4512 Whitetail Way
CITY OF EAGAN SEWER SERYICE PERMIT
3930 PiIW Knob Road 9r 17
P.O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
2oning: No. of Units:
Owner f'Y'and Caks
Address:
' Site Address:-' 'Vhitetail way L!? Fawn P tc: ;c II .
~ Plumber va11ey Plu*bing
~ 2 -.9 7 7 0 7,?,
! 1 agree to compiy with the Ciiy ot Eagan Connection Charge: 525 .0Opd
i Ordinances. Account Deposit: 15. Otlpcl
~ Permit Fee: 10• ~OP`j
i
~ Surcharge: • ~0 P'l
By Misc. Charges:
Date of Insp.: Total:
F Insp.: Date Paid:
` .
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pibt Knob Road
P.O. ~ux 211.99 PERMIT NO.:
Eagap, !wN 55121 DATE: 2-19-87
1 Zoning: n1 No. of Units: 1
I Owner: Cr4na nnkm ,
Address:
Site Addess: 4512
" '
Plumber: Dl '
Meter No.: ~~~j~jWarge: 525 nn.,- j
Size: S/B "Rocf~ ~ 1~A'n ~l i
y"eP@it: 15-. nn..,~~'~
Reader ELtU rmit Fee:
~ I agree to comply with fW~t~ ~~d D`~7*aA
! Ordlnances. L1[V Misc. Charges: ISQ--90pd T-P- j
~ _ TotaL• ti7 nn..a _
~ gy ck- Date Paid:
~ DatB vf Insp.: Insp.:
~ •
(gtr#ifiratit- 6f (Orrupanry
titp of Cagan
ioppubutPilt ,af iwbing jwprtiDtt
Tliis Certifcale issued pursuant 1o the requirements of Sectron 306 of the Uniform Buitding
Code certifying ihat at the time of issuance this structure was in compliance wilh tire mrious
ordinances of the City regulating building cons7ruction or use. For the foUowirrg.•
clae cL+aifiaoom HWg. ihmu NO.
pm,p.,ny Type zAninY aatria R~ TyM comc ry
owwr0c&a&M ~Qdd, +521 S. HA.i' LAKF RL', L1C;AIN
Addrm _`-12 LJL11Tr.T AIi. k'!tY L-alfty L3, $4 , FAia'ld kIBDE 11
p„w. MAY 4, 1987
eumns oMC.i
POST IN A CONSPICUOUS PLACE
CITY OF EAGAN 13232
3830 Pilot Knob Road, P.O. Box 21-189, Eagan, MN 55121N2
PHONE:454-81Q0 ~
BUIIDING PERMIT Receipt #
Tobeusedror SF DWG/GAit EstV8lue $66,U0G Date FEBRUAitY 13 '19t37
Site Address 4512 WH ITETA I L tiE1Y Erect Occupancy
Lot3_ Biock 4 Sec/Sub. FAi`;N i IDGi: 11 Remodel ? 2oning +~1
Parcel No. Repair ? Type of Const y
Addition ? No. Stories 44
W Name Gf2AND CAKS J~:'J];L CO Mo~e ? ~ength
Demalish ? Depth 48
; Address 4 52I ;i fiAY LAKE Ril Int Impr? SqFt.
° City EA«AN phone 452-8934 Install ?
o Name - SAt~L Approvals Fees
Address Assessment Permit $ 384 . 50
~ City Pnone Water & Sew. Surcharge 3 3. 0 0
Police Plan Review 192.25
~ W Name Fire SAC b25. 00
= Address 525 . 00
u a Eng. Water Conn.
i W City Phone Planner Water Meter 67 • 00
Council Road Unit 305.00
I hereby acknowledge that I have read this application and state thatthe gld . Off. Tr. PI. 180.00
information is correct and agree to comply with all applicable State oi g
Minnesota Statutes and City of Eagan Ordinances. APC Parks
. Var. Date Copies
Signature of Permittee- - Total $2,311.75
A Building Permit is issued to: GRAND OAKS 7FVEL CJ on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official ~
PermM No. PermN Noldw Dab TNphons N
Pluc,wng
H.Y.A.C. eo
~
El.cak
son.nw
Inapeedon Date Insp. Commonts
F°°e^ps 1
FooNnqs II
FoundatWn
Framfny S ~
Rooflny
RouphPlb9• • -/.3-~ [Ji , r.' ~
Rouph Hty. 7 ~
Insul.
Finplaet
FinN M1q. S- y fr 7 C.~
Flnsl Plby. ,
Bldy. Ffnal S--
cart. oec.
Dsek Ftp.
Deck Frm9.
Wdl
Pr. Dlsp.
. T ;_,~at;~~rR~+~~s'~'~ "~""~•p,.~„' . , _ PERMIT #
PLUNBINQaPERMIT
t RECEIPT # ~
, CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE PHONE: 454-8100
Site Address 'a ' BLDG. TYPE WORK DESCRIPTION
Lot - Block Sec/Sub
Res. x New
y Name Mult Add-on
.q Address r~ - Comm. Repair
c City Phone 1 -1 Other
NO. FIXTURES TOTAL
~ Name _1--Water Closet - $3.00 $ L -
c Address Bath Tubs - $3.00 5 -
p Ciiy ' Phone 2)Lavatory - $3.00
- T_Shower - $3.00 ~
I Kitchen Sink - $3.00
FEES Urinal/Bidet - $3.00
COMM/IND FEE - 196 OF CONTRACT FEE I Laundry Tray -$3.00
MINIMUM - RESIDENTIAL FEE -$10•00 1 Floor Drains -$1.50
M{NIMIlM - COMM/{ND FEE -20•00 7 Water Heater -$1.50
STATE SURCHARGE PER PERMIT - .50 Whirlpool -$3.00
(ADD $.50 S/C IF PERMIT PRICE GOES 7-Gas piping Outlets -$1.50 -
BEYOND $1,000.00) So(tener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough O¢enings - $1.50
51GNATURE OF PERMIT7EE FEE '
STATE S/C:
FOR CiTY OF EAGAN GRAND TOTAL•
• . . PERMIT # 2f I Z Z
MECHANICAL PERMIT RECEIPT # 7227Z
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE '-',l ' 1
CONTRACT PRICE PHONE: 454-6100
Site Addresa ~-a L J I L - BLDG. TYPE WORK DESCRIPTION
Lot Block 4-~ Sec/Subi - `
Res. L-1 New v
m Name Mult Add-on
.5 Address ' ` Comm. R ir
c City;=, Phone ~
Other
~ Name FEES
c Address `L I • ~ • RES. HVAC 0-100 M BTU - $24.00
p City - Phone S-;- ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
TYPE OF WORK ADDITIONAL 6 M BTU - 6.00
G;4S OUTLETS - 1.50 EA.
Forced Air % `2 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 c-0 STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
Gas Piping Outlets #
Other
FEE:
;
S/C: ' SIGNATURE OF PERMITTEE
TOTAL• ' • `
FOR: CITY OF EAGAN
CITY OF EAGAN
3830 Pilot Knob Road, P.O. 8ox21-199, Eagan, MN 55121 N-° 13232
' " PHONE: 454-8100
BUILDING PERMIT Receipt # ~
8 7
7o be used tor SF DWG/GAR Est. Value $ 6 6, 0 0 0 Date FEBRUARY 18 , 19
SiteAddress 4512 WAITETAIL WAY Erect IN Occupancy R3
Lot 3 Black 4 Sec/Sub.FAWN RIDGE II Remodel ? Zoning R1
Parcel No. Repair ? 7ype oi Const V
Addition ? No. Stories 44
a GRAND OAKS DEVEL CO Move ? Length
W Name Demolish ? Depth 48
o Address 4521 S HAY LAKE RD Int.lmpr. ? Sq. Ft
Ciry EAGAN phone 452-8934 Insrall ?
o Name SAME Approvals Feea
~a Address Assessment Permit $ 384.50
~ City Phone Water R Sew. Surcharge 33 • 00
~Q Police PIanReview 192.25
~W Name Fire SAC 625.00
Address Eng. WaterConn. 525.00
i W City Phone Planner Water Meter 67.00
Council Road Unit 305.00
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off. Tr.PI. 180.00
information is correct and agree to comply with all applicable State of
Minnesota Statutes anyA~City of E n Ortlinances. APC Parks
Signature of Permittee'~ Var. Date Copies
Total $2,311.75
A euilding Permit is issued to: GRAN OAK EVEL CO on the express condition that
all work shall be done in accordance with all a lic le Sfete of Minn la Siatutes and City of Eagan Ordinances.
Buildin9 OMCial
6
1986 BQILDING PSRKIT APPLICATIOH - CITY OF EAGAN
J"
NOTE: AL[. CO8THACfOHS MQST H6 LICENSED WITH THE CITY OF EAG9N
3I8GLE F9FIILY DWEI.LINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLfi DiiSLLINGS - RESIDENTIAL REN'fAL ONITS FOB SALE ONITS
INCLUDE 2 SETS OF PLANS, CfiRTIFICATE OF SOR9SY - CHBCB FiITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMERCT!?"
INCLQDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE HONA
To Be Used For: S~Valuation: ('~26, C.no Date: 07• ~ 3.
Site Address ZL OFFICE DSE ONLY
Lot '3 Block Erect ? Oecupaney R3
Remodel Zoning 2•I
Parcel/Sub Repair _ Type of Const Q
nQ Addition # of Stories
Owner 4~ OZw~ ~ Move _ Length qq-
Demolish Depth
Address Int.Impr. _ Sq Ft
Install `
City/Zip Code
Phone APPROVAIS FEES
Contractor Cf¢-/~ Assessments Permit 3~'~'•
Water/Sewer Surcharge ~
Address Police Plan Review 721 Z. Z5
Fire 5AC (o ZS•
' City/Zip Code ~ Engr Water Conn 5 ZS•
Planner Water Meter ro"T.
Phone ~5 rL'R'J 3 Couneil Road Unit 7'-05.
Bldg Off Treatment P1 I50,
' Arch./Engr. APC Parks
Variance Copies
Address TOTAL ~1/• 7S^^
City/Zip Code
Phone 4
HOTE: ADDEESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MDST DESIG9ATE SiHICH ADDRES3
. IS DESIEED. 90 CH9t3GSS SIILL BE 9LLOIdED ONCfi BBILDING PEAMIT IS ISSIIED.
, .
~.EX7EF2IOR ENVELORE AVEFA ' GE .'U' COMPUTA7TON
• . ' , . , • '
GRAND OAK9 DEVELOPMENT COPiPANY
MODEL a,. ~ AREA U. U X AREA
~ •
kEClU I FED
1, TOTFlL WALL AREA I800 X.il 193 •
TOTAL ROOF`ARFA 1196 X.026 31.096
ACHIEVED AREA U U X AREA
A. WINDOW AREA 186.66 . .5 97,='
b. DOOR AREA 39.8 .077 06,}h
C. SLlilE GLASS AREA 13.44 .43 6.,1-517
D. F I f EPLACE AREA • ~ 0 0
C. WAI.L FRAME AREA 180 .041 i•,-~S
F. NET WALL AREA 1164.1 • 04y 57.0409
G. RIM JOIST AREA 119.52 .0436 5.211072
H. FOUND WINDOW AREA U 0 0
I, FOUND ABOVE GRADE 46.48 .135 13.0240
j. 70TAL,.WALL AREA 1800 135.5026
J. 9KYLITE 0 0
I:. ROOF FRAME 119.6 .032 5.027~
L. NET ROOF AREA 1076.4 .025 26.91
4. TOTAL ROOF AREA 1196 =0•7372
SUM 1.+2. 229.096
SUM 3.+4. 216.2390
~
~40 bzQ 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EACAN
3830 PILOT KNOB RD - 55122
• 651-681-4875
New Conahuctlon Reaulramenb RemodeVReoalr Reauiremenh
D S reyistered fite auneys ahowing p. R of bf, sq. fl. of house 2 copies ol plan
and go roofed areas 12096 mtndmuan bf coveraae alloweN i set of energy calcWaMOns fa heoted addlHau
D 2 coplea ol ptoru (ahow beam 8 wlndow sizas; poured Ind. deal9n; etc.) 1 site survey for extedor addlNOns & decks
> 1 set of energy calculatlons
i J coples ol free preaenaHOn plan H lof plallad after 7/1 /93
DATE: V`t" CONSiRUCTION COST: ~~O ~
DESCRIP'fION OF WORK: D-tr ~VQ-6D F I'~DOS r~ G A2ft G~ '
STREET ADDRESS: -S~~- 44iTE K/A
LOT: ~ BLOCK: SUBD./P.I.D.
Name: ~~~L~~ ~ON?~( Pnoneu: E'S(
PROPERiY Lclsf Fi'st
owNea Sheet Address: y-5ia W++ iiC WA~y,
City A P\/ Stafe: " ZiP:
~I
9
Company: ~1~ Ft N~A Phone a: <o
(area code)
CONTRACTOR
Sheef Address: -6 ~ 2~ Iq 3 ucense ~ ExP•
ay state: N NJ ziP: 5S 2-
ARCHITECT/
ENGINEER Company: Name:
Tefephone ( )
Sheet Address: Regishaflon
qy state: zip:
Sewerlwater licensed plumber (ff installina sewer/watarl: Phone
I hereby acknowledge fhat I have read lhis applicaHon, srare tnar me t,romwnon is d agree fo c, m y an appltcable StatE
of Mlnneyota Sfafutea and Cify of Eagan Ordinances.
1
Signafure of Applicant
' OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No 28
Tree Preservation Plan Received _ Yes _ No _ Not Raquired
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 21 Porch (3-sea.) 0 31 Ext. Alt - Multi
? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext Aft - SF
? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 36 Muiti
? 04 02-plex 0 70 08-plex ? 19 Lower Level ? 24 Storrn Damage
? 05 03-plex ? 11 10.plex Plbg _Y or _ N? 25 Miscellaneous
? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg.
WORK TYPE
O 31 New ? 36 Move Bldg. 43 Reroof
? 32 Addition O 37 Demolish (Bldg)' 44 Siding
? 33 Alteration O 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair O 42 Demolish (Foundation) ? 46 Windows/Doors
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code # of Stories sq. ft.
No. of Units Length sq. ft.
No. of Buildings Width Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI. '
Park Ded.
Trails Ded.
Other ~
Copies
Total:
SAC Units
% SAC
. *********##*#*~*******~**i#*#**k*#*#
C I T Y O F E A G A N *~Vr'3' PAYMF,~M QF FEE AT TIME OF ~
* APPI.ICA4'ION DOES D]OT a%S'PIN1S *
* APPROVAL OF PF.RMIT. ~
~ - APPLICATION FOR PERMIT *
INSPF7LTION OF SEWER AM/OR 4ARER
* TTLS'TA77.ATTQN$ FTiI.S. NOr B$ $CHm- *
SEWER AND/OR WATER CONNECTION + UI UNTIL PmMIT HAS EM ~
~ APPRC7VID. *
» *
. **x * r* ****r+r,t+:***~*t*t,s,r*
P ease Print
1 J PROPERTY ADDRESS : L44 J~ ((Jee~~~
LEGAL DESCRIPTION:
3 , ~4 44.-~ jr., ~
_ (LOt Block ubdivision r Tax Parcel ID )
IE' EXISTING 3TRCCIL'RE, DATE OF ORIGINAL HL'ILDING PERMIT ISS[.'ANCE: -
~
PRFSE[aP ZANING/pROPOSID C'SE: (bbn ear) ? C%'TgItCIAI./REl'AIL/OFFICE R-1 SINGLE FAMILY '
rl IbIDC'STRIAL Q R-2 DOPLEX (TWo Units)
17 INSTIZS)TI0NAL/GOVE1UZ1ENp ~ R-3 TUWNHOOSE (Three + Units) ( L~nits)
. R-4 APARTMEN'P/CODIDOMINILM ( Units )
Z) ~ rAM:
rDDREss:
CITY, STATE, ZIP:_
PHONE:-
• 3) u NAME.- I/ nn For City Use .
Pllunbers License:
aMxEss: G ~ n G~p~ ~ Q Acti~
ciTr, srATE, zzr: u bmirea
Not recaraea
PxorE: !~~Sglggjr rAsTm r,icerrsa# .0/0 7-/7')- St x~tlal
4) ~a• • • ~ i~• ~d`Gw
NAME:
ADDRFSS: .
CZTY, STATE, ZIP:
PHONE: .
5) ~ r• ~ ~ r. • : ~ • o~ -
[1E(,TION T0 CITY SEWEE2 f-1 rcnu Tp CITSt WATER ~ OTI-IER .
6) r [I PLEASE F30ID APPROVID PERMIT E'UR PICK-C'P BY ONE OF ABpt7E
~SE MAIL ApPROVID PERMIT 1U 1, 2, C 4. pHpVE
• (Circle one) '
7) r. r u• • ~ ~ -42
. • • ti; ~ ~'c ~a ~ ~ ~ • r • ~ ia• . ~ r~~• p- u ~ • ~ •
. • . • ~ ~ : o- w:r• •,ns~ i ~ ~ x• u .
TOR CITY USE ONLY - - PERMIT # ISSGED
Pd w/Bldg. Permit FEES:
$ S^d $ SEWER PERMIT (INCLDDE SC'RCHARGE)
$ $ WATER PERMIT (INCLL'DE 5L'RCHARGE)
$ $ WATER METER/COPPERHORN/OCTSIDE READER
$ $ WATER TAP (INCL[JDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOLNT DEPOSIT - SEWER
$ Li $ ACCOUNT DEPOSIT - WATER
S Cr Z~ $ WAC
$ ~~>2 S 'CI r $ SAC
$ $ TRUNK 'N]IiTER ASSESSMENT
$ $ TRONK SEWER ASSESSMENT
$ $ ' LATERAL BENEFIT/TRL'NK SEWER
$ $ LATERAL BENEFIT/TRL'NK WATER
$ A D.LI LD $ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
$ $ TOTAL
77
I
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
F__j YES IF YES, THEN A"PERMIT FOR WORK WITHIN POBLIC
Q
ROADWAY" MDST BE ISSUED BY THE ENGI[VEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
~
APPROVED BY:
TITLE:
DATE:
1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
~ 3830 PILOT KNOB RD - 55122
651-681-4675
Naw Conslruclion Reauhem (Ms Remodel/Reoa r ReauhemeMs
? 3 regblered iNe surveys showing sq. tt. of lot, sq. B. of house 2 copies o} plan
and Q roofed areaa M096 maximum loi coveraae allowedJ 1 se1 of energy calculaNons lor healed addHlons
D 2 coples of plans (show beam i window sfzer, poured fid. design; Mc.) 7 sNe survey fw exterlor addiflons i dec W
? 7 sef of energy calculations
? 3 copies of hee preservaHon plan B lot plalled aHer 7/1/93 _
DATE: ~Ia q CONSTRUCTION COST: IS S~7"b
DESCRIPTION OF WORK: 41-1JSYAC.[. Xu a K.0v,u,0 .~^cJi rnm+vn t'cVL
STREETADDRESS: %SI
LOT: ~ BLOCK: ~ SUBD./P.I.D. ~
Name: lj5i-L9 2 -AorlLs c,+ aFwpaA Phone IF: (n~~j'- 6 a I$
PROPERTY ~ost Nmt
OWNER
Street Addreu46- I
Gty F, A!j A?J State: 1m0.S ZIP: ZZ 12.3
f L40
Company: Allg,1 rn/c d_SpS Phone#: (,02_ gq
(area code)
CONTRACTOR I~
SheetAddress: loS) CuFF i2A. Licensek Exp.
City k1 0 (L,n i!,e State: 4YNr11.1 2ip: ~53~i~
ARCHITECT/
ENGINEER Company: Name:
Telephone area code ( )
StreeY Address: Reglshalion
Ci}y State: Zip:
Sewer 3 wafer Iicensed plumber (reaulred for new conshuctlon onlvl:
PenQHy applles when address change and lot ehange is requeated onee iz Izsued.
~
I heireby acknowledge that I have read this appllcaHOn, state ihat fhe info o is cortect, and agree to comply wRh all applieabl
Stete of NUnnesota Statules and Cffy of Eagan Ordinances.
SlgnaFure o( Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required ~(1
~l ~l
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4plex ? 11 10-piex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 1 Lower Level ? 24 Storm Damage
0 05 3-plex ? 10 8-plex ? 15 Lodging CY 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New O 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bidg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
` Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actuaq Basement sq. ft. Census Code
(Allowable) Main level sq. ft. SAC Code ~
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft. No. of Bldgs G
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
Permit Fee Vaiuation: $
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PL ?
Park Ded. . ;
Trails Ded.
Other `
Copies
Total:
SAC Units
% SAC
I
J E Y 0 R'S'C E R T I F I C A T E, GRAND OAKS OEVELDPP•tEtIT C0. (430)
'
Z
DODD ROAD
. . o
~ a
• ~=I°36'51" ; •
R=996.30
- ~
194t.o - 28.07 - 64~.D) -
`
i • - .
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a ~Z„ _ ~ / • ~r,%.
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~
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\ •
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o. r.~.. s
h : . % .i. . ~ \
. `L~OpR!~';200
Op
' ~`9 22 ~ y1~ \
.
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I M 3 'y CAR , 0J
9
0~~ry
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3~3 •~~,'~tj"
2e ' : a4.~:+ ~ / vx
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f~MYT` ~
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W ° -
I
DATE
. ~)ING INSPF(;TIl1PIC n rnT
I_
'
SHEET 2 OF 2 SHEETS
FAOJECT N0. _ 800K / PAGE JAMES R. HILL, INC.
•
87070
Planners / Englneers / Surveyors
F1LE N0. • ' •
, 8200 Humboldt Avenue South
FO L D E R elootnlndton, Mn. 65431 812-884-3028
~ 25
2006 RESIDENTIAL BUILDING PExnziT nrpLicnTro,~~9
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 9 651-675-5675 FAX 4 651-675-5694
New Construdion Reouirements RemotleVReoair Reouirements Office Use Onlv
3 registered sAe surveys showing sq, tt. of lot, sq. K. of house; and all roofed areas 2 wpies of plan showmg foo6ngs, beams, joists Ced of Survey Recd _ Y_ N
(20% maximum lot coverage allowed) 1 set of Energy Caiculations for heated addiUons T2e Pres Plan Reoi _Y _ N,
2 copies of plan sfwwing 6eam & window s¢es; poured found design, etc. 1 site survey for add'Aions & decks Tree Pres Required - _Y _ N
lsetofEnergyCalculations AddAion- indicafeifon-s8esepticsystem OnsiteSeptic5ystem _Y _N
3 copies o( Tree Preservation Plan if bl platted after 711193 Rim Joist Detail Options selection sheet (buildin9s wAh 3 or less units)
Minnegasco mechanical ventilation form .
Date / n/~h~y~ ConstructionCost yo,ooa
Site Address G l01 1?I~ 64. Unit/Ste #
Description of Work V ~ "-e~ 1 ~I 4- ew'
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2
Property Owner ;Wdu -_(~~~1h6 Telephone # ( K)
Contractor (inat takes Wlndow 3 SMina
Address UM Glond° prWe City State Ph• Telephone # ( )
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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
submission type) Submitted Submiried .
. Energy Envelope Calculations Su6mitted
In the last 12 months, has ihe City of Eagan issued a permif for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone )
Mechanical Contractor Telephone # ( ~
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 nof 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.
Sm elw 26~t I~A,
Applicant'ls Printed Name ApplicanYs S atu
DO NOT WRITE BELOW THIS LINE
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex O 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 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 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior 01 44 Siding
? 32 Addition O 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building` ? 43 Reroof O 46 Windows/Doors
? 34 Replacement "Demolitlon (Entire Bldg) - Give PCA handout to appiicant
D05Cflptl011: WaterDamage_Yes
Valuation Occupancy MCES System
Plan Review 100% or 25%u
Census Code Zoning City Water
SAC Units Stories Booster Pump
saiSFLeF2 $;wo&,i.'•pd ~97{ t%~
# of Units Sq. Ft. - .
-~-sl~
# of Bldgs Length ~~ft MM .1ell6V 11111INASprinklered
t!zSa..-. s>'~€C"r.e! e.;")+ t3t.Grea fSae1.rf°t
Type of Const Width csbnR!?crt ~:_ij qaR
REQUIRED INSPECTIONS
_ Footings(new bldg) _ Sheetrock
_ Footings (deck) _ FinaUC.O.
_ Footings (addition) _ FinallNo C.O.
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Fina] _ Pool Ftgs AidGas Tests Final
_ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ 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
~ Q~ ~ ~ z,nnc I~ESID~±;M'~'I,4,A. Nif;~'klA,l~l[~'AI.,al.r;ai~rr ~~rni,l cA~r~lor~
3 L-~ t: i. LJ
Oty Of k;ammu
3830 f"ilot 1411ob Road, 7?;igau Vl N 53122
Telephnne #S 651-675-5675
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114065
Date Issued:09/10/2013
Permit Category:ePermit
Site Address: 4512 Whitetail Way
Lot:3 Block: 4 Addition: Fawn Ridge 2nd
PID:10-25801-04-030
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 .
Eva Lewis
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 R Keller
Sandra Jo Schill
4512 Whitetail Way
Eagan MN 55123
Purpose Driven Restoration Llc
325 Main St NW
Elk River MN 55330
(763) 633-4737
Applicant/Permitee: Signature Issued By: Signature
From: PURPOSE DRIVEN FFax: (877) 725.4737 To Fax: +1 (651) 675-5694 Page 2 of 4 0510512014 5:00
Use BLUE or BLACK Ink
1 For Office Use
I I
j Permit
City of Eaufl 1 , a s
1 Permit Fee: 1
3830 Pilot Knob Road
Eagan MN 55122 Date Received: I
Phone: (651) 675-5675 I I
I
Fax: (651) 675-5694 1 Staff: 09
I
2014 RESIDENLjTII,ALI QB~U,I,LDING PERMIT APPLICATION
Date: 005W Site Address: I I~ 1%Jlnie~Atl Unit
Name:A6kMV IT Cv- CIa ld' %tt~ Phone:
(~D~J
Resident/ ' `,1.
Owner Address / City / Zip: 4611- W~' ( L, &41nn, K, 155liZ?_5
Applicant is: Owner X Contractor
Type of Work Description of work vg~d _ D 1111. Nme-'&Ze_ T~
Construction Cost: A 9 566D Multi-Family Building: (Yes _ /No _X)
Company: l trdQmbC w "Ibn Contact: Tl('J o tr,tl~t (lo `i q-eo%
Contractor Address: S6 1 idly i X71 NIA City: N~Fwc_
State: I -lN Zip:b15630 Phone. { 5 655 - g757Email: ~2yty~~~p,/kim . C OVA
License &14_l 1P(c~ Lead Certificate 0_T--7g6g0` 1
If the project is exempt om lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of
the information maybe classified as non-public N you provide specific reasons 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 dg to receive locates of underground utilities. www.gooherstateonecall.org
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.
Exterlorwork authorized by a building permit issued in accordance with the Minnesota State Building C ust be completed within 180
days of permit Issuance.
Applicant's Printed Name Applicant's Signature
Page 1 of 3
From:Sandra Ber�t Fax:(888)445-5945 To: 16516i55694 Fax: +16516755694 :Page 2„of„8._07128I2015 3:40^PM ,,�,,
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PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA135520
Date Issued:03/22/2016
Permit Category:ePermit
Site Address: 4512 Whitetail Way
Lot:3 Block: 4 Addition: Fawn Ridge 2nd
PID:10-25801-04-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
John R Keller
Sandra Jo Schill
4512 Whitetail Way
Eagan MN 55123
(651) 688-6918
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA146508
Date Issued:10/30/2017
Permit Category:ePermit
Site Address: 4512 Whitetail Way
Lot:3 Block: 4 Addition: Fawn Ridge 2nd
PID:10-25801-04-030
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 -
John R Keller
Sandra Jo Schill
4512 Whitetail Way
Eagan MN 55123
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA175909
Date Issued:04/21/2022
Permit Category:ePermit
Site Address: 4512 Whitetail Way
Lot:3 Block: 4 Addition: Fawn Ridge 2nd
PID:10-25801-04-030
Use:
Description:
Sub Type:Fixtures
Work Type:Replace
Description:Multiple
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.
All tiled shower bases require a water test.
Fee Summary:PL - Permit Fee (miscellaneous)$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 -
Aux Funding Llc
880 Northwood Blvd Ste 3t
Incline Village NV 89451
Service Tech Plumbing Llc
3817 78th Street E
Inver Grove Heights MN 55076
(612) 600-0526
Applicant/Permitee: Signature Issued By: Signature