4615 Tamie Ave _ . S/26/89
_ DATE:
t
RE: ~ 4615 TAMI6 AVENUB, L4, B2, HANOR I.AKE
~
,UL_ ~(AUr Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN dN.
*our Sewer & Water Permit for the above property cannot be completed for the tollowing
r~asons:
~
~
,
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed untll further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Di~k House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- RE~UIRED BY LAW.
' CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FO~ WATER TURN ON POLICY.
\ "
Secretary, Building Inspections Dept.
' S/26l89
DATE:
RE ,~61 S TAl~1 E AVENLIE ~ L4 ~ B2 , MANOR LAKE
.
~ Jfbur Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBUC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
lipur Sewer & Water Permit for the above property cannot be completed for the following
rqlasons:
~ _
~
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (P{umbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REDUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
~
Se.cretary, Building Inspections Dept.
BLDG. PERMIT NO. S/q - Lr~~ ~~/t~c.~ L
I , ~~:r t r' l ~ . _ ' i: - ~ ~ ~ /`~~~2
01-3210 Bldg. Permit -
01-3422 Plan Check " < '
01-3445 Surch./Adm. !
01-3446 SAC/Adm. ~ S `
01-2155 Surcharge " ~ ~ ~4~
,
75-3860 Road Unit ~
2~-2275 SAC ' = - S~
2U-3865 Water Conn. ~ `
20-3868 Water Trmt. ~ `
20-3716 Water Meter '
20-2252 Acct. Dep.
20-3713 Water Permit '
20-3743 Sewer Permit "
79-3866 5ewer Conn.
28-3855 Park Ded.
TOTAL % ~ ~ `
SEWER & WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN METER ~Z~ 7~d a~ PERMIT DATE 2~+~~5
3830 Pilot Knob Rd.
Eagan, MN 55122-1897 CHIP #~/1 g°~ WATER PERMIT ~ 1 n~~+~
~ ' METER SIZE ~ B.P. RECEIPT # ~ 21 g 1
ISSUE DATE 8~~ B.P. RECEIPT DATE S~ Z 5~ 3~?
PRV _ BOOSTER PUMP
SfTE ADDRESS ~ ~ ' PERMIT RE~UESTED
LOT ~BLOCK • ' SEC/SUB = • ~ %f J-~' - ~
APPLICANT: ' ~ > > £ • , , } _ • ~ , ~ SEWER ~ WATER - TAPS
ADDRESS: ' ` f~ _ COMAA/IND RESIDENTIAL
CITY, STATE % ~ , y ~ ~ ~ ZIP = ° ~
PHONE: { ~ ~~a ~ NEW ~ - EXISTING
PLUMBER: ~ ` 1c
1
ADDRESS: ' ~r ' ~ ' ~ ' _ k I AGREE TO COMPLY WITH CITY OF
CITY, STATE J ZIP % ~GAN ORDINANCES:
PHONE: , ' ~%~l~L i~• a+ E~ .
OWNER: ~ . _ _ ' ~~~~rtc~~ i , i ~ ~if
ADDRESS: A~1J SI ATURE WHEN ISSD
CITY, STATE ~ p ; ~ r ~ ~ ~ ~ p ZIP " , (
~ ~
.k~ i~ ~.N ,
PHONE: ' ' ' '
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEYVER PERMITS, CONTACT
' ENGINEERING DEPT. APPLICANT AND PLUMBER WILL BE NOTIFIED WHEN PERMIT IS PROCESSED.
, .f > . . .r . ~r. _ - - -
~ CASH RECEIPT
CITY OF' E~?~GAN ~ . ~
3830 PILOT KNOB ROAD ~
EAGAN, MINNESOTA 55122
r
DATE ~y ' 19 ~
, . ~
~~~o ! '
FROM ~ I l .
v
AMOUNT 3 ~ ~ r ' ~
J
8 DOLLARS
iro
? CASH ~'CHECK
~sG `T`J/ - ~-C V ~/`_~G~ ~,.r
w~
,
f~
~ ~>i ~1~ ~ ~s~, l1
~ ~
FlJND OB,JECT AMOUNT
Thank You
8Y " " _ ~i
C ~ ~ ~ Whit~PeYeBCoPY
Ya~--~~~ c~
Pink~Ne C',opy
SEWER & WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN METER # PERMIT DATE 5/ 2b/ tt~~
3830 Pilot Knob Rd. CHiP # WATER PERMIT # 10464
Eagan, MN 55122-1897 151
~ ~ METER SIZE B.P. RECEIPT #
ISSUE DATE B.P_ RECEIPT DATE 5 f 2 5/? 9
~ PRV - B005TER PUMP
SITE ADDRESS PERMIT REGIUESTED
LOT _rBLOCK SEC/SUB ' ~ ' - ~ f'~- i
APPLICANT: ' L y SEWER WATER -TAPS
`1 N _ 7
ADDRESS: f r _ COMM/IND RESIDENTIAL
CITY, STA~E ZIP -
PHONE: 7 ~ , ~ ~ ~ ~ NEW _ EXISTING
PLUMBER:~
ADDRESS: , ~ Y~ 1 AGREE TO COMPLY WfTH CITY OF
CITY, STATE ZIP ~GAN ORDINANCES:
PHONE: ' 1 r x.,r.
r' G ~ ~ ~L v ' ~
_
OWNER: ' ~ '
ADDRESS: ' ` ' ~ SIGNATURE WHEN METER ISSUED '
CITY, STATE - ZIP
PHONE:
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWEH PERIYIITS, CONTACT
ENGINEERING DEPT. APPLICANT AND PLUMBER WILL BE NOTIFlED WHEN PERMIT IS PROCESSED.
~ r.4 . ,..r.t ~ T .-ifl~'~~:.fR *r T~' .~...i ~,,,rj~~.,~~, ._.~.:Tf'~Y' ..+fe* , r~r ;,.n ~f...vr
. ~ ~
PLUMBINC~ PERMIT For Office~~ly
CITY OF EAGAN PERMIT #
CONTRACT 38~ P~LOT KNOB ROAD, EAGAN, MN 55122 RECEIPT# //3~ ~
PRICE PHONE 4548100 DATE: ~
Site Add~~ss ~/'~~'e- BLDG. TYPE WORK DESCRIPTION
~ Res. New
Lot BloCk Sec/Sub Mult. Add-on
' -~f~.. _ij z_~.~
L Name ~ Comm. Repair
~ a~ ~,a~ , ~ Other
~ AdYr~ _
c Cit Phone ~ RES. PLBG. ~NLY - COMPLETE THE FOLLDWING: I
- NO. FIXTURES TOTAL ~ ~
v} t_ ~ Water Closet -$3.00 $
Name Bath Tubs - $3.00
~ Addre Lawatory - $3.00
~ City Phone Shawer - $3.00 ;
Kitchen Sink - $3.00
UrinaUBidet - $3.00
FEES Laundry Tray - $3.00
COMM.lIND. FEE -196 OF CONTRQCT FEE Floar Drains -$1.50
APT. BLDGS. - COMM. RATE APPLIES Water Heater -$1.50
TOWNHOUSE 8~ CONDO - RES. RATE APLLfES Whidpool -$3.00
MINIMUM - RESIDENTIAL FEE $12.00 Gas Piping OuUets -$1.50
MINIMUM - COMM.IND./FEE $20.00 (MINIMUM -1 PER PERMIT) ~
STATE SURCHARGE PER PERMIT .50 I Softener -$5.00
(ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE) Well -$10.00
~ Private Disp. - $10.00
/ ~ ~ } ~ Rough Openings - $1.50
~ il, ~ - ~.Cl ~
SIGNATURE OF PERMITTEE PERMIT F~E:
STATES S/C:
FOR: CITY OF EAGAN ft- GRAND TOTAL: ~ J
00 7 ~ ( ;
_ a ,
~ CITY OF EAGAN ~ SrJ' ~ ~
T 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 _
BUILDING PERMIT Receipt # ' ' ~`T
To be use forw S~ fl{ Est. Value ~74.0~'~? Date ~Y ~ ~ , 19
Site Address i'~ ~ F R. I,:. AVR
~A~~~~ / OFFlCE USE ONLY
Lot ' Block ~ Sec/Sub.
Parcel No. occupancy K-3 ki-L FEES
" zoning ~-1
W Name ~:~~''ri: '"vLL~1~ Z?a 3ff:1R~~:~3 3CHliST_~f` (Actual) Const Y=N Bldg. Permit ~22• n~
; Address :54 ~
:%s'Ll1Ti~{ °:t1 ~nuowab~e) r-~ 37,0t~
o ~ Surcharge
City y'•~' E~IG;iT~':: Phone ~ #ofstories
Length SZ ~ Plan Review 2b 1•~
Zo Name ~='~~TL.?!(; CC:~&'t~^l'r'T~Oti [~m s,ac,c~~y 1~`O.i~4
~Q Address `~'-~6 t~t~` S.f.Total - SAC,nncwcc 575.~1
~ City f'[:1t~LF.Y1 Phone S.F.Footprints - S~IU.OQ
On Site Sewage _ Water Conn
~
W W Name On Site Well Water Meter
Address MWCC System ~ Accr. ~e~os~t 30. OQ
a W City Phone Ciry Water ~`R T Q O C
1
PRV Required r~ S~W Permit •
~ hereby acknowlege that I have read this application and state that the Booster Pump - S!W Surcharge i•~~
information is correct and agree to comply with all applicable State of
Minnesota Statutes and Ciry of Eagan Ordinances. Treatment Pi 11 b•~
Signature of Permitee ~PRp~A~ Road Unit 34U
A Building Permit is issued to: TLI ~Z~ CDR1C 11~UCT lU~ Planner - Park Ded.
on the express condition that all work shall be done in accordance with all -
applicable State of Minnesota Statutes and City of Eagan Ordinances. g~. pry, _ Copies
Building Otficial Variance - TOTAL 2 ~~$4' ~
- Permit No. Permft Holdar Date Telephone #
W~ ~ER L" - ~F , ~GL~cZ i%~, ~ ~l ~
SEIUER
~ ~ -
PLUMBING C -i~ ~(.c f C i ~
H.V.A.C. ~~~~~0 } L~<it;cC.`'~7 ie ~ C~!'l. ~
ELECTRIC ~~~'7 -
Inspeetion Date Insp. Commenta
Footings I 6 ~,(/~9
Foundabon G~o ~ Q~
Framing z ~ C_ v t 0i
S
Roofing Z ,
Rough Plbg. . ~ ~
~ ~
Rough Ht9• ~~8 ~/~r / tw D / Jr
Isul. ' - - ~ '20 - _ ~
Freplace
Final Htg. g/~9 r
Fnal Plbg.
Const. Meter Plbg. Inspector- Notify Plumber
Engr.lPlan
Bldg. Fi~al ~ f(
Deck Ftg.
Deck Final
Well
Pr. Disp.
r
~ ~ a ~
~
--r -
t
, t~~ex#tftr~t~ uf (~rru~tt~r~
.
~itp of ~agact
~p~[1'~ritPri1 D~ ~1tiY~tliQ ~tt8~lPtft0lt
. This Ceru~cate rssued pursuant to the requirements of Section 306 of the Uniform Building
Code cel7ifyi~g that at the time af issuance lhis structure was in compliance with the various
a~rfinances of the City regulatrng building constructton or use. For the following;
Use (]assifi~arion ~/~r~ e~. ~;t rra. I 65 I 9 _
oocupao~r~'P~ ~`1.'~ zooi„gomu~« R1 TrP~~ VN
o,.~ o~ e~~ 4~,SIl,IlVG rJ0i~5'T. naa~~553b ! 2IA AW, IVEiJ Z~iIf~IICXV
. ~ g A~ 4615 VFldOE ~ay I1~, B2, MAN()R LAKE
' ' ( U'. (~~,ti~~ ~ AUC~TST 3t, 1989
= aa~:
Bwlding
POST IN A CpNSPICUOUS PLACE
~ , . . ;,~R.~ . PERMIT t~ ,'r
' , , ~ • * PLUMBING PERMIT '
' CITY OF EAGAN RECEIPT # '
L,- f~~ r ~/y
3830 PILOT KNOB ROAD, EAaAN, MN 55122 DATE:
CONTRACT PRICE PHONE: 454-8/00
Site Ad~ress f i~ ' y~` ~ BLDG. TYPE WORK DESCRIPTION
Lot Block Sec/Sub Res. ~x New ,
~ • + ~ Mult. Add-on
~ Name ' r ; , , - ; ~ ~ 51 ~ : ; ~ ~ z ~ - Comm. Repair
d . .
w Address `~%/r ^ , ~ ^ ~ ! f Other
c City i'~ E Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
N0. FIXTURES TOTAL
Name ~ - ~ - ~ ~ ' ~ -7.-Water Closet - $3.00 S~
~ " ~ Bath Tubs - $3.00 ' -
c Addr~s ~ '?J ' ' ` ~Lavatory - $3.00
p City ~ ~ Phone-3 ` ~ _LShower - $3.00
~_Ki?chen Sink - $3.00 - '
FEES Urinal / Bidet - ~3.00
COMM/IND FEE - 196 OF CONTRACT FEE ~ -LLaundry Tray -$3.00
APT. BLDGS - COMM RATE APPLIES ! Floor Drains -$1~.50 '
TOWNHOUSE 8 CONDO - RES. FiATE APPLIES j Water Heater -$1.50 i '
MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00 ~
MINIMUM - COMM/IND FEE - $20.00 ~Gas Piping Outlets - $1.50 l • `
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIn
(ADD $.50 S/C IF PEFMIT PFiICE GOES Softener -$5.00
BEYOND $1,000.00) ~ Well - ~10.00
~ Private Disp. - $10.00
i ' ' ' Rough Openings - $1.50
. ~ r ,
S~GNATURE OF PEAMITTEE FEE: ~ ~
STATE S/C:
FOR CITY OF EAGAN GRAND TOTAL•
PERMIT # `
, . MECHANICAL PERMIT RECEIPT # ,•~`~~~'y
' ' ' ' CITY OF EAGAN / / j~
3830 PILOT KNOB RaAD, EAGAN, MN 55122 DATE: %~v ~
CONTRACT PRICE PHONE: 454-8100
Site Addr,ess ~ ` ' ~ ~ ' ~ = ' • BLDG.~ WORK DESCRIPTION
Lot Block Sec/Sub
_ ~ - ,r 1 Res. New ;
; ~ _
~ Name ; , ; J~~ , Mult Add-on
a~ ~ ~ ~
~ Address ' ~ t `t Comm. Repair
y ~ ~ ~ ~ ~ Other
c City h- Phone
FEES
~ Name i{~~~~- RES. HVAC 0-100 M BTU -$24.00
c Address ~ ~ ~ ADDITIONAL 50 M BTU - 6.00
p Ciry ~ Phone 3~ (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEknAI~ - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 14'o OF CONTRACT FEE
Forced Air ~ M BTU ~ APT. BLDGS. - COMM. RATE APPUES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8~
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent. CFM $ (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
Other g
;
FEE: ~ s -Jf.. ~.-ti•~
S/C: SIGNATURE OF PERMITTEE
TOTAL: ~ - ~
e;~; FOR: CITY OF EAGAN
: . - .
_ _ f~ .
- ~ •'°"a :~/!r~:. ~ :,v ,v '~..~-:yr.1i" ~nui/~. .a pui, r.h. .
CITY OF EAGAN .
454-8100 ' ~ .
DEPT. OF BUILDING INSPECTIONS -
~ ~
Correction Notice
Located at ~G~ ~ ~
I have this day inspected ~his structure and
these premises and have found the following
violations of city codes governing same:
i l/~ S~G C ~r~- R, l~ UsT~
`~D
/N ~.7 fs c:r
a /NS~L/~T"iU SLG:~~ l/L~ c~•J
f' - l~1_'''`/ ~ ; .=J T-~i G f'
G~ ~ v s
`i ~~r-i ~ ~
When corrections have been made, please
call 454-8100 for inspection.
r
~
Date ~j-s y Inspector City of Eagan
DO NOT REMOVE THIS TAG
INSPECTI4N RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: !
Eagan, Minnesota 55122-1897 Date Issued: ~
(612) 681=4@75 '
SITE ADDRESS: , , , APPLICANT:
itM l l RVf r:; ~
, ~ i ~ , . , , , ~ .
PERMIT SUBTYPE: TYPE OF W~RK:
~
. .
t., r. ~ i.: ~ i ~ t~ ii ~ r~ a r t E~~t., t
~ ~
~ ~
Permit No. Permit Holder Date Telaphona A
ELECTRIC
PLUMBING
HVAC
Inapectlon Dste Insp. Commonb
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUI
GYP BOARD
FIREPLACE
FIREPLACE
AIR TE5T
FINAL PLBO
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAI
DECK FTG _ ~
DECK FINAL ^.S
~%/8"9 y s~so i
~ 9 3 ~ 21~~ ~7
Requesl Oflta Fiie No. Rough-in Inspedbn
~ R uired7 ~eady Now ? Will Notify Inepedor
Yes ? No bVAen Ready9
I'S,licensed contractor ? owner hareby request inspedion of above electrical work at:
.bb AEdress (Sireet, ~r Route N ~j o Ciry
` V `
Secllon No. Township Ne a No. Raige No. Co
Occuparit~ RINn P P~ore No.
~
Pow poi~e~ AtlOress
I racto Com y N e) CorNBCtw's License No.
M9i' Cre M or o er Meking Inatallalion) .
ANho etl ignaW Con~ra r er ing I io Plione Nuinber
O
N O A STATE BOARD OF ELECTpIG THIS INSPECTION flEQUEST WILL NOT
ri s-MNway Bltlg. - Foom 5173 BE ACCEPTE~ BY THE STPTE BOAPD
University AVe., S1. Pauy MN 5510a UNLESS PROPER INSPECTION FEE IS
Plione (61P) B42-0BW ENCLOSED.
j~ /(p REQUEST FOR ELECTRICAL INSPECTION es.ooom.o~
? Sae instmcnons for compiatlng this brm on back M yellow copy. - 9/~,SQ /
~ 9 3 8 21 •X" Belaw Work Covered by This Request -
ew Add Fep. TypeolBuilding AppliancesWired EquipmenlWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Api. Building ~ryer Other (Specify)
Comm./Industrial Furnace -
Farm ~ Air Conditioner
Olher(specity) ConVeMOrS Remarke:
Compute lnspection Fee Below:
# Other Fee # ServiceEmrenceS¢e Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transfortners Above 200 _ Amps Above 100 _ Amps ~
SignS Inepector§ Use Only: \ TOTAL
Inigation Booms 4 ~
Special Inspection J
Alartn/Communica[ion .
aher Fee
I, the Electrical Inspector, hereby Raug~-in ( os~e~ q
6
certity that the a6ove inspection has F;nai o ~
been made.
OFPIGE USE ONLY .
Tha request void 18 momhe Imm
CITY OF EAGAN N~ 16519
3830 Pilot Knob Road, P.O. Bax 21-199, Eagan, MN 55121
' PHONE:454•8100 /y ~
BUILDING P~RMIT Receipt # (~~o~
To be used for SF DWG/GAR Est. va~ue ~~4, 000 pa~e MAY 25 , ~g 89
Site Ac(dress 4615 TAMIE AVE
OFFICE USE ONLY
Lot 4 Block z Sec/Sub. ~NOR LAKE
P2fCBl NO. Occupancy R-3 M~_ FEES
Zoning R_7
w Nam2 RERR3C WOLLEN & SHARON SCHIISTA? ~Actuaq Const V-~` Bldg. Permit 522.00
o Add~ess 554 TWELHTH N4I (Allowable) Surcharge 37.00
City NEW BRIGHTON Phone 450-4816 #arscodes
Length Jr2 ~ Plan Feview Z61 .
,o Name WESTLING CONSTRUCTION oepm 4o~ snc,c~ry 1~~-~~
~a Address 5536 SEVENTH ST NE S.F.ro~ai - 575.00
~ 572_OR73 S.F. Footprints _ SAC, MCWCC
City FRIDLEY Phone
On Si1e Sewage - Waler Conn 580.00
~
W W Name On Si~e Well - Water Mete~ 90 - 00
ii AddlBSS MWCCSystem ~
a w City Phone ary waier XX Acc~. oeposi~ 30. 00
PRVRequired S1WPermit Z~.~~
I hereby acknowlege that I have reatl this application antl slate that the Booster Pump - SiW Surcharge 1. 00
information is correct and agree to comply with all applicable State oi
Minnesota StaNtes and City of Eagan 6rtlinances. 7reatmen~ PI Z28 n~
Signature of Permitee APPROVALS Road Unit 340 _ 00
A Building Permi~ is issued to: ~STT.TNf_ (`QL Planner - park Ded.
on ihe ezpress condition that all work shall be done in accordance with all Council
applicable State of Minnesota Sf2tal~u~tes andyCyi~ty nq1 Eagan Ordinances. Bldg. On Copies
Building Oflicial ~ T~ !~~~?r Vadance - 707AL 84.00
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
1`~-''j g'~ 3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
New ConsWdion ReauiremeMS RamadellReoair ReuuiremeMs
• 3 registered sRa surveys shaxing sq. ft. of lot, sq. N. of house: and ell roofed areas • 2 coDies of plan
(20% maximum IMCroverage allowed) • i set of Energy Calalatlans far healed additions
. 2 copies af plan showing 6eam 8 wirMow saes; poured found desgn, etc.) • 1 site survey tor exterior additions 8 decks
. 1 set of Enert}y CatcWations • Indicate if home served 6y sep6c system for additions
• 3 coDies of Tree Preservation Plan'rflot plaped after7l1f93
. Rim Joal Delail Optbns selectian sheet (61dgs vrith 3 or ~ess units)
DATE 2(~ ~ Z VALUATION S~~
SITE ADDRESS '-I (o~s i
n,~,.,~c F MULTI-FAMILY BLDG _Y kN
TYPE OF WORK_~IZ ~ Sbrznl.t`F_ ~onr~ ,D~ FIREPLACE(S) 0_ 1_ 2
APPLICANT ~-~L~ ~ . U`-~ o ~-v~
STREET ADDRESS ~!o ~ S T.4,~wsE ~vEr~4 ~ CITY~_STATE Yl"!~ ZIP SS~ L 3
TELEPHONE # s! ~/~SNbOCELL PHONE # r FAX #
PROPERTYOWNER ~B-w--y ~ W~-~ TELEPHONE#~~5~~ `{S`f
5~60
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RITLLS 7672
submission type) • Residential Ventilatlon Category 1 Worksheet Submitted • New Energy Code Worksheet Su6mitted
. Energy Envelope Calculatlons Submitted
Plumbing Conhactor: _ Phone # _
Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee $90.00
Water Heater No, of R.I. Baths
No. oF Baths
Mechonical Contractor. Phone #
Mechlnical system includes: _ Air Conditioning Fcc: ~70.00
Heat Recovery System
Sewer/Water Contractor. Phone #
I hereby acknowledge that I have read this applicatio~, state that the information is correct, and a r omply
with all applicable State of Minnesota Statutes and City of Eagan Ordi nces. ~ r,
Signature of Applicant ~
JUN
OFFICE i3SE ONLY
8Y-=~-~~ -
Ceftificates of Survey Received _ Tree Preservation Plan Received _ Not equired _
llpdated 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace q 21 Porch (3-sea.) ? 31 Ext. Alt - Multl
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Eut. Alt - SF
? 04 D2-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Additlon ? 36 Move 81dg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors
? 34 Reptacement "Demalitian (Entire Bidg onl~ • 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) FinaUC.O.
_ Footings (deck) FiuaUNo C.O.
_ Footings (addirion) _ Plumbing
_ Foundation HVAC
~ Dnin 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 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
I.'
1989 BOILDIAG PERMTT APPLICAiION
CTTY OF EAGAN
1 t~.~ I ~i
3INGLE FIMILY DHELLINGS lATLTIPLE DWELLINGS CO!'E~RCIAL
2 3ETS OF PLANS 2 S6TS OF PL9N3 2 SETS OF lBCHIiECTURAL
3 REGISTERED 3TTE 3DR9EYS REGIST6RED SI1'E 30AVEY3 - 8 STHOCTfTRAL PLANS
1 SET OF ENERGY C9LCS. (C~C[ IiTTH HLDG DIV.) 1 SSf OF 3PECIFIC9TIONS
1 3Ef OF F.AEAGY CALCS. 1 3ET OF ENEAGI CALCS.
MULTIPLE DWELLINGS AENT9L QNTTS FOR SALE IINTTS 1 OF ONTTS
BOTEs IDDRESSE4 FOH COANER LOTS - COATRACTOA/SOh~OWNEA MDST DFSIGNA?E iiflICH IDDAESS
IS DESIRED. BO CA`NGFS WII.L BE ALLOiiED OdiCE BDII.DING PERHIT IS I330ED.~
SEWER 8 1i1TfiR PERMIT FEES AHD ACCOOtiT DEP03IT F6S3 iiILL BE INCLT7DED iTITB THE BUILDINfi
PEF~fIT FEE. PROCESSING TII~ FOA SEWER AAD 1i9TEA PERhIItS IS TiiO DAYS OIiCE A PEAMTT HAS
HEEN CONIPLETED INDIC?TING A LICEN3ED PLtlt~EA.
PENALTY @PPLIES 6~N: PEtiMIT IS NOT P?ID FOR IN SAP9E MONTH IT IS REQIIESTED.
LOT CHANGE IS REODESTED OA1CE PER~'IIT IS ISSIIED.
,D ~r~~,~ ~
To Be Used For: ~ Valuation: ~~v Date:
Site Address ~(c ~ 5,J,finnini lftri OFFICE OS6 ONLY
Lot Bloek a Oceupaney -3 rFFC
Zoning
Parcel/Sub , ~ Actual Const ~ Bldg. Permit SzZ
,a~a~r ' 1 /,Sr1~a~v Allosrable / _ Sureharge
relyp''OOcmer ~.fr~~ W fl~~~ / .Sc~u sYa D # of stories Plan Review z~i
~,~~-81 ' ~ I1 Length SAC, Citq /DO
Address ~ SS ~ Z- U? Depth 3, 3 SAC, MWCC ~~S
S.F. Total Nater Conn ~5
,0.~
City/Zip Code 6R ~a r a~ ~S( l Z Footprint S.F. Water Meter Yo
~ L~~ Acet. Deposit 30
Phone ~ 5° g ~ b ~33 ~ On site aewage S/A Permit Zo
~ ~.p.-~~ On site well S/W Surcharge /
Contraetor l.~Je.o-u-~c-v~e, MWCC 3yatem ? Treatment Pl. zz
S~ l~
~.t~ ~,I ~ q City vater Aoad Unit 3Y0
Address d~ PRV required ? Park Ded.
~ S. ~3a Booster Pump _ SIIBTdfAL
Citq/Zip Code ~
/~p ~ lPPA0VAL5 Penalty
Phone ~~/2 - b fs ~ 3 ( l~-~ ~ Planner _ rora~. nn
„ Couneil
Areh./Engr. ~~/~%iiJcrl ~FS/6,r~s Bldg. Off. ~~zA~ ~ j ~ ~
11r 10 ~G Varianee
address
Citp/Zip Code ~A~S
Phone ~ 7 ~ ~ ~ Z~
Co4-`eY • ,
~Y~ SG i~i ~ 1 Jvyo ' ~ .
U p~ eY ~ ~ ~
~ . • b ~
z ~~k yd ~ 9 G o i~ '
l~~ ! 2
/o3z,a-S6 ~ s,~oo
C~°I' .
ZZ, 3~- Z z- = %Sd, G
L . ~ ` ~ g
y~- ~s~ J 3
~ 3 0
~
~ _ _
CITY OF EAGAN
EXTERIOR ENVELOPE AVERAGE 'U' COHPUTATION
ONNER: t~Fi2i2a. d< L tr~
SITE ADDRESS: 7"CP r t i r
CONTRACTOR: G(~ ~ 5' c- ? y-r- DATE~ ~/$',F `J PHONE• S 7 Z- o S 23
• f~'U 5 ~ .
Determine yrorking square footage of each: 3 3~-/ Dz
0
~ti
1. Total exposed wall area ~p sq. ft. x.11 = i~(~, ~
2. Total roof/ceiling area r'r>~ Z sq, ft, x.oz6 = zG, , b~3
Total exposed wall area above floor = ! f~~
a. Total wall window area lJ'7~~~
b. Total door area
c. Total sliding glass area r~ h
d. Total fireplace wall area ,a
e. Total wall framing area (average 10~)• 1`1~fa
f, Total net wall area above floor ~f
g. Total rim joist area ~io 3
Total exposed foundation area - 7 ly', o/
h. Total foundation window area ~14-
i. Tota1 net foundation area above grade 79_o k
Determine 'U' value of each wall segment:
a. ! S Z X~ ~ j i (L~'L
b. ~x'U'
c.~x'U' - _
d.--- rj 7~'-- X~ ~ i _ -
e. iS4 x 'U' = ia.iby
f. ~ x 'U' 0~9 ' 8
g. ! I J x' U' ~ q
h. 'T~~ x ' U' - _ _ .
i . x ' U' Lf = 9~ / /.2~
3 . Tota1 = / ~.3'• 3 Z .
If item #3 is the same as or less than item ilt, you have met the intent of SBC
60D6(c)2.
Total exposed roof/ceiling area = /O 3 Z
j. Total skylight area
k. Total roof/ceiling framing area (average 10x) io 3.z.
1. Total net insulated roof/ceiling area 9~'•8
OVER
y
Determine 'U' value for each roof/ceiling se~ent:
~ ~ ~ X ~ _
k. l0 ~7. v x'U' f72 1 = ~ia71
~
i. `~~tp.Y x }u~ :d2'~
4 . Total - r ~-1~ ~ J
If total of ~{4 is the same as or less than 112, you have met the intent of SBC
6006(c)1.
Alternate Building Envelope Design
To utilize the total envelope system method, the values established by the sum
of Items 113 and 1l4 shall not be greater than the sum of Items It1 and f12.
1. + 2. -
3. + 4. -
2
SINGLE & DOUBLE FAMILY HOMES
1984 ENERGY CODE REQUIREMENTS
On or about March 1, 1984, the following energy code requirements
should be calculated and included with a building permit application.
1. Roof - ceiling assemblies - R-38 U= o.025 Average
2. Exterior walls & rim joists - R-20 U= 0.11 Average
3. Floors over unheated spaces - R-20 U= 0.05 Average
4. Exterior overhanqs will be considered as exterior wall.
5. Foundations (all exterior walls) - Minimum of R-5 insulation.
6. All insulated areas must be separated from the heated space
by a well-lapped or sealed vapor barrier with a minimum perm
rating of 0.1. A 4 mil. polyethlene sheet or equivalent meets
this requiremen~.
A Kraft face R-19 type insulation will be accepted in the rim joist
areas. Air chute baffles are to be placed in every rafter space.
II
- . cuioeun[ ro (a) t~ncruas reo:i r,ua;,[ n~.aunt ~ ~
. or rrriu~ur usco er.oc,uers .
~ft) (R)
Inier~or Ai~ iilm (IJalls) O.LD Gypsum o~ plas[er board 3/8" 0.}2 '
Extcrior Air ~Ilm (~dalls) 0.17 Gypsum or ylazter board I/2" 0.45
' In~cr{or 6ir Film (VCnted Ceilin~) O.G1 eyps~m or p7ester board 5~6" 0.56
Ea~cr{~.r p{~ Fllm (V~ntcd Ceiiln9) 0.61 r1y.~ooA 3/6" p,y~
' ~~terlor Alr Film Qtcn Vm[eA) 0.67 P~ywood 1/2" 0.62
En[erio~ Air Fllm !tlou VenteE) 0.17 Plywood 3/4" 0.93
- Shea[hinp, reg. denslty 1/2" 1,j2
F~u~~inun Sidina D.61 Sheathiny re9. density 25/32" 2.06
hlum~~~m ~~~p~ Backer 1.82 Nail-hase zhe~thing 1/2" ~,~1~
Aluminum .~~ih Backcr G Foil¢d 2.96 ~
I/2 n 8 L~p Sidinn (I/ond) . 0.61 Built-up Roofs 0.}3 ~ ~
7/16 z ~p ~lardboard Sidinq 0.67 Asbesros-cement shinni~s 0.21 '
i.sbcstaz Sidinos 1/4 Lapped 0.21 Asph:Jt roll roofing 0.15 ~ - '
5[ucco (Oro;~n and Finlsh Coa[) Aspahlt Shingles 0.44
3%~" ~;ood Subfloor or Shea~hing 0.94 Insulation: i-2 3/4" Fi6erplazs 7.00
7/2" P1yNOod -1ira~hinq U.62 Insulation: 3 I/]^ Fiber9lass 1h.OD -
' - 1/2" Varcicic Hu..rd 0.6G Insula[ion: 6" F{berglass 19~00
tt00DS: BLOWIIIf. 1J00L5 - . ~
_
ilr. Pine t zlmilar soft voods 1 1/2" L 89 npnrox. ' 9.no -
2 1/2" 7.12 APP~o:. 4 1/2" 13.00 . -
3 1/2" 4.35 Approz. 6 I/4" 19.00 - -
OVrox. 7 I/4" 24.00 _ .
5 1/2" 6.87 a ~ .
APProz. 14i~ . 30.00 . . - .
~ ApPron. 16" 40.00 ~ ~ ~ -
. AII other insula N on ma[erials n~zt be . ' -
Fllled verified (R Factor) . '
(R) Vermiculiie . - .
8° Concrete Block (5 E G ReG.) 1,17 7,g) . - - -
12" Concrete Ciotk (5 L G Re9.) 11A 3.15 '
8^ Lighc t~cight xJ8 5.0; - ~
13^ li9hc I;ei9ht 2.4d 5.82 - - ' . ~ ~ .
~ ,~R~.~.~~~_....~._~~i;;;_':~3'~ . . . .
HOTE: (U) x Area Squaro Fect
.
`~A')(,l
nll VlnAOwS - . . . -
(v/SCOms 1" to 4^ Soacc) . .SL . . ' . . ~
Removal ~ouble Llazing (ROG) .S$
Thermo or weldcd 3/~6" ai~ sn~~e .69 '
1/4" air spacc .65 -
1/2" air space .58 . .
, (Ot~er wlndows specifically te5ted wn use better ra[in9s) . . '
I 3/4 Soiid core door .46 • ' ~ ~
w/smrm, vood ,j~ . , ~
w/smrm, metal .26 ' -
Pease Stce7Dm~ Ins1/Il/CL ].45R .1} ' ~ ' ~
Slidinq Glass Ooor, Nood ,65 - -
Metal .715 . . ~
. ~ . CITY OF EAGAN ~
J'~ PIINItNM "U" FALUE Ai\D R-FACTOR AT ROOF, WALL, RIPI AND CONCRETE BLOCf:
. / ~ , . ,
Provide insulation baffles in every' ' ROOF ! L~~LrN(~
ra~ter s~ace. ' 4 VAL
- s iQ It~~'E~loj~ P,tR FI~^1 .~B
o Srs~~ UYP s s-~ .
QQ lhSU~AtIoN - ~ ~I~1.
7 ~
v ~y~_. ~E _ O EXjE(~;o(~ Al~ FI~M ° i7
~ ' lJ~ ~ ~S~FtLL~ . _
i~ ~ ~I G - ~jiZ = oZS TbTA~ CR~- ~Sy
~ ,
- ' ~,~~a2?i
~ ~ WA~L .
. ~ ~ . C~) ~lAL~
i 8 - . Q{C~
~E[=lof= AIfZ ~1~M
, ~ O '!2` t~YP" - - ; ~s
O INSU~A~"1or~ siz'' ~ 3 ~
~ ' . . 9 . ~~31-'t ~-"~v 6¢. ~ . ~
: ~
. ~ I . ;o M~, ~or+lTc 51~~~G . f;/,
. ' to u ~x lor Artc FI~P'1 , , ~
, : tt l~R - To7~~ _ Z~ ~
~ . = a~~
1~1M
- ' ' ~Z ~ ~ ~R~ ~IALU
• ' az 1[~T~.1'~lor~ AiR F1u~ ~`..-6~
• . 1J ' ~ I3 ~3 ~~JVLf~7'Ql~ ~ ~
?`r ~ 2 nttZ- R~r~~ .1o~sT l
~ ; ts ~s ~"fs~ ~~'~7-~iT~ . . . . .
• . ~ N~ Mh~r~lTE stolNU . .
. . o ~xT~~»c~ A« ~~~r, . : ~ 7
. o .
~ uU~~ - [~R= . ToTP.:. (R~= ~i•4~1
. • °D ' _~oJ~DAT»c~~ ~
~ Ctt~ VFltU~
~ ~3 tN 1E17t~i~ Atrc F~~1 ~
j , _ ~s ~ ~ . ~
go~. ~R ~ C .
~
e n TJ l1 CbidG. $LKi c P.2~'
~ o.' ~ o ~~~~;YP~~~~~iR.S-~.~
, _ . EXjE~[o;c AIR F1LM , i1
• I~ -
: . „ _ ~C~= To~a~ (r<~= ?~3
u t ,r~,
_ _
Floors ave; unheated spaces must have mininu~ R-factor of R-20 (tuck-under garages).
F2oors ov~r outdoor air (overhanss) riust kzave a r.iinimum P.-fac[or of R-33. '
PETERS, PRICE & SAMSON
LAND SURVEY4RS. LTD.
12400 PRINCETON AVENUE SOUTH, SAVAGE, MINNESOTA 55378 • 612-890-9201
CertHicate Of Surv~y For CHUCR WESTLING
N99°24'47"E
431. 6 ~26. ~f6 981. /
- o ~ o _
' Oro/nog~e 9 UH//ry faAVrrleM ~-r- / ~u .
934.1 '3
' ~~~JS j .
3 ' ~
h~ •~ssgy
M ` j
~ Q ~ ` ~.°43
~9 . ' . .
1\be ~ ~
/ $ a~
~~3
2 h s J:~ °~\`,r ~'s~ ~ 3p, po
q~e~ 9q:o ~t~\~y s~,`
~ ~ Z~Z•g2
.
h ,~J . ~cs~
~ . d!;' / ~a
p ~p ~ ~+i>~~9y~~~J.; '6
94e•8 , o
~ .
n a~~s ~'~~~?~°-D EAGAN
~ -~°.~,.°o ~~b
~ ~s.. , REVIEWED a
~i.a ~ S
aY~.
/ ~s'~`
~\V Q.~ ~ I DATE `S Z ~/-~i
~CQ '
' DESCRIPTION
Lot 4, B1ock 2
MANOR.LAKE ADDITION
~ T Dakota County, Minnesota.
l~
~ , ~
~ ~
SCALE /"+~10' D ~
o Denotes'iron mvnument
940~0 Denotes exiating elev. E?~Ca~1v ENGI EERIl'dG EPT
~rso.o)Denotes. proposed elev.
~m~.~- ~~c~ul~
R ~ r--
~ . . ~a ~ • . .
We hareby certity thel MIB IB a true arM Correet r9p~eaenlB[bn ot a eurvey ot the Dounderlee W the abOVe Aeecribed land, aM o11M ~oCefion oi elt
bulMinqs thereon, antl all viside encraachmeMS, H arry, (rom or an aeld IerM.
naa~rv~br~mis/T~h~y~ ~av ,s~ ~i~~~~ ~s.
M~nneaota uce~se No /~~D
;~M J(,X(%<9,( %~C 'Mn:yfii„k.1FhC}°M.\"/F;'::K:d(W'i:Y,(aY~t Yt 'M>k>YKC~~.>~:HY)rff.YdX,?$(
r.,z1v or i_r..,en~
CAa~!IE::4e .tS TERi'i:f.tl~il._ R'C; ii?9
L~AY'r_e Cifii?;3/$)L 'i:l:i`1E: 1.5:3"`ic:I.6
T.Be
NA~1F~:: KEF?RY iAOI...i..7:N
3c:L0 9U(J:I. 461`; 7AP'U:E (i':1E: SiJ„Oi)
i?:L`ii5 c:[lt]! 4fd.,`.'i l"FlMI[_ At1F IJ.S!]
34;3Q 900:1. 46i.5 T~MIE (~t~E: f3„`;f.l
a
?n+.:_~7. F~:rai:~E~i~,t Aino~.:rrF;, S:I..,(70
r.,Fr)903~::.8
USf_F: TTI,: .)f~Pd
>;(~i:<?:iYFi~(~';~~:?<'f,t;$~yF~ ~:r:$;Xi~1°.M>k>;c1~~L•:::4~':(1;:Y,:);;;k;i.;i,;:~l.Y`X,.t.
PERMIT
~ CI-TY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B u z ~ o z N G
Eagan, Minnesota 55122-1897 Permit Number: 9 318 51
(612) 681-4675 Date Issued: 0 4 J 2 3/ 9 8
SITE ADDRESS:
4615 TAMIE AVE
LOT: 4 BLOCK: 2
MANOR LAKE
P.I.N.: 1@-47275-040-@2
DESCRIPTION:
~
Builtlin~Permit Type ~ECK
'fBuilding Work 7ype NEW
Census Code~•,~ 434 ALT. RESIOENTIAL
r; '
~
~ i.. ~
.
~
~
v~. , ~
fr
, , v, ~
~ ~ .
,:s..,~ .Li
"ti 'i 7 a.
4 "f
,i
~ pr
~
i 3 ~ ~1 ~ ~'_"j~ { ~ 1
r t ~ i~`,y ~ 1 ~ Ls 1 ~ i } a~,E~ .
r ~y
r-;v ~r ~ `
REMARKS:
PLAN REVIEWED BY MIKE BARCK
FEE SUMMARY:
Base Fee $50.00 COPIES $.50
Surcharge $.50 Total Fee $51.00
3ubtotal $50.50
CONTRACTOR: OWNER: - Applicant -
, WOLLIN KERRY
4615 TAMIE AVE
- EA~AN MN 55123
" (612)454-5460
I hQreby acknowledge that I have read this applica.tion and state that the
inFssrmat~:on is correct ~r~tl agree ta co:mpl.y with all appl3cab~.e St~~e afi Mn.
Statutes and City of Eagan Ord'inanc'es.
~ _ . _ . . _ _ ~
APPLICAN E~TEE~NATURE - ~~Ep"°~~ A~~i rn~r1
~ ~998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
' ~ CITY OF EAGAN
3830 PII.OT KNOB RD - 65122
681-4675
New Construdion Reauirements RemodeVReoair Reauirements
? 3 registared site surveys ? 2 copies of plan
? 2 wpies oi plans (include beam 8 window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior addkions & decks)
? 1 energy calculations ? 7 energy calwladons for heated addkions
? 3 wpies of tree preservatian plan ff lot platted after 7/7/93
required: _ Yes _ No
DATE: ~-l7~ `3$ CONSTRUCTION COST; 1,73a.7a-
DESCRIPTION OF WORK: Ail.+~ar3orl 3~F 17FCK
STREETADDRESS: `~~'~S Tf+.~ ~vF~/~E
LOT: BLOCK: SUBD./PJ.D. _ ~31~tm1Y1. d~(~
-C-'
~ a-y r~F
Name:_ Wc•.r„z,J ~~f-,Q.Cy Phone 5~.$~b'S ~~j' ~ y,Gc'~
PROPERTY First
OWNER x ~~sl
Street Address: ~b T/~-rr.z,E ~uF~/~E
City t/}G~ State: 1~~? Zip: `~`r'~3 .
Company: Phone
CONTRACTOR
Street Address: License # ,
~~ry State: Zip:
ARCHITECT/
ENGINEER Company; Phone
Name: Registration
S~eet Address:
City State: Zip:
Sewer 8 water licensed plumber (new construction ony): . Penalty applies when address chang
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application and sTate that the infortnation is correct and agree to compiy with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
' J,,~Q #
Signature of Appiicant: '~Y~ "'~-~+ti-'
OFFICE USE ONLY a ~ ~
Certificates of Survey Received _ Yes _ No ' z
Tree Preservation Plan Received _ Yes _ No _ Not Required
I
~ ~ ~
OFFICE USE ONLY ~ ~ ~ ~n,,,
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Dupiex ? 11 Apt./Lodging ? 16 Basement Finish
O 02 SF Dweiling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ~-15 Deck
WORK TYPE
`~~1 New ? 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.
Depth Footprint sq. ft. SAC Code oi
Census Bldg
Census Unit ~
APPROVALS
Planning Building ~ Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S!W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies . r~~,.~~ ~r_ :,~o;_, CZ )
a
Totaf: ~
% SAC ~ ~4
SAC Units _ _ i ; i.1
, - - - {
.
PETERS, PRICE & SAMSON
LAND SURVEYORS. LTD.
12400 PRINCETON AVENUE SOUTH, SAVAGE, MINNESOTA 55378 • 612-990-9201
CertiTicate Of Survey For CHUCK WESTLIHG
N B9°24 ~4T NE
931. 6 226.46 ~ 93/. /
- o / o ~
-~-s- D~o/noqs e uN//ry Eown»nI / 7
934.1 3
' ~`~JaS3 ~ / .
~
~I 938y /
.h ~ p ` /
MS Q ~ \ ?g ,~~99
I N /
~ / a ~
~
~ ` ~1.~ ti~ ~ 0~~\ ~ ~
= h 5 w. 'y'~ ~'s~ ~_3/` n 0rJ` ~
4y~ i I 9qjQ ~~\a\\~\h \1;~1`G~'\\~` ~ V~n~g` k .
N~ 1 R~~~. ~O/ • p
9yo8 a p ~,.>`\942sa °•c
~ j~.
; ` :
\ 9
SS ~ Er,GAN
~ -13~0 ~ ~9
~s~- , ~_y~E4YED
q~~
~ ~
~\~P~ ~ z 3,, ; ~
~ j11
~
~
CnTE
,~P .
DESCRIPTION
Lot 4, Block 2
MANOR LAKE ADDITION
A ? Dakota County, Minnesota.
i
T~ar q'r 3~„ ~ i.~_ 1
l~V`~ ~
~ a`~ 7 r`' 'r a •.f, ll• y y 1
SCALE /"+40' ^ - -
L` = ~
~
o Denotes iCOn monument J~
94°.e Denotes existing elev. ~-~~aAiY ENGT 'E~'R;+i^ _
~9so.o)Denotes proposed elev.
R~c~v~~~
~~~s7~
We hereby cerOfy thal thle le a true end co~rxt representallon W e survey o} the boundarlee of tM above descrlDed ~and, snd ol t~e locatlon o1 all
buildinga thereon, and all vlslbiaL encroechments, If arry, from or on seid IarM. ~J /f n
As surveyeA ~y us Ihis I T f,/ ~y ~!?IQ__T 19 ~ ~C D`~2.l~ul oC ~ L.S.
Mlnneaote Lken~ No. ~~890
SEWER & WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN M~~R # 1/4? ~ 7012 / PERMIT DATE 5/26/89
3830 Pilot Knob pd. CNiP # C~_ ~ g a~! 9 WATER PEAMIT # ~ ~464
Eagan, MN 55122-1897 ' 9
~ ~ . ~ ~ . ' METER SIZE B.P. RECEIPT # ~ 2151
~ ` ~ ~ : . ~ ISSUEDATE g~~y~~9 , g,p,RECEIPTDATE 5/25/89 i
~ ~ ~ PRV - BOOSTER PUMP ,
SITEAD ESS /K~~~ ~v. PERMITREQIIESTED
LOT~BLOCK ySEC/SU6 ~~~a~ ~ ~_I1~
APPLICANT: _!'.FL,1(E- ~J~~„~J6 f; d S~' ~ SEWER ~1~ WATER _ TAPS
ADDRESS: - ~ COMM/IND ~ RESIDENTIAL
CITY, STATE /~.G~ ~f Z~p
PHQIsE: ~ 7 ~ ~ ~$'w~ ~ NEW _ EXISTING
PLUMBER: 5`1~R E .
ADDRESS: ~ 1 AGREE TO COMPLY WITH CITY OF
CITY,STATE Z~p j EAGA ORDINAN~E~
PHONE: ~ ~ Q 9~
v
OWNER: E~ ~U L C ~--S JG f~J4J ~
ADDRES~: Z-~~ SIGNATURE WHEN METER ISSUED
CITY, STATE ~~I4~ nT. ZIP /l
PHONE: - /n ~i °i _ G y/ ~ ,
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINE ING E P L ANT D PLUMBER WILL BE NOTIFIED WHEN PERMIT IS PROCESSED.
,~`°~-~`a ~-~r ~7- /3-~9 ~t'
~ ~ .v.~ _ ~
~
~
~
~
~ ~ ~ ~
p
y~ ~ ~ k~~=~~~.~
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4615 Tamie Ave
Lot: 4 Block: 2 Addition: Manor Lake
PID:10- 47275- 040 -02
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Crew2 Inc
2650 Minnehaha Ave
Minneapolis MN 55406
(612) 276 -1680
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
Carbon monoxide detectors are required by law in ALL single family homes.
$88.50
$1.50
Total: $90.00
Owner:
Kerry B Wallin
4615 Tamie Ave
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
0801
9001
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply
of Minnesota Statutes and City of Eagan Ordinances.
h all applicable State
Issued By: Signature
Building
EA092092
11/18/2009
ePermit
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA122552
Date Issued:05/12/2014
Permit Category:ePermit
Site Address: 4615 Tamie Ave
Lot:4 Block: 2 Addition: Manor Lake
PID:10-47275-02-040
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 .
Lisa Nyberg
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 -
Kerry B Wollin
4615 Tamie Ave
Eagan MN 55122
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA123171
Date Issued:05/30/2014
Permit Category:ePermit
Site Address: 4615 Tamie Ave
Lot:4 Block: 2 Addition: Manor Lake
PID:10-47275-02-040
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
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.
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 -
Kerry B Wollin
4615 Tamie Ave
Eagan MN 55122
Property Claim Solutions LLC
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA148880
Date Issued:04/26/2018
Permit Category:ePermit
Site Address: 4615 Tamie Ave
Lot:4 Block: 2 Addition: Manor Lake
PID:10-47275-02-040
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
Census Code:434 - Residential Additions, Alterations
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Kerry B Wollin
4615 Tamie Ave
Eagan MN 55122
(651) 274-0861
Eagle Siding
1301 East Cliff Road
Suite 117
Burnsville MN 55337
(952) 746-3046
Applicant/Permitee: Signature Issued By: Signature