4470 Reindeer LaneCASH RECEIPT
CITY OF EAGAN 3830 PILOT ItN06 ROAD
EAGAN, MINNESOTA 55122
DATE I
19 -
R6C61VBD .} . t-
FRdN `
? , A!MOUNT $
& DOLLAfi6
?oo
? GASH ? CHECK
POR ? • ' ? - ' . .
C
H Y l.P"' 1,
White-Payers CoPY
Yellow-Posting CopY
Pink-File Copy
Thank You .
BLDG. PERMIT N0. /3 0 -?0
,
01-3210 Bldg. Permi
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
17-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permi
20-3743 Sewer Permi
79-3866 Sewer Conn.
11-3855 Park Ded.
TOTAL
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH O N E: 454-8100
BUILDING PERMIT Receipt # To be used for • Est. Value Date ' R ,19
Site Address OFFICE USE ONLY
Lot BloCk Sec/Sub On Site Sewage _ Occupancy
. MWCC System _ Zoning
PBrCeI No. On Site Well Type of Const
City Water (Actuaq
a Name ,
(Allowable)
W
;
Address * of Stories
Length
° Ciry Phone DePth
S.F. Total
a
o Name '' FootDrint S.F.
.
? i Address APPROVALS FEES
s
P
City PhOne
Assessments
_ Permit
WaterlSewer Surcharge
v W Name Police Plan Review
FW
?
Address
Fire
= SAC, City
U Enyr. SAC, MWCC
=
C W City Phone Planner _ Water Conn.
Council _ Water Meter
I hereby acknowledge that I have read this epplication and state Bidg. Off. _ Road Unit
thatthelnformationisconectandagreetacomplywithallapplicable APC - TreatmentPl
State of Minnesota Statutes and City of Eagan Ordinances. Variance _ Parks
Copies
Signature of Permittee TOTAL
A Building Permit is issued to: t" on the express condition that
all work shall be done in accordance with all applicable State vf Minnesota Stetutes and City of Esean Ordinancea
Building Official
Psrmit No. Prrmit Molder Date Telsphone ?
Plumbing ,.-?? !? ,
H.V.AC.
Electric ?. ?•? C• L.; U'' ? 3 J?7 '? ?:? `, ?
Softener
Inapectfon Dsto (nsp. Commenb
Foatings I ?
Footings II
Foundation
Framing
Roofing
Rough Plbg. '
Rough Htg. S
ISUI MRr? /vot O K y 3/-?7 E.
Fireplace
Final Htg.
Final Plbg. ?
I
Bldg Final
Cert.Oca
Temp. LP
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
BUILDING PERMIT
To be used for DEC
.., . . , ... . . - ?. , .. r,.,.. '• ?^:r?.v'- - t'-r??t'ww --?'*a?-' . . .
CITY OF EAGAN ?;3 19114
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Receipt # _ j
Est.
19-9.L
Site Address 4b70 URTUNP! t-M
Lot s_ BlOCk A Sec/Sub. F,L1M Di?[?R i8T OFFICE USE ONLY
Parcel No. occuPancy _ FEEs
Zoning -
Name -jO8 VAM I? (AClual) Const Bld
Permit Z S-OD
a
o Address 1?470 iLI?DlLrg LM (?lcy'+able) _
g.
-
5
City SACM Phone 688•-aZ89 # of Stooes 0
Surchar9e .
R
i
41 Pi
Length an
ev
ew
1
p Name s?? Depth Cit
SAC
? ,
y
? Address S.F. Total
cc SAC. MCWCC
~ City Phone S.F. Foolprints - '
On Site Sewage water Conn
Name On Site Well
t W - Water Meter
=z Address iuwcc system '
<W City Phone Cityyya1ef _ Acct. Deposit
PRV Required _ S1W Perjnit
I hereby acknowlege that I have read this application and state that the
i
f
i Baoster Pump - SNJ Surcharge
n
ormation
s correct and agree tq co ply with all applicable State of
Minnesota Statutes ano.Q of E g n r nances
. 7reatment PI
Signature of Permitee
' APPROVALS Road Unit
A Building Permit is i u
lo: JOE VAN DUSUTZ Plan^ef - Park Ded.
on the express condit that all work shall be done in accordance with all
li
l
f Council
1
00
app
cab
e State o
Minnesota Statutes and City of Eagan Ordinances. gld9. pff. _ Copies
•
Building OHicial t' VarLarce - TOTAL 26• ?
Permlt No. Permit Holder Date Teleplane #t
WATER
SEWER
PLUMBING
H.Y.A.C.
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsta! Test
Final Plbg. Plbg. Inspector - Noti(y Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ft9.
Dedc Final f d? 1?lf1
Well
Pr. Disp.
, . : . q .- .. _
PERMIT #
• • ' MECHANICAL PERMIT
CITY OF EAGAN RECEIPT #
3830 PILOT KN08 ROAD, EAGAN, MN $5122 DATE: 7 7
CONTRACT PRICE: PHONE: 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot ? Block Sec/Sub Re3 ? NeW ?./
,
Mult Add-on
m Name ? Addre ^ ,S?• Comm. Repair
r 7
Phone 1 Other ?
c City
Name - N' ? ?/ ?? FEES
? RES. HVAC 0-100 M BTU -$24.00
c Address ADDITIONAL 50 M BTU - 6.00
p City Phone S .?Tl (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
- -GAS OUTLETS (MINIMUM - t PER pEAMI'F)_.._ - . t:5E)EA.--
TYPE OF WORlF - ?---7 ?- _ - -'-' -!?/ ""Cd1V1MYtND FEE - 146 OF CONTRACT FEE
Forced Air .? M BTU ?7? 00 APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPUES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # ?- ?- BEYOND $1,000)
Other
FEE: Aef, S/C: SIGNATUAE OF PERMITTEE
TOTAL FOR: CITY OF EAGAN
PERMIT #
t , . .
PLUMBING PERMIT RECEIPT #
CITY OF EAGAN - -
383G PILOT KNOB RaAD, EAGAN, MN 55121 DATE:
CONTAACT PRICE PHONE 454-8100
Site Address ''17 ' ' _i n" `?' i? BIDG. TYPE WORK DESCRIPTION
Lot - Block "T Sec/Sub
RAs. ? New
Name Mult Add-on
?
m Address Comm. Repair
c City Phone F Other
TOTAL
,"tru:, 1;;n NO. FIXTURES
Name ' Water Closet - $3
00 $
?
3
Address ?' ? `??
.
Bath Tubs - $3.00
O , -
City Phone - - ' Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
FEES Urinal/Bidet -$3.00
COMMIIND FEE - 1% OF CONTRACT FEE
$10
MINIMUM
RESIDENTIAL FEE
00 Laundry Tray -$3.00
_
,
- Floor Drains -$1.50
MINIMUM - COMM/IND FEE _?? Water Heater -$1.50
STATE SURCHARGE PER PERMIT _ .?
I
S
C
ICE GOES ?Nhiripool -$3.00
(ADD $.50
/
IF PERM
T PR Gas Piping Outlets - $1.50
BEYOND $1,000.00) Saftener - $5.00
' Well - $10.00
Private Disp. - $10.00
'
f `
Rough Openings - $1.50
•
SIGNATURE OF PERMITTEE FEE
STATE S/C
. , •
FOR CITY OF EAGAN GRAND TOTAL:
+t 4•, e
(Itx#ifrratr nf (Orrupanry
Citp of eagan
loP}1a1'fmPltf of llltflbtltg jwPtYWt'I
This Certifecate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying /hat at the tinre of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following.
v. cu.?do. Sr' DFIGIGAR Bldg. Permit No. I SElE?S
o-y-cy Tya R3/M I Zo,,;ng nb,;a R{ T,W com„.
owm ot e?? ??MS (tN.S?qN :7). Addrm 1311 ST. 11WREtd 3,VD.,
Bwlai? naa? '`? i' ?;rl ??ZM L111C, to.iity LS' B4, R:LXZ
ate,. l:imST 12, 1988
euM;ng oe-wW
POST IN A CONSPICUOUS PLACE
CITY OF EAGAN Remarks
Addition _ FAWN RIDGE ADDITION Lot 5 Blk 4 Parcel IQ 25$QQ 8,5.0?.04
Owner 5treet 4470 ReindPPr T.ane State F.agan- MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. ? 1981 229 . 35 . 11.47 20
STREET RESTOR. klr 1984 499 46 ' 49.95 10
GRADING ' j 1981 61.26 ? 08 IS
SAN SEW TRUNK 527 $j 0.44' 10.27 20
SEWER LATERAL ^ -7 1981 33,07- 1.65
Sewer a ra 20
WATEFMAIN
WATER LATERAL - 2.18 2
WATER AREA n 205-44- 10.27 20
Water Lateral ? 27,68- 1.38
STORMSEW TRK ? 1985 557.79 - 37.19 15
?-
STORM SEW LAT - , 1984 222.51- 22.25 10
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
? --Nm
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pibt Knob Road
P.O. Box 21199 ^- „ PERMIT NO.:
Eagan,M"121 DATE 1-28-37 -
Zoning:
Nv. of Units:
Owner. ? i-i ' s COnSt
Address:
SiteAddress: 4470 Reindetr Lane LS i>4 Fawn Fid e
Plumber. Fapan Plunbinu
EPr#75061 100.00
I agree to comply wNh the Clty oi Eagan Connection Charge: - ?? S 00
Ordinances. Account Deposit: 1 r nn
Permit Fee: 1 n (10
BY
Date of Insp.:
Inap.:
Su?charge: -
Misc. Charges:
Total:
Date Paid:
R. _? . __. . >-• . ,?.. ,- •,.-.?-., ,. - . - -• ,: --,?.-??..---?
CITY OF EAGAN Permit No:_ 0917 Dat? 7-28-$7
3630 Pqot Knob Road Meter No:
P.O. Box 21199 Size:
Eagan, MN 4121 Reader PTb: Date:
Owner. SUn's Const
5iteAddress:44711 Reincleer Lane L5 B4 Fawn Ridge
Plumber_ `:?nan pj m?hf„o
Conn. Chg: 525. 00
i Acct Dep:1 S_!10
' Permit Fee: 10 0D
Surcharge: - _ SD
Tr.Plant_ 1RCi
Meter.
i Misc.:
Zoning: _
No. of Units;
I agree to comply with the City oi Eaqan
Ordtnances.
? WATER SERVICE PERMIT
. ITY OF EAGAN Permit No:
3830 PNot Knob Raad Meter No:
P.O. Box 21149 Reader No:
Eagan, MN 55121
Owner. 5On's C;onst
SiteAddress: 4470 {'. _i nr3PPi• La3le T S t;4 Fatvn lticl-c
o?..??-- '"- --- ,,, _ , •
Conn. Chg:
Acct Dep:_
Permit Fee:
Date: 7-28-87
Size: ` aC
Date: ;
wlth the
RESIDENTIAL
BUILDING PERMIT APPLICATION
?4 CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
NewConstruclion Requirements
• 3 registered site surveys showing sq. fl. of lot, sq. ft. of hause; an¢II roofed areas
(20% manimum lot coverage albwed)
• 2 copies of plan showing beam & window s¢es; poured found design, etc.)
• 1 sel of Energy Calculations
• 3 copies of Tree Preservation Plan if lot plafted after 711193
. Rim Jast Detsil Options seleclion sheet (bldgs with 3 or less units)
CELL PHONE #
DATE ?? - 061) -M VALUNION
JOB 51TE ADDRESS ?&70 I/u c
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERT
TYPE OF %
APPLICA
ADDRESS
PAGER #
RemodeUReoalr Renuirements
. 2 copies of plan
• t set of Energy Calculations forheated addifions
. 7 sde survey for exterior add'Nons & decks
• Indicate if hame served by septic system for additions
REPLACE(S) _ 0 Y 1_ 2
PHONE#?/} J?ED-6oa;7,
ZIP CODE 5?5'0 -?_Z '`?
FAX #
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNESO'CA RULES 7672
- New Energy Code Worksheat Submitted
Plumbing Contractor; _
Plumbing System Includes:
Mechanical Contractor:
Mechanical System Tncludes:
Sewer/Water Contractor:
Water Softener
Water Hearer
No. of Baths
Air Conditioning
Heat Recovery System
All above information must be submitted prior to processing of application.
S `?d ,d C)
I (D -alaq;=c) (
Fee: $90.00
Phone #
Tee; $70.00
Phone #
ltsy_ _- _?
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 On
SignatureofApplicant, e?
Phone #:
Lawn Sprinklcr
Nc. of R.I. Baths
Certificates of Survey Received Tree Preservation Plan Received _ Not Required _
Updated 1/01
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 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 Garege ? 22 Porch/Addn. (4-sea.) O 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex O 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36, Move 81dg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 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 Zaniny - City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
Footings (new bldg)
Footings (deck) Fina
Footings (addition) Plu
Foundation
Drain Tile
Roof Ice & Water Final O[her
Framing _ Pool _ Ftgs _ Au/Gas Tests _ Final
Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone
Insularion _ Windows (newheplacement)
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
FinaUC.O.
_ UNo C.O.
_ xnbing
HVAC
Building Inspedor
CITY OF EAGAN N? .19194
3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 Receipt# - 0 b ; 3'y ? +
^
To be used tor DECK Est. Value $1, 000 Date JUN 6 , 1991
Site Address 4470 REINDEER LN
Lot 5 Block 4 SeGSub. FAWN RIDGE 1ST OFFICE USE ONLY
Parcel No. oaupancy - FeEs
Zoning
w Name JOE VAN DUSARTZ (ACNaq Const Permit 25.00
Bldg
; Address 4470 REINDEER LN _
(Nlowahle) - .
50
p Surcharge .
City EAGAN Phone 688-8289 x of siories
141 Plan Review
Leigth
o Name SAME Deplh 14' SAQCit
i y
$1 Address S.F. ToWI -
SAC, MCWCC
City Phone S.F. Pootprints _
C
W
On Sile Sewaga - aler
onn
r
ww
Name
on sne wen
W
tw
AddfBSS _
MWCCSystem _
ater Meter
iw City Phone City Waler _ Acct Oeposit
'
PpV ReQUired _ SM
Parmit
I here6y acknowlege that I have reatl this applic tion and state that the Booster Pump - S/yy Surcharge
information is correct and agree P c ply witl all applicable State of
Minne50ta Stalutes a ' of 6 n r"nance
/ Treatment PI
Siqnature of Permitee' APPROVALS Road Unit
A Building Permil is i to: .TOE VAN DUSARTZ Planner - Park Ded.
on the express condillon Ihat all work shall be done in accordance with all Council
1
00
applicable State of Minne
sota Statutes a
(
nd C
it
y
o
f Eagan Ordinances. Bldg. Olt. _ .
Copies
?
y
?
?
,
I.i Illi.,(1
I IlNL?? ,pl,fl
Building Officlal Variance - 70TAL 26.50
-` CITY OF EAGAN
? . 3830 Pilot Knob Road, P.O. Box 21 •199
' I PHONE:454•8100
BUILDING PERMIT
To be used for SF DWG/GAR Est. Value $70, 000
N_
Eagan, MN 55121
Receipt # ? J C) C-P 1
n.to .TUNE 29
13830
.1g 87
Site Address 4470 REINDEER LANE OFFICE USE ONLY
Lot 5 Block 4 Sec/Sub. FAWN RIDGE On
Site
Sewa e ? Occu
anc y R3
MwCC
System Zoning Rl
Pafcel NO. On Site Well Type of Const ?
City Water $
(ACtuaI)
_
_
a Name SONS CONSTRUCTION CO (Allowa6le)
w
=
Address 4606 LENORE LN # ofStories
Length
42
? City EAGAN phone 452-5355 Depth i. ?
Total
S
F
.
.
, p Name SAME Footprint S.F.
?s Address APPROVALS FEES
? City Phone pssessments _ Permit $ 398.50
Water/Sewer _ Surcharge 35.D0
WW Name Police _ PlanReview 199-75
W
x- z
Address
Fire
_ SAQCIry
inn_np
'o Engr. _ SAC,MWCC 595_n0
aw City Phone Planner _ WaterConn. 595_00
Council _ Weter Meter b7 [1Q
1 hereby acknowledge that I have read this applicatlon and atate Bldg. Off. _ Road Unit 30S np
thattheinformationiscort tand ee? 5 fnplywithallapplicable APC _ TreetmentPt ?0Rn np
Stete of Minnesota Stat es an C y f n Ordinances. Variance _ Parks
'SlgnetUfe Of Pefmlft6@ . 1- u Copies
TO7AL
2 4. 5
A Building Permit is issued to: SdNS CONSTRUCTION CO an the express condition that
all work shall 6e done in accordance with all app able State of nneesota Statutes and City oT Eagan Ordinances
Buiiding Officiat ???+
?
310- C('?
; OFFI E US ONLY This request vaid 78 monlhs from vaGdolion date prinkd
?
v ?
PLEASE PRINT OR TVPE C,
2eqvl? Dah Roogh-in inspetlion requlrod2 ? Ye,--EJ-No inspeclion Olher Than Rw . n?.9M' dy Now 0 WII Coll
?/f (You mu.t coii the m:venor wn<n «ady) Duk Ready:
I i<ensed <onfmdor Q owner hereby request inspedion of the above eletlriml work ai:
Job Mdrose $
?re
el, Box, or Rouk ? Ci Tp Code
`
'
SeUion No. Township Name or No. Range No. Fim No. Covnry
OccuPant Phan Na
PowerSappliar Addreez
Ele ' I Canko Company ame) Conlrodor bcem<Na. Nwster Lic. Na. (Plonl Elcct Only)
(7a
m C katlor or dolming Insbllolion)
Mai i
d ss
`
1h v
Aulhanzed ?rOwnerPedorminglnsrollolionj PMmNo.
EB-0000IA-70 6195 STATEBOAROCOPY-SEEIN5fi1UCTIONSONBACKOFYE110WCOPY
?I I ? I? ?I ?II RE?UEST FOR ELECTRICAL INSPECTION 5??? 9
Minnesota State Board of Electricity
* 3 ti 0 6 9 3 * 1821 University Ave., Rm. 5-128,tSt. Paul, MN 55104
Phane (612) 842-OBOOGl'/?(
Home Dup ex Apt. Bldg. Other: New Addn
mmercial Indushiol Farm Remod Re air
Air Cond. H}g. Equip. Water H}r. Load Mgmt. Other:
D er Ran e Elec. Heat Temp. $enice
"X" pbove the wori: mvered by fhis request. Entar remorks in fhis space and on fhe ba<k of fhe whita copy only.
Calculate Inspection Fee - This Inspection Request will nof be accepted without the corred fee:
Otfier Fee S $ervice Entrance Size Fee # Grcuih/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps -
$free} L}g./TraHic $ig. Above 200 Amps Above 100 Amps
Tmnsformer/Generaror INSPECTOR'S USE ONLY
Sign/Oulline Lig. Xfmr.
Alarm/Remote Confrol
Swimming Pool
I hemb cenl MatI im ed the elaclncal insmllalion emin on fie datea smled
IrrigaM1on Boom Rough-In Dab
edian
$
ecial Ins
p
p
Investigafive fee r1.oi ?
?k
o?P
THIS INSTALLATION MAY BE ORDERED DISCONNE &ED IF NOT COMPLETED WITHIN 18 MONTHS.
7his request void.?/??/C?
18 months irom ?
ir ?f Q 9 9 8
fie' t Date,_
' Fire No. Nouph-in Inso`fe tian
ReQUired?
'
oReady Nuw?Will N- tity Inspec-
? ? ?
? '?
ye, ?rye tor When Heatly
?Licensed Electrical Connactor . 1 hereby raq
? uest inspec<ion ot ebove
?+?ar electrical work installed aY
Street Adaress, Box or oute No^. MA Ciry
0 LQr
ecUO o. Township ame or o. Range No. County
D
Occupant IMiINTI Phone No. el?z 53
Pawer Suppli?er..,//
/ /?
. Addrass
.X/V
ld?e, ?X / waw
El?ecv?ical
C?onvactor/JiC/O?mpany?N/am?e) Con?trajctopr'sr?Lic?ense No.
?
?
"` ? J C-> G!
Mailinq Address IConVaclor or Owner Ma ine Insiailationl
a 2- 3 ?;?'d
AuMori SiB?a re ICOn cto n r kinp I tallationl Phone Number
?z?32 --G-Sur'.0
MINNESOTq gTAT 80 OF ELECTRICITY THIS INSPECTION flEQUEST WILL NOT
Gripps-Midway 81 Room N•791 gE ACCEPTEO BY THE STATE BOARD
UNIESS PROPER INSPECTION FEE IS
7827 Universitv Ave.. St. Geul, MN 55704
ann..> If.f9I en9.111RM ENCLOSED.
?J/,?„jl8!J REQUEST FOR ELECTRICAL INSPECTION ryes-? oopao?i-os
, See ina4uctions lor completing this torm on back ot yellow copv/'J o/?/
C i&-q q R '"R" Below Work Covered by Ihrs Request .
Atltl Xap- Type of BuilCing AODl toncea Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lightin Fixtures
Apt. Buildinfl Dryer Electric HeaLn
Commercial Bldg. Fumace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm iner pe" v lner ISnerjfv1
1 r uecify Other Other
Compute Inspection Fee Below
# Fae SarviceEn2rancaSiza b Fee Feaders/5ubfaede16 # Fee Cncul<s
E 0 to 200 Am s 0 to 30 qm s 0 12 30 Am s
Above 20u qm??y 31 to 100 Amps 31 to 100 q S
Swimmin Pool Above 100-Amps Abov 700_AmPS
Transiormers Irri ation Boorcis Pdrtial-'0
Signs Special'1nsAection
.
?
TO AL FE
E
Rema rks , ^
aO ?
Noueh-in
Final
e I. th al
Inspecbq hereby
certily thet the Above
inspection hes Eeen
•reaa.
ThH repuestroid 18 monihe Irom ?
.,
0
1987 HQILDING PERMIT APPLICATION - CITY OF EAG9N
SINGLE FAMZLY DWELLINGS
IHCLIJDE 2 SETS OF PLA19S, 3 CSRTIFICAYSS OF SORVEYp 1 SST OF ENERGY C9LCOLATIOHS
HOTE: ADDRESSES FOH CORNEH LOYS - CONTRACTOR/HOMEOiiNER MQST DESIGHATE AHICH ADDRESS
IS DFSIRED. NO CHANGES WILL BS ALLOWSD O1QCS BDILDING PfiRMIT IS ISSDTD.
MQLTIPLE DWELLINGS - R&SIDENTIAL
INCLUDE 2 SETS OF PLANS, CER
1 SET OF ENERGY CALCULATIONS
COM7ERCIAL
RENTAL ONITS FOR SALE ONITS
OF SQRYEY - CHECK WITH BLDG. DEPT.,
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
e $2,000 LANDSCAPE BOND -?Q ?
//
To Be Used For: ?/Q ?17 e Valuation:
Site Address 0IIE/N UEf-k ?4 ti, z
Lot S Bloek il
Parcel/Sub FF}WN RI?XC'se
Owner So,Ug Z.uus7. 4v.
Address y666 -jN1vo;ae zane
City/Zip Code
Phone ?.sd - ?? S 3S5
Contractor 5 o,uS C oNST , Cd
Address q(op? - Geniohe / a,nk
City/Zip Code ;S S-/z
Phone ?S a - S-3 :i 5'
Areh./Engr. RI2)Al)
Address ?6?veh? L4-ne
City/Zip Code .ss-1 a z
Phone U qs
Date:
?
On Site Sewage_ Oecupancy
MWCC System ? Zoning 12 1
On Site Well Type of Const
City Water ? (Aetual) ?
(Allowable) ?
# of Stories
Length ?
Depth 4-Co
S.F. Total
Footprint S.F.
APPROVALS FEES
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Council
Bldg Off
APC
Variance
Permit '59 B lb
Surcharge 3 5.
Plan Review 1119_?s
SAC, City I E7o.
E
SAC, MWCC 52S
Water Conn S2S.
Water Meter (07.
Road Unit 3p5.
Treatment P1 bc).
Parks
Copies
TOT9L ?ll
7s
2?; X 40 --;:, I 120
. •
CDD x { 2 = ? ??o
f I
e
9
EXTERIOR ENVELOPE AVERAGE "U" COMFUTATION
qWNCR: QUINCY II
--?-•-
TE ADnRESS: 4470 Reindeer Lane, Eagan, Minn 55123
;'0'+TanC70R: SoNS CONSTRUCTION Co. DA7E: PHONE: 452-5355
i
DETERMINE LIORKINC SQUARE FOOTAGE OF EACH:
TOTAL EXPOSED tlALL qREA,,,,,.,, ?55'L sq fc x"U" ,11 . I70,"7Z
.. T07AL ROOF/CE 1 L I NG AREA, ,,,,.., 1015 sq f t x"U" .026 . 21.9 5
t. TOTAL EXPOSED 1JALL AREA CALCULATIpNS:
Total exposed wall
area above floor,,,,,,,, 15 5 Z sq ft
??
a) Total wa11 window area:
qlazed...... _ ( 2 g- sq ft x"U" • S 9 ? '13. !G
glazed,,,,._ sq ft x "U"
a
b) Total door area ,,,,,,,., 4a sq ft x"U" .23 a 9,2o
c) Total sllding glass door area:
? 9lazed...... 4 o sq ft x"U" • 5$ a 23,2 p
ylazed......
d) Total flreplace wall area
e) To[a1 wa11 framing area
(Averaqe lOg)...........
f) Total net wall area above
1'I D
Sq fL % $lUll a
sq ft x "U" .
sq ft x"ll" .10 . 1 1,00
floor (Insulated)....... 9 9 o sq ft x"U" O 4 - 3 9.(.0
q) Total rim Jolst area...... 1 3$ sq ft x"U" .04 m 5
52
.
To[al foundation
area (Exposed).......... sq ft
h) Total foundatlon '
window area............. sq ft x"U" e
I) Total net foundatlon
area above grade........ Gi ln sq ft x"U" o-I
3' TQTAL a) thru 1)
? .
? If item 03 Is the same as, or less than item 01, you have met the intent of
2 MC,1R 1.16008 A anJ 0.
Page 1
f ;'1.
4. TOTAL E7(POSED RQOF/CEILING CALCULATIONS:
Total expnsed
roof/ceiling area........ 1 0'l S sq ft
J) Total skyltaht area....... sq ft x"U" '
k) Total roof/ce(ilnq framing ? z 98
area (Averaae 1WR)...... Io8 sq ft x"U"
1) Total net insulated 2 3 2'
roof/ce11 (nq area....... 9?o `1 sq ft x"U" • ?24 °
4 TOTAL )) thru 1) 2 (. •7
If total of #4 (s the same as, or less than N2, you have met the intent of
2 DiCAR 1.16008 A and 0.
I,
ALTERNATE BUILDIPIG ENVELOPE DESIGN
To utillze the total envelope system method, the values established by the sum
af items N3 and H4 shal) not be 9reater than the sum of items NI and 02.
1. + 2. m
+ 4. °
C E R T 1 F 1 C A T I 0 N
I hereby certtfy that I have calculated the "U" factors and "R"
values hereln and that the buildinq here descrihed meets or exceeds Che State
of Htnnesota Enerqy Conservation Act.
Slqnature
(Date)
Page :
1991 BIIILDING PER2IIT APPLICATION 151-
CITY OF EAGAN 'YAY 2 4 -?
SZNGLE FAMILY DWELLZNGS MIJLTIPLE DWELLINGS COMMERCIAL V,
2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & 51RUCTURAL PLANS
1 SET OF ENERGY CALCUTATIONS (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 WIiEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP SY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANG E I5 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 & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be IIsed For
Site Address
. VFC 1!? Valuation:
GI"y /J 17E'/1,l01=F2 LAKE F-
Lot 5 Block '-I
Parcel/Sub FA W N k' I DGc /-1 -DD IJ .
Owner.J() F I/fASA?T Z
Address 4/V70 City/Zip Code L?'?? /t?? S r/ zt3
Phone
Contractor
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
Date:
OFFICE IISE ONLY
FEES
Occupancy Bldg. Permit ZS•°'
Zoning Surcharge ,5'0
Actual Const Plan Review
Allowable SAC, City
# of stories SAC, MWCC
Length 14 Water Conn.
Depth ?y Water Meter
S.F. Total Acct. Deposit
Footprint S.F. S/w Permit
5/W Surcharge
On site sewage_ Treatment P1.
On site well Road Unit
MWCC System _ Park Ded.
City water _ Trail Ded.
PRV _ Copies , oa
Booster Pump _
SUBTOTAL
APPROVALS Penalty
Planner Lot Change ?
+
Council TOTAL
Bldg. Off. bs G 6-
Variance
agrees that all work shall be done in accordance with
(Signature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
arv use oNLv
L ?J e?-L^ ReceiaT#:
SUBD. 1""Q ln; VA x o o RECEIPTDATE
` PERMIT # I
1999 PLUlYi$ING PE{1VIIT (RESIDENTtAL)
crrYoF EAeAcr
ssso Paor xNOS Rn
EA4fiAN, MN 55122
(651)6$1-4675
Please complete for: > singie family dwellings
> townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAL
Haih iuo ? 3.00
Floor drain 3.00 x = $
Gas i in outlet ' minimum - 1 3.00 x = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
Lavato 3.00 x = $
Minimum fee alterations to existin dwellin 30.00 x = $
Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installationlre air 30.00 x = $
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x 1 = $ o, C3a
Water softener if dwelling under construction 5.00 X = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x ---- _ $
State Surchar e 50 --> ----> ----> $ .50
Total --> --? ----> ----> $ 30, 5-0
Remrnder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
------------•------------- -------?--------------------------------?--?--------------------------------------- -------------•------ --------ce--
I hereby acknowledge that I have read this application, state that the information Is conect, and agree to mmply with all applicable City of Eagan ordinans.
It is the applipnPs responsibilily to notiTy the property owner that the Ciry of Eagan assumes no liability for any damages caused by the City during its
nortnal operational and mainienance-activitles.to.thelacilities.constructed.under this permit within City propertylright-of-way/easement.
SITE ADDRESS: ? VANDUSARTZ, JOE
' 4470 REINDEER LANE
OWNER NAME: ;' EAGAN, MN 55123 TELEPHONE #:
(851) 688-8289 (AREA CODE)
NORBLOM PLUMBIN(3 Cla.
fNSTALLER NAME:- tSSZi 827=4033 -- - - j TELEPHONE #:
?'905 UARFiELDAVE. SO. (AREACODE)
STREET ADDRESS: e
, E e .d
CITY
STATE: ZIP;
SIGN OF PERMITTEE
CITY USE ONLY
L r BL
SUBD. '9awx.
RECEIPT#: S86A`f
DATE: &117016P
1996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 6814675
Please complete for: • single family dwellings
? townhomes and condos when permits are required for each unit
_ New construction Add-on fumace
4- Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date:
13#?p
? Minimum Fee: Add-on/Remodel (existing residence oniy) $ 20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outiets (minimum of 1 required @$3.00 each)
? State Surcharge ,50
TOTAL 20. - `, U
SITE
OWNER
U
>.
tNSTALLER NAME:? preferred heatll% & a#r
7643 Logan Avwue South
STREET ADDRESS:_ RiChfietd, MN 55423
Sus:866-7811 Fax:966-0125
cmr:
PHONE #: (
? l Z-,7,7 -
PHONE #:?o _2? /
ZIP:
?a o =
CITY USE ONLY
L BL
SUBD.
1996 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commercialAndustrial buildings.
? multi-family buildings when separate permits are = required
for each dwelling unit.
DATE: _ CONTRACT PRICE:
WORK TYPE: _ NEW CONSTRUCTION
DESCRIPTION OF WORK:
,
FEES: ?$25.00 minimum fee QC 1% of contract price, whichever is greater. '
• Processed piping - $25.00
• State surcharge of $.50 per $1,000 of ;tenjjj fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
Si i E ADDRESS:
OWNER NAME:
TENANT NAME: (IMPROVEMENTS ONLI)
INSTALLER:
ADDRESS:_
CI1Y:
PHONE #:
RECEIPT #:
DATE:
INTERIOR IMPROVEMENT
TELEPHONE #:
STATE: ZIP:
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
Cities Digital Qualily Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
y y-7 v r,"&-:.-
. t •. _ . . ? . . = .:
FOR CITY USE ONLY . '
PERMIT # ISSL'ED
F ( j
Pd w/Bldg. Permit FEES:
Sb
$ $ /D SEWER PERMIT (INCLODE SC'RCHARGE)
$ $ /I) Sv WATER PERMIT (INCLUDE SORCHARGE) ..
$ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLCDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ / S ACCOONT DEPOSIT - WATER
$ S?5• ?-U $ wAc
S (D?J • ?U $ SAC
$ $ TRLNK WATER ASSESSMENT -
$ $ TRLNK SEWER ASSESSMENT
$ $ ' LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFZT/TRC'NK WATER
$ I?C?OZ) $ WATER TREATMENT PLANT SDRCHARGE
$ $ ' OTHER:
S /?`?7 b Z? S
.?/, fSU Tomrs.
_
?
7;!"9 I
RECEIPT RECEIPT l-
DOES CTILITY CONNEC TION RE4UIRE EXCAVATION IN PIJBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q
NO ROADWAY" ML?ST BE ISSCED BY THE ENGINEERING
DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CbNDITIONS:
APPROVED SY:
TITLE:
?
DATE: 7 -c?.? 47
.
?
-
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ti - -----. .
I hti-LAND C0.
SURVEYING SiTE PLAN FOR:
sERVIcES Sonis coNS T.
1260 YANKEE DOODLE ROAp
EAGAN, MINNESOTA 55122 •
LEGAL DESCRIPTION: Lors_,BLOCK.!f . iAft &gkE _. ,
ACCORDING 70 THE RECORDED PLAT 1i?y
THEREOF?.r__i_ COUNTY9 MINNESOTA
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ELEVATION ' F41PPOSEO IM RLOOR
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OENOTES PROppSEO Sppj
? E?a F•I.EYATION T? • • ` .
DFJ4WTES pRiyEj?T ?. ` ?*
? ,• PUT. VERIFY
H OtWALL! F?=iIE16NT8 WITM mw?
i? ?? casrtifY that thts wwy. Plan a
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SSEVEYING sITE PLAN FOR:
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E? N MINN SO A?SS122
LtUAL DESCRIPTION: Lors_,BLOCK.!? ?f?w,r,???-
ACCORDING TO THE RECORDED pT l}' `
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA141070
Date Issued:02/13/2017
Permit Category:ePermit
Site Address: 4470 Reindeer Lane
Lot:5 Block: 4 Addition: Fawn Ridge
PID:10-25800-04-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
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 -
Joseph G Vandusartz
4470 Reindeer Lane
Eagan MN 55123
Golden Valley Heating & Air
5182 West Broadway
Crystal MN 55429
(763) 535-2000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA141738
Date Issued:03/28/2017
Permit Category:ePermit
Site Address: 4470 Reindeer Lane
Lot:5 Block: 4 Addition: Fawn Ridge
PID:10-25800-04-050
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
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: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Joseph G Vandusartz
4470 Reindeer Lane
Eagan MN 55123
(651) 451-6835
Beissel Window & Siding Co
1635 Oakdale Ave
W St Paul MN 55118
(651) 451-6835
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA160822
Date Issued:04/15/2020
Permit Category:ePermit
Site Address: 4470 Reindeer Lane
Lot:5 Block: 4 Addition: Fawn Ridge
PID:10-25800-04-050
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.
Valuation: 10,000.00
Fee Summary:BL - Base Fee $10K $191.75 0801.4085
Surcharge - Based on Valuation $10K $5.00 9001.2195
$196.75 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 -
Robert D Berg
4470 Reindeer Lane
Eagan MN 55123
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA178227
Date Issued:08/08/2022
Permit Category:ePermit
Site Address: 4470 Reindeer Lane
Lot:5 Block: 4 Addition: Fawn Ridge
PID:10-25800-04-050
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 -
Robert D Berg
4470 Reindeer Ln
Eagan MN 55123
Applicant/Permitee: Signature Issued By: Signature