4500 Whitetail Way
CITY OF EAGAN SEWER SfltVlCE PERMIT
3830 Pilot Knob Road PERM17 NO ; '
P. O. Box 21199 •
Eagan, MN 55121 ~ATE' L
Zoninp: , No. of Unita:
Owner:
/lddress: _
Site Addross: ??F, ,
Plumber. ~ p u; r. in~
r'yar , .
; e
1 Nm to oom1ly wlNi iM Ci11 *f ialon Conrnttlon Chaye:
Oeaiw~wa~. Acoour+t Deposit: '
Pwnit Fee:
SureFwros:
gy Misc. Chorqm '
Dote of Irnp.: ToMI: `
Insp.: Qote Pold: i
CITY OF f,~.' GAN WATER SERVICE PERMI'E ~
3830 Pilot Knob Road
P. O. 3ox 21199 , . PERMIT NO.: I
Eagan, MN 551 21 DATE: 1
Zoniny: _ Na of Units: ~
OWMr: f:L *_1S t . l4ddress: 5OO t;hi.teta~.. ? B6 caw^ RidrP ^
51te Address: ~
Plumber i Iu--i tr.g .
Meter No.: ~ ~rge'
Siie:
Reader No.: Q2D 70 6i i~OCIX:~~
I .*r.. te ae.~vh? wp6 Nw Ckr 56. ~l vpd`1'F
.
a+i« + tE~~ µ~~E
meter
U1`bote Paid:
ey
Date of Inap.: irnp.:
CITY OF EAGAN ~ ! c
t~. 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 J~ S
PHONE: 454-8100 '
BUILDING PERMIT Receipt#
To be used for SF UWG/GAR Est Value $62,000 Date AUGUST 26 19 £36
SileAddress 4500 WHITETAIL WAY Erect 121 Occupancy R3
Lot 1 Block 6 secisut. pAWN RIDGE Remodel ? Zoning IR n-
Parcel No. , Repair ? Type of Const.
Addition ? No. Stories
¢ Name SONS CONSTF2UCTION CO Move O Length
W 4370 RAHN RD Demolish ? Depth 44
a Address ~ Int. Impr. ? Sq. Ft
City F.AGAN phone 452-4721 Install ?
= o Name SR`' Approvals Fees
u Address Assessment Permit $ 319.00
~ Ciy Pnone Water & Sew. Surcharge 32.00
Police Plan Review 15 y. 5U
W W Name k:D I~LICH Fire SAC 575.00
Address 8552 LAKE Ss Eng. WaterConn. SU0.00
< W c;ry riPLS Pnone 866-3500 Planner Water Meter 63.50
Council Road Unit 290.00
I hereby acknowledge that I have read this application and state thatthe gld . '~/11/8 Tr. PI. 156.00
information is correct and agree to comply with all applicable State of 9. Off.
Minnesota Statutes and City of Eagan Ordinances. APC P8rk5
-~`t- Var. Date Copie
Signature of Permittee C-
" Total $2,095.00
A Building Permit is issued to: SONS CONSTRUCT ION CO on e express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City ol Eagan ~rdinances.
Building Official ' '0
02 ~ ~ F$c l ~'s
$ ~ i s ' 3 '
c 40 7
~ Y
~ , ~ ~ +i~ c- ~ ~ • w ~ :
~ ~ f 1 ~ Q P
C ~
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4
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r f G f~ 7 ~ i k U~ f. , -x 1 .r fi. . i 1 ' ~ y . . ' 1~117 ~ ~r~. ` j: c F , • . . . . . . D , PERMfT #
. • • PLUMBINCa PERMR RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE k -
CONTRACT PRICE PHONE 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot~-Block ~ Sec/Sub
~
- Res. ~ New
L
Name "UT9 1 ng, Mult Add-on
m
~ Addr@ss ' ox ' ' Comm. Repair
~ Cit~r G i e Phone ~-`Ottier
, 5ons T,Oris 1'ut_, oi; N ' 0. FIXTURES TOTAL
Name 4 Water Closet - $3.00 $
~ 0 Addr ~ n ` _I Bath Tubs - $3.00
p Clty Phone Lavatory - $3.00
Shower - $3.00
FEES Kitchen Sink - $3.00
COMM/IND FEE - 146 OF CONTRACT FEE Urinal/Bidet -$3.00 .
MINIMi1M - RESIDENTIAL FEE _ g1p,pp Laundry Tray -$3.00
MINIMUM - COMM/IND FEE _ 20.00 Floor Drains -$1.50
STATE SURCHARGE PER PERMIT _ .$p Water Heater -$1.50
Whirlpool - $3.00
(ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping OuUets -$1.50
BEYOND $1,000.00) Softener - $5.00
Well - $10.00
Private Disp. - $10.00
qough Openings - $1.50
SIGNATURE OF PERMITTEE l FEE
STATE S/C:
FOR CITY OF EAGAN GRAND TOTAL:
. , . . . i~_ . . . . ' ~~`~+y r~~.. ,EcM..~~~ . . ~=C~(_Y• T'~°' s IfF•- , . . .
PERMIT 0 . ' ' MECHANIC/1L PEAMIT RECEIPT #
CITY OF EAGAN ~ i •
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE
CONTRACT PRICE PHONE 454-8100
Site Address ~"'O % u 7141
BLDG. TYPE WORK DESCRIPTION
Lot Block Sec/Sub V.-
~ Fies. v New
~ Name ~ ~Mult Add-on
m -
Address
Comm. Repair
c City `r Phon Other
Name - FEES
c Address RES. HVAC 0-100 M BTU -$24.00
p City f~ Phone ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
TYPE OF WORK GAS OUTLETS - 1.50 EA.
Forced Air ~J M BTU COMM/IND FEE - 1% OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PEfiMIT - .50
Vent ~ CFM (ADD $50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
Gas Piping Oudets #
Other
FEE IOZ
S/C: SIGNATURE OF PERMITTEE
TOTAL•
FOR: CITY OF EAGAN
CITY OF EAGAN Remarks Addition FAWN RIDGE ADDITION a 1 ~k 6 arce~ 10 25800 010 06
722-720 No, Hae Roa agan, _
Owner Street 5tate
4502-4500 Whitetail Way
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 1981 229.35- 11.47 20
STREET RESTOR. 1984 499 .46' 49.95 10
GRADING q~,x 19$1 61.26- 4.08 is
SANSEW TRUNK - 1981 205.44- 10.27 20
SEWER LATERAL S~L7 1981 07- 6
5ewer Lateral 1981 23 57- 1.18 20
WATERMAIN
WATERLATERAL 19$1 43.67` 2.18 20
WATER AREA 526
1981 205,44- 10.27 ZO
Water Lateral 1981 27.68- 1.38
STORM SEW TRK 1985 37.19 15
STOFiM SEW - 1984 222.51- 22.25 10
CURB & GUTTER
51DEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
sac
PARK
RESIDENTIAL
BUILDING PERMIT APPLICATION ~ 70, 00
CITY OF EAGAN C'q~~Pd 5~Z91Q ~
~ 3830 PILOT KNOB RD • 55122
651-681•4675
NewCanstructlonReoWrements RemodWReoairReauiremenls -
• 3 registered site surrtys showirg sq. lt of lot, sq. ft ot Fwuse; and ail roofed areas • 2 topies of Dlan n?1 ~
.(ZO% mazimum bt ooverage allvyed) • 1 set ol Eriergy Cakvladons for heated additions
• 2 copies of plsn shawifg beam 8 wiMow sizes; poured (ountl design, etc.) • 1 site survey for exterior additions & decks
• lsetofEneryyCalalauons
• 3 copies of Tree Preservatlon Poan'rf lot platted afler 711193
. Pom Jasl Detal Options selection sheet (bldgs wAh 3 or less units)
DATE S-200 ^O ~ VALUATION (EXCLUDING LAND)
.;JB 51TE ADDRESS VJGIq ~ C%lqC.a1~ mn
IF MUITI-fAMIIY BUILDING, HOW MANY UNITS?
PROPERTYOWNER V
)VIaIrI *1JMY1R1/ Vl1CX4"Mt1
TYPE OF WORK VAI(1 ~ L"~~ FIREPLACE(S) t'2tO _1 _2 _3
APPUCANT VMn \R~ OCLYIY-0 I PHONE #
ADDRESS LXj'lk-fatl Xl~IiLaCO V1 4t_Sc'~' ZIPCODE ~S~a3
PAGER # C E L L PHONE # L~\ - LZN~ - t C20' FAX #LC&~_~PF9~I _0403
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category MINNFSOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Subm ~
- Energy Envelope Calculations Submitted /~tff~ Z 5 ~
_ MINNESOTA RULES 7672 ~ ~
- New Energy Code Worksheet Submitted gy
Piumbing Conhactor: Phone
Plumbing System Includes: _ Water Softener _ Lawn 5ptinkler Fee: $90.00
Water Hea[er ~ No. of R.I. Baths
_ No. of Baths
Mechanical Contractor: Phone #
Alechanical System Iiicludes: _ Air Conditioning Fee: $70.00
, Heat Recovery System
Sewer/Water Contractor: Phone #
All abovy information must be submitted prior to processing of application.
1 hereby acknowledge that I have read This application, state ihat the information is correct, and agree to comply with
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1101
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling O 08 06-plez ? 16 Fireplace O 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garege ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (saeened) O 36 Multi
? OS 03-plex ? 11 10-plex AIII 19 LowerLevel ? 24 Storm Damage
? 06 04-piex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
w 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
l
^ 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundatlon) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bidg)' ? 43 Reroof 0 46 Windows/Doors
Q 34 Replacement •Demolition (Entire 81dg only) - Give PCA handout to applicant
Valuation ~Oo Occupancy /re -3 MCiES System
Census Code Y~ `f Zoning City Ydatei
SAC Units dI/ Stories Booster Pump
Nbr. of Units ~ Sq. Ft. PRV
Nbr. of Bldgs ~ Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinallC.O.
_ Footings (deck) k) FinaUNo C.O.
_ Footings (additlon) _ Plumbing
_ Foundation HVAC
Drain Tile
Roof Ice & Water Final Other
Framing _ Yool _ Ftgs _ Air/Gas Tests _ Final
~ Fireplace _ R.I. _ Au Test _ Final _ Siding Stucco Stone
~p Insulation _ Windows (new/replacement)
Approved ByBuilding Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Totai
A. ChTY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-189, Eagan, MN 55121Np 12518
BUILDING PERMIT PHONE:454-8100 Receipi p ~T~~ l~~/ j
!
To be used for SF DWG/GAR Esi value $ 62 ,000 Date A[]GUST 26 1986
SiteAtldress 4500 WHITETAIL WAY Erect L$ Occupancy R3
Lot 1 Block 6 Sec/Sub. FAWN RIDGE Remodel ? Zoning pa
Parcel No. Repair ? Type of ConsLVii -
Addition ? No. Stories
W Name SONS CONSTRUCTION CO Move ? Length 38
4370 RAHN RD Demolish ? Depth dd
o Address Int. Impr. ? Sq. Fr
Ciry EAGAN phone 452-4721 1nstall ?
a Sp~ Approvals Fees
o Name
nddress Assessment Permit S 319.00
~ Ciry Phone Water & Sew. Surcharge 32 . 00
~ Police Plan Review 159 . 50
Fw Name ED MELICH Fire SAC 575.00
Address 8552 LAKE ST Eng. WaterConn. 500.00
iw Ciry r'1pr.S Phone 866-3500 Planner WaterMeter 63.50
Council RoadUnit 290.00
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off. $/11/86 Tr.PI. 156_00
information is correct and a9ree to comply with all applicable State of
Minnesota Statutes and City of F,ADan Ordinances. APC Parks
iR9 Var. Date Copies
SignatureofPermittee ~C~~v~'~~ Total $2,095.00
A euilding Permit is issued to: SONS CONSTRUCTION CO on the express condition that
all work shall be done in accordance with all applicable State innesota tu e an Giry of Eagan Ordinances.
Building Ofticial
~
t,Q,j4 Z~ 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date ~ I j ~ I a t / 1
Site StreetAddress YO 0 n f Te 2! 4 (,Jp, Unit#
Property Owner 6rt, a?l Telephone #(4s( ) 6e2-<d JF3
Contractor V Q v! 2 L[ ff~/ S ev v! C C Telephone )
Address 7a0 Pa h.41'at Place ci cy MQ d u 4fl statgMn_ rpS a v
The Applicant is: _ Owner _ Contractor _Other
~
i .
Alterations to existing dwelling $ 50.00
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
=Water Turnaround (add $121.00 if a 5/8" meter is required)
Other:
.
Water Softener ~ Water Heater $ 15.00
_ replacement _ additional
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 I
State Surcharge $ .50
I
SV
Total $ S
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the Ciry of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approve
~~4vf f? ~f~'k~°G~c!
ApplicanYs Printed Name Applicants Si ature
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Constructian Reauirements RemodellReoair Reauirements
• 3 registereA site surveys showing sq. ft. of IoL sq. R. of house; and aii roofed areas • 2 copies of plan
(20%maimum lot coverage allowed) . 1 se[ of Energy Calalations for heated additions
• 2 copies o( plan showing 6eam B window sues; poured found design, etc.) . 1 site survey For extenor additions 8 decks
• 7 set of Energy Calculations . Indicate if home served by septic system for addi6ons
• 3 copies oi Tree Preserva6on Plan if lot piatted after 711/93
. Rim Joist Detail Options selection sheet (61dgs with 3 or less unils)
DATE VALUATION ~VVV
SITE ADDRES Wh1, MULTI-FAMILY BLDG Y'/N
TYPE OF WORK U~ FIREPLACE(S) _ 0_ 1_ 2
APPLICANT
5
STREETADDRESS CITY~~' /~ST,ATE~OZIP
TELEPHONE kQJI`~h~~ELL PHONE # FAX #((JJirC4SID 'G~Q)
PROPERTYOWNE&nav~' b~'V_J J Av wTELEPHONE# USLW) - I`1J
i
COMPLETE THIS SECTION fOR KNEW" RESlDEN71A1 BUILDINGS ONLY
Energy Code Category _ MINNI:SO"1'A RliLI:S 7670 C:1TP:GOI2Y 1 MINNI:SO"I'A 12liLL•'S 7672
(d su6mission type) . Residentlal Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
. Energy Envelope Calculations Submitted
Plumbing Contractor. _ Phonc #
Plumbing systcm includes: _ Watcr Soflcucr _ Iaavii Sprinkler Pee: $90A0
WaLcr Hcatcr No. of R.I. Baths
No. of liaths
Mechanical Contractor: Phone #
V[cchluical systcm includcs: _ Air Conditioning I'cc: $70.00
Hcat Rccovcny Sastcm
Sewer/Water Contractor: phone #
- - - -
I hereby acknowledge that I have read this application, state that ihe informati s coYreci?dd~a~ ~ comply
with qll appiicable State of Minnesota Statutes and City of Eaga rdinance (J ~ O ~
Signature of Applicanf ~
Y.-
OFFICE USE ONLY
Certificates of Survey Received Tree Preservation Plan Received _ Not Required _
lJpdated 4/02
OFFICE USE ONLY
? Ot Foundation ? 07 05-plex ? 73 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Owelling ? 08 06-plex ? 16 Flreplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Eut. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Parch (screened) ? 36 Multi
? OS 03-plex ? ti 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-piex Plbg_Y or _ N ? 25 Miscellaneous
? 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
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Vafuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of BIdgS Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings(deck) FinaWo C.O.
_ Footings (addition) _ 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)
_ Insula[ion _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
1986 BIIILDIHG PEAlI! 9PPLIC9TI08 - CI?T OF EAGAN
NOYE: A[.L COH'lRACfOH3 M03i BE LICD.4ED iiTTH THE CriT OF EAGAB
COHMCIAI. SINGLS FAlQI.Y DiiSLLINGS
INCLUDE 2 SETS OF ARCHITECTIIRAL INCLODE 2 SETS OF PLANS
& STRUCTURAL PLANS, 1 SET OE 3 CERTIFICATES OE SURVEY
SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATION3
ENERGY CALCULATIONSJ
$2,000 LANDSCAPE BOND
To Be Used For: HOME paluation: ~ Dates ~-~7- r{'/o
Site Address qSO oVN E? i7t~-t'A /L Ww,/ OFFICS IISS OHLY
Lot / Hloek ~ Ereet ~ Oecupancy
p Renodel Zoning
Parcel/Sub ~dw,v R~cXGd, Repair _ Tqpe of Conat X,LV
Addihion # of Stories
Owner _ SONS CONSTRUCTION C0. Move _ Length
Demolish Depth
Add^ess 4370 Rahn Road, Eagan, Int.Impr. Sq Ft
. Install
City/Zip Code Eagan, Mn 55122
Phone 612-452-4721 AppgppALS gggg
Contractor SONS CONSTRUCTION C0. Assessments Permit 3Ig
Water/Sewer Suroharge
Address 4370 Rahn Road Poliee Plan R:onn view b
Mn 55122 Fire SAC
City/Zip Code Eagan, g~. Water :500
planner Water Meter Po Q
Phone 612-452-4721 Couneil Road Unit 0170
Hldg Off ,1 L- Treatment Pl 1;5,6
Arch./Engr. Ed Melich gpC Parks
Cariance Copies
Address 8552 Lake St., TOTAL
City/Zip Code Minneapolis, Mn
Phone # 612-866-3500
NOTS: ADDHESSSS FOR C088EB I.0'LS - COAT@ACIOR/HOlIBOii9BH MOST DS3IG8ATS 1iHICH
ADDRE4S IS DSSIRBD. HO CHAAG&S iiILL BB 9LLOiiSD ONCS BOILDING YSR![TI
IS ISSQED.
c~r2x
TRI-LAND C0.
SURVEYING
SERVICES SITE PLAN FOR:
4655 NICOLS ROAD SONS CONSTRUCTION
EAGAN, MINNESOTA 55122
N
I
SCALE: I"=40'
LAKE Ra
' RTFi N AY
0 ~ a
~ 113.55 , . I
~ L
~~e~ ` ' ~ r
N I
9'~
r
Qy ~
7 1 '~p' - 2o a~ Z4 40lyf I = cr
C) ln
-j cF. 14,
W I 0~, Q ~
Q in~ Nh 0
w 0
~ NO _ s 9xs 'z4'r' I 4
-C I 40
~ .
e.
tt ro 01
. qyl~
~
yy4.5 $ 87° 070' 251 W
Pt:Uf'OSFD ECE~'^.I lOf!$ NaE• ild HCCORDI:t':Ct
1!1"fH i0P''GV?i, 0i:11ELUPl1Ff:-I PL11i4 UF
RkCDltlf.R
PROPERTY DESCRIPTION
LOT_, BLOC
FAWN RIDGE
aeeordinp to the recorded plat thsreoi
DAKOTA coumy,Minnesma
LEGEND
o DENOTES IRON MONUNIENT PROPOSED GARAGE FLOOR ELEVATION=elY& 0
e OENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION= 914,s~_
DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR =
ELEVATION ELEVATION
DENOTES PROPOSED SPOT
ELEVATION NOTE. VERIFY ALL FLOOR HEIGHTS WITH
~ DENOTES DRAINAGE OIRECTION FINAL HOUSE PLANS
1 hereby csnify thaf this survey, plan or
report was prepared by me or under my
direct supervision and ihat I am a duly Bradley snson, Mn. Req. No. 15233
R Repistered Land Surveyor under fhe `
. Laws of the Stata oi Minnesota. Date ~
4r716 W{IIT'P'`TA~~ 4~..Y
' y. : . . .
TROBAUGH
EXT_ERIOR EIJVELC?L AVERAGE "U ` COi;?rJTATIO:?
o p 5()
~~~l~l Yull .U i ~ Uil! L T 11 L- Y l L' .4
SITE ADDRESS 4500 Whitetail Way, Eagan, Minn 55123
^ _
CONTRACTOR e ti.: rn r i~.~ DATE' 'HQIIE LI f
r -
Determine vrarking square footage of each.
1. Total exposed wall area ....sq. ft. x.il =_0_,~e,
2. Total roof/ceiling area 1•t,~~ sq. ft. x.026 =
Total exposed wall area above floor
a. :'otal wall vrinzc-a area 0
b. Total door area
c. Total sliding glass area _~•_:Y
d. Total _°ireplace wall area .
e. Total wall fraMing area (average 10%)... /,/E`
f. Total net wa11 area above floor 7L.3
G. Total rim joist area 1
Total exposed foundation area
. h. Total foundstion r;indow area
i. Total net foundation area sbove g: ade
Determine "U': value of each wail seEment.
a. > /6.6 5' x IIvI: , y3
b. X "U„ , i'; _
C. 3`l %l, X ::U:~
D. X "U" ~
e. I' 4.c7 g 'U". c
f. 2 7(,"S) X ,rAl:
E;. l~o o X "U'' ~r
. h. X ''U'.
. 1. X rUi,
3 Tota1 '
Ii iten M3 is the same as, or less than itEm N1, you have met the
±ntent of SBC 6006(c)2.
Total exposed roof/ceiling area = ~jY
J. ^otal akylight area . . -
k. Total roof/ceiling framing area(average 10•,) /i
1. iotal net insulated reo:/ceilinC area
Determine "II' value for each roof/ce.lling segr.:ent.
. , X
k, g ,;U„
1. x
4 ..............:..........................Total
Tf total o.° t,!4 is the same as, or Iess than f2, you have met the
intent of SHC 6006(c)1.
A2ternate Buiiditig Envelope Desifn
To utilize th2 total envelope systen nethod, thc: values establlshed
by the sun of items ff3 and N4 sHall not be oreztaa° than the sur: o:
items 'ff'1 an3 i:2.
" 1. + 2. ~
3• + u, o
, . . : . ; . . Y~~
' . ' i. . . . . . . . . . .
•ol a 1 • 1
•I • ~
- CI'I'Y UF N:11t:lAN
APPI:ICATION FCR PII2MIT SEWF~t ANID/OR WATIIt CONNECTION.
- P e se Prin )
i) PRoPnrrY noDxESS: C~ 5DD
LFGAL DESCRIPTION:
Lot oc S vision or Tax Parcel I.D. Phunber)
IF EXISTIf13 STRC'CIL'RE, DATE OF ORIGINAL Hi?ILDING PERMIT ISSL'ANCE:
Mont Year)
PRFSEDTP ZONING/PROPOSID USE: R-1 SINGLE FAMILY R-2 DC'PLEX ('It.v ('nits )
R-3 7C)WNHOC'SE (Three + C'nits) ( L'nits)
R-4 APAR'I'MENT/CODIDOMINIL'M ( C'nits)
. COr4MEE2CIAL/RETAIL/OFFICE
INDI.'STRIAi,
I NST I'IL'TI ONAI./GC?V EItNMENT
2)
_ N14b7E: 1boil 0A
r,noxEss: 1~3 7l7 AP
CITY, STATE. ZIP: ~(,P u
. PxorEc I~~ ~~33"sJ
For City L'
NAME:- Plumbers Lice
ADDRESS• Ot~(. ' C'.~' Active
CITY. STATE. ZIP: 3.S~U3/ Ct Expired
O Not Rec
PHONE:. MASTER LICIIVSE
Staf Initial
43
. NAME:
AUDRESS:
cIzY, srATE: zrn~
~ CONNN7C'i'ION TO CITY SEWEFt ~CONNECTION 'PO CITY WATER
Q OTfiIIt (Please Describe)
. C) PL$ASE HOID APPRpVID PERMIT FOR PICK-C`P BY ONE OF AHOVE
PLF,ASE MASL APPRdVID PEFtMIT To 1, 2. 3 4, AHOVE
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C I TY O F E A A f~ **~E: PA~r OF FF~ TI°fE OF *
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APPROVAL OF PIIiNIIT. *
APPLICATION FOR PERMIT
* iNSrnMotv oF sEWM r,ND/oR VP= *
y*. TNsmAr.raTTONS WILI. -NOT HE ScHED- *
SEWER AND/OR WATER CONNECTION ~ULED UNM PERMIT HM~ ~
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P ease Print
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION: "
Lot Block Sub ivision or Tax Parcel ID )
IF EXISTING STRCCMIRE, DATE OF ORIGINAL HC'ILDING pERMIT ISSI`ANCE:
(Mon ear
PRFSENT ZONING/PROP()SID L'SE:
q COIIYEltCIAL/RE,TAIL/OFFICE ~ R-1 SINGLE FAMILY
0 IAIDC'STRIAL ~ R-2 DL'PLEX (7wn C~nits)
n INSTIT[JTIONAL/GOVERNmEN'p ~ R-3 TUWDII300SE (Three + Units) ( Units)
~ R-4 APARTNEN'T/CONIDOMINIOM ( Units)
Z' ~
NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
3) • i; For City [Jse
NAME0 Plumbers License:
ADDRESS: ~ Active
Ecpired
~ CITY, STATE, ZIP: Not recorded
PHONE: MASTER LICENSE# St~£ Initlal
4) ~ i~-
ruAME:
ADDRESS: '
CITY. STATE, ZIP:
PHONE: .
5) u v im• U m • : a • oi - ~s
n CONNECTZON 7oCITY SEWERR Q cpNNECI`ION Rn CITY WATER ~ OlYM .
6) • • i~ PLEASE HOLD APPROVFD PEE2NIIT E!DF2 PICK-UP BY ONE OF P.HC3VE
[3 PLEelSE MAIL APPROVID PERMIT TO 1. 2. 3. 4. ABOVE
(Circle one)
7)
_ 7• ~ ~r ~ ~ • ~ r s~ • • - a ia• . u t. 54. . p. . . a~ .
• r. w~ • I?. ~ ~ ~1• • e7a~ 1 / ~ ]I • :A• • h .
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. fOR CITY USE ONLY '
PERMIT # TSSUED ,
8'h
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLDDE SURCHARGE)
$ $ WATER PERMIT (INCLUDE SURCHARGE) .
$ $ WATER METER/COPPERHORN/OOTSIDE READER
$ $ WATER TAP (INCLLDE CORPORATION STOP)
$ $ SEWER TAP
$ S 15-,6-Z, ACCOUNT DEPOSIT - SEWER
$ $ /e;-. cYD ACCOONT DEPOSIT - WATER
$ -'C~,C)--c7 $ WAC
$ $ SAC
$ $ TRLIVK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRDNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
S $ TOTAL
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN POBLIC
Q ROADWAY" MUST BE ISSOED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
~ l
BATE : /O~ ~ (~Sn r
411'
CityofEaaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
L
Use BLUE or BLACK Ink
For Office Use
Permit #:1
j^
Permit Fee:
CS/L)
Date Received: D 7' i 3
Staff: / y
INFLOW & INFILTRATION PERMIT APPLICATION
Plumbing / Sewer & Water
Date:
Tenant:
Site Address: 'k) ()jOA/71C 7,4-/ rjt/cy
Name: 1/ //9-/)1,14/7 'C/(
Address / City / Zip: 00
Suite #:
Phone: 6-57 y.S /.7 2
Name: ally kit < Atrn,b!.e p
License #: -2 2 9/ PiM
Address: (_)02? // Liz) /+/U City:
State: Mit) Zip: ,S57 / Phone: 6/2 r? O / 669?
Contact: 1I% /s /.,j)c )4 S Email: 1,�( 6F71e2S
PLUMBING (Within the building envelope)
Sump Pump Repair
Other: ,4 /o t /e
SEWER & WATER (Outside the building envelope)
Repair
Other:
Description of work: „Re )Z 54) $ «r -moi C1/Z/P e
FEES
$60.00 / Each (includes $5.00 State Surcharge)
TOTAL FEE $
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit I/I repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.citvofeaqan.com/inflow, or City Hall at 3830 Pilot Knob Rd.
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.ciopherstateonecall.orci
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 Printed Name
Applicant's Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA153995
Date Issued:02/08/2019
Permit Category:ePermit
Site Address: 4500 Whitetail Way
Lot:1 Block: 6 Addition: Fawn Ridge
PID:10-25800-06-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Brian G Harrell
4500 Whitetail Way
Eagan MN 55123
Centraire Heating & Air Conditioning
7402 Washington Ave
Eden Prairie MN 55344
(952) 941-1044
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA178683
Date Issued:08/29/2022
Permit Category:ePermit
Site Address: 4500 Whitetail Way
Lot:1 Block: 6 Addition: Fawn Ridge
PID:10-25800-06-010
Use:
Description:
Sub Type:Air Conditioner
Work Type:Replace
Description:
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Carolina Vazquez Alvarado
4500 Whitetail Way
Eagan MN 55123
One Hour Heating & Air
15191 Boulder Ct
Rosemount MN 55068
(651) 437-4177
Applicant/Permitee: Signature Issued By: Signature