4485 Whitetail Way
CITY OF EAGAN SEWER SERVECE PERMIT
3830 Pilot Knob Road
P. O, Box 21799 PERMIT NO.: Eagan, MN 55121 pATE;
Zonirg: ° Na of Units: Owner:
Address:
Site /1ddrm: 4tc85 'l,it i^
Plumber. I' C "ech`nic" i
I s!m ft esi/b wi16 Nw Cft oi iyro Conneetion Chaps: ' 7 e -
OrdiM/locount Dsposit: a , 5 , 2
Permk Fee: - t ;
Su?dwrge:
BY Misc. Chorgew
Dote of InsE?.: ToNal:
(rnp.: DoM Pald:
. _
CITY UF EAGAN WATER SERVICE PERMR ~
3830 Pilot Knob Road .
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 D/1TE:
Zoninp: _ No. of Units:
Owner: ~
Address: ~
Site /lddrcss: :I:.iYEt~ii. i+:'s,y ?,1_rl s,'' F'•.;r '~;;.."Z>,e. j
Plumber. ` -c',: r~ - - i
AAeter No.: Connection Charpe:
Slu: Acoount Deposit: ~ • ;
~
Reader No.: Permft Fee: 41MOP4
.SQQu 9
I yrM t0 COIO* Nitb 60 City of EyP¦ $UfCflafQO:
O.ri..ne... Misc. Choroes: 156. :7C:nd TF
Totol• fi''• . Sfrtu? mot':-r
By Dace Paid:
Date of Irnp.: Imp.:
REACTI JATE FOR FIREPLACE CITY OF EAGAN - 12362
Fi".'S'L~E ~HI?°~t 542-8~393830 PNot Knob Road, P.O. Box 21-199, Eagan, MN 55121 2 I 1/ 17/87 PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for SF DtJG/GAR Est value $76,000 Date JULY 28 , yq 86
Site Address 4485 WHITETAIL WAY Erect (5 Occupancy R3
Lot 10 Block 2 Sec/Sub. FAfh'N 1tIDGE Remodel ? Zoning
Parcel No. Repair ? Type ot Const Vn
Addition ? No. Stories
¢ KEYLAND HOMES Move ? Length
i Name z~ Demolish ? Depth 48
3471 ~3 Address _ Int Impr. ? Sq. Ft
City JOADA= Phone Install ?
o Name AJ4E Approvals Fses
361
' UO
Oi Address Assessment Permit $
¢ 00
City Phone Water 8 Sew. Surcharge •
~ W FEALLQUIST Police Plan Review~Qo
F W Name Fire SAC
= • 00
~ a Addre ~ Eng. Water Conn. b3i
s W Ciry ` Phone Planner Water Meter 00
Council Road Unit '
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe BIdg. Ofl. 6/30/86 Tr.PI. 0 0
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagen Ordinances. 1 APC Parks
Var. Date Copie
Signature of Permittee Totel , • o0
' K YLANd H
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with all applicable State ot Minnesota Statutes and City of Eagan Ordinances.
Building OHicial
Pwmit No. MnMt Ho1dK Dsla, TNphono N
Plumbiny / 7 1) t' c'/C 3
H.V.A.C. / T-Lrf, ~ O C} C
ElecMc
Sotlener
Inapecdon Dtlt Insp. Comments
Foodngs I
FootlnQs il
froundsdon
Frsming poolNy ` f
~
Rouyh Plbp.
Rouyh Htp.
Insul.
IFlnplace
Final Htp. ~1~~~ ~i, ~
Final Plbp. - S ~
Bldp. Final
Cert. Occ.
ID*ck Ftp.
I Dock Frmy.
I WMI O"cribo Locatfon:
Pr. Disp.
~l 1 L' ~I[rC ' - _ Cc•~~. /~ft
~'~G•,-.. . . . ~ , . . _ . .:r , a { . .f . ~ . . . . . , . . . . . . . ~
u
PERMIT #
MECHANIC)1L PERMIT RECEIPT # ~CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: ~ L
CONTRACT PRICE PHONE: 454-8100
Site Address VYIE ~ -L L a gLpG. TYPE WORK DESCRIPTION
Lot Block a' Sec/Sub
Res. New X,_
~ Name Mult Add-on
m
~ Addre~s Comm. Repair
c City Phone pther
~ Name FEES
c Addr V L' - Y RES. HVAC 0-100 M BTU -$24.00
p City "A V0- "-L1 ''t- Phone S 77>.t ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
TYPE OF WORK ~ pp GAS OUTLETS - 1.50 EA.
Forced Air 7~ ~o M BTU / COMM/IND FEE - 1% OF CONTRACT FEE
Boiler M BTU " MI"MUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M g-rU STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000.00)
Other ,
FEE J ' ~ ~t~, _ ~
S/C: 5t! SIGNATURE OF PERMITTEE
- TOTAL•
i FOR: CITY OF EAGAN ~
• ' PERMIT # 7
' PLUM&NG PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAO, EAGAN, MN 55121 DATE:
CONTRACT PRICE PHONE: 4544100
Slte Address ~ BLDG. TYPE WORK DESCRIPTION
Lot Block Sec/Sub
F cL' e Res. New ~
m Name Mult Add-on
~ Address ~ 5 3 ~yG' Comm. Repair
c City `_~-4U4y- Phone Y2»S ' Other
NQ. FIXTURES TFTAL
~ Name P t- 12 t~ i~ S LWater Closet -$3.00
c Address Bath Tubs - $3.00 V. C' ,
o c4-=1r D A. L dliv.uPhone iLl.avatory -$3.00 . O
Z - LShower - $3•00
.~.Kitchen Sink - $3.00 • ~ `
FEES Urinal/Bidet - $3.00
COMMIIND FEE - 1% OF CONTRACT FEE i Laundry Tray -$3.00 •c
MINIMUM - RESIDENTIAL FEE - $10•00 l Floor Drains - $1.50
MINIMUM - COMM/IND FEE - 20.00 1 VVeter Heater -$1.50 C
STATE SURCHARGE PER PERMIT - •50 Whirlpool -$3.00
(ADD $.50 S/C IF PERMIT PRICE GOES _~_Gas Piping Outlets -$1.5Q ~
BEYOND $1,000.00) Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE
STATE S/C
FOR CITY OF EAGAN GRAND TOTAL•
CITY OF EAGAN Remarks
Addition FAWN RIDCE ADDITION Lot 10 Bik 2 Parcel 1.0 ~cQnn 100n2
Owner Street 4485 White Tail Way State EagaTl. MN 55123
735 No. Hay Lake Road
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 3 47 2 1981 STREET RESTOR. 1984 499.46 - 49.95 10
GRaoirvG 1981 61.26- 4.08 15
5AN SEW TRUNK gfl~ 19$1 205. 44- 10.27 20
SEWER LATERAL 97 1981 33 7"
1981 23 57r 1 18 20
WATERMAIN
WATERLATERAL 19$1 43.67' 2.18 20
WATER AREA ' 1981 205 44' 10.27 20
Water La al ' 1981 27.68- 1.38
STORM SEW TRK ~ 1985 557.79- 37.19 15
S70RM S LAT- 1 1984 222. rJl" 22.2'rJ 10
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILOING PER.
SAC
PARK
a t . , . - . . . . '
a a:
u
1986 BOILDING FEAlQS APPLICATIOB - CITY OF EAGAB
N4?Es ALL OQIITRAC?QRS M[JST Bg LICENSSD 1TI?H THE CI17 OF EAGAH .
. . , . ~ ;
SIINGLS FAMIILT DfiBLI.ING3
INCLWE 2 SETS OF PLANS~ 3 CERTIFICATES pF SURYEY, 1 SET OE' ENERGY CALCULATION3 '
`f _ . . • . .
s . MULZirL6 LAGLLIAV\7 - A.OJIDBNilOL BEIRTdL MfITS CVA S846 UNliS
- . . . . ..a d .
; INCLUDE' 2.SETS OF PLANS, CERTIFICATE OF SOR9SY - CHEC[ iiISH BLDG. DEPT.,
Y ` 1 SET OF -ENER(3Y CALCULATIONS
~ . ' - . - - 4F~pF~S~ !
f r~ L
CONKEBCTJLL
INCLUDE' 2 SET3 OF ARCHITECTURAL & STROCTURAL PLANS,
!"SET OF SPECIFICATIONS AND 1 SET OF ;3i
ENERGY CAI.CULATIONS,
; $2,000 LANDSCAPE BOND - '
• -
.
~ To Be Used Fort aluations Date U
n
Site Address OFFICE II38 ONjrY
r: Lat Block ~ Erect ~ Oacupancy ~3
: Remodel Zoning Q%
'Parcel/Sub Repair Type of Const
Addition # of Stories ;
Owrtr Move Length
Demolish Depth ~
Address Int.Im r.
P Sq Ft Install
Citq/Zip Code SS3 5 Z * ~
~
a . ,
. ,,phone 53 APPR09ALS F'SES
~
' Contractor Assessments Permit
• Water/SeWer Surcharge
Address Police P~an Revisw
Fire 9AC 7 11~__
City/Zip Code Engr Water Conn ~
Planner Water Meter '
Phone Couneil Road Unit ~7--0
-
_ Bldg OfP eatment Pl
Arch.lEngr. APC Parks
Varianee Copies ~ .
. Address ?0?11L
J
t City/Zip Code
. Phone # /~s
t'
. ~
NO?Bs ADD8SS383 FOR CORNER LOT3 - CONTBAC?OR/HO!lEOi1HER MIIST DBSIGNI?B WSICH IDDRE3S
IS DESIRED. NO CHANG83 WILL BE ALLOiiED ONCE BOILDING PEHN13 13 IS3IISD.
y
....re.....f..u.1.-+:.-..n.......:.iS_.w..i....._:.;,.~~..w..-.,..-.;,Je...S:.._.a.,r,...i::.u......._.____ +I:........,....~.,,c._.a~~...r...._.._.. ._.vr..i ..sl-...:..N.n..n..,. . ,4. .
. ,
~ 79 7~ . ~ ~
,
1
CITY OF EAGAN
3830 Pilo1 Knob Road, P.O. Box 21-799, Eagan, MN 55121 N0 12362
' PHONE: 454-8100
BUILDING PERMIT Receiptp (rJ E
To be used iar • SF DWG/GAR Est. Value $ 76 ,000 Date JIILY 28 , ig 86
SiteAddress 4485 WHITETAIL WAY Erect Occupancy R3
Lot 10 Block 2 SeciSub. F'AWN RIDGE Remodel ? Zoning Rl
Parcel No. Repair ? Type of Const lln
Addition ? No. Stories 50
a Name KEYLAND HOMES Move ? Length
z 3471 W 173RD Demolish ? Depth aR
p Address Int Impr. ? Sq. Ft. Ciry JORDAN phone 435-3323 Install ?
i o Name S}1MF' Approvale Fees
Address Assessment Permit $ 361,00
" Ciry Phone Water6Sew. Surcharge 38.00
Police Plan Review 180 . 50
~w Name HALLQUIST Fire SAC 575.00
s~ Address '5001 W 80TH 500
~ u Eng. Water Conn.
aW ciry BLMGTN Pnone $31-1875 pianner WaterMeter 63.50
- Council Road Unit 290.00
Iherebyacknowiedgethatlhavereadthisapplicationandstatethatthe Bidg.off. 6/30/86 TcPI. 156.00
information is correct and agree to comply with all applicable State of .
Minnesota Statutes and Ci f Ea an Ordj' ces. APC Parks
Signature of Permitlee Var. Date Copies~+~Llb4
r00
. Total
A Building Permit is issued to: KEYLAND H MES on the express condition that
all, work shall be done in accordance with all applicablinnesota tat s and City of Eagan Ordinances. Bullding Onicial e Stat~pf M ~U-~ 4
. . . _ . . . ~'"t . . , .
SUR,VEY()R'S CERTIFICATE r,EYLANU HOt1ES
1 25 = '
,
1 r~J~ 1 ~l ` g~ 30O0
L~goo`Q86~
i pi`~~~,~X. ~ r 1
6,-- ~ o, oa~y.
10
0 2 ~
y2.0 ~
O ,
° m 9 t i o o to (~T 25
Q -'"-A %
1,0T
~ 1~-l ~ - ~ 26 N~ ' . ~o ~ '
o^
c 1~ y'~ ' ~
`O
(T~ ~ ~T / ~
O
s~
as ~O/
--e-- DENOTES PROP05ED SURFACE URAIPIAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH = fEET
A DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 99b,3 FEET
XOOU.O DENOTES EXISTING ELEVATION PROPOSED L041EST FLOOR = 9Y3•5 FEET
(UUU.O) DENOTES PROPOSED ELEVATION PROPOSEU TOP OF aIOCK = 9V43 FEET
I HEREBY CERTIFY TO KE.YLANU.HOMES THAT TNIS IS A TRUE ANU CURREC7 REPRESENTATION OF
A SURVEY OF TfiE 80UPdDARIES UF:
Lot 10, Block 2, FAWN RIDGE, according to the recorded plat thereof,
Dakota County, P9innesota.
ANU OF THE LOCl1TION QF A PROP05EU BUILDING. IT UOES NOT PURPORT TO SHOW IPIPROVEMEWTS
OR ENCRUACHMENTS, IF ANY, TfIEREUN. A5 SURVEYED BY tdE, OR UNUER h1Y UJRECT SUPERVISIUN,
` THIS I"71'! DAY OF p~~~. , 198(a ,
NOTE: SIGNEU: H1LL, INC
PROPOSED ELEVATIOhJS SHOWN ARE AS
TAKEN FROf~ THE 6RADING AND DRAIfJAGE ~
PLAN FOR FAWP! RIDGE, PREPARED BY ~
PROBE ENGIflEERING COMPANY, IPJC. 4Y: (
LAST DATED MAI2CH 20, 1985. 11AROLU C. PETERSON, LAND SURVEYUR
t TA U CENSE W 12294
~
+ PROJECT NO. E300K / PAGH JAMES R. MILL, INC.
i
` 86524 '
,
Planners / Engineers / Surveyors ~
FILE NO, 8200 HumboWt Avenu• Bouth .
'
FO.LDER ploominpton, Mn. 66431 012-004-3029
. . . - I
~ ~ #•aye l V 1 Y~
' , EXTERiOR ENVELOPE.AVfRAGC "lt" COMPUTA710N V7
OwHER: nnrr:
S1TE ADDRE55: PIIONE:
CONTRACTOR:_"~_ .c
J~1L.0~~7
Determine working square foota9e of each
1. Total exposed wall area..... Z,O$a sq. ft. x.11 . _
2. Total roof/ceiling area...... sq, ft. x.026 = ~ •
Total exposed wall arca above tloor=_j_~Z
a. Total wall window area . .
r s'
b. Total door area R
c. Total slidin9 glass door area . .
'd p
d. Total fireplace wa11 area •
e. Total wall framin area
9 (average 10%) - /g'2
f.' Total rim joist area............ ~4
9• net wall area above floor......... . idSn
h. wall area above floor.. . . . . .
i.
wall area a6ove floor..................
J. frame wall area at foundation...................................
Total exposed foundation area=77 L
k. Total foundation window arca .r
1. Total net foandation area above grade
Detei'mine "u" value of each wall segment .
(e.9. window, door, each separate wall section)
a._3-- X „u„ 44
b• 3E x „U,,~-_31 = JI• $
. C. 40 x
--j-%4e-_
d. ~ X
e. Ig~ z ~lul, 08 '-1_9•~
f.- ~¢4 x l.ui, -~Qf - 5.~ .
9.-I450 _ x „U„ oS =?3_57
n. x „U', ~
1 . X U,.
j. X ,lu,l _ .
[f ltem $3 is the sam
k' X"~" • as, or less than item
11, you have mat the
X°~"___ OQ_•__',f•'j~ {ntent of SOC 6066 {e
3 . ....Tolal .
O
or Envulopo Avcragm "U" Computal•ion _ Paga 2 0! 4 . . ` Total expoaed rooF/ceiling erea ~ r L4IL* - ~ - - . - ;
m. Tbtal skyliyht area ~
n. Total roof/ceiling framing arefl (avcragc•lOt)... ~ .
o. Total net insulated roof/ceiling nren.........,.
~ Detezmine "U" value for eaGi roofjcciling seqment
III. uVn e ,
n. x .~u" '
v
1 1to 8 "U., .OZ =
4 1btel v ~
If total of #9 is the same as, or less than 02, you have met the intent of
Sbr 6006 !c) 1. . ,
A1teYnate Buildin Enve]ope Desi n ~
Tb.util£ze the total enyelope'systcm method, the values established by the s:un of '
i.tems 113 gnd.q4 shall not be greater Chan the swn of items 41 and 42.
.1. _W7 + 2. 1 .O
~
3. Zje2l_ + 9. Z4',3
. ~
t
. ' ~
. a
. . . .
. li PLAW 33 27, , .
~ LmtE,4 L FT. F-XposEO WALL ~
5Lo6ivc'3;' z~+ 4 ~ t 2.tot~
No 0i.+
I
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=uLL2;
~
z t r--t :
SKPoSED WA L.L A2.EA
r3Loc'k; !44 K , s = "7-Z
k.N EE'
i; . ~44 x S ~ 7zd
X
Pul,L.',I ; . :
l 4i SC. 8= I r s2
Fu LL~~ Z~ k S= .
F, _
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,
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~ zDx3m ~ ~
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Z844 it ~ ~
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~ .
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. r.u~„ •:•w„
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. .
cr j,% .ot op.alltuc wnll ercn tor .
.'frnlm; ConrfruCtlVn Cvn:[[uct fnq I;-V,lluw,
111
inc t~^i............__.._l1LlJ~
2. ~ ~
- ,
4. ~.~~1~.....__.._......_..---....._.. aQ
, . ~ s. Z
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6. F:r.lcriur n.ir ii',m p.ll
ALL
"Toul L ~ Z, 2?
F1C. N1 TGI)VIE14 OF
~ F(UJ18I4ALL 1. inl'rrltit' air !~Im 4.G11
2. y.Z~ C2`~P_..~A. • . ' `__""""~_e ~S
. • , . ~ • 4.
1. 45 tpjhkey_. - ~ -
G. Extcrior air fil~.~ • p,a•/
Ptc. 12 , - ~ •i•ut:a-1~
~
~_______fl ~ t~ = •D 5
R ~.M
~
. .
3. ZXlt?----
`w ~I. ...._.__._...__.._....---1•8~
lSen1• ..1r 4•
,tie.-al I s• ._~1I2f~1C~_.-.--- __~lo.:Z..
6. };xtrrfo[ nir film_^`--.--•--0.17
'CU t n 1 ~Z. 3(j .
A% Irl'Ev I~a1r rilra
~ Q ,
n.Gn
7• ' . _ . _
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1r ,P s,
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. ~ • ~ . ' ' I;lacono!i[ of~insul..i:ion.
p00?/CEILINC . •
,
, • ~ Lr % ConetrucGion , R-Vnlac .
r 1. Intcrior air film .0.61 ~
w
2. 51A G~f _ i31~ ,S$
~
f f Rk, i ~'3. IkKUI-.
4. £ ior air filn (Still T~~~ 1? ~ T°r°l rz. 4sao
• ~ ~ ~ Fti,,~: ~ . . ~ . . ~ ~
!nted Seat flow ~ 1. InCcrlor air film ~ 0.61
s. G p
up • •
. . . 3. `.~1r_45uC. 38. 3s' .
.
4. F.xlr_rio_ rir Liln (still)
Total 2 -
TZG. CS . .
. ~ . ~ . ' V=.oZ4..
- - . - . ~ • ~ • CoA.Sr2vCT~ p A--, . . ' .
0.61
- ~ 1_ Insidc air filin
~ - - - _ r .^T J _
a _
Outsidc air filin 0.17
Tota1.
•~O ~ 3 4'" • l. Snslde ait Pilm 0:61
2. .
i Y.en't Ilov up. , ,•ven[ed 3. ~
4_
• . ' ~ - ' 5. Outsidc air filin 0.17
• . .lTC. i6: . . . ' : Total
. • - -
I`"J' v 1. Znslde air film • 0.61
' • • ' ~ ~~~L'.3:•rs,~ 2. . .
,~,•+,•',l.r-,.'.,..~ . 3_ .
4'
. 1~/
0
f-----'?''i'.'•.•~•:•.'• 5. Outsidc air filin
•
~ ~ J . Total .
. , . . . .
• N0;!-VII;IZA• ~ ~ Notc3 Uso additional Sheets if more spaca i;
, peeclea for details and ealcu?ations.
• • ; , 11ov up • _ ~ ' .
' PZ 07
' .4 .
. ***~*r*:w**x*x**r~***tt**x*~**tt***+~
CITY OF EAGAi~ * ~ ~ ~E°F~ *
APPROVAL OF PF~2hffT. *
.
APPLICATION FOR PERMIT *
~ . x INSPDCPION OF SELaIt AND/OR WATER *
azm.r.ATTONS WIIZ NOT BE S('fIID- *
SEWER AND/OR WATER CONNECTION UNM PEWT BAS BEW »
. * APrxovID. *
. * ~
~ rt
r
* **,t~.*k*:rt*F *ir*ix,t *F*irF*rtt* trlr*tr*7r
Please Print)
1) PROPERTY ADDRESS: ~fl/~g- ~(i~~~ ~~L ~ •
LEGAL DESCRIPTION: ~~y ~~y~,~
_(Lot/Block Sub ivision or Tax Parc ID
IF EXISTING STRL'ClS.'RE, DATE OF ORIGINAL b[,'ILDING PII2MIT ISSL'ANCE:
~
( n .
PRFSENP ZONING/PROPOSID LTSE: Year1
~ COfRmCIAL/RETAIL/pFFI(E ~ R-1 SINGLE FAMILY •
~ INDT-'STRIAL 0 R-2 DDPLEX (Two L~nits)
n INSTI2L'TIpNAL/GOVERNMENI ~ R-3 7.UWDIIi00SE (Three + Units) ( Cinits)
. R-4 APARTMF.NP/CObIDOMINIOM ( Units)
2) ~
NAhIEi K£'J~Nnfb /7U/r/ E C .
• ADDRESS:
CITY. STATE. ZIP: S5`37
PHONE:_L!~~" C G f C • 3) • u r~•
I' Far City Use
AME:--p •C ~-E°cf//~.L/ `c~C_ Plumbers License:
ADDRESS: FStp.ired
i CITY. STATE. ZIP:_ S.~v'i9-ei-F' t7'J'%i~?r~ 5-r~~7`Sj Not recorded
PHONE: Z77 sI MASTER LI(ENSE# _33i'S' ~ri 7' S t Initial
4) ~~r • a ia•
rAM:
_ ADDRESS:
CITY. STATE. ZIP:
PHONE:
~ v,. ~ d: . 4 • ail~ • a~ y..y~o-~
y CONNECfION ZO CITY SEWF12 ~ CbNNEC,TION TO CITY WA1ER ~ OTum
T"
6) " • PLEASE HOLD APPROVFD PfT2MIT FDR PICK-UP SY ONE OF ABOVE
~ PLEASE MAIL APPRdVID PERMIT 1t7 1. 2. C3 ) 4r ABpVE , .
(Circle one)
7) r u'' G(~5~:s .L . ~ .
.~~~:/•~~"ei~/~:4'~lY'1'{TiM4M'<7 t~ • 1~' • I •U ~ ? IJi ~ I YJI pi lU JI ~ DO Y
~ • R~' ~:r. 1 ! : i M:/•'.(1?I 1 11 : :q' ~ :A' • 1: II Y" .
.FOR CITY USE ONLY .
PERMIT # ISSL'ED
7~;
Pd w/Bldg. Permit FEES:
$ $ /o -5 b SEWER PERMIT (INCLL'DE SL'RCHARGE)
$ $ WATER PERMIT (INCLUDE S['RCHARGE)
$ 3 `SZ' $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLC'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ /.S e C* -0 ACCOUNT DEPOSIT - SEWER
$ t<; • D c~ ACCOONT DEPOSIT - WATER
$ .52-~ c , c* o $ WAC
$ S 7 S -v ID $ SAC
$ $ TRL'NK WATER ASSESSMENT
$ $ TRL'NK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRL'NK SEWER
$ $ LATERAL BENEFIT/TRL'NK WATER
$ WATER TREATMENT PLANT SURCHARGE
$ S ' OTHER:
TOTAL
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PL'BLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK iVITHIN POBLIC
Q ROADWAY" MUST BE ISSL~ED BY TAE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: 4-4,i /D
TITLE:
DATE:
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4485 Whitetail Way
Lot: 10 Block: 2 Addition: Fawn Ridge
PID:10- 25800- 100 -02
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Property Claim Solutions LLC
4655 Nicols Rd, Suite 202
Eagan MN 55122
(651) 994 -2028
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Construction Type:
Occupancy:
If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes.
$88.50
$1.50
Total: $90.00
- Applicant -
Owner:
Charles Martin
4485 Whitetail Way
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
Issued By: Signature
Building
EA090266
07/20/2009
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113077
Date Issued:08/29/2013
Permit Category:ePermit
Site Address: 4485 Whitetail Way
Lot:10 Block: 2 Addition: Fawn Ridge
PID:10-25800-02-100
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Nathan Corbin
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 -
Charles Martin
4485 Whitetail Way
Eagan MN 55123
Corbin Exteriors Llc
1115 Southview Blvd
South St Paul MN 55075
(651) 760-3116
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA119331
Date Issued:11/25/2013
Permit Category:ePermit
Site Address: 4485 Whitetail Way
Lot:10 Block: 2 Addition: Fawn Ridge
PID:10-25800-02-100
Use:
Description:
Sub Type:Residential
Work Type:New
Description:Garage Heater
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Stephanie Vought
3451 W Burnsville Parkway Suite 120
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Charles Martin
4485 Whitetail Way
Eagan MN 55123
Burnsville Heating & Air Conditioning
3451 West Burnsville Parkway, Ste. 120
Burnsville MN 55337
(952) 894-0005
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA143872
Date Issued:06/29/2017
Permit Category:ePermit
Site Address: 4485 Whitetail Way
Lot:10 Block: 2 Addition: Fawn Ridge
PID:10-25800-02-100
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required 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 -
Charles Martin
4485 Whitetail Way
Eagan MN 55123
(651) 405-9305
Legacy Restoration LLC
14000 25th Ave N
Suite 110
Plymouth MN 55447
(763) 354-7660
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA158646
Date Issued:10/23/2019
Permit Category:ePermit
Site Address: 4485 Whitetail Way
Lot:10 Block: 2 Addition: Fawn Ridge
PID:10-25800-02-100
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Charles Martin
4485 Whitetail Way
Eagan MN 55123
Haferman Water Conditioning
12142 12th Ave.
Burnsville MN 55337
(952) 894-4040
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA179811
Date Issued:10/20/2022
Permit Category:ePermit
Site Address: 4485 Whitetail Way
Lot:10 Block: 2 Addition: Fawn Ridge
PID:10-25800-02-100
Use:
Description:
Sub Type:Furnace
Work Type:Replace
Description:
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Charles & Karen S Martin
4485 Whitetail Way
Eagan MN 55123--209
(651) 405-9305
Sedgwick Heating & Air Conditioning
1240 Trapp Road, Suite A
Eagan MN 55121
(952) 881-9000
Applicant/Permitee: Signature Issued By: Signature