4371 Svensk LanePERMIT
City of Eagan Permit Type:Building
Permit Number:EA128592
Date Issued:11/21/2014
Permit Category:ePermit
Site Address: 4371 Svensk Lane
Lot:009 Block: 002 Addition: Wilderness Run 4th
PID:10-84353-02-090
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Kevin C Olson
4371 Svensk Lane
Eagan MN 55122
(651) 428-4861
Greene Construction Inc
10722 251st St
Scandia MN 55073
(651) 257-3344
Applicant/Permitee: Signature Issued By: Signature
YILLAOE OF EAOAN SEWER SERVICE PERMIT
3795 Piloe KnoL Road PERMIT NO.: 2529
Fagan, MN 55122 DATE: 7I2/75
7,o~nB: iil No. of Units: 1
Owner: Ti1 g n Hom In
Address:
Site Address: ~84 4371 Svensk Lane 9-~-Wit4
Plumber: ~y- o~ - .
1 egree to wmply witl~ th~ Vilkga ef Eagon Connection Charge:425 00 Pd
O~dinancn. Account Deposit:
Permit Fee: 10.00
Surcharge: • 50
gy. Misc. Charges:
Date of Insp.: Total:
Inep.: Date Paid:
YILUIGE OF EAGAN WATER SERVICE PERMIT
3795 K:... Y.aob Rood PEHMIT NO.: 12~2l,75
MN 55124 DATE:
E°`~O~' No. of Units: 7-------"-~
Zoning: ~
Owner: _'~~~-x -
Address: q Z Wxy ~ "
Site Address: SY~n~~~~~F~-
pWmber., ~~`~676., 320 00 T~d
Connection Charge:
Iblete~ No~.:/ A~~ount Deposih
SiZe' Permit Fee: 1Q.~~
Reader No.: O -
~ aq~ ~a ~umply with the V~~~a9e of Eogan Surchatge: --~-60.00 ~ IDBtHr
Misc. Charges:
Ordinpnces. Total: ~
~ . Paid: -
BY
Insp.: v
Date oF Insp.: ~
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: i''
Eagan, Minnesota 55123 Date Issued: ~
(612) 681-4675 ~
SITE ADDRESS: , , APPLICANT:
~ ~ ~ ,i I ANF ~,7i; , ~ ~
~'i r .~N~ , }:lit~ ~111~ • ~ i,l
PERMIT SUBTYPE: TYPE OF WORK:
~ , ~ ~i i~~~~:i t~+r.t
~ ~ ~ i ; , ~ .
. .
; ~ i i!,. ~ + ~i:~ ~
~
~ . . -
Permft No. PermR Holder Date Telephone A
S/MI
PLUMBING
HVAC
ELECTRIC ~y~ ~c~19~
ELECTRIC
lnspectbn Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
FireplaCe
Final Htg.
Orsat Test
Final Plbg. Pibg. Irrepector- Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final ~ ~ ~ / T~ ~
Deck Ftg. _
l'1 - l
Deck Final ~ S- ~
Well
Pc Disp.
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: ' ' ' ' ,
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: "
(612) 681-4675
, . i.~ , ~
SITE ADDRESS: ~ f~, APPLICANT:
, . , . ro~:;r~ r nr?F , , , ~ ; ~ „
! I i i;~) f P1t , I~ Ittd 1! I) ~ .
PERMIT SUBTYPE: TYPE OF WORK: ~az
i, ,
• •
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~ ~
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~ - ; ~
: i ~ T~, ~:'~„E
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: .
. . . . . ,
f
:
. . _ . , i . . . . . .
~ . . . . . . . , . . . . . ~ a : ~ ~ ~
P~rmit No. Permlt Holder Date Telaphone #
ELECTRIC
PLUMBING
HVAG
Inspectlon Date Insp. Comments
FOOTINGS
FOUND
FRAMING ~
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
AOUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FiREPLACE
FIREPLACE
AIF TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG 7' !"~y ~ S:~ ~/t1~. ~ H~'~ 1 J
DECKFINAL _~Z~ ~
. INSPECTIaN RECORD
CITY OF EAGAN PERMIT TYPE: ~
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
, . ~
SITE ADDRESS: , f, i~,, ~ APPUCANT:
~ ~ . ~~~,r_ ~ aHF ~ . ~ , ,
, t ~ , , I11! ~1 1 II ~ t . . ,.,.6, .
PERMIT SUBTYPE: TYPE OF WORK:
~ i ~ . r n ~ ~ N
• •
t~ I PI t, ; I f'1 i~ I
. ~
/ ' _ „ ~/j. , _ J
!?I b11+1 k'. . 1 a ll.N'. I itN ~+1 f M l Fiti'LI~~`," ~ N I~~ Ahii it~,t
(A `~t~AkA1E F~FkMi i i:~; ~t[~~UlftF F[~F' AHY 1 f ff.IRit:AI t.lii~;~ 1
~
~ J
Permit No. Permit Holder Dete Telephone M
ELECTRIC ~59~5
PLUMBING
HVAC
Inspacdoa Date Insp. Commente
FOOTINGS
FOUND
FRAMING ~
ROOFINQ
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PIBG
FINAL HTG
ORSAT
TEST
BLOG FINAL
BSMT R.I.
BSMT FINAL
DECK FfCi
DECK FlNAL
CITY OF EAGAN Remarks
Addition Wilderness Run 4th Addition ~ot 9 sik 2 Parcel 10 84353 090 02
Owner Street 4371 Svensk Ln. State Eagan, MN 55123
~ n ~1 J
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
~ SAN SEW TRUNK 1973 $163.26 $8.16 20 PAID
SEWER LATERAL
WA7ERMAIN
WA7ER LATERAL
WATEF AREA
STORM SEW TRK 19$ 2
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET IIGHT
WATER CONN. $320.00 - -
~UtLOIntG PEa. 201 5-75
sac 201 5-15-75
PAR K
~ 1 v
CITY of EAGAN N4 3582
BUILDING PERMIT
C~„_,,_~; 3795 PiloY Knob Aoad
Owe~s .-°°--...°p-°-.......--/°--.--~--~- ~ ~ Eagan. Minnesota 55122
Addrau {presenll .......~.~=7.....~Q..:.,~4~:`.^:'k 454-8100
O
Butlder /ur_ 7-S'
Dalo ......s.5..".'
Addreee
DESCAIPTION
6loriec To Be Uaed For Fron! Depih HeiBh! Esl. Coo! esm!! Fea Asmuk~
~ 2, G ~-l.s~b •r ~ 9, o"T~ 9 0 1
, a 8' a
- µ LOCATION J3~.~S
3lreet, Aoad or olher Dneriptioa ot Loeation I Lo! Slack Additioa or Traet
'-713 `7 ~ ~ ~ - ~
Yhis permii does ao! auihorise !he use of clreels, roads, alleys or sidewalke nor doaa t! giva !ha owner os hia agent
fhe xigh2lo ereale any sifualion which is a nuisance or which presenle a hasard fo !he health, safely, eoaveeiepcro aed
geaeral walfare fo aayoae in !he communiiy.
THIS PERMIT MUST BE E,~ PT ON THE PREMISE WHILE THE WO88 IS IN PROGRESB.
TMa is So cerlifp. ffia!._-'~-~a-.";~=----.-C1•--"`-`--~ --------...haa permission !o esee! ._`Q'`"'"e~.....-----......___upen
She above described premise subjeef to Yhe provisions of all applieable Ordinances for SLe Ci of Eagan
,(9-~
~eP -~..~.~,J
......~.I..--°:~-~"-~~:...._._............... . re:
Ma ar ~ Su4d3ny Impeclor
~
0
075s
925 8 s~~8
~~~8~
Requesl Date F re No. Roughdn Inspec~ion Requiretl Ins eclion Olher Than RougM1-In
n ^ (VOU must call inspec~ot when re y) g Reatly Now ~ Will Notiiy Inspec~o~
W Yes ? No pate Read
I~licensed contractor ? owner hereby request inspection of above electrical work at:
Job Atltlress (StreeC Bax or Rou~e No-) C~ry
3~ ~ ? ewS ~G~i.s~ A ow-~
Sectlon No. Township Name o~ No, Range Na. Counly
- ~ k~-~-
Occupant~PRiNT~ Phone No.
S P/ ' sAl?
PowerSUpP~ier Atltlress ~ •~(~6'l ~
Ns
ElecMCal ConVacmr (Company Name) Conttactar's License No.
al~ s,n ~~ev~- ~ G 6 2-`~-3 2~
Mailing Atltlress (COntaclor or O er
M~nslallation)
D ~i 6t ~
Authorixed Sign re (COnirac r ner Making Installafion) Phone Number ~
~`L--(o2
~8 2gU MVtl~w~ayY Altl~g,BS oP m S~N 55100 Iry ~ UNl SSEPFOPER NSPECTION FEE
pT
Phone (612) 6<2-0800 ~ ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION ~r
~~j'~(p 4~,~~
~ See instmc~ions for comple~ing ttiis form on back ol yellow copy. ~`~~s
0 0 7 5 9 2 5 "X" 8e/ow Work Cavered ~ This Request ~~~~5~~~~
Ne Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heatin
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Other ~specily) Conuactor's Pemarks: ~YL a~ Q~~ h
Compute Inspection Fee Below: y~f~w~ ~~~1`? ~Gc
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Am s
Transformers Above 200_Amps Above 100 -Amps
Signs inspectors Use Only: T TAL
Irrigation Booms L/D i/D ~
Speciallnspection l ~~j~
Alarm/Communication THIS INSTALLATIO RDERED DISCONNEC7ED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Elecirical Inspector, hereby RoughJn oaie.4 6
~
certiry that the above inspection has Finai ~ / a
been made. ~ ~ < <F-
OFFICE USE ONLV /
T~is requesl void 18 months fmm
S RESIDENTIAL II
. . • BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
U 651-681-4675 ~
NewConsWctionReaulremenfs RemodallReuairReuuirements I ~
• 3 registered sRe surveys showi~ sq. 8. af lot, sq. fl. of house; and all roofed a2as • 2 copies of plan
(20°,6 menimum lol coverage allowed) • 7 set of Ene~gy Calculations for he`ated addAions
• 2 copies of plan showirg beam & window sizes; poured tound desgn, etc.) • 7 site survey kr e~edor additions decks
• 1 sel of Energy CakulaUans . Indirate rf home served by septic system tor additlans
• 3 cropies of Tree Preservation Plan if lot platted aRer 7l1193
• Rim Joist ~eta~ Optwns selectlon sheet (61dgs with 3 or less units)
DATE 'l Io~~ _ VALUATION l p Q, . o a
SITEADDRESS l'I ~J~ I 5 U~nS/~ ~+l ~ MULTI-FAMILYj BLDG _Y ,ZW
TYPE OF WORK~2- S~ C~ ~ O~~ ~y~ SF FIREPLACE(I$) _ 0~,1 _ 2
I~
APPLICANT ~ CG n_ ~ ~+ns ~r~s ~C7~7tS ~1~pq
STREEf ADDRESS I~a~I ~ YU ~ Ca ~ c~, CITY rnbJi )I t STATE m~ ZIP ~3~
TELEPHONE #~,Sa~7ZJ~'~55 CELL PHONE # Fax # 9Sa -7d ~-`~~S
PROPERTYOWNER /~eUt?~I TELEPHONE II ~I-~~I-8~3O
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~K
COMPLETE THIS SECTION FOR NEW RESIDENTIAL BUILDINGSIiONLY
Energy Code Category _ MINNFSOTA RLJLES 7670 CAT'EGORY 1 MINNES i01'A HULES 7672
(d suhmisslon TypeJ • Residential VenUlation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Su6mitted
Plumbing Contractor. _ _ Phone # I
Plumbing system includes: _ Water Softener Lawn Sprinkler Fee: $90.00
Water Heater No. of R.I. Baths
No. of Baths
Mechanical Contractor. Phone # II
Mechanical system includes: _ Air Condilioning I~ ree: $70.00
_ Heat Recovery System
p I~ I~ f] L~ ~
Sewer/Water Confractor: Phone # r
AY 2 3 Z002
-
I hereby acknowledge that I have read this application, state that the information is rre~ct, and agree to co ~ ply
~ J~
with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Y _,___„J
Signature of Applicant /1C~f ~
--°....__...---------------------------------°-----°°----°-...------------------------------°..__-----°-----~I
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Requi~ed _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF ~welling ? 08 O6-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
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
0 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm ~amage
? D6 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/DOOrs
O 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to appllcant
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) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addirion) _ Plumbing
_ Foundarion HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ FraminB _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ 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
ToWI
~ RESIDENTIAL V
' " ' BUILDING PERMIT APPLICATION
CITY OF EAGAN u
. 3830 PILOT K65
B681- 675 N MN 55122 I~~
J
New ConsWctlon Reauirements RemodeVReoair ReauiremeMs
• 3 registered site surveys showing sq. R of lot, sq. R of house; and all roofed areas • 2 copies of plan
(20% marimum lot coverage allaxed) • 1 set of Energy Cakulations for heated addNons
• 2 copes of plan showing beam 8 window sizes; poured found desgn, etc.) . 7 sAe survey for exterior additlons & decks
• 1 set o( Energy Calalations • Indipte if home served by septic system for additions
• 3 wpies af Tree Preservation Plan if lot plattad after 7/1/93 ~I
• Rim Joist DeGil Options selectlon sheM (61dgs with 3 or less unifs) ~
DATE ~/oZI /l,~J VALUATIO~ / I~~~
7~-
SIT DDR ' "~"~71 JV~e~S~ ~QP~I° MULTI-FAMILYBLDG _Y ~N
TYP~~K -r'~O~ o Sb^. LBf ~v ~~Qi FIREPLACE(S) _ 0~ 1_ 2
APPLICANT 1'Y~W r~ [r v~ ('~1.'~ ~Q ~~rn ~6 n~cN rS '~'~M S+ e^'i n~/
STREETADDRESS I~~~I N~CdII2"~ fA~ CITY~er^SJ~~~STATE~ZIP~"/
TELEPHONE ~I~.~ CELL PHONE # FAX # I So~ -rfU~- GI ~?o~LS
PROPERTYOWNER '~VI?~ ~~S~11 TELEPHONE# ~I'6gI-SS.~,
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RLJLES 7670 CA1'EGORY 1 MINNESOTA RUL~S 7672
(d submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Ene~Ygy Code Worksheet Submitled
• Energy Envelope Calculations Submitted
Plumbing Contractor: _ Phone #
Plumbing system includes: _ Water Softener _ Lawn Sprinkler I Fec: $90.00
Water Heater No. of R.I. Baths
No. of Balhs i
Mechanical Contractor: Phone #
Mechanical system includes: _ Air Conditionuig ` Fee: $70.00
_ Heat Recovery Syslem n I~ fl M f~
U1 ~1 l'1 15 D
Sewer/Water Contractor: Phone # '1
I
i
------°---------°°--°----°----------°--------°------°--°---------°°----------°--T
I hereby acknowledge ihat I have read ihis application, state that the information is cd~Lst,~nd~agre~tacomply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances. I
Signature of Applicant .~~1~-~I
I
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4f02
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 6ct. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Ait - SF
O 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? O6 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New 0 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* O 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 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 Tests Final
_ Framing _ Siding SNCCO Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ 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
~-3 s8'z.
~ . ~ i~~ , ~
~ _ ER T Y LWE ~ -
I
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,
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I~ D
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LINE
~ y3~'/ ~v~tis,C L~t ~
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M I
~ LoT ~ BLQCIC
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(~/~LD£~dN~sS 1ZuA/ ~
i
~ ri~on?T.._~aoaFr.zrY ..Li.NE ~
, M o~e ~ S~. ~yy
~ I~L~T ~4 L AN
MASTER CABD
,
LOCATION 5~~~.?// 9~ Z 9
s~
OWNER
~
STRUCTURE AND ~ ~ ~ ~
LAND USED AS ~L~ ~
Issued To
Permit No. Issued Coniractor Owner
BUILDING ~ ~
PLUMBWG ~
CESSPOOL - SEPTIC TANK
VJELL
ELECTRICAL
HEATING ~v~
GAS INSTAL~ING
SANITARY SEWER
OTHER
OTHER I
Approved
Items (Initial) Dare Remarks Disrance From Well
FOOTING ~ SEPTIC
FOUNDATION ~ CESSPOOL
~ FRAMING ...7 ~'fQ •"~f TILE FIEID FT.
FINAL
ELECTRICAL
DEPTH
HEATING 7~~-~> ?'~D • 'J~ OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING _ 7` 2 ' ~ i~0~'
WELL
SANITARY SEWER
- Violations Nofed
on Back
COMMENTS:
COMPLIANCE INSPECTION REPORTS
TO BE USEO ONLY IN EVENT OF OBSERVED VIOLATIONS
PERMIT NO. DATE OF INSPECTIQN
CON~ITIONS OF CONSTRUCTION AT THIS INSPECTION
NO EVIDENCE OF NON-COMPLIANCE NON-COMPLIANCE. BUILDER DOES NOT
~ OBSERVED. ~ INTEND TO COMPLY.
? ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS. ? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYE~ BY CONDITIONS BEYOND
CONTROL.
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZFD AND DESCRIBED AS FOLLOWS:
? REINSPECTION REQUIRED 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 I have reported herein
all significant conditions observed to be at variance with ordinances of the Town of Eagan, appraved plans and specificatians, and any specific require-
ments for off-site imp~ovements relating [o the property inspected.
? ALl IMPROVEMENTS ACCEPTABLY COMPLETED
6UILDING INSPECTOR DATE
COMMENTS:
~ ~3
~~~m~~~~~~~~~~~~~~~~~~~~~~~~~*~~~~~~~~
CSTY OF FAGAN
CA',iH1:ER: 5 TERMINAL N0: 40
11FlTEa 0`i/28l9r 7TMf_': 1~:40:45
II~ e
hAMEo STERHEN C THOMFS~N
3210 `~U~i 4371 SVENSV; L.N 5Q.00
Ei.55 9UCli. 43i 1. SVENS~Y. l.N 0.50
7o+,a:l. k~c~iG~t, Amo~lnt: 50.5~
CF:b743h3
IJS~fi IL~e NA~lCY
?%~e~c~c~ ~~CV~Y~%cY~%cY~~C~C ~X~X~k ~C%tXc%cXe~Y%cXc~k# ~k ~X~k~%#k~Xc~cXc~cX~
PERMIT
~
CITY'OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: e u z ~ o z N ~
Eagan, Minnesota 55122-1897 Permit Number: 0 3 010 4
(612) 681-4675 Date Issued: 0 5/ 2 8/ s 7
SITE ADDRESS:
9371 5VCIVSK LANG
LOT: 9 BLOCK: 2
WILDEftNESS RUN ATH
p.S.N.: 10-3/1353-N9f~-02 ~
DESCRIPTION:
di~, ~UTURE PORCM F7C~S
6u;~,tciing ~ermit Type DECIi
, Bra3,ldirt.g Wt'd~^~k Type NEW
Census Gbdo 434 ALT. RESIDENTIAL
r
~ ~
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,
~
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t:. c`._,;
~
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< < E( , ~ ~,ris ~ t!-, ~il; ~ ;
~'ti\ ~-...?.i'i.# ~ 5„^ mr°E,E 1q.. ~-;~.~~i~~x~3,'LI'1.I~E~~ :a
~ `,l . -
~ ~ra~~-. .W. 1
REMARKS:
FEE SUMMARY:
Base Fee $50.0m
Surcharge ~.50
Tota1 Fee $50.50
' _CONTRACTOR: OWNER: - ApPlicant -
THOMPSON STEPHEN
4371 SVENSK LFlNE
~AGAN MN
(612)297-8603
~ I hersby ackntswl~adge thr~~ ~ ha+/~ r~~d tF~fs ~~ipli~~tio~ ~ndE~sta~~ t~tat th~
in~crrmation is correct and agree tea compiy with all appl~amble Ste~e nt h1n.
i
~tatute~ ari~ Gi~Y:~of ~agaR 6rd~~ana~s.
~ ~ ~ ~ ~ _
~i ~-a- ~
LICANT/PEF ITEE SIGNATURE ISSUED BY: SIGNATURE
' ' 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) " S~
3~ ~ cirr oF encaN
3830 PILOT KNOB RD - SS122 .
681~675 ~
New Construdian ReauiremerM~ RemodeVReoeir Reauirementa ~ ~`r/~I f 0~
? 3 regiatered aite aurveys ~ ? 2 copies of pWn
? 2 copies of plana (indude beam 8 window saea; poured fid. tleeign; etc.) ? 2 ake aurveys (extodor addRlons d Oedca)
? 1 energy plculatlons ? 1 eneigy celculatlona Tar heated additlona
? 3 eopies of tree preservetlon plan H IW plaCed efter 7/1/93 ~ ,
required: _ Yes _ No ~
DATE: CONSTRUCTION COST:
DESCRIPTIONOFWORK: ~~c~L - ~O }"YE }ryu~c. ~ carnr~ f~a r~ ZU y
I v~~~..-a~ zy v
STREETADDRESS:
? ~J~~ ~
LOT GI BLOCK Z SUBD./P.I.D.
2q~ • 8c a3
g'f'e ~e.,n ~ G.o e~n s o 6 s7 - yo~ 7
PROPERTY Name: P P Phome
OWNER
Street Address: 3~ ~ S~4 tisl~ t N
CitY: £°`°I ° State: 2ip: S's' 2 3
za s ~^3 ~ w
CONTRACTOR Company: rq a w,n w,~ 1„ Phone ~ g~ ~ 90'~' ~
Street Address: License
City: State: Zip:
ARCHRECT/ Company: e~l ~F Phone
ENGINEER
Name: Registration
Street Address:
City: State: Zip:
Sewer & water licensed plumber (new construction only): . PenaKy applies when address change
and bt change are requested once pertnit is issued.
I hereby acknowledge that I have read this appliption and state that the information is cortect and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
SignatureofApplicant 5~~~
OFFICE USE ONLY RE EIVED
Certificates of Survey Recei~ed _ Yes _ No MAY 2~
Tree Preservation Plan Received _ Yes _ No _ Not Requi ~Y:
OFFICE USE ONLY ,
~
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex o 12 Multi RepaidRem. ? 17 Swim Pool
? 03 SF Addition o 08 8-plex ? 13 Garage/Accessory o 20 Public Facility
? 04 SF Porch o 09 12-plex ? 14 Firepiace ? 21 Misceltaneous
0 05 SF Misc. ? 10 = plex ~ 15 Deck
WORK TYPE
31 New ? 33 Alterations o 36 Move
? 32 Addition o 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Ailowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. Z$
Depth Footprint sq. ft. SAC Code ~
Census Bldg ~
Census Unit
APPROVALS
Planning Building ~ Engineering Variance
Pertnit Fee Valuation: $
Surcharge
Plan Review
License
MCM1S SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SNV Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
f 41 ` - SI rG/p'N PROJECTND. '73I~~'~~vENS~ ~ SHEET_OF_'
Delta F,,,~ k-q - Pt-9^~ v~rv
Environmental PROJECT NAME ~ Y _
Consultants, Inc. gY 5 i~oM~^~e~ onre
~~S 7801 Highway 8, Suite 114 flE ~-/C -
SUBJECT
St. Paul, MN 55112
612-636-2427 GHECKED BV DATE
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_ _BY' _ l1'I~l7r~/. - l.s~R~e. :
A PROVED PLAN~ P/rUST A
EMAIN ON JOB-SITE BUII.DIPIG IPlS ~TIONS DEPT.
PERMIT e.eo.~9~as~
CITY OF EAGAN /~/r~/9~
3830 Pilot Knob Road PERMIT TYPE: e u z ~ o z N ~
Eagan, Minnesota 55122-1897 Permit Number: 0 2 6 5 n 2
(612) 681-4675 Date Issued: 10 / 13 / 9 5
SITE ADDRESS:
4371 SVkNSK Ll~NE
LOT: 9 BLQCK: 2
WILl7ERNESS RUN 4TH
P.I.N.: 10-84353-090-02
DESCRIPTION:
B:~YiXdinq~,Permit Type SF (MISC.)
~Llild7.t3g kIOrk Type Al7ERATION
r` ~g',
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'1 ~15.~;i~.--
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v.. . , . ~ _ , _ , . . ,
REMARKS:
EXTENSION OF EN'iftYWAY TNTO 6ARAGE
(A SEPARHTE PERMIT TS REQUIRED FOR ANY ELECTRTCAL WORK)
FEE SUMMARY:
VALUA7IQN $4,000
Base Fee $87.25
Surcharge 2.00,
Total Fee $89.25
CONTRACTOR: OWNER: - ~PP7 icant -
TMOMPSON STEVE
4371 SVENSI( LN
EAGAN MN 55123
{612)297-8603
I h~reby acl<r~au3edge that I hav~ r~ad tFtis ep~li~a~~on an!d state th~~ ~he~~ ~
information i.s carrest and agr~e to ~omply with all applacable StaCe of Mn.
Statutes and Cit,y ofi Eagan Ordinances.
~ 2 ~
~C' -~.i~t'~iX'_' r ~
APPL CANT/PEF~ TEE SIGNAT -RE ISSUED : SIGNA
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: B u r ~ o z N G
3830 Pilot KnOb ROad Permit Number: A 2 6 5 4 2
Eagan, Minnesota 55122-1897 Date Issued: 1 e/ 13 / 9 5
(612)681-4675
SITE ADDREBS: ~ o T: s e ~ o c K: 2 APPLICANT:
43%1 SVENSK LANE 7NOP7PSON STEVE
WILDERNESS RUN 4TH (612) 297-8603
PERMIT SUBTYPE: TYPE OF WORK:
SP (MISC.} ALTERAT~ON
. .
FRAMING FTNAL ~
REMARKS: EX7ENSYGN OF ENTRYWAY INTO GARAGE
(A SEPARATE PERMIT L5 REQU:CRED FOR ANY ELECTRICAL WORK)
. ~ - - . . ~ ° ~ ~ ~ . ~ . . , ~
I " ~ ~ . : _ . ~
C._..... _ , . . s~_, , a _ -
' CITY OF EAGAN II
~ 3830 PILOT KNOB RD - 55122 ~
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
~ 681 ~675 ~ C,~~eLl- ~ ~ ~ 13
New Constnrctlon Reauiremenffi RemodeVReoair Raouirements
? 9 registered ske wneys ? 2 coPies oi plan IIII
? 2 copes of plens (indude heam & window saes; poured fid. design; etc.) ? 2 ske surveys (exterfor addRions S tledcs)
? 1 energy calalations ? t energy eakulations for heat
i atldiUons
? 3 copks of 6ee preservation plen it lol plaUed after 7M/93
~equired: _ Yes _ No
~ ~~6D
DATE: ~ I9S CONSTRUCTION COST: ~
DESCRIPTION OF WORK: ~nFc~^~i c~n af e rt-r7 wa~ ~nrd ~ara-,7-e rM/~k+Y~ Gj arP9t
STREET ADDRESS: `~3 S v f o~s jL L ~w-£ - f o- 9~+~ I~I C~~' ~J 5~~~ e
LOT ~ BLOCK ~ SUBDJP.I.D. ~~~!'~~'P,L.~~ R IIA~. 4~~~ ~'~I
~T~v~ ; ~w) z e7- ~c U3
PROPERTY Name: T~n~^^pse~ S f'`P~~ Phonle#: G87- 9a77
OWNER "s'
Street Address~ 43 7/ Sv E,~S,~ L~u-e-
~II
City: ~ 4^^ State: M Zip: S s l Z 3
CONTRACTOR Company: ~ ~ Pho e
Street Address: Lice Inse
City: `State: Zip•
ARCHITECT! Company: S~M ~ Phon~l
ENGINEER
~ Name: Regis~tl ration
Street Address ~
City: State: Zip:
Sewer & water licensed plumber. . Penalty applies Iwhen address change and lot
change are requested once pertnit is issued.
1 hereby acknowledge that I have read this application and state that the infortnatlon is corcect ~land agree to comply with all
applicable State of Minnesots Statutes and Ciry of Eagan Ordinances. li
Signature af Applicant: S~ti"``~ C'"-~9"-
~
--'r.->1
OFFICE USE ONLY ~ • ` ' ~ `J j
' OCT 0 9 19~5 i
Certificates of Survey Received _ Yes _ No f
Tree Preservation Plan Received Yes No
OFFICE USE ONLY ~ ~ +
y~~R
.s~"",: ' .itR... -~i
M
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex o 11 Apt./Lodging o 16 Basement Finish
0 02 SF Dwelling o 07 4-piex o 12 Mufti Repair/Rem. 0 17 Swim Pool
0 03 SF Addition o OS B-plex o 13 Garage/Accessory o 20 Public Facility
0 04 SF Porch o 09 12-plex ? 14 Firepiace o 21 Miscellaneous
~05 5F Misc. 0 10 _ plex o 15 Deck
WORK TYPE
0 31 New ~r`33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) _ Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump ~
Length sq. ft. Census Code. y3/
Depth Footprint sq. ft. SAC Code ~
Census Bidg _L
Census Unit ~
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $ y oeo
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn. y = 3
water Meter ~ S~ 5= ~ r= 7Y,~s
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
, PERMIT ~~'9~ ~1~~
CITY OF EAGAN PERMIT TYPE: G~°"
3830 Pilot Knob Road
Eagan, Minnesota 55123 Permit Number.
(612) 681-4675 Date Issued: ! ~ - ; ,
SITE ADDRESS:
I ~'i I'I' i ~V h~i
_ [ 7 , : .
i I . [ i~ . .
i.-1~1')f;... ~ , ''l'~
~ i.'. ~ t.i~;4:
DESCRIPTION:
r.:, .i:
i:t;~~~ , ~ ~,a. i ~ . ~ ~ ; ~ ~ ;
. ttt>r~~ ;vp: nt.r-s~~r~_~,
i
,
~ ~ i i /
/ i i ~.~~.1. ~ i f` ~`~I ~ ~ ~ `~r~ I'r' Jf ~A
, . ~ ~2% ~ ~
REMARKS:
FEE SUMMARY:
~,~,,~~i;~. ~oc
;t.~rcFi~~;~gr , .
I ..I . . . . 1~.~
' i , . . . . ~
CONTRACTOR: , , ~ OWNER:
„UIIf]'rI C;. I'...^,~,,,,., ~i~OL.;b~_'1 ~iU~il'..tl;~! _ i~.,
(5 I P) 7 1 fl K i V'~ I~.; ~ 1 i't 'i.,J
~!fP';(!OI':1:~7 ~11~! S`,;fib SP!1h!
-j . . ~ ~~<<~ u
~ 1ir~.__':y :acl,noMri ,i~ya ~.h~:~_ ~ ~t,~~+;. 7':• .d I li'°, , ;~,i' . ~.i. ~ f, ~ ~ ~ ~ .
. ~ ~ • ~ , i . - ~ - . . . I . ~ , ~ _ . , ` ' . ~ ~ .
. ~ ~ . _ , ~ ~ t•, i , „ -
~ -
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t
APPLICA PERMI E 51 N URE ISSUED : SIGNATURE S'
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number. .
Eagan, Minnesota 55123 Date Issued: , ,
(612) 681-4675
SITE ADDRESS: ; i APPLICANT:
svt:r~~si,. i r,~ac r~'~'o~~ r.c
~ r~~-r~t,,., .tn,: :~,H ~~~~'y
PERMIT SUBTYPE: TYPE OF WORK:
rr~i.~:.c,; i~-_:,,^.i ~i: .
0.~~~-rp,i,~l I_ . ",1 ;~:i~•nJ
• •
~ i iq P~ I
~
. . . _ . . . i' -
REACTIYATE ~ cinr oF ~GaN . ~ ~
PEw~tIT ~ 1993 BUILDING PERMIT APPLICATION
~ ~ APR ~ 1993 681-4675
c~~~ ~a~
SINGLE & MULTI-fAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural d~ structural plans, 1 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 °`f - / / y'-3 Yal uation of work 9~ ~
Site Address: ~3 7L .~~~~'~`j~ L6'~ ~
' SiREET . SUITE /
Tenant Name: (commercial only)
IAT ~ BIACK ~ SOBD.. ~ ~ P.I.D. M '
~+y.G+7,nLl,i~ %~Ut41 4~~
Descri tion of work: rTChe Lvno
The applicant is: ? Owner Contractor ? Other <0~«1~~
Name<~/`lim-~~^~ Sk.~e Phooe/8?• 2BZ7
Property T~~sr F~esT
Owner Address Sve"S/1 ~u"~~
SiREET . STE M
City ~~~d~ 5tate ZiP
Company ~ /'f°"`' Phone ~ ~s ?~yo
Contractor Address ~a~°7 ~a~e ~'e"' ~r ~ License H 3~ Exp:~ 3~' p~
City State Zip 53-3°~
Company Phone
Architect/
Engineer Name Registration
Address
City State Zip
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
~
y
BUILQING PERMIT TYPE ~ ~ ~
, . . _ a•.Y;,
? O1 Foundation ? O6 Duplex ? 11 Apt./Lodging ? 16 6~1,s~mertt.~;nish~
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Sw'~m pool ~
~ 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
0 04 5f Porch ? 09 12-Plex ? 14 Fireplace ~ 19 Comm./Ind. Misc.
.~05 SF Misc. O 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
O 31 New ? 33 Alterations ? 35 Tenant Finish ~ 37 Demolish
O 32 Addition ~ 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. P1WCC System
(Allowable) lst F1. sq. ft. City Mater
UBC Occupancy Q-3 2nd F1. sq. ft. PRY Required
Zoning i Sq. Ft. total Booster Pump
~ of Stories Footprint Sq. ft. Fire Sprinkler
length On-site well Census Code t~
Depth On-site sewage SAC Code
APPROVALS . C~+sws bl~, ~
~t
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS ~,ny~„ ~,,,e~C.~ '
? Site ? Footing O Framing ? Insulation
? Wallboard ? Final ~ Draintile ? fireplace
Permi t Fee , u~ ve~~cio~,: g / sd o
Surcharge . ~ S
Plan Review
License ~c.nn
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Lopies
Other
Total: -
SAC %
SA~ Units
; " ~ ,
;
10297
Use BLUE or BLACK Ink
For?O$ise; Use
411011 • Permit I I
fla City of Ea Ed
I0 as I
Permit Fee:
3830 Pilot Knob Road j
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 Staff: _
201; RESIDENTIAL BUILDING PERMIT APPLICATION
Date: l Site Address: v Unit
RESIDENT Name: G9/H~~rsyi Phone: t/2v-
OWNER Address /City /Zip: Z.
Applicant is: Owner Contractor
TYPE OF WORK Description of work:F 4y'r/-.
Construction Cost: Multi-Family Building: (Yes / No )
Company: Contact c1'
CONTRACTOR Address:/
State: Zip: Phone: 9
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 the 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.
/T -~I
X t/ z G9j jf'`~ x 11
App icant's Pri ted Name Applicants Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115087
Date Issued:09/23/2013
Permit Category:ePermit
Site Address: 4371 Svensk Lane
Lot:009 Block: 002 Addition: Wilderness Run 4th
PID:10-84353-02-090
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments: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.
Carbon monoxide detectors are required by law in ALL single family homes .
Aaron Hippe
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Kevin C Olson
4371 Svensk Lane
Eagan MN 55122
American Building Contractors
2960 Judicial Rd Suite 100
Burnsville MN 55337
(952) 707-6959
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA126524
Date Issued:08/28/2014
Permit Category:ePermit
Site Address: 4371 Svensk Lane
Lot:009 Block: 002 Addition: Wilderness Run 4th
PID:10-84353-02-090
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Stephanie Vought
3451 W Burnsville Parkway Suite 120
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Kevin C Olson
4371 Svensk Lane
Eagan MN 55122
Burnsville Heating & Air Conditioning
3451 West Burnsville Parkway, Ste. 120
Burnsville MN 55337
(952) 894-0005
Applicant/Permitee: Signature Issued By: Signature
Nov 13 14 10:01 a Carter Custom Constructio 651-765-2541 p.1 1
Use BLUE or BLACK Ink
�---------- —,
� For Office Use I
� � � [}g��� �
� Permit#; �
l�� 0 ��BIl � ;
; �f i
� Perntit Fee:
3830 Pilot Knob Road � �
Eagan MN 55122 � Date Received: �
� �
Phone:(651)67�-5675
Pax:(651)675-5694 � Staff: I ,
�-----------------� II
2014 RESIDENTIAL BUILDING PERMIT APPLICATION I
Date: ��—��"��"� SiteAddress: �3�� ��(�S� �� Unit#:
� � Name:L'��U�i(� � �U:�'� Q�S� `��
� Phone: �J I�3�2'{s�
` Resirlent/ � J _ ,_
� Owner ? Address/City I Zip: �3�I S V�;i15��"� L�X] '�- ��S 4.G'1 �� �S 7 23
� � Applicant is: Owner � Contract�r
� Description ofwork: _..L�'1���� ��IU� �1►r��I�l-�- �
Type of Wark
Construction Cost: Z�O U Multi-Family Building:{Yes_/No x ) �
� Company: �0-U���%� l.,'lA-, '�7'� �,��(,�U'���r`Contact: ��—
E Cantractor � Address: 3Z-](O �n�nk.�+-� p� ��� �f.I�ciry: „ r0�(�.I�tGIIS �1�,
� x ! I- tv�1 c`�!�
� � State:� /V Zip. ��I d Phone:w��—(�j�� �`�'Email: C�t�GU-S�GCh$�'�C+GTfC� �.y��,�
� � �icense#:�C (o3Zv� Co Lead Certificate#: ��T— JZ��Z-� - �
�
� It the project is exempt from lead certification, please explain why: (see Page 3 for addiiional information)
r (
£
COMPLETE THIS AREA ONLY!F CONSTRUCTING A NEW BIJILDING
t
� In the last 12 months,has fhe City of Eagan issued a permit for a similar plan based on a master plan? �
!
F
� _Yes _No If yes,date and address of masler plan: �
9
tLicensed Plumber: Phone-
� Mechanical Contractor: Phone-
i
� Sewer&Water Contractor: Phone•
t NOTE:Plans and supporting documents that yvu submit are considered to be public Information. Portions of
� the information may be cfass�ed as nvn-public if you provide specifrc reasons that would permit the City to
conclude fhat the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground u[ility damage. Cal148 hours
before you i�tend fo dig to receive locales of underground utilities. www.aoohersfateonecalf.ora
I hereby acknowledge that this information is cornplete and accurate;ihat ihe work wiU be in confortnance with the ordinances and codes ot the City of
Eagan; [Fiat I understand this is nct a permit, but only an appfication for a permit,and work is noi to start withoui a permit;that the work will be in
accordance with fhe approved plan in ti�e case of work which requires a review and approval of pfans.
Exte�ior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be oompleted within 1 BO
days of permit issuance.
x_�m l ar�'e� X :
App]icanYs Printed Name App icant's Signature
Page 1 of 3
RECJID
OCT 10 2018 For Office Use
::::ee:
:
/0/7a-c)
Date Received: ID ID (
3830 PILOT KNOB ROAD 1 EAGAN, MN 55122-1810
(651)675-56751 TDD: (651)454-8535 I FAX:(651)675-5694 Staff: 1/1
buildinginsoections(cr�cityofeapan.com
2018 RESIDENTIAL BUILDING PERMIT APPLICATION 11 6j
10/10/2018 4371 Svensk Ln, Eagan, MN 55123 Unit#: �p�l144
Date: Site Address:
Name: Justin Johnson Phone: 6512470124
Resident/ 4371 Svensk Ln, Eagan, MN 55123
Ovime" Address/City/Zip:
Applicant is: X Owner Contractor
Type of Work
Description of work: Kitchen Remodel
Construction Cost: 7,500.00 Multi-Family Building:(Yes /No X )
Com an
p Y _ Contact:
Contractor
Address: City:
State: Zip: Phone: Email:
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
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:
Fire Suppression Contractor: Phone:
NOTE':Plans and supporting documents:that you submit arePensidered to bee public information.informationY,'Portions of theinformation may be
classified as nonpublic,if you provide specific reasons that would permit the City to c include that theYare trade secrets.
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.cityofeacian.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.000herstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conforman f. • ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, an. .,i • no o start with+ut a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and app oval of pl.
xJustin Johnson x „ ,_
Applicant's Printed Name Signa - e
• - " Lbl I SJQnsY•- LA / S (946D
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Fireplace Porch(3-Season) Exterior Alteration(Single Family)
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
Alteration Fire Repair Windows Demolish Foundation
Replace Repair _ Egress Window Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation lit
j�
t22 D Occupancy 11,41/ MCES System
Plan ReviewCode Edition SAC Units
(25% 100%y) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction —� 6 Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings(Addition) Final/No C.O. Required
Foundation Foundation Before Backfill HVAC—Gas Service Test Gas Line Air Test Hood
Roof: Ice&Water Final Pool: Footings _Air/Gas Tests _Final
X Framing 30 Minutes 1 Hour Drain Tile
i Fireplace: Rough In _Air Test _Final Siding: Stucco Lath _Stone Lath Brick EFIS
}C Insulation Windows
F Sheathing Retaining Wall:—Footings—Backfill_ Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In Final
Braced Walls Erosion Control
Shower Pan Other:
(12,
"�
Reviewed By: �f , Building Inspector
RESIDENTIAL FEES
Base Fee / -i,i t-`
Surcharge Will
. t-
Plan Review 1 .1`
MCES SAC _
City SAC 1 0 ! W 0
0r
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant '
Copies
TOTAL
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