o/ Zip:
Company:?f?"fk P h o n e #:
' (area code)
CONTRACTOR SheetAddress: -,9 5 ?4>?i?Fi?i9/? LicenseZ?"Y/9-o Exp3?Oe-p
City S 5-0?v State:
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code ( )
Streefi
City
tewer 8 water Ilcensed plumber (reaufred for new consfrucHon onN):
State:
YenalFy applles when address change and lof change Is requested once permk Is issued.
1 hereby acknowledge that I have read this applicatlon, sfafe thaf the InformaHon Is conei
State of Mlnnesota Statutes and City ol Eagan Ordinances.
Sfgnature W
OFFICE USE
Registration #:
Zip: S ? ?/?[)
Zip:
agree to comply wNh all applicabl
NOV - 5
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 plex
1 of ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 _
2-plex ? 09 7-plex ? 14 Apartments ? 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
? 32 Addition 0 36 Move Bldg. ? 40 Gas InseR ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.` ? P"Wood Stove ? 45 Fire Repair
0 34 Repair O 88 Demolish (interior) 42 Reroof
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Adual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Basement sq. ft. Census Code
Main level sq. ft. . SAC Code
_
sq. ft. No. of Units
sq. ft. No. of Bldgs
sq. ft. MClES System
sq. ft. City Water
Footprint sq. ft. Booster Pump
? PRV
Fire Sprinklered
Building 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
M. ?.??C .?.. .. .nm f \' ? W h?)F??? n ? .iyCf? i??lL•s()??J???.. /n.. ..?? ? . /. iit ?
CA?i?'{?'Si?f(C S ?'."- ?: .'i`1.f14L ?".,'.•:' -, ;'Si
1`F<1.. Ob. ...
*-? ..
?.'4M;= z I...TSA L V? Op:
F... 1- ? !
..,..,1._' : 900 -
.' r'....•, ' c•P_',_f:. .f.Ea .ao....
.
(' .:-:O
At ..-.V
............. . ..i. . ???:'?:..?... 4 q, ?. .. ......... ..,?..,.. ., i`tiS
PERMIT
CITY OF EAGAN
3830 Pilot KnobRoad
Eagan, Minnesota 55122-1897
(672) 681-4675
PERMITTYPE: BuzLplNG
Permit Number: 032241
Date Issued: 06 /17 f 98
SITE ADDRESS:
4713 PE86LE BEACH WAY
LOT: 6 BLOCK: 2
FAIRWAY HILLS 3RD
P.I.N.: 10-25602-050-02
DESCRIPTION:
6aiil,diiFtj, Permit Type
;8uilding Wprk Type
Census Code ?
r;
d
t
?
BASEMENT FINISH
ALTERATION
434 ALT. RESIDEN7IAL
?? .
?
REMARKS:
PLAN REVEWED BY MIKE BARCK
CALL 445-2840 REGARDING ELECTRICAL PERMIT AND ZNSPECTZONS
SEPARATE PERMIT REQUIRED FOR ANY PLUMBING WORK
FEE SUMMARY:
Base Fee $56.00
Surcharge $.50
Total Fee $50.50
CONTRACTOR:
OWNER: - Applicant -
LARSON JOHN
4713 PEBBLE BEACH WAY
EAGAN MN 55123
(612)683-9976
I hereby acknowledge that I have read this application and state at the
information is correct and agree to comply with all applicable S ate of Mn.
SZatuGes end G3ty .pf Eagan Ordinanoes. ?
L
? APPLICANT/PERMITEE SIGNATLIRE
-j
3Z?? y1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)??? ?
? CITY OF EAGAN
?? 3830 PII.OT KNOB RD - 66122
681•4676
New Construction ReauiremeMS RemodeVReoair Reauirements
? 3 registered site surveys
? 2 copies of plans (InGude beam & window sizes: poured fid. design; etc.)
? t energy Calculations
? 3 copies of frea preservation plan ff lot platted eRer 711193
required: _Yes _ No
DATE
? 2 copies of ptan
? 2 site surveys(exterioraddRions & tledcs)
? 1 energy calcuiatioes for heated addRions
? 00
CONSTRUCTION COST;
DESCRIPTION OF WORK: Ein?iShA EQSemP,/yL
STREET ADDRESS: r'1".hhl °l- 6
LOT: "J BLOCK: Z SUBD./P.I.D. #:
PROPERTY
OWNER
Name: Lwltzft) pA Phone #: (aS3 ` 1 i /(D
Lest First . . .
Street
City State: --VuV Zip:
Company: -'50-/VVl° QQs Phonett:
CONTRACTOR
Saeet Address: License #
` City
State:
ARCHITECT/
ENGINEER Company: Phone #:
Registration !1:
Zip:
Street Address:
City
Sewer & water licensed plumber (new construction only):
and lot change is requested once permit is issued.
Zip:
Penalty applies when address chang
I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Appiicant:
OFFICE USE ONLY
Certficates of Survey Received _ Yes _ No
Tree Preservation Plan Received Yes No
State:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging >1r, 16
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21
? 05 SF Misc. ? 10 _-plex ? 15 Deck
WORK TYPE
? 31 New
? 32 Addition
33 Alterations
? 34 Repair
? 36 Move
? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building /vig Engineering
Valuation: $
Total: - ?0? . 1
SAC
? ? •? /?
'Y.
y
Basement Finish
Swim Pool
Public Facility
Miscellaneous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bidg
Census Unit
Variance
I
r
v
Lot ? Block ?--
snba. ?a ? Vw a y t?f ; lIs 3c( ??-,,
UNDERGROUND SPRWKI.ER SYSTEM
PLUMBING PERNIIT
Date q/ l I Iq >'
Receipt # 0'?)0036-0
_ Commercial: $25.50 + water tap if required. (City installs all taps up to 1"). If
adding new service, a water perarit will be requ'ued, as well.
? Eadsting residential: $15.50 (Plumbing permit not required if backtlow preve,ntor was
previously installed).
_ Residentia] developments: Fee to be determined by building inspections department.
May require payment of water permit, plumbing permit, WAC, and water ueatment
plant fees.
. ,
(Address to be sprinklered)
Homeowner/Plumber: 6via?j f? TU llk5 O CL
Phone #: 4 SG - S 3 S¢
.
Sueet Address: 4") 1?i &blfe L?'k L.Jq y
7?
City, State, Zip: lv S S/ Z3
T
Owner Name: b. T01,,, !;
Street Address: tJay
Phone #: 8¢
Irrigation Contractor:
Phone #:
X-3-913 f?? ?v 7GS / ??/3 ??
I hereby aclmowledge that I have read this application and state that the informadon is
correct and agree to comply with all applicable City of Eagan Ordinances
cc: Engineering Department
CTI'1' OF EAGAN
LS B a. ?d MECHANICAL PERMIT RECEIPT #/os
SUBD. s?/ ,3? (612) 681-4675 DATE_ 5118 9.-l-
RESIDE1V17AL
PLEASE COMPLEfE UPPER PORTION ONLY FOR SINGLE FAMILY DVVELLINGS. AISO, COMPLEI'E FOR
TOR'NHOMFS/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNTC.
OWNER: f ' FEES
STI'E ADDRESS: ,?j
/ U'" ?
?? ! ` ?/ ADD ON/REMODEL (E?IISTING
CONS1'RUCI'ION ONLl) $ I5.00
INSTALLIIt: GENZ-RYAN HEP.TING HVAC: 0.100 M BTU 24,00
PHONE #: 423-1144 ,a1DDITIONAL 50 M BTU 6.00
'1DDRESS: 14745 S th Robert TYail GAS OUTLM - MINIMUM 1@ $3 EA.
CITY: Rosem unt ZIP: 55068 SURCHARGE: $ ,gp
SIGNATURE: ? ' ?,?? • TOTAL:
d -
COMAORCW.
PLEASE COMPLEi'E THIS PORTION FOR ALL COMMERCIAUINDUSTRLIL BUII,DINGS. ALSO COMPLEfE FOR
APARTMENT BUILDINGS OR OTHER MULTI-FAMII Y BUII,DW GS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR
EACH DWELLING UNI7'.
WORK DFSCRIP170N: CONTRACT PR1CE FEES
1% OF CONTRACf FEE.
STATE SURCHARGE IS $.50 FOR EACH
$1,000 OF PERMII' FEE $
PROCFSSED PIPING • s25.00
$
iviIATiiruivi FEE - $i.i.00
OWNER: TOTAL: $
SI7B ADDRFSS:
TENANT:
SUITE #:
INSTALLER:
ADDRFSS:
cm? ZIP:
PHONE #: CTI1' SIGNATURE
SIGNATURE.
CITY OF EAGAN
3830 PIIAT KNOB ROAD
EAGAN, MN 55122
P80NE: (612) 454-8100
xmNG.,: mqi
FOR CITY USE ONLY
PERMIT #
RECEIPT # D S
DATE: ?-
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIYTION
NEW CONST Y
ADD ON _
REPAIR _
OWNER NAME: Sons Construction
SITE aDnxESS: 4713 peb6le Beach Way
LOT: S BLOCK o2 SUBD. J?
INSTALLER: R C Plumbing
nDDRESS: 5910 Chester Ave
ci'rY: Northfield zir: 55057
PHONE #: 461-2096
SIGNATURE OF
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
? SHOWER 3.00 .3 ?
WATER CLOSET 3.00
? BATH TUB 3.00 ?s- -
? LAVATORY 3.00
KITCHEN SINK 3.00 3- ?
? LAUNDRY TRAY 3.00 ?3- ?
HOT Ti1B/SPA 3.00
+ WATER HEATER 3.00 3• -'
FIAOR DRAIN 3.00 3
GP.S PI°SNG OLTT.
? (MINIMUM - 1) 3.00 ?. ?
? ROUGH OPENINGS 1.50 l-/•.Sa
_ OTHER
WATER SOFTENER 5.00
PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
? SUBTOTAL
? ST. SURCHARGE
TOTAL;
.5;;2. 5-0
"05:3, &?b
50
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIS.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE $
TOTAL:
(SIGNATURE)
CITY OF EAGAN
11/04/2009 15:09 FAX 6516900609 Home Customizers Z002/003
Use BLUE or BLACK Ink
i I
i
City 0a ; Pen„It: to
I PermitFee: f o v I
3830 Pilot Knob Road I i
Eagan MN 55122 j Date Received: j
Phone: (651) 675-5675 i staff:
Fax: (651) 675-5694 I I
2009 RESIDEN IAL BUILDING PERMIT APPLICATION
Date: 109 Site Address: 3 Ac LE Ae'hr-W W/fi
Tenant: Suite
RESIDENT / OWNER Name O S L~QS Phone:
Address / City J Zip:
Applicant is: Owner Contractor
TYPE OF WORK Description of work r cv-IA tl xq t J d~mP i N je W r11
O~ `
Construction Cost: Multi-Family Building: (Yes No X
CONTRACTOR Name:L n?'/ Zt &t f G- License* e-a CP / ky~6
Address: cc) L. i0u /~y
City: -9 State: wt Zip: / ,0,5
60 yj
t Person: ~~~G (,fly
Phone: 5 - Al Conthcc
COMPLETE THIS AR A ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan I sued a permit for a similar plan based on a master plan?
_„Yes _No If yes, date and address of aster plan:
Licensed Plumber: Phone. .
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
CALL BEFORE YOU DIG. Call Gopher S to One Call at (651)454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive I cafes of underground utilities. wyYw.gobherstgteonecall.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 onf an application for a permit, and Yis t to art a permit; that the wprk wlH be in
accordanc
0B.6 A 21-1 e with the approved plan in the case of work ieh requirea a review ancf approv M-
Applicant's Printed Name App cant's Signature
Page 1 of 3
Use BLUE or BLACK Ink
For Office Us I
I 1 v 33a
(I
I Permit
I
City of E*,n
~ Permit Fee: I
3830 Pilot.Knob Road I I
Eagan MN 55122 1 Date Received:
Phone: (651) 675-5675
Staff:
Fax: (651) 675-5694
r 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: ✓ Site Address ~Ii 'l
b 0G(t WAY
Fe ,
Tenant: Suite
Resident/Owner Name: ,~U~llrl rGJal~l Phone: 1 XV_Ug72' gg-Itt
Address / City / Zip:
Name: Wenzel-Plymouth Plumbing, LLC License#: 061555
Contractor Address: 1710 Alexander Road City: Eagan
State: MN Zip: 55121 Phone: 651-452-1565
Contact: Carl Michels Email: cmichels@wppmn.com
Type of Work - New _ Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Description of work: Demo Pressure Booster
RESIDENTIAL
Water Heater
Lawn Irrigation RPZ PVB) Water Softener
Permit Type Add Plumbing Fixtures Main Lower Level)
Septic System
New Water Turnaround
X Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $200.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $ N/A
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 pl
x Carl Michels x
Applicant's Printed Name Ap ant's ignature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
Use BLUE or BLACK Ink
I For Office Use
tt~,q
I Permit city of Eakan
I Permit Fee:
3830 Pilot Knob Road I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 Staff:
-
INFLOW & INFILTRAT[Off PE- MIT APPL1CATIOR
Plumbing / Sewer & Water
Date: 1 i 1 Site Address: Stt_ 4/-7 161 e eac I,\ W" Y
Tenant: Suite
Resident/Owner Name: ol~► r La r s o Phone: ~S I G 8 3 9? t=
Address/City/Zip: Jy3 Pebble 1~c~e i• I"'~V
Name: 14 2S S iQ h P)"vM t t ell, License M
Contractor F Address: P ~ ~ v x a a) ~ ~ city:
Stater Zip: S S / a Phone: (.I) - $ Z,3' 3
t
Contact: L%.,' 1 G )7 i) +z Email: V-' ; Lt
x
PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope)
Type of Work 4~ump Pump Repair Repair
Other: Other:
r Description of work: R e pipe-
Description
r
FEES
$60.00 /Each {includes $5.00 State Surcharge) T_DTAL FEE ~o U ° U d
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.citvofeacian.com/inflow, 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.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 n'1 V " C ~ , ) 4? x ze; ~ r
C'_z
Applicant's Printed Name Ap cant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: ,Under Ground -Rough-In Final
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA145989
Date Issued:10/03/2017
Permit Category:ePermit
Site Address: 4713 Pebble Beach Way
Lot:5 Block: 2 Addition: Fairway Hills 3rd
PID:10-25602-02-050
Use:
Description:
Sub Type:Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of house wrap and leave on site for final inspection.
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 -
John Larson
4713 Pebble Beach Way
St Paul MN 55123
(000) 000-0000
Midwest Exteriors Plus Inc
6451 Sycamore Ct N
Maple Grove MN 55369
(763) 427-9696
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA160584
Date Issued:03/23/2020
Permit Category:ePermit
Site Address: 4713 Pebble Beach Way
Lot:5 Block: 2 Addition: Fairway Hills 3rd
PID:10-25602-02-050
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 -
John Larson
4713 Pebble Beach Way
St Paul MN 55123
(651) 683-9976
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 745-1400
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA165995
Date Issued:12/04/2020
Permit Category:ePermit
Site Address: 4713 Pebble Beach Way
Lot:5 Block: 2 Addition: Fairway Hills 3rd
PID:10-25602-02-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
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 -
John & Lisa Larson
4713 Pebble Beach Way
Saint Paul MN 55123--217
Gv Heating & Air Inc
5182 West Broadway
Crystal MN 55429
(763) 535-2000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA169686
Date Issued:06/04/2021
Permit Category:ePermit
Site Address: 4713 Pebble Beach Way
Lot:5 Block: 2 Addition: Fairway Hills 3rd
PID:10-25602-02-050
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
John & Lisa Larson
4713 Pebble Beach Way
Saint Paul MN 55123--217
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 745-1400
Applicant/Permitee: Signature Issued By: Signature