4889 Storland Ct ~~;E :-r. .
C~'~
e~.~~cate o~ ~ccu~anc~ -
~~t~ o~ ~agan
~c}~rt~ccnt v~ ~~i[b~ ~»~pcct~on
This Certi~cate issued pursuant to the requirements of the Uniform Building Code
certifying that at the tinee of issuance thu struetrere was in cornpliance with the various
orrlinareces of the City regulating building construction or use. For the following:
SF L1WG q03
Use ClassificaUOn: Bidg. Aerntit No.
~~P~Y ~)'P~ ZAning Distric~ R~ 7}~pe Const. ~
FS$ (~i~iSr 2500 W CIY RD k2, B~VIIIE
Owcer of Building AddRSs
~ B " Addrcss Locality ~ f
I ~
k... l~ oace•
-~z
s~>>d„~ ot~~
POST IN A CONSPICUOUS PLACE
INSPECTION RECORD ~ntrol No. r`? o s
~ CITY~OF EAGAN PERMIT TYPE: ei1
3830 Pilot Knob Road Permit Number. ~M~1yA i
Eagan, Minnesota 55123 Date Issued: ~ h~`~ ~D
(612) 681-4675
SITE ADDRESS: i. at ucK ~ i APPLICANT:
q~t~q STt~R~.pNi) CT F~S13 CONS1 INC
41H X SP~R I NQ WUOU~ 7N11 ( 6'12 ) 64i-~~~~
PERIVlIT ~S~~~TYPE: TYPE OF WORK: M~W
i
.
I~+~~ 1 ~ N~, ~ltAMl NA
IMS~IL AY I UN f 1 MAL ~
~
F]REPIaCt
Rf MARK ktt: CIf~1' N =~t~H Pl.SR - SCHUITIE~ Pl.ptl
:
- PeRnk Mo. wrmn Howsr Dat. Taepnmw:
I ~
PIUMBINC3 g/ff -
.
HVAC ~ ~ ~ ~ 5.
ELEC:TRIC ~ ''~i ~ ~o~ 8~p
ELECTRIC `
Impaction DaOt frtsp. Comm~nts
Fooan~s i 7~8'~~~ cd ~i~9.~- w'-~ .~0~`
.~2'~~
Foundanon
Framing
Roofing
~'zd a~~-~z PC ~ ~ d~-
^ u
q~~ry~9• ~`J R IVw.,sy ~ / ~
f~ilV bt~ ~ /~~s~ C.~f~
Isul. ~~t~ ~ LlJ~
Flreplace
S
Fnel H~.
O~sat Test
Finel Pfbg. ~ aq(/ Plbg. Inapec~or - NoMtY Plumber
r~u
Canat. Meter
~'9`r~" ~ S
~ ~~'I3- g 3 ~ ~ n v ~ t r,~"
~ F~. . ~ _ ~d ~ i~ ~z9f
+r
Dedc Final
Well
Pr. Disp.
O 73~ ~
K~ 21971 J/ f , 810 °r'
Request Date Fire No. PoUg~-~n I eclion
}r~ ~ e0uiretl. ? Reatly Now II Nofiy Inspeclor
4 ~ ~ ~es ? No I hen ReatlyP
,
I p licensed coniractor O owner hereby request inspeclion of above electrical work at:
Job Atldress (SVeat. Box o~ Route N q(y
/1I'~" ~
Section No. Township Name or No. Range No. Counry
OccupantlPRl ~ P~one Na.
Pawer $up01 r Atld~ess '
Eiecuicai Co ~Company N ~ Conv rk License No.
~ ~
Meiling Atltlre onvacto~ or Ownar In5la~lallon) /^ry~ ~j
//c S ~ Z
Auroo~izea S =e ICOnt2ctonOwner Maklnq Inst tionl Phone Number ~
MINNESOTA $TATE 90AAU OF EIEC~RICITY THIS MSPECTION REOUEST WILL NOT
Grigga-MlCway Bldg. - floom 5-1]3 BE ACCEPTEO 8V THE STATE BOARD
iB21 Univeralty Ave., 51. Paul. MN 55106 UNLESS PROPER INSPECTION FEE IS
ihone (612) 6<2-0800 ENCLOSEO.
REQUEST FOR ELF.£TRICAL INSPECTION Ee-aooo,.oe
219 71 ,~e ins~mc~ions lor completing t~is ~orm on back o~ yellw copg ~4~?: ~3p~ ~
r
a(" Below Work Covered by This Reqoest
e Add Rep: Typeaf8uiltling AppliancesWiretl EquipmeniWiretl
Home Range Temporary Service
Duplex Water Heafer Electric Heating
Apt. Building Dryer Other-(Specify)
Comm.llnduslrial Furnace
Farm Air CondRioner
01ner~syecity~ ConVactor5 RemaMS:
Compute Inspection Fee Belaw:
# Other Fee # Service Entrance Size Fee # CircuitslFeeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 700 _ Amps
Signs ~~spactor5 Use Only: TOTAL ~
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN NTH ~
I, the ElecVical Inspector, hereby Rough~in oa~ ~
certity that the a6ove inspection has F~~ai oa+eib v~ ~
been made. ~ /
OFFICE USE'JNLY ~
This request witl t8 mon1M15 from
Address 4889 s1~D?tttirID ~Rt Zip 5512?
Lot ' li Blk I Sub wfuseExnuc wooDS zrm
THESE TI'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: ~y g~ Yes No Inspector:
Final grade (6" from siding)
Petmanent steps (garage)
Pennanent steps (main entry) .
Permanentdriveway ~
Permanent gas
Sod/Seeded grass
TraiUcurb damage ?
Po~ch
Basement finish
Deck
Please verify with t6e builder the removal of roof test caps from the plumbing system and the shutroff of water supply ro
the outside lawn faucet before freeze potential exisls.
Contad engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ~
W6ice - Ciry Copy Yellow - Resident Copy Pink - Contractor Copy
. PERMIT ~ontrol No. O 7 O H
`CITI~OF~EAGAN p~{~MITTYPE: eur~oiNo
3830 Pilot Knob Road
Eagan, Minnesota 55123 Permit Number: 000903
(612) 681-4675 Date Issued: 0 6/ 2 5/ 9 2
SITE ADDRESS:
4889 STORLAND CT
10T: 11 BIOCK: 1
WHISPERIN6 WOODS 2ND
DESCRIPTION:
iBuild~ing Permit Type 3F OWG
~ Building,,Work Type NEW
UBC Occupancy R-3 M-1
' Construction Type VN
Zoning ~ R-1
Build3ng length ' 64
Building Width 47
,
_ ~ , _ _
~
~,t ~
~ C" 1 / 7
% J i i}I:::~i~, /,r^;~~~, /r~.r ~I/r.-~ 1-_;'~
,
t ~ ~ ~1 ~ ~~J ~ i I ) _ ~ t V ~ i I
~ J l
REMARKS:
RECEIPT N CO~G~~~ S&W PLBR - SCHULTIE3 PLB~
FEE SUMMARY:
VALUATION ;117,000
Base Fee ;699.00 MISC FEE E1.610.59
Plan Review a454.35 Total Fee $3,522.35
5urnharge s58.50
SAC ~700.00
SAC ~ 100
SAC Units 1
SubYotal 51,911.85
CONTRACTOR: - APPlicant - S7. ~ICp~yNER:
FSB C NST INC 18903000 0003886 FS8 CON3T
2500 W COUNTY RD 42 9 2500 W CTY RD 42 9
BURNSVILLE MN 55337 BURN3VILLE MN 55337
(612) 890-3600 (612}890-3000
I hereby acknowledge that I have read this application and state that the
information is correcC and agree to comply with all applicable State of Mn.
Statutes and City ofi Eagan Ordinances.
L -
~ w1,~1 ~Y ~{,~x1lt~ nt~n ~tei,C~, ~ j~
APPLICANT/PERMITEE SIGNATURE I E B. SIG ATURE
INSPECTION RECORD I ControlNo. O7OH
CITYOFEAGAN PERMITTYPE: Bui~oiNe
3830 Pilot Knob Road Permit Number: 00@903
Eagan, Minnesota 55123 Date Issued: 06 / 25 / 9 2
(612)681-4675
SITEADDRESS: ~oT: ii e~ocK: i APPLICANT:
4889 STORLAND CT FSB CONST INC
WHISPERING WOODS 2N0 (612) 890-3000
PERMIF oW~eTYPE: TYPE OF WORK: NEw
. .
FOOTINB FRA09IN6
INSULATION FINAL
FIREPLACE
- REpIARKS: RECEIPT # S&W PLBR - SCHULTIES PL80
~
~ -
_ 7 1992 BUILDING PERMIT APPUCATION `f' ~ s~-
CITY OF EAGAN ~"zG~ G 1~
~ REQUIREAlIENTS: ~Utd 1 ~ RECo
NGLE FAMILY 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET ENERGY CALCS~.
PAULTIPLE DWELLINGS 2 SETS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET OF ENERGY CALCS.
# OF UNITS RENTAL FOR SALE
COMMERCIAL 2 SETS OF ARCHITECTURAL & STRUCTURAL P1ANS, 1 SET OF
SPECIFICATIONS, 1 SET OF ENERGY CALCS.
PENALTY APPLIES WHEN TYPING OF PERMIT tS REQUESTED, BUT NOT PICKED UP BY LAST WORKING
DAY OF MONTH IN WHICH REQUEST IS MADE Q LOT CHANGE IS REQUESTED ONCE PERMIT IS
ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTFIACTOR/HOMEOWNER MUST DESIGNATE WHICH
ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
To Be Used For: ` y/y aluation: ~,~j'~j! Ud0 Date: v~J ~1'"~ ~j
~ Address ~~~}~~S1.Q.Q/V~F.~. ~.L~k~
FFI E USE ONLY
Lot ~
~ Biock i; FEES
h upancy Bldg Permit
Parcel/Sub ~67~J o1 ning Surcharge
~G Actual Const Plan Review
Owner t~.~ Allowable License Fee
~L # of stories. SAC, City
Address ~7~6~jV1,f7~, l,U. Length SAC, MWCC
Depth Water Conn.
City/Zip ~GLc ~IV 5 S.F. Totai Water Meter
Footprirtt S.F. Acct. Deposit
Phone ?j~ S/W Permit
On-site sewage S/W Surcharge
Contractor c7~> On-site well Treatment PI.
p, # . MWCC System Road Unit
Address 50~ ~,l). ~ r.~L ~ City water Park Ded.
PRV Trail Ded.
Ciry/Zip ~IIV Booster Pump Copies
SUBTOTAL
Phone ~jO~Q License~ APPROVALS Penalty
Pianner Lot Change
Councii TOTAL
Arch./Engr. ~/~'j1Qj BIdg.Off.
Variance
Address
City/Zip Code
Pfione #
Suwer/WaterLicensedContr. `~,~,~,Q~( ~ ~-~-~l.~l/VK~(?-(/Vi~ .Processingtime
for sewer/water permits is two ays once area as een approv .
~''f `~I UV~ I~~..~,t~ ~ - agrees that all work shall be done in accordance with
ignature o ermittee ~
all applicable State of Minnesota 5tatutes and City of Eagan Ordinances.
_ PEr2MIT- ~i' r ~ CITY OF EAGAN
` 1992 BUILDING PERMIT APPLICATION
681-4675
5INGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectura7 & structural plans, 1 set of
specifications, 1 copy of er~ergy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date / / Valuation of work
Site Address:
STREET STE !
Tenant Name:
~or ~I e~aK ~ wao. w~'rt,~''los'w`` ~,I-)o~3-' v.~.o. t
~ ~1~~
Descri tion of work:
The applicant is: ? Owner ? Contractor ? Other coes«tn~>
Name Phone
Property usT FIRST
Owner pddress
~ STREET ~ STE'/
City State Zip
Company Phone
Contractor Address License # Exp.
City State Zip
Company Phnne
Architect/
Engineer Name Registration ~Y
Address
Lity State Zip
Sewer 8 water licensed plumber . 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:
vrri~t uae urv~Y
BUILDING PERMIT TYPE ' ~ ~ ~
e
? O1 Foundation ? 05 Apt. Bldg ? 09 Basement Finish ? 13 Public Fac.
~02 SF Dwg. ? O6 Garage/Accessory ? 10 Swim Pool ? 14 Agricultural •
? 03 Two family ? 07 Fireplace ? 11 Res. Add./Porch ? 13-Miscellane~us
? 04 Multi-fam. T.H. ? 08 Deck ? 12 tomm./Ind.
WORK TYPE
~ 31 New ? 34 Repair ? 37 Demolish
32 Addition 0 35 Tenant Finish O 99 Undefined
? 33 Alterations ? 36 Mave -
GENERAL INFORMATION
Const. (Actual) V- N Basement sq. ft. MWCC System
(Allowable) v' N lst F1. sq. ft. City Water ~
UBC Occupancy R-3 2nd F1. sq. ft.. PRV Required
Zoning R'4 5q. Ft. total Booster Pump
~ of Stories Footprint Sq. ft. Fire Sprinkler
Length y y, On-site well Census Code ~nr
Depth 4~1i4~ On-site sewage SAC Code o~
APPROVALS
Planning Building Assessments
Engineering Variance
REGIUIRED INSPECTIONS
? Site ? Footing ? Framing ? Insulation
? Wallboard ? Final ? Draintile ? Fireplace
Permit Fee v.iwsio~,: s I I p~0 ~
Surcharge
Plan Review Gn.~~GE•, 2~X~ X 16° tp~$16
License ~b Xab - 6~` x~S= ?0 4~
MWCC SAC . ~ a I
City SAC IsTF,.o~: Szx 2 ~3j2
Water Conn. c,x
Water Meter z~c i3
Acct. Oeposit Z ~
5/w Permit ~ x ~ 3 ?3
S/W Surcharge ~Ox 4 = G°
Treatment Pl, z,~Z , C~U
Road Unit ~x~6! 3zo
Park Ded: ~xsx.s: ~Z
Trails Ded. 2x~_
Copies
Other
Total : I^~r S K 53 =`iS,13S
SAC 9K I v0 I I(~ ~ O~j I
SAC Units
520 P91 OCT 13 '93 07:54
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! Ir~hereby certiYy thnt this e~urvey wae prepared by me or
under my direct eupervision and, that I am a duly Registered
Land Surveyor under the Lawe oS the State of Minnesota.
Date J,.,.4 ir~£sa ~ ~ ~
Le~toy ~Bohlen
Rfa. AS-eu«< ~o.iz•qS Registered I,and Surveyor Na. 10795'
688 P01 JUN 15 '92 23:'17-- ~
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'Ihhereby oertify that thie eurvey wae prepared by me or ~ S~
• , unfler my direct euperv3eion and that I s~m a duly Regietorpd o~3
LanC Surveyor , under the LawB oP' the State o! D~i,tuseoo~?. `
'jJatal~i«.n ~N ~fcf'a _ ~ ~ ~~A ~ S
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Regiatered Land Surveyor No. 10~95
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FSB Construction, Inc.
•Builder License p 0003865
2580 W. County Road 42 N9
Burnsville, 19N, 55337
EXTERIOR ENVELOPE AVERABE "U" COMPUTATION
PLAN il: 552 DATE: *6/16/92
OWNER: FS8 CONSTRUCTION
CONTRACTOR: PSB CONSTRUCTZON
SITE AODRESS: LOT 11 BlK ~ WW p - PHONE~~~:~ *896-3000
~L~115 6f~ ~GCC%$ ~rJ~ Q~pniT11='__________________________
~
Square "U"
Footage Factor
1) TOTAL EXPOSED WALL AREA 2500 x 0.11 = 275.00
* 2) TOTAL EXPOSED ROOF/CEILING AREA 2200 x 0.026 m 57.20
WAII AREA CALCULATIONS:
* TOTAL WINDOW AREA 300 x 0.41 = 123.00
* TOTAL ?OOR AREA 32 x 0.07 ~ 2.24
* TOTAL GLASS DOOR AREA 38 x 0.41 = 15.58
TOTAL FIREPLACE WALL AREA 60 x 0.36 = 21.60
TOTAL WALL FRAMING AREA 174 x 0.08 @ 13.92
NET INSULATION WALL AREA 1566 x 0.043 = 67.34
' TOTAL RIM ,]OIST AREA 200 X 0.04 a 8.00
* TOTAL FOUNDATION AREA(EXPOSED) 130 x 0.16 = 20.80
" TOTAL FOUNDATION WINOOW AREA 0 x = 0.00
3) TOTAL-----^272.9
If item 3 is the same as, or less than item 1, you have met the
intent of 2 MCAR 1.16008 A and 0.
ROOF/CEILIN6 CRLCULATIONS:
TOTAL SKYLIGHT AREA 0 x = 0.00
TOTAI ROOF/CEILING FRAMING AREA 220 x 0.026 a 5.~2
NET INSULATION ROOF CEILING AREA 1980 x 0.022 ~ 43.56
4) TOTAL = 49.28
If item 4 is the same as, or less than item 2, you have met the
i~tent ot 2 MCAR 1.16898 A and 0.
I hereby certify that the building here described meets or exceeds the
State of Minnesota Energy Co~servatio~ Act.
fn ~'1 Z
S gnat e at
CTI'1' OF EAGAN
L~L B~ MECHAHICAL PERMIT RECEIPT # ~D S 3(
SUBD. lst ti1SPf~.~~;Cr ~C (612) 681-4675 DATE
S,~C'vND /~DD~TrON
RESIDENTIAL
PLEASE COMPLETE UPPEg PORTION ONLY FOR SINGLE FAMlLY DWELI.INGS. ALSO, COMPI,ETE FOR
TOR'NHOhfES/CONDOS WHEN SEPARATE PIItMiTS ARE REQUIRID FpR EACH DWELLING UNTf.
OWNER: ~ ~
SITE ADDRESS: ADD ON/REMODEL (EXISTING S 15.00
~ ~ CONSTRUCfION ONLI~
INSTALLER: L HVAC: 0.100 M BTU 24.00
PHONE SS ADDITIONAL SO M BTU 6.00
nnnxESS: ~ cns ovTT.~s -~n?suM i~ sa En.
c~'rY: z~:, suxcn,~c~: a so
SIGNATURE: TOTAL: $ ~yr
COMMERCIAL
PLEASE COMPLEfE THIS PORTION FOR ALL COMMERCIAI/INDUSTRIAL BUILDINGS. ALSO COMPLEI'E FOR
APARTMENT BUILDINGS OR OTHER MULTI•FAMILY BUILDINGS R'fiEN SEPARATE PERhIITS ARE NOT REQUIRED FOR
EACH DR'ELLING UNIT.
WORK DESCRIP'TION: CONTRACT PRICE FEES
1% OF CONfRACP FEE.
STATE SURCHARGE IS $.50 FOR EACH
SI,000 OF PERMIT FE& $
PROCFSSED PIPING • SlS•00
$
MINIMUM FEE - 525.00
~R'NER: TOTAL• S
SITE ADDRESS:
TENANT:
SUI1'E
INSTALLER:
ADDRFSS:
CI1'P: ZIF:
PHONE CTIT SIGNATURE:
SIGNATURE:
CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT # ~ E'?
~~~~I~7~,:.~~?:~~'~ DATE: P /~I~/Y
1~$iGYS~~XAS,' PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
4~tA TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
NEW CONST ADD-ON MINIMUM 15.00
ADD ON _ ~ SHOWER 3.00 300
REPAIR _ ~ WATER CIASET 3.00 ~.CPJ
~ BATH TUB 3.00
y-- 3 LAVATORY 3.00 ~J.G~
OWNER NAME: 7-cS~ / KITCHEN SINK 3.00 3~
~ LAUNDRY TRAY 3.00 ~
SITE ADDRESS: ~ HOT TUB/SPA 3.00
/ ~ WATER HEATER 3.00 3•~
LOT: BIACK I SUBD. ~ FLOOR DRAIN 3.00
GAS PIPING OUT.
INSTALLER: , ~ (MINIMUM - 1) 3.00 3.~
3 ROUGH OPENINGS 1.50
ADDRESS: ~ _ OTHER
~/f ~ WATER SOFTENER 5.00
CITY: ~~~Y~~..!%~ ZIP: _~~zs~~~ _ PRIVATE DISP. 15.00
7~/ ` D _ U.G. SPRINKLER 3.00
PHONE : ~o
SUBTOTAL S S~3
ST. SURCHARGE .50
SIGNA E OF PERMITTE
TOTAL: S 7 `f. ~b
~pMMERGTAfFjIIdDITS'~~L2AZ,` PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE: FEES
OWNER NAME: 18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
SITE ADDRESS: EACH $1,OD0 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
R~SIDENTIAL
BUILDINC PERMIT APPLICATION ~ I~/, r~s
~ ~/^S31' CITY OF EAGAN
Y~ ~ 3830 PILOT KNOB RD • 55122
651-681-4675 ~y;,, ~ ,,y~
NewConsiructionReauirements RemodeVRe airRe uiremen ~ ~ ~
• 3 registered site surveys showing sq. ft. of lot, sq. fl. of house; and ail rcofed areas • 2 copies of plan
(20% maximum lot coverage aflowed) . 7 set of Energy Caiculations for healed additions
• 2 copies of plan shovnng beam & window sizes; poured found design, etc.) . 1 sBe survey for exterior addi6ons & decks
• 1 set of Energy Calculations
• 3 copies otTree PreservaUon Plan i( lot platted after 711199
• Rim Joist Detail Options selection sheet (bldgs wiN 3 or less unils)
DATE ~~I'~I VALUATION(EXCLUDINGLAND)~v~~V.D^
JOB SITE ADDRESS V 1 bY'I~l~
If MULTI-FAMILY BUILDING, HOW MANY UNITS? I
PROPERTY OWNER ~ 1- ~~~I ~I'1,11Y1
TYPE OF WORK RZY~l7C' -~QI)lk~ ~ oCf.D~. 1 C~A~AYY/t ~T
I.~/i~IREPLACE(S) _0 _t _2 _3
APPLICANT i~~~ ~UIC, •1 ~ ~ PHONE # ~~JZ'rIO~-(~5~1
ADDRESS I~-~~I N ICO~ Wl ~Q, ~C~U~l7~~ 1 ZIP CODE ~J~J~~J~~I
PAGER # CELL PHONE # FAX #~2~~ S'W~
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~ NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY ~
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted i
- Energy Envelope Calculations Submitted
I _ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: Phone
i Plumbine System Includes: Water Soltener = Liam Sprinkler Fee: $90.00
Water Heater No. of R.I. Baths
i No. oE 13at}~s
I Mechanical Contractor: Phone # I
Ni~ch~uiic.d Sysle~n Inclucles: Air Conditioning ~ec: ~70.00
_ I-Icat Rccovcry System
Sewer/Water Contractor: Phone #
~
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
~
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Signatuie of Applicant
Certificates of Survey Received _ Tree Preservation Plan Received _ ot Required _
Updated 1/01
OFFICE USE ONLY •
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? ~2 SF Dwelling ? 08 O6-piex ? 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 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 1 g 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
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteretion ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement `Demo~ition (Entire Bidg only) • Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaVC.O.
_ Footings (deck) FinaVNo C.O.
_ Footings (addi[ion) Plumbing
_ Foundation HVAC
Drain Tile -
Roof _ Ice & Water _ Final Other
_ Framing _ Pool Ftgs Air/Gas Tests Final
_ Fireplace _ R.L _ Air Test _ Final _ Siding Stucco Srone
_ Insu]ation _ Windows (uew/replacement)
---------------------------------------------------------------------------------------------------ApProved BY , Building Inspector
3ase Fee
Surcharge
Plan Review
MC/ES SAC
~ity SAC
~Nater Supply & Storage
3&W Permit & Surcharge
T'reatment Plant
?lumbing Permit
Nechanical Permit
_icense Search
:opies
~ther
rotal
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA149225
Date Issued:05/14/2018
Permit Category:ePermit
Site Address: 4889 Storland Ct
Lot:011 Block: 001 Addition: Whispering Woods 2nd
PID:10-83951-01-110
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Leonard L Leschyshyn
4889 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
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA154393
Date Issued:03/18/2019
Permit Category:ePermit
Site Address: 4889 Storland Ct
Lot:011 Block: 001 Addition: Whispering Woods 2nd
PID:10-83951-01-110
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
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 -
Leonard L Leschyshyn
4889 Storland Ct
Eagan MN 55122
Haley Comfort Systems
4320 Hwy 52 N
West Frontage Rd
Rochester MN 55901
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA156901
Date Issued:07/24/2019
Permit Category:ePermit
Site Address: 4889 Storland Ct
Lot:011 Block: 001 Addition: Whispering Woods 2nd
PID:10-83951-01-110
Use:
Description:
Sub Type:Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of house wrap and leave on site for final inspection.
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.
Valuation: 10,000.00
Fee Summary:BL - Base Fee $10K $191.75 0801.4085
Surcharge - Based on Valuation $10K $5.00 9001.2195
$196.75 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 -
Leonard L Leschyshyn
4889 Storland Ct
Eagan MN 55122
(612) 261-4542
Builders & Remodelers Inc
3517 Hennepin Ave S
Minneapolis MN 55408-3830
(612) 827-5481
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA160520
Date Issued:03/16/2020
Permit Category:ePermit
Site Address: 4889 Storland Ct
Lot:011 Block: 001 Addition: Whispering Woods 2nd
PID:10-83951-01-110
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Leonard L Leschyshyn
4889 Storland Ct
Eagan MN 55122
(651) 592-0357
Builders & Remodelers Inc
3517 Hennepin Ave S
Minneapolis MN 55408-3830
(612) 827-5481
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA175886
Date Issued:04/20/2022
Permit Category:ePermit
Site Address: 4889 Storland Ct
Lot:011 Block: 001 Addition: Whispering Woods 2nd
PID:10-83951-01-110
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 -
Leonard L & Janice A Leschyshyn
4889 Storland Ct
Burnsville MN 55122--233
(651) 261-4542
Builders & Remodelers Inc
5301 East River Road
Suite 110
Fridley MN 55421
(612) 827-5481
Applicant/Permitee: Signature Issued By: Signature