4479 Whitetail Way
CITY OF EAGAN SEWER SERVlCE PERMIT
3830 Pilot Knob Road p~~T NO.:
P. 0. Sox 21799
Eaga^. MN 55121 DATE:
Zoninp: ~ Na of Units:
Owrer.
Address:
Site /lddfess4,.79 ``'jSLetaiJ. ~~'1-; L1
: .
Plumber. ~ CirlMbfA~
-~-~6 56362 ? 00 .
~agm to emvlY whli !M dly of LoM. Connsctlon Cl+arpe: L. ~
OrJIMSCM. Aooount DepOWt: 1 S (!~.''+,w'
Permit FN:
Surcharpe:
; gy Misc. U+nroes:
Dote of Irnp.: Totol:
I nsp.: Dah Paid:
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road pERM1T NO.:
P. O. Boit 21199
Eagsn, MN 55127 DATE:
Zanlny: No. of Units:
OWnQr: ,~;-lS !'.O[:~t .
Addrosr.
S ke Addross: L13 B"' - -;''~_~t;ni.
Plumber.
Meter No.: Connedi I5 . 110pc1
Size: `-e1v10C ic, t:~~z
Rendar No.: ~4,• , ,,it;
1.yn. fe amohr wuh ir. Cih +fE~ ~
a 50 a rr,~ ~'=r
or :
By '
Date of Insp.: irop.:
Io - d~~~~
~ . . . - • . . tr,-.. .~.~r . ' ,
3830 PNot Knob R di P.O. Bo 2G-A1 9, Eagan, MN 55121 `~n ~2570
PHONE: 454-8100
BUILDING PERNiIT Receipt #
To ~ usea ror SF DwG/(;Ai2 ESx value $63,000 pate SEYTEMBER 4 19 66
Site Address 4479 WH I TETA i L WA`I Erect Occupancy R 3
Lot 13 Block 2 Sec/Sub. FAj"» RIDGE Remodel ? Zoning pD
Parcel No. Repair ? Type of Const uta
Addition ? No. Stories
a Name SO1VS CONS1'RUCTION CO Move ? Length 40
= Demolish ? Depth d d
o Address 4370 IZANIV RD Int Impr. ? Sq. Ft
Ciry EAGAN phone 4 52-5355 Instail ?
o Name Appravals Fees
~ < Address Assessment Permit $ '~'2'
~ City Phone Water & Sew. Surcharge 31. 50
Police Plan Review 161. 00
~ W Name ED MELICH Fire SAC 575.00
~ o Address 8552 LAKE S1' Eng. Water Conn. 500.00
~5 c;ty tiPLS Pnone 866-3500 Planner waterMeter 63.50
Council Road Unit 290.00
I hereby acknowledge that I have read this application and state thatthe B~dg. Off. 93 8 6 Tr. PI. 156.00
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. APC PerkS
Signature of Permittee Var. Date T~~~ Copies • . • 0
A Building Permit is issued to: S0I4S CO'JSTRUCTIUN CO on the express conditlon that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official ~ l
PrrmR No. Pwmit Holder DaW TNophone N
Plumbiny 14
H.V.A:C.
EIsCt?IC
SoMenar
InspscMon Deb Irnp. Commsnb
Foodnysl
Faoung. u 9~ u]
Foundatbn Q- 3' s L G S 1 L F fUUAI A
Framinq
RodMg
RouyA Plby. O -a'-a y
Rouph Fliy.
ln.ul.
Firepiaee ~ 74
Final Hty. Ift",
Final Plbp.
Bldy. FIntN ~ fy
Csrt. Occ.
Deck F1p.
Dock Frmy.
Well
Pr. Dbp.
w~~~Y'-,;+~"a4~r'..1?~ !f~"A~"f`~. ~ i"f•~;,~t~~M44.7; , .U ..ri K.,~ y~.:- -w.=r.,.'?f1r.~~/,~. .
~ PERMIT # 7
PLUMBING PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE PHONE: +54?8100
Site Address BLDf#i TYPE WORK DESCRIP'T10N
Lot Block Sec/Sub
Res. New
m Name Mult Add-on
~ Address Comm. Repair
c City Phone Other
NO. FIXTURES TOTAL
~ Name Water Closet - $3.00 $
c Address Bath Tubs - $3.00
p City Phone Lavatory - $3.00
Shower - $3.00
FEES Kitchen Sink - $3.00 COMM/IND FEE - 196 OF CONTRACT FEE Urinal/Bidet -$3.00 _
MINIMUM - RESIDENTIAL FEE _$10,00 Laundry Tray -$3.00
MINIMUM - COMM/IND FEE _ 20.00 Floor Drains -$1.50
STATE SURCHARGE PER PERMIT _ ,50 Water Heater -$1.50
(ADD $.50 S/C IF PERMIT PRICE GOES \Nhiripool -$3.00
Gas Piping Outlets - $1.50
BEYOND $1,000.00) Softener - $5.00
Weli - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE
STATE S/C: ~
FOR: CITY OF EAGAN GRAND TOTAL•
_i ~ r ~ . . . , . . , . . .
PERMIT #
. .
MECHANICAL PERMIT RECEIPT #
CITY OF EACiAN
3830 PILOT KNOB ROAD, EAGAN, MN 65121 DATE
CONTRACT PRICE PHOME: 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot Block SeclSub
Res. New
, Name Muft Add-on
~ Address, Comm. Repair
c City Phone Other
~ Name " FEES
c Address RES. HVAC 0-100 M BTU -$24.00
p 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 M 8TU COMM/IND FEE - 146 OF CONTRACT FEE
Boiler M BTU MINIMUM - FESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMMlIND FEE - 20.00 -It A(r Cond. M BTU STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
Gas Piping Outlets #
Other
FEE - -
S/C: SIGNATURE OF PERMITTEE
TOTAL•
FOR: CfTY OF EAGAN
~ PERMIT #
. MECHANICAL PERMIT
CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
* Site Address ' BLDG. TYPE WORK DESCRIPTION
~ .
Lot ~ Block ~ Sec/S(ab . < ,
y`
Res. . New .
~ Name •7 ~ Mult Add-on X
Comm. Repair
~ Address Other
~
c City Phone
FEES
~ Name RES. HVAC 0-100 M BTU -$24.00
3 Address ADDITIONAL 50 M BTU - 6.00
p City Phone (RES. HVAC WCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
--TOWNHGJSE &-CONDOS - RES. RATE APPUES
Boiler - - M BTU, MINtMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. ~ M 8TU MINIMUM COMMERCIAL FEE - 20.00
STATE SUfiCHARGE PER PERMIT - .50
Vent. CFM ~ (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
Other
FEE:
S/C: • 7~ SIGTTEE
TOTAL ~ FOR: C
ITY OF EAGAN
PERMIT # LZ 7 ~
PLUMBING PERMIT RECEIPT #
CITY aF EAGAN t
3830 PILOT KN08 ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE PHONE: 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot Block 1 SeciSub _ Res. New
Mult. Add-on
Name J Comm. Repair
~ q
Address 4 96 Other
c City Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 $
~ Name Bath Tubs - $3.00
c Address ~ ` Lavatory - $3.00
p City Phone y a Shower -$3.00
Kitchen Sink - $3.00
FEES Urinal/Bidet - $3.00
COMM/IND FEE - 196 OF CONTRACT FEE Laundry Tray -$3.00
APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50
TOWNHOUSE 8 CONDO - RES. RATE APPLIES Water Heater -$t.50
MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00
MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets -$1.50
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT)
(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYOND $1,000.00) Well - 310.00
' Private Disp. - $10.00
yh,~,- Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE:
STATE S/C:
/Z ~7
FOR: CITY OF EAGAN GRAND TOTAL• ~
CITY OF EAGAN Remarks
Addition FAM RIDGE ADDITION Lot 13 aik 2 Parcel 10 ~SS?nn 3 - zn n?
Owner street 4479 White Tail Way Scate Eagan, MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. SF( 1981 229 35 - 11.47 2
STREET RESTOR. j 1984 499.46 49.95 10
GRAOING 1981 61.26- 4.08 15
SAN SEW TAUNK 1981 205.44 - 10.27 20
SEWERLATERAL 19$1 33.07' 1.65
Seger 1 1981 23.57' 1.18 20
WATERMAIN
WATER LATERAL 1981 43.67 - 2.18 20
WATER AREA 1.9$1 2Qrj.44 ~ 10.27 20
Water Iateral S~A 1981 27.68' 1.38
STORM SEW TRK 1985 557.79 ' 37.19 15
STORM SEW LAT,- 1984 222.51" 22.25 10
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
9UILDING PER.
SAC
PARK
CITY OF EAGAN p
~ - 3830 Pibt Knob Road, P.O. Box 21-199, Eagan, MN 55121 ,v - 1Z57O
PHONE: 454-8100
BUILDING PERMIT Receiptp
7obausedtor SF DWG/GAR ESt.Value $63,000 Oate SEPTEMBER 4 iy 86
SiteAddress 4479 WHITETAIL WAY Erect )b occupancy R3
Lot 13 Black 2 sec/Sub. FAWN RIDGE Remodel ? zoning PD
Parcel No. Repair ? Type of Const. lI_p
Addition ? No. Stories
Name SONS CONSTRUCTION CO Move ? Lengtn 40
W 4370 RAHN RD Demolish ? Depth dd
3 Address Int. Impr. ? Sq. Ft
° city EAGAN pnone 452-5355 insran ?
¢ Approvals Feea
o Name RAMF.
Assessment Permit $ 322.00
V p Address 31.50
City Phone Water 8 Sew. Surcharge
Police Plan Review 161 . 00
~w Name ED MELICH Fire SAC 575.00
nddress 8552 LAKE ST Eng. WaterConn. 500.00
aw Ciry MPLS phone 866-3500 Planner WaterMeter 63.50
Council RoadUnit 290.00
Iherebyacknowledgethatlhaver dthisapplicati ~ndstatethatthe Bid9.Off. 9/3/86 Tr.PI. I56.00
information is correct and a9r comply ' able State oi
Minnesota Statutes Ci o gan Or c. APC Parks
i ~ Var. Date Copie
hj 4, 1
, Signature oiPermittee ~ Total o
A Building Permit is issued t: SONS CONSTRUCTION CO on the express condition that
all work shall be done in acc rdance with I a ' able State f Minne ta Statutes and City oi Eagan Ordinances.
Buildinq Oflicial
2oos RESiDENTiAL PLllMB8NG peRnniT APPLacarioN
CITY OF EAGAfV
3830 F'1LOT KWdB R0AD, EAGAN [IAN 55122
651-675-5675
Dleaso coinplete for modifications to existing residential drmeilings.
3ate
3ite Street>Adrdr'ess /L) Unit #
v 1
~roperty Owner Tefephnne # (6a yDS- r~~79
::ontractor 1 0/~ Telephane #N) A
4ddress Cdly StaY+a Zip
0
fhe Appiecant is _ Owner XContrac#or _Other
3ep#ic System _ New _ Refurbished SubmR 2 sets of plans and MPC license Inctudes County fee
$ 100.00
Per as-built $ 10.00
4lterations to existing dwetling $ 50.00
_ Add plumbing fixfures. This fee includes instaliation of a water soitener and/or wa4er
heater at the same time. !f you are dnstalllrrg oAliy a wafer saftener anrl/or water
heater, do not cqmplete this section; move to the next section and check the
appliance(s) you are instailing.
Inl ~vis~~l/l~fl
_Septic System Abandonment
Water Tumaround (add $730.00 if a 518" meter is required) FEB 0 1 2007 U
_ Other:
~ Water Softener _ Water iieater $ 15.00
_ new replacement ~
_ Lawn Irrigation _RPZ _PVB Tnew _repair ,rebuild $ 30.00
itate Surcharge $ 50 ~
fotal ~
' hereby apply for a ResldeMial Plumbing Permit and acknowledge Yhat the informaticr, is complete and accurate; that the
vork will be in conformance with the ordinances and codes of the Ciry of Eagan antl the plumbing codes; that I
inderstand this is rrot a permit, but only an application for a permit, work is not to starL without a permii and work will be in =
iccordan with the approvedn in the event a plan is required fo b eview=d and appro ed.
%ppl n s Printed Name
App ica 's Signature
~L P/id F M,457-e2 PLAA
~ , . . . . • . 1986 HDILDING PER!!IT AppI,ICATION - CITI OF' EAGAN
NOTE: ALL C08TRACTORS l1QST BE LICSNSED HITH THE CITY OF EAGAN
COP4MERCIAL - SINGLE FAlQLY DWS[.LINGS
INCLUDE 2 SETS OF ARCHITECTUAAL INCLUDE 2 SETS OF PLANS
& STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY
SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONS -
$2,000 LANDSCAPE BOND
~
To Be Used For: HOME, Valuation: Date:
Site Address OFFICE QSE ONLY
Lot Bloek y T Ereet *tj Oecupancy ~J
Remodel Zoning ~
Parcel/Sub tALA,iv R, Repair Type of Const ~
Addition # of Stories
Owner SONS CONSTRUCTION C0. Move Length ~
Demolish Depth 44_
Address 4370 Rahn Road, Eagan, Int.Impr. Sq Ft
Install
City/Zip Code Eagan, Mn 55122
~ -
Phone 612-452 s APPROVALS FEFS
Contractor SONS CONSTRUCTION C0. Assessments Permit 3Z7.
Water/Sewer Surcharge 3411P
Address 4370 Rahn Road Police Plan Review {~F
Fire SAC
Cit /Zi Code Eagan, Mn 55122
Y P Engr Water Conn o0
7777~3- Planner Water Meter 63
Phone 612-452~4-7-i2 Conncil Road Unit d
Bldg Offq~ Treatment P1 11516
Arch./Engr. Ed Melich ppC Parks
Varianee Copies
Address `8552 Lake St., YOTAL
City/Zip Code Minneapolis, Mn
Phone # 612-866-3500
NOTE: 9DDRESSES FOR CORPER LOTS - CONTRACTOR/HOHEOiiNER MIIST DFSIGHATE fiHICH
9DDRESS IS DFSIRSD. NO CH9NGES TiILL BE ALLOiiSD ONCE HQILDING PERMIT
ZS ISSDED.
i
. ,
EXTERZOR EINE.TCF.T3 AVERAGE "U ' COG~?TJTATIQ:I
~
v
ONINr-R S!~ ~ L c,~ s r i7 mr r ~ c. i;
SITE ADDRESS_ 4479 Whitetail Way, EAgan, Mn 55133 -
CONTRACTOR Sc~.i.~ C` c.u~ r-~i.~r• r i ~ .w DATi_ _ . , 'Y.OrIELA ? -`/7)~
r_
Determine arorking square footage of each. ~
1. Total exposed wall area ....1_;~/ ft. x.11 =~-3': 1c~
2. Totsl roof/ceiling area •~,Y sq. ft. x.026 -
Total exposed wall area above floor = %Y'y
a. '"otal wall vrindc:•r area
b. Total door area
c. Total sliding glass area s;•~
d. Total °ireplace viall area .
e. Total wall framing area (average 10%) .
f. Total net wa11 area above floor ,?1:,3
g. Total ric joist are2 ))r'.G u
Total exposed foundation area
. h. Tctal foun3stion tiindow area
i. Total net foundation area sbove g„ade
Determine "U' value of each tiaall segment.
a. 1/G.oS x"U'° . H3
b. '7).67 X "Ur 770 ~id
z), ~G J{ nU:,
D. x ~Iu;' ~
e. g ~.U,~
f. 7,57 X„U„ o~-
g. / d""Ig nU.. , aq
_ h. X Ut. . a
i. x uUt"
3 ...:..........................Total
Zf item #3 is the same as, or leas than item N1, you have met the
i=rtent of SHG 6096(c)2.
. ~
- . .
r .
Total exposed roof/ceiling area
~ :otal skylight area .
k. ToLa2 roof/ceiling framing 2rea'{averzge 107,I•i
1. lotal net insulated reof/ceilirC area ,.i
. ---r---- .
Determine "U` value for each roof/ceiling segr..ent.
J - x I,U,r ~
2 ~
k. ~ X U n 7 ~
1. :F,-x „v l, 3 3 4 ...............Total
If total oP t,'4 is the same as, or less than f2, you have met the
intent of SBC 6006(c)1.
Alternate Buiiding Envelope DesiFn
To utilize che total envelope system nethod, the values established
by the sun of :tems N3 and #4 shall not be Ereater than the sur.:.of
itens nl 2nd i;2.
' l. + 2, _
3. t
- - - - .
TRI-LAND C0. SITE PLAN FOR:
SURVEYING
SERVICES SON S CONSTRUCTION
4655 NICOLS ROAD
EAGAN, MINNESOTA 55122
A0 41 9yY/ - N
4 2~6 a3 SCALE: i" = 40'
' S
1 ,75
~o
Z~ 0
0
010 P'% ~ k
i ~
1
~ I0 j0q4
1 R ~6E o~
m `
,
\S
\pe,~ ~o~ ~ Y
6g0
AID ~g` 05
PROPERTY DESCRIPTION
LOTJ3-, BLOCK2,
FAWN RIDGE
oeeordinq fo the reeorded plaf tMreof
DAKOTA Cwnty, Minnesma
LEGEND
o pENOTES IRON MONUMENT PROPOSED GARA6E FLOOR ELEVATION= /03w0
o DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION= j03al
DENOTES EXISTING SPOT PROPOSEDBASEMENT FLOOR =
ELEVATION E LE VATI ON
DENOTES PROPOSED SPOT
ELEVATION NOTE ~ VERIFY ALL FLOOR HEIGHTS WITH
~ DENOTES DRAINAGE DIRECTION FINAL HOUSE PLANS
I Mnby csrtify that tAis survey,plan or A ~
report ras prepored py me or undsr my
dirset supervision and that I am a duly Bradley J enson, Mn. Raq. No.15'235
Rapistsrsd LarM Surwror under tM
~ Laws of tM Stata of Mfemesota. ~me • -
.
F 8,
y i • . ~ ~ • i o • o i~• • u .
- ~1• ~ • ~ • ~ ~ • • • • • • l171 1 1 1 7i • ~
•
CITY OF EAGAN
APPLICATION FY)R PERMIT SEWER ANID/OR WATER CONNECTION
(Please Print)
1) PROpII2TY ADDRFSS; 4479 t:'hiteTail Tday
IEGAL DESQtIPTION: Lot 13 glk 2 Fawn Ridge
(Lot Block Subdivision or Tax Parcel I.D. Nunber)
IF EXISTIW. STRCCT[7RE, DATE OF pRIGINAL BCILDING PERhffT ISS[!ADICE:
(Nbnth Year)
PRESENT ZODTING/PROPOSID USE: R-1 SINGLE FAMILY
R-2 DC'PLEX (Trro Onits)
R-3 70WNHOL'SE (Three + Lnits) ( Units)
R-4 APARTMEAIT/COAIDOMINIUM ( Units)
CONAIE.RCIAL/RETAIL/OFFICE
IbIDCSTRiAL
INSTIT?TIONAL/GOVEEtDIINENT
Z)
Np,ME; David Water & Sewer
ADDREss: 4920 hvjy 55
CITY, STATE, ZIP: Rockford, P;inn. 55373
PHOtvE: 612 479 1869
3) • r~• For City Use
NAME: R.C. Plumbink Richard Nvbo
P1LUnbers Licens(
ADDRESS: Rt. # 3, Box 99
Northfield, rlinn. 55051 c1 ~t Exp
i
CITY, STATE, ZIP: red
PtioNE: 612 461 2096 MASTER LICENSE # 24a111 C3 Not Recar(
stafT Initiai
4) ~ x •:.r ~..~u~:~
NAME: Don Dlson Sons Construction
ADDRFSS: 4370 Robin Rd.
CITY, STATE, ZIP: Eagan, Minn. 55127
PHONE: 672 452 4721
5) u • 06 a~
~ CONNECTION TO CITY SEWER ~ CONNE(;TION TO CITY WATEE2
Q OTHER (Please Describe)
6) i~ • • i
? PLEASE HOLD APPROVED PERMIT FOR PICK-L'P BY ONE OF ABOVE
. C~ PLEASE MAIL APPROVED PERMiT TO l, 2, ni. 4, P,EOVE
(Circle one)
7) 9/11/86
F O R C 2 T Y U S E O N L Y -
PERMIT ISSUED
s-
FEE$: $ /C S_(D SS.:"° p~B_'N_T _T ~
: n.. (IICL77D: oU.,....?...,n}
$ WATER PERP42T (INCL'JDE SliRCF:ARGE)
$ 63 ':573 WATER METER/COPPERHORN/OUTSIDE READER
$ WATER TAP (INCLUDE CORPORATION STOP)
$ S ::dE4 TAP
$ $ f7~'0-7> ACCOliNT D..F,POSIT - WATER
$ ~D~'l °G C7 WAC
$ .S 7. - ~ spc
$ TRGi7K 19ATER ASSESSME.1T
$ TRliiJK SESdER ASSL.C.SIIF:IT
$ L`nTE?,AL BED7EFIT/TRUNK SE:-_R
$ LATERIL BENEFITjTRUNK [VAT°R
$ WATER TREATMENT PLANT SURCHARGE
$ OTHER:
$ TOTAL
S AMOU:v*T PAID/RECEI?T $ IV ~a 6 z--
S ~'!1~ ~,lo .Sltiy-
DOES UTILZTY COIVNECTION REQUIRE EXCAVATION IN PUBLIC RIGiiT OF WAY?
~ YES IF YES, THEN A"PERMIT FOR 140RK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGTNEERING DIVZSION. 1.15'1` AS rl CUI+IDI-
TION.
SUBJECT TO THE FOI•LOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE: 9i~~v /O ~p
2005 RESIDENTIAL MECHANICAL PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telep6one # 651-675-5675
Please complete for: single femily dwellings & townhomes/wndos when pa'auts aze required for each unit Date 60 / 11 Q'5
Site Address I-I y~ QI (.l)hJJe, i I w a j Uuit #
Property Owner A n k I l C u t-. / e cKi m a n Tetephone )
Contractor (2On7ro11Ed r7ir
Strect AddreS3 aw ) GLn 4U6 J J, bE .H _ City Fprm i.,~4-On
State /Y1 m Zip 55 08L4 Telephooe to°il )Lt to coa 9a
Bond Espires:
The Applicant is _ Owner " Contractor _ Other
Add-on or alteration to ezisting dwelting unit $ 30.00
fumace _Additional ? Repiacement _ New
air exchanger
air conditioner
~ heat pump
? other hVmra„ci gr
State Surcharge .50
,
Totat g 30.50
1
I hereby apply for aResidential Mechanica! Permit and acknowledge [hat ihe information is complete and accurate; tha[ the work will
be in conformance v,`nth the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand ttris is not a
permit, but only an application for a permit, and work is not to stzrt without a permit; that the work will be in accordance with the
approved plan in the case of work wLich requires a review and approval of plans.
C 1r1 G; 1 ~ 1 hQ l '.N" . l1~Xl.l/II.P
Applicant's Prfnted Name XVplieant's i nature
2005 COMA'ERCIAL MECHAIVICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. commaciaVindustrial buildings
multi-family buildings wtien sepazate permits are not requQed for each dwelling imit ,
Date / /
Site Street Address Unit #
Tenant Name (fapplicabie) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond Eapires:
The AppHcant is _ Owner _ Contractor _ pther
Work Type
_ New Construction _ Underground Tank _ Install _Remove "see below
_ Interior Improvement _ install Piping _Processed _Gas
Nature of Work:
'*When installing/removing underground tank, call for inspection by Fire MarshaJ and Plum6ing Inspector
Permit Fees: s70.50 trnaagrw,aa tantc ~nsWiai;odromovat
550.50 Mutimum (mcludes SYate Surcharge)
or
Conhact Value $ x 1% Permit Fee
$ State Surcliarg0'
If ~ermit fee is tess than $1,000, add $.50
If petm t fee is more than 51,000, surcharge .
is 3.50 for every $1,000 owed. .
$ Total Fee
I hereby apply for a Commercial Mechanical Pemilt and acknowledge tbat the information is complete and accurate; that the work .
will be in conformance with the ordinances and codes of ihe City of Eagan and with the Mechanical Codes; that Imderstand this is
not a permit, but only an application for a pemut, and work is not to start withwt a permit tLaY the work will be in accordance with
the approved plan in the case of work which requires a review and approval of plans.
ApplicanPs Printed Name ApplicanYs Signature
Approved By: Inspector Date:
Required Inspections: _ U. G. _ RI. - Air Test - Cms Service Test - Infloor Heat - Final
Use BLUE or BLACK Ink
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Permit#: / % ( 2-
City of EapIl Permit Fee: /10 5
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651)675-5675
Fax: (651)675-5694 Staff:
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
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Applicant is: Owner Contractor
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State: Zip: Phone: Email:
License#: C (7d0 f Lead Certificate#: / T' I /o
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
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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.
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.
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Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA161721
Date Issued:06/10/2020
Permit Category:ePermit
Site Address: 4479 Whitetail Way
Lot:13 Block: 2 Addition: Fawn Ridge
PID:10-25800-02-130
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Robert W Lackman
4479 Whitetail Way
Eagan MN 55123
(952) 356-2324
Home Depot Usa Dba The Home Depot
2455 Paces Ferry Rd
Atlanta GA 30339
(763) 852-1044
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA173295
Date Issued:11/08/2021
Permit Category:ePermit
Site Address: 4479 Whitetail Way
Lot:13 Block: 2 Addition: Fawn Ridge
PID:10-25800-02-130
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
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. When a weather barrier is installed or
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Robert W & Angelique Lackman
4479 Whitetail Way
Eagan MN 55123--209
1st Choice Remodeling Llc
540 Greenhaven Rd, Suite 206
Anoka MN 55303
(763) 515-6095
Applicant/Permitee: Signature Issued By: Signature