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4256 Svensk Lane - CITY OF EAGAN ` 3795 PIIoF Kno6 Rovd Eogan, MN 55122 N2 4795 ` PHONE: 454-8100 BUILDING PERMIT ReceiPt #k , To be ussd fer Est. Value Date , 19 Site Address 42" Ereci C] Qccuponcy Lot Block ` Sec/Sub. Aiter Zonine PQmel # Repcr? - ? Fire Zone Enlarge Type of Const. W Name Move ? Stories z Address Demolish ? Front ' h. 9 Ci Phorie J~~~~' Grode ? Depth ft. a Name ~i'~daTC] 3or.c' I?PProvals Fee• ,O ~u Address Assessment Permit . ~ Water & Sew. Surcharge `JU Ci PF~one Police Plnn check ~w Name Fire SAC u~ Eng. Water Conn. 250.O0 =z Address <"x' Ci Phone Plonner Water Meter `19• f)Q Council 3o I hereby acknowledge that I hove Feod this application ond stote that gI49, p{{, the information is correct and'agree to comply with all dppliccble APC Total Stofe of MinnesoYa Statutesbnd City of-Eagan Ordinonces Signoture of Permittee ' I A Building Permit is issued to: ` T"~~ • on the express condition thot all work shQll be done in occordnnce with oll npplicable Stote af Minnescto Statutes and City of Eogon Ordinonces. Building Official PWmit # DaM I"wed P~nMlfM Plumbing /Ju-,..~-; _ Mechanical INSPECTIONS DATE INSP• Rouyh-In Final Footings pare Insp. Date In . Foundotion Plumbing - Frome/ins. Mechanical /s_7 Final 4 ~ 7 I ~ Remarks: %1 ~ ~ ~ CITY OF EAGAN ` 3795 Pilot Knab Rosd Eayaa, AAlnwesofa 95142 Plwoe: 454-8100 A iIF, a t:r.j 12t J - PERMIT No. ~;'2A,17e 1144-9 Dote: Receipt No.: 4256 NSingle I - Site Address: N. SVSI1Sk Residential Lot ' Block Z Sub/Sec. _ "zld. Hun bt:: Multi Res., Comm./Ind. I Mareil Ncme New/Alter./Repoir. ! ~ Address 20800 Lyndal e Ave. ~4O . Cost of Installation City Bloomfngtoa; phone: 3-64-' 2Z5 pertnit Fee 20.00 Name Ray Welter r'+Heating surcharfle . g Address 4637 Chicago r',ve. ~ e V ~ity JP) . . Phone: ._'S-t.:~ • Total This Permit is iuued on the express condition that oll work shall be done in occordonce with all applirnble State of Minnesoto Stotutes ond City of Eogan Ordinances. 8uilding Officiol - ' CITY OF EAGAN 3795 Pilot Knob Road Eayae, AAlnnesota 55122 Phom: 454-8100 ll.rv _ pERMIT No. } Z36 '76 pote; Receipt No.: I 4256 N. Svensk Single Residential ` Site Address: Z ~vlld. r[1:;3 ..'Cr: ~ Lat Block Sub/Sec. _ Multi Res., Comm./Ind. Nome New/Alter./Repair. 10800 Lyndale Ave, ,oo ; Address Cost of Instollotion _ ~ i~loomington ~c_;.(~ City Phone: Pertnit Fee Kay Welter heatin~~ Nome ~ Surcharge Q. T+ 463~% ~ Address .i,. City Phone: Total ~ This Permit is issued on the express condition thct all work sholl be done in occordence with all oppliwble State of Minnesoto Statutes ond City of Eayan Ordinances. Building Officiol CITY OF EAGAN ~ . 3795 Pilof Knob Road Eayae, Minnssofo 65122 P6ene; 454-8100 _ PERMIT No. 1} 6? ~ ~7 p~e: Receipt No.: Single I Site Address: 4256 14• 5Vef1sK Residentiol , Lot Bixk Sub/Sec. Multi Res., Comm./Ind. Nome ` New/Alter./Repair. ` 1 U800 ~ - Address ' . . . ` . . : ` Cost of Instollation City Phone: - - Permit Fee Name ~03; !'ILtm1..i: ` Surdhorge ~ Address 12201 City ' Phone: Total This Permit is issued on the express condition thot cll work sholl be done in accordance with oll opplicable State of Minnesoto Statutes and City of Eagon Ordinances. Buildinp Officiol = CITY OF EAGAN . : 3830 Pilot Knob Road, P.O. Box 21-199, Esgan, MN 55121 PH O N E: 454-8100 BUILDING PERMIT Receipt# To be used for 8A i'` Est. Value "i''06 Date Site Address V~ OFFICE USE ONLY Lot Block ' Sec/Sub. On Ske Sewage Occupancy MWCC System Zoning PerCei No. an Site Well (Actual) Const x Name 8 1A:: f t):°'S r; l Ciry Water (Allowable) z Addr@SS PRV Required # of Stories # ° City Phone Booster Pump Length Depth , o Name S.F. Total o I.- AddreSS ' Footpr(nt S.F. u ~ City - ~ Phone - ' ~ APPROVALS FEES ~ a Engr./Assess. Permit . W W Name ~ Planner Surcharge _ z,, Address ` W City Phone Council Plan Review Bldg. Off. SAC, City I hereby acknowledge that 1 have read this application and state that the Variance SAC, MWCC information is correct and agree to comply with all applicable State of WaterConn. Minnesota Statutes and City of Eagan Ordinences. Water Meter Signature of Permittee Road Unit A Building Permit is issued to: Treatment P1 on the express condition that all work shall be done in accordance with all applicable State ol Minnesota Statutes and City of Eagan Ordinances. Parks . . ;t, TOTAL Building Official „ Permft No. Permlt Holder Date Telephone ~t Piumbing H.V.A.C. Etectric Softener Inspectlon Date InsD• Comment6 Footings I Footings II Foundation Framing ~ Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. jc r Bldg_ Final oCert. Occ. I-A Temp. LP Deck Ftg. Deck Final Well Pr. Disp. . , . t n . . . . . . _ . , . _ . . . , ; Q. , ...-a' r. . , . . PERMIT # PLUMBING pERMIT RECEIPT qIL l y~ CITY OF EAGAN ~ 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: 7 CONTRACT PRICE: PHONE: 454-8100 ' Site Address ` c ; i01^ tt ~ Vut:~;t. BLDG. TYPE WORK DESCRIPTION Lot Block ~ Sec/Sub Res. x New Mult Add-On ~ Name Comm. Repair ~ Address 112L. " Other c Ciry ;i 11 f i, _?i_ 0 11 t Phone 331 - 3711 RES. PLBG. ONLY - COMPLETE THE FOLLOWING: N0. FIXTURES TOTAL Name ' i Water Closet - $100 $ c Address 4111i r r • -~Bath Tubs - $3.00 ~ ~ ~ Lavatory - $3.00 p City, ; a-;;:~i Phone Shower -$3.00 Kitchen Smk - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray -$3.00 APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50 TOWNHOUSE & CONDO - RES. RATE APPLfES Water Heater - St 50 MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpooi - S3.00 MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets -$1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00 BEYOND $1,000.00) Well - $10.00 , • Private Oisp. - $10.00 Rough Openings - $1.50 ~f~i-,-_ SIGNATURE OF PERMITTEE FEE: ~ STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL• CITY OF EAGAN Remarks ,4ddition Wilde;rness Run 5th Addition Lat_ 20 Rik 1 Parcel 10 84354 200 01. Owner 4256NSven5k Ln. Eagan, MN 55123 Sirset Siate f.t- Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1973 $132.60 ~15.153 o 92.82 A005996 5 15 78 SEWER LATERAL WATERMAI N WA7ER LATERAL WATER AREA J 66 15 138.68 A005996 5 15 78 STORM SEW TRK w,j, 198 2 Q 16.33 5 S70RM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT Road Unit Charge 75.00 9972 5-15-78 WATERCQNN. Z$O.Od 9972 5-15-78 BUILDING PER. #4795 sac 500.00 9972 5-15-78 PARK C~ OF EAGAN SEWER SERVICE PERMIT ~ !5 Pilat Knob Road PERMIT NO.: F.agan, MN 55122 DATE: Zoning: No. of Units: f?wner: Address: Site Address: ~ - " Plumber: 1 agree fo eompfy with fhe City oF Eogae Connection Chorge: - Ordinances. Accaunt Depasit: Permit Fee: Surchorge: gv Misc. Charges: Date of Insp.: - Total: Insp.: _ Dote Pald: ; CIT F EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: , Fagan, MN 55122 DATE: Zoning: No. of Units: Owner: - Address: Site Address: Plumber: Meter No.: Connection Charge: Size: - Account Deposit: Reader No.: Permit Fee: 'I ugree to wmply with fhe City of Eagan Surcharge: , Ordinances. Misc. Chcrges. Totai: By Dote Poid: Dote of Insp.: Insp.: PERMIT # 0.7 t5 E-;S- RECEIPT DATE: 2002 RUIDE1VTli4L PLUM$INfi PEiZM1T APPLICATION CITY OF Et4&AN 3830 Pu.oz xxo$ Rn EAHAN,INN $51 EE 651-6$1-4875 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irrigation system BLASKOWSKI, PETER SITE ADDRESS: 4256 SVENSK LANE NORTH EAGAN, MN 55123 OWNER NAME: : (ssi) 687-0423 TELEPHONE (AREA CODE) INSTALLERNAME: NOr'blom t'lu.vIAbiv,4 TELEPNONE#: &t2."2?'7- q033 Caarfi<<d y1" µG. SO4tvi-t ('QREACODE) STREETADDRCSS: 2-905 A CITY: STATE: M~ Zlp: 55409 _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply ~ • MODIFICATIONIALTERATION TO EXISTING DWELLING UNIT, INCLUDING _ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 _ Abandonment of septic system. _ Water turnaround - ewsting dwelling unit 518" meter if needed -$118) Other: _ RPZ: new installation/repair/rebuild $ 30.00 _ lawn irrigation system Replacementladditional: _ water softener X water heater $ 15.00 State Surcharge 11~ SEP 2 3 2D02 $ .50 -f~ IS.So Total $ I hereby acknowledgo that I have read this appiication, state that the information is correct, and agree to complywith all applirable Ciryof Eagan ortlinances. It is the applicanPs responsibility to nolify the property ownet that the City of Eagan assumes no liability for any damages Caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within Cil ropertylright-o6wayleasement. S E OF PERMITTEE 1102 cirr oF Ee,caN 3795 Pilef Knob Rood Eagen, MN 55122 N2 4795 PHONE: 454-8100 BUILDING PERMIT APPLICATION $40,600. Receipt # _9972 To be umd hr SF Dwl.o_ Est. Volue Date May 15, _ 19 78 Site Address T4256 Svensk Erect Qj Occupancy I Lot 20 BI«kl Set/Sub. WR Sth Alter ? Zoning R. I Parcel # Repoir ? Fire Zoru # 3 Enlorge ? Type of Const. V m Name Ronco InC Move ? # Srories z Addm 7101 12th Ave. So. pemolish ? Front 64 fr. Ci phone 967 _97'i7 Grade ? Depth 26 ft. w Name Standard Bond APprorah Fees 0 Addreu 7 010120 1,1irnrigl a Aye Cn Assessment Permit 130.50 _ ~ q Bloominfston phom 884-7225 Wuter&Sew. Surchorge 23•00 Police Plan check ~w Nam Fire SAC 500.00 Address Eng. Woter Conn. 2$0..Q0 <w Ci phqe Planner Woter Meter 60.00 Cou til I hereby acknowledge that I ha re this p lication a te that B . Off. the tnformation is correct an o ro ly wit , plicable SMM of Minnesom Statutes ity n Or i Total 1038-50 Signature of Pertnitt A Building Permit is ed to: RK)PCO C on the express condition that oll xrork shall be done in accord ~ with all pli ble Stafe of M' newto Stotutes ond Ciry of Eagan Ordirwnces. Building Offlcial ~ CITY OF EAGAN M°_ 14 2 4 5 i' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHO N E: 454-8100 Receipt#--- --I To be used for REMODEL BATH Est. Value $2,000 Date OCTOBER 3 1y 87 Site Address 4256 NO SVENSK OfPICE USE ONLY Lot 20 Block 1 Sec/SubWILD RliN STH On Slte 5ewage _ Occupancy . MWCC System _ Zoning Parcel No. On SNe weu - (ACtuaq Const m Name PETER BLASKOWSKI Clty Water _ (Allowable) z Address SAME PRV Required _ # of Stories ° City Phone 452-8856 aooster Pump _ Length Depth , o Name MRK DESIGN BLDRS S.F.Total oQ Address P.O. BOX24094 FootprintS.F. u' City A.V. Phone 423-3110 pppROVALS FEES oa Name Engr./Assess.__ Permit U7.50 r= Planner Surcharge 1.00 z- Address Q W City Phone Council Plan Review Bldg. OH. SAQ City I hereby ecknowledge that I have read this application antl stafe that the Variance SAC, MWCC information is wrrect and agree to co ply all aDDlicable State of Water Conn. Minnesota Statutes and Ci agan r' a es. Water Meter Signature of Permittee - - Road Unit A Building Permit is issued to:---MLD-F$J-GX- BLDR$___ 7reatment Pt on the express condition that all work shall be done in accordance with all applicable State of Minnes ta Statutes and C.y of Eagan OrdinanCes. Parks TOTAL *38.50 a--ilding Official_ T.ts cequest void 18 months from Dateq~ this Request P 6 4 4 6 4 I, as V5-Lacensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal wiring installed at: "o ~v±S Street Address or Route No. ~VX/A~f p Cit42-fd-tll Section Townshi Range County Which is occupied by / f~OYPI~~~!!/-/i (Name of otcupant) Is a roughin inspection required on this job? No ? Yes ? Ready Now ? Will Call ? PowerSupplier'x'/uXdp . Address ~GtKm~n~ Electrical ContractorooF--&~-E/ Contractor's License NZ<1&V (CO~m/ a~ny Name Mailing Address ~ ~I~ ,,/~3 ( Iectrlcal contractor or Owner Making This Installatlon) Authorized Signature Phone No.A(?6 -7-/ WG (Electfital CantteCtor of Ownef Making TMS Installetlon) no/~ nW LS ~ ~ This impection request will not 6e eccepted 6y the ~ ~S State 8oard unless praper inspection fee is enciased. Minnesota State Board of Electricity ~ 7954 University Ave., St. Paul, Minn. 55104-Phone 645-7703 9 PtEQUEST FOR ELECTRICAL INSPECTION P 64464 CHECK BELOW WORK COVERED BY THIS REQUEST Type of BuOding New Add. Rep. Check Appliances Wired For Check Fquipment Wired For Home ? ? Range ? Tempo[ary Wiring ? Duplex ? 0 Water Heater ? Lighting Fixtuxes ? Apt. Bldg. Dryer ? Electric Hea[ing 0 Commercial Bldg. ? ? ? Furnace ? Silo Unloader ? Indusirial Bldg. - ? Aiu Conditionei ? Bulk Milk Tank ? Farm ? ? ? List • List pth ` pIhers Other ? ? ? Her Hele COMPUTE INSPECTION EEE BELO Service Envance Size: u Fee FcedeisRSubteede=s: ee Ciccuits: u Fce 0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eres IOl to 200 Am s. 31 to 100 Amperes 31 ro 100 Am res Above 200 Amps. Above 100 Amps. Above 100 Amps. 'Iransfoimexs RemoteControl Circ. Partial or other fee S' ns Special Ins ection Minimum fee SS. Remazks TOTAL F E 0~0. ~ I, the Electrical InsPector, hereb ce hat eins ion has been ade. (Rough-in) Y ~ ir7 r Date u ^ 2jV (Final) Date This request void 18 months from C) ~ 2005 RESIDENTIAL BUILDING PERMI'T APPLICATION City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 9 651-675-5675 FAX # 651-675-5694 New Corshdion Reouiremenls RemodeVReoair ReaulremenGs Office Use OnIY 3 registe2d site surveys showing sq. ft. of lot, sq. R of fwuse; and all rao(ed areas 2 cropies of plan Cert of Survey Recd Y_ N (20% maximum lot coverage allowed) 7 set of Energy Calculalions for heated additiore Tree Pres Plan Recd _Y _ N, 2 copies of plan showing beam & window s¢es; poured fouiW design, elc. 1 site survey for additions & decks Tree Pres Required _ Y_ N lsetofEnergyCalcWations Addmon - irMiceteifarsilesepUcsystem Oo-siteSepllcSyslem _ Y_N 3 copies of Tree Preservatlon Plan H IW platted after 711193 Rim Joist Defail Options selection sheet (buildings with 3 or leu uniLC) Date 3_'_/, 11 l IU /C~ C nstruction Cost ~l~C Site Address ` ~ -1 0( Yl ~ Unit/Ste # Description of Work Multi-Family $ldg _ Y N Fireplace(s) _ 0_ 1 _ 2 ~ - 1 1 Property Owner -R) 11~1~ ?~-C~I~~J ~ ~ Telephone Renewal By Andersen Contractor 1920 County Rd. "C" West Address Roseville, MN 55113 _ City State 651-264-4777 hone#( ) License #20130983 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheef (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone J Mechanical Contractor Telephone ) Sewer/Water Contractor Telephone ~ I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statu s; I understand this is not a permit, but only an application for a permit, and work is not to start without a pe t; thw ic ,r and at the work will be in accordance with the approved lan in the case of wor - ap a v l of plans. I~~ ~ T J L 2 5 005 Applicant's Printed Name plicant's s Signahue By S CITY USE ONLY PERMIT I~YRECEIPT DATE: I EOOE RESIDENTIAL MECHANICAL PERMIT APPLICATIOA crrY oF EAsAN 3830 Pv.or Kvoa Ru EaeAv Mx ssi 2$ 651-6$1-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: B- I~ ~ SITE ADDRESS: -11 a SG 142 SV eRSK L (X'k--e~ OWNER NAME: PC"''I-t°l' TELEPHONE (nSl ^(Og-] U-IQJ INSTALLER NAME: , , Wohlers Southside Htg. & Air, Inc. 6950 W. 146th St., #106 STREET ADDRESS: I Apple Valley, MN 55124 (952) 431-7099 CITY: - - cIP: Place a check mark next to the permit work type ~ Add-on, modification or alteration to existin dwelling unit :~~1~ ~ 30.00 3 o flurnace replacement \X~ ~ • air exchanger • air conditioner • other " Nature of work:-N-~~(lt s--, ":Lrf~CtC'.j -7C>"~~'uI 'mCC-9-d. C~Tr1 ~C~ ~TO. A~-i20-C,-C_a_.~ ckAc., ;,!N State Surchar e $ .50 rotal S-3d ~ ~ SIGNATURE F PERMITTEE t/oz CITY USE ONLY PERMIT RECEIPT DATE: APPROVED BY: , INSPECTOR 2002 COMMEtCIAI. M~.'CEL4NICAI. PE{iMIT APPLICAtT1QN CITY OF EAHlkA S$SO PILOT KNO$ ftD KAfiM, bIN 55122 65 ]-6$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: PHONE - TENANT NAME (IMPROVEMENI'S ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: STREET ADDRESS: CTT7': STATE: ZIP: TELEPHONE WORK TYPE: New conshuction Install U.G. Tank _ Interiar Improvement _ Remove U.G. Tank _ Processed Piping Specify Nature of W ork: When installing/remnving underground tank, call 651-681-4675 for inspection by Fire Marshal and Plumbing inspector. Fees: I% oF contract price OR $50.00 minimum Fee, whichever is greater. Underground tank removaUinstallation = mviimum fee Conlract price: $ x I%_$ (Base Fee) State surcharge calculate at $.50 fox each $1,000 Base Fee TOTAL $ SIGNATURE OF PERMITTEE Updated 1/02 naTE BUILDING PERMIT APPLICATION include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculations. 2b be used far Valuation iY g6//Q / ~ J ~ ? Site Address; Lot $lock ~ See. Sub. ~ Parcel Number Owner l(J ~ D Telephone V/`v/ Address 4,, V~7~ Contractox ~ Telep~ Address 4 Arch./Eng. Telephone Address OFFZCE USE , Erect y Occupancy Alter Zoning 1 Repair £ire Zone ~ Enlarge Type of_Const. t+ove #i of Stories Demolish Front Grade DePth ~i OFFICE USE ~ t7ate of Approval & Initial FEES ro Assessment ~ Pezmit Vlater/Sewer . Surcharge Police rian Check Fire SAC !J/J Eng. - t9ater Conn. Plannex' Wa/~ter Met r ~ Council Rldg. Off. A.P.C. TOTAI, ~ /b ,c.:t~,,,• ~ n 1 .I <<l:t i r ~1v,. .•.Ji•.. t.o:1~ M1't'. ~ ~~I~ . 1~ f , - DIL lL l tl'1 A4\ H. J C H5J G f'"W NL L,nNpSVP VISVUR ` 0.e9iitere0 UnCer Laws of The State Of MinnefoU y~ 2978- 145TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 55068 PHON6 612 423-1769 ~ SURVEYOR'S CER7IFICATE I I I ~~r,o 13 OA.~ E k . 12O'00 . ~ ' . . . ~ 30 2a~ z Z. 0 1 0 ~ ~ LO T o ~ w 1 . 20 ~ = z No oEy 40 r C~ L 11 ~ - e 0 t4 -7 501'~04„ . . V' J ~ 4i• DT' \ )y u 4 ~x ~:..t ;l~~ h ~_i~.,i \ . . . - J I nereby ce.ti.fy `har this is a`ru~ an-4 cor^cct r,•nrosr.ntuti.n:i of r,.; r ~Mn C i ~ i~.l.~ ~I'M1p. :V'Jf; 2e, S-~J.OC:C , 1h~ I7.~:~4i5!v. 1'i».~ :-I 'r'1 ~i1m.1`JN ~ a CCCI.CQ'1T1,*.", v0 tb1C' =+cnorG°.'.G 271at ti'1C'i'E:Or, T^kot:1 v()~;:n'::i rI':.n:1E::~0t"n. hiarch 8, 197 `i. 1987 BIIILDING PER[ffT 9PPLICATION - CZTY OF EAG9N SINGLE FAMILY DWELLINGS INCLDDE 2 SEfS OF PL6NS, 3 CERTIFICATES OF SOBVEYo 1 SET OF ENERGY CALCOLATIONS NOTE: ADDRESSES FOR COENEE LOYS - CONYRACTOR/HOMEOHNER MOST DESIGHATE WHICH ADDEESS IS DESIRED. NO CHANGES WILL BS ALLOWED ONCE BUILDING PERMIT ZS ISSOED. M[TLTIPLE DYELLZNGS - RFSIDENTI9L RENTAL II?dITS FOR S9LE UBIITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SQftVEY - CHECg 4iITH BLDG. DfiPT., 1 SET OF ENERGY CALCULATIONS • CO.IlMERCIAL - INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: t fy*Z, f.4.:,%1uation:Date: Site Address f/7~6 , OFFICE USE ONLY Lot Ao Block ~ On Site Sewage_ Occupancy MWCC System Zoning Parcel/Sub On Site Well _ Type of Const City Water (Aetual) Owner J~ii7r~iZ ~G~S{~„vfst</ (Allowable) / ll of Stories Address S1l1fn(51C Length Depth City/Zip Code S.F. Total ' Footprint S.F. Phone APPROVALS FBES Contractor Assessments Permit 3~•S~ / \ Water/Sewer Surcharge DO Address Police " P1anReview Fire SAC, City City/Zip Code Engr SAC, MWCC Planner Water Conn Phone Council Water Meter Bldg Off ~J Ita 2 Road Unit Arch./Engr. APC Treatment P1 Varianee Parks Address Copies TOTAL 38 'SO City/Zip Code Phone # "1 ok-1l 0 '10, -1 o ~e:,o 2005 RF,SIDENTIAL BUILDING PERMIT APPL[CATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Cons4uction Reauirements RemodeUReoair Reauiremen(s Office Use Onlv 3 registe2d site surveys showing sq. fl. of IoL sq. d. af house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y_ N (20% maximum lot coverage allowed) 1 set of Energy Calculations (ar healed additbns Tree P2s Plan Recd _ Y_ N, 2 copies of pian shawing beam & window s¢es; poured found desgn, etc. 1 site survey for addHions & decks Tree P2s Required ~_Y. _ N 1 set of Energy Calculafions Addftn - indicete gon-ske septlc system On•s3e 3eptic Syslem _ Y_ N 3 coples oi Tree Preservation Plan if IM platted efter 711/93 Rim Jost DehaO Options seledion sheel (buiWirigs w8h 3 or less unRs) Date 1.31 / 40S - Construction Cost ~ Z4 p d v Site Address +ZIS p .~'tJGN .S~' /f - L N N UnidSte # Description of Work M. -S / d{, ~o US e Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 Property Owner Ila+..J,5 d(r Telephane 7- 0 4'2.3 Contractor ODELING, INC. Address 4100 FXrELsjeR $bVD City State ST. LO[IIS PARR, MN 55_41~ip Telephone #(~/'Z) Z`'!O ? 7 OOlO6Q COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Enel'gy Code Category . Resideniial Ventilation Category 1 Worksheet • New Energy Coda Worksheet (Jsubmissiontype) Submitted Submittad . Energy Envelope CaltuWfions Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone ) Mechanical Contractor Telephone ) Sewer/Water Contractor Telephone # ( ) I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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. Applicant's Printe Name Applicant's Signatur OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - Sf ? D4 02-plex ? 10 OS-plex ? 18 Deck O 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-piex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Sid'+ng ? 32 Addition ? 38 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building` ? 43 Reroaf ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entlre Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaVC.O. _ Footings (deck) _ Final/No C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining R'all Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ` CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECEI V ED FROM AMOUNT $ I & DOLLARS oo ~ CASH ~ CHECK FOR FUND COD@ AMOUNT D ID B Y ~ ` NUMERICAL FILE COPY PERMIT City of Eagan Permit Type:Building Permit Number:EA114397 Date Issued:09/16/2013 Permit Category:ePermit Site Address: 4256 Svensk Lane Lot:020 Block: 001 Addition: Wilderness Run 5th PID:10-84354-01-200 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. 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. Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Peter L Blaskowski 4256 Svensk Lane Eagan MN 55123 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature For Office Use I _14 °°° Permit:ee' E AGA N Permit : Date Received: 13-1 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: buildinginsoections(acityofeagan.com 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 1/3/18 Site Address: 4256 N. Svensk Lane unit#: Name: Peter and Beth Blaskowski Phone: 651-687-0423 Resident/ 4256 N. Svensk Ln., Eagan, MN 55123 Owner Address/City/zip: Applicant is: Owner X Contractor l`"I K Type of Work Description of work. Remodel Construction Cost: 10'000 Multi-Family Building: (Yes /No X ) Contact: Shawn Nelson Company: New Spaces Contractor Address: 2105 W. 143rd St. city. Burnsville 952-898-5300 Email: shawn@newspaces.com State: MN Zip: 55306 Phone: Lead Certificate#: NAT-F15006-1 License#: BC001586 If the project is exempt from lead certification, please explain why: Exempt - Built in 1978 COMPLETE THIS AREA ONLY IF CONSTRUCTING ANEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be publicinformatlen*`; , of the tiOn May classified as non-public if you provide pecitic reasons that would permit the City to con to -� trade secrsets< You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaqan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 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.gopherstateonecall.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 accordancer'// with the approved plan in the case of work which requires a review and approval of plans. x SAA WV" e'isz. x Aligicat Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE SG/0/15;E- L.fi L . / SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) pc Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) _ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* Addition — Move Building _ Reroof _ Demolish Interior KAlteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window Water Damage _ Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation W2iSALDOccupancy T/ZL T. MCES System Plan Review Code Edition SAC Units (25%_100%`') Zoning - ( City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction .-srAG Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) 'K Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: VL , Building Inspector RESIDENTIAL FEES 1j ‘,1-1,\,...4", rem ,.e I Base Fee 12.0 X 9.0 = l i 60 Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA147728 Date Issued:01/30/2018 Permit Category:ePermit Site Address: 4256 Svensk Lane Lot:020 Block: 001 Addition: Wilderness Run 5th PID:10-84354-01-200 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (miscellaneous)$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 - Peter L Blaskowski 4256 Svensk Lane Eagan MN 55123 Janecky Plumbing Service 720 Pontiac Place Mendota Heights MN 55120 (651) 454-9297 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA167169 Date Issued:03/01/2021 Permit Category:ePermit Site Address: 4256 Svensk Lane Lot:020 Block: 001 Addition: Wilderness Run 5th PID:10-84354-01-200 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater & Water Softener 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 - Peter L Blaskowski 4256 Svensk Ln N Saint Paul MN 55123--171 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature