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4829 Shevlin Ct ; CITY OF EAGAN ~ 383C p?~ot Knob ' P• o. Box 2179g Road SEWER SERYICE PERlMf~ ' EaSan, IU~N ..~r5921 pERAAIT NO.: ~ i Zurnng; PI pA.~. ~ ~ owne~: laI jefson j3ldrs No. of Units: z~ ' ~ddress; Plumber; ress 19 ~.`leVl.f 7] Ct ~ - au ~4 ~I isrittan ' !a j`z6-83 36Q35 ~ ~'°e M eomOy wly~ y~e C~ ~~900~ ~ Ordihsaees, Connettlon 10 a•~ fl F;~ ~ i7~o?pe: '~~unt DePosit: i ~ B Perrr~~! Fee; ~ Y ~ote of ! Surc~°^ge: ~ ^Sp.: Misc. ~ I ~ r?,sp.: roto~: ro~ j ~ote Pard: I _ - ; _ i ~ WATER SERVICE p~~T CITY OF EAGAN 'v~~~ PERMIT NO•: ~_2~$3 38~n, ni{ot Knob Road p^TE: P. O. Box 21199 1 ~ Eagan, MN 55121 No, of Units: j ~ zo~~~9~ RI Bldrs i loll f on ~ p,+rT,~~. C ~.4 ~.1 F~.rittam~ Ath ~ ress: 2 ~ evl in d ~ S~ce Ndd A 50 . 00 , Connection Charge: i, plumber. ' , q~count Deposit: , ?Vieter No.: 1O . ~ Size: permit Fee: Reader No.: ~M ~ Eo9un Surct+nr9e~ ~ 0. C~ IIlE3t~r ~I 1 ee*a~ t°inPh w~' ~ Misc• C~ha~9e" ' ~~~~us, Total: Date Pa~d: ' BY Insp•t ~ p~e of Insp•~ - ~ - - - - _ . CITY OF EAGAN ' 'r ~795 'ilot Keob Rood Ee9on, MN Sl122 ~ ~ ° PHONEi 454-8100 ~ ~ ~ BUILDING PERMIT Receipt # J ~ '?~f To b~ w~d for SF ~Tn'G/GAR Est. Volue $50,000 Oate 2°fav 25 19_._$~ Slte 1lddress-l~t:`~6 Shpv7in C'.n,~,•r Erect Occupancy . Lot ~ Blotk $ec/Sub. xi i ttany Gth /11ter 0 Zoni~ P-1 pa~~ # 1 fi 7 5~?~'~ OlaO 0 Repoir ? Fire Zone Enlorfls p Type of Const. W Name ~~n' 1 af nnn T3~ii t dertt 9 7nr • Move O # Stories ; /lddress 16a5 Norwood Drive Demo~ish p Lenqth_~ ~ Grade Ci ~ Phone 454W6873 O Depth~CLSq. Ft. °C Name (?omnr APprovols Fees Address Asseument Permit i;.)~ ~ Ci p~~ Wefer 8 5ew. Surchorye ~ 5. D~ G~ Police Plan check 141.5D FZ Nome fire SAC 525_n0 /~ddress Enp. Water Conn. '.t~~~ ~ W ~j p}~ Plonner Water Meter ~LiL.1Lli Councll Rood Unit ? - I hereby acknowledge thot I have read this opplication and state that Bldg. Off. fhe informotion is oorrect ond ogree to comply with oll applicable ~ 7,~~ 5~~ Stote of Minnesoto Statutes and City of Ea9on Ordinonces. ~PC Total Sipnaturc of Permittee Tollefson Au:lldera ,~nc. /1 Building Pertnit is issued to: ~ _ on ths express condition thnr oll work sholl be done in occardonce with oll o~plicable.S~tate ~Minnesotn Stotutes ond City of Eogon Ordinances. Bulldirg Officiol ` ' " ~f ' - - f ~ 0 _ , d 2 m t « d ~ ~ O ~ ~ s ~ ~ N • w t ~ O ~ ' ~ ; ~ ; . ~ ~ ~ ~ ~ ~ g~ 0 x E N N ~ O a`o t ~ d ~ ~ N Q ^ ~ C V 2 ~ v N M E I(1 9 4 } ~ d ~ ° ~ ~ 3 ~ ~ p ' a ° o a ~ ~ > C G7 O il O ~ p ~ ~ ~ ~ Q ` ~ ~ ~J C 9 C L = ~ d I ~ ~ ~ ~ g W ~ ~ ~ ` ~ m ~ ' fi ~ g ~ E o ~ ~ °c_ c ~ $ G ~ 3 C LL LL LL ~ ~ ~ LL LL LL ~ ~ ~ ~ ~ .r.~,-~,,'~.~,~,~~`~~,.~~~,~i~. r ,~,A, .P~ ~y .1YP~ 1~~„ ~ ~ 'alry'" ~ '1~1q..' ~ '~~r"' ~ "'l~l,"' ~ ~ ~°a" ~ "1~Y;`~ ~ ~ ~ ,+s?a. ~ ~ ~ , ~-.eS,r 'ti y,'C:? y-'~ 5'~~ ^,:_C~ ~ ,;yv.. - -t ' -...y-rvi;;y ~~..nSC:~'r i4v-."i ~s ~.°v.~~"~4i_'~'4. r,- .tgg '1 . . . _ r~~ C~~r#i#ir~tt~ uf (~rr~t~~t~r~ , r~ ;~~-ir ~ ~it of ~agan ~ ~ , p ~ ~ . . ~p ttxfmrri# ~ ~utldm .~n ~er#inn i ~ 3 ~ ~j~ This Certificatt is.tutd rSttditt t0 1Ix n uifemtntJ o Scction 306 o t/x Uni orm Buildin 1'~~[ Pu q f f f %;j~; y; ~r.~ Codc urtif~ing that at thc timc of iuua~tct thit ~tructurt was in complianct with the va~Iou~ ordi~ranrrs o f tht City rcguJati~g bai/ding conrtruction os u.rr. For tix f ollowing: ~ ~r : ;~-;~i \ ~ ~''r ' . SF DWG/GAR 8077 ~ ~ U~e ClafiHutlon Blde. Permit No. ~ R3 V NA Rl '4 t g~~ ~'a~r'tYr~ '7wc~rm Fli.~o~ zonwswvut ~ "1's-, Tollefson Bldrs. ,~aa„~1655 Norwood Dr., Eagan ~~E~~ 4829 Shevlin Court ~ryLot 4,Block 1,Brittany 4th ~r: ~ "~"`"'t~ ~-o~ "A-2~~`~ nu~: September 12, 1983 >i~-;~(`-'~~ ~ ~;•1 ~ ~ ~ ~ ~ ~ ~~i~l _ . _ .a., coe...~cuw,. ..J,cc- - _ . " r; , ~k>~^.~. ...~'..a. _.s:_..:,'.~ s.r _v,.,. :].~._wa - i2~b.~ix ' M~l~Y\ . . ~ 4.~ : . . _ . , , ~ •v . ~ t ~ , ~ t- ~ x G~K ~}']1~.~. , # ~'~*~:~t~~.~~~~~..~ ~ ~.~~,~1t~,~~~'~~,~f~.~, ~ ~ - ~ ~ ~ - _ . . ~ _ ' . . . - LITMO!'1 u.S,N. ` =1 - i . ' r, ~ Receipt ~ MECHANICA~. PERMIT Permit No. - CITY OF EAGAN _ Fee ~ ` ~ l~ill in numbered spaces S/C Type or Print /egib/y ~ Tot ~ ~ ~ ` 1. Date ' ' 2. Installation Cost ' f ; i ,','i ..1 J c~ j 3. Job Addreu - Lot~_,Blk. ~ Tract ;-~'r A 4. Owner _ r--„ r___ t._ _ r,~l._,.,-- 5. Contractor ~ Phone ` - . ^ 6. Address ~ ' , ' i%s-~,...~~ 7. City :,~,.c-~--•~-~ State /L~.~. 2ip ` ~ ` 8. Building Type: Residential ~ Commercial ? Institutional ? 9. Work Description: New ,E] Add ? Alier ? Repair ? 10. Describe Fuel Type 11. No. ~.quioment 8TU • M. Ea. No. EQUiament CFM Forced Air ~ ~ Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping putlets 12. I hereby certify that the above information is true and correct, and I agree to oomply with all ordinances and codes ~overnang this type of work. ~ f ~ Signed : ~ • ~ ~ for Rough F i na I Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454$100 Receipt PLU INGPERMIT PermitNo. CIT~OF EAGAN Fee ~ • FiII in numbered spaces S/C ~ Type or Princ /egib/y , Tot. ~ , ; 1. Date - ~ - 2. Installation Cost ~ " . , - , : N- ~_t ~ , ~ ~ < r 3. Job Address ' Lot B Ik. / Tract ~ i'`~ 4. Owner . ~ r-- , =-L .i _ ' ' l ~i 5. Contractor ~1_~; ~T~~, ~ i~ Phone ~ - 6. Address ' / ~ , , ~~?'i / ; ~~C~~ y i ~ ~ , - , 7. City ( •~7 U? ~tJ'r State ;'rv' ' Zip - - ~ 8. Building Type: Residential `Q Commercial O Institutional O 9. Work Description: New ~ Add 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 T ~ Laundry Tray ~ ~ Floor Drains Drinking Ftn. 51op 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 IN ~Y~C;'1'lUN K~(: UK1) J CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ' i`~ ~ Eagan, Minnesota 55122-1897 Date ~ssued: (651) 681-4675 I . ll . ~ ~ ti 1 .f . ~ SITE ADDRESS: , , , APPLICANT: , , . ~ . PERM~BTYPE: TYPE OF WORK: . . ~ ~ ~ ~ Permk Holder Date 7etephone R SEWER/ WATER PLUMBING HVAC Inapsctfon Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRFIGATION METER FLUSH MAINS CONDUCTIVITV TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN Remarks Addition BRITTANY 4TH ADDN ~ot 4 R~k 1 Parce~ 10-15003-040-01 owner Street 4829 SHEVLIN COURT State EAGAN I~4~1 55122 Improvement Date Amaunt Annual Years Payment Receipt Date STREET SURF. (p 1982 452. 94 90. 59 5 - STREET RESTOR. GRADING Z 1981 23.82 1.59 15 19.08 A012928 10-12-83 SAN SEW TRUNK ~ 1976 173. 90 11. 59 15 81 18 A012928 1U-12-$3 ic SEWER LATERAL j9$j 246.32 16.42 15 1 7 6 Sewer Lateral trk 1983 133.33 8.89 15 106.67 " " WATERMAIN S 1984 629.29 2 3 1 * WATERLATERAL 19H1 LS WATER AREA 1981 229.95 23.00 10 1 1 1-12-83 STORMSEW TRK 1981 596.40 39.76 15 477.12 A012928 10-12-83 * STORM SEW LAT 14$j 15 CURB & GUTTER SIDEWALK STREET LIGHT ROAD UN 2 - - WATER CONN. 45~. " BUILOING PER. SAC " " PARK ' CASH RECEIPT CITY ~F EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 wece~vco FROM AMDUNT $ ~I ~ DOLLARS ~oa ? CASH ? GHECK ron ~ / FUND CODE qMOUNT Thank You BY White-Payers Copy Yellow-Posting Copy ~ Pink-File CaPY This re9uest void~'Z ` L~ 1 d7l l~(~Lf TTQK~{. ~r'` ~ 18 months from Q ~Q~ 7Q ~4~5~ Rnques[ Qate Fire No. R uyh-in Inspection / R ireA7 ~ReaAy Nuw Will Nnti(Y. Inspec- l0 Yes ?NO lor When Feady Licensed Ele<Vic. I Conlractor I hereby raquest ins0action ot above Owner electrical work installed at: Sveet A'dd/ress, Bo or Route~ City ~-t' ...1 ~'LQ-V.~C-h ectron o. To nship Name or No. ange No. Coun y OccupantlPftlNT) Phune No. / Power upPlior Address Electrical ConVactor ICompany Namel Contracmr's License No. ~ L ~ MailinB , Jress ICon[ra t~r Ownar Mokin Ins ilatiolll'~ Authorized Signat onvactor O r Maki~g Installation) Ph Number ~ MINNESOTA STATE BOAXD OF ELECTNICITV THIS INSPECTION HEQUEST WILL NOT Gripgs-Midway BItl9. - Room N•181 BE ACCEPTED 9Y TME STATE BOAND ~ UNLESS PROPER INSPECTION FEE IS '1821 University Ave., St. Peul, MN b6104 PAnnn IFV1'JS~1.91N ENClOSED. REQUEST FOR ELECTRICAL INSPECTION es-ooooi-oa y.. ' See inslruetions for compleling lhis torm on beck of vellow copy. " X" Be/a or er d by This Request 3co7 a~ ~ Adtl Nep. Type o1 Bviltlinp Ap0liances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Liyhtiny Fixtures Apt. Buflding Dryer Electric Heatin Commercial Bldy. Furnace Silo Unloader Industrial BIAg. Ai~ Conditioner BWk Milk Tenk Farm e ~ y j ther ISUecifvf t er unafy r pihur ampute lnspectran fee Below k F e Service EntrBnceSize p Fee Fexdars~Subtaeders # iea Circuits 0 to 200 Am s 0 to 30 Am 5 - ~ ta 30 Am s Above 200 qm~s 31 to 100 Amps 5° 31 to 100 A s Swinmin Pool Above 100_Amps Above 100_Am ' Transiormers Irrigation Booms Partial,'Other Fee FerrNrks Signs Special hispection 5 ~ pTAL EE ~J~ Roa9h-in "~1 i~ Y ( ihe Elact ' I / ~ Ins q hereby • certify that the nbove Final ~~,,0("/ inspection has been ~ 0 mede. Thln repueet voltl 18 montha Irom c~rr oF EacnN ~7 p ry~y I79i Pllot Kno6 Roed Fegan, MN SS1'12' lr ~ O 0// ~ t PHON[: 454-8100 ~/O~ BUIL[~1NG PERMIT Receipt ~P Te M med fer SF DWG/GAR Est.Value $50~000 Dote May 26 _ ~y 83 Siro nddress 4829 Shevlin Court Erecr gg Occuponcy R-3 Lot 4 Bloek 1 Sec/Sub. Brittany 4th A~rer ? Zoning R-1 Pnrcel # 10 15003 040 Ol Repalr ? F~re Zone NA Enlnrge p Type of Consf. V ~ Name Tollefson Builders, Inc. ~Ve ~ 1655 Norwood Drive ? # Scories Address Demolish p Length 38 Eagan 55122 pha~ 454-6873 Grade ? Depth 46 Sq. Ft.- o Nume Owner Approrals Faes o~ Addreu Assessment Permit ~ Water 8 Sew. SurcFwrga 25. Police Plon check 141.50 ~w Name Fire SAC 525.00 Address Enp. Waler Conn. 4 s0. nn ~W q php~ p~anner WaterMeter 6~.0~ Council Roed Unit Z50.00 1 hereby acknowledge that I have read this applicotion and stote that Bldg. Off. the inlormation Is wrrect ond ogree to comply with oll applicable APC Tofol 51734.50 State of Minnewta Statutes and Cify of Eagan Ordinonces. Signature of Permittee ~ A Buildinq Perm~r is issued fo: Tollefson~ Builders nc. _ on rhe express wndit~on ~hn~ all work shnll be done in otcordnnce with oll ita a Min ,otd$Jatutes and City of Eapan Ordinonces. BuHdiny Offlciol ~~Z-~~ ~ ~ ~ RESIDENTIAL Q ~ ~ ~ BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 65'1-681-4675 New Construction ReauiremanM RemodallReoair Reauirements • 3 registered si[e surveys showing sq. of lot, sq. N. of house; and all roofed areas • 2 copies of plan (20% maximum lol coverage allowed) • 1 set of Energy Calculalions kr heated additions . 2 capies af plan shawing 6eam 8 vrindow sizes; poured found design, elc.) • 1 site survey farexterbr additions & dedcs • 1 set of Energy Calcula6ons • Indicale if home served hy septic system foreddilions . 3 copies M Tree Preservation Plan it lot platted after 7l1/93 • Rim Joisl Detail Options selection shcef (bldgs wilh 3 or less uniGS) DATE ~ ~ z ~ ' O7~ VALUATION JOB SITE ADDRESS Z~ She~f l i n C.F• IF MULTI-FAMILY BUILDING, HOW MANY UNITS? ~ PROPERTYOWNER ~'L~"F~' ~ ~ 1.PdJ~nP~-2~ TYPE OF WORK ~ec..~-- FIREPLACE(S) _ 0_ 1_ 2 APPLICANT T~m ~-~J~noa2~ " ~IZ•2~FS-c~22~ PHONE# ~51^-`~~- S ADDRESS ~Z Mr ZZIPCODE SS~ZZ- PAGER # CELL PHO #~t~ 2~ 2`FS ~4 Z~-1 FAX # CP-" NEW RESIDENTIAL BUILDING ON - UT COMPLETELY Energy Code Category _ MINNESOTA RUL,ES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Phone Plumbing System Indudes: Water Softcner Lawn Sprinklcr Fec: ~90.00 Waler Hcaler No. of R.I. Ba[hs No. of Bat}is Mechanical Contractor: Phone # Mechanical Syslem Includes: Air Conditio~ung Fee: $70•00 _ Heal Recovery Sys[em Sewer/Water Contractor: ~ ~ All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the infor ~#ianis-coue~f,.~d a ree to comply with all applicable State of Minnesota Statutes and City of Eagan~inan~es. ~ ~ U 11 Slgnature of Applicant ~~~J~ Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 2002 OFFICE USE ONLY ! ~ ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ~ 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding Q( 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ~ 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation ~t9i~'~ Occupancy ~ MC/ES System Census Code 3K Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. ' PRV Nbr. of Bldgs J Length Fire Sprinklered Type of Const SL~ W idth REQUIRED INSPECTIONS Footings (new bldg) Final/C.O. ~ Footings (deck) ~ FinaUNo C.O. _ Footings (addition) _ p~~b~g _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs AidGas Tesu Final _ Framing _ Siding Stucco Stone _ F'ueplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wal] Approved By T Z , Building Inspector Base Fee Surcharge i;°~~ S~ ~ s Plan Review L ~ MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies ~ Other Total tsll~f'~n builder• Inc, ~~~^y Or. 11421 . , ~ 383-75 JACKSON - SURVEYORS Scale~ 1" • 30' R[OI~T[R[D UMD~R LAIN~ 0/ ~TA7~ OI YIMMfWTA ~~DO[~¦ IrJ[1 Drsiaaaa 000.~ EYi~ting tl ~16 EAST 55th STREET, MINNEA70LI5, MN 55417 7tJ-348~ I Surbrpo~'s 6crtiGcaic I :``1W y II I ~ee I ~ v_ V ~ I ^ l~~J .1 . . ~ I ~ ~ s Ke 9 ~~b ~ 30.Oe _ 'O~I 2 ii9.~E ' ~ ~ - - - " +oS I ~ ~ ~ , ~ol ~ ~RA!NA6~ ANG z3 I ~O . G Q LItILITY EA~~~MtN i y - ,J j If1 I o~ HOU:E ~ Ll O r~05.5 I1p5A I O 1 Y O C Z < <C. - - - ' ~ L L~ GARAGE ° ' ~ y O O0.1VE'+f~Y ~ 7 ~ N ` ' ~ ~ Z ~4 _ ' ~ 10 ~p5 ~ N 2L ~ ~ Z 'Sk .t io ~ J ~ o . N 4O - ~ _ 1 ~ . \ s~~~..e ' - 3o.oe - ~~!F ~oa~ I ' ` ~ ioo ~ I ~ ~ ~ -i ~t L_ L J I I I I 1 M[RES~' BRTI/1' TMAT TM[ AlOV[ 1~ A TRU[ AMG C0114[CT rU1T OF A WIIY[Y OF . Loc 4, Slock 1, Erittany 4th Addition, I~kot• County, ?[inneeota Propo~ed Garage Tioor ESev. 101.5 Propo~ed first lloor 61ev. 102.3 Proposed baeessnt lloor tt~v. 93.3 Ay ~uwvcrso ~v ra rN~~~.~__-wv or~~~L •.o. ~QR; ~ .,s S~a~[ ~ F. C. JACKWN, M~ww I~M~K~u7~ON. No. 7M0 ; ~ I`~~c, r-- ~*198- BUILDING PERMIT APPLICATION (RESIDENTIAL) ~0 3~t-a~9s ~ crnr oF ~?G~rr 3830 PII.OT KNOB RD - SS 1Z2 $ ~ ' ] ~ ~ /~~,3 . 7~ 681-4675 New Construc[ion Reauirements~ l RemodeVReoair Reauirements - q % ~ ? 3 registered sde surveys ? 2 copias of p4an ? 2 copies of pians (inGude beam 8 window s¢es; poured tnd. aesign; etc.) ? 2 site surveys (exterior adtlitions 8 dedcs) ? 1 energy caleulations ? 1 energy calculations for heated adddions ? 3 copies of tree presenation plan if lot platted after 711l93 required: _ Yes _ No ,1/~ DATE: a' / ~ ~ g 9 CONSTRUCTION COST; ! -3 ~ ~ DESCRIPTIQN OF WORK: ~-e ~O d ~i ~ - a-t~ ~ STREET ADDRESS: `7 ~ ~ ~ s// ~2 V ~ ~ LOT: ~ BLOCK: SUBD./P.I.D. ~z~~~-`-~ ~4~~~ Nsme: d Q~ W ( Q- ~ ~~7 Phone ~ / ' ~ ! ~Q PROPERTY ~ F~~~ OWNER ,/~y / Street Address: a ~ ~ ~v/~ l~ /n ~ City ~G1 ~vt~ i'I State: Zip: S~~ Company: ~~~?P~/ C`'9 f ~ O ~ Phone ~ ~ ~ a ~ CONTRACTOR / Street Address: ~~ll~ ~n a ~ ~ License # ~ ~ 7 ~ Ciry ~~/S State: `h^~ Zip: ~`5~~~° i ARCHITECT/ ENGINEER Company: Phone Name: Registretion Street Address: Ciry Stare: Zip: Sewer & water licensed plumber (new construction onty): . Penalty applies when address Chang and lot change is requested once permit is issued. 1 herehy ackrtowledge that I have read this application and state that the iniormation is correet and agree to camply wfth ali appiicabl State of Minnesota Statutes and Ciry of Eagan Ordinances. 5ignature of Applicdnt: ~ OFFICE U5E ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes ` No _ Not Required , OFFICE USE ONLY , SUILDING PERMIT TYPE ? 01 Foundation ? O6 Dupiex ? 11 Apt,/Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Muiti RepaidRem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous O 05 SF Misc. ? 10 ; plex ? 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 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 2oning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee 1 1 1."a-~ Valuation: $ Surcharge ~ Plan Review License MC/WS SAC ~ City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. ~ther Copies Tota1: 113.`l j °!o SAC SAC Units ~~~~~~~~~~~~~~~~~~~~~~~~~~~m~~~~~~~~~~ CITY OF EFlGAN CASH.T.F_.R: S TFRMINAL NOa i19 DATE:: 02/13/93 T[ME: 12:21.:29 IU: t~AhfE~ PAi~FLCRAfT OF MINNE50TA INC. 327.0 30~L 4829 ~iHf•:VLIN CT 111.25 2155 9f)OS 4H29 SHIEVI..IN CT 2.if1 :321U 90(]i i.363 IN7E:.RI_ACHE 139.25 2155 ~001 1369 INl'ERL.ACHE' 3.50 Toi:a1 Receipt Amoi..nt c 25F .50 CR103056 USEF ID: NANCV %~X~~c# ~%X~~X%cX~~Xc~X~X~~%~X~%c~X~~X~X~c%cX~~~kX~~k~~F ~~c~#~k*~#~ ~ t PERMIT CITY OF EAGAN PERMIT TYPE: ~ 3830 Pilot Knob Road ~ u 2 L ~ C N~ Eagan, Minnesota 55122-1897 Permit Number: h 3 4 5 51 (651) 681-4675 Date Issued: ~ 2/] 9/ n q SITE ADDRESS: 4829 51-iFVL]-j,.! L'l- L07: 4 ELOCK~ 1 ~'c" B p I TT4NY tl* P. ~I.,td.: 7.G5--;L649~i;--P~4Q~-C~:L DESCRIPTION: arkaor Bu~.~'ld.t`r~~-,PermiC Type SF f MISL'. ) L~ra i L d i n~. 7 i~7'b~~t• k'T' y p e R E P A I H ,C~ensus Gdtl^ 434 aLl-. F;~?STpEIV'iI~L , ' , r I l ~ ~ ~ ~ ti.. ~ ~ `i. Lj i l_. .i\ \.~,1J ~ ~ ^i ~ ~Y J \t r' ~ i . ,t 'i ' s r ~ ~ , _ _ _ . _ ; ~,r REMARKS: FEE SUMMARY: VFlL1.1~17TON $5,00P~ 8a~e Fse $115.25 Surcharqr ~2.50 T~oTe.l F'ee :~.1].3.75 y CONTRACTOR: - Appli.carir. - ST~ 1..1C. OWNER: WR~NEL(CYtAF~i OS-~ MN Ih!C 17216f~28 ~f~02179 P1IWLAK HRIAIV 311Ss SIVLI_LIiVC; AVE S 4829 SHEVIT.IV CT hd:i:N~JE,4POL~I~ MPI SS40~ EAGRN hIN 5512Z 161T1 7~1-66.'_~ (651.)6~i7-f~458 'I h.~rel*y ~acknawlexSc~s LhaG i h~~v~ resd this fpPli.caL.ion and sCur.e t!-t~L the iixtnrn~atfa~~ ic ct~rrsci ~nd aaree to coa~pl.v 4J3'i:i'I all appl+cabl~ StatG ot Mn. ::t~tutes and Caty vt E~yan Ordinaitc~s. ~ ~ ~C5 ~ ~RJ ! ~C~ - APPLICANT/PERMITEE SIGNATURE SUED BY: SIGNATUIiE / • ~ ~ CITY GF FAC',AN Inclucle 2 sets of plans, /y~ ~ 1 site plan w/elevations & J~ gUILDING PEId+QT APPLICATION 1 set of energy c~1~a~~. ` ~ ~ ~a~-- . 'ib Be Used Fbr aluation ~l~ 66'6 Date Site Address ~ OFFICE USE ONLY Ivt Block ~ Sec./Sub. ~j~~' Erect ~~~7' ~ Parcel l U ( S e~ u 3 c~ f-f P~ O t Alter ZonitxJ F~pair Fire Zone O.rner: ~~,~('T~Y.~{ II~].ar9e _ ZYPe of Const. Move # Stories Address: Derolish Fmnt ~R" ft: ' Grade DePth '~Gi ft. City/Zip Code: PhOne # : ~ APPPfJ~7ALS ~S i ~11„~Q~ Assess[nents Pesmit ~ S Contractor: lL1GC. I A 'P~ Surc~an~e ~ ~ ~ ~ Water/S~wex Plan Check / / Address: I~~ I~VI~~~ ~ Police ` Fire City/Zip Oode: ~ -,r----- SAC S~ 5` ~ ,~/'r/ Water Conn• Phore # : ~7~Y' L~~ ~r ' Water Meter D ~e Council Roa~] Unit ~~cY~ -O= pxch./IItg.: Bldg. Off. 4 f~3 Addsess: ~ City/Zip C.ode: TOTAL ~ d- ' s~ Phane ~ ~ ~ ~ ~S 3 =sllofson duilders Iec. Q~j~rp ~ Or. 11421 189-75 ' JACKSON - SURYEYOR5 Scalc: 1"= 30' w[a~sruac UMO[R uw~ or nwr[ w ru+nno~~ ° Ekoote• ILDn Hsafaase 000.~ Ezistiag E1. 96t6 EAST 55th STREET, MINNEAiOL15, MN 55~17 727-3484 I $it[hLpO[~f ~.[C~r[3I[ I I I voe I i y: f ~ ~ i ~ _ SP~.KE jO.CO .'~DO9 > ~Q~ a v i79.'7P N 30~: ~ ~ ~ - - ~ ' ~ ~ ~ ~ ~ ~~RA!NAGc ANli ' 23 ~ io ~ l~Y1LITY EH~EMtN i ' ~ ~ j t!~ ( NOU~E ~~.5 ' I, 05 A~ I w o m , I o z Y O - - - LJ GA RAGE - ~ ¢ ~ L O-f L4 0 ~ N '~VEv:~V ~ 7 ~4 i y i, i z ID i\0".. /N 22 - ~ L 1 ~ ~~.1+~ 2 lo~ i p~ a i~~.4a v - ~ , sv~K~'- 30.00 . ~'~oi~~~o~.a~: ~ ~ wo ~ ~ j ~ ~ . . I I ~ lJ I ~ I ~ NCRE~~ G[~TI/Y tMAT TM[ ABOV[ If A TRU[ AMC CORR[CT rU.T OF A sURY[Y OF Lot 4, Dlock L, Erittany 4th Addition, TMkota Coun[y, Minneeota i ;Proposed Garage ftoa= Elev. l01.5 ; Propoied fir~t Floor 61ev. 102.3 Proposed baeenrnt floot li~r. 43.3 AO ~UOV~Y[D ~Y Mt TNI~~~ .___pA`/ O?~~y •.D. 19g~ / ~ ~ f10Nt F. C. JACK~ON. Mtw ~ ~ Rs~~OT~wT~ow. 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I ~`pffs,;~~G,g,~ Clt~ 0~ E~~1~Il j Pertnit#: Cll h~ ~ ~ i PertnRFee: ~ 3830 Pilot Knob Road Eagan MN 55122 ~ Oate Received: ~ Phone:(651)675-5675 ~ ~ Fdx: (651) 675-5694 i Staff i 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 7!/d `l C.V I.W II YI ~1.l,I~~ Tenant: r (~Rr~-~,~,b,~~~,lfl/ ~ Suite ~ J RESIDENT I OWNER Name: Phone: f(Jfpl -(~~5~ ~ I Address / City / Zip: ~a4lY.{~/~ ~ ~,Wr~ ~Llil/1~ ~ SS` ~ Applicant is: _ Owner ~ Contractor TYPE OF WORK Description ofwork: !9/Y/( ~~L~~-~Dl~/I~I D~ Construction Cost: ~ Multi-Family Building: (Yes No' CONTRACTOR Name: /C.l~{'IhQ~~ License ~~l ~ Address: City: State:~ Zip:JS~~~ Phone: ~ ~ Contad Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 E~CI(]y COdB _ Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category • Submitted Submitted Submission type) • Energy Envelope Calculations Submitted In the last 72 months, has the City of Eagan issued a pertnit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical ConVactor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents thaf you submit ace considered to be public inforrrrateon. Portionsof the ioformation may be classNied as non-public H you provide spec~c reasons that would permit the City to s = conclude tbat the are trade secrets. I hereby acknowiedge that this information is wmplete and accurete; that the work will be in conformance with the ordinances and codes of the Ciry of Eagan; that~ I understand this is not a pertnit, but only an application for a permit, and work is not to start wRhout a permi[; that the work will be in accord nce with the approved plan in the case of work which requires a review and approval of plans. X~ X(~.P~~~~- Applica s Printed Nam App i~a s Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA136581 Date Issued:05/23/2016 Permit Category:ePermit Site Address: 4829 Shevlin Ct Lot:4 Block: 1 Addition: Brittany 4th PID:10-15003-01-040 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 - Lizette M Ladendorf 4829 Shevlin Ct Eagan MN 55122 (612) 245-6221 Bruckmueller Plumbing Inc 3992 Pennsylvania Ave Eagan MN 55123 (651) 686-6696 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA152309 Date Issued:10/09/2018 Permit Category:ePermit Site Address: 4829 Shevlin Ct Lot:4 Block: 1 Addition: Brittany 4th PID:10-15003-01-040 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations 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: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Lizette M Ladendorf 4829 Shevlin Ct Eagan MN 55122 Home Depot Usa Dba The Home Depot 2455 Paces Ferry Rd Atlanta GA 30339 (763) 852-1044 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA154269 Date Issued:03/08/2019 Permit Category:ePermit Site Address: 4829 Shevlin Ct Lot:4 Block: 1 Addition: Brittany 4th PID:10-15003-01-040 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations 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: 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 - Lizette M Ladendorf 4829 Shevlin Ct Eagan MN 55122 (612) 245-6221 Home Depot Usa Dba The Home Depot 2455 Paces Ferry Rd Atlanta GA 30339 (763) 852-1044 Applicant/Permitee: Signature Issued By: Signature