4354 Svensk Lane CITY OF EAGAN
3795 Pitot Knob Roed Eagcn, MN 5512Z N~ 6 ~ 7 8
PHONE: 454-8100
BUILDING PER/VIIT Receipt $k
To 6e wed foe - Est. Value • Dote , 19
Site Address Erett Occupancy
Lot Block Sec/5ub. ~ ~ ' ' ` ~ " ' Alter ? 2oning
Porcel # - Repair ? Fire Zone
Enlarge ? Type of Const.
W Name Move ? ~ Stories
Z Address ' Demolish ? Front ft.
3
~ ' ` ' Grode ? Depth ft.
Ci phone
~ : ~`z ''oo~1_S app~ovals Faes
p Name - -
r Assessment Permit
u~ Address : , .
~ Ci Phone Water & Sew. Surcharge • r
Pollce Plan check ~
~W Na~ Fire SAC
v~ Address Eng. Water Conn.
<W Ci Phone Plonner Water Meter
Countil Road Unit
I hereby ucknowledge thnt I have read this application ond state that Bldg. Off.
the informotion is correct und agree to comply with oll opplicable - -
Stote of Minnesota Statutes ond City of Eagan Ordinances. APC Totaf
Signoture of Permittee
A Building Permit is issued to: on the express condition tfiet
all work shall be done in accordunce with oll applicable State of Minnesoto Stotutes ond Clty of Eagan Ordinances.
Building Offlcial
Parmif # Dah I~sued P~nnitFw
Plumbing
Mec~anical
~f: t _ 7 G / / _ ~"'Q ,fi ~ ~ ~
INSPECTIONS ~ DATE INSP. Rough-In Final
Footings Date Insp. Dota Insp.
Foundation Plumbing
Frume/ ins. Mechanico I
Final j~
Remorks:
~ - . . -
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: 1~{' r+~~~
3830 Pilot Knob Road Permit Number: y 7! 1
Eagan, Minnesota 55122-1897 Date Issued: ~ ~ % ~ ' ° ~
(612) 681-4675 ~
S1TE ADDRESS: ~ ~ r' ' ' ~ ~ ~ ~ ~ " ~ APPLICANT:
i r : ,
. ~.~E a~.t 1 ANF ~ Fa,.
I~ ~ o i;; i . ~ IfPi ;{(I ~ l+F7 iin~i
PERIUIIT SUBTYPE: TYPE OF W4RK:
<<:+ , i ; i
~~i ~ ~ ~ ;,~f.~ . ~~~i i,~~~, ~
. .
tiu~~
i i Pil11t . . 1~~1 1~1 (+7i!'Er1~~t t'•I~f 1 1 i
1 _ , ~
~ ~
~ ~
Permit No. Permit Holder Oate Telephone #
ELECTRIC
PLUMBING
HVAC
lnspection Date fnsp. Comments
FOOTI NGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDQ FINAL Z~~~r1 ~
/
BSMT R.I. !
BSMT FINAI.
DECK FfG
DECK FINAL
~ ~INSPECTI~N REC4RD
CITY OF EAGAN PERMIT TYPE: ' ~ 4 ~ ~ ~ +i ~ ~
3830 Pilot Knob Road Permit Number. ~
Eagan, Minnesota 55123 Date Issued, ~ r s w/~~~?
(612) 681-4675
SITE ADDRESS: ; „ ~ ~ r ; APPLICANT:
i . t, ~ i ANh , i ! „ ; ~ ~i . 1 r:.
~t1, I~, ~ ii, . 1.. i~ i,.) , ~,i ~.i
l
PERMIT SUBTYPE: TYPE OP WORK: ~
~ ~
r~ r t I
• •
1 1~1i i'.~, ~ i. ~~1'~ f YJI~
I 1 ti~~l
. ~'~rt,~1 I~ ,1 I'i~~.f1 i~ ~'I~k1A 1 1 1'• h! i.ilf 11;! I~ 1~)1~ ANl` I l t~ I k t i,'1t liill:'t
~ ~
~ ~
Pe?mit No. Permit Holde~ Date Talephone N
SNV
PLUMBING
HVAC
ELECT ~~f ~
ELECTRIC
Inspoctbn Date Insp. Comm~nts
Footings I
~l l~ ~
Foundation
Framing
Roofing
R°"gt, P~bcj. //r/S/~Q' O /
Rough Ht9. ~ _ ~1 2 Y-
lsul.
Rrepiace
Final ktg.
Orsat Test
Fnal Pibg. Plbg. Inspector - Noti(y Plumber
Cor~sL Meter
E~rJPlan
Bldg. Fnal
Deck Ftg.
Dedc Flnal
Well
Pr. Disp.
CITY OF EAGAN Remarks
Addition ilderness Run 4th Addition ~ot 6 Rik 3 Parce~ 10 84353 060 03
Owne Street 4354 Svensk I,r?. State Eagan, MN 55123
~ ~~~~..~c~
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR,
GRADING
~,y SAN SEW TRUNK 1973 $163. 26 $8.16 20 PAID
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK 204.95 C009614 10-4-84
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 320.00 - -
9UILOING PER,
sAC $425.00 12~89 -
PARK
. SEWER SERVICE PERMIT .~-~t~~~='" _ ,
va~.b3F 6f :~au 2488 - ~
PERMIT NO.: - ~ ~ s
3795 Pfbt Knob itood DATE:
Eoyow, MN SSI~
No. of Unics:
Zonfng:
Owner:
Address:
Site Address:
Plumber: - -
425 00 d~?~13
' ~ ~~~r w~ ~ y~~ ~ Eeyon Connecdon CharBe.
Account Deposic.
~~10"~~' permit Fee: ~ A 00 ~Pd
Surchaz'Be:
Misc. CharSea:
By' Total:
Date of Inap•: Date Paid:
lnsp..
w~~~?ae oF ~?6~N WATER SERVICE P26 MIT
3795 ~lot Knob Rood PERMIT NO.: 5~12~~5
Eogaa,MN Sbl~ DATE: 1
Zoning: ~ - Na. of Units:
Owner:
Addreas:
Site Addresa:
Plumber: ~~rs - BeY-RAC A AO od 2/__l~
Meter No. Connection Char8e~2
Size: p ~ Account Depog10.00 Pd
Reader No.: ~ ~ ~ Pe~it Fee:
Surcharge: • 50
~ oy.« to ewen~r with M. villa9. of Eoyo~ 75
Misc. Chazges:fi~4~P
, prdina .
Total:
~ Date Paid:
; By
Date of lnsp.: ~p`p~~
I ~ . . _ ~ - -
~ CITY of EAGAN N~~ 3510
BUILDING PERMIT
Ownes + 3795 Pilo! Knob Road
Eagan, Minaesola SS1R2
Addrea~ (precan!) -Z' ~ 454-8100
.~..:...z
suuae: I- a i- ~S_"
Dsle
Addrees
DESCRIPTION
Bioriea To Be Used For Fsoni Deplh Heigh! Esl. Coaf ~Perml! Fea Ramark~
duA"X`C~Sc*i'-rt,.i /'~C,, I 83 S^
6 0~~~
' ,~6 o LOCATION y3.sa
Sireef, Road or other DeseripHon of Loealfon I Lo! Block Addition os Trae!
3 SN ~.~-n-.~,u ~a..,A~ I ~ 3 ~ii , ~.,~...J /j!
1'his permi2 does no! avlhorise !he use of sireels, zoads, alleya or sidewalks nor doae i! giva !he owner or hte agen!
!he righ! !o aeate anp siluation which ia a nuisance or which presenic a hezard to !he health, safetp, eonveaiencro aad
general wellare !o anpone in She community.
THIS PERMIT MUST BE KEPT OIQ THE PREMISE WHILE THE WORB IS IN PROGA S8.
~
L'-e.,..~°.:C
Thie is io eariifp, thaf.....~-c... .has permission !o erec! a..... ~Q""'ea. upon
the above described premise subjeei fo ihe provisions of all applicable Ordinanees fox ihe C' of Eagan.
-~-----~`E - ..Q.e:~~:.: pe: ........_..................-.-°lQa-~e.---~.1~,.-~.~.~..~...~.
Mayor Suilding Iaepeetos
`
CITY OF EAGAN
• 3794 Pilot Knob Road Eegan, MN 55722 N~ 6178
BUILDING PERMIT APPUCATION PHONE: 4548700 ReceiPt # ~C 6~~
To be usad for SWIM POOL/FENCE Est. Value 6~000 pa~e 9-17 ~y80
Sire nddress ~35~ Svensk Ln. e,ecr ~ occupo~cy
Lot 6 Block 3 Sec/Sub. Wild Run. 4 Alter ? Zoning
Parcel # Repoir ? Fire Zone
Enlorge ? Type of Const.
w Name L20 Derkowski Move ? # Storles
3 Address 4354 SVQTISk Ltl. Demolish ? Front 18 ft.
o Eagan, MC1. phone 454-5582 Gmde ? Depth 36 sr.
~ Name Val l ey Pool c ADProrala Fees
0
o~ Address 12000 S. 12th AVe. Assessment Permit 21-nn
u~ C~ Burnsville, ~hone g94-lk$0 Water$Sew. Surcharge ,~•nn
Police Plon check 10-50
Gw'~ Nome Fire $AC
x~,. ,Address Eng. WaTer Conn.
u ,
~w Ci Phone Plonner Wuter Meter
Council Road Unit
1 hereby acknowledge thot I have read this opplicotion o~d state ihat gldg. Off.
the information is wrrect and agree to comply with all appticable 34.50
State of Minnewta Stotute's
sond City of Eagqn Ordi s. APC Total
V~....CICIi1'~ V / (!l,
Signature of PertniMee .
A Building Permit Is issued to: Va l l p,~ Pnn'1 c on the express conditlon that
all work shall be done in acmrdance ith all apPljcable State of M[1nnesota Stntutes and City of Eagan Ordinances.
Building OffiNnt ~~~r`~
L
~4. CITY OF EAGAN Include 2 sets of plans,
1~~ _ 1 site plan w/elevations &
~ BUILDZNG PII~MIT APPLICATION 1 set of energy calculations.
T''
To Be Used For`~u+71+7)uJ6 ~d-a ~ Valuation ~lo~'J ~ZJ~
sire naaress: ~J~iusK l~-~uC OFFICE USE ONLY
I,ot Bloclc 3 sec./Sub. ?.C~~T Erect occuL~~Y
Alter Zoning
Parcel Repair Fire Zone
(,C-~'i ~t~KCXx~g~ E~~e - of Const.
O.mer: Nbve # Stories
Pddress: ~3~'t '5~~~ GA'^~E Deirolish Front / ft.
. Grade Depth -3fo ft.
City/Zip Code:
Phor~ # : J~~'2 APPROVALS ~'S
Contractor: ~fq~~ Po-ot-g Assessments Permit ~ o~/ ~
Water/Sewer Surcharge f 3 ~
Address: !?_~u~ 5 f2-F1-~~ Police Plan Check 9~D~-
City/Zip Code: ~u¢nisc~)uE 53337 Fire SAC
l`~ g~q. Water Conn.
Phone Y~ 7~U pl~~ Water N~ter
Council ~ Unit
~h~/~g.: Bldg. Off.
Pddress: ~
City/Zip Caie:
ZC7PAL ~ y
Phorie
~f ~ - 3- ~
w;~,
CITY OF EAGAN
3795 Pilot Knob Road
Eagan~ Minnesota 55~22
PERMIT NO.: F,71
The City of Eagan hereby grants to P7ei1 & Fu]%bafd xeatina
oY st. Paul
a xEp,TIhG Permit for: (Owner) Tilsen iiosaes Inc.
at~ & 43a1 Svensk , pursuant to application dated 5/2/75
Fee Paid: 540.00 dated this Sth day oY Mav ,.~9 75 .
1.00 s/c
Building Inspector
Mechanical Permits:
Bid Total•
J
~j ~ ~ (y'V sCa U7Xl (~}6 ~
~ ~
~ ~T..~r ~iP' 1~G~.".~i
3/95 Pilot Iu;ob F:oad
Ea~;an, ;'iinnesc+a ~5122
PEP~~;iT NO.: 553
The City of Ea.~an hereby ~rants to Louis H Peter Co. _
~f ].054 Grand Pve St. Psul 55105
a vr.n.rcztt.. Permit for: (Owner) mi~sen ~IOmes
4378 Dunrovin Lane
4359 Svensk Iane ~ pursuU*~t to application dated 3/21/75 _
r'~e ?'aict: S40.00 dai;ed this 25 day of March ~ 19 75
1.00 s/c
F,uilding Inspeeter
P9echanical Permits:
'r'i:: Tota1:
C3~~5~5~ - ~ ~a~'y~,~
53
Request Oaia Fir¢ No. Rough~ln Inpsection Repui Inspeqion O~~er T~an Foug~dn
~YOU must wll inepetlor w~en reatly) ~ qeatly Naw ~ Wili Notity InsOeclor
? Yes No Da~e ReaE
I p licensed contractor ~(owner hereby request inspection of above electrical work at:
Jo0 Atltlress fSVeet. Bov or Route No.) Ciy
y~3S~ ~v~-sx ~~a -
$ection No. Township Name or No. Range No. Counly
Occupant~PRINT~ Pporie No.
/.(1 ~1 li~~ - e~E'J~oZ
Powar Suppher Atltlress
~~r$ GJ7~~' `X-/2
Elec~ncal ComraMOr ICOmpany Namel ConVeclor$ license No.
Maihng Atltlress IConlratlor or Ovmer Making Ingalle~ion~
AumorrzeC Slgn e ~GOn ing stallation7 Pnone Number
INNE A STATE BOARU OF ELECTflICITY THIS INSPEGTION REOUEST WILL NOT
Grlgge~Mltlway Bltlg. - Room Sl]3 BE AGGEPTED BY THE STATE BOARD
18]1 Univer5ity Ave.. SL Paul. MN 5510< UNLESS PflOPER INSPECTION FEE IS
Pho~re ~Btt) 6a2-0B00 ENGIOSED.
/p REQUE FOR ELECTRICAL INSPECTION ~,°a~ eeooom-oe
7 ? See ~ns as ror rnmpleting mis lorcn on Eack ol Yeliow copy.
3 J ~ "X" Below Wark Covered by Thrs Request
e T TypeofBuilding ApplienceSWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer LoaA Menegement
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Other ~syecifyl Conbactor's Remarks:
Compute Inspection Fee Below:
# Other Fee # ServiceEntrenceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs . insoecmrs use Omy. \ TOTAL
- Irrigation Booms ~6 r~! O • ~
Special Inspection
Alarm/Communication THIS INSTALLATION M BE 0 ,~DISCONNECTED IF NOT
Other Fee COMPLETED WITH O
I, the Electrical Inspectoc hereby Roug~-in oare~
certity that the above inspection has F,,,ai s o /
been made.
OFFICE USE ONLY -
Ttiis reques~ roi0 18 mon~hs hom ~ ~f ^Or~
~l~)~ j
~
, J
3 ~9 5 ~ 3 r„~ ~ ~
s
Raquest Da~e Fire No. Pough-in InSpeqion
~ Fequiretl? ? Aeady Nax O`/~'lIi Notity Inspector
G Ves ? No When Featly?
I C licensed contractor ? owner hereby request inspection of above electrical.work-at:
i
JoE Adtlress (StreeL Box o Route No.) Ciry
/L~~ R V~./
$ec~ion No. Township Nama or No, Renge Na. Counry
~
OccuOant~PFINT~ Phone No.
Lc r~ o~
PowerSuppiier Atldress ~j
Elecvical Co va<ror ICompany Name~ ConVaIXOrS Licensa No.
< ~ ~ O~
Mailinq ApOress 1 onVaaor or Ow king Ilation)
~ C
Auf onze~ Sign re 1 O?~ Making Installalion~ Phone Number
V
MI OTA 5 PIdTY ^1..~,~( THIS INSPEGTION REOUEST W~~I, NOT
gg ~ y &193 ~
f/ BE ACCEPTE~ BV THE STATE BOARD
9Y1 Univ Ave., SL Paul. 5f0< UNLESS PROPER INSPECTION FEE IS
horie (fi ~ BGY-0800 ENCLOSEO.
~/cI~ RE~UEST FOR ELECTRICAL INSPECTION ~6 ea-0oooioa
~ .ye ~f
J F . See insimctions Im comple~ing this form on back ol yellow cropY g/O'St~
"X" 8elow Work Cavered by Thrs Request
~ ew~dtl Rep. TypeoBUiitlirig AppliancesWired EquipmentWiretl
Home Range Temporary Service
Duplex Water Heater ElecMc Heating
ApL Builtling ~ryer Other (Specity)
Comm./Industrial umace
Farm Av Condi~ioner
Other(syecity) ConVactor5 Remarks:
Compute Inspection Fee Below.~
# . 01her Fee # ServiceEntranceSize Fee # Circuits/Feetlers Fee
Swimminq POOI 0 to 200 Amps 0 to 700 Amps
Transtormers Above Z00 _ Amps Above 700- Amps
SignS inspedor5 Use Only: ' ) TOTAL_ ~
~ Irrigation BoomS f~ ~ j
Special Inspection
Aiarm/Communication TXIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
~ Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Ro~qn-~n oa~e
certity ihat the above inspection has F;,,ai ~ • oa~~
been made. 7 Y
OFFICE I1SE ~NLY
This ~eQUest void 18 months irom _
This request void 18 months from af~ S~
~ . ~ a~~
DateoCthisRequest f( ~'02 v ~ 23069
I, as~
~censed Electrical ontractg{ ? Owner, do hereby request inspection of the above electri-
cal ~iring installed at: .C,(o~ t,~ ~~iiCf~,~w.,,, y
Street Address or Route No. S~ U~N 1' City~/'"~9~n
SecUo~ Township ~ Range County
~ /NAcITti
Which is occupied by ~U U~v~UGvJ I'[~ ~
(Name ot Occupant)
Is a roughin inspection required on this job? No ? Yes~'j Ready Now~ Will Call O
Power Supplier Address
~
Electrical Contractor ~ c~ Contractor's Lic~n~e No:
~
(COmoany Name) ~
MailingAddress_ ~o~.~,~ /3? C'f` ~/.r~l~~
(Electrlc I Contpra~"cror/~j'~~
wne~ Mak This lartallatlan)
Authorized Signatur~~~~- l~ aik,C.F'~i ~ Phone No. ~3~~7.Qc~
( lectrical Contractor or Owner Making T~IS Inatallation)
~~~q This impection request will not 6e accepted by ffie
c~ State Board unless praper impectian fee is enclosed.
' e aard of Electricity ~
' . au, . - one - 3 ~~m2~~
CHECK B
OW WORK CO EREDTBY'THIS EQUEST'ON ~ S .
Type of Building New Add. Rep. Check Appliances W'ved or Check Equipment W'ved For
Home Renge ~ Tempo~ary Wiring ~
Duplex Water Heater ? Lighting FixWres ?
Apt. Bldg. ? Dryer ? Electric Heating ?
Commemial Bldg. 0?? Fumace ? Sito Unloadet ?
Indqstrial Bldg. ? Au Conditioner ? Bulk Milk Tank ?
List List
Fazm ? ? ? p
Othet ? ? ? Hehe~b~ ~e~ers
C0101PUTE INSPECTION FEE BELOW
Service Entcance Size: # Fce Feeders&S ~s: Cucuits: # Fee
0 to 100 Am s. 0 to 30 A . to 30 Am eies
101 to 200 Amps. 31 to 100 A res 31 to 100 Am etes
Above 200 Amps. Above 100 mps. Above 100 Am s.
Transformers RemoteConvolC'vc. Paitialorotherfee S' ~
S' s Special lns ction Minimum fee $ "
Remazks n_ 1 TOTAL F g~
~C^~"r rv~. ' v l ~ ~
I, the Electrical Inspector, heceby certify e a e'o~i s been ma ~
(Rough-in) Date l~" ~
(Final) P ~ te ll~~
This request void 18 months from
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122 ~ I~j
651-681-4675
New Construction Reauiraments Remode1lReoait ReCUirements
• 3 registerea sile surveys showing sq. A. of;oL sq. ft. of house; anA all roofed areas • 2 copies of plan
(20% maximum lot wverage allowea) . 1 set ol Energy ~alcula[ions fcr heated adailions
. ? copies of ~ian showing 6eam 3 windew sizes; poured found design. etc,) . I si(e survey'cr axtenor adCitions 3 decks
. 1 set ol Energy Calculations . Indicace f home serveC 6y septic system for additions
• 7 coD~es of Tree Preservatian Plan if lot Flatted aker 7/1l93
• Rim Jaisl Cetail Options selection sheet (h10gs with J or less unAS)
DATE 5~~ O 2 VALUATION ~ ~J ~ ~ O° tl
SITE ADDRESS 3 S~l Sv e n s k o n~-¢ MULTI-FAMILY BLDG _ Y ~ N
TYPE OF WORK Tpa r o I~F t R~t Roo F FIREPLACE(S) _ 0_ 1_ 2
APPLICANT AL ~n o s7 Q h yT~, ~ h a e- o s~ ST
STREET ADDRESS I 3 R O- 1 0 2 S T CITY ~-G •N - STATE.22n.ZIPS.S b 77
TELEPHONE#6~!-NS750~9 CELLPHONE# (l~-~B~-G~{70 FAX# -
PROPERTYOWNER 7YJ~~c,~ia~ L ~Q-r~~n TELEPHONE# 65/--~8~~(930
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ ~IIVYL:S(>T:A RCLL:ti 7fi70 C1"1'1(GORY t ~[I~A[SO"1':A R['L1;S i(i7Y
(d submission rype) • Residential Ventilauon Category 1 Worksheet Submitted • New Energy CoCe Worksheet Su~mitteC
~ Energy Envelope Calculations Submitted
Plumbing CoMraetor. Plione r
Plumbing system includes: _ ~Va[er Softencr La~~T~ Sprinl;ler Fce: 390.00
~Vater Heater No. oF R.I. Baths
`o. of I~aths
Mechanical Contraetor: Phone #
~Icch~u~ic>il s}'stccn includes: .~ir Condiuo~iiit, , ~ O.OO
_ Hcal Rccovcr} 5tstrm I I
.IUI 1 5 2002
Sewer/Water Contractor: Pho
Y------°---"_______.
I hereby acknowledge that I have read this application, state thai the informaticn is corr ct, and agree to ccmply
with ali applicable Stafe of Minnesota Statutes and City of Eagan O(ti a~ces.
Signature of Applicant
OFFICE tiSE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Uptlated 4l02
OFFICE USE ONLY
? 01 Foundation ? 07 O5-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ezt. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex O 19 Lower Level ? 24 Storm Damage
? O6 04-plex ? 12 12-piex 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
? 33Alteration ~~37 Demolish(Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire B~dg only) - Give PCA handout to appiicant
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
_ Footinos (new bldg) FinaVC.O.
_ Footings(deck) FinaU\o C.O.
_ Foorings (addition) p~~b~g
_ Founda[ion ~qC
_ Drain Tile Other
Roof _ Icz & 1Vater _ Final Pool Ftgs AiriGas Tzsts Final
_ Framing _ Siding Smcco Stone
_ Fireplace _ R.L _ Air Test _ Final Windows (new-'replacement)
_ Insulation _ Retaining 1Vall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
Ciry SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Piant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
~37 7~ RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN 1 ~ ~ - -I ~
3830 PILOT KNOB RD, EAGAN MN 55122
651•681-4675
New Construction Reauirements RamotlellReoair Reauirements
• S;egisteretl site surveys showirg sq. N. cf bt. sq. fl. of house; and all roofed areas • 2 copies of plan
(20°5 m~imum lol coverage allcwed) • 1 set ol Energy Calculaticns `or heated addilions
cocies of plan showirg beam 3 wiMOw sizes; poured fouM des~gn, ela) . 1;de survey for =xrerior a0tlitions 3 decks
• 1 aet of Ene~gy Cafcula[ions • Indicate ,f home served cy septic system `or atlditions
• 3 copies of iree Preserva6on ?lan if lol piatted after 7IV93
. Rim Joist Detail Opuons selection snee~ ~bldgs wiN 3 or less units)
q 6fl
DATE J~.3~ - O 2 VALUATION: 7 O ~ D
SITE ADDRESS ~135 y S" v e n S~ L 4 n~-o MULTI-FAMILY BLDG _ Y ~ N
TYPE OF WORK Ra~rr~~ L ~ 4Q-- ,.c~-.tio FIREPLACE(5) _ 0_ 1_ 2
APPUCANT QI=mos~ A~nc~,~~ CsNS~T ~~~~I
STREET ADDRESS I 3S O- 10 ~ S T 4. CITY T-G'• I`I. STATE rY! l1 ZIP S.SD'7 7
TELEPHONE #6S~-4S7-So2 9 CELL PHONE ~ 80 6~f70 PAX #
PROPERTY OWNER tA~K2.e O ^ l.2~~~ TELEPHONE # ~ ~ ~ - 6 ~ ~'6q~
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ yti\ VFS(')'C:A 12['C.ES i670 GV"CEG0121' l ti[I~'~P:SO"C.A Ri ~Ll~
ti 7(ii `3
submissfon type) • Residenfial VentilaGon Category 1 Worksheet Submitted • New EnergyCcde Worksneet Submitted
• Energy Envelope CalculaGons Submitted
Plumbing Contraetor: Phone n
Plumbing system includes: Water Softener L1~vn Sprinkler Fee: 590.00
~Vater Heater _ ~o. of R.I. Baths
No. of Baths
Mechanical Contractor: Phone #
~[cch.mic:il systcm inciude,: :~ir Co~~diuoning . ~
Heat Rccoccn' Systcm ~ ~ ~ ~ ~ ~
Sewer/Water Contractor. Phone i ZD~Z ~
I hereby acknowledge that I hove read this application, state that the information is ~~r~~c . gre comply
with all applicable State of Minnesota Statutes and City of Eagan O ances~
Signatore of Applfcant ~ ~ ~
OFFICF, USE O~iLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 5/G2
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Cwelling ? p8 O6-plex ? i6 Fireplace ? 21 Porch (3-sea.) ? 37 E~ct. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
~ Oa 02-plex ? 10 08-plex ? 18 Deck ? 23 Parch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
33 Alteration 37 Demolish (81dg)' ? 43 Reroof ? 4o Windows/Doors
? 34 Replacement v 'Demolition (Entire Bidg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type af Const Width
REQUIRED INSPECTIONS
_ Footines (new bldg) FinaUC.O.
_ Footings (deck) FinaL\o C.O.
_ Foutings (a~idit.ot:i _ 1'iwnbing -
_ Foundation HVAC
_ Dr~in Tile Other
Roof _ Ice & W'ater _ Final Pool Ftgs :~ir Gas Tzscs Final
_ Framing _ Siding Stucco S[one
_ Fireplace _ R.I. _:\irTest _Final _ Windowslnew;heplacementl
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
W ater Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search +
Copies
Other
Total
~~.e~ ~~-~-f- 3~{79 5
~p .,/~,~/~y GITY OF EAGAN FOR CITY USE ONLY
~ ~ 3830 `PILOT KNOB ROAD
/l~•#/05 ~3 `$~S Encnx, rua ssizz PERMIT #
PHONE: (612) 454 8100 RECEIPT # /05/O
MF.GH6NICAI._ ~~I7;1 DATE: 3 /02 r'f~' - -
j~$TpE~17~AT,;:.: PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
~ TOWNHOMES/CONDOS WkiEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION FEES
NEW CONST ~ ADD-ON MINIMUM 15,0
~
ADD ON 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: -.~~nn~.- -
SUBTOTAL: $ fS,eC
SITE ADDRESS:_ `I~~`f ~~K=+~'?C~ ~.cm-aJ STATE SURCHARGE: .50
LOT : ~ BLOCK ot SUBD . LC/ '1~ ~ TOTAL: $ ~ ~ ~
INSTALLER:
470 WEST LAKE STREET
ADDRESS: MI~JNEAPOI IC Mn~ r~qdnQ~oon SIGNATURE OF PERMITTEE
PHONE 8242656 C~ ~/C
CITY: ZIP: ~~3 /`J ~
PHONE
~OMM~RGTAL/~SDASTfi2A.1.:; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL SUILDINGS,
- . , . .
APARTMENT EUILDINGS, AND MULTI-PAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING t~IIT.
°
CONTRACT PRICE: FEES
OWNER NAME: 18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
SI:E ADDRESS: BACH $1;000 OF PERMIT FEE.
PROCESSED PIPING = $25.00
IAT: BLOCK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: S
PHONE ~
(SIGNATURE) .
FOR:
CITY OF EAGAN
CLAIM VOUCHER-REFUND REQUEST
~ CITY OF EAGAN
r
MAKE CHECK PAYABLE TO: HORIZON CO ROOFING
ADDRESS: 1333 LARC INDUSTRIAL BLVD
BURNSVILLE MN 55337
- - - - - -
LOCATION: 4354 SVENSK LANE P.I.DJLEGAI.: LT 6 BL 3 WILDERNESS RUN 4TH f
RECEIPT !~/DATE: 134874/7-24-00 VALUATIONc $1,600.00 '
REASON FOR REFUND: STORM DAMAGE PERMIT 41862
TYPE OF REFUND:
Plumbing Pemut 9001.4087 $
Mechanical Peraiit 9001.4088 $
BuildingPemritFee 9001.4085 $ 15.80
Plan Review Fee . 9001.4222 $
SAC (MC/WS) 92202275 $
SAC (City) 9379.4681 $
SAC (Admin) 9001.4246 $
Water Connection 92203865 $
Sewer Pemut 92203743 $
Water Pemut 92203713 $
Account Deposit 9220.2252 $
Water Meter 9220.4509 $
Water Treatment 9220.4685 $
Surchazge 9001.2195 $
Ovetpayment 9001.2250 $
Curb Box Deposit Refund 9220.2253 $
Construcrion Meter Dep Refund 9220.2254 $
Water Usage Charge 9220.4505 $
Other $
TOTAL $ 15.80
I declaze under the penalties of law that this account, claim, or demand is just and that no part of it has been paid.
October2,2000
~~.\~r ~
SIGNATURE DATE
a~ r
CLAIM VOUCHER - REFUND REQUEST
~ ~ , , CITY OF EAGAN
MAKE CHECK PAYABLE TO: HORIZON CO. ROOFING
ADDRESS: 1333 LARC INDUSTRIAL BLVD
BURNSVILLE MN 55337
LOCATION: 4354 SVENSK LN P.I.DJLEGAI:: L 6 BL 3 WILDERNESS RUN 4TH
RECEIPT #/DATE: 134574/7-24-00 VALUATION: $1,600.OU
REASON FOR REFUND: STORM DAMAGE PERMIT 41862
TYPE OF REF`UND: ElecRical Permit 3211-9001 $
Plumbing Permit 3212-9001 $
Mechanical Permit 3213-9001 $
Building Pemut Fee 3210-9001 $ dZ.'Sg `~"3 p
Plan Review Fee 3422-9001 $
SAC (MC/WS) 2275-9220 $
SAC (City) 3866-9379 $
SAC (Admin) 3446-9001 $
Water Coanection 3865-9220 $
Sewer Permit 3743-9220 $
Water Pe:mit 3713-9220 $
Account Deposit 2252-9220 $
WaterMeter 3716-9220 $
Water Treahnent 3868-9220 $
Surcharge 2155-9001 $
Uality Acct Overpayment 2250-9220 $
Curb Box Deposit Refund 2253-9220 $
Cons4uction Meter Dep Refund 2254-9220 $
Water Usage Chazge 3711-9220 $
Other $
TOTAL $ ~ ` - ~ ~ O
I declare under the penalties of law that this account, claim, or demand is just and that no part of it has been paid.
~~j ~ ~,~ti September 5, 2000
SIGNATURE~ ~ DATE
.}y •
i
Exter~is "Quality workmanship that will add value."
1333 Larc Industrial Boulevard, Burnsville, MN 55337 • Office 612.890.3900 Fax BJ2.895.6053
August 31, 2000
City of Eagan
Building Inspections
3830 Pilot Knob Road
Eagan, MN 55122
RE: Pe~mit # EAD41862
Dear Building Inspections,
We purchased a permit #EA041862 for a partial re-roof. The homeowner
indicated to us that permit fees from the July 2000 storm have been waived. This
infarmation was provided to her from a letter and also verbal communication
between Mrs. Thibodeau and your inspector Dale Shepner.
We ask that you please reimburse us the permit fee of $59.40, for we were
unaware that the fee was waived for storm damage at the time we summited for
the permit. Please send theck to:
Horizon Exteriors, LLC
1333 Larc Industrial Bivd.
Bumsvifle, MN 55337
Thank you in advance for your attention to this. Please call if you have any
questions at (952) 890-3900.
Sincerely,
~ ~JU2~e vc/~
Teena Gardner
Office Administrator
Horizon Exteriors, LLC
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
~ ~ I ~ ~ ~ CITY OF EAGAN ~G~ „ ~ O
3830 PILOT KNOB RD • 55122
651-681-4B75
New ConatnicMOn ReaWremenh ~Fh f3'1 S 7~ Bemodel/Reoalr Reauiremants
? 3 regisfered sife surveys alwwing aq. H. of bf, eq. N. ol t~oute L-I~ (j() 2 copies of plan
antl ~II rooted areaa (~QSb maxlmum lot coveraae allowe~ ~ 1 aet ol energy cclculaNOns for heated ~1dlNOna
D 2 coples ol plans (show becm & window aizes; pouretl fnd tfeslgn; ett.) 1 site survey ta extetlor addlflons 8 decks
? 7 aet ot energy calcWatlaia
? ~ coples of hee Dreservaffon plan B bt plaMetl aRar 7/1/93 .
DAiE: ~-"I q- LTC~ CONSTRUCTION COST: f~Z" ~~P
DESCRIPTION OF WORK: ~'~LT(31~ Y~. J~: If multl-famiry bldg., how many unitsl
C
STREET ADDRESS: L C~~~
LOT: ~ BLOCK: / SUBD./P.I.D. li: ~ ~ ~ F~-~ ~l
Name:~~ ~~'~~.U. 1-~ Phone
PROPERTY ~ F~M
OWNER SfreetAddress: `1~`-! ~~~.I~S~ ~Q.~`~
CI1y ~C:l ~~JI~ Stafe: "~~LV _ Lp: S~J I Z~
Company: ' - - - ~ Phone
Horizon Exter'ars (a~ea code)
~333 Larc Industrial BNd.
CONTRACTOR Burnsville, MN 55337 '
Sfreet Address:_ (612) 890-3900 License M~Exp.
Cly State: Zip:
ARCHRECT/
ENGINEER Company: Name:
Telephone ( )
Sheet Address: ReglsfraHon 7i:
Clty State: Zip:
Sewedwater licensed plumber (1f Installino sewedwaterl: Ptwne
1 hereby acknowledge that I have read lhisapplicaNOn, atate lhat the intormc~ ion is corteci, and ag s fo omprywNh all applicaA~leSf~e
of Minnesota Statutea and Ciry of Eagan Ordinances. ~
Signafure ot Applicanh ~
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required ~
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundatian ? 07 OS-plex . ? 13 1&plex O 21 Porch (3-sea.) ? 31 Fxt. Alt - Muld
? 02 SF Dwelling ? Og O6-piex ? 17 Garage O 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 03 01 of _ plex p 09 O7-plex ? 18 Deck ? 23 Porch (scree~ed) O 36 Mufti
? 04 02-plex ? 10 08-plex ? 19 Lower Level O 24 Storm Damage
? 05 03-plex ? 11 10-plex Plbg _Yor_N ? 25 Miscellaneous
? 06 04-Plex ? 12 12-plex ? 20 Pool O 30 Accessory Bldg.
WORK TYPE
? 31 New ? 36 Move Bldg. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) O 45 Fire Repair
? 34 Repair ? 42 Demoiish (Foundation) ? 46 Windows/Doors
• Give PCA handout to applicant for tlemolition permit
GENERAL INFORMATION
SAC Code # of Stories sq. ft.
No. of Units Length sq. ft.
No. of Buildings Width Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. Ciry Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
O Stucco/Stone
APPROVALS
Planning Building Engineering Variance
Permit Fee ~ Valuation: $
Surcharge
Plan Review
License
MC/ES SAC
City SAC ~
Water Conn.
Water Meter
Acct. Deposit
S!W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies ~
Total:
SAC Units
% SAC
. ~ MASTER CARD
LOCATION .~„~q 6- 3- e.c)~Q 4
OWNER ~/s~.
STRUCTURE AND ~O J w~~
LAND USED AS Q f ~
Issued To
Permit No. Issued Coniractor Owner
BUILDING ~ ~ s ~ LI
PLUMBING ~ rC
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEA7ING 6 y/ ~ y! ~
GAS INSiALLING
SANITARY SEWER
OTHER
OTHER I I
Approved
Items (Initial) Date Remarks Distance From Well
FOOTING ~ SEPTIC
FOUNDATION CESSPOOI
FRAMING TILE FIELD PT.
FINAL
ELECTRICAL DEPTH
HE.4TING OF WELL
GAS INSTA~LATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WEII
SANITARY SEWER
- Violations Noted
on Back
COMMENTS:
1
. y
~
COMPLIANCE INSPECTION REPORTS
TO BE USED ONIY IN EVENT OF OBSERVED VIOLATIONS -
PERMIT NO. DATE OF INSPECTION
CONDITIONS OF CONSTRUCTION AT THIS INSPECiION
NO EVIDENCE Of NON•COMPLIANCE ? NON•COMPLIANCE. BUIIDER DOES NOT
OBSERVED. INTEND TO COMPLY.
~ ? ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS. ? COMPLETION Of CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZED AND DESCRIBED AS FOLlOWS:
? REINSPECTION REpUIRED DATE OF REINSPECTION
REINSPECTION REVEALED
CERTI FICATION -I certify that I have carefully inspected the above in which I have no interest present or prospective, and that 1 have reported herein
all significant conditions observed to be at variance with ordinances of the Tawn of Eagan, approved plans and specifications, and any specific require-
ments for off-site improvements relating to the propeny inspected.
~ ALL IMPROVEMENTS ACCEPTABLY COMPLETED
BUILDING INSPECTOR DATE
COMMENTS: '
city o~ eec~c~n
3830 PILOT KNOB ROAD. P.O.. BOX 21199 • BEn elOnn9utSi
' EAGAN. MINNESOTA 55721 "AOyOf
. PHONE: (612) 454-8100 Tt{oMAS EGAN
JAMES A. SMITH
JERRV THOMAS
DATE: THEOOOaE wncHTEa
September 11, 1984 co~~,rnemoa~s
THCMAS HEDGE$
~ Cify Admmisfrafor
- ~ EUGENE VAN OVERBEKE
SPECIAL ASSESSMENT SEARCH arvae~k
' Requested by: JNI~ERSAL TITLE INSURANCE RE: 4354 Svensk Lane
14500 Burnhaven Dr. Ste 7.59 Wilderness Run 4th
Burnsville, MN 55337 Lot 6, Block 3
j P.I.D.lI 10-84353-060-03
~ Enclosed herein.is the search which you requested made on the above described property.
; Kind of Improvement Runs Beginning " Ori~ixial Amount Balance Due
j Storm Sewer Trunk 15 yrs 1981 $ 279.43 $ 204.95
i
~
i
I
~
I further certify that according to the records of said office, the following improve-
ments are contemplated or pending after having been approved and are now in the process
of planning or completion.
Kind of Improvement Approximate Date of Completion Approximate Cost
NONE
WAIVER:
Neither the City of Eagan nor its employees guarantees the accuracy of the above infor-
mation which was requested by the person or persons indicated. Nor does the City or its
employees assume any liahility for the correctness thereof. In consideration for the
supplying of the indicated information in the above form and for all other consideratio
I of any nature whatsoever, any claim against the City or its employees rising therefrom
j is hereby expressly waived. Levied assessments to be paid to the CITY OF EAGAN,
! 3830 Pilot Knob Road, P. 0. Bix 21199, Eagan, MN 55121.
~ Very truly yours,
;
SPECIAL ASSESSMENT DIVISION
iNE LONE OAK TREE...iHE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNIIY
f
ity oF eagnn
3830 PILOT KNOB ROAD, P.O. BOX 27199 ' BFA BLOM9UIST
EAGAN, MINNESOTA 55121 ^'1O~'
PHONE: (612) 454-8100 ~ 7}iOMnS [G.~N
~ .WMES A SMI1Fi
. VIC ELLISON
iHEODORE WACHTER
Special Assessment Search `°""°"''1e"1bef
7HOM4S HEDGES
~ Ciiy P.cbnnunotw
Date: October.28, Z9H~ EUGENCV
GOVERBEKE
Requested by: Re: Wilderness Run 4th
10-84353-060-'03
~
) DAKOTA COUNTY ABSTRACT CO !
1250 HWY 55r P 0 BOX 456
HASTINGS MN 55033 ~I
un the attached form is the City's response to your search request
on the identified property. The information includes the original
amount of the assessments and the payoff amounts of the assessments
on the parcel. In addition, pending assessments are included for
improvement projects that have been ordered to be installed by the
City Council as they may affect this parcel.
The City's policy is to levy assessments based upon the current
zoning or existing use of the parcel (whichever is higher) as
reflected in the above assessments. If, and when, the parcel is
rezoned or developed to a higher use, a condition of development
approval will require that this parcel assume any additional
assessment obligations that have not been previously paid for
existing public improvements. The City Engineering Division can
provide further clarification of this policy if you desire.
WAIVER/DISCLAIMER:
Neither the City of Eagan nor its employees guarantees the accuracy
or completeness of the information provided which was requested by
the person or persons indicated. Nor does the City or its employees
assume any liability for the correctness thereof. In consideration
of receiving and using informati.on on the attached form and for all
other consideration of any nature whatsoever, any claim against the
City or its employees rising therefrom is hereby expressly denied.
Pending assessments cannot be paid until levied. Levied assessments
Can be paid to the CITY OF EAGAN.
Very truly yours,
SPECIAL ASSBSSME
Attachment
iHE LONE OAK TREE. ..THE SYMBOL Of STRENGTH AND GROWfH IN OUR COMMUNIN
r .
_~r~. ~ (._d..l .a' J. C` . .
I,~,r~~•.:_} IC i.,~_.;~„ 11.7 ~ fi'T,_,E.7 SI~'ic.i..f. ~I... '=::°::~iii:`~'=il"iF:l'.i1-cj
cc>.r_...,. .....-'c:~ c:~.' _ i,~~.
~_1:~.~~ ~4t=.;ji__'o._.`1i_.y _ .__f~tt~:l'i ~iUi: ~r.lFi''(
.~.ili..~Srj,.~..,. ~ 1"~lY /M11'L:~ . . ~ I,C "'C"-.__.~.._
I''~'.~._,i Y' .2 . U ' ......_i:` I I 41'-~ -
~....):rf..i 1..7F~y~i~c: .~1;(.tj/::i: ._H_..~
~ ~ . ' LF_'.._F'P.:i-7-CJ_CJ-i
1 ' , - ~ ~ - c ' -
t_;--t:'^E.';::".:j°-:,)L?J....(i.'. ~ C`
=--J-==--:-_:_:__,_=,-:::-:-.l~~a~~~=;=<:-P.-~>:...:::
~-~-,-v..-`-._f____::_:_::_:
".i: .:.,~,__r.,;. rr_.e;,F:., YF: YF;?_:
rY.~..]_._.:?:LM~:rI I I- L I;(;"i'i'=: 'T~QT~~'d_ AP~;td. i'RI4':,, f=A1~'0~=1- i°:c?., ,
r~r--~
';%>',:'.:,,1 ct~_i,7~: _Fi ~'[~1=t~.::: 't:.i t C-3 i :i. c:>:':. , i7+J (:7i'; i:il_t.-lc;r_l.
i:n:lci.<:4 i. =i..~.P,: ~i .1..~
fF:: rar; ].5 43, ~
~i:;';t: , . !>U . i i!::' L:L r:3Sci)
;;..;~.~.;~a;.n s,l;P~~IP,FiY ~fr ,1t.:T7:VF. ..C,~,~ .Ui~ .Crii
i~~icfi~.r..g;~r. .~..Fi7:tii `lE:FiR'~.i .1..0T' o" { .iii~
P~-ess :-i. or F':? (I-iE_+~~der Formi or t-f (1=:ct>t<,.i-± fi:~'f~i3i
PERMIT
~ ~CITI( OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 2 7 7 71
(612) 681-4675 Date Issued: 0 6/ 0 5/ 9 6
SITE ADDRESS:
4354 SVENSK LANE
LOT: 6 BLOCK: 3 '
WILDERNESS RUN 4TH
P.I.N.: 1@-84353-060-03
DESCRIPTION: ~Y.
~ (ROOFING)
Ruildin'g-,,Permit 7ype "3-F-fi~FfS-E-~-
JBUikdir~g l~'c~.rk Type REPAIR
~ Gensus Code 434 ALT. RESIDENTIAL .
rb' .
/
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'aq
np
~
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I L,/f~~,.i'
J .
1~ ~ 4 . 'i ~ ~ /
/ ~ C~ ` , c: ~
~ i- ~ ~t ~s3 ._S 4~ ;d'~i ~ ,%•i =Nii ~ i~,~
ii
~-V -
REMARKS:
STORM DAMAGE - NO FEE
FEE SUMMARY:
CONTRACTOR: - Applicant - ST. ~zc.OWNER:
HORIZON ROOFING 18903900 2001279 THIBIDEAU LINDA
1333 LARC INDUSTRIAL BLVD 4354 SVENSK LN
BURN5VILLE MN 55337 EAGAN MN 55123
(612} 890-3900 (612)688-2092
I herelsy acknowledge that I have read this applfcation and state that Che
i,nformation is aorrect and agree to comply w.ith all applicable State of Mn.
Statutes and City of Eagan Ordinances.
4_ ~ _ . _ _ -
~(~(1!~ A~PL~ ~ G~
APPLICANT/PERMITEE SIGNATURE ~ ISSU BY: SIG URE .
CITY OF EAGAN
~ ~ 3830 PILOT KNOB RD - 55122 ~~1( 0~'~
~ f 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
~
681-4675
New Construction Reauirements RemodeUReoair Reouirements
? 3 regtstered sita surveys ? 2 wpies of plan
? 2 wpias of plans pndude beam 3 window sizes; poured fntl. tlesign; etc.) ? 2 ske surveys (exterior edditions 6 decka)
? 1 energy cetwletions ? 7 energy wlculetione for heated aEtldions
? 3 eopies o} tree pieaervation plan ff lot platted efter 7/1193
roqutred: _ Yes _ No
DATE: SI Z 9~9 ~p CONSTRUCTION COST: 3~ 3 70
DESCRIPTION OF WORK: ~ ~ Q~' ~
STREETADDRESS: ' y~5~ S~/e~~ LGruL,
LOT BLOCK SUBD./P.I.D. (p ~~n~Q~-~1~ V ~ ~
PROPERTY Name: r~i oi o%Cc.~~ Phone CD `Y~ `~Qy~
OWNER
StreetAddress~ `~3~`~ -S?~n~ ~~~ZQ-
City: ~~9~7 State: Zip; SJ 3
CONTRACTOR Company: ~~zo'7 oa ~ ~ Phone ~'.y n 3900
Street Address: /333 ~A,ec Z~~?u~T~i~G License `~~o/a~~
3~~/
city: ~s,~n~u ~/l e 5tate: '~''~l~ Zip• J
53
ARCHITECT/ Company: Phone
ENGINEER
~ Name: Registration
Street Address•
City: State: Zip:
Sewer & water licensed plumber: Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this appliqtion 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
Certificates of Survey Received _ Yes _ No
Tree PreservaGon Plan Received _ Yes _ No
OFFICE USE ONLY
~
s. ~
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 5F Dweliing ? 07 4-plex ? 12 Multi RepaidRem. 0 17 Swim Pool
? 03 SF Addition ? OS 8-plex o 13 Garage/Accessory o 20 Public Facility
0 04 SF Porch ? 09 12-plex ? 14 Fireplace o 21 Miscellaneous
n 05 SF Misc. 0 10 _-plex o 15 Deck
WORK TYPE
0 31 New o 33 Alterations o 36 Move
? 32 Addition o 34 Repair o 37 Demoli6on
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire 5prinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code
Census Bldg
Census Unit
APPR~i/ALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS 5AC
City SAC
vdater Conn.
Water Meter
Acct. Deposit
SNV PermR
SM/ Surcharge
Treatment Pi.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
°k SAC
SAC Units ~
~-~i ~ PERMIT ~z
CITY OF EAGAN ~ ~
3830 Pilot Knob Road PERMIT TYPE: e ILDYN6
Eagan, Minnesota 55123 Permit Number: 023121
(612) 681-4675 Date Issued: 0 3/ 3 0/ 9 4
SITE ADDRESS:
4354 3VENSK LANE
LOT: 6 BLOCK: 3
WILDERNESS RUN 4TH
P.I.N.: 10-84353-069-03
DESCRIPTION:
i
8uilding'_Permit Type SF PORCH
Building Wor_k 7ype NEW
i
JI
~
\
j' ~
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REMARKS:
A SEPARATE PERMIT IS REQUIRE? FOR ANY ELECTRICAL WORK
FEE SUMMARY:
VALUATION $7,000
Base Fee $90.00
5urcharge $3.50
Total Fee $93.50
CONTRACTOR: - Applicant - s7. IIC. OWNER:
PATIO ENCLOSURES INC 15251494 0001676 HIBEDEAU LINDA
5120 CEOAR LAKE RD 4354 SVENSK LN
S7 l.0UI5 PARK MN 55416 EAGAN MN 55123
(612) 525-1494 (612)688-2092
I hereby acknowledge that I have read this application and state that the
infiormation is carrect and agree to comply with all applicable State ofi Mn.
5tatutes and City of Eagen Ordinances.
~ ~
, ` flnr~n R~,LI ~I
A L~C NT/PERMITEE SICaNATU13E ISS : 51 NATU E
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: a u i ~ o i N ~
3830 Pilot Knob Road Permit Number: 0 2 8121
Eagan, Minnesota 55123 Date Issued: 0 3/ 3 0/ 9 4
(612)681-4675
SITEADDRESS: ~07: e BLOCK: 3 APPLICANT:
4354 SVENSK LANE PATIO ENCLOSURES SNC
WILDERNESS RUN 47H (612) 525-1494
PERMIT SUBTYPE: TYPE OF WORK:
3F PORCH NEW
. .
FOOTINGS FRAMING
FINAL
REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL WORK
~ -
L- -
REACTIYATE _ CITY OF EAGAN
PEF~t~T ~ 19~~-BUtLDING PERMIT APPLICATION -
~9~{ 681-0675 _ `
:I , ~
ca.~~, _ ?Y ~;1- 4 ;
SINGLE ~ MULTI-fAMILY 2 sets of plans, 3 registered site surveys;-Y coRy-e~ea~e`rgy
calcs.
COMMERCIAL 2 sets of architectural S structurat plans,.l set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last wor_k.ing_day._of month.
in which request is made, 2) address is changed or 3) lot change i.s requested-onee'permit
is issued.
Date o3 ~ 08 ~ 94 yaluation of work $11,719.00
Site Address: 4354 Svensk Lane
SiREET fU[TE /
Tenant Name: (cortmercial only)
IAT ~ BlACIC ~ SUBD. n J P.I.D. N
UJ ~i;~JLvlt~i; ~ ~
Destri tion of work:=nstall Patio Enclosure to existina structure
The appl icant i s: ? Owner ~~.ontractor ? Other (Deceribe) .
Name Thibedeau Linda Photle 68$-2092
Property ~~ST ?~RS, -
Owner pddress Same As Above
STREEi iTE /
Lity Eaaan $tBte MT? Z1p ~~t23
Company PATIO ENCLOSURES INC Phone 525-1494
Contractor AddYe55 5120 CedarLake xoaa License ~10001676 Exp, 3/94
~~ty St. Louis Park State T'~r~ jjp 55416
Company Phone
Architect/
Eng(neer Name Registration 1~
Address ~
. City State ZiP
Sewer & water licensed plumber . Processing time for
sewer 6 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 St~te of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUfLDING PERMIT TYPE ~ ~ ~ ,
~
? O1 Foundation ? O6 Duplex ? 11 Apt./lodging :a..&}'~16.Basemen~~cFinish
~ 02 SF Dwg. ? 07 4-Plex ? l2 Multi. Misc. O 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 6arage/Accessory ? 18 Comm./Ind.
~ 04 SF Porch ? 09 12-Plex ? 14 Fireplace O 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck 0 20 Public Facility
? 21 Miscellaneous
WORK TYPE
~t 31 New ~ 33 Alterations ? 35 Tenant Finish ? 31 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Lonst. (Actual) Basement sq. ft. MWLC System
(Allowable) lst F1. sq. ft. City Nater
UBC Uccupancy 2nd F1. sq. ft. PRY Required
Ioning Sq. Ft. total Booster Pump
i of Stories Footprint Sq. ft. Fire Sprinkler
Length Dn-site well Census Code s y_
Depth On-site sewage SAL Code d!
APPROVALS a
Planning Building Assessments
Fngineering Variance
REGIUIRED INSPECTIONS '
O Site ~ Footing ~ Framing .@ Insulation
? Wallboard ~ Final ? Draintile ? Fireplace
Permit Fee vaw.c~d,: S ~
Surcharge
Plan Review ~mvcQ
MWCCnSAt (`/~F i2~ ~~08 ~F %o = ~;?2a
Lity SAC
Water Conn.
Water Meter
Acct. Deposit
5/W Permit
5/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
y~q 1 ?c' n k., n, Ss"Y. nr rv. m-
+Y~TIk 'YZ' x4 i ic#~ ,"34 -a. ~ 2r F 4.rF^'. a_d r '6t r nN ~r B",tpJ,"" i _ r °
'rtk,d..i J t 5 y'A'~ i"~' 8'r e ~ i,. ,a.e rf p. y "s'~ ,d' . x'~ ar`~ :n n
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~ y~ BURNSVILEE; MlNNESOTA 55337- ' ~ ~
~ H F 9t -u' ..y~y
~ (612) 894-1480 y r" ;a
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City of ~a~aIl ~ Pe~„#: ~'S~ ~ '
~ Pertnit Fee: 5 V ~
3830 Pilot Knob Road
Eagan MN 55122 j Date Received: ~ j
Phone: (651) 675-5675 ~ ~
Fax: (651) 675-5694 ~ Staff: ~
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ~I` ~''I-~'h SiteAddress: ~ ~ ~~i/VS~ Y~~'~/~
Tenant: ~ ~lN N ~ It Sulte
RESIDENTIOWNER Nam~`
ft1/l~~s ~L~-~L~,Gi~~~~ Nh ~e: ~ya - 3a~~/
Address ! City ! Zip:
Applicant is: _ Owner _ Contractor
TYPE OF WORK Description of work: ~~_T O E_I~,~yut~?P'4 L
~
Construction Cost: ~~~D Multi-Family Building: (Yes _ 1 No ~
CONTRACTOR Name: C9fJ~~~..f/_~5~.+-f/ ~~rcu~~',iL~~ License#: NC~`f~~'~~6~
Address: ~ ~ r ~ ~ ~ r~
City: l~ ~tA~F t.~ ~ State: ~ Zip: ~S~ _
Phone~q S~~.~+~5~ w~~6 ~ Contact Person:,~,~ ~'~J~~~-+G14S~ ~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Ven5lation Category 1 Worksheet • New Energy Code Worksheet
CBtBgOly Submitted Submitted
Submisslon type) • Energy Envelope Calculalions Submitted
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, dale and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTEr Pfans and supporting,documents that you submit are considered to be public Information. Por7ions of
the inlormafion may be classifled as non-public H you provide specific reasons that would permit the City to -
° conclude that the' are trade secrets.' "
I hereby acknowledge that ihis iMormalion is complete and accurate; tha~ the work will be in conformance with the ordinances and codes of fhe City of
Eagan; Iha[ I understand this is not a permit, bul only an application for a permit, and work is not to start without a pertnR; Ihffi the work will be in
accordance with the approved plan in ihe case of work which requires a review and approval of plans.
X ~1K ~ :~L-~-I~SC7/~-~
Ap~p
cant's Printed Name nYs Signature .
Page 1 of 3
ti
DO NOT WRIi'E BELOW THIS LINE
SUB TYPES
? Foundation . ? OS-plex ? 16-plex ? Accessory Building ? Pool
? Single Famfly ? O6-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multl
? Ot of _ Plex ? 07-plex ? Garege ? Porch (4season) ? Ext. Alt. - SF
? 02-Plex ? 08-plex ? Deck ? Porch (screeNgazebo/pergola) ? Multi Misc.
? 03-Plex ? 10-plex ? LowerLevel ? Storm Damage
? D4-Plex p 12-plex ? Miscellaneous
WORK TYPES
? New ? Interior Improvement ? Siding ? Demolish Building'
? Additlon ? Move Building ? Reroof ? Demolish Interfor
? Alteration ? Fire Repafr ? Windows ? Demolish Foundation
? Replacement ? Egress Window ? Water Damage
' Demolition (enti2 6uilding) - give PCA handout to applicant
DESCRIPTION:
Valuation Occupancy MCES System
Plan Review Code Edition SpC Units
(25%100%_) Zoning CityWater
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Bufltlings Length Fire Sprinklers
Type of Const. Width
REQUIRED INSPECTIONS
Footings (new bldg) Sheetrock
Footings (deck) Final/C.O.
Footings (addition) FinallNo C.O.
Foundation HVAC
Drein Tile Other:
Roof: Ice & Water _Final Pool: _Footings AidGas Tests Final
Framing Siding: _Stucco Lath _Stone Lath Brick '
Fireplace:_R.I. _Air Test _Final Windows
_ Insulation Retaining Wall
Reviewed By: Building Inspector
RESIDENTIAL FEES:
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Utility Connectfon Charge
S&W Permit & Surcharge
Treatment Plant
Copies
Total
Page 2 of 3
r
Cit~ of ~a~~Il
3830 Pilot Knob Road
Eagan MN 55122
(651)675-5675
RESIDENTIAL BUILDING PERMIT APPLICATION REQUIREMENTS:
New Construction Requirements
? 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas
? 1 Soils Report if proposed building is to be placed on disturbed soil
? 2 copies of plan showing beam & window sizes; poured found design, etc.
? 1 set of Energy Calculations
? 3 copies of Tree Preservation Plan if lot platted after 7/1/93
? 20% maximum lot coverage allowed
? Rim Joist Detail Options selection sheet (buildings with 3 or less units)
? Minnegasco mechanical ventilation form
Remodel / Reaair Reauirements
? 2 copies of plan showing footings, beams, joists
? 1 set of Energy Calculations for heated additions
? 1 site survey for additions & decks
? Addition - indicate if on-site septic system
Office~ Use Only ~ ~ ~ ~ ~
? Certificate of Survey fteceived
? Soils Report ~ * ~ ~
? Tree Preservation'Plan ° '
~ Tree Preservation Requi~ed ~ i
,
? On Site'Septic System
~ . , ~ Page 3 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA173954
Date Issued:12/15/2021
Permit Category:ePermit
Site Address: 4354 Svensk Lane
Lot:006 Block: 003 Addition: Wilderness Run 4th
PID:10-84353-03-060
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Fireplace (new)
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Sheila Gullickson
4354 Svensk Lane
Eagan MN 55123
(612) 239-5394
Glowing Hearth And Home Llc
100 Eldorado Dr.
Jordan MN 55352
(952) 492-9276
Applicant/Permitee: Signature Issued By: Signature