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4519 Whitetail Way.11. City of Ea�all Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 JUN 7 2011 Use BLUE or BLACK Ink q5G Permit Fee: g` 7J• 3G Date Received: Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION C /7/t/ Site Address: hici q (,JR Thr/Li ( tt f Unit #: RESIDENT / OWNER � ,/ / Name: �1VZ .4 f) a . Phone: 6 c (`� "1r7 01 �C/ L !/1 i+ + / Address / City / Zip: q < <_-- � t 61/4) gly Applicant is: Owner )1 Contractor TYPE OF WORKDescription of work: ~ -- �� " ,A. oi` J . I/ Construction Cost: 3 ?Gd. a Multi -Family Building: (Yes / No er ) CONTRACTOR 4r/1101491i Company: E'6v&rc 'it.Vf/tcontact: BV /e.A1 rf 4-e- z( Address: S S r4 /CS A/- i-, City: ,k; State: fill(/, Zip: '��%(S/ Phone: 6/a--qa'R"7(2 I c License #: 3 d�9 ? Lead Certificate #: Ai/kr - 3 ai g - I If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, Yes No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: 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 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. Call 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 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. x e t/ RJ6 k‘-‘12‘ Applicant's Printed Name x' L Applicant' ignature Page 1 of 3 (15V f DO NOT RITE BELO TH�C IS LI SUB TYPES Foundation Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100%_) Census Code # of Units # of Buildings Type of Construction Fireplace Garage )e, Deck Lower Level Interior Improvement Move Building Fire Repair Repair Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice &Water Final Framing Fireplace: _Rough In Air Test Final Insulation Sheathing Sheetrock Reviewed By: Siding Reroof Windows Egress Window 9956/ Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: _Footings _Air/Gas Tests _ Siding: _Stucco Lath Stone Lath Windows Retaining Wall: Footings _ Backfill Radon Control Erosion Control Building Inspector Final Brick Final RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 City of EaQali J 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Permit #: Permit Fee: Date Received: Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION ! � Date: �i�U 1 Site Address: Tenant: �l X19 10.6 ,4v), Suite #: RESIDENT / OWNER Name: l {/c ` -41jc . I / Phone: Address / City / Zip: 9 S1 � U / A tt4 4-i h (4 tr J 4a✓ Applicant is: Xt.Owner Contractor U TYPE OF WORK Description of work: Construction Cost:, Multi -Family Building: (Yes / No ) CONTRACTOR Name: Address: Pa_ c S City. Phone: 0-6/1-t-qa (,2—License #: 3' State: /' r Zip:ll 1 Contact Person: i l Ie N 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: NOTE: Plans and supporting documents that you submit are considered to be public information Portions of e information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrei 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.gopherstateonecall.orq 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. x QYgAIL" K -� Applicant's Printed Name Applicant's Sign CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pflot Knob Road 95 P.O. Box 21189 PERMIT NO.: „ Eagan, MN 55121 DATE: 1-- ~ 3-`. 7 , Zoning: F, l No. of Units: 1 Owner: -Elut1Lr !iouci12.7 Address: ~ T ~ a r~,:.~n e I I ~ Site Address: ~'-~19 .~?'.itetail y:a I.`-.~ . Plumber: ~lP1ter ~31n locl: t:~,, -,,J 1~, „ I agree 1o comply wNh the CNy of Eagan Connection Charge: 47 s n'' Ordinsncas. Account Deposit: t S DclP?_ , Permit Fee: ~ Surcharge: By Misc. Charges: i Date of Insp.: Total: tnsp.: Date Paid: . . . . . _.._.T._. I ' i CITY OF FAGAN `'f • s 2'Z o 39,30 Pilot Knob Road 3p"t WATER SERVIC~~,?ERMIT I P.O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: ~ ~ Zoning: r`l No. of Units: ~ Owner. RT1tler Housin,v, Address: I SiteAddess; 1519 W-hitetaiZ TJay L9 B3 Fawn ridge II Plumber. T;elter Bla I Meter Na. 3 ~,b S o `Ao~nnarge: 515 . ao~Pa ~ . Size: r 8 0 10.00pd Reader No.: ~ d 6AQ-un, ~ I agree to comply wlth ihe~ sgBn S r~A , 1~k• ~~Qpd TP Ordinanc Qut~~~~ha~ges: , j TotaL ~ ~ By Date Paid: Date of Insp.: Insp.: ' ? P 7 CITY OF EAGAN t 3830 Plot Knob'Road, P.O. Box 21-199, Eagan, MN 55121 12976 PHONE: 454-8100 BUILDING PERMIT Receipt # ~ To be used tor S F D'r+1G/GAR. Est. val ue 5 7Q? 000 Date nLCL• i•:Bi :R 1 b 19 86 SiteAddless 4519 WHITE'T'AII., L':AY Erect C~ Occupancy R3 Lot 9 Block 3 Sec/Sub. FA~vN RIDCsE 2t1D Remodel ? Zoning K1 Parcel No. Repair ? Type of Const. v Addition ? No. Stories 44 ¢ BUI'Li:t~ ~-iOUSING CORP Move ? Length W Name pemolish ? Depth 48 3 Address ij`~U1 LY~IUALE AVE SO Int Impr 0 BL;•X'~TiJ $8j-1~3].5 . 0 Sq. Fr City Phone Install ? o Name Approvah Fees ~ Q Address Assessment Permit ~ 3 4 3. 0J ~ Ciry Phone Water & Sew. Surcharge 35.00 ~ Q Police Plan Rewiew 1. 50 W W Name PRGBF ENGR Fire SAC 575.00 00 Address 1000 E 146Z'H En WaterConn. 500.00 m W Ciry B"VILLI:phone ~32-300U Planner Water Meter 63. 50 Council Road Unit 290.00 I hereby acknowledge that I have read this application and state that the gldg. Off. 12/16/8Tr. PI. 156.00 information is eorrect and agree to comply with all applicable State of Minnesota Statutes and Ciry.ol Eagan Ordinances.. APC Parks Var. Date Copies Signature of Permittee To~, , . 0 ~ A Building Permit is issued ro: $UiL'Y'.i2 HOUS I NG CORP on the express condltlon that all work shall be done in accordance with all applicable State of Minnesota Statutes and City o( Eagan Ordinances. 8uilding Official - PermN No. Parmli Hdder Deto TNophoM N Plumbiny N.V.A.C. / Electric Sofbns? Irnpscdon Data Insp. Commerth Foorinys l Foorinysll Foundatbn Framing ~ 7 Ro"w V//-9? RouyhPl~• /9 V 12- l'~~ - ~ v4? l 7 Rouyh Hty. InsuL Flreplace d FInN Hty. L Ffnsl Plby. 111r~W Co D„Q,aG7w a-y//`1'1 Bldy. Final Cart.Ote. ; Deck Fty. Deek Frnp. well Pr. Dbp. ~-r •-r~ _ , , . . . . . . . PERMIT # ' 7 ~ ~ • ~ MECHANICAL PERMIT RECEIPT # ' CITY OF EAGAN n 3830 PILOT KNOB ROAD, EAGAH, MN 55121 DATE CONTRACT PRICE PHONE 454-8100 Site Address ` ~ ~ , -Z < ~ " I ' BLDG. TYPE WORK DESCRIPTI N Lot Block Sec/Sub ~ Res. New J m Name Mult Add-on ~ Addr~. • ~ " ' . ~ Cpmm. Repair c City f Phone pmer Name T-a FEES c Address 6 G l ~/I RES. HVAC 0-100 M BTU -$24.00 0 city phone ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 TYPE OF WORK ADDITIONAL 6 M BTU _ 6.00 . GAS OUTLETS 1.50 EA. Forced Air I~UM BTU ~ COMM/IND FEE - 196 OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50 Vern. CFM (ADD $.50 S/C IF PERMIT PRICE GOE5 BEYOND $1,000.00) Gas Piping Outlets # Other FEE g/C. SIGM1IATMff flF PERMITTEE TOTAL• FOR: CITY OF EAGAN , PERMIT # s0 hlt PLUMBING PERMR RECEIPT # & Q (F 6-5 CITY OF EAGAN Jan./&, 198? 3830 PILOT KN08 ROAD, EAGAN, MN 55121 DATE CONTRACT PRICE 3,000•00 PHONE: 45441100 Site Address `j19 Mh teta 1 WF4 BLDG. TYPE WORK DESCRIPTION Lot y Block 3 Sec/SutTawtt Kid Res. X New X - Name We ter Ay ock, Inc. Mult Add-on 9800 Jamse Circle 9 Address Comm. Repair c City BloominAton Phone 881-3171 Other . O. FIXTURES ;T~?L Butler Houai Cor -1 Name Water Closet - $3.00 $ ~ d yn R e venue o. -t ..M- c Addre Bath Tubs - $3.00 ~ Ci~ ~loomington phone 1'"1515 i- Lavatory -$3.00 1 Shower - $3.00 T ~ 1 Kitchen Sink - $3.00 FEES .00 -1-.00 COMM/IND FEE - 1% OF CONTRACT FEE Urinal/Bidet - a3 T-~undry Tray -$3.00 MINIMUM - RESIDENTIAL FEE - $10.00 -rFloor Drains - $1.50 • MINIMUM - COMM/IND FEE - 20.00 TWater Heater -$1.50 ' STATE SURCHARGE PER PERMIT - .50 Whirlpool -$3.00 (ADD $.50 S/C IF PERMIT PRICE GOES Z-Gas Piping OuUets -$1.50 BEYOND $1,000.00) Softener - $5.00 Well - $10.00 . rPrivate Disp. - $10.00 4.56 Rough Openings - $1.50 SIGNATURE OF PERMITTEEF FEE: 27.00 STATES/C: •SO GRAND TOTAL: 27 -f0 FOR: CITY OF EAGAN CITY pF EAGAN ~ _ 3830 Pilot Knob Road, P.O. Box 21-198, Eagan, MN 55121 PHO N E: 454-8100 BUILDING PERMIT Receipt# To be used for t• Est Value Date ,19 Site Address "514 ift~ i E1 h I i. OFFICE USE ONLY Lot Block I Sec/Sub. ?Ai%'A ~ r~: On Site Sewaye Qccupancy MWCC System Zoning ParCel No. On Site Well (Actual) Const a Name ~ALTEit & YELLYY ~ City Water (Allowable) W PRV Required # of Stories z Address ~i51'-, TAAL ~ ° City `^LAN Phone `f+-i ~ l.$ Booster Pump Length Depth , o Name SA''~ S.F.TOtal ~ a Address Footprint S.F. I'- City Phone APPROVALS FEES ~ cc Engr./Assess. Perm W it W ~ Name Address Planner Surcharge Q 2 Gity PhOne Gouncil Plan Review aW Bidg. Off. SAC, Ciry I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC information is correct and agree to comply with all applicahle State of Water Conn. Minnesota Statutes and City of Eagan Ordinances. Water Meter Signature ot Permittee Road Unit A Building Permit is issued to: Treatment P1 on the express Condition that all work shall he done in accordance with all parks applicable 5tate of Minnesota Statutes and City of Eagan Ordinances. -----~T Building OHicial TOTAL Permit No. Permit Holder Date Tslephone # Plumbing H.V.A.C. Electric Softener Inspsction Date Insp. COmments Footings I Footings II Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg_ Final Plbg. Bldg. Final Cert. Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: ..~,f 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: ~ filii 1 i;?11 war ~ i.,~ PERMIT SUBTYPE: TYPE OF WORK: INSPECTION . F- L ~ Permit No. ' Permit Holder Date Tslephone N S/VN PLUMBING HVAC ELECT "~w/ ELECTRIC Inspectbn Date Insp. CommeMs Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace 6 Z, 02 ~inG! G.. Final Htg. /t~a si ~i•u ~-,C..ad= AT E i ISA9 Orsat Test Final Plbg. Plbg. Inspector- Notify Piumber Const. Meter Engr./Plan Bldg. Fnal Deck Ftg. Deck Final Well Pr. Disp. 'R ~ u r ' (Itxftftrafe of COxxltpanry rCitp of eaga» mr}arw[rtcf of ludbwg jaapertian This CemJ'lcate fssaed pursuant to the requireneenu of Section 306 of 11re Unifonn Building Code cerh;/ying rhat at the rime of issuance ikis struclure was 1n compliance with 1he variaus ordlnances of tlre City regulalfng building constructioh or use. For the followrng.- 0 BWS. Pormil No. LJu CLmI'Katioe OucaPROCY Type ~ Zonioj Diqrict Type C...e V owner o! &AmnsaTlt$t ED13INK v,l!`F . Add,, 89U 1 LYPu:efur < r•Cita.SQ. .K'L;i?I sumo' weeKS 4519 4~11T"'~ '~a~ L.". R3. FAW EiMCE ZI) pm. MARCH 23, 1997 &Wdina O&W PO3T IN A CONSPICUOUS PLACE ~ I CITY OF EAGAN ~ 3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121 N0 12976 ' ~ O 1~ BUILDING PERMIT PHONE:.454-810 Receipt # To be used fur SF DWG/GAR Est vawe $ 70, 000 oate DECEMBER 16 y y 8 6 SiteAddreS.a 4519 WHITETAIL WAY Erect C~ occupancy R3 Lot 9 Block 3 Sec/Sub. FAWN RIDGE 2ND Remodel ? Zoning Rl Parcel No. Repair ? Type of Const 17 Addition ? No. Stories W nlame BUTLER AOUSING CORP Move ? Lengtn 44 3 Address 8901 LYNDALE AVE SO oemoiisn ? oepth 48 ° BLMGTN 881-1515 Int. Impr. ? Sq. Ft CityPhone Instell ? o Name SAME Approvals Fees $a nddress Assessment Permit $ 343.00 ¢ ~ Ciry Phone Water & Sew. Surcharge 35.00 ~ Police Plan Review 171. SO ~w Name PROBE ENGR Fire SAC 575.00 nddress 1000 E 146TH En WaterConn. 500.00 a W cityB"VILLE phone 432-3000 9 63.50 Planner Water Meter Council Foad Unit 290.00 Iherebyacknowledgethatlhavereadthisapplicationandstate atthe Bldg.Off.12/16/86 Tr.PI. 156.00 , inlormation is correct and agree to comply with all applicabl t e of Minnesota Statutes and Ci ot Eagan Ordinance APC Parks Signature of Permittee Var. DatO Copies Total $2.134.00 A Buildinq Permit is issued to: B LER HOUSING ORP on the express condition that all work shall be done in accordance with all appli ble State of Minnesofe Statutes and City of Eagan Ordinances. Building Official ~ - O+ - ~ CITY OF EAGAN 1516 6 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE:454-8100 Receipt p g # `t To be used for DEC-w ~ Est. Value $1, 000 Date JUNE 9 ,1988 Site Address 4519 WHITETAIL WAY OFFICE USE ONLY Lot 9 Block 3 Sec/Sub. FAWN RIDGE 2ND OnSiteSewage - Occupancy , MWCC System _ Zoning ParCel No. On Site Well _ (Actuaq (3onst a Name WALTER & KELLEY STISH City Water _ (nllowabie) W PRV Requiretl # of Stories z Address 4519 WHITETAIL WAY - o City EAGAN Phone 454-2212 Booster Pump _ Length Depth .0 Name SAME S.F.Total ~a Addf@SS FootprintS.F. ~ City Phone qppROVALS FEES w W Name Engr./ASSess. Permit 24.00 Planner Surcharge •50 _g Address aw City PhOne Council PlanReview Bidg. Off. SAC, City I hereby acknowletlge that I have read, is application and state that _ e Variance SAC, M WCC _ information is correct and agree to co ply withy( applica e St Water Conn. Minnesota Statu[es and Ci of E an rdp)pca~. l 1 Water Meter Signature of Permittee Road Unit A Building Permit is issued to: WALTER OR KELLEY -5TISH- Treatment Pt _ on the express contlition Ihat all work shall be done in accordance with all applicable State oi Minnesota Statutes and City of Eagan Ordinances. Parks TOTAL 2~+.50 Building Official_0 . , . ~ ~ 1986 BQILDING PEFtHIT APPLICATIOB - CITY OF EAG9H NOTE: 9I.I. CONTRACfORS MOST BE LICENSED HITH THE CITY OF EAGAN SIPGLE F6FIILY DiiE[,LINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENEftGY CALCULATIONS M[TLTIPLE DHELLINGS - RESIDENTI6L AENTAL DNITS FOR SALS QNITS INCLUDE 2 SETS OF PLANSt CERTIFIC9TE OF SQR9EY - CHEC[ iiITH HLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMIIiERCIAL INCLUDE 2 SETS OF ARCHITECTUHAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2t000 LANDSCAPE HOND :51 jwkl4.. To Be Used For:L0M1DfJV1'11fti Valuation: 4-10L000 Date: ~ S Site Address 451q wl-hT}-Wn'L (,4'itq OFFICE OSE ONLY Lot q- Bloek 3 Erect ? Occupaney R3 Remodel 2oning 2•I Parcel/Sub rnW1JZ1'~E ZV1a, Repair _ Type of Const ~ ~r Addition # of Stories Owner~L~ ~~1Y?~, ~.Cl\~(~, Move Length _+4r Demolish Depth +5_ Address Int.Impr. _ Sq Ft -T Install City/Zip Code&="%n f M h~ Phone S$I I5V; APPROVAI.S FEES Contractor TS Pt/+A E Assessments Permit 343, Water/Sewer Surcharge 3~7 Address Police Plan Reviex . I-j 1, so Fire SAC 6"75. City/Zip Code Engr Water Conn SOO. Planner Water Meter co3. 91 Phone Council Road Unit 290' C Hldg Off Treatment Pl 15~0, Arch./Engr. Zom- Ghq% hEAY1N ApC Parks Variance Copies Address ~wo e (4(y4M iOTAL . City/Zip Code'jUQnaUI 14 WIvJ Phone woo NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOHEOWNER liDST DESIGN9TE WHICH ADDRESS ZS DESIAED. HO C96NGES {iILL BE ALLOiiED ONCE BIIILDING PSRMIT IS ISSQED. Fage 1 ,r, , UWNEF;: BUTLF'1=: HOUSTl4G L'Okf='(JRATIQN SIT'E E;DDf:ESS: 451.9 WH.3,MAIL WAY. GQNTFiACTOR; F+UTI..ER HUUSING COFF'ORATTGN DfaTE:UEC. 5, 1986 DETEFtiMIhIE WORF;IIVU' SG!UAfiE FOQTAGE QF EpCH: 1. TO'T'AL E'XF'OSED WALL AFiEA: 1520 Sl:!. F1'. X .i.i = 167.20 2. TOTAL RUOf--/CEILIhIG AftEA: 1094 SO. Fl'. .026 28.44 A. "fOTlaL WF1l_L WTNUC]W AFiEA: 77.00 B. TOTAL DOOF AI,EA: 17.80 C. "i`Oi'At_ SLTDTN(i C;LASS DOOFi AfiEA; 40.00 D. TpTAL FIKEF'LnCE 4JALL Af;Ep: 0.00 E. "fQTAL WALL FRAMING AREA (AVG. 10%): 152.00 F. TOTAL hIM JOIST AREf1: 110.00 B. TO"I"AL NE7" WALL AREA APOVE FL001=2: 1,103.20 . .I"Cll'Hl_ CXi='tJSED WALL. AhEA: 1,520.00 H. TOTAL FI]UNr)F-1TION WINDUW ARER: 5.20 1. TGT/aL NET F[.:l1JNURTION AREA APOVE GkAUE: 87.00 J. "fC]7AL. OVFF'tHANi3 F1FtFF1: 0,00 DE'fEFil`1TNG "U" VALUE OF EACH WALL_ SEGFfEN"T'. a• /fa{)0 x 11 lJ 1111 0u367 28.26 . a. 37.e0 x u~ 0.066 = 2.49 c. 40.60 y( "U" 0,:567 - 14.68 d. 0.44 X IUjl ii.074 = 0,00 e. 152.00 x "U~ 0.090 ~ 1Z.7':; f. 110.06 X "U. 0.441 = 4.48 y. 1,1(1'_~..^(_I V~ 0.043 47.68 h: 5.20 f( „U. 0.367 4.91 i. 87.00 X "U., i).14ii = 12.20 j. 0.00 X ,1u,. 0.024 = u,c>C> _y . . . . . . . . . . e . . . TUTAL °lJ" 125.4:; IF ITEM IS THE SAhIE A5, OFc LE.S"S THAN ITEM #1, YOIJ HAVE ME"f THE INTEN7 OF SE+C 6006 (c)',?. F•age 2 TOl"AL EXF'USED.ROOF/CEILING AkE'A 1,094.00 k. To•tal sk:ylight ar-ea: 0.00 1. Total roof/ceiling +raminG area (avg lU%): 109.40 M. Total net insulated rvof/r_ealiny rr•ea: 984.60 DE7'ERMINE "U" VALUE FOh E.ACH F:OOF/CEILING SEGMEIV'T: 1::. 0.00 x U., p,=:61 - p.riii 1. 109.40 x liuil p.ii","r = 2,?:3: M. 984.60 X U. 0.021 = 21.01 4 ................1"OTAL -U", _ 23.73 T'U'fAL OF #4 IS THE 5AI`tE AS, OFi LE55 TF1Alu YOU HAVE MET THE INTENT OF SRC 6006(c)1. ALTEFNA7E BUILDING EhlVF_LOF'F DFSIGN: Til UTIL:[IE TNE TOTAL. EIUVELOF'E SYSTEM ME"fHGU, THE VALUES EF;TFaBL..ISHE6 HY THE SUI`1 Of= I"fEIhS #3 HNI7 #4 SHALL NU7 BE t3hEAl'Ef THAN `fHE ;3UM f:)F= ITEMS #i ANI7 #2. "1. 161.2 1+2. 28.44 = 195.64 125.43 '+4. 2:5.73 = 149. ib T HEFEL"iY CERTII=Y THAT I HAVE: CFaL(:ULA"fED THE "lJ" FACT[]Fia F1ND "R" VHL.UES HEREIIV AND THAT THE BUILDING HEF.E DESCRIEtED MEE"fS CiF; EXCEE:I)S T+iE STAI"E OF MN ENERGY CONS'ERVA'fION ACT. S 1 GNA'TtJRE _ DATC: F:;gL r WTNDOW ANI) DOOR aCHEUULE A^ G?UAN"fITY "fYf-''E SIZE F=AL'TOf1 WINllOW OF'EN T NG 2 BASCMENT 27 X 14 2.60 5.20 1 t'A'fY0 DF 6 X 6 40.00 40.00 0 CASEMENT 20 X 36 6.80 0.00 U CASEMENT 20 X 48 8.50 0.0O 3 CASEMENT 20 X 60 10.80 32.40 3 CASEMENT 24 X 36 8.00 24.00 2 CASEMENT 24 X 48 10.30 20.60 0 CASEMENT 24 X 60 12.60 0. V(,? V DELE HUNGS 36X24/36 18.30 0.00 U DELE HUNGS 24X24/36 12.80 0,00 0 DHLE HUNGS 32 X 24 13.50 0.0Q 0,00 i_t.cJii i~ Q.UII (j,i)i.) 0 O.Cio i>.po 0 STDE LTB. 1 X 1.:5 6.60 0.0i) _ 11 TO'fRL GLAu~i AREA: 1:'2.^t) DUOF SCHEDULE QUANTITY TYr-•E SIZE FACTQR DUOk ClF'EN I NG - 1 F'EACHTREE =;'-i.>~~ K 6 ----y~i.~n0~----'--~0,00 1 F'EACFil'I:F'L_ 2"--(3" X 6 17.80 17..8Ci G.tip (>.p(:) 0,ii0 0.00 0.00 p.0i) 17.1)I1 [I.f1Q . TOTAL llQQR AhEA: 37.80 TOTAL WALL WINDUW AF:CA: 17.00 U-VALUE 0. 3,67 TOTAL F'ATID DL']Ofi AREA: 40.00 U-VALUE 0.367 'I'U'I'AL. FIASEMENT WDW AhEFl; S. 2O U-VALUE 0.367 122.20 TOTAL_ DOOFt pREA: =7.80 U-VALUE 0.066 H'age 4 ThIRU EXT'ERTOR FF.AME WALL: INTEFiIOR AIFi - - - - - - - - - - - - - - - - 0.68 tiHEFT f OCF; - - - - - - - - - - - - - - - - 0.45 "fHEFiN10-BREAI: - - - - - - - - - - - - - i~ STUD - - - - - - - - - - - - - - - - - - - 6.93 SNEATHINCi - - - - - - - - - 2,06 S I D I NG - - - - - - - - - - - - - - - - 0.78 E X T ER I OR A I R - - - - - - - - 0.17 TOTAL "R" VALUE - - - - - - - - - - - - - ` - 1 L 07 1/R : "U" VALLJG - - - - - 0.0qii THRU INSULATION WI'fN SIDING 8< S.R. INTERIOR AIR - - - - - - - - - - - - - - - 0.68 SHL-_ET ROCI{ - - - - - - - _ _ - - - - - 0.45 THERMO--BFEAI; - - - - - - - - - - - - - <i INSULATION - - - - - - - - - - - - - - - - 19 uHEA"I'HINCi - - - - - - - - - - - - - - 2.06 SIDING - - - - - - - - - - - - - - - - - - 0.79 EX7ERIOF AIFi - - - _ - - - - - - 0.17 ~ 'fO7AL ~~R~~ VALUE - - - - - - - - - - - - - ---i k=i.- l/R = "U" VALUE - - - - - - - - - - - 0.043) THF;U CEILING MEME+ER INTERIOR AIR - - - - - - - - - - - - - 0.68 SHEE"f RUCk: - - - - - - - - - - - - - - 0.58 LETLING MEMBE:k - - - - - - - - - - - 4.35 INSULATION - - - - - - - - - - - - - - 33.92 ST I LL A T F't - - - - - - - - - 0.61 TOTAL ,~Fi~~ VALI.JE - - - - - - - - - - - - ---4U.14 - 1/F = "U" VALUE - - - - 0.025 1"HRU CEILING INSULATION INTERIOF; AIR - - - - - - - - - - - - - - 0.68 SHFET kOCK - _ _ - - - - - - ° - - - - - - 0.58 INSULATION - - - - - - - - - - - - - - - 45 STILL AIR - - - - - - - - - - - - - - - - 0.61 TOTAL "Fi" VALUE - - - - - - - - - - - - 46.137 1/R = "U" VAL_UE - - - - - - - - - - - 0.021 F'agE : THFU CONCFiETC BLOCF: INTEFIOF AIR - - - - - - - - - - - - - - 0.68 CONC. RLk:. - - - - - _ - - - _ 1.28 TNSULA"fION - - - - - - - - - 5 SHEET RK. iOFT.>- - - - - - - - - - - - - - i) EXTEFIOR AIR-- - - - - - - - - - - - - r 0.17 T(]1"AL ~~R" VALUE - - - - - _ _ - - - - - 7.1:: 1/F: _ "U" VALUE - - - - - - - - - 0.14c) "fHF:U RIM JOIST IhITEFIOFC AIR - - - - - - - - - - - - 0.68 I NSULAT I ON - - - - - - - - - - - - - - 19 FIM .70IST - - - - - - - - - - - - - - - - 1.89 SHEATHING - - - - - - - - - - - - - - - - 2.06 iIDIN6- - - - - - - - - - - - - - - - 0.78 EXTEFIOR AIR- - - - - - - - - - - - 0.17 TOTAL "R" VALUE - - - - - - - - - - - - - - 24.58 ^ 1/R = "U" VALUE - - - - - _ 0.041 THRU CANT. G MEMREf (ENCLOSED) INTERIOR AIF:- - - - - - - - - - - - - 0.6E3 FTNTSI-I FLOORING - - - - - - - - - - - - 1.23 UNDERLAYMENT- - - - _ _ - - - - - - 0.93 F'LYWOOU _ - - - - - - - - - - - - JOIST - - - - - - - - - - - - - - - - - - 11.88 SHEET ROCk::- - - - - - - - - - - - - - - - - - 0.58 51"ILL AIR - - - - - - - - - - - - - - - 0.61 - TOTAL ~~R~~ VALUE - _ _ - - - - _ ----15.91 1 /R = "U" VAL.UE - - - - - - - - - - - - - - i). 063 'fHfiU CANT. C TIVSULATION (ENGLOSEU) IN7EfiICIR AIfi- - - - - - - - - - - - - - 4.68 FINISH FLOQRTIVG - - - - - - - - - - - - 1.23 UNDERL_AYMENT- - - - - - - - - - - - 0.93 FLYWQDD ° - - - - - - - - - - - - - 0 TNSULATTON- - - - _ - - _ - - 19 SHEET hOCk:-• - - - - - - - - - 0.58 STILL AIR - - - - - - - - - - - - 0.61 TOTAL "F" VALUE - - ° - - - - - - - 23. n.; 1/Fi _ "U" VALUE - - - - - 0.04= F'age 6 , THFU CANT. G rlEl`IHEF (EXF'OSEll) INTEFIOR AiF2- - - - - - - - - - - - - - - - 0.68 F INISH F"LO(7PiTNl:i _ - - - - _ 1.13 UNDERLAYMEN"f- - - - - - - - - - - - - - - 0.97. F'LYWOUD - - - - - - - - - - - - - - - - O O I 5 T - - - - - - - - - - - - - _ _ - - 11.88 SHEATH I N6 - - - - - - - - i ~ S U F= F I T - - - - - - - - - - 0.47 EXl'ERIOR AIR- - - - - - - - - - - - - 0.17 TOl"AL ~~Ft~~ VALUE - - _ _ _ _ - - - - ---1`,':i.'h - 1 / R = ~ ~ U" V A L UE - - - - 0.065 THF;U. L'ANT. @ INSULATION (EXTEFiTOF`) INTEFIOR AIR- - - - - - - - - - - - - - - - - 0.68 FIIVISH FI_OORSIVG - - - - - - - - - - - - - - 1.23 UNDERLAYMENT- - - - - - - - - - - - - - - - 0.93 PLYWOfJD - - - - - - - - - - - - - - - - - - - ii I NSIJL.AT I ON- - - - - - - - - - - - - - - - - 38 SHF_ATHING - - - - - - - - - - - - - - - - - i) SOFF I T- - - - - - - - - - - - - - - - - - 0.47 EXTEkIOR AIFi- - - - - - - - - - - - - - - - - 0.17 TOTAL "R" VALUE: - - - - - - - - - - - - - - - 41.48 1 /F = "U" VflLUE - - - - - - - - - - - - - 0.024 FILE NAME: ENER6Y.BHC Jledlund Engineering Services ~EatBloamhqronFn~v~ Bbm"IWN k#NwWM "420 Lr.M 86uwron Clvil Enaineas Land Plannen Phorr: 11188-0269 - IAFIZF eaiflxte BOOK _ PAGE _ ~ 8`-510 . ~YEY FOR~ George Butler Construction OSfCRIPEO AS: Lot 9, Block 3, FAWN RIDGE„) City of Eagan, nakota County, h?innesota and reserving easements of record. q3; : tP•q'~ . P°/ ~ / \ . / \ \ 93l 4 o,v 3 A o~~ 't3 ` J ~ • ~ . ~ " h ' ° A 4 \ Q~^ V 1 4p ~ P~• (0 ~lj Aj\ \ • 1 i o- N~ T I \~\9 ~ ~n~. ,p 0e s / ry` a6h f~ yy °~'~op~ c999.9 . . , 2 a ,4 •e J O9, ay Ka ~ i` Q V ~9* '~i ah e ,~'q~ ~ k 1 ~ i cP, ~r?.? \ / Aw' 4,V g• ~ \v TOP OF FOUNDAT ION = 452.1 " ~ P` GARAGE FLOOR = = 4a.T 4~ ~CERELEV. _ r\ SEWER SERV I pBppOSED ELEVATIONS BRISTING ELEVATIONS DRAINAGE DIRECTION3 DENOTES LOT COItNERS : o DglidPBB OFP'SET 5TA1CE: a 'UTiFIdift Of SURVEY I hpfty eertify fhat on l2 / ID /$(p I wrveyed the property desaipeA above Ond fhot tAe obove plot !s a cornct representotlon ot said wrvyr. Je r Q Indqren, Llcsns• No. 14376 `CITY OF EAGAN PERMIT / PERMITTYPE: leu /or ~ 3 3830 Pilot Knob Road Eagan, Minnesota 55123 Permit Number: 0 2 2 2 9 7 (612) 681-4675 Date Issued: 10 J 2 2/ 9 3 SITE ADDRESS: 4519 WHITETAIL WAY LOT: 9 BLOCK: 3 FAWN RIDGE 2ND P.I.N.: 10-25801-090-03 DESCRIPTION: Buf ld3rtg; Permit Type FIREPLACE Building ~l#ark Type NEW \ , r ~ L. l ~ ~ co)~~ REMARKS: FEE SUMMARY: Base Fee $25.00 Surcharge $.50 Total Fee $25.50 WNTRACTOR: - Rpplicant - sT. Lrc. OWNER: AT-N-GLO FIREPLACES 18900758 0002960 STISH KELLY 3850 W NWY 13 4519 WNITETAIL WAY BURNSVILLE MN 55337 EAGAN MN 55123 (612) 890-0758 (612)456-0972 I hereby aaknowledge that I have read this application and stete that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. ~ ~ &JJ APPLICAM/PERMITEE SIGNATURE ISSUED B SI ATUR REACTIYATE _ CIIY.OF EAGAN PERMIT t : 1893 BUILDING PERMIT APPLICATION e aM 881-4675 Z s. '~_j SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural 6 structural plans, i set of speclfications, 1 copy of energy calcs. 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 Valuation of work A~~- Site Address: 6TpEET fUITE 0 T2^3TIL N&";2: (C^IM1RI8YCi3l 0nl4) . . BIACIC r FSUBD. R4~J Q , a, P.I.D. M I\ Descri tion of work: o my - V The applicant is: O Owner ~ Contractor O Other (Deceribe) Name 56S Phone Property LAST FIRS Owner pddress V51 q w&h'i11 1()/1a4 SiREET fTE y City State Zip Company Phone Contractor Address ~3R~' u? i3 license # 1064, Exp. CityState /1)1 it) Zip S~ 33 Compoily Qh"ne Architect/ Engineer Name Registration N Address City State Zip Sewer 6 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 com ly with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ~ U OFFICE USFn oNLY BUILDING PERMiT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging 13 lb.,Bas,ement Finish p 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ~ "0'17 Swim Pool p 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Coam./Ind. ? 04 SF Porch 0 09 12-Plex O 14 fireplace 13 19 Comm./Ind. Misc. ? OS SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE ? 31 New ? 33 Alterations O 35 Tenaot Finish O 37 Demolish O 31 Addition ? 34 Repair ?.36 Move GENERAL INFORMATION Const. (Actual) _ Basement sq. ft. MYJCC System (;A1?owa;le) sq. ft. C::1 Ua?er UBC Occupancy 2nd F1. sq. ft. PRY Requlred Zoning Sq. Ft. total Booster Pump i of 5tories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code Depth On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS O 5ite O Footing ? Framing O Insulation ? Wallboard O Final ? Draintile O Fireplace Permit Fee Surcharge Plan Review license MWCC SAC i,i ty $AC Water Conn. Water Meter Acct. Deposit S/W Permit S/W 5urcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: 5AC % SAC Units ~ 6)19 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDAESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS CONII•fERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCOi.ATIONS • ' h Ifi~ i' To Be Used For: D e C'k Valuation:Date: Site Address 45'/~ Gt)L?rk'Af/, 60441 s OFFICE USE ONLY Lot J- Block (L'qw,) Ady 'e l On site sewage_ Oecupaney MWCC system Zoning Parcel/Su On site well _ Actual Const City water Allowable Owner ~~-T21e ST1St{ PRV required ll of stories Booster Pump _ Length Address Dep ~ S.F. Total City/2ip Code &16t"Ji M,11 JrS-~2.3 Footprint S.F. Phone 45~~ ZZ/Z APPROVALS FEES Contractor Engr/Assess Permit o79, pO ! Planner,>;ss~~•'^ Surcharge „Sn Addresa 1-(sl`~ ~n 1L Couneil .,[_.,~.~~t7 ~/Plan RevieW c Bldg. Off. '"/I SAC, City City/Zip Code G~ZQ' ~ i(/ S~ ~ Variance SAC, MWCC ° 4h Water Conn Phone Water Meter Road Unit Areh./Engr. ~ Treatment P1 Parks Address - Copies TOTAL City/Zip Code ! Phone # , j~or ~ ~Sx lyz ~ (,or~e ~ I ~f ~ ~ , ~ ~ O \ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ rI ~ ~ ~ LecK ~ , y ~ ~y!X1b ~ W ~cQ~ De e~ i ~ I ! ~f I aly~' 7,' / f R'_--- -.Z3 yj~ (,~-o t~ 5 t , , • ' t ` ' • ~ • I • • • 71' • I~ 71• • ?1• •71' ~ '7~ • • ~ 1 11 ~ • I • 1 ~ CITY OF EAGAN APPLICATION FOR PII2NIIT SEWER ADID/OR WATII2 CONNEX.TION (Please Print) 1) PROPERTY ADDRFSS: 4519 Whitetail lJay _ I,DGAL DESCRIPTION: Lot 9, Blk 3, Fawn Ridge (Lot Block Subdivision or Tax Parcel I.D. Niunber) IF EXISTING STRCCILRE, DATE OF ORIGINAL BLILDING PII2MIT ISSC'ANCE: (Nbn Year) PRESENT ZONING/PROPOSID USE: R-1 SINGLE FANIILY R-2 DL'PLEX (4ko Lnits) R-3 TOWNIIiOL'SE (Three + Lnits) ( Units) R-4 APARTMENT/CODIDOMINIL'M ( Lnits) CONA7EftCIAL/RETAIL/OFFICE IAIIJOSTRIAL INSTITL'TIONAL/('~OVERAIINENT 2) ~ NAME: ADDRESS: CITY, STATE, ZIP: PHONE: 3) • For City Use NADE: Welter & Blaylcck, Inc. . Plumbers License ADDRFSS: 9800 James Circle 1= Active CITY, STATE, ZIP: Bloomington, MN 55431 O Expired PxoNE: 881-3171 MASTII2 LICENSE # 257 C3 Not Recor( Staf Initial 4) ~ +i .~~:.n~T~:i NAME: Butler Housing Corp. aDDREss: 89e1 Lyndale Aveaue So. CITY, STATE, ZIP: Bloomington, MN 55420 PHoNE: 881-1515 d • ~ • 5) mokilli CONNECTION TO CITY SEWER j'M CONNECTION TO CITY MTER Q O'TI-IEE2 (Please Describe) water deposit $30.00 6) u • • i ? PLEASE HOLD APPROVED PERNIIT FOR PICK-L'P BY ONE OF ABOVE ~ PI,EASE MAIL APPROVID PIItMiT TO 1, 2. 3j 4 r APIJVE / (Circle one) 7) dan. 9, 1937 _ .i FOR C I T Y U S E ONi,Y PEBMIT ISSUEO , f 3 S"~~ > FEES: $ ~G Sg*,to nIRnTrT . 1Tol-~;a~.a /D • S .:a.. ~I~TC~L'JL.. JV........GG) $ WATER PERU4IT (INCiIIDE SliRCHARGH) $ (N 3 S-b ' WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (ZNCLUDE CORPORATIO:] STOP) $ SE:dER TAP $ /S G~ =C~Ci;:i•Z' .,..?GSI= - c_..c~ $ /l-"U ACCOliNT D.F.POSIT - FIAT°R $ .Gl D D. u' -d WAC Cl d SAC $ TRGNK WATER ASSES524E27T $ TR[iNK SESdER ASSLS5M5:IT $ LrITE?.:aL BE:lEFZT/TRUNK SE:9-R $ LATERAL BENEFIT/TRUNK WATER $ U 0 WATER TREATMENT PLANT SURCfiARGE $ OTHER: $ TOTAL $ ~ 2 9 Y ' S-0 AMOIItiT PAID/qECLIPT G`1f 55' DOES UTILITY CONNECTION REQUIRE EXCAVATION ZN PpBLIC RIGiiT OF WAY? YES IF YES, THEN n"PERMIT FOR `,dORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ~ NO ENGINEERING DIVISION. LIST AS A CONDI- TION. . SUBJECT TO THE FOI•LOSJING CONDITIONS: APPROVED BY: TITLE: DAT°_: l M- / 11/17/4077 14:4e 4111116 City of Ea[all 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 tHL*IN tNiat .u9 UtV - 7bldtfbbt313 NOV 2020 r NO.939 D01 Use BLUE or BLACK Ink f9f. . Permit fk Permit Fee; 5®` 5 0 Date Received: Staff: 2009 MECHANICAL PERMIT APPLICATION Date: %/- / 9 Y) 9 Site Address: Tenant Suite #: J RESIDENT ( OWNER Name: /,,t..X i /12 - Phone: �,/- 4/52- '/t' Address t City / Tip: 75/ ! - GGJ 1 i [ate %L2„ a ) ea90-4... -55/ 2 CONTRACTOR Name: �C /P�� df'��Jlnse # j % 7y/ ,� s CC�, /� Address: 7,2076 — (f® ell_..1i. "/ 5- -7y479 City: ;Jed state: %7iN zip: .3-i/23 Phone: %td -, y64-42.0 Contact Person: OZ OR TYPE OF WORK - I New Replacement ' Additional Alteration Demolition pescilpaon: cf wack; �. 94,0 Wit. /_-- J , � ' NOTE: Roof ileiniea and ground laoimted Code. Please contact the Mectf`sttical RESIDENTIAL Furnace Air Conditioner Air Exchanger machanical•equipment is requwed to be screen, f City inspector -Mr Information on permitted screening methods. COMMERCIAL 1 _ New Construction * Interior Improvement _tnetall Piping , Processed Gas - Exterior HVAC Unit PERMIT TYPE Heat Pump _ Under / Above ground Tank (_ Install 1 _ Remove) Other "" W'en InstaHing/rens ng tank(s), call for inspection by fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $60.60 Minimum Add-on or alteration to an existing unit (Includes $.50 State Surcharge)) burned out appliances. ductwork, etc.) (includes 3.50 State Surcharge) $ �-` `"S �TOTAL FEE $90.80 Fire repair (repine COMMERCIAL. FEES: 870.50 Underground tank $50.50 Minimum (includes instailationlremoval OR State Surcharge) surcharge is 3.50. increases by 3.50 far each Permit Fee requires a 31.00 surcharge). Contract Value S x 1% = $ Permit Fee - If Permit Fee is lass than 31,000, • If permit fie_ is a $1,008, surcharge 31.000 Permit Fee (Le. a $1.001-32,000 = $ Surcharge $ TOTAL FEE 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. t ww.aaaherstateonecaH.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the Ofdina4Call.and codes of the City of Eagan: that understand this is not a permit, but only en application for a permit. and work is not to start without a permit that the work wit be in accordance with the approved plan in the case of work which requires a raw and approval of plana. Ay 'mond Applicants Printed Name Appli s Signature l) ! 411° City of kap 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: SJ243 Tenant: Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: INFLOW & INFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water Site Address: Lis -19 wh<,tv-liw0 GJt4-7 Name: M.(cY Z -4- 57-th--P WO -P Phone: Address / City / Zip: 1-{ SL 9 (.,v Suite #: lg, s7 3 Name: License #: Address: City: State: Zip: Phone: Contact: Email: PLUMBING (Within the building envelope) Sump Pump Repair Other: SEWER & WATER (Outside the building envelope) Repair Other: Description of work: A;1_ r l LL vt b - GL p-Ltbrve FEES $60.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit I/I repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeaqan.com/inflow, or City Hall at 3830 Pilot Knob Rd. 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.aopherstateonecall.orq 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. Ju s1 -ch -e x Applicant's Printed Name x-19z�/J� C° Appli is Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA110734 Date Issued:05/24/2013 Permit Category:ePermit Site Address: 4519 Whitetail Way Lot:9 Block: 3 Addition: Fawn Ridge 2nd PID:10-25801-03-090 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Kris Oien 3670 Dodd Rd Eagan, MN 55123 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 - Michael J Roe 4519 Whitetail Way Eagan MN 55123 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature 411°' City of Eag,au 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use of d Permit #: 1 (C Y -95 Permd Fee: N t 91-1 fxa V Date Received t /'10-13 6-(1 Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: i uri'f k See Address: ''7 J I ;17ger41 k (,da Unit # Resident/ owner Name: go `B' Tart-IA/Er tiAJEr le06 Phone: 6/2--571.2-6 Ila it"'t I hely Address / City / Zip: =i 5(R (OA r 'c1i' 1 NJ" • 7 Applicant is: _ Owner X Contractor pe ill Wolit I Description of work: .7 :. �i 1 /L . It• !.% e �� " "' W s�'%L I Construction Cost: g r /.✓ dQ b MIAtl-Family tiding: (Yes _ / No)( ) tor rJ Company. gG-gre l F 0C)6 iitk—Contact ey e 6 ktoZP!s, Address:.rePac�.YT,7faj A £- ci��1-•�f ok/. State: f Zip: ,1 -6 (I Phone: C'-6(?- 7�.�' s let(/ O. 612--TR-1707 License* C 013 010 Lead Certificate* NQ'?' -3;2, 06 - it sthe projectexempt from lead certification, please explain why. (see Page 3 for addRional information) YOusO- w it4.11- iv ('rJa P9 M the last 12 months, _Yes No If Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a perm* for a similar plan based on a master plan? yes, date and address of master plan: Phone: Phone: Phone: NOTE: Plans afld s dbrxinlef�ts I yott al ie led» lite ks* nn bfl lttay Ue as no ir• c ifyoupr d tEhaltlllrey ane trade'' CALL BEFORE YOU DIG. Cal Gopher State One Call at (651) 4540002 for protection against underground ditty damage. Call d8 hours before you iriend to dig to receive locates of underground utilities. www.gopherstateonecall.org 1 hereby acknowledge that this information is complete and accurate; that the work will be in corformance with the ordinances and codes of the City cf Eagan; that I understand this is not a permit, bit only an applcation 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 Applicant's Printed Name Applicant's Page 1 cf 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA121938 Date Issued:04/18/2014 Permit Category:ePermit Site Address: 4519 Whitetail Way Lot:9 Block: 3 Addition: Fawn Ridge 2nd PID:10-25801-03-090 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 . William Krech Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Michael J Roe 4519 Whitetail Way Eagan MN 55123 (612) 532-6922 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Inl[n �o� �--------------- �G��'1 � For Office tlse � ' � Permit#: /�/ �� I Cl� of �a a� ; . �J . / ��y�� Perm�t Fee:� /�. �I � 3830 Pilot Knob Road t �^ I Eagan MN 55122 F Date R�eived: � Z - ✓ i Phone:(651)675-5675 �� S�� S\_ � Fax:(651)675-5694 � � � � JUN 7 � 20i5 1-----------------� ?015 RESIDENTiA�L Bl�llDING PERMlT APPLICATI�N Date: l�q 0/� Site Address: ��'�1 W� i�b'�I�lt j iti/� y Unit#: �� Name: l�1 t KE � ��tl"�j�� WC'� Phone: G��''J 3�-6 9��- ResidenU �"� I , f Owner Add��c�ry i Zp: � S^I� �,�1 i'f'1�7�ri� k W��/ Applicant is: Owner �Contractor T�/p@ O�WOl'k , Description of work: ��+ ��+��i/ Construction Cost: � . � Multi-Famiiy Building:(Yes 1 No�) � ,� / Company: ,��5 t � Contact:�_t/�Q/(%C' �L��F"'�'t, �ontractor �d�ress: �(o o��' Ti9r11LS /¢'✓. r� ciry: /�Ol t. State:�Zip:�� Phone:�•Vle►�" a"��au: r,N.� �K�¢e. .S/��i/�16.C License#: I�l,. �i�/,�� Lead Certificate#: N�T �A I I� ' � If the pro}ec#is exempt from lead certifisation, piease explain why: ��la h«;l�- ! q��/ C�MPLETE THI�AREA ONLY IF G�NSTRIJGTtNG A MEW BUt1�D1NG In the last 72 months,has the City of Eagan issued a permiffor a similar plan based on a master plan? Yes No If yes,date and address of master plan_ l.icensed P{umber: Phone: Mechanical Contractor: ' Phone: Sewer$Water Corttractor: Phone: fire Suppression Gantractor: Phone: NOTE:Ptans and supporting documents#�iat you submit a�corrsidered to be public infc�an�t�tu►. Potfiivns�f the ir�fc�rma#iarr tnay be classi�ed as non-�p�rblis if ycw prarvide sp�c�c ns�at w�ttld pe��t�e�►f� conclude t{�af t�e arer frade secrets. ` CALL.BEFORE YOU DIG. Call Gopher State One Calt at(657j 454-0�2 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.yopherstateonecall.orq I hereby acknowledc�e 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 ihis is not a permit, but only an application for a pertnit, and work is not to start without a permit; that the work will be in ' accordance with the approved p{an in the case of work which requires a review and approval of plans. , Exterior work authorized by a building permit issued in accordance with�e Minnesota State Building Code must be completed within 780 I, days of permit issuance. i X Q, N� �� X i Applic t's�Printed Name Applica s Signature � Page 1 of 3 � `� � ��J ��'�} ( 1 � DO NOT WRITE BELOW THIS LINE � `�''I � �� SUB TYPES _ Foundation _ Fireplace _.__ Porch(3Season) � Exterior Alteration(Singte Famiiy) � Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) _ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous _ 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior �C Alteration _ Fire Repair _ Windows _ Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage _ Retaining Wall *Demolition of errtire building—give PCA handout to applicant DESCRiPT10N /� Valuation g�„�}c� J Occupancy r+.�, MCES System _ , _„_ __, Plan Review Code Edition `' SAC Units (25%_100%�) Zoning �� City Water Census Code Stories Booster Pump #of Units Square Feet : PRV �. #of Buiidings Length � Fire Suppression Required � Type of Construction � Width _ =� `�J��__. � . REQUIRED INSPECTIONS __ Footings(New Buiiding) � Meter Size: Footings(Deck) Final/C.O. Required s____,____ Footings(Addition) � Final/No C.O. Required Foundation � HVAC Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Finai � Framing Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick � Insulation Windows Sheathing Retaining Wall:_Footings�Bac�ll_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Fina! Braced Walls Erosion Control Other: / Reviewed By: � , Building Inspector RESIDENTIAL FEES ��,�� ,,,�,�,,� i�,��,,,�,,�j�� Base Fe� Surcharge �"°�.�ta`�J��'�{1,.. �� "��ft� Plan Review � MCES SA� l � ,n� � � � � City SAC �� V ,� � �� Utility Connection Charge S8�W Permit 8 Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Jul 13 2015 10:OOAM RPC 9528813399 page 1 Use BLUE.or BLACK Ink —, � ForOffloeUse ------- I �} � D� I �L of �f] f�n I Permit�: � 1 � j ��Qjj � � i � Rertnil Fee; 3890 Pilot Knob Road i Eagen MN 55122 �� /�,� j Date Received: � Phone: (651) 675�675 Ca�t-��c.� � � i Fax: (651)675-5694 ' L S1afF. __________r_ � _� �— 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION oete: 133 15 si�adare�:g5_�4 W hi-�e.-��};c,�_V1�(1!-� t��_ h�ll.l 55123--2045 . ..., Tenant: ' J ��i Sulba#: "y....L+7' i� � I. -�.IH�f� :��"3 :;�,;;_,.- Name: �,l.fa'L .�f�l�`I��P��O @� , _, Phone: l`o'S'I 4`�12 �IC�{� � � y» � As 4� [ � �� # ��.�� . Address/City/Zip:�. f N .�J'�'�a.3 � � f� �; � ��"'�'�_: �� .��k „�� RICHFIELD PLUMBIIVG C0. ��.,��,�k ��&�z Nan gsqp�qRRIET AVE S SUITE 100 Vicense#: ' �"� " , �d BLOOMINGTON MN 55420-2763 ;•�-��'�t ��f �.�1:_ �i�� s �'='� r��N�� City: �t ��,;, � �� ". 952.881.3355 'T '�;��.� ..�z �.� Stat plumbing Contractort#P�644129 �: �'� ��' , . � � _a: � , � ;:� t� ' � , g` '�k:��,.�: �:-�,�,�,. Coniact: Email: VI ✓I ��€► � ';�wt�� a.s ' � �F�::� _New Re lacement Re a�r Rebuild �Mod S ace Work in R.O.W. �� .� — p � P — _ KY P _ ,�, � � ��;:�F '�Y"� '. Descriptlon of work: �^f r 2 4.-.�.o{,a� - �,�.�� '� RESIDENTIAL _... . . , .: ; ....... !:,"� t'. . `, .:�:: �. _;�,:;� ; -' Water Heater ' "` "�"�� Water Softener ;;,� � ' �''; � ' lavm Irrigalion�RPZ/_,.,PVBj � �..�,. -�,�,� � � ",�'�"= y�Add Plumbing Fixtures(_�' Maln/ Lower Leve� zw .�,��„� 5 �}{�„, Septic S�rstem — ��S'�'.�,�� 'F��'k'�'� '�` _ �� ry@W Water Tu maround .&�i�(t-3 �4�.��3�� - �%. *�r�fM" ��-� Abandonment RESIDENTIAL FEES: $60.�0 Water Heater,Water Softener, or Water Heater and 5oftener(includes State Surcharge) 56�.00 Lawn Irrigation(includes State Surcharge) $50.00 Add Plumbing Fixtures,Se�tic Svstem Abandonmeni,Water Tumaround*(includes State Surc�arge) 'Water Tumaround(add$210.00 if a 5/8"meter is required) 3115.00 Seqtic SVslem New{includes County fee and State Sur�hange) TOTAL FEES S CALL BEFORE YOU DIG. Call Gopher State One Call at(657)454-0002 for prolection against underground utility damage. CaN 46 hours before you intend to dig to receive locates o(underground uiilRies. vwuw.aoaherslaieo�gr call.org I hereby acknowledge Ihat lhis irTFormation is complete and acxarate;that the work will be in conformanc�e with Ihe ordinances and codes oi the City of Eagan;that I understand Ehis is not a permil, buk only an appliqtion for a permit,and work ie not io start without a permit;tl�at the work will be in accordance with the approved plan In Ihe case of work which requlres a teview and approval ar�s. X 1"�m �f�R�GY�' x Appllcant's P�irrted Name Applicant's Slgnature ., ._ �1 r qr�r�� . :. }.��oef� :,�+.ea 1 i+i5�� i �ltiHn,��'a'rrK�S''sr '"iz maax3:6:�..,,c ' ytiy`�., �t� `'3 ; .. �� -^nt',3�.'t a,�` �` fi,� �r�� w `'"'''�''atat*}�� w`. s,�- w � � rr-�:. s 4�,� � 'a"c"'� �� S $ R�� r � �� .k-1�'^til' ` -� 2 :�"�� ,t� ^ ��:�: T � aY�. �+irv�k� Es�°�"'�'�. � �"�.�' 4 �9 ' 'a .. � . " 4 ' :1;"a s � ��t �."� �'hS+'� s , �s � . • . r14�.�. �4 �xw' .. � ...�. 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Use BIUE or BLACK Ink _., � For Office Use ! ^ I . 3 � (� �j� � Permit#: / �� U��Wl I ' • /1��. - � 3830 Pilot Knob Road � pe��F�� l� � Eagan MN 55122 � Date Received: � Phone:(651)675-5675 I Fax:(651)675-5694 � j � Staff: � �-----------------� 2015 MECHANICAL PERMIT APPLICATIQN ❑ Please sub it two(2)sets of plans with ali commercial applications. Date: Z� Site Address: _ 7��/ ��/•�'��- �.(JAY Tenant•_d/�� Ucs i s�� Q,� 3uite#: �� Name: /yI G7�1f�Q� �JIJ��iII� /�l7i� P one: Lv�/J 7�Z, �� , � � Address 1 City!Zip: ` � �I�p /,./�� /� �'i� /J �,� �. '�� ,� ` Name: SCL�`G!M�G�i9/tJ%��1 Z SA��S'0/6G�s,,�icense#: �E�#��!��` Address: �Z�9 �JG�B�>�C�,� �� City: ��/��J��Z� Sta#e: �� Zip: �.��(yo Phone: 9� � /��> y1 �J G t $ � # n ,�! `� t� Conta�t:[��yl�.� �C��G�/�-Email: �� ` ` New Replacement Additionai A4teration Demolition � � ` �`�� , Description of work: ��t��,/� � ,�� l/� � �C/ � ,�� c� Y � ' �'��rr�� .��+��'�� '�� _.�: . : ��W.�.� ��`�� a� �h�» � RESIDENTIAL COMMERC/AL � ` � ; ;; Fumace New Construction Interiar Improvement ;. — �'!1�'�`�� - Air Conditioner Install Piping Processed Air Facchanger Gas Exterior HVAC Unit , `: � eat Pump UnderlAbove ground Tank (_Install 1_Remove) ' � „J�Other RESIDENTIAL FEES � $60.00 Minimum Add or alteration to an existing unit, includes Sfate Surcharge /'� '� $100.00 Residential New,includes State Surcharge =$ �!/� TOTAL FEE COMMERCIAL FEES Contraet Va1ue$ x.01 $60.00 Permit Fee Minimum, includes State Surcharge $70.00 Underground tank inst�llation/removal =$ Permit Fee *If contract value is GREATER than$2,010,Surcharge=Contract Value x$0.0005 -� Surcharge" I#the project valuation is over$1 million,please call for Surcharge =� TOTAL FEE I hereby acknowtedge that this information is complete and accurate;that the work witl be in confortnance with the ordinances and c�des of the City of Eagan;that I understand this is not a permit,but only an application for a permit,and work is n t start witho a p rmit;that the work�nrill be in accordance with the approved plan in the case of work which requires a review and approval of plans. x L��l�" t�i�4 U,�'�10� X :� Applicant's Printed Name App{icant's Signature �� ; � � � � � � � � `y�` Y a yw� � x }. s� '� �t� r" �.^§ � a � , ,• r 5 ��'�� . � � � Y K..F' ) -.; � a� �a'' .m� p _,• "�` A f ) �. 3,. �k �`�,1r ' � 39P��}wr�� . „� l . � . g . R. u { k �?„� " �� !� s s�� ` ` �� ,� � �� —�;� , �- .,' �.�,a:,, " .. , .,,. ,-<. .u�t ., .:..: _, ,�,., ..t,�?�.. �� .x,�-,. . . .� -', .,a,.,�, � - �i , —; � a PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA156630 Date Issued:07/10/2019 Permit Category:ePermit Site Address: 4519 Whitetail Way Lot:9 Block: 3 Addition: Fawn Ridge 2nd PID:10-25801-03-090 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Michael J Roe 4519 Whitetail Way Eagan MN 55123 Ray N Welter Heating 4637 Chicago Ave S Minneapolis MN 55407 (612) 825-6867 Applicant/Permitee: Signature Issued By: Signature