4893 Storland Ct ~
t . ~ _ _ . _
9--7-88
CITY 0~ EAGAN Permit No~ Date: ~
3830 PflollCnob Road Meter No: ol..~ Size:
P.O. Box 21199 Reader No: ~1~~ 5~ Date: ' ~
Eagan, MN 55121 y~.~
Owner. ' tion
SiteAddress: ~:r~r]and Court L'_0 F1 1.:!t~isper.in~ Wan s
Plumber -yl nrk P1 umhin,~„
Conn. Chg: =,_~c~~ Zoning: '
Acct Dep: r~•3p~- No. of Units: -L
Permit Fee: -
Surcharge: , r ? I agree io compl with the Cily of EaQan
Tr. Plant Ordinanc
Meter. - '
Misc: .T. B1?
WATER SERVICE PERMIT
-
. . _ - - - - . _ s - ~-~-1
f - . ~
r ~ . 4-7-~~ '
CITY OF EAGAN Permit Na Date:
3830 Pilot Knob Road Meter No: Size:
P.O. Box 21199 Reader No: Date:
Eagan, MN 55121
Owner. " " "-onsire~ctio~
Site Address: 4;'~S'~ Storlan~ Coe~r~ ' i~ gl !~*his~eTin~ '~1ac~' ~
Plumber " ~ a~loCk Pl~+• l~iin~ '
Conn. Chg: ~ ~ n,~~ Zoning:
~ Acct Dep: ~~1 No. of Units:
~ Permit Fee: ' ~~~p~
Surcharge: Sf~~t' I agree to comply wiih the City o! Eagan
Tr. Plant Ordinances. ~
c i
Meter. -~~;.o,
Misc.: v p~ r'~-• Br
! WATER SERVICE PERMIT
L_. _ _ _ -
- - - _
~TQg 4
CITY OP' EAGAN Permit No: Date:
3630 Pitot Knob Road B/ P No: Date; ~
P.O. Box 21199 '
Eagan, MN 55121
Owner.
" 1 ~ ;i . ;.;nnr?s
Site Address: - ~ f ~ L ~ ~ L ' _ _ ~ r '
Plumber: ~tv~-~` r.L~:C'~., ii
MWCC: - C~^i,? Zoning.
City Chg: No. of Units:
Acct Dep: ~ s'
, -,,~~t~ I agree to comply with the City of Eagan
Permit Fee: ~ Ordinancea.
Surcharge: - ~
Misc.: . ~ , Br
SEWER SERVICE PERMIT
• - y CITY OF EAGAN
t ~ 3830 Pilet Knob Road, P.O. Bax 21-199, Eagan, MN 55121 ~
PHON E: 454-8100
BUILDING PERMIT Receipt ~ '
To be usedfor ti~' t~'~~.;f'>>+~ ESt. Value :142,u~~7 Date ,19
Site Address " L~ OFFICE USE ONLY
Lot Block ~ Sec/Sub. wE~I SP~' ~1'~' ~~~5 d" Site Sewage Occupancy '
;,1.• MWCCSystem Zoning '~-1
Parcel No. On Site Well (Actual) Const ~~~M
City Water (Allowable) V
~ Name . :~N, 1riC
= Address ~'r PRV Required h iF of Stories
0 1[' ~ 435.-531k BoosterPump Length
City Phone ~
Depth
, o Name S.F. Total
~ ` Address Footprint S.F.
City Phone APPROYALS FEES
7 i1: . ~.~(i
v a Engr./Assess. Permit
W Name T'S
W •
~ = Planner Surcharge
_ ~ Address ~ .
4 W City Phone_ Councfl Plan Review
Bldg. Off. SAC, City '
Variance SAC, MWCC ' ~v-`;ti~
I hereby acknowledge that I have read this application a~d state that the V. n~
information is correct and agree to comply with all applicable State of Water Conn.
Minnesota Statutes and City of Eagan Ordinances. Water Meter ij
Signature of Permittee - Road Unit 5'Z ~
A Building Permit is issued to: F 5~1 C~1~STRl~CTI~H ~ 1NG Treatment P1 '~t~
on the express condition that all work shall be done in accordance with all Parks
applicable State of Minnesota Statutes and City of Eagan Ordinances. ,
TOTAL ~
Building OHicial _ _
1
Permit No. Psrmit Holder Dste TNephona ~r
Plumbing `15~~ _ '~~2c. ~!`Y' , ' ~~E'~{! 7s%.~~~
i~'
H.Vac. G ~z ~ " r5~
E ~ectric f' ~l ~ ~i ~C:Qe ~ . _ ~
Softener
Inspectlon Date Inap. COmmentS
Footings I 6 7 ~
Footings II
Foundation
Framing ~
Roofing
Rough Plbg. ~
Rough Htg.
Isul.
Fireplace ~ ~ ~
~
Final Htg. _
Final Plbg.
Bldg. Final ~
Cert. Oca
Temp. LP
Deck Ftg.
Deck Flnal
Well
Pr. Disp.
_3' . . , . .
i n . •
~~x#i#ir~tp uf (~rru~~nr~
~itp of ~a~an
~r~rtmrnf ~f ~uil~ing .~ns~rrriirnt
This Certificate issued pursucrnt m the require~rrents of Seciron 306 of the Urufornr Building
Code certifying that at rhe time of issuance this structure was in compliance weth the various
ordinances of lhe City regulating building coristruction or use. For the following.•
ux c~r~c.ao~ SF DW~/G~R e~a~. a~„~;, No. 15 lbl~)
oau~.~cy rype ~,1`I ~ zoo;n~ oi~ria R~ 7ya comt. ~
o~« or e~ua;,~FSB CX~?CiT~I 617 ~'.,fII~IOD IlRiVE, BlJ1a15VIII~
~ e~aa~Baaa~ 4893 SI~Ll1NID D~tI.VE ~,~y L10, B1, WtIISPEIZIl~ WOCDS 2DID
' ~ ~ A[IQJSf 8 1989
T
,/4~! , • ~ _ n.u: ~
~ ewlaf oaici
POST IN A CONSPICUOU$ PLACE
' . ; . RERMIT M
~ PLUMBING PERMIT . i"` ~ 3 x C
CITY OF EAGAN RECEIPT q ~
3830 PILOT KNOB ROAD, EACAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8/00
Site Address BLDG. TYPE WORK DESCRIPTION
Lot Block Sec~Sub Res. ? New ?
~ Mult. Add-on
~ Name ' ' - u Comm. Repair
~ Address ' ~ • r Other
c City Phone - ~ RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TAL
Name ' ~ , Water Closet - $3.00 '
` Bath. Tubs - $3.00 • '
3 Address " ~ lavatory - $3.00 ~
p City d'`j(i-{ ,ct~LL~~? % ~ one 1_Shower -$3.00 3,
_~Kitchen Sink - $3.00 =
- ~
FEES Urinal/Bidet - ~3.00
COMM/IND FEE - 1qb OF CONTRACT FEE ~Laundry Tray -$3.00 3• ,
APT. BLDGS - COMM RATE APPLIES ~ -~Floor Drains -$1.50
TOWNHOUSE & CONDO - RES. RATE APPLIES ~Water Heater -$t 50 ~ f-
MINIMUM - RESIDENTIAL FEE - $12.00 ~~.~~h+~lpoa?,-.$3.00 =t- ~ '
MINIMUM - COMM/IND FEE - $2~.OD -~Gas Piping Outlets - $1.5o
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT)
(ADD $.50 S/C IF PERMIT PRICE GOES Softener - S5.00
BEYOND $1,000.00) Well - $10.00
~ Private Disp. - $10.00 _
~ / ~_Rough Openings - $1.50
f % . . i ~ . „r.-- l! l~7 f - L c1= 7 ( ~ ~ ~
SIGNATURE OF PERMITTEE FEE: ~
STATES/C:
FOR: CITY OF EAGAN GRAND TOTAL: •
, ~ . a. .
. . . PERMIT # Ii'1 . ~
~ MECHANICAL PERMIT RECEIPT # ~ r~
CITY OF EAGAN . , ~ i
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE PHONE 454-8100
Site Addr ~ ~u BIDG. TYPE WORK DESCRIPTION
Lot ~ Block Sec1~
~ t ; ~2 6 S
, Res. New
~ Name ~ N~ f~- ~ rA~' Mult Add-on
~ Addrass ~ ~ Comm. Repair
c Cit~ ~ D Phone ~ ~ pm~.
r? ~
c Add e RES, HVAC 0-100 M BTU EES _$2400
p City ~ ~ Phone ~ ' ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
TYPE OF WORK ADDITIONAL 6 M BTU - 6.00
~ GAS OUTLETS - 1.50 EA.
Forced Air M BTU COMM/IND FEE - 146 OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIOENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Afr Cond. M BTU STATE SURCHARGE PER PERMIT - .50
Vent ~ CFM (ADD $.5U S/C IF PERMIT PRICE GOES
BEYOND 1,000.00)
Gas Piping Outlats # '
,
Other ~ S /
FEE
S/C: ~G TURE OF ERM~ EE
~
TOTAL:
FOR: CiTY OF EAGAN
+ ~ CASH RECEIPT
~ ~ CITY OF EAGAN
3830 FILOT KNOB~iOAD
~ EAGAN, MINNESOTA 55122
r` ~ .
/ ~ ~l
~aTE ( ~ / ~s~ ~
i ~ , ~
RECEIVED
fROM ~ ~ ~ ~ ~ l
AMOUNT $ . ~ ~
v~
& DOLL4RS
? CASH G~ CHECK
?
~ ~ ~ G , y ,
~,~.Cc: ~ ~ ~ i
.li~ ~ '
C
FUND ECT AMOUNT
~ Thank You
BY ~~v ~ ~
4Vhite-Payers Copy
y.~, ~ - ~•~~.y
- , Yelb~-PosG^9 ~PY
. . ~ " Pink-File Copy
BLDG. PERMIT NO. r.`O r~ T
t- ~ ~ ~ ~t. ,
_ ~ _d„~
01-3210 Bldg. Permit L
01-3422 Plan Check F'`' f
01-3445 Surch./Adm.
01-3446 SAC/Adm. ~ f
01-2155 Surcharge ~ ~
75-3860 Road Unit ~ ~
20-2275 SAC ~ ~ ~
20-~3865 Water Conn. ~ 0 ~ ~
20-3868 Water Trmt. ~ ` ~
~ 20-3716 Water Meter ~ ~ %
20-2252 Acct. Dep. `
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn. ' ~
28-3855 Park Ded.
_
TOTAL
. _ _ . _ . . . . _T-..
' ~
CITY OF EAGAN + ~ ~ ~ ~
3830 Pflot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 ~ -
BUILDING PERMIT Receipt# ;~~f.'/
To be used for 5F D~lG/Gt1h Est. Value 141 ~iV~ Date ~i'i~.: ,~g 88
Site Address 4~`~3 STGRL•i`rl.! l:7 OFFICE USE QNLY
~ On SRe Sewage Occupancy K~3 t'^~ -1
Lot 1~ Block 1 Sec/Sub. uN15~'~~j''~s ~'~~5
2~~ MWCC System Zoning ~-'1
Parcel No. On Site Well (Actual) Const v-~
~ Name F5$ COti5T1~UC7'IOh, I~'C citywater X (Allowable) V'~
W PRV Required ~ ~ of Stories
z AddrSyss 617 CHICAc;o D[t
3 Booster Pump Length ~ ~
~ City •3i3RAi5VILI.L~ Phone 435-~314
Depth 3~ ~
, a Name• 5•~}~-~' S.F.7otai
~ Q Address Footprint S.F.
~ City Phone AppROVALS FEES
W W • Engr./Assese. Permit
W Name 70.50
_ ~ AddreSS . Planner Surcharge
U= City Phone Council PlanReview 35~•~
a"' Bldg. Off. SAC, City 1~•~
Variance SAC, MWCC 5~•~ "
I hereby acknowledge that I have read this application and state that the 5~
. information is correct and agree to comply with all applicable State of Water Conn.
~Minnesota 5tatutes and City of Eagan Ordinances. Water Meter •~Q
Signature of Permittee Road Unit 325 00
~ 8uilding Permit is issued to: S~ C.,crNSTRi~C'1 I(?N, ~tiC Treatment P1 2d4'~
on the express condition that all work shall be done in accordance with all parks
applicable State of Minnesota Statutes a~d City of Eagan Ordinances. .
Building Official TOTAL
~ INSPECTI4N RECORD
CITY OF EAGAN ; PERMIT TYPE: ~ ~ ~ + , ~ ~ ~ f~~ ~ ~
3830 Pilot Knob Road Permit Number: i•~ C,
Eagan, Minnesota 55123 Date Issued: i ~ : ~ > ~ ! ~ ~ . •
(612) 681-4675 '
SITE ADDRESS: , ~ . ~~i ~ N t . ~ `ti4/ ~1PPLICANT:
~ f,~fii ~ r ;;,~f,, E,;i~;M; i, t i:~
; i t V I I'J~~ Is~~~ili•. , ri~i ( r I i ! 1~;..
PERMIT SUBTYPE: TYPE OF WORK:
.I S'ii. ' ~~j
. ~ 1 ~ ~ i; /1 ~ , '
• •
, IL~ ; i•r~in t rd~~
I!i ,r~l l? i t t+~., ! ~ h!rll
i ri r+ I, Y, i i i I I~ I d
~
-
~
~ Permft No. Psrmit Holdar Date TeleQhone A
. S/W
PLUMBING
HVAC
ELECTRIC ~ r~~C ',:L. 3// 9~~- ~ c
ELECTRIC ~'~y~ . ~i3 93 ~
Inspactbn DaM Insp. CommsMs
F~n~ ~ f 3 ~
FourMetion
Framing ~~/p
Roofing
Rough Plbg.
Rough Htg.
Isul. '~~7~.j "`~tL.
Freplace
Finel Htg-
Orset Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Mete?
Er~./Plan
Bldg. Fnal
tiis~ ~
Deck Ftg. ~ N I~ ~ /G~
Declc Final
~ ~
Well
Pr. Disp.
RESIDENTIAL
'r BUILDING PERMIT APPLICATION ~
~ 7~a CITY OF EAGAN I+'~ I^ y~
3830 PILOT KNOB RD - 55122 ~ / y
651-681-4675
lew Construetion Reauirements RemodellRaoafr Reouiremenls
3 registered sile surveys shaxing sq. ft. of lot, sq. fl. a( house; and all roofed areas • 2 copies of plan
(20%maximum lot coverage allowed) . 1 set of Energy Calculations For heated addNOns
2 copies of plan showing 6eam & window sizes; poured found design, etc.) . 1 site survey (or erzlerior additions & decks
7 set of Eneryy Calculations . I~icate If home served by septic system for additions
3 copies of Tree Preservation Plan'rf lot platted atler 7/1193
Rim Joist Detail Options seledion sheet (Wdgs wilh 3 or less units)
)ATE S lI ~ G~ VALUATION I /~d
IOB SITE ADDRESS y~ 9 3 .S /al i° /4~,d ~ ~4~
F MULTI-FAMILY BUILDING, HOW MANY UNITS?
'ROPERTY OWNER C~ m ~ ~ ~ ~ ~ ~ R C /YI
'YPE OF WORK ~4l a ~ ~e~'~/ FIREPLACE(S) _0 _1 _2 _3
'~PPLICANT Gv~ ~ ~ ~.s ~r, ~ ao~~~ PHONE #
~DDRESS.~ s SS /G. ~P ~1 c/ , C l ys ~~C ~ ZIP CODE SS~~.~.3
'AGER # CELL PHONE #~~3 ^ S 3 3~ f~~7 FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 D~ ~
(check one) - Residential Ventilation Category 1 Worksheet Submitte
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted By
Plumbing Contractor: Phone
Plumbing SysCem Includes: Water Softener Lawn Sprinkler Fee: $90.00
Water Heater No. of R.I. Baths
No. of Baths
Mechanical Contractor: Phone #
Mechanical System Includes: Air Conditioning Fee: $70.00
Heat Recovery System
Sewer/Water Contractor: Phone #
\II above information must be submitted prior to processing of application.
hereby acknowledge that I have read this application, state that the information is correct, and agree to complywith
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant ~G`^~.- ~
;ertificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated t/01
OFFICE USE ONLY
] 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
] 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. (4sea.) ? 33 6ct. Alt - SF
] 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
7 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
] O6 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 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
7 34 Replacement `Demolition (Entire Bldg only) - Give PCA handout to applicant
laluation Occupancy MC/ES System
:ensus Code Zoning City Water
iAC Units Stories Booster Pump
Jbr. of Units Sq. Ft. PRV
dbr. of Bldgs Length Fire Sprinklered
-ype of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) Final/C.O.
_ Footings (deck) Final/No C.O.
_ Footings(addition) _ Plumbing
Foundation HVAC
Drain Tile
Roof Ice & Water Final Other
_ Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Fireplace _ RL _ Air Test _ Final _ Siding Stucco Stone
_ Insulation _ Windows (new/replacement)
Approved By , Building Inspector
3ase Fee
iurcharge
~lan Review
AC/ES SAC
;ity SAC
Nater Supply & Storage
i&W Permit & Surcharge
-reatment Plant
~lumbing Permit
Aechanical Permit
icense Search
:opies
Jther
fotal
K
/3/9~.C/r~ .l1>~, ° /c~e~a ~U
Bequast Date • ~ i!~" Fire o. Pough-in ) npection -
Repuiretl?-J ? Reatly Now bWIRNotify Inepec~or
~ 1'~ -{3 ZJYae' G No When ReaCy4
I~~J.IicEn~ed contractor O owner hereby request inspection of above electrical work at:
Job Atltlress ~Street. Bpx or Poute No.~ Ciy
HSQ'~ Sioehp+NO GT. Fk~J
Section No. TownsM1ip Name or No. Ranga No. Counry
OccuOani(PRINT~ Pbone No.
M~c~ R t~M `~0-5~3
Power Supp4er AtltlrBss
ElecVical GonUacmr ~Campany Namei ConVeda§ License No.
i 4k lyl • G,
Matling Atldress ICOntrec~or or Owner Making In9alla~io1n~'
u~a- JR1 JT A~~
Au~honzetl SlgnaWre ICO~hactonpwner Maki Inst ation~ Phone Number
~ ~'w+--- o --So`~ ~i
MINNESOTA STATE BOAHU OF ELECTNICITY THIS INSPECTION FEOUEST WILL NOT
Griggs~MlOway Bldg. - Poom Sl]3 0E ACCEPTED BV THE STATE BOAqO
18Z1 Unlversity Ave., 5~. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Fhone (812~ 692-OBW ENCLOSED.
9~ RE~UEST FOR ELECTRICAL INSPECTION. ee ooomoe
3 4 4 4 See insimc~ions lor completing t~ls lorm on back ol yellow copy ` a~a
3 ~
, Be1qW Work Covered by This Request
e Adtl Rep, 7ypeofBUilding AppliancesWired EquipmentWiretl
Home Range 7emporary Service
. Duplex Water Heater Electric Heating
Apt. Building Dryer Other,(Specify)
Comm./Industrial Furnace
Farm Air Conditioner
O~ner~syecRy~ ConVacmrS RamarNS:
Compute Inspection Fee Below:
# Other Fae # ServiceEmranceSiza Fee # Circui~s/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to ~00 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
SignS 1ns0enor's Uae Onry: TAL r~
Irrigation Booms ?.wn ~ ~jU'~
Special Inspection ~Q~
Alarm/Communication THIS INSTALLATION MAY BE O ED DISCON ED IF NOT
Other Fee COMPLETED WITHIN 18 MONTH
I, ihe Electrical Inspector, hereby Aougn-in oare~ ~/o f~
certif that the above ins ection has ~
Y P Final oate
been made. ~
OFFICE USE ~NLV
Tnis requast voitl t8 months irom
7 3~~
7~/~i3jy~--- ~
5'~
Pequest Date e No. R h-in Inspection
~ iretl4 ? Reatly Naw ~~7i11 Notity Inspecia
~+~'S ? No 1Men ReaUy9
- I~X~nsed contractor ? owner hereby request inspection of above electrical work aC
Jo0 Atbress (Street. 9ox o~ Roule No.~ Cily
; 9 - s-~ .~,~,o c-r. ~.,~~,~,T
Section No. Towns~ip Name a No. Range Na County
Occupan~IPRINT~ PhaM No.
Cf , k.l f
A,~ i 7~l f~h~ -J'~ ~
Pawer Supplier AOGmss
F~i~ 14C ~ vo -~~o ~ST, ca, s.sv~~l
Elechical ConVactor ICompany Name~ ConVeclor5 Litense No.
S f(Cf~ ~Lf.t, Yf-~C'T' 1A-.5 ?.S~
Meiling Atltlreu ICOnUactor or Owner Making Installationl
G g ~
AWhorized Signa v~Owner Ma~stallat n~~ Phone Numbar
y
~i
MINNESOTA STATE BOARD OF ELECTflICITV THI$ INSPECTION FEOUEST WILL NQ~
Gr199a-Mitlway BIOg. - HOOm S1)3 BE ACCEPTED BY THE STATE BOARDU~(+
182111nive~city Ave.. St. Paul. MN 55106 UNLESS PFOPER INSPECTION FEE IS urr
PMne (81Y) BCY-0800 ENClOSED. / ~
,(//~3 REQUEST FOR ELECTRICAL INSPECTION "-.~~9, ~e/oyQoi~ e
3 4 4 7, See insvuctions ior completing mis mrm on Gack al yellow copy ~f y
~ '"X" Below Work Covered by This Request y~
ew Add Rep. TypeofBuilding AppliancesWired EquipmeniWirad
Home Range Temporary Service
~uplex Water Heater Electric Heating
~ Apt. Building Dryer Other-(Specify)
Comm./Industrial Furnace o}~G'? laft
Farm Air Conditioner
Ol~er~syetdy~ ConVaclor5 Remarks:
Compute Inspection Fee Below:
# Other Fee # ServiceEntranceSize Fee # CircuitslFeetlers Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transfo~mers Above 200 _ Amps Above i0o _ Amps
SignS inspecrorS Use Onry: TOTAL
Irriqation Booms / / r ~ij
~
Special Inspection ` ~ ~
Alarm/Communication THIS INSTALLATION MAY BE ORDEHED' ISCONNECTED IF NOT
Other Fee COMPLETED WITHIN /8 MONTHS.
I, the Electrical Inspector, hereby Rough-in Date
certify that the above inspection has F;nai . oa~
been made. ~a' 3
OFFICE USE'JNLV
This request witl 18 month3 fmm
This re0uesl void p~ ~SC'.
18 nwn~hs fwm
E 28240 ia~~~ cvo~~~-~2 ~-'~~g~
flequest Dale Fire No, p uPh-in { pection
fl ired? ~ReatlyNOwyyWillNn~i(y.lnsuec
~li~~ Yes ?NO / "~or When qeady
•Licnnsed Eleclrical Cartractor 1 hereby reques~ insoaction of above
Owner electncai work ins~alled aC
S~reet AAAress, Boz o~~No. ^ Ci~ ~
//i
l%~i~`_
ecUO Towns~ip Name or No. ange No. Count
OccuVan flINT~ ~ Phone No.
G
Power Supulier ~ h` Adtlress
~~Jlr
Elechical on or ICOmuany e) Cnntracror's License No.
~~a• 0 % 3S`~
Mailin A Jre onv tor or Owner Making Instailationl
~.r~S~f / ~J .3 ~L
Authoriied -gnalur0 IConttactodOw er Making Installa[io Phone Number
LU~- ~df~ zy
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION PEQUEST WILL NOi
Griggs•Midwey Bltle~ - poom N-t87 BE ACCEPTED BY THE STATE BOARD
1H21 UniversitvAVa..St. Pa~l. MN 66104 UNl.E55 PflOPEH INSPECTION FEE IS
ow,...e ~u~m cn? nnnn ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION Ee-ooooi-os
, See instruetions tor completin9 ~his torm on back o1 vallow copv. ~(Q ~5~
E~2 8~'4 0~ ~~x" Be/ow Work Cove~ed by 7his Request c6 _
Hdd Nep. Tvpe oi Building Appliuneea Wirod EquiV~~ent Wired
Home Ranye Tem~rary Service
Duplex Water Heater Lighting Fixtures
Apt. BUildin~ Dryer Electrie HeaUn
Commercial 81dy. Fumace Silo Unloader
Industrial BIAg. Air Conditioner Bulk Milk Tenk
Farm ~ht~~ oeu v O~n¢.r Isuncifyl
~ e. Suecify Ot er Oth~r
ompuie lnspection Fee Below
p Fee ServicaEnhenceSize X Fee Fender5~5u~~eeders % Fex Circuits
0 to 200 qm s 0 to 30 qm s 0 m 30 F~m
Above 200 Amps 31 to 10U Amps 31 to 700 Am ~
Swimming Paol Above 100-Amps Above 100_/>mP5
Transrormers Irngation Booms Partial•'Ot r F e
Signs SVecial Inspection ~ 1
Rertarks SGf/_ TOTAL fE •e
L~
Hough-in ~ D~ e I, me Ele '
; rC~ ~'~3 inspectoq here0y
cer~i~V tMt the above
Final ~ ^ -l9 nspec[ian hes bean
de.
misreQueslvolUtBmOn~M~mm ~ -
CITY OF EAGAN 1516 0
3830 Pilot Knob Roed, P.O. Box 21-199, Eagan, MN 55121
~ PHONE: 454•8100 ~ /5-
ry-T
BUILDINGPERMIT Receipt# Zl'f'
To be used for SF DWG/GAR Est. Value $141 , 000 Date JUNE 9 ~ g 88
Site Address 4893 STORLAND CT OFFICE USE ONLY
Lot 1~ Block 1 Sec/Sub.~ISPERING WOODS ~nSneSewage - Occupency R-3 M-1
MWCCSystem X Zo~~~9 R-1
Parcel No. ZND On Site Well _ (ACtuapConst V-N
m Name FSB CONSTRUCTION~ INC CiryWater _Y~ (Allowable) V-N
W Address 617 CHICAGD DR PRV Required # of Stories
~ City BURNSVILLE phone 435-5314 aoosterPUmp _ Length 6$'
Depth 34~
, o Name S~ S.F.7otal
~Q Address FootDrintS.F.
~ Ciry Phone pppROVALS FEES -
~a Engr./Assess. permit 708.~0
Name
WW
w Planne~ Surcharge 70.50
z~ Address 354.00
City PhOne Council PlanReview
aw BIdg.Off. SAC,City 1~~•~~
I herehy acknowledge that I have read Ihis application and state that the Variance SAC, MWCC 550.00
information is correct and agree to comply with all a slicable State of Water Conn. 550. ~D
Minneso~a Statutes and City of Eaga rtlinances. 67.00
Water Meter
Signature of Permitte _ G~- Road Unii _3Z.5~~
A euilding Permit is issued to: a'FSB CO TRUCTION INC 7reatment Pt 204.00
on ihe express condition that all work shall be done in accordance with all
applicable State ot Minnesota Statutes and City of Eagan Ordinances. Parks
.:J 'yy~f TOTAL 2,928.50
BuildingOfficial~~~1 ~'•~+A J_~k
J
~~~3~ ~~s,
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date ! 3 / C~ 5
Site Street Address 48~i~~ h l0.h d C~" u~~t #
Prope~tyOwner C~Q.~~-~~ ~~m Telephone# ((.j?~) ty~~~"13~I
Contractor H•P• PIPEWORKS
~67g 90DD R~o~ Telephone # ( )
Address EAGAN, MN 55123 City State Zip
The Applicant is: _ Owner Contractor _Other
Alterations to existing dwelling $ 50.00
Add plumbing fixtures (excludes water softener and/or water heater--complete next
section if installing these appliances).
_Septic System Abandonment
Water Turnaround (add $125.00 if a 518" meter is required)
Other:
1 Water'Softener Water Heater $ 15.00
L new _ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
7ota~' S ~55(~
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complefe
and accurate; that the work will be in conformance with the ordinances and codes 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 approved.
tvl ~r~d•{ i-~e.u ~-0 L~
ApplicanYs Printed Name ApplicanYs Signature D
MAR 3 0 p005
~v t~i 50 t-~-YJ
. _
• ` 1988 HUILDING PERMIT APPLICATION - CITY OF EAGAN
' ~ ~ 7 O
SINGLE FAMILX DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDAESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUZLDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL IINITS FOR SALE UNITS 0 OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1_ SET OF ENERGY CALCULATIONS
COt~RCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
0o I
To Be Used For: SFD ( i¢!f Valuation: ~ Date: 6
Site Address y$93 Sio~ts.~.~0 OFFICE USE ONLY
ca,.s,- f y I ooo~
Lot Block ~ On site sewage_ Occupancy -3 M-~
~,T,p MWCC system Zoning
Parcel/Sub (,~///JSOE/liN~ WOO~ S On site well Actual Const ~
City water J~ Allowable
Owner _ PRV required I~ of stories
Booster Pump _ Length T
Address Depth ~3~_
S,F. Total
City/Zip Code Footprint S.F.
Phone APPROVALS FEES
Contractor /ir/G . Engr/Assess Permit
~~OB•
Planner Surcharge 7p.£.°
Address L;/7 G~t~'6a ~/I. Council Plan Review ,o~
Bldg. Off. ~(o%J SAC, City 700,
City/Z3p Code. 8~2nisui~~E .o. SS337' Variance SAC, MWCC ~$D, o0
Water Conn $50, o0
Phone -~3S-S3//~ Water Meter ,OD
Road Unit 3ZS,pu
Arch./Engr. ~ ~'~yJf - Treatment Pl'Z,O OV
Parks
Address Copies
~ TOTAL a. 4 o~ J~(~
Ciiy/Zip Gode
Phone U
I
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~ ALC 66a21N44 A5h~1~hED
VJN~SPE~lN4 V.looDS
:-.:.SEcoNC AapiT~oN~ p..~ENO7ES_ IRoN .MoNVMEN'r
_.....__.-DA1~o7a.. covNS~C~
MIniNEhoTA U`o~e~Io WLC--~4~'5~~~~~
I hereby certify that this survey was prepared by me or
' under my direct supervision and that I am a duly Registered
Land Surveyor under the laws.of the 5tate of Minnesota.
Date: p~ ~£88 ~~~d~-~
LeRoy . Bohlen
Registered Land Surveyor No. 10'J95
~
~ ~ FSB CONSTRUCTION, INC.
~ i , ~ ~
_ ~ 617 CHICAGO DRIVE
~ ° , ~tl BUi1NSVILLE, MN 55337
" (612) 435-5314
ERTERIOR ENVELOPE AVERAGE "U" COMPUTATION
~
Plan U Date ii ~ '
Owner: S p6 G
contractor: js / o~- ~ -
Site Address: ; ~ 5 ~o~- /h~~ -a~i.> i
1. TOTAL EXPOSED WALL AREA ~~~jj I.G sq.ft. x"U" °
53 S.S~
2, TDTAL EXPOSED ROOF/CEILING /~'O -C aq.ft. x"U" •d2" ° 3~.25
ARRA WALL AREA CALCULATIONS:
Total Window Area ~~/d sq.ft. x"U"
i~v„i~4~_ Glazed
Total Door Area ~~C sq.ft. x"U" .O'7 S U
To[al Glass Door Area -"i'/ aq.ft. x"U" .N/ ° 16, g ~
/i~~ t Glazed '
Total Fireplace Wall Area i~~ sq.ft. x"U" -~6 = ~'-~.'-jU
Total Wall Framing Area ~/9a aq.ft. x"U" -U~' ° ~2~.2Cj
Net Insulated Wall Area rJ3 sq.ft. x"U" ,O+13 °/s~, ~'j
Total Rim Joist Area sq.ft. x"U" ,p~ ~7, r~,
Total Foundation Area ~ g sq.ft. x"U" ./~o ° Ic~,$ ~
(Exposed)
Total Foundation Window /Qj aq.ft. x"U" ° /~,3~
Area
3. TOTAL 36,~l.96
If item 3 is the same as, or lesa than item 1, you have
met the intent of 2 MCAR 1.16008 A and 0.
4. ROOF/CEILING CALULATIONS ~
N
Total Skylight Area r~f) sq.ft. x"ll"
Total Roof/Ceiling U aq.ft. x"U" ° 3.~~ .
Framing Area
Net Insulated Roof Ceil- /~g~ sq.ft. x"U" G.7~ Av
ing Area _
~('o'I ft ,Z 6, 9 Z
I hereby certify that the building here described meets or exceed~the
State of Minneaota Energy Conaervation Act.
~ ,
i - - ~ '
i
-~nsF~P~~ ~-~~~~A
;
~K~~ ~
CONSTRUCTION
WALL FRAMING SECTION
~-~tl Interior air film .068
% s, R . . Ns
3 S~~ " inches o~ sof t wood s ~
, ~ s~z a . OG,
5 sio N6 _R/
. - eFrharinr air f~1m .017
V
TDTAL B I I• o .
' ll = I/it , O g
~ WALL 5$CTION (INSULATED)
~---=-~1 Tntar~nr ~it film .068
p '/a, s.R. .~/s
~ - 5 ~~a i.vs ! `t. O
-._~4 l~ T2'TL ~.06
. ~ S1Q~.JLe • 8 ~
6Exterior air film .017
TOTAL R ~ 3 , /'I
~ ' . ' • U = I/R . 6~-13
RIM JOIST 5ECTION
I Interior air film .068
2 5'/.ti I3 n n ,..,s,, . I~Y
i 7'/ ~,~004 LB4
4 a_; r ~.o~
s ~,c~N~ S i
! ~ ' 6.~teiir>Y•a~z f3fm . . >.O17_
, .
5 . TOTA~L; R a~. I .
{ .
II. i'/R , d
- ~ FO'I7ND'ATION SESTIQN
. , . ~ Titte~irr~-,ai~ f~.lja ,068
• t . . .
; '~2 1 ~~_=~.7s{.2ofoAr..,,. .
.
~ ~ - ^ ..i..; ' ' ~ .
: .,.3, ia" r._..(S~.ocic....._. r.as
, 1" , ' ,:.;~~~rkot ~+r f,t ta 0'13
~~-~-'^r
• S ,
~
~ , . TOTA'F; R ~o , 13
. • .aunE,.' . i~ = i/e ~~b
~ ~ ,
.
' CONSTRUCTION
'
CEILING SECTION (INSULATED)
~1 Inte ior air film ,61
/ . ~2 `~~b S. R . . S(o
~ ~ (3 ~3~ow-~
i.~s_ -`!O
~4 Exterior air film .61
TOTAL R c// . 7 $
U = I/R .Oaa.
~ Fj CEILING FRAMING SECTION
. ~ ~1 I te i i
F~ow ( g
' 2yENTED (3 R,~osNas ~,.~s . 33._O
~4 Interior air film .61
(5
~ TOTAL R i 3
U = I/R . O~i 6
CEILING SECTION (INSULATED)
~1 Interlor air film .61
~z
(3
~4 Exterior air film (still) .61
TOTAL R
U °.I/R
, CEILING FRAMING SECTION
~ 2 ~ , 4 Fj (z Inter~or a r ilm .61
VENTED ~3
~4 Interior air film .61
(5 inches of soft wood
TOTAL R
• U = I/R
5
~ 4 EXPOSED BEAM CEILING SECTION
• ~1 Interior air film .61
~2
(3
(4
(5 Exterlor air film .17
• TOTAL R
~ U = I/R
~
. r .
. . . . . .
' ' ' n ~ .
~~*1~~~~~**~**~*~~~~*
' CITY OF Eq6AN .
CASHIER: .75 • TfiRtS2NAL N0; 709
D1'fzo 10/12J99 TIME~ 14:U?:47
IDe ' '
MA~E:' MINNE£UTA EXTERI~RS IkC.
3210 90bi 48f13•STORLAND ,C 223.25 .
e13,S 9~01 4893 STORLpNA ~G ' 6.50
~ •y '
. ' , •
. ; '
7ot'al Receip# Amounte ~ ` ' 2.29.75
Ck118079 • '
U!3ER IDi JAA! S , .
, ~?k~nk,*~~J~kR~~k~k~nkl6~~K~k~nk*f~pk
~ i°.
1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL) '
cinr oF eacaN
~ g a~ r'~ 5830 PILOT KNOB RD - 55122
lJ 651-881-4675 ~ ~ ~ . ~ S
New ConshucHon Reauiremenh Remodel/Reoah Reauiremenh ~ U`- ' 7~
D 3 regitlered sife surveyi ~howing sq. R. of lof, sq. R. ot house 2 copiee of plan
and g~ roo~ed areas (20% ma:imum lot eoveraae ailowed) 1 ief of energy caleulaNons for heafed addHlon:
D 2 eoples af pbns (ihow Deam S wlndow skes; poured ind. design; etc.) 1 sHe sunay for exferlor addlNons 6 decks
D 1 set W energy calculatlons
> 3 coples of he,e) p eae atbn plan 6 to1 plafled affer 7/1/93 -
DATE: /v ~ CONSTRUCTION COST: ~`"`~"'V " "
DESCRIPTION OF ORK: ~iC/ ~
STREET ADDRESS: ~
LOT: ~ BLOCK: I SUBD./P.I.D. 8: W~"~.. Tl a n~ w~U ~-'Q~
Name: it s~..~-17'1 ~/~lD~ Phone X`7~ '~~9j 7 _ _
PROPERTY F~
OWNER ~
Sheet Address:
_ , 1
Cffy State: Zip: ,1
Company: i ~ Phone ~ l ~
~ ( C,L_ ~
CONTRACTOR / (area code) ~
Street Address: LiFense #~~P• ~
City il/ ~ A State: ~1 \ Zip: ~~v
ARCHITECT/
EN6lNEER Company: Name:
Telephone area code ( )
Street Address: Registratfon
City State: Zlp:
Sewer 3 water Ilcensed plumber (reaulred (or new eonstrucHon onlvl:
r
Penally applies when address ehange and lot change is requested onee permif Is Issued.
~I hereby acknowledge thaf I have read fhis application, stafe that the InformaHon Is corteef, n gree comply wNh alt applicabl
State of Minnesota Statutea and City o( Eagan Ordinances. ~
SlgnaFure of Appllcant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No I ~ Z
Tree Preservation Plan Received _ Yes _ No Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
O 01 Foundation ? 06 4plex ? 11 10-plex ? 16 Fireplace ? 21 Poroh (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 PorchlAddn. (4sea.
? 03 1 of _ plex ? 08 6-piex ? 13 1&plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-piex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ['J 4a. 11!~.^.~o~vs/Doo~s
C1 33 ~!!a;a;icn ?;7 uemoiish Bldg.' ? 41 Wood Stove ? 45 Fire Repair
? 34 Repa'r ? 38 Demolish (interior) ? 42 Reroof
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft. No. of Bldgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
Permit Fee ~ Valuation: $
Surcharge .
Pl~n Review
License ~
MClES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge ~
Treatment PI.
Park Ded.
Trails Ded. '
Other
Copies
TotaL• ~°I
,_1
j
SAC Units
% SAC
CITY USE ONLY p
L L BL RECEIPTl~: ~pO3 U 7
SUBD. ~~O~u.aoc~ RECEIPT DATE: ~ ~I 9
'
1998 PLU~ffiING PERMIT (RESIDENTIAL) ~J
CITY OF EAGAN
3630 PILOT KNOB RD
EAGAN, LMI 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow prevenler 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 =
ater Heater 3.00 x _
Ftoor rain 3.00 x =
Gas Piping Outlet ' minimum • ~ 3.00 x =
Rough Openings 1.50 x =
Water Softener "for dwellings under construGion 5.00 X =
Water Softener * for existing dwelling 20.00 ' x =
U.G. Sprinkle~ ' far dweliing under const. 3.00 =
U.G. Sprinkler ' forexisting dwelling 20.00 =
Alt2fatl0r15 ` to existing residence 20.00 =
Water Turn Around 20.00 =
Private Disposal System ` MPC uc. 75.00 =
(new and refurbished systems)
Private Disposal Systems"Abandonment 20.00 =
RPZ (new installation only) 20.00 =
STATE SURCHARGE .50
TOTAL ~
~I hereby adcnowledge that I have read this epplication, state that tha InformaGon is cortect, and agree to comply with all applicable City oi Eagan ordinences.
It is the applicanPS responsibilinr-m..~..nr~ ~~.e-^.^^°^~ '^--,n assumes no liabiliry for any damages caused by the City during its
nortnal operational and mainte REAM, CLEMENT s permit within City propertylright•of-way/easemant.
4893 STORLAND COURT ~
SITE ADDRESS: _ EAGAN, MN 55122
1 (651) 690-5937
OWNER NAME:
INSTALLER NAME: ~I0~~1~UNA^ l.lA?'~ gll~Ca / TELEPHONE#: .~~7
Z' 7v3,3
StREET ADDRESS: Z~-`.~- rn/G J~
CITY: M( oN~ - f~
POLI S STATE: Nl l~- ZIP: ~0~_
G OF PERMITTEE
CDIPERMIT FORMS/RPLBG PERMIT (RES) • 7998 ~
PERMIT
, Gi`FY OF EAGAN ~
3830 Pilot Knob Road PERMIT TYPE: e~ u 1 ~ o i: r! r:,
Eagan, Minnesota 55123 Permit Number: B p~ Z y g 2
(612) 681-4675 Date Issued: 1 2! 18 / 9 2
SITE ADDRESS:
48'33 STOHLAN~ CT
LOT~ 0~4~1t~ ELOCiC: BQml
WHTSI'ER:I:NG WOODS 2ND
U.I.N.: 1U-83951-10P~-~71
DESCRIPTION:
a-sen~so~u
f'Buildi~'n.r~. ~nrmit Type SF PORCH
Huilding Work 1"ype NEW
LIBG Occup~n`~y R-3
i
Construct.ion lype V-M
Bu,~.ld3ng L~ngt~'~ 14
Building WidtFS 12
~ !
, ,
r, :t V A ~ . .
~ ' , ~n,
~ _ A'-~`~. A_
- ,
REMARKS:
et~r.~xNt i4 CQo7A~~/~
FEE SUMMARY:
VflLUAl-IUM1! $£in~D00
Base~ Pee $99.(~e COF~Y ,$.5YD
~urcharg~ ~4~0~1, Tc~L`.aJ. 1=ee $].03.S~i
Subtotal $1GJ3.+~G~
CONTRACTOR: - Rpplic~nt - sr. ~ICOWNER:
HOME ENHf3NCER5 INC 18$46186 N801.949 REFlM CLI:MENT
8609 LYNOIaLE AVE S 1.15 4E193 Sl"ORLFlNO C'T
8400~1IN6TON hIN 55420 EAGAIV MN
f67.2) 88A-61G16 (.fi12)390-6937
I hereby acl;nawledge that I have r~ad this a~plication end state that L'he
information is corr~ct and agr~e L'o comply wiT.h al1 applir,abl.e 5tate ~f Mri.
Stetutes a Cit,y of' Eayan Ordinanees.
~ -
_..fl.nrin Ro 111~.-
APPLI T/PER I ESIGNATURE ISSUED Y: IG~U
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: ~i u:r o r n ~
3830 Pilot Knob Road Permit Number y~ 1 y 5 z
Eagan, Minnesota 55723 Da2e Issued: i;~ ~ p
(612) 681-4675
SITE ADDRESS: APPLICANT:
~.oT: emy~n~ a~oc:ti: e~ez.
4593 STORLANp CT HOME ENhIFiNCERS INC
W7iCSPERTNG WOODS ?_IYD (61~ } ~8q--6:L~i6
PERMIT SUBTYPE: TYPE OF WORK:
SF PORCFI NEW
DESCRIPTIQN 3-SEASQPI
. .
FO~TINf FftRMTNG
:CNSULAT70N FZNIaL
f2EMHftK>: F2ECEIP`I' ifi
~
~ -
F'~r~?T' ~ CITY OF EAGAN r,
REAtTIVA7E _ 1892 BUILbINC PERMIT APPLICATION ~EC 1 7 REC~
~ 681-467v
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 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 j Z % Valuation f wark 1~•~U~
r/ ~ i j
Site Address: ,~d,..zf ~c_~~,,., .
~ SiREET SUITE /
Tenant Name: (comnercial only)
IAT BLOC~ SUBD. r~ ~~1n,~ P.I.D. *
t, ~t~~, w
Descri tion of work:
The applicant is: ? Owner ~Contractor ? OtI1QP (Deseribe)
Name ~ti~.= ~ ~`=5 Pho~~e ~SU - SrS~.~
Property ~~Sr FIRST ~
OW11@f Address ~ C ~l~z r~d~
STREET ~ STE 1
City c State i~ Zip
Company C~ c,~.c¢~. Phone y- ~•/U~
Contractor Address ~o ~ e-c ~ ~ License ~ Don 19s~~ Exp.3-3i- 9
Cit o-D~~~, State Zip S~ ~CJ
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer 8 water licensed plumber . Processing time for
sewer 3 Mater permits is two days once area has been approved.
I hereby acknowledge that I have read this p,plication and state that the lnformation is
correct and agree to comp].
wit~ppli b'le State of Minnesota Statutes and City of
Eagan Ordinances. ~
Signature of Applicant: ~`ti-~-'~'~,
~-~-w 1 r
p S
OFFICE USE ONLY
BUILDING PERMIT TYPE ~ y
; _ _
? O1 Foundation O O6 Duplex O 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwg. O 01 4-Plex ~ 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
04 SF Porch ? 09 12-Plex ? 14 Fireplace O 79 Comm./Ind. Misc.
O 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck O 20 Public Facility
O 21 Miscellaneous
WORK TYPE '
~31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) , V- N Basement sq. ft. MWCC System
(Allowable) v- N Ist F1. sq, ft. City Water
UBC bccupancy 2- 3 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster PumP
/ of Stories Footprint Sq. ft. Fire Sprinkler
Length lN~ On-site well • Census Code
Depth ia~ On-site sewage SAC Code
APPROVALS
Planning Building Assessments
Engineering Variance
REGIUIRED INSPECTIONS 5~ QS~on t~,ec-r~
? Site ~Footing ,~Framin
g '~Insulation
0 Nallboard ~.Final ? Draintile ? Fireplace
Permit fee v,i,mt;,,,, g l~~
Surcharge
P1 eview
i en 12x~U~IbK~y~:- `~r6~
SAC
City SAC
Water Conn.
Mater Meter ,
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total: .
SAC %
SAC Units
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5C-~N~ AaDI-f~o~..l, v~ENOxE~i IRcN .MoNUMENT
-'-OA1~o7A covNT`Ci
MIn~N~hoTLs. P.R.V. RE~r~~~-~ED
I hereby certify that this survey was prepared by me or
under my direct supervision and that I am a duly Registered
Land Surveyor under the laws of the State of Minnesota.
Date:.~..<. 2, ~185 ~,C ~I ~
LeRoy . Bohlen
Registered Land 5urveyor No. 10795
~ APFLICATION FOR PERMIT i~E° PAYFII~Nf OF FEE AT TIME OF ;
• , ; Aer~.xc~aa ooFS Nar ca~- :
~ ~ ~ ~ STI1LIlE APPROVAL OF PIIt6IIT. ~
f ~
~ SEWER AND/OR WATER CONNECTION : 2~~0~' °F ~
r i iesra[a1.Txoc~s wII,t rr~r eE scmar.ID ;
. . . # [TII'IL PIItPIIT E17~S HFIII APPROVID. :
~ . . f#elft+tffak+yeYetfft~tlteeay~fv.+t~f~~kx
s~ty oF ecac~c~n ~ s ~ ~ ~
- (PLEASE PRINT
1) PROPERTY ADDRESS: ,
T•FY;AT• DESCRIPTION: . . . . . lC?. . . ~ . ~2e . .~-Z~- ' C~~ a'~C. ~L~
Lot B S vision or T Parce
IF EXISTING STRDCT[]RE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE:
Mont Year .
_ PRESENT ZONiNG/PROPOSID LSE:
Q CONP~RCIAL/RETAIL/OFFICE ~ R-1 SINGLE FAMILY
Q INDC~STRIAL R-2 DL~PLEX (3t„o Cjnits)
a INSTIZUTIONAL/GOVERta'fEPPP ~ R-3 TGS^INFIOUSE (Three + Dnits) ( Units)
Q R-4 APARTMENT/CODIDCx1iNIUM ( L'nits)
.
2 ) NAME,: !.~-a-sc /
AoD~ss: 3/- ( c~~~~ ~o . /
CITY, STATE, ZIP: t/ / /L~I~ `S ~ ~
PHONE: ~ jp /5.~~
For City Use
3) ' N:~~ NAME; ' Pl reum~s License:
ADDRESS: " Active
~ E7cpired
CITY, STATE, ZIP: Not recorded
PHONE: MASTER LICENSE # c~y~o ~ Sta Initial
4) ~
r~: ~,hz~~~~~)
ADDRESS: /
CITSt, STATE, ZIP: t / L
PHONE: US~S '`"GS ~5-=
5) s a•a~• i • n i~~
CONNECTION TO CZTY Sfi'WER (~CONNECTION TO CITY WATER O OTI-IER
j~_
~ ; / ~ ~
6 ) ~ / ~ ' ~ C!~?~~-! ~ % - ~ ~
:r**:r*****~,~+~***************,t**~**~*,r********:t*~*t****~**********++******~*****~***************~w**k
r~
* THE GOLD COPY OF.7Y~ PII2MIT WIIS, BE SE67P DIR~X.'rI,Y TO PUBLIC WORKS 70 FACILITATE MEPER PICK-UP.
* PLEASE ALIAW '1S~O WORKING DAYS FOR PROCESSING. SOb1FANE FROM THE CIT7t WILL COD7I'ACP YOD IF Tf~RE *
*
* ARE ANY PROBI,F,[~15. x
~*r******~~****~**~,t******************+**~**~,t************~*++*~***,r*****x~**,r***r***~*+~***~,t*~***y
' .
.~F'OR -CITY USE ONLY ~ ~ _
PERMIT # TSSDED ~
D
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLUDE SLRCHARGE)
$ $ ~L'•S-~% WATER PERMIT (INCLUDE SORCHARGE)
$ ~'U 7~ $ WATER METER/COPPERHORN/OOTSIDE READER
$ $ WATER TAP (INCLLDE CORPORATION STOP)
$ $ SEWER TAP
$ S /5 ~c--z' ACCOONT DEPOSIT - SEWER
$ $ /~-v-d ACCOIINT DEPOSIT - WATER
S -SS C) 'U-~ $ WAC
$~,~0 $ SAC
$ $ TRUNK WATER ASSESSMENT
$ S TRLNK SEWER ASSESSMENT
$ S LATERAL BENEFIT/TRUNK SEWER
$ S LATERAL BENEFIT/TRC~NK WATER
$ ~ U `i' S WATER TREATMENT PLANT SURCHARGE
$ S OTHER:
$ /`t" ~ I • U~~ $ ~ o-C) TOTAL
~LS _ ~'~~~5
RECEIPT RECEIPT
DOES C~TILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
~ YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MLST BE ISSL~ED SY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS: ~
APPROVED BY; ,r~ G.~~ ,~~,~.o I
TITLE:
DATE :
~
~,~'J~~ 2oos RESIDENTIAL PLUMBING PERnnir apPUCArioN ~k `~j
CITY OF EAGAN ~ ~
3830 PiLOT KNOB ROAD, EAGAN MN 55122
libl-~75-5675
Please complete for modifications to existing residential dwellings.
Date / f ~ c` 1 ~Q L
Site Street Address y~~ ~ ~T01' I GtXLI.~ 1`l Unit #
Property Owner~ lX~"''~~LY1.T ~~~1 Telephone # l~PSII b~ U' S~ 37
Contractor~r ~r~ ~~l.~t,V?1Yd~t ` 7elephone# (~,5~1 ~o~~ ~
Address ~~~5 1~~~ w Ci ~+-~v'~\~ State~_ Zip ~U
The Appticant is: ` Owner ~Contractor _Other
Septic System ! New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 1p0.00
Per as-buift $ 10.00
Alterations to existing dweliing S 50.00
_ Add plumbing fixtures. This fee includes installafion of 2 water softener and/or water
heater at the same time. ff you are installing onlv a water sofrener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_Water Turnaround (add $130.00 if a 5J8" meter is required}
Other:
_ V1later Saftener ~ Water Heater $ 15.D0
` new ~ replacement
Lawn Irrigation _RP2 _PVB _new _repair _rebuiid $ 30.Q0
State Surcharge ~ $ 50
Total
I hereby appiy for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the
work wiil be in conformance with the ordinances and codes of the Ci2y of Eagan and the plumbing Codes; that I
understand this is not a permit, bu4 only an application for a permit, work is not to staft without a pe ' and work will be in
accordance with the approved plan in the event a plan is re uired to be r viewed and approved.
~1~.e,1~ V ~-h ~z
AppficanYs inted fVame Applicant's Signature
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Use BLUE or BLACK Ink
I~E~~IV~® i For Office Use lr~ ~g~
~
Eapn If~pp~ / 9n I Permit I ~ v L~`~'~
City of Jhliq LU74 Permit Fee: Q
3830 Pilot Knob Road I ! I
Eagan MN 55122 1 Date Received:
Phone: (651) 675-5675 1 I
Fax: (651).675-5694 1 Staff:
2014 RESIDENTIAL PLUMBING PERMIT APPLICATION
Dater Site Addre s: 481'~ I ('IX,G &66-ji W ~-51
Tenant: Suite
Name: Phone: 11)51- rq 3
Resident/Owner 1 I
G arv~ Y :5:~_/ .
- - - k Address + City / Zip: l
3
j Miebert Company Inc dba Cullign WateWC643176
Address: 1801 50th Street East City: Inver Grove Hgts.
Contractor Y'
State: M N_ zlp: 55077 Phone: 651-451-2,241
Contact: William, R lVlilbert Email:
Type of Work New Replacement _ Repair - Rebuild -Modify Space -Work in R.O.W.
Description of work:
RESIDENTIAL
i Water Heater
Water Softener
Lawn Irrigation RPZ / PVB)
I Perm it Type Add Plumbing Fixtures Main / - Lower Level)
i Septic System
y - New Water Turnaround
Abandonme-,nt
RESIDENTIAL. FEES: $60:00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water turnaround (add $200.00 if a 5/8" meter is required)
$115.00. Septic. System New ($10.00 per as built) (includes County fee and $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.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that' I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
X X
Applicant's` Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground RoughdnAir Test Gas Test ' Final
Meter Related Items:
Meter Size Radio Pead Staff:
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA157129
Date Issued:08/06/2019
Permit Category:ePermit
Site Address: 4893 Storland Ct
Lot:010 Block: 001 Addition: Whispering Woods 2nd
PID:10-83951-01-100
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard 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 -
Robert D Ruud
4893 Storland Ct
Eagan MN 55122
Homeworks Services Co Dba Homeworks Plumbing Htg
1230 Eagan Industrial Rd, Suite 117
Eagan MN 55121
(612) 400-9020
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165376
Date Issued:10/29/2020
Permit Category:ePermit
Site Address: 4893 Storland Ct
Lot:010 Block: 001 Addition: Whispering Woods 2nd
PID:10-83951-01-100
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
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 -
Robert D & Lesley Ruud
4893 Storland Ct
Eagan MN 55122
Liberte Construction Llc
1406 West Lake St, Suite 202
Minneapolis MN 55408
(612) 999-7663
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA178730
Date Issued:08/31/2022
Permit Category:ePermit
Site Address: 4893 Storland Ct
Lot:010 Block: 001 Addition: Whispering Woods 2nd
PID:10-83951-01-100
Use:
Description:
Sub Type:Fixtures
Work Type:New
Description:Bathroom(s)
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.
All tiled shower bases require a water test.
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Robert D & Lesley Ruud
4893 Storland Ct
Eagan MN 55122
Dns Plumbing & Heating Llc
101 12th Ave N
S St. Paul MN 55075
(651) 403-1986
Applicant/Permitee: Signature Issued By: Signature