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4812 Shevlin Ct ' CITY OF EAGAN SEWER SERVICE PERMIT 3836 Filo. Knob Road pE~~T NO.: ` P. O. Box 21199 1~_1,_ , Eagan, MN 55121 ~ No. of Units: i Zoninp: ' .r: Owne~: Address: + Site Address: 1 ~i vli ~o.~7r" 1~~__,~~'"~ ~''nv •~t, Plumber: 1O0.'1_: , : 1, ' ? -l t-~s~ ~ ' ~ O~(N !O OORI~ W~l11 ~ ~ ~~11 COI~rIlC~IOI1 ~10I~R~ ~ i ~ . f }'i +'t! . Ordinaness. A'~count Depo~t. Permit Fae: Surcharpe: ~ BY Misc. Charoes: Dote of Insp.: Total: Insp.: Dote Pold: CITY OF EAGqN 3Ja~ P;~~t K„ob Roed wATER SERVICE p~T P. O. ~x 21199 1 E898n, MN 55121 PERMIT NO.: ; l n t ' Zonlnp: R ; Di1TE: ~ _q- I ~ Owner. ToI let'sor~ :slclrs No. of Un~rs: ai ; ~+ed.~~: ~ S~ee ~ddress: ~+81Z Shevli:c Court' L1 ~ i~ l c3rittan ~ ~ ~'lurnber. Geas R ar~ 4 th ? Meter No.: Size: ConneeHon C~?or~e; ~SO.OU Reader No.: Acoounr Deposrr: ' ~~9~ to oon~N1 wiH~ Nw Permit Fee: 1 C. 00 ~ OrdiMne~s, Gh eF E~~~ Surthcrge; . 5Q Misc. Choroes: ~0 7d meter I By Totol: ' Dote of Insp.: ~te Poid: r?+~.: - ~ _ INSPECTI4N RECURD ~T~ ~T ~ITY OF EAGAN PERMIT TYPE: r' t N'' 3830 Pilot Knob Road Permit Number: 7~; Eagan, Minnesota 55122-1897 Date Issued: ' ~ (612) 681-4675 SITE ADDRESS: ~ , , , .s ~ ; APPUCANT: . ( f= V 1 f 1V i' f ~ , . ~ . , . , • ~ ; i , , . ~ PERMIT SUBTYPE: TYPE OF WORK: , , , , ~ ~ . . . ; , , , , , , f~6 Mn~ ~ ~,i ::.„1: I r~ ~ i + i~r ritlti:i t i~at : i+~~qr<itw~~ ~~i~ F 1?~ Illt~ nl Wtlf?K. !'~ntl f•tVTF~~;i~ rtt'~ ~lrif+[k I ~ I~ _ ~1 ~1~32 Pem?k No. Permk Holdsr Dn• Taephone N ELECTRIC PLUMBIN(3 ~f' f~ ~ Sla~-~~i~lc~ HVAC InapecUo~ Date Insp. Comments FOOTINGS FOUND FRAMING /~/+J/9~ ROOFING ROUGH LI //9~ ~Stl a I O Q SlYr~EytT (]rr ~'J/Y1dw~ PLUMBINC., ~T . PLBG AIR TEST - ROUGH HEATING GAS SVC TEST INSUL GYP BOARD ~ FIREPIACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDC3 FINAL BSMT R.I. BSMT FINAL DECK FfG DECK FINAL INSPECTION RECURD ~ ~ITY OF EAGAN PERMIT TYPE: ' ~ ~ ~ ~ ~ ~ ~ ~ y`' 3830 Pilot Knob Road z« i g~ Permit Number: Eagan, Minnesota 55122-1897 Date Issued: `y~''`'' ` 1`~r {612) 681-4675 r ~ . , ~ ~ . SITE ADDRESS: , ~ ; , , ~ , APPLICANT: , vi iN r ? ~~~~ti ~:4 i ~ I aN`~ I H • ~ 1 ~ •i1,.' ?i~, /4 PERMIT SUBTYPE: TYPE OF WORK: r, . . . ~ ~ ~ Permtt No. Permk Hoider Date Telephona 11 ELECTRIC ' , ' ' " T PLUMBING . -p- --yr-- HVAC Inapection Dete tnsp. Comments FOOTINGS FOUND FRAMING ROOFING ' ROUGH , PLUMBING PLBG ~ ~ - _ - - - AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARO FlREPLACE FIREPLACE AIR TEST FINAL PLBG FINAI HTG OFSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG ` ~.7 ti~ DECK FINAL Receip# ~r{ PLUMB~JVG PERMIT Permit No. ~ - CITY OF EAGAN ~ Fee Fil! in numbered spaces S/C Type or P~rnt legibly Tot. 1. Date ~ ~ ' - ' ~ 2. Installation Cost - r ' , Ly / , - % / ~/l~ti~y 3. Job Address Lot~Blk. ~ Tract 4. Owner ~ / ~ , J 5. Contractor t- ~ : ~i i ! ~ Phone ~f - i ~ ` % ~ 6. Address ~ ~ ~ ~ r/ f~ r. l/G i 1.; Ll~ ~ 7. City ~ i 1 ! , f , % ~ State %v Zip ~ ` 8. Building Type: Residential g,~ ~Commercial O Institutional ? 9. Work Description: New D~--~idd O Alter ? Repair ? 10. Describe 11. No. Fixtures No. Fixtures ` Water Closet Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other - Laundry Tray ? Floor Drains L~ ~ ~ , ~ 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. . f Signed : y" for - 'i ~ j'!~ Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGQN 464-8100 ~ 0 2 d z m r E ~ c ~O o" ~ ~ d ~ Y~ . ~ ~ ; c , ~ ~ ~ ~ . ~ $ _ ~ _ , ~ ~ E s $ ~ ~ ~ c ~ ~ N ~ Z Q „ M . _ `U^ E Y' ~ ~ J. d M j-~ c ~ +~i ~ ~ C~ ~ ~ u o ~ ~ ~ c $ Q E ~ ? ~ ~ ~ ~ ~ ~ ~ ~ d = _ ~ ~ ~ g . . a W ~ LL IL ~ ~ ~ IL {L Y. ~ ~ ~ O ~ 6 ,,,r. . . , - CITY OF EAGAN ~e J2 S7lS Pilof Knob Rood Eegan, MN SSl'12 .I, s a LI~ PHONEs 454•8100 BUILDING PERMIT Receipt # " To ba utad for ~r U~'~~'~~ Est. Vnlue Date ~~ovember 14 , 19 t:'~ . - Site Address 4u12 Shevlin Court Erect Occuponcy ~ 1' 1 P.ritCany 4t11 Alter Zonin ~'-1' Lot Block Sec/Sub. O 9 2~A Parcel # 1~~-~50U3-12U-O1 Repolr ? Fire Zone ~ Enlarge ? Type of Const. ~ Name °11e.Eson BuildETS Move ? ~k Stories, ~ Address Iu55 :doYwood Drive Demolish p Length 4~ -~i.^an 55122 p},o~,5e 454-65 i 3 Gr+ade p Depth Sq. Ft. ~ Nome ~er Approrals Fee~ Zv Assessment Permit 3~~{ • o Addreu ` u~ Cit Phone Water & Sew. Surcharge 50 Police Plan check ~52.Oi) FW Nome Fire SAC ~25.OJ Address En~. Wcter Conn.'+50 - ~ <W Ci ~o~ P~a~~~ ar. vyaterMeter 60.0~ Cauntil Road Unit ~5~~ t hereby ucknowledge that I hove read this opplicorion und state thot g~dg. Off. the inlormation is correct ond agree to comply with all applitable APC Totol ~17F,~3, j0 State of Minnesota Statutes and City of Eogan Ordinances. ~ Sig~oture af Permittee A ~ A Building Permit is iuued to: on the express cordition ihn~ olt work shall be done in occo~darxe wlth nll appliwble Stote_o~. M+nnesata Stc..~uLes ar~d City of Eoyen Ordinonces. Buildinp Officiot Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print /egibJy . Tot. 1. Date 2. Installation Cost 3. Job Address ''r' Lot~_Blk. ~ Trac~r ??7~cn 4. Owner I l.c~.-+-. . ' - 5. Contractor - Phone - 6. Address ' 7. City State Zip 8. Building Type: Residential f~ Commercial ? Institutional ? 9. Work Description: New ~ Add O Alter ? Repair ? 10. Describe Fuel Type 11. No. Eauioment BTU - M. Ea. No. Equipment CFM Forced Air Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. 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 F Inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAIV 454-8100 CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE I9 Recavco FROM AMOUNT $ I Ac DOLLARS teo ? CASN ? CHECK FOR J FUND CODE AMOUNT a ou ~ BY ~ VYhite-Payers Copy Yellow-Poating Copy Pink-File Copy CITY OF EAGAN Remarks Addition BRITTANY 4TH ADDN ~ot 12 R~k 1 Parcel 10-15003-12p-O1 Owner 5treet 4812 SHEVLIN COURT Stace EAGAN MN 55122 Improvement Date Amount Annuai Years Payment Receipt Date STREETSURF. 19H2 452.94 90.59 5 181.20 013 STREET RESTOR. GRADING 1981 23.92 1.59 15 17.50 A 013666 3-19-84 SANSEW TRUNK 1976 173.90 11.59 15 69.59 A 013666 3-19-84 * SEWERLATERAL ~ 1981 246.32 16.42 15 180 64 A 013666 -19-84 'L Sewer Lateral trk 1983 133.33 8.89 15 80.01 A 013666 3-19-84 WATERMAIN 1984 629.29 62.93 10 56 2-2 -84 ~ WATER LATERAL i9$1 1S WATER AREA 1981 229.95 23.d0 10 137.99 A 013666 3-19-84 STORMSEW TRK / 1981 596.40 39.76 15 437.36 A 013666 3-19-84 ~c STORM SEW LAT 19$1 15 CURB & GUTTER SIDEWALK STREET LIGHT 25 8 -14-83 WATER CONN. 450.00 ~t 1~ 6UILDING PER. SAC t~ n PARK CITY OF EAGAN N~ 8652 3795 Pilot Knob Rmd Eoyan, MN SS113 ` ' ' PHONE~ 454-8100 ~~~0~ BUILDING PERMIT Receipt # To bs u~ed fo~ SF DWG~GAR Esf. Volue $5],~Q~ Date NnvomhPr 14 , ~q~3_ S~te Address 4812 Shevlin Court Erecr ~]C Occupancy R-3 Lot 12 BI«k 1 Sec/Sub. Brittany 4th qlrer ? Zoning R-1 Porcel # 10-15003-120-O1 Repoir ? F~re Zone NA Enlarge ? Type of Const. V rc Name TollefsOn Buildeis Move ? # Stories ~ Address 1655 Norwood Drive Demolish ? Length 45 Ci E Phone 454-Fi873 Grade ? Depth 48 Sq. Ft.- p Nama ~er ~ Avpro.ols Feea o'~' Mdress Asseument Permit 304.00 V~ Ci Phone Wa1er 8 Sew. SurcFwrge Z$.5~ ~ Police Plon check 152.00 wW Nome Fire SAC 525.00 ~ x~ Address Enp. Water Conn. ~+5(1 w(1 iW Ci Phone Plunner ~Var.) WoterMeter 60.00 ~ Council 1~-1$-83 Rood UniT Zs~.~n 1 hereby ocknowledge that I hove read this opvlication and state that Bldg. Off. 10-19-83 the inlormation It correct and ogree to comply with atl opplicoble AP~ T~a~ 51769.50 Sfate of Minnesoto Stotutes and Cify of Eogan Ordirwnces. Sipnoture of PermiMea o e son u ers A Building Permit Is issued to: on tha express condition Ihnt all work shull be done in accordonce with nll appl' le o4 esota Staf s and City of Eagan Ordirqnces. Buildinp Official This repuest void `"z-7 ~~s~~ g ~ ~ pjf\~'Q.NN_ yY'~ ~~~q~ 18 months fmm /C W 05~~29 ~ ~o.oz~ Request ~a[e Fire No. Rough-in InsOection fl retl? ~Ready Now~ill Notity Inspec- - g3 ~e5 ?No [or When Reatly Licensed Electrical Convactor I hereby request insvection of ebove Owner ~ electricel wark ins~ailed at: Street Atldress, Box or Ra te No. City s~a s~. ~I~,.L. ecUan a. 7Qy,~nshi0 Name or Na Nange No. Cou [ Oc '~RI~~ Phone No. P e Supplier Address ~1 ElectriciL C~n ac r ICOmpany Namel •,p Comrar,ior's Liu:nse No. l+ ~ 'C~1 ti ~ Mailine Address (COntrecmr or Owner Makin~ Instailation) t .IJ ?J ~ Auffiorizetl Signatvre or Owner Mak~n Installationl •Phone Num/ ~ l0 ~ MINNESOTA STATE BOAflD Oi ELECTIIICITY THIS INSPECTION flEQUEST WILL NOT Griggs•Midway BItlB~ - poom N-191 BE ACCEPTED BV THE STATE BOAftD 1821 Universitv <.~e.. St. Peul. MN 55704 UNLESS PflOPER INSPECTION FEE IS ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION Ee-00001-04 , Sae inslructions for comoletine this form on beck ot vellow covV• ~0~~3~?~ q Below Wo~k overed by This Request ( ~ AAtl Nep. Type of Builtling Appliancns Wired Equipmenl WireA Home Range Terti~orary Service Duplex Water Heater ighting Fixtures Apt. Building Oryer Electric Heatin ~ Commercial Bldg. Furnace Silo Unloader Industrial BIAg. Air Conditioner Bulk Milk Tank Farm ther veo y O~ cr ISoecityl L P,! $UOtlfy 1hC~ ~Ih~j~ Compute /nspection Fee Be/aw q Fae ServiceEntm~ce5ize N Fae Fenders~Subteeders N Fen Circaits 0 to 200 qm s 0 to 30 Am s 0 to 30 Am s Above 200 Amps 31 ro 100 Ainps 31 to 100 Am s Swimmin Pool Above 100_Am s Above 100_Am~s Transformers Irrigation Boorcs ~j Partial,'0 Fee ~ Signs Speciallnspection S D°'i TOT L FEE Remarks Nough-in Dnte I, tha Eleetriwl Inspector, ~eraby certify that the nbove Finel ~ O;ite~/ '~qpection has ~aen ~~67' metle. TNe reauast vo1018 months Iram This request voia ~ ~ / /Z Q 111. ~l ~ ~ZZ ~ ~ ~ J C` ~ 78 months from F ~ 1 ~ ?"`-~{u" 5~y'~~~ Bequest Date ~ Fire No. pouah-in Insver.~ion eq ~retl? ~Reatly Now ~II Nolity, InsPac- I~- I' 4]~ J Ves ~ No o~ W~~tl!'HeatlY ~ Licensed EI¢etrical ConUactor I hereby requasl inspec~ion of ebove Owner electrical work installed et: S[reet AAaress, Boa orf Nou[e No. City ~Si~. ~Y' ~Z-'~d ecUon o. Township Name or No. Rang~ No. Counry~ ~ OccupaN (PRINT) ~ Phone No. 4 ~ ~ ~ C ~ -~'~L c Power Suppli ! Atldress :~K.~~~ Elec 'r.al Contractor ICom ny Name) Contrar.tor's License No. C~ ~ ~ Di lC~~ ~ Ma~inB dress IConUactor or Owne Making Instzila[ion) 5'-'~ ~ . -L~ ~ ~ C~ ~ Authorizetl SignaWre (Con. actor Owner Maki e Installa~ion~ Phoi+e umber / c I~ ~ (o:~'~-~~~i MINNESOTq STATE 90AflD OF ELECTHICITV TMIS INSPECTION flEQUEST WIIL NOT Griggs•MidweV BIdO• - Aoom N•t97 BE ACCEPTED BY THE STATE BOAND 7621 UniversitV Ave., St. Paul, MN 56104 UNLESS PHOPEH INSPECTION FEE IS Pnnnw 16121 297-2171 ENCLOSEO. r w I/Inx ;EQUEST FOR ELECTRICAL INSPECTION es-o~i-~ 7 ~ / n~ $ee instructions ~or completing this iorm on back o~ Yellow copV. .~_V ~ t~~ ~ ~"X" Below Work Covered by This Request ~s. ~ AAtl Nap. Type of BuilCing Appliancea WireE Equiymant Wired Home Range Temporary Service Duplex Water Heater Lic~htiny Fixtures Apt. Buildin~ Dryer Electric Hea[in Commercial Bldg. Fumace Silo Unlo.ider Industrial 81dg. Air Conditioner Bulk Milk Tank Farm o '~f~ ~n,,, ~soadtv7 ~ uecily h O Othci " ompute lnspection fee 8elow k Fee Service Entrance Size B Fea Fexders~5ubfeeders b Fne Circvits 0 to 200 qm s 0 to 30 Am s T5 ?a~- ~ 0 to 30 Fam s - A6ove 200 qmps 31 to 100 Ainps , 31 to 100 qm Swimming Pool Above 100-Ainps Above 100_Amt~ Transtormers Irrigation Booms : yp Partial% Signs Specialinspection S flemark5 ~(1.~ID T~ A~/F~ ~O w flouBh-in D"te / , th al G~I (Y ~spectoq ~ereby carlity [hat Ihe nbove Final Di`e~ spection has hean T meda. Thb ~eques~ void 18 months trom n J~!Hl 2 o-° -ck,~. lo lo ~v/ ~~3 ~ zoo6 RESIDENTIAL BUILDING rE~iT nrrLrcnTrorr . City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Gonstrudion Reauirements RemodellReoairReouirements Office Use OnN 3 registered sfle surveys showing sq. R. of lot, sq. ft of house; and all roo(ed areas 2 copies of ptan showing footings, beams, joists Cert of Survey Recd _ Y_ N (20% maximum lot coverage allowed) 1 sel of Energy Calculations for healed additions Tree Pres Plan Recd Y_ N. 2 copies of plan showing beam 8 window s¢es; poured found design, etc. f site survey tor additions 8 decks Tree Pres Required Y_ N 1 set of Ene~gy Calculalions Add'dion ~ indicate if on-sRe sep6c sysfem On-s8e Sepfic Sys[em _ Y_ N 3 copies o( Tree~Preservation Plan if lot platted aNer 711193 Rim Joist Defail Opfans selecHon sheet (6uild"mgs with 3 or less units) Minnegasco mechanical ventilation form C2 Date ~L/ .J / 0~ Constructian Cost ~37Z~ Site Address ~~°1/ Z 1 ~ (i~^J Unit/Ste # i Description ot Work ~ ~ ~ Multi-Family Bldg _ Y~ N Fireplace(s) _ 0 1~ 2 Property Owner I l~~ A 1 V~ Telephone ) Y 7 Z'`7b"U Fireside Hearth & Home ~ Contractor 1q3gg Huntington Avenue ' naaress . Savage, MN 55378 city State 952.736.7761 _ Telephone # ( ) ~ 8 ~ License#20512060 ~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Ene~gy Code Categon/ . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiantype) Submitted Submitted ~ • Energy Envelope Calculalions Submitted ~ In fhe lasi 12 months, has the City of Eagan issued a permit foi a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone # ( J Mechanical Contractor Telephone # ( ) Sewer/WaterContractor Telephone ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, an ork is not to start without a permit; that the woxk will be in accordance with the approved pian ' the case w r hich requites a review and ~ approval of plans. ~ ~~-~Cr~~ Applicant's Printed Name Applic t's Signature DO NOT WRITE BELOW THIS LINE Sub Tvqes ? O7 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 D6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 E#, AK- SF ? 04 D2-plex ? 70 O8-plex D 18 Deck ? 23 Porch (screen/gazebo) ? 36 Mu1G Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? D6 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding 0 32 Addition ? 36 Move Buildirig ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building` O 43 Reroof ? 46 Windows/Doors 34 ReplBCement 'Demolition (Entire Bldg) • Give PCA handout to applicant . D85C~IAtI0I1: WaterDamage_Yes Valuafion Occupancy MCES System Pian Review _ 100% or _ 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bidgs Length Fire Sprinklered Type of Const Width • REQUIRED INSPECTION5 ~ Footings {new bldg) , Sheetrock _ Footings (deck) _ Final/C.O. _ Footings (addition) _ FinaUNo C.O. Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final _ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick _ Fireplace _ R.I. Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: , Building Inspector - - Base Fee Surcharge • Plan Review MC/ES SAC City SAC Utility Connection Charge 5&W Permit & Surcharge TreaYment Plant License Search Copies Other Total C:ITY EAGFSI Include 2 sets of plans, . ~ ' - 1 site plan w/elevations & Y/ ~~T ~'LZ('ATION 1 set of eneryy cal~vlatirns. ~Ib Be Used Fbr ~ - J~ ~ll ~~a2uation ~ 7. o o~ nar.e I~, 1 CfQ~~ ~ Site Address L~' ' OFFIC~ USE ONLY Lot B1oCk j SeC.~Sub. ~~~~€'xect ~ ~~Y ^r~- Paroel I?: ~ ~d - ( ZD -O Alter Zonin9 _ - ~ F~pair Fire Zone Owner: ~ Ehlar9e _ rn~e of Clonst. ~SS. Move # Stories Uare,lish Front y ft. CitY/Zip Code: Grade Depth ft. Phos~e # : APPf~C7VA1S F'~ Gontractor: ~r . ~ ~ Assessments Perndt ~o S~ ~ Adciress: ~ i n~~~~1L'~' Water/Saaer Surc~arye ~S' Police Plan C9~eck l ~a ~ City/Zip Cbde: '~1 ~~./ai~ Fire SAC ~S g~g. Wates Corn. `~a`~ Phone N: ~ ~ Planner ' WatPr Meter (O~ Council ' D- Road Unit h'7S~ ~ Bldg. Off.lD - T1f1fY~YPCs: ~ City/Zip Code: PY~~e p: 'POrPAL lDQ ~ zSa ( ~ V- 1 r S l3 y~ g h ~ ~ ~ ~lb~~ ~ 3Roz ~~~z~~u~,arL Il~ 1'F-8~3 d Tnllefson Builde n Inc. ~ t)r.llilb f~/ 183-~7 - /r JACKSON - SURVEYORS ! N61fT[R[O YIiD[R {J~`f OF RLT[ Of YIKK~/pTA SCall: 1~~ 40~ ~ ]&16 EAST 55th STREET, MINNEIIPO~IS, MN 55677 T273tB{ s :Iron ; _ __~Drtinage 6 Ucillty Earement ~ _ ~raioage $~utbcpo['~ CKt{ticat[ 000.0 = Existiog Elev. ~ - ~ ~ E!~' u''a~ir~~ EaSL^'~tiT ' r ~J ~ - ; , , ~ L~ ~ o. oo _ / ,a,r i L1' \n' 71~~ . ~ I ~ L t.~. T t C ' ~ ~ I , ~ ~ ~ ~ r ~ ~ ~ ~ ~ ^ ~ ' P ~ ' ~ ~ (7~ ~ 2 - r I ' r ~ ~ ~ ~ Y ~ ` _ _ I~' ~ ` ~ G ' , , ` ~ ~ ~ ` . ^ , r` _ : ~ P v _ Z' ~ N~+tiy'_' _ vjp. . ~ _ ~ U~~ _ <i J ~ ~ / ~ a ~ ~ ~ ` ~ W J L \ l I ~ . ' I ~ { N[R[tY C[R~I?Y TMAT TItL A~OY! H A TRU[ AMIG CORRLCT rLAT OF A 6URYI[Y OF Lat 12,81ack 1,Hritt~ny 4th. Additlan, Ork~t• County,Minnesata. ?ropa~ed Gerage tlaor Elev. / c/, i Propoied Yir~t P2oor Elev. Ie ~ n Prapvsed Ba~emect Plvur Hl~v.97 a M~uRVCrco w ri rw~• ~-r w~ r~..o. ~q8j r f1~M[ I. C. JACK~ON. M Msr~t a~rrµ~wM. No. ~~00 1 _ \ Cities Di ig tal Quality Control The following image represents the best available image from the original page. 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SH[:V1...7N C7 2.00 r 'T'oi:al f~~rf?l~~r, Flnintln•I,~ ~'3.c?5 CR i. c'?:306£~ USE:R ID^ JA~ ~CYFSk%XY,tk~1X~N~~k?Y~X~k~F~X?k~'k~~k~?k'M`%Xf~kyklk~k~X'4CMMi;C~, 'M~X'M1k ~ ZJ~ 5~ ~2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) cirr oF encar~ n, 3830 PILOT KNOB RD - 55122 c~ `l ~-~~'J 851-881-4675 •New Comhuctlon Reauirertienh Remodel/Reoalr ReaWremenh D ~ replderetl tl~ wneY+ showinp tQ. R d lot, W. R. ol hane 2 coWes W D~ and q~j roote0 areas C10% mazlmum bf eoremae ailoweN 1 aef of eneryy cdculaHOns la Nea~etl adtllflont D 2 capiea of P~ans (tlww beam d wlndow sixe~; Pa+~ed fid. desiprr e1C.) 1 ~Ile wney (a axfeda admHOns ~ dec W Y 1 wl ol eneryy Cdculallona D ~ copiet of hea preservaMon pla~ Il loi plal~ed aHer 7/1/9J d~~ DATE: rl `I' d~ CONSIRUCTION COST: 3 9~~ DESCRIPfiON OP WORK: m~ i(~G r ! ~ fi ~~IG' ~ d~~ STREET ADDRESS: ~I'`~ I~ SR~, J LI N G ~ F LOT: ~ BLOCK: ~ SUBD./P.I.D. Y` ~~G Jl U "l t~ Name: d~~' No ~ S~ZA r r~ Pnone u: Pao~rm w~ fl~? OWNER Street Address: S1~'M CNy State: Z~p: Company: 1 vl 3 Phone M: ~ 5~ ys~' S~ ~ (area code) corrrRacroa Yl I c 3 ~31, cd Sheet Address: `6 1`f Y h J~ V~, N~ License ~ 6 D Exp. Cty ~ 5~ State: /ti1 r' ~p: 5S~ ~j ARCHfiECT/ ENGINEER Company: Name: Telephone 0: ( ) Sheet Address: Regfslratlon Y: CHy Stafe: Lp: Sewer/water licensed piumber qf I~Wllina sewer/water): Pho~e 1 herAby ackrawledye Mwt I have reud Mis appiication. sla~e that the infom~albn is corteet~ and ayree fo comply wiM atl app0oable Stafe ol MamesoM Stalulec and Ciry of Eagan Ordinances. . ~ Signalure of Applicant OFFICE USE ONLY FEB 4 Certificates of Survey Received _ Yes _ No ' Tree Preservat(on Plan ReCeived _ Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation O 07 05-plex ? 13 16-plex O 21 Porch (3-sea.) ~ 31 Ext. Alt - Muiti O 02 SF Dwelling ? 08 O6-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) O 33 Ext. Alt - SF ? 03 Ot of_ plex 0 09 07-plex ? 18 Deck O 23 Poroh (screened) O 36 Muki ? 04 02-plex O 10 08-plex ? 19 Lower Level O 24 Storm Damage O OS 03-plex O 11 10-plex Plbg _Vor_N 0 25 Miscellaneous p O6 04-plex O 12 12-plex ? 20 Pool ? 30 Accessory Bklg. WORK TYPE ? 31 New ? 36 Move Bldg. ? 43 Reroof O 32 Addition O 37 Demolish (Bidg)' O 44 Siding ? 33 Alteration O 38 Demolish (Interior) O 45 Fire Repair ~ ? 34 Repair ? 42 Demoiish (Foundation) ? 46 Windows/Doors ' Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code # of Stories sq. ft. No. of Units • Length sq. ft. No. of Buildings Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. MC/ES System UBC Occupancy sq. ft. Ciry Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building Engineering Variance Permit Fee Vaiuation: $ Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Weter Meter Acct. Deposit S/W Permit S!W Surcharge ` Treatment PI. ' Park Ded. Traiis Ded. ~ Other Copies Total: SAC Units % SAC MEADOWOOD, INC. Engineering, Planning, Development 11D3 W. Burnsville Parkway Burnsville, MN 55337 (612) 890-1272 14 October 1983 Ms. Bea Blomquist, Mayor City Council Members City oF Eagan P.O. Box 21199 Eagan, Mn. 55122 RE: LOT 12, BLOCK 1, BRITTANY 4th ADDITION Dear Mayor Blomquist and City Council Members: We are requesting a variance on Lot 12, Block 1, Brittany 4th Addition because of extreme high water in the adjacent pond which has reduced the buildable area of the lot and necessitates that we construct a split-entry type home in piace of a full walk- out. The second reason is to maintain the uniformity of the streetscape and front. As you can see from the attached sketch, the proposed setback works very well with the existing homes on either side and creates a pleasing and uniform streetscape. A fur- ther setback would look out of character with the neighborhood. Thank you for reconsidering this item. Respectfully, ~~2. J-~ William R. Dolan, C.E. President WRD:kd cc: Mr. Carl Tollefson cc: Mr. Tom Colbert ~ cc: Mr. Dale Runkle encl. , Council Minutes ~t~,~~2 October 18, 1983 'fOLLEFSON BOILDERS - HAI9LIt OF PLAT ~ ~ An application of Tollefs , on Builders, Inc. for waiver of plat to shift a lot line for Lot 3, Block 1, Brittany 4th Addition sras next considered. The request is to shift the lot line 3 Peet to the south in order to accommodate the setbacks in accordance with the zoning ordinance, noting the surveyor had made a mistake in laying out the house plan on the lot, with a proposal of 7 feet from the side lot line versus 10 feet under the ordinance requirements. The Planning Commission recommended approval sub,ject to certain conditions. Smith moved, Thomas seconded the motion to approve the application, sub,ject to the following conditions: , 1. To provide that the lot has a min3mum 60 foot width. 2. Drainage easements shall be reviewed by the Engineering Department to assure that they fulfill all of the requirements for easements requested by the City Engineer, including the granting of new easements and easement vaca- tions where necessary. 3• All other ordinance requirements shall be adhered to, including alI setback requirements. AZ1 voted in favor. R 83-66 TOLLEFSON BIIILDERS, INC, _ ggITTANy qTg gDDZTION - SETBACB VARIANCE ~ A request from Tollefson Builders, Inc.for reconsideration of setback variance for Lot 12, Hlo.ek 1, B_rittany 4-th-Additioe ~was presented to the Council. On October 4, the Council denied the application based upon lack of hardship. The developer has now submitted a site survey which was presented to the Council and the staff indicated that because of the level of the ad,jacent pond, and the fact that the house may have a negative visual impact on the ad,jacent property, that it would be appropriate to allow the variance. Public Works Director Colbert concurred that a temporary hardship does exist, due to the existing location and the elevation oP the lake, which eventually rrill be lowered. Smith moved, Thomas secoaded the motion to reconsider the application. All voted in favor, noting the high water would be the reason for the need for variance. Bill Dolan, Engineer, and Carl Tollefson appeared for the applicant. The owner of the adjacent property, Lot 13, was also present and indicated he had no objection to the application and favored the request for the variance. It was noted that Lot 12 is in a cul-de-sac and the staff recommended approval, noting that it would be more aesthetically pleasing to move the house closer to the front lot line. After discussion, Smith moved, Thomas seconded the motion to approve the variance on the basis of the inFormation submitted by the staff, noting that a hardship did present itself because of the lake level. Mayor Blomquist indicated that she had concerns about parking and concerns about setback, but Mr. Runkle stated that there would be a 13 foot boulevard, plus the setbaek from the street right-of- ~ aay. Those in favor uere Smith, Thomas and cgan; Wachter and Blomquist voted I . no. 6 , - - - _ i . _ . _ • 0()2l37 Council Minutes October 4, 1983 MNYOR AHD CODNCII.Fffi~ffiERS SALARY City Administrator Hedges reviewed with the Council the salaries that are in effect for the cities within the metropolitan area and indicated that the range of salaries for city councilmembers and mayors are somewhat higher on the average than that in effect in the City. It was recommended by the City Administrator that the rate be increased from $3,600.00 per year to $4,500.00 for the Mayor, and from $3,000.00 per year to $3,600.00 per year for each council member, noLing that salaries would still be somewhat below the average pay for other cities above 20,000 population in the State. Egan moved, Thomas seconded the motion to approve the recommendation for increases and authorize the amendment to Seetion 2.11 of the City Code to provide for the changes. ~ All voted in favor. L~T-OLLEFSON-BDII.DERS - VARIANCE = HRITTANY 4TH ADD~i'IQI~' An application of Tollefson Builders, Inc. for 10 foot varianee to the front setback requirement of 30 feet for Lot 12, Bloek 1, Brittany 4th Addi- tion came before the Council. A representative of Tollefson Builders was ; present and the application was reviewed by Mr. Colbert. Mayor Blomquist had concerns about the need for driveway space by reducing the front driveway depth and Mr. Colbert stated that the building elevation would appear to avoid ' the need for the variance. After discussion, Wachter moved, Egan seconded the motion to deny the application because of lack of hardship shown, noting that it appeared that a different design for the home could be provided; further, that the staff review the matter with the applicant. All voted yes. LERINGTON PLACB - FINAL PLAT The application of Lexington Place lst Addition for final plat was presented to the Couneil by Mr. Colbert. There were no objections and the staff recommended approval. Egan moved, Smith seconded the motion to approve the application for final plat and authorize the Mayor and Clerk to execute the related documents. All voted yes. R 83-65 LE%ffiGTON PLACE - DTILITIES - CONTRACT #83-15 Hids have now been received for Contract Ik83-15 and the low bidder is Encon Utilities, Inc. in the sum of $194,154.00. Staff recommended approval of the contract to the low bidder, noting that all necessary easements have nox been acquired. Wachter moved, Egan seconded the motion to approve the staff recommendation. All voted yea. t 9 - - CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOS ROAD q EAGAN MN 55122 PERMIT # 1 PHONE: (612) 454-81D0 RECEIPT 1"~~3xNG.:~?~~~ DATE: ~S' 2 9 F~:..:.i~:.:~:::..~x:....:~.....x..s....x. ti~~:~D~N'~fi~IILL:: PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & Y~ ~m TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FDR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL NEW CONST ~ ADD-ON MINIMUM 15.00 ADD ON ~ _ SHOWER 3.00 REPAIR _ _ WATER CLOSET 3.00 BATH TUB 3.00 D~h~ / IAVATORY 3.00 OWNER NAME: Q~ /r[c~ w _ KITCHEN SINK 3.00 SITE ADDRESS:~~~? ,p~/~~ _ ~`UNDRY TRAY 3.00 ,t/' HOT TUB/SPA 3.00 WATER HEATER 3.00 LAT: ~02- BLOCK L SUBD. _ FLOOR DRAIN 3.00 ~ ~J GAS PIPING OUT. INSTALLER: ~/~lt (A?~,/~ v ~ Lr/~li,~,~ _ (MINIMUM - 1) 3.00 / ROUGH OPENINGS 1.50 ADDRESS: ~DO / ?YI /1»r.. .t S~ O OTHER O WATER SOFTENER 5.00 CITY: O• ( ZIP: S ~ 2 ~ PRIVATE DISP. 15.00 _ U.G. SPRINKLER 3.00 PHONE SUBTOTAL S ST. SURCHARGE .50 3IGNA1^JRB OF PEP.I".ITTEE TOTAL: S ~ 5a ~.0?ft~fERCZALj.INDUSTAIAIrr; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH I DWELLING UNIT. CONTRACT YRICE: FEES OWNER NAME: 1$ OF C^vi'TRACT FnE. STATE SURCHARGE _ $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN ~ CITY USE ONLY ~ ~ BL ~ RECEIPT 9OS SUBD. DATE: 7~~/9~ 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612)681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit New construction Add-on furnace ? Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: \~-O~~ FEES ? Minimum Fee: Add-on/Remodei (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) ? State 5urcharge .50 TOTAL ~ ~ • ~ ~ SITE ADDRESS: ~`'l'$ ~ a S~ P•~ C~ OWNER NAME: ~o.-. ~ v„e r~ PHONE y s~ ~ S~`~ INSTALLER NAME: w-~'~ ~ t~-e-~~'~^~ ~~C- STREET ADDRESS: ~1`Oe ~ ~r - CITY: K e J„~~ STATE: f`~N ZIP: SSO~1. r PHONE ( (o~~ ) U~-Sa-~ 3`fZ~ ~ `~A C~~ ~/~~-1 ~ CITY USE ONLY L _ BL _ RECEIPT SUBD. DATE: 1996 MECHANICAL PERMIT (COMMERCIAL) • CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612)681-4675 Please complete for: ? all commercial/industrial buildings. ? multi-family buildings when separate permits are 1]4t required for each dwelling unit. DATE: G~NTRA.GT ?R!rE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: ~$25.00 minimum fee QL 1% of contract price, whichever is greater. ~ Processed piping - $25.00 ~ State surcharge of $.50 per $1,000 of r i fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE AUI7RESS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE SIGNATURE: SIGNATURE OF PERMITfEE CITY INSPECTOR ~~~:xx;~~~~:~~:~~~~~~~~~~~~~~~~~~~*~~~*~~~~ c:r.rv ow ~~:nc~r~ (:Af;I-I:CEI?. ,3 i'f:liit:[t~Al. NOa 3'3 Dt-frE.~ pt,/2"r'/`-!i T';:M('~ l.5~ ;<?~'r.'0 iL~;: t~Fli'1C;, ~iUZAt~ltd[= C~t1GtJ0E•d ''f?:l!7 `?001 4t31? S~-IF.:VL.:CN CT Srl.O~ ?].;:it'S .`.-?pDi. 4f31i? 5HL-:.VI.~.T.N C;'i Ge.;t? f i ~~O'~:21.1. FfF?{]e_7.~~1; AIfl~7~.:T51;: °i~,~~ C~;Oi6:l.`:)1. ~.~5e::r.: *z,~ nancv ~~kX~~~X~k~:~~K~K~kmrn~k~%xX~m~km~k~X~k~m~X#~::%~X~X~~~#~#~X~ ~ PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT ~YPE: B u z~ D x N s Eagan, Minnesota 55122-1897 Permit Num~eY: 0 3 0 3 0 7 (612) 681-4675 Date Issued: 0 6/ 2 7/ 9 7 SITE ADDRESS: QB12 SHEVLTN C7 LQT: 12 BLOCK: 1 BRITTANY 4TH P.I.N.: 10-15003-120-01 DESCRIPTION: 6,~`il~lin~Permit Type DECK ~ui1~t~,h`~ ~~k TYP~' NEW ~~e't'~~1#~ C~ld~s 43A ALT. RESI~ENTIAL ~ ~ ~ ~ 1.~ ` ; y *r . . " ' ` a: »se?: ~ ~'c 4~ ' 'ua ,r<s. "L,. ~;',E ~ ,i ~ ~..~&t ` P~ ~.f *".^d,.~Ys~ ~yws ~ ~d G'~~'. k ~ ~ ~ ~ g- u~„. ~T ~ v 2'fu^~~k' srsa,.,~ 'Ne~ ~`p$,~'~ s~ ~ fi Y~ Y. ~,.r~y s•~` .:j [~J~rye+~~ ~ Y8+tA` k3 °e'~~,. °:~5~~ ~"~vYPt } wy a~ ld 8~" KKP... i~..1S Ad"~ REMARKS: FEE SUMMARY: , 8ase Fee $50.00 . Surcharge $.50 Tntal Fee $50.50 CONTRACTOR: ~WNER: - Applicant - DUENOW OQN r 4g12 SHEVLIN C7 EAGAN MN (612)452-5574 . ~ „ _ g u : ; : . , ,a,~. ~,hereby;taokriowlat3ga ~hax";I Y~av~, r~a~ th~s ~pp~,ieata~an ~n°d ~~e~s tha~'tC~e ' a.nficarma C~.ar~ ,ks ~e~r "re~~ arid; .agre~'. tip_,cvm~?~Y m~~,'C~ all ~°P~ k~~;~kaSe S~~°Ce sifi Mfn. , ~~6ta~u~~s `.a~r`€~ ~ci~ ~at~a°ri 4r4~,n~r~~~s , ~ ~ . _ ~ r~ ' ~ ~ << ~ ff . ` . . _ , ~ _ ~ , . , =_v ~ ~ _ c P LICA T MI7EE SIGNATURE ~SSUE ~ IG RE ~ , ~ 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) S 0• S~ 3 CITY OF EAGAN /r,~ p 8830 PILOT KNOB RD - 65122 681 ~675 ~ /a ~ New Constniction ReauiremeMS RemodeUReoair Reauiromenffi . ? 3 regiatered site surveYg ? 2 copies M plan • 2 coples ot D~ans pndutle beam & wlndow slzes; poured fid. deaign; etc.) ? 2 ake surveys (ezterior additlons 8 dadcs) • 1 energy calwWtfons ? t enargy nlwlations for heatetl adCitions ? 3 copies of tree Preaervetion plan H bt plattetl after 717/93 requlred: _ Yes _ No ' DATE ~ / CONSTRUCTI~N COST: 3 ~ ~'~a DESCRIPTION OF WORK: ~v nf~`~ `~~~-c e-F /~r° °'E STREET ADDRESS: ~~L°~~ y ~ov/f ~ a ron ? LOT ~ BLOCK SUBD./P.I.D. i c~~... _ PROPERTY Name: ,~~~houJ ~~ph d'Sr/IaG,.he phone#: ~~J~~ ~s~y OWNER M.. Street Address: y ~~~°v~N Cd~r~- City: ~A ~ c State: ~ Zip: CONTRACTOR Company: r e~Gt Yr Phone Street Address: License City: State: Zip: ARCHITECTI Company: Phone ENGINEER Name: Registration Street ss: City: State: Zip: Sewer & water licer.aed plumber (new construction onty): . Penalry applies when address change and lot change are ~ equested once pertnit is issued. I hereby acknowledge that 1 have read this application and state that the infortnation is correct an re comply with all applicable State of Minnesota Statutes and Cky of Eagan Ordinances. - - Signature of Applicant: OFFICE USE ONLY F2ECEIVED GertificatesofSurveyReceived _ Yes _ No ~~U 2 Q 1997 Tree PreservaUon Plan Received _ Yes _ No _ Not Required BY.-- OFFICE USE ONLY ~ BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex o 11 Apt./Lodging a 16 Basement Finish 0 02 SF Dwelling ? 07 4-plex a 12 Multi Repair/Rem. 0 17 Swim Pool 0 03 SF Addition o 08 8-plex n 13 GaragelAccessory o ZO Public Facility 0 04 SF Porch ? 09 12-plex o 14 Fireplace n 21 Miscellaneous n 05 SF Misc. ? 10 _ plex ~ 15 Deck WORK TYPE ~ 31 New ? 33 Alterations o 36 Move 0 32 Addition o 34 Repair a 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/W5 System (Allowable) Main level sq. ft. Cfty Water UBC Occupancy sq. ft. Fire 5prinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump ~ Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code ~ Census Bldg ~ 4PPR41lALS Census Unit Planning Building ~ Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units S - ~ I ~ ~ v , e .s ~ ~ t _ , ~ M ~ ~ ' 3 ~ i G.1 ~ (~ti - ! W ~ r ~ c~ ~ - . itY,t~'«C~::~;X:(~?k7,Y,9d%~'{<Y,CXt~Yd;r:X[5kk~ri %~~}:>°>YXtk~k!Y,tY„~t~:i}.;:n~:~C>K>X CT7V fJF ~P~GAN CA~~H~T:f,. ~i 1'=Fi11Tt,Al... NO~: i'Gi IyqTE:;: (]41(]S)198 T'IN~!E; i.A °3:1.;4 i' i N~i~r! : rtr'il_g;Fi ~ ~ANt;ON r0i.!5't 32:Ll.J 9;:)0:1. R',31.c.'. ~FI.L.Ut..:!'N C:T °,O.CI'7 E'1:;5 S7D01 48i.c ~l-If_VI...I~ CT J„SO Trii;:,7. %ir-.pn7.1;'T. Ainn~.:n~tr .`.i0,fip (:~iC1>3'34F,., . U51-,' IIIc N~4NCV :~0;(iRh~~7~.A:X(h(1~(i >X~~;t~i~C ~Mri:MVFynj:~C:k~;:::7~::F?kM;k,t~';;ca;;`.;;:),l';;t?;' ~~;:;C PEI~MIT ~ ~ ' E~•TY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: g u i ~ n s n e Eagan, Minnesota 55122-1897 Permit Number. 0 317 3 2 (612) 681-4675 Date issued: 0 4/ 0 9/ 9 8 SITE ADDRESS: 4812 SHEVLIN CT LOT: 12 BLOCK: 1 BRITTANY 47H P.I.N.: 10-16063-12@-01 DESCRIPTION: r""` (BATHROOM) Huildyin.g.,~Permit Type BASEMENT FZNISH ,Bui~.ding Wq,rk Type ALTERATION "CensuS Cod~ A34 ALT. RESIDENTIAL ~ ti S . ~ ` . _ - r` ~ ~ ~ ~ . ~ . ~ , ~ r T _ ~ ; ~ a_ ~ ,<<n- q .,r , . - .v-~'~ . ~ rti~ ~_`..f- - r 4~ '',.'~a~ "',J~~'~a~~.'~~`tlk~~<~Lz~y~~~~ ~ ~ , ~ ; REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY pLUMBING OR ELECTRICAL WORK PLAN REVIEWED BY MIKE BARCK FEE SUMMARY: Base Fee $50.00 Surcharge $.SB Total Fee $50.58 ~ CONTRACTOR: - Applicant - 5T. l.IC OWNER: HANSON CONST, RALPH 14602467 0083720 DUENOW pON 3392 232N0 ST E 4812 SHEVLIN CT HAMPTON MN 55031 EAGAN MN 55122 (612) 460-2467 (612)452-8574 ~ ~I her~t~y ~aoknowledge tMa~~ I. Mav~~ read ~xhi~ appl,~tc~t,ian ~rid sZat~a tha~ th~ ~ informativn- is ~correct and agrae to co!mply with all applicable 5~ate of Nln. 8tatu~~e.s and Cit~ of Eag~n 0~-diqanc~s. ~ ~ ~ ~ ~ ~ _ _ _ _ _ _ ~ _ , ~ : ~ ~ ' ~ ~ '~t~an r~ I 1~ APPLICANT/PERMITEESIGNATURE ' ' " ISSUED Y: IGNA~l~- ' ~~998 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~~Q~S~ CITY OF EAGAN 8830 PII.OT KNOB RD - 65122 rIDQA'],{l.~lhv't"f 681-4675 ~ rP~~ ~ ~ 1 New Constru~tion Reauirements RemodeVReoair Reauirements ? 3 registered site surveys ? 2 copies oi plan ? 2 mpies of plans (inGutle beam & window saes; poured ind. design; etc.) ? 2 slle surveys (exterior addHfons 8 decks) ? 1 energy calalatlpns ? 1 e~rgy calwlationa for heated adtlitions ? 3 copies M tree bnservation plan M lot ptatted after 7nl93 roquired: _ Yes _ No ~ DATE: ~~9 S CONSTRUCTION COST; ~J~. DESCRIPTION OF WORK: ~f~~~~ .l~~d~ /~i lDLriPi~ ~2v~~ STREET ADDRESS: S~S f,2 CyC ~.4~y~ LOT: BLOCK: SUBD./P.I.D. ~~ni f,~ ~t-I{~, Name: ,~GtL'N_~u.6- ~,Jt~ .~"~u7clo4i,C Phonelk: PROPERTY ~-%~t F~~ OWNER ~~IvZ . S~'I~ ! ~ C~ ~ Street Address: v City ~'~'t'~ k State: /~NG~ Zip: .~-'f°~~. . Campany: `~s o.~ `-~-t/~ Fhone /°~3 ~ U CONTRACTOR Street Address: ~~7~oZ v~~`~ H~f~ ~ License # ~ 7a v City '~/.~LS.i.s9pS+ c, State: /'~'i Zip: ARCHII'ECT/ ENGINEER Company: Phone Name: Regisu'ation Smet Address: City State: Zip: Sewer & water licensed plumber (new construction only): . Penatty applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the infortnation is ~rrect and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant J, OFFICE USE ONLY D Certificates of Survey Received _ Yes _ No ~_I ~ Tree Preservation Plan Received _ Yes _ No _ Not Req ir,„__, - _ M ~ + . I~ fI ~ i~' OFFICE USE ONLY . BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging 16 Basement Finish ? 02 5F Dwelling ? 07 4plex ? 12 Mufti Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory O 20 Public Facility ~ 04 SF Porch ~ 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE r Svt ~~-r~+RJa~ v,V 1-y ? 31 New ~-33 Alterations ? 36 Move ? 32 Addition ? 34 Repair 0 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System ~ (Allowable) Main level sq. ft. City Water ~ UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. H3y Depth Footprint sq. ft. SAC Code ~ Census Bldg ~ Census Unit APPROVALS Planning Building M~ Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit 5/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies~ i,+ :a Tolal: s~' ~ % ~ 5A v cirr use oN~v ~ c~0 L ~ 8L ~ RECEIPT#: SUBD.C~'.~zL~-~-l/ !r~ RECEIPTDATE: ~ .7/~ 1998 PLUI~ING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT HIiOB RD EAGAN, !Mi 55122 (612) 681-4675 Please wmplete for: ? single family dwellings ? townhomes and condos when permRs are required for each unit D backflow preventer for underground sprinkler system FIXTURES EACH ~ TOTAL Shawer 3.00 x = Yvster CIweY 3.00 x _L = Bath Tub 3.00 x _ Lavatory 3.00 x _L = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet " minimum -1 3.00 x = Rough Openings 1.50 x = Water Softener "for dwellings under wnstruction 5.00 X = Water Softener ' for existing dwelling 20.00 x = U.G. Sprinkler ' for dwelling under const. 3.00 = U.G. Sp~nklef ' forexisting dweliing 20.00 = Alte~atiOnS ' to existing residence 20.00 = ~ Water Tum Around 20.00 = Private Disposal System ' MPC iic. 75.00 = (new and returbished systems) ~ Private Disposal Systems " Aeandonment 20.OD = STATE SURCHARGE .50 TOTAL t hereby edcnowledge thet I have read tliis application, state that the iMOrrnstion is corted, and egree to comply wRh all eppliceble City of Esgan ordinentes. It is the appiicanPs responsibility to notity the properry owner that the City of Eagan assumes no liability for any damages caused by the City during its normal uperational and maintenance activRies to the faeilities constructed under this permit within Ciry property/right•of-way/easement. SITE ADDRESS: 4812 Shevlin Ct OWNER NAME: Susan Duenow [NSTALLER NAME: GENZ-RYAN PLUMBING TELEPHONE 423-1144 STREET ADDRESS: 14745 So Robert Trl CITY: Rosemount STATE: MPII ZIP: 55068 ~ NATU OF PERMITTEE JS/FORMS BLDGIPLBG PERMIT (RESIDENTVIL) 1998 EAGAN 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-5694 b u i id i no i n sp a cti on s acityofeaoa n. co m r For Office Use Permit* / / e r Permit Fee: / (0 Date Received: Staff: 2020 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: Resident/ Owner NameU : AR I NE C. Arrcw-- Phone: k71 -'102 - O S-S-0 Address / City / Zip: 90 /2 'J P v 1 in C t t ct � BM 55( ZZ. U Applicant is: Owner K Contractor Typeof Work Description of work: 5 t c!1n NeirK °� Construction Cost: Multi -Family Building: (Yes / No X ) Contractor Company: imie.,01 Cons/who-1 I. LL Contact: (317- q07 " 065 Address: p 3 null c FrK LI� City: f Ul ►1 At 1 I State:M N Zip: ✓cif/b Phone: 32O2OOel/7Email: License #: 66 h `' 35 Lead Certificate #: If the project is exempt from lead certification, please explain why: In the last 12 months, Yes No COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor. Fire Suppression Contractor: Phone: Phone: Phone: Phone: NOTE; Plans and supporting documents that you submit are considered to be public information. Portions of the Information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaaan.com/subscrlbe. 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. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.cooherstateonecall.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 f plans. XSam C. 8c&Yx x C. Applicant's Printed Name APP cant's Signature