4884 Storland CtCity of Eathall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
N 10 2011
Use BLUE or BLACK Ink
Permit #: ` e
Permit Fee: $,Sc Q
Date Received:
Staff:
2011 RESIDENTIALPPLUMBING RM`T APPLICATION
Date: Site Address: yd ryed .S
Tenant: Suite #:
J
RESIDENT / OWNER
Name: t C1A r t
_ , _ - Phone: th. �O o7 8e/ L�
Address / City / Zip: � �7jjG�� � apt_
CONTRACTOR
Name: MILBERT COMPANY INC.dba CULLIGAN WATER
Address: 1801 50Th ST EAST City:INVER GROVE HGTS
State: MN Zip: 55077 Phone: 651 .451-2241
Contact BILLMILBERT Email:
TYPE OF WORK
PERMIT TYPE
New Replacement Repair _ Rebuild _ Modify Space _ Work irt.R.O.W.
Description of work:. (A)g –�"
RESIDENTIAL
Water Heater
Lawn Irrigation ( RPZ / PVB)
Septic System
New
Abandonment
)plater Softener
Add Plumbing Fixtures ( Main /—lower Level)
Water Turnaround
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation (includes $5.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $166.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
$95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (Includes $5.00 State Surcharge)
TOTAL FEES $
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.aopherstateonecall.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
iccordan = with the approved plan in the case of work which requires a review and approval of plans.
t
x
Appli : nt's Printed ame
, . INSPECTI4N RECORD
' CiT~ OF EAGAN PERMIT TYPE: ~~f~~
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued: t=` i'~~a
(612) 681-4675
SITE ADDRESS: i„~: 1~ ts i~„ a ~ APPLICANT:
. - : ~ . ~ ~~1~~ I fik'~l~l ( ~ . , ~ ~.ji I ~ ~{I
I h~ 1 ~ : ~ ~ I {iil~i~ , f.ll~ ~ ~ . i, ~i ~
PERMIT SUBTYPE: TYPE OF WORK:
~ • r,, .
• •
~
:~ii~i~~,~:, ~ i
E ri~, i~ ~i~~, 1 N,
.~+I ~ I~+IJ ; I i;t { 1 ~i~ F
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~ ~~d;,l t•f kt~, t 1tJAl
ri.. . t ~ ( N~~% ~ 1 1't 4~.1'' 1 iIIH iil 1 I1N F') itti
~ ~
~ - - -
, Permk No. Permit Holder Date Telephone #
S/Vlf
~ PLUMBING ~ ~
HVAC ,a7
ELECTRIC p'~ QaDL 6 ~ ~
ELECTRIC
Inspection Date Inep. Comments
Footings i Y~~ y '
Foundation
Framing 8~~ y
Roofing
Rough Plbg. ~1
.Y
R°ugh Htg. Ql[S
ISUI. j~/Q 4~
~/7~~ ~ 1l ~-9 f~J
F~~~ Ht9. aa -9~!
Orsat Test
Final Pibg. / Plbg. Inspedor - Notify Plumber
/
Const Meter
Engr./Plan
Bldg- Rnal ,Z
v`q~ ~ _
Deck Ftg.
Deck Finel
Well
Pr. Disp.
~ . ar
~ . . .
~~ei-~#i~icate v~ ~ccu~anc~
~t~ o~
~eparta~ext ~ ~n~[bacg ~n~ertion
77~is Certi~cate issued pursuastt to the ~quirements of the Uniform Building Code
certifying lhat a1 the time o,
f issua?rce this structure was in cornplianee with the various
o~zli~runees of tlre City neguTating 6~cilding construction or use. For the following:
UscClassifica~ioac Bldg. Pertnit No. ~ f7S
Occvpancy 7ype r' ~ Zoniag District R~ Type Const. ~
OwoerofBuilding'~ ~~IQ~ AddRSt 2~ w vZY ~ t12~ 8~~~'
Building Add~css ~,~ID [.onlity L~2~ B~ s{~~~~G~S ~
~ ~ i
/ ~
• ?~,l_f~
,
Datr '
Building
POST IN A CONSPICtJOUS PLACE
~s ~/9 ~ ~~j
C~ 82 2.~1~, 8 r, L~-~• W~ ~ ~
Request ~ate Fire No. Rough~ln Inp59qbn RoQUireE InsOection Olher ThBn Roughdn
5-4-94 D'ou m~-u+s!t WI inspector wnen reaey) ~ qeatly Now ~ wni uoi~ry mscaao~
IJ~ Yes ? No Date RaeE
I~'~licensed comractor ? owner hereby request inspection of above electrical work at:
Job Atltlress ~Slreel. Box or Route No.) Qry
4884 Storland Court Eagan
Seceon No. Townsnip Nama or No. Renge No. Coumy
OccuDant(PRINT~ Ppone No.
FSB Construction~ Inc.
Power Supplier Atltlress
DAkota Electric
Eleclricai Comractor (COmpany Namel ConVactor5 Li~¢nse No.
Lazer Electric, Inc. CA 01110
Malling Adtlress IContracmr or Owner Making Inslalla~ionl
8383 Sunset Road N.E., Minneapolis, MN 55432
Au1MO~¢eo Si nawre iConlr ttovOw er Making inslalla~~on~ Plrone Number
~ r ~C 784-3729
MINNESOTA STATE BOARD OF ELECTRICITV THIS INSPECTION REOUEST WILL NOT
' Grigge-Midway Bldg. - Poom 5473 BE ACCEPTED BV THE STATE BOARO
1621 Unlversl~y Ave., St. Peul. MN 5510C UNLESS PROPER INSPECTION FEE IS
Ptlone (612) 892-0800 ENCLOSED.
RE~UEST FOR ELECTRICAL INSPECTION ~'*'"`°"~a.,, es.ooom-oe
S (r 9
r~ ? Sae insimclions for completing ihis lorm on back oi yellow copy. y~~i:
~ 2~L " ~"X" Below Work Covered 6y This Request ~~s~~~
~ ew Add Rep. TypeoBuilding AppliancesWired EquipmentWiretl
X~ Home aange Temporary Service
Duplex Water Heater EleClriC Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Omer ~sueciryl Contractor's Remarks~.
Compute fnspection Fee Below:
8 ~ Otner Fee # ServiceEnkanceSize Fee # Circuits/Feetlers
Swimming Pool 0 to 200 Amps 0• 0 to 100 Amps ~
Transformers Above 200 _ Amps Above 100 _ Amps
Signs i~specror5 use onlr TOTAL
- Irri9ation Booms uc~ ~ ~
Special Inspection ~
Alarm/Communication THIS INSTALLAT~ON M9~ BE O DISCONNECTED IF NOT
Oiher Fee COMPLETED WITHI!(` 1NON ~
I, the Elecirical Inspector, hereby Rougn~in ~ oare ~ 6-
certify that the above inspection has F;,,ei oa~e eT
been made. (-~y~
OFFICE USE ~NLY
TpiS reques~ voitl 18 man~hs irom
~,uuress 4884 sTOxtAru) ~ATR'C Zip 55123_
I:ot 12 Blk ~ Sub wtasrEanlc ~rms 2nm
THESE 1TEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECITON.
Date: //~p 9 Yes No Inspector: ~
Final grade (6° from siding) f/
Petmanent steps (garage) f~
Permanent steps (main entry) ~
Permanent driveway r/
Permanent gas ~
Sod/Seeded grass v
TraiUcutb damage
Porch
Basement finish ~
Deck ~
Please verify wit6 the builder the removal of roof test caps from the plumbing system and the shuaoff of water supply to
the outside lawn faucet before freeze potential exists.
ContaM engiaeering division a[ 681-4645 before working in rightof-way or installing underground sprinkler system. ~
White - Ciry Copy Yellow - Resident Copy Pink - Contracior Copy
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
( 3830 PILOT KNOB ROAD, EAGAN MN 55122 ~ I~.~
651-675-5675
Please complete for modifications to existing residential dwellings.
Date ! ~L( I d L ~n'~
Site Street Address "-IgB ~ ~G.O~ l.~• Unit #
Property Owner ~~[~U L l7f ~f' i"1 Telephone #((Ji I)~~-~ g ~ ~
Contractor 1-I'~ aTl,,D~QN~(pO~~KS Telephone# (~I) 3~05-~3yO
Address V(.U~ '~1G1 ~ City State~_ Zip 4~(~
The Applicant is: _ Owner ~ Contrector _Other
Alte~tions to existing dwelling $ 50.00
Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
~
_ Water Turnaround (add $121.00 if a 5/8" meter is required)
Other:
Water Softener ~ Water Heater $ 15.00
~ replacement _ additional,
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge $ •50
- ; ~ ~ ~'II $ ~
Total
n,^~v ~I nn Ili
J
I hereby apply for a Residential Plumbing Permit and acknowledge that the informatjon is complete
and accurate; that the work will be in conformance with the ordinanees_and=coctes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approve
~ris D i~ ~ ,dD~l~
Applicant's Printed Name ApplicanYs Signature
I _ ~~~5~
~ PERMIT ~ ~r-~
3~
CITY ~F EAGAN ~~~i~yy//
3830 Pilot Knob Road PERMIT TYPE: p T N G
Permit Number: ~ 7 5
Eagan, Minnesota 55123 Date Issued: 0 3 2 9 9 4
(612)681-4675 ~ ~
SITE ADDRESS:
4884 STORLAND CT
LOT: 12 BLOCK: 1
WHISPERING WOODS 2N0
P.I.N.: 10-83951-120-01
DESCRIPTION:
Building'~Permit Type SF DWG
Building Wor.k Type NEW
/UBC Occupancy~ R-3 M-1
i Construction Ty"~.e V-N
j Zoning R-1 .
~ Building Length % 58
~ 8uilding Width 47
~ Buil'ding stories J-~ 2
;,~<i .
-
i
i; v ".1
~Ci~~ Q1
~ CC~'~~[~
~,-t=Y~.~~~~.
REMARKS:
PRV S& W PLBR - TOM HESSIAN PLBG
FEE SUMMARY:
VALUATION $155,000
Base Fee $832.00 MISCELLANEOUS $1,828.50
Plan Review $540.80 Total Fee $4,078.80
Surcharge $77.50
SAC $800.00
SAC ~ 100
SAC Units 1
Subtotal $2,250.30
CONTRACTOR: - A p p 1 i c a n t- s-r . l. z C. p~yNER:
F S B CON3T INC 18903900 0003885 F S B CONST INC
2500 W COUN7Y RD 42 9 2500 W COUNTY ROAO 42
BURNSVII.LE MN 55337 BURNSVILLE MN 55337
(612) 890-300@ (612)890-3000
2 here6y acknowledge that I have read this application and state that the
information is cnrrect and' agree to comply with ail applicable State crf Mn.
Statutes and City of Eagan tlrdinances.
~L ~
.~~r~u R ~,'r~J Y
I APPLICANT/PERJ IITEE SIGNA7URE ISSUE SI NATUR
d
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: ~ u z ~ o x N~
3830 Pilot Knob Road Permit Number: 0 2 317 5
Eagan, Minnesota 55123 Date Issued: 0 3/ 2 9/ 9 4
(612) 681-4675
SITE ADDRESS: ~ o r: i z B L 0 C K: 1 APPLICANT:
4884 STORLAND CT F 5 B CONST INC
WHI5PERING WOO~S 2ND (612) 690-3000
PERMIT SUBTYPE: TYPE OF WORK:
SF DWC~ NEW
. . „
FOOTINGS FOUNDATIqN
FRAMING ROOFIN6
INSULA7SON FIREPLACE
ROUGH IN PLB6 ROU6M IN HTG
FINAL PLBG FINAL ~
REMARKS: PRV S& W PLBR - TOM HESSIRN PLBG
~ _ ~
~
: ` CITY OF EAGAN
~ 1994 BUILDING PERMIT APPLICATION ~ ~
~
~ 681-4675 ~ 1 6 19~54
r~_~~~..~-~~~i ~~,07~•~0
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 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 ~ / / 9~ Val uati on of work ~/y~, 000• OZ~
~
Site Address: ~gg'7 ~TQRL~-~rn (z
STREET SUITE #
Tenant Name: (commercial only)
LOT BLOCK SUSD. ~h~~j(~ 12lIJ~r P.I.D. #
Ft0
Descri tion of work:
The applicant is: ~ Owner Contractor ~ Other (Describe)
Name ,~/196 Phone
Property LAST FIRST
Owner Address
STREET STE #
City State Zip
Company /-~5Q ~ NSr" Ur Yi,Oit/i Ji/l~ Phone ~90- 30oc7
Contractor Address ~~LY~ /IY~/ 9~ License #~SSS Exp. 3 3/
City ~Jl>/l~, /~ii/ State ~/l/ Zip 55
Company J~f~l~~ Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber /U/~'J ~E55/Ari/ ~l.i.//I~Bi.[lG . Processing time for
sewer & water permits is two days once area has been approved.
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. .
Signature of Applicant: ~~~~C~
I
OFFICE USE ONLY '
BUILDING PERMIT TYPE
}•,r,.+'~ ~ ~ '
~ O1 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
~ 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Mtsc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
O 05 SF Misc. ? 10 Multi. Add'1. 0 15 Deck O 20 Public facility
? 21 Miscellaneous
WORK TYPE
31 New O 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) ~ Basement sq. ft. MWCC System k
(Allowable) lst F1. sq. ft. ~ City Water ~
UBC Occupancy ~ 2nd F1. sq. ft. / 8 PRV Required
Zoning - Sq. Ft. total Booster PumP
of Stories Footprint Sq. ft. Fire Sprinkler
Length 3~~ Qn-site well Census Code /p /
Depth Y2 On-site sewage SAC Code ~
APPROVALS Census Undt i
Planning Building Assessments
Engineering Variance
REGIUIRED INSPECTIONS
? .Site ~ Footing ~f Framing ,p Insulation
~ Wallboard ~ Final ? Draintile ~J Fireplace
Permi t Fee veu,~tioo: g_ S.~ ~'a
Surcharge
Plan Review ~3 S.. ~
f /
License
MWCC SAC 3~,t-zo = 6 yo
c; ty sac 6 X z ~ y 3~,.r /9 =~~8
Water Conn. y y Z~k z= Yz
Water Meter ~ 6X ZZ : 3 s Z ~8, 3 S
Acct. Deposit !/,~.2 . 2z IS,G7XS
S/W Permi t gX Z_ i 8 ? 2~, 3 s,~- /6=
S/W 5urcharge l'
RoadtUnit Pl. l/')~ X~9` Bj~yY s3,~ o
Park Ded. 2r ~
Trails Ued.
ot~iers 2yx vz = ioo8 r' ~~Y 7~~. S o i
Total: 12~-'I = ~y J
ZQk y , s
SAC Units ~~c~~
S " ~/~--Z--~"
' Mp'~~28-94 MON 16:03 p~02
Q1lOG~_~._t.. ~
~ C~RTrFICATE OF SURVEY
For F. S. B.
PROPER7Y DESCRIPTION: ~-ot 12~ Block 1, WHISP~RIN~ WOODS
SECOND ADDITION~ 1]akota County, Minnesota.
We hereby certiTy that this is a We and oorrecl survey of ihe above descr~ed property and that It was
pertormad by me or under my direct supervision and that I am e duly Licensed Surveyor under the
laws of the State of Minnesot~. l'his aurvey does not purport to show all improvem~nte, easements
or encroachments, to lhe property except as shown there~.
S;g ~ f~ ay oi ~s 9.SF ames R. Hill, Inc.,
~
8y:
ly8 Gary R. H NlinnesAta L_S. No. 109A3
~AGAN NG E G DF~
NOteS:
~ o DENOTES SETNUB
D (`o~ ~(f ~l ~ 1~ i'. ' O Denotes sat iron monument
1. tlUd~V dIl1~AClB?~ ' ~S11QMa15 .efe-%f~ ~ pennteB taund iron monument
horizon#al & vertical location of atructure only. X~~,~ . flenotes e~ eievatan
See atchitectural plans for building & (93D.00) Denotes propoaed etevagon
foundation dimension~. Denotes proposed drelnage
Z. No specific soils Investigation has been Bench Merk:
completed on thls lot by James R. Hill, Inc.
The sult~bility of Soils to SuppOrt !he &pecifiC Prapoaed Oeraee Floor=
house proposed Is not the responsibility of Propo~ed House Top elock= ~aba.u~
James R. Nill, inc. or the surveyor. Proposed cara~e 7op Bioctw
3. Proposed grades shown were teken from P`oposed ~owe~ Floor~ 5' ~
the grading BJor development plan prepared by E A(~$~ings are on assumed datum
. REVI~~W£D SC81e:1"=30'
Page 1 aE 2
' BY 3. ~
O W a
~ o~ o g)ames . Hill, inc.
~ o m PLANN~RS / ENGINE~RS / SURVEYORS
<
2b00 W. CTY. FD. 42 ~ BURNSVILLE, MN. 68337 • 612-890•60d4
R~97% 03-28-9d 02:55PM P002 #07
' NRR~26-94 MON 16:04 P.OE
i7sOf•0
~ CERTIFICATE OF SURVEY
For F. S. B.
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_ _ _ ----~~ID/Ofi ELEVATIONS.~THIS D~TA:::{S.
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. • ..................:............................n......................_........
I ............3............................................. . . A•
Y• 'r - .
FSB Construction, 1nc.
Builder I.iceri~:e #0f~03~tB5
25f~0 W. County Raad 42, 5uite #9
6urnsville, MN 55337.
kXTERTOR ENVELOPE AVERAGE "U" CUMPUTATION
- - - - - - - _
PLAN # 653 OA7E: MARCH 16, 1994
OWNER FSC3 CONSTRUCTION, INC
CONTRACTOR: FSB CONSTRUCTIQN, 7NC.
SITE ADDRESS: A88A STORLFlND CT PHONE: 890-3090
Square "U"
Footage Factor
^ 1) TOTAL EXPQ5ED WALL AREA ~ 3221 x 0.11' - 354.31
" 2) TOTAL EXPQ5Ep ROOF(CEILING AREA 1176 x ~.~26 - 30.58
WALL /~REA CALCULATIONS:
* TOTAL WIN~OW AREA 210 x 0.41 = 86.10
* 7p"I'AL ~OOR flREfl 38 x 0.07 = 2.66
* TOTAL GLASS DOQR AREA 10~d x 0.41 - 91.09
* 76TAL FIREPLACE LdALL ARtA N x 0.36 = 0.00
TOTAL WAL.L FRAMING Af2ER 258 x 0.08 - 19•98
NET INSULATTON WALL AREA 2248 x 0.0Q3 = 96.67
* TO7AL RIM 70IST AREA 238 x 0.04 = 9.52
* 707AL FOUN~ATION AREA(EXPOSED) 197 x 0.16 = 21•9z
* TOTRL FOUNDATZON WZNDOW flREA ~ x - 0.@0
-
3) TOTAL = 277.56
Ifi item 3 is the same as, nr less than item 1, you have met Lhe
intent c~fi 2 MCAR 1.160m8 A and 0.
ROOF/CEILING CALCULATIONS:
TOTAL SKYLIGHT AftEA 9 x = 0.0m
TOTAL ROOF(CEILING FRAMING AREA 718 x 0.026 = 3.0Ei
NET TN5ULA7ION ROOF CEILING AREA 1058 x 0.022 = 23.28
4) T07AL = 26.3~
If it~m 9 is the same as, or less than it~m 2, you have met the
intent of 2 MCAR 1.7.6008 A and 0.
I hereby certifiy that tha building here descr' ed ets or exceeds the
State of Minnesota Energy Conservation Act.
i
~ r6 r ~
Sign rure Date
CITY USE ONLY
L ~ BL ~ J RECEIPT#: ~ O aSq ~
S~BO. l.J~ _ L~ J~-~s RECEIPT DATE: l
1999 ~LUl?+I~INH ~~iMTi' (~SID~NTi~L)
crrY oF snsna
sgso ~aor xxoa ~tu
~s,vu, ssiE~
(651) 681~4675
Please wmplete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
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 - ~ 3.00 x =
Rough Openings 1.50 x =
Watef Softener ' for dwellings under construction 5.00 x = ~
Water Softener ' for existing dwelling 30.00 X ~ _
U.G. Spfinkler ' for dwelling under const. 3.00 =
U.G. Sprinkler ' tor existing dwelling 30.00 =
Alterations ' to existing residence 30.00 =
Water Turn Around 30.00 =
Private Disposal System ' MPC iic. 75.00 =
(new and refurbished systems)
Pri~ate Disposal Systems ` .nbandonment 30.00 =
RPZ (new installation/repair) 30.00 =
STATE SURCHARGE .50
Reminder. Call 681-4675 for Inspections of water heaters, ~ ~
water softeners, alterations, etc.
TOTAL
• ° • • •
I hereby acknowledge that I have read fhis applicaUon, state that ihe information is corred, and agree to comply with all applipble City of Eagan ordinances.
It is the applipnPS responsibility to notify the property rnmer that the City of Eagan assumes no liabilily for any damages pused by Ne City during its nwmal
operotional and maintenance aGivities to the fadlities consWCted under this permit within City property/right-of-way/easement.
SITE ADDRESS: 1 ~ ~
OWNER NAME:
INSTALLERNAME: ~-~T2~-L'C>t"C1 ~~l ~e~ TELEPHONE#r~~Zl~
STREET ADDRESS: ~ ~I 7 ~ ~~~'~l ~G~v~V
CITY: STATE: `~l/ ZIP: c~6~-~
L~'~
SIGNATURE O RMITTEE
CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1999 ~
~~~'~S~ Q]'~'~
KuY' b..~S bt ~ P h fuv'~'^` § K ~ 6tr ~ 'n~ Y ~+`"F+`
~ r~.~+ FLt ~e r t I re s'Y=~f 4~Z~ ~ y~4ti R ff4y aS";3`~j° ~~~.~t n` 32~"`L~T=~v~ "~~~,s,~ R t
~ s~ tsi a rtt ~ :'~'.Y ~ F ,v,,"~`»~.~ a ~ a :'f3' ~3 z`y 'a s'yg
~ x ~,~i°~,S'~Cx. M rkF~
~ ~~A.~`:. 33~~'3'~f 4 x' ;}w~.r ~ ~ d
~~~T~~. ¢&~>a°a`~~~:~&<r':~.~dH~ ~;~~~F . ~~i~a°'"ix«,»o-..a~~~£.:
1993 MECHANICAL PERMIT (RESIDENTIAI,)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. AISO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIl2ED FOR EACH UNIT.
V NEW CONSTRUCTION
ADD-ON A/C
ADD-ON F`[JkNACE
DATE ~ 2 ~
FEES
HVAC: 0.100 M BTU 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) ~
ADD-ON/REMODEL (ExisTING CoNSTRUCTION) $ I5.00
STATE SURCHARGE .50
TOTAL ? 7• ~
SITE ADDRESS:T~ ~TOR~ LAI~! D GOL(2 (
OWNER NAME:~S ~_~aN.r7 r
i/~ TELEPHONE Sr~~O -~O~
INSTALLER:~
A~SOIJ Irl tCl-f/i~N1cAl
ADDRESS: ~J~a ~1 Ca0 N ~A p~ tir ~L I/D,
CIT'Y: Gia r~r±0 ~ nr STATE: ~~1 ZIP CODE: ~S ~ 3
TELEPHONE SS' ~ I G d
SI NATURE OF RMITTEE
~ ~S~ ~~t~
~
t 3~ s ~ ~ ¢ : aa ~ ~ 3 x 3 m.x ~yvis~ s~ ~x °~~~35~
.~4 a ~5. i~ y -
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u
~~iff. ' " S tt ~yii~f.~b~ P... ~A~Cx¢~ ~ 1 ~~t..330.~i~~.~~.'~ A ~i^dHTi'~'yd~~~..K.b~~~~S~~s qa~y T~y,pp`~fW
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. tt n s. c,: N , i3xa~~a 3~<vL4 ~ .wwc.x.,sSSk ~.a~...,&3.a.c~.s,~n..,<
1993 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMMERCLAI,IINDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMI'TS ARE NOT REQUIRED FOR EACH DWELLING UNTT.
DATE: CONTRAC[' PRICE: T
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF ~QN~'RAG"I" FEE $
PROCFSSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF ~"~K~rITT FEE.
TOTAL $
SITE :ADDRE~S:
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENTS ONL1~
INSTALLER:
ADDRESS:
CITl': STATE: ZIP CODE:
TELEPHONE
SIGNATURE OF PERMITTEE CITY INSPECfOR
I
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1994 PLUMBING PERMIT (RESIDENTLAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS VVHEN PERMITS ARE REQUIItED FOR EACH UNTf.
NO. FIXT[TRES EACH 1rOTTAL
~ SHOWER 3.00 .3
WATER CLASET 3.00
~ BATH TUB 3.00
LAVATORY 3.00 02 -
KITCHEN SINK 3.00 ~
~ LAUNDRY TRAY 3.OD 3'-
HOT TUB/SPA 3.00
~ WATER HEATER 3.00 3-
~ FLOOR DRAIN 3.00 3 -
GAS PIPING OUTLET • m~n~m~m 3.00 ~
ROUGH OPENINGS 1.50
WATER SOFIBNER 5.00
PRIVATE DISP. • n~.ay. i~. 20.00
U.G. SPRINKLER • no~ oo~c. 3.00
ALTERATIONS • w euseinq 20.00
WATER TURN AROUND 20.0(1
STATE SURCHARGE .50
TOTAL:
SITE ADDRESS: ~0 7 ~
OWNER NAME:
INSTALLER: Tp~ NESS~pni ci i ~MRING,111C.~
I 121 REDWOOD DRIVE ~
ADDRESS: ! APPLE VAL! EY, MN 55124
CIT'Y: STAT : ZIP CODE:
PHONE ( ) Z _
~
SIGNA OF PERMITTEE
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1994 PLUMBING PERMTT (COMMERCIAI.)
CITY OF EAGAN
3830 PII,OT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLE.ASE COMPLETE FOR ALL C011~IlVIERCIALJINDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMII.Y BUILDINGS WHEN SEPARATE PERMTTS ARE NOT REQUIRED FOR EACH
DWELLING UNiT.
_ NEW CONSTRUCTION
ADD ON
REPAIR
WORK DESCRIPTION:
CONTRACf PRICE: $
FEE: 196 OF CONTRACT FEE.
STATE SURCAARGE: $.50 FOR EACH $1,000 OF FEE.
MINIMUM FEE $ 25.00
CONTRACT PRICE X l~o $
STATESURCHARGE $
TOTAL $
SITE ADDRESS:
T,^~PI:~PI: ,*.TF..~"!E: #
OWNER NAME: -
INSTALLER:
ADDRESS:
C~~ STATE: ZIP CODE:
PHONE
FOR:
CITY OF EAGAN AppLICqNi'
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4884 Storland Ct
Lot: 12 Block: 1 Addition: Whispering Woods 2nd
PID:10- 83951- 120 -01
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
Fee Summary:
Valuation: 3,000.00
Contractor:
Property Claim Solutions LLC
4655 Nicols Rd, Suite 202
Eagan MN 55122
(651) 994 -2028
Applicant/Permitee: Signature
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
$90.00
Owner:
Sarah B Shippy
4884 Storland Ct
Eagan MN 55122- -233
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Building
EA087340
11/07/2008
ePermit
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
$88.50 0801.4085
$1.50 9001.2195
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4884 Storland Ct
Lot: 012 Block: 001 Addition:
PID:10- 83951- 120 -01
Use:
Description:
Sub Type: e- Siding & Windows/Doors
Work Type: Siding & Windows /doors
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 6,000.00
Contractor:
Property Claim Solutions LLC
4655 Nicols Rd, Suite 202
Eagan MN 55122
(651) 994 -2028
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
Whispering Woods 2nd
BL - Base Fee $6K
Surcharge - Based on Valuation $6K
- Applicant -
Construction Type:
Occupancy:
$132.75
$3.00
$135.75
Owner:
Sarah B Shippy
4884 Storland Ct
Eagan MN 55122- -233
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
Issued By: Signature
Building
EA088875
04/24/2009
ePermit
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply with all applicable State
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA151651
Date Issued:09/05/2018
Permit Category:ePermit
Site Address: 4884 Storland Ct
Lot:012 Block: 001 Addition: Whispering Woods 2nd
PID:10-83951-01-120
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 -
Carolyn J Bunker
4884 Storland Ct
Eagan MN 55122
(651) 343-2029
Window Concepts Mn
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA165306
Date Issued:10/27/2020
Permit Category:ePermit
Site Address: 4884 Storland Ct
Lot:012 Block: 001 Addition: Whispering Woods 2nd
PID:10-83951-01-120
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Carolyn J Bunker
4884 Storland Ct
Eagan MN 55122
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature