4800 Shevlin Ct • ~ . ' ' ~ ~ :,d: ` T~
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CITY Or EAGAN SEINER SERVICE PERMIT '
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.: %y~~
Eagan, MN 55121 DATE• C-~?-~? ~
~1
ZO~~~' No. of Units: ~
Avner: _ TolI.ef'so~ Tsldrs
llddress:
Site Addreu: ~+8Q0 Shev~in Ct I,].:a 31 :-iritta.rv ut~~
Piumber: _ vei12 Ryt].t~
:1-35-:.3 3E;~+~s1 I00.00 pa
I a~re~ to compt~r wi!!~ lf~s Ci~'q ef Eaea~ Connection Charpe: 1~~ ;_.~~1
Ordlnaneas. /ltouunt Oeposii:
' Permit Fee: - 1 i"i _ fl(]
, Surchalge: _
S{,_~_ i
BY Mtsc. C~orges: ~
Date of Insp.: Total:
Insp.: Dote Poid:
i
crrY ~,C
P
e'~30 ~~lot Knob N
Eag
nBoM~ ~ 199 RQad
~ 551z~ war~R S~R~f~E
Zon~~ :
~ ~Z PERMrT No.: pE~~ ~
~wner. ~ ~ :
~
~ Dqr~:
S~~' ~sa$ d1•~ No. of Unlts; _d ,
Address: ~ ~
plwnber:
G~;~x R j Ct
Meter Na :
Size: 8t~ 0~,j ~ri ttr~ ~t2~ j
R~der A~o.: Co~ ~
~l ~ ~ C~Y oF e`°°~~D~e~Qtge: ~;;p. d ,
$y Ser^chorge,e. I~J.O~
Dote a f Ml~`~ ~~roe5: 6 Ad ,
~nsn.: 7'oro~: ' d meter
- _ _ _ _ ~ate Poid:
Insp.. ~
- ~
~ . CITY OF EAGAN q
, 8795 Pil~! Keab Rood Eayon, MN SS122 ~.1_ 4(.~
' - PHONEs ~IS4.8100
BUILDING PERMIT Receipt ~t _ _ '
Te b~ w~d he SF DWG/GAR Est. Value $52,000 Dare Jur.e 14 ~9~~
Site Addmss 4:yc)(} Shevlin Court Erect it-3
}Q O~c~aancr
Lot 1U B?ock 1 Sec/S~barittany 4th ,~~ter ? Za,~r,9 R-1
parcel # 10 15003 100 O1 Repoir p Fire Zone ~A
Enlorpe ? Type of Const. V
W Name Tol.l~f san Builders . Inc . Mave p # sroriss
~ ~ro~ 1655 Norwood Drive Demolish p Len h._43_
9t
Ci Phone 4546873 Grode ? Depth~_Sq. Ft.
g Owner ApPro.als Fsei
Nome
Address Assessment Permit 2Fi9. QO
~ Cit p~e Woter 8 Sew. Surcherye 26. t70
Police Plon check 144.50
~W Nome Fin SAC- 525.On
Addrou Eny. Water Conn. ~~Q...
~W C~ p~~ Plonner Water Meter 60. 00
Countfl Rood Unit 25~ . ~0
I hereby acknowledge that I how read this applicotion ond stote that g~dp. Off.
rhe information is correct and ogree to comply with oll opplicoble APC Total 51744. 50
State of Minnesota Stotutes and City of Eogan Ordinonces.
Sipnoture of Permittes
A Building Permit Is issued to: Tollefeor. Builders, InC. ~ ma expreas co~ditlon tFx~~
all work shall be done in occordarxe with ell ,opplicabla Stote of Minnesota Statutes end City of Ea9an Ordinonces.
~
8uildi~p Official ~ ~ ~ ~ ,
Permit No. Pe~mit Holder Misc. Permit No. Holder
Plumbin9 35 2j ~j E J1 Z~ I'~ ~-ZZ"O-~
H.V.A.C. 3 D~l ~ / . i ~ Q ~ ~ ` ~1~
Wall
Water
Disp.
Sawer
e~.~ ~rt 3~~ tE ~~~a ~ 7-I S g3
Inspection Dats Insp. Other
Footin~ f -$'3 D~
Fou~detion
Frsmi~p 7 ~ ~
Rouph Plbp. , y ~
Rough HVA
Inwlation
Final Plb~ ¢•ZS ~JL/
Final HVAC . ~
Final ~
W~? Dewi6e Location:
YVell ~
S~vwr
Pr. Dirp. ~
~A~a ~ . ~ $.i6Ti.~--~~~ ~aY~ ~'A~..s*.~ ~~'~'s
~ v,~ i- ~ ~ ~H<. 1 '~~'~,"~'i"~,`~~ ~~.~''~'F-~~~~-.~ ~ :
~„is'. ~r2% , ~ °d~~ ~':,a~y "`~~r~' ~'vm ~ "~1~
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v` ~
~~~~:;.\~Gl1 1 ilTa1~~.`'..~'3~+S11.!°-' ~ lt11_x,'`[#~'~.~s51d~~3g?+~~~cdUt~la",~~v'4'l'~~111.,:i.~~~~t5 4f~'~-h~tYu`~+~a~~s~'/'~T
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r Fa ~
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~ r ~Citp af ~agan ~ i
r~~ ~
~~~ttr#m~nf nf ~uii~ing ~n,~~rr#imc a` ~
`a:'' This Carti unte iJtued ursuant to thc se ui~ement.r o Section 306 o thc Urii orm Buildia 1':~ '
~4~°.;~ f ? 9 f f t S •
,
~ ° ~ ' ° ~ `
Codr eati fying t hat at t f
x tima o f ittuanct t his ttructurt was in tomp lianct wit h t ht various ~
'F ordinancct o tht Cit rt ulatin buildin con.rt~uction or u.rc. For tbr ollou7n
, f r % 8 g f x~ ,-R¢ :
~'~~~~±j SF DWG/GAA 8142 ~,~~a~~`~~~
U~e Cludticatim ~ 8ldg. Permi~ No. I,~' ,~g~
Ot4~/ T 7y CooatNCljoA V FlnZonn NA ZoningDislricl ,'t'~~:~ ~iy~
WxY YP~ P
"~`~-F~; o,,,,~,~~~,,,` Tollefson Builders ~aa~1655 Norwood Dr. , Eagan ~;'s~ ~
~ .
} ~~~~~4800 Shevlin Court L~,~;tyLot lO,Block 1,Brittany 4th
~
~~I ~ ~ ~ ;
~`~~k~~~,;i ~ ' ' ~ September 19, 1983 '~C'
r~ ~s; e~aa~orsr;~ , i nua: .
, ~ ~
a G'~,.1 'M v.~b
~ ~~q~~4~1. ~WT IN A CON{?ICVWf /U [ _ _ i _ _ - 5~~~~
~ ~ ls ' t ~ ' _ _r - ` " " . . i._ 1
a~
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',~,v''' R t,~C~~,~~}~~~~~'" d~`yf~,~,'PaIJY~°."ld.y~ il ~,7CA 9~4 ~/d~. +p9Ay rftll i s
~_,~w°t~~ 9~i"~~~~" '~P . _ ` .-"~.7~.~.~~0.'i~~~•r~'~y~~M!~~'qg~.~^''~',~
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O.:c<s . _ ' . - . i
Receipt -'`l ' MECHANICAL PERMIT Permit No. ~
CITY OF EAGAN
I ~ F~ r .
~ Fill in numbered spaces S/C
Type or Prini legib/y Tot. '
1. Date 2. Instailation Cost
3. Job Address ~ 1~~~ ~ --~f °"'`?to
V /oBlk. ~ Tract ` ~
4. Owner .~-.:f~ , . . ~';t;^ ~
5. Contractor ~..a:. --,.w~ c__ Phone ` ~
6. Address ' ` f~'~ • ~ ~
7. City Vr~.*---~,-.,..._~ State Zip ,
~ 8. Building Type: Residential C.3 Commercial ? Institutional ?
9. Work Description: New {3 Add ? Alter ? Repair ?
10. Describe Fuel Type
11. No. Eauioment BTU - M. Ea. No. Equipment CFM
' Forced Air ~ y,,,- Air Handling:
Mfg.
Boilers Mech. Exhaust
Mfg.
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. ~ here6y certify that the above information is true and correct, and I agree to
comply with all ordinances and codBs
governing this type of work.
Signed : - ' ' for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-6100
- . _
Receipt ~ PLUMBING PERMIT Permit No. ~
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Print legibty F- ~
Tot. " '
1. Date 2. Installation Cost
~
c,•~l , . ~ ~ ' , • , : ;
3. Job Address Lot Blk. ; Tract ~
~ . ,
4. Owner r ~ e,
.
5. Contractor ' 7 ; Phone ? ; ; '
6. Address i' 1 ~ f ~ f- 1z_ 1
-
7. City, C'i ti.~~?~ i J State //ti 2ip , C
8. Building Type: Residential Commercial O Institutional ?
9. Work Description: New Add ~ Alter ? Repair ?
10. Describe
11. No. Fixtures No. Fixtures
Water Closet Cesspool/Drainfield
Bath tubs Septic Tank
" Lavatory Softner
Shower Well
~ Kitchen 5ink
Urinal/Bidet Other
~ Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for -
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN Remarks
Addition BRITTANY 4TH ADDN ~ot 10 a~k 1 pa~~~ 10-15003-100-01
Owner 5treet 4800 SHEVLIAi COURT State EAGAN I~4d 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUFiF. 19$2 452.94 90. 59 5
STREET RESTOR.
GRADING 1981 23.83.. 1.59 15 19.0$ A013002 10-14-83
SAN SEW TRUNK 3 1976 173. 90 11. 59 15 1 18 AQ1300 10-14-83
* SEWER LATERAL 1981 245.32 1(.42 j5
Sewer Lateral trk 1983 133.33 8.89 15 ~ " "
WATERMAIN gyS 1983 629.29 . 62.93 10
* WATEFLATERAL 1951 iS
WATER AREA 1981 229.95 23.00 1~
STORM SEW TRK g(g 1981 596. 40 39.76 15 477.12 A013002 10-14-83
* STORM SEW LAT 1981 15
CUR6 & GUTTER
SIDEWALK
STREET LIGHT
RCl~D ifi1IT 250.00 36441 6-15-83
WATER CONN. 450. ~0
BUILDING PER. H 2
sAC 525.00 " "
PAR K
s __~;F Az~ _ . ~ . . T y~sy~-
_ PERMI # ` ~
ME~HANICAL PERMIT RECEIPT # ~~t J ~ ;
~
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE ~~1 ~j
CONTRACT PRICE: PHONE: 454-8100
Site Address ~ - , ~ ~ - ' ~ * ~ BLDG. TYPE WORK DESCRIPTION
Lot i ' Block ~ Sec/Sub
~ - T i , Res. ~ New
Muit Add-on
Name ! ; ~ ~ r ~ ~ . ( , Comm. Repair
~o Address ' ` ; ~
c City ~ . ~ I Phone ' _ ~ Other
Name - ' FEES
~ RES. HVAC 0-100 M BTU -$24.00
c Address `5 ~ t~ ADDITIONAL 50 M BTU - g.pp
O C~b - ' Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 196 OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMtJM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
Vent CFM STATE SURCHARGE PER PERMIT - .50
(ADD $.50 5/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
Other R
r i
j ( i c.:
FEE: , r i ~
S/C: SIGN E
TOTAL: ~
FOR: CITY OF EAGAN
, CASH RECEIPT
CITY ~F EAGAN
3795 PILOT KNOB ROAO
EAGAN, MINNESOTA 55122
DATE 18
RECENHD
FROM
AMOUNT $ I
& DOLLARS
~oo
~ CASH ? CHECK
FOR
FUNb CODE AtAOUNT
k You
BY
White-Payers Copy
_ Yellow-Posting Copy
Pink-File Copy
CITY OF EAGAN 1~To 8142
, ~ 9795 PiIW Kaob Rmd Eegun, MN bS12=
PHONlt 454-8100 ~
BUtLDING PERMIT Receipt # 7
Te M awd fer SF DWG/GAR Est. Value $52,000 pa~e June 14 _~q 83
Sita Address 4800 Shevlin Court Erect ~ Occupancy R-3
10 gl«k 1 Sec/SubBrittany 4th A~~e~ ~ Zo~~~ R-1
Porcel # 10 15003 100 Ol Repair ? Fire Zone NA
Enlarpe p Type af Consf. V
c Name Toll€fson Builders, Inc. ~Ve ~ g Sco.~es
~ 1655 Norwood Drive
Address Demolish ? Length 43
C; Eaean 55122 ph~ 4546873 Grode ? Depth 46 Sq. Ft.-
~ Nome Owner ADV~oval~ Faes
0
Addreu Assessment Permit 289.00
Cit Phone WaterB$ew. $urcharge Z6.~~
Police Plan check 144.50
Gw Name Fire SAC 525.00
~ Address Eny. Woter Cann. ~ 5~ -
i W Ci Phone Plcnner Water Meter 60.00
- Caundl Rood Unif 2$~.~0
I hereby ocknowledge thot I have read this application ond sto~e that g~dp. Off.
the inlormofion Is correci ond ugree to comply with oll opplicoble $1744.50
Stote of Minnesoro Stotutes and City of Eogan Ordirances. AP~ Totol .
Sipnature of Pertnittee
A euildina Perm~r is ~ss~,ed ro: Tollefson Bu ders, IriC. ~ the expreas tondition thni
cll work sholl be done in nccordance w~th oll 9PI' nb te of innewta Statutes ond City of Eagnn Ordirwnces.
Buildinp Official ~n~
Thisrequesivoitl~~~g L~p' ~1, i~C•, I~~~~~T~ 37ay .2
18 munths from . C7 `f~}(.~
~g~ ~ y4~ So
Raquest ~a~e'~ Fire No. Rouph-in InsNec~ion
R ireA? ~Reatly Now ill Notify InsDec
~ V Ves ?NU ~or When Ready
Licensed Elec[riwl ConVactor I hereby request inspection ol ebove
Owner electrical work installed at
Street Address, Boa or Rou[e No. ~ L~iV~
tf g a'a ~to-U (.c-rl
ecUOn o. Township Name or No. Range Nn. Cow~ry
TrT
Occv{~' ny (PRI'~T~~ Phone Nu.
"~f CJ
Power
^Sup_plier Adtlress
~ T'
Elec 'cal Contraclor lCompany Namel Convanor's License No.
I
lJ ~~~L?C~.~ -
Mailing ress (CoMractor or Owner akine ~~s~el~@tlon) ~ ` ~
SJ '/~%i{J GQ.lJ
Authorizetl SiBnatur Mrac[or/Owncr Ma~ ing Installa[ion~ Phu/ne-N~`un~~ c~jq
G.c-~lJ ~6 O (
THIS INSPECTION HEQUEST WILL NOT
MINNESOTp STATE BOARD OFELECTHICITY
Gri09s-MiAwey elde. - poom N-197 gE ACCEPTED BY THE STATE 90AN~
UNLESS PNOPEH INSPEGTION FEE IS
1821 UniversitV Ave., St Paul, MN 55'104
e.___ ~a~v~ an~?~n ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION EB-OU001-O4
4'
' See inaquc[ions to~ comple[ing Ihis lorm an beck o~ Vellow copy.
C'~~ ya
" X'""Befo r ~ d by This Request 37a
F.Ad Rep. Type oi BuiltlinB Appliances Wired Equipmen~ Wired
Home Ran~e Temporary Service
DuplFx Water Heater Liyhtiny Fixtures
Apt. BuilAiny Dryer Electric Hc2tin
Commercial Bldg. Furnace Silo Unloader
Industrial Bldy. Air Conditioner Bulk Milk Tank
Fa~m er e~ ther ISncr.ily~
the.r Specity t S Oih~r
Campute lnspeciion fee Below
k Fee ServiceEn~mnceSize k Fen Fenders~Subfeeders K Fea Circaits
U to z00 Am 5 0 to 30 Am s ~ to 30 tam ~s
Abave 200 qmps 37 to 100 Amps ( ~ 31 to 100 A s
Swimming Pool A6ove 100_Amps Above 100_AmPs
Transtormers Irrigation Booms 1 SZ~ Partial.'Other Fee
Signs SUecial Inspection 5
P¢marks ~ ~ OTAL F
~ ~J~
NouBh-in
7 ~r ICAI
~ ~ ~0~~ Inspector, heroby
cartify lhet the above
Final j nspection has been
iV ~%~3~ ~de.
TM5 reouesl voiC 18 monll~s irom ~
~ ~ CITY OF' FAGAN Ir~2ude 2 sets of plans,
~ 2~ 1 site plan w/elevations 6
t H[,III,DING pEI~4'I' APPLICATION 1 Set Of eselgy CalNldtlrns.
~Y C~ct~ ~r ,
'ib He Used Fbr - ~n Valuation ~`„1~ 60 o nate f~~~t7 I ~ I~?~'n~
sir.~ naaress 4~ 5l'IP1~11 ~ ('.~e~,~~L- OFFICE USE ONLY
Iot 1p Blo~c Sec./Sub. ' ri-INra,tl.u'~'~ Erect Occupancy ~p[3
Paroel N: ~ U ~ S ~n 3 joC> O~ Alter ~ Zoning 1
Aepair Fire Zone
Owner: rie~ L~P.~QU~ ~an3e _~YPe of Const.
Address: # Stories
Denolish Fmnt y ft.
CYty~Zip C.ocle; Grade pepth ~a ft.
Ph~ne N:
~ APPfYnTAIB FEES
Contractor: i~~~P t>hVi ~,Ill~fi ;I'~~ ~:I'li/ t
ater% Ewer ! Sur~charge
Raaress: Ib55 i~rr{'~vOGi~', L~t-i~;~i A~1ice Plan C9,~ecx~
City/Zip Q~de: ~(,~,~,/i~~ z~J~7~~ Fire ~ SF+C :S aS
Watpx Conn. ~/S"6
Phone ~I : /~<<~- (?~7~- laru~er ' Water Meter 6 '
Arch./Eng.: ~ Council Poad Unit ~ So ~
Bldg. Off. -2-g~
Address: APC
City/2ip Code:
Phone # : 'i~PAL l~ ~ ~
~
y ybd
~7~~~'
5~
Toliefeoo Buildars Inc. . Oz.1I375
, , _ I83-77A
, JACKSON - 5URVEYORS
' ~i ~ ~ Rco~sT~aao u~ocn uw~ or ~r~rs Or YINN[~OTA ~~JC
.~S! 69' [ L "44' \
- - - / 7c~./! ' ~
. . _ . r ~16 EAST 65~A STpEE~MINNEAPOLIS.MN 65417 ~27-3484 . I ~
~ f
. i ~IiLbCpOT~D ~tC~k[8~t / .
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~ S ,
r. ~ " k~
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~ I ~ti
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'S
~ ~ ~i ~ N 3e Scale: 1"_30' .
. ~ 9 S'°<, - / 9~ 3=lroo
" ~ ' ~e r °3. p~' 000•poExisting Elev, .
! ~ ~1F~r1;'~ ~ ~.-ol}rainage 6 Utility Essemen[
~ S+ ~ =Drataagt
i 9 ~
. 3 . \ r, ~ . S'~'Y
E~ ~ ~ ` X~q, v
n, ' / 4 cP~c4F~sed i,ar~sge P1~oz Elev. I~f3.5~
' N~ 2O fo'~'' Pr~p~sed First Flo~r E2ev. 1D9.5
p' ~ ~ Praposed Basement Flp~r Elev. 101.0
~ t ' / io,
~ o ,
/ c ~
. ~~'G 79
. ~ - I C'x ~ ~~r .
( j : ~JC3:8
~
I NfAEBY C~
~TN~T TH[ ABOYE If A TRU[ ANO CORR[CT PIAT OF A SURY[T OF . -
~ r' ;
~ n~. / ,
„ ~ U Lot LO,dlock t;Brlttany bth. Addttion,
P I ~ Daksts C~uoty,Hinma~t~.
\ / i
~
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. ~
~
T ~
\~V :
( ~
"d ~ t8tn. Jnn. 1983 ~
At iURV[Y[O Y~ M[ TMIf__.-__.-~.~_..5~-OAT OI__._ ~.0. ~t fJ ' ,
Re~i~sed pp~ll~ 25th. 1953 ~ ~ ~
$IOM[ ~ '
I i F. C- JACKSON. MINn[~oT sO1trMTlow, NO. 7600
~
( Y } i
v
~
Cities Di ital ualitv Control
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. _ . _ . . . _ , v..... .
CITY OF EA~;AN
CASHIER: 1S TEFMINAL N0: 007
DATE~ 12/17/33 TIME: 12:47:52
ID:
NAME„ L1ALE H. fiEAK
3210 9001 4800 SHEVLIN CT ic5.~
~iJJ 9001 4800 BHEVLIN CT 3.00
Tot,al Receipt qn,o~ln+,: 128.25
Ck L2~.3S0
llSFR ID. JAN
kc#*~Xc** ~X~Xt~X~~~~~~ A~*~ckc**#*~K%c%~~~*%~~~%#~K~
a~'
J~ ~ u 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~ a~
CITY OF EAGAN
3830 PILOT KNOB RD • 55722
651-681-4675
New ConsWCUon Reauirements RemodeVReoair ReouiremeMt
? 3 repistered sib aurveys ehowing eq. (L of lot sq. R of house 2 eopies of plan
and all roofed areas (20X maslmum lot coveraae albveed) 1 eat of enerpy calculatio~ for heated addNio~
` D 2 coples o1 pians (ehow 6eam 3 window sizes; poured fid. dasign; etc.) 1 sRe survey tor axtedor eddHbns & deeks
D 1 set oi energy wlculations
? 3 copbs ottree preservatlon plan %bt plaCed afler 717193 0~
DATE: ~~L' •RR CONSTRUCTIONCOST;
DESCRIPTION OF WORK: ~Ac~_ ~~c1nN~ `
`,r~7~.•
sr~Erao~~ss: ~'l~d~ S~~;~1 c~ ~~Qa~1 MN ~~~v
LOT: ~ BLOCK: ~ SUBD.IP.I.D. ~I~.. ~~o ~1 ~
Name: ~QAK- PhoneM:~e..,~_C~BI-QS3i
PROPERTY us~ FlRt
OWNER ~y
StreetAddress: W ~1'~e1Jjt ~ ~
City P/3A~ State: f1U~ Zip: '9S 122'
Company~~_~~('~~ Phone
(area code)
CONTRACTOR
StreetAddress: License # Exp.
City State: Zlp:
ARCHITECTI
ENGINEER Company: ~~F~~ Name:
Telephone ( )
Street Address: Registration
City State: Zip:
Sawer 6 vwter Ikensed plum6er fnew consWCtion onivl: Telephone p:
penally applies when addreas change and IM change Is requested once permR ie issued.
ji~areby acknowladge that I have read Ihis applicatlon, state that tlre Information is oo~red, and egree W eompty with a0 applkable Stete of M'innesofa Statutes and Ctt
Qf Eagan Ordinancea. ~
~ Signature of AppitcaM: ~
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dweiling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? OS 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? ~9 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft. No. of Bldgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPRaVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
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 I
°h SAC
1999 BUILDINC PERMIT APPLICATION fRESIDENTIAL)
CITY OF EACAN
l I~ 3830 PI651•68146 5- 55122 ~a -q ~
~o ~fi t
New Conshuction ReaulremeMs Remodel/Reoalr ReauiremeMs
? 3 regisFered s8e surveya ahow(ng sq. R. oF bt, sq. tt. of house 2 copies of plan
and all roofed areas (2D% maximum loi coveraae allowed) 1 set of energy talculaHona tor heated addHtons
? 2 copiea of plans (show beam 6 window sizes; poured ind. desfgn; Mc.) 1 sBe s~rvey for exfedor addBlona R decks
D 1 set of energy calc~laNons
> 3 copies W hee preservWlon plan N IW plaMed afler 7/1/93
DATE: CONSTRUCTION COST: ~ ~ • G~
DESCRIPTION Of WORK: La^-~- U ~~'M
~ 4 S~ 2~ ~c' o
c~7-~
STREET ADDRESS:
LOT: BLOCK: SUBD./P.I.D. ~Y t ~CA 6t ~
Name: 1C ~ ~ fC ~ Phone L J ~ _ ~ - ~ ~3S
PROPERTY last pint
OWNER l2 t
Sfreet Address: 7~~ ~ ~/J ~i 11 L~ 6 L.~ Y/
City ~ ~ ~'f~ ~'L State: 12 Zip:
Company: 1 V~ ~ / / ~ ~ c'e- Phone#: - ``~a ~ ~
CONTRACTOR ~ / (area code) a~~ 3~ ~ o-ot~
Sheet Address: G-~~~ ~ ` ~ License # ~ ~ D~ Exp.
City ~ G' _ State: M~'L Zip: S~~o
ARCHITECT/
ENGINEER Company: Name:
Telephone area code ( )
Streefi Address: Reglstration
City State: dip:
Sewer 8 water Iicensed plum6er (reauired for new conshucNon onlv):
PenaPFy applies when address change and lot change Is requested once permif Is Issued.
I hereby ackriowiedge thaF I have read thls appllcatlon, sFate tha~ the informaNon Is correct, and agree To compiy wifh ail appltcabl
State of Minnesota Statutes and CI}y of Eagan Ordinances.
Signature of Appflconi: n, a„¢ . ~ ~
,
OFFICE USE ONLY I ~ ` -
CeRificates ot Survey Received _ Yes _ No ' . 2 L
I i~ ~
Tree Preservation Plan Received _ Yes _ No _ Not Requir!
tlU:~_____.___.,.
~ ,
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
O 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.
O 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
O 04 2-plex t7 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 5torm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft. No. of Bldgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
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
~ ~
TOTAL HOME
Maintenance & Mechanical, Inc.
License # 20103096
Address Job #
Date
Description Total
~ ~ - - STATE OF MINNESOTA : ~ ' ~ . , .
t ~DEPARTMENT OF COMMERCE ~ ~
133 Ea~ Seva~th 3L
' -
~ : ' Sk Paul, MN 55101 _
(651)296-6379
BTSiLDING CONTRACTOR
IDit20103046 ~ .
. FiUII..DER '
~ INDIV7AUALPRGPRIEfOR
Exgirts 0313tlZ000
SCUTT T PC7NKE
1 Hre CE 3u~ by 3/31120U0
_ , , ,
T ~TP.=., HOME hfP
TNTEN
~~dCE 2.lECIiAZ1IC
a.L
6I55 33T~
FI 3f
STACY MId 55029-0000
CM-0~5~3
Phone: (621) 429-6528
Fax: (612) 696-1726
Estimated Total
VISA/MC Accepted
(Add 2.5%)
Pnccs quoted are based on specifica[ions listed Terms
a6ove. Any variation in speciflcmions will
require an adjustment of priccs. Quo~azians 30
days or older are subject to adjustment due to Sl nature Date
changes in [he cost of matcriuls andlor labor. g
PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122 ~
~~~3~ ~ Telep6one # 651-675-5675 FAX # 651-675-5674 ~ S '
Please complete for: Single Family Dwellings
Townhomes and Condos when permits aze required for each unit
Date~/ / S;~`~~1`~
Site Address ~ Unit #
Property Owner ~ Telephone # ( ~ ~ y
Contractor H,p, PIPEWORKS
Address N, MN 55123 C~~,
(651 36b t~ '
Sta[e Zip Telephone #f ( )
The Applicant is _ Owner onuactor Other
Septic System New _ Refurbished Submit 2 sets of plans and n.tPC iicense $ 100.00
Includes County fee. Additional oonsultant fees may apply.
Alterations To Existing Dwelling Unit, Including $ 50.00
_ Adding fiMUres to lower levels or room additions, excluding water softener and water heater
_ A6andonment of septlc system
_ Water turnaround 5/8" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation system
_ Water softener ~ater heater $ 15.00
~replace ent _ additional
State Surcharge $ .50
Total $
I hereby apply for a Residenrial Plumbing Pernut and acknowledge that the information is complete and accurate; tl~at the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; tha I understand this is not a
pemilt, but only an application for a permit, and work is not to start without a pe that the rk il e in accordance with the
approved plan in the case of work which requires a review and approval of plans.
Ap icant's Print d ame Appli an s gnat
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4800 Shevlin Ct
Lot: 010 Block: 001 Addition: Brittany 4th
PID:10- 15003- 100 -01
Use:
Description:
Sub Type: e - Air Conditioner
Work Type: Replacement
Description: Air Conditioner
Fee Summary:
Contractor:
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460 -6022 X253
Surcharge - Fixed
ME - Permit Fee (Replacements)
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Mechanical
EA073711
06/07/2006
ePermit
Comments: Questions regarding electrical permit requirements should be directed to Mar k Anderson, State Electrical Inspector,
952- 445 -2840. Cindy Lilienthal 21170 Eaton Ave Suite A Farmington, mn 55024 651- 344 -4253 clilienthal @con trolledair.
- Applicant -
$0.50
$30.00
$30.50
Owner:
Dale M Reak
4800 Shevlin Ct
Eagan MN 55122
9001
0801
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
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
FEB 0 8 o.
UseBLUE or BLACK Ink
For Office Use /� �
Permit #: / 0 37 1']
F
Permit Fee:
Date Received:
Staff:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION C- '
Date: 01/ I/ f� Site Address:
416°4041C 1, Ca- 53 -1011 -Unit #: rtif 106
Phone: (S51` (4-5--°Z' ?1
ce (I (' I - �S&?-I 17
Name: Qk `�e4J,_
Address / City / Zip: 13c e ✓ Im
Applicant is: ✓ . Owner Contractor
Description of work: °7e64/1(6Ike tkj-, WJI
Construction Cost: ta03
Lce an.tj 5). Cit
Multi -Family Building: (Yes / No
Company: Contact:
Address: City:
State: Zip: Phone:
License #:
Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
45c tv&5 kr- J974 Oro 6c'‘ S-643
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes _No If yes, date and address of master plan:
Licensed Plumber:
Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor:
ns and soisportin
ion maybe '.
on -p
one
b
fdj
f you provide specifi
t theyre trade secn
Phone:
CALL BEFORE YOU DIG. Call Gopher State One CaII 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 be in 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 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 plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x Dal e4k
Applicants Printed Name
Applicants Signature
Page 1 of 3
Po Shevityl
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation Fireplace
Single Family _ Garage
_ Multi _ Deck
_ 01 of Plex _ Lower Level
_ Accessory Building
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
Porch (3 -Season)
_ Porch (4 -Season)
_ Porch (Screen/Gazebo/Pergola)
Pool
_ Interior Improvement
Move Building
Fire Repair
Repair
DESCRIPTION
Valuation /,3G(7
Plan Review
(25%_ 100% V(
Census Code '134'
# of Units /
# of Buildings
Type of Construction
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: _Ice & Water _Final
Framing
Fireplace: _Rough In _Air Test _Final
Insulation
Sheathing
Sheetrock
Reviewed By:
RESIDENTIAL FE
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Siding
Reroof
Windows
Egress Window
_ Storm Damage
_ Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
_ Demolish Building*
_ Demolish Interior
_ Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
Pd
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
..4.4Final / No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Other:
Pool: _Footings _Air/Gas Tests _Final
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Erosion Control
, Building Inspector
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA136139
Date Issued:04/26/2016
Permit Category:ePermit
Site Address: 4800 Shevlin Ct
Lot:10 Block: 1 Addition: Brittany 4th
PID:10-15003-01-100
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Dale M Reak
4800 Shevlin Ct
Eagan MN 55122
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA162067
Date Issued:06/24/2020
Permit Category:ePermit
Site Address: 4800 Shevlin Ct
Lot:10 Block: 1 Addition: Brittany 4th
PID:10-15003-01-100
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
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 -
Dale M Reak
4800 Shevlin Ct
Eagan MN 55122
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA172925
Date Issued:10/21/2021
Permit Category:ePermit
Site Address: 4800 Shevlin Ct
Lot:10 Block: 1 Addition: Brittany 4th
PID:10-15003-01-100
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.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
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 -
Dale M & Mary M Reak
4800 Shevlin Ct
Saint Paul MN 55122--274
Palace Restoration
12527 Central Ave NE, Suite 305
Blaine MN 55434
(612) 706-4113
Applicant/Permitee: Signature Issued By: Signature