4508 Whitetail WayJUN -07-2010 11:09
4*City ofEagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675.5675
Fax: (651) 675.5694
P. 01/02
Use BLUE or BLACK Ink
F
Permit #; L[g? j
Permit Fee: ! I
r / L
Date Received; t g
Staff: a?
2010 RESIDENTIALvv ,,��� BUILDING1{PERMIT APPLICATION
Date: 0�D(/ /2 R7 Site Address:4SOg f a s•l I\ Ai
Tenant:
Suite #:
RESIDENT / OWNER
Name: ` 93 l' Phone:.9S-2-`14-C-7-75-262
t..�1,P./) MTU 557 Ly -
Address / City / Zip: (2 7Z 0 PO hC Tr~ '17 tLe- V�/
Applicant is: Owner Contractor •J
TYPE OF WORK
Description of work: r r t!� (f et..P4 ,
Construction Cos *5000 $ bO Multi -Family Building: (Yes / No, )
CONTRACTOR
Name: ,L.1 ,. _ License #:
Address:tY Gi :
. ..
State: Zip: Phone:
Contact: Email:
COMPLETE
In the last 12 months, has
If yes.
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
the City of Eagan issued a permit for a similar plan based on a master plan?
date and address of master plan:
_Yes _._No
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor:
Phone:
NOTE: PIM* Od supporting;0ocuthen s thatyau.submit**60./lsidered Yo be, public infvrr�rration.: 'Porttorts of
Wm lrforniation: tray' be, classified as anonppublic if. you Provide specifc neons that would permit the City to
Conclude that the' are trade secrets.
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.aopherstateonecall.ora
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 plans.
Applicants Prints ams
Applicant's Signature
Page 1 of 2
CITY OF EAGAN SEWER SERVICE PERMIT
3830 PiL,-t ICno"oad Z,~j,,~ 4
P.O. Box 2119% . 4" PEFiMIT NO.:
Eagan, MN U121 DATE: 7-1 7--n7
_R1 No. of Units: 1- ~
Zoning:
Owner. $urz Oak Blclrs. ?
Address;
SiieAddress: 450$ ~itetail W8 L2 34 ?'awn ri3 e
Plumber. ~ " a@ Plunbin
• 75391 74- -Q7 ,
, I agrae to comply wHh the City o1 Eagan Connection Charge: 525 _ 0 Olid _
Ordinancas. Account deposit: 15 _ Q0pd_
, Permit Fee: 1Q - AQAd- '
Surcharge: - 5
By Misc. Charges: '
Date of Insp.: Total:
Insp : Date Paid:
CITY OF VGAN Permit No: - Date: 17-~'
3839 Pt:at KnoD Road Meter No: 3y7 ~ 5~2 ~ Size: 479",'?ot I
P.O. Box 21199 Reader No: ~ Datec 9-16 -X,'L
Eagan, MN 55121 . _ y •
Owner. ~xirr G k Lldrs
Sit2AddrPC_a• S(?fi trhi ta-[1 i' T"' '"~ts:i T:-irl~aP
Plumber. Taice Side
Conn. Chg: Ot) d ZQni •
. Acct. Dep: ~fk~et dig int~ g~°~'i&b~ g~. y
Permit Fee: Lz~p~10NE • ELECTRIC
Surcharge: yrg~~~mply with the Ctty of Eagan
Tr. Plant bUUIK drd nan
Meter. Misc.: By
WATER SERVICE ERMIT
CITY OF EAGAN 13 87 9
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH O N E: 454-8100
BUILDING PERMIT Receipt
To be used for Est. Value .'b, uu`: Date Li_Y > 9
Site Address OFFICE USE ONLY
SeC/Sub. • ' ji)L•I• 2~`r) OnSiteSewage ~ Occupancy
Lot BIoCk '
MWCC System _ Zoning
PafC@I NO. On Site Well _ Type of Const v
City Water (Actuaq
¢ Name (Allowable)
w # of Storles
~ Address Length ' •
0 City Phone Depth r. .
S.F. Total
, p Name Footprint S.F.
Address APPROVALS FEES
~ City Phone Assessments _ Permit
Water/Sewer Surcharye
OName Police _ Plan Review ~ Wz 1 Fire _ SAC, City
~
~o Address . Engr. _ SAC, MWCC `
d W City Phone ' Planner _ Water Conn.
Council _ Water Meter
I hereby acknowledge that I have read this application and state Bldg. Off. _ Road Unit T
that the infarmation Is correct end agree to comply with all applicable APC - Treatment P1
State of Minnesota Stetutes apd City of Eagan Ordinancea Variance _ Parks
Copies
Signature of Permittee TOTAL <i .
A Building Permit is issued ta on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinancea
Building Official
Permit No. Psrmit Nolder Date Tslephone ~t
Plumbing
H.V.A.C. Electric y24'
SoRener Insptction Datf Insp. Comments
~
Footings I
,
Footings II
Foundation
Framing 6 7 Roofing
Rough Plbg. L-7-
ough Htg. S
R
Isul.
Fireplace
Final Htg. t. ~ •
Final Plbg.
Bidg. Final
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
° . . .
. . . . • ' . . . . . y A . p
PERMIT # 9-29 1
- : PLUMBINC PERMIT
CITY OF EAGAN RECEIPT # 2& Z 7
3630 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE PHONE: 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot Block Sec/Sub Res. ~ New
2 Mult. Add-on
m Name Comm. Repair
~ Address ~ Other
c City Phone J'YY - RES. PLBG. ONLY - COMPLETE THE FOILOWING:
NO FIXTURES TOTAL
j Water Closet - $3.00 $ ' '
~ Name gath Tubs - $3.00 2
3 Address ~
-LLavatory - $3.00
p Ciry Phone Shower - $3.00
/_Kitchen Sink - $3.00 '
FEES Urinal/Bidet - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE -LLaundry Tray -$3.00
APT. BLDGS - COMM RATE APPLIES _../_Floor Drains -$1.50
TOWNHOUSE 8 CONDO - RES. RATE APPLIES /_Water Heater -$1.50
MINIMUM - RESIDENTIAL FEE - $12.00 Whiripool - $3.00
MINIMUM - COMM/IND FEE - $20.00 -L_Gas Piping Outlets - $1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PEii PERMIT)
(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYOND $1,000.00) Well - $10.00
; ~ : Private Disp. - $10.00
~ 1/~ % ' ~iC~ Rough Openings - $1.50 'y...~ v
SIGNAT.klRE OF PERMITTEE FEE: ~y G'
STATE S/C:
FOR CITY OF EAGAN GRAND TOTAL: -~y
FERNiIT 'S9~G
~
' • , . MECHANICAL PERMIT RECEIPT # 1'
CITY OF EAGAN
' 3830 PILOT KNOB ROAD, EAGAN, MM 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address ' BLDG. TYPE WORK DESCRIPTION
Lot Block Sec/Sub Res. New
Name Mult Add-on
~ Comm. Repair
co Address n
Other
c City - j:. Phone
FEES
Name + • RES. HVAC 0-100 M BTU -$24.00
c Address ADDITIONAL 50 M BTU - 6.00
3 ' RES. HVAC INCLUDES A/C ON NEW
p City Phone CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMlT) - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air , M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU $ MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
Other
FEE:
S/C: SIGNATURE OF PER ITTEE
TOTAL•
FOR: CITY OF EAGAN
~1•
(ger#i#tratt n# (Orrupanry
Citp of (Eagan
prpwdntmt of fudbhto jwprtian
This Certiftcate issued pursuant to the requirements of Secdon 306 of the Unifon?i Building
Code certifying that at the time of issuance this structure xas in compliance wiih the various
orrlinances of the City regulating building coirstruction ar use. For the following.•
SF IiWG/GAR 13879
vx a.nific.tion x R 1 BW Pa,mt no. V
~~~~e AI;EtR OAK BLDRS I~NC ~ 11473 GOLllR OD ST NW, COON xAP1DS
4508 E AIL wAY L2, B4, FAWN RIDGE 2NU
Baaing Aaarm Localiry
' SEPTEMBER 16, 1987
ma:
Bwlding Offidalti
POST IN A CONSPICUOU3 PLACE
CITY OF EAGAN N° 13 8 7 9
3830 Pilot Kno6 Road, P.O. Bax 21 •199, Eagan, MN 55121
'
BUILDING PERMIT ' PHO N E: 454-8100
Receipt #-7,b ----7 (
7obeusedfor SF DWG/GAR Est.Value $68,000 Date JULY 9 19 87
Site Address 4508 WHITETAIL WAY OFFICE USE ONLY
Lot 2 Block 4 Sec/Sub. FAWN RIDGE 2ND On Site Sewage Occupancy R3
MWCCSystem ~ Zoning Rl
Parcel No. On Site Well _ Type W Conffi v
Ciry Water X (ACtuaq
BURR OAK BLDRS INC (Allowable) .
a Name
w # of Stories
= Address 11473 GOLDENROD ST NW Length 40
o City COON RAPIDS phone 452-2906 Deptn 46
S.F. Total
, p Nan18 SAME FootprlntS.F.
Address APPROVALS FEES
w
P CityPhone qsseasments _ Permit $ 391.50
waterySewer Surcnarge 76 nn
Ww Name RUSSELL PLAN DESIGN Polica _ PianReview 195_75
~ i
Address Fire - SAQ City 100.00
x-
,u Engc _ SAC,MWCC 575_00
aw City EDINA Phone 835-5970 Planner _ waterConn, 5.75 pp
Council _ Water Meter 67 _ (1f1
I hereby aeknowledge that I have read this application and state BIdg.Oft _ Road Unit 305.00
thattheintormetioniacorrectandagreetocomDlywkhalleppliceble APC - TreatmentPt 190.0n
State ot Minnesota Statutes nd Cfty of Eagan Ordinances. Varience _ Parks
Copies
Signature of Permittee 7o7nL
A Building Permit is issued o: BU OAK BLDRS INC on the express condition thet
all work shall be done in accardance with I app~i le State of M' esot tatutes and City of Eagan Ordinances
Bullding Official
s
OAKRIDGE II
1987 BIIILDING PERMIS AP ICATI06 - CITY OF SAGAN
SINGLE FAMILY DWELLINGS
INCLODE 2 SST3 OF PLANS, 3 CERTIFICATSS OF SDHVEY, 1 SBT OF ENSRGY CALCOLATIONS
HOTE: ADDRESSES FOR C08NEH LOTS - COAYRACTOR/HOMEOBNfiE MQST DESIGNATS WHICH ADDBESS
IS DESIRED. NO CEiANGES iiILL B$ ALLOW&D OHGE BQILDING PERMIT IS ZSSDED.
M[)LTIPLE D{iELLINGS - R&SIDENTIAL RENT9L ONITS FOR SALE UHITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIEVEY - CHSCB iiITH BLDG. DEPT.,
1 SET OF ENERGY CALCUL9TIONS
CONIl9ERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
SNERGY CALCULATIONS,
$2,000 LANDSCAPE BOND ~ cco
To Be Used For: Single Fdmi.ly Valuation: 50-Ja~ IYate: 6/23/87
Site Address 4508 Whitetail Wdy OFFICS IISfi ONLY
Lot 2 Block 4 On Site Sewage_ Occupancy
MWCC System ? Zoning ~•I
Parcel/Sub Fdwn Ridge II On Site Well Type of Const
City Water ? (Aetual)
owner Burr Oak Builders, Inc. (Allowable)
# of Stories
Address 11473 Goldenrod St. N,W, Length 40
Depth 4l0
City/Zip Code Coon Rdpids, Mn. 55433 S.F. Total
Footprint S.F.
Phone 452-2906 APPROVALS FSBS
- ~
Contractor Sdme Assessments Permit 9-P,~ `
Water/Sewer Surcharge 3
Address Police Plan Review 5.~5
Fire SAC, City I o0 •
City/Zip Code Engr SAC, MWCC SZS .
Planner Water Conn SZS.
Phone Couneil Water Meter (0"7.
Bldg Off Road Unit ?D(~~
Arch./Engr. Ru55e11 Plan DeSigrl APC Treatment P1 1,450.
Variance Parks
Address Edina, Mn. Copies
TOTAL S-
City/Zip Code
Phone # 835-5970
PACNIGINCIERING ROBE COHSIIl71H6 EN61HEfRS PLRHNE9S and LAH? 3URVEY6l1S t
COMPfiNY, 1NC.
~ 1000 GST 146EI STREE7, BUAHSYILLE y YINHE.°.OTA 55737 PH 932-300U
i .
~-RQal .~~SC7"~pzzart: LoT 2, 6LOCK 4 FAWN R/D6E --IVD ADO/T/o,{/,
• DAKOTR COVN7Y, MINIV,5-5OTA
C.$TsS_~~ DENOTES EXISTiN6 ELE'?/aT10/.1
(956.5) pENOTES PFZOPDSEwC ELEVATIOfJ
INDIGATcS DIRE~TioN oF SURFACE DR,41NA6E
956.8> = FINISHED GARA6E FL0.72 ELEUATION
ScALE : 10
= /v 3529..
m y. • /a6.49 W ~94B.v~
lo I o 1_
Q`_-y '.p558~ 1o ~v~ 956.5) Iry . / .95Si~r! ~ .
~ H Oo h aa ~r ~95e. f~ 1id m
= M : ~i w ~ ~ s~ aY ~
A v
„
ii
~y , e r
L• ~ ~ ~
' FRON-r BWLDlNB N )3e 95' $ETB4CK L/A/E 36`
~~o~ ' QO•oo
C748, o~
I hershy cartify that thia ia a t:ue and carrect rnpraaentation af a tract of
ljnd as ahwri' and deacribed heraon.- Ae preparad by me on this s=~714 ' daY Qf
1987
. .
liinn. Rea.
ci v
PAaKC -5rVa,4-1 Ny
, . . .
carrrt. Na.
f`lannir7y Desiyn Inc.
1611 f1i yfiway 10 IV. E.
Minneapnlis, MN 55432
61 2-7Ei0-i Yc^ir
IMinne,rrta 8kate EnPryy L'ncie Calculations
Laased on Chapter- 5 of the hlndel Fneryy Code
1983 Edition Adapted 1/1/84
fJwner: L"'C1MM. NU: 86693
5i.te Addrests:
. , Contractur: HUFiF2 UAf: F'hone:
ti+ldg. Llass: A1 A1 for 5ir7g1e Farnily/Uuple>;
A2, residential [ 3 5turies
LJver- .s _,torier
Uther
GEIVEf2!-1L INF'C]IiMF1fTUIV
Note: ihF section deszynatyoris ("Stctior7 A", "Seciian Ft" etc.) are for
cunvE+nience in r.:alcu.lal:ions only, and ..~re nut relAted from cine sei; o¢
cwlculations be1ow t? the ne::t.
1. Bldy. Walls F'erirneter- „ Wsll heiyfits, - Ar-ea
yrnund to eave
Section 61 : 13, h 14.12 1920.32
Section F3 : 0 0 = p
9ecLion f: . ' n C)
Section ll 0 _ 0
Groas Wal l Area = 1920. 32
2. Nuildiny ciimensiuna Floor nr
Cei 1 i rty
Lenyth s. Width = prea
Section f•1 : 40 26 104p
.S'ection Ii . 12.5 2 = z:,
SecL- i uri C: 7.5 4
Section ll : J~~
U ia = 0
Total floor or ceiliny area - 1095
3. Rzrn Juist Perimeter = 136
Floor joist by (0", 10", 12" or ib")): 10
I"ti m Joi st Area = 113.333=
4. llpors
Area: Z57.F7 Thiickness (inch7es); 0
Perimerer (feet): q
Type ?f caristrurtinn: •
5. rota1 doo.-'s perimeter: q
6. Windaws
7
~
Mznui'eac:t:t.ir-er: U ~'actor: i~.:i'2
St~-ate apNrovra~f: YES
7YUe F'IB1fjY1'L „ L.E?f1GJtI'1 NLlfilt:lf?Y' - Tf.7'FEAS '
(inclies) (Iri`Iiem) of ylasa ~ Sqf=t
unit,
CAuLI`1LIVT 36 16 y
CnSEI`IC_N1 60 ].b i'. 13.33
CA:iC=1`1FN'f 60
_
CF-lEiEhIEIVI. - ~ "
';6 '.'4 7 42
GASLI'•1L-N l- 44 24 1 7.33
CA;EI`1E:N1 48 24 16
STATIC71VF1RY bil 42 1 17.5
fl - fl O
1) Q 0 I1
1 ) 1 ) ('_1 1 1
fl fl f) (1
f) [7 1/ 0
fl (1 11 (1
7. WiriJnw ealals area (SyFt) = 129.16
TYF» IieiyFil „ I._enuili „ IVuunhr=r- Tbl.a1
(1EEi_) ('fee{:) Llfllts CiqFt
H. Pid'f'.1t] DOOY': 6.8117 2 41.1
9. Atr•iuin: U U p u
lU. FirtNlace area
Widtfi: 0 Heiylrto ii
rotai aq r•=t c,
11, E_>;pused PGI.IfIfJation
Heiyht area W: 0,67 F='erimeter area A: 1~.:6
Sq Ft area aa 91.12
F>;pasecJ f--uundation
f-leigfit area Ea: r'_0 f'erimeter area 0:
:iq Ft area Et - ri
12" :iqFt U iactor U•r, F-1
Giruas aizll area 1920,;~
mir'ii_i~~ _
Wi nclow ar F,a 129.16 0. ;52 67.16
Pati o ciour• area 41.1 0.47 19.32
Fltrium area ii ri t.:i
f•'iim jnist area 11:'.:_32i:..33:;;:;._ 0.041 4.65
lloor area 37.0 0.14 5.29
Fireplace area 0 n ~i
Expusecl Faund. 91.12 0.44 12.76
~ Framiny area 192.032 0.095 18.24
eyual s
Tq'l-rtls for f'IE?t wa11: 1:`_.1:;.7746667 0.043 56.58
7
. .
'1"ul-e+1=s Foi^ yriass wail areaa: 1EI9
Fr•aminG area zs 10% of yro,s wall 4rPa
13. Vrnss wa11 area {actor be:tuw U;: A per- code
Factur is .11 Por A-i siriyle i'ami7.y & dixple,;
.2::; For A--2 arid oilierr reWidential
.23 for- cather bi_ii.:lcJings
.:cEl f nr uver _ s tur-i es
F'ar_tor ist 0.11
LiT'UI-I = 211.2352 hlUSl' Uf-_' UF1 = IEIA
(calculated abuve)
14. I'rir-O,<s c:ei 1 z ny area 1095
c~::
lE;. Ceilany iraming area (ip% uf cr.iliny area) = 109.5
16. .Inzst tlr-ea (10"/. of ceiling arca) = 109.t;
17. IVet ccE=i :l iny area (L,r-oss cei X. r:irFa ,]oi st rirea) = 9f35, E;
10. U r_r=i.li.ng: 0.021 hJa+L- r_ei:l. area _ 20.6955'
19. U i'raminy: 0.024 Juist area 2.6213
,;ti. lal•.al of item 18 i1_em 19 v= "?'v':.'~:'~::,:ii
21. Cir ns_~ ce~i l i. riu area f~~ct:nr t:~e7. ow - U>: I- Ner cod~: .
Factor is .ii;'b for• A-1 siriyle fttmi.l.y & duple;:
,03::; For A-2 ancJ crt.:fier residential
.06 For vtlicr- huildinys
Fai_t.nr is: 0.426
BTUH 2E3. 47 h11JS'1" L1E > fJFl - 23.3235
tcalculated eibove?
' . u va1,ue l,llll.ulllllull.r :
_ RrnIUE p ytiUE
AALL ~ .68
~ ~ l~ttarloe w~ll
: S6C?t011
Inlulatlon ~ti~UD R
Sheethlng
-r' $ldlnd IC~~'.~7
Oulslde air
[Llm
.
R rornL
stUO [nslde alt Illm .68
9tCIi011 lntet(or ralt
. •
.eua R+ f~ 6150 (truoln ~
, She~thlns d)
U+ •
9ldlns ~
,6-~ • cr~ ~
Outslde iilr [Ilm .l~ -IZ=
R t0(AL
ZNp pAL4 Inslde alr tllm Ra .68
3CCtI0N ~i ~ntetlos w~(~ ,
Iniulation
IN~~I 1 U . ~ r
91iaathln, ~L
• ' f,
r.~.~ Extertot rall eorertnd '
r~~ Eataelor air Ellm' R ..11
r
R ioIAL
- - - - - - - - - - - - - -
Ineerlor ¦Ir Illm R, .68 .
.1n19T I In~uletlon '~~,pp
r' 11 lnch sn(e wuod R~1.88 ,(Iilm ~ ~
Joist) ~ ~ R'
Shesthtns
Lxterlor well eoyetlns ~/o •~'I-'
Extectoe alr [lim
. 'R TO(AL
, - inteilor air [Llm Rs .69 , •
Insutatlon ~,tlb • '
~ Foundatlnn
~ Lxlerlor •Ir [lim R¦-, (Fdn.~ ~ a ~ .
C -R -
~ a tornL Eep09ed 8luek '
,
_ n h;1AM . .
~ FIII~NIcIU . ; . CEIUIiu
3' .
Alr Fllm ~0.61
. . ;1G.vv Imulellon qq ouv •
4 13U Ja I ~ t ~
. ' •
- - ' .•>G Celllny .~G
.rr'~ ' ~ r ~ ~ •
Alr F11m U 61'
~ . ~11•55 lutal A 45 •11U
. .VE+! U 3 1!. .U21
V'VV'v~~i~V f.nUUr Un c.1t1lEUM6 tE1LUla
1 - n rnL I
oF
Intlde alr /IIM 0•61
. r,nllln
• JvI~E ~j EA~
• In~ulatlnn
~ Alr lplcn.
• . nouf dAcRl59 .
• • Iniulellnn
• • Onlit-up ronf
. u:il - outolde elr fllm U.Ij
rocai n •
r I~ifilG•~tlvn ,9 r.Int/Ilnesl ?nnt nf cra(:k , .
ntlal Ju~n• Infllti•aclm, V.9 cfm/sjjn,u.e Inue I)r dnor alld minlmum coJe rejulremant
sIdentlal duur Inflltretion 11.0 clm/ilne&l tavt of crack
„ Ctl11CYbtA hlcor.k mr I119ulntlnn 2.1 '
trmr.rntn_ bluck Insulaled cores •.ZO n J.9 ~ I (qht:reIuIlC Irlor.k ¦ .JZ 11 M • .
Ilyliti+aliht block Injulated cnres •.12 11 8.J '
le ylass s I.IJt Mltli Sturm.ulndnw .54 '
I~ qlatf e .93 .
le qlass • .41
`erlur Meltg anJ m
celtlnys lut hare ~1 r7ltvr E~rrlPr (U,Itl perm mex.).
~arrlpr mvsE Up nn th@ InlIJe 111118t2!1 fldn.) af 11nll.
iarrlnr3 uf tlio pvlrethelene thln flim liar9 nu A relue.
, L 3~
e ' - -
' ~3 . 2 -s.-_•- e -
• -
, - -
3 -
ec_ Y_ L51rv F---
. , G°„~ - • ~ _ ~ _ 9
t .~bk. 1aa~~~nu lar - - - - ~ - - -
~ - - ~9-- - - L ~ _ -
.
~ '
, - -9_ - - - -
GA . ~ - ~
~
.
~ -
n -
u • - - - I -
u__ ~ -
u - - - -
u - - ~ '
u - '
v • r - - - - ~
u '
t~ .
- - _
:3
- _ ,
:4
:s -
u •
- -
21
:1 - t
u. - - _ r
ie - - ~
31 » ~ - -a
34 - _ ~
~
u .
~
11 - - 3
- ]
7~ - - - - - -
- _ - 3
71 - -
• - 7
AI
'OMRlM~ Hfwlt! COMMNy s>eo~ ae~~w vso. ~v.r ~
~ e~sore cov~~uee uao~ ~n u~.~
.
C I T Y O F E A A i~f p~~ OF FEE AT T.IIM C
. . , . _ * APPISCATION DOES NOT CAbSiTNL.
, a • _ x*, APPE20UAL OF PF32rffT.
APPLICATION FOR PERMIT ~ . . * nNSPECrzori oF sF.WEa AND/OR WAM:
• ' * TTZ'i`A7SATTON$ F7ILI+ N171' $E SQ3II.-
SEWER AND/OR WATER CONNECTION ~UI UNTIL PERMIT BAS BEEN
_ • . . * APPxovID. , .
. . .
_ - *
*
x************x~**~***********#*#~*
P ease Print)
1} PROPERTY ADDRESS: ~~6~` ~/~,i T_R; L L?+'4T~1
LEGAL DESCRIPTION:
Lot Block Subdivision or Tax Parcel ID )
IF EXISTING SiRtiClL'RE, DATE OF ORIGIVAI, BL'ILDING PE.RMIT ISSL'ANC'E:
(Mon Year)
PRFSENP 7ANING/PROPOSID C'SE:
~ CQv1ME.CIAL/RETAII,/OFFICE ~ R-1 SINGLE FAMILY
Q. INIJCSTRZAL ~ R-2 DC'PLEX (ZG,o Units )
~ INSTI'IUTIONAL/GOVEUZ= ED R-3 ZUW1IIi00SE (Three + Units) ( unitk
~ R-4 APARTMFS7T/COIv'DOMINILfi1 Units )
Z ~ ' 19 V• ` . . , . . . . .
NAD'lE: ~.r+-~P ~~~~.LP .~~r<.rti_ ' L?Fi-~i°i .~Y1C.
T
ADDRESS:
czTr, srATE, z2P:
PHONE:
3) ••ru iu~- For City Use .
NP.['7E: L Plumbess License:
0 ADDRFSS: /,I [%1 9 Exp Actiired
CZTY, STATE, ZIP: Not recorded
PHONE:- 4fe_1- 7Z D o MASTER LICEvSr.,ur CSo~,3f17/~Za St Initial
4) ...u• , , ~ i~,. ~r
NAME:
_ ADDRESS: ~~G~~~Z ~irL~Gs. .~aDC~S/• /7L?
CITYSTATE, ZZP:
PxorE: -7J-72 - /?Pv -
5) F'73'Lw7' ,41K&- '240„ 4'
/L-
~~~CONNELTION Zt7 CITY SENII2 CONNE.CT'ION TO CITY WATII2 C] UhIER ' 6) vjm)(w;~i- i• ~ PLEME HOLD APPROVID PERMIT FQR PICK-L~P BY ONE OF ABf)VE
_tLPI.E15E MAIL APPROVED PE.RMIT 10 1. 2.& 4, ABOVE .
(Circle one)
7) y C i• U'1" 745-
- 62
f13d3G~i.nL
' Y: NI: YY ' ~ "J1~' I' 0~1• '1D I:A' . 1 YJI' MY: ':A•"~I ~ ' ~•A' 1
Mt1.7 •0I' 1?: 1!:ly Y:I.•,h}I 'Y 1 11 C:A:' •~O.r II`1 ~ Y"' Y . 0~~
. ' Y OY Y -CI TY USE ONLY ' . , r . . . -
PERMZT # ISSUED
Pd w/Bldg. Permit FEES: '
$ $ SEWER PERMIT (INCLDDE SURCHARGE)
$ WATER PERMIT (INCLUDE SL'RCHARGE)
$ ~6 o $ WATER METER/COPPERHORN/OCTSIDE R?ADER
$ $ WATER TAP (INCLC'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ / Sr ' U-b ACCOUNT DEPOSIT - SEWER
D ACCOC'NT DEPOSZT - WATER
; SU Z~ $ WAC
O $ SAC •
$ $ TRUNK WATER ASSESSMENT
$ TRL'NK SEWER ASSESSMENT
$ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENErIT/TRL'NK WATER
~ + /j - J z) $ WATER TRSATMENT PLANT SURCHARGE
$ $ OTHER:
? J '3 TOTAL
'7.`~- 3 7
RECEIFT ' RECEIPT
;OES IITILITY CONNECTION REQUIRE EXCAVATION IN PDBLIC RIGHT OF WAY?
Q YES . IF YES, THEN A"PERMIT FOR 640RK WITHIN PUBLIC
Q ROADWAY" MUST BE ISSOED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
i1BJECT TO THE FOLLOWING CONDITIONS:
,
poROVED BY:
TITLE:
DATE: 7 / 7 / f17
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA138638
Date Issued:09/12/2016
Permit Category:ePermit
Site Address: 4508 Whitetail Way
Lot:2 Block: 4 Addition: Fawn Ridge 2nd
PID:10-25801-04-020
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
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 -
Luan Nguyen
12720 Dorchester Tr
Apple Valley MN 55124
(763) 670-2212
Integrity Home Improvements Inc
143 North Arch Avenue
New Richmond WI 54017
(763) 670-2212
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA156640
Date Issued:07/11/2019
Permit Category:ePermit
Site Address: 4508 Whitetail Way
Lot:2 Block: 4 Addition: Fawn Ridge 2nd
PID:10-25801-04-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
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:
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 -
Luan Nguyen
2094 Royale Dr
Eagan MN 55123
Kb Service Company
430 E. County Rd. D
Little Canada MN 55117
(651) 748-4933
Applicant/Permitee: Signature Issued By: Signature
i
i
/ r For Office Use I
R149ErvSw.D Permit# /c'Y/%I j
A
e
� -� r NOV 2 5 2019 Permit Fee: b
Date Received: 1
3830 PILOT KNOB ROAD 1 EAGAN, MN 55122-1810 l
(651)675-56751 TDD: (651)454-85351 FAX: (651)675-5694 Staff: t
buildinginspections{a�cityofeagan.com
i
2019 RESIDENTIAL PLUMBING_ P MIT APP (CATION 1
1 1 —1.3 --I ►- 1� WMNa
Date: i \ Site Address: . y�'j
C e .4 ` A I C���� f
Tenant: _—_ _._ 7"---i�� ----------
-------7.7777,777---- Suite#: _
ReldentlOwner, r Name: -t� / Pho �� •
v 'r�3' i
s ; `++' ' Address/City/Zip: 6 Al /v 1 i" . ;AA `A,j/ `53-7Z
Name: MILBERT COMPANY dba CULLIGAN WATER License t/: WC641376 t
' Address: 1801 50TH STREET EAST City: INVER GROVE HEIGHTS
C:ets.traCtOr,
r
State:.MN Zip:_ 5_5.0_77 Phone: 651-451-2241
• 3
Contact: BILL MILBERT Email: gloria.abas@culligan4water.com
-- f
T-y;p:e;0••• :.• —• New Replacement Repair Rebuild _Modify Space _Work in R.O.W.
Doscription of work:
Water Heater
Lawn Irrigation( RPZ/ PVB):
y Water Softener '
De&erlptlgn Add Plumbing Fixtures (_Main/_Lower Level)
^_Septic System
Description:• _
_New i
Connection to City Water from Well
Abandonment
RESIDENTIAL FEES \
$60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 New fixtures, adding or removing piping(includes State Surcharge)
$60.00 Septic System Abandonment
$100.00 New Residential (fee collected with Building Permit)
$115.00 New Septic System (includes County fee and State Surcharge)
' $60.00 Connecting to City Water from Well" + $290 for Meter and $190 for Radio Read = $540
*Sewer&Water Permit also required for connection charges
• TOTAL FEES $ 60'0
CALL BEFORE YOU DIG. Call Gopher Stato Ono Call al(651)454.0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.gopherslaleonecall.orq
You may subscribe to receive an electronic notification from tho City of proposed ordinances by signing up for an email update on tho City's
wobsito at www.cityofoagan.comisubscribo.
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
acc rdance..'1 the approved plan In tl�e case of work which requires n.review and approval of plans.
t
rh,
x
Applicant's Printed Name Applicant's Signature
Page 1 of_2
1 _