4660 Tamie Ave . . _
~
:
F,
~t~cat~ ~ ~ccu~anc~
~
~i
This Certificate iss~ed pursuant to the requir~nrents of the Uniform Building Code
certifying that at thetime o¢'issuance this structur+e was in compliance with the various
a~irrances of !he City rieguiating building consttuction or use. For the fnllawing:
a~ c~~r~: s~. e+~,;~ xo. 1013
ao~,i~Cy Type ~ zaning nasu;« ca,st.
~ r~,x~,~ ~ xi~oa r~rA ~a~rs
_ Owner of Bailding Addr~ss
B.- A~~i660 TAMIE AVII~I[lE ~rtY L!, B2, ~t LA~ kIl~
_,j
,y ~ , f , n~: 10/2l /~2
s~
POST IN A CONSPICUOUS PLACE
; - INSPECTIUN RECURD ~°nt~°' .
CIT`Y ~F EAGAN PERMIT TYPE: ~u j ~ ~ N';
3830 Pilot Knob Road Permit Number: ~
Eagan, Minnesota 55123 Date Issued: 1~/sz
(612) 681-4675 ~
SITE ADDRESS: ot ~ t oc : APPLICANT:
~ftiN ~AMi~ AV~ 8U3Ci1 ~O~AR ~
MAMt1R lAKE 41'H (612~ 768-~I1J7
PERN~l~T ~~~TYPE: TYPE OF WORK: ~Eu
.
t-vnr rNti rkaMftw~i r
IMS~UTAtiUN F'II~AL ,
!'IRf.PIAfF
R[-MARIC:ia PRV S fi 41 Ci1M1'nAl:T1~R ^aMI~:Elf Pl.~q
r
-
_
~ ~ ~ ~~.j
4
_ ,
. Permft No. Permft Holder Qato Talephone #
~uRN
. - PLUMBING ~ ~ 1~ ~
HVAC ' f$ - ~~~y
ELECTRI ~ ~f~ ~ ~
ELECTRIC
InopecGon aate Irssp. Comments
Footings 1 ~f 1 1 ~
Foundatlon 7(~Z~ a ~
Framing P~
Roofing Q ~
v
Rvugh Plbg.
Rough Hlg. ~
~B~?. q.~ gZ D.~
Freplace
~9. b~,y..ql~
Orsat Test ~
Fnal Plbg. /'i Plbg. Inspecior-Nol11y Plumber
_7
Const. Meter
EngrJPlan
Bldg. Final
Dedc Fig.
Dedc Final
Well
Pr. Dfsp.
INSPECTION RECQRD
CITY OF EAGAN PERMIT TYPE: ~ r,, •
3830 Pilot Knob Road Permit Number. , i
Eagan, Minnesota 55122-1897 Date Issued: ~ ~ ~ ~ ; i ~i i ~ ~ .
(612) 681-4675
SITE ADDRESS:' ` " ~ " ~ ` " " `i ~ APPLICANT:
1 t: l ~c I t~c t:
, + „M ~ 1 nvt ~~ir~i : ; : E
~ ..i!i~ I ~'.1 S ! i ~i ( ~ 1 ~ • i
PERMIT SUBTYPE: TYPE OF WORK:
, ~a; i i
. .
~ i ~
.
~ ~
~ ~
P~rtnit No. Permit Holde? Date T~lephone #
ELECTRIC
PLUMBING
HVAC
Inspectlan Date In~p. Commema
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBINQ
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAI
DECK Ff(3 'uj~,~
DECK FINAL
DAKOTA COUNTY MINNESOTA ;
RECEIPT F~R PAYMENT OF PUBLIC IMPROVEM~NT ASSESSMENTS RECEIPT NO.~ 20595
DATE L i ' .I / _
NAME: '
ADDRESS: "_J~ / , ~ . ' ?
~
DESCRIPTION: ~ , ~ ; l'.:
j~ > , . , ,
~ ~ ~ ~
DISTRICT PLAT y f ~ PARCEL NO. . _ CHECK DIGIT MUNICIPALITY
(12.131 (14-18) 119-21) 122-231 (241
IMPROVEMENT D/P = AUD ~ INT, °e FROM TO ORIGINAL AMOUNT PRINCIPAL INTEREST TOTAL PAID
. F
~ .ri ~ ~C ~ ~ 5~ ~ l 'F; . . r ~ ,a ~ r_
(27-361 137-401 141-50) 151-601
Paid Before Certifitation ~(77=4) Prepayment ~(17 = S) Paid in Full ~(78 = 1) Partial Paid ?(78 = 2)
PREPARED BY NORMA B. MARSH, COUNTY AUDITOR . BY:
.
PREPARED BY MUNICIPALITY OF: ~ , , ~ BY: , -
If payment is made by check, this is not a vcl~id receipt until check is paid.
~ This Receipt does not include
(NAME1 the ins#a Iment certified to POSTED 8Y: DATE
the 19 ~ taxes.,
AUDITOR'S ~OPY
~ Address: 4660 T/~IIE AVEN[)E ~t ~ Blk z Sec/Sub ~B I1~KE 41H
These items were/were not complete at the time of the final inspection.
: 10 21 92 Yes No
Final grade (6" from siding) ?
Permanent steps - garage ~
Parmanent staps - main entry f~
Permanent driveway ?
Permanent gas
Sod/seeded grass ~
Trail/curb damage ?
Porch
Basement finish
Deck ?
Please verify vith the builder the removal o£ roof test caps from the plumbing
system and the shut-off of vater supply to the outside lawn faucet before
freeze potential exists. ~
.~~~o ~
White - City copy Yellow - Resident copy Pink - Contractor copy
~ PERMIT p 7 8 4
~ CITY +DF EAGAN
3830 Pilot Knob Road PERMIT TYPE: eui~oiNc
Eagan, Minnesota 55123 Permit Number: 001013
(612) 681-4675 Date Issued: 0 7/ 10 / 9 2
SITE ADDRESS:
4660 TApIIE AVE
LOT: 1 BLOCK: 2
MANOR LAKE 4TH
DESCRIPTION:
,=8uildYng Permit Type 5f DW6
8u31ding,\Work Type NEW
, UBC Occupancy R-3 M-i
f Construction~`Type V-N
/ Zoning ~ R-1
Bu3lding Length ~ 53
Building Width 48
~
~ '
~l~4
i
~ ` I ^.~.1 ~r~ /r i 1 ~ \
a
~ L~:~ ( A.~r i ~ ti , j L`r Ll L..
~
. ~
REMARKS: C O(~'l~~,p
PRV S& W CONTRACTOR - SMISEK PLBG
FEE SUMMARY:
VALUATION ;99.000
Base Fee ~635.00 PIISCELlANEOUS 51.610.50
Plan Review ;412.75 Total Fee ;3,407.75
Surcharge ;49.50
snc i~ee.ee
snc ~ iee
SAC Units 1
Subtotal $1,797.25
CONTRACTOR: - APPlicant - OWNER:
BUSCH ED6AR 17584737 MATHALER JEFFREY
505 STH ST NE 1957 KNOB RD
NEW PRAGUE MN 66071 MENDOTR HEiGHTS MN 55118
(612) 758-4737 (612)454-7666
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 Mn.
Statutes and City of Eagan Ordinances.
~ /f I -
PPLICANTlPERMITEE SIGNATURE ISSUED B:51 NATU E
INSPECTION RECORD I Control No. O( O 4
TYOFEAGAN PERMITTYPE: eui~DING .
3830 Pilot Knob Road Permit Number: 001013
Eagan, Minnesota 55123 Date Issued: 0 7/ 10 / 92
(612)681-4675
SITEADDRESS: ~oT: i BLOCK: 2 APPLICANT:
4660 TAMIE AVE BUSCH EDGAR
MANOR LAKE 4TH (612) 758-4737
PERMIT SUBTYPE: TYPE OF WORK:
SF DWG NEW
. .
FOOTING FRAMIN~
INSULATION FINAL
FIREPLACE
REMARKS: PRV S 5 W CONTRACTOR - SMISEK PLBG
~
~ -
PERMI7 N CITY OF EAGAN ~,g ~5
+ I D~~ 1992 BUILDING PERMIT APPLICATION ~
681-4675
SIN6LE & 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, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not pitked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date J~~ Yaluation of work 9fo~rc
Site Location:_ ~o ~ O .~_._,,~o
STREET STE /
Tenant Name: ~ L.. '
LOT ~ BLOCK SUBD. ~^~~j_Q~ P.I.D. M
7' ~
~escri tion of work:
The applicant is: ? Owner ? Contractor ~ Other <Deseribe) ~a~,-~„',~
Name ' Phone t~S~-7G, ~ lo
Property « FIRST
Owner Address /~s 7 ,~o-a.~Q
STREET STE k
City State ~Z~r . Zip SS/!8
Company - ",n- ~ r Phone - 8 -
Contractor Address ~~0,5~ S%~_ Licens # Exp. ~
C~ City ~~w P~~ State ~f...., Zip 3L'o~-
Company ~ " Phone cg ~ 8- o~ 8 9
Architect/ 4
Engineer Name L Registration ~
Address q~ 0 / C~, (~.1~.~.,afn_-_ ~i,.ep...ro-~r
City ' State ~1~rt . Zip -~~~.S-O
Sewer & water licensed plumber ` Processing time for
sewer & water permits is two days once area has been proved
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 ~ ~ - . • I
BUILDING PERMIT TYPE ~ ;
O O1 Foundation O O6 Garage/Accessory ? 11 Res. Add./Porch ? 16 Agricultural
~02 SF Dwg. ? 07 Fireplace ? 12 Co~n./Ind. New ? 17 Building Move
O 03 Two family ? 08 Deck ? 13 Co~ron./Ind. Add ? 18 Demolition
? 04 Mult1-fam. T.H. ? 09 Basement Finish ? 14 Comm./Ind. Rem. ? 20 Miscellaneous
? 05 Apt. Bldg. ? 10 Swim Pool ? l5 Public Fac.
WORK TYPE
j$"31 New ? 34 Remodel ? 37 Move
? 32 Addition ? 35 Repair ? 38 Demolish
~ 33 Alterations ? 36 Tenant Finish ? 99 Undefined
GENERAL INFORMATION
Occupancy -R
3 M-~ Basement sq. ft. MWCC System ~
Zoning ~ lst F1. sq. ft. City Water ~
Const. (Actual) ~/-N 2nd F1. sq. ft. PRV Required
(Allowable) ~ Sq. Ft. total Booster PumP
~ of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code ai
Depth ~ On-site sewage SAC Code ~
APPROVALS
Planning Building `)-:'t7 Assessments
Engineering Variance
RE~UIRED INSPECTIONS
? Site ? Footing ? framing O Insulation
? Wallboard ? Final O Draintile O Fireplace
~c~p ~
Permit Fee Yaluetim: f ,
Surcharge GA~GE; a2~ay~~~.~8 8448
P eview
icense
M C Lowac Le~d ~
City SAC
WaterConn. ayK20= ~~2~(53-ao)- "~2.,1'7~
Water Meter ~ ~i~
Acct. Deposit
S/W Permit ay,~22: 528
S/W Surcharge I'/Z ~y2= II
7reatment Pl . % 539 ~ 53 = Z~i S~'~
Road Unit ~
Park Ded. zNfl ~,z
Trails Ded.
Copies 3o~t ~y~ r]~
Total : I'~2.1c ~I = ~
SAC % i0o '13C. X53= 3`~~
SAC Units ~ y I ~5
Sur~ve~or•s G'ert~f~cate
SURVEY FOR: ,Teff Piatlialer
' DESCRIBED AS: 1,ot 1, Block 2, PIANOR I,~KE 47'II ADDI7'ION, (:i.ty of F:agan,
Dakota Cowtty, Dtinnesota and reservi~~ easements of record.
j sa u 2L e7
NB9' 24' 47' E 542. 9 99e.z 4aza
' 99i.3
~ ---'---5158-----'~ 9q7.o
~
' ,r---- ~ -7,0
; ; ~ g ~ ~ Tg 7 ~
j L I ~ 995.1 d 94~ . w ~ /
f- I 99S '~.1~ zLQ~ b. ~ ~
' ~ t ~ g Orlr~ /
I Qit'iY~
! ~ °e SIiE 011 ~ 49b.1 / S49.b ~
N BreAe /
~ I 2100 995.l0
~ 8 I \ ~db~
E.:,~ w,~ ~ ~ ~ R~~oeeC I 995A ~ A /
~ T.e.= 94z.e ~ I I~ S~ ~7 $ ~.~8 / a~ ,
= S$ ~I ~ /
~ . ~ i 995. ZL~ I~ 3~ i ~ O~
8993.7 I ~ ~ p.. /
, ~ la - ~ / } ~ .
~
i Z ~ I / ~ =tip . .
' ' I /
~ ' ~ tiw ~ .
i i ~ ~ ~ ,
, ;
; ~ _ i~ ~ /
° R
3a-_ • ~ ~
af !'5fi'6p ; ~
+ 9sa.z dMt~~8~34' ~°29,6p4nz.s 30 / ,
~ ~ a
~ d A 5 O~r 20
i ~ ' 990.~
. ~~A ~
~ ~
,
~
~ LOT SQ. FOOTAGE = 1~~ p
VV
i ~Y
, ' ~y
yAGAAT ~I~C~YR~EERING DE.pT
PROPOSED ELEVATIONS BENCNMARK, TNH@ ~/Z ((~q,,,~
-~k~
' TopolFoundalbna .94ts.b •
Garage Ftoor v 99b,2 ~ "~'1
Besement Floor . 938.6 ~ ~i~ ~ ~~r, ~ ~
Approx. Sewar Sarvka Elev. . ~ "~G° ~
Propoaed Elevalfone ~ ~ MIN: SETBACK REQUIREMENTS
' Exislirg ElevMbns . ~
Diefnago Dhocllons ~ Front - 3o House Side • ao
Rear • ao Garage S~da - io t
Dano~es ollsel Slake SCALE~ 1 Inch ¦ 30 Feel i
~
JOB NO.: ~
1 NE REBV CERiIFY TNAT iH13IS A TRUE AND COPRECT REPAESENTATION
,~~D~~~~ OF iHE BOUNOIINIES OF THE IIBOVE DESCpreED PROPEATY AS SUR- 92R-?92 C
VEYEbOYMEOHUNUERMYDIRECiSUPERVISIONANDUOESNOTCUAPORT ~
TO 9NOW IMPROYEMENTS OH ENCHOACHMENTS, E%CEP AS SHOWN. gp~K: PAGE;
Planning Engineedng Surveying
tto, [oi ei~Ma~N.FV~+~.,~•,~ia°0miesa~sm. rMw.ei. xwx D~ro 7 i
~aJ 9 Z ' , ~ .
F D OOREN.lANO SU EYOR CADO FILE: OW(3. CHK.
E tALICEN3ENUMBEH14~7B p~;sc92-2
+Y~, , EXTERIOR ENVELOPE AVERAGE "U" COHPUTATIDN
OwHE R: J ~ ~~nrn~ ~`~ar~~~~q~Qr'
SITE ADDRESS: ~(~1~ v ~~Qn1~Z ~~4 ~4Uf1 1 ~N
DATE: 3 c '~Z __,_PHDNE:
LOtITRACTOR: -
DETERHINE NORY,iHC SDBARE FOOTAGE OF EACN: -
1. TOTAL EXPOSED WALL AREA, , , , , , , , 'Z5S I , sq f t x "U" I( ~ rL~CJ.~I ( ~
-
L T~!OTAL ROOF/CEI~tNG AREA,,,,,,,, ~2q~,01v iq ft x"U" ~ 6a~ ~ ~~`~F~~
IC~q~ Qr,t~t`_,a~ ~~OC~ c:r'+~ ~~.f'jQ JS ' tJ"'.~ _ 7~ %
3. TOTAL EXPOSEO ~JRLL AREA CALCULATIUNS: ~
a.~
Total exposed wall
area above fioor,,,,,,,, ~.~~`~'.~3~ sq ft
~Z~
a) Total watl wtndow area: ~
~rl , 9lazed...... ~A3.1~~ sq ft x"U" .'-~7 ~~1~,
--L7 - glazed...... sq ft x nU~r s ~t~.~
1'~ ° ' .?7
b) Totat door area , i~•~7~ sq ft x U_ f
e) Tota) sllding qlass door area:
} ~ `
Ir S~.~q~cll - 9lazed. ~1.~0~~''~-~ sq ft x~iVi~ ~ ~t1 a 7~,
~
L`_.- - - -
-c ~ glazed...... - sq ft x~~~~~ J e`-i,--
!
d) Total flreplace wall area §q ft x"U" ° ~t~-'
e) Total wall f~aming area
~ (Average 10•'.).......... `Z.Vti.glp sq ft x "U" ~IfJ ° _Zti~~
f) Total net wall area above
floor (Insulated).......~~_Qj 7~'~ sq ft x"U^ ,~1~' 7~."~O
g) Total rlm Joist area...... 1~~.10 sq ft x"tJ" •c``~' °
Tota) founda[lo~
area (E:cposed)..........~ 3~ r`~~p sq ft
h) Total foundatlon
window area......... -~t'7r" sq ft x~~Un -~p- ----F
L'~~yro -~,,_i~ x `-~-,t~-- ! ~,~U
I) Tota) net foundatlon C~v,,.z;{ '{tj, 3 e . ly~ °
area above grade....~n^~.1~k~~ "~tk• ~~p _ sq ft x"U" .01 ~
3, 70TAL a) thru 1 ~~a3._1•3 1
~f Item ls the samc ~s, or irss than Item pl, you have met the Tntent of
2 P1CAR 1.I6008 A»nd O. •
Page 1
4. ?OTAL ERPOSED RODr/CElllflr CALCULA11bN5: `r "
totel Exposed
tooF/celling eree.......i129~~U 1q ft ~
j) Tota) skylinhE sree...... -'u-- !q f! 1t i'U" -u-- '-u~
k) totbl roof/cel}Inq framinq
bred (Averaae 107,)..... - 17~~. I I sq ~t x"U" . b l1 ~ 3.~!~',~c .
,
I) Tota) hbt Insulafed -F"`
roof/cellinq erea...... ~~~t~,~5 3q ~t it "U'~ ~tiLL ~ 2: -
. totAl ~1 thru L~,c~~l i
If total of b~~ ls the same as, or 1e"ss lhan A2; yod have n~e! !he ~htrn!
2 HCAR 1.16008 A snd O.
'Ic-~~, o+(*~~•~a.~ 4-`csvr qrec~ S .
~ ~~9,a~
4-~btl~ ~Tnmt 1( ~~!i~ . ~ S~'
~\'~u: ~n'»~q1Ld1 ll.~s r ( ~ 2~13
' AITERHA7E BUIIb~HG E~IVELOPE ~ES~
To ut111ze the ~otai envelope system method, khe vaiues establ~shed b,y 4he sum ~
of Items A3 and A'4 shall not be greater than th~ Sum-df iktm~ A1 and d~.
1. ~ + 2. ~ °
3. + 4. ; d
I 1
~
~ ;
, , ,
CERTIfICATIoN
- • - - r:.
1 hercby cer?lfy that I have r~t~ut~t~d tha "U'~ ~~c4or"s and "R" V~
valucs herefn and lhat tl~e birlldlnn her~ deschfhed mee~4 bh ~xCeeds the ~fate '
of Nfnne3ot~ ~nerny f.onsbrvatlon Acl.
. -
~S qnature
-~I^'_~
~L
(batl~~
Fage 2
$ ~ PERMIT ~
-k CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B u i ~ o z n ~
Eagan, Minnesota 55122-1897 Permit Number: 0 2 6 3 91
(612) 681-4675 Date Issued: 0 9/ 14 / 9 5
SITE ADDRESS:
4660 TFlMSE AVE
LOT: 1 BLOCK: 2
MANOR LAKE 4TN
P.I.N.: 10-47278-010-02
DESCRIPTION:
B,taiid"zrig' Permit Type DECK
~uild3ng Work Type NEW
J.
1
~
"
-_.._.ir\'. -
~~i .
i
r ,i i ,c
y~ ^ ( ~ --.'Il a'vt Ik.". ~'~t
. r : , .
J".'-... . . ~
REMARKS:
FEE SUMMARY:
Base Fee $30.09
Surcharge $.5@
ToCal Fee $30.50
CONTRACTOR: OWNER: - Applicant -
MAR7HALER JEFF
4660 TAMIE AVE
EAGAN MN 55123
(612)688-7571
I heMeby acknowlsdge that ~ have read this app~icativn an~1 sta~~ th.aC the
information is correct and agree Co comply witH all appl3cable 5tete of Mn»
Statutes and City of Eagart Ordinances.
~ . -
~l ~.r,~-
LICANT/PE MITE GNATURE 18ZED BY: IGN RE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: s u z ~ o z N e
3830 Pilot Knob Road Permit Number: 0 2 6 3 91
Eagan, Minnesota 55122-1897 Date Issued: 0 9/ 14 / 9 5
(612)681-4675
SITEADDRESS:P.I.N.: ze-a~2~s-0ie-02 APPLICANT:
LOT: 1 BLOCK: 2
4660 TAMIE RVE MARTHALER JEFF
MANOR LAKE 4TH (612) 688-7571
PERMIT SUBTYPE: TYPE OF WORK:
DECK NEW
. .
FOOTTNGS fINAL
~ ~
~ . . _ ~
, CITY OF EAGAN ~ ~ ~1 ~t~
~ ' 3830 PILOT KNOB RD - 55122
1985 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~ ~
681 ~67b C~ - ~ ;
New Conshudion ReauiremerHS RemodeVRenair Reouirements
? 3 iepbtered 6ife aurveys ? 2 copies W plan
? 2 eopiea a1 plens (indude beam & window saes; poured fid. design; etc.) ? 2 site surveys (axterbr add'Rio~ 3 dedcs)
? 1 enerqy celculatiou ? 1 energy calwletions for heated additions
? 3 topies W fiee preaenation plen H lof pletted after 7/1/93
~squired: _ Yes _ No
~
DATE: ~ 7- 9`J~ CONSTRUCTION COST: Z~
DESCRIPTION OF WORK: - NE~ ')Er,K CbnISTI~UC.Ttonl
STREETADDRESS: ~~n~~ ~~F
LOT ~ BLOCK ~ SUBD.lP.I.D.
PROPERTY Name: I~F~H~I°T~C£P ~E~F Phone ~2g8 -75-7f
OWNER "s'
~ Street Address 4~~0 ~T-f~ W1 l~ J
City: State: ~ Zip: 5~5~123
CONTRACTOR Company: ~Or~~ Phone
Street Address: License
City: State: Zip•
ARCHITECT/ Company: ~ ]~.~V ~ USC~ Phone
ENGINEER
~ Name: ~-l451~ PJc-D • ~~A17Ei° Registration
Street Address~
City: State: Zip:
Sewer & water li~nsed plumber: . Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply wRh all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applipnt:
OFFICEUSEONLY ~~~D
Certificates of Survey Received _ Yes _ No SEP 01 1995
Tree Preservation Plan Received _ Yes _ No
OFFICE USE ONLY ~
1.
It.A
~ Yl~.
BUILDING PERMIT TYPE -
o 01 Foundation o 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish
0 02 SF Dweliing o 07 4-plex o 12 MuRi RepaidRem. 0 17 Swim Pool
0 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory o 20 Public Facility
n 04 SF Poroh ? 09 12-plex o 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. 0 10 = plex ~ 15 Deck
WORK TYPE
31 New o 33 Alterations o 36 Move
0 32 Addition a 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MCNVS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
2oning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. h'3 y
Depth Footprint sq. ft. SAC Code oi
Census Bldg i
Census Unit o
APPROVALS
Planning Building Engineering Variance
~
Pertnit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. DeposR
SNV Permit
S/W Surcharge
TreatmeM PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
°k SAC
SAC Units
OS/1~/D5 11:4~1 FA.Y 612 Jal 2760 TCB INC ~1002/002,:::
~n*+=~n~a.amisn.~~~~~+~.sn.~ i~m
~Sr~r~ca~ot~'~ G'cr~` `catc . _
. ~
SURVEY FQR: ,Je:C~' h1athaler
DESCRI6ED AS: t,ot 1, Blotk 2, PL4NOP, LAKE 4TII rlnDI1'I01~, Gi.ty o~' Eagan,
Dakota CounTy, Atinnesota a.nd reservi~g~easeme ts of record. '
uu uin
N84' 24' 47' E 142. 9 y,a.x s~za '
991.~ .
. n __'_~Atle__~__'~ 9V7o
_ _ ~r--
~ ' I ~ ~ .o
t
`5J 1 ~g_~f_~ ~ qa~~- ~ 10 ~ ~ /
- ~ vas 10.1T up ~ .
~ ~ ~ ' ^Rlr~ / /
i ~ Y~rq~ Y
~ . I S c1+6 on ~ 49b.1 ~ 99v_,b
~ erva. ,
~ g ~ 2l w a~
I~ ~m.~ ` r~,~ ~M~ /
cp
- ¢.:ac H-.r o M1~ N pfic Prs7e~~1 9qS. I
~.e.• 99i.~ ~ I = t-9tor~ a ~ l
~ . ~ ~ il ~ tlct,ili- d ~ ~ /
w I ~ IIdB ~
~y ~~Y•/ .
~ 443.y ~4~3~M~.o I4931u ' ~ ~p ~ /
~ j ~ ~ ~ / n.
x I ~ ~ ~ ~ti /
i ~ ~ ~ / ~ ~
~
/
~ ~ ~l ~ ~
~ qq3.o ~ /
~1` ~ ~
q~ ~ c-ss°
~a'~~ ~ ~ ~ ~
e 6a ~ - /
' 1°~ e~ ~q I 2 G~ yqz.6 30
~ ~ . y'~1.2 aq,~..'.;,'~`~7r'' • Q~ ~
r R'2~.o ti •
Qoor~~o
TpDD _A vE 4q~~
_ ~
~ .
. ~ JGA1.F y r' 30 O
LDT SQ. F~OTAGE = 15, 2.3~f
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4660 Tamie Ave
Lot: 1 Block: 2 Addition: Manor Lake 4th
PID:10- 47278 - 010 -02
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
Fee Summary:
Valuation: 3,000.00
Contractor:
Signature Home Services
758 Reaney Ave.
St. Paul MN 55106
(651) 731 -1147
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Permit Type:
Permit Number:
Date Issued:
Permit Category:
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
Owner:
Mono Belalnger
4660 Tamie Ave
Eagan MN 55123
$88.50 0801.4085
$1.50 9001.2195
$90.00
Building
EA085517
08/22/2008
ePermit
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
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118930
Date Issued:11/12/2013
Permit Category:ePermit
Site Address: 4660 Tamie Ave
Lot:1 Block: 2 Addition: Manor Lake 4th
PID:10-47278-02-010
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 .
Eva Lewis
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jillene Belalnger
4660 Tamie Ave
Eagan MN 55123
Purpose Driven Restoration Llc
325 Main St NW
Elk River MN 55330
(763) 633-4737
Applicant/Permitee: Signature Issued By: Signature
!"
#$%&'()' *+*,
-./$%'"&0-1O6$4@$,+
-./$%'56/7-.1 89:;9P;
>*%-'!??6-@1=ABAEBA=9C
-./$%'#*%-+(.&1- -./$%
D$%-'8@@.-??1''ECC=''"*/$-'8R-''
!"# $% &&M())* * + &&J-+ .& -%:&O G
,12 !34O7M7P43M43!3&
89:
>-?2.$0%$(,1
;<=&>?@: B*+) S9Z2 .9/ +9 .<$ * +&>?@:
B .%&>?@: A:@#-$:
2:9$.*@ * + >S & .&J .:&B*+) S9Z2 .9
/:+9<9&/ ): O'O&4&W$$<@-+$?
c +*+D
;F<-.:&T:: 3
1E@. V:E:+ 9& & G:&G E:&.:F<*.:&9E %:&): :$ .9&*+&-##&=:). E9Q&10&-# :.*+D&S*+) S& @:+*+D9& .&*+9 -##*+D&"-?& .&" S&
#(//-,%?1
S*+) S9I&$-##&0 .&0.-E*+D&*+9@:$ * +Q&/-##&0 .&0*+-#&*+9@:$ * +&-0 :.&*+9 -##- * +Q
/-.= +&E + R*):&): :$ .9&-.:&.:F<*.:)&S* G*+&!3&0:: & 0&-##&9#::@*+D&. E& @:+*+D9&*+&.:9*):+ *-#&G E:9&KJ*++:9 -&; - :&
" &4&"-9:&T::&UO_U!3'QM5&3P3!QO3P5
G--'D6//*.&1
;<.$G-.D:&4&"-9:)& +&d-#<- * +&UO_UMQ33&L33!QM!L5
d-#<- * + &&OI333Q33
"(%*41H9=;IA;'
#(,%.*2%(.1JK,-.1
4&&(@@#*$-+ &&4
/.-0 9E:+&\[ E:&1E@. V:E:+ 9&1+$X*##:+:&":#-#+D:.
7O55&T.-+$:&(V:+<:I&b!LOO663&>-E*:&(V:
H)*+-&JY&&55O'5H-D-+&JY&&55!M'
K65!N&O'34!'PPK6!MN&5L74O56O
1&G:.:=?&-$%+ S#:)D:& G- &1&G-V:&.:-)& G*9&-@@#*$- * +&-+)&9 - :& G- & G:&*+0 .E- * +&*9&$ ..:$ &-+)&-D.::& &$ E@#?&S* G&-##&-@@#*$-=#:&; - :&
0&J*++:9 -&; - < :9&-+)&/* ?& 0&H-D-+&W.)*+-+$:9Q
(@@#*$-+ Z,:.E* :: &;*D+- <.:199<:)&"? &;*D+- <.:
Use BLUE or BLACK Ink
For Office Use
41106 Permit#: /1-1//!Jfit E
g/
Permit Fee..
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone:(651)675-5675
Fax:(651)675-5694 Staff:
L
2016 RESIDENTIAL BUILDING]PERMIT APPLICATION
Date: t- Site Address: q A(b �/ i L r C u Unit#:
Name: 3—.1 L L.. r'.-56J Lt'L-1& Phone: 64 -"57 7-415-6 d
Resident/
Owner i Address/City/zip: 1/10. f-r-A- 1:c G L I
Applicant is: Owner X Contractor
T of Work Description of work: , -.- &cc.t.I' t
Construction Cost: "'+1 /646 C}C> Multi-Family Building:(Yes /No )
Company:7 i J CMA-tete CMA—teeec, Contact: S to ,..x.r es.
ContractorAddress: p/ 6l1 �r e /�+�"<' s°� p City: alI S
State:, lMip: �IZ�� Phone:3 .4'8?'(-ef
mail:
License#: 5A' Lead Certificate#: Ari4r 7E. 3 7 3
If the project is exempt from lead certification, please explain why:
L.- -',4
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 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
conciuc that th 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.
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.
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.
slite
Sitn, /to
A __
Applicant's Printed Name ✓ Applicants Sig
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA147846
Date Issued:02/12/2018
Permit Category:ePermit
Site Address: 4660 Tamie Ave
Lot:1 Block: 2 Addition: Manor Lake 4th
PID:10-47278-02-010
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
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 -
Jillene Belalnger
4660 Tamie Ave
Eagan MN 55123
(612) 597-4564
Craftsmen Home Improvements Inc
7455 France Avenue, #194
Edina MN 55435
(952) 930-3777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA169848
Date Issued:06/11/2021
Permit Category:ePermit
Site Address: 4660 Tamie Ave
Lot:1 Block: 2 Addition: Manor Lake 4th
PID:10-47278-02-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 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 -
Jillene Belanger
4660 Tamie Ave
Eagan MN 55123--214
Haley Comfort Systems
3708 Broadway Ave N
Rochester MN 55906
(507) 281-0138
Applicant/Permitee: Signature Issued By: Signature