4483 Whitetail Way
CITY OF EACAN SEINEER sERNECE PERMR
3830 Pilot Knab Road
P. O. Bo:: 21199 PERMIT NO.:
-T
r gan, MN 55121 DATE:
Zordnp: No, of Units:
Owner. 0a' ~
1lddress: Site Addrou:
^i;rr~1 te kp i1 t.7• -i ~ ~ r..~ i*
-
Plumber. Vai3ev
' 14 - ~ L~,~; .:30p
;
1 Nh~ MRl ~~w Wnll~.tiM, yorw• ll7S 11l 1pg1
~Y~ ~ 1
PeltiNt f7~i _ I
T!
$NfCf1QPp:
gy Misc. CJ+o.qa:
Date of Insp.: Totol:
InW; Dotr PbW:
' CITY OF EAGAN WATER SERVICE PERl1A1T
3830 P~nt Knab Road
p..0'. Box 21199 PERMIT NO.:
~ Eagan, MN 55721 DATE:
, Zoninp: No. of Unlts: .
~M~, ~i1"<+t7~, (l8 S AIh
S ^dd,tliS ..Ca~~3_~ _ ,
i Piurnbar. - - - n~
3 .j2Cor,neccion Chory.:
i
~ Slza: 'rc D G t: '
z
; 1 .,m to.o.qffi,r .leb Nw arr .F t.4 : n.,.
' ~ ge~ote n
. ~EIEQ~~HE aai: .
By
oate ot Insp.: Irrp6•
1' L~ ~
~ ~ ~ ..RS~ ~ _ . . . . . . _ . ~ . ~
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 1 Z"7 4 ~
PH O N E: 454-8100
BUILDING PERMIT Receipt#
To be used for M~PLAGE Est. Value ~1+000 Date ~~EER Uj ,19"='
Site Address "63 WHITLTAIL WltY OFFICE USE ONLY
Lot Z i BloCk 2 Sec/Sub. FAW~ ~7 DCE On Site Sewage Occupancy
MWCC System Zoning
Parcel No. On Site Well (Actual) Const
a Name TM "1ACOF City Water (Allowable)
i b4~3 i~iTE?AIL XAY PRV Required # ot stories
o Address ~~AN Og49 Booster Pump Length
City Phone 681-
Oepth
, p Name sAME S.F. Total
o i Address Footprint S.F.
?°C- City Phone APPROVALS FEES
~ a Engr./Assess. Permit 24.00
yVj W Name ~ sp
~ = Planner Surcharge
~ . Address
~ Z City Phone Council Plan Review
` W
Bldg. Off. SAC, City
I hereby acknowledge that I have read ihis application and state that the Variance SAC, MWCC
information is correct and agree to comply with all applicable State of Water Conn.
Minnesota Statutes and City ot Eagan Ordinances.
Water Meter
5ignature of Permittee - - - Road Unit
A Building Permit is issued to: lON CA`~ACO$ _ TreatmeM P1
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Stalutes and City of Eagan Ordinances. Parks
TOTAL 24
Building Official
Parmit No. Pormit Holdar Date Telephone
Plumbing
H.V.AC.
E lectric
Softener
Inapectfon Date Insp. COmments
Footings I
Fontings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Finai Plbg.
Bldg. Final
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Final
wen
Pr. Disp.
, CITY OF EAGAN 1~'-~ 3830 Pibt Knob Road, P.O. Box 21-199, Eagan, MN 55121`~ . 12262
PHONE: 454-8100 '
BUILDING PERMIT Receipt #
To be usad tor SF UWG/GAR Est. Value $66,000 Date JULY 14 ,19 86
SiteAddress 4483 WHITETAIL WAY Erect Cti Occupancy R3
Lot 11 Biock 2 Sec/Sub. FAWN R I DGE Remodel 13 Zoning ap
Parcel No. Repair ? Type of Const Ur+
Addition ? No. Stories
cc Name rRAND OAKS DEVLL CO Move ? Length 50
= 1881 SUNR SE Demolish ? Depth ¢a-
o Address _ Int Impr. ? Sq. Ft
Ci~ EAG?1N phone Install ?
Name SAME APP?ovals Fees
°C
o
0 i Address Assessment Permit 4 . 00
~ City Phone Water & Sew. Surcharge •00
~ W Police Plan Review 0 0
~ Z Name Fire SAC
~z a Address Eng. Water Conn. 500.00
50
~ W
Ciry Phone Planner Water Meter---9-00
Council Road Unit V.
I hereby acknowledge that I have read this application and state that the Bldg. Off. 14 6 Tr. PI. 13-6-.-0 0
information is correct and agree to comply with all applicable State of
Minnesota Statutes and Ciry of Eagan Ordlnances. APC Parks
f;
Signature of Permittee Var. Date Copies ' ,U0
• r l - Total
A Building Permit is issued to: {'RAND OAKS DEVELOPMENT CO on the express condition that
all work shall be done in accordance with all applicable $tate of Minnesota Statwtg.s.and City of Eagan Ordinances.
Building Otticial
~
I I - PmmR No. PwmN Noldw DMe TeNphone 11
Plumbiny
IH.v A.c. s (o ~ ~ I S ~S ~ 1-7 JeNctAc
SoRener
Inspectbn Dats Insp. Commenb
IFootinys I ~
Footlnqsll
I Foundatfon
Fnminy 5
RooHnp
Rouyh Plby.
Rouph Hty.
Insul.
Fkeplece
Flnal Hty.
FMaI Plby. ~
Ndg.Fi,.l -2S ! '
Ic.?c oec.
I
Dklc Fty.
I Deck Frmp.
I Wdl Describe Loutlon:
Pr. Disp.
, PEfiMIT # 11"~(J
/
~ ~ • MECHANICAL PEFiMR i~ ~ ' ~ f
• y CITY OF EAGAN RECEIPT # .1
1 AN, MN 55121" DATE: 15
1~-('; 383Q PILOT KNOB
CONTRACT PRICE
454-8O
Site Address r` ^ ~ BLDG. TYPE WORK DESCRIPTION
Lot - Block Sec/Sub `
Res. ` New
m Name Mult Add-on
a Address Comm. Repair
c City t.:h ~ Phone pther
~ Name , . ' FEES
c Address <<< RES. HVAC 0-100 M BTU -$24.00
p City . Phone" ADDITIOMAL 50 M BTU - 6.00
ADD-ON AIR COMD. 0-24 BTU - 12.00
TYPE OF WORK ADDITIONAL 6 M BTU = 6.00
GAS OUTLETS 1.50 EA.
Forcad Air M BTU tCOMM/IND FEE - 146 OF CONTRACT FEE
Bailer M BTU MINIMUM - RE5IDENTIAL FEE - 70.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU - 3TATE 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: CITY OF EAGAN
. PERMIT # -)372
PLUMBING PERMIT RECEIPT # (~9
CIT1f OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MM 55121 DATE:
CONTRACT PAICE: PHONE 454-8100
Site Address y`t' BLDG. TYPE WORK DESCRIPTION
Lot~Block SecLSub
r • ~ : ~ Res. ~ New A
m Name Mult Add-on
~C Address f Comm. Repair
c City i ' Phone Other
FIXTURES TOTAL Ng.
Name ' Water Closet - $3.00 $
'
c Address TBath Tubs - $3.00 -
p City Phone " ~Lavatory - $3.00 _
Shower - $3.00
~ Kitchen Sink - $3.00 -
FEES
COMM/IND FEE - 1% OF CONTRACT FEE Urinal/Bidet - $3.00
~~undry Tray -$3.U0
MINIM~.1M - RESIDENTIAL FEE -$10,00 I Floor Drai~s -$1.50 '
MINIMUM - COMM/IND FEE - 20.00 ~ Water Heater -$1.50
STATE SURCHARGE PER PERMIT - •50 Whirlpool -$3.00
(ADD $.50 S/C IF PERMIT PRICE GOES -1
-Gas Piping Outlets -$1.50
BEYOND $1,000.00) Softener - $5.00
WeU - $10AU
, ~ Private Disp. - $10.00
=Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE:
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL:
CITY UF EAGAN Remarks
Addition ' F'FiWN RIDGE ADDITION Lot 11 alk 2 Parcel 10 25800 110 02
owne, screet 4483 White Tail Way state Eagan, MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1981 229.35 ~ 11.47 20
STREET RESTOR. 19$4 499.46 - 49.95 10
GRADING 1981 61. ZE) ' 4.08 15
SAN SEW TRUNK "19$1 205.44 - 10.27 20
SEWER LATERAL 19$1 33 . 07 ,
144 1981 23.57 - 1.18 20
WATERMAIN
WATER LATERAL 1981 43.67- 2.18 2
WATER AREA 19$1 ZO'rj. 44 -
j 1981 27. 68 - 1.38
STORM SEW TRK 1985 557.79 - 37.19 15
STORM SE LAT,- a 1984 222, 51- 22.25 10 nage CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CITY OF EAGAN Remarks
Addition F~M RTDtZE ADDI'1'1ON L.ot 7 Rlk 2 Parcel
Owne- Street state F.agan, MN 55123
' -e ArA ? I 0.
Improvement Date Amount Annual Years ayment Receipt Date
STREETSUFiF. 19$1 229.35- 11-47 70
STREET RESTOR. ~ g 1984 499.46- 49.95 10
GRADING 1981 61.26 4.08 15
SAN SEW TFiUNK ,f] 19$1 205.44- 10.27 20
SEWER LATERAL 1981 33.07-
1981 23.57, 1.18 p
WATERMAIN
WATERLATERAL 1981 43.67- 2.18 20
WATER AFEA 19$1 205.44 - 10.27 z
S 1981 27.68 ~ 1.38
AL-
STORM SEW TRK p 1985 557.79 - 37.19 15
STORM SEW LAT- g f'~ 1984 222. 51~ 22, zrj 1,Q
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CQNN.
BUILDING PER.
SAC
PARK
CITY OF EAGAN
3$30 Pilot Knob Road, P.O. 8ox 21 •199, Eagan, MN 55121 N? 15745
PH ON E: 454-8100
BUILDING PERMIT Receiptx
Tobeusedfor FIREPLACE Est.Value $1,000 Date OCTOBER 18 ,19$8
Site Address 4483 WHITETAIL WAY OFFICE USE ONLY
Lot 11 81ock 2 Sec/Sub. FAWN RIDGE On Site Sewage _ Occupancy
MWCC System _ Zoning
Parcel No.
On Site Well _ (ACtual)Const
m Name TOM CAJACOB Citywater _ (Allowable)
W PRV Required # of Stories
z Address 4483 WHITETAIL WAY -
0 City EAGAN Phone 681-0549 BaosterPump _ Lengih
Depth
a0 Name SAME S.F.7otal
~a AddreSS FootprintS.F.
~ City Phone pppROVALS FEES .
I-M ~w Name Engr./ASSess. Permit 24.00
~ i Planner Surcharge .50
i - Address
s i City phOne Council Plan Review
aW
Bldg. Off. SAC, City
I hereby acknowledge that I heve read Nis application and State that the Variance SAC, M WCC
information is correct and agree [o comply with all applicable State ol Water Conn.
Minnesota Statutes and Cj Eagan Ortlina es Water Meter
Signalure of Permitlee 194WIAO - - Road Unit
A Building Permit is issued to:_ZQtS_CA.TA QB- Treatment Pt
on Ne express condition that all work shall be done in accordance with all
applicable S[ale of Minnesota Statutes and City ot Eagan Ortlinances. Parks
TOTAL 24.50
Building Official -011.:Q,l~4~t
CITY OF EAGAN -
3830 Pllot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N~ ~2262
PHONE: 454-8100 ~ ~(a(~j
BUILDING FERMIT qeceiptp
7o be used ror SF DWG/GAR Esc Va~ue ~66 ~ 000 Date JULY 14 ~s 86
SiteAddress 4483 WHITETAIL WAY Erect ~ Occupancy R3
Lat 11 Block 2 Sec/Sub. FAWN RIDGE Remodel ? 2oning pn
Parcel No. Repair ? Type of Const.~~-
~ Addition ? No. Stories
W Name GRAND OAKS DE17EL CO Mave ? Length ~p
3 Address 1881 SUNRISE CT Demolish ? Depth
° EAGAN 452-8934 ~nt.impr. ? Sq.Ft
City Phone Install ?
a $AMF Approvals Feea
= o Name
Address Assessment Permit $ 331.00
ciry Pnone Water&Sew. Surcharge 33.00
~Q Police PlanReview 165.50
Fw Name Fire SAC 575.00
i Address 5~~.~~
u ~ Eng. Water Conn.
a W Ciry Phone Planner ~ Water Meter 63 . 50
Council Road Unit 290.00
Iherebyacknowledgethatihaveieadthisapplicationandstatethatthe gldg.Off. ~/14/86 Tr.PI. 156.~~
information is correct and agree to comply with all applicable State of
Minnesota Statutes and C' of Eaga rdinances. APC Parks
Var. Date Copies
Signature oi Perminee TOtal 2 r 11 . 0 ~
A euildin Permit is issue~ t~• RAND O' S DEV L MENT CO
g on the express conditlon th8t
all work shatl be tlone in accordance with all applic^able te of Minney~~~~g.J~ (~y4~ nd City of Eagan Ordinances.
8uildingOflicial 1 J„ ZI-~'~L[Z~'
0 ~ s~
7~~~ 41011IDENTIAL BUILDING PERMTC APPLICATION A
City Of Eagan
3830 Pilot Knob Raad, Eagau MN 55122 ~I~
Telephone # 651-675-5675 FAX 9 651-675-5694
NewConstruclion Reeuirements RemodeVReoair Reaui2menfs Office Use Oniv
3 regisle2d site surveys showing sq. fl. of lot, sq. lt. of house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y_ N
(200/6 maximum Mt coverage allowed) 7 set of Energy Calculations for heated adddions Tree Pres Plan Recd _ Y_ N.
2 copies of plan showing beam 6 window sizes; poured found desgn, etc. 1 site survey for addlUons & decks Tree P2s Requiied;j~:,' Y_ N
1 sel of Energy Calculadons Add'N'on - indlcate Aon•sife sep6c system On-site SepGc SysteinY_ N
3 copies of Tree Preservatbn Plan'rf lot platted after 711193 GL`
Rim Joist Detail Optlons selaction sheel (6uildings with 3 or less unlts) 7 rr T~dT~
i7
Date ~>7 ConsMucYon Cost c7u[~7~~[ ~
Site Address L/aa s D~, UniUSte #
~
Description of Work e d l l q' C CS 5
Multi-Family Bldg _ Y'K N Fireplace(s) _ 0 41 _ 2 ~~f~
Property Owner j ]n nltitzz S OaPAC Ob Telephone # ((Sf )
Contractor
Address Ci4'
State' Zip Telephone # (
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code CategOry , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Suymifted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
r ~ , II
[11khl6o"n i~ Licensed Plumber TeleN 1 3 2005
Mechanical Contractor TeleSewer/Water Contractor Telei.
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; 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 wor hich requires a review and
approval of plans.
Applicant's Printed Nirne Applicant's Signature
%
v
OFFICE USE ONLY
Suh Types
? 01 Foundation ? 07 05-plex ? 73 16-plex ? 20 Pool ? 30 Accessory Bldg
~ 02 SF Dwelling ? 08 OB-piex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. AR - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 38 Multi Misc.
p 05 03-plex ? 11 10-plex O 19 Lower Level ? 24 Storm Damage
? OB. 64':plex• . ?^a12,,12-plex Pibg_Yor_N ? 25 Miscellaneous
.
' H
Work Types'
.
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
:.p; _ 32,Addition 36 Mave Building ? 42 Demolish Foundation ? 45 Fire Repair
'Ff 133, Alteration ' 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors
1~ • ,
, Q, 34 ReplacemenL •DemoliEon (Entire Bldg) - Glve PCA handout W applicant
•".1'. .i .t, . . ~ "
• :Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
7ype of Const Width
REQUIRED INSPECTIONS
Footings (new bldg) FinaUC.O.
~ Footings (deck) ~ Final/No C.O.
Footings (addition) Plumbing
Foundation HVAC
Drain Tile Other
Roof Ice & Water Final Pool Ftgs Air/Gas Tesu Final
~ Framing _ Siding _ Stucco _ Stone _ Brick
Fireplace _ R.I. AirTest Fina1 Windows
Insulation "oy.v j="%*, rnLuj~,~le _ Retaining WaII
oy
Approved By: :MZ , Building Inspector
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Base Fee P0431"~ Surcharge Y~~ y~
~Plan Review
MC/ES SAC
City SAG ~J~ L) oD
Utility Connection Charge ~,,,,..~....-.-S&W Permit & Surcharge
Treatment Plant ~
License Search
Copies
Other
Total
' 1PtVEYOR'S CERTIFIG*ATE GRAND OAKS UEVELOPMEN'r CU.
.N 1
` 25
Z` .
` \9 Z
-A
.30ao
1 ` J 04.98 r w . rn
\ 48-00 ~
750 0~~ 551~ E ~Y°.~' ~ ~~a jo ~o ~
1 ~ r
= o ?
"
pb ~ ~ o p .
~i~ ~ o m
. o c~ ` O L
No 5\ ~0 l 1 Z
Q VY* 2pgT- b 22 / ~ .D ~
0 ' - 3UA~
-a ~R M NP~ W-At ~~a • ae~aj56,8~ J 25
1 O c EASE ~ 1
E
N 750 0~ 55 1 r'~
/ `1
b ~
~ ~l.l 1 \ l lJ
U-
\
DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET
• UENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = a414-3 FEET
.X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR °9y3.5 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK FEET
I HEREBY CER7IFY TO GRAND OAKS bEVELOPMENT C0. THAT THIS I5 A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF,THE 60UNDARIES OF:
Lot 11, Block 2, FAWN RIDFE, according to the recorded olat thereof,
Dakota County, Plinnesota.
AND OF TIiE LOCATION OF A PROPOSED fiUILDING. IT DOES'`NOT PURPORT TO SIiOW IMPROVEMENTS.
OR ENCROACFIMENTS, IF ANY, TIiEREON. AS SURVEYED BY ME, OR UNDER MY DIRECT SUPERVI510N,
TNIS IIiN DAY OF JuL.y , 1986.
NOTE: GRADES SHOWN ARE TAKEN FROM SIGNED: JA . ILL, INC. ,
THE GRADING AND DRAINA,E PLAN FOR
FAWN RIOGE ADDITION, PREPARED BY
PROBE ENGINEERIPlG COMPAPIY, INC., LAST DATED MARCH 26, 1984. BY:
HFlROLD C. PETERSUN, LAND SURVEYOR -
p1INNESOTA LICENSE N0: 12294
hflOJECT NO. eoox ~ PAOE JAMES R. HILL, INC.
86807
Planners / Engineers / Surveyors
FILE NO. 8200 Humboldt Avenue South
' FO L 0 E R Blootnln8ton, Mn. 65431 812-884-302e
I _
2007 RESIDENTIAL BUILDING PERMiT arrLicnTiorr
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telepbone # 651-675-5675 FAX # 651-675-5694
New ConsW ction Reouirements RemodeUReoair Reouirements Offce'Lse~9nlV
3 regislered site surveys showing sq. fL of lot, sq. tl. of house; and all roofed areas 2 wpies of plan showing footlngs, beams, joisis Cert of Survey Rectl _ Y_ N
(20%maximumlotcnveregeallowed) lsetotEnergyCalculationsforheatedadditions SoilsReport _Y 'N
i Soils Repod if proposetl building is to 6e placed on disturbed soil 1 site survey for additions 8 tlecks Tree Pres Plan Recd _Y _ N_
2 capies of plan showing beam 8 window sizes; poured found destgn, etc. Addrtion - irrdicate r(oo-srte sepfic system iree Pres Reqwretl _ YN
1 5etofEnergyCalcula6ons . On-site5ephcSyslem Y.-_N
3 copies of Tree Preservation Plan if lot platled after 711193
Rim Joist Defeil Options selec6on sheet (buildingswith 3 or less units)
Minnegasco mechanical ventitation form ~
''.(~Q( Ci ~ f f ~
Plans are considered ub(ic information unless ou state the are trade secret an trte reason.
Date 40 / y Construction Cost ~
Site Address Uy Aal /A/lM,i UniUSte #
s
Description of Work
Multi-Family Bldg _ Y~ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner ~ Telephone #(6$I Q6',5ff
Contractor
Address City
5tate yk Zip Telephone # ( ) -
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv I _ Minnasota Rules 7672
Ene~gy Code Category . Residen[iaLVentilation Category i Worksheet • New Energy Code Worksheet
(V submissian type) Submitted SuLmi!(ed
• Energy Envelope Calculations Submitted
In the last 12 months, has ihe City of Eagan issued a permiT for a similar plan based on a master plan?
Y N If yes, date and address of master plan: -
Licensed Piumber Telephone # ( )
Mechanical Contractor Telephone J
Sewer/Water Contractor Telephone #
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but on(y an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the a lan in the cas of work which requires a review and
approval of plans. \
i f4A C ~
Applicant`s Printed Name A icanYs SignaYure
DO NOT WItITE BELOW THIS LINE
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex 71 . 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebofpergola) ? 36 Multi Misc.
? OS 03-piex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Wnrk Tvpes
,,76-,31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demoiish Foundation ? 45 Fire Repair.
? 3~ Alteration ? 37Demolish Building* ? 43 Reroof ? 46 Windows/DOOrs
? 34 Replacement `Demolition (Entire Bldg) - Give PCA handout to applicant
DCSCI'iptiOn: Water Damage _ Ves Valuation 'lr 0~' ~ Occupancy ' ' • MCE6 System
Plan Review 100% or 25%
Census Code Lt n -7 Zoning City Water
SAC Llnits Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire,Sprinklered
Type of Const ~ Wdth
REQUIRED INSPECTIONS
_ Footings (new bldg) Sheetrock
_ Footings (deck) _ Finai/C.O.
_ Footings (addition) _ Final/No C.O.
Foundation HVAC
DrainTile Other z ,
Roof Ice& Water Final x Pool Ftgs Air/Gas Tests Final r~'l
_ Framing T Siding _ Stucco Lath _ Stone Lat~_Brick /~~~Q.~~
_ Fireplace R.I. AirTest Fina] Windows
_ Iusulation _ Retaining Wall
Approved By: Building Inspector
Base Fee
Surcharge ~0
PlanReview r~ f
MC/ES SAC ~
City SAC
Utility Connection Charge '
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
' a R V E Y 0 R' S C E R T I F I C~i A T E, GRAND OAKS DEVELOPMEN'! CU.
1 25
L` .
. ~
~ -A
.30.oo -
\ yI q8.00 < 10 ~ -A
5° pl'
\ o r
(3 7 ' y ~y/ ~'3
v
Z\
41
N 0
%
E~EM N 9pOpl.A7 40oE'j.s?
DFIAIN 1 .
0
75, p~ S5 ~ • ~ C)
I `
b
7,
2
DEN07ES PROPOSED SURFACE DRAINAGE ,"Jli_DIN SCALE: 1 I~NCH =~~~~0om FEET
O DENOTES IRON MONUMENT SET PROPOSED 6ARAGE FLOOR - `?4~•3 FEET
• UENOTES IRON MONUMENT FOUND PROPOSED lOWEST FLOOR = 943.5 FFEET EET
,XD00.0 OENOTES EXISTING ELEVATION PROPOSED TOP OF BLOCK =
(000.0) DENOTES PROPOSED ELEVATION ,
tHEREBY FOFTA DEVELOPMENT THIS IS A TRUE ANU CORRECT.
REPRESENTA710N
Lot il, Block 2, FAWN RIDGE, according to the recorded nlat thereof,
Dakota County, Minnesota.
AND OOIF ANY, PROPOSED DUASDSURVEYED DOEMES'NOTORPUNDERURPORTtiYTODIRECTSIIOW
OR ENCROACHMENTS,
TIiIS IITN DAY OF Jv%-`I , 1986.
NOTE: GRADES SHOWN ARE TAKEN FROM gIGNED: JA . ILL, INC.
THE
FAWNGRIOGEGADDD7DONiNPREPARE~ BOR . .
PROBE ENGINEERIPIG COMPAPIY, INC.,
LA$T DATED MARCH 26,'1984. BY:
HAROLD C. PETER50N, LAND SURVEYOR
PiINNESOTA LICENSE N0: 12294
hROJECT NO. BOOK / P4(3E ,JAMES R. HILL, INC.
86807 planners / Engineers / Surveyors
FILE NO. 8200 Humboldt Avenue South
' FOLOER Bloomineton,Mn. 65431 812-804-3029
November 3, 2006
TOM CAJACOB
4483 WHITETAIL WAY
EAGAN MN 55123
Dear Tom:
The City of Eagan has received another complaint regarding construction on your
property without huilding permits. A recent inspection of your property found that, in
addition to constructing a porch, pool and pool deck, and deck next to your garage, you
have added a shed that is 120+ square feet and does not meet the zoning height
limitations for accessory buildings.
In October 2005, the City sent you a letter requesting that you submit separate
applications and building plans for each improvement to your property by October 31,
2005. Plans were to include beams, headers, siding, joist sizes and locations, energy
calculations for the porch, etc. In addition, you were requested to submit a survey of
your property showing the locations of these additions on your property. The October 31,
2005 deadline specified in this letter was waived as you called and explained that you
were going through some difficult times. However, sufficient time has now passed and
you are still required to meet the requirements in that letter. The City is requesting that
you submit permit applications and plans to our office bv November 15• 2006.
Failure to do so will result in action by the City to remove the non-code conforming
structures.
Plans you submitted on October 27, 2006 for a deck do not have the required information
to obtain a building permit.
If you have any questions, please contact me at 651-675-5679.
Sincerely,
Teny Zelenka
Building Inspector
TZ/j s
cc: Dale Schoeppner, Chief Building Official
Shazon Hills, City Attorney
I
October 18, 2005
TOM CAJACOB
4483 WHITETAIL WAY
EAGAN MN 55123
Dear Tim:
In June 2005 the City received a complaint regarding a deck without railings on your
property. As a result, an inspection of your property found that severa] improvements
have been made without the requued permits, i.e. porch addition, pool and pool deck, and
a deck next to your gazage, etc.
This letter is to reauest that vou submit separate apulications and buildina plaas for
each imorovement to vour proaertv bv October 31, 2005. These plans should include,
but not be limited to, beams, headers, siding, joists, eta In addition, a survey of your
property is required showing the locations of these additions. A copy of the survey is on
file at the Municipal Center for your use.
If you have any questions, please contact me at 651-675-5679.
Sincerely,
Terry Z.elenka
Building Inspector
TZ/js
cc: Dale Schoeppner, Chief Building Official
Sharon Hills, City Attomey
Page 1 of 1
Terry Zelenka
From: Jeffrey Wheeler
Sent: Wednesday, June 08, 2005 132 PM
To: Terry Zelenka
Subject: 4483 Whitetail way
Hi TZ:
I went to 4483 Whitetail way because it was on your schedule on Wednesday when you were sick.
No one was home and the gates were locked on the privacy fence. The guard rail is definitely non compiiant. It
looks like it may have been replaced recently along with some framing and decking. There is no record of a deck
permit. Also there is a patio door leaning up against the garage that may have been replaced. Again there is no
record of a permit.
There are 2 open permits for that address from 2003, one for reroof and one for a furnace replacement. No
inspections on either.
I did not contact the home owner since I didn't know the history with you. Do what you will with this info.
Jeff Wheeler
Building Inspector
City of Eagan
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
direct (651) 675-5680
Fax (651) 675-5694
iw heel e rC~a.cityofeaga n. co m
O6/09/2005
~ Pt V E Y 0 R'S C E R T I F I C~i A T E GRAND OAKS UEVEIOPMENT CU.
N ,
I 1 25
i 1
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,
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T= DEN07ES PROP05E0 SURFACE DRAINAGE SCALE. 1 INCN m 30 FEET
O DEN07ES IRON M4NtlMENT SET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 946.3 FEET
.XOD0.0 DENDTES EXISTING ELEVATION PROP05ED LOWEST FLOOR = 9y3.5 fEET
(000.0) DENOTES PROP05ED ELEVATION PROPOSED TOP OF BLOCK =FEET
I HEREBY CERTIFY TO GRAND OAKS DEVELDPMENT C0. THAT THIS IS A 7RUE ANti CORRECT
REPRESENTATION OF A SURVEY OF THE QOUNDARIES OF:
Lot 11, Block 2, FAWN RIDGE, according to the recorded olat thereof,
Daketa County, P9innesota.
AND OF THE LOCATION OF A PROPOSED 4UtLDING. IT DDES'NOT PURPORT TO SHOW 1MPROVEMENTS.
OR ENCROACHMEtdTS, IF ANY, TIiEREON. A5 SURVEYED BY ME, OR UNDER P1Y DIRECT SUPERVISION,
THIS IlTs4 DAY OF JuL-y , 1986.
NOTE: GRADES SHOWN ARE TAKEN FROM SIGNED: ,lA . ILL, INC.
THE GRADING AND DRAINAGE PLAN FOR
FAIdN RIDGE ADDITION, PREPARED BY
PR08E ENGINEERIPIG COMPAPIY, INC.,
LAST DATED MARCN 26,'1984. BY;
H1IROLD C. PETERSUN, LAND SURVEYOR
• PIINNESOTA LICENSE N0: 12294
pROJECT NO. BOOK / AAGE JAMES R. HILL, INC.
86807
Planners / Engineers / Surveyors
FILE N0. 8200 Humboldt Avenua South
' FOLDER Bfootnington,Mn. 55431 612-e84-3029
RESIDENTIAL BUILDING L4
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
New Construdion Reauirements RemodellReoair ReauiremenGS Office Use Onlv
3 registered site surveys showing sq. fl of lot, sq. ft o( house; and all roofed areas 2 copies ot plan Cert of Survey Recd
(20% maximum lol coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd
2 copies o( plan showing beam & window sizes; poured found design, etc. 1 site survey for additions 8 decks Tree Pres Noi Reqd
1 set of Energy Calculations Addition - indicate ifonsite septic system _ On-site Septic System
3 copies of Tree Preservation Plan if lot platted aker 711193
Rim Joist Detail Options selection sheel (bldgs with 3 or less uniis
fJ~
Date&4/ /0(73 ConstructionCo g, Z 71•
A UniUSte #t
Site Address X,,~ r~ gr6cjZ, T ff
Description of Work Z~1~ l p`" Z& 2!~&
Multi-Family Bldg _ Y~ N Fireplace(s) 7" 0 _ I _ 2
Property Owner 4/AC;/,f i Gt.CiO Telephone 6~1)K Vk 9577
~
Contractor G o p 17 C~
Address 2/ d City ~
State z~P 5 Telephone # S~.2
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateaorv I Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category t Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
. Energy Envelope Calculations Submitted
Licensed Plumber Telephone
Mechanical Contractor Telephone #
Sewer/Water Contractor Telephone )
I hereby apply (or a Residential Building Permit and acknowledge that the information is complete and ,iccur;itc;
that the work will be in conformance with the ordinances and codes of the City of F.,agan and the Statc oI' MN
5tatutes; I understand this is not a permit, but only an application for a permit, and work is noc to start withnut a
permit that the work will be in accordance with the approved plan in the case oP work which requires a revic\v ,ind
approval ofplans.
Applicant's Printed Name ApplicanPs Si naturc
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_v or_ N ? 25 Miscellaneous -
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
O 34 Replacement •Demolition (Entire Bldg) - Give PCA handout to appliwnt
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings(deck) Final/No C.O.
_ Footings (addirion) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
' ....Y O F yv~/ /'rU . *z*xazyr RY[1'A'Yl]Y1"K'LIIXRII2'SF'RR'xYLXtT4}k'~I
. E A A i~ pAYM~Tf OF k~ AT TIME pF
C iT
APPLICATION DOFS NOT CONSTI2VIE
APPROVAL OF PERMffT.
. APPLICATION FOR PERMIT *
3 . . INSPDGTZON OF SEFE2 ADID/OR 41ATII2
1 * TTiSI'ATS.ATTQN$ yQfT7. j'r HE $(,q-I@-
SEWER AND/OR WATER CONNECTION ~mm UNTIL PERMIT HAS mm
: ApPxwm-
*
4
*
~i***k#t******v!***#****f****#*##**1
P eas Print
1) PROPERTY ADDRESS: L ~3 ~
LEGAL DESCRIPTION: L "
Lot S ock ub ivision or Tax cel ID
IF EXISTING SZRCCi[.'RE, DATE OF ORIGINAL BLILDING PE2hIIT ISSL'ANCE: -
~ n Year
PRESENf ZONING/PROPOSID L'SE: (Nb
M%AfERCIAL/RE.TAIL/OFFICE ~ R-1 SINGLE FAMILY .
F7 IDIDC'STRIAL ~ R-2 DL'PLEX (T~.o L'•nits)
INSTI'IL'TIONAL/GOVII2PA7ENT ~ R-3 Tt7WDII-IOC~SE (Three + Units) ( Units)
. p R-4 APAR2T=/CODIDOMINIL'M ( . Units )
2)
NA''E:5
. AwDREss: y~ 0 f.~a ~dri ~i ~i C'~--
CITY, SPATE, ZIP:
PxoNIE: y5'a- -d'93el
3) • uT:'i• N1~N~. For City Use
11,44,LS AICJ /h 9 Pliunbers License:
, ADDRFSS: Active
Expi.red
i CITY, STATE, ZIP: Not recorded
PHONE: MASTEE2 LICENSE# o?ILI7 /Jf ~p Sta -Initial
q) e-Cr • • o Piai•
NAME'
_ AwoREss: _ 4- .
7-1
CITY, S'PATE, ZIP:
PHONE: .
•5) 50
~ ' t m: • : ~ • ~r :ti a~
(
T CONNE(,TION T0 CITSC SEP7EE2 - CONNECTION 10 CITY WATII2 0'ISHER '
6) v i~ PLEASE HOLD APPROVID PII2MIT FOR PICK-LTP BY ONE OF ABOVE
PLEASE MAIL APPROVID PERMIT TO 1, 2. 3. 4, ABOVE
'p~(yp" ~ ? (Circle one) '
r r. • - ,
7)
171.
40 ' ti: ~ 1" 4:1: M ~ 1 ~ I' ei • a IDI• 1 I• YJ~' • pl• t •]I• • • 71 1• • ~
\ r. • Ii. 1 f : ~ •.Cpf i~ 1 1 1' a' • :A' • 1 ;f •0~ M1
. . . . .
.FOR CITY USE ONL
PERMIT # ISSDED
76 9
Pd w/Bldg. Permit FEES: -
$ SEWER PERMIT ( INCL[JDE SURCHARGE)
$ $ WATER PERMIT (INCLL'DE SCRCHARGE)
$ ~ 3• ? ~ $ WATER METER/COPPERHORN/OCTSIDE READER
$ $ WATER TAP (INCLC'DE CORPORATION STOP)
$ $ SEWER TAP
$ ~cS^•C1C~ $ ACCOUNT DEPOSIT - SEWER
O O $ ACCOL'NT DEPOSIT - WATER
$ ~ G o. or) S wac ,
U $ snc
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ " LATERAL BENEFIT/TRL'NK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
~S ~D • aCJ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ l~l tI C_' S~ $ TOTAL
-I c /
. . . .
~v
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQLIRE EXCAVATION IN POBLIC RIGHT OF WAY?
~ YES IF YES, THEN A"PERMIT FOR WORK WIT:iIN PUBLIC
Q ROADWAY" MUST BE ISSOED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: ~ J C g
~
TITLE:
DATE:
=-f-
PERIiIT APPLICATION - CITY OF EAGGgNN
HOTE: ALL COATRACTOHS M[JSi BE LIC6NSSD iiIT9 THE CITY OF EAG9N
3INGLE FAMLY DidELLIAGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OE SURVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLB DWELLINGS - RSSIDENTIAL @ENTAL DNITS FO& SALS QNITS
INCLUDE 2 SETS OF PLANS, CSRTIFICATE OF SQRVSY - CSfsCB WITH HLDG. DEPT.,
7 SET OF SNERGY CALCULATIONS
COr4+II'sRCIAI:
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET QF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Uaed For: s~ Valuation: Date:
Site Address °1 > .Q U.( OFFI~E E ONLY
Lot ~I Block ~ Erect ~ Oceupancy ~
~ Aemodel 2oning
Parcel/Sub g Repair ~ Type of Const ~
Addition M of Stories
Owner Move ~ Length
Demolish _ Depth ~
Address Int.Impr. ! Sq Ft
Install
City/Zip Code
Phone APPROVALS FEES
Contractor Assessments Permit
Water/Sewer Surcharge ~
Address (p Police Plan Review
Fire SAC
City/2ip Code Engr Water Conn
- Planner Water Meter O
Phone J Council Road IInit
Bldg Off °//iql; 6 Treatment Pl
Areh./Engr. APC 7- Parks
Variance Copies
Address TOTAL
City/Zip Code
Phone #
NOTS: 9DDRESSBS FOR CORNER LOTS - CONTRACTOR/HOMEOiiNfi6 MOST DESIGNATE AflZCH ADDRfiSS
IS DESIRED. NO CHANGFS fiII.L BS ALLOWED ONCB BUILDING PERMIT IS ISSIIED.
. SUI3VEY0R'S CERTIFICATE GRAND OAKS UEVELOPMEN'f CU.
' N .
5
2
L`
1 1 9 =
• t ~
0 .30.oo - rn
48.00 ~ ,o
\ 15a 01~ 55~ E ~10.%
~O Nn m Z2.0 1' ~
No 5\ ~O ' J o • o
D a56~ p 2 2
DSAItJAGC Nr pat P~ 1\ • ae• 156'8l J 25
L~~ 1
O EA 4
~ E
5u 1
15a 0' 56
i
b
1 ' ? \ i v
v, \
+ DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH s 30 FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARA6E fL00R = 1?4G•3 FEET
.R000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR ° 943.6 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = FEET
I NEREBY CERTIFY TO GRAND OAKS DEVELOPMENT C0. THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE QOUNUARIES OF:
Lot 11, Block 2, FAWN RID6E, according to the recorded olat thereof,
Daketa County, Plinnesota.
AND OF THE LOCATION OF A PROPOSED DUILDING. IT DOES NOT PURPORT TO SIiOW IMPROVEMENTS.
OR ENCROACHMENTS, IF ANY, TIiEREON. AS SURVEYED 8Y ME, OR UNDER t1Y DIRECT SUPERVISION,
THIS IITN DAY OF Jut-`1 , 1986.
NbTE: GRADES SHOWN ARE TAKEN FROM SIGNED: JA . ILL, INC.
THE GRADING AND DRAINAGE PLAN FOR
FAIJN RIDGE ADDITION, PREPARED BY
PROBE ENGINEERIPlG COMPANY, INC., p LAST UATED MARCH 26, 1984.
BY:
HAROLD C. PETERSON,~LAND SURVEYOR
PIINNESOTA LICENSE N0: 12294
pROJEC7 NO. BOOK / PA(3E JAMES R. HiLL, INC.
86807 .
Planners / Engineers / Surveyors
FILE NO. 8200 Humboldt Avenue South
' FOLDER Bloolnington,Mn. 65431 612-e84-3029
S MECHANICAL(RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot I{nob Road, Eagan Mn 55122
i Telephone # 651-675-5675 FAX # 651-675-5674
Please complete foc Single Family Dwellings
Townhomes and Condos when peanits aze required for each unit
Date 2 / I / C7~S
Site Address i K J Wk 1 lc, 1c.t l I WD,..kA Unit #
I'
Property Owner I-o (Y) (..,Q c!',C C'I1' Telephone # ((p5 j
-Q~
Contractor Rare He-eJ%nc A, A1f' byydl~Tl~n IV1G
Street Address qao~ P ~ ` VY~O t 1~ 1 G' JU 1~C lo -f City 601 s VCk I~
State Zip `J S 1 Z~ Telephone 7(o 3) ~~2' I I lc ~P
The Applicant is _ Owner ~ Contractor _ Other
Add-on, modification or alteration to existing dwelling unit $ 30.00
V furnace replacement
air exchanger
air conditioner
other
State Surcharge ~ (~r $ '50
i,l IIi~II
,:.o C
II
$ 3a.5o
ToW
lhereby apply for a Residential Mechanical Pemut and acknowledge that the inforntarion is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand dus is not a
pemrit, hut only an application for a pernut, and work is not to start without a pemut; that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans. ,
ni, (lr- //I,`11~ ~ ~ f ~
Applicant's Printed Name /Apphcant's Signatur
MECHANICAL (COMMERCIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX 4 651-675-5674
Please comple[e for: commerciallindusMal buildings
multi-family buildings when separate permits are not required for each dwelling unit
Date
Site Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner - Telephone ;t
Contractor
Street Address City
State Zip Telephone # ( )
The Applicant is Owner Conhactor Other
Work Type
_ Newconstruction UndergroundTank _Install ,Remove
_ Interior Improvemeni Call for inspection during instaliation/removal of tank
Processed Piping
Nature of Work:
Permit Fee $50.50 Minimwn Fee (includes State Surcharge)
Contract Value $ x.Ol% Pernut Fee
• If pemvt fee is $1,000 or less, add $.50 $ State Surchazge
If pemtit fee is over $1,000, add $.50 per
$1,000 Pemut Fee
$ To[al Fee
I hereby apply for a Commercial Mechanical Pernrit and ackuowledge that the information is complete and accnrate; that the work
will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is
not a pernut, but only an applicarion for a permit, and work is not to start without a pemut; that the work will be in accordaace with
the approved p(an in the case of work which requues a review and approval of plans.
ApplicanPs Printed Name ApplicanPs Signahue
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLING3 I ~ ti 4 §
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SUNVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER M[JST DESIGNATE WfiICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PEAMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL ONITS FOR S9LE UNITS A DF UNITS
INCLUDE 2 SETS OE PLANS, CEHTIFICATE OF SURVEY - CHECK WITB BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIOHS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For:~ Valuation: Date:
Site Address i d OFFICE USE ONLY
Lot ~ Block On site sewage Oecupancy
MWCC system Zoning
Parcel/Sub ~ On site well Actual Const
City water Allowable
Owner ~y^jyy/ a farlJ PRV required _ lk of stories
Booster Pump _ Length
Address I-
~ J ~VLi~,PW ? Depth
- f- S.F. Total
City/Zip Code vt Footprint S.F.
Phone APPROVALS FEES
Contractor Ou)wo(- Engr/Assess Permit
Planner Sureharge
Address Council Plan Review
Bldg. Off. SAC, City
City/Zip Code Variance SAC, MWCC
Water Conn
Phone Water Meter
Aoad Unit
Arch./Engr. Treatment P1
Parks
Address Copies
1 ~D
City/Zip Code TOTAL
Phone 11
2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694 11124
New Construction Reauirements RemodeURepair Requirements Offce UseOniv
3 registered si[e surveys showing sq. N. of bC sq. ft. of house; and all roofed areas 2 copies of plan showing foolings, 6eams, joisGS Cert of Survey Recd Y_ N
(20% maximum lot coverage allowed) t setof Energy Calculations tor heated additions Soils Repod Y_N
1 Soils Repod if proposed building is to be placed on disWrbed soil 1 sde survey tor additions & decks Tree Pres Plan Recd ~Y N
2 copies of plan showing beam & windav sizes', poored Sound desgn, etc. Addifion - indicafe A onsite septic system Tree Pres Required _ Y_ N
isetofEnergyCalculations On-siteSepficSystem - Y-_N
3 copies of Tree Preserva9on Plan if lot plaried afler 7!1193
Rim Joist DeWil Options seledion sheet (buildings with 3 or less uniLs)
Minnegasco mechanical ventilation torm .
Date / ( / 06> Constructioo Cost ODD. f
Site Address , Unit/Ste il
r!- / G
Description of Work ~d -{7! ITN /J 14f1o(!h 9
T
Multi-Fanuly Bldg _ YX N Fireplace(s) /X 0 2
S~ ' ~9S 7
Property Owner -T-h p/y/!t S (1 /Lf f 24L Telephone 4 (667)
-1/ ~
' v r
Contractor
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Workshee[ • New Energy Code Worksheet
(4 submission type) Submitted Su6mitted '
. Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master pi Z~~; ~i 1J 0E
_ Y _ N.If yes, date+arlcl.address.of master plan:
Licensed Plumber Telephone ~ N0~ 1 5 r'j,
Mechanical Contractor I~ 7/7nr.~ Telephone )
'
Sewer/WaterContractor I Telephone#( ) ~ n~/•
I hereby apply for a Residential Building:Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to star[ witkiout 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.
7TA Iiti14 OalRGl)4~
Applicant's Printed Name/ Applicant's Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
l~ 30 Accessory Bldg
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool C\1
? 02 SF Dwelling ? 08 06-plex 016 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-ptex ? 18 Deck ? 23 Porch (screen/gazebo/perola) ? 36 Multi Misc.
? 05 03•plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work T es
31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* 0 43 Reroof 0 r~46 Windows/DOOrs
? 34 ReplaCement „ `Demolition (Entire Bldg) - Giye PCA handout.to applicant. .
•Q~ n... . . ; . ' . . . ' i'~' M} n 1
. . ~ . . . . ~ . . .
D@SCYIptlOfl: WaterDamage_Yes ' Valuation ~7 Fj[9 U Occupancy MCES System,
Tr~-
Plan Review 100% or 25%
Census Code L4~ f~ Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const 116 Width
REQUIRED INSPECTIONS
~ Footings(new bldg) _ Sheetrock
_ Footings(deck) FinaUC.O.
_ Footings (addition) ~G FinaVNo C.O.
Foundation ~ HVAC
Drain Tile Other
Roof _ Ice & Water _ Final Pool Ftgs Air/Gas Tests Final
~ Framing Siding _ Stucco Lath _ Stone Lath _Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: _T~ , Building Inspector ? 2?
-
Base Fee
Surcharge
Plan Review
MC/ES SAC ' City SAC .
Utility Connection Charge
S&W Permit & Surcharge ~
Treatment Plant
License Search
Copies
Other
Total
! 2
~r~ ,
I
~ 13
12 .
'
T
10 ~
2 2 a
~ 1~
~ ~ f~~ ~ •
23 fA / ¢0
2
• ~
~ 5
~ ~ .
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA145385
Date Issued:09/07/2017
Permit Category:ePermit
Site Address: 4483 Whitetail Way
Lot:111 Block: 2 Addition: Fawn Ridge
PID:10-25800-02-111
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
John Cajacob
4483 Whitetail Way
Eagan MN 55123
Gopher Roofing & Remodeling Inc
93 West Little Canada Rd, Suite 206
St Paul MN 55117
(612) 331-1555
Applicant/Permitee: Signature Issued By: Signature