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4520 Whitetail WayCity of Eaaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 IUL S 6 RECO Use BLUE or BLACK Ink Permit #: Permit Fee: Date Received: Staff: d 9? so 9 c�cJ o0 2010 MECHANICAL PERMIT APP4LI/CATION Date r -d -10 'Site Address: 1-1 5 0 1/i )/Q`1 nom(. V �ic"" –1 Tenan: C Q)f (( 1 S nC'7S Suite #: 1 RESIDENT / OWNER CONTRACTOR Name: Address / City / Zip: Lia() kit%'( L,C� .Wi, 997? ,i'2 BURNSVILLE HEATING & A/C, INC. t-866G.�% 6,3 Name: 3451 W. Burnsville Parkway License #: SO ie(5 Phone:tatajlOjc��X 7 Address: Suite 120 City: Burnsville, MN 55337 State: Zip: Phone: -SW-4 TYPE OF WORK Contact: t�i 4. Email: New X Replacement Description of work: Additional Alteration Demolition Act -7.11611 PERMIT TYPE RESIDENTIAL Furnace Air Conditioner Air Exchanger Heat Pump Other _ 1 New Construction Install Piping Gas COMMERCIAL Interior Improvement Processed Exterior HVAC Unit Under / Above ground Tank ( Install / Remove) ** When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: CSV $50.50 Minimum Add-on or alteration to an existing unit (includes O State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ (.� TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal $50.50 Minimum (includes State Surcharge) OR - If Permit Fee is Tess than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). Contract Value $ x 1% _ $ Permit Fee _ $ Surcharge _ $ TOTAL FEE Call 48 hours CALL BEFORE YOU DIG. CaII Gopher State One CaII at (651) 454-0002 for protection against underground utility damage. before you intend to dig to receive locates of underground utilities. www.00pherstateonecall.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 approved plan in the case of work which requires a review and approval of plan &ir ( QEs,u///1rnu App icant's Printed Name Applicant's Signature > CITY OF EAGAtd- SEWER SERVICE PERMIT 3830 Pilot;11(no641108d 9 n•j o, i P.O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: , Zoning: r'1 No. ot Units: ' purr Oa Rldr.s. ' Owner. , Addre:ss: ~ Site Addresa: ` teta ap : awri ge ~ Plumber. a•e e um g 7354n • P I agree to eomply,wilh"the Cky ol Eagan Connection Charge: 5' 5•000 ; Ordlnances. Account Deposit: 15. ~OT>d Permit Fee: 10. ()Ond ; ' r ~ SurChflrge: . r~P" ' gy Misc. Charges: ! Date of Insp.: TotaL• Insp.: Date Paid: CITY OF EAGAN Permit No: R7~ ~ Date: 3830 Pilot Krob Road Meter No:-377 Al Sf 9 Size: ' P.O. Box i1199 Reader No: 6 5: p ( JA Date: I - Eagartr MN 55121 Owner. aurr Oak 131drs. ~ Site Address: 4520 Whitetail Ws,,r L•5 t34 II ~ Plumber LakB Side Plumbinc, ~ Conn. Chg: 525.00 d i~ ; Acct Dep: 15. DO d ~~gl i~i 1 ~ Permit Fee: 1~~ • 0"g R~~' ~'A~~ , Surcharge: • ~ ~ I ~ ~ply • C of Eapan ~ Tr. Plant- MED 1 ~ ~ • ~ ~ Meter. L~/YK~b I MisC.: Br WATER SERVIC PERMIT , Y . . ..,y • ~ CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MM 55121 PHON E: 454-8100 BUILDING PERMIT Receipt # - To be used for Est Value Date T 1~~ ,19 SiteAddress = OFFICE USE ONLY Lot Block Sec/Sub. 214p On Site Sewage ~ Occupancy MWCC System _ Zoning Parcel No. On Site Well Type of Const City Water ' (Actuaq rc Name ' (AUOwable) W # of Stories ; Address Length ° City Phone " Depth S.F. Total , p Name Footprint S.F. z 0 Q Address APPROVALS FEES I,, City Phone Assessments _ Permit ~ CC Water/Sewer _ Surcherye F W Name Police _ Plan Review _ ~ Address Fire _ SAC, City u Engr. _ SAC, MWCC ~ W City Phone Planner _ WaterConn. Council _ Water Meter i hereby acknowledge that I have read this application and state Bldg. Off. _ Road Unit thattheintormationiscorrectandagreetocomplywithallappllcable APC _ TreatmentPl State of Minnesota Statutes and City of Eagan Ordinances. Variance _ Parks Copies Signature of Permittee Tt)7AL A Building Permit is issued to: 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 Psrmit No. Permft Holder Date Telephone ft ~ Plumbing H.V.A.C. Electric Sottener Inspection Dats Insp. Comments Footings I Footings II Foundation Framing n Roofing Rough Plbg. • S~ ~ Rough Htg. FPlbg ~ ~ ~~D . ,$`$7 • • & ~ ,~y , 62" Bldg. Final Cert.Occ. 7 ~ Temp. LP DeCk Ftg. Deck Frmg. Well Pr. Disp. . . . . . . . , 3; ' a,,. - A; . . . . ~ v~v~ . . i .i ~ • PERMIT# .~X PLUMBIMG PERMIT CITY OF EAGAN RECEIPT ti 3830 PILOT KNOB ROAD, EAGAN, MN $5122 DATE: = CONTRACT PRICE PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot ' Block Sec/Sub Res. _X New Mult. Add-on m Name Comm. Repair (i Address ' • ' Other c City Phone ` RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTA L Name 1' r r- iWater Closet - $3.00 S J rnir , -Bath Tubs - $3.00 t' 3 _ Address _d Lavatory - $3.00 p City Phone / Shower - $3.00 -L_Kitchen Sink - $3.00 2 ` - FEES - UrinallBidet - $3A0 COMM/IND FEE - 1% OF CONTRACT FEE ~Laundry Tray -$300 ~ - ` APT. BLDGS - COMM RATE APPLIES -L_Floor Drains -$7.50 i TOWNHOUSE & CONDO - RES. RATE APPLIES -LWater Heater -$1.50 MINIMUM - RESIDENTIAL FEE - $12.00 Whiripool - $100 MINIMUM - COMM/IND FEE - $20.00 / Gas Piping Outlets - $1.50 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 Rough Openings - $1.50 ---°-9- SIGNAT RE OF PERMITTEE OF' FEE: STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL: 3~ P~Hr~niT a MECHANICAL PERMIT CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: A CONTRACT PRICE PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot Block ~ Sec/Su r Res. New ' -4, Mult Add-on ~ Name Address Comm. Repair ~ Other ~ City Phone - ' FEES Name ' RES. HVAC 0-100 M BTU -$24.00 c AddreSS - ~ r' ~ ADDITIONAL 50 M BTU - 6.00 39 p Ciry Phone (RES. HVAC INCLUDES A/C ON NEW - - CONSTRUCT}DN) GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA. TYPE OF WORK COMM/IND FEE - 146 OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 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 Vent CFM STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # ' BEYOMD $1,000) Other FEE S/C: ' SIGNATURE OF PtRMITTEE " TOTAL: FOR: CITY OF EAGAN 1NSYLU'1'lUN ilLC:UKIU CITY 4F EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: 1 y Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: `V' li APPLICANT: tl WAY . PERMIT SUBTYPE: TYPE OF WORK: INSPECTION D. . ~ . . ~ ~ ~ Permit Holder Date Telephone N PLUMBING H VAC Inapection Date Insp. Comments FOOTINGS FOUNO FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS coNOUCnvirv TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FfG DECK FINAL • w~? ~ . Ter#ifiraft uf (OrrupttMry titp of eagan appaxtmrttt nf sunwg jwPrtinn This Certificate ?:ssued pursuant to lhe requiremenu of Secdon 306 of the UniJ'orm Building Code certifying that at the time of issuance this structure was in complranee with the various ordinancer of the City regulatiRg building carstruction or use. For the following: caW cLL-Isir,oom $F DAIKAR eWS. Ptrinic rvo. 13625 R.3 Zoning Duma R~ lhw ConsL oWa.oredwbng F~3RR QAK MDRS IIJC Add= 11461 (O[.DE31OD (-7l' W, 00C)tv FAPLDS ~~AM= 4520 WfI1Ei'AII. WAY Lo=hty I.S, B4, FAWid R-1DG: ),ii? Dow. JL'LY 9, 1.0,87 &Uldme omw POST IN A CONSPICUOUS PLACE RESIDENTIAL . ~ BUILDING PERMIT APPLICATION CRY OF EAGAN N_ j 1 D 3830 PILOT KNOB RD - 55122 ~,~a•a,s 651•681-4675 Naw Construction Reauiremenb RemodellReoair Reauiremenls • 3 registered sde surveys shawing sq. ft of IoL sQ, ft, of house; and all roofed areas • 2 copies of plan (ZO% mazimum lot coverage allowed) • 1 set of Energy CalcuWlio,a for fieated additans • 2 copies of plan showing 6eam 8 window sizes; poured found design, etc.) • 1 sRe survey for exterior addNons & decks • 1 set of Energy Calculatlons • Indicate it home served by SepGC syslem for additions • 3 wpies of Tree Preservatlon Plan'rf bt platted after 711/93 • Rim Joist Defaa Oplions selection sheet (bldgs xnth 3 or less unAS) DATE 01$ I a I VALUATION 7, 7 a~ JOB SITE ADDRESS r`}5'].Q L- W IF MULTI-PAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER C4NR,Ps-0 + 'Wn1P-, SlkrN'12-5 TYPE OF WORK tn'',a5I I'NE FIREPLACE(S p_ 1_ 2 APPLICANT r!~~ ~PC1L-ES Wlnl'C_~N p i r-4 PHONE'S7 o I I'3LI~ ADDRESS I~Ior-k C,1 ,ONJ'a~ ZIP CODE SI a PAGER # CELL PHONE # FAX #(4rZ~ NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY energy Code Category _ MINNESOTA RULES 7670 CA'TEGORYrl (check one) - Residentiai Ventilation Category 1 Worksheet ~ep I? n nn P Ir . - Energy Envelope Calculations Submitted LI LJ I~ + MINNESOTARULES 7674 Z9 Zml ~ - New Energy Code Worksheet Submitted o., ! Plumbing Conhactor: Phone Plumbing System Includes: _ Water SoFtener _ Lawn Sprinkler Fee: $90.00 Water Heater No. of R.I. Baths No. of Baths Mechanical Conhactor: Phone # Mechanical System Includes: _ Air Conditioning Fee: $70.00 _ Heat Recovery System Sewer/Water Contractor. Phone # All above information must be su6mitted prior to processing of applicatlon. I hereby acknowledge that I have read ihis application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant v ~ Certificates of Survey Received _ Tree Preservation Plan Received Not Required _ Updated 1101 OFFICE USE ONLY ? 01 Foundatlon ? 07 05-plex O 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 Garage ? 22 Poroh/Addn. (4-sea.) ? 33 Ext. 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 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 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Damolition (Endre Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Cersus Code Zoning City Watei SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Fovtings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinallNo C.O. _ Footings (addition) _ Plumbing Foundarion HVAC Drain Tile Roof Ice & Water Final Other _ Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Fireplace _ R.I. _ A'u Test _ Final _ Siding Stucco Stone _ Insulation _ Windows (new/replacement) Approved By , Building Vnspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit . License Search Copies Other Total . CITY OF EAGAN N? 13 6 2 5 , 3830 Pilot Kna1s Road, P.O. Box 21-199, Eagan, MN 55121 ~ L/'1 BUIIDING PERMIT PHONE: 454-8100 7 3 5 Y'v Receipt# Tobeusedfor SF DWG/GAR Est.Value $94,000 Date MAY 15 11985 Site Address 4520 WfiITETAIL WAY OFFICE USE ONLY 5 4 FAWN RIDGE 2ND On Site Sewage Occuoancy R3 Lot Block Sec/Sub. MWCC System ~ Zoning Rl PBfCBI No. On Sfte Well _ Type of Const Gty Water _}L (ACtuaq V a Name BURR OAK BLDRS INC (Allowable) v W # Of StO/ICS z Address 11461 GOLDENR D ST N O Length 48 Ciry COON RAPIDSPhone 452-2906 Deptn 34 S.F. Total , p Name SAME FootOrint S.F. ~Q Address APPROVALS FEES ~ City Phone AssesameMS _ Permit 482.50 Warer/Sewer Surcharge 47.00 w W Name RGSSELL PLAN DESIGN POIiCe _ Plan RevieW 241 • 25 I i Address Fire SAC, City 100. 00 x~ - p~ Cit engr. _ sqC,MWCC ~00 <w y EDINA phpng $35-5970 planner _ WaterConn. 525.00 Council _ WaterMeter 67-00 I hereby acknowledge that I have read this appliCation and atate Bldg. Off. _ Road Unit "t(1 S_ 00 thattheinfarmationiscorrectandagreetocomplywithallapplicable APC _ 7reatmentPt 1AO.00 State of Minnesota Statutes nd City, of Eagan Ordinences. Variance _ Parks copies ~5 Signature of Permittee TOTAL . A Building Permit is issue o• BURR 0 BLDRS INC on the express condition that all work shall be done in accordance with all appl;ca State of My'ypnes/o/ta Statutes and Ciry of Eagan Ordinancea Building Official RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EAGAN p, 3830 PILOT KNOB RD, EAGAN MN 55122 ~ U a 1~ 651-681•4675 1 NewConsiructionReaulremenls RemodellReoalrRenuirements • 3 registered sfle surveys show(irg sq. R. of lot, sq. ft of house; and all roo(ed areas • 2 copies of plan (20°h maximum lot coverage allowed) . 1 set of Energy Calculations for heated additions 50 • 2 copies of plan showing 6eam 8 windax sizes; poured found design, etc.) • 1 site survey for exterior add'Aions & decks • 1 set of Energy CalculaGons . Indicate If home served by septic system for additiom • 3 copies of Tree Preservalion Plan'rf lot plaHed after 7/1/93 . Rim Joist Detail Options selection sheet (bldgs with 3 or less uni4s) DATE S J ~ 0~ D-Z__ VALUATION ~5.a SITE ADDRESS D MULTI-FAMILY BLDG _ Y _ N TYPE OF WORK ~C. - YLa a-F FIREPLACE(S) _ 0_ 1_ 2 APPLICANT 691~ IAK~ 4J1 &YOZI-W 410 j^4 STREET ADDRESS 1 y(p ~-O (7f,-EYvrl'1°c 0 ?2 - CITY A ? STATE I''!~r`LIP SS) TELEPHONE # gsa ' S~?I - 3`IOU CELL PHONE # FAX # 9SL'~D~l I'~~S U PROPERTYOWNER C_.r)'N~Q~4YJ~ ~°nr~c~ Sv„~L.~.?S TELEPHONE#C~I COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RUITS 7672 (4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Phonc # _ Plumbing systcin includes: _ Waler Softener _ Lawn Sprinkler ree $90.00 Waler Heater No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical system includes: Air Conditioning Fee: $70.00 'Heat Recovery Systecn Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinan s. ~ Signature of Appllcant ' OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Btdg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 ot _ 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 Multi ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 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 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolltlon (Entire Bidg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code - Zoning City Water SAC Units Stories Booster Pump N6r. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing _ Foundafion HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Au/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 S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit ' License Search Copies Other Total 2-STORY ` ~ 't • j3T 1 1987 BUILDING RMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS IACLODB 2 SETS DF PLANS, 3 CERTIFICATBS OF SlIR4SY, 1 SET OF ENERGY C9LCOLATI06S NOTE: ADDRE3SES FOR CORNEE LOTS - COHTRACTOR/HOMfi0i1NER MOST DESIGNATE WHICH ADDRESS IS DfiSIRED. NO CHANGES WILL BE ALLOWED ONCS BQILDING PERMIT IS ISSIIED. MQLTIPLE DWELLINGS - RFSIDENTIAL RENTAL UAITS FOR SALE ONITS INCLUDE 2 SETS OF PLANS, CERTIFICAT6 OF S1IRVSY - CHECK NITH BLDG. DEPT., 1 SET OF ENERGY CALC[ILATIONS COLMMRCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE SOND poCJ To Be Used For: Sgl, Family Valuation: Date: 13 Mdy 87 Site Address 4520 Whit2tdil Way OFFICE IISB ONLY Lot 5 Block 4 On Site Sewage_ Occupaney MWCC System ? Zoning ~ I Parcel/Sub Fawn Ridg2 II On Site Well Type of Const City Water (Actual) ~ Owner Burr Oak Builders, Inc. (Allowable) T7- # of Stories Address 11461 Goldenrod St. N.W. Length -1-8 Depth 34 City/Zip Coae Coon Rapids, Mn. 55433 S.F. Total Footprint S.F. Phone (612) 452-2906 APPROVALS FEFLS S° Contractor same Assessments Permit Water/Sewer Surcharge 4-7 . Address Police Plan Review 2-4f. ?s Fire SAC, City Ipo. City/Zip Code Engr SAC, MWCC -51.5. Planner Water Conn 5 Z 5 Phone Council Water Meter (p7' - Bldg Off Road Unit 3OS-- Arch./Engr. RU55211 Plan D25ign APC Treatment P1 18O- Variance Parks Address Edind, Mn. Copies /y TOTAL oC G~'j,'a'Z , /j ~ City/Zip Code Phone # 835-5970 ~ • • . ti_ Z¢o x L~ x 2z - ~~-o xI2 - ~Zgo ~i3 ~ C~ Bvaa CaHSULTIH6 EH61HEf4S, . 0RK PtRNHE9S aad iAHD suavevons BvIc.nER3 ENGiNEER1NG COMPANY, INC, z.,o L 1000 FriS7 146Lt S;AEE7, 6llRH5VlLLE, YIHHES071 52337 pH A.2-30Gfl C4CrZz~'i De..•crt,!~1~zcrz: Lor 5,6LoCK a, FAWfJ aIoGE 2NO AMDiTa;j, DAKOTA COtJNT( ,MINn1ESOTA Q so.;o) b~ LaSj j v/ ~ 'o30' FRONT 8lJrLLlNG SETBACK LINE ~ \ n 5~° ~ ~o 0 1 ~ .y , / a> 4`S ~.~6i q ~ nCj k \ .._F--.•' ~ ~I6 o \ CRarNp.GE,.4G d Jriur{ r_EMENT V 'j' ~ ~ ~ ~ js` • ( Ss~.o ) CEVOrE~ E-kiSTrwG ELE'1AT'10N1 C9s~. C 9Sr7.4- ) DENOl~.S GP.OFpSE:j ELEV~4l"IONN;~,,0~'" CRAriAv= ' \ qn~Co ~ , FS1,33 = FINIS~-iE~ aF.f~A.3~ C~l (94z3) I hereby cartify that thia ia a t:Ije and cflrrzct repz`aaenta.tion of a trac! oi land a: ahevn'and deacribed hernon.• Aa PrsParad by 2ne on thfs 2?'J'! day o! 19 P7 . . ?Iinn. llis. Ho. /E-a50"" FERMIT a CItY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: s u z Lo z Nr Eagan, Minnesota 55122-1897 Permit Number: 0 3 3 6 3 9 (612) 681-4675 Date Issued: 10/ 12 / 9 8 SITE ADDRESS: 4520 WHII'ETAIL WAY LOT: 5 BLOCK: 4 FAWN RIDGE 2ND P.I.N.: 10-25801-050-04 . DESCRIPTION: B ngkfermit Type FIREPLACE -ld~hg ;~&,rk Type NEW C44434 ALT. RE^aSDENTIAL F ~ 44 . aA t ~^F .e,¢V ?d & mm G d~ a i ? a~ , Ta ' ~,~t ~ g w ~ ~ 141 3i e;~ ~e€~ ""3 i% REMARKS: CMIhINEY/FLUE MUSI" BE INSPECTED BEFORE CONGEALING. FEE SUMMARY: Base Fee $50.00 S u r c h a r g e ~ ,5 0 Total Fee $60•50 CONTRACTOR: - Flpplicant - sT. ~.ic. OWNER: F;RESIDE CORNER TNC 16331042 20090911 SANOERS CONRAD 2700 N FAIRVIEW AVE 4520 WHI7E7ATL WAY ROSEVSLLE MN 55113 EAGAN MN 55123 (612) 633-1042 (651)688-8334 y E . . . 6 fi y~ y, ,~w L W y.~. l rvk(GI ~ E~°3~P~~ ~flr~£lA~+!£r~MH~.}~y WI~aG F kt4v~.~4Ld Lill~w 't~Y"l ~'~~if~a LIr. G"~~d:. 'x~YtC~4~tY14~t..,~.~x'¢ C€r~ cotrr p~y ~3t:h, ~11 ,~aPii6ahE~.Sta~e AT~~ ' ~~~t~u&s,~~~ Y~'P E~ac~artS~~^~~.rrance~ 1,. APPUCANT/PEFMITEE SIGNATURE CSSUEL) BY: SI NAT E CITY OF EAGAN ~ C'm . ~ 3830 PILOT KNOB RD - 55122 / 1998 FIREPLACE PERMIT APPLICATION 6814675 l 9E, DATE: PERMITFEE: $50.50 DESCRIPTION OF WORK: ~ Consiruct new fireplace _ Alterations to existing Install ¢as insert onfv Install ess line oniv Other 70B ADDRESS: &1`~e-417,' f lUa u LOT: T BLOCK: ~ SUBDMSION/P.I.D. ~7Q W~n rC-~CQ oS~ ~ APPLICANT (circle one only): OWNER CONTRACTO I hereby acknowledge that I have read this applicauon and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Name: SUKS~Y'S Phone#: ~--A -3.3V PROPERTY Last First OWNER Signature: Street Address: l/ V1(5 T P G{f W(yU Ciry a~ h State: Zip: Company: %re Phone FIREPLACE C , INSTALLER Signature: Street Address: MV • License #~2 0 Cl 7O q~~ Cfty J6 ka r v~ 5 v i 1 l~ stau: ~ ZiP: ,s~-337 Company: Phone tF: GASLINE INSTALLER Signature: Street Address: ~V OCT I 2 M OFFICE USE ONLY BUILDING PERMIT TYPE ? 14 Fireplace WORK TYPE ? 31 New O 33 Alterations ? 32 AddiAOn O 34 Repair GENERAL INFORMATION Census Code. 434 SAC Code 01 REMARKS Chimney/flue must be inspected before concealing. a ~ 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EACAN ~ 6v 3830 PILOT KNOB RD - 45122 ' 851-681-4675 Calkd u j o0 New ConsfiucXon Reaulremenh Ramodel/Reoalr Re4uiremenh ~ a 3 reylsfered slfe wneys thowiny aq. fl. of lot, sq. M. of house 2 coples of plan and gp roofed areaa (20% mmcimum rof coveraae allowed) 1 set of energy caAOUlaNOns for heated atltllMona n 2 eoples o/ plans fstww beam 8c wlndow slzes; poured fid. C"gn; etc.l 1 sNe wrvey for exteilor adtliMOna & decks > 1 aal of energy calculatlona > 3 coples ol h e preservaHan plan M IW pbMed afler 7/1/93 DATE: 7 o aa CONSTRUCTION COST: d('i, DESCRIPTION Of WORK: S-CGSGh (~UYcV1 0~Iivk1 STREET ADDRESS: -~)t~ 4641*%i9 /L BLOCK: J4 SUBD./P.I.D. B: ~"fi'LW /2>A(0£ A0:0 1720 /t/ LOT: 16' Name: Srr9N.OF2 S(b ~?2An Phone # PROPERN lasl flrst OWNER Sheet Address: kkAJ~9/L <+r9~ City Stafe: Lp: Company: <rT~i7~AC7/N~Se PhoneN: (area code) COMRACTOR Sheet Address: Ucense # ExP. Cily Stqte: 21P: ARCHITECT/ ENGINEER Company: Name: Telephone Y: ( ) Sheet Addreas: Regishalior? CMy Stote: ZiP: Sewedwaler licensed plumber (ff lnstallirKi sawer/waterl: Phone ( I hereby acknowledga thal I have read Ihis applicaMon, state tlwf Ihe infomwMon is cortect, and agr to comply wNh atl appACable SfatE of Mlnnesota Slahites and CNy of Eagan Ordinancea 7 Signaiure of Applicant / ' • ' OFFICE USE ONLY CeRificates of Survey Recefved _ Yes _ No APR -t - Tree Preservation plan Received _ Yes _ No ~ Not Required OFFICE USE ONLY ` BUILDING PERMlT SUBTYPES ? 01 Foundation ? 07 OS-plex ? 13 16-plex ~ 21 Porch (3-sea.) ? 31 Ext Att - Mufti ? 02 SF Dwelling ? 08 OB-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 03 01 of _ plex ? 09 07-plex X 18 Deck ? 23 Porch (screened) ? 36 Muki 0 04 02-plex 0 70 OS-plex ? 19 Lower Level ? 24 Storm Damage ? 05 03-plex ? 11 10-piex Plbg _Y or_ N? 25 Miscetlaneous ? 06 04-plex ? 12 12-plex ? 20 Paol ? 30 Accessory Bldg. WORK TYPE ? 31 New ? 36 Move Bldg. ? 43 Reroof 32 Addition ? 37 Demolish (Bldg)' p 44 Siding ? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors • Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code l9 / # of Stories sq. ft• No. of Units Length sq. ft. No. of Buildings Width Footprint sq. ft. Const. (Actual) Viv Basement sq. ft. Census Code H.~ (Allowable) v Main level sq. ft. MC/ES System U8C Occupancy ? t~k MZW sq. ft. City Water Zoning " sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIDNS ? Stucco/Stone APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ ~ d t) Surcharge Plan Review License ~ ~ G~~~ U 4 MC/ES SAC 0v City SAC ~ Water Conn. Water Meter I ~ Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. + Other ~ Copies Total: SAC Units % SAC ~ , , . ec • BvaR ~~p` CDNSUL71N6 EHGiNEf45. OAK ENGiNEfR1NG PLAHHEAS and LAHD SllAVEYQ!!S COMPANY, lNC, zio ~ 1C00 Ed:T 1469% STREr7, HURNSYILLE, YlHHE:CiA 5S837 pH _2'SCCO ~qc~ ~•cr~~~~crt • LOT 5, 6LOCK 4, FAwfJ RIoGfi 21vD AC=J,,7 ' DAKO-FA COVNT( MINnlC50TA ~ y~ ~.~~3r~-G r { ~9- pcx c.<v 'o^c, 30' FRONT B;J!LD1NG' SErBACK LlNE QCQ qO ~ qr~,pl /f . . / .P~O~"~:? ?S / •c,~ o Q- ~'r ~ ~ ~ V'9 : : . ~ S \ 7~ 'S . . \ 1 `qk~°Sy~ .l°"no ~l ~~9L~,• ~q~ ~ a c=~-:.: ~ =~0~~ ?6 1<p ~ G,AttvP.Gc ANO ~ A• ~ur{ r.,4SEMENT ~ \ \ ~Q 4J V . ~ /s (js7.o ) GE.vO~ ~~ci~T,NG ELE'L4TiOf~l ~QD ~ : k 45. C 95v.4 ) DENaTES GROFJSE:J ELE\1A-T10N`:-';1)v'- \ • O ; ' ~ ~ ~ LVG1CA't'S= .IR-TON '~G fJR~',4~~: C~~IiV~.G_ " \ _ ' An-tn : ~ % q 5 (947-.3) I hersby cartify Lhat thia in e t:ue and carrect repraaentition ot a trae't of land as shovn'and described hernon.• Aa prapared by me on this 2yriv d+y °r A~~~ , 19 P7 . ~ . " i(~-~C }Sina. ltea. Ho.^/ ~ ~"CITY OF EAG~Ai~f . *."a°T`J -P~ °F'~ ~ ~ ~ : aPPLIcATIorr noES rz7r oCNSTI=- 1SPPRCNFIL OF PE12Tff'P. . APPLICATION FOR PERM1T ' - • :.;1 ~a. = . _ * IINSPDCTICid OF SETWFR APID/OI2 iV%-~ . • * ICqSTAr._rATrONS WSLL NOT BE SC:FI~- . SEWER AND/OR WATER CONNECTION *ULED UNT'b PERMLT HAS $FEN : _ - . - - . • *F APPROS7ID. • . . . !f'~**'k't*:t#'R't:!*Yry"k'X'k1"*F'#'R**'X4*'R*'YY'< P ease Print) 1) PROPERTY ADDRESS: ~fSaU____. ,?,C, LEGAL DESCRIpTION: -tLot B1 ck Subdion or ax arcel ID~ _ iF EXISTING STRCCIIIRE, DATE OF ORIGINAL SPIIDI,\7G pE.RMIT ISSL'A1VCE: (Mcnt~/YearJ P_RESEW ZONIA7G/pROFOSFD L'S: ~ CG~..'4CIAL/RE,TAII,/OFFICE ~R-1 SINULr. FPrti1.iLY Q IAIDC'STRIAL Q R-2 DL'P= (Tt~ C~nits) ~ INSTIZTPfZONAL/GOVZRLIIJE.NT Q R-3 2GIv'NiODSE (Thre> + Units) ( LTnits) ~ R-4 APARTiN~7T/CONDC.IIDIIL~1 ( L7nits ) 2) ..ncr•, / NAME: _ yrA-~ ADDREss: is y Z z. ~ r A., sav~ CITY. STATE. ZIP: PHCNE: O O Fcr C1ty Use 3) rA~E= Plumbers License: xDnREs Active s: ~,~a cs'I^ sTATE, zIP: v~f?,:~~rz~~'ri.?. Ss-37A rrot recordec PxorlE: ~~'I -'7L o c MASTER LIG.DrSER /1~~3 ~7 rno sta=i In~.ual 4) ...u.,.. . . NArE: _ ACDRFss: czTY, srp.TE, z7P:A K~~ e2sy m,? ..TS~,3 3 PAONE: 5) ~2~~~cr•vc' .i:ltr:~~;~„ u :t~u ;i~:r.u:+:~u~• JE' , CONNECTION TO CITY S= Cz< CCrNECT20N M CSTY WATER S) 17' 1 A r• k• i• 0 PLMSE HOLD APPROVID PERMIIT FCR PICK-f?P BY ONE 0£ ABrjVE . PUASE MAIL APPROVID PERMIT Tq 1,.2 3, 4• ABOVE . ~ one) ~ :1:/: " HY- Y:I: MY4~ ".Y 1~1" I' HP H" 'iJ IP: h Y71' ' q'! IYY: ":A•l~ L'1B~ ~7~:lt . %1l:~ •~iJ~i~i ~ lt} Y:/•.H?11 11' :~:YC • •~14:A.' • IlY1?/Y'' Yll'•~~ ~ FOR -CITY USE ONLY - . PERMIT $ ISSUED Pd w/Bldg. Permit FEES: $ $ SSWER PEnM2T. (ZNCLUDE SURCHAR:;E) $ $ WATER PERMIT (INCLC'DE SORCHARGr.) $ $ WATER METER/COPPERI-IORN/OUTSID : i2EADcR $ $ WATER TAP (INCLIIDE CORPORATION STOP) $ $ SEWER TAP S $ ~5. Cz ACCOUNT DEPOSIT - fiEi4ER , $ 617) ACCOL'NT DEPOSIT - WATER S ~LZ 5 (J~= $ WAC ~ 2- S $ sac j $ TRUNK WATER ASSLSSMENT $ TRCNK SE6JER ASSESSMENT $ LATE4AL BENEFIT/SRUNK 5::4E3 $ LATERaL BENEFIT/TRC'NK W2,T:R D $ WATER TREATMENT PLANT SL'RC:AFGE $ OTHER: i 3`I7 ~C~ TOT'AI. -7- f 2 RECF.T?T = RECEIPT n ?TILITY CONNECTION REQUIRE EYCrIVATION IN POBLIC RIGHT 0-7 WAY? Q YES IF YES, THEN A"PEBM_TT FOR WORK WITHIN PC'HLIC ROADWAY" MCIST BE ISSIIED BY THE ENGINEERING ~ NO DIVISION. LIST AS A CONDITION. BJECT TO THE FOLLOWING CONDITIONS: 2ROVED BY: TITLE: DATE : ~ 0 . o0 vna: ~~e.l 3l i 3. anJ 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWdion Reauiremenls RemodeVReoair Reauiremenls 3 registered sile sunreys showing sq. R of lot, sq. R of house; and all roofed areas 2 copies M plan showing footings, 6eams, joists Ger1 of Survegt£eed (20%mazimum bt ooverage allowed) 7 set of Energy Calalations fa heated add'NOns Ttee Pres Plan'koCd .Y 2 copies of plan shoring beam 8 windav sizes; poured found design, etc. 1 site survey for addiGOns 8 decks ~Tree Pres 1?¢q,'" :.=.G,~ , 1 set of Energy Calalations AddRion • irMicate if on-slte septic system - 3 copies of Tree Preservation Plan'rf lot pletted atler 111193 Rim Jast Detail Options saledion sheet (6uildings with 3 or less unils) Minnegasco mechanical ventilation form Date~/ Cons[ruction Cost q 44/ 0~ SiteAddress G~) ~Lt le-4-7i UniUSte # Bescript:an uf Work n-' ;..J Multi-Family,Bldg _ Y x N ~ Fireplace(s) 0 1 - 2 - - Pmperty Owner ' J 0J4 q'QA-j dc-4LS Telephone # ( ) Contractor 67 R', 4- "14S Address C^Ti,,C/JF ~2 • City, ntt (/haPJ 5ta&i: Nv.) Zip Ss~ Z l Telephone #(9~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy COde Category , Residential VeMilation Category 1 Worksheet • New Energy Code Worksheel (J submission rype) Submitted Su6mitted • Energy Envelope Calculations Submitted In the last 12 monihs, has the City of Eagan issued a pertnit for a similar plan based on a master plan? _ Y _ N ii yes, date and address or master plan: Licensed Plumber Telephone ) MechanicalConiractor Telephone#( ) „r SeweVWater Contractor 7elephone ~ D ~ I hereby apply for a Residential Building Permit and acknowledge that the information is ~67hpletea nd 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 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. ~J~ ~ ~otirL 4Aps Ap plicanPs Printed Name i nature 2006 RESIDENTIAL $UIiDING PERMIT APPLICATION . City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 4 651-675-5675 FAX # 651-675-5694 New Consfruction Reguirements RemodeVReoair Reouiremenfs Offica llse i7nlv 3 registered site surveys shavinq sq. ft. of lot sq. ft of house; and all roofed areas 2 copies of plan showing footlngs, beams, joists ~ert ofSurvey f~e~,Cd 'Y FJ (20% maximum lot cove2ge allaved) 1 set of Energy Calculations for heated additions Sree Pres 011n Reoi `.-Y N. 2 copies of plan shaxing beam & window sizes; poured found design, etc. 1 sAe survey for addNOns 8 decks Tie~ Pres Requi2d r a 7. N 7seto(EnergyCalculalions Addgion-indicafeifon-sftesep6csystem On$ite~`epticSystem,~~;_"Y,:,,N 3 copias of Tree Pmservation Plan H IW platted after 717193 Rim Joist Detal Options selediwi shcel (buildings wiN 3 or less un'rts) Minnegasco mechanicalven6latlonform , Date Canstruction Cost Site Address UniUSte # Description of Work Multi-Family Bldg _ Y _ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner Telephone # ( ) Contractor Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateporv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submilted • Energy Envelope Calculatlons Submifled In the lasf 12 months, has the City of Eagan issued a permit 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 # ( j Sewer/Water Contractor ~ Telephone # ( ) I hereby apply for a Residential Building Pernut 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 not a pertnit, 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 DO NOT WRITF[3iL-9W THIS LINE Sub Tvpes ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 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 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-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 n fl D#N.Z00 rv~- ? 31 New )EP 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation O 45 ' Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/DOOrs ? 34 Replacement *Demolition (Entire 81dg) - Give PCA handout to appiicant Description: Water Damage _ Yes " Valuation Occupancy Z-3 MCES System -Plan Review 100°k or 25% Census Code Zoning 3!D City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const .yWidth REQUIRED INSPECTIONS _ Footings(new bldg) Sheetrock _ Footings (deck) FinallC.O. _ Footings (addirion) ~p FinaUNo C.O. _ Foundation HVAC _ Drain Tile pyber Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final L~ FraminB . Siding _ Stucco Lath Stone Lath Brick Fueplace _''R.I. _ Air Test _ Final Windows ~ Insulation _ Retaining Wall Approved B. 0 / Building Inspector - Base Fee Surcharge Plan Review i MC/ES SAC City SAC Utility Connection Charge S&W Pertnit & Surcharge Treatment Plant License Search Copies Other Total             ÿ ÿþþ  ýüøýü      úþþ ðùüí÷í î ô  å   ÿþö  þýüûúù  ø ÷öñöýûúù  øöûúù ø ÷öõ ÷ô ù ó   öùòý ñ ýñ íýùú ð  þïýö î  óùöì ó  ó ö ïýö ó   öü öóë ê ö   ù  ÿêöêöó   þ ù ëñêöêù ê öë ñöüóé   öö ö ïýö üú   êóúó ë  î çæçååëåëå õú  þýöö  èýçæçëäëä èýÿë  ôó ö òñ ùù ô   ö ñöôþ ö äñýúôñø ø øú ô ì ãõ ãõ àáßáÞÞÞ  ö üú    ì ö ùù  êöóöö  ö óùú ùùü þ  êã þý ñúê íö ë ùù÷ ý úþ ýö PERMIT City of Eagan Permit Type:Building Permit Number:EA118324 Date Issued:10/30/2013 Permit Category:ePermit Site Address: 4520 Whitetail Way Lot:5 Block: 4 Addition: Fawn Ridge 2nd PID:10-25801-04-050 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 by law in ALL single family homes . Jarrod Stenzel 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 - Conrad R Sanders 4520 Whitetail Way Eagan MN 55123 Schmidt Roofing Inc 3509 West Highway 13 Burnsville MN 55337 (952) 888-4889 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA119870 Date Issued:12/30/2013 Permit Category:ePermit Site Address: 4520 Whitetail Way Lot:5 Block: 4 Addition: Fawn Ridge 2nd PID:10-25801-04-050 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . 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 - Conrad R Sanders 4520 Whitetail Way Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA146625 Date Issued:11/03/2017 Permit Category:ePermit Site Address: 4520 Whitetail Way Lot:5 Block: 4 Addition: Fawn Ridge 2nd PID:10-25801-04-050 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Conrad R Sanders 4520 Whitetail Way Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature Sealed any penetrations in the vapor barrier i L9eN1EA.o ,S00016ave sealed any penetrations in the vapor barrier, At address 44-J0 id/it. ,O%L A. -.Ay . on this date " / c2 J O a O Permit #-`' _r.21"- Signature Smoke and CO detectors affidavit for Building permit final I ileA/P405'9064.iave tested all the required smoke detectors and Carbon Monoxide detectors, At address 7A 1L / ,7;1// lti/ , on this date 7 > a They are correctly located as per the manufacturer's installation instructi6ns and operating. There are working smoke detectors in every sleeping room, in every hallway leading to a sleeping room and on every level of the house. There are working Carbon Monoxide detectors outside of every sleeping room, within 10' Permit # PERMIT City of Eagan Permit Type:Building Permit Number:EA172793 Date Issued:10/15/2021 Permit Category:ePermit Site Address: 4520 Whitetail Way Lot:5 Block: 4 Addition: Fawn Ridge 2nd PID:10-25801-04-050 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 - Conrad R & Donna M Sanders 4520 Whitetail Way Saint Paul MN 55123--209 (612) 710-1365 Restoration Builders Inc PO Box 8043 Scottsdale AZ 85252 (612) 804-1189 Applicant/Permitee: Signature Issued By: Signature