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4276 Svensk Lane CITY OF EAGAN Remarks addition Wilderness Run 5th Addition Lot 18 Bik 1 Parcel 10 84354 180 01 i 1 Street 4276 North Svensk L.a^f-, State Eagan, MN 55123 Owne~i .~y11 Improvement Date Amount Annuai Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADiNG SAN SEW TRUNK a 1973 $132 .60 $6.63 20 0 3~ ~-7 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK p. STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGFIT WATER CONN. $320.00 3099 - - BUILDING PER. sAC 3099 6-3-76 PARK Certi.'iceta` !Qbr: VRrel]. ?nc. " 20g00 Tyndale A'?e. Go. ~ 32oominRtoa, uinn. 55L^-c ~7c rt. .i _ DEIMAR H. SCHWANZ LANDSVRVEYOR Re9,steretl UnOet LawS Of The Stat! Of WnnffOld 14515 SOUTH AOBERT TiiA1L P.O. BOX M R03EMOUNT, MINNESOTA 55068 PHONE 612 423-1789 SURVEYOR'S CERTIFICATE ~ . F ~ 0 ~0D • h i3 io'. a~, - 0 iV ? ~ ~ ~ ~ v O ~ . ~:.E • ~ ' ~ ~ . ~ ~ a ~ ~ T~ . \ ~ . ' y-,' ` ` ~ . . ' i cz\ I hereby certify t!iat this ia a true and eorrect repreaentation of Lot l89 Block 1, 1rIIDE.PtMESS R'1'~1 FTFTtii 11DDITICN, Dakota Countyi, Minneaota . Also showing the 1ocation ef a propoaed houae and garage thPreon. 3-26-7b \~^U ~1J ~ MINNESOTA REGISTRATION NO 8fi . CITY of EAGAN N°_ - 3965 BUILDING PERMIT 3785 Pilo! Knob Road Ownar Gk~Q. ~ Eagaa, Minnesota 55122 Addsess (presex3) ....~L?..~Oa7......_~ . Q..~''[.. r..~.. 454•6300 Buildar .........................c~:~ac:'tp1.. Date y...k3?~....a~~.l.,T...(X.f..'......... Addreas 6 DESCRIPTION Siories To Ba Used Fos Fron! Depfh Hetgh! Esi. Coet azml! Fea Remssict LOCATION Si Slreei, Roed or ofher Desesiplion of Location I Lo! lock Addifioa or Trae! 4 %S~~ /~r l fIla A~ .5~ This permit does ao2 aulhoriae the use of ei:eafs, roads, alleys or sidewalks nar doea it give the owaes or his ageat the right fo ereale anY silualion which is a auisaero o: whieh presenla a hazard fo the heatih, ssielp, eontealeaes aad genesal welfase to anpone in the eammuniip. THIS PERMIT MUST BE ON PR ISE xVpHILE THE WORK IS IN PROG}}E This is !o aeriifp, iha!.... ~ .~r ..~~--------.~.~.i .d hes parmisaion io arecY a...'... ~:...7..~.....,.._upon the above described pre s eck !o the provisions of all applicable an for lhe~Citp ~ ..:!`.:Y...~."--•-"'---'_"'-"-' Pa/~~~ ~ o= . Suilding Impeeior i ' , . . ~ CORRECTION NOTICE DATE: Address "I 7Q Site Name Owner/Agent Telephone Owner/Agent Address Ordinance Nos. and Corrections - Correct Bp-t"`-y---J=~ ~ f~~2,weG /l aP'`._ li ny -,rX~ds Ja s T~s ti , 2s xsi~ C7) , r~d 6Par~~TrPlmwer,s C Itk f2 7 C v C For reinspection Eagan Dept. of Inspection InSpeCtor: 3795 Pilot Knob fid. Eagan, Minnesota 55122 454-e100 Dept.: ~ czTY or, rnP,krr 37;5 Pi?.ot t; :ob R~ aa .ta r•"22 il• `r 7iuIP IQO.: 684 I,i;e Cit-y of La.gan hereby g.^an',;s to Tho_ ptpaon Pl ina Co: !~1 12201 Minnetonka Blvd. y Windsor Dev. CorP• PLLIIMIDING _ pc-,-it for: (Owner) Marell Oonst. .OO. arid 1380 rit 7 ensk Lane pursuar,t to a~:olication da,ed 6/7/7R _ i_led:. ! reex8cxidc 5100•00 (labe3 this 8 day of June ~ 1976 2.50 9/C Duilc:inZ Iaspector P21'Lri].t3: ' . . - , L13 `Ibtial: . . . ' . ~ L o~ 1 CITY OF isAC ~1q 3795 Yilot Itnob Road Eagan> t+i_r.nec,eta 55122 r,_,rcvnT The City of Eagan hereby Excuits to RaY N. Welter Heatinq Co.____ op 4637 Chicago Ave., Mpls. 55407 - Marell Constxuction ,a HEATING Permit for: (Owner) Windsor Dev. Gbrp 4276 No. Svensk Lane P ursuant to application d.ated 6 2 ' E~ Fee Pain: $40.00 daLed thiy 24 daf of _ June 1.00 s/c IIuilding Inspector iKechanical Permits: Bir, Tota.l: 1 -01 WATER SERVICE PERMIT 3794 Piloe Knob Rood PERMIT NO.: 1985 :agan, MN $5122 DATE: 6- 8176 Faning:. RII No. of Units: 1 :lwner: lddress: 'itfj kddress: 4276- S~f@Ilsk Ia ~'1IS/mber: son Pl in o 0~~~- N~ter No.: Connection Charge:~a~_~-p~- J ;ize: Account Deposit: :teader No.: Permit Fee: 10. 00 billed , agr~tq cg~Iy~wifh the Village of Eagan Surcharge: •$0 #875 )rdin ~:Misc Charg _ 1~ Total: ,ly Date Paid: ~ia e of lnsp.: Insp.: - , _,.daN SEWER SERVICE PERMIT 3795 iilot Knob Road PERMIT NO.: 2743 Eaqon, MN 55112 DATE: 6/8/76 ZoNng: RIi No. of Units: 1 Owner: Mar 11 [bnstruct'On Aljd[C86: SiteAddress: 4976 c..e..eti r r18 Bl WRS ,Co. Plumber: Thompson Plumbin g 6/3/76 #3099 100.00 pd 1 agrN to comply wifh Nu Village of Eogaa Connection Charge: 350. 00 pd prdinwncaa. Account Deposit: Permit Fee: 10.00 billed Surcharge: • 50 #875 gy; Misc. Charges: Date of Inap.: Total: Inap.: Date Paid: RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 NewConsWction Reauiremenh RemodeUReoalrReauiraments • 3 registered site surveys showirg sq. ft. of lot, sq. ot house; and all roofed areas • 2 copies of plan (20% mazimum IM coverage albwed) . 1 set of Energy Calculatlore for heated additions . 2 copies of plan showirg beam & window sizes; poured faund design, etc.) • 1 site survey for exterior addNOns 8 decks • 1 set of Energy Calculatians . Indicate if home served by septk system for adtlitions • 3 copies a( Tree Preservalion Plan 'rf lot platted aRer 7/7193 . Rim Joist Detad Oplions selectbn sheel(bldgs with 3 or less uniLS) DATE (~V- z'C° Z VALUATION 6t SSVLJ• ~ SITE ADdRESS c(z-7 (o MULTI-fAMILY BlDG Y N TYPE OF WORK :J~ ~r,,.e d- c~ 4y1Z FIREPLACE(S) _ 0_ 1_ 2 SELA ROOFINa & REMODELINr~ APPLICANT_ 4100 Ej(CE1 SIOm r't\W STREEf ADDRESS ST. LOUtS PARK, MN 55a1F CITY STATE ZIP TELEPHONE CELL PHONE # FAX # PROPERTY OWNER Y 1! i F-¢- L 2.Q- TELEPHONE # ~'J9 rI g~Z COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILQINGS ONLY Energy Code Category _ MINNESOTA RULFS 7670 CATEGORY l MI ~7 (J su6mission type) • Residential VenGlation Ca[egory 1 Worksheet Submitted • nergy Code orkshee ~ mitted • Energy Envelope Calculations Submitted JUN 26 2002 Plumbing Contractor: Phone # BY Plumbing system indudes _ Water Softener _ I.awn 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 Conhactor: Phone # I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant OFF'ICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ UpCaled 4102 OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 PorcfilAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex PI6g_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding p 32 Addfion ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (BIdg)• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (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 INSPECT{ONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone - Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulauon _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total , DAmE:~,~ BtT.CIJ7T_NG PERTI:rT tjO. LI(,~S,~Tr,p1 CIILCK Lot-, cz Block___LAdditic;i Parcel and section s~~,*abar Stre9t---E~,~~,--~-- " - A?Lm s r Ouna°r lid3ress ?eve:! cj>>r Ar',draas Tele Zone-Ord-inance #a2 Lot 8=ze % Total. area Platted - Unp].atted Eza.lcliz:g Size Tc~;al area OC CL' ~7~Y!.C~t _ Typ8 O.f CG?'1:LY'i3.C~•].Z, 5etbacks: St•re°t sides Reac' Sides ~ Furx~-n.ge Total araa T:,tal spaces ;2~~ - Pas};5_:.g area sothac;ks: eLD, Strea'u side Rear Si3es 'O Landscnpa a.2proval _ Bond reqtiired Special Asseae:^ents; , g 4 ~ 5AI.: charge @ $450.00 Water areae Assessed Ur.assessed If assesGed: Conn-lction charga If unaasessed: Connection chzr:ge v Lot di;tlsione kciditional assessments neede3 Not neered Laterals: Assessed Not assessed _ LJaj.cer of hearin,: " Needed Not needQd Assessmcnt clk U7ater °e Sewer Dept t3uilding Dep1; v1 Police Dept Fire Dept (Co:.1m & Ind oniy) ~ , . y MASTER CARD LOCATION 3*7~4,0e~ Z~2, OWNER STRUCTURE AND LAND USED AS I Issued To Permit No. Issued Coniractor Owner BUILDING 396S PLUM8ING CESSPOOL - SEPTIC TANK WEti ELECTRICAL IiEATING Q~~ ~ay GAS INSTALLING SANITARY SEWER OTHER I OTHER I Approved Items (Initial) Date Remarks Distance From Well FOOTING SEPTIC . FOUNDATION CESSPOOL FRAMWG IELD FT. FINAL ELECTRICAL DEPTH • HEATING OF WELL GAS INSTALLATION SEPTIC TANK - CESSPOOL DRAINfIEID GLUMBING 7-/9-74 WELL SANITARY SEWER Violations Noted on Back COMMENTS: 0 ~ . . COMPLIANCE INSPECTION REPORTS TO BE USED ONIY IN EVENT OF OBSERVED VIOLATIONS . PERMIT NO. DATE OF INSPECTION CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE ? NON-COMPLIANCE. BUILDER DOES NOT OBSERVED. INTEND TO COMPLY. O ACCEPTABLE SUBSTITUTION$ OR DEVIATIONS. ~ COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. ? NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. ITEMIZFD AND DESCRIBED AS FOLLOWS: ? REINSPECTION REQUIRED DATE OF REINSPEC'fION REINSPECTION REVEALED CE RTIFICATION - I cenify that I have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein all significant conditions o6urved to be at variance with ordinances of the Town af Eagan, approved plans and speGifications, and any specific require- ments tor off-site improvements relating to the property inspected. ~ ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILDING INSPECTOR OATE COMMENTS: Use BLUE or BLACK Ink r For Office Use ~j Permit non City of Ea as Ed I Permit Fee: 10`15 3830 Pilot Knob Road I 1 Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I 1 I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit I Name: Phone: Resident/ Owner Address / City / Zip: a 1 L Applicant is: Owner Contractor Type of Work Description of work: e~a Construction Cost: Multi-Family Building: (Yes / No Company: !t5ontact: IZVA,., Address: l ; + City: )gle- Contractor ' State:/!~&~ Zip: Phone: d 3 d License Lead Certificate 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: Licensed Plumber: Phone: Mechanical Contractor: Phone: 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) 4540002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.g_opherstateonecall.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 Minnesota State Building Code must be completed within 180 days of emit issuance. I x G~1ZG( ~l~2- x Applic nt's Pr nted Name Ap icant's Signature Page 1 of 3