4401 Tofte Lane -ai -r'~ .
. • 1r ~
~ ..~r '
C~;~~~cate v~ ~ccu~anc~
~
. ~
This Certi,fecate issued pr~rsuant to thr nquineme~s of rle~ Uriiform Buiiding Code '
certifying thal at tlu time of issucrnce this stnrct~re wns in carwpliance with rhe varioxs
~ oirtinances of the City ngulating buitding constnection or ast. For the foUowing:
u~ c~;f~SF DWG H~ 1068
R3 1 RI VN `
f F~06ffit ~1CTIU~LV ~ l3803 H(~i~ P~K 'ffitft, Hk~VIPl~
o~~ or swta~ ~ee~~
: A~ I~ ~yL2, B4, AUlII~'I~T RZDGE ~ID
~ ~ ~ OS/05/43
,
Baaamg
POST IN A OONSPICUOUS PLACE
~
~
INSPE(~TIUN RECORD
CITY OF EAGAN PERMIT TYPE: i ~ ~ ~ ~ ~ ~ ~ ~ ~ ~
3830 Pilot Knob Road Permit Number: ~i
Eagan, Minnesota 55123 Date Issued: 4~ f. r ~~:~~-a
(612) 681-4675
SITE ADDRESS: APPLICANT:
~ i; i ~ ~ ~ r. ~i
I+~~ I I~~I I I ~ l1N1 it~~1 ~~~it I f ~<~~t;f ~c I
r~tl { 11111J 1. 1 I~~,I •tal~ 1. 1 I Nr, I~•
PERMIT SUBTYPE: TYPE OF WORK:
~ ~ ~ai ~i
.
i i r~~,~, ~ i i~.;~
~
~
w?~~n no. ~n Ho~asr n.a T~i,o~,e ~r
s/w
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspectlon D~M Insp. Commants
Footinps ~
Foundation
Freming
Rooflng
Rough Plbg.
Houph Ht9•
IBUI.
Fireplace
Rnal Htg.
Orsat Test
Finel Plbg. Plbg. Inapector - Notfly Plumber
Const. Meter
ErqrJPlan
Bldg. Ffnal
oea~ Ft9. 6 /7-y~
~ ~ a3 ~.i 0~ ~s ~ -
we~i cc. E~6 u~t. D r 5"
Pr. Disp.
~ !_•~_•T_-.--~
. . INSPECTI~N REC~RD ~ntrol No
( ~ CI~-~f 4F EAGAN PERMIT TYPE:
( 3830 Pilot Knob Road Pertnit Numbe~: ~~n
Eagan, M(nnesota 55123 Date Issued: 1~ 1'~ ~
~ (612) 681-4675
SITEADDRESS: ~ ot f: I+l or k~ 4 APPLICANT:
~tMfi~ Cflf TE !/plVf" f n'~ fE'1~ C(lMSr ~~~ES T
a~~r~~+~N r~ z r~~~: _}~n t r~ 1:
~ PER .MI~ ~TYPE: TYPE OF WORK: W
i~u~i r ~ t~~~ ~'~IAfI i N61
tM~!)1 ATI~N fINAL
~It~~i~1.AL`E , - - J
~
;I
itl~1lAR~f".ia ltl`CL~IP1' i PliV ~i'iN Pllrl! ~ 11~AlAf'~ P~dY
,
~~m++R No. /kmM Moler o~.1~ TiM~Aeer ~
' '
, ~
PLLqNB1~K3 I
• i
- ~
HV~C I
BFCTRIC I
I
Ei..ECTFdC
MaP~la? t~M Y~p. OoRUtNnt~ ~
Foowq~ ~ %
~ p ~ p2 .
F?~ ~ ~
! ~ i
~ A°"'°r' _
~ ?+4~
but. Z 9t .s
' ~ IZ+ ~ ~4 . ~'1Z
I
Fin~i Fpp.
r
Oad TeIR
I I~1 P~. ~ Pb¢ YNP~obr - Notll~
rsJ
oo~.t. ~e.? • „
O d./~s
~ s
~
s~ a.~,.
/075~7~'
~ 4.4 ~ , ~g s~
Reques~ Dare Fre No Rouqh~in Inspection
Reqwred~ ? Reatly Now ~Will No~Ay Inspector
1~Yes ? No When Reatly9
I QS~licensetl comractor ? owner hereby request inspection of above electncal work at.
Job uAtltlress ISlree~, Box ar qaute Nro
~ Qty
{ ~ d r ~ Y-Q~ ~Q. Q
Sec~ion No Township Name or No Range No Cou ry
r-- c. o tz - k
occuoanl IPRINTI Phone No
1, o fi ~S~z. `1S3-3So4
Powe, s~~a~~e, Add~as~ ~4 3 0 0_ az.o ~t-~. S r- w~zt
i~ ~1 i . SS~z
Elecmcal Co~lraaor ~COmpany Name~ Gonhacror5 lmense No
~il~eu_0 ~2~~ ~
Matlmg Address IGonlractor or ner Mekmg Inslallalionl ~
- v~ia vZf 6G rhCl, ~/o~l
Au orrze ura ICanlrecl ^ ing InSall PM1One Number
i~ G~Z l s 8~ ov
MIN OTA STATE BOA EIECTRICITY THIS INSQECTION REWEST WILL NOT
Gnggs~MlOway BIJg. - oom S~t13 BE ACCEPTE~ BY THE STATE 60AR0
t82t University Ave. St Peul. MN 55t0a UNLESS PROPEF INSPEGTION FEE IS
P~one ~612) 6CY-08W ENC~OSEp
9'~ REQUEST FOR ~ECTRICAL INSPECTION ~°="z~q ee-ooom oe ,
~ 5 4 4 • See insvuaion-lor compl ~ng t~is lorm on back ol yellow copy i~+~x~ /D ~
~
R g ~ f
"X" Below Woik Covered by This Request ~
ew Atltl Rep. TypeoBmlding AppliancesWired EqmpmeniWuetl
Home Range Temporary Service
Duplex Wa(er Hea~er Electric Hea~ing
Apt Bmltling Dryer Other (Specity)
Comm./Indus~rial ~ umace
Farm ir COndihoner
OtM1er IsV~ily) ConVac~or's qemarks
Compute lnspecfion Fee Be7ow:
N Olher Fee B SermceEmrenceSize Fee N Crtcuns/Feeders Fee
Swimming Pool 0 l0 200 Amps 0 to 700 Amps 'a,,,
Trensformers Abov 0 AmpS Yj,- ~ Abovel~0_Amps '7 ~
Signs Inspecmr5 Use Only. TOTAL 00
Irrigation Booms 9~
Special Inspection ~
Alarm/COmmunicauon THIS INSTALLATION MAV BE ORDERED SCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONT.HS. P
I, the Eledrical Inspector, hereby Rougn-in
certify that tne above inspection has F~~ai oa~a
been made. ~ ~G
~ ~ y
OFFICE USE ~NLY
T~is request wia 18 moni~s Irom ~
Address a~,ni m~ iann~ Zip 5512 3
Lqt Blk ~ Sub armnanr urrr.F ~
THESG ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: 93 Yes No Inspector:
Final grade (6" from siding) ~
Permanent steps (garage) ?
Permanent steps (main entry)
Permanent driveway
Permanent gas ~
Sod/Seeded grass
Trail/curb damage
Porch ~
Basement finish ~
Deck
Please verify with the builder the removal of roof test caps from Ihe plumbing system and Ihe shut-off of water supply to
Ihe outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system.~ ~
White - City Copy Yellow - Resident Copy Pink - Contracror Copy
city oF e~gan
January 10, 2003
PAT CFAGAN
Mayor
MR GORDON MEYER
PECGY GRLSON 16740 IItEDALE PATH
CYNDEE FIELDS LAKEVII.LE MN 55044
nai~ M.acuiaE Dear Mr. Meyer.
M11EG TILLEY - - - - -~1
On December 24, 2002, a plumbing permit to replace a water softener at~4401 Tofte_Lane
was
Council Members issued to Gordon Meyer. Your letter dated January 8, 2003 requested a refund as you were not
installing this water softener. Please be advised that the Ciry will refund $15.00 to you under
THO~tns tteoCES sepazate cover. We are unable to refund the $.50 state surcharge that was collected.
Ciry Adminiscnror This letter is also meant to advise you that effective January 1, 2001, t6e City of Eagan Fee
Schedule assesses a$50.00 fee to refund permits that have been processed and receipted. As a
courtesy, we are informing contractors of this policy via letter and issuing a refund for a cancelled
permits on a"one time only" basis.
Municipil Cenrer.
If you have any questions regarding the above, please feel free to call me at 651-675-5671.
3830 Piloc Knob Road
Eagan, MN SS122-1897 .SII1Cfi21Y, ~
Phane: GS LC75.5000 ' , ' 'L"_~Y`
~
F~: G51.G75.Soi2 Jamce D. Severson
TDD: GS1.454.8535 ~ffice Supervisor
cc: Dale Schoeppner, Chief Building Official
Maincenance Facility:
3501 Coachman Poinc
Eagan, MN 55122
Phone: G51.G75.5300
Fax: G51.G75.53G0
TDD~ GS f.454.8535
~vw~ecityo(eagan.com
l'HE LONE OAK"PRC•E
~Che s;'mbal of strcngth
and growdi m uur
communicv
CLAIDI VOUCHER - REFUND REQUEST
CITY OF EAGAN
MAKE CHECK PAYABLE TO: GORDON MEYER
ADDRESS: 16740 IREDALE PATH
LAKEVILLE MN 55044
LOCATION: 4401 TOFfE LANE
RECEIPT #/DATE: 38776 12/24/02
REASON FOR REFUND: NOT llOING JOB PERMIT 57494
TYPE OF REFUND:
Plumbing Permit 9001.4087 $ 15.00
Mechanical Permit 9001.4088 $
Building Permit Fee 9001.4085 $
Plan Review Fee 9001.4222 $
sac (~tciws) ~zzo.zz~s ~
SAC (C~ty) 9379.4681 $
SAC (Admin) 9001.424G 5
Water Connect~on 9220.3865 $
Sewer Permit 9220.4532 $
WaterPermit 9220.4507 $
Account Deposit 92202252 S
WaterMeter 9220.4509 $
WaterTreatrnent 9220.4685 $
Surcharge 90012195 $
Ovecpayment 9001.2250 $
Curb Bax Deposit Refund 92202253 $
Construction Merer Dep Refund 9220.2254 $
Other $
TOTAL $ 15.00
I declare under the penalties of law that this account, claim, or demand is just and that no part of it has been paid.
~Q~~ 12/24/02
~ SIGNATliRE DATE
01/08/2003 13:13 6128820267 PAGE 02
` ~LVI~V' ~ ~1 V ~'~a'
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' ..PERMIT# ~ ~ l ( l RECEIPTDATE:
E008 f~SID~PTII4L ~PLUM$INH ~P~iu4IIT A~f'~LIC~4TiON
crrY oF ~ts~v ~_,,,~~~J e-
S$SO ~ILOT KP09 itD ~ 0/0 ~j
f.~4HRN, MP 5518E
651-691-4675 ~
Please complete for: single family dwellings, townhomes and condos when per its are required for each unit,
ackflow preventer for irrigation system
SITE ADDRESS: YO a /
OWNER NAME: : ,~.^Grti- TELEPHONE ~C/Z-
(AREA CODE)
WSTALLER NAME: TELEPHONE SC~S/~ ~-F~"7
(AREA COO'E)
STREET ADDRESS: i
CITY: STATE: ZIP: d~s?~f~~
_ ,
_ SEPTIC SYSTEM, new/refurbished (require tw sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may ap
• MODIFICATIONIALTERATION TO EXI ING DW LING UNIT, INCLUDING:
_ Adding fixtures to lower levels or ro m additions, excludin water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - existing d Iling unit 5/8" meter if need d-$118)
Other:
_ RPZ: new installatio repair/rebuild $ 30.00
_ lawn irrigation sys m
Replacem Uadditional: _~ater softener _ water heater $ 15.00
State Surcharge } $ .50
~
TOtal $ /d~ ~
I hereby acknowledge that I have read this application, sfate thatthe informa6on is correct, and agree to complywilh all applicable Cityof Eagan ordinances. It
is ~he applitant's responsibility to notify ~he property owner that the City of Eagan assumes no liability for ny damage~/~Y the Cily dunng ils normal
operatlonal and maintenance activities to the (acilitles wnsW cted under this permit within City prope / f-w y/e men[.
SIGNATURE OF PERMITTEE 1/02
PERMIT ~ o s 2 g
~CIT~` OF ~AGAN '
3830PilotKnobRoad PERMITTYPE: Bui~olNs
Eagan, Minnesota 55123 Permit Number: 001068
(612) 681-4675 Date Issued. 0 7/ 16 / 9 2
SITE ADDRESS:
4401 TOFTE LANE
LOT: 2 BLOCK: 4
AUTUMN RIDGE 2ND
DESCRIPTION:
Building Permit Type SF OWG
Building Work Type NEW
UBC Occupancy R-3 M-1
' Construction~~Type VN
Zoning R-1
Building Length ~ 68
Building Width 36
~ ; r~;~,t~~ . ~ ~ ,
~ i`_: ~~.~'~~~i '~~-J.r~ ~r,j)~~~:..:.
.
REMARKS:
RECEIPT 1~~ fl`~~~~{ PRV S&W PLBR - MARK' 3 PLBG
FEE SUMMARY:
VALUATION $153,800
Base Fee $825.00 MISC FEES 51.610.50
Plan Review $536.25 Total Fee $3,753.25
Surcharge $76.50
SAC $700.00
SAC $ 100
SAC Units 1
Lic. Search Fee $5.00
Subtotal 52,142.75
CONTRACTOR: - Applicant - ST. ~ICpWNER:
FOSTER CONST JAMES T 19533509 0007112 FOSTER CONST JAMES T
13803 ECHO PARK TERRACE 13803 ECHO PARK TERRACE
BURNSVILLE MN 55337 BURNSVILLE MN 55337
(612) 953-3504 (612)953-3504
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable StaLe of Mn.
Statutes and City of Eagan Ordinances.
I- ' J
APPLICPN /PERMITEE SIGNATURE ISSUED BY. 5 GNATUPE
~ PEiL~fIT CITY OF EAGAN 53 ~
• . . ~ ~ 1992 BUILDING PERMIT APPLICATIO~ ~ 7 ~ , ~ ~
/ J ~ 681-4675
~ U~Q `9 U L fl 5 RECD C~1(ccp ~~5
^ aINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural.8 structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked 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 / ~ / ~ ' Valuation of work ~~Q %~T1fla=
ite Address: 'X ~ e Cct
S70.EET ~ 5TE ~
7en:nt Name: (commercial only) _
LOT ~ BLOCK ~ SUBD. ~ ~'f I,~~n/ ~1 ~ .Q ~rl/~ P.I.D. /
Descri tion of work:
The applicant is: ~ Owner C3 Contractor ~ Other co~o~;be~ M
Name ~s7eP ~a~PS Phone H-~9S3-3soy
Property ~~sT FlRSi W- ~zb-3360
.owner pddress yRO~ ~e~o P~k Te~~a~P
STREE7 STE M
c;ty Q~r~su;lle 5tate rYl/V z;p SS33'7
Company ~ameS ~ ~c~ ~x+w~~,~z.~~'ox, Phone 9~53- ~s
'D~
~r
Contractor Address ~3~U3 ~c.~o /'a,-~r l~rvnce License # 112 Exp. 3 3~ ~
City ~ur~?sJ~~~1P State i~9/? Zip SS33'7
Company C~z ; S S~ e"a e Phone 3'~ 4- y9y7
Archltect/ 7
Engineer Name ~im ~.'vtt~{,'~ Registration
Address `7 f~ d ~~~b~eN /U•~
City ~D~S State l{'I/v Zip ~S~_
Sewer & water licensed plumber ~aNWl~7~ ~/`~~~rs . Processing time for
sewer & water permits is two days~F+fice area has been app ed.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply wi h all applicable State of Minnesota Statutes and City of
gan Ordinances. ~
Signature of Applicant:
OFFICE USE ONLY , - ~ ~
BUILDING PERMIT TYPE ` ' ` ~
. i
i
O 01 Foundation ? 05 Apt. Bldg ? 09 Base~nent Finish ? 13 Comn/Ind New
~ 02 SF Dwg. ~ 06 Garage/Accessory ? 10 Swim Pool ? 14 Comn/Ind Add •
? 03 Two family O 07 Fireplace ? 11 Res. Add. ? 15 Comm/Ind Rem
? 04 Multi-fam. T.H. ? 08 Deck 0 12 Res. Parch ? 16 Public Fac.
? 17 Agricultural
WORK TYPE
~ 31 New ? 33 Alterations ? 35 Move
? 32 Addition ? 34 Tenant Finish ? 36 Demolfsh
GENERAL INFORMATION
Lonst. (Actual) ~i~ Basement sq. ft. //3z. MWCC System ~
(Allowable) i lst fl. sq. ft. ,i3z City Water
UBC Occupancy ~h/ 2nd F1. sq. ft. ~ PRV Required
Za~;~g ;c-~. Sq. Ft. total Booster Pump
i of Stories 2 Footprint Sq. ft. Fire Sprlnkler
Length ~ On-site well Census Code io~
Depth 3633 On-site sewage SAC Code o~
APPROVALS
Planning Building Assessments
Engineering Variance
REGIUIRED INSPECTIONS •
? Site ~ Footing p Framing ~ Insulation
? Yallboard ~ Final O Draintile O Fireplace
Permit Fee v~<<etim: s'/S3 ~ao
Surcharge QS,., ~ /
Plan Review - ~ ~s~"
License 3pyz' = 936 G`r 3z.rzo =~y6
MWCC SAC /y. , ~ 2~a-Z = =_/Z
CitY SAC Jl3Zr6P: 7(0:>~ /~~2r~~ _
Mate,r Conn.
Mater Meter << / ~~9~z
Acct. Deposit ~
S/W Permi t 3;,k ~ b_ g3~
S/w Surchar e
~`;.~iv = / 4(
Treatment P .
Road Uni t ~x 3 ' ~y /~Z ~S
Park Ded. ~~,,SY = ~ g,~S ~
Trails Ded.
Copies ~
Other 121~/ ~5,~ : 3=~ y 38~ ~s
Total:
SAC %
SAL Units
1 O
, . ~ . . .
~ , 979-4347
~ crstfN 6 ~~wcl~b~, Inc.
~u ~ ~roi•r •a ~N~. M~n. ~NN
• '~rchlqeNnl MWprrn ot ouUd om~~
EYTr~tIOR ENVELOPE AVERAGE "0" COMPDTATION
owr~t ~t?~.`]'~- '~-~sl f`~ ~.1 r,~ ~ No. ~6 2 o S 11 -
siz~ annxESS nax~ W1A'~J Z.1, I~i Z•
CONTRACTOR py~~
~ Determine worldng square footage of each
1. Total exposed wall area...... sq.Yt. x•~~ = Z,~8
~
2. Total roof/ceiling area...... I~g) sq.Yt. x~~_ ~7 1~
3. Total floor/cant. area....... sq.ft. z__~~
Total exposad wall area above floor 27,~~
. 8• TOt81 W8u S7SS1dW 8I'98~~~~~~~~~~~~~~~~~~~~~~• 4JV•.~
b. Total door area 7~~8 7
c. Total sliding glass door area
d. Total fireplaae wall area -
• e. Total vall fl~A+~~ area (average 10,$)........ Z7
Y• TOt81 716t. W811 8I'98 8UOV6 PZOO! ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ • '
g. Total rim joist area 9
Total eaposed foundation area
s
h. Total Sourdation windoxi area
i. Total ttat fovrdation area above grade........ ~
Daterm~ne "II" value of each wall aegiment _
a. 4 ~ 33 x^o" 1 ~
b. x "II" I = , 2
c. x "II" -
d. x "II" -
e. x „O„ _ •
f. I .-7 x D .
g. x "II" . o4I = 1~.91
0
i.~ z "U" = Co
D . Tota~ _ ~9j°~•I~
If item ~4 is the same as~ or less than item ~1~ you have met
the intent of SBC 6006(0)2.
~
I
Total exposed roof~ceiling area 1«~
• Total el~light area
• k. Total roof~ceiling f3~aming area (aver. (.10~16"o/c) „
~ (.o62y~24no/c)..• I I
D~
1. Total net insulated roof/ceiling area `
' Determine "U" value for each roof~ceiling segment
~ x nUn -
k,~ x "U" .OZo
1. 101 '7. 14 x"U" . O 21 =
5 . Total = 2. 7 2
If total of #5 is the same as, or less than $2~ you hace met the
intent of SBC 6006(c)1.
Total exposed floor/cant. area
m• TOt.81 ~002'/CSTIt.• ~2'8ID'ITl area ~8V82'8g9 •1~`~~ ~ ~ ~ ~ ~ ~ ~ ~ ~ •
n. Total net ineulted floorfoant. area
Determine "II^ value for each floor~cant. segiaeat
m. x "U" -
• n. z "D" _
6 . Total ~ ~
If total of #6 is the aame as, or less than $3~ you have met the
intent of SBC 6006('c)3.
xLTERNATE BUIIDING ENVEIAPE DESIGN
'fo utilize the total envelope system method~ the values established
by the swn of items ~4, ~5 airi f6 shall ~p$~ be greater than the sum
of items ~1, *z ard ~3.
342.°I~ 2. 3o•~I 3. _'~73.~9
4. 33`i • t7 g. ?~1-.12 6. = 3Co3• ~b9
. Prepared by ~ ~V~Ii~E
~ate M~N~
I,~ I q`t 2
~
/ ~
- ~ ~ I
' TARII S'fIID Int. Air .68 '14iRII INS. WALL Int. 41r .68
I x/ 3.R. & SIDINI} 1~2" S.R. .45 v~ 3R. ~ SIDING 1~2" S.R. .45
t1 Q ~
I 3tud C~75 6" Ina. I~(.p
25/32" B~. 2.06 25/32" Biia. 2.06
~ ssaing , 7°~ ssai.ng . '7°J
~
~xt..a~r -.i7- ~ ~t. ~.r .i~
Total "R" _ ~ ~ ' oZ5 . Total "R" = 23' )S
1~R a ~ 1~R = "D" _ ~~~i
THfiII AIM Int. A1r .68 TffitII CONC BIAC& Int. Air .68
f
` aor.sx (p rn8. Iq,~ c.s. ( i2 I,2S
;
j opt. styro. Opt. Ins. -~j, O
i~ 1 1~2" Woad 1.89 a. ;i HSrt. Air •17
' 25~92" Bi]d. 2.06 ~ • .
; : Opt. S.R.
~
4 ~i\ 1 ~
~ Slding • 7~ Opt. Sid.
~t. A~ .i~ ~ ro~i ¦a~ _ -7, ?3
opt. Hr~~k 1/x = "D" _ .{4
xot,~~ Na• = 2~, `-~l
~ i /R = atl" _
. _ -
THItU CLG. Int. Air ---.61 TSB.II CIG. Int. Air .61 '
I MI~aIDSR S.R. •~6 INSIII.ATIODi S.R. (,si~') ~~o I
' cig. r~~. ~,3~ x~. 4S.a I
,`I `1 ' . ) , ` Ins . c' ~ ~ ~ v stitl asr .61 ~
yf , 11 ~ still Air .61 I~~~ Total _ "16,7g '
l i, ~ l `~~~t ~u`
f Total"R" _ ~71~IS 1~=~~ _
~ {-~J_L
~ 1~R = "p+~ _ . ~Zc~
I -
~
i -
. ~
• " .
~ * * 2422 Enterprise Orive
Mendoto Heights, MN 55120
* PIONEEIa UND SURVEVORS • aHi. u+cn+en+s (612) 681-1914•Fax 681-9488
~ -r UND PLANNERS • UNOSC~PE AR611TECiS
* eng~neer~ng 625 Hlghwoy 10 Northeost
~ Blaine, MN 55434
* * * * (612) 783-1880•Fax 783-1883
Certificate of s~~~ey fo~: James Foster Construction CO.
House Address: 4401 Tofte Lane. Eagan, MN
, ~ ~
~ • ~ ~ ;
~
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949. > 9y9 o C~ \ ~
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p~~ rl,• o`° ~ £ \ ~c? \ , ~
~ 0 ~ ~'d/ / ~o c+ 9`~ Tj, ~ ~1 t'v'. ~f \
~5 \ $ ~ O C~~A ~
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9$O~O~ ~ $ A 5 ~~I~I.`I\~t"p~ ` ,
ti
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- k
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q~l~. br 167.17 ~ ~ ao ~
9tie.o $ 81'4115 w I i
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Lro w•,..dbw Ela~a _ ~46.,
. 900.o Denates Existing Elevation PROPOSED HOUSE ELEVATION
* gooo Denotes Proposed Elevation Lowest Floor Elevation:9`13:`}8
- Denotes Drainage & Utility Easement
- Denotes Drainage Flow Direction Top of Block Elevation:95!„S9
-~Denotes Monument Garage Slab Elevation:~t.Z6
Denotes Offset Hub Bearings shown are assumed
LOT 2, BLOCK 4 AUTUMN RIDGE
DAKOTA COUNTY, MINNESOTA 2 N D A D D I TI~O N
1 hereby certily that this survey, plan or report was prRpared by rne or'under my di.ect sup~.(rvision end thal 1 am duly Fegistered Land Surveyor
under ~he laws of the Sta~e ol Minneeota. Oated this2 ~q dey ol J~V ~ A.D, 1g 1~' ,
Ke~- ta-R2 ~ A~lA Ey:~rl Flv~s, ~
inch _ feet P P 5 /
Scale: 1 30 ~-~~-q2: ro E,e., o:,~
- . ~•lr " IV ~
~ ROBE .,5'l1 H L 5. AEG. NO. 14B91
L~ e~ CITY OF EAGAN CITY USE ONLY
SU&D. ~~~N.H, ( /a~,L PLUMBING PERMIT
(612) 681-4675 RECEIPT G ~~~~g~
~ DATE 9'/.3/9~
RESIDENTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAHILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
NEW CONST ~ REPAIR/ADD ON 15.00
ADD ON _ ~ SHOWER 3.00 ~
REPAIR _ ~ WATER CIASET 3.00
~ BATH TUB 3.00 i.0 b
OWNER NAME: _ 1Q mf5 I- I~s~- ~ ~VATORY 3.00
L KITCHEN SINK 3.00 ~
SITE ADDRESS; '1 ~ ~0-~'-~'Q larv2.~ r mjV L yT~Rjg/pAY 3.00 ~
~ WATER HEATER 3.00 .~i,UO
~ FIAOR DRAIN 3.00 3,0(1
n1/~ GAS PIPING OUT.
INSTALLER: ~f~ K~ fi 5 ~L I.CVK .B //~l C~ (MINIMITM - 1) 3. 00 ~
p ROUGH OPENINGS 1.50
ADDRESS: Lf~ 7F ~[S/ ~ L,q/~(E /Y. ~.f~, OTHER
WATER SOFTENER 5.00
CITY: ~~OI~E'~ ZIP: ~5~~~ _ PRIVATE DISP. 15.00
p -7 / U.G. SPRINKLER 3.00
PHONE ~J: ~J / d SJ _ W. TURNAROUND 15.00
//~iJ~ ~ STATE SURCHARGE .50
L6
SIGNATURE OF PERMITTEE TOTAL: S S~~O D
=r
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
OWNER NAME:
CONTRACT PRICE:
SITE ADDRESS: 1X OF CONTRACT FEE. ,
STATE SURCHARGE - $.50 FOR
TENANT NAME: EACH $1,000 OF PERMIT FEE.
SUITE $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 1X $
ADDRESS: STATE SURCHARGE $
~
CITY: ZIP:
TOTAL: $
PHONE ~J:
FOR: (SIGNATURE)
CITY OF EAGAN
~ CITY OF EAGAN
L~_ B d MECHANICAL PERMIT RECEIPT #/O ~S/,5
SUBD. U~'~ (612) 681-4675 DATE $/2~7'/92
. ~
' RESIDENTIAL -
PLEASE COMPLEI'E UPPER PORTION ONLY FOR SINCLE FAMII Y DWELLINGS. ALSO, COMPLEI'E FOR
TOR'NHOMFS/CONDOS NNHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DR'ELI.ING UNTl'.
OR'NER: rKS K,.. ~S
SITE ADDRESS: l~l~ p ~ ~~{~.~e lp„n ADD ON/REMODEL (E~IISTING S 15.00
~q W CONSTRUGTION ONLI~
INSTALLER:p,~,'S Heatin & Air COnditionin ~'AC: 0-100MBTU 24.00
PHONE 497-2661 ADDI1'IONAL 50 M BTU 6.00
ennRFSS: 6060 La Beaux Avenue N.E. GAS oU`r?•FI,S • MINIMiIM 1~ S3 EA.~4) 1%.GO
~TTy; A1 bertvi 11 e ZIp;55301 ~g~gpR~E; S ,Sp
SIGNATURE: TOTAL: $ 3b . 50
COMMERCIAL
PLEASE COMPLEI'E THIS PORTION FOR ALL COMMERCL\UINDUSTRIAL BUILDINGS. AISO COMPLEfE FOR
APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUII.DINGS WHEN SEPARATE PERMITS ARE NOT REQUIRF.D FOR
E4CH DWELLING I7NT1'.
R'ORK DESCRIPTION: CONTRACI' PRICE FEFS
196 OF CONTRACf FEE.
STATE SURCFL?RGE IS SSO FOR EACH
51,000 OF PERMIT FEE a
PROCFSSED PIPING - 525.00
$
hiIIdIMUM FEE - 525.00
OR'NER TOTAL: S
STl'E ADDRFSS:
TENANT: . _ . .
SUI1'E aY:
INSTALLER:
ADDRFSS: -
_ . .
-
CTI'Y: ZIP:
PHONE CITY SIGNATURE
SIGNATURE:
PERMIT a
~ CITY EAGAN PERMIT TYPE:
3830 Pilot Knob Road B U i L D I N G
Eagan, Minnesota 55123 Permit Number: 0 2 3 9 0 a
(612) 681-4675 Date Issued: 06 / 15 / 9 4
SITE ADDRESS:
4401 TOFTE LANE
LOT: 2 BLOCK: 4
AUTUMN RIDGE 2ND
P.I.N.: 10-12301-020-04
DESCRIPTION:
Building Permit Type DECK
Building Work Type NEW
, / V ' ; i~ 1
~ V' . . ' i~ V"/.. r/, ~ . , .
` ~i ~
REMARKS:
FEE SUMMARY:
Base Fee $30.00
Surcharge $.50
Total Fee $30.50
CONTRACTOR: OWNER: - qpplicant -
HOLMQUIST ROBERT
4401 TOFTE LN
EAGHN MN 55123
(612)681-0612
I hereby acknowledge that I have read this application and state that the
infiormation is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances. ~
- ~~~,/p~n~7x
I`,~~` ' %3''".'~S'
~ APPLICAN7/PERMITEE SIGN RE ISSUED B SI ATUR ~
' ~ CITY OF EAGAN
~ ~ 1994 BUILDING PERMIT APPUCATION 4~ n
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registere ~~~e~~~~~ opy of energy
calcs.
COMMERCIAL 2 sets of architectural & st uctural plans, 1 et of
specifications, 1 copy of en CJ,~~a66.------
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date / 1~ Valuation of work
Site Address:__ ~ ~4~'~{P~ LQYI~P. ~Ll ~ Y1'll~ 5s ~a~
~ ~ aee ~ _.,~,r~
Tenant Name: (commercial only)
LOT BLOCK ~ SUBD. y~ d~~ P.I.D. #
UI ~
Descri tion of work:
The applicant is: Owner ? Contractor ? Other (Describe)
Name , ~()1~)eI'I Phone ~Og~-~.~°fl/~
Property LAST ~ FIRST
Owner qddress ~~{01 ~O-~P1 ~1'le
STREET STE #
City EQQ0.Yl , State Zip .~1,~,~
Company Phone
Co ntractor Address License N Exp.
City ~ta±e Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances. ~
Signature of Applicant: • 0~l I
OFFICE USE ONLY r ' ~
• d .XC ~
BUILDING PERMIT TYPE
~ r ' , r~.<
? O1 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch O 09 12-Plex ? 14 Fireplace O 19 Comm./Ind. Misc.
? 05 SF Misc. ~ 10 Multi. Add'1. -O 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 F1. 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 Variance
REGIUIRED INSPECTIONS
~ Site ? Footing ? Framing ? Insulation
? Wallboard O Final ? Draintile ? Fireplace
Permit Fee vai~ct«,: S
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
5/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
5AC %
SAC Units
~ . . . . . , . , d~N"„ ~";i}~ Y
~ .
.
,'.r'~r 2422 Fnlerprise Drive
• ~ Mr.ndota Hciy~ts, MN 55120 '
~'~~~~~~~uno suk.cra+s • nN~ ~nonccas (612) 681-1914•Fax 681-94B8
I BYY' Ir9t'1 "F~-'f iJl 1N~0!'UHM1CflS. unosc~r[ ~.noni[c~s
p~ * ~ Q~ 625 Iligliwoy 10 Norlhcosl
~ 8loine, MN 55434
~ .qc ~ * (612) 783-1880•Fox 783-1883
Certificate of Survey for: ~c7f1-1(~S Foster Construction CO.
House Address: 4401 Tofte Lone. Eagan: MN
\
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- i.tii 'ERI INE~RINQ D£?T
~ , ,~Y~ \l law~'~ ~ ~ 9' 1
u. ~ .~o
. eoo.o Denotes Existing Elevation ~•~O u'•,"`~Dw f:lr~n~~.~ -`1~I6,~
• aC-.oo_~~ Denotes Proposed Elevotion PROPOSED HOUSE_ ELEVATION
Denotes Droinaqe & Utility Easement Lowest Floor Elevation:9yj;y$
Denotes Drainago Flow Direction Top of Block Elevatlon:951.59
--o-- Denotes Monument Garage 51ab Elevation:9%1.Z6
-a- Denotes Offset Hub Bearings shown are ossumed
.,re LOT 2, BLOCK 4 AUTUMN RIDGE
' r DAKOTA COUNTY, 1AiNNESOTA ~ND AUDITI~N
1 haiMY ea~llly Ihel Ihi~ swveV. Plan oi ~t0o~1 wnf P4U~~fd ~ me o~ uMler m Jirea ~u rvuion ~M ~hai 1 am AW Il '
V Y ~ Y ~Y~~leiM L~nA ~u~r~YW
unAer Iho law~ ol ih~ Sia~a ol Minnsfau. ~a~cA ~~rii ~iL ~av of ~V~ 1F A.n. 19~.
Kov. i~ ~tz ~ n.tA (.-y.ti't ~~ni,
Scale: 1 inch. ~ ~oo~ ~-I~' `f?: lMno•. p.~p r~..,: n:~ / ~
- ~Qh
, NOOE 1 U. 5ti u L.S. ~EG. n0. HN!
~
~ 9[28::00_--'----~-----------------------. - - - - -
LOT ~ BLOCK SUBD. ~~..~k~.,N ~r J.u 2~• ~~d~~i'.,.
RECEIPT # /O~~J°~ & DATE 7~u`'~J~~
CITY OF EAGAN
UNDERGROUND SPRINKLER SI'STEM PERMIT
1993
Application Date: ~ lly/43
_ Commercial project Gallons per minute/rnmmercial only
_ Residential project (sprinkler systems for development pmjects)
? Existing residence
Area/address to be sprinklered: ~y0 / 7o f~ ~atie ~~a.
Installer. I~o~wf A- C1o~~YlAF.1`O i~i•. Ft~
Stmet address: ~U4! T ~a..~ ~q,., y?u.
City, state & zip: ~ ~ta SS/23
Telephone (v - 06 / 2
Owner name: I~o~..~ /9. {~i,/MA,;s~
Street address: ~l~(01 Te~~ 4...
City, state & zip: _ Ga ad h1.M Ss/z3
Phone _ fy - 0 6 !2
Irrigatioa rnntractor, if different:
Phone
I hereby acknow]edge that I have read this application and state that the information is correct and agree
to comply with all applicable City of Eagan ordinances.
~ ~ ~-~3
~
7~c" ~ . 6 ~h, s~
ignature of Pe ittee
~y~~
New service required ~
Fee due: $~J~. 5O Calculated by!__ ';i ,J.~..,{_ tJ~
' U
CITY OF EAGAN
UNDERGROUND SPRINHI.ER SYSTEM PROCEDURE
1993
1. A plan must be submitted to the City's Engineering Department for approval before
installing a lawn sprinkler system. If digging in the boulevard, a right-of-way permit
may be required.
2. Once plan is approved, it will be presented to the City's Plumbing Inspector for sizing
of the meter.
3. Jerry Wobschall, Finance Department, will calculate permit fees as follows:
a. Commercial proiect: $ 25.50 underground sprinkler permit.
$ 50.50 water permit fee only if new service is installed.
$100.00 per tap if installed by City. Please consult with
Engineering Department regarding feasibility of City
installation (City will only install taps up to 1").
b. Residential project: $ 15.50 underground sprinkler permit.
$ 50.50 water permit fee if new service is installed.
$695.00 per connection - WAC.
$324.00 per connection - water treatment plant.
c. E~cistinp residence: $15.50 underground sprinkler permit -(fee not required
if backflow preventor previously installed); however, plan
must still be presented for approval and an application
must be fil]ed out.
4. Once meter size is determined, Protective Inspections Clerk Typist will contact Utility
Billing Clerk for cost and notify installer of all costs associated with project. If new
service lines are not required, one check may be written for meter and permit costs.
No meter will be sold befom all sewer and water inspections am complete on a new
service--(Engineering Department will advise Utility Billing Clerk when meter can be
sold). Receipt will be coded to 20-3716 (meter portion only) with pink copy
forwarded to Utility Billing Clerk.
5. The installer is to contact Protective Inspections at 681-4675 for inspection of the
inside water line and backflow preventor. The Public Works Department may be
reached at 681-4300 for water turn-on and set and seal of ineter. Inspection hours are
8:30 AM to 3:30 PM, Monday through Friday: Requests for AM inspections should
be made on the preceding work day. Requests for PM inspections will be accepted
until 12:00 noon that day.
. PAGE 5 OF 5
PROPERTY~LINE ~
4
~
~ ~
3 1 4 ~ SAME AS REMOVED
(3' WNWl1M1)
' SAME AS Fifi1AOVED
. . 5
(6" MINUiWA)
2
I ~
~
TRAILWAY
1. Curb and Gutter shall be removed only after saw cutting at joints and replaced
according to specifica:ions or Standard Plate.
2. Situ^inous pavemer,t ares removed shall be saw cut prior to patching.
3. Boule~~ard sod removed shall be replaced with minimum 4" of topsoil and cultured sod.
4. 2341 biturr~inous wear course shall be paved,between May lst and November 15th for
permanenc patch. Temporary cold mix p>tch should be used hovembet 16th to April 20th
(or as permitted by weather).
5. Class 5, 100% crushed aggregate base.
6. Roadkay closures in accordance with Appendix B- Traffic Control for street or highway
work zones - MnDOT/^fUTCD.
7. Bitwninous trailwa}~ closure requirements same as roadway in ~~6 above.
8. Backfill shall be thoroughly compacted by the "Specified Density Method" of compaction.
All suitable backfill material placed below a depth of five (5) feet below the final
pavement surface shall be placed in maximum lifts of twelve (12) to eighteen (18)
inches and compacted to a minimum ninety-five (95L) percent of ASTM Specification D698-
64T (Standard Proctor Density), method "A". All suitable backfill material placed
within five (5) feet below the final pavement surface shall be placed in lifts not to
exceed twelve (12) inches and compacted to a minimum of one-hundred (100%) percent of
the above ASTM Specification.
~'i ~ ly of eagan STREET AND BITUMINOUS TAAI~_WAY approved : standard
plate #
PUBUC EXCAVATIOWPATCM DETAIL
woR?cs 5/93
P-1
~ DE PARTMEN TRAFFIC CONTROL REQUIREMENTS
~
' CZTY OF EAGAN Page 1 of 5
PERMZT
~ TO WORR WITHIN CITY PROPERTY/RIGHT-OF-WAY/EASET~NTS
1. Location '7 y~ r f L~^l~ !s~«r n] h 'JSl2 ~
2. Nature of Work ~lnc~.: 1- S• ~ ~~-,-Q,(~C.-~~!3eo~~L~~
~ ~'~j ~
3. Indicate below items to be affected and include a sketch oz plan of work to be done.
Curb 6 Gutter Street Surface
Trail/Sidewalk Trees:
Pond/Wetlands Public
Traffic Control Devices/Signs Private
Drainage Utilities
Structures/Buildings Other
4. Method of Installation or Construction u'~~I
5. Work to start on or after: ' f 3 and shall be completed by: 7'~.>'~~/3 unless an
extension granted to: by: -
DATE' STAFF[DATE
6. Will detouring of traffic be necessary? ~1~~ If necessary to detour traffic,
describe suggested route:
DETOURS: The Director of Public Works shall be notified in writing at least 72
ours in advance of any detour being established, changed or discontinued.
NAME OF APPLICANT /~I rn 11~74 ~.17 PHONE C S/ ~ G~ lZ
`J ~ ( / PLEA E PRINT
ADDRESS ~1y~'~ ICi~' ~M . r{'I/v S~/~;?
STREET ~ I'FY STATE ZIP
NAME OF PART'Y OR OR~ANIZ fTIO,f] PEjt,F~RMING WORK A0~7•-~I /J hh//+7~ ~
CONTACT PERSON: ~~0~'~~ ' f~ rir n~ ~ sf EMERGENCY (24 HR.) PHONE F:i UG'lC
ADDRESS ~J~IJ/ j~ _ /j~ r SY l 2 J DAY PHONE G- U/ k/ [
STREET C STATE ZIP
The undersigned herewith accepts the terms and conditions of this permit by the City of Eagan
as herein contained and agree to fully comply therewith to the satisfaction of the City of
Eagan.
Signed: ~ Title: SP/~ DATE: / ~
FOR CITY USE ONLY AUTHORIZATION OF PERMIT
FINANCIAL SECURITY: AMOUNT: TYPE:
(Cash,bond,IAC,etc.)
Fee: $ /l~ Receipt No. Permit No.
In consideration of agreement to comply in all respects vith the zegulations of the City of
Eagan covering such operations, and pursuant to authorization duly given by said City of
Eagan; permission is hereby granted for the work to be done as described in the above
application, said work to be done in accordance with special provi'sions as hereby stated:
: DEP . OF PUBLIC WORKS
B . ~
/ A
ALL LEGAL REQUIREMENTS SHOWN ON REVERSE SIDE AND ON SPECIAL PROVISIONS" TO BE COMPLIED
WITH! TNE DATE WHEN WORK IS COMPLETED MOST BE'REPOR ED TO THE EAGAN CITY ENGINEER.
Permit No. Page 2 of 5~
. PERTINENT REGUTATIONS
Safety
1. Traffic shall be alloved to pass and to be protected at all times. If it is not
possible to allow traffic to pass, a suitable detour must be provided and plans
submitted to the Director of Public Works 72 hours in advance.
2. Barricades shall be erected in a manner which vill provide suitable visibility in all
directions. All barricades shall be in good condition, and all signs shall be of such
size and legibility to provide adequate varning to oncoming traffic. At least two 7"
flashing amber lights shall be mounted on each end barricade vith one on an advance
warning sign.
3. Excavations must be shored or sheeted vhen necessary to prevent under-mining of
roadway, trailways, utilities, or for safety reasons.
4, Guys or stays shall not be attached to trees on right-of-vay or private property
without written permis~ion.
5. Flagmen shall be furnished by the party or organization performing the work vhenever
the work being done creates a hazard either to the traffic using said road or the
personnel engaged in the construction, or when directed to do so by the City.
OPERATIONS
1. Yermit on Job--Permits or copies shall be kept on the site of the vork while it is in
progress in the custody of the individual in charge, and shall be exhibited upon
request made by any City official.
2. Provisions and Specifications--These genezal provisions, specifications and Std. Plate
P-1 sha11 be considered as forming an integral part of each and every permit issued for
operations vithin Eagan. The work authorized by this permit shall be done at such time
and in such manner as shall be consistent with the safety of the public and shall
conform to all requirements and standards of the.City. If at any time it shall be
found by the City that the vork is not being or has not been properly performed, the
permittee, upon being notified by the City, shall immediately take the necessary steps,
at his own expense, to place the work in condition to conform to said requirements or
standards.
3. Execution--The permittee shall use diligence in the execution of the vork authorized
under this permit in order not to endanger or unnecessarily obstruct travel along any
road or trailway. Operations shall be so conducted at all times as to pezmit safe and
reasonable free travel over the roads and trailvays vithin the limits of the vork
herein prescribed. All safety measures for the free movement of traffic shall be
provided by the permittee at his ovn cost.
4. Conformity to Lavs--The installation shall be made in conformity vith all applicable
lavs, regulations and codes covering said installations. All installations shall be
made in conformity vith regulat'ions of governmental agencies for the protection of the
public.
a. The applicant shall furnish a bond or financial guarantee in the amount to be
determined by the City which is required to ensure adequate 6 timely completion
of repair. This bond or financial guarantee shall remain in effect for 2 years
subsequent to completion of street repair to protect'the City from defects in
material, vorl~anship or non-compliance vith City Standards or specifications.
~ Permit No. Page 3 of 5
b. The applicant shall furnish evidence of public liability insurance of not less
than $100,000/300,000 and property damage of not less than $25,000 issued by an
insurance company authorized to do business in the State of Minnesota on which
the City is named as an additional insured party.
c. Except for the negligent acts of the City, its agents and its employees, the
permittee shall assume all liability for, and save the City, its agents and its
employees, harmless and defend same at its sole cost'and expense from any and all
claims for damages, actions or causes of action arising out of the work to be
done herein and the continuing uses by the permittee, including but not limited
to the placing, constructing, and reconstructing, maintaining, protecting and use
of said facility under this application and permit for construction.
5. Existing Facilities--The utility facility and installations shall not interfere vith
any existing utility facility on the City's right-of-way or easements. It is the
responsibility of the applicant to call for necessary locations of existing utilities.
(Gopher One 454-0002)
6. Private Property--The work permit or permit for construction as issued does not in any
way imply an easement on private property.
7. Quality of Work--Finished surface, base and sub-base of road or trailway upon
completion of work sha11 be at least equal to or better than specifications of
originally provided road or trailway in accordance with City Standard Specifications.
Surface shall be finished within 48 hours uoon completion of backfill.
8. Cutting Trees--The permission herein granted does not confer upon the permittee the
right to cut, remove or destroy trees or shrubbery within the legal limits of the
right-of-way, easements that are not specifically identified on the plan attached to
this permit or relieve permittee from obtaining any consent otherwise required from the
owner of the property adjacent thereto.
9. Drainage--All waterways and lines of drainage shall remain operative.
10. Pole Anchors--Pole anchors, anchors, braces or other construction will be permitted
within right-of-way or easements and will be approved on a case by case basis.
11. Driving Limitations.
a. Driving or parking on City trails or sidewalks shall only be permitted for those
operations requiring direct access to the boulevard area.
b. Vehicles opezating or parked within the right-of-way area shall utilize their
warning flashers at all times.
c. Vehicles driving on trails or sidewalks shall not operate in excess of 5 miles
per hour. Vehicles sha11 operate at slower speeds vhen meather conditions, trail
conditions, poor visibility, obstructed sightlines or other conditions require
special precautions to ensure the safety of trail users and the general public.
d. Driving shall not be permitted within those boulevard areas where damage to turf
trailways or other infrastructure may occur.
e. Vehicles shall not be parked on trails or sidewalks in such a manner as to
unnecessarily impede the safe and efficient use of trailways by the general
public.
Permit No. Page 4~of 5
12. Vehicles or equipment traversing roads or trailway surfaces shall not utilize studded
or chained tires, caterpillar traction, or any other form of traction which will result
in damage to the surface.
13. Clean-Up--Street, trailways and affected right-of-vay shall be scraped clean at the end
of each work day and swept clean after construction is completed and left in a neat and
presentable condition.
14. Trees and Vegetation-Burning or disking operations and/or the use of chemicals to
control oz destroy trees, brush and other vegetation is prohibited vithout prior
approval from the City.
15. Replacement of Sod--Wherever top-soil and sod are disturbed, they shall be replaced and
maintained satisfactorily until the turf is established.
The undersigned hereby declares he/she has read and will comply with all the PERTINENT
REGULATIONS as stated above and relevant City Ordinances.
/ ~
,
~ G' , /
DATE: ~r ~ ~ > SIGNED: =.~-s~- ~
Revised 5/93
LTS~J1-PERMIT.£M
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zoos RESIDENTIAL PLUMBING PeRnniT,aPPUC,arioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date I ~ 1 ,
Site Street Address ~1 ~ D\ l l~"C~ Unit #
Property Owner ~ ~C~ ~l Telephone #~~'~~)~~,r)~ 1~ ~
Contrector _ , 1E ` Telephonet~ (1~~)~9(JZ(,'l~)~
Address 1~ 1~ City `~`1 lC~~~ State~ Z!p L~
The Applicant is: _ Owner 7~ Contractor Other
Septic System _ New _ Refurbished Submit 2 sets ot plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
_ Add plumbing (ixtures. This fee includes inslallation of a water softener and/or water
heater at the same time. If you a~e instafling onlv a water softener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_Water Turnaround (add $130.00 if a 5/8" meter is required)
Other.
~ater Softener _ Water Heater $ 15.00
_ new ~ replaceme~t
_ Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge g Sp
Total $
I hereby apply for a Residential Plumbing Permit and acknowledge that lhe information is complete and accurate; that the
work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
accordance with the approved plan in the event a plan is requir d to be revie and approved
r~ ~C~ ti~(~1~PSZ ~
Applicant's Printed Name ppl cant's Signature
Date:
City of Eaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
Permit #: - 7
Permit Fee: 1/SI / 6-
Date Received: z/ -(21'D
Staff:
351-1 9
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
yy0/ 7 e
Tenant:
Site Address:
Zet
Suite #:
RESIDENT / OWNER
Name: ge,i) #0/11119 LA i S 1 Phone: , 6 3)/ 06/Z._
Address / City / Zip: 1/y®/ / e f ie 1.41t4ju n Go(�
Applicant is: Owner )Contractor
TYPE OF WORK
Description of work: 6-r49. '4-- '.'" '''t '6 "
Construction Cost: 41 ��� Multi -Family Building: (Yes / No W--)
CONTRACTOR
Name: i'r7 G.Prt St/'e-ii-i• ®v\ License #: Z°Z- I69 / 6
Address: 2 e y� Ke,� �iw �i C Gf City: LIk.e..V,' Pc_._
State: IMl`% Zip: --3-6—° 4/51 Phone: 1 Z / `r' Z65
Contact: J\kAc- Email: J ‘'`r7`L' @ 41;4,- It<'', n�7
COMPLETE
In the last 12 months, has
If yes,
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
the City of Eagan issued a permit for a similar plan based on a master plan?
date and address of master plan:
_Yes _No
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information Portions of
the information maybe classified as PPP"public: if you provide specific reasons thaf would permit the City o
=conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
CaII 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start.witlto" 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 platas
1r �/4/
Applicant's Printed Name
ant's Signature
Page 1 of 2
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA109370
Date Issued:02/28/2013
Permit Category:ePermit
Site Address: 4401 Tofte Lane
Lot:2 Block: 4 Addition: Autumn Ridge 02nd
PID:10-12301-04-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Josh McGuire
1424 3rd St N
Minneapolis, MN 55411
612-604-4285
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Robert A Holmquist
4401 Tofte Lane
Eagan MN 55123
Benjamin Franklin Plumbing
1424 N 3rd St.
Minneapolis MN 55411
(612) 604-4285 X61
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA124899
Date Issued:07/14/2014
Permit Category:ePermit
Site Address: 4401 Tofte Lane
Lot:2 Block: 4 Addition: Autumn Ridge 2nd
PID:10-12301-04-020
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 .
Mark Mattson
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 -
Robert A Holmquist
4401 Tofte Lane
Eagan MN 55123
Three Pines Construction
2876 Middle Street
St. Paul MN 55109
(651) 308-1911
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
r—————————————————�
I For Office Use �
I � /� I
C' � Permit#: V� j
lty of ����� I Permit Fee: � �
3830 Pilot Knob Road I I
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 I I
Fax: (651)675-5694 I Staff: I
I �
-----------------�
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
1\�5 $' �� � �� � � ���..� �c� n-� ' G��'a"''� Unt#:��,��
Date: Site Address:
� ��T � . ���� u ; 5� �� .��) �G�-a � �s
�'E� ��� Name: �' Phon �
r
��� ReStden�f /1 �,y�� .
��
� . �Wi��l' Address/City/Zip: �7 �d �—" ��j�� � �'a ga�v�,i�N• .��5/�3
'. Applicant is: �Owner Contractor
T�'p� (}f Wt?�'k Description of work: Ev i�/l alo� ��p lu�t (✓c�h au �,2t� 2 Cr��.l�c r z. �,.,�t ,Ck,`„�
�� ' Construction Cost: ��iQOB� �� Multi-Family Building: (Yes /No�
���� ' : ,, '. :
Company: ��t pw�r i' Contact:
3���`�
�4t1t1'aC�01' `' Address: City:
' State: Zip: Phone: Email:
'� � ��� , ������ License#: Lead Certificate#: �
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes � No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
Nt?TE f�fan��t�d�up���ir'�in�dc�cument�.th�#y�u submrf ar�c€rn�rder�.tv be p�b�c r"»���rt�tl�n R�it�n�c�f
��a����'ori�a�tr�rr��a����f�ssr�'ied as r��n���btr���1��ou��tdr��pe���`�.���a�s��t wa��cl p�rrr����+��ity�a �: �
� b� ..;:_ , . �� �
��..... >��x.� : conclu,..e �t�i� �t������c��.:�. e
,°'^�.F 2.�� �y .�, �.�:
.��.. .:���ac__
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.org
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
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.
X �o � ��a �m � l� �� s% X �o-� ���irn,��...�,t-o�"
Applicant's Printed Name Applicant's Signature
Page 1 of 3