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. •
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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
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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
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c.or .rs ~
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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. '
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WHITETA/L WAY
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~ . 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
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-
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