The URL can be used to link to this page

4815 Richard Lane? 1?„ 1`? CITY OF EAGAN Hfl 17999 ; 3030 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ' PHONE: 454-8100 BUILDING PERMIT Receipt # - D= 51?? JUMB lZ 90 Est. Value To be used for Date 19 "1 S RICHARD LANE Site Altess OFFICE USE ONLY Lot Block Sec/Sub. Parcel No. occuPancy - FeEs 2 i ? ? ng , =zs.oo W Name (Aclual) Const - Bidg. Permit - o Addf@SS (Albwable) - Surcharge ? ? City Phone # ot siories - : h L Plan Review ? engl _ S p sAMR Namg ' Depih - SAC, City j zl- Q O Address S.F. Total - A MCWCC ? L ) C, S ? City Phone S.F. Footprints - ? S a e Sit O Water Conn ? g n e ew _ Name On Site Well Water Meter - 1 1 AddfeSS MWCC System 0 12 q?t. Deposit City PhOne City Water _ , S/W Permit PRV Required _ I hereby acknowlege that I have read this application and state that the Baosier Pump - SNV Surcharge ? information is conect and agr to comply with all applicable State of ? Minnesota Statutes and Ci agan Oran s. 7reatment PI ? Signature of Perrnite? 'C APPROVALS Road Unit ? A Building Permit is issued to: i Planner C il - Park Ded. ?? on the express condition that all work shall be done in acCOrdance with all a? - applicable State of Minnesot tatutes and City of Eagan Ordinances. gidg, pn. _ Copies • ` _ , Building Official Variance - TOTAL Psmit No. Permit Holder Date Tebphone # WATER SEW? R PLUMBING H.V.A.C. ELECTRIC Inspeclion Date Insp. Comments Footings I Foundation framing F{oofirg Fiai9h PIb9- Ra4h Htg. Isul. Fireptace Final Htg. Fnal Plbg. Const. Meter Plbg. Inspector - NoG(y Plumber EngrJPlan Bkig. Final Deck Flg. J ,- 13 ??' ? /'I i D??Pe, Deck Final 7 7 ? Wetl Pr. Disp. ? ??--`-.-. CITY OF EAGAN 3830 Pi1ot Knob Road, P.O. Box 21•199, Eagan, MN 55121 PHONE: 454-8100 sU1LDINa PERMIT Rece+a # - Site Addresa -'-u Lot Block ? Sec/$ub. Parcel No. W Nartme - ._ .._.. _ ._ _......? Z !+ . , . .l l .: 1 i .. . . ? Addf@f5. City Phone Mame u Addrets F Citv Name _ Addresa Phone I hereby acknowledge that 1 twve rcad this opplication and stote thof the information is torred and ogree to comply with oll applicable Stoh of Minnewfa Stotutes and City of Eaqan Oidinonus. Sipnoturo of Permitta _ .:-i. i?irt'.?•f:._.i 1,_?,If,?-??. A 8uilding Parmit Is isswd To: all work shall be done in acaordonce with oll oppliwble 5tote ot Mli Buildinp Offitiol 1 ?'3d Erect IU Occupsney Remodel ? Zoning i? J Repair ? Type of Const, l Addition ? No. Staries Move ? Length _ Demolish ? Depth Int Impc ? Sq. Ft. Install 0 Aopo va ls FNs Assessment _ Water a Sew. Poliu FIn En0• Plonner Council Bidg. Off. ?' . APC Va?. Date _i Permit ` '' • ' ' Surcharge Plen Review ? ; ? • i s SAC ?'' •? - '` l Water Conn. `i • '' ? Water Meter ? -' • } ? Road Unlt 2 ' 0 . 00 Tr.PL 1-11. • IJ?? PaAca Cppieg Tot81 _ on tM •xprels Cordition thoi City of Eopon Ordinonces. - Permit No. Pwmit Holdv Dab TNephons ? Plumbino t?) a.u.n.c. eiecnic Softsmr liapeetion Date Insp. Othw Footin9s I Footings 11 Fouodatlon Framing ?- Rootin9 Rough Plbg. Rough Htg. InsW. Fireplsce Ffnai Hty. Final Plbp. Flnal CecyOcc. WatK OliCI1tM LOGiTlOf1: Weu Sewer Pr. Disp. Roaeipt -MECHANICAL PERMIT Permit No. CITY OF EAGAN FN fJll In numbered $oacea S/C ' 1YPe or Prin[ legibJy Tot 1. Data 2. Inatallation Cost " - 3. Job Address Lot Blk. Tract ?-- , . f,- . ..? . , 5. Contractor Phone 6. Address 7. CitV State tip ? 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New Ga' Add 0 Alter ? fiepair O 10. Oescriba Fuel Type - ` 11. N°• Enuypment STU - M. Ea. Forced Air No• Ecuiqment CFM Air Handling: Mfg. Boilers E Mfg. Mech. xhauat Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rouph Finsl Inspections: Date Inap. Date Insp. This ia your permit when numbered and approved. Approved CITY OF EAGAN 454-6100 Reoeipt ? l%PLUMBING PERMIT Permit No. CITY OF EAGAN Fee ? - i Fill in numbered spaces S/C Type or Print legib/y Tot. ai=? • 1. Date '.? 2. Installation Cost L- 3. Job Address Lot?" 7BIk. ? Tract 4. Owner '6TT7Vf I?- t erv 5. Contractor Phone ?? 6. Address I(1>/ac;4.`?t 7. City '? • =i: i •'? State Zip `? ! ? E• i 8. Building Type: Residential 16 Commercial O Institutional O 9. Work Description: New )6 Add O Alter ? Repair ? 10. Describe 11. No. -r Fixtures Water Closet No. - Fixtures Cesspool/Orainfield ? Bath tubs Septic Tank ? Lavatory Softner ? Shower Well i Kitchen Sink Urinal/Bidet Other I 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 oomply with all ordnances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 ?q•-r'?._-,.?.-. ., '?•91s+.a.24??.ti'?_;?,, . . . _ . . . ,:=yra_?. ?.+F:. . '? .•:4 7,.• . . . . ... .. . ,,, PLUMBING PERMIT For Office Use nty CITY OF EAGAN PERMIT # Q CONTRACT 3830 PILOT KNQB ROAD, EAGAN, MN 55122 RECEIPT PRICE PHONE 4548100 DATE: ? Site Addre s IS\RlCt1AtZt Cf1 BLDG. TYPE WORK DESCRIPTION X Lot 2,2 ¢lodc ? Sec/Sub . (? ?. aL MuR. Add-o ? h nQ ?t? J ? Name c Comm. Repair 1?iKl GV- rvR LAWa Other SW ? Address H'915RIC F 20 l F1NE . _ = City GA1J Phone4 S y-n`? $ 2 RES. PLBG. ONLY - COMPLETE THE FOLLOWING: - NO. FIXTURES TOTAL Name 'e n! h J• eydf Water Closet - $3.00 $ Bath Tubs -$3 00 O Add res ?i 1 R: c h o r L a n c y SA-0i 7 Cit ?a aQ h Ph . Lavatory -$3.00 Shower -$3.00 y one Kitchen Sink - $3.00 al/Bidet $3 00 U i r n - . FEES Laundry Tray - $3.00 COMM./IND. FEE - 1% OF CONTRACT FEE Floor Drains -$1.50 APT. BLDGS. - COMM. RATE APPLIES Water Heater -$1.50 TOWNHOUSE & CONDO - RES. RATE APLLIES Whirlpod -$3.00 MINIMUM - RESIDENTIAL FEE $12.00 Gas Piping OuUets -$1.50 MINIMUM - COMM.IND./FEE $20.00 (MINIMUM -1 PER PERMIT) STATE SURCHARGE PER PERMIT .50 Softener -$5.00 (ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE) Well -$10.00 Private Disp. -$10.00 Rough Openings - $1.50 T U. G. Sprinkler System -$12 00 SIGNATURE OF PER EE . PERMIT FEE: STATES S/C: FOR: CITY OF EAGAN • ??1o ? > d ?..e" D TOTAL: I? ? INSPECTION RECQRD ? CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: +! . s;; Et ??• Eagan, Minnesota 55123 Date Issued: ?r• ? t> ??? A (612) 681-4675 SITE ADDRESS: APPLICANT: 14 ili,i Ep iAwr I I I 111 1 1 1 1'?cf `aT ( h 1.' 1 NtSH i 7fib PERMIT SUBTYPE: TYPE OF WORK: n? ? w Permit No. Permlt Holder Date TNephone # SNV PLUMBING HVAC ELECTRIC ELECTRIC Irtspectlon Date Insp_ CommeMs Foofings I Foundation Framing ?c+ l?cJ Roofing p ? G ^ AVO n.d Rough P16g. Rough Htg. Isul. Fireplace Final Htg. Orsat Test Flnal Plbg. Plbg. Inspector - Notify Plumber Const. Me4er EngrJPlen Bldg. Final Deck Ftg. .?/p Deck Flnal Well Pr. Disp. ?e i 4 CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS• INSPECTIUN RECURD PERMIT TYPE: Permit Number. Date tssued: • Lot t 26 481f. RI41iARO 4Ailf HI1.t.CREST PERYIT SytBTYP%r 5H APPLICANT: l10Uksk l 1. (612) 688--7 2G6 TYPE OF WORK: Control Na BUItUIHO 661236 0a/1i /q: JERALn NEMAkK•,- kFrF JPt 4 SEPARATt EIEGTRICAt & PL11M!lrN6 PER14IT'': ftto1.ILAr PennR No. Permk HoldW Debs TaleptMtN ? ^lIN PLUMBING HVAC ELECTR{ ELECTRIC Iniprctiun Datr Insp. Comments Footings I Foundstian Framrng qpp(ll'1g ? • Rough Plbg. ?3.? / • f t y,?d/Y• G ? Rough Htg iaw. Fkvlacs 9-/g Sz s i ?-G!d' •? FwW„Htg. Orsat Test Rnal Plbg. ? ? 1 f Plbg. Ir?speCtor - NotiTy Plumber AaI Const. Meter EngrJPian ? Lo ? &dg. Finel Deck Ftg. DBCk Fif181 R.0 - NT7L weu •c,G " o z G ? P?. asn. ? ? ?, CITY OF EAGAN Remarks I-?r / - Addition HILLCREST ADDTTION Lot 25 R,k 1 Parcel 10-32975-250-01 Owner street 4815 RICHARD LANB state EACAN MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. , SS 2450.15 490-03 5 191o0• /.Z Q100S fe /7 eJ? STREET RESTOR. GRADING SAN SEW TRUNK fo /. O /7O / 3 S 70 7" *SEWER LATERAL 1985 4361.74 WATERMAIN *1MATER LATERAL 1985 WATER AREA (O I S /O ! *Services 1985 STORM SEW TRK S 1994 r?(y 160.91 5 ? p O/103 d S /G / S *STORM SEW LAT 1985 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. son-oo BUILDING PER, inAAd SAC Q PARK TY OF EAGAN SMFER SERVICE PERMIT ' 30 Pilot Knob Resd 0. Box 21199 PERMIT NO.: gan, MN 55121 p^TE; , ^i^a: No. of Units: ' 'Mr: ;. C. ril@r .J_.,";7 dress: s /1dd?eu: -:ne 1.25 to - o1! wllr !Iw G!p o1 Ee"• ? . • . ?Jt.? ?! CorrNCtlon CJanpe: /looount Deposit: Permit Fes: Surchorpe: Misc. Cha?pm Total: Doft ?o1d: of Insp.: ITY OF EAGAN WATER SERVICE PERMR 830 Pilot Knob Rosd P. O. 8ox 21?99 ' PERMIT NO.: agan, MN 55121 I DATE: irfp: NO. of Units: ;: t? .VAMvess: Sft Addffli: '?- - i'4B _'? i-t' 3 'Y Pltmriber. Me'/r NO. : C.OfYIlCHOI1 CF1OfQf: J??. r? ri i?ta SiZQ: AppplJflt DCpOfiT: ReadK No.: Pennit Fee: 1 M? M"M* wilb W Cflp of Eoww Surchorpr. a'ahmoom Mbt. ChOrqss: :'i ?. l? ^ r•? Tofol• • Fi3_ ?'±rl ;r? mN; "r BY Qah Pald: Daft of Irsp.: Intc.: CITY f,. . 3830 Pilot k..,,., „udd WATM SRyICE PERMIT P. O. Box 211 39 PERMIT NO.: 645`1 Eagan, MN 5 5121 D11TE: a+r,-g ' Zoniny: No. of UMts: 1 Ownsr: Addross: Str. Addrse? ? i - ' ' i F a E . , ; .', . ?? • cre st Plumber: ? a k l. _ ( , . , . x.; Meter Nq '? - i?y??' 540.0f) pci c Size. ?\n c.-. ?? .?. E - - ?: ?°`?it?lt` 15. 0 p ; ?,,? Reode. No. L Per,,,it Fee: z (1 . c; ^a ,. 1 Nm le whh 11e Ckp oi ypw Surchorpe: . 51J ' i:1 OrdIww.ao. 0 ff?„*I ?,?, Mlsc. Cha?ges: 132.00 pd Totol: 61_ 0t1 Pd mprar BY Doft Poid: Dots of Irap.: '? Irqp.: CITY OF EAGAN NO 17999 3830 Pilot Kn6b Road, P.O. Box 21-799, Eagan, MN 55121 PHONE:454-8100 /L ? BUILDING PERMIT Receipt # ??•? I '-1 (5-0 To be used for DECK Est. Value $1, 000 Date JiJNE 12 19 90 Site Address 4815 RICHARD LANE Lot ZS Block 1 Sec/Sub. HILLCREST OFFICE USE ONIY Parcel No. occupancy - Fees w Name KENNETH J HENDREN Zoning (AC[uaqConst - BIdq.Permit $25.00 o AddfeSS SAME (Anowable) - Surctiar e .50 City Phone 454-0452 x ot stofies - g Plan Reviaw Lenglh _ o Name SAMR Depth - SAC, Ciry , a Address S.F.Total - SAC MCWCC o ? Ciry Phone S.F. Footprints - , Water Conn On Sire Sewage _ W w Name On Site Well _ Waler Metar z Address MWCC S stem Y - nccc. oeposit aw City PhOnB City water - S!W Permil PRV Requirad _ I hereby acknowlege that I have read this application and state that the Booster Pump - SNJ Surcharge inlormation is correct and agr e lo comply with all applicable Stata o1 Minnesota Statutes and Ciagan Ordinances. Treatment PI Signature oi Per ' APPROVALS Road Unit A Buildinq Permit is is5ued to: KEN ' Planner - park Ded. on the express condition that all work shall be done in eccortlance with all Council .50 applicable SWte of Minnesot tatules and Cily of Eagan Ortlinances. EUdg, pff, _ Copies $26.00 Building Olficial Variance - TOTAL ? .?, CITY OF EAGAN N! 1 U 4 8 4 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 t J PHONE:4548100 ? BUILDING ? j ?? PERMIT Receiot #! Te M aed fer SF DWG/GAR Esr. Volue $105. 000 pate JUNE 28 1 q 85 siteqddreu 4815 RICHARD LN Erect 91 Occupancy R HILLCREST Remodel ? Lot 25 Block 1 cec/Sub 2oning Rl . Repair ? Type of Contt. V Parcel No. Additlon ? No. Stories WM HUTTNER CONST Move ? Lengcn 58 Z Name ERFORD DR W Demolish ? Depm 3 6 Address ? Int Impr. ? Sq. Ft. City E AGAN Phone 452-3088 install ? O SAME Avwe.ah F.ao 0? Name Assesunent Permit 0 U? A?? Water 5 Sew. Surcharga 52. $0 City Phone ? Poliu PlenReview 222.75 Name _ Address Clty Phone I hereby oekrwwledpe tlwt I how reod fhis opplication end stare Mwe iM inlormotion is correcf ard ogree ta compl wit oll cpplicable StoM of Minrxsota Statutas and ity of g n f in s. Slpnatum of Permittea A Buildinp Permit Is issuad to: WM HUTTNER CONST oll work aholl be dona in xmrdonee with,aq oppr@obls Stop of Mi? Firo _ Erp. - Vlonnar Council 81d9. Off. 6/24/85 APC Var. Dete S? 1 3/Rtj SAC 525.00 Water Conn. 500. 0 0 Weter Meter 63,.Q O Road Unit 280 _ 00 Tr. PI.1 -12 -no Parks CoDies I rotai 57.790 ?5 _ on ths exprca cordinm that City oi Eapon Ordirances. Buildinp Officiol 'qq ?'/ REQUEST FOR ELECTRICAL INSPECTION .r? ? °"y"a?, f EB?00001-O?B-s `?/" LSee Instmctions lor comoletina inis form on Dack oi vellow cooV. //% J 3 7 0 6 4 -7" Below Work Covered by This Request ew Add Rep. TypeoiBuiltling AppliancesWired EquipmentWiretl Home Range Temporary Service - Duplex Water Heater ElecVic Heating Apt. Building Dryer Other (Specify) Comm.llntlustrial Furnace Farm Air Conditioner Other(syecity) CAnlraclorSPemarks/.--:/„,P, 7-? ,? L GFCs Compute lnspection Fee Below: '( '.?4>n 4)o?n • ??f?- - ? # Other Fea # ServiceEntranceSize Fee S CircuitslFeeders Pee Swimming Pool 0 to 200 Amps 0 to 700 Amps Transformers Above 200 _ Amps . nve 700 _ Amps SigOS Inspeclor5 Use OnN: TOTAL UrigalionBOOms W Special Inspection Aiarm/Communication THIS INSTALWTION MAV BE ORDERED OISCONNECTED IF NOT Other Fee COMPLETED WITHIN 78 MO • I, ihe Elecirical Inspector, hereby Rougn-in oa ? certif that the above ins ection has Y P been made. - Finai Date 6 r' OFFICE USE ONLY ,. Tnis 2quest void 18 months Imm , 4?/' n` ? s??o 37064 aaa?- - Request Data Fire No. Rough-in Inspedion - Fequire0? es ? No ? Ready Now ? Will Notiry Inspettor `Nhen Feadya .i I'K;' licensed contractor p owner hereby request inspection of above electrical work at: ` Jab Aatlress (Stree6 Box or Route No.) Ciry - V ' .¢ 4 :4 (5 Seclion No. Township Name or No. Ran9e No. Coun?y ?li OcaOant fPqM TI ane Ph No. p /J ??/? /? ? ? (j ?'7? [?/ bO?r /rtiV 6 Power Supplier Adtlress - Eletlnwl Convacmr (Company Name) ConVactor5 License No. c?OOlJ p Matlinq potlress (COmractor or Owner Making Installalion) _?c?-- • E'P_ ?S37 all _ Pufiorizea S ture iGOnUactor,Orvn Maxing Inslallalionl Pnone Number A - MINNESOV. STATE BOAflD Oi ELECTRICITV THIS INSPEGTION REOUEST WILL NOT Grigge-MiEway Bltlg. - Raam S173 BE ACCEPTED BV THE STATE BOARD 1821 Univenlty Ave.. SL Feul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(614) 642-0800 ENGLOSEO. tnis rea.est wie ? ? ? 3 ? '°?? `79 L Z? -) .s-u R'quest Oate ? - Fire No. flnug?-in Insyection Requfr ? ?Re.aAy Now Will Nolity Insoec- '? lb ? s ?No YY tor hen fieadv ce?tsed Eleclrical ConVactor I hereby reqmst inspection of above ?bwne. elecVical work irmtalletl at Street AOdress. Box or flovte No. ' Gity &4 - /a/ .r /;?<< A- 9,4 ction Township Name or No. NAnBP No. Coun[y OccaDant (PIi1NT) ? ' Phone No. Power Supplip?" ` Addm? /L/ EI tr?io/l Contraclor ICOmpa, ama) / ?, . • AQeW, Cv Con acmi s License No_ T( ? , ilim Address (COntractor or Owrrer Making InstailatfoN z oi 7 ? ?%?- d A5PAC"lls- ? Aufioriz ipnaWre ICon[ractor/Ow?r Making InsGllatio Phone N?uM¢r ?0-6 6.? YINNESOTA STpTE BppRD OF ELECTRICITY THIS INSPEGTION REQUFST WILL NOT Grigps-Yidway Bldg. - Room N-791 BE ACCEPTED BY iHE STAIE BOARD 7821 University Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phore 18121 297.2111 ENCLOSED. {r.? U /y' 2?)( REQUEST FOR ELECTNCAL INSPECTION EB'°°°°i l 1`?Ii ' See instruetims for complating this fmm m back of vellow coCy. ? 9,, 9 9 "X" 8e/av Work Covered by This Request 0-? 3 ?g 5? %milhPdl ftw.l _ Tvoe of Baildina 1 Aooliancee WireO 1 Epuipmenl Wired I Water Electric p Poe ServiceEntreme5ize p Fee FeeOers/SUbfeeders # Fee Circuifs 0m ?Am 0 to30Ams 0 to30A. Above 200 mps A 31 to 100 qmps U 31 to 100 q - Swimming Ponl Above 100-Am ps Above 100--AMPS Transtortners Irtigation BoorcG Partial.'OTher Fee I I Sigs I I ISpecial Inspec:ion ?gAV TOTAI FEE Nmnrks "C? ? J poMh_;n u ?nspecto.. ne.eev certiN thea [he above Fi?l ' tion has bean ??. l1ui?lroitl/8mantliafram •.? -' "?rw?..?,.?? RESIDENTIAL ? BUILDING PERMIT APPLICATION 50L?I 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construclion Reouirements • 3 regisfered site surveys showing sq. ft. af lot, sq. R. of house; and all roofed areas (20 % maximum lat coverage allowed) • 2 copies of plan showing beam & vnndow saes; poured found design, etc.) • 1 set of Energy Calculatbre • 3 copies of Tree Preservation Plan if lot plattad aNer 717/93 • Rim Joist Oefail Options selection sheet (bldgs with 3 or less uniGs) DATE _J ? c)- I - UO SITE ADDRESS TYPE OF APPLICANT CedaT V8178y exferfors, FIREPLACE(S) _ 0 _ 1 _ 2 STREET ADDRESS Coon RapWo• MN 55488 CITY STATE ZIP TELEPHONE # CELL PHONE # FAX # a?- PROPERTY OWNER TELEPHONE # --------------------------- ------------------------ ----------------------------------°-------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNES07'A R[ILES 7670 CA'I'EGORY 1 MINATSOTA RULES 7672 (J submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includes: Mechanical Conhactor: Mechanical system includes: Sewer/Water Contractor: Water Softcner _ Water Hcatcr No. of Ba1hs Air Condiaoning Hea[ Recovery System RemodellRewir Reouiremenfs • 2 copies of plan • 1 set of Energy Calculalions for heated addNons • i sde survey for exterior additions 8 decks • Indicate if home served by sepfic system for addBions _ Phone # Iawn 3prinkler No. of R.I. Baths I hereby acknowledge that I have read this application, state that with all applicable State of Minnesota Statutes and City of Eagan Signature of Applicant OFFICE USE ONLY MULTI-FAMILY BLDG _Y _N VALUATION ?) y _D ? ' `l / Pee: $90.00 Phone # D????? Pnone # ?i , MAY 2 2 2002 D is Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 07 OS-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 OS-plex ? 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg_Y or_ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 PorchlAddn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt • Multi ? 33 Ext. Alt - SF ? 36 Multi ? 31 New ? 35 Int 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 W idth REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ FraminB _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Tes[ _ Final _ Windows (new/replacement) _ Insularion _ Retaining Wall Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Approved By , Building Inspector 7 CITY USE ONLY L f? gL I RECEIPT#: SUeo. Rillcres? RECEIPTDATE r-O PERMIT # lJ39V5 2000 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, P41 55122 651-681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? 6ackflow preventer for underground sprinkler system rivrnoee cerw # TOTAL Alterations to existing dwelling - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas pipin outlet * minimum - t Hot tub(spa 3.00 3.00 X x = = $ $ Kitchen sink 3.00 x = $ Laund tray 3.00 x = $ Lavatory Septic System new/refurbished ' requires MPC lic. SepUc SyStem abandonment RpZ new installationlrepair/re6uild 3.00 75.00 30.00 30.00 x X X X = = = = $ $ $ -- $ : Rough opening Shower , .1.50 3.00 x x _._. . = $. _ .._ _ $ Underground sprinkler a dweuing is under wnscruaion Underground sprinkler if exisciny dwening Water closet 3.00 30.00 3.00 x x x =- = = $ $ $ Water heater 3.00 x = $ vu Water softener if dwelling under consWction 5.00 x = $ Water softener if existing dwalling 30.00 x = $ Water turnaround 30.00 x $ State Surcharge Total 50 $ 50 Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. ------•----•---------------------------------------•-----------?--------------- - rmation - is - corted, - and -agree to wmply with all applicable City of Eagan ordinances. , s - Wte - that - [he - info - - - I hereby acknowledge that I have read this- applicat - bn - It is the applicanPs responsibility to notify the property owner that the Ciry of Eagan assumes no lia6ility for any damages caused by the City during its nortnal operational anq maint -nan .. activities to the faciRjP..?n 6tqted un er this permit within City propertylright-of-way/easement. SITE ADDRESS: I gOURSELL, JERRY 4815 RICHARD LANE OWNER NAME: : ., enGnN, MN 5eizz . . ? . . (651) E887256 INSTALLER NAME: NORBLOM 1 STREET ADDRESS: r.Rs VEfaTtneIaac ciTV: TELEPHONE #: " DL-j .... . .. . (AREACOD . . QfC 1 3 ?l TELEPHONE IMaiNa ce. (AREA OOE)_ ? .? -. . . R,. _ __. :--- - STATE: ni -Y??ir?----- SIGNATURE OF PERMITTEE ' r . ? ? ? 1985 BUILDING PERNIT APPLICATION - CiTY OF EAGAN NOTE: ALL CONTRACTORS 14UST BE LICENSED WITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS To Be Used For: / Srk?/e Valuation: los,ooo. = ,l9 eev Date: Site Address: OFFICE USE ONLY Lot: 2-5- Block ? Sect/Sub c`/CreSf Ereet ? Occupancy Remadel Zoning Q-l Parcel !1 Repair _ _ Type of Const '11: Enlarge _ II of Stories Owner Move Length 58 Demolish _ Depth 13(c Address Grade Sq Ft City/Zip Code Phone Contractor W ? ,??Pr' ?r?st Address 9o0 Dr. w? City/Zip Code Phone Arch./Engr. Address APPROVALS Assessments Permit Water/Sewer Surcharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Boed Unit Bldg Off r Parks APC Treatment P1 Variance _ - TOTAL g' ?530 52 222. ?s SZS. ?° Scn. •< ?3. -- 2F?D aaa.v.?S- City/Zip Code Phone # s¢ ??1 c) c,? 4 24 K 2"L ? Sl??' K( f ` 5°oc?'f' • loq Zc?v • CertiPicate for: ` Huttner Conatruction, 960 Waterford Dr. Weat Bk: 85/57 Eagan, Mn. 55122 DELMAR H. SCHWANZ LAND SIIRVEYOAS INC Rcdislarw[I UnOpr Ldws nf ipp $IAtP ol MmnPSnla 14750 SOUTH ROBERT TRAIL ROSEMOUNT. MINNESOTA 55068 PMONE 812 423•1769 SURVEYOR'S CERTIFICATE 14lG'8- /60. aa ?arN?B ?. 4'82 x ? 20' ° TD? Gd? 991. 9 ??\ I.°, Iop1 ? \, ? ?j raP a?g Z- ? '? ov+?? ? ? '51 ?0 I Drainage & ut211ty ? easement ?s.? I3G 1001' 1 +- -- -- °° ti X ?oo? 9 /6a.oa iV88-4-/- 38? ? ?o?'?' ?bPtuR? ?ooi e ? 997.'1? 724011al Toll N"8 30 Proposed garage floor 3CALE: 1 inch A 30 feet elevation 1,00 7,S Elevationa ahown are existing i ? i ; .i ? ? I hereby certiPy that thia is a true and correct representation of Lot 25, Block 1, HILI,CRFST, according to the recorded plat thereof, Dakota County, Minneaota. Also showing the location oP a propoeed house as staked thereon. Dated: June 18, 1985 MINNESOiA REG ,f ^ , (Fom Dcvcloped by thc Statc af Hinncsuta Luilu;ng Codc 11ivision) • TO EE SU9:iITTiD 41IIii IIUII.AItIC PEIUfIT AF'PLICATI0:1 ? EXTEP,IOR F:iVf.LOPE AVERACB "U" CO:SPUTATION ' 01.YER: S2TE ADDRESS:' zr'J L+%. CONTRACIOR: W`= I'tkHMe( Sf DATE: `8S PI10NE: 1,15-4-30cf 8" l. '\2. ?3. Datermine working equare footage of.each Total exposed wall area..... . ... ?'31 Z S sq. ft. x r?` . ?:'3 N 3. 7S , ... .: . Total rooE/ceiling area.......... /2Lb sq.fC. x Total exposed aatl area calculationa: . Total exposed wall area abwe floor 8• TOr.81 K811 window-area........................ .....a?' f/ ? .. .......'....... 3$? b:" Total door area ......................... c. Total sliding glass door area..:.................... d. Total fireplace wall area ........ ................. e. Total wall framing area (average 10%) ....... .... ....?W V 4 fa Total net wall area above floor ................ ......2' g• Total ria joist area..................... o .....12•3 . Total exposed foundation azea - /2 0 h. Total foundation vindow area ........................ - i: Total net foundation area above grade ....... /?6 Determine "U" value of each wall segment ? I a. ? } 0 ? g uu.. ,. '? 1 ' ? • J'?. ?< .p 0 3. L• 38X c. S D - g ofU,. . d. . X uau = - ? ? "-- , e. 3 00 ' g°un -- ? 0 7 .. 2?? G0 f Z zig X„Ust ' - x„n,. h. . -- E x f,Uk. t. / Z o X liUM .ia . „iZo :.:, . . TOTAI. . •.. 'i 2 2, S If iiem 03 is tha same as, or lesa than item 91, you havo mct the Sntent of .` : 4. Total ex,osed roof/celling calculations: Total e:ryosed roof/ceiling area s. / 2 Zd J.-Tatal skylight area ................................... - . /2 k. Total roof/ceiling framing area (averap,e 107.)...... l. Tqtal net fnsulated roof/ceiling area ..... :........... /b9R. Determine "D" value for each roof/ceiling segsent X u?tll .n . k 1 z z, x,.u., . 0 x „us? ;:o:z ? . 2 !, '9 b :• ? 4. . . =TOrai. : Z el, . . .:.. If total of G4 is the same as, ot•lesa than 42, you kave net the intent of SBC'6006(c)1.. ' .. Alternate Building Envelopa Design, ,?%? i . ? .. . . . ' ' . . To utilize the total envelope system method. the values establislied by -• the sum of items 03 and fl4 shall not be greater than the sum.of item's $1 and C2. ' . + 2. ? ? ;. . + 4. ? • , • . : C E R Y I F I C A T I O N I hereby certify that I hava caleulated the "U" factors and R.values . herein and that the building here described meeta o= exceeds the State Of • Hinnesota Energq Conservation Ace. . • , • . ' ?? / T a ( igsiature) . ' (Aate) . . , . l• Construction R=Valuc 1. 2: 3. 4. 5. 6. 5'lLL FRl'l:E I4ALL l.L`.I,? G?. . 1. Sntcrior air filcf , U= . •O"1 ' 0.6tt. 2. l'" 1 N.??<,?i,?l? D 3. `? INSvt, , 00 4. L•Ucp 6. ExL•erior air filn Total I-Z.LAT` ? 1. •i terior ais film J 0.68: 2. 34-1 11.90 3. ' 1 SOF?(vOO b ? I,tq 4. 2'V5L SaF..aTN '1 ?0% 5. I,JS 6. Exteriar air film 0.17 Total 24,3a 1. 2. • 3. • 4. 5. ' G. Intezior air film 0.68 n . ,?y r rC ?.?0. i2?? 3c??yt ExL•erior air film 0.17 'ibtal' T75 U=. .10 _ siAs o:a cr.aur. ?IG. #3 `.. ? b . 0 ? . • n . ' ri • ? . ' •' ? .?' ` v .• •/• . d ' ' ? .• ? : . , . : L-d ,•_ ??+ .? ?r. jnr „ :? • ,. ? , . _ . • . ' ? ? ? !1! =? - • , ? ' ' ? ./ll ? .• • . . . . i/?/ . . . FIG. 64 lfi k '?L, '• • p ?/I/ ` . . .'/1I ? ? - / .?..'x !` /N 16- • fu??r ? ?rr _.? iir : NOTE: xnaicaco cypo, "r.° vaiun, aartn ana placenent of insul.?tioll. . Exterior air film s 0.17 Total ,c' 13,7_41 • IYl11li .1.1 l4 li.,.l ? 1;C?7'Cc U!?c ]U:. of 01-iqu^ wall arci for . fr.qmc coti:;trucLiun ' ROOl'/CEILII]G •I'? ?? ?•lI i il? I?i ?ti.l;: + --r • `\??. .. Y....2) .. ` ?. t'aate3 ? Les[ f•laa: up FIG. i5 lieat flov up 4G* Constr.uction R-Valne 1. Interior ai.r film 0.61 2. '?+,?L ?. • 19 3. lB?? ? .GO 4. Tatcrior nir film (r.t-.ill) 0.61 Tocal ? ?_,.?M?- • 1414` 3ww,.. lNSri. 3fo; O 1, Int:crior air film 0.61 2. /?" T71 ?!.iALt, . • y 3. 9. Er.tcriar air film sY.iTL) El. 61 Totai i = 92 ? Z, . J ..?UZ. 1, IriQide air film 0.61 2. 's. 4. . 5. outside air film -0.17 , Total Notes Us:c aaaitional.::hcets if more Epar.c 3 needcA for 8etails mtd calculations. . , f vented .• . 'I . HcaL U • , flov up ? F.r.r,. ?p7 • ,., .P SINGLE FAMILY DWELLINGS 2 SETS OF PLANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCULATIONS /7'?? ? 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN MULTIPLE DWELLINGS 2 SETS OF PT.ANS REGISTERED SITE SURVEYS - (CHECK WITH BLDG. DEPT.) 1 SET OF ENERGY CALCULATIONS # OF RENTAL UNITS # OF FOR SAI.E ANITS ? . •?? COMMERCIAL 2 SETS OF ARCHITECTURAL ? & STRUCTUR,9L PLANS ? 1 SET OF SPECIFICATIONS . 1 SET OF ENERGY CALCS PENALTY APPLZES WHEN: TYPING OF PERMIT IS REQUESTED, $UT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIAED. NO CHANGES WILL BE ALLOWED ONCE BUILD2NG PERMIT IS ISSUE?. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. J U id 1 1?. ?DG?a To Be Used For: Valuation; Date 48i'? Rtc?ard LcLv\2 Site Address ibAd?? Csy21- Lot 2.5 Black ? Parcel/Sub H1Ll,CRE5T NDD1-11011) Oconer 4Cehne.'r'V\ ?• Hend're? Address 4$15 IQ%clnard LawG City/Zip Code F-n - 5 5122 Phone 617- ^ '}s4 ` D 4 52 Contractor O Wv,\ef Address SQm-ne 0.5 0.1oDVQ City/Zip Code SAwtP a5 46ovt Phone gGvKo, QS 0.000J¢ Arch./Engr. OLOy\er Address &W1Q 4S 466VC City/Zip Code Jqat a,s above ?-) wn2 4t\". 19g0 OFFICE USE ONLY Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F On site sewage_ On site well MWCC System _ City =aater _ PRV _ Booster Pump _ APPROVALS ' Planner Council Bldg. Off. II Variance FEES B1dg. Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn . Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Copies SUSTOTAL Penalty TOTAL 75 Sn So '2 ? '00 Phone # SaWl( aS 460ve- tificate for: uttner Conetruction 960 waterford Dr. weet Bk: 85/57 Eagan, Mn. 55122 ? DELMAR N. SCHWANZ LANOCLIPVEVOA$ INC Fn,'?.n(I Vnda' lTwc nl LF? i1TIP 11 Minnptl1l1 14750 80UTH qOBEHT TRAIL ROSEMOUNT. MINNESOTA 55088 PHONE 812 423-1769 SUNYEYOR'8 CEp71FICATE 4a. /oos 9 ? Nf'8- '?/ - ? 8 ?J o o ra?,vd? ? `bg Z x /uog.3 2O'7a i+Ri? N ? qq?. s? I tu N I P.? ? i , m ? ? ?zy?z ? ? ; 1 0 I Drainage de utility zti' ? ? N I $ T `?,? ? easement V I ?- - - - - ? ? - ? t _? p _ Zo0 X ?oo? 9 /6d. oa i?B8- ?- S?u.J ? ?B ??'?? ?P?u,e? I 99?. ?? ?o0N?3 3 T>P N?4 ? I PropOded gsrage flovr SCALE: 1 inch - 30 feet elevation 1,007,5- , EleVatione ahown are existing I hertrby aertify that thie le a true and correct representation of Lot 25, Bloak 1, HILWRffiT, according to the recorded plat thereof, Dalcota County, Mtnneeota. Aldo ehoNing the location of a proposed house as staked thereon, Dated: Junb 18, 1985 MINNE30TA ,AGAN CITYOFt, 3830 Pilot Knob Road Eagan, Minnasota 55723 (672) 681-4675 PERMIT c-gRe??S (o co-qq PERMITTYPE: BuiLoiNc Permit Number: 0 2 3 8 0 5 Date Issued: @ 6/ 0 6/ 9 4 SITE ADDRE$S: 4815 RICHARD LANE LOT: 25 BLOCK: 1 HILLCREST P.I.N.: 10-32975-250-01 DESCRIPTION: Building Permit Type DECK Building Wo.rk Type NEW ` .. i , I ? REMARKS: FEE SUMMARY: Base Fee Surcharge Total Fee $30.00 $30.50 CONTRACTOR: OWNER: - Applicant - BOURSELL JERRY 4815 RICHARD LN EAGAN MN 55122 (612)688-7256 I hereby aaknowledge that I have read this application and state that the information is correct and agree to comply wiCh all applicable State of Mn. Statutes and City of Eagan Ordinances. L le?? 1? PPLICANTlPERMITEE SIGNATURE I SUED BY. SIG ATUFtE I INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITEADDRESS: Lor: zs eLocK: 1 APPLICANT: 4815 RICHARD LANE BOURSELL HILLCREST (612) 688-7256 PERMIT SUBTYPE: TYPE OF WORK: DECK JERRY NEW BUILDING 023805 06/06/94 INSPECTION „ . ., FOpTINGS FINAL F ? ? J ? 0 "t CITY OF EAGAN ? ?? 1994 BUILDING PERMIT APPLICATION $30•?'Q 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 reg oy 1 copy of energy catcs. ' L COMMERCIAL 2 sets of architectura ctural plan , 1 set of specifications, 1 copy ?caast__ 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 ? /A9 / c y Valuation of work '1?5?06 ? Site Address:'1BI.S tC??r ?.A/1?? ?KyB-r? _/171V• s S STREET / SUITE # Tenant Name: (commercial only) LOT BLOCK SUBD. P.I.D. # Descri tion of work: EvV GVOOa UeGlz- The applicant is: ? Owner ? Contractor ? Other (Uescribe) Name U -e Phone lv0g'7aP,S?o Property LAST FIRST Owner pddress STREET STE # ? l - City /?A-7z cS State /'/ Zip 5 Company Phone Co ntractor Address License # Exp. City State Zip 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 5tate of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: BUILDING PERMIT TYPE ? Oi Foundation ? 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 SF Misc. WORK TYPE P 31 New ? 32 Addition OFFICE USE ONLY ? 11 Apt./Lodging O 12 Multi. Misc. 0 13 Garage/Accessary 0 14 Fireplace J2 15 Deck ? 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'1 ? 33 Alterations ? 34 Repair ? 35 Tenant Finish ? 36 Mave GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Staries Length Depth APPROVALS Planning Engineering REGIUIRED INSPECTIONS O Site 0 Wallboard Basement sq. ft. lst F1. sq. ft. 2nd fl. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Variance P- Footi ng 4H' Final ? Framing ? Draintile v 3 y mi i 0 ? Insulation ? Fireplace Permit fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ued. Copies Other Total: vaw.csm: $ .s .it,? . ? i ? 16 Basement Finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish MWCC System City Water PRV Required Booster Pump Fire 5prinkler Census Code SAC Code Census Bldg Census Unit Assessments SAC % SAC Units 4 _ 960 Waterford'Dr: Eagan, Mn. 55122 .. . ? U ? , DELMAR H. SCHWANZ L4N0 SUPVEYOR$ WC FppwlrrrYl Un<lar LTw5(i1 Thp Sidlv OI Minnesnla 14750 SOUTH ROBERT TRAII ROSEMOUNT. MINNESOTA 55068 VHONE 812 423-1769 Sl1RVEYOR'S CERTIFICATE /6a. a o N?.s- ?: - 3 a? /?4- y $ e G.O ". Zd o X?LJ?.'f 1 w ro11 aI ;? I ?qa1' I tu IW1?I ? 4) /Z 11< 0 I Drainage & utility I N $ ,? ?? eaeement 94f? 3` ? ooz.il `U? o a ?- - - - --? ? - - ,0 2oe X /av? 9 /ooi. 6 997.9? ?oPNu3 ToP Nub j o Proposed garage Ploor SCALE: 1 ineh ? 30 feet elevation imoi, 5- Elevations ahown are existing I hereby certify that thie is a true and correct representation of Lot 25, Block 1, HILWREST, acaording to the recorded plat thereof, D*ota County, Minneeota. Also ehowing the location of a propoeed house aa staked thereon. Dated: June 18, 1985 MINNESOTA REGIST{7ATION NO. 8625 lsL ? CITY OF EAGAN ???/ PLUMBING PERMIT SUB ?A''/ V (612) 681-4675 &E8ID8NTIAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DE5CRIPTION CITY USE ONLY RECEIPT??3? 950?? DATE AL50, FOR TOWNHaMES AND CONDOS COMPLETE THE FOLIAWING: N0. FIXTURES EA. T0T6L NEW CONST _ REPAIR/ADD ON 15.00 ? ADD ON _ j- SHOWER 3.00 REPAIR WATER CIASET 3.00 BATH TUB 3.00 LAVATORY 3.00 OWNER NAME :?L°?L? S? 9? D! r9 ?? P g0 4 iZ SeL L ? KITCHENS INK 3.00 ? LAUNDRY TRAY 3.00 SITE ADDRESS: ? At-42,W_ nJ ? mk), _ HOT TUB/SPa 3,00 _ WATER HEATER 3.00 FIAOFL DRAIN 3.00 GAS PIPING OUT. xr?sraLr.,Ex: ?t-tr?w. Paz-ti- /N C• _ (MINIMUM - 1) 3.00 ROIIGH OPENINGS 1.50 ADDRESS: Lz,Z o OTHER ?i/ WATER SOFfENER 5.00 CITY: .Jh c?/Ln-. OAU ZIP; PRIVATE DISP. 15,00 U.G. SPRINKLER 3.00 PHONE - W. TURNAROUND 15.00 STATE SURCHARGE .50 SIGNATURE OF PERMITTEE TOTAL: -v ? COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDtISTRIAL SUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. WORK DESCRIPTION: nWNER N9ME: SITE ADDRESS: TENANT NAME: _ SUITE #: INSTALLER: ADDRESS: CITY: PHONE FOR: CITY OF EAGAN CONTRACT PRICE: 1% OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 1% STATE SURCHARGE TOTAL: (SIGNATURE) S $ PERMIT CITY GF MGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 ? r / J ? BUZLDING 001236 08/il/92 SITE ADDRESS: 4815 RICHARD LANE LOT: 25 BLOCK: 1 HILLCREST DESCRIPTION: r8uildin_g Permit Type Building`Work 7ype UBC Oceupancy ?- ?( PERMIT TYPE: Permit Number: Date Issued: BA5EMENT FINISH ALTERATION R-3 ,r, a t < .? REMARKS: RECEIPT NC 0 w j3 0 3EPARATE ELECTRICAL & PLUMBING PERMITS REQUIRED FEE SUMMARY Base Fee $35.00 COPY 4.50 Surcharge $.50 Total Fee ;36.00 5ubtotal $35.50 CONTRACTOR: OWNER: - pppttcant - BtlURSELL JERALD 4815 RICHARD LANE EAGAN MN (612)688-7256 Z hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. PLICANT/P RMITEE SIGNATURE T 11(1rIB 11.DiLl I 1l4JJ SSUED Y: IGNATrT- Control No. 0929 INSPECTION RECORD CITY OF EAGAN 3830 Pilot Kno6 Road Eagan, Minnesota 55123 (612) 681-4675 SITEADDRESS: Lor: 25 4815 RICHARD LANE HILLCRE3T PERMIT SUBTYPE: BASEMENT FINISH PERMIT TYPE: Permit Number: Date Issued: BLOCK: 1 APPLICANT: BOURSELL (612) 668-7256 TYPE OF WORK: I FRAMING REMARKS: RECEIPT M F L FINAL Control No. 0 () 2 9 BUILDING 001236 08/11J92 JERALp ALTERATION SEPARATE ELECTRICAL S PLUMBING PERMITS REQUIRE ... ?i?..i. ?.?? F i... .. . ? .? „•r. ,' I . ? I 'r! • ' , i? ? ?:I ti? . • ?. ?. . .i li'•.li.?l i i;i51 ..' ? . If . I.. R `' rEertlT # CITY OF EAGAN REACTIVATE 'A 4 / CD3 ? 1892 BUILDING PERMIT APPUCATION 681-467$ u SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made ar lot chan e is re uested once ermit is issued. Date B 7 / 9z Yaluation of work Site Address: _ 'S`B/S - IC,-c4a? LeL,, SiREET SUITE / Tenant Name: (commercial only) I.OT _C?_s BIACK j SUBD. Descrl tion of work: l3Ase711?"r?'?Nr? The applicant is: O Owner ? Contractor ? Other toee«fbe) Name urseZ-C J Q. Phone 6-P?'= 7aS-7, Property LAST FIRST Owner pddress 0r?Q?- ? L c a n ?. STREET 57E N City Easan _ State /YJti Zip 5'?z ?- Company S?am e Phone Co ntractor Address License # Exp. City State Zip Company Phone Architect/ Engineer Name Registration S Address City State Zip Sewer d water licensed plumber . Processing time for sewer 8 water permits is twa 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 compl th all applicable State of Minnesota Statutes and City of Eagan Ordinances. ? 5i f A l i Z, gnature o pp cant. OFFICE USEM Qt?LY .. , . A ' B UILDING PERMIT TYP E ' 11 01 Foundation O 06 Duplex O il Apt./Lodging ?16 Basement Finish ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? O 17 5wim Pool ? 03 SF Addition O 08 8-Plex ? 13 Garage/Accessory O 18 Comn./Ind. C] 04 SF Porch ? 09 12-Plex O 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE ? 31 New 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Mave GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) Ist F1. sq. ft. City Water UBC Occupancy ? 2nd F1. sq. ft. PRY Required loning Sq. Ft. total Boaster PumP N of Stories Footprint Sq. ft. . Fire Sprinkler Length On-site well Census Code Depth On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Variance REGIUIRED IN SPECTIONS r ? Site ? Foo ting ?Framing ? Insulation ? Wallboard Final D Draintile ? Fireplace Permi t f'ee .''3y r o-T v.iuoc;m: g Surcharge Plan Review License ' Mwcc sac City SAC Mater Conn. Mater Meter , Acct. Oeposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. -- - Copies ? Other Total: SAC % SAC Units rt l? HOB $'lgiI189Ti71g • P. 0, Eoz 255 Shakopee, Mlmeaote 55379 Telephone : (612) 445 - 3282 July 3, 1985 A1r. William HuttneT 460 Waterford Dr. W. Eegan, Minnesota 55122 CRI? .&+i1.Tests.on 7.ox(2?, BQock 1, liillcreat Additian, Dakot+x Co. lFd?d• U Ilear Sir s Ua the above site, these rss soe fill reqnired in\+he rear part o$ the proposed house. Hoat of the propoaed house is in a cut area in aand. ---- , The Yill send wae placed ia oae faot layere end caapacted vith a vibratin, smooth compactor, tovect bp a dozer. . . _ , After the fill bsd heen glaced and compaated up to the loraer iloat elerition, I made 3 ia-pZeae density teste to cheek the campaotiono Al1 0! Z'he tssts indicated a compaction effort of more thsn 97 % of the'"madiiiec3 Proctpr density and ehonld be ab}.e to aupport the propoaed houee very xe11. _ Attache8 are the resulta of the lo-place density testa, the plsu of their looation, and tha modified Prootor density cutwe that wea made for the granulsr fl11. Sinnerely, Willimo A. Aoe P.B. ( Minn. Reg. f 6594 ) 41. LoT. 25j, rj LOGe- /, ia / 4 L cp-r.sf i6n' h 41 ?.o t ? Zq? ? I I ? -?r• ,c ° I ?. ? LO-CATtOM PLqhl sc.tL,s: r"=-4o 2 r s uLr5 o r- TN- PcACrr. bl'M SirY rdsfS y1' f 1 ??Q2? _l ii l.13 2 ? a ? . ? Trmsr 0 r.p714 dl' C-I Lt 0 Afl',?, Mo1STuiL 11 CONTCNY Pee- cr-ur prtY pC-r{$1C`{ P-5. F. MOD/Fj40 PQacro!G OENsiry Pr_tcFNr IyODlF/QO PQoc70 2. COr4H¢N(f pl- Fn'_ .7/t/eS 7.4iyo /03.33 ?0.6 pcF 47.?8°/ Vc,.yGoo{ -D 2. =9 rjr. LG 6 pcF q 7. Ge 9'o veRy 4o-d -D3 2..FT,! 7iI&t C?q7 % /63.52 !OG Pcf `?7.GGY., - i/Etiy 6004 __ ' .. . . _ _ _ . . i 'TH E.tN- PL.ticM DtENS.!TY TL'STS \T./RRR MA'Q?M \?fITH THfE $AND.Coot?'c. 4CG,o4A1Nc, To ASTH STnNDAQD 'D-1556. 130 (-- rN Gi N isF 2.1NGt;? 1580 ? . . < ? 140;•0 Y. . . . . . '. . ? .C1 S. tUiF001F4Et3 f'RO.i:T:t1.GURV` :. . r, . ~ .. _ lt>GAT fOld 130.0 x ? f ? ., Y . r _`.. . II- O 0. LL V N, ? ? ? lll a N m J ? F- r'n z w d ? ? 0 120.0 110.0 100.0 , 90.0 Y 80.0 tt a .?i . .?, . R ? -I ' ? : ?- t t ? -l - --?-- - ? ? , ?_-_?-} ? -- -t -- i- -_i•?-- ? _ - -+ t' f ? a - ? . - t-i-_. l ? . . 4 4 ,.. 4-- . t - _ ; - - .•-_ _ . - 4 T-- - ? _?_ y i ?'?- J.._. 1 _ _ • -.- ; _ i _i i r + f- ??. ___ _ ?---•-- # ---+ -- _ ?. + + } ?• ...: .-?:: : :I , : `. ? '. : _ :_ . : _ f?- - f .. l 1 ; ' ? • - --tr- ..T, _s.. _ -- : . _ ' - 1 " - _j -? ' - _ _?_ 1 i , O 5.0 10.0 15.0 4 % MCIST!.JRE S 01 i. D E S C R I P T I O M: . . „ SIEVE ANALYSiS ; RETAINED ON N0. 8 SIEVE . . . e w o 40 . T'.. ' 4 I q p i, l '. . TO - « u e 200 _`r7•1 94 ' ,r „ Jn r v y'_ PA$SING A PoO. 200 SIEVE --- 17,,476 NOtE: THE M'ODiFIED Pfi0C70R DENSlTY TEST 1klAS MAd6 W}'t'N 'A . • 10 CB.,JiAMW1ER FAILIMG 181PlCHES,tHE SOtL WAS COMPACTED IN 5 411YERS W{TH 25 BLOWS PER L11frR. A.S.T.FA. D-!$57 1 i, by 80E EN(iIAIEERIN6 2/84 CITY OF EAGAN APPLICATZON FOR PERMIT SES•lER AND/OR WATER CONNECTIODI (PlE £ PRIHT) 1) PROPEl'1?'' ACDRESS: r.Fr7.L DE...?1°TTCV: X0 a j ? ` , - (Lot/Slock/S - visicn or Tax Parcel I.D. 'riL:,.->-_r/ .T'r S?^.==Tv°., DaT' OF CiZTGi^.Ai. Lt;2'..P.L:G :?_•S?' ZSS?-y,G: PpF = ...;?,-L-7,/rD.'?'.OPniS::D CS: a'R'-1 SL.GL. FAmSLY ? R-2 DITP". z..'`{ (T•,? L^7Z:5) ? 2-3 ZCCI.,.?C'i?SE (m'D.W + L': a:S) ( Wi I'?'S) ? r-4 ??.??rc?:T/CC_ZJCi•tr;r-.1 ? fTiI':'S) Q CCi.!n1E.?CL?I./RE:^.,SZ?C:?'ZC:: p Q l`:ST17= OJIAL/GG=,= 2) A-p?Li1.= V"I' r ( AJi PRi7i1) . N[3i•?: ! C?'l? ADC2°.SS: ? C) GL? Ga J ?y J _ CI"_'yr S+i-.==, ZIP: PEONE: j) pj=E?>, ? PlEd?c PRiYi) NAi?IE: FUfl CITY USE OYLY ,=??s: p.G PLUH6ERS LILEYSE: n , " r-I A ' e CIT l, STa'_^E, ZIP: E:pired . P???: PlU9BER LICEYSE N No of ecord ' a , t:ta (PIEASE PRINf) 4) OCY.?,?PPTi1CT.':,•?E:2 MIKE_ ACDRFSS: CI7Y, STAi'E, ZIP: . PfUIE: 5) IINDZG",i'E ;4HICH PER;-1IT IS SEItiG RFQUES'I'M: M Co\',NIE.CTTO:] 'Io CITY SE.S:? ? C01-l=O:I 'IO CITY SvA'I'E:2 ? di[M (PI.GA-SE DESC:ZIBE) 6) L?:DIC.,:? C::.: . • ? PI.`-,SE F?OID r1PPP,WWIID pMmIT FOR PICiC-LP BY C:?'E OF AfiGUE ?°I.EtiS : APPR(IVED PEPmIT 'PJ 1. ? 3. 4 AEL7G'E (Cicle one) 7) SICu,TLn:: C? a DRTE: ?! ?t o1iMl?V?a i? ?? ee !la?ca s aa /Y ?a i?a aia UO ? I??sa:? a at !lara s» ?1 ???4'-sEaa?? -.. F 0 PERti1IT '-` ISSUED C I T Y US E ON:,Y rrnS : $ s-U $ /p, SU $ S $ $ $ $ S CJG. r?-U $ SaSu $ S $ S S S S:.?c.? nr??•T.:. (I.?...-•?? •?r._....,. S9?TE? PE??iT_'° (I';C?i;DE .?'.li?C?:ARGG) WAT°R METER/COPFE: HORN/OL'TSZDE RE;,DER WATER TAP (I\'CLi;D^ COR?ORATIO?I STOP) 5EWER TA? ACI-OuJIT DF:?C'SIT - [•ia':E2 Sd?`-,C SAC TRliVK NAT°_Z i,5SES5::E::T TRi;idK 5=::EER ySS°SS:i°'iT LATERtiL BLNLl:T/mgli•.IK SEi".... L:iTcRAL BEVZ_°7T/'^RU`IK i1A':'zR ?dATER TREAT*EhT PLtL:T SIIRCH?12GE OTHER: TOTAL PMOL'J:T PrII_7!R"?_EI.-_ ? DOcS UTS:.ITY CO....°C?IO.I REQUiRE EXCaVATZOiV ZDI PUEiIC RIGHT OF WelY? ? Y:5 IF YES. THEi; A "PER-MIT c02 :•703?; WITHIN PUBLIC ROADSvAY" MUST 3E ZSSliED BY THE NO_ ENGINEERING DIV:SIOi1. LIST AS A CONDI- _ -- TION. . StiBSECT TO T:iE FOLL0:9I:IG CONDITIOti'S: APPROVED BY: TS::,E: • DAT_° : 04 ------------------ ? j Pertnitq: ____ ?(L 1 - ??? ? Permit Fee: ? Date Received? j I I I Staff: I I ----------------- 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date:s'Ckg SiteAddress: 4-Sf5 ?CInAM? L (i 7enant: ?ir1h?F?G poc?i^S?d? Suite#: RESIDENT/OWNER Name: A/Aw?- v?c?FCc?a Phone: Address / City / Zip: `{e4 Pd L. J Applicant is: _ Owner -k_Contractor TYPE OF WORK Description of wa "?'+c /1 h v?''?' Construction Cost. b ? G Multi-Family Building: (Yes _/ No CONTRACTOR Name: 0&4"eh 5 . [ ?J L-. License #: e`I C.. Address: '7? c> 6v ct?AN'1'lj S'T City: A No ILA State: W OL) Zip: 5??762t Phone:^ICo-, -LLW Contad Person: 1' D l? 4t>A k COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateporv 1 Minnesota Rules 7672 Energy Code . Residential VenGlation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (q Submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a simllar plan based on a master plan? _Yes _NO If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contrector: Phone: Sewer & Water Contractor: Phone: acumenfs that you submitare,considered toY>e public information;. PoRions oi NUTE; Pians andisapporting ? the infoimation may be dassitied as non public.if yau pro°v"ide specific reasons that wouid perrriif the C?ty to% ? K_? conelude that'the are frade secrets. ?_ ` ' I hereby acknowledge that this information is complete and accurate; that the work will be in confortnance with Ihe ordinances and codes of the City of Eagan; thaf I understand this is not a perrnit, but only an application for a permit, and work is not to starl without a permR; ltiat the work will be in accordance with the approved plan in the case of work which requires a review and approva f plans. X lJo"4 ld- CD - 5,41V, X. /4 ApplicanYs Printed Name ApplfcanYs 5ignature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA152990 Date Issued:11/13/2018 Permit Category:ePermit Site Address: 4815 Richard Lane Lot:25 Block: 1 Addition: Hillcrest PID:10-32975-01-250 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jerald G Boursell 4815 Richard Lane Eagan MN 55123 (651) 707-5141 Controlled Air 21210 Eaton Ave Farmington MN 55024 (651) 460-6022 X253 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA152991 Date Issued:11/13/2018 Permit Category:ePermit Site Address: 4815 Richard Lane Lot:25 Block: 1 Addition: Hillcrest PID:10-32975-01-250 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). 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 - Jerald G Boursell 4815 Richard Lane Eagan MN 55123 (651) 707-5141 River Valley Rpz Llc 1623 210th St E Farmington MN 55204 (515) 210-2094 Applicant/Permitee: Signature Issued By: Signature (-For Office Use n M ' I f /J IV -70 a�` e '/� ::::e:. 400 EAGAN y,..V. ~.~/ W I1 - /f l.'1.:+1,-711.17,0 Date Received: ?-1 '' 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-56751 TDD:(651)454-85351 FAX: (651)675-5694 J U L 15 1019 Staff: buildinginspections a(�cityofeagan.com -.7 J 2019 RESIDENTIAL PLUM NG ERMIT APPLICATION cg-ac---(\ 1 1Date: Site A dress:�� ` Lr Tenant: I P ` Suite#: -_ R s Name:` �1}- Q .. Phon=• V /1 ,110 IN Vi R'esklentiW.n.dk ;, ,:t;. p.'4•` ; Address/City/Zip: A: �"`tai' ��., - Name: MILBERT COMPANY dba CULLIGAN WATER License#: WC641376 ContractorAddress: 1801 50TH STREET EAST City: INVER GROVE HEIGHTS • State: MN Zip: 55077 Phone: 651-451-2241 Contact: BILL MILBERT Email: gloria.abas@culligan4water.com New Replacement Repair _Rebuild —Modify Space Work in R.O.W. Type of`VWork T — ' Description of work: • Water Heater Lawn Irrigation( RPZ/—PVB) x Water Softener Description Add Plumbing Fixtures( Main/_Lower Level) Septic System Description: New - — Connection to City Water from Well Abandonment RESIDENTIAL FEES '. $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 New fixtures, adding or removing piping (includes State Surcharge) $60.00 Septic System Abandonment • $100.00 New Residential (fee collected with Building Permit) $115.00 New Septic System (includes County fee and State Surcharge) $60.00 Connecting to City Water from Well* +$290 for Meter and $190 for Radio Read =$540 *Sewer&Water Permit also required for connection charges 60.00 TOTAL FEES$ CALL BEFORE YOU DIG. Call Gophor State Ono Call at(651)464-0002 for protection against underground utility damage, Call 48 hours before you w. intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on tho City's website at www.cityofoagan.com/subscrlbo. 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 onl an application for a permit, and work is not to start without a permit; that the work will be In ac orda e.( ' the approved p 1 in th ase of work hick requires a review and approv of plans. x " eltri ` x t-- lit.ith--<::--- , Applicant's Printed Name Applicant's Signature Page 1 oft PERMIT City of Eagan Permit Type:Building Permit Number:EA170461 Date Issued:07/06/2021 Permit Category:ePermit Site Address: 4815 Richard Lane Lot:25 Block: 1 Addition: Hillcrest PID:10-32975-01-250 Use: Description: Sub Type:Reroof & Siding & Windows/Doors Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and house wrap and leave on site. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Valuation: 15,000.00 Fee Summary:BL - Base Fee $15K $265.50 0801.4085 Surcharge - Based on Valuation $15K $7.50 9001.2195 $273.00 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 - Jerald G & Diana L Boursell 4815 Richard Ln Saint Paul MN 55122--278 (651) 707-5141 T 10 Construction Services Llc 16754 US 10 Bldg 2 Elk River MN 55330 (612) 254-8060 Applicant/Permitee: Signature Issued By: Signature