4851 Richard Lane
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C
•- ° CITY OF EAGAN
3830 PNot Knob Rosd. P.O. Box 21-199, Eagsn, MN 55121
PHONE: 4548100
BUILDING rERMIT Rece+vt #
T. ti. w.r i.. •-' ?• ')Lwt?/c ? AP Esr. va?u. $7?. ,, U ? Dore
Site Ad*" Erect 13 Occupancv '
77 Blxk " ?lSub. t j7a?? it ?°; :"-? .`,1)1 ? Remodel ? Zoning
P?roel No. RaPeir ? Type of Contt. "
Enlarge ? No. Sto?ies
Move ? Lsngth
? Name Demolish ? Depth ., Y.
? Address _ •. ?.•i. -,??: ,. ._ - .. . Grede ? Sq. FL.
p ? 7 1 l
City Phone Irtstall ?
? Name C? nAl f.'. AVVfWYaR
?
Addmt Assessment
l
1,- City Phona
Water & Sow.
P
?
pat Name
W olice
Fin
I? Address
,03 Enp.
City Phone Planrnr
Council
28 a
I hercby ocknowlodgo tF+ot I how reod this applicotion ond sfote that Bidg. Off.
the intonnotion is oonect and cgree to comply with oll applicablt
Slah of Min?sota Stotutes ond Ciry of Eaqan Ordinontes. A?
, , Ver. Date
Permit - (?
. "}
Surchorye "
Plan Review?~
SAC 93
?? .
Wuter Conn. ci ? J l.
?
Woter Mttor
d
S 4too? Unit _t 3 r? 0
Tatal " '
Siqrwtun of Penniftti „
A Buildinq Ptemit Is isswd to: an fhe txpnas conditbn Iho+
oll work shoil be donw in ocaordona with all cppliaoble State of Mlnnesofa Statutes ond Cify of Eagon Ordironcea
Buildieq Offk{al
r
Pwmh No. Pormk Holdw Dm Tele hone *
Plumbinp
H.VA.C. ? z- dd r i ??? S-z, ?' l 1 l g 5»
ENeMa ?
Softemr
Inspection Dste Intp. Othor
Footinpt ?
Foundstion
Frsminp
Rooflny
Rou9h Plbp.
Rou¢? HVA
Inwlation
Final Plbp. 1 . _
Final HVAC
v
Final
f/Iff"Ar
X
Grt/Oa.
water Orscribe location:
YwtI
S?rwr
Pr. Dbp.
Rewipt MECHANICAL PERMIT
CITY OF EAGAN Psnnit No.
Fee
Fill in numbered spacar S/C
Type or Print legiWy Tot
1. Date 2. Instaliation Co:t ..
? ?,•1 FiiChdZ'd i:•3--P
3. Job Address l.ot Blk.
7roct
4. Owner PARIiANTO
5. Contractorr- r"''RXCKS;)id MW'T -Phone
6. Address 4130 i:c:..:u
. y
7. City ?•.••' _ Stete Zip .1 ?..
8. Building Type: Residential Commercial ? Institutional ?
9. Work Description: New 0 Add ? Alier 0 Repair ?
I
? 10. Descxibe sia- iL•?? ce Fuel TYPe
r 11,
No• Equip¢1BIIL BTU - M. Ea.
Forced Air No. Eauianent CFM
Air Handliny:
Mfg.
BO1l0n h
E
h
M
Mfg. ec
.
x
aust
?
Unit Heater
Mf9. Other
Air Cond.
AAfg.
Gas, Pipiny Outlets
12. I hereby certifY that the above information is true and correct, and I agrea to
oomply with all ordinanoes and codes goveming this type of work.
Sig^°d : for
Rouyh Final
Inspections: Date Insp. Date Insp.
This is your permit when numhered and approved.
Approved CITY OF EAGAN 454-8100
KIMMNO PERMIT
CITY Oi EAGAN
flll in nuffAbowd wom
7f7vo ar A*t 1YOW
/wnok Na ? l ?
FM
Tee.
1. Osa ??l -1,,- 2. IrN/MlMion Con
&Jop Ad6un: ' Lot Tnet ?
?. OW1/I - J?('
& CiOflbaCtOf f ; , pIOflf , -
& AddmK
7. Ger Saa rv -
l 9uildino Typr. Msidtntial (3
9. Wak OaeriPtion. Now C)
Cann*rdM O IrmiwtionN O
Ade O An.. O It•p.ir O
10. awld
».
NL Fixtwa
wow CIO" No.. Fixturn
Compoo1/Dninfield
Mlh tubs
SOptie Tank
LBV"WV hmr
S
2 Shom? o
MlNI
Kitdwn Swdt
IJtinM/sidrt 0dw
Lmm*r
`?
Orafeq
Fbo?
Orinkinq itn.
Slop Sink
cu Piarq ouel.a
12. 1 herrby aMify thst tM abow informstion n trut snd cornot. snd 1 prN to
oomply with all adnanqt and cades qovtrnirp this tYDe of wwk.
fa
11ay? f M?M
Inspoetioot: Daw Insp. Dm Irnp.
TAif is Yow Pwnwt wlwn nwnb&r@d and sPP?owd.
Avo•ov•a cm oF EAwur 45sa100
CITY OF EAGAN Remarks 1-?' / Additfon HILLCREST ADDITION Lot 20 Blk 1 Parcel 10-32975-200-01
owner screet 4851 RIC}lARD LANE state LWAN MN 55122
Improvement Oate Amount Annual Years ' Payment Receipt Date
STREETSURF. : 1985 2450.15 490-0-3 5
STREET RESTOR.
GRADING
SAN SEW TRUNK ? 1976 183.08 iZ ZZ 1s . OF iq 0/ -01. -
EWERLATERAL 1985 4361.74 872.35 4. O/!o V
*Services 1985
WATERMAIN
ATER LATERAL 1985
WATER AREA -a2 -S
STORM SEW TRK 1984 804.56 160.91
STORM SEW LAT 1985
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN, sno-on n rt
BUILDING PER,
SAC
PAR K
CITY OF EAGAN SRM SERVICE PERMn
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
ZO^d^o: No. of Unlts:
Ownar: ?-?cr. .ti:
Address:
_ h
Stte Addmss: _ ?`??I _?c.:s?.;•c? a7 _ '$, pl hl.11LT-e
Plumber.
No.:
to oo=phr wilh 1M Ciy of Eeww
ITY OF EAGAN
0 Pilot Knob Road
. O. Bax 21199 ` .
agan, MN 55121
n
1„g; .1
r; Tiberou Inc
ross:
/dd,,n; 4851 RichlIM'
??r; v;enZ 0 '?i117 C
, ;
r? i;-E - '
Reader No.: _ Q ? jq!hMKr- ?
1oo.. to ao.epy wk& th. Ciryr .f E.p.¦
Oni¦ewer.
Connection Chorge:
AoOOUM Oeposit: _
Pertnit Fee:
Sursharpe:
Misc. Choryes:
Total:
tbte Paid:
WATER SERVICE PERMIT
. :., ?
PERMIT NO.: -
DATE:
- No. of Units: 1
81f Is';-,iI UtIIICi2w•
ECl ?.;6n?" Chorye: 500.00 pd
?B??t:
e ee: 15.00
10.00 pd
*?d
S,,,d,arye; .50 pd
Mlic Clwrqes: 132.00 .
pd
' i
Total: 61 nn ?.....,.r
BY Dote Poid:
Ootr of Insp.: Irmp,;
1 pew te eaaplq wNh dw Cihr of bpe
Orlianeoa.
By
Dote of Insp.:
CITY OF EAGAN
3830 P7ot Knob Road
P. O. Box 21199
Eagan, r1,lN 55121
7....t.,.,.
connecrton Chorp.: _ y2 S.?} i:
?
IkwuM Deposit: ' 5. xt
PerenR Fee: ? 0.0.
Surd?arns: • 5') _
Misc. Chorypex
Total:
Dats Pald:
WATER SERVICE PERMR
PERMIT NO.:
DATE:
No. of Units:
RESIDENTIAL
? BUILDING PERMIT APPLICA710N
,
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
v ConsW ctian Reauirements
3 registered site surveys showing sq. ft. of lot, sq. fl. of house; antl all roofed areas
(20% mawmum lot coverage allowetl)
2 copies of pfan shrnving beam & window sizes; pauied (ound design, etc.)
1 selof Emrgy CaIcuWGons
3 copie W Tree Preservation Plan if lot platted afler 7l1193
Rim Joisf Deiail Options selection sheet (bldgs wilh 3 or less uni4s)
4TE
)B SITE
MULTI-FAMILY BUILDING, HOW
;OPERTY OWN
PE OF WOR
'PLICANT IL
)DRESS _%?
\GER #
NITS?
RemodeVReuairReauirementa
. 2 copies of plan
. 1 set of Energy Calculatlons forheated additions
. 1 site survey tor extenw additions & decks
• IfMicate if home served by septic system for additbns
VALUATION ('O ob
NE1V RESIDENTIA! BUILDING ONLY - FILL OUT COMPLETELY
=nergy Code Category _ MINNESOTA RLTLES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor:
Plumbing System Includes:
Mechanical Contractor:
Ytechanical System Includcs:
Sewer/Water Conhactor:
Air Conditioning
Heat Recovery System
Phone #:
Lawn Sprinkler
No. of R.I. Baths
Phone #
REPLACE(S) =0
U
ZIP CODE
FAX#
Fee: $90.00
Fee: $70.00
Phone #
above information must be submitted prior to processing of application.
ereby acknowledge that I have read this application, state that the information is conect, and agree to comply with
applicable State of Minnesota Statutes and City of Eagan Ordinanc
Signature of ApplicanT ?
:rtificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Water Softener _
_ Water Heater _
No. of Baths
Updated 1f01
CELL PHONE #
OFFICE USE ONLY
01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 6ct. Alt - SF
04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
06 04-plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous
31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
32 Addition 0 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
33 Alteration ? 37 Demolish (Bidg)' ? 43 Reroof ? 46 Windows/Doors
34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant
duation Occupancy MC/ES System
:nsus Code Zoning City Water
kC Units . Stories Booster Pump
ir. of Units Sq. Ft. PRV
ir. of Bldgs Length Fire Sprinklered
pe of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinallC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addi6on) _ Plumbing
_ Foundation HVAC
Dram Tile
Roaf Ice & Water Final Other
_ Framing _ Pool _ Ftgs _ Au/Gas Tests _ Final
_ Fueplace _ R.I. _ Air Test _ Final _ Siding Stucw Stone
_ Insula6on _ Windows (new/replacement)
Approved By
ise Fee
ircharge
an Review
;/ES SAC
ly SAC
ater Supply & Storage
:W Permit & Surcharge
eatment Plant
imbing Permit
:chanical Permit
:ense Search
ipies
her
ital
Building Inspector
:
' CITY OF EAGAN rJ0- 10Z E 7
3830 Pilot Kno6 Road, P.O. Box 21•199, Eagao, MN 55121
PHdNE: 4548100 ??SU
BUILDING PERMIT ?• Recelat #
T. L. ....e ie. SF DWG/GAE; Esr_ Vej? $72,000 pote MAY 29 IE
Siteaddrest 4851 RICHARD LN
Lot 20 glak 1 s„cisub. HTLLGREST ADD
Pueel No.
? N? TIBERON INC
Adress 3908 SIBLEY MEMORIAL HWY
cicy EAGAN phonB 454-1600
Neme SAME
Addtasa
City Phpne
GW Name
uG ??
?w Cky Phone
I hereby nckrrowledge rhnt 1 how read this opplicotion ond sroro that
tha intormotion is correct and ogree to comply wfth all apolicoble
State of Minnesoro Statutea n Gry a g Ordironces.
SiQratun of Permiffsa J
A Bulidinq Pemif Is issued ro:
dl work sholl 6e dona in octordonce with oll appli s Staro (oJf BMir
BWWirq Officiol ?"
Erect L}[ Occupancy ?`-'
Ramodel ? Zoning RI
Repair ? Type of Conrt. V
Enlarge ? No. Storiea
Move ? l.engtn 56
Oemoliah ? Depth 3 $
Grede ? Sq, Ft.
Install O
Apyravals F.n
Assessmenf
Woter S Sew.
Polite
Fire
En0•
Wennar
Councii
eids.osr. 29 _85
APC
Var. Date
Permit J 14 `1 . U U
SurtMrga 3 6_ D 0
Plan Review 1 74 _ 50
SAC 525_00
WaterCom. 900_00
Woter Mefer -6 3 - 0 0
Rood UrJt 98n-n0
T.P. 132.00
Total , 059. 50
_ on Me exprea eaditbn that
ard Clty o4 Eapon Ordirancu.
REQUEST FOR ELECTRICAL INSPECTION EB°0°°'-04
, See ins[ructions Tor complating this fam m Oack of yellav copY• ???? I? _/
B32474 ?"X'" Below Work Covered by This Requesf i
IYSwI/Cddi PeD.I Tvue oi Buileina 1 Aooliantea Miratl I Ea.ioesn1 Nired I
Bulk Milk Tank
p Fee ServiceEntrance5ize k Fee Feeders/5ubteeders tl Fea Circuits
to 200 qm 0
w 30 Aral- 0 tn 30 Arnns
Abave 200 qmps 1
3to 100 ArtWs I LI p? 31 to 100 Amills
Swimming Pool A6ove tOD_ Above 100_Artqn
Transformer5 Irngation Boorr4c 0 PaRial.'Other EW,
I I ' I Sigis ? I ISpecial Inspection ?5 g0 /'
V?? TOTRL FEE
Beirerks ?
flouah-in the Elecv? /
? ?YL` Iespxtor. hereby
?erlih thal Lhe ahove
Final ?.Palim hes been
snda.
Tlaa ropuest voW 18 montls fran
This request voitl 7? 1 E?f - . t
B72`47 4 cA-d-? ?r ? sa
FJp?uevi-Ddte Fire No. Roueh-in InspeMion
Re
pui
red7
QI@adY Nwv 11 Notity.lnsOec-
/
(? ?? /?
,
CJ'es ?NO torMiheniir.atlY
?icensed Electrical Conlractor I ?eby'epuest i?pactim o/ abova
? Owner eleevifal rwark irmiallaA at:
Street Atldress, eox or lloulehlia.
d Ciry
a4 4 ?-
ection o. Tawnship Name or No. Range o. Cauniy
04?t?
Occup ynt IRiINTI
Y ?c?a ?u! ?? Phmc No.
Power $up/plier L
DRKa1/4 6lcCTi'?G Adtlress
?CIrIn/h -/?
wa?{
Elechical Contractor (Com{raW Nama)
as{z, E
Gmiracmr"s Liceuse No_
? D7?f? 3
Mai i p Address (Conhactor or Owner
/a1716 !7 aQ king lasraila[ionl
5acl4oz
,
Au[hor' ed S?g?amre ICOn[rec[odQwner Making Imtallationl
? Phone NunAes
?'?/D ? 3555
MINNESOTA ST E eOAXO OF EIECTIIIG}'y'?' TH4 INSPECTION REQUESi wILL NOT
Griggs-Midwa Idg. - Room N-181 (/ ? AGCEPYED BT lHE STATE BOAIiD
1827 University Ave.. St. Paul, MN SSlaa uHLEss raorea IwsPEcnon rIEe a
Phone (872) 297-2111 ENCLOSED.
PERMIT #: 1, 5 95
CITY USE O1VLY
RECEIPT DATE:
2002 RESIDENTIAL M£CHANICAL PE{;MIT x?PPI.ICFtTION
CPl'Y OF EAfil4AI
S$SO PILOT KNOB $D
EA&t4N b1N 5512E
6516$1-4675
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: Q
SITEADDRESS: `???/ R/ CWA'P-b ?N
OWNER NAME: RQSR.t-rr )6ajeRfY7j1 0 TELEPHONE
INSTALLERNAME: JdAt?_RIQf, 0,Q11J-t5RF}-CTVQ5 TELEPHONE#:
STREETADDRESS: 4'u5 N,
CITY: 6k STATE: NA-1
Place a check mark next to the permit work type
ZIP:
n r-j F'i
_ Add-on, modification or al ration to existina dwelling unit OCT 0 3 2002 :$ 30.00
'?• furnace replacement
?• air exchanger '
y• air conditioner By _-------- - - ?
• other
Nature of work: 50aAJR-e-S
/t3 15L-3 A'I P, 7a 912 C2c@ tf"G 224
State Surchar e $ .50
Total
.
ATURE OF PERMITTEE
1/D2
CITY USE ONLY
PERMIT #:
APPROVED BY:
INSPECTOR
RECEIPT DATE:
2002 COMM£RCIAL MECHAIVICAL PEft41IT AePPIJCAT10N
CI1'Y OF ERHi4N
3$30 PILOT KNOB RD
EAsAN,1VIN 55188
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 #:
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
STREET ADDRESS:
CITY: STATE: ZIP
TELEPHONE
WORK TYPE: New construction Install U.G. Tank
_ Interior Improvement _ Remove U.G. Tank
_ Processed Piping
SpecifyNature of Work:
When installing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and
Plumbing inspector.
Fees: 1% of contrad price OR $50.00 mioimuro fee, whichever is greater.
Underground tank removallinstallation = minimum fee
Contract price: $ x 1%= $ (Base Fee)
State surchazge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SIGNATURE OF PERMITTEE
Updated 1/02
RESIDENTIAL
BUILDlNG PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
New Conatruction Reauirements
• 3 registered site surveys showing sq. fl. of lot sq. A. of house, and all roofed areas
(20%maximum lat wverage allowed)
• 2 copies of plan showing beam & window sizes; poured found design, etc.)
• i sef of Eneyy Calculafions
• 3 copies of Tree Preservation Plan if lot planed afler 711193
• Rim Joist Detail Optlons selection sheet (bldgs with 3 or less units)
DATE W_I ? l O?
SITE ADD
TYPE OF
APPLICANT
STREET ADDRESS _ IIQ`N KLU,kY `
TELEPMONE #(Cbl'?'RpQ L-)ZELL PHONE #
AL' SiAiE ZIP 1-' C:?' I F1
FAX#(?&l - cqa?oq?
PROPERTYOWNER T ?V?. `M(Ll.llJl `lJ TELEPHONE
COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ NIIVNlSO"C:1 RCil.l':S 7670 CA'CEGORY I N[I\\1:50'1'A RULLS 7672
(J su6mission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Piumbing Conhactor:
P1umUing systcm includcs:
Mechonical Contractor:
Ylcchanical svsicm incltidcs
Sewer/Water Conhactor:
_ Air CondiUOninR u
_ Hcat Rccovciy Systcm ? jUN 1$
P'ce: $90.00
--°--°------------------------°------------------------•--------------------°---°'=----------------------------------
I hereby acknowledge that I have read this application, state that the information is correci, and agree to comply
with all applicable State of Minnesota Statutes and City of Eag rdinanc s. AAA ' ?l
Signature of Applica ""'? '
OFFICE USE ONLY
iULTI-FAMILY BLDG Y L--/N
FIREPLACE(5) _ 0 _ 1 _ 2
_ Watcr Softencr
? Watcr Heatcr _
No, oF Baths
Pl1URC #
Lawii Spdnkler
No. of R.I. Baths
RemodellReoair Reauirements
• 2 copies of plan
• 1 set of Energy Calculations for healetl addi6ons
• i site survey for extenor additions & decks
• Indicate if home served oy septic system for additions
VALUATION ! ??
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated a102
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Eut. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck O 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 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 (Bidg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) • Give PCA handout to applicant
Valuation Occupancy MClES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
N6r. of Units Sq. Ft. PRV
Nbr, of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new 6ldg) FinaUC.O.
_ Foorings (deck) FinaL'No C.O.
_ Footings (addition) Plumbing
Foundation H VAC
Drain Tile Oiher
Roof _ Ice & W ater _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Smcco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Revtew
MC/ES SAC
City SAC
W ater Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
,
CJ
7985 BUILDING PERNIT APPLICATZON - CZTY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED iiITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
.. ?.?
To Be Used For: i,44- Valuation: ? Date: S- ZZ jP- ?
Site Address: ?,JL , a.??. OFFICE USE ONLY
Lot: 20 Block ? Sect/Sub Erect X Occupancy V--3
iA ArJ Remodel Zoning 77 1
Owner
Address ,19exs S /aC'/ (M e7Y7 k1u.'`/
epair _ Type of Const _xL
Enlarge # of Stories
Move Length r?
Demolish Depth 3g
Grade _ Sq Ft
City/Zip Code ?-7/?GN)iV S S-"/ Z U ---------
Phone O D APPROVALS
Contractor 2,ojv( L
Address
City/Zip Code
Phone
Arch./Engr. ,{/i4 :
Address
City/2ip Code
Phone !l
Assessments Permit 349 . °-`
Water/Sewer Surcharge ?
Police Plan Review ?i
Fire SAC 525. °o
Engr Water Conn SpO. °°
Planner Water Meter 63. =°
Council Road Unit Zgp, °'
Bldg Off,f y? arks
APC Treatment Pl ? 32..
Variance
xornr. 247Ld -a
r''D 59 . ?Sd
4x (4 = 5? x 5Q- ` -50 Z4
2c? x 3q- ?o8 q- x S¢ ????3?
l2 x 22 "
22 n 26 ? S? 2 X I{
_ (v ZR 2
-7 1 308
, . .---
0
* . .
One or Two Family
All Other
CITY OF BUILDZNC3 DEPARTMEIIT
EXTERIOR ENVII,OPE AVERAGE t'Ull 0014PUTATION
(To be silbmitted with building permit application)
?
Dwelling ? Owner
Site Addreas
Contractor I/rJFC, g--(
Date Phone
LIP7EN, EEGT OF 7 ?1 '7?7
EXFOSED 47ALL ? ?l?t/n ? ?y?F??'?'? ft. above grade = _ ???'.fJ'7• 5?:)
TOTAL EXPOSED 4VALL AREA SQ. FT.
oPpQUE IRAI,L CoP;STRUCTION: "U" Value x Area
Detail: ? itUlt 003 x SQ,
reference .102 x SQ,
from -? m 'fU"_ , 040 x SQ.
attached IIUII x SQ,
sheets "u't x Sq.
nUn
x SQ.
V1II1D04Y5: "Ull Value x Are.a
FT. Lg,2.lo.(0-3, (U)(A)
FT._4449Z=Jto,A4 (U) (A)
FT. FT. --L??-_--?(U ) (A)
- (U)(R)
FT. _ (11) (A)
FT. _ (U)(A)
Make & T
? Ype - kIJL, CMATnUn •47 x SQ. FT. 155.40= 73,O (11)(A)
„ x SQ. FT. _ (U)(A)
??Un
"U" x SQ. FT. _ (u) (A) x S@. FT. _ (11)(A)
DOOR5: "Ull Value x Area
I•la':;e & Type
n 11
n n
11 rt
TOTAL (U)(A) VALUES
170. 40 _
DIVIDED BY TOTAL V'lALL AREA Z-,Z,47.S0
AVERA(ili IrUll , 15 r less
R00 F/CEI L IN(3 :
TOTAL AREA: J75F,1043
.072
for 1&2 family dtivellinge
FT. FT.?-- 1-7 (U)(A)
- (U) (A)
FT. _ (U) (A)
FT. _ (U)(A)
r'x. 170.40 (u) (a)
Detail reference
f ?fUll 0 Q 12,5 ?U) (A)
rom
attached sheets. ifUll
i'[Tts x SQ. -
e
FT. (U) (A)
Describe onenings
IIUII x SQ. FT. (U)(A)
in roof
. x S9. FT. (U)(A)
x SQ
. Ffi. - (U)(A)
TOTAL (U)(A) VALUES DIVIDED BY ??.9,LTrt??S x?? N,fT 2?!•41`/Vr?1? ,
TOTAL ROpF/CE Ci AREA 1259•dD
AVERA4E IIU .02$ f r ventilated roofs,
MSoc., ::„:: .14 X sQ.
-npu x SR.
npu X 3Q.
_ nUn X Sa
.
TOTAL,$ Z .50 SQ,
AVERA(3E IIU"
? ?4r-
s415Tl,
Lx??7
9.soX (28na-f-lno+cDo) _
g.rao X ( Coo -1-10)
_
s•0o X 13.s =
'I - Oo X (,4 +4) -
d0do-,
.69jX CZS+ZSttoO+1,o) _
4,0o x ( y +Q? _
p1ma Nor(IT_
-8?x (z8t2gt ?tC?) _
7o x? _
20
x?8 =
24 x48 =
z4xw _
S.c> x
(?•7 X
X
9,0
j0, o X
1>oor- s
3Q s? - 5h @ 3 -
Z$ 57c, sE? -
1 (a72.co
57Co• aa
ln7 sc,
3Z. o0
517. So ?
117, q z
?Z,oD
? 14q.7z ?
)4&.og *
Z = )0 00
Z = 13 • 4n
9 = 3?r00
I o = 100.00
IS$.gD .,?
- (03.00
ZI•ao
?F-r C--AP5E)??
?P_os5 tAA4 L L.
G?SS C'o,?/C, 149.9Z
!1 ?1? • lQlv,og
a klnuis /ss.40
p
:0
,?) 347. sa
1,s/z . !o ?
pc;o
Z6 x 34 =
q X 13.5 =
?ZX2Z=.
4 x l4 =
504,00
5,4,00
2lo4sO0
rass.oo 47
,
ROOF/CEILINQ
1.) Interior Air r'ilm
2.) 5/811 ayp. aa.
3.) Insulation
4.1
5.) Exterior Air Film
(STILL)
nUn = i/R= i'OTAL (R)=+5.78
?-
--WALL 5ECTIOB--
Determining "Qll•values at Roof$ Wall, Rims and Conc. Block
WALL R VALUE
60 Interior Air Film 0,68
7.i P GYp. Bd. .45
e.) Insulation 19,4>0
9.) X01r,7- f?TrG a?o4
10.) MASOni e Siding . 07
11.? Exterior Air Film .17
7?44nt 0?b , 5, oa
uUn = t/R= TOTAL (R)= Z$ Oft
RIM
12.) Interior Air rilm
13.) Insulation
14.) 211 Fir Rim Joist
16.) Maeonite Siding
170 Exterior Air Film
R VALUE
0.61
.56
4Q; OD
.61
(R) VALUE
0.68
19,o0
1.88
2, 64
.17
rrpn _ 1/R= . ?? TOTAL (R)=
P'OUNDATION
180 Iaterior A3r Film
19.)
20.)
21.) 12" Concrete Block
22.) 1?1Ipa> )N7s ?
23. ) Exterior 7??r ?Film
(R) VAI,UE
0.68
1.28
6 ??/'
_
7
nUn = 1/R= .IOq TOTAL (R)= lIZ!
..?-
MEMO TO: RICHARD M HEFTI, ASSISTANT CITY ENGINEER
FROM: THOMAS A COLBERT, DIRECTOR OF PUBLIC WORKS
DATE: MARCH 12, 1984
SUBJECT: MINIMUM SETBACKS - ERONT YARD VARIANCES
-----_ - -??
At the March 6 Council meeting, the City Council auttorized
a blanket easement for front yard setbacks for L6ts7:'13-20.,'"""M
ckt
of the <HilTcrest.Add'rtion-isubject to approval by` the Chief
"Building Off"c al,''Dale Peterson. In order to assist Dale in
determining the minimum setback that can be approved due to
topography, trees, etc., I would like to have you evaluate certain
engineering limitations that should be taken into consideration
as follows:
1. Reduced Right-of-Way/Boulevard Widths
There are certain areas where our right-of-way widths are
being reduced from the previous standard of 60 ft. to the
50 ft. minimum. This reduces the boulevard widths from
13 ft. to 8 ft. This 5 ft. reduction should be taken into
consideration when evaluating a variance to the front yard
setback requirement in order to maintain adequate off-street
parking in front of the garage without creating a potential
vehicle obstruction for snow removal equipment. The previous
60 ft. minimum right-of-way with a 13 ft, boulevard provided
for a 43 ft. setback from face of garage to edge of curb.
This was more than adequate to provide for two off-street
parking spaces (front to back) without encroaching in the
public travelled roadway.
In addition, on collector streets where there are sidewalk/
trailways, the boulevard area is not available for off-street
parking due to the conflict with the sidewalk/trailways.
Therefore, additional consideration should be taken in to
maintaining adequate setback distances to provide the off-
street parking needs. 2 believe this is why there is a
greater setback required for property adjacent to collector
streets (40 ft.) than minor residential streets.
Because our major concerns pertain to off-street parking
storage distance, our setback concerns should be addressed
to the location of the aq raqe.
2, Driveway Slopes
Many times, variances are requested due to severe topography.
In these instances, the topography creates a similar problem
for access into the property when the lateral distance is
diminished but the elevation is not, creating greater slopes.
Therefore, please establish an acceptable guideline/formula
that can be used in evaluating requests. This should be
based on the gutter elevation or sidewalk/trail as may be
THOMAS A. COLSERT/RICHARD M. HEFTI
March 12, 1984
Page 2
appropriate. The maximum driveway slope at any one point
should be no greater than 14-16 percent with appropriate
vertical curve transitions to prevent "bottoming-out".
If you have any questions as to the intent of these design stan-
dards, please review them with me during your preparation process.
In addition, if you can think of any other major concerns that
should be addressed by the Engineering Division, pl.ease mention
them for further discussion.
I '
. j
1 = )-c??-e??
irector of Public Works
cc: Dale Peterson, Chief Building Inspector
Dale Runkle, City Planner
TAC/jj/kf
i:
I
2/84
? CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTIODT
(PLEASE PRINT)
PROPEIZi'Y ADDRESS: 411M chat'd
T,Ff;AT• DEscuiprzcrr: ,q /-h?/le?? t? Ac J/.7
(LOt/Block/Subchvision or Tax Parcel I.D. Nisnber)
I'r' STRL'CP'RE, DaT' OL' ORSG1idAL ;liILDL^?G P.?=_,1IT ISSUAtiG:
P-R-".SZ?7T• ?..,•II•.;?;/PRL'AOS:? ti5?: R-1 SUiGIW rPKSLY
?
R-2 DUPLEX ('ITA"0 Wi ITS)
? R-3 TGWNHOiJSS ('THRF"' + UNITS) ( UNITS)
? R-4 APARu'T/COrIDCx?LPiII[P4 ( Wi ITS)
? CObIDEf2CIAL/RErAIi,/0FFICE
Q nMUSTRIAL
II 1NSTITUTIONAL/GOVERII=
(PLEASE PRINT)
z) AppLICAV"P
?
NAME:
aDnREss: 39oR --S ble{ wl¢m fhvc;
crr^r, STATE, zrP:
PHOtNE:
3) PI,U1`?BER NAME• PLEASE PRINi) FOR CITY USE ONLY
ADDRESS: ?41% VlENZ[L R4:CF!A(vI'C+2L PLUHB? ERS LI
-
tisiio Ci•jnl, $••A,j,E, ZIP: 3600KElfweBECO:iIV?,cx?'., •
G52-1?55 '. . .
--? ?
Attive
?] , Exp' ed
7AhSTcR
PHONE: pLUM9ER LILENSE # of Record
( :
a nitia
r}) OMTAj.Tp/Cj,,vyE,q (PLEASE- PflINT)
'
J
NArE: ?S
rtm.( rs ?< .?-
ADDRESS:
CITY, STATE, ZIP:
PHOiVE:
5) INDICATE WHICH PERMIT IS BEZNG RDQUFSTEp;
? CO:v'NECPZON TO CITY SET^IEft
CONNECPIOV TO CITY WATEFt
? dI'HFS2 (PLEASE DESCRiBE)
6) LNIDIG; L 0`E:
? PLEaSE f?OID APPROVID PERtitIT FOR PIC:-UP BY ONE OF ABOVE
`/ PI.EAE MAIL APPROVEp PER%IIT 'I1? 1, 2, ? 4 ABO?IE
(Circle one)
1
7) SI=L-BE: DATE: s
?
I -
lRR:4014
Y#A:M?3sll??
.. . . . .
:??:a??ll?if.??».
? . .. . .. .. ?
i?rsasw?r;s's:aaia?aaiwrt?r.nr?es.i?f..?niriai?as'asaa
cs
F 0 R C I T Y U S E O N L Y
PERMIT '-` SSSUED
FCT'S: $ SE:NEn D?R%IT`^ ?i T.vvP.
? (I: C SU CH??GE)
$ WATER PERP1IT (INCLUDE SURCHARGE)
$ (Q? WATER METER/COPPERHORN/OUTSIDE READER
$ WATEE2 TAP ( I.ICL'JDE CORPORATIODI STOP )
$ SESVE?2 TAP
$ ACCOUNT DEPOSIT - SETn'ER
$ ACCOUNT DEPOSIT - WATER
$ WAC
$ SAC
$ TRUNK ?VATER ASSESSP4ENT
$ TRUNK SEWER ASSESSMENT
$ LATERAL BENEFIT/TRUNK SEWER
$ LATERAL BENEFIT/TRUNK WATER
$ ' OTHER
$ TOTAL
$ AMOUNT PAID/RECEIPT #
DOES UTILIT`i CONNECTION REQUIRE EXCAVATION IN PUSLIC RIGHT OF WAY?
C? YES IF YES, THEN A"PERMIT FOR WORX WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO __ ENGINEERING DIVZSION. LZST AS A CONDI-
TION.
SUBJECT TO THE FOLL0;42NG CONDITIONS:
APPROVED BY:
TZTLE: '
DATE :
2000 FIREPLACE PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD - 55122
651681=4675
Date: 10 /as,p o
Description of Work: ?
?T
?
Job address: _
Lot: ? 0
4 bD.50
Construct new fireplace XGas _Masonry _ Alteradons to existing
Install gas insert on[v Install gas line onlv
Other /'-M Q!'" TpST
?icLja?r c? ?e .
Block: j Subdivision/P.I.D. #: IttII??P,C l
Applicant (circle one only): Owner Contractor
Permit Fee: $60.50
Name; Phone#:W-`YSi ?7
PROPERTY Last First
OWNER Street Address: 7 0 J-1 ?c`cx6C Q
City SWte: 91 t n' Zip: SS71"y
Company: Phone#:
(azea code)
FIREPLACE ? z
INSTALLER Street Address:
City
GAS LINE
INSTALLER
Company:
City
State: y v? Zip:
P6one #:
(area code)
State: Zip:
SignaNre JS ,QO.
I hereby acknowledge that I have read this application and state that the information is correct and agree to
comply with all applicable State of Minnesota S es City, of Eagan Ordinances,
F???(/ `
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 16 Fireplace
WORK TYPE
? 31 New ? 33 Alterations ? 39 Gas Line ? 41 Wood Stove
? 32 Addition ? 34 Repair ? 40 Gas Insert
GENERAL INFORMATION
Census Code 434
SAC Code 01
REMARKS
Chimney/flue must be inspected before concealing.
2004 RESIDENTIAT, BUILD7NG PL+'RNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122 ?
Telephone # 651-675-5675 FAX # 651-675-5694
?
New ConsWction ReaWrements RemodeUReoair Reciuirements ?
3 registered site surveys showing sq, it of lot sq. it of house; and all roofed areas 2 copies of plan CengfSoN?y(?at?,;r
(20°k manimum lot coverage allowed) 1 set of Enert?y Calculations forheat? additions l?ce'?ARt???d
Ced-s? 4 %?QY?? N
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks tii -?
lsetofEneigyCalculations Addfion - indkatedars$esepticsystem r?'"
3 cwp'iss of Tiee Preservatlon Plan'rf lot piaded atter 711193 Rim Joist Detail Optlons selectian sheet (bldgs wBh 3 or less units
Date 1 1 rnWI Q Construction Cost li u(UCJ C-
Site Address c''` UniUSte #
Description of Work ?QOOC 4??iUf1? ??QC W f i Y1 ?X ? ST
2
Multi-FamilyBldg _ Y? N Fireplace(s) _ 0_ 1 _
Property Owner Telephone # (?$( ) L{v-za ` qt9 3'
Contractor RENEWAL BY ANDERSEN
1920 COUNTY ROAD °C" WEST
Address ROSEVILLE, MN 55113 City
Sta[e 651-264-4777 Telephone # ( )
LICENSE #20130983
i
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy COde Category , Residential Ventllation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
. Energy Enveiope Calculations Submitted
Have you previously constructed a building in Eagan with?p similar plan8 _ Y _ N If so, 25% plan review
fee applies , - • , n U '',? '1 ?„
u
Licensed Plumber Telephone #( )
v
. •1:1n1t .. _.
Mechanical Contractor Telephone #( J
Sewer/WaterContractor - _?? Telephone #( )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
pemut; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval ofplans.
p?0.?Co?.?2?Son ?"l A.A??Qr`\D
Applicant's Printed Name ApplicanYs Sigiature
OFFICE LISE ONLY
. ..
Sub Types
? 01 Foundatfon ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 MiSCellaneOUS
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/DOOrs
? 34 Replacement '•Demolitfon (Entire Bidg) - Give PCA bandout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUTRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
? Footings (deck) _ FiaaUNo C.O.
_ Footings (addirion) _ PlumbinS
Foundarion AVAC
Drain Tile Other
Roof Ice & Water Final _ Pool _ Ftgs _ Au/Gas Tesu Final
_ Framing _ Siding _ Stucco _ Swne _ Brick
Fireplace _ R.I. Air Test _ Final _ Windows
_
_
Insulation _ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
••?•?•,s..•.i auv dL.JV rnn ?OJ orl 4464 f.'(l51V??!!!+ ?g°kttlllSi47tfPf
remal
.? .
Suna 7, 2001
. C* of Ba.gaa
3836 PiIot gnob Road
F-affiM MN 55•122
To Whom It MaY concern:
Etder Jones is au ' Eldcr ]ones to thOrized to ptu buikUng Perralts f6r Rmtewal by Attde:saa_ Ptease alIow
Frovide this servzcc for us in Eagan. 'Mis
datc bcyand 61610 1; uu6! a t?enov„al by euchorl2atian is veiid for eny to rhecity ??n ?, ?y c?vokes ft tn wititn,
-
I rcqu ? Pc?i ?ofi?rthcrad axpedIdonsly, aa tq not dela the g aP
our baii 'S
Y E2caac caII mc EFthctc aro Y m P?ri
coutacted az 763 5o2-4746_ . an3' 4neWone. _ I can Ue
_ ,:
Your itnmqdiatc attcntfori to thfs matFcx is adnredemd. 9
SinoeielY,
ond R &--Pam
ustallation Manxger
RanowAl bY Anderacn Cotporatian
C'c.: Kmw_F,Trter 7one_a
?N ti.
?
???fttx,,am
:
Wuua
Received Ti-me Jan. ). I-01Pld
ssGMa
SdJRVEYIMC
3ERVICES
? 3908 Sibley Memorial Highway
Eagan, lvtinnesota 55122
Phone: (612) 452•3077
House Certificate For :
HOA+lES BY PAIQRANTD
' E. ist. Hou30 I ZS 25 ?
-- N89°32'17"E^"` ?'•158J2 -'`
I . " . ? ; ? ? !le I
o
0 s? ? p:*? •. ?a9.0 , `.:.:'.,,;,. L, .. -'^-.1 ?
a R ?
?!_ ? I \\ GAR4GEN ?E Q?? I
tJwdec{ aPus
3 I LOT 20
cr
/??? 0 = I
? A? tJ t? ; Q 1
26.0
'rl tf1 0 '?9a 'nr' 'Q,,
?- 2 5? ?_-? = m -•. ? V 1
U% pv>?.a3a Uf1\it E°tcrw 3Ba5 -'" ?',; . 1 '? '
S 84° 49'.04" W
Hoase °2. 9 1F.6 1 25 9,?i ?
?
? ? i ? ??? 1
I r. ?
"? .
c°
? \\0\1\lillillillil/1f!////??!
'?'!t'?'
N v.`V;:•' ••,.
WAYNE D.
CORDES
SCALE: 1"=40' 116675 _
_ LEGEND '
O Lenotes Iron Monurrent
° Qenates Woa1 Hub Set
% 940-4 Llenotes Existirg Spot f.fevation
(nSN"WNI Denotes Proposcd Spot Elevation
_?-Oenotes Orainage Direction
-PfiLpERIY OESCRIPfIpV-
LOT 2 , BLGYK 1
HILLCREST ADDITION
accordirg to the recorded plal thereof,
Dakota County, Minnesota
PROPOSED GARAGE FLODR ELEVATION4_jggQ,
PF70P05ED Top of 81ock ELEVATlON= 1000.
PROPOSED BASEMENT FLOOR ELEVAT ION=99z • E
AbTE' Verify all floor heights rith Fina! House P/ans.
-SURVEYQRS CERT 1 FICQT 1(XV -
I hereby certify that this survey, plan or report
was preFaared by m or under my dirECt supervision
aM that ! am a duly Registered Lard Surveyor
er the laws of the $tate of Minnesota.
? e?Da.te: z/ A5
Wayne D. Cordes, Minn. Reg. No. 14575
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4851 Richard Lane
Lot: 20 Block: 1 Addition: Hillcrest
PID:10- 32975- 200 -01
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 2,000.00
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264 -4777
PERMIT
City of Eaan
If altering the opening size, a framing inspection is required. Smoke detec tors are required in all sleeping rooms prior to
final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required Bat tery operated types
are acceptable if the wall/ceiling finish (i.e. sheetroc k) has to be removed to install a smoke detector. Tim Schenk
Elder -Jon es Building Permit Service 1120 East 80th Street, Ste. #211 Bloomington, MN 55420 952- 345 -6040
BL - Base Fee $2K
Surcharge - Based on Valuation $2K
Total: $70.00
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Owner:
Rosalie Parranto
4851 Richard Lane
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$69.00 0801.4085
$1.00 9001.2195
Building
EA075679
10/27/2006
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 with all applicable State
Issued By: Signature
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4851 Richard Lane
Lot: 20 Block: 1 Addition: Hillcrest
PID:10- 32975- 200 -01
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264 -4777
PERMIT
City of Eaan
Construction Type:
Occupancy:
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
Applicant/Permitee: Signature
- Applicant -
$88.50
$1.50
Owner:
Rosalie Parranto
4851 Richard Lane
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Building
EA088412
03/09/2009
ePermit
Use BLUE or BLACK Ink
------------,
� For Office Use I
" I Permit#: ! ��� -� / ��
Glt� of ���aIl � , o� ;
� Permit Fee: ��
3830 Pilot Knob Road � �
Eagan MN 55122 I Date Received: �
Phone: (651) 675-5675 � Staff: �
Fax: (651) 675-5694 !________________�
2015 RESIDENTIAL PLUMBING PERMIT APPLICATION
����/,� r � '� � ��
Date: Site Address: �`'J� �. � 6--r
Tenant: _. 1`� � �� 2 ��r-��-•�-� C� Suite#:
�: Name: �d S��� �-�- �r�-�-�� Phone: r'�/ 7-��� '7�/ �
R@SS#i���1�11$? �
�r�� ���� �� ��.�� ���� �
���k�� Address/City/Zip: i� .
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� V�'� � � �� New / `Replacement _Repair _Rebuild _Modify Space Work in R.O.W.
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=� � �� � �: ` Description of work:
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RESID TIAL
�w�=:
� `' Water Heater /
�,�"� � . / Water Softener
�� , , � �� a � � ✓ Lawn Irrigation�RPZ/ ii PVB)
�������� a;���` Add Plumbing Fixtures�Main/_Lower Level)
Septic System
� � ` ' Water Turnaround
� ��"��� New
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RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes�5.00 State Surcharge)
$60.00 Lawn Irrigation(includes$5.00 minimum State Surcharge) '�
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes$5.00 State Surcharge) �
"`Water Turnaround(add$210.00 if a 5/8"meter is required) '�
$115.00 Septic System New($10.00 per as built)(includes County fee and$5.00 State Surcharge)
TOTAL FEES$
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will b ' conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and ork ot to start without a permit; that the work will be in
a or a ith the ap d plan in the case of work which requires a review and approval of pla
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA169519
Date Issued:05/28/2021
Permit Category:ePermit
Site Address: 4851 Richard Lane
Lot:20 Block: 1 Addition: Hillcrest
PID:10-32975-01-200
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
Rosalie Parranto
4851 Richard Ln
Saint Paul MN 55122--278
(651) 452-4897
Aquarius Water Conditioning, Inc
3180 Country Dr
St. Paul MN 55117
(651) 777-0448
Applicant/Permitee: Signature Issued By: Signature