4321 Pilot Knob Rd,
e?D- o0
Cs`.TY OF EAGAN
3795 Pilot Knob Road
Eagan, 14innesota 55122
PERMIT NO. : So0 The City of Eagan hereby grants to Warren fiider
of 7601 Bakland Ave. So.
a HEATING Permit for: (Owner) __-
at 4321 Pilot xnah xds pursuant to application dated 9;ziYz.,6
Fee Paid: S20.00 dated this In i, day of
.50 s/c
Building Inspector
Mecnanical Permits:
Bid Total:
Cq,rixpri Acrs.S'
/d /&yoo Ilo 00
PERvIIT NO.:_ 720 _,
The City of Eagan hereby grants to warrpn Riaer
CITY OF EAG.1;1
3795 Pi1ot FCnob Road
Ea,,=, Minne3ota 55122
af 7601 Oakland Ane So ,._. R{chf{old_ 554 ?3
a PLUMBStIG Permit for: (pwner) sam -
at 4322 Pilat Knob R.d,, pursuant to application data4j/ 117 F
Fee Paid: 20.00 dated this __lQ_day of s ?? :z=
.50 s/c Building Irlspectoi°
Mechanical Permits:
Bid Total:
CITY OF EAGAN
3795 Pilot Knob Rood
Eogon, Minnesota 55122
P6one: 454-8100
HENrDE PERMIT
6-15-79
Dote:
Site Address:
4321 Pilat Inob Poad
Ilo?tz .
Lot Z_ Block ? Q Sub/Sec.
Ca4RJSl'I0N AIR fWUIIM
No. 1475
Receipt No.: 14756
5ingle
Residentinl
Nome waXXM Ri&W New/Alter./Repair NeW-2h T. Ii?St PlI1¢
3 Address 4321 ?'lAt ?? Cost of Installation
0
City Eagan Phone: 452`3620 Permit Fee 20'00
` Name A. BinClar & SOCI Surcharge •50
g Address 120 E. BUilbE"r
e
457-r7°1
City Phone: Total
This Permit is issued on the express condition thot oll work shnll be done in accordance with cll opplicoble $tote of
Minnesoto Siotutes ond City of Eagon Ordinances.
Building Official
CITY OF EAGAN Remarks
Addition CARLSON ACRES Lot 11 Rlk 1 Parcel 0 16400 1IGMk'-+
Owner- '- - !'- "e'UIIiiCF Street 4321 Pilot Knob Road N1/2 State Ea9an, MN 5513g
14, /;l.:,,,- z
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK AMONO . 20 Pa d
SEWER LATERAL
WATERMAIN
WATERLATERAL 1977 69.00 10
WATER AREA
STORM SEW TRK 430.00 4 -.0
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 320.00 2938 5-17-76
BUILDING PER. 3938
SAC
PARK
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS•
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
' i u(: 1 I ?i I 1!1 1?
?I ' 1 1 1 L?1'f 11 NllEt k11
? j1r r FJ i,I•1 PERMIT SUBTYPE:
:i r I
t:lli! I?IN1?
APPLICANT:
TYPE OF WORK:
li!",1 Ic I!' I 11.?N
kF1, hlk
fl:Iinj IN?,)
INSPECTION . . .A
1111(??I 1 t'd II I?? i S IJ,'yl
?
?
-1
I
Permit No. Permtt Holder Date Telephone N
S/IN
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspsctlon Dete Insp. Commenta
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplaoe
Final Htg.
Orsat TeSt
Final Pibg. Plbg. Inspedor-Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
U ??2. ?
P
CORRECTION NOTICE
fA-
?-
DATE:
Add ress
v ?.
Site
? ? .
Owner/Agent Telephone
Owner/Agent Rddress ?? ??
Ordinance Nos. and Corrections - Correct By
10
?
, .
? 7 cr-
For reinsQection
Eagan Dept. of Inspection
3795 Pilot Knob Rd.
Eagan, Minnesota 55122
454-8100
Mns from
I/-&/ 47y -;?'
R 5294
Date of this Request-? ?- -7 q
I, as O Licensed Electrical Contractor ROwner, do hereby request inspection of the above electri-
cal wiring installed at: ?I ?/ 6? G 116 D U _? j ???????
Street Address or Route No. All____T
Section Township
Which is occupied byV
County? ?
/.q,?C'd ??4
Is a roughin inspection required on this jo6? No ? YesV Ready Now ? Will Call 0
C-) +le
Power SuppHea,4k O 64 Address
i
Electrical Contractor -'?'4 i.A ? Contractor's License No. _
(COmpany Name)
Mailing Address
Authorized Sienature J
iciocincai conrtacmr or owrt
sFd ll1:1vE BOARD copy
Phone No.
nstallatlon)
This inspection request will not be acceptad 6y the
State Board unless proper inspection fee is enclosed.
Minnesota State Board of Electricity
University Ave., St. Paul, Minn. 55104-Phone 645-7703
fYEQUEST FOR ELECTRICAL INSPECTION 5294
ECK BELOW WOAK COVERED BY THIS REQUEST
FOI
ew Add. &ep. Chec
pe of Building N Chwk heck Equipment Wired Foc
Hoe ? ? Range
? pocary W'ving ?
plex ??? Watec H ting Fixtuies
=
Apt Bldg ??D pn,ef tric Heating ?O
Commereial Bldg. ?? ? Fumace Unloader
?
Industrial Bldg. ? ?? Au Con Milk Tank
)
Fann ? ? ? List
hets
Ot ers}
1
[A ?
r?
e
r iw?cn nminw? crv uRl nul _
l.V3YlCV1li1lYJ1LV
Secvice Entrance Size: L?Vl
# --a+u
Fee u'+-•
Feedeis&Subfeedfts: #
Pee C'vcuits:
#
Fee
0 to 100 Am s. 0 Am res 0 to 30 Am eres _
101 to 200 Am s. 31 A xes 31 ro 100 Am eres '
Above 200_Amps. Ab 0 Above 100 Am s.
Tcansform :s R te Partial or other fee
Signs S eciai lns ection Minimum fee $5.00
Remarks TOTAL FEE ? SCJ
?
I, the Electncal Inspector, hereby cert 1 at td i e n has been made.
(Rough-in) „ / . Date
(Final) Date 7_Z-Z?
This request void 18 months from
%u 4 l 2006 RESIDENTIAL BUILDING rExMiT arrLicnTioN p
. City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Canstruction Reouiremenis
3 registered site surveys showing sq. tt. of IoL sq, ft. of house; and all roofed areas
(20% maximum lot coverage allowed)
2 copies of plan showing beam & window sizes; poured found design, etc.
1 set of Energy Calculatlons
3 copies of Tree Preservation Plan If lot platted aRer 7/1/93
Rim Joisl Detail Oplions seleclion sheet (buildings with 3 orless unRS)
Minnegasco mechanical ven[ilation form
RemodellReoair Reauiremenls
2 copies oi pian showing footlngs, heams,'pists
1 set of Energy Calculations for healed additions
1 site survey for addNOns & decks
AddAion - indicate Aon-sife septic system
Telephone #(
2??0
?
Date / Const •
ruction Cost
Site Address ? , UniUSte #
E- /
Description of Work
Multi-Family Bidg _ Y?•i N Fireplace(s) _ 0 _ 1 _ 2
Owner
Pro
ert Tele
hooe #(h SI) 3y)1 - 7"
p
y p
Window Concepis of Minnesota lnc.
Contractor
Address City
State Zip
E Telephane # (?? p?'V*?
cigoi ,
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Ene?gy COde Category , Residenti2l Ventilation Category 1 Worksheef • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitled
• Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed.Plumber
Mechanical Contractor
Sewer/Water Contractor
?I %
Offce Use Onlv
Certof$urveyRecd . -_Y?_N
Tree Pres Pian Recd - _ Y_ N.
Tree Pres Required _ Y_ N
On-siteSepticSystem' _Y _N
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
appr al of plans. L
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE
?
Suh Tvpes
? 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-plex ? 10 DS-piex ? 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 ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interiar ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demotish Buiiding' O 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant
DeSCriptl011: WaterDamage_Yes
Valuation Occupancy MCES System
Plan Review 100%or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV.
# of Bldgs _ Length Fire Sprinklered ,.
Type of Const Width
REQUIRE D INSPECTIONS
_ Footings (new bldg) _ Sheetrock
_ Footings (deck) _ Final/C.O.
_ Footings (addition) _ FinaVNo C.O.
Foundation HVAC
Drain 1'ile Other
Roof Ice & Water Final Pool Ftgs AidGas Tests Final
_ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick
Air Test
Fireplace
R.I. _ Final _ Windows
_
_
_
_ Insulation _ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Ufility Connection Charge
S&W Permit & Surcharge
Treatrnent Plant
License Search
Copies
Other
Total
Building Inspector
i;
,
PERMIT # ? 1 -7,),,
RECEIPT DATE:
2002 itES1DENTL4L PLUM$INfi PERMIT APi'WCATION
crrY oF Eke?x
saso rn= aROa sn
$neAMtxx ssisa
651-661-4e75
Please complete for: single family dwellings, townhomes and condas when permits are required for
backFlow preventer for ircigation system
SITE ADDRESS:
OWNER NAME: :
INSTALLER NAME:
STREET ADDRESS:
?
CG•?/? ? (MRC/1liVUC/
? /
TELEPHONE #: 6? -?3-7 - C0 /r11
,--? (AREA CODE)
CITY: O?f` STATE: r-\t\J ZIP: tolJ(y
_ SEPTIC 3YSTEM, new/refurbished (requires iwo sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding Flxtures to lower levels or room additions, excluding watar softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water tumaround - existing dwelling unit (+ 5/8" meter if needed -$118)
Other:
_ RPZ: new installation/repaidrebuild $ 30.00
_ Iawn irrigation system
ReplacemenVadditional: _ watersoftener j waterheater $ 15.00
State Surcharge $ .50
Total $ _l 5.5 0
I hereby acknowledge that I have read this applica8on, state Mat the information ia correct, and agree to comply with all applicable Ciryof Eagan ordinances. tt
is ihe applicanYs responsibility 4o notify the propaRy owner that tha City of Eagan assumes no liabiliry for any amages caused the City during it/s'normal
operational and maintenancs ac8vities to the facilitias constructed under this permlf'' City prop !ri -of-w / i
?/ D
SIGNATURE OF PER EE 1/02
i uNt, S?
CITY of EAGAN
BUILDING PERMIT
own.: JOIArr..en. 7../......Z.........l.f..l.d?..1 .:.......................?.
Address (Present) ...l..P. ?S'l../ ----.?pC•l?I.YA-d...... SI.t.K./.al.o
.............................................
.
Buildas ................................. .
Addresa ....... ----1-'? /Ji-Q.kleJ.P/4.----'°--..... v .,Y.I..*..................
6ioriec To Be Used For Fron! Daplh Heigh2 Eat. Coo! srmlt Fea Remuks
-
„7?9f AdeJ? ?-a7r9ar.
70
2.6
.37300 (1. 3 W
R ia V
N4 3938
3785 Pilo! Knob Road
Esgan, Minnesota 55122
959•8100
Dal? .lY??r...I...?}..l,C...T.?........
e
LOCATION /Z7
?
e
This permit does not avihorize the use of slree2s, roeds, alleps or sidewalka nor does it give the owner or hSs eqent
the right to creale any s[luaiion whieh is a nuisance os which presenls a hasasd !o ffie heallh, aafeip, eonvenienea and
general melfare !o enpone in the communilp.
THIS PERMIT MUST BE `REPT ON pTH E RE ISE WHILE THE WORK IS IN PAOGRE?g/S. ,.
Thls is !o ceriifp' !h°l- .,
-t4'?R.r.lr..d4.....?A :.............6ae pezmiaston !o ereet a..r Z...: . . . . ..?'..?4...tCtj,.yPen
the above descri psemise subject io the provisions ot all applie r in ces or !K f Eagan
? ?/
.? ..... ............. ...?!A.^..'..............-. ---?--.................. Per ... .. .................. .... .... ...........................................
Ma or , Huild3nq Iaspeelor
Eagan
Dakota Counlp, Minnesofa
° Applicadonfor BaiWing Permit
Tppe of building or wosk confemplaYed.
Aesidential?) Commerefal Iadusirial
Bvild Enlargs AlSer Aepair
DeYails or remarks......... Cizele eorreef descripiions.
a6 x 21/ y
PEAMIT NO.CiC.. `.Kl.Y..
ne:e -`3 =--/-/_ 74,
Oiher....... .----------------------------------------------- ......---'-------"'_ -.} ....??._...^.."--""""__'
-/ ?
-- °------°------°-----..
Iasiall Move Wreck OfSer ._------°°---...- .
e 430 .-- - --._._......----'k-'t;.•a --- I-d--------._?..?...
Loeafion M? `*11 /
,.p, JI L,
40
umbe S! ! en whaf cross sireefs ize
,: ? epe 3,oo
i Block ddiY?on Rearrangemani or Tzac!
// C' Rk? sor? Ac.?Es
Owner ..... cY.Z...?.-°.?}:"_-:z:-°-°--°--°-°--°----..._ Addzess ---Ct.O'ltir..c? --Q!sP--.?--...-----.-.--.......
Cpoeiracf°s -_?,LA.G22xo.................................... Addreas ?.2.-. .._._1...ff....
. ....... - -----'° .-r
6 ?36- - -/Z'?
,??-?? _ ,?1.0,_" ? The.undersignad hereby makes apalicaSioa for a peemit fo
`?%T?tT do work es hereia specified, agzeeing to do all wozk in sixicf
$'"""'""'"--"'""""""""'"' aecordanee wiih !he building ordinance adop2ed April 11, 1955
Total fee collecled. bp the Eagan Towaship Board of Supesvisora.
Permi4 fees ere no!
refundable. ....... ? ( f? ?UJ...W _ l...?.. ?...."?...
Signed
, , ' ' • C'?1?? ? 6
/
?r? ?DO 4? BUILDIiVG PEBNITT AYFLICA?,Tr,r? CHECK DATF':_
Lot--,L Block Addition 2ayl,sl/yt r_-,7 rV'OS
? Parcel and section number ?
? Street Wl2i r n d 1j Number
Owner v'fPn Pi e??YJ Address ?D Q_T?-? ?
Developer Address Te:ia
Zone-Ordinance #52 ?
Lot Size X Total area
Platted. Unplatted
Building SizeS z G Total area-
_
Occupancy? WL?
Type of construction "taz
Setbacks: Street sides Rear ??_.._.?.W..
'' Sides
Parldnge Total area Total spaces
Parking area setbacks:
Street side Ftear Sides
Landscape appraval ' Bond required
Special Assessments: ?
?
Sr:C charge @ $450.00
Water area:
Assessed
Unassessed ?
If assessed: Connection charga
If unassessed: Conneetion charge I`,9.° t,J/o
Lot division:
Additional assessments needed
Laterals:
Assessed
liaiver of hearing;
Needed 1/
Assessment clk? Trlater & Sewer Dept F3uilding Dept
Not needed i/
14,
e-e
Not aseeased W
Not needed
Police Dept Fire Dept (Comm & Ind only)
Descri Aion For: '
Arnol-i -,arlaon
12 ?; 'Si.l derne s ; Nn '4a ad i-
DELMAR 5%F3n, 1';nnesota 5517;
H. SCHWANZ
? LANDSURVEYOF
Heqaterea UnOei laws n'The SIate of Minnesola
? 74515 SOUTH ROBERT TRAIL P.O. BOX M ROSEMOUNT, MINNESOTA 55088 PMONE 812 423-1769
?
SURVEVOR'S CERTIFICATE .
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• ?:;1.? >. o . .
' hnraby ^ert!fy tha* th+_4 I9 .9 tnaN and correct ranr==nnta?inn o£ the
fol.loWiz[, "1pRCribed trr+ct nf lind:
'he? :iOTtR rPPt Cf
to !, 11 cf tF?, recorded DIAY, Q{? ?.kR?: nPJ ACKRF, a= on file and of racor:l in thr off:ae
of the ReptEi,er of' Depdr, 'h'.!ota Count,Y, f`inr.nsata.
V'ay 5, 1975.
MINNEtiUTA NEOiti?qATiOry ND 8625 .
Deaci'iption For
A.Arnald Carlson'•
?25y 141,ldernesa' Run Road
Eagan, Attn.neso,ta .55123;
,
DELM,AR H. SCH,WANZ
,`l?'xoi ? r ? } ,y. , ? • .
{..;yIANDSVRVEYOR"y.... ' .
YM1 5ite af Mmneiota .
??•,;:
3;qag ?
.. " ' ? . . .. ?. ..,.? ??.n.
at
,?
, _ • ??.:
„ Req?Sler'tl V ptl0??M's e1 •. ? . ..
DUTH flOBERT TRAII 'P.O. BOX MROSEMOUNT, MINNESOTA 55088 PHONE 612 123-7168
i Z 1 Q
? .
„ SURVEYORSCERTIFICA4 ?
,
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Uy ePrt!fy thr,t thfe i
'T here
F !°SolloKtng• deRCr.SDed trnCt _of,
,?='I'he north lln.'1 fent of
,._ Lot 11, of th" recor3ed nlat ?
t "oS the"RePSater of I1ee.ci§j, :Tla;
?a?ay 4519,76' i? s?«F,?•
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C}C ?'PS
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Permit
No,
issued Issued To
Contrattor Owner
BUILDING
PLUMBING
720 f rI / -74 /?A? ?/?? ?d /1'?' P
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING,
GAS INSTAILING
v ?AW
-
SANITARY SEWER
OTHER
OTHER I
Items Approved
(Initial)
Date
Remarks
Disfance From Well
FOOTING ? SEP71C -
fOUNDATION - ? CESSPOOL
FRAMING TIIE FIELD FT.
FINAL
ELECTRICAL
HEATING DEPiH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD .
PWMBING 7:Jo-71(?
WELL
SANITARY SEWER
Violations Noted
on Back
COMMENTS: ?-S?-&
?
COMPLIANCE INSPECTION REPOKTS
TO BE USED ONIY IN EVENT OF OBSERVED VIOLATIONS
PERMIT NO. DATE OF INSPECTION
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
a ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELqY.
AND DESCRIBED AS FOLLOWS:
NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
? REINSPECTION REQUIRED
REINSPEGTION REVEALED
DATE Of REINSPECTION
CERTI FICATION -1 certify that I have carefully inspected the a6ove in which 1 have no interest present or prospective, and that 1 have reporied herein
all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require-
ments for off-site improvements relating to the property inspected,
? ALL IMPROVEMENTS ACCEPTABLY COMPLETED
COIVMENTS:
8U11.OING INSPEGTOR
pa
CITY USE ONLY
LOT ?I BL RECEIPT #: 0?5'? S
SUBD. (7.".' *w 6" RECEIPT DATE: 6011" 7
1997 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
?? (612)681-4675
ate: /a- 3 0-' 9 7
Complete this section only if vou are installing HVAC in single familv, townhome, or condoa that are
under construction and are not owner /occupied.
• HVAC: 0-100 M B T U $ 24.00
ADDITIGivAL 50 M BTU 6.60
• Gas outlets ( minimum of one required @$3.00 ea.)
• State Surchazge: .50
• TOTAL:
Complete this section onlv if vou are remode6ng, addine to, or reoairine exisNne sinele familv
dwellines, townhomes, or condos.
_X Add-on fumace
_>L Add on air conditioning
_ Add-on sir exchanger, i.e. Vanee system, etc. _ Other
Minimum fee applies to all remodel or add-ons of existing residences $ 20.00
State Surcharge
Total: $ 20.50
siz'EAnDREss: lnlarrQh ki der
owrrEx N.aME: 4,3a 1rilo t Kno,b Roc, PHOrrE a: +s a-,36 a o
mrsT,sLLExrrnME: Wahlers sou-Mside f}±a ??IG InC• rxorrEa: 4a1-7a?R
v
sTREETAnnxESS: 14732 FehhocK AUe.
CITY: ?$212)f Y STATE: Wj ZIP:
.?
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o.l2C.a /R• aw-&-t-a-
SIGNATURE OF PERMITTEE
CITY USE ONLY
L _ BL
SUBD.
RECEIPT #:
RECEIPT OATE:
1997 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PiLOT KMOB RD
EAGAN, MN 55122
(672) 687-4675
Please complete for: ? all commerciaVindustrial buildings.
? mutti-family buildings when separate pertnits are not required for each dwelling
unit.
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: ?$25.00 minimum fee or 1% of contract price, whichever is greater.
? Processed piping - $25.00
? State surcharge of $.50 per $1,000 of permit fee due on ail permits.
CONTRACT PRICE x 1 %
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME: TELEPHONE #:
TENANT NAME: (tnnrROVenneNTS oNLv)
INSTALLER
ADDRESS:
cirr:
PHONE #:
SIGNATURE:
SIGNATURE OF PERMITTEE
STATE:
ZIP:
CITY WSPECTOR
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: B U I L D I N G
3830 Pilot Knob Road Permit Numher: 0 2 4 5 2 4
Eagan, Minnesota 55123 Date Issued: 0 9/ 13 / 9 4
(612) 681-4675
SITEADDRESS: Lor: ii aLocK: APPLICANT:
4321 PILOT KNOB RD SUBURBAN ROOFZN6
CARLSON ACRES (612) 755-0423
PERMIT SUBTYPE:
sF (MZSC.)
TYPE OF WORK:
REPAIR
DESCRYPTION (ROOFING)
INSPECTION
FRAMING ., .
ROUGH IN PLBG D•
ROUGH IN HTG FINAL
? ?
;(CiTY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
(RtlOFING)
e4fildinV>P,ermit 7ype SF (MI3G.)
Buildzng W?c_k?Type REPAIR
?
?l
?
_./
5 f
PERMIT TYPE:
Permit Number:
Date Issued:
3L/ 7
91131??
BUSLDING
024524
09/13/94
SITE ADDRESS:
P.S.N.: 19-16400-110-00
PERMIT
4321 PILOT KNOS RD
LO7: 11 BLOCK:
CARL30N ACRES
DESCRIPTION:
t? \?` ') t i e?? i "
`i? ??•yif ?.i?.?,tl
REMARKS:
FEE SUMMARY:
Bese Fee
Surcharge
Total Fee
VALUATTON
$54.00
$1.50
$55.50
$3,000
CONTRACTOR: - Applicant - 5T. Lrc. OWNER:
SUBURBAN ROOFING 17550423 20007847 RIpER WARREN
13415 CROOKED LAKE BLVD 4321 PILOT KNOB RD
ANDOVER MN 55304 EA6AN MN 55122
(612) 755-0423 (612)452-3620
I here6y acknawledge that Z have read this application and state that Che
informataon i,s correct and agree ta aampiy with all applfcable State of'Mn.
SCaCutes and CiCy'of Eagan Ordinanaes.
, CANT/PERMITEE SIGNATURE ISSUED B SIG TURE
I
CITY OF EAGAN
1 4514 ? 1994 BUILDING PERMIT APPLICATION
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in whicfi request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date /q 1-4_ Valuation af work zO3-o k?.-
Site Address: ?!gZ I /o4 K?ne6 ?'«l.
?
STREET
SUITE #
Tenant Name: (commercial on1y)
LOT BLOCK ? SUBD. C??orL, r)"tW?. P.I.D. #
Descri tion o£ work: Aa*oa
The applicant is: ? Owner Li'COntractor ? Other (Describe)
Name W??.-e., Phone 36 z n
Property LAST fIRST
Owner Address ?3 2 ( /-l /o-f k'rt c,-4 i2c{.
STREET STE #
City 5tate 4-1 . Zip 53 /Z2
Company Phone 75's-0 Y23
Contractor Address /3 cIrP C?o? License #Exp.
City 4, cyave?- State l'2i Zip Ss.3oy
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
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.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
O O1 Foundation O 06 Duplex ? 11 Apt./Lodging
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Additian ? 08 S-Plex ? 13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of 5tories
Length
Depth
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
? Site
? Wallboard
Basement sq. ft.
lst Fl. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
? Footing
? Final
? Framing
? Draintile
? Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W 5urcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
valuec;a,: $
r
;.
? 16 Basement Finish
0 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 PubliC Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRV Required
Boaster Pump
Fire Sprinkler
Census Code
SAC Code
Census Bldg
Census Unit
Assessments
SAC %
SAC Units
WAIVER OF HEARIYiG
REQUEST FOR IITILIT`I IMPROVEMENTS
I/We hereby request o£ the City Council, City of Lagan,
Minnesota, utility improvements on and over property owned by me/us as
followss (Mention type of improvementf e.g. water, sanitary sewer, etc,)
U? of I,ot ll Carlson Acres, Lateral benefit £rom trunk water on
i ot o 0
The location of said utility improvements shall be generally as follows;
100 feet at $6.90 per front foot =$690.00
I/F'e hereby waive notice of any and all hearings necessary for the
installation of said improvements and further consent to any assessments.
necessarily levied by the City of Eagan for such improveenents.
I/Ve further agree to grant to the City of Eagan any easements neces-
sary for the iastalltion of such improvements.^
It is further understood that this request shall be reviewed by the
Cit,y Council of The City of Eagan.or its agent and I/we will be given
reasonable notice as to whether this request is possible under present
utility gLanning as to timing' locationy etc. '
Dated e May 17 , 1976 _ 7C ._(A
74n o/ 0.4K«,.,cQ Av e Sv .
?eauest accepted by A? 6&Ae,, u?? Date 7-i>--7t-
City of Eagan '
Request referred to ?=tS' Engineer: D te
Copiest 1. City
z, City Engineer
3. A.pplicant
YILLIIOE OF EA6AM SEWER SERVICE PERMIT
3795 iifotKnobRood PERMIT NO.: 2792 8/12/76
Eagao, MN 55144 DATE: 1
Zoning: RI No. of Units:
Owner:
Address: Lll No• 100 ft Carlson Ac Site Address: 4321 Pilot Rnob Fd•
Plumber: same
5/17/76 N 2938 100.00
350.00 pd
1 ogne fo comply wifh ehe Village of Eagan Connection Charge:
Ordinoncas. Account Deposit:
i n nn ..a
Permit Fee:
Surcharge: FO nd
By. Misc Chazges:
Date of Insp.: TOtal'
Insp.: Date Paid:
VILLAGE OF EAGIIN WATER SERVICE PERMIT
3795 Vilof Knob Road PERMIT NO.: 2031
Eogon, MN 55122 ' DATE: 8/12/76
Zoning: RI Na. of Units: 1
Owner: -Wdt=en L R4er '
Address:
Site Address: 4321 PilOt Rnob Rd. Tlson A
Plumher: Sam¢ ? SQ.,.QOi d
Met o.: 248(13851 Connection Charg8;60.00 Pd
e: 5/8 Account Deposit:
Reader No.: 795446 permit Fee: 10.00 pd
1 a fee tq?comply rhh the Village of Eagan Surchazge: • 50 Pd
O?fdn ?s7 'P Misc. Charges: 60.00 .pf1
Total: 11.30 pd
By Date Paid:
Date of Insp.: Insp.:
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4321 Pilot Knob Rd
Lot: 11 Block: 0
PID:10- 16400 - 110 -00
Use:
Description:
Sub Type:
Work Type: Reroof & Siding
Description:
Census Code: 434 - Occupancy:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 6,000.00
Contractor:
Gopher Company
2701 36th Ave S
Minneapolis MN 55406
(612) 331 -1555
Addition: Carlson Acres
e- Reroof & Siding Construction Type:
Reroof: If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar.
Siding: When installing ventilated soffit material, remove existing material (ie: debris that could block vents) and take steps
to ensure maximum ventilation to attic. Call for final inspection after installation.
Marie Mollers
BL - Base Fee $6K
Surcharge - Based on Valuation $6K
Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply
of Minnesota Statutes and City of Eagan Ordinances.
h all applicable State
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
$132.75
$3.00
$135.75
Owner:
Kenneth F Peterson
4321 Pilot Knob Rd
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
Issued By: Signature
Building
EA084871
08/01/2008
ePermit
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA156183
Date Issued:06/19/2019
Permit Category:ePermit
Site Address: 4321 Pilot Knob Rd
Lot:11 Block: 0 Addition: Carlson Acres
PID:10-16400-00-110
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 -
Kenneth F Peterson
4321 Pilot Knob Rd
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA156966
Date Issued:07/26/2019
Permit Category:ePermit
Site Address: 4321 Pilot Knob Rd
Lot:11 Block: 0 Addition: Carlson Acres
PID:10-16400-00-110
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kenneth F Peterson
4321 Pilot Knob Rd
Eagan MN 55122
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA157120
Date Issued:08/06/2019
Permit Category:ePermit
Site Address: 4321 Pilot Knob Rd
Lot:11 Block: 0 Addition: Carlson Acres
PID:10-16400-00-110
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Kenneth F Peterson
4321 Pilot Knob Rd
Eagan MN 55122
(651) 303-7427
Bayport Roofing And Siding Llc
2240 Edgewood Ave S, Suite 201
St. Louis Park MN 55426
(612) 235-7663
Applicant/Permitee: Signature Issued By: Signature