4785 Richard LaneCASH RECEIPT
?.
'CITY OF EAGAN
• 3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
?,r- - • -?? ?
RECEIVED
FROM , 7i6,.. . .
AMOUNT $
E] CASH
& DOLLARS
f o0
CHECK
?
ROR ? ? W '??? j41 ??
??-?-
?f
FUND CODfi AMOUNT
G
L4
Thank You
.. 65850
B Y .-
White-Payers Copy
Yellow-Posting CoPY
Pink-File Conv
. .. _ ?... ,
? CITY OF EAGAN NO i2?38
`
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ,
PHONE: 454-8100 ,
BUILDING P ERMIT Rece ipt a
To be used for SF DWG/GA!2 Est Value $108,OOU Date AUGUST 12 ,1986
SiteAddress 4785 RICHARD Li1 Erect ? Occupancy R 3
Lot 22 Block 1 Sec/sub. HZLLCREST Remodel ? Zoning R 1
Parcel No Repair ? Type of Const ?
. Addition ? Na. Stories
W Name 4aM HUTTNf:R COVST Move ? Length ??
= 960 bJATERFURU DR W Demolish ? Depth 36
o Address Int. Impr.
City EAGAN Phone 452-3088 In5tall ?
? Sq. F!
ac
o SAME
Name Approvab
=
?°, ¢ Address Assessment
~ Ciry Phone Water & Sew.
Police
? Z Name
? a Address Fire
Eng.
W
? City Phone
Planner
Council
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off. 8/11/86
information is correct and agree to comply with all applicable State o(
Minnesota Statutes and City of Eagan Ordinances. APC
Signature o( Permittee ? '- = ? •'? ?,_T
A Building Permit is issued to:
afl work shall be done in accordance with
WM HUTTNER
Permit ? 453-•01
54
' 01
Suroharge
Plan Review' 0i
SAC '
Water Conn. 500 . 01
Water Meter 63.51
Road Unit 290.01
Tr. PI. 156.01
Parks
Copi U
r .-i ? . l
on the express condition that
City of Eagan Ordinances.
Building Official /?^ ?` _??; -cl Lc c
?
`^a
PwmN No. Wmdt Holde? Dste TNophonw S
Plun+Nnp
H.Y.A.C. / 7a c y
Elscltle !7 r • /D/b? ? :?' I/q•00
SoflenK
Inepecrion Dab Insp. Commonb
Foodnys I
FooGnysll
Foundadon
Framiny
RooNny
Rouyh Plbp.
Rouqh Hty. /D
tmul. O ?
Firsplace U
FInN lity. ?
Ftnal Plbp.
BWp. Final zz
?
Grt.Oec. Z3 I
DecN Ffy.
Deck Frmy.
WNI
Pr. Disp.
6?y. - . .. . . .?. . • rt?j,,.v!,. .Y?..+ , . '',: :•M. . . . . . . . s. ..
' PERMIT #
? MECFIANICAL PERMIT RECEIPT #
CITY OF EA(iAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE
CONTRACT PRICE
Site Address 7 ?
Lot Block
/. , / BLDG. TYPE
Sec/Sub
Res. ?
? f Mult
Comm.
one Other
WORK DESCRIPTION
m Name
y Addre?
c Ciry
Name
?
c Address ? ? ? ? , ' • ? ? r ; - " '
p Cfty:`. Phone?
TYPE OF WORK
Forced Air M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent CFM
Gas Piping OuUets #
Other
New . x
Add-on
Repair
FEES
RES. HVAC 0-100 M BTU - a24.00
ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - 10.00
MINIMUM - COMM/tND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
FEE
S/C: ? SIGNATURE OF PERMITTEE
TOTAL:
FOR CITY OF EAGAN
INSPECTION RECURD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPUCANT:
i. i, ii;'o il t aNt
?IH 11 Ht!;l
PERMIT SUBTYPE:
I.? • fi: , i ! i 1 li
TYPE OF WORK:
+itl i 1 11 i Ni,
11,'qFt??ii
k { / 1 / /'a4
1;1 MFwl• •? :':F I't1f<A I I I1 I.1`1i T`. F1kk• I?I uU i t, F U f Ult HNY f•f IIFII+! Wt, t?t: I I tI i fc 1( A! 6ak'10
?
-1
? ?
PermR No. Permk Holder Date Telephone #
S/W
PLUMBING
HVAC
ELECTRI
ELECTRIC
Inapsction Date Insp. Commenfs
Footings I
FoundaUon
Framing A2 aAdao?
Roofing
Rough Pibg. lZ ?
Rough Htg.
l5ul.
Freplace
Final Htg.
Orsat Tesi
Final Pibg.
7 Pibg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final
Deck Ftg.
Oeclc Finai
Well
Pr. Disp.
INSPECTION REC4RD
CITY OF EAGAN ' PERMIT TYPE:
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55123 Date issued:
(612) 681-4675
SITE ADDRESS: LoT ::tg eLocK :I APPLICANT:
4785 tetCNANO LANE P K COMST
FltttC"EST (612) 483-6078
PERfMIT SUBTYPE: TYPE OF WORK:
L Contro! No.
?ut?utNr?
m
? ? -
aWmn No. wrn,n rioww oa? ror?no? s
s/w
PLUMBING
HVAC
ELECTRIC
ELECTRIC
hWwtlon D1Rs Insp. Comments
Foottngs I
Foundation
Framing
ROO"
Rough Plbg.
Rough Htg.
W.
Firepiece
Finflt Htg.
Orsat Test
Finsl Pbg. Plbg. Inspector - Notily PIurMw
Cortet. Meter
Eny?JPlan
Bldg- Fnel
DeCk Ftg.
oeck Firiai ea
wen
Pr, Disp.
? . .
fter#i#iratr of (Orrupariry
titp of (Eagan
loppx'ttltPlt# of %atno 3wptum
nis Certifrcate issued pursuant to the requiremenls of Section 306 of the Urrifornt Building
Code certifying tJrat at the time of issuance this structure wos in compliance with the various
ordinarrces of the City regulating building construction or use. For the followrng.•
Vse a,,i6aboe S- ?r /C AR ek%. R!mit No. 1?-
0-woaY TyP? ? Zm-d" DLwio i•: ? '1)rpe Caoat ?rL
Ownc of Bwlclioj GF•' i 1'I ?P??["? ???, F' Addrcu '' v'7 -•'d i:.??L.? 1,? ?- ?,. ,? e e?
Building Addrm i?`? • Laality -:??L+ i; rt• '
Date-, ,'i'"' "`? 1G47
Official .
POST IN A CONSPICUOUS PU1CE
CITY OF EAGAN Remarks ??, i - ` 'r-
Addition HILLCREST lIDDITION Lot 29 BIk 1 Parcel 10-32975-290-01
Owner Street 4785 RICEIARD I.ANE state EAGAN MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1985
STREET RESTOR.
GRADING
SAN SEW TRUNK
3SEWER LATERAL ?- 1985
WATERMAIN
*INATER LATERAL 19$5
WATER AREA (o
*Services 1985
STORM SEW TRK
*STOFiM 5EW LAT 1985
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PAR K
CITY OF EAGAN SEVM SOV" PERM
3830 Pilot Knob Raad -
P. O. Box 21199 PERMIT NO.:
Eegan, MN 35121 DATE:
,
Zonirp:
No. of Units:
OwMr. ' -
Add?ess: -
Site Address: 47F51 ;' iChard :.3•, :° `._>. j.
Plumber. S t 3 r F i veRb it1s?
, r r ? - 1 .. . . t
f .'no to eo..i, wkb n» ae, a aw. ca,rweia, aarge:
OtaN11oN. ACCOUflt DlpodTI
Peffl'at FeeS
Surcharpe: .
By Misc. Chorpes:
Date of Insp.: Totoi:
Insp.: Date PoM:
CITY OF EAGAN WpTER SERVICE PERMR
3830 Piloi Knob Rosd ?
P. O. Box ?_7199 PERMIT NO.: i
Eagipti, fiIIN 4;5121 0^TE:
Zonirg: _ F i Na of Units: ? i
Owns?:
/1eldresm ?
«w. ?
Sif! AddfCSx
Piumber: S t ay PI uAb f ng {
Meter No.: Connection Chorge: P 0 Q,??'_d ?
Siu: /\cvount Depostt: i 5 0 Qp2_
Readar IVo.. Permit Fee: ' n nR? 5
1 pm to eeNWlF wilh !Iw Cihr ei Uyew Surchargs: r 0 nti ',
OwInnoM. Mlat. C'hor+pes: 1 P •?
Totol: faawar
gy Dote Pald:
Date of irup.: Irap.:
CITY OF EAGAN -13 7 WpTER SERVICE PERMIT
3830 °t1a4 iCnob Road
P. O. Box 21199 PERMIT NO.:
Esgan, MN 55121 DATE:
Zonirp: No. af Units:
Owrnr:
Nddross:
slte /lddrcss: '+7ds•F*? , ,° I_"' ", •}l?re?t
Plumbar. Sta?' FI. ,
Meter No. J ?-
Size: As4g10 ..?ncs{?? 5 ?" ')•?pcl
Reader No.. j Eer?ee,v , ., n?
1 prw h aewolp wllh 1hw Gt?r oi yaw fAef)
Ih r
V' i:,??.•?r?f?? TP
I
?b. ?EQU . ??s:
TOt01: ? ? - S'ln:? ??tar
By Date Poid:
Date of Insp.: Irqp.:
j- ai - ? 7
,.
BUILDING PERMIT
Receipt q 1 1 `1
7o be used lor SF DWG/GAR Est. Value $108 1000 pate AUGUST 12 ,1986
SiteAddress 4785 RICHARD LN Erect ? Occupancy R3
Lot 29 elock 1 Sec/Su6. HILLCREST Remodel ? Zoning RI
Parcel No Repair ? Type of Const Vp
. Addition ? No. Stories
w Name WM HUTTNER CONST Move ? Length SF
z 960 WATERFORD DR W Demolish ? Depth36
o Address Int Impr. ? Sq. Ft
City EAGAN phone 452-3088 Install ?
a gAME Aoorovals Feee
F Name
i
0
0 i
Address
a
City
Phone
? w Name
? ? Address
i W Ciry Phone
Iherebyacknowletlg atlhavereadthisappiicationandstat@thatthe
information is cone and agree to comp wdh all applica 6St
Minnesota Statutes
Si
t
f P
i nd City of Eagan in ?
gna
ure o
erm
e
A Building Permit is i u e
ed to: WM HUTTNER CONST
all work shalt be done'n accordance with all ap "c State f Min eso
S
Building Official
CITY OF EAGAN "
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121Np .__ 12438
' PHONE:454-8100 /'
Assessment
water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. On. 8/11/86
Var.
Permit $ 453.0
Surcharge 54.0
PlanReview 7226.5
SAC 575.0
Water Con n. 500.0
Water Meter 63 . 5
RoadUnit 2 90.0
Tr. PI. 156.0
Parks
Copies
Total $ 2 . 318 . 0
on the express condition that
Cily of Eagan Ordinances.
REQUEST FOR ELECTRICAL INSPECTlON .
, Seo inslructions fol eompletin0 ihis torm on beek ot yeitow copy.
M4 "X" Below Work Covered by This Request
Reo. Tvoe of BuilAins APOlioneen Wired Equipmant Wired I
Home Range Temporary Servica
Duplex Water Heater lightin, Fixtures
Apt. Building Dryer - Electrie Heatin
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. AirConditioner Buik Milk Tenk
FBrtp ' Other Peci v iher ISpecifyi
L R! pf41 Y 1hCf Qth(±f
•f88
ApUBn-?n , / ` ^Y ?, [?IB?C`?e8BIC8?
?? ?'?/ ?G?f? insoectoqhereby
eartify that the nbove
rnel o'ne ? y?Pection hes bean
1 1z,
'L A?6de.
"in,7;. ,
% asc,?oI e iC/p
18 m rom
C._ 5IW34
flequeTSt Date Fire No. RouBh-' nsuect
ion
fl q d?
eatly Now ill Noti(y InsDec-
?
9 ?? i?j Ves ? No m hen qeadV
ensetl Elec[rical Conirac[or 1 hereby requeat inspection ol ebova
Owner? alectrical work {natalled ee:
Street Address, 9ox or Noute No. Ciry
LK?? t-ov C
G
actian o. Township Name or No. RanBe No. CounlV
??A
Occupent PIN?T/ ? Phone No.
l , • jj;??e-Q
P upplier Atldress
JI L L\Z ?r e?
I¢ ical Convactor ICOmpany W 1 Con mor's License No.
? ??£
• v
aili 8 Aadress IContracmr or Owner Makine Instailationl
2av f Kit- 4
Au[ho S?9?a e ICOnrtaclod ner MakinB tnstallation Phone N mber
?f?c G 3 ?3
MINNESOTA STATE BOAND OF ELECTIIICITV THIS INSPECTION NEQUEST WILL NOT
Grippe•Midxray Bldp. - Room N•197 BE ACCEPTEO 9Y THE STpTE BOAPD
1827 Univeraitv Ave.. St. Peul, MN 65104 UNLESS PROPER INSPECTION FEE IS
Phone 16121 642-0900 ENCLOSED.
? 64`ti39?3-
REQUEST FOR ELECTRICAL INSPECTION
mo See insnvdions lor completing ihis form an back of yellow rnpy.
'X" Be/ow Work Covered by Thrs Request
? EB ??,-oa
?A`
e Ad Rep. TypeofBUiltling AppliancesWired EquipmenlWired
Home Range - Temporery SBrviCe
Duplex Water Heater Electric Heafing
Apt. Builtling Dryer LOad Menagem0nt
Comm./Industrial Fumace Other (SpeCiTy)
Farm Air Condilioner
plper(syecify) Contraqor's Remerks,. . •A ? s
Compufe Inspecfion Fee Below:
# Olher Pee M ServiceEnirenceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps o to to0 Amps
Translormers Above 200 _ Amps Ahove 100 _ Amps
SignS Inspecrors U5e Only: TOTAL ?
Irrigation Booms W
? D
Special InSpection ??
Alarm/Communication THIS INSTALLATION MAY B DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS., (
I, the Electrical Inspector, hereby
tif
th
t ih
b
i ?j?
/ a
f ? oa ?
y
cer
a
e a
ove
nspection has
been made. ,/ -
Final
?.fi//?,t"
?re
OFFICE USE ONW ' TM1is repuast voitl 18 moMhs Imm
; -1 T__
J n'f
? b4 b'J?, ? / gr qo -..
Repu@st D/at F' e N. Roughln Inpseciion Repuire0 '
(YOU wll inspe
w
reatly) ??pectlon OlherTtg? ough-In
?
t
I
O
No
/( i7 9 _ y
nspeclor
pea0y Naw /?Yiil Nati
Ves ?ate Ready
• ,/
10 licensed contrector ?swner hereby request inspection of above electrical work at .
Job AtlEr¢ss (Sireet. or ute N ?
1 :
? ? City
e
?.
Sxtion No. Townsnip Name or No. Fange No. CounN
OccuINi) Phone No.
.
455?
Power SupPlier Aetlress
Heqncal Co Iranor (COmpany Name, ' Conbactor$ License No.
orn e.ownP,r-
Mailing A4Eress ICon actoe or Owner Making Installation)
OV
Autho eE gnatore ?GO cto
n
Owne
r Making Inslalialiory Phone NumDer
.
?
?
a^
MINNESOTA STATE BOAND OF ELECTHICITY
GrigBS-MlCwey Bltlg. - qoom 5-173
1821 Universlty Ave., St, peul. MN 55100
Phone (612) 603-0800
THiS INSPECTION REOUEST WILL NOT
BE ACCEPTED BY THE STATE BOARD
VNLESS PROPER INSPEGTION FEE IS
ENLLOSED.
2007 RESIDENTIAL PLUMBlNG aeRMiT,aPPLicarioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please compiete for modifications to existina residential dwellincas.
010•5n
Date 0 1 / 1 71 0 7
Site Street Address 4785 RICHARD LANE Unit#
Property Owner JERRY MASSIE Telephone #( ?
Contractor GENZ-RYAN Telephone# (952 ) 767-1000
Address 2200 W HWY 13 City BURNSVILLE StateMN z;p 55337
The Applicant is: _ Owner & Occupant X Licensed Plumbing ContracYor
Septic System _ New _ Refurbished Su6mit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-buiit 5 10.00
Fire Repair (replace hurned aut fiutures, etc.) S 90.00
This fee a lies when extensive lumbin re airs are made to a buildin .
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures to main level lower level. This fee includes
installation .of a. water. softener and/or water heater at the same time. !f you are -
insfa!ling onlv a wafer soRener and/or wafer heater, do not complete this section;
move_to the next section and place a checkmark next to th?? p"- g?r ( kp
installing: U? D
SepticSystemAbandonment JAN 1 9 2007
_Water Turnaround (add $136.00 if a 5/8" meter is required)
X Other: MOVE 2 SUPPLY LINES AND WET BAR
Water Softener _ Water Heater $ 15A0
_ new _ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rehuild $ 30.00
State Surcharge $ .50
Total g 50.50
I hereby apply:for a Residential Plumbing Permit and acknowledge that the information is complete ard accurate; that thz '
work wiil be.in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a permit, buG only an application for a permit, work is not to start without a permit and work will be in
accordance wiYh the approved plan in the event a plan is required to be reviewed and approved: .
qM RENVILLE
Applican['s Printed Name
ApplicanYs Signature
2007 RESIDENTIAL BUILDING PERMIT APPLICATION?
? City Of Eagan ?
3830 Pilot Knob Road, Eagan MN 55122
Telephone 0 651-675-5675 FAX # 651-675-5694
New Canstmctian Reauirements
3 registered site surveys showing sq. fl. of bt, sq. ft. of house; and all roofed areas
(20 % maximum lot coverage allowed)
1 Soils RepoR if proposed building is to be placed on disturbed soil
2 copies oiplan shaxing 6eam & window sizes; pared found desgq etc.
1 set of Energy Calculations
3 wpies o! Tree Preservation Plan if lot pladed after 711l93
Rim Joist Detaii Opfions seleclion sheet (6uildings with 3 or less units)
Minnegasco mechanical veniilation form
RemodeVReoair Reouirernents
2 copies o( plan shrnving footings, 6eams, joists
1 setof Energy Calculatlons far heated additions
1 site survey for additions 6 decks
AddiNon - iiro'icate ii onsife sepfic system
Office Use Onlv
Certaf 3urvey Recd _ Y._ N
Sa'ls Report Y ,.?.N
TreePms P-IaoRecd "1_N.
TresRe.SKeqWired _Y'.._N
On?itaSepficSystem T;,Y _NDate -I-__ / /G. / 007p Construc6on Cost III ? `f q 0 -
Site Address UniUSte #
Description of Work 4Q1`?(,rJ "s:;,,)T P39G eAprA y,f/STk,CZ &A, frp& GLcY{- 7p A-ML
Multi-FamilyBldg _ Y2[ N ^/2 4i lr,; voayl
Fireplace(s) _ 0 _ 1 _ 2 5AZyi`6
PropertyOwner J CQ.(L'? /• \qSS [(Z Telephone#(6Sr )14S2-P)363
Contractor IOQ ?}F4-- LF ?UJtp ,1!?a
/
Address 93(o 01, 2T4h/
State M/?/
?f}-GltA? p
City
Zip ss,z 3 Telephoneq((os( )?S7" 0b?j 7? I.pN
COMPLETE THIS AREA ONLY IF CONSTRUCTIN6 A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Resitlential Ventilation Category 7 Worksheet • New Energy Cotle worksheet
(J submission rype) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan8
Y _ N If yes, date and address of master plan:
Licensed Plumber
•_ . :'; 4;
Mechanical Contractor
Sewer/Water Contractor
Telephone #( ) CF 1 w, i? '
Telephone # ( ) 7
Telephone # ( )
1 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; 1 understand this is not a permit, but only an application for a permit, and work is not w 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.
P,Z5 GQ*u.PM,,A)
Applicant's Printed Name
(a ???
Applicant's ign
? 0&0 J_
5'-zl-oZ.
New Consauctlon peaulrements
• 3 regMered sRe surveys showinp sq. iL of lot, sq. N. ot house; aM Wl mWetl areas
(20% maximum bt covemge albwed)
. 2 coples of plan showing 6eam 8 window sizes; poured found aesign, etc.)
• 1 set of Energy Cekulations
• 3 copies ol Tree Presenation Plan M bt Dleded atter 7!1193
• Rin,bisl DBtail Optbns seleCtion sheet (bldgs wfth 3 or less units)
DATE
SITE ADDRESS
TYPE OF
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
RemotlelRieoelr Reauhamema
. 2 coPies of plen
. 1 set N Energy Calcumtbns tor heated additbns 2Z
. 1 stte wrvey tor ederior atld'Abns & decks (
. InCicete il home served by septic syslem for aCdnbns
VALUATION
'?'ah ow .`
53oo. &v
MULTI-FAMILY BLDG _ Y _ N
_ FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT Iryc.,.
STREET ADDRESS 4f--79S IZcAand, (a.w_ CITY tZat) STATE?(4(\) ZIP rYll 7
TELEPHONE # CELL PHONE #6tz-`3b`i'- "9/z ppX #`/N-OS 9S
PROPERTYOWNER G+T&4? TELEPHONE# ev-52' `IS2 "y36S
---------------------------------------------- ----------- ----------- --------- ------
COMPLETE THIS SECTION FOR uNEWa RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(4 submisaion rype) • Residential Ventilation Category 1 Worksheet Submittad
• Energy Envelope Calculations Submitted
Plumbing Confractor:
Plumbing system includes:
Mechankal Conhactor:
Mechanical system includes:
Sewer/Water Coniractor.
_ Air Conditioning
_ Heat Recovery System
Phone #
Phone #
Fee: $70.00
I hereby acknowledge that I have read this application, state ihaT ihe inf rmaTlon Or ct, and agree To comply
with all applicable State of Minnesota Statutes and City of Eagan Ordi nces.
Signature of Applieant
OFFICE USE ONLY
_ Water Softener
_ Water Heater
_ No. of Baths
Phone #
Lawn Sprinkler
No. of R.I. Baths
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation O 07 05-plex ? 13 16-plex O 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06plex ? 16 Fireplace ? 21 Porch (3sea.) ? 31 Ext. Alt- Multi
? 03 01 of _ plex O 09 07-plex O 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck O 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex O 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
O 31 New ? 35 IM Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 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 Zoning 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) _ FinaVC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ F*aming _ Siding Smcco Stone
_ Fireplace _ R.I. _ A'v Test _ Final Windows (new/replacement)
_ 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
Building Inspector
Total
?I
NOTE: 9LL COHTEACTORS 1!lTST BS LICENSED iiITH THS CITY OF EAGAB
C0MlERCIAL
SINGLE F9AffLY DWELLINGS
INCLUDE 2 SETS OF ARCHITECTIIRAL INCLUDE 2 SETS OF PLANS
& STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY
SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONS
$2,000 LANDSCAPE BOND
To Be Used For: / p e (?I/ aluation: Date:
--?-?7? _-.?
Site Address OFFICE IISE ONLY
Lot ? Block / Erect Oceupancy
?//? Remodel Zoning J
Pareel/Sub ? Ci'!?i5Repair _ Type o£ Const ?
Owner
Address
Addition # of Stories
Move ? Length i?
Demolish Depth
Int.Impr. , 5q Ft
Install
City/Zip Code
Phone
Contractor /?/(.-6PK (_.4)(ft
Address ?Q w?-ej?4 Dr, ILIi
CityJZip Code ???^ i???.q ss/Z Z
Phone 7i?) 600
Arch./Engr.
Address
APPxovAr.s FsBs
Assessments Permit
Water/Sewer Surcharge ?
Police Plan Reniew 5U
Fire SAC G
7
Engr Water Conn
Planner Water Meter Q
Council Road Unit 2170
Bldg Offjr?) Treatment P1
APC Parks
5•/S• gy
Varianoe Copies
. TOTAL
City/Zip Code
Phone #
NOTS: 6DDRESSES FOR COBAER LOTS - CONTRACTOR/HOMSOiIAER HQST DFSIGNATE WHICH
9DDRFSS IS DfiSIRED. NO CHANGFS WILL BE ALLOWED ONCE BOILDING PERMIT
IS ISSDED.
.2??' ? ? U ?!bx ?-/1/=
/ox i7 = /2r> X i? 1200
%-74/66. YD
lG
; {
- Certificate for:
? L21iam HuCtner Const. ..t
DELMAR H. SCHWANZ ..
LANp SUAVEVpp$ iNC
NnO,fINb UnOM LIIMf OI Th! $M1IIP OI MlOhlNHII '
• .
14750 SOUTM ROBERT TRAII ROiEMOUNT. WNMEBOTA 5!0!! M10NE N! 41MV7q
SURVEYOR'8 CERTIfFCATE
L.4sT
4A
I laoi I!B
R
9
pA' Y
E r
n
qC
?? /° 7wem^#
I
ti.
'A
2
;.
? ?
? ,r
T I Drainage & utility
easement •b ?
• A ? ;
'
J
N
.
? a L4_
?^ -
- -
`` '?-° -?-s
.°
•;X ?m7 v4
? ?::
. : ?
? /66. /G
/aob 3I 1, . ?A
? . , ,..
i?. c? f roi?s li° ?3 .
ToP NrB
Proposed garage floor
elev. /G? g,-S
SCALE: 1 inch = 30 feet
Elevations shown are existing
I hereby certify that this is a true and correct representation of Lot 29,
Block 1, HILLCREST, according to the recorded plat thereof, Dakota County,
MinneSOta.
also showing the location of a proposed house as staked thereon. Dated: August 6, 1986
V ? .
MINNESOiA REGISTMTION NO.
• •. . - •
TD EE SU9.`IITTED NI'Iii IIUI . LDII?C PLRTfIT AP•PLICATIO."7 ?
" EXTErIOR }:NVF.LOPE AVERACP, "U" CO'tPUTATION ' ?
. ;
Ol::i ER •
p? I SLTE ADDRESS: ?of Z9 Bk I?l/?er?sf _ O.? c^.?
CONTRACfOR: Y-) tk W"(7Re-r ow 5-? DATE: p-II 'Ob P}IONE: VS2 -7 OP(g
Determine uorking equare footage of eacT
1. Total exposed wall area......... S9•ft• x??? ° Zo?
2. Total roof/ceiling area......... sq.ft. x? 024
? ?.
3., Total exposed wall area calculations:
Yotal exposed wall area above f2oor - z$ 3 2
a. Total wall vindov' area ............. ........ ......... Z
b:"'Total door area .........................................
t. Total sliding glass door area ....................... 7L
d. Total fireplace wall area ........................... -
e. Total wall framino area (average 1D7.) ...............
f: Total net wall area above floor ..................... 2fo
g. Total rin joist area ................................ /2 O
Total expoaed foundation area ? 46
h. Total foundation windov area ........................ -'
i. Total net founda[ion area above grade ...............l000
Determine "U" value of each wall segment
8. R nUit
' Z??o ?`I I ? • Od,s? . '•
b. X??;,??
x.,u,i ,SS _ 39. 6
a. ?... x soUl, - -
e. 83 X.,u„ , 0 7
z
.
. f. Z/ 0 3 x@,U,l , a K, - 8y. ? z
X„U„
x
• h. _'
s. 90 x„U„ 8-
3. • TOTAL . ? .
~:;,;
If item n3 !s the same as, or less ehan item 01. yau hnvo met [he intent of
SIIC 6006(c)2. '
..;
4. Total ca-?osed roof/eeiling calculations:
Total e;rposed roof/ceillzg area n / /b 0
i.
Aeternine "II" value for each roof/ceiling segment
X ?lDu `
w
J. Total skylight area ............•..................... -'
k. Total roof/ceiling framing area(averape 107.)......... %/(o
1. Total net insulated roof/ceiling area................. !O q51
k. gopult Z, 3 Z
1. ? ?qq?
4. 'TOTAL
If total of G4 is the same as, or less than 82, you have net the intcnt
of SBC 6006(c)1.
Alternate Building Envelope Desiga
1. t 2. -
3. + 4. - '.
C E R T I F I C A T I 0 N
''•t.'?...... . . . -. .
To utilize the total envelope system method, the values establislied by
[he sum of items 03 and 04 shall not be greater than the sum of i[ems 41
and 02.
I hereby certify that I have calculated the "l!" fac[ors and R values
herein and that the building hero desczibed meets oi exceeds the Scate of
Hinnesota 8nergy Conservation Act.
(Signa[ure).
? ?1-8"6
. (Date) '
'?? : .
.
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
cirr oF eacata $ 3?I - 15
r? 3830 PILOT KNOB RD - 55122
C h 651-681-4875 r Ii.a 11
New Canshuctlon Reaulremenh ) ai
D
>
?
>
r'J-'j '00
J reylsfaretl sIro wrveya sIwwiny sq. N. of bt, aq. ft. of house
and gH rooled areaa (20'6 mmdmum lot coveraae adbwe?
2 coples of ptara (show beam A wlntfow alzea; poured fnd. design; efc.)
1 sel of energy calculallona 1 coples d hee preservaHOn plan If IW plaMetl afler 7/1/93
DATE: S? ' 6- 00
DESCRIP'fION OF WORK:
STREET ADDRESS•
Name: GrA466> /AASSj4r phone#:
Last Finf
.Z'.vG?rr.? o?o " x S 1?141?An.o ara'
LOT: _a_ BLOCK: I_ SUBDJP.I.D. C: 1'W) rC.Ct ---
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Sheet AddrASS: 9?,7e.5 .4?J61JA+^0 LAAI.''
Ciy .lIAG+QIj
State: M",?
CON5IRUCTION COST:
G Un.p'ej 1,006
?
Q'9
Zip:
ComPcnY POO ( *,sPA Phone p: 7d 3 - 90CP
(area code)
Sheet Address: 3 4t 0.S N D' L1C6nse # S3/ ? exp. 3' OI
Cny P4k,."°'xN Sfate: A4-) Lp: SSs? ? 1
Name:
Telephone A: (
Sheet
CMy
Q / /
Rertrodel/Reoalr Reau(remenh ?y,?
???r?
2 caples of plan
1 se1 W energy cdculaHOns br heated oddlMOro
t sife wrvey for extedor atlr9tlons 8 decka
GSi- ks? - 8.1?3
Registratton 9:
State: z1P:
Sewedwater licensed plumber (if installina sewerhvaterl: Phone #: L?
I hereby acknowledge that I have read lhis applicatbn, atare n,ar me mrom"Katton ts cone , d agree to compty wiNi atl appAcable State
of Minnesofa STatutes and Ciy of Eagan Ordinances.
Signature of Applicanf: ??
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
:?"ri-6'
Tree Preservation Plan Received _ Yes _ No _ Not Requfred
)
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex
? 02 SF Dweiling ? 08 06-plex
? 03 01 of _ plex ? 09 07-plex
? 04 02-plex ? 10 08-plex
? OS 03-plex ? 11 10-plex
? 06 04-plex ? 12 12-plex
WORK TYPE
g- 31 New
? 32 Addition
? 33 Atteration
? 34 Repair
? 13 16-plex ?
? 17 Garage ?
? 18 Deck ?
? 19 Lower Level ?
Plbg _Y or_ N ?
'Pr?20 Pool ?
21 Porch (3-sea.)
22 Poroh/Addn. (4-sea.)
23 Porch (screened)
24 Storm Damage
25 Miscellaneous
30 AcCessory BkJg.
? 36 Move Bldg. ? 43 Reroof
? 37 Demolish (Bldg)• 0 44 Siding
? 38 Demolish (Interior) ? 45 Fire Repair
? 42 Demolish (Foundation) ? 46 Windows/Doors
* Give PCA handout to applieant for demolition permit
GENERAL INFORMATION
SAC Code vh
No. of Units o
No. of Buildings ?
Zoning # of Stories
Const. (Actual)
(Allowable)
UBC Occupancy
Length
Width
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq. ft.
M15CELLANEOUS INSPECTIONS
? Stucco/Stone
sq. ft.
sq.ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building 1?6 Engineering Variance
PermitFee Valuation: $ 201000
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
,.
? .
O 31 F_xt. Alt - Muw
13 33 Ext. Aft - S F
? 36 Mutti
;aci
?ccn6r Const.
DEI.MAR H. SCHWANZ
??«o yrwroM ?nc
Npe?rq U14" trw M TN iuu M WMwMI
147l0 SpUT11 11MIIT TIIAII 110MY01lMT. rYM1[lOTA WN
-1
?
? T
N ty
H\
`
,?dl- s/. fo .a
/oao.ft f
trO N?' i
AIIAW;l '
r,,r,w.s
f?• ??*??f/
/IION! Gt! Amt1M
•,5
Ir,
3
w
N
t
i
\
M
e
0
r
?
s*
X00?40
w'
;t
?
V
? ?1
?
?I
X //07.0.*
' SCALB: 1 ineh - 30 feet
Proposed gasage floor gl.vaEions shorm are *xisting
elev. /G' 9',5"
i hereby certify that this is a true snd correct representation ot Lot 29,
Block 1, HILLCREST, according to ehe recorded plat thereof. Dakote County,
Minnesota.
Also shrn+ing the loeation of a proposed house as staked thereon.
Dated: Auqust 6, 1986
r
? ' .
YlNNE30TA AEf31STRATiON NO
waveroRy carnW+enn
DOLPHIN POOL & SPA
3405 Highway 169 North, Plymouth, MN 55441
office (763) 542-9000, fax (763) 542-9007
Minnesota Contradars License #5310
MASSIE DATE 03/21/00
PHONE # HOME 6?1-47L-l3:76:! OFFICE
SAIESMAN CORRIE SUBMITTED 8Y LUN
?
POOL DATA
POOL SIZE 20' X 40' . POOL ShIAPE RECTANC,LE 900
STEP AND LOCATtON RIUNT E CORNR
CAPACITY 30,000 GALS. TURNOVER RATE HRS
PERIMETER 120 LIN. FT. RATE OF FIOW-gy- 2? M
SURFACE AREA 800 SQ. Ff. MANIFOLD & SIZE
CONSTRUCTION EQUIPMENT
IMPERIAL 800 SERIES
LINER
COPING SENTRY
BOTTOM MATERIAL VERMICULITE
DECK BRACES YES
OTHER AQUAMATIC UHDERTRACK
FILTERATION EQUIPMENT
PUMP 1 1/2 HP HAYMARD
AUTO CL.EANER FITTING ONE
MAIN DRAIN OHE ANTI-VORTEX
OTHER NATURE 11
DECK EQUIPMENT
DIVING BOARD 606F S. R. SMITH
SLIDE RUML
LADDER
HANDRAIL ONE
ANCHOR CUPS 8 ESCUT 1- uuit
LIGHT & DECK BOX
OTHER
NANCE EQUIPMENT
IAI
AUTO CLEANER
280
POLARI
SOLAR COVER mumt;
SOLAR REEL NutiE
WINTER COVER
CHEMICAL KIT
MAINTENANCE KIT rLb
VACUUM HOSE & POLE
OTHER
ELECTRICAL BY OTHERS c,p,S LINE BY OTHERS
? FENCING WALL WORK
DECK WORK INISH
s a r r a 0 ¦ a 0 a a a i a 0 U a a a ¦ • a a a r a a a • a 0 a a a 0 • a • a • a • ¦ a a a a a r a ¦ a • •
m:ww mu rrimi.ke rnc.nm y,a..
2. 111 wiiM1dcanunM1.Ganfnnda anJJd+ris.lhinnlalhrxihehciyht af buk(illeicvcmJthehciyM(if
Nc wamr in flw pR.l by mmc Nan fi" mrt weu:r ia cx«N backfill by mnrc Ih an fi".
a rd„, zsines.i...n.ranm, ,dn?nd?zidM1mrmm.mx-dw:r.
4. 3 'wi3:cnnericJmkirlnbvWtereJnl Iwti'ihikne- mJask, ofl/<'p) i' SAFM NOTE
awaY fmm IM1, rynl. ........._...
?Pao1?A°iAO???t4O"s'?°
5. AIlin.iJC rynldimcn.uon.aninhv GnishcJ Jimcncinn..
' ?
f.xillvumivcpOryv?wlY.
iuurhulwnh.
R. Finirl?mMx?xnn?nR2"mm?mvm of??naMc maa?iali?r unJ
' i
?m??'da?a
IPii,??ball,nv
7 Aralci Y Y IiM,wilbFUU?.isu, lhc Remanvn 0 Y a,iuM1.Jl #
I?mwilh?vnral
N.SP.lrvB.
?
xiJc nf Nc p,im nf fim xlupc cM1anye {?u?d mmimum wndaedsPor
N.Sbin:Fduelletairlaywk rcfenoimperialinxullninnminual.
' j,undiy?Nl forusewith
ITcxJrawinysanJnmm, areGrcillur?nim:pue-
9. GruetruqiooDmwivp: ?
"1°°rxu,maar,manwr
N. unly.Uiffcrcm mcNirlandpruamemxmsybcJimnW M1yvariuus !
1°rovlfdivi, y¢'rymmti?
,iundwndiiiim..Iliixin wM:dwermincJbyadisiM:nrpunxibiliry?fiM1e ?
itU`dl??Iowpwcyui0?nt
rawrwM, in nmeneycmidthcmanufulurti afiMu+mryimnlpatls.
ll f
l
I
l M1
iid
. ?
%"diauBCwrcr1 inslelledion,
cJcra
, siale. and
u
-
11). In
nlluinn ie m M1c Junc in uurnJan¢ wiJ? a
c. ImeaoJSafetyimmu.vom. }
4
a'
[[Nr[rt
i.iGrvi
YANLL
za
4
zz
H'ZHEPMaPtA5t1G
T 5?s?P T
8 4 \ (NqFSyeesM1Ow?) /2'R
8
5F -STEEL 5'fAiR FILLER
5" SF -5" SIOE STAIR FILLER PANEL
T -A-FRAME BRACE
I
40
1
`
e st??
B E 5? SIOESTAIR
percyeexwnq
.1
5•• $f POOL
WALL
6 SideSTair Panel
Univerealfor Left
or RighL - 04120
Z'R
1 5"
L
. .
4 _
q
?4 BOTTOM
1 S7EP
5
RIGHT
STAIR
PANEL
e a,
TIIGRh10PLA5iIC `>>tEL
srer srniz
\? SF
4 4
J
Z?R 2R SF
90' Rectangle Stair Filler
lek-04206
Right-04207
nghtflller ictured)
BOTTOM 5"
a ?
EAGAN POOL
WALL
STEP
R?VI WED 7
RIGHT
y7AIR
?DATE N--7-uO PANEL -nnaaaaa za -? W
?'MINIMpM
vztvRztoeon„m
L 4,
?
J
L ,, 1- ,o,
All dimensions are flnished dimenzions.
14, 1 12' I
. ? _ . ! . .. . .
-rcner Conet.
, ,P?• /°4??F/
DELMAR H. SCHWANZ
, LAND4MVEYdIF IMC
NrpflnM UwMr L. nl TM SIMe tN Y?
14150 SOUTN ROSENT TRAII ROiEYOUNT. YNMEWTA t60U . MIONE {tt/i17N - -
SIJRVE11011'6 CERTIf1CATE
4?. a? s.?sr
M ?° \
/ - - ?y.?% ?.
l
p?ppi
06
g,
?
'
) X /°" •?S
roemad F
ti Ed?
L ?d
/ 41
?
p
? GUT
,
'*A
?
Drainaqe & utility ??•6 -
'$ w - ' ?
o • easement
•
/66./l i48d-4tt
-fe40
5 , ;0*v??.
{
1.
?i1
/non . fG l To?..arvf y0? ..
?+f -
jvr' ?+'r s
SCALE: 1 inch = 30 feet
Proposed
elev. garage floor
/G??", S
Elevations shown are
exi '
atinq
I hereby certify that this is a true and correct repreeentation of Lot 29,
Block 1, HILLCREST, according to the recosded plat thereOf, DakOta COUnty,
Minnesota. ?
Also showing the location of a proposed house as steked thereon.
Dated: August 6, 1986
i ?
MINNESOTA REGISTRATION NO.
, :
,., PERMIT -
CIT?(-OF EAGAN
3830 Pilot Knob Road PERMIT TYPE:
Eagan, Minnesota 55123 Permit Number:
(612) 681-4675 Date Issued:
I Control No. 0246
BUILDING
000267
04J16/92
SITE ADDRESS:
4785 RZCHARD LAIJE
IOT: 29 BLOCK: 1
HILLCREST
DESCRIPTION:
Buildi g,_Permit Type DECK
Building Work Type NEW
UBC Occupancy?, R-3
\
' Construction Type V-N
Building Length 36
Building Width 16
r:y
?.? , .
? -
17
?,
`
REMARKS: QO
FEE SUMMARY:
Base Fee $25.00 COPY $.50
Surcharge i.50 Total Fee $26.00
Subtotal $25.59
CONTRACTOR:
P K CONST
2718 IAKE
LITTLE CANADA
(612) 483-6078
- Applicant -
14836078
SHORE AVE
09N 55117
OWNER:
MASSIE JERRY
4785 RICHARD LN
EA6AN 11N 55122
(612)452-8363
I hereby acknowTedge that I have read this application and state that the
information is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ord3nances.
L
APPLICANT/PERMITEE SIGNATURE
I UED6V"SIGNA llY1RE\
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Kno6 Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITEADDRESS: LoT: 29
4785 RICHARD LANE
NILLCREST
PERMIT SUBTYPE:
OECK
BLocK: i APPLICANT:
P K CONST
(612) 483-6078
TYPE OF WORK:
F
L
, ' .?'?'.-t?'I;i? I?•
i? i.?, i i?i i i s•?? ?n n.,
i Iu1 ?;n
io? . ??.it;• i
Control No. Q 2 4 ?
BUILDIIiG .. ,
000267
0q/16/92
NEW
/
?, . , . ..
:'
PERMIft #; - `'
?c of
cinr oF EnGAN
1992 BUILDING PERMIT APPLICATION
681-4675
49PR 0 T RECp
'/
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of
specifications, 1 copy of eqergy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date Yaluation of work
Site Address: C/7?5- R<<< -ZL-Z?
STREET - STE !
Tenant Name:
LOT ? BLOCK SUBD. i.I.D. • .
Descri tion of work: 1CcK
The applicant is: O Owner O-Contractor ? Other coes«tbe>
Name ??? 'C' _je?- 5 Phane
Property LAST F[RST
Owner 1/7es
Address
STREET STE M
City State Z i p
Company Phone ? 7- r
Contractor Address Licen6i-Of xp.
City State ?-? Zip Ss??,7
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has een approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
. . Vrr1VG V?7G VI\?.I
BUILDING PERMIT TYPE
? 01 Foundation O 05 Apt. Bldg ? 09 Basement Finish
? 02 SF Dwg. ? 06 Garage/Accessory O 10 Swim Pool
? 03 Two family ? 07 Fireplace ? 11 Res: Add./Porch
? 04 Multi-fam. T.H. A[ 08 Deck O 12 Comm./Ind.
WORK TYPE
11( 31 New
r,
13 32 Addition
? 33 Alterations
? 34 Repair
? 35 Tenant Finish
? 36 Move
GENERAL INFORMATION
? 37 Demolish
? 99 Undefined
tonst. (Actual) Basement sq. ft.
(Allowable)
_ lst F1. sq. ft.
UBC Occupancy 7?_
3 2nd F1. sq. ft.
Zoning Sq. Ft. total
# of Stories Footprint Sq. ft.
Lengt.h -3 T; Irz- On-site well
Depth 16' On-site sewage
APPROVALS
Planning Building
Engineering Variance
REGIUIRED INSPECTIONS
? Site ? Footing ? Framing
? Wallboard Final ? Draintile
? Insulation
? Fireplace
Permit Fee a5, oo v.i,ecta,:
Surcharge ?
Plan Review '
License
MWCC SAC
City SAC
Mater Conn.
Mater Meter
Acct. Deposit
5/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
CoPies
Other
Total:
SAC %
SAC Units
rr
. 1
0 h °QUb]AC FdC.
e14 Agricultural
? 15 Miscellaneous
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code ?
SAC Code
Assessments
? A
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT CK34103
PERMITTYPE:
euzLoxNG
Permit Number: 0 2 4 8 4 8
Date Issued: 11 / 17 / 9 4
SITE ADDRESS:
4785 RICHARD LANE
LOT: 29 BLOCKs 1
WILLCREST
P.I.N.: 10-32975-290-01
DESCRIPTION:
-, ,
Bcfilding??,permit Type
, t
Bualding Wd.rk Type
?t
.. . ? ?11?..
?
i
. . . . ? ? . . `'- ?
?
BASEMENT FINT5H
ALTERATION
(? "', u
REMARKS:
SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRTCAL WORK
FEE SUMMARY:
9 a s e F e e $ 3 5 . 0 0 C O P Y ? 5 0
Surcharqe $.50 Total Fee $36.00
Subtotal $35.56
CONTRACTOR:
P K CONSTRUCTION
15875 260TH ST
LIND57ROM MN
(612) 257-3926
- Applicant - ST. LIC
12573926 0008800
55095
OWNER:
MA5SIE
4785
EAGAN
I hereby acknowledge thaC S have read this
3nfarmatian is c4rreet and agree t:n comply
Statutes antl Gity of Eagan Ordinances.
APPLICANT/PERMITEESIGNATURE
,7ERRY
RICHARD LN
MN
application and state that the
with all applicable State of Mn.
nqu= pjm' 1 rn.?
ISSUED B S G?.TUR?C
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Piloi Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: Lo T: 29 B L 0 C K:
4785 RICNARp LANE
HZLLCREST
PERMIT SUBTYPE:
BASEMENT FINTSH
BUILDIN6
024848
il/17J94
ALTERATION
INSPECTION
FRAMTNG .. .
IIVSULATION .,
ROUGH IN pLBG FINAL
REMARKS: SEPARATE pERMITS ARE REQUIRED FOR ANY PlUMBING OR ELECTRICAL WORK
F
L
1 APPLICANT:
P K CONSTRUCTION
(612) 257-3926
TYPE OF WORK:
?
?
1
idi
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
_M. 00
SINGLE & MULTI-fAMILY 2 sets of plans, 3 registere sit?e?tsu?u?ys?,3yl c py of energy
calcs.
COMMERCIAL 2 sets of architectural & st -- ?, ? t of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date &_ / 7 / 9.? Valuation of work
JlU
????6 R
A
Site Address:
Qhld,
'
STREET SUITE p
Tenant Name: (commercial only)
IAT V? BLOCK I_ SUBD. .??t P.I.D. #
Descri tion of work: UaStw-^-f 7
The applicant is: ? Owner 9 Contractor ? Other (Deseribe)
Name /111C_s5jt' r ?y Phone
Property LasT FIRST
Owner Address y;Z8s Zn
STREET STE #
City r; cW- State Zip
Company a ? 64 s?r Phone 45-7-3 q,Qd
Contractor Address ISB-7-S 9, Go ?/! s?- License # a'IIYT°- Exp. ?S'
City L«as???- State Zi P SsaYS
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply wit all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of A"licant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging 016 Basement Finish
O 02 SF Dwg. ? 01 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add11. ? 15 Deck ? 20 Public facility
? 21 Miscellaneous
WORK TYPE
O 31 New g33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowab]e)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
REGIUIRED INSPECTIONS
? Site
? Wallboard
Basement sq. ft.
lst F1. sq, ft.
2nd F1. sq. ft.
SQ. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
? Footing
A final
? Framing
O Draintile
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Census Bldg
Census Unit
Assessments
?Ty
vL
i
O
6';,@',Insulation
? Fireplace
Permit Fee
5urcharge
Plan Review
license
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P7.
Road Unit
Park Ded.
Trails Ded.
Copies ;,5v
Other
Total:
5AC %
SAC Units
vetuat;om S ?r.,-,T
CITY OF EAGAfV
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*IOTE: PAYMFNP OF kEE AT TIME pF *
APPrscrazorr noFS Nom wNS-ri= *
APPROVAL OF PII2NIIT. *
INSPF7GTION OF SEW3t Atd)/OR YA'LER *
?
?rsamrONS WILL NOT BE SCHED- *
ULFD ONPII. PII2MIT,AAS SEIN *
APPROVID. »
r
?
1) PROPERTY ADDRESS:
i
LEGAL DESCRIPTION: _
Lot lock Sub ivision or Tax Parce ID )
IF E}ZSTING S1RC(.ZL'RE, DATE OF ORIGINAL BIIILDING PERMIT ISSL'A61C1CE: - -
1
PRFSETR' ZONING/pROPOSID uSE: (MOn Year)
CONY1EftCIAL/RETAIL/OFFICE ?'ff 1 SINGLE FAMILY
0 i'STRIAL Q R-2 DL'PLEX (Z4,o Units)
n INSTI2LTIONAL/G0VIIttu,= ? R-3 TOW6IIi0USE (Three + Units) ( Lnits).
, Q R-4 APARTMEPYP/CODIDOMINIC7M ( Units)
2) ?
NAME:
ADDRESS:
CITY, STATE, 2IP:
PH0NE:
• 3)
NAME'
ADDRFSS:
i CITY, STATE, ZIP:
PHONE:
4) ?u • • i?+•
NAME:
_ ADDRESS:
CITY, STATE, ZIP:
PHONE:
r
LICENSE#
?lumbers License:
Active
Ecpired
Not recorded
Sta Initial
-5) :? r• ' ? a: •?• 4` • a?l. • o? u:..-vua?
? M-(,o?orr zv ciTSC sEwm t-cUNNBCTioN Zv ciTY wATEx ? arM 6) '? '"•?" ? PI,FA.SE HOLD APPROVID pERMIT FOR PICK-UP BY ONE OF ABOVE
PLEASE MAIL APPRGVFD PII2MIT TO 1,CW 3. 4. ABOVE
? ,. _, _,An (Circle one) , ?
7)
FOR CITY USE ONLY
. ,,
PERMZT # ISSCED
Pd w/Bldg. Permit FEES:
$ $ SEWER PE$MIT (INCLIIDE SURCHARGE)
$ $ WATER PERMIT. (INCLLDE SORCHARGE) ,
$ $' WATER METER/COPPERHORN/OCTSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ S ?? p 7? ACCODNT DEPOSIT - SEWER
$ $ d'"o ACCOL'NT DEPOSIT - WATER
?
$ t' $ WAC
$ 7 7. ?c O C) $ SAC
$ $ • •'TRUNK WATER'ASSESSMENT
. ?
$ $ ?TRUNK SEWER ASSESSMENT
$ $ ` LATERAL,SENEFIT/TRONK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ d / 4- D TOTAL
RECEIPT RECEIPT
DOES LTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PIIBLIC
Q ROADWAY" MUST BE ISSCED BY THE ENGINEERING
NO DIVZSION. LIST AS A CONDITION.
SOBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: _?_?e? 6zcJ-?d
TITLE:
DATE:
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
NO. FIXTURES
SHOWER
WATER CLOSET
BATH TUB
LAVATORY
KTTCHEN SINK
LAUNDRY TRAY
HOT TUB/SPA
WATER HEATER
FLAOR DRAIN
GAS PIPING OUTLET • miNmum •
ROUGH OPENINGS
WATER SOFI'ENER
PRIVATE DISP. • nercxy. uc
U.G. SPRINKLER • nome maer coou.
TIONS • to rdeun?
W:ATER TURN AROUND
STATE SURCHARGE
TOTAL:
EACH TOTAL
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
1.50
5.00
20.00
3.00
20.00
20.00
.50
ao 0
?
SIT'E ADDRESS:_41N$5 -'-4kAt-v? \-;Nlxlz
OWNER NAME: ?crc a `r
pxorrE #: ( ) ia
SIGNATURE OF PERM EE
1994 PLUMBING PERMIT (RESIDENZ7AL)
-C1TY OF EAGAN
3830 PII,UT KNOB RD
EAGAN M1V 55122
(612) 681-4675
CITI': STATE: WA? ZIP CODE:
PLEASE COMPLETE FOR ALL C0MIIvIERCIAUINDUSTRIAL BUILDINGS. AISO FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIEtED FOR EACH
DWELLING UNTT.
_ NER'CONSTRUCTION
ADD ON
REPAIIt
WORK DESCRIPTiON:
CONTRACI' PRICE: $
FEE: l% OF CONTRACL FEE.
STATE SURCHARGE: 5.50 FOR EACH $1,000 OF >`>.> . ? FEE.
bIIIHIMUM FEE: $ 25.00
CONTRACT PRICE X 1%
STATESURCHARGE
TOTAL
SITE ADDRESS:
$
$
TENANT NAME: STE. #
OWNER NAME:
INSTAI.LER:
ADDRESS:
CITI'•
PHONE #:
STATE:
ZIP CODE:
FOR:
CITY OF EAGAIV APPLICANT
1994 PLUMBING PERIVLIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4785 Richard Lane
Lot: 29 Block: 1 Addition: Hillcrest
PID:10- 32975- 290 -01
Use:
Description:
Sub Type: e- Reroof
Work Type: Repair
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Gopher Company
2701 36th Ave S
Minneapolis MN 55406
(612) 331 -1555
Permit closed without required inspection(s). Letter sent to applicant on 8/18/09. (pf)
If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Pictures are not
acceptable in lieu of inspections.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
$88.50 0801.4085
$1.50 9001.2195
$90.00
Owner:
Gerald A Massie
4785 Richard Lane
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Issued By: Signature
Building
EA084645
07/25/2008
ePermit
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4785 Richard Lane
Lot: 29 Block: 1 Addition: Hillcrest
PID:10- 32975- 290 -01
Use:
Description:
Sub Type: e- Siding
Work Type: Siding
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Gopher Company
2701 36th Ave S
Minneapolis MN 55406
(612) 331 -1555
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
When installing ventilated soffit material, remove existing soffit mate
take steps to ensure maximum ventilation into attic space.
Owner:
Gerald A Massie
4785 Richard Lane
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
al (i.e. debris that could block vent openings) and
$88.50 0801.4085
$1.50 9001.2195
$90.00
Issued By: Signature
Building
EA084649
07/25/2008
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA165918
Date Issued:12/01/2020
Permit Category:ePermit
Site Address: 4785 Richard Lane
Lot:29 Block: 1 Addition: Hillcrest
PID:10-32975-01-290
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Luis Porras
4785 Richard Ln
Eagan MN 55122
Plumb Right
1216 82nd Ave N
Brooklyn Park MN 55444
(763) 561-3306
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA177740
Date Issued:07/15/2022
Permit Category:ePermit
Site Address: 4785 Richard Lane
Lot:29 Block: 1 Addition: Hillcrest
PID:10-32975-01-290
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 -
Jared Stephen Sipe
4785 Richard Ln
Eagan MN 55122
(612) 597-2283
Universal Windows Direct Twin Cities
150 88th St W #205
Bloomington MN 55420
(612) 866-2888
Applicant/Permitee: Signature Issued By: Signature