4375 Svensk Lane VILLAOE OF EAOAN SEWER SERVICE PERMIT
3795 Pilof Knob Roud
Eagan, MN 33122 PERMIT NO.: 2420
Zoning: RY DATE: 12/I ?/74
Owner: ' Sen No~ of Units; 1
nstruction o.
Address:
Site Address;
Sv nsk Lane
Plumber; Be -ROC Excavatin
~ aY^~s fo eompl~ wlth }h~ ypb9~~e/ Eaqon ConnecUon Char~~•00 pd 10/11 9
Ordlnonc~s.
Account Depoeit
Permit Fee: 1~•~0
p--
gy. Surchazge: • 50 pd
Date of Inep.; Miec. Chargee:
Total:
Inap.:
Date Paid:
YILLA6E_OF EAGAN WATER SERVICE PERMIT
- 3795 Pilot Knob Road ~ PERNllT NO.: 1660
Eagon,MN 5512] DATE; 12/13/74
'Loning: ~7 - No. of Units: 1
Owner:
Address~ //'i-_c~ ~.t -/~1P ~t -C~d
Site Address: _Q;75__SttenSk Idlip ~~j
Plumber: __gey-Bpc_S~:XC3yati,rig
Meter No.: ,.J~.__~~t ~d Connection Charge280 QQ Acl 10/11/
Size: Accoun[ Depasit
Reeder No.: .~~~~846 Permit Fee: 10. 00 pd
I agree to comply wit6 the Village o{ Eagan Surcharge: ' 50 ~
Ordinancea. . Mise. Charges: 60.00 Pd 10/11/4
~ /s~,~~~f Total: . .
By i~~UL Date Paid:
Date of Insp.; Insp.:
CITY OF EAGAN Remarks
Additio Wlilderness Run 4th Addition 10 2 10 84353 100 02
Lot Rik Parcel
Owner u~":n ~h, ~a~ :~l~Street 4375 Svensk Ln. State EacTan, MN 55123
U
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUR F.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1973 $163. 2Fi $8.16 20 PAID
SEWER LATERAL
WATERMAI N
WATER LATERAL
WATER AREA
STORM SEW TRK 7 A 1 -83
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. $280.00 11900 10-11- 4
BUILOING PER.
sAC $4ao.oo iigoo io-ii-
PAR K
INSPECTION REC~RD
CITY OF EAGAN PERMIT TYPE: f+~~ i r~+~
3830 Pilot Knob Road Permit Number: 7 r~R
Eagan, Minnesota 55122-1897 Date Issued: 4~'
(612) 681-4675
SITE ADDRESS: t ~ ~ N . : ' " t' S ~ : `y`' APPLICANT~
t i~i ~u r~i_~~ ~ •
: ,•.~r-~~-,r~ 1 ANC ~s'~,~ ~ ; ;,~~i~ ~~~ti ra~
I I i i 1+1 t: MI i~M i 111 i , ~~r ~i
PERMlT SUBTYPE: TYPE OF 1NORK:
.i ~ ai i , !-t e F~
r:; ~ ~ i : ! ~ , f , ,
. .
, i rs~~
~tt paAkR 1't1RM qr~r~r~!,~ r+~i ? I ~
~ ~
~ ~
Pertnh No. Psrmit Ffoide? Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUNO
FHAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAI HTG
ORSAT
7EST
BLDG FINAL ~~~A
/T~
BSMT R.I. j
BSMT FINAL
OECK FfG
DECK FINAL
. i~-~-~ .
- ~ - ;
CITY OF EAGAN
.
3795 pilot Knob Road
Eagan, Minnesota 55122
PFRNiIT NO.: 642
The City of Eagan hereby grants to Neil & Hubbard Haatino i~11/C
of 99 No. Stiellina 11v~.
a_ HEATING Permit for: (Chmer)_ Ne~rl & Aubbard Heatinv z!VC
136.~_~ety~a_ ~4368 Svansk Lane, and
at ~ 4 S~renak xan ~ pursuant to application dated 2/26/5 .
Fee Paid: 60.00 dated this 28th day of lebruary , 1g~
.
1.50 s/c ~ -
:
w~-
~•$4 ~ T ~ ~ ~ ~
. t r..'Ji~ ti•~ B11.~.1. ~"~Tl T'
, 8 '~t . . .
~,~=t - _ .f.- -.i~
~ ~~f ^ . . ~ -
r _ ~ ~-Z
. w~~~ y
/ 4
CITY OF EAGAN
3795 Pilot Knob Road
E~,$an, Mirinesota 55122
527
P~i~ N0.leter Ce-
1854 Grand Ave., 55]~04
The Ci-~y of Eagan hereby grants to _
PLUN.BINJG Tilsen Ho~es
of ~
4375 Svensk Lane ~ 11/22/74
a Permit for: (Owrier)
$20. 00 15 r?ov. 74
at _.50 s/c ~ pursuant to appaication dated ,
Fee Paid: da~t;ed this day of ,"19 •
Bu.ildir~g L~sp~ctcr
Machar_ical Permits:
E~d Total:
~ ~ ;
1+~ y CITY o~ EAGAN N~9 3427
BUILDING PERMIT
Owasx ' 3795 Piloi Rno6 Aoad
•.-.•~`'._...~~a~..-- nn~o:a ssiaa
p~ Eaqaa. Mi
Addsees (P=acani) .....6.~:.~.....~.:.....~.::.::.^:~:.......... ~ 454•8100
Huilder O - c~- 7 ~
Dale ..1........./
Addrets
DESCRIPTION
8loriea To Be Usad For Fron! Depth Heigh! Esi. Cos! Permt! Fae Aemarks
~ ~~fd-~' ~.t/ ~Ya~~/°`D ~ 7ez.v-a
LOCATION fj3.~
o
Slreei. Road os other Descrip2ion of Loaalion I Lo! Block Additton or Tzad
~3 ~ ~ ~ ~ ~
This yermi! does ao! suShorise !he use of alreeSa, roads, alleys or sidewalks aos does i! give !he owaer or Lia egen!
!he righ! !o ereate any siiualion which is a nuisanea or which pzesen2a a hazard !0 1ha heallh, safelp, eonvaaisncs aad
ganeral walfare to anpoae in the commueilp.
THIS PEAMIT MUST BE E.
~ PT ON ETH PREMISE WHILE THE WORK IS IN PROG ESS.
This is !o certify. !hal----~~"•~~<:~:_: ~~',-'~:`t ................heapermisaioa !o erac! a...~.~~:............~upon
!he above described premise subjecl !o ihe p:ovisions of all applicable Ordinances for 36e Ci of Ee
V - _ ° Per ........---~----._....!~T:':'c?~:°-... O:~`.'..~
..""'......-"-_~.S'-""'--"_Ma(~~'`-~- Suildiap Impxfor
~
Te ~~~e Bolke Tilsen Homes, Inc.
City of Eagan 627 SOUTH SNELLING AVENUE
ST. PAUL, MINNESOTA 55116 ~
3795 Pilot Knob Road PHQNE: 6& 1 ~
Eagan, MN
j SUbjeCt pate 10 10 74
Me558g8 In accordance with our telephone conversation, we are enclosing our check
for building permit and connections at 4375 Svensk Lane.
L~~~J, ~ Gc._ .
; a,., J ~ i~ y o~
o /v~a
PLEASE REPLY TO ~ Signed TILSEN HOMES INC.
Reply
1
Signed Date
Form No. QL-3 SEND PARTS 1 AND 3 WITH CARBON INTACT - PART 3 WILL BE RETURNEO WITH REPLY
. - ~ RESIDENTIAL
5 3~~~ BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675 ~
New Construction Reauiremente RemodepRewir Reauirements
• 3 registered site surveys showing sq. R. of IoL sq. R. of house; aM all mokd areas • 2 copies of plan
(ZO % mazimum lot coverege allawed) . 1 set of Eneryy CalcuWdons for heated addNOns
• 2 copies of pWn showing beam 8 window sizes; poured found design, etc.) . 1 site survey for exlenar add'Aions 8 decks
• 1 set of Energy Calculations . Indicale if home urved by septic system for add"Aions
• 3 co0~~ a~ Tree Preservation Plan it lot plaHed after 7I1/93
• Rim Joist Delail Options selecfion sheel (bldgs with 3 or less unBS~
DATE ~ ~ ~n ~ ~ ~ VALUATION ~C~ C~ U
SITE ADDRESS y37~i ~/.KIC ~G/~P, MULTI-FAMILY BLDG _ Y ZC N
TYPE OF WORK ~
CG.v - n~F rmo~ .~?S~ FIREPLACE(S) _ 0~ 1_ 2
APPLICANT ~ G ~ .Z~
STREETADDRESS 7~cfi~`~~-~iP v~. CITY~~~STATE,~ZIP~~
TELEPHONE #~5'~..7~17-615r/ CEIL PHONE #~~s{' ~f~-~l~ FAX # l3~ 70J-99~ri
PROPERTY OWNER ~('l~r)Ll0 C~A!`1`N TELEPHONE # 6~~ °f~,~,~~~1~
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ ~IINNES0I:A RULCS 7670 CATEGORY I MI ~r
~
(d submission [ype) • Residentlal VentllaGOn Category i Worksheet Submitted . ~ od'e orksheet ~ itted
• Energy Envelope Calculations Submitted IU' 3 Q ZQQZ
Plumbing Contractor: Phone #
Plumbing system includcx _ Water Sof[ener Ia~vn Sprinkler ' Fee: ~$90.00
_ Water Heater _ No. of R.I. Baths
No. oFBaths
Mechanical Contractor. Phone #
Mechanical system ii~cludes: 9ir Conclitioning rce: 570.00
_ Heat Recovcry System
Sewer/Water Contractor: Phone #
I hereby acknowledge that I have read ihis application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordina s.
Slgnature of Applicant ~
.
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
- _
PERhuT a (/v/ ~ ~ ~RECEIPT DATE:
. ~~f~"1~j~~{,~ 1~8~
~
~ ~SIDENTI~kL ~L1J~IAfi f'E~MiT 14~~LiC~kTION
G~ crrYof~?e~
s8so ru.or ~avoa sn
$~s~ax, e~v aa~ ts
es~-e8i-ee~s ~
,
R ~ 4 ~~,fi{ ~1~:,
Please complete tor. D single family dwellings
~ townhomes and condos when pertnits are required tor each uNt
D bacMlow preventer tor irrigatlon system
SITE ADDRESS: ~~1 ~ S~ ~h ~ ~ ~ ~ ~,.a
OWNERNAME:: ~(`~C.v~r1Z1 l TELEPHONE#: ~o~_ ~4-G~I~~~
.(AREACODE) .,;.r.
INSTALLERNAME: n•~^•nRF R Cl1IiS TELEPHONE#:,~ ~~~~9(p~4o
6~~ ~2zh ayenuE So~th (?~co~E~
STREETADDRESS:~_-~~19--rc"ti~-6'~3a3 . '
CITY: • STATE: ZIP:
Place a check mark next to the ermit work t e °
_ New residential dwelling unit under construction and not owner/occupied $ 90.00
~ Add-on, modi~~ation or alteration to existina dwelling unit, including: $ 5~~~0
• abandonment of septic system
• new installation/repair/rebuiid af RPZ
• lawn irrigation system j_ 3~a
• water tumaround
Nature of work: R~ .~G ~~ry ~ ~y
Septic System, new/refurbished - • + $ 225.00
• includes County & Consulting Inspector fees
• requires MPC license
State Surcharge $ .50
Total `
S. Sn
Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby acknowledge that I have reatl this apDlication, stale tl~at the intormation is cortect, and agree to comptywilh all appliwble Ciryof Eagan ordinances. It
is Ne applicanPs responsibility to noGfy Ne property owner that the City of Eagan umes no liability for an damages caused by the Ciry during ils normal
opereGonai and mainlenance activities to 1he faciliUes consWCled under this permi in City proper lrighto(-w yleasement.
~ ~ lal ~
SI ~ TURE OF PERMITTE I
- - . - VPdated 1lOt '
_ _ . _ ~
- - I
~`'7 D~ p a
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
" 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construdion Reauiremenis Remodel/Reoair Reauiremenis 6ffice~:Use~~T4
3 regisfered site surveys showing sq, ft_ of IN, sq. R. of house; and a0 roofed areas 2 copies of plan C~3 aF Seu~ey;Recd ~~Y N
(20%maximumlotcoversgeallowec~ iselofEnergyCalculafions(orheatedaddifions £[cePC25PIan:R9Cd ;Y :N
2 copies of phan showing beam & window sizes; poured found design, etc. . t sile survey for adddions & decks T[~ Pres Required ~:Y ,,..Fl
1setofEnergyCalculalions Add'N'on-indica~e"rfon-sitesepticsystem ORSd83epL~SystOAf _:Y ~N'
3 copies of Tree Presenation Plan if lot platled aNer 711193
Rim Joist Defail Options selection sheet roldgs with 3 or less units
Date / / ~ S Construction Cost
SiteAddress ~,~i7S ~U~hS~G 1-QY1-2~ UniUSte#
DescriptionofWork ~ lIJT/VIG~Ul~1 IMS~~QQ~
Multi-Family Bldg _ Y_ N l5replace(s) _ 0_ 1 _ 2
Property Owner d~~-1/~-V~-~ V WL~ Telephone #(fps~ ) qCI ~7~'
Contractor ~ Q (1(,~ ~Y'.(i1,I.U-Q1P~ C-@yl.'S`~'Ll,l,('~l D1~
Address I~ I/~, `('~p-~LA-~'-~,, ,~/.2.vtLa
o City ~
Q
a n 0 Q Q.
State M N Zip S~Oy'~ Telephone#(~'-{Q}.~{-6q -`?~1~~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 7 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitled SubmiBed
• Energy Envelope Calculatlons Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% pian review
fee applies.
Licensed Plumber Telephone J
Mechanical Contractor Telephone # ( )
Sewer/Water Confractor Telephone # ( J
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work whi h requires a review and
approval of plans. \ f 11
~Q v ~ d~ ~-l~ w~( ~-l~ 5 I I I I
Applicant's Printed Name A plicant's Signature U
By
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 D5-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Aft- Multi
? 03 01of_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 (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? ~ 1 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Yor_N ? 25 Miscellaneous
Work Types ~~T (2B.Ss G~ ~ rt D ~1d.~
yj o tz.'S"It S: a~e._
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Adddion ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors
O 34 Replacement 'Demolition (Entire 81dg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code ~j 3~ Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUII2ED INSPECTIONS
Footings (new bidg) FinallC.O.
Footings (deck) y FinallNo C.O.
_ Footings (addition) r Plumbing
Foundation _ HVAC
Drain Tile Other
Roof Ice & Water Final Pool _ Ftgs _ Air/Gas Tes[s Final
~D graming _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ RI. _ Air Test _ Final _ Windows
Insulation _ Rela~ninB Wa11
Approved By: , Building Inspector
, Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Suroharge
Treatment Piant
License Search
Copies
Other
Total
~ a~v~
. ~
' MASTER CARD~
LOCATION ~~M q375 d
F~
OWNER _~G,.n
STRUCTURE AND ~~D~/p /
LAND USED AS
Issued To
Permit No. Issued Contractor Ownar
BUILDING ~
.
PLUMBING ~ -
CESSPOOL - $EPTIC TANK
WELL
ELECTRKAL
HEATING ~
GAS INSTALLING
SANITARY SEWER
OTHER I
OTHER I
Approved
~ Items (Initial) ~ate' Remarks Distan[e From Well
FOOTING ~ SEPTIC
FOUNDATION -7 CESSPOOL
/
FRAMWG ~ . ~ 7 ` TILE ~FIELD FT.
FINAL
ELECTRICAL
DEPTH
HEATING - 7-7 OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING ~ " ~ - ~ ~
~
WELL
SANITARY SEWER _ ~
- /.7'~7~ 7 ?y[~ ~
Violations Noted
on Back
COMMENTS:
r a
COMPLIANCE INSPECTION REPORTS
TO 8E USED ONLY 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.
~ ACCEPTABLE SUBSTITUTIONS OR ? COMPLETION OF CERTAIN IMPROVEMENTS
DEVIATIONS.
WILL 8E DELAYED BY CONDITIONS BEYOND
CONTROL.
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZED AND DESCRIBED AS FOLLOWS:
? REINSPECTION REQUIRED DATE OF REINSPECTION
REINSPKTION REVEALED
CERTIFICATION - 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 oLServed to be at variance with ordinances of tha Town of Eagan, approved plans and specifications, and any specific requirr
ments for off-site imprwements relating to the property inspected.
? A~L IMPROVEMENTS ACCEPTABLY COMPLETED
BUILDING INSPECTOR OATE
COMMENTS:
I ~z3
PERMIT
CITY OF EAGAN •
3830 Pilot Knob Road PERMIT TYPE: e u z ~ o z N ~
EagBn, Minnesota 55122-1897 Permit Number: 0 2 7 7 0 6
(612) 681-4675 Date Issued: 05 /30 J96
SITE ADDRESS:
4375 SVENSK LANE
LOT: 10 BLOCK: 2
WILDERNESS RUN 4TH
P.I.N.: 10-84353-100-02
DESCRIPTION:
. (ROOFIN6) S ~
Iiu3Yding~Permit Type _5~--(`Tr2~G.)
~6ui~ding i,tp~rk Type REPAIR
~ensus Got1e 434 AL7. RESIDENTIAL
t' ~ h~-
r ~
~ . ~ .
~ . , . , ~ . , . ~^~l
` .e., r
'`t' ~ .~3 . . . .
3,v, YAy ~ SE 8..` . .
~"'~...i V ,r .~r"''~:
~ ~ ,~.1'^+„i
/
/ ra ~ (
~ ~ ~~~f ~ ~ ~ P 'ri
~ ~ ~
~.°r. f~. ~ ± l, i, ~ ~`i ; f ~ ~.1 ~ ~ ~e+~~(
i„"'.1€=4°'°'"0...~"`"s,-,..:
REMARKS:
STORM -0AMAGE - NO FEE
FEE SUMMARY:
CONTRACTOR: OWNER: - Applicant -
HOVELAND WILLIAM
4375 SVENSK LN
EAGAN MN 55123
(612)452-0754
I hereby,acknowTedge tha~ I have rsad this applieatfon and state that the
information is qo~-rect and agree to o'omply with all applicable 3tate of Mn.
Stfftu~es and C3ty ofi Eagan Ordinances.
~ ~ ~ . , _ . _ ~
APPLICANTlPERMITEE SIGNATURE ISSUE~ B: IGN RE ~
~3`I~~ ~
zoo6 RESIDENTIAL MECHANICAL PE~iT arrLicnTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please comple[e for: single family dwellings & rownhomes/condos when permi[s are required for each uni[ ~
Date ~ / Q z-- / G~
Site Address ~ ~ ~ ~/'e ~S l~ ~J v Unit #
r~,~ ~ 5 5 Z
ProperTy Owner 7S1S~(~ ~ y~f~elephone # ( ~.5 ~ ) `-{~~~-L~ S ~ Z
~ t
Contractor \c~
Street Address ~ ~ S t~ City ~~~r"~~1 ~-v-r~
State 1~ Zip S~~ ' Telephone# ) 32.Z.--~~j2(/
Bond Expires:
The Applicant is _ Owner ~ Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
furnace _Additional _Repiacement _ New
air exchanger
~ air conditioner
heat pump
other
State Surcharge $ .50
Total $ ~c~ •S G
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; [hat the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
permit, 6ut 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.
6~-~~ ~r~ . ~m~--~-,
ApplicanYs Printed Name Applicant's Signature
2006 COMMERCIAL MECHANICAL rExMiT arrLicaTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. commercial/industrial buildings ~
multi-family buildings when sepazate permits are not required for each dwelling unit ~
Date / /
Site Street Address Uoit #
+
Tenant Naroe (if applicable) ~ Previous Tenaot Name ~
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip ~ : ' Telephone # ( ) _
$ond Expires:
The Applicant is _ Owner _ Contractor _ Other
Work Type
New Construction _ Underground Tank _ Install _Remove *`see below
Interior Improvement _ Install Piping _Processed _Gas
Nature of Work:
'*When installing/removing underground tank, call for inspecfion by Fire Marsha! and Plumbing lnspecfor
Pe~mit Fees: 570.50 Underground tank installationhemodal
$SOSO Minimum (includes $~te Surcharge)
or
Contract Value $ x 1% Permit Fee
$ State Surcharge
If rmit fee is less than $1,000, add S.50
If nermi[ fee is more than $1,OOD, surcharge
is $.50 forevery $1,000 owed. .
$ Total Fee
I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work
will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is .
not a permit, but only an application for a permit, and work is not to start withont a permit; that the work will be in accordance with
the approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name Applicant's Signature
Approved By: , Inspec[or Date:
Required Inspections: _ U.G. _ R.I. _ Air Test _ Gas Service Test _ Infloor Heat _ Fina1
i c
( `
l~"~ ~
~ ~or~~ "~sa i
City of Ea~aIl I Permi~fk D~O~~ ~
~ Permit Fee: /J ~ j
3830 Pilot Knob Road ~ ~_O ~
Eagdn MN 55122 ~ Date fleceived: ~
Phone: (651) 675-5675 ~ ~ i
Fax: (651) 675-5694 I Stan
I ~j / `J~~
2008 RESIDENTIAL BUILDING PERMIT APPLICATION ~
Date: - 1 -~O SiteAddress: I ~ JVP~1~ ~ • ~.~Q~ ~
Tenant: Suite
RESIDENT f OWNER Name: ~Y~(1[~ Phone: ~
AddresslCity/Zip:Y~~ S~Cr~_ l1 1 ~qQfl Mi~! `~1Z~
Applicant is: ~ Owner _ Contractor
TYPE OF WORK Description of work: ~e~ .k
Construction Cost: ~ ~C7lnAJ ~ Mu@i-Family Building: (Yes _ / No ~
CONTRACTOR Name: ~1.~L1~ License
~
Address:
City: Sta[e: Zip:
Phone: ContactPerson:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submined
SubmiSSiOn type) • Energy Envelope Calculations Submitled
In the last 72 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:
7J~TE:
"Plads an'd "5eppditfng:documents thaf
yau submit are eonsidered to_be pub/~c ~nformaho{~, ,Po,rt~ons of,
fhe infarmatroa maybe cJg§slfied as~an-pn61Jc_+f.you prov~de spe„ciNC reasQnslhat ivould perm~t ihe C~ty to :
~ ~ , ~ . a ..~a xf
,u ' ~ ~ z`. a . co~clude fhat the are.trade secrets. . , „ ~
_ ~ ~ ~ . m~~~. , -
I hereby acknowledge that ihis information is complete and accurate; that the work will be in conformance wi[h the ordinances and codes ot the City of
Eagan; that I understand this is not a permit, but only an application for a pertnit, and work is not to siart vrithouf a pertnit [hat ihe work will be in
accordance with ihe approved plan in the case of work which ~equires a rev' of plans.
X e. ~~'~~d~
ApplicanYs Printed Name MAY 0 9 2~~~° nt's Signature
Page 1 of 3
By
, ,
DO NOT WRITE BELOW THIS LINE
SUB TYPES
? Foundation ? Obplex ? 16-plex ? Accessory Building ? Pool
? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. AN. - Multi
? 01 of _ Plex ? 07-plex ? Garage ? Porch (4season) ? Ext. Alt. - SF
? 02-Plex ? OB-plex ~ Deck ? Porch (screen/gazebolpergola) ? Multi Misc.
? 03-Plex ? 10-plex ? Lower Level ? Storm ~amage
? 04-Plex ? 12-plex ? Miscellaneous
WORK TYPES
~ New ? Interior Improvement ? Siding ? Demolish Building'
? Addition ? Move Building ? Reroof ? Demolish Interior
? Alteration ? Fire Repair ?~ndows ? Demolish Foundation
? Replacement ? Egress Window ? Water Damage
' Demolition (entire building) - give PCA handout to applican~
DESCRIPTION: ,
Valuatian ~
~ D8 Occupancy ~ G- 1 MCES System
Plan Review Code Edition d!"1 p Zoo'j SAC Units
(25%_ 100%_) Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Z V Fire Sprinklers
Type of Const. Width ~ y
REQUIRED INSPECTIONS
Footings (new bldg) Sheetrock
' ~ Footings (deck) Final/C.O.
_ Footings (addition) ~ Final/No C.O.
Foundation HVAC
Drain Tfle 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 ~I~ ~
Surcharge ~
Plan Review
MC/ES SAC
City SAC
Utili[y Connection Charge
S~W Permit 8 Surcharge
Treatment Plant
Copies
Total
Page 2 of 3
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. ~ N02TNE2a/ STATES Po~~~EP_ ~o. EASE/~1FNT' ~''`•'0
~ I
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4375 Svensk Lane
Lot: 010 Block: 002 Addition: Wildemess Run 4th
PID:10- 84353- 100 -02
Use:
Description:
Sub Type: e - Fumace & Air Conditioner
Work Type: Replacement
Description: Fumace & Air Conditioner
Fee Summary:
Contractor:
Lofgren Heating & Air
5708 Upper 147th St W
Suite 102
Apple Valley MN 55124
(952) 431-5811
Surcharge - Fixed
ME - Permit Fee (Replacements)
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Comments: Questions regarding electrical permit requirements should be directed to Mar k Anderson, State Electrical Inspector,
952- 445 -2840. Scott lofgren 5708 Upper 147th St #102 Apple Valley, MN 55124 952- 431 -5811 nkadrlik @frontie met.net
$0.50
$30.00
$30.50
Owner:
Jeanne M Durand
4375 Svensk Lane
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
9001
0801
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Mechanical
EA073868
06/16/2006
ePermit
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116294
Date Issued:10/04/2013
Permit Category:ePermit
Site Address: 4375 Svensk Lane
Lot:010 Block: 002 Addition: Wilderness Run 4th
PID:10-84353-02-100
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Jason Bunes
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 -
Tyler Knedler
4375 Svensk Lane
Eagan MN 55123
Custom Creations Remodeling Inc
1321 Andover Blvd NE Ste 112
Andover MN 55304
(763) 441-5907
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA139765
Date Issued:11/08/2016
Permit Category:ePermit
Site Address: 4375 Svensk Lane
Lot:010 Block: 002 Addition: Wilderness Run 4th
PID:10-84353-02-100
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Tyler Knedler
4375 Svensk Lane
Eagan MN 55123
Superior Exteriors Mn Inc.
4520 Tower Street
Edina MN 55424
(612) 382-2549
Applicant/Permitee: Signature Issued By: Signature