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4471 Reindeer Lane??c:-•. ' ..,-?:-.,?,?l,TS?? : ?=±e?o?.?•;?--?-?..-.;-y?c.ac-a+ ?:,-•.., ,, _ -?r,f., • - . CITY OF EAGAN 17210 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 P HON E: 454-8100 BUILDING PERMIT Receipt # To be used for BASEMENT Est. Value ;i r500 Date OCT 19 , 1g$9-- Site Address ?71 REI?M LN Lot 10 Block 3 Sec/Sub. !AWN RIDGR OFFICE USE ONLY Parcel No. occupar,cy - FeFs ¢ Name PA?I? WmmIE Zoning (actuaq Const Bld . Permit 36?? ; AddreSS "71 REINDEER L?1 (Allowable) - c ? i 0 ?? har e Su 9 • City Phone as?Z?1 # oi scor+es - Plan Review Lengih _ o Name sA? Dep1h - SAC City ir Q O Address S.F. Total - , U SAC, MCWCC ? City Phone S.F. Footprinls - Water Conn ? On Site Sewage _ w Name On Sile Well - W M t t W er er a e _= AddreSS MWCC System - ¢= <W City Phone Ciry Water _ Acct. Deposit S/ PRV Required _ W Permit I hereby acknowlege thai I have read this application and state ihat the Booster Pump - grW Surcharge information is correct and agree to comply with all applicable 5tate of Minnesota Statutes and City of Eagan Ordinances. 7reatment Pi Signature of Permitee APPROVALS Road Unit A Building Permit is issued to: rATAICK wDOIJGIB Plan^er - Park ped, on the express condition ihat all work shall be done in accordance with all Council -- applicable State of Minnesota Statutes and City of Eagan Ordinances. EUdj. pff. _ Copies Building Official - Variance - TOTAL 37?0? Permit No. Permit Holder Date Telephone M WATER SEWER PLUMBING ?/ u C (.E? // ? 0 9 H.VAC. ELECTRIC Inspection Qate Insp. Comments Footings I Foundation Framing Roo(ing Rough Pibg• i Rough Hlg. Isul. Freplace Final Htg. Fnal Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan BICg. Final f? I f Deck Ftg. Deck Final Well Pr. Disp. CITY OF EAGAN 3830 Pilot Knob Rosd, P.O. Box 21 •199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value Uate ,19 Site Address Lot E Parcel No A SeC/.SUb. ' OFFICE USE ONLY On Site Sewage Occupancy MWCC System Zoning On Site Well (Actual) Const oc Name City water W PRV Required = Address " 3 Booster Pump ° City Phone ¢ Name o o Q Address P Citv Phone U? w W W Name _ g Address 0 ZW City Phone a I hereby acknowiedge that i have read this application and state that the information is correct and agree to compty with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A 8uilding Permit is issued to: ? on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official APPROVALS Engr./Assess. _ Pianner _ Council _ BIdg.Off. _ Variance _ (Allowable) # of Storfes Length Depth S.F. Total Footprint S.F. FEES Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn. Water Meter Road Unit Treatmertt Pt Parks TOTAL Permit No. Permit Holder Dats telsphone # Plumbing H.V.A.C. Electric Softener Inspection Date Insp. COmtt1@Ilt3 Footings 1 Footings fV Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bldg. Final Cert Occ_ Temp. LP Deck Ftg. 4 k Final d ?.j S l wel p S' .0a.S- ' - Pr. Disp. /2-3 90 ?S ?r cc < • eUiLDING 'ERMIT To M wed fer S: Sita Addreft 4 t? 1 CITY OF EAGAN 3830 Pilot Knob Rosd, P.O. Box 21-199, Esyan, MN 55121 PHONE: 4548100 ? Receipt # ft:'. Parcal No. It Name F' BT-DiZ i Address ? • , CitY . ' Phone 4 Neme . ? ? Addroa v ? Citv Phone La g!W Name ?? Addrest ?W City Phone I hercby xknowlsdpe ttat I haw read this ol fhe intormotion is CorreCt and oqree to con Steb of Minnesaro Stotutes ond City of Eo .._, .. '-- •' Sipnatwt af Permift« ; h Buildinq Pemnit Is isswd to: Arfir, all work sholl Ee dorw in ocaordonu with oll Buildiv Offitiol and stote thar oll opplicable Erect I.L Oxupsncy Rernodel ? 2oning c? 1 Repsir ? Type of Coest. Sj Enlarge ? No. Staiea Move ? Length .`.% i Demolish ? Depth 4 Q Grode ? Sq. Ft. Asstssment Water b Sew. Polia Fin Enp. Plonrist GounNl sldg. off. 5/ 2 9/8 3 APC Var. 0ete Pertnit SurcFarpe ' Plan Review SAC ' Water Conn. " Water Meter Road Unit , . u, Total ? J I ~ • ? on tM txpeess tonditlan Ihot of Minnasoto Stotutes and City of Eapon Ordinances. Permtt No. Pwmit HoWw Oab T?le hone it ????? r , c.? H.?/A.C. 5 6 it ?l ? - ? E?? .?547 s ? .. ? Inspeccion Date In:p. Othp Fwtinqs ? yS Foundatian Frsminp ? Roofing Rouyh Plbq. Rouyh HVA Inwlatan ? Final Plba Finsl HVAC Q Final ? Cwt/Ooc. ? weer Wtcribe Location: Wsll Sewer Pr. Disp. Receipt ! MECHANICAL PERMIT Permit No. CITY OF EAGAN ? Fee Fill in numbered spaces S/C Type or Print legibly Tot. ? , - , ----?._ 1. Date 2. Ins4allation Cost 3. JobAddressVy1e/N410Lot I'- Blk. --> Tract I + ? , 4. Owner 5. Contractor L; Phone ?7? y- C cJ.4 ; f 6. Address 7. City ff1 C State / ?'? • Zip 8. Building Type: Residential L'J Commercial O Institutional 0 9. Work Description: New lE` Add ? Alter O Repair ? 10. Describe FuelType?v`?l 11. No. Eauioment 8 TU • M. Ea. Forced Air fVo. Equipmertt CFM A H Mfg. ir andling: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. ' Gas, Piping Outlets - ------ -_ _ i 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 : ?` f '' '' . ' " for Rough Final Inspections: Date Insp. Date Insp. This is your p8rmit when numhered and approved Approved CITY OF EAGAN 454-8100 Receipt i, PLUMBING PERMIT Permit No. CITY OF EAGAN Fee ' Fill in numbered spaces S/C Type or Prini legibty ? Tot. 1. Date 2. Installation Cast 3. Job Address Lot ? Blk. Tract 4. Owner ? 5. Contractor %? 1 )Phone ? -- c - ? 6. Address -- i 7. City " State Zip 8. 8uilding Type: Residential 0 Commercial ? Institutional ? 9. Work Description: New A2 10. Describe 11. Add ? Alter ? Repair ? No. ? Fixtures Water Closet No. Fixtures Cess ool/Drainfield Bath tubs p Septic Tank ' Lavatory $oftner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray ' Floor Drains Drinking Ftn. ' Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply wi?p, aJl ordinances and codes governing this type of work. ?.._ Signed : ?- a for Rough Flnal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN CONTRACT PRICE Site Address Lot u ? Name _ m ? Address c City _ Name ? ? Address. ? VftV h , FEES COMM./IND. FEE -1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APLLIES MINIMUM - RESIDENTIAL FEE $12.00 MINIMUM - COMM.IND./FEE $20.00 STATE SURCHARGE PER PERMIT .50 (ADD $.50 SJC PER EACH $1,000 OF PERMIT FEE) 3830 PILOT KNOB ROAD, EAGAN, MN 55122 PHONE 4548100 PERMIT # _ RECEIPT # DATE: / Res. New Mult. Add-on? Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL waoer ciosec - $3.00 $ Bath Tubs - $3.00 l.avatory - $3.00 5hower - $3.00 Kitchen Sink - $3.00 UrinaVBidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM -1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 U. G. Sprinkler System -$12.00 PERMIT FEE: L? ?1 S STATES S/C: ?'? -?--?- ? ? GRAND TOTAL: ? Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fes FilJ in numbered spaces S/C Type or Prinf /egibly Tot. . r • 1. Date 2. Installation Cost 3. Job Addressi'r5? ?/ •' <<iL';'tot Bik. Tract 4. Owner `'" • ?' 4' + c...-1?•-, ?_. ; ? l ?a / C ' . 5. Contractor -7?Phone 4- " • 6. Address 7. CitY 8. Building Type: Residential ? ?. Work Description: New ? ? 10. Describe 11. State Zip Commercial ? Add ? Alter ? Institutional O Repair ? No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavetory ? $oftner Shower W e I I Kitchen Sink Urinal/Bidet Ocher Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 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 : " " for Rough F inal Inspections: Date (nsp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: ? 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 k? ?SITE ADDRESS: APPLICANT: i nNE PERIVIIT SUBTYPE: TYPE OF WORK: (iV V A 11 ParmR Holder Date Telephone # SEWER/ WATER PLUMBING HVAC Inepection Date Insp. CommeMs FOOTINGS ? FOUND FRAMING ROOFING ? ROUGH PLUMBING - PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPIACE FIREPLACE AIR TEST FINAL PLBG FINAI HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS coNOUCnvm TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CtTY OF EAGAN Remarks Addition FAWN RIDGE ADDITION Loc 10 Bik 3 Parcel 10 ?Qnr? l.pn 03 Owner screet 4471 Reindeer i.ane Swte Eagan. MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SUR F. W 19$1 229 , 35 11.47 20 / • O - / '/? STREET RESTOR. 1 1984 499.46- 49.95 10 , 8 GRADING ` I 1981 61.26 - 4.08 15 1/0 .ft SAN SEW TFUNK 19$1 205.44- 10.27 20 , 0 SEWER LATERAL 1981 33. Q'] _ 1.65 ? v Sewer Iateral 1981 23.57- 1.18 20 WATERMAIN WATER LATERAL 19$1 43.67 - 2.18 20 31 77 - - - WATER AREA 1981 205.44' 10.27 ZO ? r ,. Water La.teral 1981 27.68 - 1.38 F. ?g STORM SEW TRK 1985 557.79 - 37,19 15 ,/ STORM SE LAT- , ? 1984 222. 51- 22.25 10 / ? • v CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN, a n SUILDING PER. SAC PARK CITY OF E.A GAN SEVVER SERVICE PERMIT 3530 Pilot Knob Rosd P. U. Box 21199 PERMIT NO.: Eagsn, MN 55121 DATE: ' ?--?•---- Z?ing; _ No. of Units: OwrMr: rid.: *.?.??_=?_1 ? '? • : ?, r_ ^ Addre5s: - Site Addross: Plumber. I ym te awwly wiN tM Cilp of iop¦ Connsdlon Charpe: . OrdiNwpm Aeoourt Deposit: PenrA Fes: SurcFwr+pt: By Oate of Insp.: Mlsc. ChorOw Tolol: Date Pald: _ CITY OF EA :AN WATElt SERVICE PERMIT 3830 Pilot Knob Road p?IT NO : P. G: Box i. 199 . Eagan, MN 55121 D^TE: Zoninp: No. of Units: ? QW/Mr: Add1lSS: _ 511r /lddflf?: PlumbeC r i ?r No.: Me nsdidt ChorQr Con , ;; '1 ^T'•<i 1 ; Aooount Devosit: , Size: ? ,- , ? `-•, R r Permit Fee: eowply wllb lM Ckf of Lw¦ y I Surcharge: ?(' Mbc. Choros: O?I?M?. Totol: ? ? '- • ? _ , Q? put@ Potd: vDote of Irap.: I^sp" ? ITY OF EArAN WATER SEMCE PERMR ? Pilot 16 ?b Road PERMIT NO.: ` f 'P. O. -Sox 21799 agan, MN 55121 pATE: - No. of Units: ? irg: ?. ..? 1?? ?.c. . _ Site Nddress: Plumber. l• ,-, , Mebr No.: ? Sfu: ? " ? Reader No. 03 M o I - M +e awst* r?il6 llS??f ? ??? By / Darte of I nsp.: ?r oe?r. 1? 0 c1 r i, ?. Permit Fae: surchorge: Misc. Choron: TotcL• Dote Poid. ., CITY OF EAGAN N2 1 5 3 7 7 3830 Pilot Yinoh}ibad, P.O. Box21-799, Eagan, MN 55121 PHONE: 454•8100 BUILDING PERMIT Receipt# / To be used for DE"K& TRELLIS Est. Value $1, 000.00 Date JULY 22 ,t g$? SiteAddress 4471 REINDEER I,ANE Lot 10 Block 3 Sec/Sub.FAWN RIDGE ADDITIC Parcel No. a Name PATRICK W. BOUGIE W ? Address 4471 REIN?EER LANE ? City EAGAN Phone 454-5454 o Name SAME zi- ? a Address w i- City Phone ?a W W Name ? _F3 Address aw City Phone I hereby acknowledge that I have read this application and state that the information is correct antl a9ree lo comply with all applicable State of Minnesota Statutes and City of Eagan Ordinanc s. Signature of Permitte A euiltling Permit is issued ro: PATRICK W. $?1 IE on the express condition thal all work shall be done ?raccordance with all applicable Stata of Minnesota^atutes and i y of Eagan Ordinances. OFFICE USE ONLY On Site Sewege _ Occuvancy MWCCSystem _ Zoning On Site Well _ (ACtual)Const City Water _ (Allowable) PRV Requiretl _ # of Stories Booster Pump _ Length 11 oepth 12 S.F. Total Footprint S.F. APPROVALS FEES Engr./ASSess. Permit 424.00 Planner Surcharge .50 Council Plan Review Bldg. Off. SAQ City Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks roraL $24.50 ITY OF EAGAN NO 1721$ 3830 Pilot Knob ad, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 rteceipt u -' ??k -3 ~ Tobeusedfor BASEMENT Est.VaWe $1,500 Site Address 4471 REINDEER LN Lot 10 Block 3 Sec/Sub. FAWN RIDGE Parcel No. _ w Name PATRICK W BOUGIE o Address 4471 REINDEER LN City EAGAN Phone 853-2501 Name _ Address City - Phone ww Name ,ME, Address aw City Phone I hereby acknowleqe that I have read ihis application and slate Ihat the inlormalion is correct and agree to compty with all applicable Slate of Minnesota Statutes and l of Eaqan Ortlinanc s. Signature of Permitee A euilding Permit is issued to: PATRICK W BOU E on the express condition that all work shall be done in accordance with all applicable State ol MTnesota Stalutes and City of Eagan Ordinances. Building Official 1 OFFICE USE ONLY Occupancy - FEES Zoning _ IACluaq Const - Bldg. Permit 36. 00 (Allowable) - Surcharge 1.00 p ol stories - Lenglh _ Plan Review DeDth - SAG Cily S.F. Total - SAC, MCWCC S.F. Foolprints _ On Site Sewage _ Water Conn On Sile Well - Waler Meter MWCCSystem _ Acct. Deposit Ciry Water _ PRV Requirad _ S/W Parmit BooslerPump - S/WSurcharge Treatment PI APPROVALS Road Unit Planner - park Ded. Council BIdg.Ofl. _ CoPies Variance - TO7AL 37.00 CtTY OF EAGAN N° 1 0 3 01 3830 PGot Knob Road, P.O. Box 27-199. Eaqan, MN 55121 BUILDING PERINIT PNONE: 454-8100 Receipe g Ts M ww fer SF DWG/GAR Est_value $64,000 pate MAY 30 Iq 85 4471 REINDEER LN SiteAddren ? ? oO°'p"'? R FAWN RIDGE ? 10 g?k 3 ce.?iu..b Zoning R?. Remadal ? . ?r 0 T???? V Pereel No. Enlerge ? No. Stories N°'"° FEATURE BLDRS 2 ? ? h 5 ? ? o?? 4 0 ? p?? 15513 LOGARTO LN G?ade ? sy. Ft. cisv BURNSVILLEPh,,,g 435-8443 l„wl ? q SAME A°OrOYOb Fe°' ?Z+ Name AsfessmeM Permit 325 . 0 ? Addrms Water 3 Sew. Su.cMrW 32 . 0 CitY Phone Police Plan Reviaw 1 62 _ 5 °C Name Fire $AC S 2 S_ 0 iz Addrms 6q. WarorConn. 500.0 cky Pnorre Mmuw Wmer Merer 63 . 0 Counell Road Unit 2$ 0. 0 1 haaby aekrowtadpe Mwt 1 hovs road rhls aoplicarion and smte thm gICIO. p ff. 5 2 9 8 5 T. P. 132.0 Ihs inlormotion is oorrcct o9ree ro canoly with all oppliwble APC Total 2. 019 . 5 Staro of Mirorwta Stotu a City of Enqan rdienncea Var. Dste Sipraturo of iennitfae w Bu{Idinp Permlt I: iswad 10: FEAT RE BLDRS m rye e? ??? ohai dl wrk sholl be doro in aomrdanea with all epplimble Staro of Minnetota Stmutas ard Ciy of Eapan Ordironcet BWldinp Offkid iViKy eyW1 ? 66385 io j Request De1e Fire No. ' Rough-in Inspe ' n Requi d? ? Featly Now Wili Nofity Inspec[or Wh R L? ? es ? No en Batly? I 0 licens'td'contractor p owner hereby request inspection of above electrical work at: .bb AdtlreSifteet, Bax or Route No. z"O r? Ciry ? Seclbn No. 1 Township Name or No. ?,y?J qaige No. . County b Occupanl (PR/I?fJT)A?- Q Phom No. Power Supplier AGdreae Electncal CantracMr (Comparry Name) Conlrector§ license No, Mtiliig Atltlress (ConVador ar Owner Making Inslallatron) Auhorl gnalure (COntraclor/Ow 'n . Ph/on?a NAumbrer MINNESOTA 5TATE 60AR0 OF ELEC7PICRY (j THIS INSPECTION REOUE3T WILL NOT GrlggsMitlway Bitl& - pwmSi73 BE pCCEPTED BVTHE STATE 80AR0 1821 Unlvamily Ave., SL Peul, MN 55104 UNlE55 PROPER INSPELTION FEE IS Plmne (614) 642-0800 ENCLOSEO. ii3/P p FFI?R.r, REQUEST FOR ELECTRICAL INSPECTION ?$ee insvuctions tor completing this fortn on beck of yellow copy. "X" Below V?o)'A,.vered by This Request EB-0OW1-07 Me% Adu Flep. TypeofBuilding AppliancesWired EquipmentWired Home Range Temporery Service . Duplex Water Heater Electric Heating Apt. 8uilding Dryer Other (Spec'rfy) Comm./Indus[rial Furnace Farm Air Conditioner Olher(specily) Contraclor5 Rem 'As: ?,Smt- Compute Inspection Fee Below: # Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 700 Amps Transtormers Above 200 _ Amps Amps Sign3 Inapecmr5 Use Only: OTAL ? Irrigation Booms 26 ? Special Inspection ? Alarm/Communication Other Fee I, the Electrical Inspector, hereby Rouyn-m ? oa7l_ certify that the above inspection has been made. F„ai r OFFlCE USE ONLY ? This reque9l witl 18 mortlh5lrom I?QUEST F08 ELECTRICAL 111LSPECTION of% Ee'00001-04 Gj ?8,q? ? / ' Sea i?tnciims (ar ton,letim lhis 1mm m back o7 rellav woY. ^1 ?C ? 242 Aii- 7:. ..X.. Below Work Covered by This Request l?Z.'L b l.dtl Rep- Typa a1 BuiMi?g Appliai.es wirfltl EpuiO?nt Wired Hame Range J Tertiporary Service pupfex Water Heater lighting Pix[ures ApL Building Dryer Elec:tric Heatfn Cwrw3erciat Bldg. Furrace Si!o Unloader Indusxrial 81dg. Air Conditioner Bulk Milk Tank Farm o:ne. 19M.F') Qtne.r Isoedlvl [ ,r Succify Other 01her Compute lnspecUOn Fee 8elow • Fge ServiceEntra.aSize p Fee /Subf¢eders # Fe Circuits 0 to 200 Amps A 0 to 30 Am Ahove 200 Am 0 Arrys E 31 to 100 ?, Swimming Pool i t 00- Abo? Above 100_A? Baorts ,S Partia4`Other Fee SignS Special Inspection p?er" `O TOTAL FE?? `, ? I?.l t ppypry_jn Da[e I? ,tpe Elecbical yl ? p I?apaciw. imreby -tr t?ithe above _ C Finul " D te _C ?rapection has been Q ?de. Mftraqmd vpi018mon1h¢fiom This r¢p?yu?.es[ witl ??)`' ?/ ?'' v 18 BTjPJ?l L1063 qnt..P,. P,.Ae._, 10,6 flequesY6a?e Fire No. pough-in IRSpecGon flgpyheA? 14aAY Now ill Nati(v. Inspec- Q ??YCS ?Na n Rradv ,?Licensed Elechicai Contractor I ?aby ropues[ insoection ol above ? OwcRr eleetriml work instnlled at: Stree;Ad3r s, Box m Houte N City ectoon o. TownshiD Name or No. Ilange No. Caunty Occupaat (Pfi1NT) >v? ???,?5? No. ??:.d'yy? Power Supplier Ie? Adtlress Ele?cyV ic?al Contractn (COmpany Name) C/an?YmrL?iceDnse N Mailin Address (COn[rac r r Owner A1aki raila[ionl ? C? uthorized Sigrunre (Contract er MakiCg reWllationl Numb¢r ? ? MINHE$OTp STATE BOARO OF ELECTPICITT THIS INSPECTION RF.UVEST IIILL NOT Grigga-1lidway Bldy. - Room N-791 ' BE ACCEP7ED Br THE STATE BppRD 1821 Univarsity Ave., St. Peul, MN 55101 UNLE55 PIIOPEN INSfECT10N FEE 6 Phom 1672) 2972111 ENCLOSED. a? ? 5 REQUEST FOR ELECf1GCAL INSPECTION EB"" -04 ' See inetructians for eontoiqiiRg Mis fam on 6aek M Yellow copY- ?I ?I / /?/ 4;?? 6`?= '"%"' Be/ow Yk Covered by This Request ? Q S Fdd Neo- Type o: 9ui14bw AOOlisn[es wirW Equipmem Wired Home Range Temporary Service Duplex Water Heater Liyhtin,y Fixtur¢5 Apt. BuilAing ?ryer ElecVic Heatin Commercial 81dg. Fumace Silo Unloader Irn§?stnal RIAn_ Afr Cnnlitimer Bulk Milk Tunk p Fee ServiceEnt2nceSize k Fqe Feadars/Subfee?rs R Fee Circuits Oto2?Am 0 to30 Anq? 0 to30Am Above 200 Am?s 37 to 100 Arnps 31 to 700 A Swimming Popl Above 100- Above 100_A Transiormers Irtigation Boorrtc Partial•'Other Fee I I I SI(fl5 ' I I5pE[1a1 Ins{lection Pe?rks ? TOTAL FEE ou lo' Nouah-in Oate I. HK Etec fal I?wpecrnr, MrebY eeRity [hnt the aiqve Fi?l ?e ? ?, i?rspeetimhasleen -r' ?da. T!q ?apuast voM 18 montlsfrom Th:s repuest wid6 ??O lfl -n? (- `l ? tzz ^rat Str¢o[W? A/ddress, Box ?ory Ro/Jute/No. ?'l / 1 / Gt ? uoa o. Tow?hip Name or No. Ra?c No_ County . Occ m (PRINT) /T / V/`? ?? ??^ O 7 7,? Ibwer SuDDlim Address Elec "ral Convactor ( mVa Na?nel ?. ? ?e?-1 Cuniractor's License No. o 4// 9 ? r s c ;?^ : Wilin Address (Cantractor or Owrer 41.ikinq Iretailationl -7 6, -7 s Aufioriz ?9 t onVaclor Owner "'g I?stall ion) Ph? ?unbe?'? ??? Y YINNFSOTA STATE HOAIN OF ELEC7AICITY ? THIS INSPECTION PEUUEST WILL NOT 6ripgy-Yidray BId9. - Roan N-191 BE ACCEPiED BY THE STATE BOARO 7M1 pni?siry Ave., St. Peul, YN 55104 UNlE55 PROPER INSPECTION FEE IS Phone 16121 29]2711 ENCLpSED. tiP ?•'F•°P' °R•'•'°' -^O°'-`°• 1 herebY repuest inswection ot above ? Owner ?iechical work installed aL 2005 RESIDENTIAL BUILDING PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 4 651-675-5675 FAX # 651-675-5694 -7p,oo New Constnuction ReauiremeMS RemodeVReoair Reauiremenis Ofifce Use ONv 3 registe2d site surveys showing sq. ft. of lot, sq. ft of house; and all mofed areas 2 copies of plan CeR W Survey Reed _ Y _ N (200k maximum lot coverage allowed) i sel of Enargy Calculations for heated addNons Tree Pres Plan Recd . _ Y _ N. 2 wpies of plan showing beam & windowsizes; poured found design, etc. 1 site survey foraddilions & decks Tree Pres Required ? _Y _N 1 set of Energy Calcula8ons AddHion -indicafe i(on-site septic sysfem Onaite Septic Systein _ Y _ N 3 copies of Tree Preservation Plan I( lot platted after 717193 Rim Joist Detail Options selection sheat (buiWings wAh 3 or less units) Date t l=J 1 l Site Address 0 O'L -ii Reep?ee* Construction Cost '+"-4Y'?V' 6io LakLQ UnidSte # Descriptioo of Work Yef7 Multi-Family Bldg _ YZ N Fireplace(s) ? 0 _ 1 _ 2 Property Owner Telephone #( G? ) ( - Contractor 1 ?1?TW I?5 ' Address State ?N City Zip Telephone # ( ? ) COMPLETE THIS AREA ONLY IF A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Enefgy Code Category . Residential Ventilation Calegory 1 Worksheet • New Energy Code Worksheet (dsubmissiontype) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # ( Telephone #( N If so, 25% plan review I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ` rabKe_ Ee/rw ? ApplicanYs Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 Sf Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ex[. AIt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex O 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 72 12-plex Plbg_Y or_ N? 25 MiSCellaneOUS Work Types ? 31 New ? 35 Int lmprovement ? 38 Demolish lnterior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 WindowslDoors 0 34 ReplaCement •Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Census Code SAC Units # of Units # of Bldgs . Type of Const _ Footings (new bldg) _ Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Occupancy Zoning Stories Sq. Ft. Length Width MCES System City Water Booster Pump PRV Fire Sprinklered ; REQUIRED INSPECTIONS I _ Final/C.O. _ Final/No C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Building Inspector . v 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MIST EE LICENSED MITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS &4 00 To Be Used For:10-- JVD"ke li'?, Valuation: 7?va- Date: .?/d9lg?" Site Address: /-{(17/ - 9-tc.?,Q?n. -0?.. ? Lot: / D Block 3 Sect/Sub ? Parcel 11 Owner Address City/Zip Code ,s-1. ea Phone Contractor Address City/Zip Code ?r??Qq, SS3'3 I Phone C11'3S-g Lf y- Arch./Engr. Address City/Zip Code Phone ll OFFICE USE ONLY Erect _2< Oceupancy 2-3 Remodel _ Zoning ?-I Repair Type of Const ? _ Enlarge 41 of Stories Move Length 52 Demolish _ Depth ?0 Grade Sq Ft APPROVALS Assessments Permit Water/Sewer Surcharge 32. = Police Plan Review 5" Fire SAC 525 ^o Engr Water Conn 5?.5!a Planner Water Meter (a3. °o Council Road Unit 280. !5? Bldg Off jq Parks le? Treatment P1 S3 Z•= APC Variance Q TOTAL a- () 19 , 13 ?1 40 K z--? - I C? 46 X 4 4 4 ` 42> 40 22? - ? a 4o xf I _ 4z x i? = 4G2 2 C? K ?°I ? 1 e I 4- X 13 = 13 I gZ 5 30 . ?. TRI-LA?NQ Co. GERTIFICATE :of SURVEY for: ,r•?:?.'.h ?. ,??1 \????....t:: . ."?...... Y.. .il ..+l+.r.. ::a :. .. .: .. _.......':.: "... '.. ..•. v . . SERVICES FEATURE H4MEE ? .?. < . SCOIt• I?e?? ? ° ` :r ? y ? po ' FM o 3 `c ?o l ? pO?Ka? //, ? ? ?,? , / ?t' ? ? ? ? no ? ni / Q \ i \ i ` orte(t.c? .'S° % 0o . alt.e? V Q LE6AL DESCRIPTION: Lot 10, Block 3, fawn Ridge Addition Dakota County, according to the recorded plat thereof. Garage floor shall 6e set 18" above top of curb. 100.00 denotes existing elevations. I herby certify that this survey, plan ??D 0? or report ?vas prepared by me or under - my direct supervision and that I am a BRADLEY wENSON MN. Req No. 15235 duly Registered Land 5urveyor under the pqTE: S?2J?86 Laws of the State of Minnesota. - fXTERIOR ENVEIOPE kVERAGE "U" CDMPUTATIQtt PT ' OWNER s n ?? ' SI7E, AODRE55 4 v'T CONTRACTOR gijo?.? C"&046- flATE 6?aj`$? PHONE -- Determine working square footage of each. 1 Total exposed wall area ......19 ia.92 sq. ft. x •($ ? 3??•3d . _ 2 tal T roaf/ceilin area 11e c sq. ft. X . o g .... Total expos=_d wall area ahove floor = 1675. 9. a. Total wall window area ........................... 169 _(o _ b. Total door area ................................. ?3 c. Total sliding giass?door area .................... .. d: Total fireplace w311 area...... ... ... .... ? e. Total wall framing area (average 1CA) ........... . 9.;?6 ± f. Total net wall area above flaor ................. ) &S9 6?F- g. Total rim joist ar_a ............................ ?yctf - 7otal exposed `oundaticn area = 9 3•9,Q - - h. Total `ounda:ion windort arez..................... i, Toal net foundation ar2a aoove grade ............ 2,_ p,??or?r?o ui,J° Vdli1° OT °_dCfl Wdll 5°y7cilt. a. 9.6 X „U-, 9 3_aS' b. 33_ x I,U„ . i.s7 = S:aS c. ytf x „ull 0 oZ x ?lull _ 36 e. 1 39.9c-, x "u„ x „W„ _ o> = 6 a.9X _ x „vt , 0 y7 h. X U,1 ;. 93 7a A -6„ , 1169 s- = 9/3,.9 3 . ... ................4 9a... ... .To?zl _ ? ass 3?-' . ji lt°_.m -3 15 *(I° SdiT.°_ dSr Ol" 1°_SS tI13l1 li`.°_^1 'l , }'OU hdV2 fl°_t tfe 7^t`.°_ilt of 53C E03)6(c)2. . i'4.'. PF-1, = ' . . 7ota1 exposed rooi/ceiting area = /f O G Tota] gross rcof/ceiling area = ?? ? ? • j. Totat skylight area ........................ . k. Total roof/ceiling framing area ............ ?L/p 1, Total net insulated roof(ceiling area....... 9_ Deternine "Ll" valuz for each roof/ceiling segm°nt. x 11V . j. , _ .. :.-:.. ,._ , . >_.. .. , ,....,_ .., - . <. ' k 1 r c: x"u" a3S i. 99c x "u„ . n. 3 =?9•? . 4 I(L e......,..Total If total of #4 is the same as, or less than #2, you have met the intent of SSC 6006(c);. To utilized the total envelope system method, the values.established 6y the sum of items 13 and #4 shall not be greater than the svm of itens 01 and $2. 1. + 2. _ 3. + 4. _ MATERIAI.3 'i Therm. Resistance Eztarior 91r .1 7 5idir.g Haterial . ?ls Sheath'ir.g i? Insulation SheetroCk _1!S" Interiox Air " ESf . Stu3s ngm conc. Blks. , ,;", . k89 BIIILDIHG PERNIIT APPLICATION ' CITY OF E9G9N l1 atl SINGLE F6MILY DWELLIAGS MULTIPLE DWELLINGS COMAIERCI9L 2 3EPS OF PLANS 2 SSTS OF PL9NS 2 SETS OF 1RCHI3ECTIIR6L 3 REGISTERED STTE SURVEYS REGI3TSSED 3ITE SURVEYS - 6 STEDCTORAL PLAN3 1 SET OF ENERGY C6LC5. (GFECg i1ITH BLDG DI9.) 1 SET OF SPECIFICATIONS 1 3Ef OF ENEAGY CALC3. 1 SET OF fiNEBGY CALCS. lIQLTIPLE DWELLINGS AMAL UNITS ?'-- FOR SALE IINTTS # OF QNTTS DiOTEt ADDRESSFS F06 CORNER LOTS - CONTRACTOR/HOMEOWNEA MOST DESIGNATE WHICH ADDHFSS IS DFSIRED. NO CHAIJGES WII.L HE ALLOWED O19CE BOILDING PERMIT IS ISSiIED.. 3EWER & AATER PERMIT FEES AND 9CCOONT DEPOSIT FtiES FiII.L BE INCLi7DED YiITH THE BUILDING PERMTT FEE. PROCESSING TIME FOR SEWER AND NATER PERMITS IS TWO DAYS OD1CE A PERMIT H65 BEEN COMPLETED IHDIC9TING A LICEN3ED PLIIMIIDSR. PEN6LTY AYPLIFS WEEN: PEAMIT IS NOT PAID FOR IN SAME MONTH IT I3 REQiTESTED. LOT CBANGE I3 REQIIESTED ONCE PERMTT IS I5SIIED. ??;? i ??'/sN To Be Osed For: Valuation: V,1?,??" % Date: !?-/3'B? 3ite Address 4471 /5ov Lot 10 Hloek 1 _ Parcel/Sub J,l.Yrl Al;"FSP) Owner i 2J 9ddress 5axk? City/Zip Code Gvk 803 • 25a ?/ Phone 14-4 ' cS46?` Contraetor ?J Address City/Zip Code Phone Arch./Engr. Address City/2ip Code Oceupancy 2oning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. On site sewage On site well _ MWCC System _ City water _ PRV required _ Booster Pump _ APPROVALS Planner _ Couneil Bldg. Off. ?o?lj Variance FEES Bldg. Permit 3?. o0 Surcharge o0 Plan Review SACp City SACt MWCC Water Conn Water Meter Acet. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Copies 3UBTOTAL Penalty TOTAL Phone # f I 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN ?/ ?? q n" . SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PI.ANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDNESSES FOR CORNER LOT3 - CONTBACTOR/HOMEOWNER Mf1ST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BOILDING PERMIT I3 ISSUED. MULTIPLE DWELLZNGS RENTAL i1NITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WSTH BLDG. DEPT., 1 SET pF ENERGY CALCULATIONS COP4fEACIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS ? jDOO - To Be Used For: ?C Ke, TrP?(I (s Valuation: ?-? Site Address 4471 J!eINrxE?i2&? OFFI? Lot ?O Block ? Pareel/Sub Fiv1 (ZIllaP v Owner v Address 4411 Zo-V?MM (,N • City/Zip Code &A/LA? Phone s-4 ' S4s4 Contractor n)?)N6 Address City/Zip Code Phone Arch./Engr. Nykle? Address City/Zip Code On site sewage MWCC system _ On site well _ City water _ PRV required _ Booster Pump _ APPROVALS Date: 712018$ Occupancy Zoning Aetual Const Allowable S of stories Length /?- Depth /2' S.F. Total Footprint S.F. FEES Engr/Assess Permit Planner Surcharge Council - Plan Review Bldg. OPf. 6?j l 21 SAC, City Variance SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOTAL qq, ..s? Phone # TRr! LAND C?¦o.? CERTIFICATE of SURVEY for: : ?Il.?"':"???????•V '?I': .;?•.:... ?,i:. .?,. :w?.. . ? .. .. .. ........ . . ..... SERVICES FEQTURE HOIJ?E? ? ? ? sCatiC: I'_40, 'ah . ti ?? LEGAL DESCRIPTIOtJ: Lot 10, Block 3, Fawn Ridge Addition Dakota County, according to the recorded plat thereof. Garage floor shall be set 18" above top of curb. 100.00 denotes existing elevations. I herby certify.'fhat this survey, plan ?D n or report was prepared by me or under , - my direct supervision and that I am a 6RADLEY1Z/9WENSON MN. Rcq No. 15235 duly Registered Land Surveyor under the pqTE: Laws of the 5tate of Minnesota. PERMIT 91TY OF EAGAN ?0 Pilot Knob Road ? Eagan, Minnesota 55122-1897 (651) 681-4675 PERMIT TYPE: g u r LDz N G Permit Number: 0 3 3 8 R 5 Date Issued: l b/ 2 9/ g s SITE ADDRESS: P.I.N.: 10-25800-1.00-03 4471 REINDEER LANE LOT: 190 BLOCK: 3 FAWN RIDGE DESCRIPTION: ?- T.O. ?^ & 8u.a'ldin??t??? ?Permit Typa 6ylilding 4rk 7ype ,C'ensus code "\,, r" REROOF STQF2M DAMAGE REPAIft 434 flLT. RESIDENTIAL ? ct i ' REMARKS: FEE SUMMARY: CONTRACTOR: - Applicant - sT. LIC. BOWNER: WESTURN CEI]AR SUPPLY 15410304 20014207 OUGIE PAT 706 N HWY 169 4477. REINDEER LANE PLYMOUI'H MN 55441 EAGAN MN 55123 (612) 541-4207 (651)454-5454 I I hereby aoknowledge that I Nave read this applieation and 5tate that the information is correct ond agree tv comply with aii appla,cable 5tate af Mn. Statutes artd CiCy pfi Eagah Qrdinances, APPLICANT/PERMITEE SIGNATURE SSUED BY: SIGNATURE 199& BUILDING PERMIT APPLICATION (RESIDENTIAL) , CI1'Y OF EAGAN 3830 PII.OT KNOB RD - 55122 681-4675 New Construetion Requirements Remodel/Reoair Requirements ??"?O ? 3 registered sife surveys - ? 2 copies ot pWns (inGude beam & window sizes; poured tnd. Cesqn; etc.) • 1 energy calwlations ? 3 cOpies of tree preservation plan A lot platted after 7Al93 requirad: _ Yes _ Na DATE: OC?' 221, / `l fd' DESCRIPTION OF WORK:?•P-L????'??P??? STREETADDRESS: 'Y`7 /JU LOT: l_o BLOCK: 3 SUBD./P.I.D. Name: ?iU U/CGi 'Par Phone #: Y??Y ?YC7 7 PROPERTY 1-ast First OWNEA '/ StreetAddress: '7`4/7/ ' 6111/Q66R- L i cicy eA&RA) staze: /rI N/ zip: c5 ?1 2-3 Company: W,6Kr/& ?J?ie L.JPP?-?i Phone #: c 5?I-,Q3Q4 CONTRACTOR l/?p ?j Street Address: ?/? ? d UL / License #?0/ y?I? I7 CitY State: m/U! Zip: ARCHITECT/ ENGINEER Company: Phone #: Name: Registration #: Street Address: City State: Zip: Sewer 8 water licensed plumber (new construction ony): and lot change is requested once permit is issued. Penalty applies when address chan( I hereby acknowledge that I have read this application and state that the infartnation is correct and agree to comply with all applical., State of Minnesota Statutes and City of Eagan Ordinances. /I < < OFFICE USE ONLY Certificates of Survey Received ` Yes ? 2 copies of plan ? 2 site surveys (e#erior additians & decks) ? 1 energy calculations for heated additions CONSTRUCTION COST; Signature of _ No h ocT ? a -:Je Tree Preservation Plan Received - Yes - No - Not OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex O 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-piex ? 05 SF Misc. ? 10 = piex WORK TYPE ? 31 New ? 33 At#erations ? 32 Addition ? 34 Ftepair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Sfories Length Depth APPROVALS Pianning ? 11 Apt./Lodging ? O 12 Muiti Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? ? 15 Deck ? 36 Move ? 37 Demolition 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous Basement sq. ft. Main level sq. ft. sq, ft. sq.ft. sq.ft. sq.ft. Footprint sq. ft. Building MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Engineering Variance Permit Fee Surcharge Plan Review License MC/WS 5AC City SAC Water Conn. Water Meter Acct. Deposit SNV Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: $ % SAC SAC Units ? --- ? - , FI z/aa ? '? j ` CITY OF EAGAN ? i? APPLICATION FOR PE&MZT SEWER AND/OR WATER CONNECTION (PLEASE PflINT) 1) PPOP&'7PY ALDRESS: Z/ Y7 r.craI, DESCRI°TIm C (Iot/B1ock/fSu:aivisicn or Tax Parcel I. . V.,t:?er) L-^ .-„(Z:=:G S?^.?L'=1jaE , Dr1Tr' OF ORIGi^.LAi. riiILDL`:G =.r_=i: IS:i:;,?;C:: PRD= z.^.;Irz7;/P??C7POScTJ IIS: ? R-1 5Z;GT.: :l-?ffLY . ? a'Z-? L'UP t..{ . ? R-3 TC;t??:^LtSE (Tc= i L-TITc) ? P-a uNzTs) ? CCS2,IFFCT_AL/RET-ASL,/Or 'ICE- ? MM;;Si.tT_.'iL ? L\TSTI- .'C.^_'IML'?.L/GC7=,NM1.?^,.7 Z) A:,?T..,`.a=_,iP (PLEASE PAf1iT) NAi•IE: ! P',?..o un.?iQn, ADDRESS: 'aCa- C=. STA 'I.', ZIP: - PHONE: ? 3) FL^-7•mm NPI'9E: (PLE"S?E PRiNI) ? c?1 n ri ??J FOR CITY USE.09LY? ADDRESS: p.. ? . .(..n. C.?,r/M_l' - PlUMBE ICE45E: At t i v e CITY, STATE, ZIP: ?ZyL ? Exp' ed Pxove: PLUNBER LFLENSE N o Recor f d / ,a 4) IIL:UYP..`17'/G['JT.'ER ??. IrLcHac rnirii) ADDF2ESS: CI?"l, STA'I'E, ZIP; PHO:IE: 5) INpIG,T'E ;41-IICH PERf•LIT IS BEING RDQCTESTLD: CONNFCfIO:] TO CITY SaiER ? CONNECTICN 'ib CITY [9ATER ? C!i'IlR (PL,CASE DESCRIBE) 6) . ?? PL?t--1SE f?OID APPRM'FD pg3.+11T f17R PICi:-UP-BY 0'.+IE OF pBUtJg -- ------- - - - - ' ? °LEaSE MAIL APPROVID P?.1IT 'PJ 1. 2. 3, 4 AfiCJVE (Circle one) 7) SIG7.T[.'R: :?-'o-uuv.-? DATE: ?29 S'?- ? ? w o?+<aw?s.,v:f? r s ?.?a?c.? ? ? ?. sa ? ,.. . a? . f-?a 1? ? s is?a:? a a[ I?l?aaF?? ? a!! iscsa.a? r FOR C I T Y US E ON;,Y PERMIT °- ISSUED rcFr$: $ F 10100 C^T.?L. n . nr qTi` ? v 7."'1^ r nr; ar^? ?.._ $_ 110-5-0 WATER PERPtIT (Ir7CL'uDE SuRCHARGL) $ 4 3 0 - 0 - WATER METER/COPPERHORN/OUTSIDE REi,DER $ WATER TRP (INCLUDE CORPORATI0N STOP) $ SE,dER TAP $ : ....:i.:. _ $ _ ACCOliN T DEPOSIT - WATER $ _?Y/U.o-rJ W:,C $ QS.e--C) SAC +S TBUVK WATER ASSESS:'iE:IT $ TRii?]K SE:•iER ?.SSESS?iE:iT $ LATrP.A L SEivEFIT/T°U.]K SE?'.ER $ LaiERI L BENEFIT/TRU.`IK WATER $ WATER TREATMENT PLANT SURCHARGE $ OTHER: $ TOT?,L $ olo76.rU AitiIOL'tT PAIDjgECEI?T ;' 5?-xv G , , . DOES UTILITY CON.IECTION REQLIiRE EXC:.VATZON IN PUBLIC RIG:-IT OF WAY? Y°S IF YES, THE:: A, "PERMIT FOR 'AOR?: WITHZA] PUBLIC ROADSvAY" MUST BE ISSUED BY THE Q ENGINEERID]G DIVISION. LIST AS A CONDI- TION. SUEJEC: TO THE FOLLOWING CONDITIONS: APPROVED BY: TI':Lc: DAT_°: •m Maa= wolosn ura owm ra scw ta awwwmgtft Won Ra OtMV 0040iN wP6 Pta w4 IMsa WJWG P440 r4MR sr M ? 41° City of Eaall Date: Tenant: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink ./ For Office Use Permit #: Permit Fee: Date Received: Staff: INFLOW & INFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water Oct— 70 Site Address: A.C1Pe.sr (I Name: 9-1 Address / City / Zip: Q Phone: Suite #: Name: t' 1 c L PPS' eP C( 1 L'-1- S , 2 ►� City: ` 9 Address: State: ) Contact: License #: PC 6 ticg873 Zip: S`s- C23 Phone: 95-2 mi l T 3� Email: io 4e. ►� 1 C �C2 f' t e ct )(Awl, . ccr)r PLUMBING (Within the building envelope) kSump Pump Repair Other: Description of work: r® C SEWER & WATER (Outside the building envelope) Repair Other: FEES $60.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit I/1 repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeaqan.com/inflow, or City Hall at 3830 Pilot Knob Rd. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.Qopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work • not to start without a permit; tha1j the work will be in accordance with the approved plan in the case of wo whic - • - a review a br approval of plans. 1lp ..1 ant's Signature A li ant's Printed Name Appl PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA141292 Date Issued:03/06/2017 Permit Category:ePermit Site Address: 4471 Reindeer Lane Lot:10 Block: 3 Addition: Fawn Ridge PID:10-25800-03-100 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - Debra E Bougie 4471 Reindeer Lane Eagan MN 55122--209 (651) 955-2959 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature For Office Use I tw° '� ;#« EAGAN Ze: Pic,,,,3v- Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspections(a citvofeagan.com L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name: 4,.I,; 13 (��1 t` Phone: Resident/ (,1 �r Owner Address/City/Zip: tILL7 1 �i -1.-)_c�vLift-le.- ( Applicant is: Owner t /Contractor Type of Work Description of work: rR(-15 • Construction Cost: CO bl 0 0 Multi-Family Building: (Yes /No ) Company: 6e1-)G5 C, / a. V/ f lir7` Contact: Beide 5 ro 5a,1'3 Contractor Address: 17(&Q 1'L.0 I I"7 "�' L City: (—�f- 'C 0, ick State Zip:„7.)�6' Phone: �� -�� --' mail: �+'t r alb ~ tp0, , _L I License#: 4 rte?— Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions.of the information may be classified as non •ublic if .u rovide .ecific reasons that would emit the Cr to conclude that theyare trade secrets You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaqan.com/subscribe. 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. 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.00pherstateonecall.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 . 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 plans. Applicant's Printed Name App'cant's Signature For Office Use a Permit#: //,�t gO O c EAGANPermit Fee: / - Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspections(&.cityofeacian.com L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name: DC?{�,ls1�C ��' Phone: Resident/ �1 t� Owner Address/City/Zip: �LT 7 ( i - '- 4,0E- Applicant is: Owner (/Contractor Description of work: ��,r i Le- �/C (� l� 9 r o/ L` Type of Work • • Construction Cost: / 00 0 Multi-Family Building: (Yes /No ) Company: Ge.,rQ<<5 A . t0 1411e-ie Contact: Gel-)c- /%,5 Jam' Ii 4 Contractor Address: t 660 1/e_' City: � z (Le State: () Zip: SbK Phone: `JS�-�5`t�' mail: (55'k/r,1c, O/E.ro9-`((� mfr -j License#: C Sa l Z Lead Certificate#: If the project is exempt from lead certification, please explain why: l (6 5 /v i2 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: • Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-•ublrc if au rovide s ecific reasons that would ®ermit the Cit to conclude that the are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. 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. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.ora 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 n• to start without a permit; that the work will be in accordanc with the approved plan in the caseof work which requires a review and approval of• s. [/ /- 64,/"-i Applicant's Printed Name Applicant's Signature lommummi ,-- For For Office Use 15-_I 679 6 „, ; : „ ,,.,„ $ , Permit#: i,,...4. ..o..it Permit Fee: U `)• . Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspections(a)cityofeagan.com 2019 RESIDENTIAL BUILDING PERMIT APPLICATION /54.7P /9e h, '€ ' I/ EG�'/V/SIV 57/ Unit#: Dater Site Address: Name: G T'W iSaOa ' Phone: i i t Resident/ Address/City/Zip: YW &/q/9e i � b4Vea,4-71a/R-dtel (oner 1 Applicant is: Owner V Contractor ��udows nie k eeweett II a� efiiiDeDescription of work.. ( a *'e /� g Type of.Worki Construction Cost f g Multi-Family Building: (Yes /No V ) Company: /ate!' d z Ij# 'a/zi, % 'Contact: 65//J7 g %c2 .f• V Address. /O ,�74 i t f/t 4 4/tid City: �(ki0C !"L 0 Contractor _ StaterP Zi :� I/ Phone: Email: �Kail S'r�,Pce J License#: 1e°7-5-z g Lead Certificate#: Pii r"!/344 4' ^L If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE Plans and:supporting documents that you submit are considered to be public information. Portions of the;infOr717atIon may be classified as noR • bGc if •iu . •vide •- c aeasotSs thatwould �- M the C to cortcfudethat are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. 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. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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 theKOei approved plan in the case of work which requires a review and approval of plans. t x Yan x _..-e---_..-e---c2 7 Applicant's Printed Name Applicant's Signature RECEIVED MAY 212020 EAGAN 3830 PLOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5875 I TDD: (651) 454-8535 I FAX (651) 675-5694 puildinoinsnectionsCdacitvofeagan.com Fp:ince Lll V Permit#: � Permit Fee: /z7sT Date Received: Staff: 2020 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 4 2.0 Site Address: 9 Q_@ LAi b ttii LA) Unit #: Resident` Owner R • Name: C 14 4 (l., L- E y S WO eJ Sim) Phone: C 12. 1 j 5 36 R/ Address / City / Zip: 'Pi I % IL Q..i,4A 9., €. 2 L., g 4 6 A Al NIA) $ s ! 2 3 Applicant is: Owner V Contractor Po of Work ; Description of work: 5 (J I L. %j I) ti k9 .N cc K. lit)7 a4 € (l i c it. V44, ' ) Construction Cost 10), a Oa Multi -Family Building: (Yes / No , ) Contractor ,. Company: y ttliE V 1 X V /Y Ni /ti4 Contact: IA k NA QO ,zt 6ro ? 7,e Address: I I GI tidQr�� q;‘ 1 6 2... ST City: sTPwi.MA State: Mel Zip: ,Ss I l l Phone: G IL it 23 920SEmail: e €.O a 1,0/6 f t X ti/tf/74'`.G License #: 5C. )1.98 2.1 Lead Certificate #: N' I -6 A" 3 3411 5 9' 19—DO.3ga if the project is exempt from lead certification, please explain why: V In the last 12 months, Yes No 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? If yes, date and address of master plan: Licensed Plumber. Mechanical Contractor. Sewer & Water Contractor. Fire Suppression Contractor. Phone: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public Information. Portions of the Information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeanan.com/subscrbe. 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. 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.aoaherstateonecaf.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with u = 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 a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x 0...01b4.161/ Applicant's Printed Name x Applicant's Signs DO NOT WRITE BELOW THIS LINE SUB TYPES, _ Foundation _ Fireplace _ Single Family Garage _ Multi Deck 01 of Plex Lower Level WORK TYPES New Addition Move Building Alteration _ Fire Repair Replace _ Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100%. ) Census Code # of Units # of Buildings Type of Construction Repair Siexao REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Foundation Before Backfill Roof: _Ice & Water _Final Framing 30 Minutes 1 Hour Fireplace: _Rough In _Air Test _Final Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan "1 P-tr"-kr L4,-4 Rolcilp _ Porch (3-Season) Porch (4-Season) _ Porch (Screen/Gazebo/Pergola) _ Pool Interior Improvement _ Siding Reroof Windows _ Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building _ Demolish Building* _ Demolish Interior Demolish Foundation _ Water Damage *Demolition of entire building - give PCA handout to applicant Occupancy U...2 Code Edition Zoning i n Stories Square Feet Length Width Reviewed By: MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Service Test Gas Line Air Test _ Hood Pool: _Footings Air/Gas Tests Final Drain Tile Siding: _Stucco Lath _Stone Lath _Brick EFIS Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: , Building inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Radio Meter Read Copies TOTAL ner ijtj r) E Li/ S TAT A J.. CO Gt. Ff n it/s 3 oov Page 2 of 3 yLi 7 ( � � nclew � L n TI—LMIvL �1p1p-�. CERTIFICATE of SURVLY tor: SERVICES FEATURE HOME Scale: fir 44,' s a,� ,e',I ,, Pe °''4."N er- 0 ipi erg> /htg igt.), tr.Oft0 4fr - LEGAL DESCRIPTION: Lot 10, Block 3, Fawn Ridge Addition Dakota County, according to the recorded plat thereof. Garage floor shall be set 18" above top of curb. 100.00 denotes existing elevations. I herby certify that this survey, plan or report was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the Laws of the State of Minnesota. BRADLEY4LWENSON MN. Reg No. 15235 DATE: ,f 12>/86