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4475 Whitetail WayCity of Eakall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 JUL b I(k4 U Use BLUE or BLACK Ink For'Off"ice Use Permit #:�p 9��U Permit Fee: l Date Received: 7 - -/ 0 Staff: J 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 7 /flLQ .. Site Address: `/L/Cze.� 76 LI4 {� 4 Tenant: Suite #: RESIDENT / OWNER Name: Poc13 /..tt'ThQ Phone: (.0/07 ".g. , Address / City / Zip: I-4 L) 75 L k e -fa(' r Ease( // ! ,75 ,23 V 1 Applicant is: Owner x Contractor TYPE OF WORK Description of work: / PO -4 &Cie, Construction Cost: 4d -Wt) Multi -Family Building: (Yes / No X ) CONTRACTOR n �J Name: ��1 i1(' iri) 49} License #: % 7 �C7 ) , / p Address: i- 14 o �l& 61. City: ZC/iKi LG-lZc/1) / State: Zip: 0 Phone: LP 5/ - 76P(.(, c22e `. Contact: 3 -`ACA( G&'RYY) Email: COMPLETE In the last 12 months, has _Yes No 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: 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 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. CaII 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.gopherstateonecali.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. Applicant's Signature Applicant's Printed Name Page 1 of 2 CITY OF EAGAN SEYVER SERVICE PERMIT 3830 pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE- , Zoninp; No. of Units: Ownsr: . llddress: - Site Address: - Plumber: 1 yrw to emnply wi1611N CIh of EsOen Connection aaroa: Ordiweea~. Acoount Depodt: Pemnit Fes: Surcharys: gy Misc. U+arpes: Date of Irop.: Totol: I,sp,; OaM Pofd: ~ CITY QF EAGAN WATEIt SERVICE PERlIA1T 3830 Pilot Knoti Road pERMIT NO.: 643~ P. O. Box 21199 ' 7-3Q-85 Eagan, MN 55121 DNTE: ~ing: _ Rl No. of Units: pwrwr: Sunshine Const. Address' F~T.m R i d ~ Addrom 4475 Whitetail Wav LL~~2t~~~ plmnber Stax' 1?1lrrb'i21 5no nn~ Msttr No.: -35 `l 6~ L7~l / ConnecNan Charoe: z 5ilQ' ,~A'. /To - I[ A~ooo~x+t DePastt: 15. ODnd Reoder No.: e+ J, M 419 47 Pertnit Fee: 10. 00 d 5bpd iG~ ee ea.rly wM6 Nw Ckp of !~N¦ Surd+aroe: 1'~2 _ Of)r~d TP WUsc. CFwrpes: Taal: 63 n(pcl TrntPI ~ Dkft Potd: • Diate af 1»sR= ~ Inep.: ' CITY OF EAGAN 10672 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH ON E: 454-8100 6UILDIN6 PERMIT Rece+vr # TO ?e w"a fa C~rLil Est. Vclue S4 4, 000 Dote 1 I 9 r' Site Address ' `1'A1L WAY Erect ~ Occupancy - Lot 1 Block sec/Sub. ;'AWN Remodel ? 2oning Repair ? Type of Const. Parcel No. Addition ? No. Stories Move ? Length CiUtV:iE'i.L~:?~ W Na~ne _4~!~Si Demolish ? Depth at ~ Z Address 5 9 5 1 Z 5`t' ~-T F' Int.lmpr. ? Sq. Ft. ~ City Phone 431 • Install ? Appro.ols Fees ~ Name r Addresa Assessment Permit 3 2r•~' ~A~ City Pho~e Water 3 Sew. Surcharge 32 - u I. Police Plan Review ~ 6 2. 5C iV F. ~ ~ W ~Vame fih 5AC 2~1 . ~%111) .Of i~ Address .f Enq. Water Conn. ~ W City Phone ~ 4 0 `1c~ Planner Water Meter ~ • ~ ~ Council Road Unit ~ `l • ~ 1 hercby acknowledfls.tbot=1 have read th+s applicotion and srote thot Bidg. Off. Tr. PI. J. 2 the informetion 7s wrrect ond ogree to comply with all applicoble APC Parks Stote of Minnesow Statutes and City of Eogen Ordinancss. ' Var. Date Copies Sipnaturo of Permittea iOF Totel A Bufldlnq Permit Is lssued to: on thr sxpress e:a+ditlon rhoi all worlc sholl he done in ocaordance with all opplicabl* State of Mlnnewto S.tututes ond City of Eeyon Ordlnonces. Buildin0 OffiCiol - . . r , . . ~ . Permit No. Pwmit Holder Cow Telephone S T~ Plumbin9 H~F p 01,05 V H.v.n.c. C c- Elsetric Softemr Inspectioo Dau insp. OthK Footings I Footings 11 Foundation Framing Roofiny ~ Rough Plbg. Rough Htg. '9s ~G Insul. Fireplace Final Htg. ~f Flnal Pibg. , • ~ Final ~ CarVOee. Wate? Dowia Loeation: Wsil Sswer Pr. Dlap. CITY OF EAGAN Remarks Addition FAWN RIDGE ADDITION Lot 15 glk 2 Parcel 10 2SR00 15f) 02 Owner Street N1 State Eagan, I4Qd 55123 Improvement Date Amount Annuai Years Payment Receipt Date STREETSURF. - 1951 22911.47 2 0, 59 STREET RESTOFi. 1984 :VIM 49.95 10 J ? " GRADING ' 1981 61. 26 4.08 15 7S' ~ SAN SEW TRUNK 1981 205, 44 - 10.27 ZO 0' SEWERLATERAL ? 1981 33 07- 1.65 25 , Q Sewer Iateral 1981 23.57- 1.18 20 16, S ~ WATERMAIN WATER LATERAL s,'j 43.67e 2.1$ 20 -30-5 9 WATER AREA ' I.9H1 205 AA- 10.27 2 Water Iateral 1981 27. 68 1.38 ~o ~ STORM SEW TRK 1985 557. 79- 37.19 15 ST4RM SEW LAT- 1 1984 222.51- 22.25 10 4 ? CURB & GUTTER SIDEWALK STREET l.1GHT Rva Unit $280.00 54121 7/30 85 WATER CONN. 500.00 BUILDING PER. 0672 SAC 525-00 PARK IN5PECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: i~~ , 4 APPLICANT: rqiI i.rnv PERIIAIT SUBTYPE: TYPE OF WORK: INSPECTION DA . D• I ~ ~ J Permlt No. Permit Holder Dete Telephone # ELECTRIC ~p~ a~ lj 9 Q° PLUMBING Q ~ 9G ' O HVAC InepecUon Date Insp. Comments FOOTINGS FOUND `.s FRAMING , 96 ROOFING / ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL 2 i - GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FiNAL " "-/b BSMT R.I. BSMT FINAL DECK FTG ~j~ lG DECK FINAL RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 NewConstrucUonReauirements RemodeVReoairReavirements , • 3 registered site surveys showing sq. ft. of bt, sq. ft of house; an~ll roofed a2as • 2 copies of plan (20% mazimum bt coverage albwed) . 7 set of Eneyy Cakailatlons for heated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 7 stte survey for exlenor additlans 8 decks • i set of Energy Calalallons . Indicale if home urved by septic system for addiEons • 3 copies of Tree Preservation Plan if lot platted after 711193 . Rim Joisl Defail Options selecfion sheet (61dgs wifh 3 or less unfls) DATE L. 93d . o / VALUAfION g,l(Jna JOBSITEADDRESS ~l.1'd !,I/r,16/ 17 IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTYOWNER Sr~ P r-01 .Ov,J,avl TYPE OF WORK in,pfq II R G/c P~v~r IlPr~rt ~`~'01mdCQaN FIREPLACE(5) _ 02 APPLICANT PHONE# 95LEI2-025g ADDRESS H Uzq6fY'NSl/i~1Ar_ /NL,-ZIPCODE 55337 PAGER # CELL PHONE # FAX # NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Confractor: Phone Plumbing System Includes: _ Water Softener _ Iawn 5prinkler Fee: $90.00 WaCer Heater No. of R.I. Baths No. of Balhs Mechanical Contractor. 1`I 'v P S)~P//i P I' Phone # 75'2?- Ra-0 Mechanical System Includes: Air Conditioning Fee: $70.00 _ Heat Recovery System Sewer/Water Confractor: Phone # All above information must be submitted prior to processing of application. I hereby acknowiedge that I have read ihis application, stote that the information is correct, and agree to comply wiih all applicable State of Minnesota Statutes and City of Eagan Ordi nces. ~ ~ Signature of Applleant ' Certificates of Survey Received _ Tree Preservation Plan Received _ Not equired _ Updated 1/01 CITY OF EAGAN N~ 106 7Z 3830 Pilot Krrob Road, P.O. 8ox 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 4648100 Receipt # 5 Te M wwd for SF DWG/GP,R Et, yal, $64,000 pme JULY 30 19 85 SiteAddreu 4475 WHITETAIL WAY Erect 6a Occupancy R3 Lot 15 glock 2 Sec/Sub. FAWN RIDGE Remodel ? Zoning Rl Pareel No. Repafr ? Type of Const. V AddNion ? No. SMries Name SUNSHINE CONST Move ? tsngtn 44 ~ ~ Addrass 5985 125TH ST W Demolish ? pepth 48 (nt Impc Q Sq. Ft. Citv A.V. Phone 431-2200 Install ? ec SAME AvProvalo Feea o Name s~ Address Assessment Permit 325.00 i- City Phone Water S Sew. Surcharge 32.00 Police PlanReview 1 6 2.- 50 tW Name JAMSS R_ HILL Flrc SnC 525.00 qfyms 8200 HUMBOLDT AVE SO Enp. weterConn 500.00 ~W City BLMTN Phone $$4-3029 pimmr WaterMetar 63.00 Council HoaeUnit 280.00 I heroby acknowledgs that I hove read this opplicotion ond stara thae Bldg. Off. 7 25 85 Tc PI------- 132 _ 00 fho informotion ii correct and ogre ~to Comply wit 1 opplitable A~ P8*8 Srote of Minnesota Stotutet an ry of Eagan O" onus. Var. Date Copies Siprwturc of Permittes S SHINE CONST rotal $2,019.50 ~ Butld~ny Permi~ is issued ro: an rha expMaa conditwn fhat all work shall be dona in ewordonce w' a limbla State of ~Ninnesota at es ond Gty o7 EaOan Ordinances. 8uild7ng pFfk7a1 ~ RESIDENTIAL BUILDINC PERMIT APPLICATION 1 ZS CITY OF EAGAN ~ 3830 PILOT KNOB RD, EAGAN MN 55122 I I 3• 651-881•4675 ' New Construclion Reauirements RemodellReoair Reauirements • 3 regislered site surveys shovririg sq. fl. of IoL sq. fl. ot house; aM all roofed areas • 2 copies of plan (20% maximum lot cove2ge alirnred) . i set o( Energy Calculations for heated additions • 2 copies of plan showing 6eam & window sizes; poured found design, etc.) . 1 site survey lor eztenor additions & decks • 7 ut M Eneryy Calculalions . Indicate if home served by septic system for additions • 3 copies of Tree Preservatian Plan if lot platted after 711/93 • Rim Joist Delail Options selecGon sheet (bldgs wtlh 3 or less units) DATE *"r' VALUATION ` SITE ADDRESS ~/'K 7S (.r 1_#_2"'`- ('J°`j MULTI-FAMILY BLDG _ Y _ N TYPE OF WORK FIREPLACE(S) _ 0_ t_ 2 APPLICANT STREET ADDRESS /8a ~~f< <d{ h ac/L= CITY STATE ZIP TELEPHONE #~S~-v82-oor 57'CELL PHONE #775 - a~33 FAX # PROPERTYOWNER TELEPHONE# COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY A RULLS 7672 Energy Code Category MINNESO'CA RULLS 7670 CATCGOTHI entilafion Category 1 WorkshCode Worksheet Submitted (J submission type) . Residential V • EnergyEnvelopeCalculatlonsSubmitted Plumbing Confractor: Plumbing system includes: _ Water Softener _ I.awn Sprinkler Fec: $90.00 _ Water Heater ` No. of R.I. Baths No. of Baths ' Mechanical Conhactor: Phone # Mechanical system includes: _ Air Conditioning Pee: $70.00 _ Heat Rccovcry Sysfem Sewer/Water Contractor: Phone # - ° I hereby acknowledge that I have read this application, state that ihe information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Or inances. Signature of Applicant - . OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4l02 ~ / 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN (VCLUDQ SETS OF PLANS ERTIFICATES OF SURVEY / SET OF ENERGY CALCULATIONS l~ -7 To Be Used For: ' . Valuation: Date: r/') ~J ,4y75 y Site Address: QI~ OFFICE USE ONLY Lot: ~ Block ~ Sect/S ( g_Erect ~ Oceupancy 0 Remodel _ Zoning 2-I Parcel IE Repair Type of Const Enlarge II of Stories Owner ~ Move Length Demolish _ Depth 45 Addres " Gra e Sq Ft City/Zip Code ' - Phone APPROVALS Contracto ~j Assessments Permit ZS,°O Water/Sewer Surcharge 3z.°-° Address Police Plan Review Ilo 2•~ Fire SAC 5Z5.'~ City/Zip Code Engr Water Conn Planner Water ter Phone Council Unit 280.°' Bldg Off arks Arch./Eng APC Treatment P1 ~3 z°= /T //Variance 4 Address TOTAL ~ v//• S~ City/Zip Code Phone # 2~ox4a= loqo x54 = Slo~~oc~ . 4 z ~ 4 c = l~1 ZZ ~ (o x ~ " ' ' 22 ~2Z ~ 4- x (l ' S3z4 ~ G3206 SURVEYOR'SCERTIFICATE SUPISHINE CONSTRUCTION; G0. • , . . . . ' j . • . . , i . . i . ~ . . , . . • . „ ' i , I I ~ . . . • , ' . . ~ . I ~ . • . . i t DENOTES PROP05ED SURFACE ORAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH = FEET , • DENOTES 1RON MONUMENT FOUND PROPOSED GARAGE FLOOR = 9 31•o FEET R000.0 DENOTES EXISTING ELEVATION • PROP05ED IOWEST FLOOR = 9 2g•.Z FEET . (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP. OF BLOCK = 9 31.4 FEET, i I HEREBY CERTIFY TO SUNSHINE CONST. C0. THAT 7HI5 IS A TRUE AND CORRECT , i REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot lock 2 F9WN~IDGE, accordin9 to the recprded plat thereof, . akota County, Minnesota. , AND OF THE LOCATION.Of A PROP05ED BUiIDiNG. IT DOES NOT PURPORT TO SHOV! IPIPROVEMENTS OR ENCROACHMENTS, IF ANY, THEREON. AS SURVEYED BY,ME, OR UNDER MY DIRECT SUPERV1S10N, THIS i(p'O-ti DAY OF 1985. • SIGNED: JAM LL, INC. BY: HAROLD C. PETERS014, LAPID SURVEYOR . MIN14ESOTA IICENSE N0: 12294 • ' SHEET 1 Of 2 SHEETS PAOJECT NO. aooK ~ PncE JAMES R. NILL, INC. Planners / Engineers / Surveyors FILE NO. 13(0131 , 8200 Humboidt Arenus South FOLDER Bbominglon, Mn..6b431 612-884-3029 . ` , . . ' SURVEYtOWS , CERTIFICATE sUNSHINE CONS.TRUCTION C0. . . WH/TETAIL WAY 924.q - 97R•9 K ' 932.8i as.o .,Q0 ~N.14058105"W, kqz4.8 0 5I ' W t~`r.~~ ~ h A h. ; a,,. . 5 ~ 979.6~ ~ 931.0 o x22.00 ~ - 93r.8q W p~ Q GAR. o a ~ ~ OI ~ N ~ x ~IC93o•l 4T~ N ~ /ISOO ~ 40 I ,if) PRH~ousE P ~ wq~•3o I Z~ i o~ ~ i~~- i 40.0o I ' ^z Li ' ~ 9so.y 1y 4~9bv•~) (9°Px,4~~~r' q3Z l.: 0) 1, o • ~ 1 ~ c.or .rs ~ • ~_lJ 1 . ~ 1 ! ~ Q. 2W 5 q~ 5 4~6 N v, , . 65.43 N21°3440°W. L_L/ 1 . SfiEET 2 OF 2 SNEETS , PROJECT NO. BOOK / PAGE JAMES R. HILL, INC. 65734 - /36~34 Pianners / Engineers / Surveyors FILE NO. 8200 Humboldt Avenue South . FOLDER eloomineton, Mn. 65431 612-884-3029 CITY OF BUILDINCi DEPARTMENT EXTERIOR ENVELOPE AVERAt3E "Ulf COMPUTATION (To be subm3tted with bullding permit application) One or Two Family Dwelling Owner All Other Sfte Address Contractor ~Un~Ga~h1d~F Liodtl~aT. Date Phone '4k84- 131 tdfth~ Lr:EAL r'hET OF „ ,r 7 ~ E.t'OSED C:ALL :~'2EE ObPJG. :~:WEET ft. above grade - ~IDBB•00 'POTAL EX.°OSr.D 4YpLL ARr.A SQ. FT. 01'.^,QUF. i7i:LL CONSTRUCTION: "Ull Value x Area ¢ey~~ ilUn •O~F~ x St~. FT. IS O.Zo . fo8•37 (U) (A) reterence loUll _X SQ. FT. 14Z•44 = 13•45 (U) (A) from eiw ' °U11 . o O x SQ. FT, 4•38 (U)(~Aj attacned iUte x Sq. FT. _ (U)(A) sheets nUII x SQ. FT. _ (U) (A) 7:I1yDOwS: "U« Value x Area MG'.te & TyAe 1w6VL, ~f+~. ~~p~~ • S f x SQ. FT.~?•$O = 57 SZ M(A) u nUn x SQ. FT. _ (U)(A) i~ u oUn x sQ. FT. _ (U) (A) n u IIUn x SQ. FT. _ M(A) DJJRS: "u" Value x Area :il-:.;e & Ty.e :~TG, "dL. npn x SQ. FT. 49•00 =67-80 M(A) u u ?d.^C~D upu .48 X SQ. FT. "•oD = 0. Zt U) (A) n n nUu x SQ. FT. _ (U)(A) n n npu x SQ. FT. _ (U)(A) TOTALS 7088•0o SQ. t'T. r71•4Z (U)(A) AVERA6E "U" TOTAL (U) (A) VI.LUES = "DIVIDED BY TOTAL l7ALL AREA ZOP~S.o° '~R ~ AVLRAGi; "Ull 115 or less for 1&2 family dwellings P.OOF/Cr^,ILING : TOTAL AREA: Detail reference tiUll .aZ3 x SQ. FT. lf O4 = ZS•3q (U)(A) from 'OUlt x SQ. FT. s (U) (A) Attacned sheets. t'Ull x SQ. FT. = (U)(A) Describe onenings itU" x SQ. FT. _ (U)(A) :r roof. itUlt x SQ. FV. _ (U)(A) '.J:AL M(A) VALUES DIVIDLD BY 2!7~,3q ~~o:~~~~,.z~:G .v~:,A rIP I • C?Z. 3- nVLRAGli "U" ,025 for ventilated rooYs. i 11 ~o~ ~ I~T ll ~ w~L 8.83X~4v.~q-p-+-~rZ,(v, ~ I,1(o5. SCo 5•~7X~4a+z~+Z~~ = Szl.~j- S•(v7 x 40 - 34~. So 3. ao X Cq+Cl) _ 5~f, o0 088-C1(5:) .~7x(4ot4o+Z/orzr~ = 88.Qg- j,Oox(q+g\ J /4z.Q+ ~ 1111 .s3xc4D3-gotz~+Z~ W i"ows zsxl(o = 6~,.3 x 4= zs. zo 70 XI& ~ Q-S x 3 = /3-So 31 xlfo = 7-1 7.10 Lsnzs = l0-9 x 4= 43.100 ZoX 7-8 Z 3-9-0 3° ~7c'w~~,c, z ZS.oo Z$STL• :~-P-P-, = ZJ.6o ~ = ~.L7IV ca z = g¢, o0 13~.00 ~ ~E ExYaS~D I~c. FqOXc.5 Pjl2vys l~f}LC.. Z,OSS ZG~$O = IO~j~ G.~ss co~~, 147.g SX 8= 6`f I?!m /a9 ~ u wAw's ~rz.$o ~497 ii Ac~es /33.00 I~ 590. Z4 CITY OF EAGAN PERMIT cRqGilL -s< ~ 3830 Pilot Knob Road PERMIT TYPE: a u zLDx N G Eagan, Minnesota 55122-1897 Permit Number: 026692 (612) 681-4675 Date Issued: 11 j 13 / 9 5 SITE ADDRESS: 4475 WHITETFlTL WAY LOT: 15 BLOCK: 1 FAWN RTDGE P.I.N.: 10-25800-150-02 DESCRIPTION: (TNCL DECK) F,,6ylclzrjg ~Per- mi.Y 'i.Ype SF ADI]ITTON ,Building Wc3r._k 7ype NEW 2 , i f- lr. . • _ . r . . . REMARKS: FEE SUMMARY: VALUA'PTON $24,000 Base Fee $337.25 P1an Reviaw $118.04 Surcliarye $12.00 1'otal Fee $467.29 CONTRACTOR: flppiicant - sr. Lzc. OWNER: S70F2LIE BlDRS 1469324$ 0005471 6ILBER7SON JAMES 23734 DOOD 4475 WHITETATI WAY LFlKEVII.LE MN 55044 EAGAN MN (512) 469-3248 (612)952-0494 T hsreby ecknowledge that I have read this application and state that Che ' informatian xe correct and agree ta comp.ly with aJ:I appJ;acab7:* State,nf Mn. StaCwtea ancl City gan i~t~dinances. L Z ~ APPLIGAN PERMITEE SIGNATURE ISSUED eY:51G URE . 3830 PILIOT KNOB RDN 55122 `f' °t~+~~• 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681.4675 rw-ar~~*~-~, NQyy Condnxftri anL119RIB11 e RemodeVReoair ReoulremerNs cagvj' ~['q ? 3 reghterod eite surveys ? 2 wpies of plen ? 2 eopies o1 plena (indude beam 8 window sizea; poured fid. design: etc.) ? 2 site turveys (exlerior adtlitions 8 tledcs) ? 1 enenpy calwlations ? 1 energy celwlations for heated atlditions ? 3 wpbs M fiea pieasrvation plan H lot pletted aRer 711193 iaquired: _ Yes _ No OATE: P0 U I ~~I Cl S CONSTRUCTION COST: azbOC1 DESCRIPTION OF WORK: DD I~lo tv 4 DCG STREET ADDRESS: 7 S W ' e r W~- LOT ~ BLOCK SUBD.IP.I.D. 3G_ W 0 4IS6v ~G~vnes Phone -oYy Y PROPERTY Name: OWNER `"'T Street Address- jig 7 S C~1 V~,rte _-TG. I W a u City: ~G-u State: r1'LtNN Zip: CoNTRaCTOR Company: e l IN-1 S Phone q 3i 96 Street Address: ~ 3~ 311 D (3 h L) License 3q 7 1 City: 4,Gkev t~(e- State: [NN Zip• S~SO~ly ARCHITECT! Company: I1) l1 N~- Phone ENGINEER Name: Registration Street Address- City: State: Zip: Sewer & water licensed plumber: 210 Yyt ~ t tiG . Penalty applies when address change and lat change are requested onee permit is issued. I hereby acknowledge that I have read this application and state that the infortnation is cortect and agree to oomply with ali appiicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No , Tree Preservation Plan Received _ Yes _ No OFFICE USE ONLY . ' BUILDING PERMIT TYPE ? 01 Foundation a 06 Duplex o 11 Apt./Lodging o 16 Basement Finish ? 02 SF Dwelling o 07 4-plex o 12 Muiti Repair/Rem. 0 17 Swim Pool A"3 SF Addition o 08 8-plex o 13 Garage/Accessory a 20 Public Facility 0 04 SF Porch ? 09 12-plex ? 14 Fireplace o 21 Miscellaneous 0 05 SF Misc. 0 10 _ plex -Er--15 Deck WORK TYPE 0 31 New ? 33 ARerations ? 36 Move ~ Addition o 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actuai) Basement sq. ft. 2? r,- MC/WS System (Allowable) Main level sq. ft. 2't~, City Water UBC Occupancy sq. ft. ~ Fire Sprinkiered Zoning sq. ft. PRV # of Stories sq. ft. , Booster Pump Length sq. ft. Census Code. ~ Depth Footprint sq. ft. SAC Code ~ Census Bidg ~ Census Unit O APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ 2 y ovv Surcharge Plan Review License MCNVS SAC City SAC CowL~ Water Conn. .~7 _ /0 7 Water Meter _/7i Acct. Deposit Zr ~ S.S~ S/W Permit SM/5urcharge Treatment PI. Road Unit Park Ded. 107 Traifs Ded. Other COples l?y x sV =~Sa i Z Total: Z % SAC SAC Units 21,~~0 Z SURVEYOR'S. CERTiFICATE ~ SUNSHINE CONSTRUCTI0N C0. ' ~ . . . . ~ . ; . ~ WHITETA/L WAY 9A4.q - 9~9 9 K ' 93a.81 9~•~. ~._--=L~ - .,90 ~N.14058'O5wW k4R9.e ~ 7_ ~tK ~ 5 0 , . CY3a.7 ` ~ 0,22.0o r - 93I.eq W Q ~ cait o Q + : ~ o oTQ/ N ~ ~ _ p (93 0 l ~ 0 p 1500 atl 40 ~ • _ . C ~ p $ ~ I a~osEa 1'? ~ ~ L_ HaUS/ I' 0 I, f_ , i h 93cd, 40.00 ~ 9ao. a~ ; r ~ , a C9 ~cii) • ~ . 430,4rl q3r. i . ~ ~ ' a • . ' i . ~ <U,g~•, ~ ~a I ~ • ~ . . , LOT '!5 ~ , ~ - w1- pEcK/ Q i . . 5~ o y~ a,e~. 5 ' • . 1 A 6J6D ~r vn sgsa.. . ~ . 65.43 .21°3440"W. , Form for use with MinnesoW kules part 76170.0475, 5uvp. Z 1& 2 Family Residential "Cookbook" Method SIIE ADDRESS Ciry 11 17f 7S T6'< < ck ct~ Bunnen n.u /p_ 3 r- 4 S` S-{orl~e- ~lbe~ o~ Minimum Criteria: Rim 3oist: R-19 insutatioa Fouodaeon \Yindows: lotulsad glass, 112" air space, waod or vinyi frame Ency doors: t3/~ ineh solid wood with storm or beKer • STEP 1 Window & Door Area STEP 2 Calculate area as a perceat of w•all Tatal Window & Door Area in Sq. Feet Box A(window & door ama) divided by Boz B(total WINDOWS (inclvding foundation windows): wa11 area) times 100 equais the window and door area Dimensions Qnty. Area as a perceat of wail area (Boz C). -)ci x SD .µ+},ii c ,56 BoxA iG ~6xSv ~ _ BoxB /~O8 x100= C x X STEP 3 Destgn Features x ASSEMBLY OPTIOV X FRAME WALL: x STANDARD FRAASIIdG ~ X x X cnvrrY INs[nAnoK R• a 1 x DOORS: SHEATHNG: LE55 THAN R-5 ~ X a~ R-5 OR AfORE x WWDOWS (euePt famdaaon windowsr x U-FACfOR U- • Tocai Area of w'maow & Doo:s 11(o A Fmm the table, determiae the maximum pemnt window ?otal Wall Arta in Sq. Ft. 8c door area for the design oprions selected and enter the Wall Total Perimeter Height Hrea value in boz D below: 1~.$D Tocai Area Boz C must be less than or equal m Box D of wall /oD g . 1 f ONE- dc Tl'VQ-FAtvIILY RESIDENTIAL BLJIIDING PKESQtffTIVE (COOK SOO~. APPROACH MAXIMUM WINDOW AND DOOR AREA AS A PERCENT OF OVERALL WALL AREA From Minn. Rule,s_part 7690.0475, subpart 2. item F Cavi Window U-Factor Framin Insulation Sheathin 0.49 0.36 0.31 0.27 STANDARD R-13 2 R- 7 13.4°k 17.8°h 21.3°k 24.3% STANDARD R-13 R- 5 12.4% 16.4% 19.7% 22.5% STANDARD R-15 > R- 5 12.90/a 17.1% 20.1% 23.4% STANDARD R-18 < R- 5 12.1°k 16.0% 18.8°h 22.0°k STANDARD R-18 R- 5 14.00/9 18.6°k 21.8°k 25.3°k 0 20.2% 29.4 0 0 STANDARD R-21 < R- 5 12.8°k 17.0% 19.9°k 23.1%... STANDARD R-21 > R- 5 14.5°k 19.3°k 22.5°k 26.1% Additiona] caiculated values STANDARD R-17 c R- 5 11.9% 15.7% 18.4% 21.5% STANDARD R-17 ZR- 5 13.8% 18.4°k 21.5°k 25.0% 0 0 NOtfS: Window area equals rough opening minus installation clearances. Window U-factor must be determined by either the National FenestraEion Rating Council standard 100-91, or ASHRAE 1993 Handbook of Fundamentals, Chapter 27, Table 5. • ~ 4 , - . . . ' . . ' ' " . ' ~ ' ' . . • i .1 ' . . . . . . . . . . + . . ' . . . ~ . ~ ' ' , ~ ~ - . r . ~ ~ - , . ' . . . . . . . . . ~ . ~ ~ 1zr_p•~ I3'- o' 3~.0+ - ~ i e. _ It~ . ~ I- \ ~ 7-7-- ~ 5 . f ~ . y, r -v _ . ` _ : 4. ~ m ~ j n ~ r " ' t-, d' ~ ~ I • ` X ~ ~,(1~1. ~ ' F, ` I g j ~ : ~s ~t a \ ` ' • : - , a f i r ~ • . yf{ . . .,a a._ ~ j \ / ~ . u + ~~:I~ C ft c Y. ~4. ~_,N ' w ~:.`v ~ ~ ` I ~11l- + ~I T u I~ p ~ ' . T'A;~1TFiY ~ 4 ~ ~ ~i 7 ~.t~ 1/~,/ ,i . ~ ~ 0~.~ ( r/{,~~~~./' ~ " •I . x t f . i II ~i'r }s1 ~ • I ~4 ~ C~r;' ~ ~ ~%y e+~'' ' ~ '~~'u~II • ~ rTi I ~ m m I,'s~l , ~ ~ j• ~ -r d ~ i' I ~ ~ ~ Z- N f ~s - CITY USE ONLY L gL RECEIPT ~ SUBD. JOU~ co~' DATE: 2W~ 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681.4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit New construction Add-on fumace Add-on air conditioning ~ Add-on air exchanger, i.e. Vanee system, etc. Date: FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required Q$3.00 each) ? State Surcharge .50 TOTAL C'k Sa SITE ADDRESS: L"ctL~ OWNER NAME: PHONE INSTALLER NAME: STREET ADDRESS: a 1034 C~% ~ ~ CITY: STATE: Wl ~ ZIP: ~ SDQ'~A PHONE ( ~"FPERIVIIJ I Lt ty orEtau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: 9-346 "1 Permit Fee: Date Received: Staff: 2010 MECHANICAL PERM fIT APPLICATION Date: I Site Address: Li -1" `) �}, i,� W a,,U Tenant: �rv1T� til/. 0? .jrt, i U Suite#: RESIDENT / OWNER , . Phone: (jI /. V `3 - Name: CiLt'J P .;, Address / City / Zip: I J � % " ` :� It +l 5 t h CONTRACTOR — i Name: bei -4--t. License #:t P Address: C ) i-t� M/ 1 (A ' City: FLOU OAA-z-- State: 'NA Zip: Y1)1 Phone: °\ 5 (/1 1 L7- l 00 0 Contact: eti(.t{' -. (C1tti..1Gt-kli Email: ft MAC v C t , • G or -Y- TYPE OF WORK - New Replacement X Additional Alteration Demolition Description of work: :IS II L aptiiIlk I '' . ti . •. p " e COMMERCIAL New Construction Interior Improvement amu* PERMIT TYPE RESIDENTIAL X Furnace X Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit YHeat Pump Under / Above ground Tank ( Install / _ Remove) Other ** When installing/removing tank(s), call for inspection by Fire Marshal and Plumbin. Ins.ector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $.50 State Surcharge) $ TOTAL FEE $90.50 Fire repair (replace COMMERCIAL FEES: $70.50 Underground tank $50.50 Minimum (includes installation/removal OR State Surcharge) surcharge is $.50. increases by $.50 for each Permit Fee requires a $1.00 surcharge). Contract Value $ x 1% _ $ Permit Fee - If Permit Fee is less than $1,000, = $ Surcharge - If Permit Fee is > $1,000, surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 = $ TOTAL FEE 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.aopherstateonecall.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 p approved plan in the case of work which requires a review and approval of plans. IP 'gm!? ._ ft irk A f, Applca � !s Sig Lure x y em e Appjjicant's Printed Name PERMIT City of Eagan Permit Type:Building Permit Number:EA122218 Date Issued:04/30/2014 Permit Category:ePermit Site Address: 4475 Whitetail Way Lot:15 Block: 2 Addition: Fawn Ridge PID:10-25800-02-150 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Daniel J Podzimek 4475 Whitetail Way Eagan MN 55122 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature 1 For Office Use r l 114:%":":- �` EAGAN' Permit#: Permit Fee: RECEIVILDa_/�/ Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 APR 0 2 2019 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildindinspectionsecityofeadan.com 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 4/1/2019 Site Address: 4475 Whitetail Way Unit#: Name: Nate Danielson • i' •Phone 612-499-0193 Resident/ 4475 Whitetail Way .owner Address/City/Zip: Applicant is: ✓ Owner Contractor �D Type of Work Description of work: Solar Panel Install Construction Cost: $18,750 Multi-Family Building: (Yes /No ✓ ) Company: None Contact: Contractor Address: City: • State: Zip: Phone: Email: License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: • 2/0ir74) 80 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be:publie;information. Portions of theinforMation May be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. 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. 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.00pherstateonecall.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 Nate Danielson x /t4tt T>arua.4eri Applicant's Printed Name Applicant's Signature /1 DO NOT WRITE BELOW THIS LINE LI7s 1Ur`;td td 4v /�j 6 .e-2 , SUB TYPES Foundation _ Fireplace _ Porch(3-Season) 4 Exterior Alteration(Single Family) _ 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 Alteration — Fire Repair _ Windows _ Demolish Foundation _ Replace — Repair _ Egress Window Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation 9000 Occupancy Me ./ MCES System Plan ReviewCode Edition 1/0/5. SAC Units (25%_100% r' ) Zoning Pb City Water Census Code U311 Stories Booster Pump #of Units / Square Feet PRV #of Buildings / Length — Fire Suppression Required Type of Construction 4,21 Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice& ater _Final Pool:_Footings Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Wallsd /' Erosion Control Shower Pan Other: Reviewed By: U , Building Inspector RESIDENTIAL FEES Base Fee /77 Surcharge Plan Review // .j" MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Radio Meter Read Copies 3 .Q, ,7 TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA171248 Date Issued:08/06/2021 Permit Category:ePermit Site Address: 4475 Whitetail Way Lot:15 Block: 2 Addition: Fawn Ridge PID:10-25800-02-150 Use: Description: Sub Type:Residential Work Type:Replace Description:Tankless Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - Nathan Eldon & Jodi Anne Danielson 4475 Whitetail Way Eagan MN 55123 (612) 499-0193 Aquarius Water Conditioning, Inc 3180 Country Dr St. Paul MN 55117 (651) 777-0448 Applicant/Permitee: Signature Issued By: Signature