4461 Reindeer LaneCASH RECEIPT
CITY OF EAGAN
P. O. BOX 21-199
EAGAN, MINNESOTA 55121
DATE - ' ? 19
R[ClIV[D . i ._ .. ` ? ?
AMOUNT ` i $
& DOLLARS
+oo
F]CASH Q CHECK
. •?? . ?-/ ` .f ? / / . ,t ? . r ._+' . .
FUND COOE AMOUNT
i?
? .
j "
? ' •
Thank You
.?
BY ?-" ?
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
? CASH RECEIPT ?
,
CITY OF EAGAN
P. O. BOX 21-199
EAGAN, MINNESOTA 55121
: .
DATE 19
i
AMOUNT
$ . t . I ? .._.
&- DOLLARS
?oo
? CASH ? CHECK
row -- ? ` % 7!-• : , <. - ? ? .
FUND CODE AMOUNT
Thank You` - ?
BY ?? ?''?? YVhite-Payers Copy
C:Yellow-Posting CoPY
Pink-File CopY
•?•g#??--- . •r;?,?,?;. . . . , ? .,....._ .a?-.t?---.••.o•- . _ .._.,?...-?.-•..r-...... . .?;s?r.s.ae,?l?0!
? CITY OF EAGAN
. 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
' PHONE: 454-8100 ` , `• ?' ??
BUILOING PERMIT Receipt #
_ .,
To be used for DIM Est. Value ?? ,00u Date JUNK 13
Site AdilSS WMl 11blM/i8x i.lf
OFFICE USE ONLY
Lot Block Sec/Sub.
ParCel No occupancy - FEeS
. 2
i
on
ng - 23,00
Name (Actual) Const - Bldg. Permit
W
; Addf2SS (Albwable) e 6 50
- Surchar
0 LUM
City PhOne of Stories
+k g
h plan Review
SAM Lengt -
o Name Dep1h - SAC. City
,
? 4 Address S.F. Total - SAC
MCWCC
? City Phone S.F. Footprints ,
-
t
S
S Water Conn
ewage
pn
i
e _
?
W W
Name
On Site Well
- Water Meter
z
AddfesS
MWCC S tem
?2 ? acct. Deposil
? W City Phone Ci Wate
?' _
i
R S/W Pet7T11t
PRV
equ
red _
1 hereby acknowlege that I have read this application and state that the Booster Pump - S/y,l Surcharge
intormation is correct anif a?ree to compl with all applicable State of
Minnesota Statutes and ' of E_ ;Oei?iarices. • Treatment PI f
Signature of Permitee V" C't` ? APPROVALS Road Unit
A Building Permit is issued to: 11111? ? RLIMMM ktvm Planner Park Ded.
on the express condition that all work shall be done in accordance with all Cou^cil --
applicable Slate of Minnesota Statutes and Cily of Eagan Ordinances. Bl ?, pry, _ Cap?es
•
Building OttiCial " Variance - TOTAL
Permk No. Permft Holder Date Telephone #
WATER
SEWER
PLUMBING
H.VAC.
ELECTRIC
Inspectlon Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Cpnsl. Mgter Plbg. Inspector - Noti(y Plumber
EngrJPlan
Bklg. Final
Deck Ftg. ?
oedc Final p
Well
Pr. Disp.
CITY OF EAGAN
' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT ReuiPt #
563'000
Te bo oad fer Est. Value Dot
---- - e
- 19
--
,• ?, i t:I Ni?r: }',R LC?
Site Addr?ega Erect r
Lot I elock ' Sec/sub. FAWN'R7 Dc -,1: Remodel Ll Zoning
Parcel No. Repair ? Type of Const.
Enlarge ? No. Stories
GFlOCO HOf•1r'.S IN:: Move ? Length 42
? Name
ILL
Demolish
?
Depth -?
? _Ii?i , _T-Q__A j Grade ? Sa. Ft.
City -
Name _
Su Address
? Citv ,
Phone
Neme
Address
City
Phone
Nssessment Permit T
Water 8 Sew. Surchorqe -
Police Plan check _
Firo 5/1C
Eny, Woter Conn.
Plonnet Woter Meter
Councll Road Unir _
1 hereby ockrowled9e that I haw read this applicotion ond state that gldg. p{f. Parks
the informotion is correct ond ugree to comply with all oppliceble APC Totel 414,832.5y
Stota of Minnesoto Stotutes and City of Eagen Ordinances, Ver. Date
Sfpnoturc of Permittee
oll work sholl be done in accordonce with oll applicable State of Minnesota Statutes ond City of Eaflen Ordinances. ..ADOrovols Ftss
GR-OCO Hu?!B8 I
A Building Permit Is issued to: on the expross oondiflon Ihot
BuHdirp Official '
Pwmit No. Permk Holdsr Date
Plumbiny a-? 1
H.VA.C. 516 q ?ly v i ?P c'J=? ??} t ?/ (p C
Ebctric
/O.0
sofcen.r
Ir+spection Date Infp. Other
Footingt 41
Foundstion
Framinp
Rough PI6g
Rouph HVAC
Inwlation
r
F inal Plbg.
Final HVAC
Final
Cert/Occ.
Watar ??ibe Loestion:
Well
Sswsr
Pr. Diap. ,
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
Frll in numbered spacea S/C
Type or Print legrb/y Tot
1. Date 1 2. Installation Cost
3. Job Address Lot Bik. Tract
4. Owner
5. Contractor Phone
6. Address
7. City State Zip
8. Building Type: Residential C)
9. Work Description: New 0
Commercial ? Institutional ?
Add ? Alier 0 Repair ?
10. Describe Fuel Type
11,
No, Eauioment BTU - M. Ea.
Forced Air No. Equipment CFM
Ai
dli
H
Mfg. r
an
ng:
Boilers '
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg,
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed
Inspections: Date
Rough
_ Insp. Date
for
f inal
Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464,8100
Receipt
1. Date ? - /(,
3. Job Address
4. Owner
5. Contractor 1 1 -k,? < <`_
.UMBING PERMIT Permit No.
;17!Y OF EAGAN
Fae
'l in numbered spaces S/C , ?_ ' •
rpo or Print /egib/y Tot. • - ?, ?
Installation Cost
Lot Bik . _ Tract
?
Phone
6. Address ??1C? -T (f e (% 1 v 1,t
7. GtY ? State . ?_ Zip
8. Building Type: Residential 0?, Commercial ? Institutional ?
9. Work Description: New ? Add O Alter O Repair ?
10. Describe
11.
No.
1 Fixtures
Water Closet No. Fixtures
ool/Drainficld
Cess
Bath tubs p
Septic Tank
/ Lavatory Softner
Shower Wetl
Kitchen Sink
Urinal/Bidet Other
/ Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outleu
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinanoes and codes governing this type of work.
Signed :
for
Rough Flnal
Inspections: Date Insp. Dete Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN Remarks
Addition F'AM 12IDGE ADDITION Lot 15 Blk 3 Parcel 1.? 07,
Owner Street 4461 RPindppr T.anP StateFagan, MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 19g1 172.05 A015?.1
STREET RESTOR. 19 4 4
GRADING 1981 61.26 $ 15 40.86
5AN SEW TRUNK 1981 205.44 27
20
154-09
SEWER LATERAL - .
ii
WATERMAIN
WATER LATERAL "'d 1981 3
WATER AREA
Wa -? 1 8 7 1,4
STOf1M SEW TRK 1985 557.79 37.19
4 520.61
STORM SE ? 1984 222.51 22.25 10 178-01
CURB & GUTTER
SIDEWALK
STREET LIGHT
Roa n t 260.00 4048045 12-3-84
WATER CONN. !}]O.QQ 11
BUILDING PER. #97 11
SAC
PARK
CITY OF EAGAN SEWER SERYICE PERMIT
3830 Pilot Knt b Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 65121 DATE:
Zoninp: No. of Units:
Owner. CY4Ct0 T3(1T.:e8 ILtC
lldd?ess:
Slte Addrow:
Plumber:
I pm te esnlpy? wMii liw Ciry of tase¦ Conrnction Chorps: 4' .`.' .00 pd
polmnoa, Accmint p,eposit; 15 .`JO nd
p*r,,,it Fee: 10.00 pd
i?
Surcharpe: .50
By Misc. CharOes:
Date of I rop.: Totd:
Insp.: DoM Poid:
? CITY OF EAGAN WATER SERVICE PERMIT
i, 3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagsr., MN xF-121,7 I DATE:
2oninp: No. of Units:
?nen L?c?O }TOTCS I ": C
Add?ess:
^cindeer
Sih ??: 4461
In L . E3 FaWn
Ridge
Plumber.
Mater No.: Connection Chorge: 470.00 I, ?
Size: 1leoourn Deposit: 1?. 0?
Readsr No.: Permit Fee: 10.00
n<. i
..0 r'd
I qwe !e eontrFj wilh IIw Cihr of Eopw Surcharpe:
i Or?iMnaa Misc. Chonpes: 63.(!^ ncl meter
.
? Total; and horn
f By Dote Poid:
Dote of Insp.: Irop.:
CITY OF EAGAN
3830 Pilot Knuh Road
P. O. Bax 21199
Eagan, MN 551211 T
Zanirg:
GrW
Owrn
r,
ross:
Sits Address: .: ?'?
? Plumber: r I' ?
Metsr No.. ?
RAOdsr No.: ?.?
1 sow Io omVlf M'WA
gy ? ..- -4L / ) ?--- -
Date of I rup.: a
8? .
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
-Alo-of Units:
P d
Account DeposFt: 3.07 d
Pennlt Fea: i '). OC pd
Surcharge: . . 3
t?
??d
Misc. CMryes: 3,1) n F' d r-r
Total: ard !7or•-:
Date Paid:
' CITY OF EAGAN
• (VO 1 $OOS
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
r PHONE:454- 8100
BUILDING PERMIT Receipt # L/ a 7
To be used lor DECK Est. Value $1, 000 Dare .TIJ NE 13 , 19-9Q_
Site Address 4461 REINDEER LN
Lot 15 81ock 3- SeGSub. FAWN RIDGE OFFICE USE ONLY
Parcel No. occupancy - Fees
Zoning
-
ROBERT & ELIZABETH JAIdICKI
Name
(ACtual) Const _ 25.00
Bldg. Permit
W
3 Address 4461 REINDEER LN (piiowaeie) _
50
° Sumharge .
City EAGAN Phone ZZ$-7018 xorStorias _
Plan Review
Lenglh _
F Name SAME oepm snc
Ciry
?
ga E1ddf055 -
S.F.TOtal - .
SAC,MCWCC
City Phone S.F. Foolprints _
Waler Conn
On Site Sewage _
•
?w
Name
OnSilaWell
W
t
M
t
- er
e
er
a
E
3 AddleSS MWCCSystem _
,
a W City Phone City Water _ Acc?. Deposil
PRV Required _ S!W Permil
I hereby acknowlege Ihat I have read this application and state Ihat the Booster Pump - SNJ Surcharge
information is correct ?utl-ag ee to comply with all applicable State of
Minnesota StaWtes aljd Ci Ea diaaqsee- Treatmem PI
SignaNre of Permitee
EZ APPROVALS qoad Unil
amErivimicKi
A Building Permil is issuetl to:
IIOIERT pg
Plannar -
park Ded.
on Ihe express condition thal all work shall be done in accordance with all Council
applicable State of Minnesota StaWte
s and Ciry
oi Eagan Ordinances. Bldg. Ott _ C0P1eS
I
J
BuildingOfticial ?vil 1 n(V Variance - TOTAL 25.50
CITY OF EAGAN NO 9761
11830 Pilot Knob Road, V.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Recelpt #
SF DECEMBER 3
84
DWG/GAR
$63,000
Te ba uaed 4er _ 1y
pO1e
Est. Volue
SiteAddress 4461 REINDEER LN Erect L`l ,?r Occupancy R3
-
?lot 15 Block 3 cec/Sub. FAWN RIDGE Remodel ? 2oning H-L
Parcel No. Repair ? Type of Const. V
Enlarge ? No. Stories
GROCO HOMES INC Move ? Len9th 42
? J
= N,me
6655 CAHILL Demolish ? Depth46
9 Address
INV GRV 451-1964 = Grade ? Sq, Ft.
HT$n
City one
SAME
o Name
Address
. .
? City Phone
Fw Name
? Address
?
ww City Phone
Approvols Faes
Assessment -
Woter 8 Sew,
Police -
Fim
Erp.
Plonner -
Council _
Pertnlt ?? 3LL.VV
Surcharge 31.50
Plan check 161.00
snc 525.00
Water Conn. 4 7 0. 0 0
WoterMeter 63.00
Road Unit 96(l -fl
I hereby acknowledge thot I have read this applicotion ond stote thaf gldg. Off. Perks
fhe informafion is correct ond a9ree to comply with oll opplicable APC Total 51.832.50
State of Minnesota Statutes ond City of Ea9on Ordinances. ?
y.,,, Var. Date
. Sipnature of Permittee ?,, i \ • ( .4 )
A Building Permit Is issued to: GROCO HOMES INC on the express wrditlon iha+
all work sholl be done in accordance witp;*l oDDIim4la4tote of Minnesota Statutes ond Ciry of Eapon Ordinances.
Buildino Official
.
ALL C(3NTRAt`.TORS MUST BE LICENSED WITH THE CITY OF EAGAN
INCLUDE 19 SETS OF
T
I PLANS,
? 7 SET
OF
ENERGY CALCULATIONS
To Be Used For: '7•F DWG. 4P0-, Valuation: ,??- Date: ? r-/? -,7L1
Site Address: ?? y6 / (Z w.;.c??t? ?
?'?,? . ?3?d • -'
? T
•
Lot:/ S Block3 Sect/Sub: FPwN Fipi;e Erect: x Occupancy: R•3
Parcel #: Remodel: Zoning: Q-?
- Repair: Type Of Const: g
Owner: Enlarge: $ Stories:
Move: Length: ?
Address: pemolish: Depth: ?
City/Zip Code: Grade: Sq. Ft.:
Phone #:
Contractor:
Address: 6-6-
City/Zip Code:
Phone # : ? S ! (t41Q
Arch./Eng_ ?1E.QtJt> (-RP
Address:
City/Zip Code:
Phnna$- 09 "?- I?ZD ?Rl`( ?OBE215>
Assessments:
Water/Sewer:
Palice:
Fire:
Engr.:.
Planner:
Council:
Bldg. Off.:
APC:
Variance:
Permit: 3ZZ. °-°
Surcharge:
Plan Rev.: ?L'1.=
sAC: 525."
Water Conn:
Water Meter
Road Unit: 210.el
.Parks:
? /, 'J?)a SC
ZZ x 3(?, = 7q z? 54 =? z-7 G8
I? ? IG ° 252x?4 - CoOv
X24" ".55Zx I l - Q70 -7 Z
(o 2440
q REQUEST FOR ELECTRICAL INSPECTION Ee-°°°°'?e
e , Sea instrucHens fw comoleiim this-lmm on bnek ot yollow copv.
B16169 ""R"" Below Work Covered by This Request l
d Rep. Typa o( Building Apolia.rces VireA Equioment Wired
ome Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt Building Oryer Electric HeaUn
Comnercial Bldg. Furnace Siio Unloader
fndustrial BIAg. Air Conditioner Bulk Milk Tank
Othei Veu(y Other ISVeofyl
r Specify Other 011,er
Compute Inspection Fee Below
p Fde Service E p Fae Feaders?Subieaders P Fee Gircults
Z O tu 200
Amps. 0 to 30 Am s B 'Z 0 to 30 Am s
A
Above 31 to 100 qmps Spp 31 to 100 Arnos
Swimmi Ahove 100_Am Abov¢ 100_Am
Transior Irtigation Booms ' p Panial- Other Fee
Signs Specialinspec!ion $ Xe.r4s T
.sN l S'? !f? 00
ibuph-in Oate ?? [he Elec '
? ? ??s or? I?greby
CBlIifY 1110t t11@ 8bpVa
Final Date .mi,ection has been
-aa.
111ftrequestvaa1g?1,stmso
Th,= ?.es b,d ?I £?S
,8?????9 Y) . crzi
flepuest Da1e
r?C^??
6 Fire No. flough-in Inspeclion
Nequfretl? ?
Yes No
jffo dy N Will NutifV InsOec-
? When Ready
? fye?jd Elecuiwl CoMracmr 1 hereby repuest iRSpection of above
QOw?r electriral work irstelletl aL
Phorie No.
v -e,->
I
MIN6I0(OTA 5rA7E BOARD ELECTIIICITY THIS INSPECTION REQUEST NILL NOT
Grigps-YiAveY gld9- - Itlatti N-191 BE ACCEPTED BY THE STAIE BOARD
1821 UniversilY Ave.. 5 eul, YN 55709 UNLE$$ PpOPEN INSPECTION fEE IS
Phore (?'+721 Zg/-2111 ENCIOSED.
y fEQUEST FOR ELECTRICAL INSPECTION EB-°°°°'-°°
? q
-h- instruetians for completing this fam on back of pellmv eopy.
< 4` "X" Be/ow Wark G'overed-by 7his Request p 7
Mm4 Ad4 jRsP.j 7rae of euilei.w noaliamaa Wirad Enuioment wi•ea
Hpne Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. 8uilding Dryer Elechic Heatin
Covmercial Bldg. Fumace Silo Unloader
Indistrial Bldg. Air Conditioner Bulk Milk Tnnk
Farm ONer Pec' v ntber ISDeciNl
, r $Pecify Other Othar
Comoute lnspeciion Fee Belaw '
• Fee ServicaEntranceSize k Fee Feetlers/Subfeeders k Fee Circuits
0 to 200 0 to 30 qm 0?? 30 A
Above 200 Amps 31 to 100 qmps 31 xo 100 q
Swimmin Pool Above 100_Amps Above 100_A
Transtormers trrigation Booms ,(? Partial:'Other Fee
Signs SVeciallnspection.
5
f?
?
8emerks r0? TOTAL-FE
/ /Q ?
? OG
RoupM1-in - Dale 1, the lecti
Incpector, hgreby
ity that tha a6ove
Final
z" DTIe
}0•sy inspeetion has Eeen
?ae
? .
Tar?.m.?•aaie" msfromn
,^5283? ?1?81g?
iaun. 1?.?P? 10 • o c.?
st Date
l 7 ? Firp No. pe9uned7 nsper.?ian ?Re Now DdWi11 NotifY InsPec-
t
h
?Yes afNO or W
en Ready
Licensetl Electriwl ConVacror 1 hereby repues[ insoKtian 01 aGove
?Owner electriwl wwk installed at
Street Address, Box or 1io No. Gtv
y?IG?/ ?La-n? r-.-.
tlo
(Company
- CO•vT,?ar??°?
Address
03
1 y37- 9-535
YINNESpTA STATE BOARO OF EIECiRICIT' a TMIS INSPECTION REQUEST 1NILl NOT
Griypaalidwey Bidp. - Ibom N-191 8E ACCEPiED B1' THE STATE BOARD
1821 ilniversiry Ave_. 3[. Paul, YN 55106 UNLE55 PpOPER INSPECTION FEE IS
ENCLOSED.
PMm 16121 2972111
, • Li-g5
CORRECTIONS 'ib BE MADE AT 4461 REIINIDFER LANE -
APRSL 24, 1985
1. Relief valve on boiler discharge run within 18" of £loor.
2. Need main gas valve inside building.
3. Fitt;,,gs on gas line that are not malable iron must be changed.
4. 3° clean out tie on vestical under steps.
5. Vacuiun breakers on outside silc:ock,
6. Support horizontal waste lines,
7. Schedule 40 caps on future rough-ins.
8. Firewall in garaqe must be ccmplete,
9. Handrails must be retuxnecl.
10. Vent pipe on boiler had back pitch. Must be corrected arxi all
vent pipe must be screwed together.
tJl I? I? 2005 RESIDENTIAL BUILDING PF.RNIIT APPLICAITON
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 4 651-675-5675 FAX # 651-675-5694
New ConshucGon Reauirements RemodeVReoairReauirements Office Use OMv
3 registeied site surveys 5howirg sq. tt. of lot, sq. tt. of house; and all rookd areas 2 copies of plan Cert of Survey Recd _ Y_ N
(20% maximum lot coverage allaxed) 7 sel af Energy CalculaUans for heated additions Tree Pres Plan Recd Y_ N,
2 copies of plan shawing beam &window saes; poured tound design, etc. 1 site surveyfor addalons 8 decks Tree Pres Required' i. ". - _Y_N
1 set af Energy Cakulalions Addifron ? indicate ifaisite sep6c sysMm On-sile Septic System _ Y_ N
3 wpies of Tree Preservation Pfan'rf IM platted after 717183
Rim Joist Dalaa Options seieUion sheel (buldings wifh 3 orless unils)
Date 7/ 0 ? Construction Cost i
Site Address W/z / /
,?P??/J z°el L4+Y ?
G?lS¢s7 ???2 ? Unit/Ste #
,
Description of Work C /??C
Multi-Family Bldg _ Y X N Fireplace(s) _ 0_ 1 _ 2
Property Owner Telephone # ((S( 73
?
44
Contractor
F4
4t ?3
Address ? lr City
State /v/d1 Zip Telephone #((,/z ) 7404 3
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
? e ules 7670 Cate o 1 Minnesota Rules 7672
Energy Code ?. Resid? I VenGlation Category t Worksheet • New Energy Code Worksheat
(Jsu6mission g? 1 mip ,d Submitted
U uL ??•Z?rgyitrivelope Calculations Submitted
?
Have you pi
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 in e case of work which requires a review and
apprn6dl of plans.
? s4114( ??Z-
Applicant's Printed Name Applicant's Signa
in Eagan with a similar plan8 _ Y _ N If so, 25% plan review
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex O 13 16-plex ? 20 Pool ? 30 Accessory Bidg
O 02 SF Dwelling ? 08 06-plex ? 16 Fireplace O 21 Porch (3-sea.) ? 31 EM. Alt - Multi
? 03 07 of _ plex ? 09 07-plex 0 17 Garege ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex O 10 OS-plex ? 18 Deck O 23 Porch (screen/gaze6o) ? 36 Multi Misc.
O 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? OB 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 S+ding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCRment •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
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Final/C.O.
_ Footings (deck) _ Final/No C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AirlGas T ests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
- RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Conatruetion Reauiremanh
• 3 registered site surveys showing sq. N. of lot sq. R. of twuse; and all mofed areas
(20% maximum Iot wverage allowed)
• 2 copies of plan showing beam 8 window s¢es; poured found design, etc.)
• 1 sel of Energy Cakulations
• 3 copies of Tree Preservation Plan if lot platted after 7N193
• Rim Joist Detail Options seledion sheet (hldgs with 3 or less units)
DATE Z/- S% GZ
_-SITE AD SS y CCs / "'?7 dtl r UV MULTI-FAMILY BLDG _ Y _7?- N
pq? ??-
4YPE O ORK Ri 9-c1 pr FIREPLACE(5) _ 0_ 1_ 2
APPLICANT
J -
STREET ADDRESS V4 I?i . n ?.Lu r G n/ CITY d4 $ 4.r STATE/ni? ZIP, SS, /2J
TELEPHONE # Q s2 -7tl1,L935 CELL PHONE # FAX # a?7??XJC?O
7
PROPERTYOWNER KAt9,G) 3TELEPHONE#GSf-/S'l Z9G/
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNFSO'fA RULES 7670 CA1'GGORY ( MINNESOTA RULES 7672
(J suhmission type) • Residential Ventilation Calegory 1 Worksheet Submitted • New Energy Code Worksheel Submitted
• Energy Envelope Calculations Submilled
Plumbing Contractor: ___
Plumbing system includes:
Mechanical Contractor:
Vlechanical s}•s[ein includcs:
Sewer/Water Confractor:
Phone #
Phone #
Fee: $90.00
Fec: $70.00
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan/ ?Ord?inar1,ces.(
Stgnature of Applicant
OFFICE USE ONLY
Phone #
_ Water Softener
_ Water Heater
No. of Baltis
RemodeUReoair Reauirements
• 2 copies ot plan
• 1 set of Enefgy CalalaNans for heated additlons
• 1 site survey forulerbradditions & decks
. Indicate if home served by septic system for additlons
VALUATION ? ?5?'A3c?
L.awn Sprinkler
No. of R.I. Baths
Air Conditioning
Hcat Rccovery Systcm
CeRificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY -
? 01 foundation ? 07 05-plex O 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (&sea.) ? 31 Ent. Alt - MuIG
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) O 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 38 Muitl
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration O 37 Demolish (Bldg)' ? 43 Reroof ? 48 WindowslDoors
? 34 Replacement 'Demolition (Entire 81dg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
N6r. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Foo[ings(new bldg) _ FinaVC.O.
_ Footings (deck) _ FinaVNo C.O.
_ Footings (addition) _ Plumbing
Fomdation 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 (new/teplacement)
_ 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
Total
Building Inspector
.; .:
?. ..,
;, .
EXTERIOR EI1Vy:,CPE AVERpGE "U' COII?JTATI0:7
OPNER _ p fC (kC. .?. V-'' Y(-
SITE ADDRESS_ Y 416 ? R??,? ? r
CONTRACTOA_(j/?a z41C DATE PxorrE
DeLermine working square Pootage of each.
1. Total exposed wall area ... 1 -70 6_Sq, ft. x,11
2. Totsl rooflceiling•area ... f(?° sq. ft. z.026
Total exposed wa1Z area aLove floor 7 $
a. Total wall winCorr area ?
b. Total door 2rea .. . ?,,,.
c. Total sliding glassarea ...... .?
d. -Tota1 fireplace o?all area ......
e. Total.wall fra?ing area (averaged0$y... a 1•?,g
f. Total net wall area above f2oor
g. Total rim joist area ................... r7 o,:?c
Total exposed fouadation area a (v o i 7
h. Total foundation window area .......... O
1. Total aet foundation area above grade .ttm
Determine "U' value of each wall segment.
' S. E??jJ?' s 3?.? y
b. 3;'Yy J( trUt;
C.
" r L ? o X"U / ??y
° ?
D . X "U :°
E. 02 /. X t.Uit
f. c? --e X"Ul: , a v = 68. .?T
g• /70 Lr X nU- 1 O ? ° ?a
h. o X '•U' e . e?_
i. e.1 X,:U„ ? . as
Q i87.L6?
. ,??_? a. ?
3............................................. Total. - l 6 ? l ?
If Sten #3 is the same as, or less than item 61, you have met the
intent of SBC 6006(c)2.
: -
. ?. • .. . . ' r• . _ -
. ?. ? ,
,
Total exposed roof/ceiling area:_
?. Total akylight area ..................
C
k. Total roof/ceiling frar.?.ing area(average 10?)-
- 1. iotal net insulated roo:/ceilinC area .......? b
Determine "Ul value for each roof/ceiling seer.rent.
J. 9, 6 6 A I'v TTiI \ j[ Q 3 6 S
?
k, a q/ X,:U(: 6L
1. G 3 x• -:UI, a p$3 a? e 4. 7
a .........................................Totzi ?
___ Zf total of_ #ais the sa.ie as,_ or_._Iess than_f'?, you _ha..v_e__met the
intent of 5BC 6006(c)1.
Alternate Buiiding Envelope Desira
To utillze the total envelope syster method, the values established
by the sun of items .43 and N4 shall not be greater than the sum.of
'jtET15 'n'1 8Rd 82.
1. + 2.
_
3. + k. _
?
?.-
?
\ ? ((a 7fs4.l2 d? felo•ag? ,? ?
la
\\ So \/ ?$1r•70 ss,t e? 26? °'46°4e 4z" \\
\
NO
34.89 V
A ?
? S T? ` P ?'i?-IT,o3? ? ?` a( 1 23,q??? $ '?
R ?\ p, i3 Z1 ? ? _ i <.=c
0 Z-18.? ?4pr? vl?
04'sx"jw i ? 7 ti 4. 2Z, 1
n
?S
0 99- ? ? ?iE .W LIfY E45EMErJTL 1 - / *
Ia
4 N "M T Q? ?. N? 42e
?A / {? 27s_b R ?TI o
bW
0 td' e'• Q+ ? ? '?E7•372"W
z2 3'c
CPN =S SBil19'1 -
? ? / ? ? ? ? ? A `'•• ?O'o ? ?? 'p'?? ' N I,?°,? Z
u
'-`w?v
? ! r7,
? i i ` ? 6.t.i. \ 12 ?'j1'- o ,? ?z•e
??-„•? , , 5 ? ?E ,?.? ? ?r °, ;?: i
-"?? "?' ?c a? \?,p? % ??i ? s ^??9e ? ? \? i•°??'.?? ? ??°? ?? 4
? "• eq > e ?as?, j/ 8 vvz\??° / v i?+"? 3s• ?? ?/ y
Iq
? ? \ ?/ 2 .?h NI ? ? I Y\ y W\\ / Ny ?? ? • !?? n!
? ? ea?3sc \ ??u j
?? / S .? \?• b a?? ??
?•rs\ .? 1'? , _I S 1 ? 'a. ?
??
10" j° ?
'6 °a:\ ?• \ ? - -, ;
Q \ ?? ` ? ? ? • ? '?? / r • ?
? ?l •e155"E 1 ? ?7 ?\.??/ ? /8 s\?av Ao/ <11 ?
2a?' ? rt75 N 1 ? 8 ?' N I ? j ? Nry 6? \?s r^o? l.
y?
?jq5. ? El ?n 1 ? p 1o OII ZqBo7l 1 I!OS'o?
„s•??' 15 a ?, ° ?? " ? ? -? ? ??-?° ?,?? ?•0 NWB?°??
,_-- ? e.?o?• i,n qj.2a ap xyp?y
,' `?`1 N ? G- R'9M'?_ f--?? REl /? D? ?y•g2 \ o/ O
r'y'
`N75; °??§5? ?1 ;m No /
14 _ Z? __ ? . ?.? ? ? ? ? ? d• ?? s ? ;.. _
_?_? , Zma ? ?aD IW 1`•'bp o I,", :5" ?\ ?'L Q s. ? OHM? y No
-?` - ?? o'O 1p• u I Cy ?'N? 1 g w V ?\ N?o/ • ?? /? -
? 1?'OOi?l?l ., N r- y. ?'I I ? •(f b Y
13 ?Auk
lq 1 elby` ? r
uq._I-'.-I r??i'tzO •C
L,?
\+C' ' N 7.7P o ?8?/ v 9 'rST
i
?
?W 1? ?`??40 l I?g r?' a ? a
w " I
79•O1 12 Is1?1N 13 ?1 1 ?,-qg I 1?°'s?9.?"• I tkr
J
?IY J"? M
n•,s_?'??'.?» d !
. ?.
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
M[JLTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATEK PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MiIST SHOW A LICENSED PLUMBER.
?pov St,'K 1 2 REC-"
To Be Used For: Valuation: Date:
Site Address 4y fQ k ;INv,.7mR- ?.o
Lot JE?& Block (_ C k-rj 5)
Parcel/Sub ,9c,,)nJ &.Ir-zz
?-- r
Owner I 1-cSC L1f1r3e. .l ArdiLL
Address 4I,k 6 [ 2EAy4ur LkZ LANR
City/Zip Code M? SS-a'S
Phone 8-k 3`? (,H? 3.a-E'}"-kO18 (-W?
Contractor
Addres
City/Z
Phone
Arch./
Addres
City/2
Phone
OFFICE USE ONLY
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well _
MWCC System _
City water _
PRV _
Booster Pump _
APPROVALS
Planner
Council ' ?
Bldg. off. ?qi)
Variance
FEES
Sldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Copies
SUBTOTAL
Penalty
TOTAL
.SO
M.A
I. I Z
?
??
A =?
- v
.
?z gp
4
? c,i is
3ZA. S?
? -
7 ?!. .., r. f?. ' ? . . - .. .
o ?j o
`wo ? • .?o`
`i ? . .. ` 1
r?j
At ?)lb 04IJBZp •
?
EA s F. Xi E: ? r ML
14
---? ?
2 ?44o
,l - - -
r
.I
? /5 ? -
? l Q-70 ?.7i?,., !
?
a
M
ry
1
2/84
CITY OF EAGAN
? if•? /
1111t APPLICATIOU EOR PERMIT
SEWER AND/OR WATER CONNECTIODT
(PIEASE PRIHT)
1) PROPERTY ADDRESS: HUIn? 12 P\ N17c<? CZ L,2? f.i'1L
LFGelI. DESc2ZP'TICV: u?T tz? PAlFll4 P- ? 1.7t-s?
(LOC/Slock/Suba,tvision or Tax Parcel I.D. Nisnner)
? IF .-..,;Z::'1!:G ST:S;CP7E, DATT?,' OF ORTGi^.IAL riiII.DLNG =-_= ISSL:atiG.:
P°ESENP --.^1rr?/PpOPOSED L'S: ?1-R-1 SINGL: FPMffLY ;ear;
.
? R-2 DUPL..z'Y ('Ititi'p LTIITS)
? R-3 ZC7.•.N?CYIGE ('?7'pEE + L^IITS) ! Wi ITS)
? R-4 APAR?`1-P%1T/LCiMCi'ffS7ILM I L1NITJ)
? CamiMERCLU/RE:AII,/0'r'FIC::
Q Ili'DL'ST=
Q PVSTITL"PIOiVP.L/GGVE,4TLM.F..^`'T
jPLEASE PRlNi)
2) ApPj,IC?=
i,
NA["iE: ?YJ'JC?j ?Ul?l?c5
ADnREss: jfl(o?? C'_A?1?11 Pcvg-
cri^r, sraTE, zzP: e? rv1l?4a
PHONE:
j) pa7effiER PLEASE PHINT)
ru?r?: 11ar( i s n
i
i F'OR CITY I1SE ONLY
nec
AQ,, L<<
ADDRESS; 21?iP?rc I io(?CA PLIIMBERS LICE4SE:
Aetive
CITY, STATE, ZIP: fN 43k).
? Expired
S
- PHO?IE: '2?// PIUMBER LILj&5' Not of
Rec
ard
?
?
ai n(Cya
yl u-IU:P,P!'1'/V.tiiltR 1r? H?c rnuu)
taarte:
ADoREss:
CITY' STATE, ZIP:
PHOIQE:
'
5) INDIGATE tVEtICH PE1?h1IT IS BEING REQUESTID:
CONNECPION 'IO CITY SEYIER
coNNIEcrroy zn czTY waxER
? M71ER (PLi'ASE DFSCRISE)
ol lirUiC<?L:: Ui:L: - •
?„ PLEaSE F?OID APPROVFD PER',LIT FOR PICF:-Uc SY ONE OF 11EG?JE
? PI.FILSE .•+AIL APP . PER%LLT TYJ 1, 2, 3, 4 AEWE
(Circle one)
7) SImAT[iRc,: ,
DATE:
.. ..
l?lq:?l.,?l?JS:f?:rsaEaa?ea?l?r+?r.a . . , .
. . . . i=i?# ?1/ f ?f ?iii:?a at ?!!?_?M?l?f? S ??Si???/ t
_ . .. . . .. . . . . . . . ?.
F O R C I T Y U S E O N L Y w
PE2MIT '-` ISSUED
FE.r.".S: $ / O• d SE:NER ?'°RMrm (INCL::CE JU?i'?..r..t!AR.riG)
$ /o. 5U WATE? PERU4IT (INCiuDE SIIRCHARGE)
$ WATER METER/COPPERHORN/OUTSIDE READER
$ WATER TAP (INCLUDE CORPORATION STOP)
$ SE:VER TAP
$ ==-C'i':i'T :?._.?GSI= - .._..??
$ _ iS• ?--? AC^OUNT DFPOSIT - 4IATER
$ -Sl7d. f? WAC
$ SAC
$ TRliNK 4VATER ASSESSCIE.IT
$ TRtii4K SELdER ASSESSMEDIT
$ LATERAL BENEFIT/TRUNK SE?•:ER
$ LATERAL BENEFIT/TRUNK WATER
$ OTHER '
$ TOTAL
$ ? /- "-e AMOUNT PAID/RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLZC RIGHT OF WAY?
? YES IF YES, THEN A. "PERMIT FOR WORK WITHIN
? PUBLIC ROADWAY" MUST BE ISSi]ED BY THE
NO ENGZNEERING DIVISION. LIST AS A CONDI-
TION.
SUBSECT TO THE FOLLOWING CONDITIONS: '
APPROVED BY: ?Lp
TI:LE:
DATE:
?a ?s? w ws ? w?t? ra s?+ w? w? w s? ws? ?t+ ?t.? w?wi? ?cw ?t? nt ? se f?s Ra rt? it ar w?
111//
tityofEaaali
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #: /2;)//
Permit Fee: qc),
Date Received:
Staff.
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
i1-Ih-II
Site Address: "/ & f r
L.N
Unit #:
J
RESIDENT /
OWNER
Name: , ti, ik.4 SJ ... t ,til Phone: L T1 717 7.13 7
Address / City / Zip: 9%I keg ^`14 le `w
Applicant is: VOwner Contractor
TY PE OF WORK
/ c
.., ti rv- S it t} E 4dOL2) .�t
Description of work: A -r a. i v t �t �. %I' a C.4 k'• I
Construction Cost 7 S ®/1. 0'O Multi -Family Building: (Yes / No ,/) ki,6
CONTRACTOR
Company: ked (lei, CI (v r f, v i - t r `i :. L I C Contact v/ 8/06(.0‘..1(
Address.• 13 3 L T V <4l y ,) City: rild�+ k �,
State: Mir' Zip: i i i). I Phone: (2s-1 3 r O ) )• y r
License #: C R C. 3s-133 Lead Certificate #: Al T 0o'i, ¥' 1
If the project is exempt
/ (/r
from lead certification, please explain why: (see Page 3 for additional information)
AF7,, 1971
In the last 12 months,
Yes If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
_No
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public infamegicm.Cordons of
the information may be classified as non-public if you provide specirw reasons that would permit Cid►
conclude that they 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.goaherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x /9itid I Sdc &11
Applicant's Printed Name
9,t, .414•"•/'4—
App icant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116055
Date Issued:10/02/2013
Permit Category:ePermit
Site Address: 4461 Reindeer Lane
Lot:15 Block: 3 Addition: Fawn Ridge
PID:10-25800-03-150
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Patrick Swanson
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 -
Allison Close
4461 Reindeer Lane
Eagan MN 55123--209
Trinity Exteriors Inc
4204 Park Glen Rd
Minneapolis MN 55416
(952) 920-9520
Applicant/Permitee: Signature Issued By: Signature