4878 Richard LanePERMIT
City of Eagan Permit Type:Building
Permit Number:EA111982
Date Issued:07/22/2013
Permit Category:ePermit
Site Address: 4878 Richard Lane
Lot:11 Block: 1 Addition: Hillcrest
PID:10-32975-01-110
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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, call for framing
inspection. Call for final inspection after installation.
Window or Door:REPLACE LOWER PATIO DOOR
Perry Firkus
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Dennis W Blager
4878 Richard Lane
Eagan MN 55122
(651) 454-4272
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature
. CASH RECEIPT
? CITY OF EAGAN
P. O. BOX 21-199
?
EAGAN, MiNNESOTA 55121
ATE 19 -
RECEI
OM
aMauN-r $ ; I
.?
DOLLARS
1 oa
? CASH CHECK
i
FOR
`7?? '7 1r: ?_le r: • ? ?
FUND CODE AMDUNT
?7,_/
? ?.
Thank You
BY
White-Payers Copy
Yellow-Posting Cqpy
Pink-File CoPy
r ti, CITY OF EAGAN ?I . 16224
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for 3"6,EA50N i'13RCFt Est. Value s' ?000 Date MARCH 17 , 19-8.?-
Site Address 4878 RICt1ARD l.N OFFICE USE ONLY
Lot 11 Block 1 Sec/Sub. HYIJAMST
Parcel No.
Occupancy
k-3
FEES
Zoning
W Name DY"N;$ a??R (Adual) Const - Bldg. Permit 72.00
o Address 4678 RIC?D LP (Allowable) - Surcharge 2•50
City EMAN Phone 454-4272 # ot stories
Plan Review
Length
o Name ?? ?EP?;' Deptfi SAC. City
.
?Q Address 22954 ?RIISG .1VE S.F. Total snc
MCwcc
¢ RM
p i
S
F ,
i + Phone 4-63-2946
City
A .F.
ootpr
nts -
S Water Conn
On Site
ewage _
?
W
Name
On Site Well
-
Water Meter
W
~=
Address MWCC S
Ystem
-
??,
a W
City Phone
C?y water
_ Acct. Deposit
SrW Permit
PRV Required _
I hereby acknowlege that I have read this application and state that the 6ooster ?umP - SiVY Surcharge
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. Trealment PI
Signature of Permitee APPROVALS Road Unit
G1,:?'RAw ADt;(,Njjt1?L--.
A Building Permit is issued to:
Planner
-
Park Ded.
on the express condition that all work shall be done in accordance with all Council
applicable State ot Minnesota Statutes and City of Eagan Ordinances. Bldg, ph. _ Copies
Building Official
Variance
-
TOTAL
r ?' ?
r Permk No. Permit Nolder Date Tslephone #
WATER
KWER
PLUMBING
H.V.A.C.
EIECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framinq Y? G(/
Roofing
Rough Plbg.
Rough Htg.
Isul.
Freplace
Fnal Htg.
Fnal Plbg.
Const. Meter Pibg. Inspector- NoUfy Plumber
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final ?
Well
Pr. Disp.
, CITY OF EAGAN
, 3830 Pilot Krab Road, P.O. Box 21-199, Esgsn, MN 55121
PHONE: 4548100
QUILOING PERMIT Reu+a # -
Assessment
Woter a Sew.
Poliu
Firo
Eng•
Ptonrrr
Council
Bidg. Off. - 4
APC
Var. Date
Site Addrest 'f? : L` Erect .? Otcupsncy
Lot 1 Block -?/5ub Remode l ? Zoning
. Repair ? Type of Const.
Parcel No.
Enlarge ? Na. Stories
Move ? Length
Name Dsmolit h ? Depth
? Addreas r Grade ? Sq. Ft.
City Phone ` s Inatall ?
? Name
?? Addreas
C itv
Name _
Address
City _
Fees
Phone
1 hercby ocknowiedqe that I how rood this opplication and stote thot
fhs intormation is correct ond ogree to comply with oll opplicable
StaM of Minnesota Stotutes and City of Eaqon Ordinonces.
Sfynoture of Permittae
..?,
N Bulldiny Permit is iuued ro:
all work sholl be dorw in occordonce with cll opplioobla State of Mir
8uildinp Offitiot
)35 1
Permit
$urthorpe - 50
Plan Review `lo
SAC 00
?
Wafer Conn. `
Woter Meter j ri
Road Unit
J ?1
Total ? C
on the express taditlon that
inesoto Stotutes ond City of Eopon Ordinonces.
Permit No. Pwmit Holder Date Tsle hone *
Plumbinp "h -/ ' y- ? Y • 3? L
H.V'A.C: "- 5
Eleetric
Softensr
Inspection Data Insp. OthN
Footinpt
Foundation `2G--
Framinp ? - V-i? ?S-
Rooting /- LK ?
Rough Pibq.
y
Rough HVA
Inwlstion f -? -
Final PI6g.
Finsl HVAC
Final
Cwt/Occ.
Waftr Doseribs Lotstion:
Well
So
wer
Pr. DFap.
Roceipt MECHANICAL PERMIT Permit No. ?-
. i CITY OF EAGAN Fm •
Fill in numbened spaces S/C
Type or Print legibly Tot ' .
1. Date -` 2. Installation Cost
3. Job Address ' LotBlk. Tract .
4. Owner
5.
6. Address /?C ! ',r ii ';:e/ "- I
Phone
7. City i i(, l: StaLe Zip
8. Building Type: Residential (3' Commercial ? Institutional ?
9. Work Description: New Add 0 Alter 0 Repair ?
10. Describe ? Fusl Type i: ?, La
11.
No,
? Epugpffwnt BTU - M. Ea.
Forced Air ! 1!: No• Eguicxnent CFM
Air Handling:
Mfg. ,-
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfy • Other . ,
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I ayree to
comply with all ordinances and oodes governin9 this type of work.
Signed : for
Rouyh Final
Inspections: Date Insp. Date Insp.
This is your permit when numbared and approved.
Approved CITY OF EAGAN 464-8100
Receipt ?!•`,• Cl '' PLUMBING PERMIT Ptrmit No.
CITY OF EAGAN -
Fse
Fill in numaered spaces S/C
Type or Print legibly TaL ?_.
??. .
1. Date -k ? 2. Instaliation Cost
? ? i i < i ?.r?? ??/ ? • i ,f ? - .
3. Job Address Lot ? Blk. ?Trac{ ` '-
?
4. Owner
b. Contractor?7?ll7?i k% ?y??Sl fa ??.. Phone
6. Address
7. City Stete Zjp
8. Building Type: Residential ? Commercial ? Institutional O
9. Work Oescription: New f? Add O Alter O Hepair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
! Bath tubs Septic Tank
` Lavatory Softner
1 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 orojriances and codes governing this tYpe af work.
Signad : : , _ - -
for
Rouyh F inal
Inspections: Date Insp. Date Insp.
This is your permit when numhered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN Remarks F%' )
Addition HILLCREST ADQITiON Lot li elk 1 Parcel 10-32975-120-01
owner screet 4878 RICHARD IANB stace EAGAN Ml+1 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. q3S 1 6-5-85
STREET RESTOR.
GRADING
SAN SEW TRUNK Ej]. $ " 11
*SEWER LATERAL 1985 4361.74 It
WATERMAIN
*WATER LATERAL 19$5
WATER AREA
*Services 1985
STORM SEW TRK
1994
804,56
160,91
5
4 2.74
*STORM SEW LAT 1985
CURB & GUTTER
SIDEWALK
STREET LIGHT
Raad Unit $280.00 49969 3 8 85
WATER CONN. 500.00
SUILDING PER. 9951
sa,c 525.00
PARK
CITY OF EAGAN
3830 Pilot Knob Road
P. O. Box 21199
Eagan, MN 55121
Zoninp: P. 1
Owner: elin P u t
Address: _
Site Addn
Plurnber: Star
1 yrM M eanph? rriea &s qti eF Eagsw
Oedineeom
BY
? Date of Insp.:
C.011MCtlOfl C}fOfQe: 4.C.7. l1V rJa
Acoount Deaosit: ., 15. 00 pd
Pem+if Fee: 10.00 d
, 5k1 F,,4 ?
SufChCTgQ:
MISC. U10fQeS:
Totoi:
Doft Poid:
C!TY OF EAGAIV WATER SERYfCE P EWIT
3830 Pilot Knob Road
:
99 PERMIT NO 6047
.
P. O. Box 211
Eagan, aAN 55'121 ,,. DATE: 4-9-?5
Zoninp: 1 No. of Units: ?
Owner: ``illAAn Huttuer Const
/1dd?ess:
51te Address; 4S71< :ictiard Lane L11 Til I?illcrest Addn
Plumber: `? , " 3' lb -,
Mater No.: Connection Charfle: 500. 00 pd
Size: /?coount Deposit: 15.00 rcl
Reader No.. Permit Fee: 10 .?0 n:i
, 1 pm to aoosply wieb liN Cihr of lppm Surchcrfle: .51) pt"
o.dtnswar. Mtsc. Choroes: 132.00 Pd .
Totoi: pf] rntpT
gy Dade Puidr
pcte of Insp.: Insp.:
.; : Y CiF EAUAfo WATER yrRVICE PEitAAIT
3830 Pilot Knob Road ? 7
P. O. Bax 21199 PERMiT NO.:
Eagan, MN 55121 DATE:
Zoning: 1 No. of Units:
Ovmer: i l I ;" o:!. s t
71d0/m- r A.
Fr^ ' ? ? ? ?
'''
-jite Addrcss: Richard.I,an?e..?,;?•].,.?1 f:illcrest l:ddn
F
PlU11'IE7Qr: `' r D ? n tr - --
/*etar c??ctl«, aa?ge: 500.00 nc:
,
ze: 'x IF gaf pepWt; 15.00 pd
der No.• ?,g L ?g76 6! Permir Fee: 1 0. OQ nd
qrw ro emji? wilb !hw Cit1r af Enye• Surcharge: . 5`' nd
ha.oo. Mtsc. Cho?pes: 132.03 pd
? Total: 61_i'C? ,,,, . rer
Date Poid:
te of sp
I .:
-? inap.:
SEWER SERVICE PERMIT
PERMIT NO.: - ? t:
DATE:
No. of Unlts: 1
CITY OF EAGAN N° 9 9 51
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721
. PHONE:454-8100
BUILDING PERMIT Reuim #
t. ?. m.e ie. SF DWG/GAR Est. Vel.e $75.000 Dote MARCH 8 . I q 85
SiteAddren 4878 RICHP,ItD LN
Lo: 11 alock 1 Sec/Sub. HILLCREST ADD
Parcel No.
1Name WM HUTTNER CONST
? 960 WATERFORD DR W
Address
c;ty EAGF.N pho„Q 452-3088
SAME
o Name
Addreas
1- City Phone
?W Name
ito Address
,
W City Phone
I hereby ackmwtedge that t hava reod this application and stote iFwt
fM inlormation is correct and agree o comply?rith II cp0licoble
State of Minnewro Srotures o ? o! ?r
Sipmture of Permittee ?
Erect 1LJ Ocwpeney H3
Remodel ? Zoning Rl
flepeir ? Type of Conrt. V
Enlerge ? No. Stories
Move ? Leng[h 50
Demalish ? Depth 50
Grode ? Sq. Ft.
Install ?
Appreralf Faes
Assessment
wate. a k..
Police
Fira
Eny.
Plonner
Counctl
BId9.Off.3 8 85
APC
Var. Date
Permit ?' ?'00• ? v
s,,,cha,ge 37 . 50
Plen Review 179.00
SAC 525.00
WaMr Conn. 50 00
Woter Meter _13-.-0 0
Rood Unit 980 0
T.P. 132.00
Yotal $2.074.rj0
A Buildino VeRnit is fssued to: WM HUTTNER CONST on tha a„prcss conditlon thai
oll work shall be done in xcordance oll cppli le St of Minnesoto Statutes and City of Eapon Ordinances.
Bufldirp Official
CITY OF EAGAN
3830 Pilot Knob R,,ad, P.O. Box 21-199, Eagan, MN 55121
' PHONE:454-8700
BUILDING PERMIT
To 6e used for 3-SEASON PORCH Est. value $5, 000
N? 16224
Receipt # ? I 11C v
Date MARCH 27 , 7g-82
Site Address 4878 RICHARD LN
Lot 11 Block 1 Sec/Sub. HILLCREST OFFICE USE ONLV
PafC01 NO. Occupancy R-3 FEES
Zoninq -
w Name DENNIS BLAGER (ACtual) Const _ Bldg. Permit 72.00
o AddreSS 4878 RICHARD LN (Allowa6le) - Surchar
e 2.50
City EAGAN Phone 454-4272 #of stories - g
12' Plan Review
Length
o Name CONRAD ADELMANN oepm -?? Snc
ary
,
0
a AddreSS 22380 BERRING AVE S.F.7otal - ,
MCWCC
SAC
,
15 City FARMTNGTON phone 463-9946 S.F.FOOtpnnts - ,
Water Conn
On Sile Sewage _
r
w W
Name
On Site Well
-
Water Meter
z
?
Add?BSS
MWCC S stem
Y
-
?
y Acct Deposit
aw City Phone Grywaier _
SIW Partnit
PRV Required _
I hareby acknowlege that 1 have read this application and state that the eooster Pump - g,yy Sumharge
infortnation is correct and agree to comply with all applicable State of
MinneSOla Sta[ute5 and City
rd
in
an e Treatment PI
/
=
,
Signature of Permitee ?X ?'j APPROVALS Road Unit
A Building Parmit is issued to: CONRAD AnEi.MANN Planner - park Ded.
on the ezpress contlition that all work shall be done in accordance with all Courxil 1.00
applicable State ot Minneso[a Statutes and Ci[y oi Eagan Ordinances. gia9, pry. _ Coples
BuildingOfficial ,A a1 f", %3%? I :]? .4 Variance - TOTAL 75.50
This request void
G I / ? A ? ?' _ 95
18 nnnths ttom J (A i 1
A- 42064 ? Zt /? v? J-?// . ?
I Rnquest Dalc / FirB No. RouBh-in Inspection
??_? ' eqmred? ?ReadY N otify InsPec-
?,,----,,,??? T j es ? No r When fleatly
icensed ElecVical ConVactor I hereby requast inspaction ot above
? Owner electrical work insialled at:
Sveet Address, Boa or Route o. City
ug? , ,?a Cw,
ecUOn o. To nship Name or Na. HAnge No. County .. yJ-
G??
//
O uart IPRINTI
c Phone No.
f
? /' ,? . e
ower Supplier Addres
(! 1 r??
EI ical C.nvactor (Company Name l
? Con actor's License No.
Z L G2?
ailing AtlJre ft
1 onVnctor or Owne r Making l stailationl
AuthorizeC Sig awre (Co tractor Owne king In ta ation) Phone NumOer
V
6
MINNEVOTA STATE BOABD OF ELECTRICITV TMIS INSPECTION REQUEST WILL NOT
Griggs-Midwey elde. - Room N•191 aE ACCEPTEO BY THE STAiE BOARD
55104 UNLESS PflOPEN INSPECTION FEE IS
1821 UniversilY Ave., S[. Paul, MN ENCLOSEO.
Plone 1612) 297-2111
5r (? ?? REQUEST FOfl ELECTRICAL INSPECTION es-00001 w
T ' See insiructions for completi?g Ihis form on back a1 yellow copy. )
?? 1? ""X" Be/ow Work Covered by This Re4uestti.ry 1?
? . g
Atld fleo. TVpe of 8uilding AoPliancea Wirad Equipmen[ Wired
Home Ranye Temqmrery Service
Duplez Water Heater LiGhtinp Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Furnace Silo Unloadar
Industrial Bidy. Air Conditioner Bulk Milk Tank
Farm Other ae, v Mner (SUecify)
thr;r Succi y Olhcr Othur
Comaute Inspection Fee 8elow
p Fee Service EnhanceSize H Fee FAptlars/Sabfeetlers b Fea Circvits
0.0 0 to 200 qm s 0 to 30 Am s a to 30 Am s
A6ove 200 Amps, 31 to 100 Ainps
? 37 to 700 A
Swimming Pool Ab.. 100_Am s Above 700_Am s
Transformers Irrigation Boon??s Partial'Oth Fe
I I I Signs ? I ISpecial Inspectfon I5
- ? 7 TOTAL FE
flemarks
( -?
?
e?
T. Iha ?,?,.??
? Inspector, he,aby
r certity tMt the abova
I Final
? r /..?l?i'7AEll De+?xte
?`
Jt"?YJ ins0ection has been
made.
v0itl18
(?LarLlW ?, . 302004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for singte family dwellings & townhomes/condos when permits are required for e8ch unit
Da[e _)?
Site Address 97 78 Unit #
i
Property Owner &n^ ' 1
Tetephone # ( 6S1
) y S' `1 " y L72'-
d 4401X ? C
Qr
Contractor
=
9
(t S 3 A?1 '0? • S•
?? 'c+ty 40ck rnsYi
.
Streef Address
/J? AJ ZiP SS3.r7 Telephone# (-n/,SL)
Sta[e
nd#: SS-1 S6Y&3 Expires:
B
4 Z3 o
i
o
The Applicant is _ Owner J? Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
X furnace _Additional k Replacement
air exchanger
? air conditioner New k Repiacement
? otner `1Klrr,<+
g 50
S[ate Surcharge
?? LS
SEP 4 1 20 4 $ 3a. s40
Total
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; tha[ Ihe v.rork will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand chis is not a
permit, but only an application for a pemut, and work is not to start without a permir, that the work will be in accordance with che
approved plan in e case o£ work which requires a review and approval of plans.
C ?
Applic t's Pnnted Name Applicant's Signature
?
?
y004 COMMERCIAL MECHANICAL PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675.
. . .. commercial/indusfial buildings
multi-family buildings when separate pemtits are iot required for each dwelling unit
Date I /
4:.
Unit #
Site Street Address
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond #: Expires:
The Applicant is _ Owner _ Contractor _ .'theI
Work Type
New Construction _ Underground Tanl. _ Install _Remove *"see belaw
Interior Improvement _ Install Piping _ Processad _Gas .
k
fW
:
or
Nature o
"When lnsta!!!ng/removing underground tank, call for inspection by Flre Marshal and Plumbing Inspector
Permit Fees: $70.50 Jnderp,roundLark installation/rem0v2l
550.50 A1inimum (includes Sw[e Sureharge)
Connact Value $ or x 1% _ $ Permit Fee
'
• If Pemut fee is $1,000 or less, add $.50 ? $ State Surcharge
If vemit fee is over $1,000, add $.50 for
Total Fee
every $1,000 oermit fee $
__c_? ...:.... :.. .....terP anA arcnrater that [he woIk
I hereby apply for a Commercial Mechanical Yemut ana acunowieage mat uic ,,.w...,a"._,
will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is
not a permit, but only an application for a permit, and work is no[ to start without a pernvt; that the work will be in accordance with
the approved plan in che case of work which requ'ues a review and approval of plans.
Applicant's Printed Name Applicant's Signature
Approved By: , Inspector
RESIDENTIAL BUII.DING ? ?a •CrD
Permit Applicadon
City Of Eagan
3830 Pilot Knob Road, Esgan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Naw Corehucfion Reauiremenm RemadeYReoairReauiremenb 4ffica Use OnN
3 regsmred site suneys showvig sq. R ol bt sq. ft of trouse; and ?II roofed areas 2 mpies of plan Cert of Survey Red
(20% meximum bt mverage allowed) 1 xt af Eneigy CakulaGOns fw heafed addiAOns _ Tree Pres Plen Rflcd
2 mpim ol p?n slmx?ing 6eem 8 window srses: poured lound design, ek. 1 sim wrvey fw addltlona & da? _ Trea Prea Not Reqd
7 set of Enngy Cakulatlans A?Tbn • indtete ilmsde mptlc system _ Oo-site Sep? Syslem
3 c*les of Tiee Preservatlon Plgn if bf platted after 7N193
Rim Joiat Demil Op6oro selecllan shee[ (Mdg.a wNh 3 or less unib
nate conswcaaa coSt
e
Site Address ?9-269 41 , t4 (x Nl
C. O he UniUSte #
Descriptlon of Work x+2 s I G 61 GL ('j rI S / V`C [-f /? ?h 7?/?/Y'PYJ?OC'-e a nN L'a11 QGC Lo
Multl-Fanu7y Bldg _ Y_ N Fireplace(s) _ 0 1 2
2
r
PropertyOwner PU h.(,S
l
l
Telephone #(?p?/ ) ?{SL?- ?a? ??
Contractor f ?-'y?(?S(`(/LP !/PG{llA ? /Tly??
Address 3 31n LI), l(i v Z ? City /7/'j?^K SUi ??C?
State &- `/f/1 )IL Zip :D3 Telep6oue #(9fd'L) 17%-5-,4
COMPLETE TIi1S AREA ONLY IF
Energy Code Category - M'O°esota Rules 7670 Categorv 1
(J subm?slon rype) • Residential Ventilatlon Category 1 WoAcsheet
Submitted
• Energy Envebpe Calalatlau SubmiCed
Licensed Plumber
Mechanical Contractor Lie $ I ? & LfAr???
Sewer/Water Contractor
A NEW BUILDING
Minnesoffi Rules 7672
• New Energy Code Warlaheet
Submiked
Telephone # (
Telephone # (&X) 990-O 7S9
Telephone #(
I hereby apply for a Residential Building Permit and aclrnowledge 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 M1V
Statutes; I understand this is not a pemut, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of ptans.
/la3 ,?1 . ?9? '
ApplicanYs Printed Name Applicant's Signatur
OFFICE USE ONLY
Sub Typas
? 01 Foundatlon O 07 OSplex ? 13 16rplex ? 20 Pool
? 02 SF Dwelling ? 08 OB-plex ? 18 Fireplace ? 21 Porch (3-sea.)
? 03 Ot of _ plex O 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex O 10 OS-piex q 18 Deck ? 23 Porch (screen/gazebo)
O 05 03-plex 0 17 10-plex ? 19 Lower Level ? 24 Stortn Damage
0 06 04-piex O 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
Work Types
O 30 Accessory Bldc
O 31 EM. Alt - Multi
O 33 Ext. Alt - SF
O 36 Mutti Misc.
? 37 New O 35 Int Improvement ? 38 Demolish (Interior) O 44 Siding
? 32 Addition O 36 Mave Bldg. ?, 42 Demolish (Foundation) 0 45 Fire Repair
O 33 Alteratlon ? 37 Demalish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
O 34 R8p18C8mBM 'Demolitlon (EMire Btdg) • Give PCA handout to appflcant
Valuatlon Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bidg) FinaVC.O.
_ Foorings (deck) FinallNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
_ Drain Tile Other
Raaf _ Ice & Water _ Final _ Pool _ Ftgs _ A'u/Gas Tests _ Final
_ Franilng _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final Windows (new/replacement)
_ 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
Buading inspector
1989 BOI&DINQ PERlIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLffiGS
I ? ILL4
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OE SURVEY, 1 SET OE ENERGY CALCULATIONS
NOTEs ADDRESSE3 FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST MSIGNATE HEiICH ADDRE55
I3 DESIRED. NO CHANGES NILL BE ALLOWBD ONCE BUILDIN(i PEflMIT I3 I330ED.
MULTIPLE DWELLINGS AENTAL UNITS FOA SALE UNITS +t OF UNIT3
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.p 1 SET OF ENERGY
CALCULATIONS
COMMERCI9L
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
_ rM ?-r,?2
To Be Used For: 3-W5Ot' 1adQc-7 Valuat ion: 'k 00 0 Dates 3-,2?-Y/
Site Address 11g71 QICN{};QQ L??v? OF'EICE tT3E OIiLY
Bloek (
Lot
Aj Oceupancy R•3 FEP.4
_
_
Parcel/Sub P/LLCQE..$1 aQ0lT/o? Zoning
Aetual Const
Bldg. Permit
72,80
Allowable Sureharge Z,SD
n
Owner # of stories Plan Aeview
Length ? SAC, City
Address Depth SAC, MWCC
S.F. Total Water Conn
City/Zip Code Footprint S.F. Water Meter
Acet. Deposit
Phone C/ On site sewage_ S/W Permit
On site well S/W Surcharge
Contractor COyoaD MWCC System _ Treatment Pl.
? City water Road Unit
•
Address n)6 /r1,? PRV required Park Ded.
Booster Pump Copies op
City/Zip Code FFICM1467-6*Ji ON/U. S5? _ TOTAL
APPROV9CS
Phone y63 'a Planner _
Couneil
Arch./Engr. Bldg. Off. ? 3/1-}
Varianee
Address
City/Zip Code
Phone #
NOTE: Sewer & Water Permit feea and aceount depoait fees will be ineluded in the building
permit fee. Processing time for aewer and water permits is two days once a licenaed
plumber haa applied For a permit at City Hall.
A-T-t D z.. -?
?
`1 ?7e...tt .7 c?a
Cess
J 4'? 3
C,r+^^• F . z a b.. ?
?Jr /fIc
.
t f ?
Certifica e or.
Huttner Conatruction
960 Waterford Dr. west ,
Eagan, Mn. 55122 8''/70
DELMAR H. SCHWANZ
LANOSIINVEVOFS tNC
Ap]IrM UM? lA'YS 01 iM \fA1P M M1?IIA I
IA750 SOUTM R06ERT TRAIL NOSEMOUNT. YIMNF90TA 55086 M40NE {11 422-1788
t-? ?N n ??q z9SUpYEY011'S CERTIFICATE i
? ?.
?Y Sp9_ ;
?? 1 q !
i ? ? ? • ???a~ qq3v f 1:
? a. o ?? / sc y i
?
,?qq Fg
D„?0 y?' ? •c ( Q - ,
Da
N
tl
?
i
?D
OPA^ < ? ? . ? \ .
r?r."ce
J 9d7.4 / ?0 0 ?
>a+ zaa,v
SCALE:
1 inch = 30 !'eet
Drainage & uti2lty Elevationa snown
eaaement are existing
o Denotes iron pipe
Sp1- Sz-
Propoaed garage floor elevation
I hereby certiPy that this le a true and correct representation of
Lot 11, Hlock 1, AILLCRFST ADDITION, according to the recorded plat
thereoP, Dakota County, Minnesota.
Aleo ahowing the location oP a proposed house ae staked tnereon.
Dated: February 28, 1985
R
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F^ l: ?
'
:. .
,
MINNESOTA FiEGISTRATION NO 8625
i
0' *
358 • +
37•5+
179 • +
525, +
500• +
63 • +
280 • +
132 • +
2r074•5*
,
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS 14UST BE LICENSED WITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCUL ATIONS
?
To Be Used For: 2sy/j?Valuation: -75iC7pp. ec
-
Date: 3-6-?5-
Site Addrel.? d? OFFZCE USE DNLY
Lot: l? Blo ck 1 Sect/Sub 4_ ICreSf
? Erect X Occupancy
Remodel _ Zoning Q-I
Parcel 0 Repair Type of Cons t SC
Enlarge I! of Stories
Owner Move Length 150
_
Demolish
? Depth GO
Address Grade Sq Ft
City/Zip Code ------------ ---------------- -------
Phone APPROVALS
a
Contractor W /
'LK klt W 4,1- CAust Assessments Permit
Address ?60 ??1
WaYe'(4G9-? 'a, it), Water/Sewer
Police Surcharge
Plan Review
Fire SAC rjZS,
City/Zip Code Engr Water Conn
,/
`
S? pr?
?
3 Planner Water Meter (o3"?D
Phone
i D00
. Council? .? Road Unit
Bldg Off
?fT T Parks
Arch./Engr. '
APC Treatment P1
Variance
Address _ TOTAL
City/2ip Code
Phone !i
2i?n 4? '?' I I?cox 54 `` ? 458?
?ox ? = go ?4f ? 3Z?o
Z?-xZZ ? S2? x I? - S??v
2? ? a { ?0(1 6
?
???35
_i
' Certificate for:
Huttner Cona,truction
960 Waterford Dr. West
Eagan, Mn. 55122
DELMAR H. SCHWANZ
UHD SUAVEVpac iNC
, Rp1111p? Un111 Laws oi ine GdIP nl WPne1O1a
14750 SOUTM ROBERT TRAIt ROSEMOUNT, MINNESOTA 5506!
g,t . s4/7o
PMONE 617 422-1789
?„Fy ,ya4.
*?Iq,3 Q D n,,4 ?
?
?A •
?T
M
Z9SURVEYON'S CERTIfICATE
4'fo4 SB?- 2?- oq E
99a.o ??
_ p? ? ? SR+M
? I
1 YA? $foN
-- ?
Sf F ??T? \pi
?.l Q
a ? h
C
I
\ •?
J
,,M3 p
?
N
?
\
?
( SCALE:
p 1 inch = 30 feet
N Elevationa shown
? are existing
o Denotes iron pipe
10 ? Drainage & utility
l ? eaaement
9JkA
/40. Oo
qBk•i
S1'9- Sz' S/u/ c
Proposed garage floor elevation
I hereby certify that this ia a true and correct representation of
Lot 11, Hlock 1, HILLCRF.ST ADDITION, according to the recorded plat
thereof, Dakota County, Minnesota.
Also showing the location of a proposed house ae staked thereon.
Dated: February 28, 1985
MINNESOiA REGISTRATION NO 8625
4 (Fom Devclopcd by chc S[ate of ?sinnesota 'ouil(ling Godc U1visioii)
? . TD EE SU9`fI'ITiD IJIIIi IIUILDII7C PER?fIT A3'PLICATI0:1
J• .. ' ' .
? EICTEP.IOR E:JVF.LOPE AVERACE "U" CO:tPUTATION '
SITE ADDRESS: 4? 7e
Total exposed wall area calculationa:
h KI
? #wwE'f (_?5 DATE: .j-?-0S P1tONE: 5SL-3o9S'-
•, Determine vorking square footage of each
1. Total exposed sra12 area......... z 3 SO sq.ft.
>
..2. Total roof/ceiling area..,.......^ l300 sq.ft.
S.
?
x
Total ezposed wall area abwe floor
....... ..... ....••2
a. Total wall vindov area ..............
b:' Total door area.................. ....... ......•-_•.,..
C. Total sliding glass door area ..:.................... /-22)
d. Tota2 fireplace wall area........................... --?
e. Total irall framing area (average 1DZ)........:...,.. 2z.
fs Tota2 net r+all area above floor ................... /147 5r
g. Total rin joist area.............:.................: ZSC? _
r
Total expoaed foundation area ? .-1J o
???????• ''.: .
tl• Fotal £oundation vindov 8IC8.................
i: Total ne[_foundation area above grade...............6 / d
Determine "U" value of each wall segment .
' a. Z..I O g
evol. ?
• , b, 3L? X ,?,.
• ?. /Lc x flUte ?.Ss . 6'G..o.a
d X
. uun - ? ` -
. e. :Zzy x „V
• . f. 1m 8 X .,Ull
.. . . $. IJ? R uuu
R plUto - ? -
' . i. J I n X "U»
3.
roraz
If item 03 is the same ae, or lesa than item 91, you havn met the intent of
A • •,
. 4. Total ex,osed roof/cciling calculations:
Total e;cposed roof/ceiliag area ? /3 0 0=
j.-Total skylight area ................................... -
k. Total roof/ceiling framing area (averap,e 107.)......... '1 3 0
?
2. Tatal net insulated zoof/eeiling area ..... .......... :; / f70,
Deteimine "U" value'for each roof/ceiling segaent
i ? , . ? ? :?.., . - _ . . • X nQn . , ? .. ? n ? .
.
k. x .,U.,
.,. 1 , 11 7C1 '? . . R flU..
.
?
4. - 'TOiAL Q . «
If total of 04 is-the same as, or•less than 112, you have net the intent ".
of SBC 6006(c)1.. '
Alternate Building Envelope Design
. ,'?. . • ? .. " ' ' • ' ' • .
To utilize the total envelope.system method, the values establisl?ed by - '• .
the sum of items 03 and d4 shall not be greater than the.swa.of items @2
and 02. • .
1. + 2. ?
3. - +4. ' . '
C S R T I F I C A T I O H
I here6y certifq that I have caleulated the "U" factors and R.valuea .
herein and that the building hera deseribed meets oi exceeda the Siate of
Minnesota Enezgy Conservation Act. .
(Sigriature)
. (Date) '
.?
7? .
.
j•
FRT.t:E 14ALL
Constnictinn R-Valuc
: `( '-- ? l l. • . -t ? •
1. IlDtcr io aiz film 0.6U
Z.
??
??
-1 ,Oo
3, ; i.nches soft knnci
? .'??'
4. ;1 :rs;??.!
'`? • 2,0
5.
6. Exter3or air film a 0.17
. TOtal
l. Inicrior air film 0.6Q
2.
3. i%`Id{jvL . 15.00
'-
9.
5. ??'j2
i Oln L_ .
G)(,p.
I0OS
6. Ext•erior aiY filn 4. I-L
Towl I 'Z { . 9 ( ` •
u=., D?... .
?
1. -T tcrior aii film 0.68.
z. ?' 3s,? 1 9, vo
3. j!L'" S67F1(,,k00t0
A. "/2L S ?..;..G '2j0/j
5. ?f ?71+?1(= 1,95
6. Exterior air film 0.17
• Total 7d,3a
1. interior air film O.
GB
2. ^
/
' 3. 1 r'-??Gt
4.
5. '
• G. Exterior air film 0.17
'Pota1, . ? ;
• 'J? ,14
si,ns o•a crauM
?IG. 93
. • p ?
. • u . ? . ,ri •
. •? ? • :
P ? • ' •! • . - b '
e . , . . , .
??. ;f°r „ :` , ' .•' . . . - -
???: ^? ? • •
./[1 •• . . /?/ '
FIG. 64 ffl d, '• O '.^
= \ ?
`c k • 5,
NOTB: 2ndicatc t•ypo, "F," valun# dapth and
. placenent of insulattrni. .
. . wnLV
l7b7'L•': c 10'.. of yu^ K;JII arci f o r
, Yrumc con::trucciun
• + . ?
R001'/CEILII7G
. .
r;
vnrr
?
t'eate3 t
FIG. $5
L'eae flac:
up
lieat f2ov up
, . ', F a_#6
Coristr.uction R-Valuc
1, Interior ai.r film 0.61
2. " uA?L
s. i8`, PLidwn• INQ)?-. T, . F>
4, T:xtcrior nir film (still) O.dI
- ?rocal K- ?`?. G1
? . • U,,,02
??}?/2` 15wwn+ ?NS?C. 3fo: 0
1. Intcrior air film 0.62
2. f ! •>' .
3. LOF1L•UJ/] i S
-
4. Er.terior air • film still) Cl. 61
Total i?= y2 , O Z
. .
z. . O Z
„ J
?.. InRic1c_ air fi].m 0.61
2. -
3.
9. .
5. Dutsicle air film .0.17
Total
. • • ?.
Not•c: ll::c additional e:licets if morc: sraco i
needed for details aiid calculat•ions.
. vented•
r NVll?Y1:{1lLi/ . ? .
?? ? ? • {1CQt •
• , flov up '
.
PTr,. ?07
i ..
'?. . .I
CITY OF EAGAN 2/84
AP°LICATION EOR PERMIT
SEWER AND/OR WATER CONNECTION
-
? (PGEASE.-PRINT)
1)
PF.OP= ACDRFSS:
r..EcAr. DESC-7117rzc:r: _ o ? 7 /r:r%?!
(Lot/Blocjc/bubclvision or Tati rarcel I.D. ilumer)
S'I".?=RE, DAZ:.' 0F OR?Gi^.IAL -i;Ii.DZ`:G ZSSu?tiG.:
`- _?r_ ? •% ?
P._SL.'?' L'S: m'R-'GIZ rP_^=Y
? R-2 DUPL`'; (?'.':O LT:ITS)
C7 2 3 TG.^.I?F1cE ('I= + li^]ITS) ( WI'^S)
[7 ic-4 Ai?n'I"TM?]T/CC_TJCi-S]IL?I ( L:NI?S)
? CCLlMERC:.U/RE:ATI?OFFICc
[j E1'CUS'iRIAI,
Q L`7STI;L'PIOJ]AL/G^V??ZNR+.&?z'T
2) APnj,-yC_.T (PL
EFSE PRINi),,
NAt•tE: /
','.I?i
ACDRFSS: ?
CI'I":, ST'-'T£, ZIP:
PHONE:
?
*'
j) pLj7.!BE,? T* IIIPLEASE PNlNT)
?' ' ? FOR CITY pSE ONLY
,
LY'Li
l`4: (
PDCRESS:
??:r.c, uU,L
1
? ?/ Plll. ERS LICE9SE:
,
CITYr STATE. 2IP: .
.,
, Active
Expired
PHOiVE:
?i PLUMBER LICENSE N Not of Recard
arr tnitia
lL:;u?PN'1'/C?vi1II2 c? NAf'E: lrLcHnc rnui1)
ADDRESS: - .?
CI?"!. STATE, ZIP:
PH0:4E:
5} IZpIG,TE ;VHICH PF.RMIT IS BEIhC REQUESTID;
? QO.INECPION 'IO CZTY SETr7ER
CON.'VFZ:SION 'IC) CITY WATER
? G'iTM'R (PI.rl1SE DESCRIIIE)
o) i;:uic.-,.i: (.';::::
7) SIG7,'ILcv,: \
? PZ: aSE f?OID APPP,WfD pgZMZT FOR PICi:-L'c SY QPIE OF AE(ZJE
Q PLFASE :•*'?IL APPRWED PEP,AIT TrJ 4?2 1? 3. 4 ABC7VE
(Circle one)
DATE: -w? '
? ? i
? R olalaR?r?.s i? r a ??:aara ae ? rs raa:aa +s r ua ?? ara:? a at ?.e uc?a?!s?i!?i+e m? aa s???saa? ?
- . q? , __. • ..
F 0 R C 2 T Y U S E O N L Y
PEP.MIT °- ISSL'ED
$ /?. 0
T
$
$
S
$
$ !?1-d
$
$
$
$
$
$
? ? ?? •r-?
$
CF•.:?? Dr m ?r 7`C. r...
• ??'?Ti ?I_1?:.'?L? JL 1.:C.L?
W/>--TLP, PEF2P'[I'I` (Ii.CiuDE SiiRC°ARGE)
WATER METER/COPPERHORN/OUTSIDE REAGcR
WAT°.°. TAP (INCLUDE CORPORATIODI STOP )
S:'.'7E4 T.AP
Ac^ouvT nvPOSZT - wamER
W:,C
SPC
T3GVK SVATER ASS^cSSi4E:IT
TRuz:{ SESdER ?SSESS:iE:iT
LA;E:3:,L BENEFIT/TRUVK SE?':ER
LATERAL SENEFIT/TRUNK TVATER
aT:IER '
TOTAL
AilOL'.:T PAI'J; RECEIPT i'r S G i?o?
D07-S UTILITY CONYECTION REQUIRE EXCnVATION IN PUBLIC RIGHT OF WAY?
YES ZF YES, THEN I; "PERMIT FOR 'AORK WITHIN
? PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGINEERING DIVZSZON. LIST AS A CONDI-
TION.
SliBJECT TO THE FOLLOWING CONDITIONS:
APPROVED SY: c?51s?
TI:Lc:??.e
?
DATE : -5/_ 2 - r
.. :.i.
Hoe EhrinecTinp
P. r. Hox 255 Shskcpae,
+h?innonota 55379
Telephone s (612) 44ti - 3?P2
March 1 5, 1Q85
"Rr, Flilliem Huttnor
460 t+aterford Dr. !*.
Eagan, rtinnosota 55122
RE: 3oi1 Tests on Lot 11, Hlock 1, Hillcrest Addit<.on, 1)e1rota Coun+p, "r.
Dear Sir s
On the zaorning of '•'nrch 11, 39F57 I insroc*•ed the Lotton o° +.ha Pxr?rvn+.ion
of the poor solla on the above? aito. All of the pooT aoila }1nd been resovrc;
doun to the reddish broim fine to Qery sand which is fir*i:
Thi3 same typo sand f`rem the lot9 to the north was usod as f;l' 4'or +hiq
Jot, The sand xes Flaced in loyers and cornrs+eted ai}h n v:hrs++inP amen*.h
compactor. 'he maximun depths of fiil are frori 4 to 6 fePt,
Qn *?arch 12, 1cP5, I made FSee ir,-plnce denatty ±o„+,s ir thn eomnac+ed *{''+.
All of the teots indicete that +.ho fill ia corTaete3 to moi!e th8n 04 oof'
the nodifiad Proctor donaity and ahould be ab7.e to suppor± the fon*fnrP opry
wella It io con3idered good prect3so to re?.nforco t3^e footixipa with 1 $4 or
#5 re-liare contiaurnxsly around the pcritr.eter oP the bui.lrling.
On a sloping lot, 3t is impor+ent to drain the surface %rater xF.ry f'rom +he
house and not towarda it.
Atteehed nra tho results of the in-nlace denni+.y +,este, the plsn of tho?r
location, And the modified Proetor densitp curve thet was mede for the f111
soil.
Sincerelp,
t?illiem A. Boe P.F. ( 14inne3ota RogS.atretion f:o. 6504 )
. ;:?.
7Op org cu2b
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TN
a
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t2rsUI-rs or- Sv4- eLe,??, 'Cr1SVT?{ '`?iSSS
Tf,*sr oATC C!Lr_Vstr1oW MojsTUCa
CoHTdrar DCZY
DENStrf
r.6s. CJ.ar, Moo,Fi,ea
Peocroe-
0dnrs)r*( PE(-C.rwr
MonIF19a
Paocror2. CoHHGu(`$
l7l 3/1zlaS 9.b(o B.G6Y• . l!G•31 II-4Pc-r 96.7 eX, VaRy Good
-II2 3f/z?b? 98(o 7.7a9'e //s.4'C• 11-4 lo%boy, „ rr
^
p3 '-'?v/8?' . 586 R.2a% /4+8>t8' : ??.+? 9.I•9oYo ?? ?
-rJ14 3?i/BS .9,9 a :. J.BL% W• 3! 114 97.6-f '(.
d.s 3??z,lds. 990 8e47°h I1 '4 :3n ?(,e+ /Go.26°!y 1/iticy I,/ooc?
T
THC {N-PLAC%3 OC.NS11Y TiZSfS Wk?t?4 M/a0? \,4.)tT1+ T&1M
SAND CO!}S /?CCO???NG TO ASTN STANOA?.D Q?'?Jyx
130 E FNG:tS.:.;'_RihlG tk 154sP)
.:?M?? ,???.'j.?R fHy, 4?i. ?•.:5?? ?
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. ?---- - ---?--rl^'4_6! ?LA.7?,v sAA-
- ? . SI£VE AMALYSIS
' ' . "RETAIPdED ON NC}. e SIEYE --- /.Gh% ' - '
. . - . . r N M 40
n -...-_ ?•'4.} °•' ' - ? " _ . . -
r
70 . ° ----- Mll
200 " . --- ?t:?l;•? %
PassiN o .a NO. ?uas?E'V E
`+?dO't E YHF dfltiDiFiELI P'fi4GT?E3R D?lVSj'C'Y :7•EST b.AS 'r?tdlp? Ll?i7?? A.
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********?***************?**************
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 672
DATE: 09/01/00 TIME: 10:23:56
ID:
NAME: SELA ROOFING & REMODELING
3210 9001 487 RICHARD LN 139.25
2155 9001 487 RICHARD LN 3.50
N 4
Total Receipt Amount: 142.75
CR136801
USER ID: JAN
?
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
851-681-4875
y 9 regiafered sMe wneya ahowlnp sq. M, of bi, aq fl. Of house
and gg roo(etl areaa (20% mmclmum lot coveraae allowed)
> 2 copiea of plons (stww beam d wlndaw atzea; poured fnd. deaign; etcJ
> 1 sef of eneryy calcuicNOns
> 3 coples ol free preaervatlon plan If IW platfad after 7/1/93
DATE: C( - I -G O
N2. ??
2 copies W Plan
I se? a energr cmculcn«,s ror neatea aaamona
1 aite survey tor exfedor addlflons 8 decks
?
CONSTRUCTION COST: Gq6O
DESCRIPTION OF WOItK: Tt&P ogfer&*4 Wov5e SGYt QarCh ,441ae)ie-d $arajC
5TREET ADDRESS: ???5 ?S ?C?1?1,?? ?L• ?'1,•
LOT: BLOCK: ? SUBD./P.I.D. M: HIIICI'2C t
Name: 4,s t MwS Phone 41: 47 41A 77.
PROPERTIf Lcm1 flrst
OWNER ??I??qrC(
Sheet Address: 4ISI',74 L.n.
city F-gwr'. stare: Wyn zho: 6S122,
SELA ROOFING & REMODELING, INQ.
. Company.
ST. LOUIS PARK, MN 55416
COMRACTOR ID #0001060
Sheet Address:
Cify
Stafe:
ARCHITECT/ Name:
ENGINEER Company:
Telephone A: (
Street Address: Regishafbn q:
city
State:
Sewer/water Iicensed plumber (if installina sewerMrater): Phone #:
Zip:
ZiP:
I hereby acknowl Ihat 1 have read this applkafion, s?ats thaf Ihe intomwHon is correcf, a a ee to compty wNh a9 appOcable State
of Minnesota S s and Ciy of Eagan Ordinances.
. , ?
Signafure of ApplieanY.
OFFICE USE ONLY
Phone #: C! Sra - 49,23 ' srOi,14
(area code)
License # 1090 Exp.YharC?J /
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Faundatian ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 03 01 of
plex ? 09 07-plex 0 18 Deck ? 23 PorCh (screened)
? 04 _
02-plex a 10 08-pleat ? 19 Lower Levei ? 24 Storm Damage
? OS 03-plex ? 11 10-plex Plbg _Y or_ N ? 25 Miscellaneous
? 06 04-plex O 72 12-plex ? 20 Pool O 30 Accessory Bidg•
WORK TYPE
? 31 New. .Q ..36 Moye Bldg.: ? 43 Reroof . . .
? 32 Addition ? 37 DemolisFi (Bldg)' ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
" Give PCA handout to applicant for dertiofltion permit
GENERAL INFORMATION
SAC Code # of Stories sq. ft.
.
No. of Units` Length •-• S4• ,ft•:
No. of Buildings Width Footprint sq. ft.
Const. (Actuai) Basement sq. ft. Census Code
(Allowable) Main Ievet sq. ft. MC/ES System
UBC Occupancy sq. ft. City Water
Zoning '' sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOIlS INSPECTI,ONS
? Stucco/Stone
APPROVALS
Planning Building
Engineering
Variance
? 31 Ext Alt - Multi
? 33 Ext. Alt - SF
p 36 Muki
Permit Fee
Surcharge
Plan Review
License
MC/E5 SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SIW Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
ToWI:
Valuation: $
SAC Units
Mo SAC
L? BL I CITY USE ONLY
SUBD. ? p I I LYaI
RECEIPT#: ! 3'"?
RECEIPT DATE:
PERMIT# ).
2000 PLUMBING PERMIT (RESIDENTIAI,)
CITY OF EAGAN
3830 PILOT IQd08 RD
EAGAN, IAT 55122
651-681-4675
Please complete for: D single family dwellings
? townhomes and condos when pertnits are required for each unit
? backflow preventerfarunderground sprinklersystem
FIXTURES
EACH #
TOTAL
Alterations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
GeS pipln OUtIZt " minimum-1 3.00 X = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
Lavatory 3.00 x = $
Septic System newlrefurbished • reyuires Mac iic. 75.00 x = $
Septic System abandonment 30.00 x = $
RP2 new installatioNrepairlrebuild 30.00 X = $
Rough opening 1.50 x = $
Shower 3.00 x = $
Underground sprinkler rfdwelling is underconstruction 3.00 x = $
Underground sprinkler if existing dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener If dwelling under consWCtlon 5.00 x = $
Water softener if exisHng dwelling 30.00 x = $
Water turnaround 30.00 x $
State Surchar e .50 -> -> -> $ .50
Total $
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
-----------•-------------•---------------------------------------------•-• •---------------------------------------------------•---.....----
1 hereby adcnowledge that I have ?ead Mis applicetion, state that the information is corted, and agree to compy widi all appliceble City of Eagan ordinanoes.
k is the appliwnPs responsibilky to notity the pmperty owner that the Ciry of Eagen assumes no liability for any demages caused by the Ciry tluring its
nortnal operational and malntenance activ@fes to the facilities eonshuded under this permR wkhin City property/right-of-wayleaseme?nts
SITE ADDRESS: /'?7,15
OWNER NAME: :
TELEPHONE
.53%ZZ
- ?lZ72_
(AREA CODE)
INSTALLER NAME: TELEPHONE 7
(2? oDE)J. .)
STREET ADDRESS: S
CITY: /G" 7?G?U ? ST E: ? P: / ??
SIGNATURE OF PER EE
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City of Eagan
PERMIT
Permit Type: Building
Permit Number: EA106615
itDate Issued: 08/30/2012
of jjft Permit
Site Address: 4878 Richard Lane
Lot: 11 Block: 1
PID: 10-32975-01-110
Use:
Addition: Hillcrest
Description:
Sub Type: e-Windows/Doors Construction Type:
Work Type: Replace
Description:
Census Code: 434 - Occupancy:
Zoning:
Square Feet: 0
Comments: Perry Firkus
2650 Minnehaha Avenue
Minneapolis, MN 55406
612-276-1680
Fee Summary:
Valuation: 500.00
BL - Base Fee $500
Surcharge - Based on Valuation $500
$40.00
$0.50
0801.4085
9001.2195
Total: $40.50
Contractor:
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
- Applicant -
Owner:
Dennis W Blager
4878 Richard Lane
Eagan MN 55122
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.
Applicant/Permitee: Signature
Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA109913
Date Issued:04/15/2013
Permit Category:ePermit
Site Address: 4878 Richard Lane
Lot:11 Block: 1 Addition: Hillcrest
PID:10-32975-01-110
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, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Dennis W Blager
4878 Richard Lane
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA110737
Date Issued:05/24/2013
Permit Category:ePermit
Site Address: 4878 Richard Lane
Lot:11 Block: 1 Addition: Hillcrest
PID:10-32975-01-110
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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, call for framing
inspection. Call for final inspection after installation.
Window or Door:REPLACE PATIO DOOR
Perry Firkus
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Dennis W Blager
4878 Richard Lane
Eagan MN 55122
(651) 454-4272
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115838
Date Issued:09/30/2013
Permit Category:ePermit
Site Address: 4878 Richard Lane
Lot:11 Block: 1 Addition: Hillcrest
PID:10-32975-01-110
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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, call for framing
inspection. Call for final inspection after installation.
Window or Door:Replace 1 window within existing opening.
Kara Benson
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Dennis W Blager
4878 Richard Lane
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA136838
Date Issued:06/02/2016
Permit Category:ePermit
Site Address: 4878 Richard Lane
Lot:11 Block: 1 Addition: Hillcrest
PID:10-32975-01-110
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 -
Dennis W Blager
4878 Richard Lane
Eagan MN 55122
(651) 454-4272
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA161441
Date Issued:05/27/2020
Permit Category:ePermit
Site Address: 4878 Richard Lane
Lot:11 Block: 1 Addition: Hillcrest
PID:10-32975-01-110
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater & 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 -
Stephen Lynch
4878 Richard Lane
Eagan MN 55122
(612) 388-3532
One Hour Heating & Air
11825 Point Douglas Rd S
Hastings MN 55033
(651) 437-4177
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163258
Date Issued:08/25/2020
Permit Category:ePermit
Site Address: 4878 Richard Lane
Lot:11 Block: 1 Addition: Hillcrest
PID:10-32975-01-110
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Stephen Lynch
4878 Richard Lane
Eagan MN 55122
(303) 638-3616
Legacy Restoration Llc
15350 25th Ave N, Suite 114
Plymouth MN 55447
(763) 354-7660
Applicant/Permitee: Signature Issued By: Signature