4839 Richard LaneCITY OF EAGAN • r :' , , ,
? i i ... . .
' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100
BUILDING rERMIT aeceipr ?qt
Te be w"A far Est. Volue pate 19
SiteAddre» ? r ?Erect ? Occupancy
"' • :1,; [.I„_,-' , . Remodel ? Zoning
Lot Block ?c/Sub. Repair ? Type of Const.
Parcel IVo. Addition ? No. Stories
Move ? Length , I
? Name Address Demolish ? Depth
Int Impr. ? Sq. Ft.
.. f - . .. r,
Name wpprovoq Fa„
tu A?? 19 Assessment Permit ' -
?
?
?
City
Phone Woter a $ew. Surcharge
Police Plan Review
?W Neme ' Firo SAC ?
Address Eny. Wate? COnn. r 11
t Z. City Phone Planner Water Meter ?-? . U 1;
Cowrcil Road Unit .80, Q 0
I hereby acknowledge that 1 have reod this applicotion ond stcte thot gldg. Off. .' .I _' •? / d 5 Tc PI. 1'?. U G
the informofion is correct ond cgree to comply with oll opplicoble
Stoto of Minnewto Stotute: and Cit
of Ea
on Ordinonus A?
Perks
g
y
. Var. Date 1
• '4
- Copies
Sfpnaturc of Permittee
.
Total
/1 Buildiny Permit Is isswd ro: on the express tonditlon rha+
otl work shall be Aone in ocoordonce wlth oll oppliwble Stote of Minn esoTo Sfatutes end City oF Eopon O?dinonces,
8ulldinp Official
I Plumbiny I U IJ 'I -)I r? - . n/a-. ._ IL I 1c:73n IXFI Y,l i-?7 -?, I
EbetMc
I Inwection Dsts I Insp. I Other I
Hty.
Finai
Flnal
PFRMIT #. CITY OF EAGAN FEE e
/J
MECHANICAL PERMIT
RECEIPT # 454-8100 S/C
? MINIMUM RESIDENTIAL FEE - $10.00 + S-SO TOTAL S?Ly ?-.7j
DATE MINIMUM COMMERCIAL FEE - $20.00 + $.50
1. Bldg. Type: Res ? Comm Inst 2. New ? Add Alter Repair
3. Total Bid Price ??'!? • {-' f ' 4. Job Address
Lot -4-Block i Sec 5. Owner ? ?? ? f f 1 1 r r v}?;_ ?
,
6. Contractor ti{-V r7 Li
(Name) (SVeet) (CiQ? (ZiP)
7. Contractor Phone #!??? ?? 7 l.Y.
RESIDENTIAL HEATING - 01-100,000 BTU's -$24.OU. Each additional 50,000 BTU's or fraction -$6.00
RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or fraction -$6.00
MOqIFICATIONS/ALTERATIONS -$10.00 minimum fee
HEATING VENTIIATiNG HOT WATER STEAM AIR COND
eIR PIPING PROCESSED PIPING AIR HAND. EQUIP. RrFRIG
RES. GAS PIPING OUTLETS -$1.50 TANltS: LP. UNDERGROUND OTHEFi
COMM./IND. RATE -1% OF TOTAL BID PRICE PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE.
Signed:
for
Approved Inspections: Date Rough Insp. Date Final Insp.
Receipt
PLUMBING PERMiT
CITY OF EAGAN
Fill in numbered spaces
Type or Pirnt legrbly
i
Permit No. i
Fee 1
S/C ?
Tot. • ?
-,.-- ,
1. Date ?• I'? 2. Installation Cost '
^ j
3. Job Address Lot ? L ? Blk. Tract
4. Owner i ? , . ? • ' - '
,
5. Contractor Lqv4r-7)4#;,L i.ir_-?•. r Irt Phone cr
6. Address
7. City "
8. Building Type: Residential 13
State 4:,. Zip ? ??_ :
Commercial ? Institutional 11
9. Work Description: New 11 Add O
10. Describe
11.
Alter ? Repair ?
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory 5oftner
Shower Well
Kitchen Sink
Urinal/Bidet Other
? Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink ?
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Hough Final
Inspections: Date Insp. Date Insp_
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt PLUMBING PERMIT Permit No.
CitY OF EAGAN
Fee
Fi!l rn numbered spaces S/C
Type or Prini legibly ,
Tot.
1. Date 2. Installation Cost -
3. Job Address L:,v; a,9 r Lot?81k. ? Tract
4. Owner •
5. Contractor l- Phone
6. Address
7. City State Zip?
8. Building Type: Residential P
9. Work Description: New fl
10. Oescri be
11.
Commercial ? Institutional ?
Add ? Alter O Repair ?
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
8arh tubs Septic Tartk
Lavatory ? Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Sigrted : ; for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved. 3 1Z /j, ?
Approved CITY OF EAGAN 454-8 00
?
'i?.?cpo?
INSPECTION RECORD
?Y OF EAGAN PERMIT TYPE:
830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS:
, a. j[:HARi3 lAN1
PERMIT SUBTYPE:
ti
27 pi QGk ; APPLICANT:
TYPE OF WORK:
.;???+,?ir??,
.. .? ; ,::.
, ? .
AI TCNATfIiN
( ONF tif'flRUt114)
INSPECTION
? r• • .A
RCIIAPicSs A SEPARATE PFRMIT 14', Rfl3iJI{tFF) FOR ANY I'1 111MF2iNA nht f 1 F= 1l+It'Al 010k.
?
?
Pertnft No. Parmft Holder Dats Tetephane i
ELECTRIC
PLUMBING
HVAC
Inspecdon Deta Insp. Commenta
FOOTINGS
FOUNO
FRAMINO
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AlR TEST
FlNAL PLBG
FINAL HTG
ORSAT
TEST
BLDG,FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
CITY OF EAGAN Remarks- ' 'T)
Addition 1iLLI.CRBST ADDITION Lot 22 Rik 1 Parcel 10-32975-220-01
owner screet 4839 RICEIARD I.ANE State EMiAN MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 93
5 1985
-
-
STREET RESTOR.
GRADING
SAN SEW TRUNK 7 ? ? /? Q(0 369, 10117
ASEWER LATERAL
WATERMAIN
*1NATER LATERAL
WATER AREA ?O/lp
*Ser e
STORM SEW TRK 19$4 804,56 160.91 --717 ,9 4103f.3 lo i/PS
9l•STORM SEW LAT 1985
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN,
n
u
BUILDING PER,
sac 525.00
PARK
CiTY OF EAGAN SEWE SUVCE PERM
3830 Pilot Knob Road
P. O. Box ?1199 PERMIT NO.:
Eagan, MN 55121 DATE: a
Zoninp: hlo. of Units:
Ownwr. /lddress:
$itt AddroSS: 7 r? '' - r'. _ - ' 2 R J. PllJ1TIbfG n
1? 7 -..5 5; C I '
I ypm 1o eo?wplpr wMh 1M C&I of MWN Conrncfion (horge:
OrJiNsoM. Acoount Depodt:
Pamiit Fm: .7Yrcharge. ?
By Miu. Q,orgm
Date of Inap.: ToMI:
Irop.: Dote Pald:
_
WATER SERVICE PERMIT
PERMIT NO.:
D/?TE:
_ No, of Units:
No.:
te -a.rlp wM& Mo Ckp of E.o.¦
of I nsp.:
Ccnnactian Chorge:
Aaoou+t Deposit: !1O'"?
Permit Fee: 't
Surchorge:
Misc. Chorom i 3 2.+?0 pu TF
Totol:
Dote Paid:
CITY OF EAGAN WATHt SERVICE PERlWz
3530 Pilot Kovb Raad ~ , ?..
P. O. Bvx 21199 PERMIT NO.:
; -S6
Eapan,MN 55t?'! DATE:
Zorilrp: . r No. of Units:
pwnw: Fluttner Const. '
rf ew
PICII
?. :. E • I.CIE'.st
tMnber:
r No.. ; 500 . OOpd
?
?
ze: 15.00pcl
;
? I
10
00F?ci
r No.: 91 .
-
PIeh-4it Fee:
a? h oewPlp wNh 1? w Surchnroe: . SOpd
? Misc. Chorpes: 132.OOpd TP
Total; 63.00Ad meter
oot. Poid:
e of insp.: Intp.:
a-e, -x4
- CITY OF EAGAN N°_ 1 12 3 3
. ;? 36?0 Pilot Knob Road, V.O. Boz 21-799, Eagan, MN 55121
PHONE: 4548100 S ,] z
BUILDING
PERMIT
2eceiar
#t ?
J
T. ?esed t. SF DWG/GAR Fv,yalue $77,000 pote NOVEMBER 7 , 1q 85
SitaAddress 4839 RICHARD LN Erect IR Occupancy R3
Lat 22 91ock 1 Sec/Sub. HILLCREST Remodel ? zonin9 R1
Parcal No. Repair ? Type af Conrt . Ir
Addition ? No. Stories
WM HUTTNER CONSTRUCTION Move ? Lenqtn 4 7
W
z Name
W Demolish ?
ATERFORD DR W Depth 44
? Addreas Int Impc ?
EAGAN
452-30 8 Sq, Ft,
Crty phone
Install ?
,O Name SAME Approrals Feaa
0
.1 Addres6
F CiN
Neme _
Address
City
Phone
Asussment _
Water E Sew.
Volice ?
Fira
En0•
Plonner _
Council _
I hereby acknowledge ihat I hove read this ap0lication ond state that Bldg. Off. 1 ¢ rj
the informolion is correcf ard ogre fo comply with II appliccble APC
$rote of Minnesoro Stotutes of Eo r' nces.
V D
Parmit %1 ?V Y. V V
Surcherge 38.50
PlanReview 182.00
sac 525.00
weter Conn. 500. 0 0
Water Meter 6-1- 0
RoadUnit 280-00
Tr.PI. 132.00
Parks
/? ar. ate Copies
Siqnoture of Perminee I Tota1 $2,084.50
A Building Permir Is issued to: WM HUTTNER CONSTRUCTION on the axpress condiNon ihot
oll work shall be dorro in acmrdnnc 'th Sll?opplimble S te o innewta Statures and Ciry of Eayan Ordinonces.
Phone
Buildirip Officlal lz,,,(?i
G3.
Thi,c request void 3 ? Z?p
18 monlhs from ? -
B 1 ?'? "
.?? a, 16 i1
ReQVest ??
[?/
'
/ Firn No. fbugh-in I-peolion
RepuireG?
'
?Ready Now ?I
I Nolify.InsOe?-
/- CS C ?No r When Readv
Licensed Elecinwl Conlractor
? I hereby reQUes[ inspection oT above
wne/ electrical wmk installetl a[:
Sveet Address. Boa ar Rou[e No. Ciry
ecUOn o. Townshi0 Name or No. RaWe o. County
1
67/?
OccupantlPRINT)
Y- < ? I •,. G /"'-? Phan¢ Nn.
Powe upPl.Br Address
/- L/
E ctrir.al Comractor (COmpany Name)
'
4
62
A C uactor's Lic¢nse No.
-t?
L,F.m
r-
t f
i inB Address IC nttaclor or O
w r Making Instailation)
/J
017 f ' /... /L .. F-
AuMoriz Sipnature (Contracto wner Mak ng Irrstallali 1 Phone NunEer
4,94o-L 6
MINNESOTA 57pTE BOARD OF ELECTRICITY 7HI5 INSPECTION REQUEST WILL NOT
Griggs-Midwav BIAg. - Room N-197 BE ACGEP'TED BY 7HE STAiE BOARD
7827 UniversityAve., SL Pael, MN 66104 UNLESS PROPEN INSPECTION FEE IS
Phorre 1812) 297-2171 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION EB-°°°°i-a
, See instnztians /or completing this fnm m back of yallo+r eopv- /
B??" "X" Below Woik Covered by This Request
da rteo. Tvoe ot suimioa Aooliences wi.M en?inme..i xn.ea
Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Etectric Heatin
Cortvnercial Bldg. Furnace Slo UnloaAer
Industnal Bldg. Air Comlitioner Bulk Milk Tunk
Fdflfl Other [Specifyi iher ISper.iiyl
t r Syec?fy Other Other
Comuute lnsnectian Fee Below
p Fee Service Entrenea5ize # Fee Feeders/5ubieetlers N Fee Circuits
.00 U to 200 Am 0 to 30 Am 7.Oe 0 to 30 Am
Above 200 Am s 37 To 100 pmps _OU 31 to 700 Amps
Swimming Pool Above 100_Amps Above 100_A '
Transiormers Irrigation Boorts •,?j(3 Panial.'Other Fee
t ? i Signs I 1 'Speciat Inspec!fon ?S ?f
l
Hemarks (?? SO TOTA FEF?a? /\
C.(
floueh-in D teh
? 1. the ?'
r/?? I?pecior. he?abv
?
1 certily that iAe abova
Final ?
1
0 Da? 4cpection Aes been
1
1,
3 ?
4
?rode.
}? ?aquest vo1A 18monUe Irom
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
NewConatruelion ReauiremaMa
• 3 regislered site surveys showing sq. M. o( lol, sq. 8, of house; and ag roofed areas
(20% maximum lot coverage allowed)
. 2 wpies of plan showirg beem & window s¢as; paured found desgn, etc.)
. 1 set of Energy Caiculations
• 3 copies of Tree Preservatlon Plan R lot platted aRer 711N3
• Rim Joist DeWil Options selection sheet (bldgs wflh 3 or leu uniGS) DATE AftWEet, 11 A0-A
S{TEADDRESS u931 R?Gh0.`'td?
MULTI-FAMILY BLDG _Y t/N
TYPE OF WORK fC11A:r SeASb''+ fVeM AAd n [4ec-k FIREPLACE(S) ZO _ 1_ 2
APPLICANT Nlakkhew *- C,hr"skhe- 1a*ubnbvstZ
STREET ADDRESS 4 F31 Mt,tia+-d- 4n CITY (A'34h STATE ^JZIP SWA
TELEPHONE # (DSI Of( f1063 CELi PHONE # ?? l & 654 FpX # q;2 97), 39 a )
PROPERTYOWNER SU1Nt TELEPHONE#
COMPLETE fOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINN RULF:C-
n
(4 su6mission lype) • Residential Ventilation Category 1 Worksheet Submitted • de O • Energy Envelope Calculations Submitted FMe?Efi,?lrgr
SEP 17 200Z
Plumbing Contractor: __
Plumbing system includes:
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Contractor.
Air Conditioning
Heat Recovery System
Phone #
Fee: $70.00
Phone #
I hereby acknowledge that I have read this application, state that the information is corcect, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Orqinances. _
Signature of Appltcant
OFFICE USE ONLY
_ Water Softener
_ Water Heater
_ No. of Baths
Phone #
Lawn 5prinkler e
No. of R.I. Baihs
RemodeUReoair Reauiremenh
• 2 copies of plan
• 1 set of Eneqy Calculations for heated additions
* 1 site survey fir exterior add'Aions & decks
• Indicate if hane serveC by septic system Por additions
VALUATION ?k ? 2y',oun
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE l1SE ONLY
? 01 Foundatlon ? 07 05-plex ? 13 16-plex ? 20 Pool ?
? 02 SF Dwelling ? 08 OB-plex ? 16 Fireplace ? 21 Porch (3-sea.) ?
? 03 01 of _ plex ? 09 07-plex ? 17 Garage 22 Porch/Addn. (4-sea.) ?
? 04 02-plex ? 70 08-plex O 18 Deck ? 23 Porch (screened) ?
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12_plex Plbg_Y or _ N ? 25 Miscellaneous
3'nclt) de S De c1?,
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44
IR 32 Additlon ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45
? 33 Alteration ? 37 Oemolish (Bldg)• ? 43 Reroof ? 46
? 34 Replacement "DemaliUon (Entire Bldg only) - Giva PCA handout to appli cant
Va luation /0j0 mo Occupancy 12-3 MC/ES System
30 Accessory Bldg
31 EM. Alt - Multi
33 EM. Alt - SF
36 Multi
Siding
Fire Repair
W indows/Doors
Census Code `f 5"1 Zoning City Water _
SAC Units Stories Booster Pump _
Nbr. of Units Sq. Ft. PRV _
Nbr. of Bidgs Length Fire Sprinklered _
Type of Const l/ y1 Width
REQUIRED IN SPECTIONS
_ Footings(new bldg) FinallC.O.
Footings (deck) ? FinaUNo C.O.
Y? Footings (addirion) Plumbing
, Foundatian ? HVAC
, Drain Tile Othec
Roof r Ice & Water Final Pool Ftgs Air/Gas Tests Fina]
i0 Framing _ Siding Stucco Stone
F'aeplace _ R.I. _ Air Test _ Fina1 _ Windows (new/replacement)
Insulation _ Retaining Wall
Approved By Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
W ater Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
copies
Other
Total
i. a,5
IZX12XSy.ao it?7-74u•n?
F I9+ ree p-ecK- 70• " D
.?
I?
I
" l
?. .
S::ale: 1 Inch = 39 Feet
o = Iron pipe
o = Set Wood Hub
?ff- Existing elevation
Top rJUB' ?
995,12 \
¢4.0 ? po.o ?
- _-? N- ?
1 I ? Zz 9%Z
M n \ ?
?
?
q?,g zz I Q ? ?
A N ?
N N I ? J? ?a
?------ ' r I
? y? ? 1ei' 4,S
N /O
4 34
faP ?? ' ° qq6
993.'a,_,s? - - • ?
` 9sy
20,0
?
- J.J - roPNOh
Propoaed garage floor elev.
from development plan. 1000.0
?
yiL
qq8$
33
I hereby .:ertify that this is a true and correct reprsentation of
the following described tract of land:
Huttner Conatruction
Drive West -
122
93?53
DELMAR H. SCHWANZ
'nNOSVaVEVOR$ iNC
QPom?rM 1?1e1 Lars pl iM $I.le n1 Minnno?n
74?50 SOUTM ROBERT TRAIL NOSEMOUNT, MINMEEOTA 55068 MIONE 617 423-I769
SUFVEYOR'S CERTIFICATE ?
?
?ov NdB=
. )Tj?-2, oGi( l
JQCK
Lot 22, Block 1, HILIGRFST, According to the recorded plat
theraof, Dakota County, Minnesota.
Also showing the location of a proposed house and garage as staked
thereon.
October 11, 1985
MINNESOTA RE615TRATION NO. 8626
:
<
i?
Permit Number
MECcheck Compliance Report
2000 Minnesota Energy Code
MECcheck Softwaze Version 33 Release lc
Data filename: A:\Entire house MEC 092502.cck
TITLE:Jakubowski
COUNTY: Dakota
STATE: MinnesMa
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 09/26/02
DAT'E OF PLANS: Septemher 2002
PROJECT INFORMATION:
Four season room, deck
COMPLIANCE: Passes
Marimum UA = 292
Your Home = 277
1.80/o Better Than Code
Family Room wall South: Wood Frame, 16" o.c.
Fatnily Room wall West: Wood Frame, 16" o.c.
Patio Door: Glass
Family Room window West:
Checked By/Date
Gross Ctlazing
Area or Cavity Cont. or poor
Perimeter R-Value R-Value U-Factor UA
108 19.0 0.0 6
266 19.0 OA 13
28 0370 10
Above Grade, Vinyl Frame, Dauble Pane 13 0.350
"Cabin" Gues[ room wall West: Wood Frame, 16" o.c. 108 19.0 0.0
Window: Above Grade, Vinyl Frame, Dwble Pane 13 0350
"Cabin" Guest romn wall North: Wood Frame, 16" o.c. 112 19.0 0.0
Downstairs BR wall North: Wood Frame, 16" o.c. 84 19.0 0.0
Window: Above Grade, Vinyl Frame, Double Pane 6 0350
4 season Wall 1 South: Wood Frame, 16" o.c. 112 19.0 0.0
Window 1:
Above Grade, Vinyl Frame, Double Pane with Low-E 20 0.370
Window 2:
Above Grade, Vinyl Frame, Double Pane with Low-E 20 0370
4 season Wall 2 West: Wood Frame, 26" o,c. 132 19.0 0.0
Patio sliding Door 3-panel: Glass 42 0350
Window 3 above sliding door L:
Above Grade, Vinyt Frame, Double Pane with Low-E 6 0350
Window 4 above sliding door R:
Above Grade, Vinyt Frame, Double Pane with Low-E 6 0350
4 season Wa113 Ncrrth: Wood Frame, 16" o.c. 112 19.0 0.0
Window 5:
Above Cttade, Vinyl Frame, Double Pane with Low-E 29 0.370
Door 2: Glass 16 0.360
4 season ceiling: Cathedral Ceiling (no attic) 144 38.0 0.0
Skylight 1 South: Vinyl Frame, I7ouble Pane 8 0.370
Skylight 2 South: Vinyl Frame, Douhle Pane 8 0.370
4 season F'loor 1: All-Woad JoisUTruss, Over Outside Air 144 0.0 30.0
Dining Room wall South: Wood Frame, 16" o.c. 166 19.0 0.0
Window I l: Above Crrade, Vinyl Frame, Double Pane 28 0.350
Dining Room ceiling: Cathedral Ceiling (no attic) 160 38.0 0.0
Living Room wall South: Wood Frame, 16" o.a 118 19.0 0.0
Living Room Ceiling: Cathedral Ceiling (no attic) 184 38.0 0.0
Entryway: Wood Frame, 16" o.c. 46 19.0 0.0
Door 2: Solid 26 0350
Upstairs Guest Room wall West: Wood Frame, 16" o.c. 92 19.0 0.0
Upstaies guest room windows West:
Above Grade, Vinyl Frame, Double Pane 16 0350
Upstairs guest room ceiling:
Flat Ceiling or Scissor Truss 76 38.0 0.0
Master BR wall West: Wood Frame, 16" o.c. 118 19.0 0.0
Window: Above Grade, Vinyl Frame, Double Pane 16 0.350
Master BR wall North: Wood Frame, 16" o.c. 156 19.0 0.0
S
6
5
7
S
2
4
7
7
5
15
2
2
4
11
6
3
3
3
4
8
10
4
7
5
1
9
4
6
2
6
6
9
Master BR Ceiling: Cathedral Ceiling (no attic)
Master BR Bath wall North: Wood Frame, 16" o,c.
Window: Above Grade, Vinyl Frame, Double Pane
Mstr BR Bath closet wall East: Wood Frame, 16" o.c.
Masta BR Sath & Closet ceiling:
Flat Ceiling or Scissor Truss
Mudraom wall East: Wood Frame, 16" o.c.
window: Above Grade, Vinyl Frame, Double Pane
Mudroom wall North (garage): Wood Frame, 16" o.c.
Door 1: Solid
Kitchen wall East: Wood Frame, 16" o.c.
Kitchen windows East:
Above Grade, Vinyl Frame, Dwble Pane
Kitchen wall south: Wood Frame, 16" o.c.
Kitchen window South:
Above Cnade, Vinyl Frame, Double Pane
Kitchen ceiling: Flat Ceiling or Scissor Truss
Kitchen wall North: Wood Frame, 16" o.c.
Praposed and Maximam U-Factor Averagea
Above-Grade Windows and Glass Doors
Includes Foundation Windows> 5.6 ft2
Skylights
180 38.0 0.0 5
48 19.0 0.0 2
7 0350 2
146 19.0 0.0 9
83 19.0 0.0 4
54 19.0 0.0 3
5 0.350 2
58 19.0 0.0 2
18 0.350 6
122 19.0 0.0 6
26 0.350 9
100 19.0 0.0 5
10 0.350 4
105 38.0 0.0 3
48 19.0 0.0 3
Proposed
Average U-Factor
0357
0370
Ma7cimum
Allowed U-Factor
0.370
0,550
COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations
submitted with the permit application. The proposed building has been designed to meet the 2000 Minnesota Energy Code requirements in MECcheck
Version 33 Release Ic and to comply with the nandatory requuements listed in the MECcheck Inspection Checklist.
Builder(Designer Date 1?? ? Z
,. '
?• ?
/ -
1985 BUILDING PERNIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS !lUST BE LICENSED 1dITH THE CITY OF EAGAN
COlRIERCIAL SINGLE FANILY DifELLING3
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS
& STRUCTURAL PLANS, 1 SET OF 3 CERTIF'ICATES OF SURVEY
SPECIFICATIONS AND 1'SET OF 1 SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONS
$2,000 LANDSCAPE BOND
1 `l,ooo
To Be Used For: u,1'??tlu Valuation: 67!F/?
/
Site Address ?3% OFFICE
Lot 2.Z Block I
Parcel/Sub 9dlC re57L
Owner
Address
City/Zip Code
Phone
Contractor 1,61 L?t ?k?Xei?" nfff
Address ?j?D d9-p:?e--f'oy-c( [?r. /.(l,
City/Zip Code Z Z
Phone
Arch./Engr,
Address
City/Zip Code
Phone #
Date: //_?/- r5
Erect x Oceupancy
Remodel , Zoning
Repair ? Type of Cqnst
Addition U of Stories
Move ? Length
Demolish
? Depth
Int.Impr. Sq Ft
Install
APPROVALS FEES
Assessments Permit
Water/Sewer -" Surcharge #
Police
Plan Review 67?-
Fire SAC ?
Engr Water Conn SOO
Planner Water Meter -?,
Council Road Unit 2gp,
Bldg Off//? - Treatment Pl
APC Parks
Variance'- S' Copies
I TOTAL
S-7 g2c?
? x? '= S¢ X S? ` ??13Z
22 x 2?z = 4? ¢ x t z - ??s
.
-1 co 7 4-2
Certificate For: Huttner Construction
,962 Waterford Drive West '
Eagan, MN 55122
93?53
DELMAR H. SCHWANZ
LANDSUAVEYORS INC
RP951wM Unapr Ldwy pl hM $dle OI MinnPlOfR ,
- 14750 SOUTH ROBERT TRAIL HOSEMOUNT. MINMESOTA 55068 PNONE etZ 4tit7l9
SURVEYOR'S CENTIFICATE e?
? ---- //0.0 ;= ToPNUB= I
rov N?B= y I
, 99o,067 44.0 _?i Z\n ?' I
+c- .
1
? I
i
\
;
d2 ? Q
i ?.
? ?o k <Z?
`?IZ 44- ?4 ?I y ?
?
>oP ?B = o ?1 ?
99 -' - -
s
?
? q?10 ? 20 , 0
?
- ??Urt, - 70PNd8
- 99299
$??C
Aq
Scale: 1 Inch = 30 Feet v I
o= Iron pipe Proposed garage floor elev.
o= Set Wood Hub from development plan. 1000.0
Existing elevation
I hereby certify triat this is a true and correct reprsentation of
the following described tract of 1Snd:
Lot 22, Block 1, HILICRFST, According to the recorded plat
thereof, Dakota County, Minnesota.
Also showing the location of a propoaed house and garage aa staked
thereon.
October 11, 1985
MINNESOTA REQISTRATION NO. 8625
. .
(Forsa Dcvcloped by thc Statc of ?finnesota iuilding Codc Divlsion)
' • TA EE SI79:1IT2ED NIT3l BUILDItIC PERTtIT APPLICAYIOy
? . .
? EX7EP.IOR E:7VF:LOPE AVERACE "U" C0:8UTATIOW
DS;:7ER:
SIYE ADDRESS:
, C02iTRACfOR: //) DATE: P}IONE: VSL-3a?'
Determine working square footage of each
1. Total exposed wa12 area......... sq.ft. x%/?':
?2. Toial roof/ceiling area..,....... f'C2 sq.ft. x .0Z6
?.• Total exposed aall area calculations: :
Total exposed wall area above floor a. Total aall aindow-area ................. ..........
....? ?.? . .
b:" Total door area ........................ ............. .. 3?'• •.
' C. Tolal sliding gZass door area..:....... c........ ....
.. d. Total fireplace vra12 area ........................... - ' e. Total wall framing area (average 102) ...............
fa Total net va21 area above floor ......................J/D
. g. ZOt81. Tf.LIjOiSt area.............................. .?
Total expoaed foundation area b. ?oCal.foundation window area......................
... "' .
I. Total net.foundatioa area above grade ...............IDete=mtnn "U" value of each wall segment .,'
? a ? •,:
• . / 3.2 . . x nuu
x ,tir^ ?3/ - I, I , V. . .
. . c. 0 Q . x •oiln 1' . _. , g n('o . _ - s , _ . . .
.
X ,ou,s
?
• - f. 11 a Z X„vll
. . g, I Z? x„U„
.. h _ F R stU„ - ?
.
• I. X I.Un CD
3. TOTA1. ?t • ? !9'2• o
• '
If item 03 !s the sama as, or less ehan icem 01, you havn mc0 ihe intent of.
.
4. Total-ex,osed roof/cciling calculations:
Total e:ryosed roof/eeili-lig area
"
j..Tatal skylight area ...................................
k. Total roof/ceiling framing area (avernpe 107.)......... %
1. Total net fnsulated roof/ceiling area ............:...
Determine "Q" value for each roof/ceiling segment
x .roM
.
k. 6 11= ? x„u,.
R „U„
;
4. . . • ?rorai. - 2-2,
If total of 94.is the.same as, or•less than 02, you have aet the intent _.'
of SBC'6006(c)1._ "
Alternate Building Envelope Design.
. 4?, • ? •• '
To utilize the total envelope system method, the values establfshed by --
the sum of items 03 and 04 shall not be greater than the sum.of items 91
and 02. • "
1. + 2. ?
I 3.• +4
., .
C E R T I F I C A T I O N
I hereby certify that I have caleulated the "U" factors and R valuea .
herein and that the building hera described meete oi exeeeda the Stata of
• Hinnesotet Energy Conservatioa Act. .
v`/e"'e
? (Sigriature)
??•?_?5'
. ? (Date) '
.
?•
. ???•? ?
Fic. d1 ToPViEIa cr
. FRTt:E IIALL
?
Constrtiction
1. R-Voluc
2.
3.
4.
5.
6. Exterior air film ? 0.17
'1'Oidl 13zCt
?1.U.I-, 1,L-.
?/z"
1: Intcrior
z, k? " -t ?.j ,
3. k )N`
4. 2 t ?
5. s 1_9/n
6. Exterior
?
?. .
z:
3. '
4.
5.
6.
trf t.p(y'
, I 45
r Pilm 17'
sauai 11 - 2I, 9(: .
? ? . :J4
1. Interior air film 0.68
2. 2 ,./4) 7 K N .?D.
' 3.
4.
5.
6. Exterior air film 0.17
'rotaY
,
'. G i
si,na a.a crtauE
?IG. 93 Y .. , tr
, • u . ' ? ia. •
• •• ? ' :
P ? . • -/ • .' ? '
x . .• ? . . ` .
: L ' ? , •
FIG. 94
Lv,7 // ;?
x ::r
• /t! ??I E, ltr 'i?l /it TL-
NOTE: Indicata typo, "T" vsluns dapth ancl
. placenent oE inculation. .
??ll?.U ? 1! ! a ..7
4.071Ei` [i::c ]U:, of oi,aqu^ +:a11 arca for
framc con::trucciun
: ..:?
R001'/CE I I,I tiG
vnrr
. ?
, Veate3 ?
roe???i ?a/'•'.'???•y•'?,!=:?>>/.?:__l.?;wt?Sti•er?
? Lcac fluw
up
FIG. i5
! lieat f3ow up
..FIG. 46'
.
?
1414° BwwN INS??. 3fn; O
1. Intezior afr film 0.61
2.
3. Z1}t•^ ta?iuUJYJ i S
4. Er.terior air f•ilm st
motal 12 , G Z.
J vz.
InafAc zir film 0.61
2.
's.
4. '
5. outsiclcs air.film -0.17
Total
Not•c: U::c additional shccts if more cpar.Q 3
needed for c}etails a»d c.ilculatipnt.
, -;
Conetr.uction R-Value
1. Intcrior a3.r film 0.61
2. ?2? DP'L l,H4L y
3. 1$`' O Su1.. Go
q. T•.xtcrior nir film (rY.i21J ?.b
- matsl k- 49. G ?
.. ? " • , _ v'r, o?
. vented
.. , . . U
. xcac
• , flov up ?
1PZr,. ?07
•
5k:i'X;k'X4 X•Y.tY,( *, ?:?n%F?;m;My:?tM:*:?:Y,tikm"
r.,rrv Or :r:.nGr-,N
,:;aSi rr.r_F,:s 3; rFr,rszNai.. Nn. 73e
vt,rE.: 04i17i9e; ri:r:r:.i 006:43
zr; ?
nFlMF, rArr ,,FlE;ur{awSi:r
::ae:i.o 9001 4839 r,zCiaAilD i._n 50.00
205 9001 4839 R,'f.CNFt:iD LN 0„50
Te+,a7. nerceipt Amnut,i:: 50.50
CR08'7 i F;E'
IlSSfi 10 .1AN
hi'F*?X* 44 ?X'YFy<YF?Y,SX(%'FJYp<i?tyF,1''.>`:7Xri(;%R,?'X7:)F?F'?
PERMIT
? - MTY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
r
.--. ?
4839 RICHARD LANE
LOT: 22 BLOCK: 1
HILLCREST
P.I.N.: 10-32975-220-01
DESCRIPTION:
REMARKS:
A SEPARATE PERMIT IS REQUZRED FOR ANY PLUMBING OR ELECTRICAL WORK
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50
Total Fee $50.50
CONTRACTOR:
PERMITTYPE: suzLozNG
Permit Number: 031809
Date Issued: 0 4/ 17 / 9 8
OWNER: - Applicant -
JAKUBOWSKI MATTWEW
4839 RICHARp LN
EAGAN MN 55122
(612)860-6523
I hereby acknowledge that I have read this application and state that the
information is coreeet and agres: ta comply with-all applioable State of Mn.
$'tatWte3 8hd. Ci'ty k'f EBgBdi? Ol"d3.:KI#iT'fiC8$:. ' . .. .
? . . . . . . .., . . ,t: , . y . _ . .. . , '. . ?
-? (ONE BEDROOM)
Pwikd1ni4.,,Permit Type BASEMENT FINISH
6uildtng Uork Type ALTERATION
Census Code ?. 434 qLT. RESIDENTIAL
1t.F 1G
? Y/•
r??t?
APPLI T/PEFMITEE SIGNATURE IS?S JED? SI?CNA RE
998 BUILDING PERMIT APPLICATION (RESIDENTIAL) 460-5 D
CITY OF EAGAN
3830 PII.OT KNOB RD - 65122
681-4675
New Construcfion Reauirementa
? 3 registered site surveys
? 2 copies of plans (inGude beam 8 windav sizes; poured fnd. design; eta)
? 7 energy plalations
? 3 copies of tree preaervatipn plan ff lot plaked aRer 7/1/83
required: _ Yes No
DATE: k't4 10qB
RamodeVReoair Reauirements
? 2 wpies of plan
? 2 slte surveys (exterior add'Rions & tledca)
? 7 energy nlalalions for heated addkions
CONSTRUCTION COST;
M14
DESCRIPTION OF WORK: ftj?t "41,? &UA ' l14tf7w Q- r/A?
STREET ADDRESS:
4839 R?c.hantif, La.na.
V en
LOT: BLOCK: ? SUBD./P.I.D. #: ?l.C.YlI(dt-
w? f60 -,6 V3
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name: 1AKLI$0WSIr,I /144T1'H-?-W Phone?l: 6tY' f0b3
Lss[ Fvst
StreetAddress: Np 34 R"v'd' ?amc
City f=4? State:
i?
Company:
Street
City
Phone
License #
State: Zip:
Phone #:
Name: Registration #:
Street
City State:
Sewer 8 water licensed plumber (new construction ony):
and lot change is requested once permit is issued.
Zip:
Penalry applies when address chang
I hereby acknowledge that I have read this application and state that the iniormation is cortect and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
OFFICE USE ONLY
Cerificates of Survey Received _ Yes
_ No
VWWzuy4y
Tree Preservation Plan Received - Yes - No - Not Required
¢lyOOn.
Zip: S.SI ,;I .'l
OFFICE USE ONLY
BUILDING PERMIT TYPE
O 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 = plex
WORK TYPE
? 31 New )2- 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
. ?,
? 11 Apt./Lodging )n>"116 Basement Finish
? 12 Multi RepaidRem. ? 17 Swim Pool
? 13 Garage/Accessory ? 20 Public Facility
? 14 Fireplace ? 21 Misceilaneous
O 15 Deck
? 36 Move
? 37 Demolition
Const. (Actual) Basement sq. ft.
(Allowable) Main level sq. ft.
UBC Occupancy sq. ft.
Zoning sq, ft.
# of Stories sq. ft.
Length sq.ft.
Depth Footprint sq. ft.
APPROVALS
Planning
Building AIVO
MC/WS System -?
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code. 4-1
3
3AC Code v i
Census Bldg
Census Unit o
Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Valuation: $
osSAC +
: c.,; SAC Units
r_::r.r•r OF rr::.A-,
,-.,
r?,:?rCTli-lC:: ..; 4.);; i'I.15,
... .:
0;4 I r:. 0 M :;
P,!FA[";, i1L.C.G?J r 61?i]tJI?..R?[; ;t. {?:[;.??.?a!i;l :Cf?C
:'2:iC 90t:;1 2, 06' I.:':CNG;`-? .'.;? I.f2.`.:??£?`i
21 .':li5 '_aj_i):i. rf !''7:ZdG`i J:I
..
?-? "'.
)IJ1 rr+r ,-,.? ., ..... ? .. 83 15
r I_...iRc''J.i L..P!
?
F:..
,.. .A?
:3::tC; '_lr':I.
- ?J.
1:,5?:;:
t??6:li?,•, ..r.
;
'I
? f
L .....:... ........
.L
Iti?.JI?:i•II_)G.! I..
.
•?.nr.a
i'. 4 C:h.._2:i.;-?I'.
?.I:iL:.!ti 1.iJz N/1N{'t,'
,,...Y-;?: ?'"mwk..m.:• 7>,?:c.;?Y k /?:.M:?::; .r. ,9d;Y:i::r6?
1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
?J ?? U r ? J?f ?I ? 3830 P 85 -? B 675 55122
New Conshvction Reauiremenfs Remodel/Reoalr Reaulremenh
L
? 3 reghlered sMe surveys showfng aq. li. of lof, sq. R. ol house 2 coplea oi plan
and all roofed areas !20% maximum lot coveraae atlowed) 1 set of energy calculaHons tor heated addkions
? 2 copfes of pians (show beam 8 window sizes; poured fnd. design: efc.) 7 slFe survey (or exFeHor addMtona a decks
D 7 sef o1 energy calculafions
? 3 copks M hee preservaflon plan IF lot plaNed after 7/1/93 as'-
DATE: ? &F ' a ?_ CONSTRUCflON COST: :?04
DESCRIPTIOM OF WORK:
STREETADDRESS: qT31 X-aurV
LOT: L? BLOCK: I_ SUBD./P.I.D.#: 0;Z,'\c /\ z'C?' ?\-
PROPERTY
QWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name: '°fr4. (J7%wS/C• /&# Phone#: 6S1' Gff' YO63
Last Firsf
Street Address: ? ?? ? ?? ?i??'? L ???
ciN state: 11-41-, zip:
Company: phone #: 6V yD6 ?`/O.1
(area code)
Sheet Address: License # 720 /.Tft'/ Exp. 3&2406
?
Ciiy S? State: N1?/ • Zip: SS 104-z
Company: Name:
Telephone #: area code (
Street
City
Sewer 8 water licensed plumber (reaulred for new consMuctlon onlvl:
State:
Penaly applies when address change and lot change is requesfed once permH Is issued.
Zfp:
1 hereby acknowledge that I hwe read ihis appiicatfon, state ihat fhe IniormaHOn Is conect, and agree fo comply wRh all applicabl
? S}ate of Mlnnesotp Stafutes and Cffy of Eagan Ordinances.
Signature of Appltcant:
OFFICE USE ONLY J ?
1
Certificates of Survey Received _ Yes _ No
Registration #:
Tree Preservation Plan Received - Yes - No - Not Required _ "
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 PorchlAddn. (4sea.
? 03 1 of _ plez ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only . ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Census Code
SAC Code
No. of Units
No. of Bldgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
Permit Fee 6 3. ?-?
Surcharge I :?-o
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SN1f Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
1?
Total: 314, ^?
Valuation:
?
SAC Units
% SAC
?6??ij BL / CITY USE ONLY
L OS
SUBD. Xk4-fCfYZX
RECEIPT#: W 970 ?
RECEIPT DATE:
1998 PLUMBING PERMIT (RESIDENTIAI,)
CITY OF EAGFN7
3830 PILOT IQtC58 RO
EAGAN, NAI 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES r? Y Y? EACH #
Shower 3.00 x
Water Closet 3.00 x
Bath Tub 3.00 x =
Lavatory 3.00 x If _
Kitchen Sink x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet ' minimum - t 3.00 x =
Rough Openings 1.50 x =
WBtef Softenef ' for dwellings under construction 5.00 x =
Water Softener " for existing dwelling 20.00 X =
U.G. Sofinklef ' for dwellina under rnnst 3.00 =
U.G.Spnnkler "forexistingdwelling ?
? 20.00 =
Alterations ' ta existing residence 20.00 =
Water Turn Around ` 20.00 =
Private Disposal System • MPC iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems "Abandonment 20.00 =
STATE SURCHARGE
TOTAL
TOTAL
?-
---?--
T
5S
- I thst ------°----------•----tate ----that ----the informafion ------------•° is -------------°----•----------------------------------°-----
Aereby adcnowledge I have read this appilcation, s corred, and agree to comply with all applicable City of Eagan ordinances.
It is the applicanPS responsibility to notity the property owner that the Ciry of Eagan assumes no liability for any damages caused 6y the Giry during ils
nortnal operational and maintenance activities to the facilities construc[ed under this permit within City propertylright-of-way/easement.
SITE ADDRESS: 7 G 3
r
OWNER NAME: 14 ? 0 W 5 K ?
INSTALLER NAME: /Z C-C- ?"a ? i 1 z? P I Gl Yh8 ? rJ h TELEPHONE #: GI Z LjZ:-VI 1d
, . . n . . n . n
STREET ADDRESS: I lj 5 LU J C h3 11' tAi I ,r-r u'\
CITY: ? ? ? -p- V ? I k), STATE: V1'1 t,3 ZIP:
S S 444
JS/FORMS BLDG/PLBG PERMIT (RESIOENTIAL) 1898
SIGNATURE OF PERMITTEE
??..19. ?. ?
CITY USE ONLY
PERMIT #: 1-i O (-I q ? RECEIPT DATE:
l--)- - lFf - c) I
M1DENTlAL MECiIANICAL PEfiMiT APPLICATION
crrYoF Ensniv
3$90 fII.OT KNOS RD
BAfiA1V 1HN 551 EE ?
651-681-4675
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: \ \ I I U \
SITE ADDRESS: ?C'." I v
OWNER NAME: TELEPHONE #: (0 ?? (43
(AREA CODE)
INSTALLERNAME:IaCC).? }?C?,-\+,S'o?Q?3"fr'J TELEPHONE#: ?51-?Z Z
(AREA CODE)
STREET ADDRESS:,:;L(z?Q E)
CITY: ?C1? G?w1? STATE: ZIP: 5-JU?
Place a check mark next to the oermit work tvoe
_ New residential dwelling unit under constructionand not owner/occupied $ 70.00
Add-on, modification or alteration to existinq dwelling unit s 50.00
• urnace rep acemen
air . rarge.
• air conditioner ?
• other
Nature of work:
State Surchar e $ 50
L Total $?_v
l
Re»eiuder: CaUforinspectioxs.
Updatrd 1,01
CITY USE ONLY
PERMIT #:
APPROVED BY:
INSPECTOR
RECEIPT DATE:
COMM£ftCIl4L MECHAN1Ci41. PERMIT Ai'PLICAcTION
C1TY OF EAHAN
3$30 PILOT KNOB fZD
EAsM,1H1v 55122
651-6$1-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
SITE ADDRESS:
OWNER NAME: PHONE #: -
(.AREA (7ODE)
TENANT NAME (IMPROVEME\TS ONLY):
WAS THERE A PREVIOiJS TEr'Ar'T IN THIS SPACE? Y N. \?AME:
INSTALLER:
ADDRESS:
CITY:
PHONE #: -
(AREA CODE)
STATE: ZIP:
WORK TYPE: NeNv construction Install U.G. Tank
_ Interior [mprovement _ Remove U.G. Tank
_ Processed Piping
Specify Nahue of Work
Whex installing/removing underground tank, call 651-681-4675 for inspection bj, Fire Marshal and
Plumbing Iii:spector.
Fees: 1% of contract price OR $50.00 minimum fee, whichever is grearer.
Underground tank removaUinstallation = minimum fee
Contract price: $ x 1%= $ (Base Fee)
State surcharge calculate at $SO for each 51,000 Base Fee
TOTAL $ --
. .
?_.. ._._.......
SIG]V.ATURE OF PER?IITTEE
Updated I/Ol
Q V Dr? u. I . . • o) = i o U WO W4• • n ?. . ?.
??• e • • •?? ? ? •? • ?? ? ? ?? ? • •
CITY OF EAGAN
APPLICATION FOR PERNffT SEWII2 ANID/OR WATER CONNECTION
1) PROPII2TY ADDRESS: I7sf 3
T,FY:AT• DESQ2IPTION:
IF EXISTING STRCCTURE, OATE OF ORIGINAL ELlILDING PERNffT ISS['ANCE:
(Nbnth Year)
PRESENT ZONING/PROPOSID DSE: R-1 SINGLE FAMILY
R-2 D['PLEX ('I+ao L'nits )
R-3 MWNHOL'SE (Three + Units) ( Units)
R-4 APARTMENT/CObIDOMINIt'M ( T-inits)
CONIMERCIAL/RETAIL/OFf'ICE
ZNIIJL?STRIAL
INSTITC?TIONAL/GOVERNMENT
2) ? °
NFiME:
ADDRESS:
CITY, STATE, ZIP: ?,.? • ? ,/? °
PHONE:
3) • r. ?' ?? For City L?se
NAME:
Pl
b
Li
tun
ers
cens?
ADDRESS:
1= Active
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CONNElCTION TO CITY SEWER N[ CONNE',CTZON TO CITY WATER
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DOES UTZLITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGiIT OF WAY?
YES IF YES, THEN A"PERMIT FOR 'AORK WITHIN
P[7BLIC ROADWAY" MUST BE ISSUED BY THE
? NO ENGINEERING DIVISION. LZST AS A CONDI-
TION,
SUSJECT TO THE FOILrJS4ING CONDITIONS:
APPROVED BY:
TI:LE:
DATr :
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3830 PiIOT KNOB ROAO. P.O. BOX 21199 .
EAGAN. MINNESOTA 55121
PHONE: (612) 454$700
DATE: November 7, 1985
SPECIAI. ASSESS?tEVT SEARCH
i
DAKOTA COUNTY ABSTRACT C RE: Hillcrest Addition.
1250 HWY 55, P O BOX 456 Lot 22 Block 1
HASTINGS DIId 55033
BEA BLOM9UISi
Mava
THOMAS EGAN
JAMES A SMIiM
JERRV iHOMAS THEODORE WACHiER
COWICY MBTp¢rs
THCMAS HEDGES
CRy Atlminsrcata
EUGENE VAN OVERBEKE
cn, c*.
Enclosed herein is the search which you requested made on the above described property.
1986
Kind of ImDrovement VPa-- Beeinninz Orisinal Amount Balance Due Installn
Street Surf 5 1985 $2450.15 $1470.09 $ 695.84
San Sew Trunk 15 1976 183.08 48.88 17.08
Sewer Lateral 5 1985 4361.74 2617.05 1238.74
Water Area 15 1982 294.33 196.23 43.36
Storm Sew Trk 5 1984 804.56 321.83 209.18
I further certify that according to the records of said office, the following improve-
ments are contemplated or pending after havino heen approved and are now in the process
of planning or completion.
Kind of Imvrovement Anoroximate Date of Completion Aoproximate Cost
NONE
WAIVER•
Neither the City of Eagan nor its employeesguarantees the accuracy of the above infor-
mation which was requested by the person or persons indicated. Nor does the City or it:
employees assume any liability for the correctness thereof. In consideration for the
supplying of the indicated information in the above form and for all other consideratior
of any nature whatsoever, any claim against the City or its employees rising therefrom
is herehy expressly waived. Levied assessments to be paid to the CITY OF EAGAN,
3830 Pilot Knob Road, P. 0. Box 21199, Eagan, MN 55121. . '
.Very truly yours,
SPECIAL ASSESSMENT DIVISION
iHE LONE OAK iREE. ..iHE SYMBOL OF STRENGTH AND GROVJfH IN OUR COMMUNIiY
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA137889
Date Issued:07/27/2016
Permit Category:ePermit
Site Address: 4839 Richard Lane
Lot:22 Block: 1 Addition: Hillcrest
PID:10-32975-01-220
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Matthew S Jakubowski
4839 Richard Lane
Eagan MN 55122
(612) 860-6523
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature