4389 Svensk Lane ~~AQE OF E4G4N
iibe Kne6 Road fE~/
EO9on, MN SS12y ER SERVICE p
rOninB: PERMIT NO.: ERMIT
~k'ner: RII DATE: 266¢
9ddreae: No. of Units: 1 12 12 $
Site
Addre88: 38
N~~mbei: He
,a - Pet rs Sk ~ne L12 B2 WR 4
ea ,comPlY with fha Villope oi Eagan ~
Connection Ch
Account az'Se425.0-
gY, Pe DePOSIt:
Fee:
nate ofl Surch~. 10. p
P
nap.: Se:
~nBP.: Miac. ChazBes: • 5p Pd
Total:
Date P~d:
VILLAUE 0~ '9GAN WATER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.: - 1907
Eagon. MN 55121 DATE: -T~~~~'~ _
Zaning: ~I No. of Units: 1
owner: Tilsen Homes Inc.
Address:
s~ce padrese: 4389 Svensk i,ane L12 B2 WR 4
Plu ber: Peters Bey roc
ter No.;~~ _~_7/-3 ~L Connection Charge: 320.00 Ud
S'~e' v~ Account De
posit:
Reader No.: Fermit Fee: 10.00 pd
~~°9~'f~ 9D~Y ~'J~~ tha V' age of Eagan Surcharqe: .$0 pd
O~~(an s /~Ce 60.00
Misc. Charges: Pd
Total:
BY - - - Date Paid:
Date of Insp.; Insp.:
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: ~ ~ ~ ~ < < ~ F ~ ~ r ~
3830 Pilot Knob Road Permit Number. t
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: ~ ~ ~ ~s ~ APPLICANT:
. ~ r1 .i i nMt ~ , ii~,~i~ ~ ~~r i iitJ I h
~li ! I~~ I.f•!! ~ Ilpl ! f ; . .1 ~ ' •I~.1 1
PERMIT SUBTYPE: TYPE OF WORK:
, . ~ 4 ,tt
a~, . , ~ , , ,
. .
~ ~ r~M i~.,. ii i . .
: i~ll~~ll t N Fi I~i i I Nr~ I
~ , ._s ~t: ~ . _ .
~ ~
~ J
Permit No. Permft Holder Date TNephone #
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspectlon Dete Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
FIna1 Htg.
Orsat Test
Flnal Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Finel
Deck Ftg.
Deck Final
Well
Pr. Disp.
• ~ii~
CITY OF EAGAN Remarks
Addition Wilderness Run 4th Addition ~ot 12 Rik Z Parcel 10 84353 120 02
owner L~~~ -"y J y+ ~,ts t; Ir street 4389 Svensk Ln. State Eacian , MN 55123
Improvement Date Amount A~nual Years Payment Receipt Date
STREET SURF,
STREET RESTOR.
GRADING
SAN SEW TRUNK 1973 163.26 8. 20 122.46 003931 4-28-77
SEWER LATERAL
WATERMAIN
WATEF LATERAL
WATER AREA
~ TORM SEW TRK 1~83. 253.71 16.91 15 27.90 C008133 12-•3- 2
STORM 5EW TRK~' 2~8. A010522 9-2-81
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. . - -
~UI~DING PER. 11-2 -75
sac 425.00 1671 11- -
PARK
~ 9~"~ ~ . a . ~o ~ .
~a s . 90 E-+--
~7• 90 ~ ~~.,y ~,c~,.~2
d'
~i
~ CITY of EAGAN N4 - 3801
BUILDING PERMIT
~ 3795 Pilo! Kaob Road
Ownsx " Eagan. Minneso3a 55122
Addrass (Drecenl) 454-BI00
Su3ldes -a-~ -
Dals
Addreaa
DESCAIPTION
Slories To Be Uted For Froni Deplh Heighi Esl. Cos! Pe:mi! Feal Aemarks
- ~ S--~, ~ ~ 3c s~ i~,
i 6' ~ 3
N_
,So,~~ LOCATION /u'~S~
5lreal, Road or other Dasariplion of Locafion I Lo! Block Addilioa os Tract
~ I % ~ ~ ti~,. ~
This permi! does no! sulhorise !he use of sireeffi, roeds, alleys or sidewalks nor doea i! give ffie oaaer or hSa sgea!
Yhe right !o create anp situetinn which is e nuisance oz which presents a hasard !o !ha hea!!6, eaiefp, coaveaienes aa8
general walfare !o anpone in !he communily.
THIS PERMIT MUST BE K£P.T ON TH~PAEMISE WHILE THE WORK IS IN PAOGRE$3.
This is 2o cerlifp. !hal----... . f°~`'~" . ~ ' ~ f
~:.---------°°°...........°--------_..........hee parmiseion !o aseet a....._. T_u.- upon
3he above described premise subjecS !o ihe provisions of all appliaable Ordinanees fos !he Ciip of Eagan.
, °-e- Per ~"..~Ce G,+~-~---°-'-~-~,
. . . - . ........r...._.......-~----........_...------~---............-
Mayor Suitding Iaspxtor
cz~ or~ ~sc~.arv %o ~d3 S3 ~30 6 2--
. " 37°S Pi~.ot I'.nob P.cad
Ea~~n, ;~i_n.~esota 55122 ~ ~SL
'r?1~~T NJ.: 647
'Phe Cit;~ oP ~~~.san :lere~y p^s.nts to L. H. Petar Plwnbing Gb. _
185d Grand Ave.. St. Paul 55105
~ ' YLfTi~ING Fer~mit for: (Os~^~er)__~_ Tilsen ~HOmea -
4 ' Dunrovin & ~
i~ ati Twno____~ Pursu~i~ to ap?iiacati.on d~~,eci 1/5/76
'ee F~ i i: _~~n__ :.,..I:ed {;his ~_d~.y ef Jan ~ 19 ~6
1.00 e/c
. Euilding Inspec~or!
N:echar.icai Fern,its: ~ ~
rid Total:
~
~ ~
2004 RESIDENTIAL MECHAIVICAL PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
~ I ~ -a
Please complete for. single family dwellings & rownhomes/condos when permits are required for each unit
Date ~ ~ / ~ / ~
Site Address ~U 'l S~f eS~
.~L ~--~1 • Unit #
Property Owner ~QL~Q.ttz'~ ~Q( lLl('(~J Telephone # ) S`~ ~ ~-D~ ~P
~
Contractor i~'ohlers Southside Htg. & Air, Inc.
- 6950 W. 146'~ St., #106 i
Street Address I Apple Valley, MN 55124 I Ciry
- (952)431-7099 ;
State ~ _ _ ~ Telephone # ( )
Bond ~ 'rJ ~ `7 'r1 g / Expires: U
The Applicant is _ Owner ~L Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
~ furnace _Additional ~Replacement
air exchanger
~ air conditioner _New ~Replacement
other
State Surcharge $ .SO
i/; ~ I?
' `~~~L' ~ ~
, G $3 5
TOfff~ I ~ OV n I il.~Y I, I ~
~
~ ~
I hereby apply for a Residen[ial Mecttanical Permit and adrnowledge that the infor_tnat '"5
einoi
6mp1_et,e and;zccurate; that the work will
be in conformance with the ordinances and codes of ffie City of Eagan and with the Mechanical Codes; Ehat 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.
~
ApplicanYs ~nted Name Applicant's Si ature
~
2004 COMMERCIAL MECHAIVICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commerciaVindustrial buildings
multi-family buildings when sepazate permits are not requirod for each dwelling unit
Date / /
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owoer Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond Expires:
The Applicant is _ Owner _ Conuactor _ Other
Work Type
_ New Construction _ Underground Tank _ Install _Remove *"`see below
_ Interior Improvement _ Install Piping _Processed _Gas
Nature of Work:
"When insfalling/removing underground tank, call forinspection by Fire Marshal and Plumbing lnspecfor
Permit FCes: 570.50 Underground tank instsllation/removal
$50.50 inimu~n (includes Stak Suroharge)
or
Contract Value $ x 1% _ $ Permit Fee
• If oermit fee is $1,000 or less, add $.50 ~ $ State Surchazge
If oernvt fee is over $1,000, add $.50 for
every $1,000 germit fee $ 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 Ciry 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 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.
App(icanYs Printed Name ApplicanYs Signature
Approved By: Inspector Date:
i~u,d 1 ~ 101 -~1,'
~ 7N11 ~1~i~c!ci2i~-,l~vo~ ~
I
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~ MASTER CARD
LOCATION 4~j/PK t ~~J ~Z '.l • 4
OWNER ~ h,
STRUCTURE AND
LAND USED AS j~.Jp_ y Q w? ,rO~ !p
r•°_'~
Issued To
Permit No. Issued Contracfor Owner
BUILDING 3~0/ ~y„~.7~
PLUM8ING G~l ~f I IG~ ~G
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING ~ ~
GAS INSTALLING
SANITARY SEWER
OTHER
OTHER
Approved
Items (Initial) Date Remarks Distance From Well
rOOTING SEPTIC
FOUNDATION H-7p CESSPOOL
FRAMING J-/~ TILE FIELD FT.
i-~
FINAL
ELECTRICAL DEPTH
HEATING ~_L1~~~ OF WELL
GAS INSTALLATION ~
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING J-/y-)L '
WELL
SANITARY SEWER
r
~ ~ Violations Noted
on Back
COMMENTS:
COMPLIANCE INSPECTION REPORTS
TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS
PERMIT NO. DATE OF INSPECTIQN
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? 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 REQUIRED DATE OF REINSPECTION
REINSPECTION REVEALED
CERTIFICATION -1 cenify that I have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein
all significant conditions ohserved to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require-
ments for off-site improvements relating to the propeny inspected.
~ All IMPROVEMENTS ACCEPTABLY GOMPLETED
.
BIJILOING INSPECTOR DATE
COMMENTS:
~p z3
PERMIT C~~ ~j
j~
, ~
~`CITY OF EAGAN PERMir rvPE: f~~
3830 Pilot Knob Road B U I L D I N G
Eagan, Minnesota 55123 Permit Numher: 024624
(612) 681-4675 Date Issued: 0 9/ 2 8/ 9 4
SITE ADDRESS:
R389 SVENSK LANE
LOT: 12 BLOCK: 2
WILDERNESS RUN 4TH
P.I.N.: 10-84353-120-02
DESCRIPTION:
(ROOFING)
B,uilding-.P,ermit Type SF (MISC.)
Building Work Type REPAIR
r \
~ ~
~
-
~
i
,
~ J
/
.
~ a,
/~~y ll r~_~
~ `~`~~~~~~j/ ~J~F ~~`~jL~~~V~~\~~~:~ ;i
,i ~ ~ r-\ 2l
REMARKS:
FEE SUMMARY:
VALUATION $4,090
Base Fee $63.00
Surcharge $2.00
Total Fee $65.00
CONTRACTOR: - Applicant - ST. ~IC. OWNER:
TWIN CITY QUALITY CONTR 12254611 20018451 JANARD PAULETTE
651 S SMITH AVE 4389 SVENSK LN
ST PAUL MN 55107 EAGAN MN 55123
(612) 225-4611 (612y454-6736
I hereby acknowledge that I have read this application and staYe that the
information is correct and agree to comply with all applicable State of Mn.
Statutes and Gity of Eagan Ordinances. ~
IL
!~`~~r+^~ 7`~, flCN~l1. ~ o ~
APPIICANT/PERMITEESIGNA~ E - ~ ISSUED Y: IGN URE 1 1
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: a u x ~ o i N ~
3830 Pilot Knob Road Permit Number: 0 2 4 6 2 4
Eagan, Minnesota 55123 Date Issued: g g ~ 2 g~ g q
(612)681-4675
SITE ADDRESS: APPLICANT:
LOT: 12 BLOCK: 2
4389 SVENSK LANE TWIN CITY QUALITY CONTR
WILDERNESS RUN 4TH (612) 225-4611
PERMIT SUBTYPE: TYPE OF WORK:
SF (MISC.) REPAIR
DESCRIPTION (ROOFING)
. „ .
FRAMING ROUGH IN PLB6
ROUGH IN HTG FINAL
~ ~
~ J
CITY OF EAGAN ` ~
~ 1994 BUILDING PERMITAPPLICATION ~~t,.~.{~~
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, i copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last workinq day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date ~I /~~9 _ Valuation of work 3,~oO.oo
Site Address: 4~g9 5 vensk LaN~
SiREET SUITE ~
Tenant Name: (commercial only)
LOT ~ SLOCK ~ SIIBD.," ~ P.I.D. #
lu~;~~.~~ l~u~v ~~,~v
Descri tion of work: o~ Ex•~~r ous~ TPflR
The applicant is: ~ Owner Contractor O Other (Ueseribe)
Name 3flNARD '~~1~^~~'~'~ Phane 454-67~6
Property LAST FIRST
Owner qddress q~S9 S ur~sF LflN~
STREET STE p
City FA~~ArJ State ~K~ Zip
Company Tw;~ [~un~~~v ~onfetrc~o[S Phone ~~.~-4~6/I
Contractor Address 6~~ $~p~ P~ License #~.Dfl1S451 Exp. 3?( ~l5
City 1'AUL State ?rlh' Zip O
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
Ea9an Ordinances. ~
Signature of Applicant:
I
OFFICE USE ONLY ~ -
BUILDING PERMIT TYPE ~
~ ~ m^'.
r, .r~"
? O1 Foundation ? O6 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
~ 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Sw9m Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex O 14 Fireplace ? 19 Comm./Ind. Misc.
~ 05 Sf Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
? 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy 2nd Fl. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code
Depth On-site sewage SAC Code
Census Bldg
APPROVALS Census Unit
Planning Building Assessments
Engineering Yariance
REt~U~RED INSPECTIONS
? .Site ? Footing O Framing ? Insulation
? Wallboard ? Final ? Draintile ? Fireplace
Permit Fee vei,~t;p,: g
Surcharge
Ptan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
5/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
5AC Units
i ,
~ t
RESIDENTIAL BUILDING
Permit Application
5~ ~Q~C~ City Of Eagan t~p`l~ ~ j
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
New ConsWCtion Reauirements R~nodeUFteoair Reauiremerns Oifice Use OnN
3 registered sile surveys shaxing sq. ft of Wt sq. R of house; and all roofed areas 2 capies of plan CeR of Survey ReW
(20% mazimum bt coverage apaxed) 7 set o( Eneqy Calamtions for heated additions Tree Pres PWn ReoJ
2 copies of plan showing beam 8 window saes; poured faund design, ek. 7 site survey for additions 8 decks T2e Pres Not Reqd
1 set of Energy Calcu~ations Additian -'uMicate if on-sife sepfrc system _ On-sRe SepUC System
3 copies of Tree Preservation PWn if lot plalled after 7l7193
Rim Joist Defail Optbns selection sheet (bldgs with 3 or less unils
Date 1 / / ~ Construction Cost ~Q! ~J(p o7 /
Site Address y?~Q~(' rJ~(~.Y1SK• Lb.9~~ UnidSte #
DescriptionofWork ~ ~Q~.Q ,a 1J.31(~.(,S ~j L~ .QJ1Ci (`a ~~r`~C7•
Multi-Family Bldg _ Y_ N Ftreplace(s) _ 0_ 1 _ 2
Property Owner ~CC1U,~~2~ ~GY~p~~'d Telephone # ((G$~ ) y~ ~ ~~3~
i RMA HOME SERVICES INC
Contractor ~ Home Depot Installed Sales ~~I
Address I3z00 Cobb Galleria Pkwy., Ste. Sl200 l~! i!~ l, I I I
IAClanta, GA 30339 i,~ ~~F J 8,Cr~ I II
State 763-542-8826 e#( ~ j,
BG20268257 `J J
- - ~By--
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv I Minnesota Rules 7672
Energy COde Category . Residential Ventilation Ca[egory 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted ~ Submitted
. Energy Envelope Calculations Submitted
Licensed Plumber Telephone )
Mechanical Contractor Telephone # ( )
Sewer/WaterContractor Telephone#( )
I hereby apply for a Residential Building Permit and aclmowledge 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 perntit, 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.
['G~ ~SOt~~ -
A icanYs Printed Name Appli ant's Signature
~ OFk~CE U5E ONLY }
~ .
Sub Types
? 01 Foundation ? 07 05-plex ? 13 i6-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Aft - Multi
O 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex O 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-piex ? 19 Lower Level ? 24 Storm Damage
? O6 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
Work Types
? 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 O 46 Windows/DOOrs
? 34 Replacement ~ ~Demolition (Entire Bldg) - 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) FinaVNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insularion _ Retaining Wall
_ Approved By , Building Irtspeclor
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total , •
. , , _
, . ~
~ > Installed I , ,
~ ~ Siding and~~sPOWER OF ATTORNEI~ - -
~ , ~c .
~ _
, , . .
, ,
' ' OUNTY OF COBB .
~
STATE OF GEORGIA
KNOW ALL PEOPLE BY THESE PRESENTS:
THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania
("Principal"), and a licensed contractor of AMA Home Services, Inc., DBA Home
Deoot Installed Sales located a± 5601l~Iendelsse!zn Ati~enue No:th; Go13en Valley, N~i
55427, havin$ a license n~Zmber of BG 2026&2~7, do hereby appoint, name and
constitute Elder-Jones Building Permit Service, Inc. ("Agent") as my true and lawful
attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my
name, place and stead the power to execute, acknowledge, sign and deliver (in such
form as may be required by the municipality) a permit application, or any other
instrument(s) which may be necessazy and appropriate, in order to obtain the proper
permit(s) from the City of Eagan, Minnesota for the installation, maintenance and
repair of windows and siding (the "Work"}.
The powers conveyed ta tfieAgeriYby this Liinited Power of Attorney aze
limited solely to the express powersdelineated herein and apply solely to the Work:
This Limited Power of Attorney shall expire and automaticaliy be revoked on the 30~'
day of May, 2003, which date is one year from the execution hereof. Further, the
powers conveyed by this Limited Power of Attorney may be revoked by Principal at
any time by express revocation and shall also be revoked by the Principal's death,
disability, incapacity or incompetence.
IN WITNESS WHEREOF this Limited Power of Attomey is executed this
3n~ d.ay of tVt /t`p , 2002.
David . z
SWORN TO AND SUBSCRIB~D BEFORE ME hy David N. Katz on this
30`h day of May, ~ . .
. . „ r~
Notary blic in for the Stat of eorgia
My Commission Expires: Januazy 21, 2006
396816.v3
Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor.
3200 Cob6 Galleria Parkway, Suite 200 • Atlanta, GA 3D339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800J 79-DEPOT
4~ ~ ~ ds
2004 RESIDENTIAL BUILDING PERMIT APPLICATION C „
~ i~ City Of Eagan ~
e'd`~
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsUUCtion Reauirements RemodaVReoair Reauirements Office~~.USe~OnIJ
3 registered sHe suNeys showing sq. ft. of lot, sq. ft. of house; and all roofed a2as 2 wpies of plan ~Ced of Survey Recd Y~, _ N
(20% mazimum lot mverege allaved) 1 setof Energy CalculaGons for heated addilions Tree Pres Plap Recd _:Y _N.
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for addilions & decks Tf~ Pr@s Required .;,rY N
isetofEnergyCalculations Addifion-irMicateilon-sitesepticsystem ~[I-~Ae9epllcSy`slam _Y _N
3 copies of Tree P2servation Plan H bt platfed after 711~J3
Rim Joist Defail Optlons selection sheet (bldgs with 3 or less unib
~
Date ~ / ~ / 2~y ConstructionCost ~{~~Q
Site Address -f ZC3°I SV E NSk ~A N{ UniUSte #
Description of Work ~ECk ~`D1~IT 1~1
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 2
Proper[yOwner {~liVLE?TE ~lfWl~~ Telephone#(~~j~ ) ~~~"~~7~
Contractar C~ ~A1 ~ L1'-~j12 ~ortn ol1 N7
Address ~ ~'(KRG~ f<v~ ~ City ~ Al ~E2 GQGVC F~ ~-t6` f~
State M,~ Zip ~~G7~ Telephonell(CE"j~ )~22-~{`l~ TX7~ IG3
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone # ( )
Mechanical Contractor Telephone # ( )
Sewer/Water Contractor Telephone # ( D
I hereby apply for a Residential Building Permit and acknowledge that the info ahon is co` J curate;
that the work will be in conformance with the ordinances and codes of the City @~ Eagan and the Stat of MN
Statutes; I understand this is not a permit, but only an application for a permit, and wor is no ithout a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval oFplans.
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Applicant's Printed Name ApplicanYs Signature
OFFICE USE ONLY
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Sub 7ypes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 O6-plex ? 78 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 OS-plex ~ 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interiar ? 44 Siding
32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish 8uilding" ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement •Demoli[ion (Entire Bldg) - Give PCA handout to applicant
Valuation t~l3t7 Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
Footings (new bldg) FinaVC.O.
~ Footings (deck) ~ FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: T 7i" , Building Inspector
Base Fee
Surcharge
Plan Review ~l
MC/ES SAC
City SAC ~
Utility Connection Charge 7~
S&W Permit & Surcharge
Treatment Plant
License Search
Copies - ? ~
Other
Total
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113904
Date Issued:09/09/2013
Permit Category:ePermit
Site Address: 4389 Svensk Lane
Lot:012 Block: 002 Addition: Wilderness Run 4th
PID:10-84353-02-120
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
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 -
Paulette Janard
4389 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