4858 Richard LaneCASH RECEIPT
?CITY OF EAGAN
3795 PILOT KNOB ROAD ?
EAGAN, MINNESOTA 55122
DATE " `? • 19 R6CRIVED t -- -
FROM
AMOUNT • $
& DOLLARB
?oo
? CASH ? SNECK
POR
.. 66406 '?-
? YVhite-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thank You
BY 1
BLDG. PERMIT N0.
011-321'6-- Permi? -
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
17-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Metex
20-2252 Acct. Dep.
20-3713 Water Permi
20-3743 Sewer Permi
79-3866 Sewer Conn.
11-3855 Park Ded.
TOTAL
CASH RECEIPT
'CITY OF EAGAN ?
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
r+ecervco
FROM
AMOUNT $
? CASH Q G`HECK
DOLLARf
1 eo
KOR '
RUND CODE AMOUNT
_ I
i`
Thank You
BY
White-Payers CoPY
Yellow-Postinp Copy
Pink-File Copy
?. . . .
l'=-r3830 Pilot Knob R dl P.O. Bo?x 2G-Ai 99, Eagan, MN 55121 ?`? ? 12V O`?
PHONE: 454-8100
BUILDING PERMIT Receipt # ?
To be used for SF DWG/GAR Est value $ iis , 0 00 Date SEPTEMBER 11 19 66
Site,4ddress 4858 RICHARD LN
Lot 4 slock 2 Sec/sub. HILLCREST
Parcel No.
W Name
o Addre
a
Z o Name-
? ? Address
Phone
F ? Name
? n Address
z
i W City Phone
I hereby acknowiedge that I have read this application and statethatthe
information is correct and agree to comply with all apPlicable tate of
Minnesota Statutes and Citv of Eaaan Ordinances./Signature o} Permiriee
Erect Cj' Occupancy -
Remodel ? Zoning
Repair ? Type of Const. Vn
Addition ? No. Stories
Move ? Length 47
Demolish ? Depth d fi
Int Impr. ? Sq. Fr
Install ?
Assessment
Water & Sew.
Police
Fire
Planner
Council
Bldg. Off. 9 11 8 6
Var.
rees
? 397.0(
Permit 44.0(
Surcharge
Plan Review' O
sAC ?
Water Conn. : a ?
Water Meter 63.5(
--- 2W. 0(
Road Unit
Tr. PI. 56 . D(
Parks
Copie
Total
A Building Permit is issued to: Taf ; ii[7'17Ni:i2 CUNST on the express condition that
all work shall be done in accordance with all applicable Stote of Minnesota Statutes and City of Eagan Ordinances.
Building OffiCial
Pomik No. Permll Holda Date TiNphpM N
Plymbiny 2kc1.2
H.V.A.C.
Eleetrie C.SoMMar
Irnpectbn Dafe Inap. Comm?nb
Footings I " . ?
Footlnys II
Foundstbn
g
Framiny 11/0'
RooHnq
Rough Plby. (j
Rouyh Hty.
Insul. °
Fihplace
Final Hty.
FInN Ptbq.
Bldy. Final ?
Grt. Occ.
Dock Fty.
Deck Frmp.
We11
Pr. Dbp.
: ., , ... .. . . . . . ._ .
1 .,. .. .; ..r,y . it .; v,?.qir. . _.,r?-'. ?" '?.t.
. 1' . . - . • . +
. •
. ' PERMIT # T7
' • MECHANICAL PERMIT RECElPT #
cirr oF Eac,AN
3830 PILOT KMOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address - / ? ? ? 1 • ' ' ' ' BLqG. TYPE WORK DESCRIPTION
Lot Block -? Sec/Sub
R
>\
N
_.?
? es. ew _z
Name
L4 M
l Add
?
Address u
t
Comm -on
Repair
Cit
P h .
c y one ' Other
? Name i i i'
c AddreSS " l' / ? ? ? ? %
p? City Phone _??`?;: ? s" ?
E.
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
vent
Gas Piping Outlets #
Other
M BTU
M BTU
CFM
FEE:
S/C:
TOTAL:
FEES
RES. HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
ADD-ON AIR COND. 0-24 BTU
ADDITIONAL 6 M BTU
MINIMUM - COMM/IND FEE
STATE SURCHARGE PER PERMIT
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
- $24.00
- 6.00
- 12.00
- 6,00
- 1.50 EA.
FEE
- 10.00
- 20.00
- .50
Y PERMIT # 780°?
PLUMBINti PERMIT RECEIPT #
qTY OF EAGAN .
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE -' Y
Site Address `% ` ?
Lot / Block
y Name
? Addrg
c City L
Name
c Address `jG L Gt Jra ?r y r'o ??
p City Ltk-d"2 Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADQ $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF
FOR: CITY OF EAGAN
BLDG. TYPE WORK DESCRIPT'ION
Res. ? New '<_
Mult Add-on _
Comm. Repair -
Other
NO. FIXTURES T TAL
_-.-Water Closet - $3.00 "
I Bath Tubs - $3.00 "
-2--Lavatory - $3.00 "
?Shower - $3.00 3 -
?Kitchen Sink - $3.00 3 "
Urinal/Bidet - $3.00
/ Laundry Tray - $3.00 13 "
-4--Floor Drains - $1.50
-LWater Heater - $1.50
Whirlpool - $3•00 -
_LGas Piping Outlets - $1.50
Saftener - $5.00
weu - $10.00
Private Disp. - $10.00
=Rough Openings - $1.50
FEE
STATE S/C: ?
GRAND TOTAL: ^? ?'
CITY OF EAGAN Remarks-
Addition HILI.CREST ADDITION Lot 4 elk 2 Parcel 10-32975-040-02
owner street 1433 REBECCA LANE oT state E11GAN MN 55122
4858 RICKARD LANE
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 19$5 , 2450.15 490.03 5
STREET RESTOR.
GRADING
SAN SEW TRUNK
ffiEWER I.ATERAL 1985 4361.74 872.35 S
WATERMAIN
*lM1lATER LATERAL 1985
WATER AREA
*Service 1985
STORM SENITRK 105
1984
-804,56
'
160.91
5
SEW LAT 19$5
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
5AC
PARK
Ib OF EAGAN SEV1?ER SER yECE PERMIT
Pilcx Knob Road
Bax 21199 PERMIT NO.: 1r= 2
o, MN 55121 DATE: 1 r -l r.'> _ gn
0: '-' No. of Units: r f4uttner COnSt
?. 9f+?i Rvatcrford ; r !V
Addre?si48 Ricnard T.r. jA R; Hi 1 1 c-rwsr er. f*x St a r P 1 mb?
lli- i?-'-"F c? (j•)G
i yne to eoa%* wllr tV Cihr oF 4pa
"M110M.
By
Dote of Insp.:
Connsctton Chaege: 475.00 pd
ACOQIA1t DEpOfItl 15.57
TiQ
--
PeIR* FeQ: p
??o
SurcFwroe: • 0 T?
Misc. GFwrgm
Total:
Dote Pald:
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot 7Crrob Road
P. O. Box 21:.99 PERMIT NO.:
Eagan, MN 55121 DATE:
Zontnp: . ` _ ?
No. of Units:
Owner: _
Add?wee• . F. . , . ;
No.:
h ooeply wU6 NN C*y ef Eoyas
Connectfon Chorfls:
Aaoount Deposit: ?
Pertnit Fee: ' -
SurcfiarQe: "
Misc. Chorpea:
Totai:
. .. c: *-
_ `?A;•
Dcte Paid:
CITY C.lF El_ 1AN 1NATFR SERVICE PERMIT
3830 Pilot Knob Road
P. O, Box 21199 PERMIT NO.: ;
Esgan, MN 55121 p^?:
Zonlny: . ' No. of Unlts: '
Owner• :?'1tt71?I' l'O;l?t
Addrom ?Ater or( l I:r
Stta Address: 4 r: '':i: i c -• e, r
Plumber: •r<" ?' ' ? ,
Meter No.: p l6 c(1, ,+ ?;
J?iZO: ?.Z/ /? ? / /"? OC! ? ??? 1 .) , ' . . ,
RlOdlf NO.: j '
1 Nfts, te amvhr wllh !IN C w••• ?
ky
c ,6• tp
BY
;0 meter
- - Dote PaW:
Date of Inap.: Inap.:
Z
G
CITY OF EAGAN p
3830 Pilot Knob Road, P.O. Box 27-799, Eagan, MN 55121 ?- 1Z6O5
? "PHONE:454-8100
BUILDING PERMIT Receiptq ?Yh)V,
7o be used ror SF DWG/GAR Est Value $$8 r 000 Date SEPTEMBER 11 8
SiteAddress 4858 RICHARD LN Erect C? Occupancy R3
Lot 4 Block 2 Sec/Sub. HILLCREST Remodel ? Zoning R
Parcel No Repair ? Type of Const. Vn
. Addition ? No. Stories
a Name WP4 HUTTNER CONST Move ? Length 47
3 nddress 960 WATERFORD DR W Demolish
l ?
? Depth :
F
S a?
° City EAGAN phone 452-3088 nt
InstallPr. ? q.
t
o Name GAMF. Approvals
Address
? i ASSeSSment
:
City Phone Water & Sew.
? Q Police
? W Name Fire
? a Address Eng.
W
?d city phone
Planner
Council
IherebyacknbWledgethatlhavereadihisapplicationandstatethatthe Bid9
9?11/86
oft
information is correct and agree to c ply with all a licabl ate of .
.
Minnesota Statutes and Ciry ag Ordias:e APC
-?L? Var. ate
Signature of Perminee
Fees
Permit $ 397.OC
Surcharge 44.0(
Plan Review 198.5(
SAC 575 0(
WaterMeter 63.5[
Road Unit 290. OC
Tr. PI. 156.0(
Copies
Total $2,224.0(
A Building Permit is issued to: WM HUTTNER CONST on the exprass condition that
all work shall be done in accordance with all applicable SWte of Minnesot?'5[aMes and City of Eagan Ordinances.
6uildinq Official v/ t?
0
n
REQUEST FOR ELECTRICAL INSPECTION ee-00001-uc
? If Sea insiructions for comoleling this form on baek of velloW copv.
c_ C? ?1'] "X" Below Work Covered by This Request
P*WAAdj Reo.I TVYe uf BuilEing I Appliancen Wirod I Eauiument Wired _ I
Fi
Silo Unlo
Bulk Milk
p Fee ServiceEnhancaSize H Fee Faedars/Subfeeders # Fea Circuits
Z?y+ U to 200 Am 5 0 to 30 qm s a 0 to 30 Am
Above 200 qm ps 31 to 700 Ainps o 37 to 100 A mos
Swimming Pool Above 100-Amps Above 100_AmFY'
Transformers Irrigation Boorris ' d Partial.bther Fee
Signs Speciallnspection
Nem3rks 5 JC/sJ TOTAL FEE'___-?
?
i
Rouph-in ? D [e ?.?he Elecbical
Inspeclor, hereby
certify that the above
Final insoeetion hes bean
requesl void I L ?
7 l_ u , (3
d -3- &C
setl Electrical Contractor
No
t hereby request inspection of above
electricel work insfalled at:
?I,-? O Cj
? ?/?/•oo
'.. Nolitv. Inspec-I
When Headv
Street Addeess. Boz or Poute No C ity
SS ? .c
ecuon o. Township Name or No. RanBe No. Counly
O<cupant (PflINT) Phone No.
c
?
Po e/r 5/up0lie. ?-j
' Address - /
6
*'? /I
Ele/c?vi al Conlractor (Compeny Name)
Contr tor'S License No.
ldailinB.4ddresslConvac rorOwnerMeklnstailationl
2d17
wner Making Installation)
Authori ed i0^a re(COntract
Phone Nu er
Z
NINNESOTA STATE BOARD OF ELEC7AICITY THIS IN PECTION REnUEST WI ? NOT
6riqps-Midwev Bltlg. - Xoom N•791 BE ACCEPTED BY THE STATE BOARD
1821 Universifv Ave.. St. Paul. MN 65704 UNLESS VNOPEN INSPECTION FEE IS
Phena16121fi42-OBOO ENCLOSED.
?
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4875
Naw Conetrumlon Raauhememe
• 3 registered ste survays showing sq. fl. of bt, sq. R ol house; and ?II roofed areas
(20% maximum bt coverage alMwed)
• 2 r»pies of plen showing beam & windwv slzes; poured iound design, etc.)
• lsetofEnergyCalculatbns
• 3 mpies of Tree Preservatbn Plan If lot platled aHer 711/93
• Rim Joist Delall Options selecfbn sheet (61dgs wAh 3 or less unds)
DATE (-a J G)O2-
RemodaVqeoair Heaulrements
• 2 caples of plan
• t setof Energy CakulatbnsMr heatetl additiwis
• 1 s8esurveyforexterbradtlAans&tlecks
. Indicete if home served by septk system for addttions
VALUATION I 00(?-)
SITE ADDRESS `1'b!53 iiy lw?dAaj? MULTI-FAMILY BLDG _ Y ZN
TYPE OF
APPLICANT
rL'
STREETADDRESS I10`(.
TELEPHONE #??"b?j -q?CELL PHONE #
?
fIREPLACE(S) _ 0 _ 1 _ 2
LL? STATEIl?1J ZIP?? 1-1
Fnx#ctb?-09 05
PROPERNOWNER????'C'.. TELEPHONE#(CN"LVJU"39Z15
--------------------------- ------ ----------------------------- ---------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNF.SOTA RIJLF,S 7670 CATEGORY 1
(4 submission type) • Residential VenUlation Category 1 Worksheet Submitted
• Energy Emelope Calculatlons Submitted
Plumbing Coniracfor: ___
Pluxnbing system includes:
Mechanlcal Conhactor:
Mechanical system includes:
Sewer/Wafer Conhactor:
Water Softener _
Water Heater
No. of Baths
Air Conditioning
Heat Recovery System
Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone #
Phone #
Fee: $90.00
Fee: $70.00
I hereby acknowledge that I have read this application, state that the Information is correct, and a ree to comply
with all applicable State of Mlnnesota Statutes and Clty of Eaga din nces,/?
?I
Slgnafure of Applica f
OFFICE USE ONLY
Certificates of 5urvey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
0 01 Foundation ? 07 OSplex ? 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 PorchlAddn. (4sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 38 Multi
O OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
O 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
0 31 New ? 35 IM Improvement ? 38 Demolish (Interior) O 44 Siding
0 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) O 45 Fire Repair
? 33 Alteralion O 37 Demolish (Bldg)' ? 43 Reroof O 46 Windows/Doors
? 34 Replacement 'Demolkion (Entire Bldg only) - Give PCA handout to appllcant
Valuatlon , Occupancy MC/ES System
Census Code 2oning 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 INSPEC7IONS
_ Footings (new bldg) _ FinaVC.O.
_ Footings(deck) _ FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _.Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
Framing Siding Stucco Smne
_ Fireplace _ R.I. _ Aii Test _ Final _ Windows (newheplacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Pertnit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
00ac
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
15.50
Date ?; 1 1S I f) e
Site Street Address ''?ZPS0 Unit#
Property Owner Telephone #(G5 5q -3902 $
Contractor W `? "L-?o-u? O-Z? Telephone # P5 -13 0
Address 3L- 7? LoA-a L-Pox City State LI n, Zip S?
The Applicant is: _ Owner ? Contractor _Other
Alterations to existing dwelling $ 50.00
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_WaterTurnaround (add $121.00 if a 5/8" meter is required)
Other:
-
Water Softener V Water Heater $ 15.00
V,/ replacement _ additional
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge $ 50
T $?
I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
m lq-k ? 4+.,verL,6
ApplicanYs Printed Name
ApplicanYs
1985 BUILDING PERHIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS XUST BE LICENSED iIITH THE CITY OF EAGAN
COMMERCIAL
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS
& STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY
SPECIFICATIONS AND 7'SET OF '1 SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONS ?j
-61:2
$2,000 LANDSCAPE BOND
/ w-- - /
To Be Used For; K/2 ?i ?yValuation: Date: ?(0- p
06
f
Site Address
Lot ? Block ?
Parcel/Sub ?? ?(LD ye$?
Owner
Address
City/Zip Code
Phone
Contractor or tk',?y- a
Address %6 GtJ./'PrQa bi-. L'?.
City/Zip Code L_?'iZin `d(vt
o? T
Phone `rSZ'-3 D?v
op
Arch./Engr. ?
Address /
i
City/Zip Code
OFFICE USE ONLY
Erect ? Occupancy .?
Remodel Zoning
Repair ? Type of Const
Addition !1 of Stories
Move ? Length 77
Demolish ? Depth
Int,Impr.
'- Sq Ft
Install
------------- --^---------_-______
APPROVALS FEES
Assessments Permit
Water/Sewer
' ? Surcharge
-
Police Plan Review ,Sb
Fire SAC 57$
Engr Water Conn
Planner Water Meter S. O
Council Road Unit o
Bldg Off Treatment P1
APC Parks
Varianee Copies
TOTAL
v
Phone S
22/ 2Z = yn/? 12 = F 6
,z1/x 1-17- 1126x S2? =
/S"-?~/s J ??
7/, /S - 9` 1?
2 x 7= 1z/ ? 5" =
'OT ??/? y (!?)O
i 4 ' ?,
Certificate for:
-William Huttner Const. , . 1,;7c•
99'/44-
DELMAR H. SCHWANZ
IFNO RUPVEVONS INC
RYO.cIPrp? Un(tfr L.IF} ?I 1? CIYf M MII?nM(?111 -
74750 SOUTM ROBERT TRAIL ROSEMOUNT. WNNESOTA SSOBB PMONE 812122-1788
b
SURVEYOR'S CERTIFICATE
?
??tiD
iy
ai
M }
Drainage & utility
easement
\k
?1100
SCALE: 1 inch = 30 feet
/ o = Set wood hub
Elevations shown are existing
Proposed garage floor elev.
h9di?
I hereby certify that this is a true and correct representation of Lot 4, Block
2, HILLCREST, according to the recorded plat thereof, Dakota County, Minnesota.
Also showinq the location of a proposed house as staked thereon.
Dated: August 6, 1986
• .
TD EE SlJ9YITiE[7 4lITEI BUILDINC PEfUfIT IJ'PLTCATIOy
', . tO;TE?:IOR t:;iVF.LOPE AVERACF "U" CO:iPUTATION '
Oli:iER:
SITE ADDRESS:
c
CC
CTIM j-6CO
CONTRACfOR: Of7 Wu /I lf&r C.dX,?f DATE: -(a - P11DNE:
Determine vorking square footage of each
1. Total exposed wall area......... ?9 za sq.ft. x ? 1? zfl, Z
2. Total roofJceiling area......... 13 ?C C.) sq.ft. x? ?Z?D S• 3?
3. Total exposed wall area calculations: .
Total exposed wall area above f2aor
a. Total wall windaW area .............................. /3 Z
b." iotal door area ........................... .......... ?
c. Total sliding glass door area .......................?
d. Total fireplace wall area ........................... -
e. Total wall framing area (average 107.) ............... ?y
f: Total net wall area above floor ...................
g. Total rin joist area ................................
Total expoaed foundation area m . HS
h. Total foundation uindov area ........................
i. Total net foundation area above grade ...............?
Aetermine "U" value of each wall segment
13 Z x uuu
b. 3 ? X .,U.I
X .,v„
d. `-' x "u"
e. LO X .iu,l
.
, .1
. f. l z y? xlous,
I Z ? x "u"
s• .
- t,. - x louh
x ,lutt
.
3. '
S5 . ?S? a
-
.07
a?
,n`f _ S,iZ
-:;•:. . ?
TOTAL .•
?'.
If item 03 is the same ae, or less than item 01, you hnvc mct the intent af
SBC 6006(c)2. •
' ., 4'. Total cx-posed roof/ce111ng calculaCions:
Total exposed roof/ceilizg area s
i.
/360
J. Total skylight area ................................. "
k. Total roof/ceiling framing area (averap,e 107.)......... /3(0
1. Total net insulated roof/ceiling area ................. "Z Z
Deteiaine "D" value for each roof/ceiling seg:nent
. X nDn - ?
k. 13? x"u,l 7 Z
?. ? Z L?{ x„U,.
4. TOTAL ? Z' 7. Z
If total of G`4 is the same as, or•less [han G2, you have aet the intcnt
of SSC 6006(c)1.
A2ternate Building Envelope Design
`'?1.'?. . • . . . . . .
To utilize the total envelope system method, the values establislied by the sum of Stems 03 and 04 shall not be greater than the swn of items 111
and G2.
1. + 2. -
3. + 4. F .
?.
C E R T I F I C A T I O N
I hereby certify tliat I have calculated the "U" factors and R values
herein and [hat the building hera described meeta oi exceeds the State of
Minnesota Energy Conservation Act.
(Signature).
. (pa[e)
??? : .
?5 . .." .. ` "' "..
`?1161T. _Uqc- Ip': of opayu^ wa ll arca for
. .fr.amc com:tructiun
SrLI
.::Oi?il1TIC:i
V?3J:
i-i. .
. ....
Construcrinn R-Valuc
?h„ k)tt7 ?..A?L
1. Ylcr air film 0.60
Z. ?
1 IO`:(.?1T '
Z4,o4,
3, " inches soft. wond 31 1
9. 25 31 1%E-41vf ' 2 OCo
6?
6. Exterior air film : 0,17
Total ?- r3.za
,n: ` :4S
1. Int-crior afs filn 0.6fl
2. q p-
3. 34
.'" iNSuC , 3, 00
4. 2
2 2.pCr.
5. 5 1 Ot?
6. Exterioi air tiln 0.7.7
zwral i-• z I.9 ?
Z?M .
: •
1. I terior air filnt 0.66
2. ? ` 3411 { q , 00
a. 1 t.'" SoI 1( . ? 00 e
9. -%!sz ;116?7-1? c o?
5. SI 121 jv(I
6. Exterior air film 0.17
Tot61
J ? v•
1. Interioz air film 0.68
2. 2 9:'_T`rKflJ. 1.2G
• 3. 12" 6co??+ l,L(b
. q.
5. •
' G. Exterior air film 0.17
Total . G 5
si,ns ow cr,Avr
' ? , r` •,
? s . • ?. . ? r
'??: jrr r?'` . ? •• . ' , • • ?
? ?« ° • ? -
_ • ° • • '
? • • ? u? -
..iri • ' • ' ' iri~ .
.
FIG. 04 . ?
:?IG. !3
?? ? • • °
.• a . ' iL •
.:? . • ?• :
FRTSM Y:T,LL
f!1 ? • O , /1! j
` -?. . .
NOTE: indicatn typo, "r" vaiuo, dapth ancl
. glacencnt of instulaitietl. ,
. ': ?0 ?A
i
r--.pf..
R001'/CE ILI I7G _
Conrtr.uction R-Valne
t+
1. Interior ai.r filre 0.61
2.
3. !f?' fxL6t..ni 1/dSUL. • GJ
4. Tatcrior nir_film (still) 0.61
. VELIT
?- ..
Veate3 Lcat tlow
up
FIG. 15
, J }ieat flov up
- NYq-Y4{ll{iY . ?f r
.
.. , . .
. NeaL
• , flov up '
r .
Total k: 41, 61
U?',at
1. Intcrior air film O.G1
2. /2" 1712',L.iAL?.
4. Er.tezior air film sY.iT1?
Total R G ?
J
l. Inaidc air film ' 0.61
2. '
's.
4. S. outside air film -0.17
Total
Note: Usc additional ::hects if more spAr.e
needed fqr details aud calculutionc.
. •
y ,
vented
.•
. FIG. 0G '
. ? .
q169 I ZOOQ BUILDING PERMiT APPLICATION {RESIDENTIAL)
40 CITY OF EAGAN C?
3830 PILOT KNOB RD - 55122 //, •/?s
651•681-4875
Mew ConafiicHOn ReaWrementa . G? klZq 3)?. Remodat/Reoair ReauiremeMs
s 3 ieylstered Yro wrveya "winp aq. IL of bt, sq. H. of house 2 copies of plan
and 90 roofed areaa (20X maximum bl covemae allowed) 1 set of energy calculaMOns for healed adtllHau
> 2 coplea of plans (show beam 8 wlntlow sizea; poured fnd. deslgn: eFc.) 1 site wrvey for eziedor cddiHona A decks > 1 aet d enerpy calculaNOna .
> 3 coples of treB preservadwn plan U lot plaftetl afNr 711143
1 E'
DATE: CONSTRUCTION COST:
^
DESCRIPfION OF WORK:
STREE=BLOCK: `i ??? 4`?.Q f? Y I,11 LOT: a._ SUBD./P.I.D. Y:
PROPERTY
OWNER
COMRACTOR
ARCHITECT/
EN6INEER
Name: ?1 doeX ux-I 1'e.'` 5VA)-(?j _ Phone #: Ind H ? t(J
Wq Flrst
Sheet
Clfy nC?c ? State: Zip: ?
?
C LbL b? -C?byo
(drea code)
?? I
Sfreei Address: License M?ExP.
Ciiy vl C??l State: Zip:
Company: Name:
Telephone #: (
Sheef
Cfty
State: Z1P:
Sewe4water licensed plumber (ff lnstallirw sewarMraterl: Phone #:
1 hereby acknowledge ihat I have read this apPficalbn, sEate Nwf Ihe 4nfomwN°^ is corteet, und ree to comply wtth atl applica6le Statc
of Minnesota Statutes and CHy of Eagan Ordinances.
Signafure of Applicant
OFFICE USE ONLY
Regishaflon i:
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Poroh (3-sea.)
? 02 SF Dwelling ? OS 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 PorCh (screened)
? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage
? 05 03-plex ? 11 10-p12X PIOg _Yor_N ? 25 Miscellaneous
? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg.
WORK TYPE
? 31 New
13 32 Addition
? 33 Alteration
? 34 Repair
? 36 Move Bldg. >&03
? 37 Demolish (Bldg)" ? 44
? 38 Demolish (Interior) ? 45
? 42 Demolish (Foundation) ? 46
' Give PCA handout to applicant for dei
GENERAL INFORMATION
SAC Code
No. of Units
No, of Buildings
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
W idth
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq.ft.
MISCELLANEOUS INSPECTIONS
? ' Stucco/Stone
APPROVALS
Planning Building
Permit Fee ? ??'
Surcharge ?c
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SM/ Surcharge
Treatment PI.
Park Ded. -
Trails Ded.
Other
Copies
Total: I
Reroof
Siding
Fire Repair .
W indows/Doors
nolition permit
sq. ft.
sq.ft.
Footprint sq, ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
_ Engineering Variance
Valuation:
? 31 Ext. Alt - Mutti
? 33 ExL Alt - SF
? 36 Muki
SAC Units
% SAC
?
„ 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
" CITY OF EACAN
3830 PILOT KNOB RD - 55122
? o 851-681-4675
New Can:!^.u'flon RaaWremeMs ? 1-305(oo
? 3 registered alte wrveys ahowtnq aq. fl. oi lot, sq rt. ot house
antl gfi rootetl areas (206 maxlmum bt coveraae allowetl)
? 2 coplea ol plcuu (ahow beam & window slzes; pourad hid. design: etcJ
> 1 sef oi energy calculaMau
> 3 copies o1 hee preaervatbn plan B lot pWMeC afler 7/1 /93
--I (:?--
? ? C'
RemuaeVReoair Rec,wrements ? a -
2 coplea o( plan
t sel a energy cNCUlaNOns ror heated addlHons
1 sfle wrvey for exterior pdtllNOns 3 decks
ppTE; y-?2y- 0000 CONSTRUCTION COST: ODU. 0 6)
DESCRIPiIONOFWORK: S?.4 SO/V doU,QCaY
STREET ADDRESS: 9 (C NND ?'N •
LOT: ? BLOCK: SUBD./P.I.D. #:
Name: S IC' 1SEN?f LL E? 51,67 uE' Phone
PROPERTY tasl Flrar
OWNER
Sheet Address: 4 p S? 1 C"N/YP LILf
c,ry CA 6A-? state: (A N. up: ss 03
Company: COdLJ?A'iQ AkLM/J.(V'J Phone #: bS 1 z b?- ??1 y?
(area code)
CONTRACTOR Sheet Address: ?a ? 8 V 6,5??(,I/6 4f/E- LJCense #D002 /0 1 x'p. 34illo t
aty FA?t (N 67 onl srate: M /V , np: c:?g 02 y
ARCHITECT/
ENGINEER Company: Name:
Telephone 9: ( )
Sheet Address: Regishatlon 4:
City
State:
Sewer/water licensed plumher (N irtstallina sewer/water): Phone #:
Zip:
I hereby ackrawiedge ihat I have read this applicafion, atate that Ihe fMormation is cortect, and ree to comply wNh ap apPlicable State
of Minnesofa Statutea and City of Eagan Ordinances.
Slgnalure of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _"es _ No 9 8
Tree Preservation Plan Received _ Yes - No ? Not Required ?
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation O 07 05-plex
? 02 SF DweOing ? OS 06-plex
? 03 01 of _ plex ? 09 07-plex
? 04 02-plex ? 10 OS-plex
? 05 03-plex ? 17 10-plex
? 06 04-plex ? 12 12-plex
WORK TYPE
-:9L' 31 New
? 32 Addition
? 33 Alteration
? 34 Repair
? 13 16-plex
? 17 Garege
? 18 Deck
? 19 Lower Level
Plbg _Yor_N
? 20 Pool
,b?'21 Porch (3-sea.)
? 22 Poroh/Addn, (4-sea.)
? 23 Porch(screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg.
? 36 Move Bldg. ? 43 Reroof
? 37 Demolish (Bldg)' ? 44 Siding
? 38 Demolish (Interior) ? 45 Fire Repair
? 42 Demolish (Foundation) ? 46 Windows/Doors
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code Q l
No. of Units CA
No. of Buildings I_
Const. (Actual) -g.J
(Allowable) ai
UBC Occupancy P--l
Zoning
# of Stories I sq. ft.
Length 16 s4 n•
Width 114 Footprint sq. ft.
Basement sq. ft. Census Code
Main level sq. ft. MC/ES System
?•o? sq. ft. Aa4 City Water
sg, ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning _
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded. .
Other
Copies
Total:
SAC Units
% SAC
Building
I?Sv
--t \."1 f:?-
66 Engineering Variance
Valuation: $ ?l 'T
z??i ??Jp =?a,a60
w
`
? 31 Ext Alt - MuRi
? 33 Ext. Ak - SF
? 36 MuRi
Z5
• ' " 99'14Q
DELMAR H. SCHWANZ
i •NO cuavevnns iNC -
- w^mxln.M Unaer lgwf nl 1M $IM, M MmrMeMn
14750 SOUTH R08ER7 Tqpll qOSEMOUNT. ANNNESOTA SSOM pNpNE 612423-1789
; SURVEYOR1 CERTIFICATE I0141.b
"? •- -
1 17
_._--
, ,w6 =
V s
? ??ooe•9 - ,? ??_? 9.6o I ?
7- ?
a GA? v. I c. m
v
\CL o??b4
Drainage & utility
easement
/a y. o
900
,
?pos.9 n . .
SCALE: 1 inch = 30 feet
C3 = Set wood hub
Elevations shown are existing
\- f Proposed garage floor elev. /p08.4,
I here6y certify that this is a true and correct representation of Lot 4, Slock
2, HILLCREST, according to the recorded plat thereof, Dakota County, Minnesvta.
Also showinq the location of a proposed house as staked thereon.
Dated: August 6, 1986
* IAL)
2000 BUILDING PERMIT APPLICATION (RESIDENT ??
?ITY oF EAGAN ? bo.
3830 PILOT KNOB RD - 55122 ?
C?? 3 U G? ?? 651-681-4875 r ?,Q'I
NewCauhuctlanReaulremenb .•. V131/00
l
? S reglsfered sIfe wrveya ahowinp aq tl. ol bt, aq. tt. ol house 2 coples ol plan ?
and yo roofed areas (aD76 mmdmum tot covemae Wbwad) 1 sel ol energy calculatlons for heafed additlons
> 2 coplaa of plaru (ahow beam 8 wlntlow sines; poured Intl. tlealpn; etc.) t slfe survey tor exteAOr additlona R Eecb
> 1 set W energy calculatlons
> 3 eoples OI h6e Dretervatlon plan If lof PlaMed aRer 7/1/93
DATE: ?^'a ?- d0 oU CON5fRUCTION COST: -r!?) DO o, DO
DESCRIPTION OF WORK: Cz--,Of}P
STREEf ADDRESS: ? I 8 S8 &NwD LANF
LOT: -A_ BLOCK: ? SUBD./P.I.D. #: ?ILL C,QL'ST
PROPERIY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name: S(K3k^IR'LWQ S7?UF PnoneC G??- ?fSy- ?1?
lasf Flnl
meetAddress: Zj s !?- ? I lCHW 1FF/?F
cuy f-A64A? srate: iv/t/ ZiP: <502
CvLQAJJ ?-OE(-Ivl4,v.d CdNST Pnone p: ?? ?(? ?? e7s f' b
Company:
(area code)
street adaress: ?? 38 o BFQQ r?C /? ?/E ucense If 00 O 6/Exp. 3 W.;ow
City -FRQM tN670ll) state: M/v -Z1p:
Company: Name:
Telephone C (
Sfreet Address: Reglshatlon C
CNy
State:
Sewer/water licensed piumber (if Installina sewer/water): Phone #:
Zip:
I hereby ackrawledge Mwt 1 have reod this appgcatbn, state Nwf Ihe Infonnalion is cort a gree fo comply wHh all appkable State
n
of Minnesota Stafutea and Ciry of Eagan Ordinances.
Signafure of Appllcanh Certificates of Survey Received z
Tree Preservation Plan Received -
OFFICE USE ONLY
Yes No
Yes _ No l? Not Required
X)
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation O 07 05-plex ? 73 18-plex ? 21 Porch (3-sea.)
? 02 SF DwelGng ? OS 06-piex ? 17 Garage ? 22 Poroh/Addn. (4-sea.)
? 03 01 of _ plex ? 09 07-piex EW 18 Deck ? 23 Porch (screened)
? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Stortn Damage
? OS 03-plex ? 11 10-plex Pibg _Y M_ N 0 25 Miscellaneous
? 06 04-plex ? 12 12-plex ? 20 Pool c3 30 Accessory Bldg.
WORK TYPE
9 31 New ? 36 Move Bldg. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bldg)" ? 44 Siding
? 33 Alteration ? 38 Demotish (interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code o/_ ik of Stories sq. ft.
No. of Units 0 Length sq. ft.
No. of Buildings / Width Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code
(Allowabie) Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinkiered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building #4k_ Engineering Variance
?
,
Permit Fee Valuation: $ /0700
Surcharge
Plan Review
License
MC/ES SAC
Ciry SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies • ,?
Totai:
? 31 Ext. Alt - Muw
O 33 Ext. Aft - SP
p 36 Mutti
SAC Units
% SAC
Certificate for:
William Huttner Const. , •
99144
DELMAR H. SCHWANZ
UND iVPVEYORS INC
APaMrw? Un?fn. la?f oi Tnr SINw ni Mrnnnotn 14750 SOUTM POBEAT TRAII ROSEMOUNT. WNNESOTA 550M MWNE 612 477-7789
SURVEYOR'S CERTIFICATE ?91q.b
---
,°
7aD ?.i 7?? }?? ?/).r ?°P•r' i
-roPoogqB 76
o
Q?' ? ,`'/ •q ?5= ?= 1? ? .H\
0 4 CS? ? I
? 0 4
Drainage & utility
easement
..; ? ,
S
??.,' ?? •, , ? ?? ; . "- loy,o ?oj 64D
?\\ \? ?? -
, .
30 feet
C? Set l wooinch d hub
o
Elevations shown are existing
..
Proposed qaraqe floor elev. /008.0,
x
I hereby certify that this is a true and correct representation of Lot 4, Block
2, HILLCREST, according to the recorded plat thereof, Dakota County, Minnesota.
Also showing the location of a proposed house as staked thereon.
Dated: August 6, 1986
CITY OF EAGAN
APPLICATION FaR PERMIT
SEWER AND/OR WATER CONNECTION
--
f .
E*ATE: PA7MENTr OF kM AT 7.DZ OF
t APrLscrazoN ooFS Nar corsr17M
r APPROVAL OF P.ERbIIT.
F /?
F IN$PF7CI`ION OF SEWQZ Al??vR KMR
F =ILLATIONS WIIS, DIOT BE SGHED--
F (7LID [IDTlIL PF1tMIT HAS SEQd
i APPRC3VID.
lP1e e int) - -
1) PROPERTY ADDRESS; sz •._
LEGAL DESCRIPTION: AU7?- " • •-
Lot B ock Subdivision r Tax Parce ID )
IF E2QSTING STRC=ME. DpT£ OE ORIGINAL BLILDING PII2MIT ISSL'ANCE: - ~
?
..
PRESII?Tr 7ANING/PROPOSID O Mon Year)
SE:
[] CAMY•]ERCIAL/f2EI'AIL/0FFICE [ErR-1 SINGLE FAMILY .
r7 IDIDLISTRIAL Q R-2 DL'PLEX (Tt,o L?nits)
n INSTITL'TIONAL/GOVERNMEN'r 0 g-3 TpyNipLiSE (Three + Units) ( Onits)
, q R-4 APARTMffNT/COPIDOMIDIIDM ( Units)
2) ?
NAME:
ADDRESS: (J Gj/
CITY. STP.TE, ZIP: "
PxorE:
3) • u i:,?• NAME• For City Ose ..
Plumbers License:
AADRESS: Active
CITY. STATE. 2IP: ?? • ? Expired
i . Not recarded
PHONE: ? ? - ? ? MASTER LICIIVSE# _33-:2 ?
St? tial
4) ??? • r i?•
NANJE:-
ADDRESS: ) .
QTY? STATE, ZIP: '
PHONE:
5) ? v i ? r: ?• : ?u •?? s+. a?
Ur?CONNECTION 1V CITY SEWEE2 ET?CONNECTION M CITY WATER ? OTfE]2 '. ..
6) PLEASE HOLD APPROVID PERMIT FY)R PICK-OP SY ONE OF ABdVE
PLEASS MAIL APPRdVID PERMIT TU 1,? 3, 4, p?VE ?
' (C cle one)
7) r ?. u..
. FOR CITY USE ONLY
PERMIT # ISSCED
?
Pd w/Bldg. Permit FEES:
$ SEWER PERMIT (INCLUDE SURCHARGE)
$ WATER PERMIT (INCLLDE SC'RCHARGE) ..
$_ CG'J, J U $ ' WATER METER/COPPERHORN/OCTSIDE READER
$ S WATER TAP (IIVCLL'DE CORPORATION STOP)
$ S SEWER TAP
$ S ?SOZ7 ACCOONT DEPOSIT - SEWER
$ $ ACCOONT DEPOSIT - WATER
$_ .SDC7.OZ? $ wac
s S ?5. ?ZS $ sac
$ $ TRLNK WATER ASSESSMENT
$ $ TRL'NK SEWER ASSESSMENT
$ $ ` LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ ov $ WATER TREATMENT PLANT SURCHARGE
$ $ ' OTHER:
s /?9y-5o S ToTAL
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLZC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MUST BE ISSL?ED BY THE ENGINEERING
NO DIVISION. LIST A$ A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
?
TITLE: ,
DATE: _ ?G '?(o -?4• __
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA146921
Date Issued:11/22/2017
Permit Category:ePermit
Site Address: 4858 Richard Lane
Lot:4 Block: 2 Addition: Hillcrest
PID:10-32975-02-040
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 -
Steven Siebenaller
4858 Richard Lane
Eagan MN 55122
(651) 454-3925
Wenzel Heating & Air Conditioning
4145 Old Sibley Memorial Hwy
Eagan MN 55122
(651) 894-9898
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA161950
Date Issued:06/19/2020
Permit Category:ePermit
Site Address: 4858 Richard Lane
Lot:4 Block: 2 Addition: Hillcrest
PID:10-32975-02-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
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 -
Steven Siebenaller
4858 Richard Lane
Eagan MN 55122
(651) 454-3925
Bruckmueller Plumbing Inc
3992 Pennsylvania Ave
Eagan MN 55123
(651) 686-6696
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA161950
Date Issued:06/19/2020
Permit Category:ePermit
Site Address: 4858 Richard Lane
Lot:4 Block: 2 Addition: Hillcrest
PID:10-32975-02-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
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 -
Steven Siebenaller
4858 Richard Lane
Eagan MN 55122
(651) 454-3925
Bruckmueller Plumbing Inc
3992 Pennsylvania Ave
Eagan MN 55123
(651) 686-6696
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA178148
Date Issued:08/02/2022
Permit Category:ePermit
Site Address: 4858 Richard Lane
Lot:4 Block: 2 Addition: Hillcrest
PID:10-32975-02-040
Use:
Description:
Sub Type:Air Conditioner
Work Type:Replace
Description:
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Steven & Beth Siebenaller
4858 Richard Ln
Saint Paul MN 55122--278
(651) 755-8799
Wenzel Heating & Air Conditioning
4145 Old Sibley Memorial Hwy
Eagan MN 55122
(651) 894-9898
Applicant/Permitee: Signature Issued By: Signature