The URL can be used to link to this page

4515 Whitetail Way j cmr oF eACAN SEWER SERVICE PERMIT ; 3830 PUot 14nob floWd P ' p O. Box 21199 PERMIT NO.: 9? Eaqan, MN 55121 DATE: t+-14-`i7 f Z ~ Zoning: »1 No. of Units: ~ rnImprate- ~ Owner. Address: ! Site Address: •Khitetail Way L30 E3 Fawn FU ge 11 i 451.~ Plumber. R-a flnd r. `iseg Plum3 in.g ~ 3._30-37 72003 . , ~ ' I agree to comply wllh the City of Eayan Connection Charge: 525.00pd 15 . OOpd Ordlnances. Account Deposit: ~ Permit Fee: lfl . OOpd ! ~ Surcharge: .5()pd BY Misc. Charges: ~ ~ Date of Insp-, Total: i Insp.: Date Pald: ; ~ I 8627 Date: 4 14-87 CITY OF EI?GAN Permit No: 5830 Pllot Knob Road Meter Na 5 705'" Size: P.O. Bcx 21198 Reader No: ~ 9~17 9~ Date: Eagan; MN 55121 Owner. ` j='',urate Const. Site Addreas: 4515 T1hi tPtail j'av L10 B3 Fawn Ridge II Plumber -'-avmond r Fiae° P2unbini- 525. 00 d ..*ing: R-L Conn. Chg: Acct Dep: Permit Fee: 10. t; ' 7 ;I 1C ~al U~~~ Surcharge: P%1(aq"~~~imply with the City of Eagan Tr. Plant Meter. M isc.: BY WATER SERVICE PERMIT 1NNYLU'llUN KLUUK1) CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. `~'y`•~ Eagan, Minnesota 55122-1897 Date Issued: " f.~ • (612) 681-4675 SlTE ADDRESS: APPLICANT: t 1 t iA j 1 i.1AY ~ i~', • t+ PERMIT SUBTYPE: TYPE OF WORK: . . • „ , INSPECTION . Permit Holder Date Telephone # PLUMBING HVAC Inspection Date Inap. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE A{R TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL !O)~ DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL II DECK FTG I DECK FINAL • . ~.....T„ . . . _ ~ . , . a CITY OF EAGAN 3 9G 3830 Pilot Knob Road, P.O. Box 21-199, Eagsn, MN 55121 PHON E: 454-8100 • BUILDING PERMIT Receipt To be used for ' Est. Value Date 't i` Site Address OFFICE USE ONLY pn Site 3ewage _ Occupency . Lot Block Sec/Sub. MWCC System _ Zoning Parcel No. On Site Well _ Type of Conat City Water _ (ActuaQ a Name 7.UIN I (Allowable) W * of 8tories ~ Address ' Length City Phone Depth 3.F. Total , p Name Foatprlnt S.F. 0~ Address APPROVALS FEES City Phone Asaessments Permit ~ t) ~ ~ Water/Sewer _ Surcharqe F W Name Police _ Plan Review z Fire _ SAC, City 'z - Address u= Enpr. _ 3AC, MWCC ~ W City Phone Planner _ Water Conn. Council _ Water Meter I hereby acknowledge that I have read this application and state Bldg. OH. _ Road Unlt thet the Informatlan is correct and agree to compiywkh all applicable APC _ Treatrnent Pt State of Minnesota Statutes and City of Eagan Ordinancea Variance _ Parks Copies Signature of Permittee 70TA1 A Building Permit is issued to: on the express condition that ali worlc shall be done in accordance with all applicable State af Minnesota Statutes and City of Eagan Ordinancea Building Official Permit No. Pormit Holdsr Date Telephone Plumbing H.V.A.C. Electric ;7 Softener Inspsctfon Date Insp. Commants Footings I Footings II Foundation lk-V Framing Roofing Rough Plbg. ;i,9-v ii ` . Rough Htg. IsuL Fireplace Final Htg. p~ yU ~ _ _ /y Final Plbg. ia-~'f CA c.L ~ o~tiGC C1,peW Bldg. Final k 4v.9vG n-T - cert occ. PQ Tou Temp. LP Deck Ftg. DeCk Frmg. Well Pr. Disp. , ' . l . ~y~..`h . . _ . . ~T,7_.:~ . . . - PERMIT # ' PLUMBING PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB RUAD, EAGAN, MN 55122 DATE: VZ/ .319 7 CONTRACT PF11CE: PHONE: 454-8100 Site Address 4' + Z '..rBLDG. TYPE WORK DESCRIPTIDN Lot ~ b) Block Sec/Stjb ` Res. New ?r-~'~ Mult. Add-on m Name I • ~ ' ~ ' t Comm. Repair 'a Address Other c Ciry f~ t ; ; : • y! ' Phone PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Name ' v-- Water Closet - $3.00 ~ye • ` _LBath Tubs - $3.00 ~ - 3 Address _Z~ (1, 0" 0-_il.,~, - Lavatory - $3.00 p City Phone 2 Shower - $3.00 _k-Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE ~ Laundry Tray -$3.00 APT. BLDGS - COMM RATE APPLIES I Floor Drains -$1.50 TOWNHOUSE & CONDO - RES. RATE APPLIES I Water Heater -$i.50 MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE - $20.00 -J__Gas Piping Outlets - $1.50 ~ -v STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00 BEYOND $1,000.00) Well - $10.00 Private Disp. - $10.00 1 • i ~t-' -_---Rough Openings - $1.50 SIGNATUR~ OF PERMITTEE FEE: STATE SIC: ' S d FOR: CITY OF EAGAN GRAND TOTAL: 3'} ' S~ . . , y. , • CITY OF EAGAN . 454-8100 DEPT. OF BUILDING INSPECTIONS • ~ ~ Correction Notice Located at Tf ~ L I have this day inspected fhis structure and these premises and have found the following violations of city codes governing same: C" GT/U, , . When corrections have been made, please call 454-8100 for inspection. Date Inspector City ot Eagan DO NOT REMOVE THIS TAG Z-;~: v.~r~cr~rn-n:4~ ~ . c- PERMIT ~MECHANICAL PERMIT RECEIPT # 725$Z ' CITY QF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE ~-1~ g~ CONTRACT PRICE 2400. 04 PHONE: 454-8100 Site Address r T~a BLDG. TYPE WORK DESCRIPTION Lot lock Sec/Sub R~ XX New ~ / / im, ~ Name Kleve H atin & Air Cond. In Mult Add-on Comm. Repair ~ Address 13075 Pioneer Trail c Ciry Fden Praixie Phone 941-4211 Other - 55344 Name rn=rate traQtion FEES ~ RES. HVAC 0-100 M BTU -$24.00 E 3 Address 4466 i Kood AODITIONAL 50 M BTU - 6.00 0 ~;ty rac~an, 55123 phone 454-066 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA. ~ TYPE OF WORK COMM/IND FEE - 144, OF CONTRACT FEE Forced Air M BTU '(j APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU $ REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 VefFt. GFM , STATE SURCHARGE PER PERMIT _ .50 PERMIT PRICE GOES Gas Piping OuUets # BEYOND $1,000} Other FEE ~ ~ i'-~3!. ~i/~( rr ~:C~i'?~P~ S/C: ~ SIGNATURE OF PERM!trEE TOTAL: FOR: CITY OF EAGAN I • ' ~ ~,,."f ..417/ 7~~~I T • c , ~ PERMIT # f~D `~'~4 MECHANICAL PEFiMIT CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACTPRICE $1,600.00 PHONE:454-8100 n Site Address 4515 teta Wa BLDG. TYPE WORK DESCRIPTION Lot Block Sec%$ub 5 4 ' Res. ~ New ~ . C c.- ~ ~ Name KlevR Htg. & Air Cond, Mult Add-on • ~ Address 13075 Pionear Trail Comm. Repair c City EGen Prairie phone 941'4211 Other Name Ka n Juricich FEES RES. HVAC 0-100 M BTU -$24.00 c Address 4515 WhitRteil. IlFiv ADDITIONAL 50 M BTU - 6.00 p City FAa~' Phone 688-6420 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PEFiMIT) - 1.50 EA. TYPE OF WORK COMM/IND FEE - 19fo 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. L`''nuor 36, OOU j~ BTU MINIMUM COMMERCIAL FEE - 20.00 Vent I`'15- 911 CFM STATE SURCHARGE PER PERMIT - .50'' " (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Oudets # BEYOND $1,000) Other $ . . , FEE: ~ al S/C: SIG UR OG FPERMI E TOTAL: / FOR: CITY OF EAGAN . . titp of (Cagan mPVal'flriPttf Df %ang 3wPtftOtt Thir Cenificate issued pursuant to the requuemenu oJSeclion 306 of the Unifornt Building Code cenifying that at the time of rssuance tlds slruclure was rn compliance with the various ordinances of the City regulaang building construction or use. For the folfowing.• U9e Qaseifiaeon ~J', UsICtfiFy, Bklg. Permit No. 1339"; Occupaocy Type R3 Zooin` Dievid Type CQa+t- V Owner af Buildiog lxAUKILkm (XW11WrXk'i Amres 1r4Cdi W' Q.UM IR. EAGAP1 eWding Addmss4 515 4h? ~~I'AII, 1d~AY L 10, 5:S , FAGM RIT7C~: 21~ID o„e: MAY 28, 1967 Bw7din6 OlFicial POST IM A CONSPICUOUS PLACE CITY OF EAGAN NO 13 3 9 6 3830 Pilnt Knob Road, P.O. Box 21 •199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt# 1Bbeusedfor SF DWG/GAR Est.Value $79.040 Date A9ARCH 30 19 87 SiteAddress 4515 WHITETAIL WAY OFFICEUSEONLV Lot 14 Block 3 Sec/Sub. FAWN RIDGE 2ND OnSlteSewege Occuvancy R3 MWCC System X Zoning - Rr- Patcel No. On Site Well Type of Const City Water -A_ (ACtual) V a Name CORPORATE CONSTRUCTION INC (Allowe6le) v w # of stories 3 Address 4466 WEDGWOOD DR Leneth 45 ~ City EAGAN Phone 454-0644 Depth 53 S.F. Total , o Name SAMF. Footprim S.F. 02 Address APPROVALS FEES ~ City Phone Asaessmenta Permit $ 430.00 WateUSewer surcharge 3 9 50 W W Name Police - Plan qeview 15 _ 00 _i Address Fira - snc,aty 1 nn _ 00 ~ - Engr. _ SAC,MWCC 59r+ QO a=w City PhOn@ Planner WaterConn. ~V0 a _ Council _ waterMeter 67.00 I hereby acknowledge that I have read this aOPlication and state Bldg. ON. _ Roed Unit 30 5_ 00 thattheinformationiscorrectandagreetocomplywiThallapplicable APC _ TreatmentP7 l R() _ 00 State of Minnesota Statutes a it of Eagan Ordinances. Variance _ Perks ~~y(~ Copies SlgnatureofPermittee, 707aL 50 A euilding Permit is issued to: CORPORATE CONSTRUCTION INC on the express condition that all work shall be done in accordance with all applicable S~tat~ o~,~ f ~Minnesota tatutes and City of Eagan Ordinancea Building Official tiJI~J--pl~L ~ RESIDENTIAL BUILDING PERMIT APPLICATION z sq~ CITY OF EAGAN ~I 3830 PILOT KNOB RD, EAGAN MN 55122 ~ O L 651-681-4675 I, New Conslruction Reuuiremente ~ I-(7J RemodallReoair Reuuiremearts il • ) registered site surveys showing sq. ft. uf lot, sQ. R. of house; and all roofea areas • 2 ccpies of plan (20% rnaximum lot coverage allowea) . 1 sH of Energy Caiculations for heated adUitions . 2 copies oi plan showing 6eam S window;izes: poured (ound tlesgn, etc.) • t site survey for extenor additions & decks . 1 set of Energy Calculations . intlicate if home served by sepfic syslem for atltlitpns i . J copies of Tree Preserva[ion Plan if lot Olatted afler 711193 . Rim Joist Oelail Options selec6on sheet (Cldgs with 3 or less units) I DATE VALUATION 17Sl 1~7Z ~73•z-t ~ SITEADDRESS /A /L IiiMULTI-FAMILYBLDG _Y II?N TYPE OF WORK ~~I Q- L"i~ S/,~2~C PIREPLACE(5) _ 0_ 1 II 2 uu ~I APPLICANT ~ l2~oL ~i II STREET ADDRESS 3 S-~) l bvy bA c,"4 CITY ~r STAiI~441 ZIp Ifl TELEPHONE # qg •~5~"YdoU CELL PHONE # fAX # ~ •~~~G PROPERTYOWNER c i cIL TELEPHONE# COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY I - Energy Code Category _ N[l.N\'ESO"C.1 RULES 7670 CA"11:GORY l _ MIVNY:SO'C.1 RliLES 7672l1 submission rype) . Residential Ventilatlon Category 1 Worksheet Submitted • New Energy Code WorksheetSubmitted . Energy Envelope CalCUlaGons Submitted II Plumbing Contractor: Pkionc # Plumbing system includes: _ VVater Softener _ Larm Sprinl:ler Fee: $90!~00 Water Heatcr No. oF R.I. Baths No. oF Badis Mechanical Coniractor: Phone # Mcch.uiiril svsLcm indudcs: Air Condiuoning ree: $701,00 I-[cat Rcco4'cy Syslcin Sewer/Water Confractor: Phone # ! ~ I hereby acknowledge ihat I have read this application, state that the information is correGt~~d agree tof~b ~~7 U with all applicable State of Minnesota Statutes and City of Eaga r in nces. $EP 1 0 1002 Signafure of Appllcant ~ II - - -'-°-------•-°_.._..._.....-~~L--...... I OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ T U Ildated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex ? 13 16-plex 0 20 Pool ? 30 Accessary Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace 0 21 Porch (3-sea.) O 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch(screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower level ? 24 Stortn Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition 0 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslOoors ? 34 Repiacement •Demalltlon (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo 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) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC Ciry SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total `I RESIDENTIAL ,.55`~51 BUILDING PERMIT APPLICATION z It CITY OF EAGAN ~ 3830 PILOT KNOB RD, EAGAN MN 55122 I 651•681-4675 New Canstruction Reauiremenb RamadeURenair Reeuirements I • 3 registered site surveys showing sq. N. ol lol, sa, ft. of house; and all roafed areas • 2 copies of plan (20°k rnaximum lot coaerage aJlowed) . 1 set ol Energy Calaiations for heated adCitions • 2 copies of plan shaxing 6eam S window ;izes, poured found desgn, etc.) . 1 site survey for extenor additions & tlecks I • i sel of Eneryy Calalations • Indicate'rf home served by seplic system `or addifions • 3 copies of Tree Preservation Plan i( lot platted atter 711193 • Rim Joist Oetail Optans selection sheet (61dqs wiM 3 or less unifs) I j ~ DATE qI S I0 z VAWATION ~5-7 ~32 SITE ADDRESS tti5 / S ItiJ~ ,4-e, -)A JC L/A~ MULTI-FAMILY BLDG _ Y ? N TYPE OF WORK Z6 AL'n i- FIREPLACE(S) _ 0_ 1 II_ 2 y II APPLICANT 1A f.91 i)J 094 G,e,, STREETADDRESS SZ~ ltii~.A/i ~U/ f CITY kj CS STATEk- ZIP 'T~ TELEPHONE # '~ODd CELL PHONE # FAX # G.~ ~2, ~ ~ • 7Qf'G ~ / PROPERTY OWNER LA r I C'J LG~ TELEPHONE# ~V24) ' ~ COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS aNLY I Energy Code Category _ vIIV\k:S0'1':1 R[;L1:S 7670 G1"11?GORti" t _ NIIY\ESO"C:1 RUI.F_S 76712 ('d submission type) • Residential Ventilatlon Category 1 Worksheet Submittetl • New Energy Code Worksheet Su6mitted • Energy Emelope Caiculations Submitted Plumbing Controctor: Ptionc # Pluinbing systein includes: Water Soltener _ Laevn Sprinklcr Fce: S9Qi;00 _ Water Heater No. of R.I. Baths No. oF Baths Mechanical Contractor. Phone # i Mcch>uiic.d systcin includrS: _ Air Conditioning F«• S7t>,I~00 _ Hcat Rccovcr}' Systcm Sewer/Water Contractor: Phone # i I hereby acknowledge that I have read this application, rtate that the information is correct,-and agree to comply ~ ~ with all ppplicabie State of Minnesota Statutes and City of Eagan Ordinances. Signafure of Applicant ~~I r ~I lL!-°--_--_____ !I__ I OFFICE USE ONLY IBY I Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ I U Ildated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 OS-plax ? 13 18-plex ? 20 Pool O 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multl ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Muiti ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex 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 Oemolfsh (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement "Demolitian (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinkiered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bidg) _ FinallC.O. _ Footings (deck) FinaVNo 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) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee ^ Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage 5&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total . 1987 BOILDING PERMIT APPLICATION - CITY OF EAG9N SINGLE FAMILY DWELLINGS IPCLIIDE 2 SEfS OF PLANS, 3 CERTIFICAiSS OF SDR08Y, 1 SBT OF ENSRGY CALCDLATIOHS - - NOYE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOfdNER HOST DESIGHASE WHICH9DDRESS I3 DESIRED. NO CHANGfiS WILL BE ALLOWED ONCE BOILDING PERMIT IS ISSOED. I MOLTIPLE DWELLINGS - RESIDENTIAL RSNTAL i1NITS FOR SALE ONITS ' . INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SDRVEY - CHECg NITH BLDG. DfiPT., 1 SET OF ENERGY CALCULATIONS COPIlMKRCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND t SET OF ENERGY CALCULATIONS, ~i $2,000 LANDSCAPE BOND To Be Used For: Valuation: Date: / I Site Address OFFICE OSE ONLY I Lot Block j On Site Sewage_ Oceupancy MWCC System ? Zoning 21 Parcel/Sub /Ai(v/ On Site Well Type of Const I City Water ? (Actual) Owner COrPivr.Lf C'~;~ (Allowable) SL # of Stories Address `t ~ b b V~PBIr`j C..s•~/~- Length Depth City/Zip Code S.F. Total ~ / Footprint S.F. d Phone 4 q 6PPROVALS FEES , Contractor Assessments Permit Water/Sewer Surcharge ~j.~. Address Police Plan Review 21S1I Fire SAC, City I c~o City/Zip Code Engr SAC, MWCC 5Z511~ Planner Water Conn 5Z5 I Phone Council Water Meter Bldg Off Road Unit Arch./Engr. APC Treatment P1 Variance Parks Address Copies ~y- TOTAL ~ City/2ip Code II Phone # • SURVEYOR'S CERTIFICATE cORPORATE CONSTRUCTION a j/ N •~F, ~ 9 g ~ S2o 39~F , / ~ 7? 1 ~~3 S / (9 \ \ ~ ~9 \ _ . i • I ~s2 \ p O g hC' 1` h' A > ~ , \ `h o 'O~ . ~q a ' ~ i (n . ° /ii: oR C) O \ 2~y0/ V 0~0. o k/ . k9 . 30 i0 9p~f O ' \0 `,uN~~ / OENOTES PROPOSED SURFACE DRAINAGE SCALE: i INCH 30 FEET p DENOTES IRON MONUMENT SET • DENOTES IRON MONUMENT FOUND PROPOSEp GARAGE FLOOR n 951 5 FEET FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOPEOF BLOCK = 955,7 FEET I HEREBY CERTIFY TO CORPORATE CONSTRUCTION TNAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 10, Dlock 3, FAWN RIDGE 2ND ADDITION, according to the recorded plat thereof, Dakota County, P1innesota. AND OF THE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, IF ANY, THEREON. AS SURVEYED BY ME, OR UNDER MY DIRECT SUPERYISION, THIS 3RD DAY Of Ma¢cN , 1987. SIGNED: JAMES- . HILL, INC. PROPOSED GRADES SHOWN WERE TAKEN i FROM THE GRADIPlG, DRAINAGE AND J f,~.'. . EROSION COPVTROL PLAN FOR FAWN ~~~GGt C.- " ' RIDGE 2ND ADDITION, PREPAREO BY BY' LAND SURVEYOR PROBE ENGINEERING CO., INC., LAST H ROLD C. PETERSON, DATED JUNE 6, 1876. MINNESOTA LICENSE N0. 12294 , PROJECT N0. BOOK / PAGE JAMES R. HILL, INC. 87116 • • Planners / Engineers / Surveyors FILE NO. 8200 Humboldt Arsnue South FOL DER Bbomington, Mn. 65431 812-884-3029 f, A r o S anar.HO A p coag l1.. . 'hs ' o c1Un ieLivl a , Phone ^ ~S :ic•. aaar.:s " - :ontractor SuitEing Classifltetlan: TypQ A1 (Stngle Fa:nily 6 Duplex) ? TYD* A2 {Resident/a1 _ (3 stoNes ar esf` > ~ •(Other)~_ (Over 3 stories) `sENER+4t IHFOftMATION . 1. Building Perimeter 1 ~(e ~ft. Yall hei9ht (ground to eave)r~~~ c_s ft. 2 ~3. 1. x 2. -(above) gross wal l area ic. 2 9a I. 8uildtng dimenslons (L) -4') X(W) 1Z3 45 ft. roaf 5 floor area i. SQusre fcot •rea of rim ,iotst - Fn~°rxjPerime[er (2 Rim1 o~st area ft2 f . - Joors - Area 3 ThiC nets~:_,. ^ actor "~~erlm~ter .3 .9 S TYpe ot Cons ruct on C~t~ • Manufacturor 7. Total door's perimeter 3 Z• z $ ft State epproved 8. windoxs: Manufacturer i~~ a~ ~ o s U ftCtor • s C> 2 TYDE SIZE AR:A (F:.2) NUMBER Of TOTAL FEET EACH UNITS i r 30 30 • e.'~:n . ~°I~u (0~2,___ e~O.OC7 ^~-y ~00 C7A g, Total ft.Z 61ass_ Ft.2 flreplatt Area: M1dth x heioht • x, . Ft.2 11 . Exposed toundtNon: Helght x Perimeter`'`~a _x~4~-- '.A . ; 7MPLETION Of THIS fORM IS REGUIRED FOR ALL NEU CONSTRUCTION. MAJOR RENODEUNC ANO BUILDI!4GS I tJVEG IiMERE ENER6Y. OTHER THItN THE MINIMAI CODE ALLOHANLE, I5 USEO. Y, .V' . ow~~ w • . ' . .s4ioq tr+e~ +.:IQ~ 4~F;:y~s wll +Iree. ;;r: I~t ,rost w~ll ~ra~ z ~OQ~ f*,2 ~ f~ , Windo+a area A ft. l; wlndows ~ . 5Co 'J x A.' Rtm Jo1st area A \30 o ft.2 U rim joist ¦ •04 U x A- poor area A • , -7 ft.4 7 door area ,^_3 ~J x A • 'g .teJ ~ Fireplace area A f..z . U rireplace = 4ZG~- U x A• Exposed foundation A f*.' U foundation • U r. A¦ Framinq area A it.2 J franing area •J O~ U x A= Mef wa11 area A `~~.0• o\ U wall = OC3 U xA (110: -.;.^.L . . . . . . . . . . U x A - ~:q, Gross wall area x 0.11 (A-1.single famil.y allowable U R A/Code (13. above) ~ x 0.23 (a-2 other resiCentia'.; x .23 (Dcher buildings; a .28 (Over ; stor;e;;) UN kust be larger th44";, A Z Z o 8 x U Ccde 138 above [":y. Cailing framing area (Af) aquals 100: of c=iling area - or the Same as) R Gross ceiling area • (L) ~O x (s±} _ 3cD • 5 ft.2 'a'38 Jotst nrea (Ar) - 10" ceiling area ft.2 N iSG. Net ceitina area (,4C) (15A - 158) = l\~~^O s_^ ft.2 U ceiling r f, c¦ _ o z.x_~~,sh~' 1. ; U f rami ng x A f= . n z~ 4 x_ TQ7AL U x A h ~ Ceiling nrea (15A) x 0.026 (A-1 single `amilf 5 Cuplex - code allowaDle U x A x 0:033 (a-z other resida.^.tial) x O.C6 (other) i BTUH Must be larger than 150 (dboVe) p~~5;ti Q. 5 x I~{co°e1-~F (or the same es) ~ a~. NOTE: Use U and a vtlues obtained f'•om nps 1, 3 and 4. ~~'e ~ ~ -4A - r n ~:..1 ~~y~' e.~ i. 6`~~ ~ ~ ~ ~ ~ • i:~ i ~>~i~Cb~ r _ - ~ ;jr rAlt ~ .I . ~j,~ ~ "Ca [nt~rtat'rait + (Matl) L',,• ~ ~j. r. ?Ste7"~ : '6•, ~ C~au:~~t~n '1'Ql .40 ~ vSl~tng • (e`a ~ ~4 p • ~ 3uuide air fllm .Il Q TOTAL . , .:,.4; 4- inslde atr Eilm .~g 57'l.'D ~V C, int.:tor +ail 6.~4'~a I 3LCTION ~ v•, $.ud k= ~--7 (FraAing) U' Sldfng n,`~ . . . . . I1 OuCSiC• atr illn .1' , v~. .F~ ~ • 0~.,•.~.M OTAL CA Inside air f:lm R• .68 2ND UALL In[erwr vail .gs. h S[CI'I?Ir insulstlon ~<}.op ~wall ) : ¦ k• `Tr" . SheatAtng 7- oa E<Ctrtor wll :overins ~ -,1 ExCeClor air Il lir, n r.1 i . : , i; q roTeL 23 . O 3 -".^'~"a . . ~ /b1 [yk` ln[etiur air [ilm Z* .68 flLN 'r.sulo:.1 on 40.•ofl ~ m V• ~ ~ JOL57 ' 111 ir,ch w!t auud R=l.88 (Ri ` ap{st' . . 3/a heaChrng ~/1& 6'~.'itei9or wsll cuvering , .~'Y, • ' Extertor air ftlm tia .17 . .yc I d TOTAL .0 4 ` • , tnc.ctor air R' .66 ~ inaul.s:lor. 1t6-° Cor«.a Foundatiun 'Z•~~ (Fdp:) U • ¦ A ' b;° xtsrlor sir filn R•,.11 F rorAL , ~fxposad 31uck ~ k r.rsCe ~ . . . . _ : . ~ .._a 1"M",~n~"'•."~~ ' ~W~k~ ~ilt~r,.,.. .....i...,..r~YM'aiM4J~~~c'Ni~~?Fa~+iitdlY'~$4~5'N?-5riw.....~.~i . ~W 'W'NN' n.nWn~~YRY'!V,W.ry ...i ! , yT W;~t 11 I` ~f~ .;I ~i 7~}; ..1 1 i ; .0.6:F°A4r #010 0,01 , 3\ •15 IntuiaNon 44 .0 , joisc A ~ -5:93 Clili119 : 0.61 Air Film 0.61 . ; . 31 .9 3 Toul R 1 . .02~4 u = A o~ - s F:AT ROOf OR Ga?HEX% CEILM q Ye're R 4ALUE ' fR;,MING CHILING ~ ~ 0.61 In51de air ff 0 .61 l,m Cei i i n Joist ~stud ~ ! . Insuldtion ( I ( I dir spltf 771" Roaf Qvainq Insulation Bu11t-4P root . 0. 7 OuES/dR Nr ti1m ~ Total u ;:.i{ndow infiltraticn .5 cfMltneal foot of crack ; tqsiQential door inflltration 0.5 cfm/square foot ar dcor and mininur code requtrewnt ' Opn-resfdential door infiltraNon 11.0 cf;n/lineal `oct of crack .,Ib '12" concrete blotk no insu'lation - .47 R 2.1 :J0 .12" concrete block insulated cores - .Z6 a 3.8 4 12" lightweight plOtk •.32 A 3.1 ;p 12" 11gnt+rei9ht slock trisulated cores - .12 Q 9.3 J.siu9le glasa ¦ 1.13: w1#h starn window .54 : ~M. double glass a .56 :1 trtple glass ¦ .41 al) exterior walts anA ceiliegs must have a vnpor barrier (C.10 perm CIsx ~;:apor Oarrier aiust 0e on tl~e inside (heated side) of wall. ~or b+lrrfert of'Lhf Ro11yIthe4n4 th4n film have no R value. . . . ' . . . . . , , . . • Q, , ' . ' . -01T . VOFEAGAN PERMIT 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagarl, Minnesota 55122-1897 Permit Number: 032984 (612) 681-4675 Date Issued: OB/24/98 SITE ADDRESS: 4515 WHITETAIL WAY LOT: 100 BLOCK: 3 FAWN RIDGE 2ND P.I.N.: 10-25801-100-03 DESCRIPTION: REPLACE WNOW/DOORS ~,IdT#g~~Permit Type SF (MISC.) BLI114-Ing ~Uoxk Type REPAIR 0,~,nsws, Cod, 434 ALT. RESIDENTIAL J", d Li Ot REMARKS: FEE SUMMARY' VALUATION $16,000 Base Fee $237.25 Surcharge -8~0 @- Total Fee $245.25 Applicant - ST-.--LTC-. fiqvTMI;TDNDERSEN 15024777 20040630 MM:H KARYN 35011 73RD AVE NE 8 4515 WHITETAIL WAY FRIDLEY MN 55432 EAGAN MN 55123 (612) 502-4777 (651)688-6420 C'k 6`0 w I-le d,4 e - t K a t I fT av e anid state th-ae, the I , I - 1 -1 r-Cad thIsagpliaotio,n 1 n~ o -r,,ma ti o n' Is, ~ t a rrec, t a n d, agi-oe to -comply with all oppll,oablo State 16f Mn, S tatutalo and, City n Ordlna,ndOis. APPLICANT/PERMITEE SIGNATURE USSUED BY: SIUNATURE ` 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PII.OT KNOB RD - 65122 681-4675 -3 a9 ~Af New Construdion Reaulrements RemoAeVReoair Reauirements 3 registerod sde surveys ? 2 copies of plan ? 2 copies of plans (inGude beam & window sizes; poureC fid. design; etc.) ? 2 site surveys (exteriar atlditions 8 deeks) ? 1 energy calculations ? 1 energy wlalatlons for heated addkions ? 3 copies of tree preservation plan H lot platted after 711193 requirad: _ Yes _ No ~ DATE: ~ CONSTRUCTION COST; I~i Ril N OF WORK:C'e- 1ollm~~ inP1~~~ DES" STREETADDRESS: LOT: BLOCK: ~ SUBD./P.I.D. !FQul Name:k--IrLd-, i h.a~0 Phone#: PROPERTY ~t F"~ OWNER 'f + ~ 1 StreetAddress: "1.~ I~ I/~)~~A-dA A~.A)aj~ City C Q1 nn S~ m~ Zip: J Company:~nuAyl Phone CONTRACTOR StreetAddress:--~~ 1CIl~ ' Iv~ License k~~I City State: Zip: ARCHITECT/ ENGINEER Company: Phone Natne: P.egEs*r!!ion Street Ad.lcess: City State: Zip: Sewer 8 water licensed plumber (new construetion ony): . Penalty applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this applica6on and state that the infortnation ' rrect and agree to comply with all appiicabl State of Minnesota Statutes and City of Eagan Ordinances. All Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes - No _ Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pool 0 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace O 21 Miscellaneous ? 05 SF Misc. ? 10 _-plex ? 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 36 Move ? 32 Addition ?;i4 Repair ? 37 Demalition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MClWS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee J a-' Valuation: $ Surch~rge ~ Plan Review License M^MJu uAC City SAC ! Water Conn. , Water Meter Acct. Deposit S/W Pertnit S/W Surcharge Treatment PI. Park Oed. Trails Ded. Other Copies Total: % SAC SAC Units *********************#Y#*****#y#***# **IOTF: PAYMh?TP OF F. EE AT TIME OF * • CITY OF EAGAN * ~Es NOT coNsriTuTE * ,*t APPROVAL OF PERI41T. * APPLICATION FOR PERMIT * * * INSPF7GTION OF SESM ArID/OR FII\12R ,*f iNsrnrTaTTONS WZLL ERYr BE SCm- SEWER AND/OR WATER CONNECTION *ULID uwm PERMIT HAS BEEN ; y~. APPROVID. * * rt i µ . *****t*,r+r*~*+**rx,r*+rr,r#*+*+,r*~,r*s+r** P ease Print 1) PROPERTY ADDRESS: ~ ~fn' Z LEGAL DESCRIPTION: ~ Lot Slock Subdivision or Tax Parcel ID i IF EXISTING STftL'CiL~RE, DATE OF ORIGINAL BilILDING PERNLZT ISSCAAICE: ' ~ (Mon Year " PRFSIINS ZONING/PROPOSID LSE: i ~ COI`Y`fERCZAi./RErAIL/OFFZCE r-1 R-1 SINGI.E FAMILY Q INIDCS'PRIAL r-i R-2 DLPLEX (1t,o LTnits) I ~ INSTI'IL'TIONAL/GOVF.F2iZENT ~ R-3 TOWNiOL75E (Three + Units) ( Units) _ q R-4 APARTmENf/CONIDOMIDIIUM ( Units) i 2) ~ I ' [VAME: ADDRESS: ~ CITY, STATE. ZIP: PHONE: 3) ' i: ~ For City Use . ~ME: Plumbers 'rLicense: ADDRESS: ~a- , a Active H Ekpired ; clTSC, sTP.TE, zIP: ' ~ 14 3 Not recorded PHONE: _ MASTER LICENSE# f~ L~~ ( St~tlal (1 4) Kc-Cok-N 67610,115731 NAME: l'.BJI 11L,tOh b-6 ADDRFSS: i CITY, STATE, ZIP: YWA' PHONE: ) ' (D ~ 5) ~ t a• • : ~ • o~ - , NNE(.'TSON TO CITY SEVM ED-CNNDCrION 'PD CITY WATII2 ~ OTHER . 6) " • PLEASE HOLD APPROVFD PERMIT FOR PICK-C~P BY ONE OF AH:)VE ' '_M_-PLEASE MAIL APPRCIVID PERMIT TO 1. . 3 AHOVE (Circ e one) 7) r'~T ~~~J' ~D~ ' • '1: ~ Y' G ~ • • ~ ~ ' ~ I' 07 • ~ ? IDI' I~ / Y71' y DI • ~ ~ i•~ • 1>. ~ :7 M:r• •,t16~ 1 1 1 ~I • :+I• • ~ ~ FOR CITY USE ONLY PERMIT # ISSUED , ~ =2 Pd w/Bldg. Permit FEES: $ S /Q• Sb SEWER PERMIT (INCLUDE SURCHARGE) $ $ / O.s~ WATER PERMIT (INCLODE SCRCHARGE) $ $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLCDE CORPORATION STOP) $ $SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ ACCOONT DEPOSIT - WATER $ $ WAC $ 2-~~ ~ $ SAC $ $ TRL}NK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BEN°FIT/TRUNK WATER $ lO d'r! 0 $ WATER TREATMENT PLANT SDRCHARGE $ $ OTHER: $ 8a 7' $ TOTAL ~7,)- 0 RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC Q ROADWAY" MUST BE ISSIIED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SCBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: ~ City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4515 Whitetail Way Lot: 10 Block: 3 Addition: Fawn Ridge 2nd PID:10- 25801- 100 -03 Use: Description: Sub Type: e - Furnace Work Type: New Description: Furnace Comments: Fee Summary: Contractor: Kleve Heating & Air 13075 Pioneer Trail Eden Prairie MN 55347 (952) 941 -4211 Quesetions regarding electrical permit 952- 445 -2840 Ashley Griffin 6365 Carlson Drive Suite G ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Permit Type: Permit Number: Date Issued: Permit Category: equirements should be directed to Mark Anderson, State Elec Owner: Karen M Juricich 4515 Whitetail Way Eagan MN 55123 $50.00 0801.4088 $0.50 9001.2195 $50.50 Mechanical EA087105 10/27/2008 ePermit cal Inspector, 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 Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA115800 Date Issued:09/30/2013 Permit Category:ePermit Site Address: 4515 Whitetail Way Lot:10 Block: 3 Addition: Fawn Ridge 2nd PID:10-25801-03-100 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 . William Krech 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 - Karen M Juricich 4515 Whitetail Way Eagan MN 55123 (651) 688-6420 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature City of faQan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 R EIVED MAR 03 10t Use BLUE or BLACK Ink For Office Use Permit it: Permit Fee: Date Received: Staff: 301 2015 RESIDENTIAL PLUMB NG PERMIT APPLICATION Date: d_,--43-1 L f�� Site Address: ti L � 13-43 Tenant: Com,-'/ Suite #: Name: Address / City / Zip: Name: Hilbert Company Inc dba Culligan Water Li vWC6413 76 . License #: City: Inver Grove Hgts. , Stater Mn Zip: 55077 Phone: .651-451-2241' • Contact William R Hilbert Email: Address: 1$01 50''' St East New Replacement Repair _ Rebuild _ Modify Space Work in R.O.W. Description of work: RESIDENTIAL Water Heater Lawn'Irrigation (_ RPZ /PVB) Water Softener Septic System _Add Plumbing Fixtures (_ Main / Lower Level) New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigaticjn (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Wafer Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8" meter is required) $115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) /� TOTAL FEES $ IOC OC , 0 0 CALL BEFORE YOU DIG, Cali Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to digto receive locates of underground utilities: •www,aopherstateonecall.orq 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 x 1 4 C.,P) /0/ s. FOfficeUse For %%4 ;e si Permit#:EAGAN / O 'Yj Permit Fee: /r Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 Staff: buildinoinspections( citvofeagan.com 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 115)5 Vk)kl +A1 I way Unit#: Name: Ark/ \.J dt(l Phone: Resident/ � S`15 �J1�-�-c,�-�,� e C�1Nner Address/City/Zip. / 1 \x.; tf Applicant is: Owner Contractor Type of Work Description of work: VL), ' 5 ��t' W Sc) �%•-k 5 t cu1/4-3 c Construction Cost: IZ-, 5 00 Multi-Family Building: (Yes /No ) Company: UCi 1' De-X Contact: � Contractor Address: it 2 1 7 N Ce 'G4 Auj L� `� City: j(_)'Ir�4S 11 `'`C� , ` 33° /�/�M W (gyp State: Phone:/.57--73& �a/v Zip: Email / License#: C 5 700/5 Lead Certificate#: If the project is exempt from lead certification, please explain why: 1J 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: Fire Suppression 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 if you provide specific reasons that would permit-the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaoan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit Issuance. 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.gooherstateonecall.orq 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 f plans. x /I/O A K(YA4t2- Applicant's Printed Name Applicant's Signature , . /-77__;i5 1j11;fekl( l'Ail.fq i / - -7 'E'.6 DO NOT WRITE BELOW THIS LINE SUB TYPES r _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) 2( Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi ) Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous — 01 of_Plex Lower Level Pool Accessory Building WORK TYPES C New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior — Alteration _ Fire Repair — Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant — DESCRIPTION 2 0 9,E Valuation Occupancy l'44 29 (CI_ MCES System Plan Review Code Edition :_rte— / SAC Units (25% 100%10 ) Zoning FP City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction \I 3 Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: 7° Footings(Deck) Final/C.O. Required Footings(Addition) (Nib Final/No C.O. Required Foundation Foundation Before Backfill HVAC Service Test Gas Line Air Test Hood Roof: Ice&Water Final Pool: Footings Air/Gas Tests Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test Final Siding: Stucco Lath Stone Lath Brick EFIS — Insulation Windows — Sheathing Retaining Wall: Footings Backfill Final — Sheetrock Radon Control Fire Walls Fire Suppression: Rough In Final — Braced Walls Erosion Control — Shower Pan Other: Reviewed By: l iDY /71i k r7ii- TZ.....-, Building Inspector RESIDENTIAL FEES D Q c)C to Xi Z. Base Fee Surcharge S Irak.)1 S-r-,9:R Plan Review MCES SAC City SAC Utility Connection Charge7-0 y J (I_ S&W Permit& Surcharge 2 , , _, Treatment Plant 1,-,Ar Radio Meter Read 11ode Copies f 11 11, TOTAL Page 2 of 3 SURVEYOR'S CERT1FICAT CORPORATE CONSTRUCTION / 3--7S- (40' i\--?-) / . 1 Z-i /..5- kJ/1;4-E-siA//14/j1 \I)//1\ \ , c.'.0,_<, ..t . - ak/. Kv . ,,\r...<,„„ „.,,.. S /' \'fir �,, 07�, 'C- v `S2o Com: �� ., ,��J,� 137 ,Z - •/ Of.i fcf 0 if 4; , ,.% • t , ...-t, __,..s,1,1:,2."1,s,-7\ ,.. b. ,,‹ /5,, , / / g 1 �\ o 's 4 \ \ \,/ . / k.51 \• .. ,(-. ,,-, o° , 6?,.., \ 4,,- t•'. \ (I:1)/ i ,� f el QJ5 s3v • 17,5." \ a? `3S`� / •i , � Qo �.i2'y- c'�$u* 1 O Avg /0 ; 2J 'LvN \ \ ‹b' ,0 °). 'T? 0.,C.):” 00 ‘ tiir '0 Ai"01,15-. ,..,, \, CPCP_A \ 'CI% ,j.„...„ \ Ir\ri \ . , c\l, A ..... . ... 4e 0,,,, , ,--) , ,,, A), ,;. \ ,,,• 0 '0 • 0 , \ iA . • / 4 _Ay-. 0 • ' , / (;2 • 0 15 db' \° °Pc) 'c\>*/ , . ,3 7 .s se' -4,— DENOTES PROPOSED SURFACE DRAINAGE SCALE: 1 INCH 30 FEET o DENOTES IRON MONUMENT SET IP DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR . 9SZ.955.35 FEET FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = 955.7 FEET I HEREBY CERTIFY TO CORPORATE CONSTRUCTION THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: . Lot 10, Block 3, FAWN RIDGE 2ND ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. AND OF THE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SHOW IMPROVEIEITS, OR ENCROACHMENTS, IF ANY, THEREON. AS SURVEYED BY ME, OR UNDER MY DIRECT THIS biz.D DAY OF '4b.Qcµ , 1987. SIGNED: JAMES- . HILL, INC. PROPOSED GRADES SHOWN WERE TAKEN 6:>// :./ FROM THE GRADING, DRAINAGE AND EROSION CONTROL PLAN FOR FAWN � 6:Y• t-(-111.-''' RIDGE 2ND ADDITION, PREPARED BY BH ROLO C. PETERSON, LAND SURVEYOR PROBE ENGINEERING CO. , INC. , LAST MINNESOTA LICENSE NO. x2294 �! DATED JUNE 6, 1876. i PROJECT NO. BOOK / PAGE SANIES R. HILL, INC. . . . 87116 ' Planners / Engineers / Surveyors FILE NO. 0200 Humboldt Avenue South, FOLDER 1 Bloomington, Mn. 65431 812-8134-3029 .&-tq I— For Office Use • Permit#: IF E AG N Permit Fee: flECEIVEfl Da • te Received: / q 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 OCT 15 2019 Staff: buildinginspectionsecityofeagan.com BY_ - 2019 RESIDENTIAL BUILDING PERMIT T APPLICATION Date: /o-/5 • /9. Site Address: GriA,/e 4/ o. Unit#: x Name: Aja//,J c/or,c /C N Phone: Resident! Owner Address/City/Zip: 4/�/J Z4/4/,/�p' �/ &)Oy 77� ICLOA t — Applicant is: Owner Contractor O� S 1 C 7 fCIIUX/ Typeof Work Description of work: iw s �c�/ =�:-ri+:.�� ... t�ild'P� ��/iS4C'G.4 Construction Cost: Multi-Family Building: (Yes /No ) Company: (J /y��c . ('per Contact: �a 7/71 Contractor Address:� �77 Alico/// ii? S City: Ai f,,15 d///0 State:�,� Zip: 3-5337 Phone: 756 /77 7/ c.// /e1%('‘. KOn 330 g License#:'C S7D(�%S Lead Certificate#: If the project is exempt from lead certification, please explain why: 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: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaaan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 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.qopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance wit• the ordinances and co.-eof the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to st.' without a permit; tha 2 work will be in accordance wit the approved plan in the case of work which requires a review and approval of plans. Applic/ //A) s Printed Name Applica• s Signature OAAI DO NOT WRITE BELOW THIS LINE ` / _ ./. WIAt ad / 0s 7 SUB TYPES — Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) - Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration(Multi) _ Multi _ Deck Porch (Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES New _ Interior Improvement Siding _ Demolish Building* Addition Move Building Reroof _ Demolish Interior Alteration Fire Repair Windows _ Demolish Foundation Replace Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant — DESCRIPTION (2 / ,_ Valuation Occupancy JYMCES System Plan Review Code Edition <`41a 0/ SAC Units (25%_ 100% ) Zoning --(-40--- City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction — Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) Nit Final/No C.O. Required Foundation Foundation Before Backfill HVAC Service Test Gas Line Air Test_Hood Roof: _Ice &Water Final Pool: _Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In _Air Test Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: 11' , Building Inspector RESIDENTIAL FEES91.--ti ., .r' c e' #4 tc t 0% L -- Base Fee r' Surcharge of 1`'I 01;74, Plan Review 2Qy 1? 7/ (9 V V SAC City SAC Utility Connection Charge S&W Permit& Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA172244 Date Issued:09/21/2021 Permit Category:ePermit Site Address: 4515 Whitetail Way Lot:10 Block: 3 Addition: Fawn Ridge 2nd PID:10-25801-03-100 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Karyn M Juricich 4515 Whitetail Way Saint Paul MN 55123--209 (651) 688-6420 Restoration Builders Inc PO Box 8043 Scottsdale AZ 85252 (612) 804-1189 Applicant/Permitee: Signature Issued By: Signature