4135 Signal Pt •
, INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: ~f ~
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
.c , I i~NC,I. f' ! I~ t~ ; 1 r ltI I Mi I N4
'.Il;NA1 I d+INI A'.,A
PERMIT SUBTYPE: TYPE OF WORK: ~
, ~,+i ~ ?
INSPECTION • .A
I! Al.,
I 1 M~t~ ' I I:i~ I I 1'!r'ot
I.'I MftI:f I'I ?1111M1 '~~ry 4 1 1:~~
I ~
I____ J
Permit No. Parmit Holder Date Telephone N
' S/W
PI.UMBWG
?
HVAC Lf ~J lYa~~- L
ELECTRI
ELECTRiC
Inapection Date fnsp. Commer?ts
Footings I
J-i0
Foundation
Framing ~
Roofing
Hough Plbg. -o I 9
Rough Htg.
Isul.
Fireplace
Final Hig.
N sL
Orsat Test / " t7
Final Plbg, Plbg. Inspecta - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final
Deck Ftg.
Deck Final
wen
Pr. Disp.
9 '
, . .
a'i ti,~~'9?
, .
i i
.~``r - Kertiticate of cccoanc4
~ .
Wtt4 of Cfagatt
~epart~e~t e~ $~Ib~cg ~n~ection
• This Certificate issaed pursuant to tiie requirements of the Uniform Building Code
certifying that at the time af issuance this structure was ire compliance wrth the various
oyWnances of the City regulating building constnrction or use. For [he following:
usecbm;fic.;a,: sF nwc sWg_ NnTiii r,o. 24 183
om~Pmwy TYPe FA4qJ2 Zoning Distrin RI Type Consi. VN
owner or a.iw;ngT-~I F I~.S Il~ wam:.,148q fAE PARK CIR. EAG1N
wiryL3, B2, SIMAI. POIaff
swwi,g na&= 4135 SINGAL POINT .c
Dwu: .r _
B~im~ oYrr~ '
POST IN A CONSPICU0O5 PIACE .
. ~
. -
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
, :.,~nt i ;I~~F1( '
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION . DA
Permk No. Permit Holder Date Telephona M
ELECTRIC
PLUMBING
HVAC
Inspactlon Date Inap. 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
OHSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL i v~' S!IQ /
P91,
95U9 3 ~ ~t. ,d°°~o
Repuesl Dete Fire No. Fough'in'Inpsgiolion Revuiree Insoection OtherThan Rougn-1n
(VOU must cell inspe Ow N.n ready) Re a~yNOw ~ WIII Nolily Inspectw
Yes
IAlicensed contractor O owner hereby requesl inspection of above electrical work at:
Job Atldress ~Street Box Ie No.) Ciry,
l~ iYi't- J. /`j C•f~-.tJ
Seclion No. Townshlp Name or No. Pange No. Counp~
/I
U/9'lCOT14
OccupanllPRINTj , Phone No.
F~ ~ ~e em<s
Pow upplier Adtlress
,4KOrn ~~rc;,e rc mirr~rnN
ElectY I Go~lredw (Compan Name) GorVacroh License No.
!~/1SC ~.~CiAi G ~Ni1 O/Ye' Z
Meilinq Atltlress (GOn eforor pwqer Making Installaimn)
.0~ox 2q0611I
Aulhor Signature IGOMr ctor/Owner Making Insiallation) Phone Number
gev3 (a~i°!a(o
, MINNESOTA STATE BOAHO OF ELECTNICITY THIS WSPECTION REQUEST WILL NOT
Griggs-MlCway Bldg. - Aoom Sd73 BE ACCEPTED BY THE STATE BOARp
1821 Univnsity Ave., SI. Paul. MN SS10J l1NLESS PROPER INSPECTION FEE IS
PhOne (612) W 2-,(1800 ENCIOSED.
9~~ G REOUEST FOR ELECTRICAL INSPECTION ee-oooo,-
7 ? S¢e insimctions lor completing tlis (orm on back ol yellow coOY je
`3 2 9 5 0 9 "X" Below Work Covpred by This Request
ew tlRep. TypeotBuilding AppliancesWired EquipmeNWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Menagement
Comm./InduStrial Fumace Other (SpeCity)
Farm Air Condi[ioner
Other(syecly) Convactor5 Remarks.
Campute Inspection Fee 8elow:
# Other Fee # ServiceEntranceSize Fee M Circuits/Feeders Fee
Swimming Pool 0 l0 200 Amps 0 to 100 Amps Q4V
Transformers Above 200 _ Amps Above 100 _ Amps
S19nS. Inspector§USeOnly: ~ TOTAL
Irrigation Booms / l oC , G) ~ ~1 ~j dU
Special Inspection 1
AlarmiCommunicalion THIS INSTALLATION MAY BE ORDE DISCiCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MQ S.
I, the Electrical Inspector, hereby RoLgn-m
certify that the a6ove inspection has Date
been made. rr ~-L
OfflCE USE ONLY ~
TM1i3 request vai0 t8 manlhs im.
Address 4135 szcarAt, roIIar Zip 55122
I.ot * 3 Blk 2 Sub STamr. rnnor
THESE I1'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 0 Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass yZ
TraiUcurb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-o& of water supply to
the outside lawn faucet before freeze potential exists. Contac[ engineering division at 6814645 before working in righ[of-way or ins[alling underground sprinkler system.
Whitc - City Copy Yellow - Resident Copy Pink - Contractor Copy ~
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: suILozNG
3830 Pilot Knob Road Permit Number: 024183
Eagan, Minnesota 55123 Date Issued: 0 7/ 19 / 9 4
(612) 681-4675
SITEADDRESS: LoT: s BLOCK: z APPLICANT:
4135 SIGNAL PT LIFESTYLE HOMES INC
SIGNAL POINT (612) 454-7866
PERMIT SUBTYPE: TYPE OF WORK:
SF OWG NEW
INSPECTION „ . „
FOOTINGS FOUNDATSON
FRAMING ROOFING
IN3ULATION FIREPLACE
ROUGN IN PIBG ROUGH IN HTG
FINAL PIBG FINAL
REMARKS: S& W PLBR - THOMPSON PL66
F
J
L
. , PERMIT s'-
CITY OF EAGAN
~3830PilotKnobRoad PERMITTYPE: duILDSNG
Eagan, Minnesota 55123 Permit Number: 024183
(612) 681-4675 Date Issued: 0 7/ 19 J 9 4
SITE ADDRESS:
4135 SIGNAL PT
LOT: 3 BLOCK: 2
SIGNAL POINT
P.I.N.: 19-68055-030-92
DESCRIPTION:
- _
Building_..Permit 7ype SF DW6
;tu3lding Wb.r.k Type NEW
j' UBC 47ccupaKby ~ R-3 M-1
Canstructioh Typ.e V-N
' Zaning R-1
rl` Building Cength C 51
` Building Wid'th ~ 47
911ding s t o r i e s 2
B,
`~:h"~...lt 7>
ZY
REMARKS: ~
S& W PLBR - THOMP50N f'lBG
FEE SUMMARY:
VFlLUATSON $138,600
Base Fee $772.50 MISCEILANEOUS $1,828.50
Plan Review $502.13 COPY $.50
5urcharge $69.00 7ota1 Fee $3,972.63
SAC $8@0.00
SAC ~ 100
SAC Units 1
Suhtotal $2,143.63
CONTRACTOR: - Applicant - sT. LIC. OWNER:
LIFESTYLE HOME3 INC 14597866 0001288 LIFESTYLE HOMES INC
1489 LAKE PARK CIR 1489 LAKE PARK CIR
EAGAN MM 55122 EA6FtN MN 55122
(612) 454-7866 (612)454-7866
I hereby deknowle€tge that I have raad this application and state tliat t'Me
information is cprrect and agrae ta comply with all applicable Stete of Mn.
Statutes and city of Eagan Ordinances.
~ J
~APPLICAWT~~ITE~ Is.SUED BY.Q
• ' ' CI7Y OF EAGAN
~ 1994 BUILDING PERMIT APPLICATION
~ I 681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 regis erejUslte ~u~r~uypys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural " ' 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work ~ T~~4
Site Address: 9-l?)~) t"1Q.I ~n IYI
STRE T SUITE #
Tenant Name: (commercial only)
LOT "3 BLOCK _Q` SUBD.SIg MI NI • P.I.D. 0 JC)-L0c6Dg5-()3D-Da,
Descri tion of work:
The applicant is: 0 Owner tD Contractor ? Other fDescribe)
Name AAD ZRC , Phone YE44:7e(_~6
Property LAST FIRST
Owner Address 14ss LAKE A-AoK &P'0ky_
STREET STE #
City _ 'LAbw State Nti Zip
Company L1 FEaTta ~ F -14ngk g~~) S-biC° . Phone
Contractor Address i License #QQ12ffi Exp3tL67
City ~ State Zip S':~)I2Z
Architect/ Company f-5 Phone
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once rea has been approve .
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. FFS.~~
Signature of Appl icant: )ofs.,,~~,~ir,~"--' i~ of-
OFFICE USE ONLY '
BUILDING PERMIT TYPE
. . wPR. .
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
p 02 SF Dwg. ? 07 4-Plex 11 12 Multi. Misc. ? 17 5wim Poal
? 03 SF Addition ? OS S-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch 13 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
PP 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair 0 36 Move
GENERAL INFORMATfON
Const. (Actual) Basement sq. ft. 9~r(f MWCC System
(Allowable) T lst F1. sq. ft. 9r9 City Water
UBC Occupancy 2nd Fl. sq. ft. 10 FfT PRV Required
Zoning 9-i Sq. Ft. total Booster Pump
# of Stories Footprint 5q. ft. Fire 5prinkler
Length ~ On-site well Census Code
Depth 417~ On-site sewage SAC Code ~L
Census Bldg
APPROVALS Census Unit -7L-
Planning Building Assessments
Engineering Variance
REGIUIRED INSPECTIONS
? .Site ~ Footing E,Framing 12 Insulation
11 Wallboard I~ Final O Draintile rU Fireplace
Permit Fee veiuac;on: g ~2J~'Lt~'~ Q
Surcharge
Plan Review 2"4--~p 4-~
3a_,~ i~ = ~v S~
MWCCnSAC
City SAC 7oyX/G ~ ~
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
°
Treatment Pl . iG16 e ksf - -5-?24
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
5AC Units
M2422 rndolo I~qb, DMN 55i29
* PIONCER 1M10 7UI1K1CR5 . QNl CMUNLPS (812) 68T-1814 FAX:861-9488
* eng naer n0 'uCMhCtS 625 Hfghwft19. N,E. _
Bloile, 1+1N 56W34
(612) 7&34680 FAX:783--1883
Certificate of Survey for: LIFE STME'LHOMES, INC.
4135 SIGNAL POINT
\
fkl S7ryN SERVICE iPeR PLAN
I = S~^ ppOVID D 9v
BENCH MARK 918.~ HOUSE G
ELEV 9 BBI 4~ 918.8 f9r6-~) n1 / u'~/, INTV E9C0 2
"Y
( N ~ ~ 43.15
84 g8.23 ~ ~ 9 ~:SSosp
` I tQ6 l 1%°o ~ •S`S9•~e~s.7 ~
cti~°• 1 , ~ ~ ~ ~ 15.6~
9 00.1 z • ~ ~ ~ - , -LIGHT
~
I a~~ 5~ S? \\916.1 ,q'!_3" . ~ C) 915. .ZX~ _Tfp.
I ~ 6~ 915.9x O'},p~ i .9!
A T CNS.
\ ~ ~.p~,8/ • . / g;sl~ ~..lo ~ i
1 W ~ sl2.se 9t~.oo
i 913.5 x Q ~ 15.1 ~ 2$ 91812
909.7 ~ 0>
I Z ro.~ zw/
z I` ~a
' . oA 3 i % ° z x°
Fq~Nq~F I~w l wx
~ ~ Un Y~'s 910. i
h ~fNr
jOCqr ~ x909.9 x~909B~4 pWa ai \ 2
I ~ ~ 4
4Z BENCH MARK
Vr~ Fy S TOP OF NUB
ELEV.=9f4.92
0
1v
~
899.2
AROPOSED GRADES SFiOWN PER ORADING PLAN BY: KEDLUNO
NOIE: BUIlOiNC pIMENSIONS SHOVM AItE i0R NOPo20NTAL AND VERi1CAl
lOCA710H Of S7RUCTUtCS ONLY. SEE MCHITECNAL PIANS FOR BUIlAINO
AuD i'OUNpATON DA411NSI0N3. N07E: CONTRACTOR 4UST V(PoFY DRIVEWAY pE$ICN. 1HI5 CER7190A9F'DOf67HOT PURPORT t0 S14GW EASEMENTS
'
SIlIB~.9N11N ON iHf RECOROEO PU7.
H01E: NO SPEtlflC SplS WVESTICAlION HAS BERi CAMPIETED ON TNIS 07NFR 1TIitLOT 8Y TNE SURVEYOR. ME SUITABIUIY 0F ShcS TO SUPPORT 7HE BEAtdNfiP198aY! N!E^.d555UME0
SPECMC lqUSE PROPOSED IS NOT iHE RfSP0U5IBIU7Y OF 1Fff SURVEYOR.
OPQqFTT-, 1%FL:rt[EVATION
x 000.00 Oenotes Extstinq Elevotion
( Ooo.oo ) Danotea Proposed Elevotion Loweat Fleor Elewtibft C?11f~-
- Denotes Dralnaqe & Utility Eosement
Denotaa Oralnope Flow Direction Top o( Block £tevatinw
--1-- Denotes Alonument '
B Denotes Ofiset Hub Garoqe Slob fllootiHte. ~
LOT 3 ~ BLOCK 2 SIGNAL BOiNT
DAKOTA COUNTY, MINNESOTA
1
Wo hreby cerlify U+ol Ihie avevey, den or roport ww pnpond by ms M vnder my tliroel NpMd{iM 6nd:lhoN4cbm duly ~ep4lerea LonO 5u•veyel :
un4cr [ne Wrf of lht Stote ot MinnsYOta. Dol<d Me.'IT}.~tloy o! JULY .-A.0• 19 ~ '
SI NE'D• EER ENGIN
~
~
' Scole: 1 inch = ao feet e`
J Ca~orson, L.S. Req. No. 19828
`LOT BIIRVEY CHECRLIST FOR RESIDEHTIAL
~ 80ILDING PERMIT APPLICAT ON
m ~
PROPERTY LEGAL: ~
~ ~ ~ Date of 8urveys 7/Z
DOCIIMENT STANDARDS
E~D 0 • Registered Land Surveyor siqnature and company
4/0 p • Building Permit Applicant
Legal description
~~JJ 0 Address
r 0 • North arrow and bar scale
~ 0 • House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
!~D 0 • D3rectional drainage arrows with slope/gradient 8.
~ ? • Proposad/existing sewer and water services
• Street name
? • Driveway
$LEVATIONB
Sxistina
Ef ? 0 • Sewer service
6-'~-13 ? • Lot corners
0 • Top of curb at the driveway
D' 00 • Elevations of any existing adjacent homes
4roflosed
~ 0 0 • Garage floor
~ ? ? • First floor
~ 0 • Lowest exposed elevation (walkout/window)
? • Property corners
? 0 • Front and rear of home at the foundation
PONDINO AREAS (if aDalicable)
? D'~ 13 • Easement line
? 0~ ? • NWL
? t~ o • xwL
i7 D~~~ • Pond # designation
? Lt" 0 • Emergency Overflow Elevation
DIMEIASIOIQB
~0 0 • Lot lines
D 0 • Right-af-way and street width (ta back of carb)
~0 • Prcposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
D-10 0 • Show all easements of record and any City utilities within
those easements
Rr-b D • Setbacks of proposed structure and setback of adjacent
existing homes '
13 P-10'• Retaining w r quirements, if any
Reviewed:
Nam / a e
Cctober 1992
~.IHUAU F UH I NS I ALL
Of NEN SEMER SERV I CES.
SEE NOTE +6.
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LEGEND:
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EX I ST. SAN. SWp.
_s; .
Cities Di ital Qualitv Control
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OETENtIHE vORKING SOUARE •FOOTAGE^OF EACH:
70tnf. E%rosEDMaLL AREA, ` " '
. , • . • . t q f f x 'U 1
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p+ I. 70TAL RbOF/CEILIHG 'qREA '
24, ft x ~tIj. t. ; d '"026h. nJ
3.1- 10TAL EEFOSED NqLL AIIEA Cf4LCULATIOH5's
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+ , 9
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sq ft % cl ._,,~,.-..~.....v . II' .
gF f) Totcl net wnll eree ebove
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Tntef rlm olst
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Total foundatlon
_ nree (E)tpcsed)..........
~ 2.11 iq fl
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hi~-lntel foundatbon ~ ~
~ i~ Y ( e ~jI ~ -
-Hfndo+r eree.............
sq ft n
~ 1) lotel net /ouadetlnn ' . : '
y area •bove grede....... eq fe x"U" • a8 't1'~~~~~~"I :
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em ~3 ~s tbe seme es, or
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2 HCAR 1.16008 A aad 0. less then Item f1, you.have met-the Intent~ ~o1
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•r -'TnIAL.E1cP.p'SrQ RQDF/LE'I.LIItM.CALCULATdONSt " ~ ~`:dd-~.- ; ~ F' •
: Jofel e~cposed ~ ~
sq ft:
ieof/ci~.ling srs.........
~ ~ ~
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k) Totel roo(/eellinq f
rmmT 'nq {I
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}
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ur
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- 1f tntel of 04 ts tl-e ewme as. ar less th+n 02. You have•;tpet~thR.lnten.t~of at
2 HCAIt 1: 16008 A And 0.
f
1
~ ' r~ ' `j~ 51 , ~
- ~ ' . . 4 .
~ ALTERJSATE BUIiU,IflG ENYEIOPE hESIGN
To utllize tlie totel envelopc tyttem method, the veluls Estsb;lished by-:th~ fUn1; I r'-
pf Items 0 and ?4 shall not Le greatar than the sum of Items'01 and /I;'
3 a z , 20.
3. 2 7 5 ~ . 4.
_ w~
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7 , .
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~ IY
+r ~ 3i3 1 i~i~
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t d ~ _ _
C E R T I f 1 C A T I 0 N ~ r f, y` -
~ f herehy certlfy [het I hbve celculattd the "U." fattots 8ad
velu?s hereln end that the buildlnn here descrlhed meets or'`xeeeds_the Stata, J't~- L 1
of Mlnnesote Enercy Lonservetlon Act.
, . . • . ~ ryi'{ fA 16 . .
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;y~ II ~Ih 4~ ~1 .t •i
PERMIT ~1z~35 ~s
CITY 4F EAGAN
383d Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 2 5 8 7 3
(612) 681-4675 Date Issued: 0 6/ 21 / 9 5 ~
SITE ADDRESS:
4135 SIGNAL PT
LO7: 3 BLOCKa 2
SIGNAL POSNT
P.Z.N.: 10-68055-030-02
DESCRIPTION:
Building`~, Permit 7ype DECK
,O4tl:di,n,9 (:Eo.r„k, TYPe NEW
~
{p ~ ~A
r
Y{ ~y y q
T i i b~ ~ y5 ~'~4~ ~ L.JL ~
Y <p S~ ~ {JG A iki
REMARKS:
FEE SUMMARY:
Base F'ee $30.00
Surcharge $.50
Lic. Search Fee $5.00
Total Fee $35.50
CONTRACTOR: OWNER: - Applicant -
; LIFE57YLE HOMES
1489 LAKE PARK CIR
EflGAN MN 55122
(612)454-7866
I lrereby aak"nowledge that. Z haue road thris appl3estiar5 and state that Che
; in#ormaLibn is a.orrect and agriere tb cornply wath a11 epp3i0ah4e Stato of.ffn.,,-
$GOtutps anr1 City crl Eagat1 OMd'zrtso9es.' ~
L
~~fl rQA1
~
APPLICANT/PER ITEE SIGNA7URELi~ --r~~ ISSUE~ B: SIG TIIRE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: B U I L D I N G
3830 Pilot Knob Road Permit Number: 0 2 5 8 7 3
Eagan, Minnesota 55122-1897 Date Issued: 0 6/ 21 / 95
(612) 681-4675
SITEADDRESS: P'I'N.: 10-68e55-e3e-e2 qppLICANT:
LOT: 3 BLOCK: 2
4135 SIGNAL PT LIFESTYLE HOMES
SIGNAL POINT (612) 454-7866
PERMIT SUBTYPE: TYPE OF WORK:
DECK NEW
INSPECTION D. INSPECTIONTYPE oA
FOOTINGS FINAL
F-
L
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681 -4675
New Construdion Reaulramenffi RemodeURecair Renuirements
? 3 repisterod aite wrveys ? 2 copies of plan
? 2 copies of plans (include beam 8 windaw aizes; poure0 fnd. dealgn; etc.) ? 2 site surveys (exterior add'Rions 8 dedcs)
? 1 energy calwlations ? 7 energy calculations for heated additions
? 3 copies of hee preservation plan iF lot platled after 7H193
required: _ Yes _ No
DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREET ADDRESS: voe-~
.
LOT ~ BLOCK Z SUBD./P.I.D. S<! u- " -•'6~42
PROPERTY Name: Le~!`G S7 '~l~' Ht-~S PhOne
OWNER
Street Address
City: State: -^-J Zip: Z
CoNritaCTOR Company: So~---e Phone
Street Address: License
City: State: Zip,
ARCHITECTI Company: Phone
ENGINEER
Name: Registration
Street Address
City: State: Zip:
Sewer 8 water iicensed plumber: Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the infortnation is cortect and agree to comply with ali
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of ApplicantT~
OFFICE USE ONLY ~~C EVED
Certificates of Survey Received _ Yes _ No JU N 15 1995
Tree Preservation Plan Received _ Yes _ No
OFFICE USE ONLY
• ,
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex o 11 Apt.lLodging ? 16 Basement Finish
0 02 SF Dwelling o 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
0 03 SF Addition ? 08 8-plex o 13 Garage/Accessory o 20 Public Facility
0 04 SF Porch ? 09 12-plex o 14 Fireplace o 21 Miscellaneous
0 05 SF Misc. 0 10 = plex ~:R415 Deck
WORK TYPE
,.a(-31 New o 33 Alterations ? 36 Move
? 32 Addition o 34 Repair o 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. 0Y
Depth Footprint sq. ft. SAC Code o~
Census Bldg i
Census Unit O
APPROVALS
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:
°h SAC
SAC Units
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1994 PLUMBING PERMIT (RESIDENTIAL-)
CITY OF EAGAN • •1
3830 PII.OT KNOB RD'
EAGAN MN 55122 -
(612) 681-4675 ? ~ .
PLEASE COIVIPLETE FOR SINGLE FAIvIII.Y DWELLINGS. ALSQ, EOR, TOWMKO qMFSd iAN0~
CONDOS WHEN PERMITS ARE REQUII2ED FOR EACH UN1T..,:
o,
- - - -
NO. FIXTURES EACH, TOTAL
O
SHOWER 3.06 Ztozl'
WAT'ER L'LOSET 3.00
BATH TLTB 3 00"
LAVATORY 100:
KTTCHEN SINK 3.00
LALTNDRY TRAY 3.00
HOT TUB/SPA 3.00
I WATER HEATER 3.00 _:z,;z~n ; '
FLOOR DRAIN 3.00, ;~S. 6'n
~I GAS PIPING Oi7TLET •minimum - 1 3.00
ROUGH OPENINGS 1.50
'
WATER SCFI'ENER 5.00 • : :
PRNATE DISP. • oek.ccy. uc. 20.00
U.G. SPRINKLER • eoroe waw comt. 3.00 ALT'ERAT'IONS • to cdsu,g 20i00
WATER TURN AROUND 20:Q0;
STAT'E SURCHARGE
TOTAL: ' ~
STTE ADDRESS: 41 Sd,(Y71Q~ ~Q~lnc}- -
OWNER NAME:
INSTALLER:`T,hornaosor~ BUmla'04 CA-1~0-
ctc~ ,
ADDRESS:I+=~nr,1 26.
CTI'I': STATE: ~Ilf ZIP CODE;;~ .
PHONE (ZnIA) 933-'77i7
SIGNATURE OF PERmITPEfi 4
Tx_ ~x
~ -
a
~2 x¢'
~
.a.nRa.i,. .a..aw..d..n..i.k`Xatw`«N2e~ . . - . .
x....u- d i. .w:i... . . . . . . . ' . . ' ..w. . . . .
1994 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNUB RD
EAGAIY MIv 55122
(612) 681-4675
PLEASE COMPLETE ROR ALL COMIVIERCIAIANDUSTRIAL BUII.DINGS. ALSO:FOR ML7LTI-
FAMILY BUILDINGS WI-IEN SEPAR-ATE PERMiTS ARE NOT REQUIitED FOR EACH
DWELLING UNTT.
_ Nh'W CONSTRUCI'ION
ADD ON
_ REPAIR
woiuc nESCxEMox:
corrrxacr rxicE: a
FEE: 1% OF CONTRACA' FEE,
STATE SURCHARGE: $,50'FpR EACH $1,000 OF FEE.
MIlNIMUM FEE $ 25:00
CONTRACT PRICE X 1% $
STATE SURCHARGE $
TOTAL
SITE ADDRESS:
TENANP NAME: STE. #
OWNER NAME: INSTALLER•
ADDRESS:
CITY: STATE: ZIP CODEe
PHONE
FOR:
CITY OF EAGAN APPLICANT
.
:r.~.. . gq'~',;:t7S~
..__...5:•:V:~:~::;::~z...~t.;...~..%S' ,A...~.~~;w;;:~
~g ~ -~4~' Y~~ rN ?'~.~"~E ~~d~~ia~ ~~C4,~~"..,.^~".. ~~,~'~yr xS'~$~o^`~•`~w~ ~-~~~~7~~~ • +;'4~'.~m`, "~`n ~
1994 MECHANICAL PERMIT (RESIDEIV'I'1AL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
- - - - - - - - - - - - - - - - -
NEW CONSTRUCTION
ADD-GN A/C
ADD-ON FURNACE
FIREPLACE INSERT
DATE Cf~~ Z9 I/
FEES
HVAC: 0.100 M BTU 4.00
ADDTTIONAL 50 M BT[J 6.00
GAS OUfLETS (MiNnvitnM i @ $3.00 F.ACH) ~
ADD-ON/REMODEL (ExisTIIVG CoNSTRUCi'ION) $ 20.00
STAT'E SURCHARGE .50
TOTAL
e
3ar
srrE AnDxESS: -Y,,•(;-
OWNER NAME: TELEPHONE 4/5`( yfG G
INSTALLER: ~
ADDRESS: v ,
CITY:_ STATE: 10w ZIP CODE: .frQ 7'7
TELEPHONE qSN - 1?(o (o (o
SIGNATURE OF PERMITTEE
. ~;'}~1.7MA~w;~~'~ .
":tN>s::•.::z.:z:'i:~.:p:. re :..::..:::.::.:::.x.:.:;: ;n~.:........:....4~>::.:r:..,>..
01,411, x.s.a > . ' r t i i i~s ~.bro- _ <3 a S3 ka ~p. sK rs~ a S. r¢
1994 MECHANICAL PERMIT (COMMERCIAL)
CTTY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
- - - - - - -
DATE: CONTRACT PRICE: $
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF MM~(;,"~;' FEE $
PROCFSSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $50 FOR EACH $1,000 OF FEE.
TOTAL $
SITE ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENTS oNLY)
INSTALI_ER:
ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE
SIGNATURE OF PERMITTEE CITY INSPECTOR
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116358
Date Issued:10/07/2013
Permit Category:ePermit
Site Address: 4135 Signal Pt
Lot:3 Block: 2 Addition: Signal Point
PID:10-68055-02-030
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Kelly Meyer
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Mark K Ogawa
4135 Signal Pt
Eagan MN 55122
Hause Construction, Jg
P O Box 206
Bayport MN 55003
(651) 439-0189
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA136518
Date Issued:05/18/2016
Permit Category:ePermit
Site Address: 4135 Signal Pt
Lot:3 Block: 2 Addition: Signal Point
PID:10-68055-02-030
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 -
Mark K Ogawa
4135 Signal Pt
Eagan MN 55122
(651) 452-5106
Performance Plumbing & Heating
315 Pine St
Farmington MN 55024
(651) 463-1223
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA146882
Date Issued:11/20/2017
Permit Category:ePermit
Site Address: 4135 Signal Pt
Lot:3 Block: 2 Addition: Signal Point
PID:10-68055-02-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Mark K Ogawa
4135 Signal Pt
Eagan MN 55122
(651) 452-5106
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460-6022 X253
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA155385
Date Issued:05/14/2019
Permit Category:ePermit
Site Address: 4135 Signal Pt
Lot:3 Block: 2 Addition: Signal Point
PID:10-68055-02-030
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 -
Mark K Ogawa
4135 Signal Pt
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature