4261 Svensk Lane
CITY OF EAGAN f4 D 1e828 ~
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for ADDITION Est. Value =16,000 Date MAR 29 91 ~
, 19
Site Addtess 4261 SVB~ISK Lll 1~
OFFICE USE ONLY j
Lot ~ Block SeclSub.
Parcel No. occuPancy ~3 FEES ~
UAN a DE$ BRENGHO Zoning - 171.00
W Name (Actual) Const - Bldg. Permil
; Addfe55 (Allowable) - Surcharge 8'00 ,y
0 C11Y EAUM Phone M oi Stories plan Review 111.00 Length ~
11 Name ~ Depth snc, cay +
o ~
~4 Address S.F.Totai -
sAC, Mcwcc
cc City Phone S.F. Footprints _ +
On Site Sewage _ Water Conn
W W Name On Sile Well - Water Meter j
Address MWCC System - qcct. Oeposit ~
i W City Phone city water - ~
PRV Required _ S!W Permit '
1 hereby acknowlege that I have read this appNcation and state that the Boos[er Pump - S/ry S,rcharge ~
intormation is correct and agree to compfy woh all applicable State o1
Minnesota Statutes and City of Eagan Ordinanqes. ~ Treatment PI li
APPROYALS
Signature of Permitee Road Unit ~I
D11N 1~ EHG1U1ti Pla„~ _ I
A Building Permit is issued to: Park Ded.
on the express condition that all work shall 16e done in accor ance with all Co+nciI
applicable State of Minnesota Statutes and Ciry of Eagan Ordinances, g~, pff, _ Copies ~
Building Ofticial Variance - TOTAI '
. . . . . . . . . , . . . . . - _ . J
Permk No. Permit Holder Date Teltphons #
WATER
SEWER
PIUMBING
H.V.A.C.
ELECTRIC
kwpsction Date Insp. Commwnts
Footings I
Foundation
Framin9
Roofng
Rou9h P1b9•
Raigh Hlg.
Isui. S -
Freplace
Final Htg.
Final Plbg.
Gonst. Meter Plbg. Inspecta - Notify Plumber
Engr./Plan
Bldg. Fnal
Decli Ftg.
Dedc Fnal
WeA
Pr. Disp.
- CITY OF EAGAN
3795 Pilot Knob Rood Eogan, MN 55122 N2 4502
PHONE: 454-8100
~ yr1
[.4
BUILDING PERMIT ~j,:;, Receipt #k
• - -
~ ,t- t ~;;~ti.• ;f }
To ba used for . i,.,. n..t ~ Date , 19
Site Address ~-T- Erect p Occuponcy
Lot ` Block ` Sec/Sub. 5trL Alter ? Zoning h'
Parcel # Repuir ? Fire Zone _
Enlorge ? Type of Const. v
~ Nome - :•farp j ~ (:ons . Move z
W ? #k $tories
Z Address _ Oemolish ? Front ft.
0j Ci Phone 6rode ? Depth ft.
W_ Name APProvah Fees
O
Z~ ~ ~ • • i= • ~ n• Assessment _ _ Permit
pQ Address . , "
~Of Ci Phone Water & Sew. $urcharge
~
~
FW Police Plan check ~
W Name Fire SAC
W
L Address Eng. Water Conn. _~~?~O
Cit Phone Planner Water Meter
Council
1 hereby acknowledge thot I hove reod this application and state thnt Bldg. Off.
the informotion is correct ond agree to comply with oll opplicobte .
Stute of Minnesoto Statutes ond City of Eogan Ordinonces. APC Total
Signcture of Permittee -
A Building Permit is iuued to: lari.l i .vAO; t. on the express condiiion that
all work sholl be done in occordance with oll opplicable State of Minnesoto Stotutes and City of Eogan Ordinonc:s.
Building Official , -
P~nnM # WM Isw~d ~~I~h~
_Plumbing JV /G '-dw -Oe -~7
Mechanicnl / v d i a-~7-
INSPECT{ONS f~ ? ATE INSP.
Rouph-In F1nal
Footings - qote lnm. oate lrap.
Foundation Plumbing
Frame/ins. , Mechanical
Final • 26
Remarks:
~r
CITY OF EAGAN
3795 PiloF Knob Road
Eagan, Minnesofa 55122
Phone: 454-8100
PERMIT No.
Date• t o1•,vr.- 24 , 1 "?7 7 Receipt No.. 07E32%
Single I
Site Address: ~ "'~r'-• Svensk Iane Residential
Lot ' Block ` Sub/Sec. -ti'~ Jth Multi Res., Comm./Ind. I
Name tr~-11. r'r,.lsrL_ o*~ New/After./Repair 1e~`~
.
~ Address 10800 I,yndale Ave. So. Cost of Installation
'_?].onr.iincrtan
City Phone: Permit Fee .
` Name T3tompson Plumbing Co. Surcharge
E
° Address 12201 Minneton.ka Elvd.
0
V Minnctor.;:a 20.50
City Phone: Totol
This Permit is issued on the express condition thot all work shall be done in accordance with oll opplicoble State of
Minnesoto Stotutes and Ciry of Eagan Ordinances.
Building Official
~
y - ' CITY OF EAGAN
3795 Pilot Knob Road
Eogon, Minnesota 55122
Phone: 454-8100
fI T-AT I; :C, PERMIT No. i
Date: n"to r 17 1r)77 - Receipt No.:
Single I
Site Address: 426Sv nsk Ya^F Residentiol Loi ^ Block SublSec. Multi Res., Comm./Ind. I
Nome red%l New/Alter.lRepcir
.
; Address Ei G T ? . Cost of Installation
O
City ,~omingtoti Phone: Permit Fee
' -
` Name Welter Heatin4 &r'c' Surcharge
~
~ Address 4.637 Chicacro Ave. So.
0
V
Ci - - sr" Ph one: Total Permit iued on the express condition that all work shall be done in accordance with all applicoble Stute of
nnesoto Statutes and City of Eogan Ordinonce
s.
Building Officiol
Receipt MECHANICAL PERMIT Psrmit No.
CITY OF EAGAN
Fee
fi!l in numbered spaces S/C
• Type or Print /egib/y Tot.
/
1. Date 2. Installation Cost
3. Job Address ~t • ~ - ~ Lot ' Blk. Tract
4. Qwner V r'~ ~n c-
~
5. Contractor Phone '
6. Address
7. City SLate : • Zip
8. Building Type: Residential Commercial ? Institutional O
9. Work Description: New ? Add ? Alter ~ Repair ?
10. Describe ~ 's c Fuel Type , r' )
11. No, Equi ment STU - M. Ea. No. EQUipment CFM
Forced Air ' yAir Handling:
Mfg.
Boilers Mech. Exhaust
Mfg.
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. 1 hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
~~o ~ ,
` ~ v
~
I
. - ~
INSPECTI4N REC4RD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
, 0 . i: i
J; 0if
PERMIT SUBTYPE: TYPE OF WORK:
i, 1 II; If
INSPECTION D. • D.
F
L
J
Permit No. Permit Holdsr Date Telephorre #
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspaction Date Inap. Comments
Footings I
Foundation
Framing
Roofing
Rough PI6g.
RW9h Ht9-
Isul.
FireplaCe
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector-Notify Plumber
Const. Meter
Engr.lPlan
BIdg. Finsl
DeCk Ftg. r/
Deck Final Q r n~ dC ~
weli
Pr. Disp.
CITY OF EAGAN Remarks
Addition Wilderness Run 5th Addition Lot 7 Bik 2 Parcei 10 84354 070 02
Owner "f screet 4261 No. Svensk Lo,,v%S-.. scate_ Ea9an, MN 55123
' ..L !tk
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK d.a.\ 1973 $132.60 $6.63 20 92.82 A005265 12-6-77
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA 4 6 1
STORM SEW TRK Y21 1981 245.00 16.33 1 1 6. Ol Ao11883 2-2-8
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 230.00 7620 10-4-77
PER. 4502
sa,c 475.00 7620 10-4-77
PAR K
CITY OF EAGAN SEWER SERVICE PERMIT
374: : r ot Knob Road PERMIT NO.:
f.ogon, MN 55122 DATE:
Zoning: _ No. of Units:
Owner.
Address:
Site Address: _
Piumber: I agres to comply with the City of Eagan Connection Chorge:
Ordinanees. Account Deposit:
Permit Fee:
Surcharge:
BY Misc. Charges:
Dote of Insp.: Totol:
Insp.: Date Poid:
crrir oF Eac,4N WATER SERVICE PERMIT
3795 'IQt Knob Rood PERMIT NO.:
Eagon, MN 55122 DATE:
Zoning: _ No. of Units:
Owner:
Address: 42 Site Address:
Plumber: •
Meter No.: Connection Chnrge:
S12e: Actount Deposit:
Reader No.: Permit Fee:
I agree to wmply with the Gty of Eagan Surcharge:
Ord(nanees. Misc. Charges:
Total:
BY Date Paid:
DoYe of Insp.: Insp.:
cirr oF EaG,sN
, 3795 Pilot Knob Road Eeean, MN 55742 N2 4502
R ' PHONE: 454-8100 7620
BUILD)NG PERMIT APPLICATION $29,000, ReOe1Pt # -
To be uaed for Date October 4, 19 77
Site Address 1+261 NO Sven3k Ln Erxt El Occupancy I
Lot 7 Block Z Sec/Sub. WR 5th Alter ? Zoning Ri -
Parcel Repair ? Fire Zone - 3. -
Enlarge ? Type of Const. V
w Name MaiCll COASt. Co. Move ? # Stories 1
; Address Demolish ? Front 58 ff.
b
Cit Phone 6mde ? Depth 26 ft.
~
Name Marell Const. Co. Avcro,vala Fees
p
z~ 10800 Lyndale Ave. SO. Assessment Permit an_nn___
o Address -
Ooill IIg OII Water & Sew. Surtharge 14_ 50
C, Phone
Poiice Plan check
Fw Name Fire SAC -~7rro~
_V ~ Address Eng. Water Conn.- 230.00
<w Ci Phone Planner WoterMeter
Council
I hereby acknowledge that I have read [his opDlication ond stote that gldg. Off.
the information is corred and agree to comply with oll oppticable APC Totol~~~0-
State of Minnesoto $tatutes and City of Eagan Ordinances.
$igrwture of Permittee
A Building Permit is issued to: MgTp1L COIISt, on the express condition that
oll work sholl be done in occoq ance with II ap licab State of Minnewta Statutes and City bf Eagan Ordinonces.
Building Ofticiul ~ . •
CITY OF EAGAN Np 1$828
3830 Pilat Knob Road, P.O. Box 21-199, Eagan, MN 55121
~ PHONE: 454-8100
BUILDING PERMIT Receipt # T-
Tobeusedfor ADDITION Est.Value $16,000 Date Mau 29 , 7991-
Site Address 4261 SVENSK LN N OFFICE USE ONLv
Lat 7 Block Z SeGSutYTILDERNESS RUN ST
P8fC21 NO. Oaupancy FEES
Zoning
a Name DAN & DEB BRENGMAN (Actua1)Consl - BIdg.Permit 171.00
- $,00
W 4261 N SVENSK LN (Allowabie) Surcharge
; AddfeSS
° EAGAN 688-0569 x of srories
City Phone
0
Lenglh 19, Pian aeview 111.0
p N8f08 SAI`E Depth SAQ Ci1y
~a Address S.F. Total - snc.nncwcc
x City Phone S.F. Footprinls -
On Sile Sewage _ Water Conn
W w Name On Sile Well - Waler Meter
tz MWCCSystem -
Address
qp,y Deposit
iw City Phone arywater -
PPV Required _ S!W Permit
I hereby acknowlege ihat I have read this ap icalion and state that the Booster Pump - grW Surcharge
intormation is correci and re to com th all applicable State of
Minnesota S[alutes and C y ot aqan Or n n es. Treatment PI
APPROVALS Road Unit
Signalure of Permitee
A Building Permit is issued to: DAN NGMAN Planner - park Ded,
on the express condilion that all work shall e done in accor ance with all Council
applicable State o( Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. _ Copies
Building Otficial dl Dtll' Variance TOTAL 290•00
i i 4!!
l
s ~ 13 o0 8.5
~ 2830
• Req~ t Da~ ~ Fire W. Rough-in Inspection ~
~ ~ ~ I ? Reetly Now ~YVill Nollty Inepapor
red ~ Whan fleetly7
~ IXlicensed contractor ? owner hereby request inspection of above elechical work at: Jo7 Atltlress (Streal Bw a Route No.) Ciy 4
ga~t svensk ZA he-
SecGOn M. Township Neme or M. Renge No. County y~ ~~0~~
Occupam (PRINT) Phore Nv.
a ~rP.f7 ~rtq le88'- 69-49
Powa. P. W,ess
. ,
EbcviW Con r(COmpany Name) Contrecbr Licensa W.
u,erh ELec~"~'ic- 0726
Mailing Atltlress ~COnlrector or Owner Making Inslalletion) -
a0 a c Sf• H1e nda tq
ANbotl ff Co ctor/Owner Making Inslallelio Poone mbe~
nze -
54- 74p58
MINNESOTA SL1TE BOAHD OF ELECTRIGRY - ' THIS INSPECTION REOUEST W ILL NOT..
GrlpgrNlEwq Bqy. -HOam S173 BE ACCEPTEDZYTHE STATE BOARD
1821 Uniwnlry Ave.,31, Pou1,MN 55104 UNLESS PROPER INSPECTION FEE IS Plqne (612) 812-0800 ENCIASEO.
REQUEST FOR ELECTRICAL INSPECTION n N~~ eB-pooo7m-ope
v
?
/v] See instrudions tw completing fiis form on back of yellow copy. C1V CJ O S
~"At 2 8- 3 0 X" Be/ow Wark Covered by This Request
e Add TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Ouplex Water Heater Electric Heating
Apt. 8uilding EDryer Other (Specify)
Comm./Indusirial Furnace
Farm Air Conditioner
Olher (specify) Comrecbr5 Remarks:
Compufe lnspection Fee Be/ow:
# Other Fee 8 ServiceEntrenceSize Fee # CircuiGS/Feeders Fee
Swimming Pool 0 io 20D Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
$IgnS Inspec[or§ Use Only: TOTAL O~
Irri9ation 8ooms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DIS ONNECTED IF NOT
Other Fee COMPLETED WRHIN 18 MO f
I, the Electrical Inspector, hereby RO°9"-'" o~
certify that the above inspection has F;,,y 026
o
been made. ~
OFFICE USE ONLY
This request witl 18 months irom
Tk:s reauest void 18 months from e 74
s
Date of this Request P 30002
I, as 13 Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cqi wiring installed at:
•`Street dd ss or R ute No.
~
Sectio Townshipa f '4 Range County
Which is occupied by
(Name o( Occ ant)
Is a roughin inspection required on this job? No ? Yes 10 Ready Now ? Will Call ?
Power Supplier ~tYJ.; Address
Electrical Contractor Contractor's License Niyb b
(COmp~ y pNa~me~) ~
Mailing Address S'b~ V.J.x~.s~h ~
(Electri al' C~o"nt~rac~tor or Own king 7hls lnstallatlon)
Authorized Signature ~ Phone No.
(Eiectrical Co ctor or Owner Mak Tnis nstallation)
STATE BOARD COPY,
Minnesota State Board of Electricity 0767/
19F'1 University AVa.,.St: Laul, Minn. 55104-Phone 645-7703
~EQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERED BY THIS REQUEST 30002
Type of Building New Add. Rep. Cheek Appliances Wired Fm C6eck Equipment Wited Fm
Home ? El Range ? Temporazy Wiring ?
. Tjuplex Watei Heater ? Lighting Fixtures 0~
Apt. Bldg. Dryer D Electric Heating ?
, Commercial Bldg. Furnace ? Silo Unloadec ?
Industrial Bldg. A'u CondiUOner ? Bulk Milk Tank ?
pList List
Oth r ? 0 ? Heiersf 2ehers~
COMPUTE INSPECTION FEE BELOW
Seevice Entrance Size: # Fce Fceders&Sub[eedeisd t, Fee C'ucuits: # Fee
0 to 100 Am s. 11 D to 30 Am s.\ 0 0 to 30 Am eres
101 to 200 Amps. 1131 to 10 m'es', . 31 to 100 Am eres
Above 200 Amps. Above 1~~~A ~ Above lOQ_Amps.
Transformers 11 mdte "'ifoYvCuc. Partialorotherfee
S' ns ~ In6' ction Minimum tee $5.00
Remazks 5. ~
o TOTAL FEE
I, the Electrical Inspector, hereby cer6fjlTthe a!,n~, ~¢ecti has been made. e(o .ou
(Rough-in) L7~'~~Date
(Final) Date 7
This request void 18 months from '
RESIDENTIAL
BUILDING PERMIT APPLICATION
C~ EAGAN
PILOT KNOB RD,EA GAN MN 55122
851-881-4875
New Conetrucllon Reauiremante RemaleVHeoalr Reauiremams
• 3 registered sie surveys ahowing sq. tl. of Wt, sa. n. of twuse; and II roofed areas • 2 copies ot plan
(20%mauanumbtcoverageallowed) • 15elotEnergyCalculatbnsforheatedaddXbns
. 2 coples of plan shawing beam & window sizes; poured tound design, Btc.) • 1 Siie survey for ezlarior adtlilbns & tlecks
• 1 set oi Energy Calculatbns • Intlirate B home served by septk system tor a0tlitlons
• 3 coples of Tree Preservatbn Plen H ht platted afler 7/1193
• Rim ,bist Detail Optlons selectbn aheet (bk19s with 3 or less untts)
DATE VALUATION NS \n(0
SITE ADDRESS 7.Ul.~~ eA i MULTI-FAMILY BLDG _ Y )C N
NPE OF WORK Y,RJYYD~ FIREPLACE(S) _ 0_ 1_ 2
APPLICANT (In~i Pi VCQ~1
STREET ADDRESS 140-.~~c :2,._,i~ck A. I Q,\ CIN h4ifflorh STATE MA ZIPaAU
TELEPHONE #I la'SSrI' SbM CELL PHONE # FAX ri"V3ISZ-~J
PROPERTYOWNER ~IV2f M0141p TEIEPHONE#
, COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MLNNESOTA RUL.ES 7670 CATEGORY 1 MINNFSOTA RULES 7672
(4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Suhmitled
• Energy Envelope Calculations Submitted
i
Plumbing Conhactor: Phone #
Plumbing system includes: _ Water Softener _ I.awn Sprinkler Fee: $90.00
_ Water Heater ~ No. of R.I. Baths
_ No. of Baths
Mechanical Coniractor: Phone #
Mechanical system includes: _ Air Conditioning Fee: $70.00
_ Heat Recovery System
Sewer/Wafer Conhactor: Phone #
I hereby acknowledge that I have read this applicatlon, state that the information is corr , d~~~fe@!t~~ ~
with all applicable State of MlnnesoTa Statutes and City of Eagan Ordinances. ,JUN 1 9 2002
Signalure of Applicant
.........._-°-------°-----------°---°-°-°°----°......__..~.~..r._~~........Y.
OFFICE USE ONLY !
Certiflcates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated M02
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex O 13 18-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 OB-plex 0 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex O 17 Garage ? 22 PorchlAddn. (4sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex 0 18 Deck ? 23 Poroh (screened) ? 38 Mutti
O 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 SWrm Damage
? 06 04plex ? 12 12-plex Pibg_Yor_N ? 25 Miscellaneous
? 31 New O 35 Int Improvement ? 38 Demolish (In[erior) ? 44 Siding
? 32 Addition O 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Akeration O 37 Demolish (Bldg)* ? 43 Reroof ? 48 WindowslDoors
? 34 Replacement `Uemolkion (Entire Bldg 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) FinallC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesu _ Final
_ Framing _ Siding Srucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (newheplacement)
_ Insulation _ Retaining Wall
~
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
S&W Permit & Surcharge
Treatment Piant
Piumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
6n
K II.
7
DATE F• ~Ia •7 7
BUILDING PERMIT APPLICATION
2nclude 2 sets o£ plans, 1 site plan w/elevations and 1 set of energy calculations.
To be used for Valuation
' /v
Site Address : ( /r
~t Biock Sec f Sub. Parcel Ninnber
Z"
/ [•"v. ~ S
(
Owne= Telephone
Address
r .
Cbntractor Telephone
Addresa
Arch./Enq. Telephone
Address
OFFICE USE
Erect ~ Ocougancy Lr7
Alter Zoning
Repair Fi;e Zone ~
Enlarge Type of (bnst.
Move Demolish # of Stories
~ FrOnt
Grade Depth ;
OFFSCE USE
Date of Approval & Iaitial FEES
Assessment Permit
P7ater/Sewer - ~ez
Surcharge ~.q
Palice Plan Check
Fire SAC
Eng' UTater Gbnn. 2_3O Planneril t9ater Meter
~o`r~
Rldg. Off.
A.P.C. t~ TOTAL
/
~(7~ , ~
. -j
~
1991 BUILDING PERMIT APPLICATION
~ g~%~
SINGLE FAMZLY DWELLINGS KULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & SIRUCTURAL PLANS
1 SET OF ENERGY CALCUTATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: J,l J Valuation: Date:
Site Address OFFICE USE ONLY
Lot y Block FEES
Occupancy ~-3 Bldg. Permit
Zoning Surcharge
Parcel/Sub ;=;2.('~'CS Ru~ ~Tj/ Actual Const Plan Review n&
Allowable SAC, City
Owner r7AA -t At of stories SAC, MWCC
I.ength z~ Water Conn.
Address LAi Depth !}n' Water Meter
S.F. Total Acct. Deposit
City/Zip Code /=.•q/-qA J,y/4 SS7? ~ Footprint S.F. S/w Permit
' S/W Surcharge
Phone ~7 On site sewage_ Treatment Pl.
On site well Road Unit
Contractor ./)/IA 7 1 2 i- a' r.-zyl.va A i MWCC System _ Park Ded.
City water _ Trail Ded.
Address ~ AM T_ A1~ /7,tZi~ PRV _ Copies
Booster Pump _
City/Zip Code SUBTOTAL
pPPROVALS Penalty
Phone Planner _ Lot Change
Council TOTAL 0.00
Arch./Engr. Bldg. Off.~)13' z&-y/
Variance
Address
City/Zip Code
Phone #
1I!
agrees that all work shall be done in accordance with
'(Signature.of Contrac tor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
~/At,~~--r-e~r? ,
~ .
Pek(sra,-E c."`oEUN6 Mw. 6141tw,4(p. mAcA&an4P Parq)
390 x5-3 = l~ 610 0R av,ooo-
FL-P. owN~
A t! IERMwE~ V Arl,uvAr1TO/V
~
Ly*:°idale Ave. Sa.
_.oomington, hsi 55412 Cert.No.62 •
DELMAR H. SCHWANZ
lANOSVRVEVOR Neqlsbr" UnGU L+ws of Tbe Slate 01 Minnrsota
14515 SOUTH ROBERT TRAIL V.O. BOX M R08EMOUNT, MINNESOTA 6608! PHONE E12 423-1788 ~O
SURVEVOR'S CER7IPICATZ
re-
r~
. 5ot3 04~,E so 0
o ~
f ~ , ',o \ • ~ .9
0 ~ o c4o
_Z7
ee 9~s~C3
- ~a \
Z o j6' ~
^a ~ D'rli
z
~
G o Scale : 1"= 4 J'
T hereby certify that thls ;s atrue and correct reoreaentatiDn of
Lot 7, Blcck 2, WIZ.DERNFSS RUN FIFTH A::D7TION, accordSng to the
recorded plat thereof, Dakota county, Minnesota.
Also showing the locat;on of a proposed house and garage therean.
5-24-77
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MiNNESOTA REGISTRATION NO 8625 /1
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PERMIT
Cr* OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55123 Permit Number: 0 2 4 8 5 4
(612) 681-4675 Date Issued: 11 / 17 / 9 4
SITE ADDRESS:
4261 SVENSK LANE
LOT: 7 BLOCK: 2
WILDERNESS RUN 5TH
P.T.N.: 10-84354-076-02
DESCRIPTION:
B,dildin-d'-Permit Type DECK
Building War-k Type NEW
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REMARKS:
FEE SUMMARY:
Bese Fee $30.00
Surcharge $.50
Total Fee $30.50
CONTRACTOR: OWNER: - Applicent -
MAIRS PETER
4261 3VENSK LN
EAGAN MN 55123
(612)895-2187
I h¢rehy acknowledge that S have read this application and state that the
information is carrect and agree to camply with a11 applicable State of Mn.
L Statutes and City af Eagan Ordirrances. ..J
APPLICANTlPERMITEE SIGNATURE ISSUED B~S~~A UQ~
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: aurLnxNG
3830 Pilot Knob Road Permit Number: 024854
Eagan, Minnesota 55123 Date Issued: 11 J 17 / 9 4
(612) 681-4675
SITE ADDRESS: Lor : 7 B L 0 C K: 2 APPLICANT:
4261 5VENSK LANE MAIRS PETER
WILDERNESS RUN 5TH (612) 895-2187
PERMIT SUBTYPE: TYPE OF WORK:
DECK NEW
INSPECTION . .A
FOOTINGS FINAL
F-
- . . . . . - . . J
L
CITY OF EAGAN
~
i4i94 1994 BUILDING PERMIT APPLICATION 0• ~Q
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 capy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, i set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3} lot change is requested once permit
is issued.
Date =k l I 4/ iaa¢ / Val uati on of work
Site Address: 42-01 S0I1dlLsK 460=_ UO(Z.I1'f'
STREET SU1TE #
Tenant Name: (commercial only)
LOT _!L_ BLOCK ~ SUSD. P.I.D. #
Descri tion of work:
The applicant is: ? Owner ? Contractor ? Other (Describe)
Name MAcRS .pereR $ GH6Q411- Phone
Property iasr FIRST ajLL .,W- E316 _ 2 1637
Owner address 42,61 svensk Gh
STREET STE 1!
City G- 7 Q" State A-ZN ZiP 5-%a3
Company S,@moonph, Phone
Co ntractor Address License # Exp.
City State Zip
Company 5/{QA-ii Pp A-k&-P, P oSS Phone 224-b~s~
Architect/ 96466)
Engineer Name ~/)cvf1 0-oSg Registration #
Address R03 TAIRMOGLA27 A-0i=
City ST 19AUL State /VW Zip SSID~"~
Sewer & 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:
OFFICE USE ONLY
~
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging "O 16 Ba'semeAt Finish
? 02 SF Dwg. ? 07 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 0 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ID-15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
~'31 New ? 33 Alterations ? 35 Tenant Finish 037 Demolish
O 32 Addition ? 34 Repair ? 36 Move
CENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Baoster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code =y
Depth On-site sewage SAC Code ~j
APPROVALS Census Bldg ,
Census Unit o
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
O .Site Footing ? framing ? Insulation
? Wallboard Final O Draintile ? Fireplace
Perm9t Fee vaawt;a,: $
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit '
Park Ded. Trails Ded.
Copies
Other
Total: SAC %
ILSAC Units
A '
rze Ave. So.
.;on, N,11 55412 I 1 Cert.Np.62
DELMAR H. SCHWANZ
lANOSUNVEVOR
RCqistnW Uneinr Uws of Tne Stale ot nninnesola
11515 SOUTN ROBERT TRAIL P.O. BOX M N08EMOUNT, MINNESOTA 6608! PMONE 612 123-1788
B \~~O
SURVEYOR'S CERTIFICA7
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1 hereby certify triat thls ls atrue ar;d correct reoreeentation ot
I.ot 7, Blcck 2, WIL?SRNFSS Filh FIF'I'H A':DITI!it:, according to the
recorded plat thereof, Da;cota County, Idinnesota.
Also showlnt; the location of a proposed hoaae and garage there~)n.
5_za_77
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MINNESOTA EGISTRA7iON NO 8625 /j
!
L/
CLAIl1 VOUCHER - REFUND REQUEST
CITY OF EAGAN
CLAIPiANT BURNSVILLE HEATING & AIR CONDITIONING, INC.
ADDRESS 12481 RHODE ISLAND AVENUE SOUTH
SAVAGE, MN 55378-1122
Location 4261 SVENSK LANE
L7, B2, WILDERNESS RUN STH
Receipt No./Date 100964/4-30-91
Reason fez Refund DUCTWORK ONLY - PEBMIT NOT NEEDED
T}•pe of Refund Electzical Permit 01-3211 $
Plumbing Permit 01-3212 $
Alechanical Permit 01-3213 $ 15.00
Surcharge 01-2155 $
Water Connection Permit 20-3713 $
Sewer Connection Permit 20-3743 , $
Account Deposit 20-2252 , $
Utility Account Over-Payment 20-2250 $
Other: $
$
TOTAL $ 15.00
I declare under the penalties of law [hat this account, claim or demand is just and
that no part of it has been naid.
~
5/I/93
Signa[ure Date
CZTY OF EAGAN FOR CITY USE ONLY
3830 PIIAT RNOB ROAD
` EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT #
~~,ot~Cl1'E~C~ DATE: 9/
S.~~kN1'Zf~:':~ PLEASE COMPLETE IIPPER PORTION ONLY FOR SZNGLE FAMILY DWELLINGS 6
TOWNHOMES/CONDOS WHEN YERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION FEES
NEW CONST _ ADD-ON MINIMUM $15.00
ADD ON dt HVAC 0-100 M BTU 24.00
REPAIR _ ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
~ OF 1 PER PERMIT
OWNER NAME: °~'JAJ SUBTOTAL:
SITE ADDRESS: STATE SURCHARGE: .50
i~
IAT: BLOCK _ SUBD. TOTAL;
INSTALLER: Rur~5lFlll9 {-~ea'i - ' < iric. 12481 Rhode Island Ave~ So. `
ADDRESS: sivage, SIG ATURE F PE EE
crzx: 894r0
PHONE
~~2fiM~Tii~2lt~j~T3U$T~tI:AL:: PLEA E COM TE THIS PORTION FOR ALL COMMERCIAL/INDIISTRIAL BUILDINGS,
APAR ILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT UI D FOR EACH DWELLING UNIT.
-
CONTRACT PRI . ` FEES
OWNER NAM 18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
JI1C. [1uD EJJ: 4=C(? y1,000 !1F PE'?M?T L'FF.
PROCESSED PIPING - $25.00
LOT: BLOCK S SD. $25.00 MINIMUM FEE.
SNSTALLE CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
( S IGNAT[TRE )
FOR:
CITY OF EAGAN
,
I
lillobw I
City of EapIl I PB~~t4t:
I
3830 Pilot Knob Road ~ Permit Fee: O N ~
Eagan MN 55122 5 i i
Phone: (651) 675-5675 i Date ReceivedJ y~ i
Fax: (651) 675-5694 i stah. i.
2009 MECHANICAL PERMIT APPUCATION J
Date: p~(~ 1 Site Address: I~~~ Year LAh L
Tenant:
SWte
RESIDENT/OWNER Name: }'n PhonelK~~-M-Ni
Address / City / Zip: _ `f S~t VlSL k(,Yl*„ ~
CONTRACTOR yame D~,vr?a.< Aang,6z~ y~yT~Ny License 'O_ eL.j_.rl3f3
Address: 1Q0~/ ,,,N 57-
City: --'/p s>~N~S State:,[[JLZip:.55a~a3
Phone: 6 S/"~f c// -2-7 Contact Person: TYPE OF WORK - New Repl cement _ Additional Aiteretion _ Demolition
Descriptfon of work:
lipiIii!
~
PERMIT TYPE RESIDEN77AL COMMERC/A!
~ Furnace _ Naw Construction _ Interior Improvement
~ Air Condltioner _ Install Piping _ processed
Air Ezchanger _ Gas _ Exterior HVAC Unit
_ Heat Pump Under ! Above ground Tank InstalV Remove)
" When instaliinghemoving tank(s), call for inspectlon by Fira
Other Marshal and Plumbing Inspector
RE3lQENTlAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$30.50 Fire repair (replace bumed out appiiances, ductwork, etc.) (inciudes $.50 Slate Surcharge) pp'~
$ TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installatioNremoval OR Contract Value $ X1 %
$50.50 Minimum (includes State Surcharge)
- If = $ Permit Fee
P~rmS Eg@ is less than $7,000, surcharge is $.50.
• If P rtni f$g is > $1,000, surcharge increases by $.50 for each State Surcharge
$1,000 Perrnit Fea (i.e. 1,00742,000 Pertnit Fae requlres a,$1.00 surcharge).
70TALFEE
I he y acknovAedge that t i inlormalion is complete and accurate; that the xark will be in conlormanca with the or nces and r,odes ol tha Ci1y of Ea{~an; mai
I un e tand Ihis Is not a pe it, but onl ' applksation lor a percnit, and vrork is nm to start ' hou~ a permiC Iha1 the rk will be' accordance with Ihe approvetl"
pl in e case of work whi requires a view and appraval of plans. .
Ap hCanPs Prin ed Name t s gnature ,
~p i ~ k~~'~ e ~1 .y~ . ?
b S 1
PI
¢~y1y,. .yq(,,,~44h{1(
~"~.T~V~.~ .~i.Tta:_~^M1l'W ."v` %3'+'~.~ i 4. a~ ~ .4h~i .mfil µAYP:?r.3. wn~.ry T.
CASH RECEIPT
C1TY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
RsceIveo
FROM
AMOUNT $ I
& DOLLAR9
+oo
? CASH ~ CHECK
FOR
PUND CODE AMOVMT
D
sv
.
NUMERICAL FILE COPY
Certoficate For: .
Marrei Tnc.
19$'?n Lyndale Ave. Sa. -
Bloomington, " 55402 Cert.No.62 •
:
DELMAR H. SCHWANZ
LANDSURVEVOp
ReqiftnW Untl~f Laws of The State of Minnesota
1"15 SOUTH iIOBERT TRAIL P.O. BOX M ROSEMOUNT, MINNE80TA 6608a PMONE 612 123-1760
B
SURVEYOR'S CERTIFlCAT ~'~O
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I hereby certify that this is atrue and correct reoresentatian of
- Lot 7, Block 2, WILDERNESS RUN FIFTH ADDITIGN, according td the
recorded plat thereof, Dakota County, Minneaota.
Aleo showing the locatSon oP a prvpoaed house and garage thereon.
9_24_77
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MINNESOTA EGISTRATION NO 8625
v~
Use BLUE or BLACK Ink
I For Office Use I
I ~LIW `
I
I
City of EPermit
I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: 9'
Phone: (651) 675-5675
Fax: (651) 675-5694 I Staff: g
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
A
Date: Site Address: vl f 4I J ~~Q ~1G LIV /V/ Unit
Name: Fad Phone:
O
Resident/
Ownerer Address /City /Zip:
Applicant is: Owner -XIContractor
Type of Work Description of work:
Construction Cost: Multi-Family Building: (Yes No )
Company: / W1 e"2 4m I 4C Contact o-7
Address: 412 A",)City~
Contractor
State: /1-1/1-_ Zip: r~,-,~~/Jl~ Phone: Cosa 3(o
License Lead Certificate / VR
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW 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:
I
Licensed Plumber: Phone:
' I
Mechanical Contractor: Phone:
I -
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
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.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.
Exterior work authorized by a building permit issued in accordance with the Minnesot State Buildin Code must be completed within 180
days of permit issuance.
x Q'1 ~lLG- x
Applicant's Pri ted Name Applicant's Sign ure
Page 1 of 3